§ 14–306.3
Statutes in effect as of October 1, 2026.
Md. Code Ann., Health Occ. § 14-306.3 (2026)
Title 14. Physicians
Subtitle 3
§ 14–306.3LinkCopy Citation
(a)
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:
(1)
Do not include:
(i)
Computerized or noncomputerized tomography;
(ii)
Fluoroscopy;
(iii)
Invasive radiology;
(iv)
Mammography;
(v)
Nuclear medicine;
(vi)
Radiation therapy; or
(vii)
Xerography;
(2)
Are limited to X–ray procedures of:
(i)
The chest;
(ii)
The spine, including:
(1)
The cervical spine;
(2)
The lumbar spine;
(3)
The sacroiliac joints;
(4)
The sacrum and coccyx; and
(5)
The thoracic spine;
(iii)
Lower extremities, including:
(1)
Toes;
(2)
The foot;
(3)
The ankle;
(4)
The calcaneus;
(5)
The tibia and fibula;
(6)
The knee and patella; and
(7)
The femur; and
(iv)
Upper extremities, including:
(1)
Fingers;
(2)
The hand;
(3)
The wrist;
(4)
The forearm;
(5)
The elbow;
(6)
The humerus;
(7)
The shoulder;
(8)
The clavicle;
(9)
Acromioclavicular joints; and
(10)
The scapula;
(3)
Are performed under the supervision of a licensed physician or radiographer who is on–site or able to provide immediately available direction; and
(4)
Are performed by an individual who has registered with the Board and attests:
(i)
To the successful completion of at least 6 months of clinical care experience;
(ii)
To the successful completion of:
(1)
A limited X–ray educational program; or
(2)
The first year of an accredited radiologic technologist program in good standing with the Board;
(iii)
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;
(iv)
To the successful completion of at least 480 hours of clinical training;
(v)
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
(vi)
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.
(b)
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.
(c)
An individual seeking registration under this section shall:
(1)
Apply for registration on a form supplied by the Board;
(2)
Pay the registration fee established by the Board; and
(3)
Complete any other requirements established by the Board.
(d)
If an individual was denied a license by the Board, the individual is not eligible for registration under this section.
(e)
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.
(f)
(1)
The term of a registration may not exceed 3 years.
(2)
A registration shall expire on a date established by the Board.
(3)
To renew a registration, the registrant must:
(i)
Apply for renewal on a form supplied by the Board;
(ii)
Pay the renewal fee established by the Board; and
(iii)
Complete any other requirements established by the Board.
(g)
An applicant for registration shall complete a criminal history records check in accordance with § 14–308.1 of this subtitle.
(h)
(1)
The Board shall set reasonable fees for the issuance and renewal of registrations and other services provided.
(2)
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.
(i)
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.
(j)
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:
(1)
$5,000 for each violation on the physician’s office where the violation occurred; and
(2)
$1,000 for each violation on the individual who committed the violation.