<section article="gho" article_name="Health Occupations" number="3-101" title_number="3" title_name="Chiropractors" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <text>In this title the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Chiropractic Examiners.</text> </level> <level label="c"> <text>“Chiropractor” means an individual who practices chiropractic.</text> </level> <level label="d"> <text>“Direct supervision” means supervision provided by a supervising chiropractor who is personally present or immediately available where the procedures are performed to give aid, direction, and instruction when certain procedures or activities are performed.</text> </level> <level label="e"> <text>“License” means, unless the context requires otherwise, a license granted by the Board:</text> <level label="1"> <text>To practice chiropractic; or</text> </level> <level label="2"> <text>To practice chiropractic with the right to practice physical therapy.</text> </level> </level> <level label="f"> <text>“Licensed chiropractor” means, unless the context requires otherwise, a chiropractor who is licensed by the Board to practice chiropractic or to practice chiropractic with the right to practice physical therapy.</text> </level> <level label="g"> <level label="1"> <text>“Practice chiropractic” means to use a drugless system of health care based on the principle that interference with the transmission of nerve impulses may cause disease.</text> </level> <level label="2"> <text>“Practice chiropractic” includes the diagnosing and locating of misaligned or displaced vertebrae and, through the manual manipulation and adjustment of the spine and other skeletal structures, treating disorders of the human body.</text> </level> <level label="3"> <text>Except as otherwise provided in this title, “practice chiropractic” does not include the use of drugs or surgery, or the practice of osteopathy, obstetrics, or any other branch of medicine.</text> </level> <level label="4"> <text>The definition of “practice chiropractic” does not prohibit a chiropractor from selecting diet and hygiene measures for an individual.</text> </level> </level> <level label="h"> <text>“Practice physical therapy” has the meaning stated in § 13–101 of this article.</text> </level> <level label="i"> <text>“Preceptorship” means an organized system of clinical experience that allows a student enrolled in a chiropractic program of study to be paired with a clinical preceptor for the purpose of attaining specific learning objectives.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-102" title_number="3" title_name="Chiropractors" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <text>This title 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="3-201" title_number="3" title_name="Chiropractors" subtitle_number="2" subtitle_name="State Board of Chiropractic Examiners"> <text>There is a State Board of Chiropractic Examiners in the Department.</text> </section> <section article="gho" article_name="Health Occupations" number="3-202" title_number="3" title_name="Chiropractors" subtitle_number="2" subtitle_name="State Board of Chiropractic Examiners"> <level label="a"> <level label="1"> <text>The Board consists of 7 members.</text> </level> <level label="2"> <text>Of the 7 members:</text> <level label="i"> <text>5 shall be licensed chiropractors; and</text> </level> <level label="ii"> <text>2 shall be consumer members.</text> </level> </level> <level label="3"> <level label="i"> <text>The Governor shall appoint the chiropractor members, with the advice of the Secretary, and with the advice and consent of the Senate, from:</text> <level label="1"> <text>A list of qualified individuals submitted to the Governor by the Maryland Chiropractic Association; or</text> </level> <level label="2"> <text>The individuals who provide a statement of nomination signed by at least 20 chiropractors licensed in the State.</text> </level> </level> <level label="ii"> <text>The number of names on the list submitted under subparagraph (i)1 of this paragraph shall be three times the number of vacancies.</text> </level> <level label="iii"> <text>The list submitted under subparagraph (i)1 of this paragraph shall include the name of the incumbent member unless the incumbent declines renomination.</text> </level> </level> <level label="4"> <text>The Governor shall appoint the consumer members with the advice of the Secretary, and with the advice and consent of the Senate.</text> </level> </level> <level label="b"> <text>Each chiropractor member of the Board shall be:</text> <level label="1"> <text>A resident of this State;</text> </level> <level label="2"> <text>A licensed chiropractor of integrity and ability who is in active practice; and</text> </level> <level label="3"> <text>An individual who has practiced chiropractic in this State for at least 5 consecutive years.</text> </level> </level> <level label="c"> <text>Each consumer member of the Board:</text> <level label="1"> <text>Shall be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been a chiropractor or in training to become a chiropractor;</text> </level> <level label="3"> <text>May not have a household member who is a chiropractor or in training to become a chiropractor;</text> </level> <level label="4"> <text>May not participate or ever have participated in a commercial or professional field related to chiropractic;</text> </level> <level label="5"> <text>May not have a household member who participates in a commercial or professional field related to chiropractic; and</text> </level> <level label="6"> <text>May not have had, within 2 years before appointment, a substantial financial interest in a person regulated by the Board.</text> </level> </level> <level label="d"> <level label="1"> <text>In addition to the requirements of subsection (b) of this section, each chiropractic member of the Board shall be a licensed chiropractor whose license is in good standing with the Board.</text> </level> <level label="2"> <text>For purposes of this subsection, “good standing” means that the Board has not reprimanded the licensee, suspended or revoked the license of the chiropractor, or placed the licensee on probation within 5 years prior to or after confirmation to the Board.</text> </level> </level> <level label="e"> <text>While a member of the Board, a consumer member may not have a substantial financial interest in a person regulated by the Board.</text> </level> <level label="f"> <text>Before taking office, each appointee to the Board shall take the oath required by Article I, § 9 of the Maryland Constitution.