<section article="gho" article_name="Health Occupations" number="14-101" future_version_removed="true" title_number="14" title_name="Physicians" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <text>In this title the following words have the meanings indicated.</text> </level> <level label="a–1"> <text>“Advisory committee” means a committee appointed by the Board that includes members of a profession regulated under this title or Title 15 of this article and formed to:</text> <level label="1"> <text>Further the Board’s regulation of applicants and licensees of the regulated profession;</text> </level> <level label="2"> <text>Assist the Board in protecting the health, safety, and welfare of the public; and</text> </level> <level label="3"> <text>Make recommendations about the regulated profession to the Board on request.</text> </level> </level> <level label="a–2"> <text>“Allied health professional” means an individual licensed by the Board under Subtitle 5A, 5B, 5C, 5D, 5E, 5F, or 5G of this title or Title 15 of this article.</text> </level> <level label="a–3"> <text>“Alternative health system” has the meaning stated in § 1–401 of this article.</text> </level> <level label="a–4"> <text>“Applicant” means, unless the context requires otherwise, an individual applying for initial licensure, renewal, or reinstatement as a physician or an allied health professional in the State.</text> </level> <level label="b"> <text>“Board” means the State Board of Physicians.</text> </level> <level label="c"> <text>“Board certified” means the physician is certified by a public or private board, including a multidisciplinary board, and the certifying board:</text> <level label="1"> <text>Is:</text> <level label="i"> <text>A member of the American Board of Medical Specialties;</text> </level> <level label="ii"> <text>An American Osteopathic Association certifying board;</text> </level> <level label="iii"> <text>The Royal College of Physicians and Surgeons of Canada; or</text> </level> <level label="iv"> <text>The College of Family Physicians of Canada; or</text> </level> </level> <level label="2"> <text>Requires that, in order to be certified, the physician:</text> <level label="i"> <text>Complete a postgraduate training program that:</text> <level label="1"> <text>Provides complete training in the specialty or subspecialty; and</text> </level> <level label="2"> <text>Is accredited by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association; and</text> </level> </level> <level label="ii"> <text>Be certified by:</text> <level label="1"> <text>The member board of the American Board of Medical Specialties;</text> </level> <level label="2"> <text>The American Osteopathic Association in the training field;</text> </level> <level label="3"> <text>The Royal College of Physicians and Surgeons of Canada; or</text> </level> <level label="4"> <text>The College of Family Physicians of Canada.</text> </level> </level> </level> </level> <level label="d"> <text>“Civil action” includes a health care malpractice claim under Title 3, Subtitle 2A of the Courts Article.</text> </level> <level label="d–1"> <text>“Compact physician” means a physician licensed under the Interstate Medical Licensure Compact established under § 14–3A–01 of this title.</text> </level> <level label="e"> <level label="1"> <text>“Cosmetic surgical procedure” means the use of surgical services to reshape the structure of a human body in order to change the appearance of an individual.</text> </level> <level label="2"> <text>Except as provided in paragraph (3) of this subsection, “cosmetic surgical procedure” does not include:</text> <level label="i"> <text>A procedure done under local anesthesia or mild sedation; or</text> </level> <level label="ii"> <text>Liposuction that removes less than 1,000 cubic centimeters of aspirate.</text> </level> </level> <level label="3"> <text>“Cosmetic surgical procedure” includes any procedure under paragraph (2) of this subsection that, under the circumstances established by the Secretary in regulations adopted under Title 19, Subtitle 3C of the Health – General Article, is a cosmetic surgical procedure.</text> </level> </level> <level label="e–1"> <text>“Disciplinary panel” means a disciplinary panel of the Board established under § 14–401 of this title.</text> </level> <level label="e–2"> <text>“Employer” means a person that enters an arrangement for professional services, whether paid or unpaid or contractual or otherwise, with an individual licensed under this title or Title 15 of this article.</text> </level> <level label="f"> <text>“Hospital” has the meaning stated in § 19–301 of the Health – General Article.</text> </level> <level label="g"> <text>“License” means, unless the context requires otherwise, a license issued by the Board to practice medicine or an allied health profession regulated by the Board.</text> </level> <level label="h"> <text>“Licensed physician” means, unless the context requires otherwise, a physician, including a doctor of osteopathy, who is licensed by the Board to practice medicine.</text> </level> <level label="i"> <text>“Licensee” means an individual to whom the Board issues a license, including an individual practicing medicine within or as a professional corporation or professional association.</text> </level> <level label="j"> <text>“MedChi” means the Maryland State Medical Society.</text> </level> <level label="k"> <text>“Mild sedation” means a drug–induced state during which:</text> <level label="1"> <text>A patient is able to respond to verbal commands;</text> </level> <level label="2"> <text>A patient’s ventilatory and cardiovascular functions are not affected; and</text> </level> <level label="3"> <text>A patient’s cognitive function and coordination may be impaired.</text> </level> </level> <level label="l"> <text>“Perform acupuncture” means to stimulate a certain point or points on or near the surface of the human body by the insertion of needles to prevent or modify the perception of pain or to normalize physiological functions, including pain control, for the treatment of ailments or conditions of the body.</text> </level> <level label="m"> <text>“Physician” means an individual who practices medicine.</text> </level> <level label="n"> <text>“Physician assistant” means an individual licensed under Title 15 of this article to practice as a physician assistant.</text> </level> <level label="o"> <level label="1"> <text>“Practice medicine” means to engage, with or without compensation, in medical:</text> <level label="i"> <text>Diagnosis;</text> </level> <level label="ii"> <text>Healing;</text> </level> <level label="iii"> <text>Treatment; or</text> </level> <level label="iv"> <text>Surgery.</text> </level> </level> <level label="2"> <text>“Practice medicine” includes doing, undertaking, professing to do, and attempting any of the following:</text> <level label="i"> <text>Diagnosing, healing, treating, preventing, prescribing for, or removing any physical, mental, or emotional ailment or supposed ailment of an individual:</text> <level label="1"> <text>By physical, mental, emotional, or other process that is exercised or invoked by the practitioner, the patient, or both; or</text> </level> <level label="2"> <text>By appliance, test, drug, operation, or treatment;</text> </level> </level> <level label="ii"> <text>Ending of a human pregnancy; and</text> </level> <level label="iii"> <text>Performing acupuncture as provided under § 14–504 of this title.</text> </level> </level> <level label="3"> <text>“Practice medicine” does not include:</text> <level label="i"> <text>Selling any nonprescription drug or medicine;</text> </level> <level label="ii"> <text>Practicing as an optician; or</text> </level> <level label="iii"> <text>Performing a massage or other manipulation by hand, but by no other means.</text> </level> </level> </level> <level label="p"> <text>“Registered cardiovascular invasive specialist” means an individual who is credentialed by Cardiovascular Credentialing International or another credentialing body approved by the Board to assist in cardiac catheterization procedures in a hospital under the direct, in–person supervision of a licensed physician.</text> </level> <level label="q"> <text>“Rehabilitation Program” means the program of the Board or the nonprofit entity with which the Board contracts under § 14–401.1(g) of this title that evaluates and provides assistance to impaired physicians and allied health professionals who are directed by the Board to receive treatment and rehabilitation for alcoholism, chemical dependency, or other physical, emotional, or mental conditions.</text> </level> <level label="r"> <text>“Related institution” has the meaning stated in § 19–301 of the Health – General Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-102" title_number="14" title_name="Physicians" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <text>This title does not limit the right of:</text> <level label="1"> <text>An individual to practice a health occupation that the individual is authorized to practice under this article; or</text> </level> <level label="2"> <text>A Christian Science practitioner, who is accredited by the First Church of Christ, Scientist, in Boston, Massachusetts, from:</text> <level label="i"> <text>Dealing with human ills in accordance with the tenets of Christian Science; and</text> </level> <level label="ii"> <text>Charging for services.</text> </level> </level> </level> <level label="b"> <text>This title does not prohibit a licensed dentist or any other individual authorized to practice dentistry under Title 4 of this article, who has administered anesthesia regularly in hospitals in this State for at least 15 years before June 1, 1962, from practicing anesthesiology or administering anesthesia for medical purposes.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-201" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <text>There is a State Board of Physicians in the Department.</text> </section> <section article="gho" article_name="Health Occupations" number="14-202" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <level label="a"> <level label="1"> <text>The Board shall consist of 22 members appointed by the Governor with the advice of the Secretary and the advice and consent of the Senate.</text> </level> <level label="2"> <text>Of the 22 members:</text> <level label="i"> <text>11 shall be practicing licensed physicians, at least one of whom shall be a doctor of osteopathy, appointed as provided in subsections (d) and (e) of this section;</text> </level> <level label="ii"> <text>1 shall be a practicing licensed physician appointed at the Governor’s discretion;</text> </level> <level label="iii"> <text>1 shall be a representative of the Department nominated by the Secretary;</text> </level> <level label="iv"> <text>1 shall be a licensed physician assistant appointed at the Governor’s discretion as provided in subsections (f) and (g) of this section;</text> </level> <level label="v"> <text>2 shall be practicing licensed physicians with full–time faculty appointments appointed to serve as representatives of academic medical institutions in the State and of whom:</text> <level label="1"> <text>1 shall be appointed from a list containing 3 names submitted by the Johns Hopkins University School of Medicine; and</text> </level> <level label="2"> <text>1 shall be appointed from a list containing 3 names submitted by the University of Maryland School of Medicine;</text> </level> </level> <level label="vi"> <text>5 shall be consumer members; and</text> </level> <level label="vii"> <text>1 shall be a public member knowledgeable in risk management or quality assurance matters appointed from a list submitted by the Maryland Hospital Association.</text> </level> </level> </level> <level label="b"> <level label="1"> <text>Each consumer or public member of the Board:</text> <level label="i"> <text>Shall be a member of the general public;</text> </level> <level label="ii"> <text>Shall be a resident of the State for at least 5 years;</text> </level> <level label="iii"> <text>May not be or ever have been a physician or in training to become a physician;</text> </level> <level label="iv"> <text>May not have a household member who is a physician or in training to become a physician;</text> </level> <level label="v"> <text>May not have a household member who participates in a commercial or professional field related to medicine; and</text> </level> <level label="vi"> <text>May not have had within 2 years before appointment a substantial financial interest in a person regulated by the Board.</text> </level> </level> <level label="2"> <text>A consumer member of the Board may not have a substantial personal, business, professional, or pecuniary connection with a medical field or with an institution of medical education or a health care facility.</text> </level> </level> <level label="c"> <text>While serving as a member of the Board, each consumer member and the public member shall continue to meet the requirements of subsection (b) of this section.</text> </level> <level label="d"> <level label="1"> <text>For each vacancy of a practicing licensed physician appointed in accordance with subsection (a)(2)(i) of this section, the Board shall:</text> <level label="i"> <text>Notify all practicing licensed physicians and professional organizations representing at least 25 licensed physicians in the State of the vacancy;</text> </level> <level label="ii"> <text>Provide information regarding the selection process as provided under subsection (a)(2)(i) of this section;</text> </level> <level label="iii"> <text>Solicit nominations for the vacancy; and</text> </level> <level label="iv"> <text>Forward to the Governor:</text> <level label="1"> <text>Valid nominations submitted by professional organizations representing at least 25 licensed physicians in the State; and</text> </level> <level label="2"> <text>Valid petitions submitted by practicing licensed physicians.</text> </level> </level> </level> <level label="2"> <text>The Board shall meet the requirements of paragraph (1) of this subsection within:</text> <level label="i"> <text>4 months prior to an upcoming vacancy on the Board; or</text> </level> <level label="ii"> <text>2 months after a vacancy exists on the Board.</text> </level> </level> </level> <level label="e"> <text>For each vacancy of a practicing licensed physician appointed in accordance with subsection (a)(2)(i) of this section, the Governor:</text> <level label="1"> <text>May:</text> <level label="i"> <text>Reappoint a member who has not served for more than 2 consecutive full terms; or</text> </level> <level label="ii"> <text>Appoint a practicing licensed physician in accordance with subsection (a)(2)(i) of this section from lists submitted by the Board as provided in subsection (d)(1)(iv) of this section; and</text> </level> </level> <level label="2"> <text>May not reappoint or appoint a practicing licensed physician from a particular medical specialty if there are two current members serving on the Board from the same medical specialty.</text> </level> </level> <level label="f"> <level label="1"> <text>For the vacancy of a certified physician assistant appointed in accordance with subsection (a)(2)(iv) of this section, the Board shall:</text> <level label="i"> <text>Notify all practicing certified physician assistants and professional organizations representing at least 25 certified physician assistants in the State of the vacancy;</text> </level> <level label="ii"> <text>Provide information regarding the selection process as provided under subsection (a)(2)(iv) of this section;</text> </level> <level label="iii"> <text>Solicit nominations for the vacancy; and</text> </level> <level label="iv"> <text>Forward to the Governor:</text> <level label="1"> <text>Valid nominations submitted by professional organizations representing at least 25 certified physician assistants in the State; and</text> </level> <level label="2"> <text>Valid petitions submitted by practicing certified physician assistants supporting the appointment of the certified physician assistant to the Board that are signed by at least 25 practicing certified physician assistants in the State.</text> </level> </level> </level> <level label="2"> <text>The Board shall meet the requirements of paragraph (1) of this subsection within:</text> <level label="i"> <text>4 months prior to an upcoming vacancy on the Board; or</text> </level> <level label="ii"> <text>2 months after a vacancy exists on the Board.</text> </level> </level> </level> <level label="g"> <text>For each vacancy of a certified physician assistant appointed in accordance with subsection (a)(2)(iv) of this section, the Governor may:</text> <level label="1"> <text>Reappoint a member who has not served for more than two consecutive full terms; or</text> </level> <level label="2"> <text>Appoint a certified physician assistant in accordance with subsection (a)(2)(iv) of this section from lists submitted by the Board as provided in subsection (f)(1)(iv) of this section.</text> </level> </level> <level label="h"> <text>Before taking office, each appointee to the Board shall take the oath required by Article I, § 9 of the Maryland Constitution.</text> </level> <level label="i"> <level label="1"> <text>The term of a member is 4 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by the terms provided for members of the Board on August 1, 2003.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member may not serve more than 2 consecutive full terms.</text> </level> </level> <level label="j"> <level label="1"> <text>If a vacancy occurs as to a member, the Governor shall appoint a new member to serve only for the rest of the term and until a successor is appointed and qualifies.</text> </level> <level label="2"> <text>To the extent practicable, the Governor shall fill any vacancy on the Board within 60 days of the date of the vacancy.</text> </level> </level> <level label="k"> <level label="1"> <text>On the recommendation of the Board, the Secretary may remove any member of the Board for neglect of duty, misconduct, malfeasance, or misfeasance in office.</text> </level> <level label="2"> <text>Upon the recommendation of the Secretary, the Governor may remove a member whom the Secretary finds to have been absent from 2 successive Board meetings without adequate reason.</text> </level> <level label="3"> <text>The Governor may remove a member for incompetence or misconduct.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-203" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <level label="a"> <level label="1"> <text>The Governor shall appoint the chair of the Board.</text> </level> <level label="2"> <text>The term of office of the chair is 2 years.</text> </level> </level> <level label="b"> <text>From among its members, the Board shall elect any officers, other than the chair, that it considers necessary.</text> </level> <level label="c"> <text>The Board shall determine:</text> <level label="1"> <text>The manner of election of officers;</text> </level> <level label="2"> <text>The term of office of each officer; and</text> </level> <level label="3"> <text>The duties of each officer.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-204" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <level label="a"> <text>A majority of the members then serving on the Board is a quorum.</text> </level> <level label="b"> <text>The Board shall meet:</text> <level label="1"> <text>At the times and places that it determines; and</text> </level> <level label="2"> <text>As requested by the Secretary.</text> </level> </level> <level label="c"> <text>Each member of the Board is entitled to:</text> <level label="1"> <text>Compensation in accordance with the State budget; and</text> </level> <level label="2"> <text>Reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text> </level> </level> <level label="d"> <level label="1"> <level label="i"> <text>The Secretary may employ a staff for the Board in accordance with the State budget.</text> </level> <level label="ii"> <text>The Secretary may designate one of the staff as an executive director.</text> </level> </level> <level label="2"> <text>The Secretary may set the compensation of an employee of the Board in a position that:</text> <level label="i"> <text>Is unique to the Board;</text> </level> <level label="ii"> <text>Requires specific skills or experience to perform the duties of the position; and</text> </level> <level label="iii"> <text>Does not require the employee to perform functions that are comparable to functions performed in other units of the Executive Branch of State government.</text> </level> </level> <level label="3"> <text>The Secretary of Budget and Management, in consultation with the Secretary, shall determine the positions for which the Secretary may set compensation under paragraph (2) of this subsection.</text> </level> </level> <level label="e"> <text>To provide adequate assistance in the investigation, development, and prosecution of cases referred to the Board, the Board shall be assigned a sufficient number of:</text> <level label="1"> <text>Assistant Attorneys General by the Attorney General; and</text> </level> <level label="2"> <text>Investigators and hearing officers by the Secretary.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-205" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <level label="a"> <text>In addition to the powers and duties set forth in this title and in Title 15 of this article, the Board shall:</text> <level label="1"> <text>Enforce this title and Title 15 of this article;</text> </level> <level label="2"> <text>Adopt regulations to carry out the provisions of this title and Title 15 of this article;</text> </level> <level label="3"> <text>Establish policies for Board operations;</text> </level> <level label="4"> <text>Maintain the rules, regulations, and policies of the Board so that the rules, regulations, and policies reflect the current practices of the Board;</text> </level> <level label="5"> <text>Oversee:</text> <level label="i"> <text>The licensing requirements for physicians and the allied health professionals; and</text> </level> <level label="ii"> <text>The issuance and renewal of licenses;</text> </level> </level> <level label="6"> <text>Maintain secure and complete records;</text> </level> <level label="7"> <text>Review and preliminarily investigate complaints, including acknowledging receipt of complaints and informing complainants of the final disposition of complaints;</text> </level> <level label="8"> <text>Develop and implement methods to:</text> <level label="i"> <text>Assess and improve licensee practices; and</text> </level> <level label="ii"> <text>Ensure the ongoing competence of licensees;</text> </level> </level> <level label="9"> <text>Ensure that an opportunity for a hearing is provided to an individual, in accordance with law, before any action is taken against the individual;</text> </level> <level label="10"> <text>Adjudicate nondisciplinary matters within the Board’s jurisdiction;</text> </level> <level label="11"> <text>Report on all disciplinary actions, license denials, and license surrenders;</text> </level> <level label="12"> <text>Establish appropriate fees that are adequate to fund the effective regulation of physicians and allied health professionals;</text> </level> <level label="13"> <text>Make recommendations that benefit the health, safety, and welfare of the public;</text> </level> <level label="14"> <text>Provide ongoing education and training for Board members to ensure that the Board members can competently discharge their duties;</text> </level> <level label="15"> <text>Direct educational outreach to and communicate with licensees and the public;</text> </level> <level label="16"> <text>Develop and adopt a budget that reflects revenues and supports the costs associated with each allied health profession regulated by the Board;</text> </level> <level label="17"> <text>Develop and approve an annual report and other required reports for submission to the Secretary, the Governor, the General Assembly, and the public;</text> </level> <level label="18"> <text>Approve contracts as needed and within budgetary limits;</text> </level> <level label="19"> <text>Appoint standing and ad hoc committees from among Board members as necessary;</text> </level> <level label="20"> <text>Delegate to the executive director of the Board the authority to discharge Board or disciplinary panel duties, as deemed appropriate and necessary by the Board or disciplinary panel, and hold the executive director accountable to the Board; and</text> </level> <level label="21"> <text>Appoint members of the disciplinary panels.</text> </level> </level> <level label="b"> <level label="1"> <text>In addition to the powers set forth elsewhere in this title, the Board may:</text> <level label="i"> <text>Adopt regulations to regulate the performance of acupuncture, but only to the extent authorized by § 14–504 of this title;</text> </level> <level label="ii"> <text>After consulting with the State Board of Pharmacy, adopt rules and regulations regarding the dispensing of prescription drugs by a licensed physician;</text> </level> <level label="iii"> <text>On receipt of a written and signed complaint, including a referral from the Commissioner of Labor and Industry, conduct an unannounced inspection of the office of a physician or acupuncturist, other than an office of a physician or acupuncturist in a hospital, related institution, freestanding medical facility, or a freestanding birthing center, to determine compliance at that office with the Centers for Disease Control and Prevention’s guidelines on universal precautions; and</text> </level> <level label="iv"> <text>Contract with others for the purchase of administrative and examination services to carry out the provisions of this title.</text> </level> </level> <level label="2"> <text>The Board or a disciplinary panel may investigate an alleged violation of this title and Title 15 of this article.</text> </level> <level label="3"> <text>Subject to the Administrative Procedure Act and the hearing provisions of § 14–405 of this title, a disciplinary panel may deny a license to an applicant or, if an applicant has failed to renew the applicant’s license, refuse to renew or reinstate an applicant’s license for:</text> <level label="i"> <text>Any of the reasons that are grounds for action under § 14–404, § 14–5A–17, § 14–5B–14, § 14–5C–17, § 14–5D–14, § 14–5E–16, § 14–5F–18, or § 14–5G–18 of this title, as applicable; or</text> </level> <level label="ii"> <text>Failure to complete a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </level> <level label="c"> <level label="1"> <text>In addition to the duties set forth elsewhere in this title, the Board shall:</text> <level label="i"> <text>Issue, for use in other jurisdictions, a certificate of professional standing and a verification of license status to any licensee; and</text> </level> <level label="ii"> <text>Keep a list of all pending license applicants.</text> </level> </level> <level label="2"> <level label="i"> <text>The Board shall keep a list of all licensees who are currently licensed.</text> </level> <level label="ii"> <text>The list shall include each licensee’s designated public address.</text> </level> <level label="iii"> <text>A licensee’s designated public address may be a post office box only if the licensee provides to the Board a nonpublic address, under paragraph (3) of this subsection, that is not a post office box.</text> </level> <level label="iv"> <text>The list of current licensees is a public record.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board shall collect a licensee’s designated nonpublic address, if provided by the licensee, to facilitate communication between the licensee and the Board.</text> </level> <level label="ii"> <text>The Board shall offer a licensee the opportunity to designate a nonpublic address, in addition to the licensee’s public address, at the time of initial licensure and license renewal.</text> </level> <level label="iii"> <text>A licensee shall designate an address where the Board may send the licensee mail.</text> </level> <level label="iv"> <text>A licensee’s designated nonpublic address is not a public record and may not be released by the Board.</text> </level> </level> </level> <level label="d"> <text>The Board may not release a list of applicants for licensure.</text> </level> <level label="e"> <text>Except as otherwise specified in statute, the Board may adopt regulations regarding advisory committees established under this title and Title 15 of this article governing:</text> <level label="1"> <text>The term of office for members;</text> </level> <level label="2"> <text>The procedures for filling vacancies on an advisory committee;</text> </level> <level label="3"> <text>The removal of members; and</text> </level> <level label="4"> <text>The duties of each officer.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-205.1" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <text>On or before October 1 each year, the Board shall submit to the Governor, the Secretary, and, in accordance with § 2–1257 of the State Government Article, the General Assembly an annual report that includes the following data calculated on a fiscal year basis:</text> <level label="1"> <text>Relevant disciplinary indicators, including:</text> <level label="i"> <text>The number of new complaints investigated for physicians, allied health practitioners, and unlicensed individuals;</text> </level> <level label="ii"> <text>The number of complaints that remain open as of June 30 of the immediately preceding fiscal year at the Board and at the Office of the Attorney General;</text> </level> <level label="iii"> <text>The three most common grounds for complaints;</text> </level> <level label="iv"> <text>The three most common sources of the complaints received;</text> </level> <level label="v"> <text>The number and types of disciplinary actions taken by the Board;</text> </level> <level label="vi"> <text>The total number of cases referred to peer review; and</text> </level> <level label="vii"> <text>Of the cases referred to peer review:</text> <level label="1"> <text>The number of peer review cases that resulted in total disagreement;</text> </level> <level label="2"> <text>The number of peer review cases that resulted in charges being issued; and</text> </level> <level label="3"> <text>The number of peer review cases that resulted in closure or closure with an advisory letter;</text> </level> </level> </level> <level label="2"> <text>The number of cases not completed within 18 months by the Board and the reasons for the failure to complete the cases in 18 months; and</text> </level> <level label="3"> <text>For both physicians and allied health professionals:</text> <level label="i"> <text>The total number of all licensees;</text> </level> <level label="ii"> <text>The number of initial, renewal, and reinstatement licenses issued;</text> </level> <level label="iii"> <text>The number of positive and negative criminal history records checks results received;</text> </level> <level label="iv"> <text>The number of individuals denied initial or renewal licensure due to positive criminal history records checks results; and</text> </level> <level label="v"> <text>The number of individuals denied initial, renewal, or reinstatement licensure due to reasons other than a positive criminal history records check.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-205.2" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <text>The Board shall provide training on an as–needed basis to the personnel of the Office of Administrative Hearings in order to improve the quality and efficiency of the hearings in physician discipline cases.</text> </section> <section article="gho" article_name="Health Occupations" number="14-206" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <level label="a"> <text>Over the signature of an officer, the executive director, or the deputy director of the Board, the Board may issue subpoenas and administer oaths in connection with any investigation under this title and any hearings or proceedings before it.</text> </level> <level label="b"> <text>If, without lawful excuse, a person disobeys a subpoena from the Board or an order by the Board to take an oath or to testify or answer a question, then, on petition of the Board, a court of competent jurisdiction may punish the person as for contempt of court.</text> </level> <level label="c"> <text>If after due notice the individual against whom the action is contemplated fails or refuses to appear, nevertheless the Board may hear and determine the matter.</text> </level> <level label="d"> <level label="1"> <text>If the entry is necessary to carry out a duty under this title or Title 15 of this article, the Board’s executive director or other duly authorized agent or investigator of the Board may enter at any reasonable hour:</text> <level label="i"> <text>A place of business of a licensee; or</text> </level> <level label="ii"> <text>Public premises.</text> </level> </level> <level label="2"> <text>A person may not deny or interfere with an entry under this subsection.</text> </level> <level label="3"> <text>A person who violates this subsection is guilty of a misdemeanor and on conviction is subject to a fine of $1,000.</text> </level> </level> <level label="e"> <text>A disciplinary panel may issue a cease and desist order or obtain injunctive relief against an individual for:</text> <level label="1"> <text>Practicing a profession regulated under this title or Title 15 of this article without a license or with an unauthorized person;</text> </level> <level label="2"> <text>Representing to the public, by title, description of services, methods, procedures, or otherwise, that the individual is authorized to practice:</text> <level label="i"> <text>Medicine in this State, in violation of § 14–602 of this title;</text> </level> <level label="ii"> <text>Respiratory care in this State, in violation of § 14–5A–21 of this title;</text> </level> <level label="iii"> <text>Radiation therapy, radiography, nuclear medicine technology, or radiation assistance in this State, in violation of § 14–5B–18 of this title;</text> </level> <level label="iv"> <text>Polysomnography in this State, in violation of § 14–5C–21 of this title;</text> </level> <level label="v"> <text>Athletic training in this State, in violation of § 14–5D–17(3) of this title;</text> </level> <level label="vi"> <text>Perfusion in this State, in violation of § 14–5E–21 of this title;</text> </level> <level label="vii"> <text>Naturopathic medicine in this State, in violation of § 14–5F–30 of this title;</text> </level> <level label="viii"> <text>Genetic counseling in this State, in violation of § 14–5G–24 of this title;</text> </level> <level label="ix"> <text>As a physician assistant in this State, in violation of § 15–402 of this article; or</text> </level> <level label="x"> <text>Limited X–ray machine operation in the State, in violation of § 14–306.3 of this title; or</text> </level> </level> <level label="3"> <text>Taking any action:</text> <level label="i"> <text>For which a disciplinary panel determines there is a preponderance of evidence of grounds for discipline under § 14–404, § 14–5A–17, § 14–5B–14, § 14–5C–17, § 14–5E–16, § 14–5F–18, or § 14–5G–18 of this title or § 15–415 of this article; and</text> </level> <level label="ii"> <text>That poses a serious risk to the health, safety, and welfare of a patient.</text> </level> </level> </level> <level label="f"> <text>The Board shall adopt regulations to carry out the provisions of this section, including hearing procedures and sanctions for noncompliance with a cease and desist order.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-206.1" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <level label="a"> <text>Based on a complaint received by the Board, the executive director of the Board may apply to a judge of the District Court or a circuit court for a search warrant to enter private premises where the Board or a disciplinary panel suspects that a person who is not licensed by the Board is practicing, attempting to practice, or offering to practice medicine.</text> </level> <level label="b"> <text>An application for a search warrant shall:</text> <level label="1"> <text>Be in writing;</text> </level> <level label="2"> <text>Be verified by the applicant; and</text> </level> <level label="3"> <text>Describe the premises to be searched and the nature, scope, and purpose of the search.</text> </level> </level> <level label="c"> <text>A judge who receives an application for a search warrant may issue a warrant on a finding that:</text> <level label="1"> <text>The scope of the proposed search is reasonable;</text> </level> <level label="2"> <text>The request for a search warrant is based on a complaint received by the Board; and</text> </level> <level label="3"> <text>Obtaining consent to enter the premises may jeopardize the attempt to determine whether a person who is not licensed by the Board is practicing, attempting to practice, or offering to practice medicine.</text> </level> </level> <level label="d"> <level label="1"> <text>A search warrant issued under this section shall specify the location of the premises to be searched.</text> </level> <level label="2"> <text>A search conducted in accordance with a search warrant issued under this section may not exceed the limits specified in the warrant.</text> </level> </level> <level label="e"> <text>A search warrant issued under this section shall be executed and returned to the issuing judge:</text> <level label="1"> <text>Within the period specified in the warrant, which may not exceed 30 days after the date of issuance; or</text> </level> <level label="2"> <text>Within 15 days after the date of issuance, if no period is specified in the warrant.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-207" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <level label="a"> <text>There is a Board of Physicians Fund.</text> </level> <level label="b"> <level label="1"> <text>The Board may set reasonable fees for the issuance and renewal of licenses and its other services provided to applicants or licensees.</text> </level> <level label="2"> <text>The fees charged shall be set to generate sufficient funds to approximate the cost of maintaining the Board, the license programs under this title and Title 15 of this article, and the other services it provides to applicants and licensees, including the cost of providing a rehabilitation program under § 14–401.1(g) of this title.</text> </level> <level label="3"> <text>Funds to cover the compensation and expenses of the Board members shall be generated by fees set under this section.</text> </level> <level label="4"> <text>A fee collected under this section, this title, or Title 15 of this article shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board established under this title and Title 15 of this article for the practitioner type of the applicant or licensee from whom the fee was collected.</text> </level> </level> <level label="c"> <text>The Board shall pay all fees collected under this title to the Comptroller of the State.</text> </level> <level label="d"> <level label="1"> <text>In fiscal year 2023 and each fiscal year thereafter, if the Department does not implement a permanent funding structure under § 24–1702(b)(1) of the Health – General Article and the Governor does not include in the State budget at least $400,000 for the operation of the Maryland Loan Assistance Repayment Program for Physicians and Physician Assistants under Title 24, Subtitle 17 of the Health – General Article, as administered by the Department, the Comptroller shall distribute:</text> <level label="i"> <text>$400,000 of the fees received from the Board to the Department to be used to make grants under the Maryland Loan Assistance Repayment Program for Physicians and Physician Assistants under Title 24, Subtitle 17 of the Health – General Article to physicians and physician assistants engaged in primary care or to medical residents specializing in primary care who agree to practice for at least 2 years as primary care physicians in a geographic area of the State that has been designated by the Secretary as being medically underserved; and</text> </level> <level label="ii"> <text>The balance of the fees to the Board of Physicians Fund.</text> </level> </level> <level label="2"> <text>If the Governor includes in the State budget at least the amount specified in paragraph (1) of this subsection for the operation of the Maryland Loan Assistance Repayment Program for Physicians and Physician Assistants under Title 24, Subtitle 17 of the Health – General Article, as administered by the Department, the Comptroller shall distribute the fees to the Board of Physicians Fund.</text> </level> </level> <level label="e"> <level label="1"> <level label="i"> <text>The Fund shall be used exclusively to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by this title.</text> </level> <level label="ii"> <text>For fiscal year 2027 only, $2,000,000 of the Fund balance may be used to support the programs in the Office of Population Health Improvement within the Department.</text> </level> </level> <level label="2"> <level label="i"> <text>The Fund is a continuing, nonlapsing fund, not subject to § 7–302 of the State Finance and Procurement Article.</text> </level> <level label="ii"> <text>Any unspent portions of the Fund may not be transferred or revert to the General Fund of the State, but shall remain in the Fund to be used for the purposes specified in this title.</text> </level> </level> <level label="3"> <text>Interest or other income earned on the investment of money in the Fund shall be paid into the Fund.</text> </level> <level label="4"> <text>No other State money may be used to support the Fund.</text> </level> </level> <level label="f"> <text>In addition to the requirements of subsection (e) of this section, the Board shall fund the budget of the Rehabilitation Program with fees set, collected, and distributed to the Fund under this title.</text> </level> <level label="g"> <level label="1"> <text>The chair of the Board or the designee of the chair shall administer the Fund.</text> </level> <level label="2"> <text>Money in the Fund may be expended only for any lawful purpose authorized by this title.</text> </level> </level> <level label="h"> <text>The Legislative Auditor shall audit the accounts and transactions of the Fund as provided in § 2–1220 of the State Government Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-208" title_number="14" title_name="Physicians" subtitle_number="2" subtitle_name="State Board of Physicians"> <level label="a"> <text>The Board may impose an administrative penalty not exceeding $15,000 on a licensee for:</text> <level label="1"> <text>Failure to produce all documents in response to a Board subpoena;</text> </level> <level label="2"> <text>Dispensing a drug without the proper authority from a valid dispensing permit; and</text> </level> <level label="3"> <text>Failure to complete a supplemental application for a license compact.</text> </level> </level> <level label="b"> <text>The Board shall adopt regulations establishing the administrative penalties listed in subsection (a) of this section.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section to the Board of Physicians Fund established under § 14–207 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-301" title_number="14" title_name="Physicians" subtitle_number="3"> <text>Except as otherwise provided in this title, § 13–516 of the Education Article, or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice medicine in this State.</text> </section> <section article="gho" article_name="Health Occupations" number="14-302" title_number="14" title_name="Physicians" subtitle_number="3"> <text>Subject to the rules, regulations, and orders of the Board, the following individuals may practice medicine without a license:</text> <level label="1"> <text>A medical student or an individual in a postgraduate medical training program that is accredited by an accrediting organization recognized by the Board in regulations, while the individual is practicing medicine in the program and doing the assigned duties at any office of a licensed physician, hospital, clinic, or similar facility;</text> </level> <level label="2"> <text>A physician licensed by and residing in another jurisdiction, if the physician:</text> <level label="i"> <text>Is engaged in consultation with a physician licensed in the State about a particular patient and does not direct patient care;</text> </level> <level label="ii"> <level label="1"> <text>Has an active, unrestricted license to practice medicine in the jurisdiction where the physician regularly engages in the practice of medicine;</text> </level> <level label="2"> <text>Is employed by or has a written agreement with an athletic team or a sports team based outside the State;</text> </level> <level label="3"> <text>Is designated as the team physician by the athletic or sports team to provide medical care to the team’s members, band members, cheerleading squad, mascot, coaches, and other staff who travel to a specified sporting event taking place in the State;</text> </level> <level label="4"> <text>While in the State, provides medical care only to individuals listed in item 3 of this item;</text> </level> <level label="5"> <text>Does not provide medical care in the State for more than 45 days in a calendar year; and</text> </level> <level label="6"> <text>Does not engage in the practice of medicine at a hospital, related institution, or other health care facility, including an acute care facility, located within the State; or</text> </level> </level> <level label="iii"> <text>Is engaged in clinical training or participates in training or teaching of a skill or procedure in a hospital if:</text> <level label="1"> <text>The skill or procedure:</text> </level> <level label="A"> <text>Is advanced beyond those skills or procedures normally taught or exercised in the hospital and in standard medical education or training;</text> </level> <level label="B"> <text>Could not be otherwise conveniently taught or demonstrated in standard medical education or training in that hospital; and</text> </level> <level label="C"> <text>Is likely to benefit Maryland patients in this instance;</text> </level> <level label="2"> <text>The demonstration of all skills or procedures by the physician does not exceed 14 days total in the calendar year;</text> </level> <level label="3"> <text>A licensed physician who practices at a hospital in the State will be responsible for the medical care provided by that visiting physician to patients in the State;</text> </level> <level label="4"> <text>The visiting physician has no history of any medical disciplinary action in any other state, territory, nation, or any branch of the uniformed services or the U.S. Department of Veterans Affairs, and has no significant detrimental malpractice history;</text> </level> <level label="5"> <text>The physician is covered by malpractice insurance in the jurisdiction in which the physician practices; and</text> </level> <level label="6"> <text>The hospital ensures that the patients will be protected by adequate malpractice insurance;</text> </level> </level> </level> <level label="3"> <text>A physician employed in the service of the federal government while practicing within the scope of the employment;</text> </level> <level label="4"> <text>A physician who resides in and is authorized to practice medicine by any state adjoining this State for the purpose of prescribing home health services to a patient who resides in this State, if the physician:</text> <level label="i"> <text>Does not have an office or other regularly appointed place in this State to meet patients; and</text> </level> <level label="ii"> <text>Has performed an in–person physical examination of the patient within the jurisdictional boundaries of the adjoining state in which the prescribing physician is authorized to practice medicine; and</text> </level> </level> <level label="5"> <text>An individual while under the supervision of a licensed physician who has specialty training in psychiatry, and whose specialty training in psychiatry has been approved by the Board, if the individual submits an application to the Board on or before October 1, 1993, and either:</text> <level label="i"> <level label="1"> <text>Has a master’s degree from an accredited college or university; and</text> </level> <level label="2"> <text>Has completed a graduate program accepted by the Board in a behavioral science that includes 1,000 hours of supervised clinical psychotherapy experience; or</text> </level> </level> <level label="ii"> <level label="1"> <text>Has a baccalaureate degree from an accredited college or university; and</text> </level> <level label="2"> <text>Has 4,000 hours of supervised clinical experience that is approved by the Board.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-306" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>To the extent authorized by the rules, regulations, and orders of the Board, an individual to whom duties are delegated by a licensed physician or physician assistant may perform those duties without a license as provided in this section.</text> </level> <level label="b"> <text>The individuals to whom duties may be delegated under this section include any individual authorized to practice any other health occupation regulated under this article or § 13–516 of the Education Article.</text> </level> <level label="c"> <level label="1"> <text>The Board shall adopt rules and regulations to delineate the scope of this section.</text> </level> <level label="2"> <text>Before the Board adopts any rule or regulation under this section, the Board shall invite and consider proposals from any individual or health group that could be affected by the rule or regulation.</text> </level> </level> <level label="d"> <level label="1"> <text>If a duty that is to be delegated under this section is a part of the practice of a health occupation that is regulated under this article by another board, any rule or regulation concerning that duty shall be adopted jointly by the Board of Physicians and the board that regulates the other health occupation.</text> </level> <level label="2"> <text>If the two boards cannot agree on a proposed rule or regulation, the proposal shall be submitted to the Secretary for a final decision.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-306.1" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>In accordance with regulations adopted by the Board, a licensed physician may delegate duties to a registered cardiovascular invasive specialist assisting in the physician’s performance of fluoroscopy if:</text> <level label="1"> <text>The delegated duties are limited to a cardiac catheterization procedure performed in a hospital cardiac catheterization laboratory;</text> </level> <level label="2"> <text>The physician is physically present and personally directs each act performed by the registered cardiovascular invasive specialist;</text> </level> <level label="3"> <text>The registered cardiovascular invasive specialist has completed the training and education and has the experience required by regulations adopted by the Board; and</text> </level> <level label="4"> <text>The hospital in which the cardiac catheterization laboratory is located has verified and documented that the registered cardiovascular invasive specialist has completed the training and education and has the experience required by regulations adopted by the Board.</text> </level> </level> <level label="b"> <text>The hospital in which the cardiac catheterization laboratory is located and the physician delegating duties to a registered cardiovascular invasive specialist under this section are responsible for ensuring that all requirements of this section are met for each procedure.</text> </level> <level label="c"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for each instance of a hospital’s failure to comply with the requirements of this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-306.2" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“On–site supervision” means oversight exercised by a delegating physician who is:</text> <level label="i"> <text>Personally treating the patient;</text> </level> <level label="ii"> <text>In the same medical office as the patient and the supervised medical graduate; and</text> </level> <level label="iii"> <text>Immediately available to provide assistance and guidance to the supervised medical graduate for the duration of the completion of a delegated duty.</text> </level> </level> <level label="3"> <text>“Supervised medical graduate” means an individual who:</text> <level label="i"> <text>Has a degree of:</text> <level label="1"> <text>Doctor of medicine from a medical school that is accredited by an accrediting organization that the Board recognizes in its regulations; or</text> </level> <level label="2"> <text>Doctor of osteopathy from a school of osteopathy in the United States, its territories or possessions, Puerto Rico, or Canada that has standards for graduation equivalent to those established by the American Osteopathic Association; and</text> </level> </level> <level label="ii"> <text>Has passed parts 1 and 2 of:</text> <level label="1"> <text>The United States Medical Licensing Examination; or</text> </level> <level label="2"> <text>The Comprehensive Osteopathic Medical Licensing Examination of the United States.</text> </level> </level> </level> </level> <level label="b"> <text>Subject to subsection (c) of this section and in accordance with regulations adopted by the Board, a supervised medical graduate may perform delegated duties under on–site supervision.</text> </level> <level label="c"> <text>An individual may not practice as a supervised medical graduate for a period of more than 2 years.</text> </level> <level label="d"> <text>For the purposes of this section, a delegating physician is not required to be in the presence of a patient and a supervised medical graduate during the completion of a delegated duty.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-306.3" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>In accordance with regulations adopted by the Board, an individual may perform X–ray duties as a limited X–ray machine operator registered with the Board under this section without a license if the X–ray procedures:</text> <level label="1"> <text>Do not include:</text> <level label="i"> <text>Computerized or noncomputerized tomography;</text> </level> <level label="ii"> <text>Fluoroscopy;</text> </level> <level label="iii"> <text>Invasive radiology;</text> </level> <level label="iv"> <text>Mammography;</text> </level> <level label="v"> <text>Nuclear medicine;</text> </level> <level label="vi"> <text>Radiation therapy; or</text> </level> <level label="vii"> <text>Xerography;</text> </level> </level> <level label="2"> <text>Are limited to X–ray procedures of:</text> <level label="i"> <text>The chest;</text> </level> <level label="ii"> <text>The spine, including:</text> <level label="1"> <text>The cervical spine;</text> </level> <level label="2"> <text>The lumbar spine;</text> </level> <level label="3"> <text>The sacroiliac joints;</text> </level> <level label="4"> <text>The sacrum and coccyx; and</text> </level> <level label="5"> <text>The thoracic spine;</text> </level> </level> <level label="iii"> <text>Lower extremities, including:</text> <level label="1"> <text>Toes;</text> </level> <level label="2"> <text>The foot;</text> </level> <level label="3"> <text>The ankle;</text> </level> <level label="4"> <text>The calcaneus;</text> </level> <level label="5"> <text>The tibia and fibula;</text> </level> <level label="6"> <text>The knee and patella; and</text> </level> <level label="7"> <text>The femur; and</text> </level> </level> <level label="iv"> <text>Upper extremities, including:</text> <level label="1"> <text>Fingers;</text> </level> <level label="2"> <text>The hand;</text> </level> <level label="3"> <text>The wrist;</text> </level> <level label="4"> <text>The forearm;</text> </level> <level label="5"> <text>The elbow;</text> </level> <level label="6"> <text>The humerus;</text> </level> <level label="7"> <text>The shoulder;</text> </level> <level label="8"> <text>The clavicle;</text> </level> <level label="9"> <text>Acromioclavicular joints; and</text> </level> <level label="10"> <text>The scapula;</text> </level> </level> </level> <level label="3"> <text>Are performed under the supervision of a licensed physician or radiographer who is on–site or able to provide immediately available direction; and</text> </level> <level label="4"> <text>Are performed by an individual who has registered with the Board and attests:</text> <level label="i"> <text>To the successful completion of at least 6 months of clinical care experience;</text> </level> <level label="ii"> <text>To the successful completion of:</text> <level label="1"> <text>A limited X–ray educational program; or</text> </level> <level label="2"> <text>The first year of an accredited radiologic technologist program in good standing with the Board;</text> </level> </level> <level label="iii"> <text>To the successful completion of at least 115 hours of didactic training delivered by a radiologic technologist certified by the American Registry of Radiologic Technologists providing instruction in radiographic anatomy, procedures, and pathology, digital image acquisition and display, fundamentals, ethics, and laws of health care, human anatomy and physiology, image production and analysis, imaging equipment and radiation production, medical terminology, and patient care;</text> </level> <level label="iv"> <text>To the successful completion of at least 480 hours of clinical training;</text> </level> <level label="v"> <text>To the successful completion of a minimum of five competencies in each body part listed under subsection (a)(2) of this section under the direct supervision of a radiologic technologist certified by the American Registry of Radiologic Technologists; and</text> </level> <level label="vi"> <text>To the successful achievement of a passing score, as determined by the Board, on the American Registry of Radiologic Technologists examination for limited scope of practice in radiography or an alternative examination approved by the Board.</text> </level> </level> </level> <level label="b"> <text>If the applicant completed the first year of an accredited radiologic technologist educational program, the program director of the educational program shall provide an attestation directly to the Board stating that the applicant meets or exceeds the requirements of subsection (a)(4)(i), (ii)2, (iii), (iv), (v), and (vi) of this section.</text> </level> <level label="c"> <text>An individual seeking registration under this section shall:</text> <level label="1"> <text>Apply for registration on a form supplied by the Board;</text> </level> <level label="2"> <text>Pay the registration fee established by the Board; and</text> </level> <level label="3"> <text>Complete any other requirements established by the Board.</text> </level> </level> <level label="d"> <text>If an individual was denied a license by the Board, the individual is not eligible for registration under this section.</text> </level> <level label="e"> <text>An individual registered under this section shall complete at least 24 hours of approved continuing education credits earned during the 2–year period immediately preceding the expiration of a registration.</text> </level> <level label="f"> <level label="1"> <text>The term of a registration may not exceed 3 years.</text> </level> <level label="2"> <text>A registration shall expire on a date established by the Board.</text> </level> <level label="3"> <text>To renew a registration, the registrant must:</text> <level label="i"> <text>Apply for renewal on a form supplied by the Board;</text> </level> <level label="ii"> <text>Pay the renewal fee established by the Board; and</text> </level> <level label="iii"> <text>Complete any other requirements established by the Board.</text> </level> </level> </level> <level label="g"> <text>An applicant for registration shall complete a criminal history records check in accordance with § 14–308.1 of this subtitle.</text> </level> <level label="h"> <level label="1"> <text>The Board shall set reasonable fees for the issuance and renewal of registrations and other services provided.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the registration program and other services provided to registrants under this section.</text> </level> </level> <level label="i"> <text>In accordance with regulations adopted by the Board, a physician’s office that employs an individual authorized to perform X–ray duties without a license under this section is responsible for ensuring that all requirements of this section are met for each X–ray examination performed.