# Health Occupations (GHO)

## Title 14. Physicians

### Subtitle 3

#### Section 14-306.1

(a) 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:

  (1) The delegated duties are limited to a cardiac catheterization procedure performed in a hospital cardiac catheterization laboratory;

  (2) The physician is physically present and personally directs each act performed by the registered cardiovascular invasive specialist;

  (3) The registered cardiovascular invasive specialist has completed the training and education and has the experience required by regulations adopted by the Board; and

  (4) 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.

(b) 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.

(c) 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.

---

Md. Code Ann., Health Occ. (as displayed at mgaleg.maryland.gov, October 16, 2026)