</text> </level> <level label="g"> <level label="1"> <text>The term of a member is 4 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by the terms provided for members of the Board on October 1, 2016.</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>The Governor shall fill any vacancy on the Board within 60 days of the date of the vacancy.</text> </level> <level label="6"> <text>A member may not serve more than 2 consecutive full terms.</text> </level> </level> <level label="h"> <level label="1"> <text>The Governor may remove a member for incompetence or misconduct.</text> </level> <level label="2"> <text>Upon the recommendation of the Secretary, the Governor may remove a member whom the Secretary finds to have been absent from 2 successive Board meetings without adequate reason.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-203" title_number="3" title_name="Chiropractors" subtitle_number="2" subtitle_name="State Board of Chiropractic Examiners"> <level label="a"> <text>From among its members, the Board annually shall elect a president, a vice-president, and a secretary-treasurer.</text> </level> <level label="b"> <text>The Board shall determine:</text> <level label="1"> <text>The manner of election of officers; and</text> </level> <level label="2"> <text>The duties of each officer.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-204" title_number="3" title_name="Chiropractors" subtitle_number="2" subtitle_name="State Board of Chiropractic Examiners"> <level label="a"> <text>A majority of the full authorized membership of the Board is a quorum.</text> </level> <level label="b"> <text>The Board shall determine the times and places of its meetings.</text> </level> <level label="c"> <text>In accordance with the budget of the Board, each member of the Board is entitled to:</text> <level label="1"> <text>Compensation for each day on which the member is engaged in the duties of the member’s office; and</text> </level> <level label="2"> <text>Reimbursement for expenses at a rate determined by the Board.</text> </level> </level> <level label="d"> <level label="1"> <text>The Board and the State Board of Massage Therapy Examiners may employ a staff in accordance with the budgets of the boards.</text> </level> <level label="2"> <text>The Board and the State Board of Massage Therapy Examiners jointly shall appoint a staff member as the executive director, who serves at the pleasure of both boards.</text> </level> <level label="3"> <text>The executive director:</text> <level label="i"> <text>Is the executive director of both boards; and</text> </level> <level label="ii"> <text>Has the powers and duties assigned by the boards.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-205" title_number="3" title_name="Chiropractors" subtitle_number="2" subtitle_name="State Board of Chiropractic Examiners"> <level label="a"> <text>In addition to the powers set forth elsewhere in this title, the Board may:</text> <level label="1"> <text>Adopt rules and regulations to carry out the provisions of this title;</text> </level> <level label="2"> <text>Summon witnesses, administer oaths, take affidavits, and take testimony about matters that relate to the duties of the Board;</text> </level> <level label="3"> <text>In accordance with the State budget, authorize payment of fees and travel expenses of witnesses who testify in any proceeding before the Board; and</text> </level> <level label="4"> <text>Except for an office of a chiropractor in a hospital, related institution, freestanding medical facility, or freestanding birthing center, conduct an unannounced inspection of the office of a chiropractor against whom a complaint has been filed with the Board regarding a violation of the Centers for Disease Control and Prevention’s guidelines on standard precautions and related guidelines in regulations adopted by the Board to determine compliance with the guidelines at that office.</text> </level> </level> <level label="b"> <text>In addition to the duties set forth elsewhere in this title, the Board shall:</text> <level label="1"> <text>Adopt an official seal;</text> </level> <level label="2"> <text>File reports of its activities as required by the Secretary;</text> </level> <level label="3"> <text>Assist in prosecutions under this title;</text> </level> <level label="4"> <text>Investigate an alleged violation of this title; and</text> </level> <level label="5"> <text>Adopt regulations governing preceptorships.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-206" title_number="3" title_name="Chiropractors" subtitle_number="2" subtitle_name="State Board of Chiropractic Examiners"> <level label="a"> <text>There is a State Board of Chiropractic Examiners Fund.</text> </level> <level label="b"> <level label="1"> <text>The Board may set reasonable fees for the issuance and renewal of licenses and its other services.</text> </level> <level label="2"> <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the Board.</text> </level> <level label="3"> <text>Funds to cover the compensation and expenses of the Board members shall be generated by fees set under this section.</text> </level> </level> <level label="c"> <level label="1"> <text>The Board shall pay all funds collected under this title to the Comptroller of the State.</text> </level> <level label="2"> <text>The Comptroller shall distribute the fees to the State Board of Chiropractic Examiners Fund.</text> </level> </level> <level label="d"> <level label="1"> <text>The Fund 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 article.</text> </level> <level label="2"> <text>The Fund is a continuing, nonlapsing fund, not subject to § 7-302 of the State Finance and Procurement Article.</text> </level> <level label="3"> <text>Any unspent portions of the Fund may not be transferred or revert to the General Fund of the State, but shall remain in the Fund to be used for the purposes specified in this article.</text> </level> <level label="4"> <text>No other State money may be used to support the Fund.</text> </level> </level> <level label="e"> <level label="1"> <text>A designee of the Board shall administer the Fund.</text> </level> <level label="2"> <text>Money in the Fund may be expended only for any lawful purpose authorized under the provisions of this article.</text> </level> </level> <level label="f"> <text>The Legislative Auditor shall audit the accounts and transactions of the Fund as provided in § 2-1220 of the State Government Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-207" title_number="3" title_name="Chiropractors" subtitle_number="2" subtitle_name="State Board of Chiropractic Examiners"> <text>A person shall have the immunity from liability described under § 5-704 of the Courts and Judicial Proceedings Article for giving information to the Board or otherwise participating in its activities.