</text> </level> <level label="j"> <text>If an unregistered individual performs X–ray duties without meeting the requirements of this section, the Board may impose a civil penalty of up to:</text> <level label="1"> <text>$5,000 for each violation on the physician’s office where the violation occurred; and</text> </level> <level label="2"> <text>$1,000 for each violation on the individual who committed the violation.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-306.4" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of the quorum of the disciplinary panel, may deny a registration to practice as a limited X–ray machine operator to any applicant, reprimand any limited X–ray machine operator registrant, place any registrant on probation, or suspend or revoke a registration, if the applicant or registrant:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a registration for the applicant, registrant, or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a registration;</text> </level> <level label="3"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct in the practice of limited X–ray machine operation; or</text> </level> <level label="ii"> <text>Unprofessional conduct in the practice of limited X–ray machine operation;</text> </level> </level> <level label="4"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="5"> <text>Abandons a patient;</text> </level> <level label="6"> <text>Is habitually intoxicated;</text> </level> <level label="7"> <text>Is addicted to or habitually abuses any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="8"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="9"> <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="10"> <text>Willfully makes or files a false report or record in the practice of limited X–ray machine operation;</text> </level> <level label="11"> <text>Willfully fails to file or record any report as required under law, willfully impedes or obstructs the filing or recording of a report, or induces another to fail to file or record a report;</text> </level> <level label="12"> <text>Breaches patient confidentiality;</text> </level> <level label="13"> <text>Pays or agrees to pay any sum or provide any form of remuneration or material benefit to any person for bringing or referring a patient or accepts or agrees to accept any sum or any form of remuneration or material benefit from an individual for bringing or referring a patient;</text> </level> <level label="14"> <text>Willfully makes a misrepresentation while practicing limited X–ray machine operation;</text> </level> <level label="15"> <text>Willfully practices limited X–ray machine operation with an unauthorized individual or aids an unauthorized individual in the practice of limited X–ray machine operation;</text> </level> <level label="16"> <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text> </level> <level label="17"> <text>Is disciplined by a licensing or disciplinary authority or is convicted or disciplined by a court of any state or country or is disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="18"> <text>Fails to meet appropriate standards for the delivery of quality limited X–ray machine operation care performed in any outpatient surgical facility, office, hospital or related institution, or any other location in this State;</text> </level> <level label="19"> <text>Willfully submits false statements to collect fees for which services are not provided;</text> </level> <level label="20"> <level label="i"> <text>Has been subject to investigation or disciplinary action by a disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes; and</text> </level> <level label="ii"> <text>Has:</text> <level label="1"> <text>Surrendered the license, registration, certification, or permit issued by the State or country; or</text> </level> <level label="2"> <text>Allowed the license, registration, certification, or permit issued by the State or country to expire or lapse;</text> </level> </level> </level> <level label="21"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="22"> <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate medical purposes;</text> </level> <level label="23"> <text>Practices or attempts to practice beyond the authorized scope of practice;</text> </level> <level label="24"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="25"> <text>Practices or attempts to practice a limited X–ray machine operation procedure or uses limited X–ray machine operation equipment if the applicant or registrant has not received an education, an internship, training, or experience in the performance of the procedure or the use of the equipment;</text> </level> <level label="26"> <text>Fails to cooperate with a lawful investigation conducted by the Board or a disciplinary panel;</text> </level> <level label="27"> <text>Fails to practice under the supervision of a licensed physician or licensed radiographer or violates a supervisory order of a supervising physician or supervising radiographer; or</text> </level> <level label="28"> <text>Fails to complete a criminal history records check under § 14–308.1 of this subtitle.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in the Administrative Procedure Act, before the Board or a disciplinary panel takes any action under subsection (a) of this section, the Board or a disciplinary panel shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board or the disciplinary panel in accordance with the hearing requirements of § 14–405 of this title.</text> </level> <level label="c"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a registration if the registrant is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process, if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a registration on the certification by the Office of the Attorney General.</text> </level> </level> <level label="d"> <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a registration, to reprimand a registrant, or to place a registrant on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the registrant, or placing the registrant on probation.</text> </level> <level label="e"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a registrant to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-307" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant shall be of good moral character.</text> </level> <level label="c"> <text>The applicant shall be at least 18 years old.</text> </level> <level label="d"> <text>Except as provided in § 14–308 of this subtitle, the applicant shall:</text> <level label="1"> <level label="i"> <text>Have a degree of doctor of medicine from a medical school that is accredited by an accrediting organization that the Board recognizes in its regulations; and</text> </level> <level label="ii"> <text>Submit evidence acceptable to the Board of successful completion of 1 year of training in a postgraduate medical training program that is accredited by an accrediting organization that the Board recognizes in its regulations; or</text> </level> </level> <level label="2"> <level label="i"> <text>Have a degree of doctor of osteopathy from a school of osteopathy in the United States, its territories or possessions, Puerto Rico, or Canada that has standards for graduation equivalent to those established by the American Osteopathic Association; and</text> </level> <level label="ii"> <text>Submit evidence acceptable to the Board of successful completion of 1 year of training in a postgraduate medical training program accredited by an accrediting organization that the Board recognizes in its regulations.</text> </level> </level> </level> <level label="e"> <text>Except as otherwise provided in this subtitle, the applicant shall meet any education, certification, training, or examination requirements established by the Board.</text> </level> <level label="f"> <text>The applicant shall meet any other qualifications that the Board establishes in its regulations for license applicants.</text> </level> <level label="g"> <text>An otherwise qualified applicant who passes the examination after having failed the examination or any part of the examination 3 or more times may qualify for a license only if the applicant:</text> <level label="1"> <text>Has successfully completed 2 or more years of a residency or fellowship accredited by the Accreditation Council on Graduate Medical Education or the American Osteopathic Association;</text> </level> <level label="2"> <level label="i"> <text>Has a minimum of 5 years of clinical practice of medicine:</text> <level label="1"> <text>In the United States or in Canada;</text> </level> <level label="2"> <text>With at least 3 of the 5 years having occurred within 5 years of the date of the application; and</text> </level> <level label="3"> <text>That occurred under a full unrestricted license to practice medicine; and</text> </level> </level> <level label="ii"> <text>Has no disciplinary action pending and has had no disciplinary action taken against the applicant that would be grounds for discipline under § 14–404 of this title; or</text> </level> </level> <level label="3"> <text>Is board certified.</text> </level> </level> <level label="h"> <level label="1"> <text>The Board shall require as part of its examination or licensing procedures that an applicant for a license to practice medicine demonstrate an oral and written competency in the English language.</text> </level> <level label="2"> <text>Graduation from a recognized English–speaking undergraduate school or high school, including General Education Development (GED), after at least 3 years of enrollment, or from a recognized English–speaking professional school is acceptable as proof of proficiency in the oral and written communication of the English language under this section.</text> </level> <level label="3"> <text>By regulation, the Board shall develop a procedure for testing individuals who because of their speech impairment are unable to complete satisfactorily a Board approved standardized test of oral competency.</text> </level> <level label="4"> <text>If any disciplinary charges or action that involves a problem with the oral and written communication of the English language are brought against a licensee under this title, the Board shall require the licensee to take and pass a Board approved standardized test of oral and written competency.</text> </level> </level> <level label="i"> <text>The applicant shall complete a criminal history records check in accordance with § 14–308.1 of this subtitle.</text> </level> <level label="j"> <level label="1"> <text>The Board shall license an applicant to practice medicine if:</text> <level label="i"> <text>The applicant:</text> <level label="1"> <text>Became licensed or certified as a physician in another jurisdiction under requirements that the Board determines are substantially equivalent to the licensing requirements of this title;</text> </level> <level label="2"> <text>Is in good standing under the laws of the other jurisdiction;</text> </level> <level label="3"> <text>Submits an application to the Board on a form that the Board requires; and</text> </level> <level label="4"> <text>Pays to the Board an application fee set by the Board; and</text> </level> </level> <level label="ii"> <text>The jurisdiction in which the applicant is licensed or certified offers a similar reciprocal licensing process for individuals licensed to practice medicine by the Board.</text> </level> </level> <level label="2"> <text>The Board shall adopt regulations to implement this subsection.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-308" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <level label="1"> <text>In this section the following terms have the meanings indicated.</text> </level> <level label="2"> <text>“Fifth pathway program” means a program that the Board approves in its regulations for a student who:</text> <level label="i"> <text>Has studied medicine at an international medical school;</text> </level> <level label="ii"> <text>Was a United States citizen when the student enrolled in the international medical school; and</text> </level> <level label="iii"> <text>Has completed all of the formal requirements for graduation from the international medical school, except for any social service or postgraduate requirements.</text> </level> </level> <level label="3"> <text>“International medical school” means a medical school located outside of the United States, its territories or possessions, Puerto Rico, or Canada.</text> </level> </level> <level label="b"> <text>An applicant for a license is exempt from the educational requirements of § 14–307 of this subtitle, if the applicant:</text> <level label="1"> <text>Has studied medicine at an international medical school;</text> </level> <level label="2"> <text>Is certified by the Educational Commission for Foreign Medical Graduates or by its successor as approved by the Board;</text> </level> <level label="3"> <text>Passes a qualifying examination for international medical school graduates required by the Board;</text> </level> <level label="4"> <text>Meets any other qualifications for international medical school graduates that the Board establishes in its regulation for licensing of applicants;</text> </level> <level label="5"> <text>Submits acceptable evidence to the Board of the requirements set in the Board’s regulations; and</text> </level> <level label="6"> <text>Meets one of the following requirements:</text> <level label="i"> <text>The applicant graduated from any international medical school and submits evidence acceptable to the Board of successful completion of 2 years of training in a postgraduate medical education program accredited by an accrediting organization recognized by the Board; or</text> </level> <level label="ii"> <text>The applicant successfully completed a fifth pathway program and submits evidence acceptable to the Board that the applicant:</text> <level label="1"> <text>Has a document issued by the international medical school certifying that the applicant completed all of the formal requirements of that school for the study of medicine, except for the postgraduate or social service components as required by the international country or its medical school;</text> </level> <level label="2"> <text>Has successfully completed a fifth pathway program; and</text> </level> <level label="3"> <text>Has successfully completed 2 years of training in a postgraduate medical education program following completion of a Board approved fifth pathway program.</text> </level> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-308.1" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>In this section, “Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.</text> </level> <level label="b"> <text>An applicant, a licensee, or a certificate holder shall apply to the Central Repository for a State and national criminal history records check.</text> </level> <level label="c"> <text>As part of the application required under subsection (b) of this section, an individual shall submit to the Central Repository:</text> <level label="1"> <text>Two complete sets of legible fingerprints taken on forms approved by the Director of the Central Repository and the Director of the Federal Bureau of Investigation;</text> </level> <level label="2"> <text>The fee authorized under § 10–221(b)(7) of the Criminal Procedure Article for access to State criminal history records; and</text> </level> <level label="3"> <text>The mandatory processing fee required by the Federal Bureau of Investigation for a national criminal history records check.</text> </level> </level> <level label="d"> <text>In accordance with §§ 10–201 through 10–229 of the Criminal Procedure Article, the Central Repository shall forward to the Board and to the individual the criminal history record information of the individual.</text> </level> <level label="e"> <text>If criminal history record information is reported to the Central Repository after the date of the initial criminal history records check, the Central Repository shall provide to the Board and the individual a revised printed statement of the individual’s State criminal history record.</text> </level> <level label="f"> <text>Information obtained from the Central Repository under this section:</text> <level label="1"> <text>Is confidential;</text> </level> <level label="2"> <text>May not be redisseminated; and</text> </level> <level label="3"> <text>May be used only for the licensing purpose authorized by this title.</text> </level> </level> <level label="g"> <text>The subject of a criminal history records check under this section may contest the contents of the printed statement issued by the Central Repository as provided in § 10–223 of the Criminal Procedure Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-309" title_number="14" title_name="Physicians" subtitle_number="3"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this subtitle;</text> </level> <level label="2"> <text>Submit an application to the Board on the form that the Board requires; and</text> </level> <level label="3"> <text>Pay to the Board the application fee set by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-311" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>An applicant who otherwise qualifies for a license under this title is entitled to sit for an examination as provided under this section or any regulations adopted to carry out this section.</text> </level> <level label="b"> <text>An applicant shall:</text> <level label="1"> <text>Attain on the federation licensing examination or the United States Medical Licensing Examination a passing score as set by the Board under its rules and regulations; or</text> </level> <level label="2"> <text>Hold a certificate of proficiency and professional standing of:</text> <level label="i"> <text>The National Board of Medical Examiners;</text> </level> <level label="ii"> <text>The board of medical examiners of this State or any other state that was issued before January 1, 1985;</text> </level> <level label="iii"> <text>The National Board of Examiners for Osteopathic Physicians and Surgeons, if the certificate is issued after January 1, 1971; or</text> </level> <level label="iv"> <text>The Licentiate of the Medical Council of Canada.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-312" title_number="14" title_name="Physicians" subtitle_number="3"> <text>On request of the Board, a physician who reports to the Board that the physician maintains medical professional liability insurance for purposes of the public individual profile maintained by the Board under § 14–411.1(b) of this title shall provide the Board with verification or other documentation that the physician maintains the insurance within 25 business days after the physician receives a request from the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-313" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>Subject to subsection (b) of this section, the Board shall issue a license to any applicant who meets the requirements of this title.</text> </level> <level label="b"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this subtitle, in determining whether to issue a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text> </level> </level> <level label="2"> <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this subtitle has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-313.1" effective_note="EFFECTIVE UNTIL JUNE 30, 2030 PER CHAPTER 313 OF 2022" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>Within 30 days after receiving a request from the Board, a compact physician shall provide to the Board verification, on a form provided by the Board, that the compact physician satisfies the requirements for licensure under this subtitle.</text> </level> <level label="b"> <text>Refusal by a compact physician to provide the verification requested under subsection (a) of this section may not be considered a basis for denial of a license under the Interstate Medical Licensure Compact established under § 14–3A–01 of this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-314" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>Except as otherwise provided in this title, a license authorizes the licensee to practice medicine while the license is effective.</text> </level> <level label="b"> <text>A licensee may practice medicine using only the name in which the license is issued.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-315" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>The Board shall issue a license free of charge to any physician who:</text> <level label="1"> <text>Provides medical services to patients for which the physician receives no personal remuneration;</text> </level> <level label="2"> <text>Is not engaged in the private practice of medicine; and</text> </level> <level label="3"> <text>Otherwise qualifies for a license under this title.</text> </level> </level> <level label="b"> <text>Except as provided in subsection (c) of this section, each license issued under this section expires on a date set by the Board and may be renewed for a term set by the Board.</text> </level> <level label="c"> <level label="1"> <text>If, at any time, a physician licensed under this section ceases to meet the requirements of subsection (a)(1) or (2) of this section, the licensee shall notify the Board of the status change.</text> </level> <level label="2"> <text>On receipt of this notice, the Board shall charge the physician the license fee otherwise required under this subtitle.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-316" future_version_removed="true" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <level label="1"> <text>This subsection does not apply to a physician who is on inactive status under § 14–320 of this subtitle or emeritus status under § 14–320.1 of this subtitle.</text> </level> <level label="2"> <text>The term of a license issued by the Board may not exceed 3 years.</text> </level> <level label="3"> <text>A license expires on a date set by the Board, unless the license is renewed for an additional term as provided in this section.</text> </level> </level> <level label="b"> <level label="1"> <text>Subject to paragraph (2) of this subsection, at least 1 month before the license expires, the Board shall send to the licensee, by electronic or first–class mail to the last known electronic or physical address of the licensee a renewal notice that states:</text> <level label="i"> <text>The date on which the current license expires;</text> </level> <level label="ii"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text> </level> <level label="iii"> <text>The amount of the renewal fee.</text> </level> </level> <level label="2"> <text>If the Board chooses to send renewal notices exclusively by electronic mail under paragraph (1) of this subsection, the Board shall send a renewal notice by first–class mail to a licensee on request of the licensee.</text> </level> </level> <level label="c"> <level label="1"> <text>Before the license expires, the licensee periodically may renew it for an additional term, if the licensee:</text> <level label="i"> <text>Otherwise is entitled to be licensed;</text> </level> <level label="ii"> <text>Is of good moral character;</text> </level> <level label="iii"> <text>Pays to the Board a renewal fee set by the Board;</text> </level> <level label="iv"> <text>Submits to the Board:</text> <level label="1"> <text>A renewal application on the form that the Board requires; and</text> </level> <level label="2"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements set under this section for license renewal; and</text> </level> </level> <level label="v"> <text>Meets any additional license renewal requirements established by the Board.</text> </level> </level> <level label="2"> <text>Within 30 days after a license renewal under Section 7 of the Interstate Medical Licensure Compact established under § 14–3A–01 of this title, a compact physician shall submit to the Board the information required under paragraph (1)(iv) of this subsection.</text> </level> </level> <level label="d"> <level label="1"> <text>In addition to any other qualifications and requirements established by the Board, the Board may establish continuing education or competency requirements as a condition to the renewal of licenses under this section.</text> </level> <level label="2"> <text>In establishing these requirements, the Board shall evaluate existing methods, devices, and programs in use among the various medical specialties and other recognized medical groups.</text> </level> <level label="3"> <text>The Board shall adopt regulations that allow a licensee seeking renewal to receive up to 5 continuing education credits per renewal period for providing uncompensated, voluntary medical services during each renewal period.</text> </level> <level label="4"> <text>The Board may not establish or enforce these requirements if they would so reduce the number of physicians in a community as to jeopardize the availability of adequate medical care in that community.</text> </level> <level label="5"> <text>The Board may not establish a continuing education requirement that every licensee complete a specific course or program as a condition to the renewal of a license under this section.</text> </level> <level label="6"> <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing medical education credit in lieu of a sanction under § 14–404 of this title, for a first offense, for the failure of a licensee to obtain the continuing medical education credits required by the Board.</text> </level> </level> <level label="e"> <text>The Board shall renew the license of each licensee who meets the requirements of this section.</text> </level> <level label="f"> <level label="1"> <text>A licensee shall notify the Board in writing of a change in name or address within 30 days after the change.</text> </level> <level label="2"> <text>A licensee who fails to comply with paragraph (1) of this subsection is subject to an administrative penalty of $100.</text> </level> </level> <level label="g"> <level label="1"> <text>Beginning October 1, 2016, the Board shall require a criminal history records check in accordance with § 14–308.1 of this subtitle for:</text> <level label="i"> <text>Renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement under § 14–317 of this subtitle.</text> </level> </level> <level label="2"> <text>On receipt of the criminal history record information of a licensee forwarded to the Board in accordance with § 14–308.1 of this subtitle, in determining whether disciplinary action should be taken, based on the criminal record information, against a licensee who renewed or reinstated a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="3"> <text>The Board may renew or reinstate a license only if the licensee or applicant attests that the licensee or applicant has submitted to a criminal history records check under § 14–308.1 of this subtitle.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-317" title_number="14" title_name="Physicians" subtitle_number="3"> <text>The Board shall reinstate the license of a physician who has failed to renew the license for any reason, is on inactive status under § 14–320 of this subtitle, or is on emeritus status under § 14–320.1 of this subtitle if the physician:</text> <level label="1"> <text>Meets the renewal requirements of § 14–316 of this subtitle;</text> </level> <level label="2"> <text>Submits a reinstatement application on the form that the Board requires;</text> </level> <level label="3"> <text>Pays to the Board a reinstatement fee set by the Board;</text> </level> <level label="4"> <text>Submits to the Board satisfactory evidence of compliance with the qualifications and requirements established under this title for license reinstatements; and</text> </level> <level label="5"> <text>Meets any additional license reinstatement requirements established by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-318" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>If an applicant is qualified as a postgraduate teacher, the Board may:</text> <level label="1"> <text>Waive the examination requirements of this subtitle for the applicant; and</text> </level> <level label="2"> <text>Issue to the applicant a limited license to practice medicine for postgraduate teaching.</text> </level> </level> <level label="b"> <text>Each limited license issued under this section expires on the first anniversary of its effective date.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-319" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>The Board may:</text> <level label="1"> <text>License an applicant by virtue of the conceded eminence and authority of the applicant in the profession if the applicant:</text> <level label="i"> <text>Is recommended to the Board by:</text> <level label="1"> <text>The dean of a school of medicine in the State; or</text> </level> <level label="2"> <text>The Director of the National Institutes of Health;</text> </level> </level> <level label="ii"> <text>Is to receive an appointment at the institution making the recommendation under item (i) of this paragraph; and</text> </level> <level label="iii"> <text>Meets any other requirement the Board may adopt by regulation under this section;</text> </level> </level> <level label="2"> <text>Define by regulation the term “conceded eminence and authority in the profession” and, for this purpose, shall consider such criteria as:</text> <level label="i"> <text>Academic appointments;</text> </level> <level label="ii"> <text>Length of time in the profession;</text> </level> <level label="iii"> <text>Scholarly publications; and</text> </level> <level label="iv"> <text>Professional accomplishments;</text> </level> </level> <level label="3"> <text>Adopt regulations concerning the further qualifications of an applicant for licensure, including conditions of employment, application procedures, and fees under this section;</text> </level> <level label="4"> <text>Allow an exception to the general education and examination requirements of § 14–307(d) and (e) of this subtitle, but may not permit waiver of the requirements of § 14–307(a) through (c) of this subtitle;</text> </level> <level label="5"> <text>Qualify, restrict, or otherwise limit a license granted under this section; and</text> </level> <level label="6"> <text>Require a 6–month probationary period during which the medical services performed by the applicant granted a license under this section are supervised by another licensed physician.</text> </level> </level> <level label="b"> <text>Upon judicial review, a determination by the Board under this section shall be accorded the maximum deference permitted by law.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-320" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>The Board may place a licensee on inactive status, if the licensee submits to the Board:</text> <level label="1"> <text>An application for inactive status on the form required by the Board; and</text> </level> <level label="2"> <text>The inactive status fee set by the Board.</text> </level> </level> <level label="b"> <text>A licensee on inactive status is exempt from the continuing education requirements under § 14–316(d) of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-320.1" title_number="14" title_name="Physicians" subtitle_number="3"> <level label="a"> <text>The Board may place a licensee on emeritus status, if the licensee submits to the Board:</text> <level label="1"> <text>An application for emeritus status on the form required by the Board; and</text> </level> <level label="2"> <text>The emeritus status fee set by the Board.</text> </level> </level> <level label="b"> <text>The Board shall place a licensee on emeritus status if the individual:</text> <level label="1"> <text>Has an active, unrestricted license to practice medicine under this subtitle;</text> </level> <level label="2"> <text>Is not under investigation by the Board for a violation of this title;</text> </level> <level label="3"> <text>Has practiced medicine in this State for at least 10 years;</text> </level> <level label="4"> <text>Has not been the subject of disciplinary action in a jurisdiction where the individual is licensed that resulted in the revocation or suspension of the individual’s license; and</text> </level> <level label="5"> <text>Attests that the individual is retired and is no longer actively practicing medicine in this State.</text> </level> </level> <level label="c"> <text>A licensee on emeritus status is exempt from the continuing education requirements under § 14–316(d) of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-322" title_number="14" title_name="Physicians" subtitle_number="3"> <text>Notwithstanding any other law, the Board may not require as a qualification to obtain a license or as a condition to renew a license:</text> <level label="1"> <text>Certification by a nationally recognized accrediting organization that specializes in a specific area of medicine; or</text> </level> <level label="2"> <text>Maintenance of certification by a nationally recognized accrediting organization that specializes in a specific area of medicine that includes continuous reexamination to measure core competencies in the practice of medicine as a requirement for maintaining certification.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-3A-01" effective_note="EFFECTIVE UNTIL JUNE 30, 2030 PER CHAPTER 313 OF 2022" title_number="14" title_name="Physicians" subtitle_number="3A" subtitle_name="Interstate Medical Licensure Compact"> <text>The Interstate Medical Licensure Compact is enacted into law and entered into with all other states legally joining in it in the form substantially as it appears in this section as follows:</text> <text>SECTION 1. PURPOSE</text> <text>In order to strengthen access to health care, and in recognition of the advances in the delivery of health care, the member states of the Interstate Medical Licensure Compact have allied in common purpose to develop a comprehensive process that complements the existing licensing and regulatory authority of state medical boards, and provides a streamlined process that allows physicians to become licensed in multiple states, thereby enhancing the portability of a medical license and ensuring the safety of patients. The Compact creates another pathway for licensure and does not otherwise change a state’s existing Medical Practice Act. The Compact also adopts the prevailing standard for licensure and affirms that the practice of medicine occurs where the patient is located at the time of the physician–patient encounter, and therefore requires the physician to be under the jurisdiction of the state medical board where the patient is located. State medical boards that participate in the Compact retain the jurisdiction to impose an adverse action against a license to practice medicine in that state issued to a physician through the procedures in the Compact.</text> <text>SECTION 2. DEFINITIONS</text> <text>In this Compact:</text> <level label="a"> <text>“Bylaws” means those bylaws established by the Interstate Commission pursuant to Section 11 for its governance, or for directing and controlling its actions and conduct.</text> </level> <level label="b"> <text>“Commissioner” means the voting representative appointed by each member board pursuant to Section 11.</text> </level> <level label="c"> <text>“Conviction” means a finding by a court that an individual is guilty of a criminal offense through adjudication, or entry of a plea of guilt or no contest to the charge by the offender. Evidence of an entry of a conviction of a criminal offense by the court shall be considered final for purposes of disciplinary action by a member board.</text> </level> <level label="d"> <text>“Expedited License” means a full and unrestricted medical license granted by a member state to an eligible physician through the process set forth in the Compact.</text> </level> <level label="e"> <text>“Interstate Commission” means the Interstate Commission created pursuant to Section 11.</text> </level> <level label="f"> <text>“License” means authorization by a state for a physician to engage in the practice of medicine, which would be unlawful without the authorization.</text> </level> <level label="g"> <text>“Medical Practice Act” means the laws and regulations governing the practice of allopathic and osteopathic medicine within a member state.</text> </level> <level label="h"> <text>“Member Board” means a state agency in a member state that acts in the sovereign interests of the state by protecting the public through licensure, regulation, and education of physicians as directed by the state government.</text> </level> <level label="i"> <text>“Member State” means a state that has enacted the Compact.</text> </level> <level label="j"> <text>“Offense” means a felony, gross misdemeanor, or crime of moral turpitude.</text> </level> <level label="k"> <text>“Physician” means any person who:</text> <level label="1"> <text>Is a graduate of a medical school accredited by the Liaison Committee on Medical Education, the Commission on Osteopathic College Accreditation, or a medical school listed in the International Medical Education Directory or its equivalent;</text> </level> <level label="2"> <text>Passed each component of the United States Medical Licensing Examination (USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX–USA) within three attempts, or any of its predecessor examinations accepted by a state medical board as an equivalent examination for licensure purposes;</text> </level> <level label="3"> <text>Successfully completed graduate medical education approved by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association;</text> </level> <level label="4"> <text>Possesses a full and unrestricted license to engage in the practice of medicine issued by a member board;</text> </level> <level label="5"> <text>Has never been convicted of or received adjudication, deferred adjudication, community supervision, or deferred disposition for any offense by a court of appropriate jurisdiction;</text> </level> <level label="6"> <text>Has never held a license authorizing the practice of medicine subjected to discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to nonpayment of fees related to a license;</text> </level> <level label="7"> <text>Has never had a controlled substance license or permit suspended or revoked by a state or the United States Drug Enforcement Administration; and</text> </level> <level label="8"> <text>Is not under active investigation by a licensing agency or law enforcement authority in any state, federal, or foreign jurisdiction.</text> </level> </level> <level label="l"> <text>“Practice of Medicine” means the clinical prevention, diagnosis, or treatment of human disease, injury, or condition requiring a physician to obtain and maintain a license in compliance with the Medical Practice Act of a member state.</text> </level> <level label="m"> <text>“Rule” means a written statement by the Interstate Commission promulgated pursuant to Section 12 that is of general applicability, implements, interprets, or prescribes a policy or provision of the Compact, or an organizational, procedural, or practice requirement of the Interstate Commission, and has the force and effect of statutory law in a member state, and includes the amendment, repeal, or suspension of an existing rule.</text> </level> <level label="n"> <text>“State” means any state, commonwealth, district, or territory of the United States.</text> </level> <level label="o"> <text>“State of Principal License” means a member state where a physician holds a license to practice medicine and that has been designated as such by the physician for purposes of registration and participation in the Compact.</text> <text>SECTION 3. ELIGIBILITY</text> </level> <level label="a"> <level label="1"> <text>In order to receive an initial expedited license under the terms and provisions of the Compact, a physician must:</text> <level label="i"> <text>Meet the eligibility requirements as defined in Section 2(k); and</text> </level> <level label="ii"> <text>Hold specialty certification or a time–unlimited specialty certificate recognized by the American Board of Medical Specialties or the American Osteopathic Association’s Bureau of Osteopathic Specialists.</text> </level> </level> <level label="2"> <text>A physician is not required to maintain specialty certification described under paragraph (1)(ii) of this subsection in order to renew an expedited license under Section 6.</text> </level> </level> <level label="b"> <text>A physician who does not meet the requirements of Section 2(k) may obtain a license to practice medicine in a member state if the individual complies with all laws and requirements, other than the Compact, relating to the issuance of a license to practice medicine in that state.</text> <text>SECTION 4. DESIGNATION OF STATE OF PRINCIPAL LICENSE</text> </level> <level label="a"> <text>A physician shall designate a member state as the state of principal license for purposes of registration for expedited licensure through the Compact if the physician possesses a full and unrestricted license to practice medicine in that state, and the state is:</text> <level label="1"> <text>The state of primary residence for the physician;</text> </level> <level label="2"> <text>The state where at least 25% of the practice of medicine occurs;</text> </level> <level label="3"> <text>The location of the physician’s employer; or</text> </level> <level label="4"> <text>If no state qualifies under items (1), (2), or (3), the state designated as state of residence for purpose of federal income tax.</text> </level> </level> <level label="b"> <text>A physician may redesignate a member state as state of principal license at any time, as long as the state meets the requirements in subsection (a).</text> </level> <level label="c"> <text>The Interstate Commission is authorized to develop rules to facilitate redesignation of another member state as the state of principal license.</text> <text>SECTION 5. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE</text> </level> <level label="a"> <text>A physician seeking licensure through the Compact shall file an application for an expedited license with the member board of the state selected by the physician as the state of principal license.</text> </level> <level label="b"> <level label="1"> <text>On receipt of an application for an expedited license, the member board within the state selected as the state of principal license shall evaluate whether the physician is eligible for expedited licensure and issue a letter of qualification, verifying or denying the physician’s eligibility, to the Interstate Commission.</text> </level> <level label="2"> <text>Static qualifications, which include verification of medical education, graduate medical education, results of any medical or licensing examination, and other qualifications as determined by the Interstate Commission through rule, may not be subject to additional primary source verification where already primary source verified by the state of principal license.</text> </level> <level label="3"> <level label="i"> <text>The member board within the state selected as the state of principal license shall, in the course of verifying eligibility, require the applicant to obtain a criminal background check as required under § 14–308.1 of this title, including the use of the results of fingerprint or other biometric data checks compliant with the requirements of the Federal Bureau of Investigation, with the exception of federal employees who have suitability determination in accordance with U.S. C.F.R. § 731.202.</text> </level> <level label="ii"> <text>The member board may not disclose to the Interstate Commission any information received from the Federal Bureau of Investigation that is provided in a background check of an applicant performed under this paragraph.</text> </level> </level> <level label="4"> <text>An appeal on the determination of eligibility shall be made to the member state, if an appeal is allowed under the laws of that state, where the application was filed and shall be subject to the law of that state.</text> </level> </level> <level label="c"> <text>On verification in subsection (b), physicians eligible for an expedited license shall complete the registration process established by the Interstate Commission to receive a license in a member state selected pursuant to subsection (a), including the payment of any applicable fees.</text> </level> <level label="d"> <text>After receiving verification of eligibility under subsection (b) and any fees under subsection (c), a member board shall issue an expedited license to the physician. This license shall authorize the physician to practice medicine in the issuing state consistent with the Medical Practice Act and all applicable laws and regulations of the issuing member board and member state.</text> </level> <level label="e"> <text>An expedited license shall be valid for a period consistent with the licensure period in the member state and in the same manner as required for other physicians holding a full and unrestricted license within the member state.</text> </level> <level label="f"> <text>An expedited license obtained through the Compact shall be terminated if a physician fails to maintain a license in the state of principal license for a nondisciplinary reason, without redesignation of a new state of principal license.</text> </level> <level label="g"> <text>The Interstate Commission is authorized to develop rules regarding the application process, including payment of any applicable fees, and the issuance of an expedited license.</text> <text>SECTION 6. FEES FOR EXPEDITED LICENSURE</text> </level> <level label="a"> <text>A member state issuing an expedited license authorizing the practice of medicine in that state may impose a fee for a license issued or renewed through the Compact.</text> </level> <level label="b"> <text>The Interstate Commission is authorized to develop rules regarding fees for expedited licenses.</text> <text>SECTION 7. RENEWAL AND CONTINUED PARTICIPATION</text> </level> <level label="a"> <text>A physician seeking to renew an expedited license granted in a member state shall complete a renewal process with the Interstate Commission if the physician:</text> <level label="1"> <text>Maintains a full and unrestricted license in a state of principal license;</text> </level> <level label="2"> <text>Has not been convicted of or received adjudication, deferred adjudication, community supervision, or deferred disposition for any offense by a court of appropriate jurisdiction;</text> </level> <level label="3"> <text>Has not had a license authorizing the practice of medicine subject to discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to nonpayment of fees related to a license; and</text> </level> <level label="4"> <text>Has not had a controlled substance license or permit suspended or revoked by a state or the United States Drug Enforcement Administration.</text> </level> </level> <level label="b"> <text>Physicians shall comply with all continuing professional development or continuing medical education requirements for renewal of a license issued by a member state and shall attest to the member board about the physician’s compliance.</text> </level> <level label="c"> <text>The Interstate Commission shall collect any renewal fees charged for the renewal of a license and distribute the fees to the applicable member board.</text> </level> <level label="d"> <text>On receipt of any renewal fees collected in subsection (c), a member board shall renew the physician’s license.</text> </level> <level label="e"> <text>Physician information collected by the Interstate Commission during the renewal process will be distributed to all member boards.</text> </level> <level label="f"> <text>The Interstate Commission is authorized to develop rules to address renewal of licenses obtained through the Compact.</text> <text>SECTION 8. COORDINATED INFORMATION SYSTEM</text> </level> <level label="a"> <text>The Interstate Commission shall establish a database of all physicians licensed, or who have applied for licensure, under Section 5.</text> </level> <level label="b"> <text>Notwithstanding any other provision of law, member boards shall report to the Interstate Commission any public action or complaints against a licensed physician who has applied or received an expedited license through the Compact.</text> </level> <level label="c"> <text>Member boards shall report disciplinary or investigatory information determined as necessary and proper by rule of the Interstate Commission.</text> </level> <level label="d"> <text>Member boards may report any nonpublic complaint, disciplinary, or investigatory information not required by subsection (c) to the Interstate Commission.</text> </level> <level label="e"> <text>Member boards shall share complaint or disciplinary information about a physician on request of another member board.</text> </level> <level label="f"> <text>All information provided to the Interstate Commission or distributed by member boards shall be confidential, filed under seal, and used only for investigatory or disciplinary matters.</text> </level> <level label="g"> <text>The Interstate Commission is authorized to develop rules for mandated or discretionary sharing of information by member boards.</text> <text>SECTION 9. JOINT INVESTIGATIONS</text> </level> <level label="a"> <text>Licensure and disciplinary records of physicians are deemed investigative.</text> </level> <level label="b"> <text>In addition to the authority granted to a member board by its respective Medical Practice Act or other applicable state law, a member board may participate with other member boards in joint investigations of physicians licensed by the member boards.</text> </level> <level label="c"> <text>A subpoena issued by a member state shall be enforceable in other member states.</text> </level> <level label="d"> <text>Member boards may share any investigative, litigation, or compliance materials in furtherance of any joint or individual investigation initiated under the Compact.</text> </level> <level label="e"> <text>Any member state may investigate actual or alleged violations of the statutes authorizing the practice of medicine in any other member state in which a physician holds a license to practice medicine.</text> <text>SECTION 10. DISCIPLINARY ACTIONS</text> </level> <level label="a"> <text>Any disciplinary action taken by any member board against a physician licensed through the Compact shall be deemed unprofessional conduct that may be subject to discipline by other member boards, in addition to any violation of the Medical Practice Act or regulations in that state.</text> </level> <level label="b"> <text>If a license granted to a physician by the member board in the state of principal license is revoked, surrendered or relinquished in lieu of discipline, or suspended, then all licenses issued to the physician by member boards shall automatically be placed, without further action necessary by any member board, on the same status. If the member board in the state of principal license subsequently reinstates the physician’s license, a license issued to the physician by any other member board shall remain encumbered until that respective member board takes action to reinstate the license in a manner consistent with the Medical Practice Act of that state.</text> </level> <level label="c"> <text>If disciplinary action is taken against a physician by a member board not in the state of principal license, any other member board may deem the action conclusive as to matter of law and fact decided, and:</text> <level label="1"> <text>Impose the same or lesser sanction(s) against the physician so long as such sanctions are consistent with the Medical Practice Act of that state; or</text> </level> <level label="2"> <text>Pursue separate disciplinary action against the physician under its respective Medical Practice Act, regardless of the action taken in other member states.</text> </level> </level> <level label="d"> <text>If a license granted to a physician by a member board is revoked, surrendered or relinquished in lieu of discipline, or suspended, then any license(s) issued to the physician by any other member board(s) shall be suspended, automatically and immediately without further action necessary by the other member board(s), for ninety (90) days on entry of the order by the disciplining board, to permit the member board(s) to investigate the basis for the action under the Medical Practice Act of that state. A member board shall waive the automatic suspension of the license it issued unless the member board:</text> <level label="1"> <text>Finds that the public health, safety, or welfare imperatively requires emergency action; and</text> </level> <level label="2"> <text>Promptly gives the licensee:</text> <level label="i"> <text>Written notice of the suspension, the finding, and the reasons that support the finding; and</text> </level> <level label="ii"> <text>An opportunity to be heard.</text> <text>SECTION 11. INTERSTATE MEDICAL LICENSURE COMPACT COMMISSION</text> </level> </level> </level> <level label="a"> <text>The member states hereby create the “Interstate Medical Licensure Compact Commission”.</text> </level> <level label="b"> <text>The purpose of the Interstate Commission is the administration of the Interstate Medical Licensure Compact, which is a discretionary state function.</text> </level> <level label="c"> <text>The Interstate Commission shall be a body corporate and joint agency of the member states and shall have all the responsibilities, powers, and duties set forth in the Compact, and such additional powers as may be conferred on it by a subsequent concurrent action of the respective legislatures of the member states in accordance with the terms of the Compact.</text> </level> <level label="d"> <text>The Interstate Commission shall consist of two voting representatives appointed by each member state who shall serve as Commissioners. In states where allopathic and osteopathic physicians are regulated by separate member boards, or if the licensing and disciplinary authority is split between multiple member boards within a member state, the member state shall appoint one representative from each member board. A Commissioner shall be:</text> <level label="1"> <text>An allopathic or osteopathic physician appointed to a member board;</text> </level> <level label="2"> <text>An executive director, executive secretary, or similar executive of a member board; or</text> </level> <level label="3"> <text>A member of the public appointed to a member board.</text> </level> </level> <level label="e"> <text>The Interstate Commission shall meet at least once each calendar year. A portion of this meeting shall be a business meeting to address such matters as may properly come before the Commission, including the election of officers. The chairperson may call additional meetings and shall call for a meeting on the request of a majority of the member states.</text> </level> <level label="f"> <text>The bylaws may provide for meetings of the Interstate Commission to be conducted by telecommunication or electronic communication.</text> </level> <level label="g"> <text>Each Commissioner participating at a meeting of the Interstate Commission is entitled to one vote. A majority of Commissioners shall constitute a quorum for the transaction of business, unless a larger quorum is required by the bylaws of the Interstate Commission. A Commissioner shall not delegate a vote to another Commissioner. In the absence of its Commissioner, a member state may delegate voting authority for a specified meeting to another person from that state who shall meet the requirements of subsection (d).</text> </level> <level label="h"> <text>The Interstate Commission shall provide public notice of all meetings and all meetings shall be open to the public. The Interstate Commission may close a meeting, in full or in portion, where it determines by a two–thirds vote of the Commissioners present that an open meeting would be likely to:</text> <level label="1"> <text>Relate solely to the internal personnel practices and procedures of the Interstate Commission;</text> </level> <level label="2"> <text>Discuss matters specifically exempted from disclosure by federal statute;</text> </level> <level label="3"> <text>Discuss trade secrets or commercial or financial information that is privileged or confidential;</text> </level> <level label="4"> <text>Involve accusing a person of a crime, or formally censuring a person;</text> </level> <level label="5"> <text>Discuss information of a personal nature where disclosure would constitute a clearly unwarranted invasion of personal privacy;</text> </level> <level label="6"> <text>Discuss investigative records compiled for law enforcement purposes; or</text> </level> <level label="7"> <text>Specifically relate to the participation in a civil action or other legal proceeding.</text> </level> </level> <level label="i"> <text>The Interstate Commission shall keep minutes that shall fully describe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, including record of any roll call votes.</text> </level> <level label="j"> <text>The Interstate Commission shall make its information and official records, to the extent not otherwise designated in the Compact or by its rules, available to the public for inspection.</text> </level> <level label="k"> <text>The Interstate Commission shall establish an executive committee, which shall include officers, members, and others as determined by the bylaws. The executive committee shall have the power to act on behalf of the Interstate Commission, with the exception of rulemaking, during periods when the Interstate Commission is not in session. When acting on behalf of the Interstate Commission, the executive committee shall oversee the administration of the Compact including enforcement and compliance with the provisions of the Compact, its bylaws and rules, and other such duties as necessary.</text> </level> <level label="l"> <text>The Interstate Commission may establish other committees for governance and administration of the Compact.</text> <text>SECTION 12. POWERS AND DUTIES OF THE INTERSTATE COMMISSION</text> <text>The Interstate Commission shall have the duty and power to:</text> <level label="1"> <text>Oversee and maintain the administration of the Compact;</text> </level> <level label="2"> <text>Promulgate rules that shall be binding to the extent and in the manner provided for in the Compact;</text> </level> <level label="3"> <text>Issue, on the request of a member state or member board, advisory opinions concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;</text> </level> <level label="4"> <text>Enforce compliance with Compact provisions, the rules promulgated by the Interstate Commission, and the bylaws, using all necessary and proper means, including but not limited to the use of judicial process;</text> </level> <level label="5"> <text>Establish and appoint committees including, but not limited to, an executive committee as required by Section 11, which shall have the power to act on behalf of the Interstate Commission in carrying out its powers and duties;</text> </level> <level label="6"> <text>Pay, or provide for the payment of the expenses related to the establishment, organization, and ongoing activities of the Interstate Commission;</text> </level> <level label="7"> <text>Establish and maintain one or more offices;</text> </level> <level label="8"> <text>Borrow, accept, hire, or contract for services of personnel;</text> </level> <level label="9"> <text>Purchase and maintain insurance and bonds;</text> </level> <level label="10"> <text>Employ an executive director who shall have such powers to employ, select or appoint employees, agents, or consultants, and to determine their qualifications, define their duties, and fix their compensation;</text> </level> <level label="11"> <text>Establish personnel policies and programs relating to conflicts of interest, rates of compensation, and qualifications of personnel;</text> </level> <level label="12"> <text>Accept donations and grants of money, equipment, supplies, materials and services, and to receive, utilize, and dispose of it in a manner consistent with the conflict of interest policies established by the Interstate Commission;</text> </level> <level label="13"> <text>Lease, purchase, accept contributions or donations of, or otherwise to own, hold, improve or use, any property, real, personal, or mixed;</text> </level> <level label="14"> <text>Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any property, real, personal, or mixed;</text> </level> <level label="15"> <text>Establish a budget and make expenditures;</text> </level> <level label="16"> <text>Adopt a seal and bylaws governing the management and operation of the Interstate Commission;</text> </level> <level label="17"> <text>Report annually to the legislatures and governors of the member states concerning the activities of the Interstate Commission during the preceding year. Such reports shall also include reports of financial audits and any recommendations that may have been adopted by the Interstate Commission;</text> </level> <level label="18"> <text>Coordinate education, training, and public awareness regarding the Compact, its implementation, and its operation;</text> </level> <level label="19"> <text>Maintain records in accordance with the bylaws;</text> </level> <level label="20"> <text>Seek and obtain trademarks, copyrights, and patents; and</text> </level> <level label="21"> <text>Perform such functions as may be necessary or appropriate to achieve the purposes of the Compact.