<?xml version='1.0' encoding='utf-8'?>
<section article="gho" article_name="Health Occupations" number="15-302" title_number="15" title_name="Physician Assistants" subtitle_number="3" subtitle_name="Certification">
  <level label="a">
    <text>A physician assistant may practice as a physician assistant only after providing notice to the Board, in a manner approved by the Board, of the executed collaboration agreement.</text>
  </level>
  <level label="b">
    <level label="1">
      <text>A collaboration agreement shall contain:</text>
      <level label="i">
        <text>A description of the qualifications of the physician assistant and the physician or group of physicians who developed the collaboration agreement with the physician assistant;</text>
      </level>
      <level label="ii">
        <text>Any practice specialty of the physician or group of physicians; and</text>
      </level>
      <level label="iii">
        <text>A description of the settings in which the physician assistant will practice.</text>
      </level>
    </level>
    <level label="2">
      <text>A collaboration agreement may include provisions limiting the physician assistant’s scope of practice, specifying office procedures, or otherwise detailing the practice of the physician assistant as agreed by the physician or group of physicians and the physician assistant.</text>
    </level>
  </level>
  <level label="c">
    <text>If the Board determines that a patient care team physician or physician assistant is practicing in a manner inconsistent with the requirements of this title or Title 14 of this article, the Board on its own initiative or on the recommendation of the Committee may demand modification of the practice, withdraw the approval of an advanced duty regardless of whether the advanced duty requires prior approval under this section, or refer the matter to a disciplinary panel for the purpose of taking other disciplinary action under § 14–404 of this article or § 15–314 of this subtitle.</text>
  </level>
  <level label="d">
    <level label="1">
      <text>Except as provided under paragraph (2) of this subsection, a patient care team physician may not delegate medical acts under a collaboration agreement to more than eight physician assistants at any one time.</text>
    </level>
    <level label="2">
      <text>A patient care team physician may delegate medical acts under a collaboration agreement to more than eight physician assistants in:</text>
      <level label="i">
        <text>A hospital;</text>
      </level>
      <level label="ii">
        <text>A correctional facility;</text>
      </level>
      <level label="iii">
        <text>A detention center; or</text>
      </level>
      <level label="iv">
        <text>A public health facility.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <text>A person may not coerce another person to enter into a collaboration agreement under this subtitle.</text>
  </level>
  <level label="f">
    <text>Subject to the notice required under § 15–103 of this title, a physician assistant may terminate a collaboration agreement under this subtitle at any time.</text>
  </level>
  <level label="g">
    <level label="1">
      <text>In the event of a sudden departure, incapacity, or death of a patient care team physician, or change in license status that results in a patient care team physician being unable to legally practice medicine, the collaboration agreement will remain active and valid under the supervision of any remaining listed patient care team physicians.</text>
    </level>
    <level label="2">
      <text>If there is no remaining patient care team physician listed on the collaboration agreement, the physician assistant may not practice until the physician assistant has executed a new collaboration agreement and, if applicable, has Board approval to perform any advanced duties delegated to the physician assistant under the new collaboration agreement.</text>
    </level>
    <level label="3">
      <text>The Board may terminate a collaboration agreement if:</text>
      <level label="i">
        <text>The physician assistant has a change in license status that results in the physician assistant being unable to legally practice as a physician assistant; or</text>
      </level>
      <level label="ii">
        <text>Immediately after an event listed under paragraph (1) of this subsection if there is no remaining patient care team physician listed in the collaboration agreement.</text>
      </level>
    </level>
  </level>
  <level label="h">
    <text>A physician assistant whose collaboration agreement is terminated may not practice as a physician assistant until the physician assistant executes a new collaboration agreement under this section.</text>
  </level>
  <level label="i">
    <text>A physician assistant may practice in accordance with a collaboration agreement under this subtitle.</text>
  </level>
  <level label="j">
    <text>A patient care team physician may be added or removed from a collaboration agreement by immediately documenting the addition or removal in the collaboration agreement on file at the physician assistant’s primary place of business.</text>
  </level>
  <level label="k">
    <text>The Board may modify a collaboration agreement if it finds that:</text>
    <level label="1">
      <text>The collaboration agreement does not meet the requirements of this subtitle; or</text>
    </level>
    <level label="2">
      <text>The physician assistant is unable to perform the delegated duties safely.</text>
    </level>
  </level>
  <level label="l">
    <text>A collaboration agreement shall be maintained at the practice setting and made available to the Board on request.</text>
  </level>
  <level label="m">
    <text>A licensed physician assistant who fails to comply with the collaboration agreement requirements is subject to an administrative penalty as established in regulations.</text>
  </level>
</section>