</text> </section> <section article="gho" article_name="Health Occupations" number="3-301" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>The Board may license, as appropriate, an individual:</text> <level label="1"> <text>To practice chiropractic; or</text> </level> <level label="2"> <text>To practice chiropractic with the right to practice physical therapy.</text> </level> </level> <level label="b"> <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 chiropractic in this State.</text> </level> <level label="c"> <text>A chiropractor who holds a license to practice chiropractic with the right to practice physical therapy may practice chiropractic and physical therapy in this State.</text> </level> <level label="d"> <text>This section does not apply to:</text> <level label="1"> <text>A student of chiropractic engaged in a preceptorship while under the direct supervision of a Board–approved licensed chiropractor engaged in an educational program sponsored by a program accredited by the Council on Chiropractic Education, an equivalent entity recognized by the U.S. Department of Education or another entity that accredits programs offering instruction in chiropractic, or an equivalent foreign agency that accredits programs offering instruction in chiropractic; or</text> </level> <level label="2"> <text>An individual licensed to practice chiropractic in any other state or a foreign country while that individual makes a clinical demonstration before:</text> <level label="i"> <text>A chiropractic association;</text> </level> <level label="ii"> <text>A chiropractic convention; or</text> </level> <level label="iii"> <text>A chiropractic program.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-302" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who:</text> <level label="1"> <text>Submits to a criminal history records check in accordance with § 3–302.1 of this subtitle;</text> </level> <level label="2"> <text>Meets the requirements of this section; and</text> </level> <level label="3"> <text>Meets the examination requirements of this title.</text> </level> </level> <level label="b"> <text>The applicant shall be of good moral character.</text> </level> <level label="c"> <text>Except as otherwise provided in this title, the applicant must:</text> <level label="1"> <text>Be a graduate of a chiropractic program of study that was, at the time of the applicant’s graduation, accredited by the Council on Chiropractic Education, an equivalent entity recognized by the U.S. Department of Education or another entity that accredits programs offering instruction in chiropractic, or an equivalent foreign agency that accredits programs offering instruction in chiropractic; or</text> </level> <level label="2"> <level label="i"> <text>Be licensed in another state for at least 2 years; and</text> </level> <level label="ii"> <text>Be a graduate of a chiropractic program of study:</text> <level label="1"> <text>That has been accredited by the Council on Chiropractic Education, an equivalent entity recognized by the U.S. Department of Education or another entity that accredits programs offering instruction in chiropractic, or an equivalent foreign agency that accredits programs offering instruction in chiropractic within 4 years after the applicant graduated from that chiropractic program of study; and</text> </level> <level label="2"> <text>That the Board determines had standards comparable to an accredited chiropractic program of study at the time the applicant graduated.</text> </level> </level> </level> </level> <level label="d"> <text>An applicant shall be entitled to a license to practice chiropractic with the right to practice physical therapy if the applicant satisfies the requirements to practice chiropractic and any additional requirements established by the Board in regulations.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-302.1" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>In this section, “Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.</text> </level> <level label="b"> <text>As part of an application to the Central Repository for a State and national criminal history records check, an applicant shall submit to the Central Repository:</text> <level label="1"> <text>One complete set of legible fingerprints taken on forms approved by the Director of the Central Repository and the Director of the Federal Bureau of Investigation;</text> </level> <level label="2"> <text>The fee authorized under § 10–221(b)(7) of the Criminal Procedure Article for access to State criminal history records; and</text> </level> <level label="3"> <text>The processing fee required by the Federal Bureau of Investigation for a national criminal history records check.</text> </level> </level> <level label="c"> <text>In accordance with §§ 10–201 through 10–228 of the Criminal Procedure Article, the Central Repository shall forward to the Board and to the applicant the criminal history record information of the applicant.</text> </level> <level label="d"> <text>If criminal history record information is reported to the Central Repository after the date of the initial criminal history records check, the Central Repository shall provide to the Board a revised printed statement of the individual’s criminal history record.</text> </level> <level label="e"> <text>Information obtained from the Central Repository under this section:</text> <level label="1"> <text>Is confidential and may not be redisseminated; and</text> </level> <level label="2"> <text>May be used only for the licensing purpose authorized by this title.</text> </level> </level> <level label="f"> <text>The subject of a criminal history records check under this section may contest the contents of the printed statement issued by the Central Repository as provided in § 10–223 of the Criminal Procedure Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-303" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>To apply for a license, an applicant shall submit to the Board at least 45 days before an examination:</text> <level label="1"> <text>An application on the form the Board requires that includes information of the applicant’s:</text> <level label="i"> <text>Educational history;</text> </level> <level label="ii"> <text>Experience in health care;</text> </level> <level label="iii"> <text>Courses taken during chiropractic studies;</text> </level> <level label="iv"> <text>Training or studies in related fields; and</text> </level> <level label="v"> <text>Preceptorship experience;</text> </level> </level> <level label="2"> <text>Certified transcripts that demonstrate compliance with the requirements of § 3–302 of this subtitle;</text> </level> <level label="3"> <text>Proof of any degrees or certification alleged;</text> </level> <level label="4"> <text>Satisfactory evidence of good moral character;</text> </level> <level label="5"> <text>An application fee set by the Board; and</text> </level> <level label="6"> <text>Satisfactory evidence of having completed a State and national criminal history records check in accordance with § 3–302.1 of this subtitle.