</text> <text>SECTION 13. FINANCE POWERS</text> </level> </level> <level label="a"> <text>The Interstate Commission may levy on and collect an annual assessment from each member state to cover the cost of the operations and activities of the Interstate Commission and its staff. The total assessment must be sufficient to cover the annual budget approved each year for which revenue is not provided by other sources. The aggregate annual assessment amount shall be allocated on a formula to be determined by the Interstate Commission, which shall promulgate a rule binding on all member states.</text> </level> <level label="b"> <text>The Interstate Commission shall not incur obligations of any kind prior to securing the funds adequate to meet the same.</text> </level> <level label="c"> <text>The Interstate Commission shall not pledge the credit of any of the member states, except by, and with the authority of, the member state.</text> </level> <level label="d"> <text>The Interstate Commission shall be subject to a yearly financial audit conducted by a certified or licensed public accountant and the report of the audit shall be included in the annual report of the Interstate Commission.</text> <text>SECTION 14. ORGANIZATION AND OPERATION OF THE INTERSTATE COMMISSION</text> </level> <level label="a"> <text>The Interstate Commission shall, by a majority of Commissioners present and voting, adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes of the Compact within twelve (12) months of the first Interstate Commission meeting.</text> </level> <level label="b"> <text>The Interstate Commission shall elect or appoint annually from among its Commissioners a chairperson, a vice–chairperson, and a treasurer, each of whom shall have such authority and duties as may be specified in the bylaws. The chairperson, or in the chairperson’s absence or disability, the vice–chairperson, shall preside at all meetings of the Interstate Commission.</text> </level> <level label="c"> <text>Officers selected in subsection (b) shall serve without remuneration from the Interstate Commission.</text> </level> <level label="d"> <level label="1"> <text>The officers and employees of the Interstate Commission shall be immune from suit and liability, either personally or in their official capacity, for a claim for damage to or loss of property or personal injury or other civil liability caused or arising out of, or relating to, an actual or alleged act, error, or omission that occurred, or that such person had a reasonable basis for believing occurred, within the scope of Interstate Commission employment, duties, or responsibilities; provided that such person shall not be protected from suit or liability for damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of such person.</text> </level> <level label="2"> <text>The liability of the executive director and employees of the Interstate Commission or representatives of the Interstate Commission, acting within the scope of such person’s employment or duties for acts, errors, or omissions occurring within such person’s state, may not exceed the limits of liability set forth under the constitution and laws of that state for state officials, employees, and agents. The Interstate Commission is considered to be an instrumentality of the states for the purposes of any such action. Nothing in this subsection shall be construed to protect such person from suit or liability for damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of such person.</text> </level> <level label="3"> <text>The Interstate Commission shall defend the executive director, its employees, and subject to the approval of the attorney general or other appropriate legal counsel of the member state represented by an Interstate Commission representative, shall defend such Interstate Commission representative in any civil action seeking to impose liability arising out of an actual or alleged act, error, or omission that occurred within the scope of Interstate Commission employment, duties, or responsibilities, or that the defendant had a reasonable basis for believing occurred within the scope of Interstate Commission employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission did not result from intentional or willful and wanton misconduct on the part of such person.</text> </level> <level label="4"> <text>To the extent not covered by the state involved, member state, or the Interstate Commission, the representatives or employees of the Interstate Commission shall be held harmless in the amount of a settlement or judgment, including attorney’s fees and costs, obtained against such persons arising out of an actual or alleged act, error, or omission that occurred within the scope of Interstate Commission employment, duties, or responsibilities, or that such persons had a reasonable basis for believing occurred within the scope of Interstate Commission employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission did not result from intentional or willful and wanton misconduct on the part of such persons.</text> <text>SECTION 15. RULEMAKING FUNCTIONS OF THE INTERSTATE COMMISSION</text> </level> </level> <level label="a"> <text>The Interstate Commission shall promulgate reasonable rules in order to effectively and efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, in the event the Interstate Commission exercises its rulemaking authority in a manner that is beyond the scope of the purposes of the Compact, or the powers granted hereunder, then such an action by the Interstate Commission shall be invalid and have no force or effect.</text> </level> <level label="b"> <text>Rules deemed appropriate for the operations of the Interstate Commission shall be made pursuant to a rulemaking process that substantially conforms to the “Model State Administrative Procedure Act” of 2010, and subsequent amendments thereto.</text> </level> <level label="c"> <text>Not later than thirty (30) days after a rule is promulgated, any person may file a petition for judicial review of the rule in the United States District Court for the District of Columbia or the federal district where the Interstate Commission has its principal offices, provided that the filing of such a petition shall not stay or otherwise prevent the rule from becoming effective unless the court finds that the petitioner has a substantial likelihood of success. The court shall give deference to the actions of the Interstate Commission consistent with applicable law and shall not find the rule to be unlawful if the rule represents a reasonable exercise of the authority granted to the Interstate Commission.</text> <text>SECTION 16. OVERSIGHT OF INTERSTATE COMPACT</text> </level> <level label="a"> <text>The executive, legislative, and judicial branches of state government in each member state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate the Compact’s purposes and intent. The provisions of the Compact and the rules promulgated hereunder shall have standing as statutory law but shall not override existing state authority to regulate the practice of medicine.</text> </level> <level label="b"> <text>All courts shall take judicial notice of the Compact and the rules in any judicial or administrative proceeding in a member state pertaining to the subject matter of the Compact that may affect the powers, responsibilities, or actions of the Interstate Commission.</text> </level> <level label="c"> <text>The Interstate Commission shall be entitled to receive all service of process in any such proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure to provide service of process to the Interstate Commission shall render a judgment or an order void as to the Interstate Commission, the Compact, or promulgated rules.</text> <text>SECTION 17. ENFORCEMENT OF INTERSTATE COMPACT</text> </level> <level label="a"> <text>The Interstate Commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of the Compact.</text> </level> <level label="b"> <text>The Interstate Commission may, by majority vote of the Commissioners, initiate legal action in the United States District Court for the District of Columbia, or, at the discretion of the Interstate Commission, in the federal district where the Interstate Commission has its principal offices, to enforce compliance with the provisions of the Compact, and its promulgated rules and bylaws, against a member state in default. The relief sought may include both injunctive relief and damages. In the event judicial enforcement is necessary, the prevailing party shall be awarded all costs of such litigation including reasonable attorney’s fees.</text> </level> <level label="c"> <text>The remedies herein shall not be the exclusive remedies of the Interstate Commission. The Interstate Commission may avail itself of any other remedies available under state law or the regulation of a profession.</text> <text>SECTION 18. DEFAULT PROCEDURES</text> </level> <level label="a"> <text>The grounds for default include, but are not limited to, failure of a member state to perform such obligations or responsibilities imposed on it by the Compact, or the rules and bylaws of the Interstate Commission promulgated under the Compact.</text> </level> <level label="b"> <text>If the Interstate Commission determines that a member state has defaulted in the performance of its obligations or responsibilities under the Compact, or the bylaws or promulgated rules, the Interstate Commission shall:</text> <level label="1"> <text>Provide written notice to the defaulting state and other member states, of the nature of the default, the means of curing the default, and any action taken by the Interstate Commission. The Interstate Commission shall specify the conditions by which the defaulting state must cure its default; and</text> </level> <level label="2"> <text>Provide remedial training and specific technical assistance regarding the default.</text> </level> </level> <level label="c"> <text>If the defaulting state fails to cure the default, the defaulting state shall be terminated from the Compact on an affirmative vote of a majority of the Commissioners and all rights, privileges, and benefits conferred by the Compact shall terminate on the effective date of termination. A cure of the default does not relieve the offending state of obligations or liabilities incurred during the period of the default.</text> </level> <level label="d"> <text>Termination of membership in the Compact shall be imposed only after all other means of securing compliance have been exhausted. Notice of intent to terminate shall be given by the Interstate Commission to the governor, the majority and minority leaders of the defaulting state’s legislature, and each of the member states.</text> </level> <level label="e"> <text>The Interstate Commission shall establish rules and procedures to address licenses and physicians that are materially impacted by the termination of a member state, or the withdrawal of a member state.</text> </level> <level label="f"> <text>The member state that has been terminated is responsible for all dues, obligations, and liabilities incurred through the effective date of termination including obligations, the performance of which extends beyond the effective date of termination.</text> </level> <level label="g"> <text>The Interstate Commission may not bear any costs relating to any state that has been found to be in default or that has been terminated from the Compact, unless otherwise mutually agreed on in writing between the Interstate Commission and the defaulting state.</text> </level> <level label="h"> <text>The defaulting state may appeal the action of the Interstate Commission by petitioning the United States District Court for the District of Columbia or the federal district where the Interstate Commission has its principal offices. The prevailing party shall be awarded all costs of such litigation including reasonable attorney’s fees.</text> <text>SECTION 19. DISPUTE RESOLUTION</text> </level> <level label="a"> <text>The Interstate Commission shall attempt, on the request of a member state, to resolve disputes that are subject to the Compact and that may arise among member states or member boards.</text> </level> <level label="b"> <text>The Interstate Commission shall promulgate rules providing for both mediation and binding dispute resolution as appropriate.</text> <text>SECTION 20. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT</text> </level> <level label="a"> <text>Any state is eligible to become a member state of the Compact.</text> </level> <level label="b"> <text>The Compact shall become effective and binding on legislative enactment of the Compact into law by no less than seven (7) states. Thereafter, it shall become effective and binding on a state on enactment of the Compact into law by that state.</text> </level> <level label="c"> <text>The governors of nonmember states, or their designees, shall be invited to participate in the activities of the Interstate Commission on a nonvoting basis prior to adoption of the Compact by all states.</text> </level> <level label="d"> <text>The Interstate Commission may propose amendments to the Compact for enactment by the member states. No amendment shall become effective and binding on the Interstate Commission and the member states unless and until it is enacted into law by unanimous consent of the member states.</text> <text>SECTION 21. WITHDRAWAL</text> </level> <level label="a"> <text>Once effective, the Compact shall continue in force and remain binding on each and every member state; provided that a member state may withdraw from the Compact by specifically repealing the statute that enacted the Compact into law.</text> </level> <level label="b"> <text>Withdrawal from the Compact shall be by the enactment of a statute repealing the same, but may not take effect until one (1) year after the effective date of such statute and until written notice of the withdrawal has been given by the withdrawing state to the governor of each other member state.</text> </level> <level label="c"> <text>The withdrawing state shall immediately notify the chairperson of the Interstate Commission in writing on the introduction of legislation repealing the Compact in the withdrawing state.</text> </level> <level label="d"> <text>The Interstate Commission shall notify the other member states of the withdrawing state’s intent to withdraw within sixty (60) days of its receipt of notice provided under subsection (c).</text> </level> <level label="e"> <text>The withdrawing state is responsible for all dues, obligations, and liabilities incurred through the effective date of withdrawal, including obligations, the performance of which extend beyond the effective date of withdrawal.</text> </level> <level label="f"> <text>Reinstatement following withdrawal of a member state shall occur on the withdrawing state reenacting the Compact or on such later date as determined by the Interstate Commission.</text> </level> <level label="g"> <text>The Interstate Commission is authorized to develop rules to address the impact of the withdrawal of a member state on licenses granted in other member states to physicians who designated the withdrawing member state as the state of principal license.</text> <text>SECTION 22. DISSOLUTION</text> </level> <level label="a"> <text>The Compact shall dissolve effective on the date of the withdrawal or default of the member state that reduces the membership in the Compact to one (1) member state.</text> </level> <level label="b"> <text>On the dissolution of the Compact, the Compact becomes null and void and shall be of no further force or effect, and the business and affairs of the Interstate Commission shall be concluded and surplus funds shall be distributed in accordance with the bylaws.</text> <text>SECTION 23. SEVERABILITY AND CONSTRUCTION</text> </level> <level label="a"> <text>The provisions of the Compact shall be severable, and if any phrase, clause, sentence, or provision is deemed unenforceable, the remaining provisions of the Compact shall be enforceable.</text> </level> <level label="b"> <text>The provisions of the Compact shall be liberally construed to effectuate its purposes.</text> </level> <level label="c"> <text>Nothing in the Compact shall be construed to prohibit the applicability of other interstate compacts to which the states are members.</text> <text>SECTION 24. BINDING EFFECT OF COMPACT AND OTHER LAWS</text> </level> <level label="a"> <text>Nothing herein prevents the enforcement of any other law of a member state that is not inconsistent with the Compact.</text> </level> <level label="b"> <text>All laws in a member state in conflict with the Compact are superseded to the extent of the conflict.</text> </level> <level label="c"> <text>All lawful actions of the Interstate Commission, including all rules and bylaws promulgated by the Commission, are binding on the member states.</text> </level> <level label="d"> <text>All agreements between the Interstate Commission and the member states are binding in accordance with their terms.</text> </level> <level label="e"> <text>In the event any provision of the Compact exceeds the constitutional limits imposed on the legislature of any member state, such provision shall be ineffective to the extent of the conflict with the constitutional provision in question in that member state.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-3A-02" effective_note="EFFECTIVE UNTIL JUNE 30, 2030 PER CHAPTER 313 OF 2022" title_number="14" title_name="Physicians" subtitle_number="3A" subtitle_name="Interstate Medical Licensure Compact"> <level label="a"> <level label="1"> <text>The Board shall set fees for the issuance and renewal of licenses under the Interstate Medical Licensure Compact established under § 14–3A–01 of this subtitle.</text> </level> <level label="2"> <text>The fees charged to a compact physician under paragraph (1) of this subsection shall be set so as to produce funds adequate to cover the cost of maintaining the licensure program.</text> </level> </level> <level label="b"> <text>Any annual assessment levied by the Interstate Commission under Section 13(a) of the Interstate Medical Licensure Compact established under § 14–3A–01 of this subtitle shall be funded through an additional surcharge on:</text> <level label="1"> <text>Each compact physician licensed under Section 3 of the Interstate Medical Licensure Compact established under § 14–3A–01 of this subtitle; and</text> </level> <level label="2"> <text>Physicians who designate Maryland as the physician’s state of principal license under Section 4 of the Interstate Medical Licensure Compact established under § 14–3A–01 of this subtitle.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-401" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>There are two disciplinary panels responsible for resolving allegations of violations of this title and Title 15 of this article.</text> </level> <level label="b"> <level label="1"> <text>The chair of the Board shall assign each member of the Board to one of the disciplinary panels established under subsection (a) of this section.</text> </level> <level label="2"> <text>Each disciplinary panel shall consist of 11 Board members.</text> </level> <level label="3"> <text>Of the 11 members on a disciplinary panel:</text> <level label="i"> <text>6 shall be practicing licensed physicians;</text> </level> <level label="ii"> <text>1 shall be a practicing licensed physician with a full–time faculty appointment;</text> </level> <level label="iii"> <text>1 shall be a representative of the Department or a licensed physician assistant; and</text> </level> <level label="iv"> <text>3 shall be members of the public.</text> </level> </level> <level label="4"> <text>The chair of the Board may serve as an ex–officio member of the disciplinary panel to which the chair was not assigned as a member under paragraph (1) of this subsection.</text> </level> <level label="5"> <text>The chair of the Board shall select a member of each disciplinary panel to be the chair of the disciplinary panel.</text> </level> <level label="6"> <text>A quorum of a disciplinary panel consists of 7 members.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-401.1" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <level label="1"> <text>The Board shall perform any necessary preliminary investigation regarding an allegation of grounds for disciplinary or other action brought to the Board’s attention before the allegation is assigned to a disciplinary panel.</text> </level> <level label="2"> <level label="i"> <text>After the completion of any necessary preliminary investigation under paragraph (1) of this subsection, a complaint shall be assigned to a disciplinary panel.</text> </level> <level label="ii"> <text>Subject to the provisions of this section, a disciplinary panel:</text> <level label="1"> <text>Shall determine the final disposition of a complaint against a physician or an allied health professional; and</text> </level> <level label="2"> <text>Has the independent authority to make a determination regarding the final disposition of a complaint.</text> </level> </level> <level label="iii"> <text>The Board may not vote to approve or disapprove any action taken by a disciplinary panel, including the final disposition of a complaint.</text> </level> </level> <level label="3"> <text>A disciplinary panel that is assigned a complaint under paragraph (2)(i) of this subsection may:</text> <level label="i"> <text>Conduct any additional investigation into a complaint that is deemed necessary to determine whether a violation of this title or Title 15 of this article has occurred; and</text> </level> <level label="ii"> <text>Enter into a consent order with a physician or an allied health professional after conducting a meeting between the disciplinary panel and the physician or allied health professional to discuss any proposed disposition of the complaint.</text> </level> </level> <level label="4"> <text>A disciplinary panel that is assigned a complaint against an allied health professional under paragraph (2)(i) of this subsection shall consult with the chair of the appropriate allied health advisory committee, or the chair’s designee, before taking disciplinary action against the allied health professional.</text> </level> <level label="5"> <level label="i"> <text>If a complaint proceeds to a hearing under § 14–405 of this subtitle, § 14–5A–17, § 14–5B–14, § 14–5C–17, § 14–5D–15, § 14–5E–16, § 14–5F–21, or § 14–5G–18 of this title, or § 15–315 of this article, the chair of the disciplinary panel that was assigned the complaint under paragraph (2)(i) of this subsection shall refer the complaint to the Office of Administrative Hearings.</text> </level> <level label="ii"> <text>If the disciplinary panel rescinds its referral of the complaint to the Office of Administrative Hearings, the complaint will return to the original disciplinary panel that was assigned the complaint under paragraph (2)(i) of this subsection.</text> </level> <level label="iii"> <text>After an evidentiary hearing at the Office of Administrative Hearings, the chair of the original disciplinary panel that was assigned the complaint under paragraph (2)(i) of this subsection shall refer the complaint to the other disciplinary panel for further action.</text> </level> <level label="iv"> <text>After an evidentiary hearing at the Office of Administrative Hearings, the original disciplinary panel that was assigned the complaint under paragraph (2)(i) of this subsection, or any of its members, may not:</text> <level label="1"> <text>Continue to handle the complaint;</text> </level> <level label="2"> <text>Participate in any disciplinary proceedings regarding the complaint; or</text> </level> <level label="3"> <text>Determine the final disposition of the complaint.</text> </level> </level> </level> </level> <level label="b"> <text>If an allegation of grounds for disciplinary or other action is made by a patient or a family member of a patient based on § 14–404(a)(22) of this subtitle and a full investigation results from that allegation, the full investigation shall include an offer of an interview with the patient or a family member of the patient who was present on or about the time that the incident that gave rise to the allegation occurred.</text> </level> <level label="c"> <level label="1"> <text>Except as otherwise provided in this subsection, after being assigned a complaint under subsection (a) of this section, the disciplinary panel may:</text> <level label="i"> <text>Refer an allegation for further investigation to the entity that has contracted with the Board under subsection (e) of this section; or</text> </level> <level label="ii"> <text>Take any appropriate and immediate action as necessary.</text> </level> </level> <level label="2"> <level label="i"> <text>If, after being assigned a complaint and completing the preliminary investigation, the disciplinary panel finds that the licensee may have violated § 14–404(a)(22) of this subtitle, the disciplinary panel shall refer the allegation to the entity or entities that have contracted with the Board under subsection (e) of this section for further investigation and physician peer review within the involved medical specialty or specialties.</text> </level> <level label="ii"> <text>A disciplinary panel shall obtain two peer review reports from the entity or individual with whom the Board contracted under subsection (e) of this section for each allegation the disciplinary panel refers for peer review.</text> </level> </level> <level label="3"> <text>If, after being assigned a complaint, the disciplinary panel determines that an allegation involving fees for professional or ancillary services does not constitute grounds for disciplinary or other action, the disciplinary panel shall offer the complainant and the licensee an opportunity to mediate the dispute.</text> </level> </level> <level label="d"> <text>County medical societies shall refer to the Board all complaints that set forth allegations of grounds for disciplinary action under § 14–404 of this subtitle.</text> </level> <level label="e"> <level label="1"> <text>In accordance with subsection (f) of this section, the Board shall enter into a written contract with an entity or individual for confidential physician peer review of allegations based on § 14–404(a)(22) of this subtitle.</text> </level> <level label="2"> <text>A peer reviewer shall:</text> <level label="i"> <text>Be board certified;</text> </level> <level label="ii"> <text>Have special qualifications to judge the matter at hand;</text> </level> <level label="iii"> <text>Have received a specified amount of medical experience and training;</text> </level> <level label="iv"> <text>Have no formal actions against the peer reviewer’s own license;</text> </level> <level label="v"> <text>Receive training in peer review;</text> </level> <level label="vi"> <text>Have a standard format for peer review reports; and</text> </level> <level label="vii"> <text>To the extent practicable, be licensed and engaged in the practice of medicine in the State.</text> </level> </level> <level label="3"> <text>The Board may consult with the appropriate specialty health care provider societies in the State to obtain a list of physicians qualified to provide peer review services.</text> </level> <level label="4"> <text>For purposes of peer review, the Board may use sole source procurement under § 13–107 of the State Finance and Procurement Article.</text> </level> <level label="5"> <text>The hearing of charges may not be stayed or challenged because of the selection of peer reviewers under this subsection before the filing of charges.</text> </level> </level> <level label="f"> <level label="1"> <text>The entity or individual peer reviewer with which the Board contracts under subsection (e) of this section shall have 60 days for completion of peer review.</text> </level> <level label="2"> <text>The entity or individual peer reviewer may apply to the Board for an extension of up to 20 days to the time limit imposed under paragraph (1) of this subsection.</text> </level> <level label="3"> <text>If an extension is not granted, and 60 days have elapsed, the Board may contract with any other entity or individual who meets the requirements of subsection (e)(2) of this section for the services of peer review.</text> </level> <level label="4"> <text>If an extension has been granted, and 80 days have elapsed, the Board may contract with any other entity or individual who meets the requirements of subsection (e)(2) of this section for the services of peer review.</text> </level> </level> <level label="g"> <text>The Board shall issue a request for proposals and enter into a written contract with a nonprofit entity to provide rehabilitation services for physicians or other allied health professionals directed by the Board to receive rehabilitation services.</text> </level> <level label="h"> <level label="1"> <text>To facilitate the investigation and prosecution of disciplinary matters and the mediation of fee disputes coming before it, the Board may contract with an entity or entities for the purchase of investigatory, mediation, and related services.</text> </level> <level label="2"> <text>Services that may be contracted for under this subsection include the services of:</text> <level label="i"> <text>Investigators;</text> </level> <level label="ii"> <text>Attorneys;</text> </level> <level label="iii"> <text>Accountants;</text> </level> <level label="iv"> <text>Expert witnesses;</text> </level> <level label="v"> <text>Consultants; and</text> </level> <level label="vi"> <text>Mediators.</text> </level> </level> </level> <level label="i"> <text>The Board or a disciplinary panel may issue subpoenas and administer oaths in connection with any investigation under this section and any hearing or proceeding before it.</text> </level> <level label="j"> <level label="1"> <text>It is the intent of this section that the disposition of every complaint against a licensee that sets forth allegations of grounds for disciplinary action filed with the Board shall be completed as expeditiously as possible and, in any event, within 18 months after the complaint was received by the Board.</text> </level> <level label="2"> <text>If a disciplinary panel is unable to complete the disposition of a complaint within 1 year, the Board shall include in the record of that complaint a detailed explanation of the reason for the delay.</text> </level> </level> <level label="k"> <text>A disciplinary panel, in conducting a meeting with a physician or allied health professional to discuss the proposed disposition of a complaint, shall provide an opportunity to appear before the disciplinary panel to both the licensee who has been charged and the individual who has filed the complaint against the licensee giving rise to the charge.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-402" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>In reviewing an application for licensure or in investigating an allegation brought against a licensed physician or any allied health professional regulated by the Board under this title or Title 15 of this article, the Rehabilitation Program may request the Board to direct, or the Board or a disciplinary panel on its own initiative may direct, the licensed physician or any allied health professional regulated by the Board under this title or Title 15 of this article to submit to an appropriate examination.</text> </level> <level label="b"> <text>In return for the privilege given by the State issuing a license, certification, or registration, the licensed, certified, or registered individual is deemed to have:</text> <level label="1"> <text>Consented to submit to an examination under this section, if requested by the Board in writing; and</text> </level> <level label="2"> <text>Waived any claim of privilege as to the testimony or examination reports.</text> </level> </level> <level label="c"> <text>The unreasonable failure or refusal of the applicant or licensee to submit to an examination is prima facie evidence of the applicant’s or licensee’s inability to practice medicine or the respective discipline competently, unless the Board or disciplinary panel finds that the failure or refusal was beyond the control of the applicant or licensee.</text> </level> <level label="d"> <text>The Board shall pay the costs of any examination made under this section for:</text> <level label="1"> <text>A licensee; or</text> </level> <level label="2"> <text>An applicant who was not previously licensed by the Board.</text> </level> </level> <level label="e"> <text>An applicant for reinstatement shall pay the cost of any examination directed by the Board under this section.</text> </level> <level label="f"> <text>The Rehabilitation Program is subject to audit by the Legislative Auditor as provided in § 2–1220 of the State Government Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-403" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>Unless a disciplinary panel agrees to accept the surrender of a license, certification, or registration of an individual the Board regulates, the individual may not surrender the license, certification, or registration nor may the license, certification, or registration lapse by operation of law for purposes of investigation or discipline while the individual is under investigation or while charges are pending.</text> </level> <level label="b"> <text>A disciplinary panel may set conditions on its agreement to accept surrender of a license, certification, or registration.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-404" future_version_removed="true" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this subtitle, a disciplinary panel, on the affirmative vote of a majority of the quorum of the disciplinary panel, may reprimand any licensee, place any licensee on probation, or suspend or revoke a license if the licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct in the practice of medicine; or</text> </level> <level label="ii"> <text>Unprofessional conduct in the practice of medicine;</text> </level> </level> <level label="4"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="5"> <text>Solicits or advertises in violation of § 14–503 of this title;</text> </level> <level label="6"> <text>Abandons a patient;</text> </level> <level label="7"> <text>Habitually is intoxicated;</text> </level> <level label="8"> <text>Is addicted to, or habitually abuses, any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="9"> <text>Provides professional services:</text> <level label="i"> <text>While under the influence of alcohol; or</text> </level> <level label="ii"> <text>While using any narcotic or controlled dangerous substance, as defined in § 5–101 of the Criminal Law Article, or other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="10"> <text>Promotes the sale of drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="11"> <text>Willfully makes or files a false report or record in the practice of medicine;</text> </level> <level label="12"> <text>Willfully fails to file or record any medical report as required under law, willfully impedes or obstructs the filing or recording of the report, or induces another to fail to file or record the report;</text> </level> <level label="13"> <text>On proper request, and in accordance with the provisions of Title 4, Subtitle 3 of the Health – General Article, fails to provide details of a patient’s medical record to the patient, another physician, or hospital;</text> </level> <level label="14"> <text>Solicits professional patronage through an agent or other person or profits from the acts of a person who is represented as an agent of the physician;</text> </level> <level label="15"> <text>Pays or agrees to pay any sum to any person for bringing or referring a patient or accepts or agrees to accept any sum from any person for bringing or referring a patient;</text> </level> <level label="16"> <text>Agrees with a clinical or bioanalytical laboratory to make payments to the laboratory for a test or test series for a patient, unless the licensed physician discloses on the bill to the patient or third–party payor:</text> <level label="i"> <text>The name of the laboratory;</text> </level> <level label="ii"> <text>The amount paid to the laboratory for the test or test series; and</text> </level> <level label="iii"> <text>The amount of procurement or processing charge of the licensed physician, if any, for each specimen taken;</text> </level> </level> <level label="17"> <text>Makes a willful misrepresentation in treatment;</text> </level> <level label="18"> <text>Practices medicine with an unauthorized person or aids an unauthorized person in the practice of medicine;</text> </level> <level label="19"> <text>Establishes a pattern of excessive or medically unnecessary procedures or treatment;</text> </level> <level label="20"> <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text> </level> <level label="21"> <text>Is disciplined by a licensing or disciplinary authority or convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="22"> <text>Fails to meet appropriate standards as determined by appropriate peer review for the delivery of quality medical and surgical care performed in an outpatient surgical facility, office, hospital, or any other location in this State;</text> </level> <level label="23"> <text>Willfully submits false statements to collect fees for which services are not provided;</text> </level> <level label="24"> <text>Was subject to investigation or disciplinary action by a licensing or disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under this section and the licensee:</text> <level label="i"> <text>Surrendered the license issued by the state or country to the state or country; or</text> </level> <level label="ii"> <text>Allowed the license issued by the state or country to expire or lapse;</text> </level> </level> <level label="25"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="26"> <text>Fails to educate a patient being treated for breast cancer of alternative methods of treatment as required by § 20–113 of the Health – General Article;</text> </level> <level label="27"> <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate medical purposes;</text> </level> <level label="28"> <text>Fails to comply with the provisions of § 12–102 of this article;</text> </level> <level label="29"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="30"> <text>Except as to an association that has remained in continuous existence since July 1, 1963:</text> <level label="i"> <text>Associates with a pharmacist as a partner or co–owner of a pharmacy for the purpose of operating a pharmacy;</text> </level> <level label="ii"> <text>Employs a pharmacist for the purpose of operating a pharmacy; or</text> </level> <level label="iii"> <text>Contracts with a pharmacist for the purpose of operating a pharmacy;</text> </level> </level> <level label="31"> <text>Except in an emergency life–threatening situation where it is not feasible or practicable, fails to comply with the Centers for Disease Control and Prevention’s guidelines on universal precautions;</text> </level> <level label="32"> <text>Fails to display the notice required under § 14–415 of this subtitle;</text> </level> <level label="33"> <text>Fails to cooperate with a lawful investigation conducted by the Board or a disciplinary panel;</text> </level> <level label="34"> <text>Is convicted of insurance fraud as defined in § 27–801 of the Insurance Article;</text> </level> <level label="35"> <text>Is in breach of a service obligation resulting from the applicant’s or licensee’s receipt of State or federal funding for the licensee’s medical education;</text> </level> <level label="36"> <text>Willfully makes a false representation when seeking or making application for licensure or any other application related to the practice of medicine;</text> </level> <level label="37"> <text>Intimidates or influences, or attempts to intimidate or influence, for the purpose of causing any person to withhold or change testimony in hearings or proceedings before the Board or a disciplinary panel or those otherwise delegated to the Office of Administrative Hearings;</text> </level> <level label="38"> <text>Willfully hinders, prevents, or otherwise delays any person from making information available to the Board or a disciplinary panel in furtherance of any investigation of the Board or a disciplinary panel;</text> </level> <level label="39"> <text>Intentionally misrepresents credentials for the purpose of testifying or rendering an expert opinion in hearings or proceedings before the Board or a disciplinary panel or those otherwise delegated to the Office of Administrative Hearings;</text> </level> <level label="40"> <text>Fails to keep adequate medical records as determined by appropriate peer review;</text> </level> <level label="41"> <text>Performs a cosmetic surgical procedure in an office or a facility that is not:</text> <level label="i"> <text>Accredited by:</text> <level label="1"> <text>The American Association for Accreditation of Ambulatory Surgical Facilities;</text> </level> <level label="2"> <text>The Accreditation Association for Ambulatory Health Care; or</text> </level> <level label="3"> <text>The Joint Commission on the Accreditation of Healthcare Organizations; or</text> </level> </level> <level label="ii"> <text>Certified to participate in the Medicare program, as enacted by Title XVIII of the Social Security Act;</text> </level> </level> <level label="42"> <text>Fails to complete a criminal history records check under § 14–308.1 of this title;</text> </level> <level label="43"> <text>Except for the licensure process described under Subtitle 3A of this title, violates any provision of this title, any rule or regulation adopted by the Board, or any State or federal law pertaining to the practice of medicine;</text> </level> <level label="44"> <text>Fails to meet the qualifications for licensure under Subtitle 3 of this title;</text> </level> <level label="45"> <text>Fails to comply with § 1–223 of this article;</text> </level> <level label="46"> <text>Fails to comply with the requirements of the Prescription Drug Monitoring Program under Title 21, Subtitle 2A of the Health – General Article; or</text> </level> <level label="47"> <text>Willfully makes a misrepresentation to a disciplinary panel.</text> </level> </level> <level label="b"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text> </level> </level> <level label="c"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection, a disciplinary panel may not reprimand, place on probation, or suspend or revoke a license of a licensee for providing a patient with a written statement, medical records, or testimony that, in the licensee’s professional opinion, the patient is likely to receive therapeutic or palliative relief from cannabis.</text> </level> <level label="2"> <text>Nothing in this subsection shall be deemed to release a licensee from the duty to exercise a professional standard of care when evaluating a patient’s medical condition.</text> </level> </level> <level label="d"> <level label="1"> <text>If, after a hearing under § 14–405 of this subtitle, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or to place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text> </level> <level label="2"> <text>The Board shall pay any fines collected under this section into the General Fund of the State.</text> </level> </level> <level label="e"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-405" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>Except as otherwise provided in the Administrative Procedure Act, before the Board or a disciplinary panel takes any action under § 14–404(a) of this subtitle or § 14–205(b)(3), § 14–5A–17(a), § 14–5B–14(a), § 14–5C–17(a), § 14–5D–14(a), § 14–5E–16(a), § 14–5F–18, or § 14–5G–18(a) of this title, it shall give the individual against whom the action is contemplated an opportunity for a hearing before a hearing officer.</text> </level> <level label="b"> <level label="1"> <text>The hearing officer shall give notice and hold the hearing in accordance with the Administrative Procedure Act.</text> </level> <level label="2"> <text>Factual findings shall be supported by a preponderance of the evidence.</text> </level> </level> <level label="c"> <text>The individual may be represented at the hearing by counsel.</text> </level> <level label="d"> <text>If after due notice the individual against whom the action is contemplated fails or refuses to appear, nevertheless the hearing officer may hear and refer the matter to the Board or a disciplinary panel for disposition.</text> </level> <level label="e"> <text>After performing any necessary hearing under this section, the hearing officer shall refer proposed factual findings to the Board or a disciplinary panel for the Board’s or disciplinary panel’s disposition.</text> </level> <level label="f"> <text>The Board may adopt regulations to govern the taking of depositions and discovery in the hearing of charges.</text> </level> <level label="g"> <text>The hearing of charges may not be stayed or challenged by any procedural defects alleged to have occurred prior to the filing of charges.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-406" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>Following the filing of charges, if a majority of the quorum of a disciplinary panel finds that there are grounds for action under § 14–404 of this subtitle, the disciplinary panel shall pass an order in accordance with the Administrative Procedure Act.</text> </level> <level label="b"> <text>After the charges are filed, if a disciplinary panel finds, on an affirmative vote of a majority of its quorum, that there are no grounds for action under § 14–404 of this subtitle, the disciplinary panel:</text> <level label="1"> <text>Immediately shall dismiss the charges and exonerate the licensee;</text> </level> <level label="2"> <level label="i"> <text>Except as provided in item (ii) of this item, shall expunge all records of the charges 3 years after the charges are dismissed; or</text> </level> <level label="ii"> <text>If the physician executes a document releasing the Board from any liability related to the charges, shall immediately expunge all records of the charges; and</text> </level> </level> <level label="3"> <text>May not take any further action on the charges.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-407" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>An order of suspension or revocation is effective, in accordance with its terms and conditions, as soon as a disciplinary panel files it under this title.</text> </level> <level label="b"> <text>The Board shall keep a copy of the order of suspension or revocation as a permanent record.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-408" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>Any person aggrieved by a final decision of the Board or a disciplinary panel in a contested case, as defined in the Administrative Procedure Act, may take a direct judicial appeal as provided in the Administrative Procedure Act.</text> </level> <level label="b"> <text>An order of the Board or a disciplinary panel may not be stayed pending review.</text> </level> <level label="c"> <text>The Board may appeal from any decision that reverses or modifies an order of the Board or a disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-409" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <level label="1"> <text>Except as provided in subsection (b) of this section, a disciplinary panel may reinstate the license of an individual whose license has been surrendered or revoked under this title only in accordance with:</text> <level label="i"> <text>The terms and conditions of the order of revocation or letter of surrender;</text> </level> <level label="ii"> <text>An order of reinstatement issued by the disciplinary panel; or</text> </level> <level label="iii"> <text>A final judgment in any proceeding for review.</text> </level> </level> <level label="2"> <text>If a license is surrendered or revoked for a period of more than 1 year, a disciplinary panel may reinstate the license after 1 year if the licensee:</text> <level label="i"> <text>Meets the requirements for reinstatement as established by the Board; and</text> </level> <level label="ii"> <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </level> <level label="b"> <text>An individual whose license has been surrendered or revoked under this title and who seeks reinstatement shall meet the continuing medical education requirements established for the renewal of licenses as if the individual were licensed during the period of surrender or revocation.</text> </level> <level label="c"> <text>If an order of revocation is based on § 14–404(b) of this subtitle, and the conviction or plea subsequently is overturned at any stage of an appeal or other postconviction proceeding, the revocation ends when the conviction or plea is overturned.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-410" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>Except by the express stipulation and consent of all parties to a proceeding before the Board, a disciplinary panel, or any of its other investigatory bodies, in a civil or criminal action:</text> <level label="1"> <text>The proceedings, records, or files of the Board, a disciplinary panel, or any of its other investigatory bodies are not discoverable and are not admissible in evidence; and</text> </level> <level label="2"> <text>Any order passed by the Board or disciplinary panel is not admissible in evidence.</text> </level> </level> <level label="b"> <text>This section does not apply to a civil action brought by a party to a proceeding before the Board or a disciplinary panel who claims to be aggrieved by the decision of the Board or the disciplinary panel.</text> </level> <level label="c"> <text>If any medical or hospital record or any other exhibit is subpoenaed and otherwise is admissible in evidence, the use of that record or exhibit in a proceeding before the Board, a disciplinary panel, or any of its other investigatory bodies does not prevent its production in any other proceeding.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-411" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>In this section, “record” means the proceedings, records, or files of the Board or a disciplinary panel.</text> </level> <level label="b"> <text>Except as otherwise expressly provided in this section and § 14–411.1 of this subtitle, the Board, a disciplinary panel, or any of its other investigatory bodies may not disclose any information contained in a record.</text> </level> <level label="c"> <text>This section may not be construed to prevent or limit the disclosure of:</text> <level label="1"> <text>General licensure, certification, or registration information maintained by the Board, if the request for release complies with the criteria of § 4–333 of the General Provisions Article;</text> </level> <level label="2"> <text>Profile information collected and disseminated under § 14–411.1 of this subtitle; or</text> </level> <level label="3"> <text>Personal and other identifying information of a licensee, as required by the National Practitioner Data Bank for participation in the proactive disclosure service.</text> </level> </level> <level label="d"> <text>The Board shall disclose any information contained in a record to:</text> <level label="1"> <text>A committee of a hospital, health maintenance organization, or related institution if:</text> <level label="i"> <text>The committee of a medical hospital staff concerned with licensee discipline or other committee of a hospital, health maintenance organization, or related institution requests the information in writing;</text> </level> <level label="ii"> <text>A disciplinary panel has issued an order as to a licensee on whom the information is requested; and</text> </level> <level label="iii"> <text>The Board determines that the information requested is necessary for an investigation or action of the committee as to a medical privilege of a licensee; or</text> </level> </level> <level label="2"> <text>The Secretary, the Office of Health Care Quality in the Department, the Maryland Health Care Commission, or the Health Services Cost Review Commission for the purpose of investigating quality or utilization of care in any entity regulated by the Office of Health Care Quality or the Health Services Cost Review Commission.</text> </level> </level> <level label="e"> <text>Subsection (d)(2) of this section may not be construed to alter the authority of the Secretary under § 1–203(a) of this article or § 2–106(c) of the Health – General Article.</text> </level> <level label="f"> <level label="1"> <text>The Board shall notify all hospitals, health maintenance organizations, or other health care facilities where a licensee has privileges, has a provider contract with a health maintenance organization, or is employed of a complaint or report filed against that licensee, if:</text> <level label="i"> <text>The Board determines, in its discretion, that the hospital, health maintenance organization, or health care facility should be informed about the report or complaint;</text> </level> <level label="ii"> <text>The nature of the complaint suggests a reasonable possibility of an imminent threat to patient safety; or</text> </level> <level label="iii"> <text>The complaint or report was as a result of a claim filed in the Health Care Alternative Dispute Resolution Office and a certificate of a qualified expert is filed in accordance with § 3–2A–04(b)(1) of the Courts Article.</text> </level> </level> <level label="2"> <text>The Board shall disclose any information pertaining to a licensee’s competency to practice under the license contained in record to a committee of a hospital, health maintenance organization, or other health care facility if:</text> <level label="i"> <text>The committee is concerned with licensee discipline and requests the information in writing; and</text> </level> <level label="ii"> <text>The Board has received a complaint or report pursuant to paragraph (1)(i) and (ii) of this subsection on the licensee on whom the information is requested.</text> </level> </level> <level label="3"> <text>The Board shall, after formal action is taken pursuant to § 14–406 of this subtitle, notify those hospitals, health maintenance organizations, or health care facilities where the licensee has privileges, has a provider contract with a health maintenance organization, or is employed of its formal action within 10 days after the action is taken and shall provide the hospital, health maintenance organization, or health care facility with periodic reports as to enforcement or monitoring of a formal disciplinary order against a licensee within 10 days after receipt of those reports.</text> </level> </level> <level label="g"> <text>On the request of a person who has made a complaint to the Board regarding a licensee, the Board shall provide the person with information on the status of the complaint.</text> </level> <level label="h"> <text>Following the filing of charges or notice of initial denial of license application, the Board shall disclose the filing to the public on the Board’s website.</text> </level> <level label="i"> <text>The Board may disclose any information contained in a record to a licensing or disciplinary authority of another state if:</text> <level label="1"> <text>The licensing or disciplinary authority of another state that regulates licensees in that state requests the information in writing; and</text> </level> <level label="2"> <text>The disclosure of any information is limited to the pendency of an allegation of a ground for disciplinary or other action by a disciplinary panel until:</text> <level label="i"> <text>The disciplinary panel has passed an order under § 14–406 of this subtitle; or</text> </level> <level label="ii"> <text>A licensee on whom the information is requested authorizes a disclosure as to the facts of an allegation or the results of an investigation before the Board.</text> </level> </level> </level> <level label="j"> <text>The Board may disclose any information contained in a record to a person if:</text> <level label="1"> <text>A licensee on whom any information is requested authorizes the person to receive the disclosure;</text> </level> <level label="2"> <text>The person requests the information in writing; and</text> </level> <level label="3"> <text>The authorization for the disclosure is in writing.</text> </level> </level> <level label="k"> <text>The Board may disclose any information contained in a record to the State Medical Assistance Compliance Administration, the Secretary of the U.S. Department of Health and Human Services or the Secretary’s designee, or any health occupational regulatory board if:</text> <level label="1"> <level label="i"> <text>The State Medical Assistance Compliance Administration or any health occupational regulatory board requests the information in writing; or</text> </level> <level label="ii"> <text>The Secretary of the U.S. Department of Health and Human Services or the Secretary’s designee is entitled to receive the information or have access to the information under 42 U.S.C. § 1396r–2;</text> </level> </level> <level label="2"> <level label="i"> <text>A disciplinary panel has issued an order under § 14–406 of this subtitle; or</text> </level> <level label="ii"> <text>An allegation is pending before the Board or a disciplinary panel; and</text> </level> </level> <level label="3"> <text>The Board determines that the requested information is necessary for the proper conduct of the business of that administration or board.</text> </level> </level> <level label="l"> <text>If the Board or a disciplinary panel determines that the information contained in a record concerns possible criminal activity, the Board or the disciplinary panel shall disclose the information to a law enforcement or prosecutorial official.</text> </level> <level label="m"> <text>The Board may permit inspection of records for which inspection otherwise is not authorized by a person who is engaged in a research project if:</text> <level label="1"> <text>The researcher submits to the executive director and the Board approves a written request that:</text> <level label="i"> <text>Describes the purpose of the research project;</text> </level> <level label="ii"> <text>Describes the intent, if any, to publish the findings;</text> </level> <level label="iii"> <text>Describes the nature of the requested personal records;</text> </level> <level label="iv"> <text>Describes the safeguards that the researcher would take to protect the identity of the persons in interest; and</text> </level> <level label="v"> <text>States that persons in interest will not be contacted unless the executive director approves and monitors the contact;</text> </level> </level> <level label="2"> <text>The executive director is satisfied that the proposed safeguards will prevent the disclosure of the identity of persons in interest; and</text> </level> <level label="3"> <text>The researcher makes an agreement with the executive director that:</text> <level label="i"> <text>Defines the scope of the research project;</text> </level> <level label="ii"> <text>Sets out the safeguards for protecting the identity of the persons in interest; and</text> </level> <level label="iii"> <text>States that a breach of any condition of the agreement is a breach of contract.</text> </level> </level> </level> <level label="n"> <text>On the request of a person who has testified in a Board or Office of Administrative Hearings proceeding, the Board shall provide to the person who testified a copy of the portion of the transcript of that person’s testimony.</text> </level> <level label="o"> <level label="1"> <text>The Board may publish a summary of any allegations of grounds for disciplinary or other action.</text> </level> <level label="2"> <text>A summary may not identify:</text> <level label="i"> <text>Any person who makes an allegation to the Board or any of its investigatory bodies;</text> </level> <level label="ii"> <text>A licensee about whom an allegation is made; or</text> </level> <level label="iii"> <text>A witness in an investigation or a proceeding before the Board or any of its investigatory bodies.