# Health Occupations (GHO)

## Title 14. Physicians

### Subtitle 5C. Polysomnographic Technologists

#### Section 14-5C-01

(a) In this subtitle the following words have the meanings indicated.

(b) "Board" means the State Board of Physicians.

(c) "Committee" means the Polysomnography Advisory Committee established under Sec. 14-5C-05 of this subtitle.

(d) "License" means a license issued by the Board.

(e) "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.

(f)

  (1) "Practice polysomnography" means:

    (i) Monitoring and recording physiologic data during sleep, including sleep-related respiratory disturbances under the supervision of a licensed physician; or

    (ii) 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.

  (2) "Practice polysomnography" includes:

    (i) Providing polysomnography services that are safe, aseptic, preventive, and restorative;

    (ii) 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;

    (iii) 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;

    (iv) 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

    (v) Applying the use of techniques, equipment, and procedures involved in the evaluation of polysomnography, including:

      (1) Continuous positive airway pressure or bi-level positive airway pressure titration on spontaneously breathing patients;

      (2) Supplemental low flow oxygen therapy during polysomnogram;

      (3) Capnography during polysomnogram;

      (4) Cardiopulmonary resuscitation;

      (5) Pulse oximetry;

      (6) PH probe placement and monitoring;

      (7) Esophageal pressure;

      (8) Sleep staging including surface electroencephalography, surface electrooculography, and surface submental electromyography;

      (9) Surface electromyography of arms and legs;

      (10) Electrocardiography;

      (11) Respiratory effort including thoracic and abdominal;

      (12) Plethysmography blood flow;

      (13) Snore monitoring;

      (14) Audio or video monitoring;

      (15) Implementation of a written or verbal order from a licensed physician that requires the practice of polysomnography;

      (16) 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

      (17) Monitoring the effects an oral device, used to treat sleep apnea, has on sleep patterns, provided that:

      (A) The device does not extend into the trachea;

      (B) A dentist has evaluated the structures of the patient's oral and maxillofacial region for purposes of fitting;

      (C) A dentist made or directed the making of the oral device; and

      (D) A dentist directs the use of the oral device.

(g) "Registered polysomnographic technologist" means a polysomnographic technologist who is registered by the Board of Registered Polysomnographic Technicians.

(h) "Student" means an individual who, in accordance with section 14-5C-09(c) of this subtitle, is:

  (1) Enrolled in an accredited educational program in order to qualify for a license under this title; and

  (2) Performing polysomnography services within the accredited program under the supervision of a licensed physician and without compensation.

(i) "Supervision" means general or direct supervision of a licensed polysomnographic technologist by a licensed physician.

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