</text> </level> </level> <level label="b"> <text>An application shall be signed by the applicant and verified.</text> </level> <level label="c"> <text>The applicant shall pay an application fee set by the Board for any subsequent application and examination.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-304" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>An applicant who otherwise qualifies for a license is entitled to be examined as provided in this section.</text> </level> <level label="b"> <text>The Board shall give examinations to applicants at least twice in each calendar year at the times and places that the Board determines.</text> </level> <level label="c"> <text>The Board shall notify each qualified applicant of the time and place of examination.</text> </level> <level label="d"> <level label="1"> <text>The Board–administered examination shall include:</text> <level label="i"> <text>The general laws and regulations of the State on the practice of chiropractic; and</text> </level> <level label="ii"> <text>The laws and regulations on infection control.</text> </level> </level> <level label="2"> <text>An applicant qualifies for a license to practice chiropractic only if the applicant answers correctly at least 75% of all the questions on the Board–administered examination.</text> </level> </level> <level label="e"> <level label="1"> <text>An applicant shall pay to the Board an examination fee set by the Board.</text> </level> <level label="2"> <text>The payment of one examination fee entitles an applicant to take the Board–administered examination twice.</text> </level> </level> <level label="f"> <text>If an applicant fails the Board–administered examination twice, the applicant may retake the examination if the applicant pays the appropriate fee.</text> </level> <level label="g"> <text>In addition to the written examination administered by the Board, an applicant shall take and pass all applicable sections of the national examination administered by:</text> <level label="1"> <text>The National Board of Chiropractic Examiners or its successor entity;</text> </level> <level label="2"> <text>An equivalent national chiropractic testing entity approved by the Board; or</text> </level> <level label="3"> <text>An equivalent foreign chiropractic testing entity approved by the Board.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-305" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Subject to the provisions of this section, the Board may waive any applicable examination requirement of this title for an individual who is licensed to practice chiropractic or to practice chiropractic with the right to practice physical therapy in any other state.</text> </level> <level label="b"> <text>The Board may grant a waiver under this section only if the applicant:</text> <level label="1"> <text>Pays the license fee required by § 3-306 of this subtitle; and</text> </level> <level label="2"> <text>Provides adequate evidence that the applicant:</text> <level label="i"> <text>Meets the qualifications otherwise required by this title or their equivalent; and</text> </level> <level label="ii"> <text>Became licensed in the other state after passing in that or any other state an examination that is similar to the examination for which the applicant is seeking the waiver.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-305.1" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>The Board may grant a temporary license to an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>To qualify for a temporary license, an applicant shall:</text> <level label="1"> <text>Submit an application provided by the Board;</text> </level> <level label="2"> <text>Have graduated from an accredited chiropractic program of study;</text> </level> <level label="3"> <text>Have begun the process of applying to the Board for a license to practice chiropractic, but not met requirements to qualify for a license;</text> </level> <level label="4"> <level label="i"> <text>Have been licensed in another state for at least 2 years preceding the application in the State; or</text> </level> <level label="ii"> <text>Have graduated from an accredited chiropractic program of study within 6 months preceding the application in the State;</text> </level> </level> <level label="5"> <text>Have submitted written, verified evidence that the applicant has submitted a criminal history records check in accordance with § 3–302.1 of this subtitle;</text> </level> <level label="6"> <text>Agree to practice under the direct supervision of a Board–approved supervisor who is a licensed chiropractor while the temporary license is in effect; and</text> </level> <level label="7"> <text>Pay the temporary license fee set by the Board.</text> </level> </level> <level label="c"> <text>The applicant shall be of good moral character.</text> </level> <level label="d"> <level label="1"> <text>Unless the Board suspends or revokes a temporary license, each temporary license expires 6 months after the date of issue.</text> </level> <level label="2"> <level label="i"> <text>Subject to subparagraph (ii) of this paragraph, a temporary license may be extended every 90 days.</text> </level> <level label="ii"> <text>The total length of renewal may not exceed 12 months from the date the original temporary license was issued.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-306" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Subject to subsection (d) of this section, the Board shall license an applicant who meets the requirements of this title.</text> </level> <level label="b"> <level label="1"> <text>The Board shall maintain an electronic roster of each individual licensed by the Board.</text> </level> <level label="2"> <text>The roster shall be available for the purpose of electronically verifying licensure on the Board’s website.</text> </level> <level label="3"> <text>Individuals without access to the Board’s website may contact the Board to verify a license.