</text> </level> </level> </level> <level label="p"> <text>The Board shall disclose information in a record upon the request of the Governor, Secretary, or Legislative Auditor, in accordance with § 2–1223(a) of the State Government Article. However, the Governor, Secretary, or Auditor, or any of their employees may not disclose personally identifiable information from any of these records which are otherwise confidential by law.</text> </level> <level label="q"> <text>This section does not apply to:</text> <level label="1"> <text>Any disclosure of a record by the Board to a disciplinary panel or any of its other investigatory bodies; or</text> </level> <level label="2"> <text>A licensee, certificate holder, or registration holder who has been charged under this title or a party to a proceeding before the Board or a disciplinary panel who claims to be aggrieved by the decision of the Board or the disciplinary panel.</text> </level> </level> <level label="r"> <text>If any information contained in any medical or hospital document or any other exhibit is otherwise open for disclosure under law, the use of that document or exhibit in any record of the Board, a disciplinary panel, or any of its other investigatory bodies does not prevent its disclosure in any other proceeding.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-411.1" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>In this section, “health maintenance organization” has the meaning stated in § 19–701 of the Health – General Article.</text> </level> <level label="b"> <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text> <level label="1"> <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–404 of this subtitle based on the charges or has rescinded the charges;</text> </level> <level label="2"> <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text> </level> <level label="3"> <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period;</text> </level> <level label="4"> <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude reported to the Board under § 14–416 of this subtitle; and</text> </level> <level label="5"> <text>As reported to the Board by the licensee, education and practice information about the licensee including:</text> <level label="i"> <text>The name of any medical school that the licensee attended and the date on which the licensee graduated from the school;</text> </level> <level label="ii"> <text>A description of any internship and residency training;</text> </level> <level label="iii"> <text>A description of any specialty board certification by a recognized board of the American Board of Medical Specialties or the American Osteopathic Association;</text> </level> <level label="iv"> <text>The name of any hospital where the licensee has medical privileges;</text> </level> <level label="v"> <text>The location of the licensee’s primary practice setting;</text> </level> <level label="vi"> <text>Whether the licensee participates in the Maryland Medical Assistance Program;</text> </level> <level label="vii"> <text>Whether the licensee maintains medical professional liability insurance; and</text> </level> <level label="viii"> <text>The number of medical malpractice final court judgments and arbitration awards against the licensee within the most recent 10–year period.</text> </level> </level> </level> <level label="c"> <text>In addition to the requirements of subsection (b) of this section, the Board shall:</text> <level label="1"> <text>Following the filing of charges or notice of initial denial of a license application, disclose the filing to the public on the Board’s website;</text> </level> <level label="2"> <text>Provide appropriate and accessible Internet links from the Board’s website:</text> <level label="i"> <text>To the extent available, to the appropriate portion of the website of each health maintenance organization licensed in this State which will allow the public to ascertain the names of the physicians affiliated with the health maintenance organization; and</text> </level> <level label="ii"> <text>To the appropriate portion of the website of the American Medical Association;</text> </level> </level> <level label="3"> <text>Include a statement on each licensee’s profile of information to be taken into consideration by a consumer when viewing a licensee’s profile, including factors to consider when evaluating a licensee’s malpractice data, and a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel; and</text> </level> <level label="4"> <text>Provide on the Board’s website:</text> <level label="i"> <text>Notification that a person may contact the Board by telephone, electronic mail, or written request to find out whether the number of medical malpractice settlements involving a particular licensee totals three or more with a settlement amount of $1,000,000 or greater within the most recent 5–year period as reported to the Board; and</text> </level> <level label="ii"> <text>A telephone number, electronic mail address, and physical address through which a person may contact the Board to request the information required to be provided under item (i) of this item.</text> </level> </level> </level> <level label="d"> <text>The Board:</text> <level label="1"> <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person;</text> </level> <level label="2"> <text>Shall maintain a website that serves as a single point of entry where all licensee profile information is available to the public on the Internet; and</text> </level> <level label="3"> <text>On receipt of a verbal, electronic, or written request in accordance with subsection (c)(3) of this section, shall provide the information within 2 business days of the request.</text> </level> </level> <level label="e"> <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text> </level> <level label="f"> <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text> </level> <level label="g"> <text>This section does not limit the Board’s authority to disclose information as required under § 14–411 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-412" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>If a person is a member of the Board or a legally authorized agent of the Board and is investigating, prosecuting, participating in a hearing, or otherwise acting on an allegation of a ground for Board action made to the Board, the person shall have the immunity from liability described under § 5–715(b) of the Courts and Judicial Proceedings Article.</text> </level> <level label="b"> <text>A person who makes an allegation of a ground for Board action to the Board shall have the immunity from liability described under § 5–715(c) of the Courts and Judicial Proceedings Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-413" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <level label="1"> <text>Except as provided in subsections (b) and (d) of this section, each employer of a licensed physician shall submit to the Board a report if:</text> <level label="i"> <text>The employer:</text> <level label="1"> <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensed physician’s clinical privileges, employment, or other ability to practice or treat patients;</text> </level> <level label="2"> <text>Involuntarily terminated or restricted the licensed physician’s employment or staff membership; or</text> </level> <level label="3"> <text>Asked the licensed physician to voluntarily resign because of the licensed physician’s conduct or while the licensed physician is being investigated; and</text> </level> </level> <level label="ii"> <text>The action described under item (i) of this paragraph was taken:</text> <level label="1"> <text>For reasons that might be grounds for disciplinary action under § 14–404 of this subtitle;</text> </level> <level label="2"> <text>Because the licensed physician may have engaged in an act that may constitute unprofessional conduct;</text> </level> <level label="3"> <text>Because the licensed physician may be unable to practice medicine with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text> </level> <level label="4"> <text>Because the licensed physician may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text> </level> </level> </level> <level label="2"> <text>Each report submitted under paragraph (1) of this subsection shall include:</text> <level label="i"> <text>The action taken by the employer;</text> </level> <level label="ii"> <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text> </level> <level label="iii"> <text>The steps taken by the employer to investigate the conduct of the licensed physician.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text> </level> <level label="ii"> <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text> </level> </level> </level> <level label="b"> <text>If an employer knows that the conduct of a licensed physician requires that the employer submit a report under subsection (a)(1) of this section because the licensed physician is impaired by alcohol or another substance, the employer is not required to report the licensed physician to the Board if:</text> <level label="1"> <text>The employer knows that the licensed physician is:</text> <level label="i"> <text>In a substance use disorder treatment program that is accredited by The Joint Commission or is certified by the Department; or</text> </level> <level label="ii"> <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders;</text> </level> </level> <level label="2"> <text>The employer is able to verify that the licensed physician remains in the treatment program until successful discharge; and</text> </level> <level label="3"> <text>The action or condition of the licensed physician has not caused injury to any person while the physician is practicing as a licensed physician.</text> </level> </level> <level label="c"> <text>If the employer knows that the licensed physician is noncompliant with the substance use disorder treatment program, the employer of the licensed physician shall report the licensed physician’s noncompliance to the Board.</text> </level> <level label="d"> <level label="1"> <text>The Board may extend the reporting time under this section for good cause shown.</text> </level> <level label="2"> <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text> </level> </level> <level label="e"> <text>The Board may enforce this section by subpoena.</text> </level> <level label="f"> <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts and Judicial Proceedings Article for giving any of the information required by this section.</text> </level> <level label="g"> <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text> </level> <level label="h"> <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text> </level> <level label="i"> <level label="1"> <text>A disciplinary panel may impose a civil penalty of up to $10,000 for knowingly failing to report under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $10,000 per incident for a report made by an employer in bad faith.</text> </level> <level label="3"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-414" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>Except as otherwise provided in this subtitle, an employer may not employ an individual to practice medicine without a license.</text> </level> <level label="b"> <text>A disciplinary panel may impose a civil penalty in an amount not exceeding $10,000 for a violation of this section.</text> </level> <level label="c"> <text>The Board shall remit any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-415" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <text>If a physician is engaged in the private practice of medicine in this State, the physician shall display the notice developed under § 1-207 of this article conspicuously in each office where the physician is engaged in practice.</text> </section> <section article="gho" article_name="Health Occupations" number="14-416" title_number="14" title_name="Physicians" subtitle_number="4" subtitle_name="Disciplinary Actions"> <level label="a"> <text>Each court shall report to the Board each conviction of or entry of a plea of guilty or nolo contendere by a physician for any crime involving moral turpitude.</text> </level> <level label="b"> <text>The court shall submit the report within 10 days after the conviction or entry of the plea.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-502" title_number="14" title_name="Physicians" subtitle_number="5" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>In this section, “the Maryland Institute for Emergency Medical Services Systems” means the State agency described in § 13-503 of the Education Article.</text> </level> <level label="b"> <text>This section applies to:</text> <level label="1"> <text>MedChi;</text> </level> <level label="2"> <text>A component medical society of MedChi;</text> </level> <level label="3"> <text>A committee of MedChi or of a component medical society of MedChi;</text> </level> <level label="4"> <text>A committee appointed by or established in the Maryland Institute for Emergency Medical Services Systems;</text> </level> <level label="5"> <text>A hospital, related institution, or other health care facility staff committee;</text> </level> <level label="6"> <text>A hospital, related institution, or other health care facility credentials committee or its equivalent;</text> </level> <level label="7"> <text>The chief executive officer of a hospital, related institution, or other health care facility;</text> </level> <level label="8"> <text>The dean of any medical school in this State;</text> </level> <level label="9"> <text>A member of the Board;</text> </level> <level label="10"> <text>A casualty insurer writing medical professional liability insurance in this State;</text> </level> <level label="11"> <text>A utilization committee of:</text> <level label="i"> <text>A nonprofit health service plan; or</text> </level> <level label="ii"> <text>A health insurer doing business in this State;</text> </level> </level> <level label="12"> <text>The chief executive officer of an alternative health system;</text> </level> <level label="13"> <text>The medical director of an alternative health system;</text> </level> <level label="14"> <text>A medical review committee appointed by or established in an alternative health system; and</text> </level> <level label="15"> <text>A physician.</text> </level> </level> <level label="c"> <text>A person described in subsection (b) of this section shall have the immunity from liability described under § 5-638 of the Courts and Judicial Proceedings Article for giving information to any hospital, hospital medical staff, related institution, or other health care facility, alternative health system, professional society, medical school, or professional licensing board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-503" title_number="14" title_name="Physicians" subtitle_number="5" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>A physician may not represent to the public that the physician is board certified unless:</text> <level label="1"> <text>The physician is board certified; and</text> </level> <level label="2"> <text>The physician discloses the full name of the board from which the physician is certified and the name of the specialty or subspecialty in which the physician is certified.</text> </level> </level> <level label="b"> <text>A physician may advertise only as permitted by the rules and regulations of the Board and subject to subsection (a) of this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-504" title_number="14" title_name="Physicians" subtitle_number="5" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>This section does not apply to a dentist performing acupuncture in connection with the practice of dentistry if the dentist is licensed or otherwise authorized to practice dentistry under Title 4 of this article.</text> </level> <level label="b"> <text>Unless licensed under Title 1A of this article, a physician shall be registered by the Board before the physician may perform acupuncture in this State.</text> </level> <level label="c"> <text>The Board shall register to perform acupuncture any physician who meets the following requirements:</text> <level label="1"> <level label="i"> <text>Successful completion of at least 200 hours of training in a program of study in acupuncture, including any examinations required under the program, approved for category 1 continuing medical education credit by an institution accredited or recognized by the Accreditation Council on Continuing Medical Education; or</text> </level> <level label="ii"> <text>Successful completion of a course of study approved by the Board which includes at least 200 hours of instruction in:</text> <level label="1"> <text>General and basic aspects of acupuncture;</text> </level> <level label="2"> <text>Specific uses and techniques of acupuncture; and</text> </level> <level label="3"> <text>Indications and contraindications of acupuncture administration;</text> </level> </level> </level> <level label="2"> <text>Ability to communicate in the English language;</text> </level> <level label="3"> <text>Payment of application and registration fees; and</text> </level> <level label="4"> <text>Other reasonable conditions determined by the Board.</text> </level> </level> <level label="d"> <text>A physician who is registered under this section may perform acupuncture on or off the premises of the physician’s office.</text> </level> <level label="e"> <text>A physician who performs acupuncture may advertise only as permitted by the rules and regulations of the Board.</text> </level> <level label="f"> <text>The Board may adopt rules and regulations to carry out the provisions of this section.</text> </level> <level label="g"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of its quorum, may reprimand or place a physician who performs acupuncture on probation or suspend or revoke the registration of a physician for:</text> <level label="1"> <text>Any conduct prohibited under the provisions of this section or prohibited under any regulation adopted pursuant to the provisions of this section;</text> </level> <level label="2"> <text>Except in an emergency life–threatening situation where it is not feasible or practicable, failing to comply with the Centers for Disease Control and Prevention’s guidelines on universal precautions; or</text> </level> <level label="3"> <text>Failing to display the notice required under subsection (h) of this section.</text> </level> </level> <level label="h"> <text>If a physician who performs acupuncture is engaged in the private practice of acupuncture in this State, the physician who performs acupuncture shall display the notice developed under § 1-207 of this article conspicuously in each office where the physician is engaged in practice.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-505" title_number="14" title_name="Physicians" subtitle_number="5" subtitle_name="Miscellaneous Provisions"> <level label="a"> <level label="1"> <text>A licensed physician or registered nurse who is primarily responsible for the treatment of an individual for a burn injury described in paragraph (2) of this subsection shall as soon as practicable notify the county fire chief or administrator, or designee, or, if neither office exists, the State Fire Marshal or designee. If treatment occurs at a hospital, the treating physician or designee shall be responsible for giving the notice required by this section.</text> </level> <level label="2"> <text>The provisions of paragraph (1) of this subsection apply to a burn injury:</text> <level label="i"> <text>Causing 2nd or 3rd degree burns to 5 percent or more of the patient’s body;</text> </level> <level label="ii"> <text>To the upper respiratory tract or laryngeal edema caused by inhaling super-heated air;</text> </level> <level label="iii"> <text>Which causes death; or</text> </level> <level label="iv"> <text>Which is likely to cause death.</text> </level> </level> <level label="3"> <text>The provisions of paragraph (1) of this subsection do not apply to a sunburn.</text> </level> </level> <level label="b"> <text>Notice under this section shall include:</text> <level label="1"> <text>The name and address of the patient, if known;</text> </level> <level label="2"> <text>A description of the burn injury;</text> </level> <level label="3"> <text>The reported cause of the burn injury, if given;</text> </level> <level label="4"> <text>The patient’s prognosis; and</text> </level> <level label="5"> <text>Any other fact concerning the burn injury which might assist in detecting arson.</text> </level> </level> <level label="c"> <text>If an investigation is conducted after notification is given under subsection (a) of this section, the investigating agency shall report its findings on an incident reporting system report and send it to the State Fire Marshal’s office for retention.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-506" title_number="14" title_name="Physicians" subtitle_number="5" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>In this section, “the Maryland Institute for Emergency Medical Services Systems” means the State agency described in § 13–503 of the Education Article.</text> </level> <level label="b"> <text>The following records and other information are confidential records:</text> <level label="1"> <text>Any record and other information obtained by MedChi, a component society of MedChi, the Maryland Institute for Emergency Medical Services Systems, a hospital staff committee, or a national medical society or group organized for research, if that record or information identifies any person; and</text> </level> <level label="2"> <text>Any record of a proceeding or transaction before the entity or individual that contracts with the Board or one of its committees that relates to any investigation or report under § 14–401.1 of this title as to an allegation of grounds for disciplinary or other action.</text> </level> </level> <level label="c"> <text>Access to and use of any confidential record described in subsection (b) of this section is regulated by §§ 5–601 and 10–205(b) of the Courts Article.</text> </level> <level label="d"> <text>This section does not restrict the publication of any statistics or other information that does not disclose the identity of any person.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-507" title_number="14" title_name="Physicians" subtitle_number="5" subtitle_name="Miscellaneous Provisions"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Immediate follow–up care” is that period of contact lens fitting time required to reach a contact lens prescription that is appropriate to the documented clinical needs of the patient.</text> </level> <level label="3"> <text>“Replacement contact lens prescription” means a prescription prepared by a licensed physician containing the information specified in this section and written expressly for the purpose of providing lenses which have already been properly fitted.</text> </level> </level> <level label="b"> <text>A licensed physician shall ensure that each replacement contact lens prescription that the licensed optometrist prescribes for contact lenses:</text> <level label="1"> <text>Contains all the information necessary for the replacement contact lens prescription to be properly dispensed, including but not limited to the:</text> <level label="i"> <text>Lens manufacturer;</text> </level> <level label="ii"> <text>Type of lens;</text> </level> <level label="iii"> <text>Power of the lens;</text> </level> <level label="iv"> <text>Base curve;</text> </level> <level label="v"> <text>Lens size;</text> </level> <level label="vi"> <text>Name of the patient;</text> </level> <level label="vii"> <text>Date the prescription was given to the patient;</text> </level> <level label="viii"> <text>Name and office location of the licensed physician who writes the replacement contact lens prescription; and</text> </level> <level label="ix"> <text>Expiration date of the replacement contact lens prescription; and</text> </level> </level> <level label="2"> <text>Is reduced to writing and placed in the patient’s permanent file.</text> </level> </level> <level label="c"> <level label="1"> <level label="i"> <text>After a licensed physician releases the patient from immediate follow–up care, the patient may request the replacement contact lens prescription from the licensed physician.</text> </level> <level label="ii"> <text>If, after examination, the patient’s prescription has not changed since the last examination, a licensed physician shall comply with the provisions of paragraph (2) of this subsection without requiring the patient to purchase contact lenses or to undergo immediate follow–up care.</text> </level> </level> <level label="2"> <level label="i"> <text>Upon the request of a patient of a licensed physician, and without cost to the patient, the licensed physician shall provide the patient’s replacement contact lens prescription to the patient or the patient’s designee.</text> </level> <level label="ii"> <text>In responding to a request under paragraph (1)(i) of this subsection, a licensed physician shall transmit the contact lens prescription by mail, telephone, facsimile, e–mail, or any other means of communication that will, under normal circumstances, result in the designee receiving the information within 7 business days after the patient’s request.</text> </level> <level label="iii"> <text>The replacement contact lens prescription that the licensed physician provides the patient under subparagraph (i) of this paragraph:</text> <level label="1"> <text>Shall contain the information necessary for the proper duplication of the current prescription of the patient;</text> </level> <level label="2"> <text>Shall contain, subject to the provisions of subsection (d) of this section, an expiration date for the replacement contact lens prescription of not more than 24 months from the time the patient was first examined; and</text> </level> <level label="3"> <text>May contain wearing guidelines or specific instructions for use of the contact lenses by the patient, or both.</text> </level> </level> </level> </level> <level label="d"> <text>The licensed physician shall enter into the patient’s medical record the valid clinical reasons for a shorter expiration date and shall provide the patient with a written and oral explanation of the clinical reasons for a shorter expiration date.</text> </level> <level label="e"> <text>When a patient’s prescription is dispensed by a person other than the licensed physician or a person associated directly or indirectly with the licensed physician, the licensed physician is not liable for any injury to or condition of a patient caused solely by the negligence of the dispenser.</text> </level> <level label="f"> <text>A licensed physician who releases a replacement contact lens prescription to a patient may provide the patient with a written statement that wearing improperly fitted contact lenses may cause harm to the patient’s eyes and that the patient should have an eye examination if there are any changes in the patient’s vision, including pain or vision loss.</text> </level> <level label="g"> <level label="1"> <text>A licensed physician who fills or provides a contact lens prescription shall maintain a record of that prescription in accordance with § 4–403 of the Health – General Article.</text> </level> <level label="2"> <text>A person other than a licensed physician who fills a contact lens prescription shall maintain a record of that prescription for 5 years.</text> </level> </level> <level label="h"> <text>The Board may impose a civil fine of no more than $1,000 on a licensed physician who fails to provide a replacement contact lens prescription or who knowingly dispenses contact lenses without a valid and unexpired replacement contact lens prescription, or who otherwise fails to comply with this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-508" title_number="14" title_name="Physicians" subtitle_number="5" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>Each licensee practicing medicine in the State shall notify a patient in writing if:</text> <level label="1"> <text>The licensee does not maintain medical professional liability insurance coverage; or</text> </level> <level label="2"> <text>The licensee’s medical professional liability insurance coverage has lapsed for any period of time and the licensee’s coverage has not been renewed.</text> </level> </level> <level label="b"> <text>The written notification provided to the patient under subsection (a) of this section must be:</text> <level label="1"> <text>Provided:</text> <level label="i"> <text>At the first visit by the patient during any period in which the licensee does not maintain medical professional liability insurance, unless the visit is for the purpose of receiving incidental medical care that will be rendered free of charge; and</text> </level> <level label="ii"> <text>As part of each informed consent obtained before any procedure or operation discussed or offered for the patient’s consideration is performed;</text> </level> </level> <level label="2"> <text>Signed by the patient at the time of the patient’s visit or the informed consent is signed; and</text> </level> <level label="3"> <text>Retained by the licensee as part of the licensee’s patient records.</text> </level> </level> <level label="c"> <text>Each licensee practicing medicine in the State who does not maintain medical professional liability insurance coverage shall post this information in a conspicuous location in the licensee’s place of practice.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-509" title_number="14" title_name="Physicians" subtitle_number="5" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>In this section, “ACCME” means the Accrediting Council for Continuing Medical Education.</text> </level> <level label="b"> <text>A physician may dispense a topical medication that is approved by the federal Food and Drug Administration for the treatment of hypotrichosis without obtaining a dispensing permit or completing the continuing education required under § 12–102(c)(2)(ii) of this article if the physician:</text> <level label="1"> <text>Otherwise complies with the requirements of § 12–102(c)(2)(ii) of this article; and</text> </level> <level label="2"> <text>Has received a special class of written permit from the Board.</text> </level> </level> <level label="c"> <text>The Board may issue a special class of written permit to a physician under subsection (b) of this section if the physician:</text> <level label="1"> <text>Completes 1 hour of continuing medical education per year on the dispensing of topical medications developed by an ACCME–accredited Maryland nonprofit or governmental entity; and</text> </level> <level label="2"> <text>Pays to the Board a $100 permit fee.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-01" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Physicians.</text> </level> <level label="c"> <text>“Committee” means the Respiratory Care Advisory Committee established under § 14–5A–05 of this subtitle.</text> </level> <level label="d"> <text>“License” means a license issued by the Board to practice respiratory care.</text> </level> <level label="e"> <text>“Licensed respiratory care practitioner” means a respiratory care practitioner who is licensed by the Board to practice respiratory care.</text> </level> <level label="f"> <text>“Licensee” means a licensed respiratory care practitioner.</text> </level> <level label="g"> <text>“National certifying board” means the National Board for Respiratory Care or a certifying organization that has certification requirements equivalent to the National Board for Respiratory Care and that has been approved by the Board.</text> </level> <level label="h"> <level label="1"> <text>“Practice respiratory care” means to evaluate, care for, and treat, including the diagnostic evaluation of, individuals who have deficiencies and abnormalities that affect the pulmonary system and associated aspects of the cardiopulmonary and other systems under the supervision of and in collaboration with a physician.</text> </level> <level label="2"> <text>“Practice respiratory care” includes:</text> <level label="i"> <text>Providing direct and indirect respiratory care services that are safe, aseptic, preventive, and restorative;</text> </level> <level label="ii"> <text>Practicing the principles, techniques, and theories derived from cardiopulmonary medicine;</text> </level> <level label="iii"> <text>Evaluating and treating individuals whose cardiopulmonary functions have been threatened or impaired by developmental defects, the aging process, physical injury, disease, or actual or anticipated dysfunction of the cardiopulmonary system;</text> </level> <level label="iv"> <text>Observing and monitoring physical signs and symptoms, general behavior, and general physical response to respiratory care procedures and determining if initiation, modification, or discontinuation of a treatment regimen is warranted;</text> </level> <level label="v"> <text>Transcribing and implementing written or oral orders regarding the practice of respiratory care;</text> </level> <level label="vi"> <text>Using evaluation techniques that include cardiopulmonary function assessments, gas exchange, the need and effectiveness of therapeutic modalities and procedures, and the assessment and evaluation of the need for extended care and home care procedures, therapy, and equipment; and</text> </level> <level label="vii"> <text>Applying the use of techniques, equipment, and procedures involved in the administration of respiratory care, including:</text> <level label="1"> <text>Except for general anesthesia, therapeutic and diagnostic gases;</text> </level> <level label="2"> <text>Prescribed medication for inhalation or direct tracheal installation;</text> </level> <level label="3"> <text>The administration of analgesic agents by subcutaneous injection or inhalation for the performance of respiratory care procedures;</text> </level> <level label="4"> <text>Nonsurgical insertion, maintenance, and removal of artificial airways;</text> </level> <level label="5"> <text>Advanced cardiopulmonary measures;</text> </level> <level label="6"> <text>Cardiopulmonary rehabilitation;</text> </level> <level label="7"> <text>Mechanical ventilation or physiological life support systems;</text> </level> <level label="8"> <text>Collection of body fluids and blood samples for evaluation and analysis;</text> </level> <level label="9"> <text>Insertion of diagnostic arterial access lines; and</text> </level> <level label="10"> <text>Collection and analysis of exhaled respiratory gases.</text> </level> </level> </level> </level> <level label="i"> <text>“Supervision” means the responsibility of a physician to exercise on–site or immediately available direction for a licensed respiratory care practitioner performing delegated medical acts.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-02" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>This subtitle does not limit:</text> <level label="1"> <text>The right of an individual to practice a health occupation that the individual is authorized to practice under this article; or</text> </level> <level label="2"> <text>The right of a licensed home medical equipment provider to provide home medical equipment services as defined under Title 19, Subtitle 4A of the Health – General Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-03" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>The Board shall adopt regulations for the licensure and practice of respiratory care.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5A-04" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <level label="1"> <text>The Board shall set reasonable fees for the issuance of and renewal of licenses and the other services it provides to respiratory care practitioners.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the licensure program and the other services provided to respiratory care practitioners, including the cost of providing a rehabilitation program for respiratory care practitioners under § 14–401.1(g) of this title.</text> </level> </level> <level label="b"> <level label="1"> <text>The Board shall pay all fees collected under the provisions of this subtitle to the Comptroller of the State.</text> </level> <level label="2"> <text>The Comptroller shall distribute all fees to the Board established under § 14-201 of this title.</text> </level> </level> <level label="c"> <text>The fees shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-05" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>There is a Respiratory Care Advisory Committee within the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5A-06" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>The Committee consists of seven members appointed by the Board as follows:</text> <level label="1"> <text>Three licensed respiratory care practitioners;</text> </level> <level label="2"> <text>Three licensed physicians:</text> <level label="i"> <text>One of whom is a specialist in thoracic surgery;</text> </level> <level label="ii"> <text>One of whom is a specialist in pulmonary medicine; and</text> </level> <level label="iii"> <text>One of whom is a specialist in anesthesiology; and</text> </level> </level> <level label="3"> <text>One consumer member.</text> </level> </level> <level label="b"> <text>Each member of the Committee licensed by the Board must be in good standing with the Board.</text> </level> <level label="c"> <text>The consumer member of the Committee:</text> <level label="1"> <text>Must be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been:</text> <level label="i"> <text>A respiratory care practitioner;</text> </level> <level label="ii"> <text>Any other health care professional; or</text> </level> <level label="iii"> <text>In training to be a respiratory care practitioner or other health professional; and</text> </level> </level> <level label="3"> <text>May not:</text> <level label="i"> <text>Participate or ever have participated in a commercial or professional field related to respiratory care;</text> </level> <level label="ii"> <text>Have a household member who participates in a commercial or professional field related to respiratory care;</text> </level> <level label="iii"> <text>Have had within 2 years before appointment a financial interest in a person regulated by the Board; or</text> </level> <level label="iv"> <text>Have had within 2 years before appointment a financial interest in the provision of goods or services to respiratory care practitioners or to the field of respiratory care.</text> </level> </level> </level> <level label="d"> <text>Each member of the Committee must be a resident of the State.</text> </level> <level label="e"> <level label="1"> <text>The term of a member is 3 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by regulation.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> <level label="5"> <text>A member may not serve more than two consecutive full terms.</text> </level> </level> <level label="f"> <level label="1"> <text>From among its members, the Committee shall elect a chair once every 2 years.</text> </level> <level label="2"> <text>The chair, or the chair’s designee, shall serve in an advisory capacity to the Board as a representative of the Committee.</text> </level> </level> <level label="g"> <text>A quorum of the Committee consists of four members.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-07" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>In addition to the powers set forth elsewhere in this subtitle, the Committee:</text> <level label="1"> <text>Shall:</text> <level label="i"> <text>Develop and recommend to the Board:</text> <level label="1"> <text>Regulations to carry out this subtitle; and</text> </level> <level label="2"> <text>Any statutory changes that affect the profession; and</text> </level> </level> <level label="ii"> <text>Keep a record of its meetings; and</text> </level> </level> <level label="2"> <text>May:</text> <level label="i"> <text>Provide recommendations regarding the practice of respiratory care; and</text> </level> <level label="ii"> <text>Advise the Board on any other matters related to respiratory care practitioners.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-08" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>Except as otherwise provided in this subtitle or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice respiratory care in this State.</text> </level> <level label="b"> <text>This section does not apply to:</text> <level label="1"> <text>A respiratory care practitioner employed in the service of the federal government while practicing within the scope of the employment;</text> </level> <level label="2"> <text>A respiratory care practitioner student enrolled in an education program which is accredited by an approved accrediting organization while practicing respiratory care in the program; or</text> </level> <level label="3"> <text>An individual practicing respiratory care who is licensed by and residing in another jurisdiction if:</text> <level label="i"> <text>The individual is participating in the transportation of a patient from that individual’s jurisdiction of licensure into the State;</text> </level> <level label="ii"> <text>The individual practices respiratory care only during the transportation of the patient;</text> </level> <level label="iii"> <text>The individual does not practice respiratory care on another individual who is not the patient being transported into the State; and</text> </level> <level label="iv"> <text>The individual does not practice respiratory care in the State for more than a total of 14 days within a calendar year.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-09" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant shall be of good moral character.</text> </level> <level label="c"> <text>The applicant shall be at least 18 years old.</text> </level> <level label="d"> <text>The applicant shall:</text> <level label="1"> <text>Meet any educational, training, or examination requirements established by the Board including:</text> <level label="i"> <text>Graduation from an appropriate educational program as determined by the Board; and</text> </level> <level label="ii"> <text>Certification by a national certifying board approved by the Board; and</text> </level> </level> <level label="2"> <text>Demonstrate oral and written competency in English as required by the Board.</text> </level> </level> <level label="e"> <text>The applicant shall complete a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-10" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title;</text> </level> <level label="2"> <text>Submit an application to the Board on the form that the Board requires; and</text> </level> <level label="3"> <text>Pay to the Board the application fee set by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-11" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>Subject to subsection (b) of this section, the Board shall issue the appropriate license to an applicant who meets the requirements of this subtitle for that license.</text> </level> <level label="b"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether to issue a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text> </level> </level> <level label="2"> <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this title has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-12" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>A respiratory care practitioner license authorizes the licensee to practice respiratory care while the license is effective.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5A-13" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <level label="1"> <text>The term of a license issued by the Board may not exceed 3 years.</text> </level> <level label="2"> <text>A license expires on a date set by the Board, unless the license is renewed for an additional term as provided in this section.</text> </level> </level> <level label="b"> <text>At least 1 month before the license expires, the Board shall send to the licensee a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="c"> <text>Except as otherwise provided in this subtitle, before a license expires, the licensee periodically may renew it for an additional term, if the licensee:</text> <level label="1"> <text>Is of good moral character;</text> </level> <level label="2"> <text>Pays to the Board a renewal fee set by the Board;</text> </level> <level label="3"> <text>Submits to the Board:</text> <level label="i"> <text>A renewal application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements and other requirements set under this section for license renewal; and</text> </level> </level> <level label="4"> <text>Meets any additional renewal requirements established by the Board.</text> </level> </level> <level label="d"> <level label="1"> <text>In addition to any other qualifications and requirements established by the Board, the Board may establish continuing education or competency requirements as a condition to the renewal of licenses under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing education credit in lieu of a sanction under § 14–5A–17 of this subtitle, for a first offense, for the failure of a licensee to obtain the continuing education credits required by the Board.</text> </level> </level> <level label="e"> <level label="1"> <text>The Board shall renew the license of each licensee who meets the requirements of this section.</text> </level> <level label="2"> <text>A license may not be renewed for a term longer than 2 years.</text> </level> </level> <level label="f"> <text>The Board shall reinstate the license of a respiratory care practitioner who has failed to renew the license for any reason if the respiratory care practitioner:</text> <level label="1"> <text>Meets the renewal requirements of this section;</text> </level> <level label="2"> <text>Submits to the Board:</text> <level label="i"> <text>A reinstatement application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements; and</text> </level> </level> <level label="3"> <text>Meets any additional requirements established by the Board for reinstatement.</text> </level> </level> <level label="g"> <level label="1"> <text>Beginning October 1, 2016, the Board shall require a criminal history records check in accordance with § 14–308.1 of this title for:</text> <level label="i"> <text>Renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement under subsection (f) of this section.</text> </level> </level> <level label="2"> <text>On receipt of the criminal history record information of a licensee forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether disciplinary action should be taken, based on the criminal history record information, against a licensee who renewed or reinstated a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="3"> <text>The Board may renew or reinstate a license only if the licensee or applicant attests that the licensee or applicant has submitted to a criminal history records check under § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-14" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>A licensee shall notify the Board in writing of a change in name or address within 30 days after the change.</text> </level> <level label="b"> <text>A licensee who fails to comply with subsection (a) of this section is subject to an administrative penalty of $100.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-16" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>Unless a disciplinary panel agrees to accept the surrender of a license, a licensed respiratory care practitioner may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5A-17" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of a quorum of the disciplinary panel, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant, licensee, or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct in the practice of respiratory care; or</text> </level> <level label="ii"> <text>Unprofessional conduct in the practice of respiratory care;</text> </level> </level> <level label="4"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="5"> <text>Abandons a patient;</text> </level> <level label="6"> <text>Is habitually intoxicated;</text> </level> <level label="7"> <text>Is addicted to or habitually abuses any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="8"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="9"> <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="10"> <text>Willfully makes or files a false report or record in the practice of respiratory care;</text> </level> <level label="11"> <text>Willfully fails to file or record any report as required under law, willfully impedes or obstructs the filing or recording of a report, or induces another to fail to file or record a report;</text> </level> <level label="12"> <text>Breaches patient confidentiality;</text> </level> <level label="13"> <text>Pays or agrees to pay any sum or provide any form of remuneration or material benefit to any person for bringing or referring a patient or accepts or agrees to accept any sum or any form of remuneration or material benefit from an individual for bringing or referring a patient;</text> </level> <level label="14"> <text>Willfully makes a misrepresentation while practicing respiratory care;</text> </level> <level label="15"> <text>Willfully practices respiratory care with an unauthorized individual or aids an unauthorized individual in the practice of respiratory care;</text> </level> <level label="16"> <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text> </level> <level label="17"> <text>Is disciplined by a licensing or disciplinary authority or is convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="18"> <text>Fails to meet appropriate standards for the delivery of respiratory care performed in any inpatient or outpatient facility, office, hospital or related institution, domiciliary care facility, patient’s home, or any other location in this State;</text> </level> <level label="19"> <text>Willfully submits false statements to collect fees for which services are not provided;</text> </level> <level label="20"> <level label="i"> <text>Has been subject to investigation or disciplinary action by a licensing or disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes; and</text> </level> <level label="ii"> <text>Has:</text> <level label="1"> <text>Surrendered the license issued by the state or country; or</text> </level> <level label="2"> <text>Allowed the license issued by the state or country to expire or lapse;</text> </level> </level> </level> <level label="21"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="22"> <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate medical purposes;</text> </level> <level label="23"> <text>Practices or attempts to practice beyond the authorized scope of practice;</text> </level> <level label="24"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="25"> <text>Practices or attempts to practice a respiratory care procedure or uses or attempts to use respiratory care equipment if the applicant or licensee has not received education and training in the performance of the procedure or the use of the equipment;</text> </level> <level label="26"> <text>Fails to cooperate with a lawful investigation conducted by the Board or a disciplinary panel;</text> </level> <level label="27"> <text>Fails to practice under the supervision of a physician or violates a supervisory order of a supervising physician; or</text> </level> <level label="28"> <text>Fails to complete a criminal history records check under § 14–308.1 of this title.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in the Administrative Procedure Act, before the Board or a disciplinary panel takes any action under subsection (a) of this section, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board or the disciplinary panel in accordance with the hearing requirements of § 14–405 of this title.</text> </level> <level label="c"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text> </level> </level> <level label="d"> <level label="1"> <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or to place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text> </level> <level label="2"> <text>The Board shall pay any fines collected under this section into the General Fund of the State.</text> </level> </level> <level label="e"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-17.1" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <level label="1"> <text>Any person aggrieved by a final decision of the Board or a disciplinary panel under this subtitle may take a direct judicial appeal.</text> </level> <level label="2"> <text>The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act.</text> </level> </level> <level label="b"> <text>An order of the Board or a disciplinary panel may not be stayed pending review.</text> </level> <level label="c"> <text>The Board may appeal from any decision that reverses or modifies an order of the Board or a disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-18" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <level label="1"> <text>Except as provided in subsections (b) and (d) of this section, an employer of a licensed respiratory care practitioner shall submit to the Board a report if:</text> <level label="i"> <text>The employer:</text> <level label="1"> <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensed respiratory care practitioner’s clinical privileges, employment, or other ability to practice or treat patients;</text> </level> <level label="2"> <text>Involuntarily terminated or restricted the licensed respiratory care practitioner’s employment or staff membership; or</text> </level> <level label="3"> <text>Asked the licensed respiratory care practitioner to voluntarily resign because of the licensed respiratory care practitioner’s conduct or while the licensed respiratory care practitioner is being investigated; and</text> </level> </level> <level label="ii"> <text>The action described under item (i) of this paragraph was taken:</text> <level label="1"> <text>For reasons that might be grounds for disciplinary action under § 14–5A–17 of this subtitle;</text> </level> <level label="2"> <text>Because the licensed respiratory care practitioner may have engaged in an act that may constitute unprofessional conduct;</text> </level> <level label="3"> <text>Because the licensed respiratory care practitioner may be unable to practice respiratory care with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text> </level> <level label="4"> <text>Because the licensed respiratory care practitioner may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text> </level> </level> </level> <level label="2"> <text>A report submitted under paragraph (1) of this subsection shall include:</text> <level label="i"> <text>The action taken by the employer;</text> </level> <level label="ii"> <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text> </level> <level label="iii"> <text>The steps taken by the employer to investigate the conduct of the licensed respiratory care practitioner.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text> </level> <level label="ii"> <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text> </level> </level> </level> <level label="b"> <text>If an employer knows that the conduct of a licensed respiratory care practitioner requires that the employer submit a report under subsection (a)(1) of this section because the licensed respiratory care practitioner is impaired by alcohol or another substance, the employer is not required to report the respiratory care practitioner to the Board if:</text> <level label="1"> <text>The employer knows that the licensed respiratory care practitioner is:</text> <level label="i"> <text>In a substance use disorder treatment program that is accredited by The Joint Commission or is certified by the Department; or</text> </level> <level label="ii"> <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders;</text> </level> </level> <level label="2"> <text>The employer is able to verify that the licensed respiratory care practitioner remains in the treatment program until successful discharge; and</text> </level> <level label="3"> <text>The action or condition of the licensed respiratory care practitioner has not caused injury to any person while the respiratory care practitioner is practicing as a licensed respiratory care practitioner.</text> </level> </level> <level label="c"> <text>If the employer knows that the licensed respiratory care practitioner is noncompliant with the substance use disorder treatment program, the employer of the licensed respiratory care practitioner shall report the licensed respiratory care practitioner’s noncompliance to the Board.</text> </level> <level label="d"> <level label="1"> <text>The Board may extend the reporting under this section for good cause shown.</text> </level> <level label="2"> <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text> </level> </level> <level label="e"> <text>The Board may enforce this section by subpoena.</text> </level> <level label="f"> <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts Article for giving any of the information required by this section.</text> </level> <level label="g"> <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text> </level> <level label="h"> <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text> </level> <level label="i"> <level label="1"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for knowingly failing to report under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 per incident for a report made by an employer in bad faith.</text> </level> <level label="3"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-18.1" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>Following the filing of charges or notice of initial denial of a license application, the Board shall disclose the filing to the public on the Board’s Web site.</text> </level> <level label="b"> <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text> <level label="1"> <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–5A–17 of this subtitle based on the charges or has rescinded the charges;</text> </level> <level label="2"> <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text> </level> <level label="3"> <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period if the Board knows about the disciplinary action;</text> </level> <level label="4"> <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude that is the basis for disciplinary action taken under § 14–5A–17(c) of this subtitle; and</text> </level> <level label="5"> <text>The public address of the licensee.</text> </level> </level> <level label="c"> <text>In addition to the requirements of subsection (b) of this section, the Board shall include on each licensee’s profile a statement of information to be taken into consideration by a consumer when viewing a licensee’s profile, including a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel.</text> </level> <level label="d"> <text>The Board:</text> <level label="1"> <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person; and</text> </level> <level label="2"> <text>Shall maintain a Web site that serves as a single point of entry where all licensee profile information is available to the public on the Internet.</text> </level> </level> <level label="e"> <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text> </level> <level label="f"> <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-19" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>Subject to subsection (c) of this section, on the application of an individual whose license has been revoked, a disciplinary panel, on the affirmative vote of a majority of the quorum of the disciplinary panel, may reinstate a revoked license.</text> </level> <level label="b"> <text>A disciplinary panel may not reinstate a revoked license that has been revoked for a period of more than 1 year unless the licensee:</text> <level label="1"> <text>Meets the requirements for reinstatement as established under this title; and</text> </level> <level label="2"> <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-20" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>Except as otherwise provided in this subtitle, a person may not practice, attempt to practice, or offer to practice respiratory care in this State unless licensed to practice respiratory care by the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5A-21" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>Unless authorized to practice respiratory care under this subtitle, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice respiratory care in this State.</text> </level> <level label="b"> <text>Unless authorized to practice respiratory care under this subtitle, a person may not use the abbreviation “R.C.P.” or any other words, letters, or symbols with the intent to represent that the person practices respiratory care.