<?xml version='1.0' encoding='utf-8'?>
<subtitle article="gho" title_number="14" subtitle_number="5D" title_name="Physicians" subtitle_name="Athletic Trainers">
  <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>
</subtitle>