</text> </level> </level> <level label="c"> <text>The Board shall include on each electronic license record:</text> <level label="1"> <text>The full name of the licensee;</text> </level> <level label="2"> <text>A license number;</text> </level> <level label="3"> <text>Designations that clearly distinguish between those licensees who may practice:</text> <level label="i"> <text>Chiropractic;</text> </level> <level label="ii"> <text>Chiropractic with the right to practice physical therapy; and</text> </level> <level label="iii"> <text>Chiropractic under the supervision of a Board–approved licensed chiropractor;</text> </level> </level> <level label="4"> <text>The status of the license;</text> </level> <level label="5"> <text>The expiration date of the license; and</text> </level> <level label="6"> <text>The original date of licensure.</text> </level> </level> <level label="d"> <level label="1"> <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 3–302.1 of this subtitle, in determining whether to grant 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 circumstances surrounding the crime;</text> </level> <level label="iii"> <text>The length of time that has passed since the crime;</text> </level> <level label="iv"> <text>Subsequent work history;</text> </level> <level label="v"> <text>Employment and character references; and</text> </level> <level label="vi"> <text>Any 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 license an applicant if the criminal history record information required under § 3–302.1 of this subtitle has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-307" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Except as otherwise provided in this section, a license authorizes the licensee to practice chiropractic while the license is effective.</text> </level> <level label="b"> <text>A license that includes the right to practice physical therapy authorizes the licensee to practice chiropractic and physical therapy while the license is effective.</text> </level> <level label="c"> <text>A license does not authorize a licensee to execute or file a birth or death certificate.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-308" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>A license expires on the date set by the Board, unless the license is renewed for an additional term as provided in this section. A license may not be renewed for a term of longer than 2 years.</text> </level> <level label="b"> <text>At least 1 month before a license expires, the Board shall send to each licensee, by electronic means or first–class mail to the last known electronic or physical address of the licensee, a renewal form and a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>That the renewal application and fee must be received by the Board on or before the license expiration date; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="c"> <text>A licensee periodically may renew a license for an additional term if the licensee:</text> <level label="1"> <text>Otherwise is entitled to be licensed;</text> </level> <level label="2"> <text>Pays a renewal fee set by the Board; and</text> </level> <level label="3"> <text>Submits to the Board:</text> <level label="i"> <text>A renewal application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with the continuing education requirements set by the Board under this section for license renewal.</text> </level> </level> </level> <level label="d"> <level label="1"> <text>The Board may establish continuing education requirements as a condition to the renewal of licenses under this section.</text> </level> <level label="2"> <text>Any requirements established under this subsection shall reflect current educational methods and chiropractic techniques.</text> </level> </level> <level label="e"> <text>The Board shall renew the license of and issue a renewal certificate to each licensee who meets the requirements of this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-309" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <text>The Board shall reinstate a license that is expired only if the former licensee:</text> <level label="1"> <text>Meets the renewal requirements of § 3-308; and</text> </level> <level label="2"> <text>Pays to the Board a reinstatement fee set by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-310" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>If a chiropractor fails for any reason to renew the license of the chiropractor, the Board shall reinstate the license if the chiropractor:</text> <level label="1"> <text>Applies to the Board for reinstatement of the license within 5 years after the license expires;</text> </level> <level label="2"> <text>Meets the renewal requirements of § 3-308 of this subtitle;</text> </level> <level label="3"> <text>Pays to the Board the reinstatement fee set by the Board; and</text> </level> <level label="4"> <text>Passes the law and regulations portion of the Board’s examination.</text> </level> </level> <level label="b"> <text>The Board may not reinstate the license of a chiropractor who fails to apply for reinstatement of the license within 5 years after the license expires. However, the chiropractor may become licensed by meeting the current requirements for obtaining a new license under this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-311" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>The Board shall place a licensee on inactive status, if the licensee submits to the Board:</text> <level label="1"> <text>An application for inactive status on the form required by the Board; and</text> </level> <level label="2"> <text>The inactive status fee set by the Board.</text> </level> </level> <level label="b"> <text>A licensee on inactive status may reactivate the license if the licensee:</text> <level label="1"> <text>Complies with the continuing education and cardiopulmonary resuscitation (CPR) requirements in effect for the renewal period in which the licensee seeks to reactivate the license; and</text> </level> <level label="2"> <text>Pays the reactivation fee set by the Board.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="3-312" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Unless the Board agrees to accept the surrender of a license, a licensed chiropractor 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 chiropractor.</text> </level> <level label="b"> <text>The Board may set conditions on its agreement with the chiropractor under investigation or against whom charges are pending to accept surrender of the chiropractor’s license.