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-22" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>A person may not provide, attempt to provide, offer to provide, or represent that the person provides respiratory care unless the respiratory care is provided by an individual who is authorized to practice respiratory care under this subtitle.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5A-22.1" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>Except as otherwise provided in this subtitle, a licensed physician may not employ or supervise an individual practicing respiratory care without a license.</text> </level> <level label="b"> <text>Except as otherwise provided in this subtitle, an employer may not employ an individual practicing respiratory care without a license.</text> </level> <level label="c"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for a violation of this section.</text> </level> <level label="d"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-23" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <level label="a"> <text>A person who violates § 14–5A–20, § 14–5A–21, or § 14–5A–22 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 1 year or both.</text> </level> <level label="b"> <text>A person who violates § 14–5A–20, § 14–5A–21, or § 14–5A–22 of this subtitle is subject to a civil fine of not more than $5,000 to be levied by a disciplinary panel.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5A-24" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>This subtitle may be cited as the “Maryland Respiratory Care Practitioners Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5A-25" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners"> <text>Subject to the evaluation and reestablishment provisions of the Maryland Program Evaluation Act and subject to the termination of this title under § 14–702 of this title, this subtitle and all rules and regulations adopted under this subtitle shall terminate and be of no effect after July 1, 2030.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5B-01" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Physicians.</text> </level> <level label="c"> <text>“Certification” means recognition of an individual who has satisfied certain standards required by a national certifying board.</text> </level> <level label="d"> <text>“Committee” means the Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance Advisory Committee of the Board.</text> </level> <level label="e"> <text>Repealed.</text> </level> <level label="f"> <text>“License” means a license issued by the Board to practice as a radiation therapist, radiographer, nuclear medicine technologist, or radiologist assistant.</text> </level> <level label="g"> <text>“Licensed nuclear medicine technologist” means a nuclear medicine technologist who is licensed by the Board to practice nuclear medicine technology.</text> </level> <level label="h"> <text>“Licensed radiation therapist” means a radiation therapist who is licensed by the Board to practice radiation therapy.</text> </level> <level label="i"> <text>“Licensed radiographer” means a radiographer who is licensed by the Board to practice radiography.</text> </level> <level label="j"> <text>“Licensed radiologist assistant” means an individual who is licensed to practice radiology assistance under the supervision of a licensed physician who:</text> <level label="1"> <text>Specializes in radiology; and</text> </level> <level label="2"> <text>Is certified by:</text> <level label="i"> <text>The American Board of Radiology;</text> </level> <level label="ii"> <text>The American Osteopathic Board of Radiology;</text> </level> <level label="iii"> <text>The British Royal College of Radiology; or</text> </level> <level label="iv"> <text>The Canadian College of Physicians and Surgeons.</text> </level> </level> </level> <level label="k"> <text>“Licensee” means an individual who is licensed by the Board to practice as a radiation therapist, a radiographer, a nuclear medicine technologist, or radiologist assistant.</text> </level> <level label="l"> <text>“National certifying board” means:</text> <level label="1"> <text>The American Registry of Radiologic Technologists;</text> </level> <level label="2"> <text>The Nuclear Medicine Technology Certifying Board; or</text> </level> <level label="3"> <text>Another certifying organization approved by the Board.</text> </level> </level> <level label="m"> <text>“Practice nuclear medicine technology” means to:</text> <level label="1"> <text>Prepare and administer radiopharmaceuticals to human beings; or</text> </level> <level label="2"> <text>Conduct in vivo detection and measurement of radioactivity for medical purposes to assist in the diagnosis and treatment of disease or injury.</text> </level> </level> <level label="n"> <text>“Practice radiation therapy” means to perform tumor localization radiography and apply therapeutic doses of radiation for the treatment of disease or injury.</text> </level> <level label="o"> <text>“Practice radiography” means to use ionizing radiation to:</text> <level label="1"> <text>Demonstrate portions of the human body to assist in the diagnosis or localization of disease or injury; or</text> </level> <level label="2"> <text>Perform tumor localization radiography.</text> </level> </level> <level label="p"> <text>“Practice radiology assistance” means to practice radiography and to perform:</text> <level label="1"> <text>Fluoroscopy and selected radiology procedures;</text> </level> <level label="2"> <text>Patient assessment; and</text> </level> <level label="3"> <text>Patient management.</text> </level> </level> <level label="q"> <text>“Supervision” means the responsibility of a licensed physician to exercise on–site or immediately available direction for licensees.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-02" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <text>This subtitle does not limit the right of an individual to practice a health occupation that the individual is authorized to practice under this article.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5B-03" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <text>The Board shall adopt regulations to carry out the provisions of this subtitle.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5B-04" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <level label="1"> <text>The Board shall set reasonable fees for the issuance of and renewal of licenses and other services it provides to licensees.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the licensure program and the other services provided to licensees, including the cost of providing a rehabilitation program for licensees under § 14–401.1(g) of this title.</text> </level> </level> <level label="b"> <level label="1"> <text>The Board shall pay all fees collected under the provisions of this subtitle to the State Comptroller.</text> </level> <level label="2"> <text>The Comptroller shall distribute all fees to the Board established under § 14–201 of this title.</text> </level> </level> <level label="c"> <text>The fees shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-05" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>There is a Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance Advisory Committee within the Board.</text> </level> <level label="b"> <level label="1"> <text>The Committee consists of nine members appointed by the Board.</text> </level> <level label="2"> <text>Of the nine members:</text> <level label="i"> <text>One shall be a licensed physician who specializes in radiology;</text> </level> <level label="ii"> <text>One shall be a licensed physician who specializes in radiology and who supervises a radiologist assistant;</text> </level> <level label="iii"> <text>One shall be a licensed physician who specializes in nuclear medicine;</text> </level> <level label="iv"> <text>One shall be a licensed physician who specializes in radiation oncology;</text> </level> <level label="v"> <text>One shall be a licensed radiation therapist;</text> </level> <level label="vi"> <text>One shall be a licensed radiographer;</text> </level> <level label="vii"> <text>One shall be a licensed radiologist assistant;</text> </level> <level label="viii"> <text>One shall be a licensed nuclear medicine technologist; and</text> </level> <level label="ix"> <text>One shall be a consumer member.</text> </level> </level> </level> <level label="c"> <text>Each member of the Committee licensed by the Board must be in good standing with the Board.</text> </level> <level label="d"> <text>The consumer member of the Committee:</text> <level label="1"> <text>Must be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been:</text> <level label="i"> <text>A radiation therapist, radiographer, radiologist assistant, or nuclear medicine technologist;</text> </level> <level label="ii"> <text>Any other health care professional; or</text> </level> <level label="iii"> <text>In training to be a radiation therapist, radiographer, radiologist assistant, nuclear medicine technologist, or other health care professional; and</text> </level> </level> <level label="3"> <text>May not:</text> <level label="i"> <text>Participate or ever have participated in a commercial or professional field related to radiation therapy, radiography, nuclear medicine technology, or radiology assistance;</text> </level> <level label="ii"> <text>Have a household member who participates in a commercial or professional field related to radiation therapy, radiography, nuclear medicine technology, or radiology assistance;</text> </level> <level label="iii"> <text>Have had within 2 years before appointment a financial interest in a person regulated by the Board; or</text> </level> <level label="iv"> <text>Have had within 2 years before appointment a financial interest in the provision of goods or services to radiation therapists, radiographers, radiology assistants, or nuclear medicine technologists or to the field of radiation therapy, radiography, nuclear medicine technology, or radiology assistance.</text> </level> </level> </level> <level label="e"> <text>Each member of the Committee must be a resident of the State.</text> </level> <level label="f"> <level label="1"> <text>From among its members, the Committee shall elect a chair once every 2 years.</text> </level> <level label="2"> <text>The chair, or the chair’s designee, shall serve in an advisory capacity to the Board as a representative of the Committee.</text> </level> </level> <level label="g"> <level label="1"> <text>The term of a member is 3 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by regulation.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member may not serve more than two consecutive full terms.</text> </level> <level label="5"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> </level> <level label="h"> <text>A quorum of the Committee consists of five members.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-06" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <text>In addition to the powers set forth elsewhere in this subtitle, the Committee:</text> <level label="1"> <text>Shall:</text> <level label="i"> <text>Develop and recommend to the Board:</text> <level label="1"> <text>Regulations to carry out this subtitle; and</text> </level> <level label="2"> <text>Any statutory changes that affect the profession; and</text> </level> </level> <level label="ii"> <text>Keep a record of its meetings; and</text> </level> </level> <level label="2"> <text>May:</text> <level label="i"> <text>Provide recommendations regarding the practice of radiation therapy, radiography, nuclear medicine technology, and radiology assistance; and</text> </level> <level label="ii"> <text>Advise the Board on any other matters related to radiation therapists, radiographers, nuclear medicine technologists, and radiologist assistants.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-07" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <level label="1"> <text>A licensee may only practice under the supervision of a licensed physician.</text> </level> <level label="2"> <text>The failure of a licensed physician to properly supervise a licensee is unprofessional conduct in the practice of medicine under § 14–404(a)(3) of this title.</text> </level> </level> <level label="b"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection, the practice of a radiation therapist, radiographer, nuclear medicine technologist, or radiologist assistant is limited to those procedures, operations, preparations, and practices listed in regulation.</text> </level> <level label="2"> <text>A radiologist assistant may not:</text> <level label="i"> <text>Interpret images;</text> </level> <level label="ii"> <text>Make diagnoses; or</text> </level> <level label="iii"> <text>Prescribe medications or therapies.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-08" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <level label="1"> <text>Except as otherwise provided in this subtitle or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice radiation therapy, radiography, nuclear medicine technology, or radiology assistance in this State.</text> </level> <level label="2"> <text>A radiologist assistant may not:</text> <level label="i"> <text>Interpret images;</text> </level> <level label="ii"> <text>Make diagnoses; or</text> </level> <level label="iii"> <text>Prescribe medications or therapies.</text> </level> </level> </level> <level label="b"> <text>This section does not apply to:</text> <level label="1"> <text>A radiation therapist, radiographer, nuclear medicine technologist, or radiology assistant employed in the service of the federal government while practicing within the scope of the employment; or</text> </level> <level label="2"> <text>A radiation therapy student, a radiography student, a nuclear medicine technology student, or a radiology assistant student enrolled in an education program which is accredited by an approved accrediting organization while practicing radiation therapy, radiography, nuclear medicine technology, or radiology assistance in that program.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-09" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>Except as provided in subsection (c) of this section, the applicant shall:</text> <level label="1"> <text>Be of good moral character;</text> </level> <level label="2"> <text>Be at least 18 years old;</text> </level> <level label="3"> <text>Demonstrate oral and written competency in English as required by the Board;</text> </level> <level label="4"> <text>Meet any educational, training, or examination requirements established by the Board, including:</text> <level label="i"> <text>Graduation from an appropriate educational program as determined by the Board; and</text> </level> <level label="ii"> <text>Certification; and</text> </level> </level> <level label="5"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> <level label="c"> <text>To qualify for a license to practice as a radiologist assistant, an applicant shall:</text> <level label="1"> <text>Be issued a general license to perform radiography;</text> </level> <level label="2"> <text>Complete an advanced academic program with a nationally recognized radiology curriculum that results in a baccalaureate degree, post baccalaureate certificate, or graduate degree and incorporates a radiologist–directed clinical preceptorship;</text> </level> <level label="3"> <text>Be certified in advanced cardiac life support; and</text> </level> <level label="4"> <text>Be certified as a radiologist assistant by the American Registry of Radiologic Technologists.</text> </level> </level> <level label="d"> <text>Except for requirements adopted by the Board for license renewal under § 14–5B–12 of this subtitle, nothing in this subtitle may be construed to require an individual who is certified by the Board as a radiation oncology/therapy technologist, medical radiation technologist, or nuclear medicine technologist as of October 1, 2008, to meet additional education, training, or examination requirements.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-10" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title;</text> </level> <level label="2"> <text>Submit an application to the Board on the form that the Board requires; and</text> </level> <level label="3"> <text>Pay to the Board the application fee set by the Board.</text> </level> </level> <level label="b"> <text>Subject to subsection (c) of this section, the Board shall issue the appropriate license to an applicant who meets the requirements of this subtitle for that license.</text> </level> <level label="c"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether to issue a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text> </level> </level> <level label="2"> <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this title has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-11" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>Licensure as a radiation therapist authorizes an individual to practice radiation therapy in the State while the license is effective.</text> </level> <level label="b"> <text>Licensure as a radiographer authorizes an individual to practice radiography in the State while the license is effective.</text> </level> <level label="c"> <text>Licensure as a nuclear medicine technologist authorizes an individual to practice nuclear medicine technology in the State while the license is effective.</text> </level> <level label="d"> <text>Licensure as a radiologist assistant authorizes an individual to practice radiology assistance in the State while the license is effective.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-12" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <level label="1"> <text>The term of a license issued by the Board may not exceed 3 years.</text> </level> <level label="2"> <text>A license expires on a date set by the Board, unless the license is renewed for an additional term as provided in this section.</text> </level> </level> <level label="b"> <text>At least 1 month before the license expires, the Board shall send to the licensee a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="c"> <text>Except as otherwise provided in this subtitle, before a license expires, the licensed individual may periodically renew it for an additional term, if the individual:</text> <level label="1"> <text>Is of good moral character;</text> </level> <level label="2"> <text>Pays to the Board a renewal fee set by the Board;</text> </level> <level label="3"> <text>Submits to the Board:</text> <level label="i"> <text>A renewal application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements and other requirements required by the Board for license renewal; and</text> </level> </level> <level label="4"> <text>Meets any additional renewal requirements established by the Board.</text> </level> </level> <level label="d"> <level label="1"> <text>In addition to any other qualifications and requirements established by the Board, the Board may establish continuing education or competency requirements as a condition to the renewal of licenses under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing medical education credit in lieu of a sanction under § 14–5B–14 of this subtitle, for a first offense, for the failure of a licensee to obtain the continuing medical education credits required by the Board.</text> </level> </level> <level label="e"> <level label="1"> <text>The Board shall renew the license of each individual who meets the renewal requirements of this section.</text> </level> <level label="2"> <text>A license may not be renewed for a term longer than 2 years.</text> </level> </level> <level label="f"> <text>The Board shall reinstate the license of a radiation therapist, radiographer, nuclear medicine technologist, or radiologist assistant who has failed to renew a license for any reason if the radiation therapist, radiographer, nuclear medicine technologist, or radiologist assistant:</text> <level label="1"> <text>Meets the renewal requirements of this section;</text> </level> <level label="2"> <text>Submits to the Board:</text> <level label="i"> <text>A reinstatement application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements; and</text> </level> </level> <level label="3"> <text>Meets any additional requirements established by the Board for reinstatement.</text> </level> </level> <level label="g"> <level label="1"> <text>Beginning October 1, 2016, the Board shall require a criminal history records check in accordance with § 14–308.1 of this title for:</text> <level label="i"> <text>Renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement under subsection (f) of this section.</text> </level> </level> <level label="2"> <text>On receipt of the criminal history record information of a licensee forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether disciplinary action should be taken, based on the criminal history record information, against a licensee who renewed or reinstated a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="3"> <text>The Board may renew or reinstate a license only if the licensee or applicant attests that the licensee or applicant has submitted to a criminal history records check under § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-12.1" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>A licensee shall notify the Board in writing of a change in name or address within 30 days after the change.</text> </level> <level label="b"> <text>A licensee who fails to comply with subsection (a) of this section is subject to an administrative penalty of $100.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-13" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <text>Unless a disciplinary panel agrees to accept the surrender of a license, a licensee may not surrender the license and the license may not lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5B-14" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of the quorum of the disciplinary panel, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant, licensed individual, or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct in the practice of radiation therapy, radiography, nuclear medicine technology, or radiology assistance; or</text> </level> <level label="ii"> <text>Unprofessional conduct in the practice of radiation therapy, radiography, nuclear medicine technology, or radiology assistance;</text> </level> </level> <level label="4"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="5"> <text>Abandons a patient;</text> </level> <level label="6"> <text>Is habitually intoxicated;</text> </level> <level label="7"> <text>Is addicted to or habitually abuses any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="8"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="9"> <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="10"> <text>Willfully makes or files a false report or record in the practice of radiation therapy, radiography, nuclear medicine technology, or radiology assistance;</text> </level> <level label="11"> <text>Willfully fails to file or record any report as required under law, willfully impedes or obstructs the filing or recording of a report, or induces another to fail to file or record a report;</text> </level> <level label="12"> <text>Breaches patient confidentiality;</text> </level> <level label="13"> <text>Pays or agrees to pay any sum or provide any form of remuneration or material benefit to any person for bringing or referring a patient or accepts or agrees to accept any sum or any form of remuneration or material benefit from an individual for bringing or referring a patient;</text> </level> <level label="14"> <text>Willfully makes a misrepresentation while practicing radiation therapy, radiography, nuclear medicine technology, or radiology assistance;</text> </level> <level label="15"> <text>Willfully practices radiation therapy, radiography, nuclear medicine technology, or radiology assistance with an unauthorized individual or aids an unauthorized individual in the practice of radiation therapy, radiography, nuclear medicine technology, or radiology assistance;</text> </level> <level label="16"> <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text> </level> <level label="17"> <text>Is disciplined by a licensing or disciplinary authority or is convicted or disciplined by a court of any state or country, or is disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="18"> <text>Fails to meet appropriate standards for the delivery of quality radiation therapy, radiography, nuclear medicine technology, or radiology assistance care performed in any outpatient surgical facility, office, hospital or related institution, or any other location in this State;</text> </level> <level label="19"> <text>Willfully submits false statements to collect fees for which services are not provided;</text> </level> <level label="20"> <level label="i"> <text>Has been subject to investigation or disciplinary action by a licensing or disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes; and</text> </level> <level label="ii"> <text>Has:</text> <level label="1"> <text>Surrendered the license issued by the state or country; or</text> </level> <level label="2"> <text>Allowed the license issued by the state or country to expire or lapse;</text> </level> </level> </level> <level label="21"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="22"> <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate medical purposes;</text> </level> <level label="23"> <text>Practices or attempts to practice beyond the authorized scope of practice;</text> </level> <level label="24"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="25"> <text>Practices or attempts to practice a radiation therapy, radiography, nuclear medicine technology, or radiology assistance procedure or uses radiation therapy, radiography, nuclear medicine technology, or radiology assistance equipment if the applicant or licensee has not received education, internship, training, or experience in the performance of the procedure or the use of the equipment;</text> </level> <level label="26"> <text>Fails to cooperate with a lawful investigation conducted by the Board or a disciplinary panel;</text> </level> <level label="27"> <text>Fails to practice under the supervision of a physician or violates a supervisory order of a supervising physician; or</text> </level> <level label="28"> <text>Fails to complete a criminal history records check under § 14–308.1 of this title.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in the Administrative Procedure Act, before the Board or a disciplinary panel takes any action under subsection (a) of this section, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board or the disciplinary panel in accordance with the hearing requirements of § 14–405 of this title.</text> </level> <level label="c"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a licensee if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text> </level> </level> <level label="d"> <level label="1"> <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or to place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text> </level> <level label="2"> <text>The Board shall pay any fines collected under this section into the General Fund of the State.</text> </level> </level> <level label="e"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-14.1" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <level label="1"> <text>Any person aggrieved by a final decision of the Board or a disciplinary panel under this subtitle may take a direct judicial appeal.</text> </level> <level label="2"> <text>The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act.</text> </level> </level> <level label="b"> <text>An order of the Board or a disciplinary panel may not be stayed pending review.</text> </level> <level label="c"> <text>The Board may appeal from any decision that reverses or modifies the order of the Board or a disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-15" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <level label="1"> <text>Except as provided in subsections (b) and (d) of this section, each employer of a licensee shall submit to the Board a report if:</text> <level label="i"> <text>The employer:</text> <level label="1"> <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensee’s clinical privileges, employment, or other ability to practice or treat patients;</text> </level> <level label="2"> <text>Involuntarily terminated or restricted the licensee’s employment or staff membership; or</text> </level> <level label="3"> <text>Asked the licensee to voluntarily resign because of the licensee’s conduct or while the licensee is being investigated; and</text> </level> </level> <level label="ii"> <text>The action described under item (i) of this paragraph was taken:</text> <level label="1"> <text>For reasons that might be grounds for disciplinary action under § 14–5B–14 of this subtitle;</text> </level> <level label="2"> <text>Because the licensee may have engaged in an act that may constitute unprofessional conduct;</text> </level> <level label="3"> <text>Because the licensee may be unable to practice nuclear medicine technology, radiation therapy, radiography, or radiology assistance with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text> </level> <level label="4"> <text>Because the licensee may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text> </level> </level> </level> <level label="2"> <text>Each report submitted under paragraph (1) of this subsection shall include:</text> <level label="i"> <text>The action taken by the employer;</text> </level> <level label="ii"> <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text> </level> <level label="iii"> <text>The steps taken by the employer to investigate the conduct of the licensee.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text> </level> <level label="ii"> <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text> </level> </level> </level> <level label="b"> <text>If an employer knows that the conduct of a licensee requires that the employer submit a report under subsection (a)(1) of this section because the licensee is impaired by alcohol or another substance, the employer is not required to report the licensee to the Board if:</text> <level label="1"> <text>The employer knows that the licensee is:</text> <level label="i"> <text>In a substance use disorder treatment program that is accredited by The Joint Commission or is certified by the Department; or</text> </level> <level label="ii"> <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders;</text> </level> </level> <level label="2"> <level label="i"> <text>The employer is able to verify that the licensee remains in the treatment program until successful discharge; and</text> </level> <level label="ii"> <text>The action or condition of the licensee has not caused injury to any person while the licensee is practicing as a licensed nuclear medicine technologist, licensed radiation therapist, licensed radiographer, or licensed radiologist assistant.</text> </level> </level> </level> <level label="c"> <text>If the employer knows that the licensee is noncompliant with the substance use disorder treatment program, the employer of the licensee shall report the licensee’s noncompliance to the Board.</text> </level> <level label="d"> <level label="1"> <text>The Board may extend the reporting under this section for good cause shown.</text> </level> <level label="2"> <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text> </level> </level> <level label="e"> <text>The Board may enforce this section by subpoena.</text> </level> <level label="f"> <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts Article for giving any of the information required by this section.</text> </level> <level label="g"> <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text> </level> <level label="h"> <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text> </level> <level label="i"> <level label="1"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for knowingly failing to report under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 per incident for a report made by an employer in bad faith.</text> </level> <level label="3"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-15.1" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>Following the filing of charges or notice of initial denial of license application, the Board shall disclose the filing to the public on the Board’s Web site.</text> </level> <level label="b"> <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text> <level label="1"> <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–5B–14 of this subtitle based on the charges or has rescinded the charges;</text> </level> <level label="2"> <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text> </level> <level label="3"> <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period if the Board knows of the disciplinary action;</text> </level> <level label="4"> <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude that is the basis for disciplinary action taken under § 14–5B–14(c) of this subtitle; and</text> </level> <level label="5"> <text>The public address of the licensee.</text> </level> </level> <level label="c"> <text>In addition to the requirements of subsection (b) of this section, the Board shall include on each licensee’s profile a statement of information to be taken into consideration by a consumer when viewing a licensee’s profile, including a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel.</text> </level> <level label="d"> <text>The Board:</text> <level label="1"> <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person; and</text> </level> <level label="2"> <text>Shall maintain a Web site that serves as a single point of entry where all licensee profile information is available to the public on the Internet.</text> </level> </level> <level label="e"> <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text> </level> <level label="f"> <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-16" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>Subject to subsection (b) of this section, on the application of an individual whose license has been revoked, a disciplinary panel may reinstate a revoked license.</text> </level> <level label="b"> <text>A disciplinary panel may not reinstate a revoked license that has been revoked for a period of more than 1 year unless the licensee:</text> <level label="1"> <text>Meets the requirements for reinstatement as established under this title; and</text> </level> <level label="2"> <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-17" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>Except as otherwise provided in this subtitle, a person may not practice, attempt to practice, or offer to practice radiation therapy in this State unless licensed to practice radiation therapy by the Board.</text> </level> <level label="b"> <text>Except as otherwise provided in this subtitle, a person may not practice, attempt to practice, or offer to practice nuclear medicine technology in this State unless licensed to practice nuclear medicine technology by the Board.</text> </level> <level label="c"> <text>Except as otherwise provided in this subtitle, a person may not practice, attempt to practice, or offer to practice radiography in this State unless licensed to practice radiography by the Board.</text> </level> <level label="d"> <text>Except as otherwise provided in this subtitle, a person may not practice, attempt to practice, or offer to practice radiology assistance in this State unless licensed to practice radiology assistance by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-18" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>Unless authorized to practice radiation therapy, radiography, nuclear medicine technology, or radiology assistance under this subtitle, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice radiation therapy, radiography, nuclear medicine technology, or radiology assistance in this State.</text> </level> <level label="b"> <text>A person may not provide, attempt to provide, offer to provide, or represent that the person provides radiation therapy, radiography, nuclear medicine technology, or radiology assistance care unless the radiation therapy, radiography, nuclear medicine technology, or radiology assistance care is provided by an individual who is authorized to practice radiation therapy, radiography, nuclear medicine technology, or radiology assistance under this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-18.1" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>Except as otherwise provided in this subtitle, a licensed physician may not employ or supervise an individual practicing radiation therapy, radiography, nuclear medicine technology, or radiology assistance without a license.</text> </level> <level label="b"> <text>Except as otherwise provided in this subtitle, an employer may not employ an individual practicing radiation therapy, radiography, nuclear medicine technology, or radiology assistance without a license.</text> </level> <level label="c"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for employing an individual without a license under this section.</text> </level> <level label="d"> <text>The Board shall remit any penalty collected under this section into the General Fund of the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-19" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <level label="a"> <text>A person who violates § 14–5B–17 or § 14–5B–18 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 1 year or both.</text> </level> <level label="b"> <text>A person who violates § 14–5B–17 or § 14–5B–18 of this subtitle is subject to a civil fine of not more than $5,000 to be levied by a disciplinary panel.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5B-20" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <text>This subtitle may be cited as the “Maryland Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5B-21" title_number="14" title_name="Physicians" subtitle_number="5B" subtitle_name="Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance"> <text>Subject to the evaluation and reestablishment provisions of the Maryland Program Evaluation Act, and subject to the termination of this title under § 14–702 of this title, this subtitle and all rules and regulations adopted under this subtitle shall terminate and be of no effect after July 1, 2030.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5C-01" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Physicians.</text> </level> <level label="c"> <text>“Committee” means the Polysomnography Advisory Committee established under § 14–5C–05 of this subtitle.</text> </level> <level label="d"> <text>“License” means a license issued by the Board.</text> </level> <level label="e"> <text>“Licensed polysomnographic technologist” means a polysomnographic technologist who is licensed by the Board under this subtitle to practice polysomnography under the supervision of a licensed physician.</text> </level> <level label="f"> <level label="1"> <text>“Practice polysomnography” means:</text> <level label="i"> <text>Monitoring and recording physiologic data during sleep, including sleep–related respiratory disturbances under the supervision of a licensed physician; or</text> </level> <level label="ii"> <text>Using data collected under item (i) of this paragraph for the purposes of assisting a licensed physician in the diagnosis and treatment of sleep and wake disorders.</text> </level> </level> <level label="2"> <text>“Practice polysomnography” includes:</text> <level label="i"> <text>Providing polysomnography services that are safe, aseptic, preventive, and restorative;</text> </level> <level label="ii"> <text>Diagnosing and treating individuals who suffer from sleep disorders as a result of developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction;</text> </level> <level label="iii"> <text>Observing and monitoring physical signs and symptoms, general behavior, and general physical response to polysomnographic evaluation and determining whether initiation, modification, or discontinuation of a treatment regimen is warranted;</text> </level> <level label="iv"> <text>Using evaluation techniques that include limited cardiopulmonary function assessments, the need and effectiveness of therapeutic modalities and procedures, and the assessment and evaluation of the need for extended care; and</text> </level> <level label="v"> <text>Applying the use of techniques, equipment, and procedures involved in the evaluation of polysomnography, including:</text> <level label="1"> <text>Continuous positive airway pressure or bi–level positive airway pressure titration on spontaneously breathing patients;</text> </level> <level label="2"> <text>Supplemental low flow oxygen therapy during polysomnogram;</text> </level> <level label="3"> <text>Capnography during polysomnogram;</text> </level> <level label="4"> <text>Cardiopulmonary resuscitation;</text> </level> <level label="5"> <text>Pulse oximetry;</text> </level> <level label="6"> <text>PH probe placement and monitoring;</text> </level> <level label="7"> <text>Esophageal pressure;</text> </level> <level label="8"> <text>Sleep staging including surface electroencephalography, surface electrooculography, and surface submental electromyography;</text> </level> <level label="9"> <text>Surface electromyography of arms and legs;</text> </level> <level label="10"> <text>Electrocardiography;</text> </level> <level label="11"> <text>Respiratory effort including thoracic and abdominal;</text> </level> <level label="12"> <text>Plethysmography blood flow;</text> </level> <level label="13"> <text>Snore monitoring;</text> </level> <level label="14"> <text>Audio or video monitoring;</text> </level> <level label="15"> <text>Implementation of a written or verbal order from a licensed physician that requires the practice of polysomnography;</text> </level> <level label="16"> <text>Monitoring the effects a nasal device, used to treat sleep apnea, has on sleep patterns provided that the device does not extend into the trachea; and</text> </level> <level label="17"> <text>Monitoring the effects an oral device, used to treat sleep apnea, has on sleep patterns, provided that:</text> </level> <level label="A"> <text>The device does not extend into the trachea;</text> </level> <level label="B"> <text>A dentist has evaluated the structures of the patient’s oral and maxillofacial region for purposes of fitting;</text> </level> <level label="C"> <text>A dentist made or directed the making of the oral device; and</text> </level> <level label="D"> <text>A dentist directs the use of the oral device.</text> </level> </level> </level> </level> <level label="g"> <text>“Registered polysomnographic technologist” means a polysomnographic technologist who is registered by the Board of Registered Polysomnographic Technicians.</text> </level> <level label="h"> <text>“Student” means an individual who, in accordance with section 14–5C–09(c) of this subtitle, is:</text> <level label="1"> <text>Enrolled in an accredited educational program in order to qualify for a license under this title; and</text> </level> <level label="2"> <text>Performing polysomnography services within the accredited program under the supervision of a licensed physician and without compensation.</text> </level> </level> <level label="i"> <text>“Supervision” means general or direct supervision of a licensed polysomnographic technologist by a licensed physician.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-02" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>This subtitle does not limit:</text> <level label="1"> <text>The right of an individual to practice a health occupation that the individual is authorized to practice under this article;</text> </level> <level label="2"> <text>The right of a licensed home medical equipment provider to provide home medical equipment services as defined under Title 19, Subtitle 4A of the Health – General Article; or</text> </level> <level label="3"> <text>The right of a licensed respiratory care practitioner to practice respiratory care within the scope of practice of the respiratory care practitioner’s license, including practicing respiratory care in a sleep laboratory.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-03" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>The Board shall adopt regulations for the licensure and practice of polysomnography.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5C-04" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <level label="1"> <text>The Board shall set reasonable fees for the issuance of and renewal of licenses and other services it provides to polysomnographic technologists.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the licensure program and the other services provided to polysomnographic technologists, including the cost of providing a rehabilitation program for polysomnographic technologists under § 14–401.1(g) of this title.</text> </level> </level> <level label="b"> <level label="1"> <text>The Board shall pay all fees collected under the provisions of this subtitle to the Comptroller.</text> </level> <level label="2"> <text>The Comptroller shall distribute all fees to the Board.</text> </level> </level> <level label="c"> <text>The fees shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-05" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>There is a Polysomnography Advisory Committee within the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5C-06" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>The Committee consists of seven members appointed by the Board as follows:</text> <level label="1"> <text>Three licensed polysomnographic technologists;</text> </level> <level label="2"> <text>Three licensed physicians who are board certified in sleep medicine:</text> <level label="i"> <text>One of whom is a specialist in psychiatry or internal medicine;</text> </level> <level label="ii"> <text>One of whom is a specialist in pulmonary medicine; and</text> </level> <level label="iii"> <text>One of whom is a specialist in neurology; and</text> </level> </level> <level label="3"> <text>One consumer member.</text> </level> </level> <level label="b"> <text>Each member of the Committee licensed by the Board must be in good standing with the Board.</text> </level> <level label="c"> <text>The consumer member of the Committee:</text> <level label="1"> <text>Must be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been:</text> <level label="i"> <text>A polysomnographic technologist;</text> </level> <level label="ii"> <text>Any other health care professional; or</text> </level> <level label="iii"> <text>In training to be a polysomnographic technologist or other health care professional; and</text> </level> </level> <level label="3"> <text>May not:</text> <level label="i"> <text>Participate or ever have participated in a commercial or professional field related to polysomnography;</text> </level> <level label="ii"> <text>Have a household member who participates in a commercial or professional field related to polysomnography;</text> </level> <level label="iii"> <text>Have had within 2 years before appointment a financial interest in a person regulated by the Board; or</text> </level> <level label="iv"> <text>Have had within 2 years before appointment a financial interest in the provision of goods or services to polysomnographic technologists or to the field of polysomnography.</text> </level> </level> </level> <level label="d"> <text>Each member of the Committee must be a resident of the State.</text> </level> <level label="e"> <level label="1"> <text>The term of a member is 3 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by regulation.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> <level label="5"> <text>A member may not serve more than two consecutive full terms.</text> </level> </level> <level label="f"> <level label="1"> <text>From among its members, the Committee shall elect a chair once every 2 years.</text> </level> <level label="2"> <text>The chair, or the chair’s designee, shall serve in an advisory capacity to the Board as a representative of the Committee.</text> </level> </level> <level label="g"> <text>A quorum of the Committee consists of four members.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-07" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>In addition to the powers set forth elsewhere in this subtitle, the Committee:</text> <level label="1"> <text>Shall:</text> <level label="i"> <text>Develop and recommend to the Board:</text> <level label="1"> <text>Regulations to carry out this subtitle; and</text> </level> <level label="2"> <text>Any statutory changes that affect the profession; and</text> </level> </level> <level label="ii"> <text>Keep a record of its meetings; and</text> </level> </level> <level label="2"> <text>May:</text> <level label="i"> <text>Provide recommendations regarding the practice of polysomnography; and</text> </level> <level label="ii"> <text>Advise the Board on any other matters related to polysomnographic technologist practitioners.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-08" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>Except as otherwise provided in this subtitle or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice polysomnography in this State.</text> </level> <level label="b"> <text>This section does not apply to:</text> <level label="1"> <text>A student enrolled in an education program under § 14–5C–09(c)(3) of this subtitle while practicing polysomnography in that program;</text> </level> <level label="2"> <text>A respiratory care practitioner who was licensed by the Board to practice respiratory care on or before December 31, 2012, and whose duties include practicing polysomnography; or</text> </level> <level label="3"> <text>A polysomnographic technologist employed in the service of the federal government while practicing within the scope of the employment.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-09" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant shall:</text> <level label="1"> <text>Be of good moral character;</text> </level> <level label="2"> <text>Be at least 18 years old; and</text> </level> <level label="3"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> <level label="c"> <text>An applicant for a polysomnographic technologist license shall:</text> <level label="1"> <text>Have passed the national certifying examination given by the Board of Registered Polysomnographic Technologists or another examination approved by the Board;</text> </level> <level label="2"> <text>Submit to the Board proof of certification as a registered polysomnographic technologist or other national certification approved by the Board;</text> </level> <level label="3"> <level label="i"> <level label="1"> <text>Have graduated from a polysomnographic educational program that is accredited by the Commission on Accreditation of Allied Health Education Programs; or</text> </level> <level label="2"> <level label="A"> <text>Have graduated from a sleep technologist educational program that is accredited by the American Academy of Sleep Medicine; and</text> </level> </level> <level label="B"> <text>Have completed a clinical component of an educational program as established by the Committee and approved by the Board;</text> </level> </level> <level label="ii"> <level label="1"> <text>Have graduated from a respiratory care educational program that is accredited by the Commission on Accreditation of Allied Health Education Programs; and</text> </level> <level label="2"> <text>Have completed the Committee on Accreditation for Respiratory Care’s curriculum for a polysomnography certificate that is accredited by the Commission on Accreditation of Allied Health Education Programs; or</text> </level> </level> <level label="iii"> <level label="1"> <text>Have graduated from an electroneuro–diagnostic educational program that is accredited by the Commission on Accreditation of Allied Health Education Programs; and</text> </level> <level label="2"> <text>Have completed additional units, modules, and courses of instruction focused on polysomnographic technology that are accredited by the Commission on Accreditation of Allied Health Education Programs; and</text> </level> </level> </level> <level label="4"> <text>Meet any other educational or clinical requirements established by the Committee and approved by the Board.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-11" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title;</text> </level> <level label="2"> <text>Submit an application to the Board on the form that the Board requires; and</text> </level> <level label="3"> <text>Pay to the Board the application fee set by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-12" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>Subject to subsection (b) of this section, the Board shall issue a license to an applicant who meets the requirements of this subtitle.</text> </level> <level label="b"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether to issue a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="2"> <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this title has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-13" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>A license authorizes a polysomnographic technologist to practice polysomnography in this State while the license is effective.</text> </level> <level label="b"> <text>A licensed polysomnographic technologist may practice polysomnography in:</text> <level label="1"> <text>A hospital sleep laboratory; or</text> </level> <level label="2"> <text>A stand-alone sleep center.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-14" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <level label="1"> <text>The term of a license issued by the Board may not exceed 3 years.</text> </level> <level label="2"> <text>A license expires on a date set by the Board, unless the license is renewed for an additional term as provided in this section.</text> </level> </level> <level label="b"> <text>At least 1 month before a license expires, the Board shall send to the licensed polysomnographic technologist, by first-class mail to the last known address of the licensed polysomnographic technologist, a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="c"> <text>Except as otherwise provided in this subtitle, before a license expires, the licensed polysomnographic technologist periodically may renew it for an additional term, if the licensee:</text> <level label="1"> <text>Otherwise is entitled to be licensed;</text> </level> <level label="2"> <text>Is of good moral character;</text> </level> <level label="3"> <text>Pays to the Board a renewal fee set by the Board; and</text> </level> <level label="4"> <text>Submits to the Board:</text> <level label="i"> <text>A renewal application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements and other requirements set under this section for license renewal.</text> </level> </level> </level> <level label="d"> <text>In addition to any other qualifications and requirements established by the Board, the Board may establish continuing education or competency requirements as a condition of the renewal of a license under this section.</text> </level> <level label="e"> <text>The Board shall renew the license of each licensee who meets the requirements of this section.</text> </level> <level label="f"> <text>The Board may reinstate the license of a polysomnographic technologist who has failed to renew the license for any reason, and who applies for reinstatement after the license has expired, if the polysomnographic technologist:</text> <level label="1"> <text>Meets the renewal requirements of this section;</text> </level> <level label="2"> <text>Pays to the Board the reinstatement fee set by the Board; and</text> </level> <level label="3"> <text>Meets any other requirements established by regulation.</text> </level> </level> <level label="g"> <level label="1"> <text>Beginning October 1, 2016, the Board shall require a criminal history records check in accordance with § 14–308.1 of this title for:</text> <level label="i"> <text>Renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement under subsection (f) of this section.</text> </level> </level> <level label="2"> <text>On receipt of the criminal history record information of a licensee forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether disciplinary action should be taken, based on the criminal history record information, against a licensee who renewed or reinstated a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="3"> <text>The Board may renew or reinstate a license only if the licensee or applicant attests that the licensee or applicant has submitted to a criminal history records check under § 14–308.1 of this title.</text> </level> </level> <level label="h"> <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing education credit in lieu of a sanction under § 14–5C–17 of this subtitle, for a first offense for failure of a licensee to obtain the continuing education credits required by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-14.1" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>A licensee shall notify the Board in writing of a change in name or address within 30 days after the change.</text> </level> <level label="b"> <text>A licensee who fails to comply with subsection (a) of this section is subject to an administrative penalty of $100.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-16" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>Unless a disciplinary panel agrees to accept the surrender of a license, a licensed polysomnographic technologist may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5C-17" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of a quorum of the disciplinary panel, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant, licensee, or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct in the practice of polysomnography; or</text> </level> <level label="ii"> <text>Unprofessional conduct in the practice of polysomnography;</text> </level> </level> <level label="4"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="5"> <text>Abandons a patient;</text> </level> <level label="6"> <text>Is habitually intoxicated;</text> </level> <level label="7"> <text>Is addicted to or habitually abuses any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="8"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="9"> <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="10"> <text>Willfully makes or files a false report or record in the practice of polysomnography;</text> </level> <level label="11"> <text>Willfully fails to file or record any report as required under law, willfully impedes or obstructs the filing or recording of a report, or induces another to fail to file or record a report;</text> </level> <level label="12"> <text>Breaches patient confidentiality;</text> </level> <level label="13"> <text>Pays or agrees to pay any sum or provide any form of remuneration or material benefit to any person for bringing or referring a patient or accepts or agrees to accept any sum or any form of remuneration or material benefit from an individual for bringing or referring a patient;</text> </level> <level label="14"> <text>Willfully makes a misrepresentation while practicing polysomnography;</text> </level> <level label="15"> <text>Willfully practices polysomnography with an unauthorized individual or aids an unauthorized individual in the practice of polysomnography;</text> </level> <level label="16"> <text>Willfully delegates a polysomnographic duty to an unlicensed individual;</text> </level> <level label="17"> <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text> </level> <level label="18"> <text>Is disciplined by a licensing or disciplinary authority or is convicted or disciplined by a court of any state or country, or is disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="19"> <text>Fails to meet appropriate standards for the delivery of polysomnographic services performed in a hospital sleep laboratory or a stand–alone sleep center;</text> </level> <level label="20"> <text>Willfully submits false statements to collect fees for which services are not provided;</text> </level> <level label="21"> <level label="i"> <text>Has been subject to investigation or disciplinary action by a licensing or disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes; and</text> </level> <level label="ii"> <text>Has:</text> <level label="1"> <text>Surrendered the license, if any, issued by the state or country; or</text> </level> <level label="2"> <text>Allowed the license, if any, issued by the state or country to expire or lapse;</text> </level> </level> </level> <level label="22"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="23"> <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate medical purposes;</text> </level> <level label="24"> <text>Practices or attempts to practice beyond the authorized scope of practice;</text> </level> <level label="25"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="26"> <text>Practices or attempts to practice a polysomnography procedure or uses or attempts to use polysomnography equipment if the applicant or licensee has not received education and training in the performance of the procedure or the use of the equipment;</text> </level> <level label="27"> <text>Fails to cooperate with a lawful investigation conducted by the Board; or</text> </level> <level label="28"> <text>Fails to complete a criminal history records check under § 14–308.1 of this title.