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<section article="gho" article_name="Health Occupations" number="15-301" title_number="15" title_name="Physician Assistants" subtitle_number="3" subtitle_name="Certification">
  <level label="a">
    <text>This title may not be construed to authorize a physician assistant to practice independently.</text>
  </level>
  <level label="b">
    <text>A license issued to a physician assistant shall limit the physician assistant’s scope of practice to medical acts:</text>
    <level label="1">
      <text>Appropriate to the education, training, and experience of the physician assistant;</text>
    </level>
    <level label="2">
      <text>Customary to the practice of a patient care team physician; and</text>
    </level>
    <level label="3">
      <text>In a manner consistent with the collaboration agreement.</text>
    </level>
  </level>
  <level label="c">
    <text>Patient services that may be provided by a physician assistant under a collaboration agreement include:</text>
    <level label="1">
      <text>Obtaining comprehensive health histories;</text>
    </level>
    <level label="2">
      <text>Performing physical examinations;</text>
    </level>
    <level label="3">
      <text>Evaluating, diagnosing, managing, and providing medical treatment;</text>
    </level>
    <level label="4">
      <text>Interpreting and evaluating patient data as authorized by a patient care team physician for the purpose of determining management and treatment of patients;</text>
    </level>
    <level label="5">
      <text>Initiating requests for or performing diagnostic procedures as indicated by pertinent data and as authorized by a patient care team physician;</text>
    </level>
    <level label="6">
      <text>Exercising prescriptive authority in accordance with § 15–302.2 of this subtitle;</text>
    </level>
    <level label="7">
      <text>Informing patients about health promotion and disease prevention;</text>
    </level>
    <level label="8">
      <text>Providing consultations;</text>
    </level>
    <level label="9">
      <text>Writing medical orders;</text>
    </level>
    <level label="10">
      <text>Obtaining informed consent;</text>
    </level>
    <level label="11">
      <text>Delegating medical acts to licensed or unlicensed personnel as authorized under § 14–306 of this article if the physician assistant has at least 7,000 hours of clinical practice experience; and</text>
    </level>
    <level label="12">
      <text>Certifying a patient’s health or disability as required by a federal, State, or local program.</text>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>Except as otherwise provided in this title 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 as a physician assistant.</text>
    </level>
    <level label="2">
      <text>Except as otherwise provided in this title, a physician may not collaborate with a physician assistant in the performance of medical acts without notifying the Board of a completed collaboration agreement with the Board.</text>
    </level>
    <level label="3">
      <text>Except as otherwise provided in this title or in a medical emergency, a physician assistant may not perform any medical act:</text>
      <level label="i">
        <text>For which the individual has not been licensed;</text>
      </level>
      <level label="ii">
        <text>That has not been delegated in a manner consistent with the collaboration agreement;</text>
      </level>
      <level label="iii">
        <text>That is not appropriate to the education, training, and experience of the physician assistant; and</text>
      </level>
      <level label="iv">
        <text>That is not customary to the practice of a patient care team physician listed on the collaboration agreement.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <text>A physician assistant shall consult and collaborate with or refer an individual to an appropriate licensed physician or any other health care provider as appropriate.</text>
  </level>
  <level label="f">
    <text>Except as otherwise provided in this title, the following individuals may practice as a physician assistant without a license:</text>
    <level label="1">
      <text>A physician assistant student enrolled in a physician assistant educational program that is accredited by the Accreditation Review Commission on Education for the Physician Assistant or its successor and approved by the Board; or</text>
    </level>
    <level label="2">
      <text>A physician assistant employed in the service of the federal government while practicing within the scope of the employment.</text>
    </level>
  </level>
  <level label="g">
    <level label="1">
      <text>If a medical act that is to be performed by a physician assistant 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 medical act shall be adopted jointly by the State 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>