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-313" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <text>Subject to the hearing provisions of § 3–315 of this subtitle, the Board may deny a license to any applicant, reprimand any licensee, place any licensee on probation, with or without conditions, or suspend or revoke a license, or any combination thereof, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Practices chiropractic under a false name;</text> </level> <level label="4"> <text>Impersonates another practitioner;</text> </level> <level label="5"> <text>Is convicted of or pleads guilty or nolo contendere to a felony or 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="6"> <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 other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="7"> <text>Solicits or advertises in a false or misleading manner or in any other manner not approved by the Board;</text> </level> <level label="8"> <text>Is unethical in the conduct of the practice of chiropractic;</text> </level> <level label="9"> <text>Is professionally incompetent;</text> </level> <level label="10"> <text>Abandons a patient;</text> </level> <level label="11"> <text>Misrepresents the effectiveness of any treatment, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="12"> <text>Makes or files a false report or record in the practice of chiropractic;</text> </level> <level label="13"> <text>Fails to file or record any report as required by law;</text> </level> <level label="14"> <text>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="15"> <text>Pays or agrees to pay any sum to any person for bringing or referring a patient;</text> </level> <level label="16"> <text>Overutilizes health care services;</text> </level> <level label="17"> <text>Is disciplined by a licensing or disciplinary authority of any other state or country or convicted by a court of any state or country for an act that would be grounds for disciplinary action under this section;</text> </level> <level label="18"> <text>Practices chiropractic with an unauthorized person or supervises or aids an unauthorized person in the practice of chiropractic;</text> </level> <level label="19"> <text>Violates any rule or regulation adopted by the Board;</text> </level> <level label="20"> <text>Behaves immorally in the practice of chiropractic;</text> </level> <level label="21"> <text>Commits an act of unprofessional conduct in the practice of chiropractic;</text> </level> <level label="22"> <text>Grossly overutilizes health care services;</text> </level> <level label="23"> <text>Is convicted of insurance fraud under § 27–801 of the Insurance Article;</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>Submits false statements to collect fees for which services were not provided;</text> </level> <level label="26"> <text>Misrepresents qualifications, education, training, or clinical experience;</text> </level> <level label="27"> <text>Is physically or mentally impaired to the extent that it impairs the applicant’s or licensee’s ability to practice chiropractic safely;</text> </level> <level label="28"> <text>Violates any provision of this title;</text> </level> <level label="29"> <text>Fails to submit to a criminal history records check in accordance with § 3–302.1 of this subtitle;</text> </level> <level label="30"> <text>Fails to comply with any Board order;</text> </level> <level label="31"> <text>Does an act that is inconsistent with generally accepted professional standards in the practice of chiropractic;</text> </level> <level label="32"> <text>Fails to cooperate with a lawful investigation conducted by the Board; or</text> </level> <level label="33"> <text>Except in an emergency life–threatening situation where it is not feasible or practicable, fails to comply with the Centers for Disease Control and Prevention’s guidelines on standard precautions.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-314" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>If after a hearing under § 3–315 of this subtitle the Board finds that there are grounds under § 3–313 of this subtitle to reprimand any licensee, place any licensee on probation, or suspend or revoke a license, the Board may impose a penalty not exceeding $5,000 for each violation:</text> <level label="1"> <text>Instead of reprimanding the licensee, placing the licensee on probation, or suspending or revoking the license; or</text> </level> <level label="2"> <text>In addition to reprimanding the licensee, placing the licensee on probation, or suspending or revoking the license.</text> </level> </level> <level label="b"> <text>If, after disciplinary procedures have been brought against a licensee, the licensee waives the right to a hearing required under this subtitle and if the Board finds that there are grounds under § 3-313 of this subtitle to reprimand the licensee, place the licensee on probation, or suspend or revoke a license, the Board may impose a penalty not exceeding $5,000 for each violation in addition to reprimanding, placing the licensee on probation or suspending or revoking the license.</text> </level> <level label="c"> <text>The Board shall adopt rules and regulations to set standards for the imposition of penalties under this section.</text> </level> <level label="d"> <text>The Board shall pay any penalty collected under this section into the General Fund of this State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-315" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Except as otherwise provided in the Administrative Procedure Act, before the Board takes any action under § 3–313 of this subtitle, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board.</text> </level> <level label="b"> <text>The Board shall give notice and hold the hearing in accordance with the Administrative Procedure Act.</text> </level> <level label="c"> <text>The individual may be represented at the hearing by counsel.</text> </level> <level label="d"> <text>Over the signature of an officer or the administrator of the Board, the Board may issue subpoenas and administer oaths in connection with any investigation under this title and any hearings or proceedings before it.</text> </level> <level label="e"> <text>If, without lawful excuse, a person disobeys a subpoena from the Board or an order by the Board to take an oath or to testify or answer a question, then, on petition of the Board, a court of competent jurisdiction shall compel compliance with the subpoena and may punish the person as for contempt of court.</text> </level> <level label="f"> <text>If after due notice the individual against whom the action is contemplated fails or refuses to appear, nevertheless the Board may hear and determine the matter.