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in Title 10, Subtitle 2 of the State Government Article, before the Board or a disciplinary panel takes any action under subsection (a) of this section, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board or the disciplinary panel in accordance with the hearing requirements of § 14–405 of this title.</text> </level> <level label="c"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text> </level> </level> <level label="d"> <level label="1"> <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or to place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text> </level> <level label="2"> <text>The Board shall pay any fines collected under this section into the General Fund of the State.</text> </level> </level> <level label="e"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-18" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <level label="1"> <text>Except as provided in subsections (b) and (d) of this section, each employer of a licensed polysomnographic technologist shall submit to the Board a report if:</text> <level label="i"> <text>The employer:</text> <level label="1"> <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensed polysomnographic technologist’s clinical privileges, employment, or other ability to practice or treat patients;</text> </level> <level label="2"> <text>Involuntarily terminated or restricted the licensed polysomnographic technologist’s employment or staff membership; or</text> </level> <level label="3"> <text>Asked the licensed polysomnographic technologist to voluntarily resign because of the licensed polysomnographic technologist’s conduct or while the licensed polysomnographic technologist is being investigated; and</text> </level> </level> <level label="ii"> <text>The action described under item (i) of this paragraph was taken:</text> <level label="1"> <text>For reasons that might be grounds for disciplinary action under § 14–5C–17 of this subtitle;</text> </level> <level label="2"> <text>Because the licensed polysomnographic technologist may have engaged in an act that may constitute unprofessional conduct;</text> </level> <level label="3"> <text>Because the licensed polysomnographic technologist may be unable to practice polysomnography with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text> </level> <level label="4"> <text>Because the licensed polysomnographic technologist may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text> </level> </level> </level> <level label="2"> <text>Each report submitted under paragraph (1) of this subsection shall include:</text> <level label="i"> <text>The action taken by the employer;</text> </level> <level label="ii"> <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text> </level> <level label="iii"> <text>The steps taken by the employer to investigate the conduct of the licensed polysomnographic technologist.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text> </level> <level label="ii"> <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text> </level> </level> </level> <level label="b"> <text>If an employer knows that the conduct of a licensed polysomnographic technologist requires that the employer submit a report under subsection (a)(1) of this section because the licensed polysomnographic technologist is impaired by alcohol or another substance, the employer is not required to report the technologist to the Board if:</text> <level label="1"> <text>The employer knows that the licensed polysomnographic technologist is:</text> <level label="i"> <text>In a substance use disorder treatment program that is accredited by The Joint Commission or is certified by the Department; or</text> </level> <level label="ii"> <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders; and</text> </level> </level> <level label="2"> <level label="i"> <text>The employer is able to verify that the licensed polysomnographic technologist remains in the treatment program until successful discharge; and</text> </level> <level label="ii"> <text>The action or condition of the licensed polysomnographic technologist has not caused injury to any person while the licensed polysomnographic technologist is practicing as a licensed polysomnographic technologist.</text> </level> </level> </level> <level label="c"> <text>If the employer knows that the licensed polysomnographic technologist is noncompliant with the substance use disorder treatment program, the employer of the licensed polysomnographic technologist shall report the licensed polysomnographic technologist’s noncompliance to the Board.</text> </level> <level label="d"> <level label="1"> <text>The Board may extend the reporting under this section for good cause shown.</text> </level> <level label="2"> <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text> </level> </level> <level label="e"> <text>The Board may enforce this section by subpoena.</text> </level> <level label="f"> <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts Article for giving any of the information required by this section.</text> </level> <level label="g"> <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text> </level> <level label="h"> <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text> </level> <level label="i"> <level label="1"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for knowingly failing to report under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 per incident for a report made by an employer in bad faith.</text> </level> <level label="3"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-18.1" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>Following the filing of charges or notice of initial denial of license application, the Board shall disclose the filing to the public on the Board’s Web site.</text> </level> <level label="b"> <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text> <level label="1"> <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–5C–17 of this subtitle based on the charges or has rescinded the charges;</text> </level> <level label="2"> <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text> </level> <level label="3"> <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period if the Board knows of the disciplinary action;</text> </level> <level label="4"> <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude that is the basis for disciplinary action taken under § 14–5C–17(c) of this subtitle; and</text> </level> <level label="5"> <text>The public address of the licensee.</text> </level> </level> <level label="c"> <text>In addition to the requirements of subsection (b) of this section, the Board shall include on each licensee’s profile a statement of information to be taken into consideration by a consumer when viewing a licensee’s profile, including a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel.</text> </level> <level label="d"> <text>The Board:</text> <level label="1"> <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person; and</text> </level> <level label="2"> <text>Shall maintain a Web site that serves as a single point of entry where all licensee profile information is available to the public on the Internet.</text> </level> </level> <level label="e"> <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text> </level> <level label="f"> <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-19" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>Subject to subsection (b) of this section, on the application of an individual whose license has been revoked, a disciplinary panel, on the affirmative vote of a majority of its full authorized membership, may reinstate a revoked license.</text> </level> <level label="b"> <text>A disciplinary panel may not reinstate a revoked license that has been revoked for a period of more than 1 year unless the licensee:</text> <level label="1"> <text>Meets the requirements for reinstatement as established under this title; and</text> </level> <level label="2"> <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-20" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>Except as otherwise provided in this subtitle, a person may not practice, attempt to practice, or offer to practice polysomnography in this State unless licensed to practice polysomnography by the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5C-21" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>Unless authorized to practice polysomnography under this subtitle, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice polysomnography in this State.</text> </level> <level label="b"> <text>Unless authorized to practice polysomnography under this subtitle, a person may not use the abbreviation “P.S.G.” or any other words, letters, or symbols with the intent to represent that the person practices polysomnography.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-22" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>A person may not provide, attempt to provide, offer to provide, or represent that the person provides polysomnography unless the polysomnography is provided by an individual who is authorized to practice polysomnography under this subtitle.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5C-22.1" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>Except as otherwise provided in this subtitle, a licensed physician may not employ or supervise an individual practicing polysomnography without a license.</text> </level> <level label="b"> <text>Except as otherwise provided in this subtitle, an employer may not employ an individual practicing polysomnography without a license.</text> </level> <level label="c"> <text>A disciplinary panel may impose a civil penalty of not more than $5,000 for a violation of this section.</text> </level> <level label="d"> <text>The Board shall pay any penalty collected under this subsection into the General Fund of the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-23" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <level label="a"> <text>A person who violates § 14–5C–20, § 14–5C–21, or § 14–5C–22 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 1 year or both.</text> </level> <level label="b"> <text>A person who violates § 14–5C–20, § 14–5C–21, or § 14–5C–22 of this subtitle is subject to a civil fine of not more than $5,000 to be levied by a disciplinary panel.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5C-24" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>This subtitle may be cited as the “Maryland Polysomnography Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5C-25" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists"> <text>Subject to the evaluation and reestablishment provisions of the Maryland Program Evaluation Act and subject to the termination of this title under § 14–702 of this title, this subtitle and all regulations adopted under this subtitle shall terminate and be of no effect after July 1, 2030.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5D-01" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Alternate supervising physician” means one or more physicians designated by the supervising physician to provide supervision of an athletic trainer:</text> <level label="1"> <text>During the absence of the supervising physician; and</text> </level> <level label="2"> <text>In accordance with the evaluation and treatment protocol on file with the Board.</text> </level> </level> <level label="c"> <text>“Athletic individual” means an individual who participates in an athletic activity, a job function, or a job–related activity that requires physical strength, range of motion, flexibility, control, speed, stamina, or agility.</text> </level> <level label="d"> <text>“Board” means the State Board of Physicians.</text> </level> <level label="e"> <text>“Committee” means the Athletic Trainer Advisory Committee established under § 14–5D–04 of this subtitle.</text> </level> <level label="e–1"> <text>“Dry needling” means an intramuscular manual therapy that:</text> <level label="1"> <text>Involves the insertion of one or more solid needles into the muscle and related tissues to effect change in the muscle and related tissues;</text> </level> <level label="2"> <text>Requires ongoing evaluation, assessment, and reevaluation of an impairment;</text> </level> <level label="3"> <text>Is used only in parts of the body with neuromuscular or musculoskeletal links to an impairment; and</text> </level> <level label="4"> <text>Is not performed for:</text> <level label="i"> <text>The purposes of acupuncture as defined in § 1A–101 of this article; or</text> </level> <level label="ii"> <text>Any purpose outside of the scope of practice of athletic trainers.</text> </level> </level> </level> <level label="f"> <text>“Evaluation and treatment protocol” means a document that is executed by a physician and an athletic trainer that meets the requirements of § 14–5D–11 of this subtitle.</text> </level> <level label="g"> <text>“License” means a license issued by the Board to practice athletic training.</text> </level> <level label="h"> <text>“Licensed athletic trainer” means an individual who is licensed by the Board to practice athletic training.</text> </level> <level label="i"> <text>“Licensed health care practitioner” means an individual licensed, certified, or otherwise authorized to practice a health occupation under this article.</text> </level> <level label="j"> <text>“National certifying board” means the National Athletic Trainers’ Association Board of Certification, Inc., or its successor organization.</text> </level> <level label="k"> <text>“Nonsupervising physician” means a physician licensed by the Board who is not the supervising physician of the licensed athletic trainer.</text> </level> <level label="l"> <text>“Outside referral” means a request for treatment from a nonsupervising physician or licensed health care practitioner.</text> </level> <level label="m"> <level label="1"> <text>“Practice athletic training” means application of the following principles and methods for managing injuries for athletic individuals in good overall health under the supervision of a licensed physician:</text> <level label="i"> <text>Prevention and wellness promotion;</text> </level> <level label="ii"> <text>Clinical evaluation, examination, assessment, and determination of a plan of care, including appropriate referrals;</text> </level> <level label="iii"> <text>Immediate care and emergency care; and</text> </level> <level label="iv"> <text>Treatment, rehabilitation, and reconditioning.</text> </level> </level> <level label="2"> <text>“Practice athletic training” includes:</text> <level label="i"> <text>Organization and administration of an athletic training program;</text> </level> <level label="ii"> <text>Instruction to coaches, athletes, parents, medical personnel, and community members regarding the care and prevention of injuries; and</text> </level> <level label="iii"> <text>Recognition and management of a concussion, including management of an athletic individual’s progressive return to activity.</text> </level> </level> <level label="3"> <text>“Practice athletic training” does not include:</text> <level label="i"> <text>The practice of:</text> <level label="1"> <text>Chiropractic, including adjustments, manipulation, or high velocity mobilizations of the spine or extremities;</text> </level> <level label="2"> <text>Massage therapy;</text> </level> <level label="3"> <text>Medicine;</text> </level> <level label="4"> <text>Occupational therapy;</text> </level> <level label="5"> <text>Physical therapy; or</text> </level> <level label="6"> <text>Podiatry;</text> </level> </level> <level label="ii"> <text>The reconditioning of systemic neurologic injuries, conditions, or disease; or</text> </level> <level label="iii"> <text>The treatment of disease.</text> </level> </level> </level> <level label="n"> <text>“Supervising physician” means a physician who has been approved by the Board to supervise one or more athletic trainers.</text> </level> <level label="o"> <text>“Supervision” means the responsibility of a physician to provide ongoing and immediately available instruction, in person, by telephone, or by other electronic means, that is adequate to ensure the safety and welfare of a patient and is appropriate to the setting.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-02" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <text>This subtitle does not limit the right of an individual to practice a health occupation that the individual is authorized to practice under this article.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5D-03" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <level label="1"> <text>The Board shall set reasonable fees for the issuance and renewal of licenses and the other services it provides to athletic trainers.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the licensure program and the other services provided to athletic trainers, including the cost of providing a rehabilitation program for athletic trainers under § 14–401.1(g) of this title.</text> </level> </level> <level label="b"> <level label="1"> <text>The Board shall pay all fees collected under the provisions of this subtitle to the Comptroller.</text> </level> <level label="2"> <text>The Comptroller shall distribute all fees to the Board.</text> </level> </level> <level label="c"> <text>The fees shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-04" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <text>There is an Athletic Trainer Advisory Committee within the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5D-05" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>The Committee consists of seven members appointed by the Board as follows:</text> <level label="1"> <text>Three licensed athletic trainers;</text> </level> <level label="2"> <text>Three licensed physicians:</text> <level label="i"> <text>At least one of whom is a specialist in orthopedic or sports medicine; and</text> </level> <level label="ii"> <text>Two of whom previously or currently have partnered with or directed an athletic trainer; and</text> </level> </level> <level label="3"> <text>One consumer member.</text> </level> </level> <level label="b"> <text>The Board shall appoint at least one of the athletic trainer members from a list of names submitted by the Maryland Athletic Trainers Association, Inc.</text> </level> <level label="c"> <text>Each member of the Committee licensed by the Board must be in good standing with the Board.</text> </level> <level label="d"> <text>The consumer member of the Committee:</text> <level label="1"> <text>Must be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been:</text> <level label="i"> <text>An athletic trainer;</text> </level> <level label="ii"> <text>Any other health care professional; or</text> </level> <level label="iii"> <text>In training to be an athletic trainer or other health professional; and</text> </level> </level> <level label="3"> <text>May not:</text> <level label="i"> <text>Participate or ever have participated in a commercial or professional field related to athletic training;</text> </level> <level label="ii"> <text>Have a household member who participates in a commercial or professional field related to athletic training;</text> </level> <level label="iii"> <text>Have had within 2 years before appointment a financial interest in the provision of goods or services to athletic trainers or to the field of athletic training; or</text> </level> <level label="iv"> <text>Have had within 2 years before appointment a financial interest in a person regulated by the Board.</text> </level> </level> </level> <level label="e"> <text>Each member of the Committee must be a resident of the State.</text> </level> <level label="f"> <level label="1"> <text>The term of a member is 3 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by regulation.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> <level label="5"> <text>A member may not serve more than two consecutive full terms.</text> </level> </level> <level label="g"> <level label="1"> <text>From among its members, the Committee shall elect a chair every 2 years.</text> </level> <level label="2"> <text>The chair shall serve in an advisory capacity to the Board as a representative of the Committee.</text> </level> </level> <level label="h"> <text>A quorum of the Committee consists of four members.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-06" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <text>In addition to the powers set forth elsewhere in this subtitle, the Committee:</text> <level label="1"> <text>Shall:</text> <level label="i"> <text>Develop and recommend to the Board:</text> <level label="1"> <text>Regulations to carry out this subtitle; and</text> </level> <level label="2"> <text>Any statutory changes that affect the profession; and</text> </level> </level> <level label="ii"> <text>Keep a record of its meetings; and</text> </level> </level> <level label="2"> <text>May:</text> <level label="i"> <text>Provide recommendations regarding the practice of athletic training; and</text> </level> <level label="ii"> <text>Advise the Board on any other matters related to athletic trainers.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-07" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>Except as otherwise provided in this subtitle or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice athletic training in the State.</text> </level> <level label="b"> <text>This section does not apply to:</text> <level label="1"> <text>An athletic trainer employed in the service of the federal government while practicing within the scope of the employment;</text> </level> <level label="2"> <text>An individual employed by or under contract with an entity located in another state who represents that entity:</text> <level label="i"> <text>At an athletic event in the State;</text> </level> <level label="ii"> <text>For a period of time not to exceed 45 days within a calendar year; and</text> </level> <level label="iii"> <text>By providing athletic training services to individuals representing the entity at the event; or</text> </level> </level> <level label="3"> <text>A student enrolled in an education program that meets the criteria of § 14–5D–08(c)(2) of this subtitle while engaged in an unpaid, clinical educational experience of athletic training.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-08" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant shall:</text> <level label="1"> <text>Be of good moral character;</text> </level> <level label="2"> <text>Be at least 18 years old; and</text> </level> <level label="3"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> <level label="c"> <text>The applicant shall:</text> <level label="1"> <text>Have a current certification by a national certifying board approved by the Board;</text> </level> <level label="2"> <text>Have received a bachelor’s or master’s degree from an athletic training educational program that is accredited by the Commission on Accreditation of Athletic Training Education or its successor;</text> </level> <level label="3"> <text>Demonstrate oral and written competency in English as required by the Board; and</text> </level> <level label="4"> <text>Meet any other requirements established by the Board.</text> </level> </level> <level label="d"> <text>The Board shall waive the education requirements under this section if an individual was certified by the National Athletic Trainers’ Association Board of Certification, Inc., on or before October 1, 2012, and is currently in good standing.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-09" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title;</text> </level> <level label="2"> <text>Submit an application to the Board on the form that the Board requires; and</text> </level> <level label="3"> <text>Pay to the Board the application fee set by the Board.</text> </level> </level> <level label="b"> <text>Subject to subsection (c) of this section, the Board shall issue the appropriate license to an applicant who meets the requirements of this subtitle for that license.</text> </level> <level label="c"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether to issue a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text> </level> </level> <level label="2"> <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this title has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-10" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>An athletic trainer license authorizes the licensee to practice athletic training services in the State while the license is effective.</text> </level> <level label="b"> <text>A licensed athletic trainer shall practice athletic training in accordance with the evaluation and treatment protocol between the athletic trainer and a licensed physician.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-11" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>Nothing in this title may be construed to authorize an athletic trainer to practice except under the supervision of a licensed physician.</text> </level> <level label="b"> <text>Before an athletic trainer may practice athletic training, the athletic trainer shall:</text> <level label="1"> <text>Obtain a license under this subtitle;</text> </level> <level label="2"> <text>Enter into a written evaluation and treatment protocol with a licensed physician; and</text> </level> <level label="3"> <text>Except as provided in § 14–5D–11.3(a) of this subtitle, submit an original, signed copy of the evaluation and treatment protocol for Board approval.</text> </level> </level> <level label="c"> <text>An evaluation and treatment protocol shall:</text> <level label="1"> <text>Describe the qualifications of the licensed physician and licensed athletic trainer;</text> </level> <level label="2"> <text>Describe the physician supervision mechanisms that the physician will use to give direction to the athletic trainer;</text> </level> <level label="3"> <text>Describe the treatment procedures the athletic trainer may perform;</text> </level> <level label="4"> <text>Describe tasks the athletic trainer may not perform;</text> </level> <level label="5"> <text>Describe specialized tasks the supervising physician is delegating to the athletic trainer to perform with documentation of competencies, certification, credentials, or any other requirements established by the Board to support the delegation of the specialized tasks;</text> </level> <level label="6"> <text>Indicate whether the athletic trainer may accept outside referrals from nonsupervising physicians and other licensed health care practitioners;</text> </level> <level label="7"> <text>Designate an alternate supervising physician, if appropriate or necessary; and</text> </level> <level label="8"> <text>Contain an attestation that states the supervising physician will be responsible for providing ongoing and immediately available instruction that is adequate to ensure the safety and welfare of a patient and is appropriate to the setting.</text> </level> </level> <level label="d"> <text>An athletic trainer may accept an outside referral from a nonsupervising physician or licensed health care practitioner if:</text> <level label="1"> <text>The supervising physician specifies in the evaluation and treatment protocol that the athletic trainer may accept referrals from a nonsupervising physician or licensed health care practitioner;</text> </level> <level label="2"> <text>The nonsupervising physician or licensed health care practitioner has seen the athletic individual and has written an order for the care of the athletic individual; and</text> </level> <level label="3"> <text>The treatment procedures to be used by the athletic trainer are:</text> <level label="i"> <text>Within the scope of practice of an athletic trainer; and</text> </level> <level label="ii"> <text>Included in the evaluation and treatment protocol that the athletic trainer has entered into with the supervising physician.</text> </level> </level> </level> <level label="e"> <level label="1"> <text>An athletic trainer may provide treatment for not more than 14 days to an athletic individual with an injury that affects job function or job–related activity unless the athletic trainer has received a referral from a health care provider licensed under this article other than under this subtitle to treat the individual.</text> </level> <level label="2"> <text>For the purpose of paragraph (1) of this subsection, preventive care is not considered treatment.</text> </level> </level> <level label="f"> <text>Subject to the notice required under § 14–5D–11.2 of this subtitle, an athletic trainer may terminate an evaluation and treatment protocol filed with the Board under this section at any time.</text> </level> <level label="g"> <level label="1"> <text>In the event of the sudden departure, incapacity, or death of the primary supervising physician of an athletic trainer, or change in license status that results in the primary supervising physician being unable to legally practice medicine, an alternate supervising physician designated under subsection (c) of this section may supervise the athletic trainer for not longer than 15 days following the event.</text> </level> <level label="2"> <text>If there is no designated alternate supervising physician or the designated alternate supervising physician does not agree to supervise the athletic trainer, the athletic trainer may not practice until the athletic trainer receives approval of a new evaluation and treatment protocol under § 14–5D–11.3 of this subtitle.</text> </level> <level label="3"> <text>An alternate supervising physician or other licensed physician may assume the role of primary supervising physician by submitting a new evaluation and treatment protocol to the Board for approval under subsection (b) of this section.</text> </level> <level label="4"> <text>The Board may terminate an evaluation and treatment protocol if:</text> <level label="i"> <text>The athletic trainer has a change in license status that results in the athletic trainer being unable to legally practice athletic training;</text> </level> <level label="ii"> <text>At least 15 days have elapsed since an event listed under paragraph (1) of this subsection if there is an alternate supervising physician designated under subsection (c) of this section; or</text> </level> <level label="iii"> <text>Immediately after an event listed under paragraph (1) of this subsection if there is no alternate supervising physician designated under subsection (c) of this section.</text> </level> </level> </level> <level label="h"> <text>An athletic trainer whose evaluation and treatment protocol is terminated may not practice athletic training until the athletic trainer receives preliminary approval of a new evaluation and treatment protocol under § 14–5D–11.3 of this subtitle.</text> </level> <level label="i"> <text>In the event of a sudden departure, incapacity, or death of a supervising physician, a designated alternate supervising physician may assume the role of the supervising physician by submitting an evaluation and treatment protocol to the Board within 15 days of the event.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-11.1" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>Except as otherwise provided in this subtitle, a licensed physician may not employ or supervise an individual practicing athletic training without a license or without an approved evaluation and treatment protocol.</text> </level> <level label="b"> <text>Except as otherwise provided in this subtitle, an employer may not employ an individual practicing athletic training without a license or without an approved evaluation and treatment protocol.</text> </level> <level label="c"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 on a person who employs or supervises an individual without a license or without an approved evaluation and treatment protocol.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-11.2" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>A physician or an employer shall notify the Board within 10 days of the termination of an athletic trainer for reasons that would be grounds for discipline under this subtitle.</text> </level> <level label="b"> <text>A supervising physician and an athletic trainer shall notify the Board within 10 days of the termination of the relationship under an evaluation and treatment protocol.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-11.3" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <level label="1"> <text>An athletic trainer may assume the duties under an evaluation and treatment protocol on the date that the Board acknowledges receipt of the completed evaluation and treatment protocol appropriate to the scope of practice if the protocol is given preliminary approval by Board staff and:</text> <level label="i"> <text>The evaluation and treatment protocol does not include specialized tasks; or</text> </level> <level label="ii"> <text>The evaluation and treatment protocol includes specialized tasks that the Board previously has approved under § 14–5D–11 of this subtitle.</text> </level> </level> <level label="2"> <text>If an evaluation and treatment protocol includes specialized tasks that have not been previously approved by the Board under § 14–5D–11 of this subtitle, an athletic trainer may only perform the specialized task after receiving written approval from the Board.</text> </level> </level> <level label="b"> <text>The Board may disapprove an evaluation and treatment protocol or a specialized task included in the evaluation and treatment protocol if the Board determines that:</text> <level label="1"> <text>The evaluation and treatment protocol does not meet the requirements of § 14–5D–11(c) of this subtitle;</text> </level> <level label="2"> <text>The athletic trainer is unable to perform the specialized task safely; or</text> </level> <level label="3"> <text>The specialized task is outside the practice scope of an athletic trainer.</text> </level> </level> <level label="c"> <text>If the Board disapproves an evaluation and treatment protocol or a specialized task included in an evaluation and treatment protocol, the Board shall send to the primary supervising physician and the athletic trainer written notice of the disapproval.</text> </level> <level label="d"> <text>An athletic trainer who receives notice of a disapproval under subsection (c) of this section shall immediately cease practicing under the evaluation and treatment protocol or performing the specialized task.</text> </level> <level label="e"> <text>An individual member of the Board is not civilly liable for any act or omission relating to the approval, modification, or disapproval of an evaluation and treatment protocol.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-11.4" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>A licensed athletic trainer shall be approved by the Board before the licensed athletic trainer may perform dry needling as a specialized task.</text> </level> <level label="b"> <level label="1"> <text>The Board shall issue an approval to perform dry needling to a licensed athletic trainer who provides proof of completion of at least 80 hours of instruction in a continuing education course approved by:</text> <level label="i"> <text>The National Athletic Trainers’ Association;</text> </level> <level label="ii"> <text>The Board of Certification for the Athletic Trainer; or</text> </level> <level label="iii"> <text>The armed forces.</text> </level> </level> <level label="2"> <text>Of the 80 hours of instruction required under paragraph (1) of this subsection, at least 40 hours of instruction shall be in the following course content areas:</text> <level label="i"> <text>Theory and application of dry needling;</text> </level> <level label="ii"> <text>Dry needling technique, including spine and extremities;</text> </level> <level label="iii"> <text>Dry needling indications and contraindications;</text> </level> <level label="iv"> <text>Infection control, the Occupational Safety and Health Administration’s Bloodborne Pathogen Protocol, and safe handling of needles;</text> </level> <level label="v"> <text>Emergency preparedness and response procedures related to complications associated with dry needling; and</text> </level> <level label="vi"> <text>Appropriate documentation of dry needling.</text> </level> </level> <level label="3"> <text>Of the 80 hours of instruction required under paragraph (1) of this subsection, at least 40 hours shall be practical, hands–on instruction in the application and technique of dry needling that is completed under the guidance of a licensed health care practitioner who:</text> <level label="i"> <text>Is approved to perform dry needling; and</text> </level> <level label="ii"> <text>Has practiced dry needling for at least 5 years.</text> </level> </level> <level label="4"> <text>The instruction required under this subsection shall include an assessment of the licensed athletic trainer’s competency to perform dry needling that is performed by the instructor of the approved course.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-11.5" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <level label="1"> <text>Except as provided in subsections (b) and (d) of this section, each employer of a licensed athletic trainer shall submit to the Board a report if:</text> <level label="i"> <text>The employer:</text> <level label="1"> <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensed athletic trainer’s clinical privileges, employment, or other ability to practice or treat patients;</text> </level> <level label="2"> <text>Involuntarily terminated or restricted the licensed athletic trainer’s employment or staff membership; or</text> </level> <level label="3"> <text>Asked the licensed athletic trainer to voluntarily resign because of the licensed athletic trainer’s conduct or while the licensed athletic trainer is being investigated; and</text> </level> </level> <level label="ii"> <text>The action described under item (i) of this paragraph was taken:</text> <level label="1"> <text>For reasons that might be grounds for disciplinary action under § 14–5D–14 of this subtitle;</text> </level> <level label="2"> <text>Because the licensed athletic trainer may have engaged in an act that may constitute unprofessional conduct;</text> </level> <level label="3"> <text>Because the licensed athletic trainer may be unable to practice athletic training with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text> </level> <level label="4"> <text>Because the licensed athletic trainer may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text> </level> </level> </level> <level label="2"> <text>A report required under paragraph (1) of this subsection shall include:</text> <level label="i"> <text>The action taken by the employer;</text> </level> <level label="ii"> <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text> </level> <level label="iii"> <text>The steps taken by the employer to investigate the conduct of the licensee.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text> </level> <level label="ii"> <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text> </level> </level> </level> <level label="b"> <text>If an employer knows that the conduct of a licensed athletic trainer requires that the employer submit a report under subsection (a)(1) of this section because the licensed athletic trainer is impaired by alcohol or another substance, the employer is not required to report the licensed athletic trainer to the Board if:</text> <level label="1"> <text>The employer knows that the licensed athletic trainer is:</text> <level label="i"> <text>In a substance use disorder treatment program that is accredited by The Joint Commission or is certified by the Department; or</text> </level> <level label="ii"> <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders;</text> </level> </level> <level label="2"> <text>The employer is able to verify that the licensed athletic trainer remains in the treatment program until successful discharge; and</text> </level> <level label="3"> <text>The action or condition of the licensed athletic trainer has not caused injury to any person while the licensed athletic trainer is practicing as a licensed athletic trainer.</text> </level> </level> <level label="c"> <text>If the employer knows that the licensed athletic trainer is noncompliant with the substance use disorder treatment program, the employer of the licensed athletic trainer shall report the licensed athletic trainer’s noncompliance to the Board.</text> </level> <level label="d"> <level label="1"> <text>The Board may extend the reporting under this section for good cause shown.</text> </level> <level label="2"> <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text> </level> </level> <level label="e"> <text>The Board may enforce this section by subpoena.</text> </level> <level label="f"> <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts Article for giving any of the information required by this section.</text> </level> <level label="g"> <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text> </level> <level label="h"> <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text> </level> <level label="i"> <level label="1"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for knowingly failing to report under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 per incident for a report made by an employer in bad faith.</text> </level> <level label="3"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-12" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <level label="1"> <text>The term of a license issued by the Board may not exceed 3 years.</text> </level> <level label="2"> <text>A license expires on a date set by the Board, unless the license is renewed for an additional term as provided in this section.</text> </level> </level> <level label="b"> <text>At least 1 month before a license expires, the Board shall send to the licensee a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="c"> <text>Except as otherwise provided in this subtitle, before a license expires, the licensee periodically may renew it for an additional term, if the licensee:</text> <level label="1"> <text>Otherwise is entitled to be licensed;</text> </level> <level label="2"> <text>Is of good moral character;</text> </level> <level label="3"> <text>Pays to the Board a renewal fee set by the Board; and</text> </level> <level label="4"> <text>Submits to the Board:</text> <level label="i"> <text>A renewal application on the form that the Board requires;</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements; and</text> </level> <level label="iii"> <text>Any other requirements set under this section for license renewal.</text> </level> </level> </level> <level label="d"> <text>In addition to any other qualifications and requirements established by the Board, the Board may establish continuing education or competency requirements as a condition of the renewal of licenses under this section.</text> </level> <level label="e"> <text>The Board shall renew the license of each licensee who meets the requirements of this section.</text> </level> <level label="f"> <text>The Board shall reinstate the license of an athletic trainer who has failed to renew the license for any reason if the athletic trainer:</text> <level label="1"> <text>Applies for reinstatement;</text> </level> <level label="2"> <text>Meets renewal and reinstatement requirements; and</text> </level> <level label="3"> <text>Pays to the Board the reinstatement fee set by the Board.</text> </level> </level> <level label="g"> <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing education credit in lieu of a sanction under § 14–5D–14 of this subtitle, for a first offense for failure of a licensee to obtain the continuing education credits required by the Board.</text> </level> <level label="h"> <level label="1"> <text>Beginning October 1, 2016, the Board shall require a criminal history records check in accordance with § 14–308.1 of this title for:</text> <level label="i"> <text>Renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement under subsection (f) of this section.</text> </level> </level> <level label="2"> <text>On receipt of the criminal history record information of a licensee forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether disciplinary action should be taken, based on the criminal history record information, against a licensee who renewed or reinstated a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="3"> <text>The Board may renew or reinstate a license only if the licensee or applicant attests that the licensee or applicant has submitted to a criminal history records check under § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-12.1" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>A licensee shall notify the Board in writing of a change in name or address within 30 days after the change.</text> </level> <level label="b"> <text>A licensee who fails to comply with subsection (a) of this section is subject to an administrative penalty of $100.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-13" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <text>Unless the Board agrees to accept the surrender of a license, a licensed athletic trainer may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee. </text> </section> <section article="gho" article_name="Health Occupations" number="14-5D-14" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of a quorum of the disciplinary panel, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant, licensee, or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct in the practice of athletic training; or</text> </level> <level label="ii"> <text>Unprofessional conduct in the practice of athletic training;</text> </level> </level> <level label="4"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="5"> <text>Abandons a patient;</text> </level> <level label="6"> <text>Habitually is intoxicated;</text> </level> <level label="7"> <text>Is addicted to, or habitually abuses, any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="8"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article, or any other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="9"> <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="10"> <text>Willfully makes or files a false report or record in the practice of athletic training;</text> </level> <level label="11"> <text>Willfully fails to file or record any report as required under law, willfully impedes or obstructs the filing or recording of the report, or induces another to fail to file or record the report;</text> </level> <level label="12"> <text>Breaches patient confidentiality;</text> </level> <level label="13"> <text>Pays or agrees to pay any sum or provide any form of remuneration or material benefit to any individual for bringing or referring a patient or accepts or agrees to accept any sum or any form of remuneration or material benefit from an individual for bringing or referring a patient;</text> </level> <level label="14"> <text>Willfully makes a misrepresentation while practicing athletic training;</text> </level> <level label="15"> <text>Willfully practices athletic training with an unauthorized individual or aids an unauthorized individual in the practice of athletic trainer services;</text> </level> <level label="16"> <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text> </level> <level label="17"> <text>Is disciplined by a licensing, certifying, or disciplinary authority or is convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="18"> <text>Fails to meet appropriate standards for the delivery of athletic training services;</text> </level> <level label="19"> <text>Willfully submits false statements to collect fees for which services have not been provided;</text> </level> <level label="20"> <level label="i"> <text>Has been subject to investigation or disciplinary action by a licensing or disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes; and</text> </level> <level label="ii"> <text>Has:</text> <level label="1"> <text>Surrendered the license issued by the state or country; or</text> </level> <level label="2"> <text>Allowed the license issued by the state or country to expire or lapse;</text> </level> </level> </level> <level label="21"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="22"> <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate medical purposes;</text> </level> <level label="23"> <text>Practices or attempts to practice beyond the authorized scope of practice;</text> </level> <level label="24"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="25"> <text>Practices or attempts to practice an athletic training procedure or uses or attempts to use athletic training equipment if the applicant or licensee has not received education and training in the performance of the procedure or the use of the equipment;</text> </level> <level label="26"> <text>Fails to cooperate with a lawful investigation conducted by the Board or a disciplinary panel;</text> </level> <level label="27"> <text>Fails to practice under the supervision of a physician or violates the approved evaluation and treatment protocol;</text> </level> <level label="28"> <text>Violates an order of the Board or a disciplinary panel, including any condition of probation;</text> </level> <level label="29"> <text>Fails to complete a criminal history records check under § 14–308.1 of this title; or</text> </level> <level label="30"> <text>Performs dry needling without the approval of the Board issued under § 14–5D–11.4 of this subtitle.</text> </level> </level> <level label="b"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process, if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text> </level> </level> <level label="c"> <level label="1"> <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or to place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text> </level> <level label="2"> <text>The Board shall pay any fines collected under this section into the General Fund of the State.</text> </level> </level> <level label="d"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-15" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <level label="1"> <text>Except as otherwise provided in § 10–226 of the State Government Article, before the Board or a disciplinary panel takes any action under § 14–5D–14 of this subtitle, the Board or the disciplinary panel shall give the individual against whom the action is contemplated an opportunity for a hearing before a hearing officer.</text> </level> <level label="2"> <text>The hearing officer shall give notice and hold the hearing in accordance with Title 10, Subtitle 2 of the State Government Article.</text> </level> <level label="3"> <text>The Board or a disciplinary panel may administer oaths in connection with any proceedings under this section.</text> </level> </level> <level label="b"> <level label="1"> <text>Any person aggrieved by a final decision of the Board or a disciplinary panel under this subtitle may take a direct judicial appeal.</text> </level> <level label="2"> <text>The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act.</text> </level> </level> <level label="c"> <text>An order of the Board or a disciplinary panel may not be stayed pending review.</text> </level> <level label="d"> <text>The Board may appeal from any decision that reverses or modifies an order of the Board or a disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-16" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>Subject to subsection (b) of this section, on the application of an individual whose license has been revoked, a disciplinary panel may reinstate a revoked license.</text> </level> <level label="b"> <text>A disciplinary panel may not reinstate a revoked license that has been revoked for a period of more than 1 year unless the licensee:</text> <level label="1"> <text>Meets the requirements for reinstatement as established under this title; and</text> </level> <level label="2"> <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-16.1" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>Following the filing of charges or notice of initial denial of license application, the Board shall disclose the filing to the public on the Board’s Web site.</text> </level> <level label="b"> <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text> <level label="1"> <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–5D–14 of this subtitle based on the charges or has rescinded the charges;</text> </level> <level label="2"> <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text> </level> <level label="3"> <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period if the Board knows of the disciplinary action;</text> </level> <level label="4"> <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude that is the basis for disciplinary action taken under § 14–5D–14(b) of this subtitle; and</text> </level> <level label="5"> <text>The public address of the licensee.</text> </level> </level> <level label="c"> <text>In addition to the requirements of subsection (b) of this section, the Board shall include on each licensee’s profile a statement of information to be taken into consideration by a consumer when viewing a licensee’s profile, including a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel.</text> </level> <level label="d"> <text>The Board:</text> <level label="1"> <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person; and</text> </level> <level label="2"> <text>Shall maintain a Web site that serves as a single point of entry where all licensee profile information is available to the public on the Internet.</text> </level> </level> <level label="e"> <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text> </level> <level label="f"> <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-17" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <text>Unless authorized to practice athletic training under this subtitle, a person may not:</text> <level label="1"> <text>Practice athletic training in this State;</text> </level> <level label="2"> <text>Attempt to practice or offer to practice athletic training in this State;</text> </level> <level label="3"> <text>Represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice athletic training in this State; or</text> </level> <level label="4"> <text>Use the abbreviation “A.T.”, “A.T.L.”, “L.A.T.”, or any other words, letters, or symbols with the intent to represent that the person practices athletic training.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-18" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <level label="a"> <text>A person who violates § 14–5D–17 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 1 year or both.</text> </level> <level label="b"> <text>A person who violates § 14–5D–17 of this subtitle is subject to a civil fine of not more than $5,000 to be levied by a disciplinary panel.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5D-19" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <text>This subtitle may be cited as the “Maryland Athletic Trainers Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5D-20" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers"> <text>Subject to the evaluation and reestablishment provisions of the Maryland Program Evaluation Act and subject to the termination of this title under § 14–702 of this title, this subtitle and all rules and regulations adopted under this subtitle shall terminate and be of no effect after July 1, 2030.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-01" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Physicians.</text> </level> <level label="c"> <text>“Committee” means the Perfusion Advisory Committee established under § 14–5E–05 of this subtitle.</text> </level> <level label="d"> <text>“License” means a license issued by the Board to practice perfusion.</text> </level> <level label="e"> <text>“Licensed perfusionist” means a perfusionist who is licensed by the Board under this subtitle to practice perfusion.</text> </level> <level label="f"> <level label="1"> <text>“Practice perfusion” means to perform the functions necessary for the support, treatment, measurement, or supplementation of the cardiovascular, circulatory, or respiratory systems, or other organs to ensure the safe management of physiologic functions by monitoring and analyzing the parameters of the systems under an order and the supervision of a licensed physician.</text> </level> <level label="2"> <text>“Practice perfusion” includes:</text> <level label="i"> <text>Cardiopulmonary bypass for adult, pediatric, and neonatal patients;</text> </level> <level label="ii"> <text>Extracorporeal circulatory support for renal, neurological, hepatic, and vascular surgery;</text> </level> <level label="iii"> <text>Extracorporeal resuscitation;</text> </level> <level label="iv"> <text>Extracorporeal circulation for long–term support of failing respiratory or cardiac function;</text> </level> <level label="v"> <text>Extracorporeal membrane oxygenation;</text> </level> <level label="vi"> <text>Extracorporeal carbon dioxide removal;</text> </level> <level label="vii"> <text>Myocardial protection;</text> </level> <level label="viii"> <text>Perfusion–assisted direct coronary artery bypass;</text> </level> <level label="ix"> <text>Hemofiltration and hemodialysis;</text> </level> <level label="x"> <text>Anticoagulation and hemostasis monitoring, analysis, and intervention;</text> </level> <level label="xi"> <text>Thermal regulation;</text> </level> <level label="xii"> <text>Blood gas and blood chemistry monitoring, analysis, and intervention;</text> </level> <level label="xiii"> <text>Physiological monitoring, analysis, and intervention;</text> </level> <level label="xiv"> <text>Administration of blood components and pharmaceuticals;</text> </level> <level label="xv"> <text>Administration of anesthetic agents through a heart lung machine at the direction of an anesthesiologist;</text> </level> <level label="xvi"> <text>Ventricular assist device and mechanical circulatory support management;</text> </level> <level label="xvii"> <text>Intra–aortic balloon counterpulsation;</text> </level> <level label="xviii"> <text>Temporary pacemaker management;</text> </level> <level label="xix"> <text>Periodic flow augmentation therapy;</text> </level> <level label="xx"> <text>Autotransfusion;</text> </level> <level label="xxi"> <text>Platelet gel production, autologous hemocyte tissue matrix production;</text> </level> <level label="xxii"> <text>Nondifferentiated progenitor cell harvest bone marrow aspirate concentrate;</text> </level> <level label="xxiii"> <text>Acute normovolemic hemodilution;</text> </level> <level label="xxiv"> <text>Isolated limb or organ delivery of chemotherapeutics, progenitor cells, gene therapy vectors, and other items;</text> </level> <level label="xxv"> <text>Organ procurement and preservation;</text> </level> <level label="xxvi"> <text>Thermogenic lavage;</text> </level> <level label="xxvii"> <text>Electrophysiological analysis;</text> </level> <level label="xxviii"> <text>Therapeutic hyperthermia;</text> </level> <level label="xxix"> <text>Intravascular membrane oxygenation; and</text> </level> <level label="xxx"> <text>Renal perfusion.</text> </level> </level> </level> <level label="g"> <text>“Student” means an individual who, in accordance with § 14–5E–09(c) of this subtitle, is:</text> <level label="1"> <text>Enrolled in an accredited educational program to qualify for a license under this subtitle; and</text> </level> <level label="2"> <text>Performing perfusion services within the accredited program under the supervision of a licensed perfusionist and without compensation.</text> </level> </level> <level label="h"> <text>“Supervision” means the responsibility of a licensed physician to exercise on site or immediately available direction for a licensed perfusionist to ensure the safety and welfare of patients during the course of perfusion.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-02" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>This subtitle does not limit the right of an individual to practice a health occupation that the individual is authorized to practice under this article.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-03" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>The Board shall adopt regulations for the licensure and practice of perfusion.