</text> </level> <level label="g"> <text>If, after a hearing, a chiropractor is found in violation of § 3–313 of this subtitle, the chiropractor shall pay to the Board the costs for court reporting services.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-316" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Except as provided in this section for an action under § 3–313 of this subtitle, any person aggrieved by a final decision of the Board in a contested case, as defined in the Administrative Procedure Act, may petition for judicial review as allowed by the Administrative Procedure Act.</text> </level> <level label="b"> <text>Any person aggrieved by a final decision of the Board under § 3–313 of this subtitle may not appeal to the Secretary but may take a direct judicial appeal as provided in the Administrative Procedure Act.</text> </level> <level label="c"> <level label="1"> <text>The Board may grant a stay of enforcement of a Board order in accordance with the Administrative Procedure Act.</text> </level> <level label="2"> <text>An order of the Board may not be stayed pending judicial review.</text> </level> </level> <level label="d"> <text>The Board may appeal a decision that reverses or modifies its order.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-316.1" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>An action may be maintained in the name of this State or the Board to enjoin:</text> <level label="1"> <text>The unauthorized practice of chiropractic; or</text> </level> <level label="2"> <text>Conduct that is a ground for disciplinary action under § 3–313 of this subtitle.</text> </level> </level> <level label="b"> <text>An action under this section may be brought by:</text> <level label="1"> <text>The Board, in its own name;</text> </level> <level label="2"> <text>The Attorney General, in the name of this State; or</text> </level> <level label="3"> <text>A State’s Attorney, in the name of this State.</text> </level> </level> <level label="c"> <text>An action under this section shall be brought in the county where the defendant:</text> <level label="1"> <text>Resides; or</text> </level> <level label="2"> <text>Engages in the acts sought to be enjoined.</text> </level> </level> <level label="d"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection, an action under this section may not be brought against an individual who is authorized to practice a health occupation under this article.</text> </level> <level label="2"> <text>An action under this section may be brought against an individual who is authorized to practice chiropractic under this title.</text> </level> </level> <level label="e"> <text>Proof of actual damage or that any person will sustain any damage if an injunction is not granted is not required for an action under this section.</text> </level> <level label="f"> <text>An action under this section is in addition to and not instead of criminal prosecution for the unauthorized practice of chiropractic under § 3–501 of this title or disciplinary action under § 3–313 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-317" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <text>If a license has been suspended or revoked under § 3–313 of this subtitle, the Board may reinstate the license only in accordance with:</text> <level label="1"> <text>The terms and conditions of the order of suspension or revocation; or</text> </level> <level label="2"> <text>An order of reinstatement issued by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-318" title_number="3" title_name="Chiropractors" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>If the Board, while reviewing an application for licensure or investigating an allegation brought against a licensee under this title, has reason to believe and objective evidence that the applicant or licensee may cause harm to individuals affected by the applicant’s or licensee’s practice of chiropractic, the Board shall require the applicant or licensee to submit to an appropriate examination by a health care provider designated by the Board.</text> </level> <level label="b"> <text>In return for the privilege to practice chiropractic in the State, the applicant or licensee is deemed to have:</text> <level label="1"> <text>Consented to submit to an examination under this section, if requested by the Board in writing; and</text> </level> <level label="2"> <text>Waived any claim of privilege as to the testimony or examination reports of the examining health care professional.</text> </level> </level> <level label="c"> <text>The failure or refusal of the applicant or licensee to submit to an examination required under subsection (b) of this section is prima facie evidence of the applicant’s or licensee’s inability to practice chiropractic competently unless the Board finds that the failure or refusal was beyond the control of the licensee.</text> </level> <level label="d"> <text>The Board shall pay the cost of any examination made under this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-401" title_number="3" title_name="Chiropractors" subtitle_number="4" subtitle_name="Miscellaneous"> <level label="a"> <text>The Board shall adopt rules and regulations to establish standards for advertising or soliciting by chiropractors.</text> </level> <level label="b"> <text>For purposes of this section, notices mailed to patients to inform them of times for periodic examinations are not advertising or soliciting.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-403" title_number="3" title_name="Chiropractors" subtitle_number="4" subtitle_name="Miscellaneous"> <text>The provisions of § 13-402 of this article do not prohibit a chiropractor who is licensed to practice chiropractic with the right to practice physical therapy from representing that the licensee holds that license.</text> </section> <section article="gho" article_name="Health Occupations" number="3-404" title_number="3" title_name="Chiropractors" subtitle_number="4" subtitle_name="Miscellaneous"> <text>A licensed chiropractor may delegate duties to an assistant to the extent permitted by the rules and regulations of the Board if the assigned duties do not require the professional skill and judgment of a licensed chiropractor. The rules and regulations shall also establish qualifications for the position of chiropractic assistant.</text> </section> <section article="gho" article_name="Health Occupations" number="3-405" title_number="3" title_name="Chiropractors" subtitle_number="4" subtitle_name="Miscellaneous"> <text>A licensed chiropractor shall have the immunity from liability described under § 5-636 of the Courts and Judicial Proceedings Article for reviewing the fees or charges for services of another licensed chiropractor in this or any other state.