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-04" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <level label="1"> <text>The Board shall set reasonable fees for the issuance and renewal of licenses and other services it provides to perfusionists.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the licensure program and the other services provided to perfusionists, including the cost of providing a rehabilitation program for perfusionists under § 14–401.1(g) of this title.</text> </level> </level> <level label="b"> <level label="1"> <text>The Board shall pay all fees collected under the provisions of this subtitle to the Comptroller.</text> </level> <level label="2"> <text>The Comptroller shall distribute all fees to the Board.</text> </level> </level> <level label="c"> <text>The fees shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-05" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>There is a Perfusion Advisory Committee within the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-06" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>The Committee consists of seven members, appointed by the Board as follows:</text> <level label="1"> <text>Three licensed perfusionists;</text> </level> <level label="2"> <text>Three licensed physicians, at least one of whom performs cardiac or cardio–thoracic surgery or is a cardiac anesthesiologist; and</text> </level> <level label="3"> <text>One consumer member.</text> </level> </level> <level label="b"> <text>Each member of the Committee licensed by the Board must be in good standing with the Board.</text> </level> <level label="c"> <text>The consumer member of the Committee:</text> <level label="1"> <text>Must be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been:</text> <level label="i"> <text>A perfusionist;</text> </level> <level label="ii"> <text>Any other health care professional; or</text> </level> <level label="iii"> <text>In training to be a perfusionist or other health professional; and</text> </level> </level> <level label="3"> <text>May not:</text> <level label="i"> <text>Participate or ever have participated in a commercial or professional field related to perfusion;</text> </level> <level label="ii"> <text>Have a household member who participates in a commercial or professional field related to perfusion;</text> </level> <level label="iii"> <text>Have had within 2 years before appointment a financial interest in a person regulated by the Board; or</text> </level> <level label="iv"> <text>Have had within 2 years before appointment a financial interest in the provision of goods or services to perfusionists or to the field of perfusion.</text> </level> </level> </level> <level label="d"> <text>Each member of the Committee must be a resident of the State.</text> </level> <level label="e"> <level label="1"> <text>The term of a member is 3 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by regulation.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> <level label="5"> <text>A member may not serve more than two consecutive full terms.</text> </level> </level> <level label="f"> <level label="1"> <text>From among its members, the Committee shall elect a chair every 2 years.</text> </level> <level label="2"> <text>The chair shall serve in an advisory capacity to the Board as a representative of the Committee.</text> </level> </level> <level label="g"> <text>A quorum of the Committee consists of four members.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-07" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>In addition to the powers set forth elsewhere in this subtitle, the Committee:</text> <level label="1"> <text>Shall:</text> <level label="i"> <text>Develop and recommend to the Board:</text> <level label="1"> <text>Regulations to carry out this subtitle; and</text> </level> <level label="2"> <text>Any statutory changes that affect the profession; and</text> </level> </level> <level label="ii"> <text>Keep a record of its meetings; and</text> </level> </level> <level label="2"> <text>May:</text> <level label="i"> <text>Provide recommendations regarding the practice of perfusion; and</text> </level> <level label="ii"> <text>Advise the Board on any other matters related to perfusionists.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-08" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>Except as otherwise provided in this subtitle or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice perfusion in this State.</text> </level> <level label="b"> <text>This section does not apply to:</text> <level label="1"> <text>A student enrolled in an education program under § 14–5E–09(c)(2) of this subtitle while practicing perfusion in that program; or</text> </level> <level label="2"> <text>A perfusionist employed in the service of the federal government while practicing within the scope of the employment.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-09" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant shall:</text> <level label="1"> <text>Be of good moral character;</text> </level> <level label="2"> <text>Be at least 18 years old; and</text> </level> <level label="3"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> <level label="c"> <text>An applicant for a license to practice perfusion shall:</text> <level label="1"> <level label="i"> <text>Submit to the Board satisfactory evidence of certification as a certified perfusionist or other national certification approved by the Board; and</text> </level> <level label="ii"> <text>Meet any other educational or clinical requirements established by the Committee and approved by the Board; or</text> </level> </level> <level label="2"> <level label="i"> <text>Submit to the Board satisfactory evidence of graduation from a perfusion educational program that is accredited by the Commission on Accreditation of Allied Health Education Programs, or the Commission’s predecessor or successor; and</text> </level> <level label="ii"> <text>Meet any other educational or clinical requirements established by the Committee and approved by the Board.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-10" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>Except as provided in subsection (b) of this section, an applicant who otherwise qualifies for a license under § 14–5E–09(c)(2) of this subtitle is entitled to be licensed for a single 2–year term before taking the national certifying examination given by the American Board of Cardiovascular Perfusion or its successor organization or another examination given or approved by the Board.</text> </level> <level label="b"> <level label="1"> <text>If an applicant was prevented from taking the national certifying examination before the single 2–year license expires because of extenuating circumstances, the applicant may apply to the Board for an extension of the term of the license.</text> </level> <level label="2"> <text>The Board shall adopt regulations to carry out paragraph (1) of this subsection that include:</text> <level label="i"> <text>Criteria that an applicant must meet to receive an extension under paragraph (1) of this subsection; and</text> </level> <level label="ii"> <text>Provisions as to the length of time that a license may be extended.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-11" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title;</text> </level> <level label="2"> <text>Submit an application to the Board on the form that the Board requires; and</text> </level> <level label="3"> <text>Pay to the Board the application fee set by the Board.</text> </level> </level> <level label="b"> <text>Subject to subsection (c) of this section, the Board shall issue a license to an applicant who meets the requirements of this subtitle.</text> </level> <level label="c"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether to issue a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text> </level> </level> <level label="2"> <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this title has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-12" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>A license authorizes an individual to practice perfusion in this State while the license is effective.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-13" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <level label="1"> <text>A license expires on a date set by the Board, unless the license is renewed for an additional term as provided in this section.</text> </level> <level label="2"> <text>The term of a license issued by the Board may not exceed 3 years.</text> </level> </level> <level label="b"> <text>At least 1 month before a license expires, the Board shall send to the licensed perfusionist a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and sent before the license expires;</text> </level> <level label="3"> <text>The amount of the renewal fee; and</text> </level> <level label="4"> <text>For licensees who qualified for an initial license under § 14–5E–09(c)(2) of this subtitle, that the licensee must submit satisfactory evidence of a passing score on the examination as required under subsection (c)(2) of this section.</text> </level> </level> <level label="c"> <level label="1"> <text>Except as otherwise provided in this subtitle, before a license expires, the licensed perfusionist periodically may renew it for an additional term, if the licensee:</text> <level label="i"> <text>Otherwise is entitled to be licensed;</text> </level> <level label="ii"> <text>Is of good moral character;</text> </level> <level label="iii"> <text>Pays to the Board a renewal fee set by the Board; and</text> </level> <level label="iv"> <text>Except as provided in paragraph (2) of this subsection, submits to the Board:</text> <level label="1"> <text>A renewal application on the form that the Board requires; and</text> </level> <level label="2"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements and other requirements set under this section for license renewal.</text> </level> </level> </level> <level label="2"> <text>A licensee who qualified for an initial license under § 14–5E–09(c)(2) of this subtitle shall submit to the Board satisfactory evidence of a passing score on the national certifying examination given by the American Board of Cardiovascular Perfusion or its successor organization or another examination given or approved by the Board.</text> </level> </level> <level label="d"> <text>In addition to any other qualifications and requirements established by the Board, the Board shall establish continuing education or competency requirements as a condition of the renewal of a license under this section.</text> </level> <level label="e"> <level label="1"> <text>The Board shall renew the license of each licensee who meets the requirements of this section.</text> </level> <level label="2"> <text>The Board may not renew the license of a licensee who fails to submit satisfactory evidence of a passing score on the examination as required under subsection (c)(2) of this section.</text> </level> </level> <level label="f"> <text>The Board shall reinstate the license of an individual who has failed to renew the license for any reason if the individual:</text> <level label="1"> <text>Applies for reinstatement after the date the license expires;</text> </level> <level label="2"> <text>Meets the renewal requirements of this section; and</text> </level> <level label="3"> <text>Pays to the Board the reinstatement fee set by the Board.</text> </level> </level> <level label="g"> <level label="1"> <text>Beginning October 1, 2016, the Board shall require a criminal history records check in accordance with § 14–308.1 of this title for:</text> <level label="i"> <text>Renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement under subsection (f) of this section.</text> </level> </level> <level label="2"> <text>On receipt of the criminal history record information of a licensee forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether disciplinary action should be taken, based on the criminal history record information, against a licensee who renewed or reinstated a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="3"> <text>The Board may renew or reinstate a license only if the licensee or applicant attests that the licensee or applicant has submitted to a criminal history records check under § 14–308.1 of this title.</text> </level> </level> <level label="h"> <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing education credit in lieu of a sanction under § 14–5E–16 of this subtitle, for a first offense for failure of a licensee to obtain the continuing education credits required by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-14" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <level label="1"> <text>A licensee shall notify the Board in writing of a change in name or address within 30 days after the change.</text> </level> <level label="2"> <text>A licensed perfusionist who fails to comply with the requirements of paragraph (1) of this subsection is subject to an administrative penalty of $100.</text> </level> </level> <level label="b"> <text>Each licensed perfusionist shall:</text> <level label="1"> <text>Keep a copy of the license in the licensee’s employment file; and</text> </level> <level label="2"> <text>Make the license available for inspection on request.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-15" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>Unless a disciplinary panel agrees to accept the surrender of a license, a licensed perfusionist may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-16" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of the quorum of the disciplinary panel, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct in the practice of perfusion; or</text> </level> <level label="ii"> <text>Unprofessional conduct in the practice of perfusion;</text> </level> </level> <level label="4"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="5"> <text>Abandons a patient;</text> </level> <level label="6"> <text>Is habitually intoxicated;</text> </level> <level label="7"> <text>Is addicted to or habitually abuses any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="8"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="9"> <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="10"> <text>Willfully makes or files a false report or record in the practice of perfusion;</text> </level> <level label="11"> <text>Willfully fails to file or record any report as required under law, willfully impedes or obstructs the filing or recording of a report, or induces another to fail to file or record a report;</text> </level> <level label="12"> <text>Breaches patient confidentiality;</text> </level> <level label="13"> <text>Pays or agrees to pay any sum or provide any form of remuneration or material benefit to any person for bringing or referring a patient or accepts or agrees to accept any sum or any form of remuneration or material benefit from an individual for bringing or referring a patient;</text> </level> <level label="14"> <text>Willfully makes a misrepresentation while practicing perfusion;</text> </level> <level label="15"> <text>Willfully practices perfusion with an unauthorized individual or aids an unauthorized individual in the practice of perfusion;</text> </level> <level label="16"> <text>Willfully delegates a perfusion duty to an unlicensed individual;</text> </level> <level label="17"> <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text> </level> <level label="18"> <text>Is disciplined by a licensing or disciplinary authority or is convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="19"> <text>Fails to meet appropriate standards for the delivery of perfusion services;</text> </level> <level label="20"> <text>Willfully submits false statements to collect fees for which services are not provided;</text> </level> <level label="21"> <level label="i"> <text>Has been subject to investigation or disciplinary action by a licensing or disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes; and</text> </level> <level label="ii"> <text>Has:</text> <level label="1"> <text>Surrendered the license, if any, issued by the state or country; or</text> </level> <level label="2"> <text>Allowed the license, if any, issued by the state or country to expire or lapse;</text> </level> </level> </level> <level label="22"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="23"> <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate medical purposes;</text> </level> <level label="24"> <text>Practices or attempts to practice beyond the authorized scope of practice;</text> </level> <level label="25"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="26"> <text>Practices or attempts to practice a perfusion procedure or uses or attempts to use perfusion equipment if the applicant or licensee has not received education and training in the performance of the procedure or the use of the equipment;</text> </level> <level label="27"> <text>Fails to cooperate with a lawful investigation of the Board or a disciplinary panel; or</text> </level> <level label="28"> <text>Fails to complete a criminal history records check under § 14–308.1 of this title.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in Title 10, Subtitle 2 of the State Government Article, before the Board or a disciplinary panel takes any action under subsection (a) of this section, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board or the disciplinary panel in accordance with the hearing requirements of § 14–405 of this title.</text> </level> <level label="c"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text> </level> </level> <level label="d"> <level label="1"> <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text> </level> <level label="2"> <text>The Board shall pay any fines collected under this section into the General Fund.</text> </level> </level> <level label="e"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-17" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <level label="1"> <text>Any person aggrieved by a final decision of the Board under this subtitle may take a direct judicial appeal.</text> </level> <level label="2"> <text>The appeal shall be made as provided for judicial review of final decisions in Title 10, Subtitle 2 of the State Government Article.</text> </level> </level> <level label="b"> <text>An order of the Board may not be stayed pending review.</text> </level> <level label="c"> <text>The Board may appeal from any decision that reverses or modifies its order.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-18" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <level label="1"> <text>Except as provided in subsections (b) and (d) of this section, each employer of a licensed perfusionist shall submit to the Board a report if:</text> <level label="i"> <text>The employer:</text> <level label="1"> <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensed perfusionist’s clinical privileges, employment, or other ability to practice or treat patients;</text> </level> <level label="2"> <text>Involuntarily terminated or restricted the licensee’s employment or staff membership; or</text> </level> <level label="3"> <text>Asked the licensee to voluntarily resign because of the licensed perfusionist’s conduct or while the licensee is being investigated; and</text> </level> </level> <level label="ii"> <text>The action described under item (i) of this paragraph was taken:</text> <level label="1"> <text>For reasons that might be grounds for disciplinary action under § 14–5E–16 of this subtitle;</text> </level> <level label="2"> <text>Because the licensed perfusionist may have engaged in an act that may constitute unprofessional conduct;</text> </level> <level label="3"> <text>Because the licensed perfusionist may be unable to practice perfusion with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text> </level> <level label="4"> <text>Because the licensed perfusionist may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text> </level> </level> </level> <level label="2"> <text>A report required under paragraph (1) of this subsection shall include:</text> <level label="i"> <text>The action taken by the employer;</text> </level> <level label="ii"> <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text> </level> <level label="iii"> <text>The steps taken by the employer to investigate the conduct of the licensed perfusionist.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text> </level> <level label="ii"> <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text> </level> </level> </level> <level label="b"> <text>If an employer knows that the conduct of a licensed perfusionist requires that the employer submit a report under subsection (a)(1) of this section because the licensed perfusionist is impaired by alcohol or another substance, the employer is not required to report the licensed perfusionist to the Board if:</text> <level label="1"> <text>The employer knows that the licensed perfusionist is:</text> <level label="i"> <text>In a substance use disorder treatment program that is accredited by The Joint Commission, or is certified by the Department; or</text> </level> <level label="ii"> <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders; and</text> </level> </level> <level label="2"> <level label="i"> <text>The employer is able to verify that the licensed perfusionist remains in the treatment program until successful discharge; and</text> </level> <level label="ii"> <text>The action or condition of the licensed perfusionist has not caused injury to any person while the perfusionist is practicing as a licensed perfusionist.</text> </level> </level> </level> <level label="c"> <text>If the employer knows that the licensed perfusionist is noncompliant with the substance use disorder program, the employer of the licensed perfusionist shall report the licensed perfusionist’s noncompliance to the Board.</text> </level> <level label="d"> <level label="1"> <text>The Board may extend the reporting under this section for good cause shown.</text> </level> <level label="2"> <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text> </level> </level> <level label="e"> <text>The Board may enforce this section by subpoena.</text> </level> <level label="f"> <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts Article for giving any of the information required by this section.</text> </level> <level label="g"> <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text> </level> <level label="h"> <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text> </level> <level label="i"> <level label="1"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for knowingly failing to report under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 per incident for a report made by an employer in bad faith.</text> </level> <level label="3"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-18.1" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>Following the filing of charges or notice of initial denial of license application, the Board shall disclose the filing to the public on the Board’s Web site.</text> </level> <level label="b"> <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text> <level label="1"> <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–5E–16 of this subtitle based on the charges or has rescinded the charges;</text> </level> <level label="2"> <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text> </level> <level label="3"> <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period;</text> </level> <level label="4"> <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude that is the basis for disciplinary action taken under § 14–5E–16(c) of this subtitle; and</text> </level> <level label="5"> <text>The public address of the licensee.</text> </level> </level> <level label="c"> <text>In addition to the requirements of subsection (b) of this section, the Board shall include on each licensee’s profile a statement of information to be taken into consideration by a consumer when viewing a licensee’s profile, including a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel.</text> </level> <level label="d"> <text>The Board:</text> <level label="1"> <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person; and</text> </level> <level label="2"> <text>Shall maintain a Web site that serves as a single point of entry where all licensee profile information is available to the public on the Internet.</text> </level> </level> <level label="e"> <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text> </level> <level label="f"> <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-19" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>Subject to subsection (c) of this section, on the application of an individual whose license has been revoked, a disciplinary panel, on the affirmative vote of a majority of its full authorized membership, may reinstate a revoked license.</text> </level> <level label="b"> <text>A disciplinary panel may not reinstate a revoked license that has been revoked for a period of more than 1 year unless the licensee:</text> <level label="1"> <text>Meets the requirements for reinstatement as established under this title; and</text> </level> <level label="2"> <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-20" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>Except as otherwise provided in this subtitle, a person may not practice, attempt to practice, or offer to practice perfusion in this State unless licensed to practice perfusion by the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-21" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>Unless authorized to practice perfusion under this subtitle, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice perfusion in this State.</text> </level> <level label="b"> <text>Unless authorized to practice perfusion under this subtitle, a person may not use the titles “certified clinical perfusionist”, “licensed perfusionist”, or “licensed clinical perfusionist”, the abbreviations “C.C.P.”, “L.P.”, or “L.C.P.”, or any other words, letters, or symbols with the intent to represent that the person practices perfusion, holds a certificate as a certified clinical perfusionist issued by the American Board of Cardiovascular Perfusion or its successor entity, or holds a license as a licensed perfusionist issued by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-22" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>A person may not provide, attempt to provide, offer to provide, or represent that the person provides perfusion services unless the perfusion is provided by an individual who is authorized to practice perfusion under this subtitle.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-22.1" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>Except as otherwise provided in this subtitle, a licensed physician may not employ or supervise an individual practicing perfusion without a license.</text> </level> <level label="b"> <text>Except as otherwise provided in this subtitle, an employer may not employ an individual to practice perfusion without a license.</text> </level> <level label="c"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for a violation of this section.</text> </level> <level label="d"> <text>The Board shall remit any penalty collected under this section into the General Fund of the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-23" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <level label="a"> <text>A person who violates any provision of §§ 14–5E–20 through 14–5E–22 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 1 year or both.</text> </level> <level label="b"> <text>A person who violates any provision of §§ 14–5E–20 through 14–5E–22 of this subtitle is subject to a civil fine of not more than $5,000 to be levied by a disciplinary panel.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5E-24" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>This subtitle may be cited as the Maryland Perfusion Act.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5E-25" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists"> <text>Subject to the evaluation and reestablishment provisions of the Maryland Program Evaluation Act and subject to the termination of this title under § 14–702 of this title, this subtitle and all regulations adopted under this subtitle shall terminate and be of no effect after July 1, 2030.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5F-01" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Approved naturopathic medical program” means a naturopathic medical education program:</text> <level label="1"> <text>In the United States that:</text> <level label="i"> <text>Provides the degree of Doctor of Naturopathy or Doctor of Naturopathic Medicine;</text> </level> <level label="ii"> <text>Offers a 4–year graduate–level, full–time didactic and supervised clinical training;</text> </level> <level label="iii"> <text>Is accredited, or has achieved candidacy status for accreditation, by the Council on Naturopathic Medical Education or an equivalent federally and Board–recognized accrediting body for naturopathic medical programs; and</text> </level> <level label="iv"> <text>Is part of an institution of higher education that is either accredited, or is a candidate for accreditation, by a regional or national institutional accrediting agency recognized by the United States Secretary of Education; or</text> </level> </level> <level label="2"> <text>In a diploma–granting, degree–equivalent college or university in Canada that:</text> <level label="i"> <text>Offers graduate–level, full–time didactic and supervised clinical training;</text> </level> <level label="ii"> <text>Is accredited, or has achieved candidacy status for accreditation, by the Council on Naturopathic Medical Education or an equivalent federally and Board–recognized accrediting body for naturopathic medical programs; and</text> </level> <level label="iii"> <text>Has provincial approval for participation in government–funded student aid programs.</text> </level> </level> </level> <level label="c"> <text>“Board” means the State Board of Physicians.</text> </level> <level label="d"> <text>“Committee” means the Naturopathic Medicine Advisory Committee.</text> </level> <level label="e"> <text>“Council” means the Naturopathic Doctors Formulary Council.</text> </level> <level label="f"> <level label="1"> <text>“Device” means a device used in the diagnosis, treatment, or prevention of disease.</text> </level> <level label="2"> <text>“Device” does not include:</text> <level label="i"> <text>Any surgical or dental instrument;</text> </level> <level label="ii"> <text>Any physical therapy equipment;</text> </level> <level label="iii"> <text>Any X–ray apparatus; or</text> </level> <level label="iv"> <text>Any component part or accessory of any of the items listed in items (i) through (iii) of this paragraph.</text> </level> </level> </level> <level label="g"> <text>“Emergency use epinephrine” means a portable, disposable drug delivery device or product approved by the federal Food and Drug Administration that contains a premeasured single dose of epinephrine that is used to treat anaphylaxis in an emergency situation.</text> </level> <level label="h"> <text>“Formulary” means a list of drugs and devices developed and adopted in accordance with § 14–5F–04.1 of this subtitle.</text> </level> <level label="i"> <text>“Licensed naturopathic doctor” means a naturopathic doctor who is licensed to practice naturopathic medicine.</text> </level> <level label="j"> <text>“Naturopathic doctor” means an individual who practices naturopathic medicine.</text> </level> <level label="k"> <level label="1"> <text>“Naturopathic medicine” means the prevention, diagnosis, and treatment of human health conditions, injury, and disease using only patient education and naturopathic therapies and therapeutic substances recognized by the Council of Naturopathic Medical Education.</text> </level> <level label="2"> <text>“Naturopathic medicine” includes:</text> <level label="i"> <text>Counseling;</text> </level> <level label="ii"> <text>The practice of the mechanical sciences of healing, including mechanotherapy, articular manipulation, corrective and orthopedic gymnastics, hydrotherapy, electrotherapy, and phototherapy;</text> </level> <level label="iii"> <text>The practice of the material sciences of healing, including nutrition, phytotherapy, treatment by natural substances, and external applications; and</text> </level> <level label="iv"> <text>Prescribing, dispensing, or administering nonprescription and prescription drugs and devices listed in the formulary.</text> </level> </level> </level> <level label="l"> <text>“Naturopathic musculoskeletal mobilization” means the treatment by manual and other mechanical means of all body tissues exclusive of high–velocity thrusts at or beyond the end range of normal joint motion.</text> </level> <level label="m"> <text>“Nonprescription drug” means a drug that:</text> <level label="1"> <text>May be sold without a prescription; and</text> </level> <level label="2"> <text>Is labeled for use by a consumer in accordance with State and federal law.</text> </level> </level> <level label="n"> <text>“Prescription drug” means any drug defined in § 503(b) of the federal Food, Drug, and Cosmetic Act if the drug’s label is required to bear the statement “Rx only”.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-02" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>The purposes of this subtitle are to:</text> <level label="1"> <text>Protect the health, safety, and welfare of the public, and specifically protect individuals who are the direct recipients of services regulated by this subtitle;</text> </level> <level label="2"> <text>Maintain standards in the delivery of naturopathic medical services to the public;</text> </level> <level label="3"> <text>Ensure that the health care provided by qualified naturopathic doctors is accessible and available to the residents of the State; and</text> </level> <level label="4"> <text>Provide a means of identifying qualified naturopathic doctors in the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-03" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>This subtitle does not limit the right of:</text> <level label="1"> <text>An individual to practice a health occupation that the individual is authorized to practice under this article;</text> </level> <level label="2"> <text>An individual from treating the individual or the individual’s family based on the individual’s religious or health beliefs; or</text> </level> <level label="3"> <text>A person that sells vitamins and herbs from providing information about the person’s products.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-04" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>The Board shall adopt regulations for the licensure and practice of naturopathic medicine.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5F-04.1" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <level label="1"> <text>There is a Naturopathic Doctors Formulary Council within the Board.</text> </level> <level label="2"> <text>The Council consists of the following members:</text> <level label="i"> <text>The Deputy Secretary of Public Health Services, or the Deputy Secretary’s designee; and</text> </level> <level label="ii"> <text>The following members, appointed by the Board:</text> <level label="1"> <text>Two individuals who:</text> </level> <level label="A"> <text>Practice naturopathic medicine in the State;</text> </level> <level label="B"> <text>Are certified by the North American Board of Naturopathic Examiners;</text> </level> <level label="C"> <text>Have a minimum of 2 years experience; and</text> </level> <level label="D"> <text>Are licensed naturopathic doctors;</text> </level> <level label="2"> <text>Two licensed physicians who practice in the State;</text> </level> <level label="3"> <text>One pharmacist who has a background in pharmacognosy and who practices in the State; and</text> </level> <level label="4"> <text>One consumer.</text> </level> </level> </level> <level label="3"> <level label="i"> <text>The term of an appointed member is 4 years.</text> </level> <level label="ii"> <text>At the end of a term, an appointed member continues to serve until a successor is appointed.</text> </level> </level> <level label="4"> <text>A member of the Council:</text> <level label="i"> <text>May not receive compensation as a member of the Council; but</text> </level> <level label="ii"> <text>Is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text> </level> </level> <level label="5"> <text>The Board shall designate the chair of the Council.</text> </level> <level label="6"> <text>The Board shall provide staff for the Council.</text> </level> </level> <level label="b"> <text>The Council shall:</text> <level label="1"> <text>Develop and recommend to the Board a formulary for use by licensed naturopathic doctors;</text> </level> <level label="2"> <text>Annually review the formulary adopted by the Board under subsection (c) of this section to determine if any changes are necessary for compliance with current prescribing standards or the practice of naturopathic medicine;</text> </level> <level label="3"> <text>Otherwise review the formulary at the direction of the Board; and</text> </level> <level label="4"> <text>Make recommendations to the Board based on the reviews conducted under items (2) and (3) of this subsection.</text> </level> </level> <level label="c"> <level label="1"> <text>The Board shall adopt a formulary based on the recommendations of the Council made under subsection (b) of this section.</text> </level> <level label="2"> <text>The Board may modify or reject any recommendation of the Council regarding the formulary.</text> </level> </level> <level label="d"> <level label="1"> <text>The formulary adopted by the Board shall include:</text> <level label="i"> <text>Nonprescription drugs and devices;</text> </level> <level label="ii"> <text>Prescription oxygen and emergency use epinephrine; and</text> </level> <level label="iii"> <text>Prescription diaphragms and cervical caps for contraception.</text> </level> </level> <level label="2"> <text>The formulary may not include:</text> <level label="i"> <text>Except as provided in paragraph (1)(ii) and (iii) of this subsection, prescription drugs or devices; or</text> </level> <level label="ii"> <text>Controlled substances.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-05" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <level label="1"> <text>The Board shall set reasonable fees for the issuance and renewal of licenses and the other services the Board provides to naturopathic doctors.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the licensure program and the other services provided to naturopathic doctors.</text> </level> </level> <level label="b"> <level label="1"> <text>The Board shall pay all fees collected under the provisions of this subtitle to the Comptroller.</text> </level> <level label="2"> <text>The Comptroller shall distribute all fees to the Board established under § 14–201 of this title.</text> </level> </level> <level label="c"> <text>The fees shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-06" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>There is a Naturopathic Medicine Advisory Committee within the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5F-07" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <level label="1"> <text>The Committee consists of five members appointed by the Board as follows:</text> <level label="i"> <text>Two shall be licensed naturopathic doctors;</text> </level> <level label="ii"> <text>One shall be a licensed physician;</text> </level> <level label="iii"> <text>One shall be a licensed physician with experience working with naturopathic doctors; and</text> </level> <level label="iv"> <text>One shall be a consumer member.</text> </level> </level> <level label="2"> <text>The Board shall appoint the naturopathic doctor members from a list of names submitted by the Maryland Association of Naturopathic Physicians.</text> </level> </level> <level label="b"> <text>Each member of the Committee licensed by the Board must be in good standing with the Board.</text> </level> <level label="c"> <text>The consumer member of the Committee:</text> <level label="1"> <text>Must be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been:</text> <level label="i"> <text>A licensed naturopathic doctor;</text> </level> <level label="ii"> <text>Any other health care professional; or</text> </level> <level label="iii"> <text>In training to be a naturopathic doctor or other health professional; and</text> </level> </level> <level label="3"> <text>May not:</text> <level label="i"> <text>Participate or ever have participated in a commercial or professional field related to naturopathic medicine;</text> </level> <level label="ii"> <text>Have a household member who participates in a commercial or professional field related to naturopathic medicine;</text> </level> <level label="iii"> <text>Have had within 2 years before appointment a financial interest in a person regulated by the Board; or</text> </level> <level label="iv"> <text>Have had within 2 years before appointment a financial interest in the provision of goods or services to naturopathic doctors or to the field of naturopathic medicine.</text> </level> </level> </level> <level label="d"> <text>Each member of the Committee must be a resident of the State.</text> </level> <level label="e"> <level label="1"> <text>The term of a member is 3 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by regulation.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> <level label="5"> <text>A member may not serve more than two consecutive full terms.</text> </level> </level> <level label="f"> <text>From among its members, the Committee shall elect a chair every 2 years.</text> </level> <level label="g"> <text>A quorum of the Committee consists of three members.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-08" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>In addition to the powers set forth elsewhere in this subtitle, the Committee:</text> <level label="1"> <text>Shall:</text> <level label="i"> <text>Develop and recommend to the Board:</text> <level label="1"> <text>Regulations to carry out this subtitle; and</text> </level> <level label="2"> <text>Any statutory changes that affect the profession; and</text> </level> </level> <level label="ii"> <text>Keep a record of its meetings; and</text> </level> </level> <level label="2"> <text>May:</text> <level label="i"> <text>Provide recommendations regarding the practice of naturopathic medicine; and</text> </level> <level label="ii"> <text>Advise the Board on any other matters related to naturopathic doctors.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-09" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>A person shall have the immunity from liability described under § 5–715 of the Courts and Judicial Proceedings Article for giving information to the Committee or otherwise participating in its activities.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5F-10" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>Except as otherwise provided in this subtitle or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice naturopathic medicine in the State.</text> </level> <level label="b"> <text>This section does not apply to:</text> <level label="1"> <text>A naturopathic doctor who is employed in the service of the federal government while practicing within the scope of the employment;</text> </level> <level label="2"> <text>A student who is enrolled in an approved naturopathic medical program while the student is participating in a course of study under the supervision of a licensed naturopathic doctor or a licensed professional in the field of study;</text> </level> <level label="3"> <text>An individual who is licensed in another state to practice naturopathic medicine and whose practice of naturopathic medicine in the State is limited to examination, recommendation, or testimony in litigation; or</text> </level> <level label="4"> <text>A naturopathic doctor licensed by and residing in another jurisdiction, if the naturopathic doctor is engaged in consultation with the naturopathic doctor in the State about a particular patient and does not direct patient care.</text> </level> </level> <level label="c"> <text>The Board may not discriminate, in any manner, against any applicant or licensee for reason of sex, age, race, color, creed, sexual orientation, gender identity, disability, or national origin.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-11" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant shall be of good moral character.</text> </level> <level label="c"> <text>The applicant shall be at least 21 years old.</text> </level> <level label="d"> <text>Except as provided in § 14–5F–12 of this subtitle, the applicant shall:</text> <level label="1"> <text>Have a doctorate in naturopathic medicine from an approved naturopathic medical program; and</text> </level> <level label="2"> <text>Pass the competency–based national naturopathic licensing examination Part I and Part II administered by the North American Board of Naturopathic Examiners, or its successor agency that has been nationally recognized to administer a naturopathic examination that represents federal standards of education and training.</text> </level> </level> <level label="e"> <text>An applicant shall be physically and mentally capable of safely practicing naturopathic medicine with or without reasonable accommodation.</text> </level> <level label="f"> <text>If an applicant is licensed, certified, or registered to practice naturopathic medicine or any other health occupation in another state, the applicant shall be in good standing with the applicable state licensing, certification, or registration authority.</text> </level> <level label="g"> <text>An applicant shall complete a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-12" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title;</text> </level> <level label="2"> <text>Submit an application to the Board on a form that the Board requires;</text> </level> <level label="3"> <text>Pay to the Board an application fee set by the Board; and</text> </level> <level label="4"> <text>If the applicant has been licensed, certified, or registered to practice naturopathic medicine in another state, submit all evidence relating to:</text> <level label="i"> <text>Any disciplinary action taken or any administrative penalties assessed against the applicant by the appropriate state licensing, certification, or registration authority; and</text> </level> <level label="ii"> <text>Any consent agreements the applicant entered into that contain conditions placed on the applicant’s professional conduct and practice, including any voluntary surrender of a license.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-12.1" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>To practice naturopathic medicine in the State, a naturopathic doctor shall maintain at all times a collaboration and consultation agreement with a physician licensed in the State.</text> </level> <level label="b"> <text>Before an individual may practice naturopathic medicine in the State, the individual shall:</text> <level label="1"> <text>Obtain a license under this subtitle;</text> </level> <level label="2"> <text>Enter into a collaboration and consultation agreement with a physician licensed in the State; and</text> </level> <level label="3"> <text>Attest to the completion of the collaboration and consultation agreement on a form provided by the Board.</text> </level> </level> <level label="c"> <text>A collaboration and consultation agreement shall:</text> <level label="1"> <text>State that the applicant has a collaboration and consultation agreement with a physician licensed in the State;</text> </level> <level label="2"> <text>Include the name and license number of the physician with whom the applicant has a collaboration and consultation agreement;</text> </level> <level label="3"> <text>State that the applicant will refer patients to and consult with physicians and other health care providers licensed or certified under this article as needed; and</text> </level> <level label="4"> <text>States that the applicant will require patients to sign a consent form that states that the applicant’s practice of naturopathic medicine is limited to the scope of practice established in § 14–5F–14 of this subtitle.</text> </level> </level> <level label="d"> <text>A naturopathic doctor shall inform the physician named in the collaboration and consultation agreement that the physician has been named.</text> </level> <level label="e"> <text>Subject to the notice required under § 14–5F–12.2 of this subtitle, a naturopathic doctor and a licensed physician may terminate a collaboration and consultation agreement at any time.</text> </level> <level label="f"> <text>In the event of the sudden departure, incapacity, or death of the named licensed physician or change in license status that results in the named licensed physician being unable to practice medicine, the naturopathic doctor may not practice in the State until the naturopathic doctor enters into a new collaboration and consultation agreement.</text> </level> <level label="g"> <text>A naturopathic doctor whose collaboration and consultation agreement is terminated may not practice naturopathic medicine in the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-12.2" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>A physician or an employer shall notify the Board within 10 days after the termination of a naturopathic doctor for reasons that would be grounds for discipline under this subtitle.</text> </level> <level label="b"> <text>A physician named in a collaboration and consultation agreement with a naturopathic doctor and a naturopathic doctor shall notify the Board within 10 days after the termination of a collaboration and consultation agreement.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-13" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>Subject to subsection (b) of this section, the Board shall issue a license to any applicant who meets the requirements of this subtitle.</text> </level> <level label="b"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether to issue a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text> </level> </level> <level label="2"> <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this title has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-14" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>A license authorizes a licensee, consistent with naturopathic education and training and competence demonstrated by passing the naturopathic physician licensing examination, to:</text> <level label="1"> <text>Order and perform physical and laboratory examinations for diagnostic purposes, including phlebotomy, clinical laboratory tests, orificial examinations, electrocardiograms with over read by a cardiologist, and physiological function tests;</text> </level> <level label="2"> <text>Order diagnostic imaging studies and interpret the reports of diagnostic imaging studies;</text> </level> <level label="3"> <text>Dispense or order natural medicines of mineral, animal, or botanical origin, including food, extracts of food, nutraceuticals, vitamins, amino acids, minerals, enzymes, botanicals and their extracts, botanical medicines, homeopathic medicines, and all dietary supplements and nonprescription drugs listed in the formulary that use various routes of administration, including oral, nasal, auricular, ocular, rectal, vaginal, transdermal, and intramuscular;</text> </level> <level label="4"> <text>Administer natural medicines of mineral, animal, or botanical origin, including food, extracts of food, nutraceuticals, vitamins, amino acids, minerals, enzymes, botanicals and their extracts, botanical medicines, homeopathic medicines, and all dietary supplements and nonprescription drugs listed in the formulary using various routes of administration, including oral, nasal, auricular, ocular, rectal, vaginal, and transdermal;</text> </level> <level label="5"> <text>Administer emergency use epinephrine;</text> </level> <level label="6"> <text>Administer or perform hot or cold hydrotherapy, naturopathic physical medicine, electromagnetic energy, and therapeutic exercise for the purpose of providing basic therapeutic care services, except that if a referral to another licensed provider is appropriate for ongoing rehabilitation or habilitation services, the naturopathic doctor shall make the referral;</text> </level> <level label="7"> <text>Provide health education and health counseling; and</text> </level> <level label="8"> <text>Perform naturopathic musculoskeletal mobilization.</text> </level> </level> <level label="b"> <text>A license does not authorize a licensee to:</text> <level label="1"> <text>Except for a prescription drug or device included in the formulary under § 14–5F–04.1(d)(1)(ii) or (iii) of this subtitle, prescribe, dispense, or administer any prescription drug or device;</text> </level> <level label="2"> <text>Perform surgical procedures;</text> </level> <level label="3"> <text>Practice or claim to practice as a medical doctor or physician, an osteopath, a dentist, a podiatrist, an optometrist, a psychologist, a nurse practitioner, a physician assistant, a chiropractor, a physical therapist, an acupuncturist, or any other health care professional unless licensed under this article;</text> </level> <level label="4"> <text>Use general or spinal anesthetics;</text> </level> <level label="5"> <text>Administer ionizing radioactive substances for therapeutic purposes;</text> </level> <level label="6"> <text>Perform chiropractic adjustments or manipulations that include high–velocity thrusts at or beyond the end range of normal joint motion unless the licensee is also a licensed chiropractor;</text> </level> <level label="7"> <text>Perform acupuncture unless the licensee is also a licensed acupuncturist; or</text> </level> <level label="8"> <text>Prescribe, dispense, or administer any prescription or nonprescription drug or device listed in the formulary for cosmetic purposes.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-15" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <level label="1"> <text>The term of a license issued by the Board may not exceed 3 years.</text> </level> <level label="2"> <text>A license expires on a date set by the Board, unless the license is renewed as provided in this section.</text> </level> </level> <level label="b"> <text>At least 1 month before the license expires, the Board shall send to the licensee a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="c"> <text>The Board shall renew the license of a licensee who:</text> <level label="1"> <text>Submits a renewal application on the form that the Board requires;</text> </level> <level label="2"> <text>Is of good moral character;</text> </level> <level label="3"> <text>Pays a renewal fee set by the Board;</text> </level> <level label="4"> <text>Is otherwise entitled to be licensed;</text> </level> <level label="5"> <text>Meets the continuing education requirements adopted by the Board; and</text> </level> <level label="6"> <text>Provides evidence of biennial cardiopulmonary resuscitation certification.</text> </level> </level> <level label="d"> <level label="1"> <text>Beginning October 1, 2016, the Board shall require a criminal history records check in accordance with § 14–308.1 of this title for:</text> <level label="i"> <text>Renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement under § 14–5F–16(b) of this subtitle.</text> </level> </level> <level label="2"> <text>On receipt of the criminal history record information of a licensee forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether disciplinary action should be taken, based on the criminal history record information, against a licensee who renewed or reinstated a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="3"> <text>The Board may renew or reinstate a license only if the licensee or applicant attests that the licensee or applicant has submitted to a criminal history records check under § 14–308.1 of this title.</text> </level> </level> <level label="e"> <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing education credit in lieu of a sanction under § 14–5F–18 of this subtitle, for a first offense for failure of a licensee to obtain the continuing education credits required by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-15.1" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>A licensee shall notify the Board in writing of a change in name or address within 30 days after the change.</text> </level> <level label="b"> <text>A licensee who fails to comply with subsection (a) of this section is subject to an administrative penalty of $100.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-16" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <level label="1"> <text>The Board may place a licensee on inactive status if the licensee submits to the Board:</text> <level label="i"> <text>An application for inactive status on the form required by the Board; and</text> </level> <level label="ii"> <text>The inactive status fee set by the Board.</text> </level> </level> <level label="2"> <text>The Board shall issue a license to a naturopathic doctor who is on inactive status if the individual is otherwise entitled to be licensed under this subtitle and submits to the Board:</text> <level label="i"> <text>Satisfactory evidence of compliance with the requirements of § 14–308.1 of this title;</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with the continuing education requirements the Board adopts for this purpose; and</text> </level> <level label="iii"> <text>A reinstatement fee set by the Board.</text> </level> </level> </level> <level label="b"> <text>The Board shall reinstate the license of a naturopathic doctor who has failed to renew the license for any reason if the naturopathic doctor:</text> <level label="1"> <text>Meets the renewal requirements of § 14–5F–15 of this subtitle;</text> </level> <level label="2"> <text>Pays to the Board a reinstatement fee set by the Board; and</text> </level> <level label="3"> <text>Submits to the Board satisfactory evidence of compliance with the qualifications and requirements adopted by the Board under this subtitle for license reinstatements.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-17" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>Unless the Board agrees to accept the surrender of a license, a licensed naturopathic doctor may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee.</text> </level> <level label="b"> <text>The Board may set conditions on its agreement with the licensee under investigation or against whom charges are pending to accept surrender of the license.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-18" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of a quorum of the disciplinary panel, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license of any licensee if the applicant or licensee:</text> <level label="1"> <text>Is habitually intoxicated, or is addicted to or habitually abuses any narcotic or controlled dangerous substance, as defined in § 5–101 of the Criminal Law Article, or any drug without a valid prescription or indication, or provides professional services while under the influence of alcohol or using any narcotic or controlled dangerous substance, as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="2"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="3"> <text>Has entered into a consent agreement with or has been assessed an administrative penalty by a licensing authority in another state;</text> </level> <level label="4"> <text>Fraudulently or deceptively obtains, attempts to obtain, or uses a license for the applicant, the licensee, or another;</text> </level> <level label="5"> <text>Is disciplined by a licensing, certifying, or disciplinary authority or is convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="6"> <text>Uses false, deceptive, or misleading advertising;</text> </level> <level label="7"> <text>Advertises, practices, or attempts to practice under a name other than the applicant’s or licensee’s own name;</text> </level> <level label="8"> <text>Aids, assists, employs, or advises any unlicensed individual to practice naturopathic medicine in violation of this subtitle;</text> </level> <level label="9"> <text>Willfully makes or files a false report or record in the practice of naturopathic medicine;</text> </level> <level label="10"> <text>Willfully or negligently fails to file a report or record as required by law, willfully impedes or obstructs the filing or recording of a report, or induces another to fail to file or record a report;</text> </level> <level label="11"> <text>Pays or receives any commission, bonus, kickback, or rebate, or engages in any split–fee arrangement in any form with a licensed physician, organization, agency, or other person, either directly or indirectly, for patients referred to health care providers;</text> </level> <level label="12"> <text>Exercises influence within a patient–doctor relationship for purposes of engaging a patient in sexual activity;</text> </level> <level label="13"> <text>Engages in sexual misconduct with a patient;</text> </level> <level label="14"> <text>Fails to keep written medical records justifying the course of treatment of a patient;</text> </level> <level label="15"> <text>Engages in an act or omission that does not meet generally accepted standards of practice of naturopathic medicine or of safe care of patients, whether or not actual injury to a patient is established;</text> </level> <level label="16"> <text>Delegates professional responsibilities to an individual when the licensee delegating the responsibilities knows or has reason to know that the individual is not qualified by training, experience, or licensure to perform the responsibilities;</text> </level> <level label="17"> <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="18"> <text>Breaches patient confidentiality;</text> </level> <level label="19"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct in the practice of naturopathic medicine; or</text> </level> <level label="ii"> <text>Unprofessional conduct in the practice of naturopathic medicine;</text> </level> </level> <level label="20"> <text>Offers, undertakes, or agrees to cure or treat a disease by a secret method, treatment, or medicine;</text> </level> <level label="21"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="22"> <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate purposes;</text> </level> <level label="23"> <text>Denies or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="24"> <text>Fails to cooperate with a lawful investigation of the Board;</text> </level> <level label="25"> <text>Abandons a patient;</text> </level> <level label="26"> <text>Violates any provision of this title or any regulation adopted by the Board; or</text> </level> <level label="27"> <text>Fails to complete a criminal history records check under § 14–308.1 of this title.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in Title 10, Subtitle 2 of the State Government Article, before the Board or a disciplinary panel takes any action under subsection (a) of this section, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board or the disciplinary panel in accordance with the hearing requirements of § 14–405 of this title.</text> </level> <level label="c"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text> </level> </level> <level label="d"> <level label="1"> <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or to place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text> </level> <level label="2"> <text>The Board shall pay any fines collected under this section into the General Fund.</text> </level> </level> <level label="e"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-19" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <level label="1"> <text>Except as provided in subsections (b) and (d) of this section, each employer of a licensed naturopathic doctor shall submit to the Board a report if:</text> <level label="i"> <text>The employer:</text> <level label="1"> <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensed naturopathic doctor’s clinical privileges, employment, or other ability to practice or treat patients;</text> </level> <level label="2"> <text>Involuntarily terminated or restricted the licensed naturopathic doctor’s employment or staff membership; or</text> </level> <level label="3"> <text>Asked the licensee to voluntarily resign because of the licensed naturopathic doctor’s conduct or while the licensee is being investigated; and</text> </level> </level> <level label="ii"> <text>The action described under item (i) of this paragraph was taken:</text> <level label="1"> <text>For reasons that might be grounds for disciplinary action under § 14–5F–18 of this subtitle;</text> </level> <level label="2"> <text>Because the licensed naturopathic doctor may have engaged in an act that may constitute unprofessional conduct;</text> </level> <level label="3"> <text>Because the licensed naturopathic doctor may be unable to practice naturopathy with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text> </level> <level label="4"> <text>Because the licensed naturopathic doctor may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text> </level> </level> </level> <level label="2"> <text>A report required under paragraph (1) of this subsection shall include:</text> <level label="i"> <text>The action taken by the employer;</text> </level> <level label="ii"> <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text> </level> <level label="iii"> <text>The steps taken by the employer to investigate the conduct of the licensed naturopathic doctor.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text> </level> <level label="ii"> <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text> </level> </level> </level> <level label="b"> <text>If an employer knows that the conduct of a licensed naturopathic doctor requires that the employer submit a report under subsection (a)(1) of this section because the licensed naturopathic doctor is impaired by alcohol or another substance, the employer is not required to report the naturopathic doctor to the Board if:</text> <level label="1"> <text>The employer knows that the licensed naturopathic doctor is:</text> <level label="i"> <text>In a substance use disorder treatment program that is accredited by The Joint Commission or is certified by the Department; or</text> </level> <level label="ii"> <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders;</text> </level> </level> <level label="2"> <text>The employer is able to verify that the licensed naturopathic doctor remains in the treatment program until successful discharge; and</text> </level> <level label="3"> <text>The action or condition of the licensed naturopathic doctor has not caused injury to any person while the naturopathic doctor is practicing as a licensed naturopathic doctor.</text> </level> </level> <level label="c"> <text>If the employer knows that the licensed physician is noncompliant with the substance use disorder treatment programs, the employer of the licensed naturopathic doctor shall report the licensed naturopathic doctor’s noncompliance to the Board.</text> </level> <level label="d"> <level label="1"> <text>The Board may extend the reporting under this section for good cause shown.</text> </level> <level label="2"> <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text> </level> </level> <level label="e"> <text>The Board may enforce this section by subpoena.</text> </level> <level label="f"> <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts Article for giving any of the information required by this section.</text> </level> <level label="g"> <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text> </level> <level label="h"> <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text> </level> <level label="i"> <level label="1"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for knowingly failing to report under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 per incident for a report made by an employer in bad faith.</text> </level> <level label="3"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-20" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>Following the filing of charges or notice of initial denial of a license application, the Board shall disclose the filing to the public on the Board’s website.</text> </level> <level label="b"> <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text> <level label="1"> <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–5F–18 of this subtitle based on the charges or has rescinded the charges;</text> </level> <level label="2"> <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text> </level> <level label="3"> <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period if the Board knows about the disciplinary action;</text> </level> <level label="4"> <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude that is the basis for disciplinary action taken under § 14–5F–18(c) of this subtitle; and</text> </level> <level label="5"> <text>The public address of the licensee.</text> </level> </level> <level label="c"> <text>In addition to the information required under subsection (b) of this section, the Board shall include on each licensee’s profile a statement of information to be taken into consideration by a consumer when viewing a licensee’s profile, including a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel.</text> </level> <level label="d"> <text>The Board:</text> <level label="1"> <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person; and</text> </level> <level label="2"> <text>Shall maintain a website that serves as a single point of entry where all licensee profile information is available to the public on the Internet.</text> </level> </level> <level label="e"> <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text> </level> <level label="f"> <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-21" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>The Board shall give notice and hold a hearing in accordance with the Administrative Procedure Act.</text> </level> <level label="b"> <text>The individual may be represented at the hearing by counsel.</text> </level> <level label="c"> <text>Over the signature of an officer or the administrator of the Board, the Board or a disciplinary panel may issue subpoenas and administer oaths in connection with any investigation under this subtitle and any hearings or proceedings before the Board or a disciplinary panel.</text> </level> <level label="d"> <text>If, without lawful excuse, a person disobeys a subpoena from the Board or a disciplinary panel or an order by the Board or a disciplinary panel to take an oath or to testify or answer a question, then, on petition of the Board, a court of competent jurisdiction may punish the person as for contempt of court.</text> </level> <level label="e"> <text>If, after due notice, the individual against whom the action is contemplated fails or refuses to appear, the Board or a disciplinary panel may hear and determine the matter.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-22" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>If the Board or a disciplinary panel finds that there are grounds for action under § 14–5F–18 of this subtitle, the Board or the disciplinary panel shall pass an order in accordance with the Administrative Procedure Act.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5F-23" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <level label="1"> <text>Any person aggrieved by a final decision of the Board or a disciplinary panel under this subtitle in a contested case, as defined in the Administrative Procedure Act, may take a direct judicial appeal.</text> </level> <level label="2"> <text>The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act.</text> </level> </level> <level label="b"> <text>An order of the Board or a disciplinary panel may not be stayed pending judicial review.</text> </level> <level label="c"> <text>The Board may appeal from any decision that reverses or modifies an order of the Board or a disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-24" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>Subject to subsection (c) of this section, if the Board has revoked or suspended the license of a licensee, the Board may not reinstate the license until the Board is satisfied that the individual:</text> <level label="1"> <text>Has complied with all the terms and conditions in the final order; and</text> </level> <level label="2"> <text>Is capable of safely engaging in the practice of naturopathic medicine.</text> </level> </level> <level label="b"> <text>The Board may not reinstate the license of an individual whose license was revoked by the Board within 6 months after the date of the revocation.</text> </level> <level label="c"> <text>A disciplinary panel may not reinstate a surrendered or revoked license that has been surrendered or revoked for a period of more than 1 year unless the licensee:</text> <level label="1"> <text>Meets the requirements for reinstatement as established under this title; and</text> </level> <level label="2"> <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-25" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>A disciplinary panel may issue a cease and desist order for:</text> <level label="1"> <text>Practicing naturopathic medicine without a license or with an unauthorized person; or</text> </level> <level label="2"> <text>Supervising or aiding an unauthorized person in the practice of naturopathic medicine.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in this subtitle, a licensed physician may not employ an individual practicing naturopathic medicine without a license or without a collaboration and consultation agreement.</text> </level> <level label="c"> <text>Except as otherwise provided in this subtitle, an employer may not employ an individual practicing naturopathic medicine without a license or without a collaboration and consultation agreement.</text> </level> <level label="d"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for a violation of this section.</text> </level> <level label="e"> <text>The Board shall remit any penalty collected under this section into the General Fund of the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-26" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>A licensed naturopathic doctor shall follow any federal, State, or local law that governs:</text> <level label="1"> <text>The control of contagious and infectious diseases; and</text> </level> <level label="2"> <text>The reporting of births and deaths.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-27" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>A licensed naturopathic doctor may receive a fee for professional consultation services.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5F-28" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>If a naturopathic doctor is engaged in the private practice of naturopathic medicine in the State, the naturopathic doctor shall display the notice developed under § 1–207 of this article conspicuously in each office where the naturopathic doctor is engaged in practice.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5F-29" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>Except as otherwise provided in this subtitle, an individual may not practice, attempt to practice, or offer to practice naturopathic medicine in this State without a license.</text> </level> <level label="b"> <text>An individual who violates subsection (a) of this section or § 14–5F–30 of this subtitle is guilty of a felony and on conviction is subject to a fine not exceeding $10,000 or imprisonment not exceeding 5 years or both.</text> </level> <level label="c"> <text>Any individual who violates subsection (a) of this section or § 14–5F–30 of this subtitle is subject to a civil fine of not more than $50,000 to be levied by a disciplinary panel.</text> </level> <level label="d"> <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-30" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <level label="a"> <text>Unless an individual is licensed to practice naturopathic medicine, the individual may not:</text> <level label="1"> <text>Represent to the public by title, by description of services, methods, or procedures, or otherwise, that the individual is licensed by the Board to practice naturopathic medicine;</text> </level> <level label="2"> <text>Use the title “doctor of naturopathic medicine”, “doctor of naturopathy”, “naturopathic doctor”, or “naturopath”; or</text> </level> <level label="3"> <text>Use the initials “N.D.”, “ND”, “NMD”, or “N.M.D.” after the name of the individual.</text> </level> </level> <level label="b"> <text>An individual licensed to practice naturopathic medicine in the State may not use the title “physician”.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5F-31" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>This subtitle may be cited as the Maryland Naturopathic Medicine Act.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5F-32" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors"> <text>Subject to the evaluation and reestablishment provisions of the Program Evaluation Act, this subtitle and all rules and regulations adopted under this subtitle shall terminate and be of no effect after July 1, 2030.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5G-01" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Physicians.</text> </level> <level label="c"> <text>“Certified genetic counselor” means an individual certified as a genetic counselor by a national certifying board.</text> </level> <level label="d"> <text>“Committee” means the Genetic Counselors Advisory Committee.</text> </level> <level label="e"> <text>“Genetic assessment” means the integration of genetic laboratory test results and other diagnostic studies with the medical histories of a patient and the patient’s family members to assess the risk for the patient or the patient’s family members of:</text> <level label="1"> <text>A genetic or medical condition or disease; and</text> </level> <level label="2"> <text>The recurrence of a genetic or medical condition or disease.</text> </level> </level> <level label="f"> <text>“License” means a license issued by the Board to practice genetic counseling.</text> </level> <level label="g"> <text>“Licensed genetic counselor” means an individual who is licensed under this subtitle to practice genetic counseling.</text> </level> <level label="h"> <text>“Licensee” means a licensed genetic counselor.</text> </level> <level label="i"> <text>“National accrediting council” means the Accreditation Council for Genetic Counseling, or its successor, that accredits education programs for genetic counselors.</text> </level> <level label="j"> <text>“National certifying board” means the American Board of Genetic Counseling, or its successor, that certifies genetic counselors.</text> </level> <level label="k"> <level label="1"> <text>“Practice genetic counseling” means:</text> <level label="i"> <text>Obtaining and evaluating the medical histories of a patient and the patient’s family members for purposes of a genetic assessment;</text> </level> <level label="ii"> <text>Discussing the features, natural history, means of diagnosis, genetic and environmental factors, and management of risk for genetic or medical conditions or diseases;</text> </level> <level label="iii"> <text>Identifying, ordering, and coordinating genetic laboratory tests and other diagnostic studies, as appropriate, for purposes of a genetic assessment;</text> </level> <level label="iv"> <text>Using the medical histories obtained under item (i) of this paragraph and the results of genetic laboratory tests and other diagnostic studies ordered under item (iii) of this paragraph for purposes of a genetic assessment;</text> </level> <level label="v"> <text>Explaining the clinical implications of genetic laboratory tests and other diagnostic studies and the results of the tests and studies and communicating the risk factors for genetic or medical conditions or diseases identified by a genetic assessment;</text> </level> <level label="vi"> <text>Evaluating the responses of a patient and the patient’s family members to the results of a genetic assessment and providing counseling and anticipatory guidance for a genetic or medical condition or disease;</text> </level> <level label="vii"> <text>Identifying and using community resources that provide medical, educational, financial, and psychosocial support and advocacy for a genetic or medical condition or disease; or</text> </level> <level label="viii"> <text>Providing written documentation of medical, genetic, and counseling information for a patient, a patient’s family members, or appropriate health care professionals.</text> </level> </level> <level label="2"> <text>“Practice genetic counseling” does not include diagnosing or treating an illness, a disease, or a condition.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-02" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>This subtitle does not limit the right of an individual to practice a health occupation that the individual is authorized to practice under this article.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5G-03" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>The Board shall adopt regulations for the licensure and practice of genetic counseling.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5G-04" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <level label="1"> <text>The Board shall set reasonable fees for the issuance and renewal of licenses and the other services the Board provides to genetic counselors.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the licensure program and the other services provided to genetic counselors.</text> </level> </level> <level label="b"> <level label="1"> <text>The Board shall pay all fees collected under the provisions of this subtitle to the Comptroller.</text> </level> <level label="2"> <text>The Comptroller shall distribute all fees to the Board.</text> </level> </level> <level label="c"> <text>The fees shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-05" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>There is a Genetic Counseling Advisory Committee within the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5G-06" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>The Committee consists of members appointed by the Board as follows:</text> <level label="1"> <text>Three shall be licensed genetic counselors;</text> </level> <level label="2"> <text>Three shall be licensed physicians; and</text> </level> <level label="3"> <text>One shall be a consumer member.</text> </level> </level> <level label="b"> <text>Each member of the Committee licensed by the Board must be in good standing with the Board.</text> </level> <level label="c"> <text>The licensed physician members of the Committee must have experience working with genetic counselors.</text> </level> <level label="d"> <text>The consumer member of the Committee:</text> <level label="1"> <text>Must be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been:</text> <level label="i"> <text>A genetic counselor;</text> </level> <level label="ii"> <text>Any other health care professional; or</text> </level> <level label="iii"> <text>In training to be a genetic counselor or other health professional; and</text> </level> </level> <level label="3"> <text>May not:</text> <level label="i"> <text>Participate or ever have participated in a commercial or professional field related to genetic counseling;</text> </level> <level label="ii"> <text>Have a household member who participates in a commercial or professional field related to genetic counseling;</text> </level> <level label="iii"> <text>Have had within 2 years before appointment a financial interest in a person regulated by the Board; or</text> </level> <level label="iv"> <text>Have had within 2 years before appointment a financial interest in the provision of goods or services to genetic counselors or to the field of genetic counseling.</text> </level> </level> </level> <level label="e"> <text>Each member of the Committee must be a resident of the State.</text> </level> <level label="f"> <level label="1"> <text>The term of a member is 3 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by regulation.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member may not serve more than two consecutive full terms.</text> </level> <level label="5"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> </level> <level label="g"> <text>From among its members, the Committee shall elect a chair every 2 years.</text> </level> <level label="h"> <text>A quorum of the Committee consists of five members.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-07" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>In addition to the powers set forth elsewhere in this subtitle, the Committee:</text> <level label="1"> <text>Shall:</text> <level label="i"> <text>Develop and recommend to the Board:</text> <level label="1"> <text>Regulations to carry out this subtitle; and</text> </level> <level label="2"> <text>Any statutory changes that affect the profession; and</text> </level> </level> <level label="ii"> <text>Keep a record of its meetings; and</text> </level> </level> <level label="2"> <text>May:</text> <level label="i"> <text>Provide recommendations regarding the practice of genetic counseling; and</text> </level> <level label="ii"> <text>Advise the Board on any other matters related to genetic counselors.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-08" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>Except as otherwise provided in this subtitle or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice genetic counseling in the State.</text> </level> <level label="b"> <text>This section does not apply to:</text> <level label="1"> <text>A genetic counselor who is employed in the service of the federal government while practicing within the scope of the employment;</text> </level> <level label="2"> <text>An individual who resides in and holds an active license in another state if the individual is engaged in consultation with a physician or genetic counselor licensed in the State about a particular patient and the individual:</text> <level label="i"> <text>Does not order or coordinate genetic laboratory tests or other diagnostic studies; and</text> </level> <level label="ii"> <text>Does not provide consultation in the State for more than a total of 10 patients within a calendar year; or</text> </level> </level> <level label="3"> <text>A student enrolled in a genetic counseling training program that is accredited by a national accrediting organization recognized by the Board in regulations while the student is practicing genetic counseling in the program and doing the assigned duties at any office of a licensed physician or genetic counselor, hospital, clinic, or similar facility.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-09" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>To qualify for a license to practice genetic counseling, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant must be of good moral character.</text> </level> <level label="c"> <text>The applicant must be at least 18 years old.</text> </level> <level label="d"> <text>The applicant must be a graduate of an appropriate education program approved by the Board.</text> </level> <level label="e"> <text>The applicant shall submit to the Board satisfactory evidence of certification by a national certifying organization approved by the Board.</text> </level> <level label="f"> <text>The applicant shall complete a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> <level label="g"> <text>The applicant shall meet any additional education, training, or examination requirements established by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-10" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Complete a criminal history records check in accordance with § 14–308.1 of this title;</text> </level> <level label="2"> <text>Submit an application to the Board on a form that the Board requires; and</text> </level> <level label="3"> <text>Pay to the Board an application fee set by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-11" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>Subject to subsection (b) of this section, the Board shall issue a license to any applicant who meets the requirements of this subtitle.</text> </level> <level label="b"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether to issue a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text> </level> </level> <level label="2"> <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this title has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-12" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>A genetic counselor license authorizes a licensee to practice genetic counseling in the State while the license is effective.</text> </level> <level label="b"> <text>If, while practicing genetic counseling, a licensed genetic counselor determines that a patient requires a diagnosis or treatment, the genetic counselor shall refer the patient to a licensed physician or another appropriate health care practitioner.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-13" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <level label="1"> <text>The term of a license issued by the Board may not exceed 3 years.</text> </level> <level label="2"> <text>A license expires on a date set by the Board, unless the license is renewed for an additional term as provided in this section.</text> </level> </level> <level label="b"> <text>At least 1 month before a license expires, the Board shall send to the licensed genetic counselor a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and sent before the license expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="c"> <text>Except as otherwise provided in this subtitle, before a license expires, a licensed genetic counselor periodically may renew it for an additional term if the licensee:</text> <level label="1"> <text>Is of good moral character;</text> </level> <level label="2"> <text>Pays to the Board a renewal fee set by the Board;</text> </level> <level label="3"> <text>Submits to the Board:</text> <level label="i"> <text>A renewal application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements and other requirements set under this section for license renewal; and</text> </level> </level> <level label="4"> <text>Meets any additional renewal requirements established by the Board.</text> </level> </level> <level label="d"> <level label="1"> <text>In addition to any other qualifications and requirements established by the Board, the Board may establish continuing education or competency requirements as a condition to the renewal of licenses under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing education credit in lieu of a sanction under § 14–5G–18 of this subtitle, for a first offense, for the failure of a licensee to obtain the continuing education credits required by the Board.</text> </level> </level> <level label="e"> <level label="1"> <text>The Board shall renew the license of each licensed genetic counselor who meets the requirements of this section.</text> </level> <level label="2"> <text>A license may not be renewed for a term longer than 2 years.</text> </level> </level> <level label="f"> <text>The Board shall reinstate the license of a genetic counselor who has failed to renew a license for any reason if the genetic counselor:</text> <level label="1"> <text>Meets the renewal requirements of this section;</text> </level> <level label="2"> <text>Submits to the Board:</text> <level label="i"> <text>A reinstatement application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with any continuing education or competency requirements; and</text> </level> </level> <level label="3"> <text>Meets any additional requirements established by the Board for reinstatement.</text> </level> </level> <level label="g"> <level label="1"> <text>The Board shall require a criminal history records check in accordance with § 14–308.1 of this title for:</text> <level label="i"> <text>Renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensed genetic counselor who files for reinstatement under subsection (f) of this section.</text> </level> </level> <level label="2"> <text>On receipt of the criminal history record information of a licensed genetic counselor forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether disciplinary action should be taken, based on the criminal history record information, against a licensed genetic counselor who renewed or reinstated a license, the Board shall consider:</text> <level label="i"> <text>The age at which the crime was committed;</text> </level> <level label="ii"> <text>The nature of the crime;</text> </level> <level label="iii"> <text>The circumstances surrounding the crime;</text> </level> <level label="iv"> <text>The length of time that has passed since the crime;</text> </level> <level label="v"> <text>Subsequent work history;</text> </level> <level label="vi"> <text>Employment and character references; and</text> </level> <level label="vii"> <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text> </level> </level> <level label="3"> <text>The Board may renew or reinstate a license only if the licensed genetic counselor or applicant attests that the licensed genetic counselor or applicant has submitted a criminal history records check under § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-14" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Qualified supervisor” means:</text> <level label="i"> <text>An individual who:</text> <level label="1"> <text>Is licensed to practice as a genetic counselor under this subtitle; and</text> </level> <level label="2"> <text>Has practiced for a minimum of 3 years after passing the national certifying examination; or</text> </level> </level> <level label="ii"> <text>A physician who has been licensed in the State for a minimum of 5 years.</text> </level> </level> <level label="3"> <text>“Supervision” means the ongoing, direct, clinical review for the purposes of training or teaching by a qualified supervisor who monitors the performance of a supervised genetic counselor’s supervised interaction with a patient and provides regular documented face–to–face meetings and consultation, chart reviews, guidance, and instructions with respect to the clinical skills and competencies of the supervised genetic counselor.</text> </level> </level> <level label="b"> <text>Except as provided in subsection (c) of this section, on or after January 1, 2024, the Board shall issue a supervised genetic counselor license to an applicant who:</text> <level label="1"> <text>Has graduated from a genetic counseling program accredited by the Accreditation Council for Genetic Counselors;</text> </level> <level label="2"> <text>Has met all qualifications for licensure except for certification from the American Board of Genetic Counselors; and</text> </level> <level label="3"> <text>Has applied for the first available national certifying examination.</text> </level> </level> <level label="c"> <text>The Board may not issue a license under subsection (b) of this section if the applicant has failed the American Board of Genetic Counseling certification examination two or more times.</text> </level> <level label="d"> <level label="1"> <text>As a condition of licensure, the supervised genetic counselor shall work under the supervision of a qualified supervisor.</text> </level> <level label="2"> <text>The supervised genetic counselor and the qualified supervisor shall enter into a supervision contract that:</text> <level label="i"> <text>Specifies the manner of supervision as required by the Board;</text> </level> <level label="ii"> <text>Is signed by the supervised genetic counselor and the qualified supervisor; and</text> </level> <level label="iii"> <text>Is maintained by both the supervised genetic counselor and the qualified supervisor and made available to the Board.</text> </level> </level> </level> <level label="e"> <text>The supervised genetic counselor may not represent to the public, by description of services, methods, or procedures, or otherwise, that the supervised genetic counselor is a licensed genetic counselor.</text> </level> <level label="f"> <level label="1"> <text>A supervised genetic counselor license may not be valid for more than 1 year after the date of issuance.</text> </level> <level label="2"> <text>A supervised genetic counselor license expires on the earliest of:</text> <level label="i"> <text>The issuance of a genetic counselor license to the supervised genetic counselor;</text> </level> <level label="ii"> <text>The expiration date printed on the supervised genetic counselor license; or</text> </level> <level label="iii"> <text>On notice of the second failure of the supervised genetic counselor to pass the certification examination.</text> </level> </level> </level> <level label="g"> <text>A supervised genetic counselor who has not passed the examination within two examination cycles may not continue practicing under the supervised genetic counselor license.</text> </level> <level label="h"> <text>A supervised genetic counselor is subject to discipline under § 14–5G–19 of this subtitle to the same extent as a genetic counselor.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-15" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>A licensee shall notify the Board in writing of a change of name or address within 30 days after the change.</text> </level> <level label="b"> <text>A licensee who fails to comply with subsection (a) of this section is subject to an administrative penalty of $100.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-16" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>Unless a disciplinary panel agrees to accept the surrender of a license, a licensee may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5G-17" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>A disciplinary panel may issue a cease and desist order for:</text> <level label="1"> <text>Practicing genetic counseling without a license or with an unauthorized person; or</text> </level> <level label="2"> <text>Supervising or aiding an unauthorized person in the practice of genetic counseling.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-18" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of the quorum of the disciplinary panel, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Is guilty of:</text> <level label="i"> <text>Immoral conduct while practicing genetic counseling; or</text> </level> <level label="ii"> <text>Unprofessional conduct while practicing genetic counseling;</text> </level> </level> <level label="4"> <text>Is:</text> <level label="i"> <text>Professionally incompetent;</text> </level> <level label="ii"> <text>Physically incompetent; or</text> </level> <level label="iii"> <text>Mentally incompetent;</text> </level> </level> <level label="5"> <text>Abandons a patient;</text> </level> <level label="6"> <text>Is habitually intoxicated;</text> </level> <level label="7"> <text>Is addicted to or habitually abuses any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article;</text> </level> <level label="8"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance as defined in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="9"> <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="10"> <text>Willfully makes or files a false report or record in the practice of genetic counseling;</text> </level> <level label="11"> <text>Willfully fails to file or record any report as required under law, willfully impedes or obstructs the filing or recording of a report, or induces another to fail to file or record a report;</text> </level> <level label="12"> <text>Breaches patient confidentiality;</text> </level> <level label="13"> <text>Pays or agrees to pay any sum or provide any form of remuneration or material benefit to any person for bringing or referring a patient or accepts or agrees to accept any sum or any form of remuneration or material benefit from an individual for bringing or referring a patient;</text> </level> <level label="14"> <text>Willfully makes a misrepresentation while practicing genetic counseling;</text> </level> <level label="15"> <text>Willfully practices genetic counseling with an unauthorized individual or aids an unauthorized individual in practicing genetic counseling;</text> </level> <level label="16"> <text>Willfully delegates a genetic counseling duty to an unlicensed individual;</text> </level> <level label="17"> <text>Establishes a pattern of excessive or medically unnecessary procedures or treatment;</text> </level> <level label="18"> <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text> </level> <level label="19"> <text>Is disciplined by a licensing or disciplinary authority or is convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="20"> <text>Fails to meet appropriate standards for the delivery of genetic counseling services;</text> </level> <level label="21"> <text>Willfully submits false statements to collect fees for which services are not provided;</text> </level> <level label="22"> <level label="i"> <text>Has been subject to investigation or disciplinary action by a licensing or disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes; and</text> </level> <level label="ii"> <text>Has:</text> <level label="1"> <text>Surrendered the license, if any, issued by the state or country; or</text> </level> <level label="2"> <text>Allowed the license, if any, issued by the state or country to expire or lapse;</text> </level> </level> </level> <level label="23"> <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text> </level> <level label="24"> <text>Practices or attempts to practice beyond the authorized scope of practice;</text> </level> <level label="25"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="26"> <text>Practices or attempts to practice genetic counseling procedures or uses or attempts to use genetic assessments if the applicant or licensee has not received education and training in the performance of the procedure or the use of the genetic assessment;</text> </level> <level label="27"> <text>Fails to cooperate with a lawful investigation of the Board or a disciplinary panel;</text> </level> <level label="28"> <text>Fails to complete a criminal history records check under § 14–308.1 of this title; or</text> </level> <level label="29"> <text>Violates any provision of this title or any rule or regulation pertaining to genetic counseling that is adopted by the Board, the State, or the federal government.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in the Administrative Procedure Act, before the Board or a disciplinary panel takes any action under subsection (a) of this section, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board or the disciplinary panel in accordance with the hearing requirements of § 14–405 of this title.</text> </level> <level label="c"> <level label="1"> <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text> </level> <level label="2"> <text>After completion of the appellate process, if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text> </level> </level> <level label="d"> <level label="1"> <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or to place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text> </level> <level label="2"> <text>The Board shall pay any fines collected under this section into the General Fund of the State.</text> </level> </level> <level label="e"> <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-19" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <level label="1"> <text>Any person aggrieved by a final decision of the Board or a disciplinary panel under this subtitle may take a direct judicial appeal.</text> </level> <level label="2"> <text>The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act.</text> </level> </level> <level label="b"> <text>An order of the Board or a disciplinary panel may not be stayed pending review.</text> </level> <level label="c"> <text>The Board may appeal from any decision that reverses or modifies an order of the Board or a disciplinary panel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-20" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <level label="1"> <text>Except as provided in subsections (b) and (d) of this section, each employer of a licensed genetic counselor shall submit to the Board a report if:</text> <level label="i"> <text>The employer:</text> <level label="1"> <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensed genetic counselor’s clinical privileges, employment, or other ability to practice or treat patients;</text> </level> <level label="2"> <text>Involuntarily terminated or restricted the licensed genetic counselor’s employment or staff membership; or</text> </level> <level label="3"> <text>Asked the licensed genetic counselor to voluntarily resign because of the licensed genetic counselor’s conduct or while the licensed genetic counselor is being investigated; and</text> </level> </level> <level label="ii"> <text>The action described under item (i) of this paragraph was taken:</text> <level label="1"> <text>For reasons that might be grounds for disciplinary action under § 14–5G–18 of this subtitle;</text> </level> <level label="2"> <text>Because the licensed genetic counselor may have engaged in an act that may constitute unprofessional conduct;</text> </level> <level label="3"> <text>Because the licensed genetic counselor may be unable to practice genetic counseling with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text> </level> <level label="4"> <text>Because the licensed genetic counselor may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text> </level> </level> </level> <level label="2"> <text>A report required under paragraph (1) of this subsection shall include:</text> <level label="i"> <text>The action taken by the employer;</text> </level> <level label="ii"> <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text> </level> <level label="iii"> <text>The steps taken by the employer to investigate the conduct of the licensed genetic counselor.</text> </level> </level> <level label="3"> <level label="i"> <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text> </level> <level label="ii"> <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text> </level> </level> </level> <level label="b"> <text>If an employer knows that the conduct of a licensed genetic counselor requires that the employer submit a report because the licensed genetic counselor is impaired by alcohol or another substance, the employer is not required to report the licensed genetic counselor to the Board if:</text> <level label="1"> <text>The employer knows that the licensed genetic counselor is:</text> <level label="i"> <text>In a substance use disorder treatment program that is accredited by The Joint Commission or that is certified by the Department; or</text> </level> <level label="ii"> <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders; and</text> </level> </level> <level label="2"> <level label="i"> <text>The employer is able to verify that the licensed genetic counselor remains in the treatment program until successful discharge; and</text> </level> <level label="ii"> <text>The action or condition of the licensed genetic counselor has not caused injury to any person while the genetic counselor is practicing as a licensed genetic counselor.</text> </level> </level> </level> <level label="c"> <text>If the employer knows that the licensed genetic counselor is noncompliant with the substance use disorder treatment program, the employer of the licensed genetic counselor shall report the licensed genetic counselor’s noncompliance to the Board.</text> </level> <level label="d"> <level label="1"> <text>The Board may extend the reporting under this section for good cause shown.</text> </level> <level label="2"> <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text> </level> </level> <level label="e"> <text>The Board may enforce this section by subpoena.</text> </level> <level label="f"> <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts Article for giving any of the information required by this section.</text> </level> <level label="g"> <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text> </level> <level label="h"> <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text> </level> <level label="i"> <level label="1"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for knowingly failing to report under this section.</text> </level> <level label="2"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 per incident for a report made by an employer in bad faith.</text> </level> <level label="3"> <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-21" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>Following the filing of charges or notice of initial denial of license application, the Board shall disclose the filing to the public on the Board’s website.</text> </level> <level label="b"> <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text> <level label="1"> <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–5G–18 of this subtitle based on the charges or has rescinded the charges;</text> </level> <level label="2"> <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text> </level> <level label="3"> <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period;</text> </level> <level label="4"> <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude that is the basis for disciplinary action taken under § 14–5G–18(c) of this subtitle; and</text> </level> <level label="5"> <text>The public address of the licensee.</text> </level> </level> <level label="c"> <text>In addition to the requirements of subsection (b) of this section, the Board shall include on each licensee’s profile a statement of information to be taken into consideration by a consumer when viewing a licensee’s profile, including a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel.</text> </level> <level label="d"> <text>The Board:</text> <level label="1"> <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person; and</text> </level> <level label="2"> <text>Shall maintain a website that serves as a single point of entry where all licensee profile information is available to the public on the Internet.</text> </level> </level> <level label="e"> <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text> </level> <level label="f"> <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-22" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>Subject to subsection (b) of this section, on the application of an individual whose license has been revoked, a disciplinary panel, on the affirmative vote of a majority of its full authorized membership, may reinstate a revoked license.</text> </level> <level label="b"> <text>A disciplinary panel may not reinstate a revoked license that has been revoked for a period of more than 1 year unless the licensee:</text> <level label="1"> <text>Meets the requirements for reinstatement as established under this title; and</text> </level> <level label="2"> <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-23" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>Except as otherwise provided in this subtitle, a person may not practice, attempt to practice, or offer to practice genetic counseling in this State unless licensed to practice genetic counseling by the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5G-24" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>Unless authorized to practice genetic counseling under this subtitle, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice genetic counseling in this State.</text> </level> <level label="b"> <text>Unless authorized to practice genetic counseling under this subtitle, a person may not use the titles “genetic counselor”, “licensed genetic counselor”, “certified genetic counselor”, “gene counselor”, “genetic consultant”, “genetic associate”, or any words, letters, or symbols with the intent to imply that the person practices genetic counseling or is a certified genetic counselor or licensed genetic counselor.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-25" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>A person may not provide, attempt to provide, offer to provide, or represent that the person provides genetic counseling services unless the genetic counseling is provided by an individual who is authorized to practice genetic counseling under this subtitle.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5G-26" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>Except as otherwise provided in this subtitle, a licensed genetic counselor or a licensed physician may not employ or supervise an individual practicing genetic counseling without a license.</text> </level> <level label="b"> <text>Except as otherwise provided in this subtitle, an employer may not employ an individual practicing genetic counseling without a license.</text> </level> <level label="c"> <text>A disciplinary panel may impose a civil penalty of up to $5,000 for a violation of this section.</text> </level> <level label="d"> <text>The Board shall remit any penalty collected under this section into the General Fund of the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-27" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <level label="a"> <text>A person who violates § 14–5G–23, § 14–5G–24, or § 14–5G–25 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 1 year or both.</text> </level> <level label="b"> <text>A person who violates § 14–5G–23, § 14–5G–24, or § 14–5G–25 of this subtitle is subject to a civil fine of not more than $5,000 to be levied by a disciplinary panel.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-5G-28" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>This subtitle may be cited as the Maryland Genetic Counseling Act.</text> </section> <section article="gho" article_name="Health Occupations" number="14-5G-29" title_number="14" title_name="Physicians" subtitle_number="5G" subtitle_name="Genetic Counselors"> <text>Subject to the evaluation and reestablishment provisions of the Maryland Program Evaluation Act and subject to the termination of this title under § 14–702 of this title, this subtitle and all regulations adopted under this subtitle shall terminate and be of no effect after July 1, 2031.</text> </section> <section article="gho" article_name="Health Occupations" number="14-601" title_number="14" title_name="Physicians" subtitle_number="6" subtitle_name="Prohibited Acts; Penalties"> <text>Except as otherwise provided in this title:</text> <level label="1"> <text>A person may not practice, attempt to practice, or offer to practice medicine in the State unless licensed by the Board; and</text> </level> <level label="2"> <text>A licensee on inactive status under § 14–320 of this subtitle or emeritus status under § 14–320.1 of this subtitle may not:</text> <level label="i"> <text>Practice, attempt to practice, or offer to practice medicine in the State; or</text> </level> <level label="ii"> <text>Delegate medical acts.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-602" title_number="14" title_name="Physicians" subtitle_number="6" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <text>Unless authorized to practice medicine under this title, a person may not represent to the public, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice medicine in this State.</text> </level> <level label="b"> <text>Except as otherwise provided in this article, a person may not use the words or terms “Dr.”, “doctor”, “physician”, “D.O.”, or “M.D.” with the intent to represent that the person practices medicine, unless the person is:</text> <level label="1"> <text>Licensed to practice medicine under this title;</text> </level> <level label="2"> <text>A physician licensed by and residing in another jurisdiction, while engaging in consultation with a physician licensed in this State;</text> </level> <level label="3"> <text>A physician employed in the service of the federal government while practicing within the scope of the employment;</text> </level> <level label="4"> <text>A physician who resides in and is licensed to practice medicine by any state adjoining this State and whose practice extends into this State;</text> </level> <level label="5"> <text>An individual in a postgraduate medical program that is accredited by an accrediting organization recognized by the Board in regulations while the individual is practicing medicine in the program; or</text> </level> <level label="6"> <text>A licensee who is on emeritus status under § 14–320.1 of this title, provided that the licensee does not represent to the public that the licensee is authorized to practice medicine in the State.</text> </level> </level> <level label="c"> <text>An unlicensed individual who acts under § 14–302, § 14–306, § 14–306.1, § 14–306.2, or § 14–306.3 of this title may use the word “physician” together with another word to describe the occupation of the individual as in phrases such as “physician’s assistant” or “physician’s aide”.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-603" title_number="14" title_name="Physicians" subtitle_number="6" subtitle_name="Prohibited Acts; Penalties"> <text>A person may not make any false statement, report, or representation to the Board or a disciplinary panel.</text> </section> <section article="gho" article_name="Health Occupations" number="14-605" title_number="14" title_name="Physicians" subtitle_number="6" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <text>This section does not apply to a physician or group of physicians who:</text> <level label="1"> <text>Have exclusive contracts with a health maintenance organization;</text> </level> <level label="2"> <text>Treat only the patients of the health maintenance organization; and</text> </level> <level label="3"> <text>Agree to accept full assignment for covered services rendered.</text> </level> </level> <level label="b"> <text>If a physician is engaged in the private practice of medicine in this State, the physician shall display a notice written in English that is plainly visible to patients in the office of the physician concerning whether the physician:</text> <level label="1"> <text>Is a participating physician under the Medicare program and, therefore, accepts assignment for all Medicare claims;</text> </level> <level label="2"> <text>Accepts Medicare assignment on a case-by-case basis; or</text> </level> <level label="3"> <text>Does not accept Medicare assignment in any case.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="14-606" title_number="14" title_name="Physicians" subtitle_number="6" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <level label="1"> <text>Except as provided in paragraph (4) of this subsection, a person who violates any provision of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $5,000 or imprisonment not exceeding 5 years or both.</text> </level> <level label="2"> <text>A person who violates any provision of § 14–503 of this title is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $500.</text> </level> <level label="3"> <text>A person who is required to give notice under § 14–505 (“Reporting burn treatment”) of this title, and who fails to give the required notice, may be subject to a civil penalty of not more than $100.</text> </level> <level label="4"> <text>Except as provided in paragraph (5) of this subsection, a person who violates § 14–601 or § 14–602 of this subtitle is:</text> <level label="i"> <text>Guilty of a felony and on conviction is subject to a fine not exceeding $10,000 or imprisonment not exceeding 5 years or both; and</text> </level> <level label="ii"> <text>Subject to a civil fine of not more than $50,000 to be levied by a disciplinary panel.</text> </level> </level> <level label="5"> <text>The provisions of paragraph (4) of this subsection do not apply to a former licensee who has failed to renew a license under § 14–316 of this title if:</text> <level label="i"> <text>Less than 60 days have elapsed since the expiration of the license; and</text> </level> <level label="ii"> <text>The former licensee has applied for license reinstatement, including payment of the reinstatement fee.</text> </level> </level> </level> <level label="b"> <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-607" title_number="14" title_name="Physicians" subtitle_number="6" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <text>Knowingly selling or dispensing replacement contact lenses without a valid and unexpired replacement contact lens prescription shall be considered a violation of this title.</text> </level> <level label="b"> <text>The Board shall investigate any alleged violation of this section or § 14-507 of this title and may enforce any provision of this title by injunction or other appropriate proceedings.</text> </level> <level label="c"> <text>An action under this section is in addition to and not instead of criminal prosecution under § 14-606 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="14-701" title_number="14" title_name="Physicians" subtitle_number="7" subtitle_name="Short Title; Termination of Title"> <text>This title may be cited as the “Maryland Medical Practice Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="14-702" title_number="14" title_name="Physicians" subtitle_number="7" subtitle_name="Short Title; Termination of Title"> <text>Subject to the evaluation and reestablishment provisions of the Program Evaluation Act, this title and all rules and regulations adopted under this title shall terminate and be of no effect after July 1, 2030. </text> </section>