</text> </section> <section article="gho" article_name="Health Occupations" number="3-406" title_number="3" title_name="Chiropractors" subtitle_number="4" subtitle_name="Miscellaneous"> <level label="a"> <text>In this section, “chiropractor rehabilitation committee” means a committee that:</text> <level label="1"> <text>Is defined in subsection (b) of this section; and</text> </level> <level label="2"> <text>Performs any of the functions listed in subsection (d) of this section.</text> </level> </level> <level label="b"> <text>For purposes of this section, a chiropractor rehabilitation committee is a committee of the Board or a committee of the Maryland Chiropractic Association that:</text> <level label="1"> <text>Is recognized by the Board; and</text> </level> <level label="2"> <text>Includes but is not limited to chiropractors.</text> </level> </level> <level label="c"> <text>A rehabilitation committee of the Board or recognized by the Board may function:</text> <level label="1"> <text>Solely for the Board; or</text> </level> <level label="2"> <text>Jointly with a rehabilitation committee representing another board or boards.</text> </level> </level> <level label="d"> <text>For purposes of this section, a chiropractor rehabilitation committee evaluates and provides assistance to any chiropractor, chiropractic assistant, and any other individual regulated by the Board in need of treatment and rehabilitation for alcoholism, drug abuse, chemical dependency, or other physical, emotional, or mental condition.</text> </level> <level label="e"> <level label="1"> <text>Except as otherwise provided in this subsection, the proceedings, records, and files of the chiropractor rehabilitation committee are not discoverable and are not admissible in evidence in any civil action arising out of matters that are being or have been reviewed and evaluated by the chiropractor rehabilitation committee.</text> </level> <level label="2"> <text>Paragraph (1) of this subsection does not apply to any record or document that is considered by the chiropractor rehabilitation committee and that otherwise would be subject to discovery or introduction into evidence in any arbitration or civil proceeding.</text> </level> <level label="3"> <text>For purposes of this subsection, civil action does not include a proceeding before the Board or judicial review of a proceeding before the Board.</text> </level> </level> <level label="f"> <text>A person who acts in good faith and within the scope of jurisdiction of a chiropractor rehabilitation committee is not civilly liable for any action as a member of the chiropractor rehabilitation committee or for giving information to, participating in, or contributing to the function of the chiropractor rehabilitation committee.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-407" title_number="3" title_name="Chiropractors" subtitle_number="4" subtitle_name="Miscellaneous"> <text>A licensed chiropractor may use a trade name in connection with the practice of chiropractic provided that:</text> <level label="1"> <text>The use of the trade name is not deceptive or misleading;</text> </level> <level label="2"> <text>The advertisement in which the trade name appears includes the name of the licensed chiropractor or the name of the business entity providing the chiropractic services being advertised as long as the advertisement includes the name of a licensed chiropractor;</text> </level> <level label="3"> <text>The name of the licensed chiropractor providing chiropractic services appears on the billing invoices, stationery, and on any receipt given to a patient; and</text> </level> <level label="4"> <text>Treatment records are maintained that clearly identify the licensed chiropractor who has performed the chiropractic service for the patient.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-501" title_number="3" title_name="Chiropractors" subtitle_number="5"> <text>Except as otherwise provided in § 3–404 of this title, a person may not practice, attempt to practice, or offer to practice chiropractic in this State unless licensed by the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="3-502" title_number="3" title_name="Chiropractors" subtitle_number="5"> <level label="a"> <text>Unless authorized to practice chiropractic under this title, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice chiropractic in this State.</text> </level> <level label="b"> <text>Unless authorized to practice under this title, a person may not use the title “chiropractor”, or “D.C.”, or any other term or title with the intent to represent that the person practices chiropractic.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-503" title_number="3" title_name="Chiropractors" subtitle_number="5"> <text>A person may not buy, sell, or fraudulently obtain:</text> <level label="1"> <text>A license; or</text> </level> <level label="2"> <text>Any diploma or degree required under § 3–302 of this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-506" title_number="3" title_name="Chiropractors" subtitle_number="5"> <level label="a"> <text>A person who practices or attempts to practice chiropractic without a license in violation of § 3–501 of this subtitle or represents to the public in violation of § 3–502 of this subtitle that the person is authorized to practice chiropractic is guilty of a misdemeanor and on conviction is subject to:</text> <level label="1"> <text>For a first offense, a fine not exceeding $2,000 or imprisonment not exceeding 6 months; or</text> </level> <level label="2"> <text>For a subsequent offense, a fine not exceeding $6,000 or imprisonment not exceeding 1 year.</text> </level> </level> <level label="b"> <text>A person who is convicted under the provisions of this section shall reimburse the Board for the direct costs of the Board, including court reporting services and expert witness fees, incurred as a result of a prosecution under this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="3-601" title_number="3" title_name="Chiropractors" subtitle_number="6" subtitle_name="Short Title; Termination of Title"> <text>This title may be cited as the “Maryland Chiropractic Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="3-602" title_number="3" title_name="Chiropractors" subtitle_number="6" subtitle_name="Short Title; Termination of Title"> <text>Subject to the evaluation and reestablishment provisions of the Maryland Program Evaluation Act, this title and all rules and regulations adopted under this title shall terminate and be of no effect after July 1, 2032.</text> </section>