<section article="gho" article_name="Health Occupations" number="5-101" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Dietetic Practice.</text> </level> <level label="c"> <text>“Certified nutrition specialist” means an individual certified by the Board for Certification of Nutrition Specialists, the accrediting body of the American Nutrition Association.</text> </level> <level label="d"> <text>“Dietitian-nutritionist” means, unless the context requires otherwise, an individual who is licensed by the Board to practice dietetics.</text> </level> <level label="e"> <text>“License” means, unless the context requires otherwise, a license issued by the Board to practice dietetics.</text> </level> <level label="f"> <level label="1"> <text>“Medical device” means a health care product used in the diagnosis, treatment, or prevention of disease.</text> </level> <level label="2"> <text>“Medical device” does not mean:</text> <level label="i"> <text>A drug;</text> </level> <level label="ii"> <text>A surgical or dental instrument;</text> </level> <level label="iii"> <text>Physical therapy equipment;</text> </level> <level label="iv"> <text>X-ray apparatus; or</text> </level> <level label="v"> <text>A component part or accessory of any of the items listed in this paragraph.</text> </level> </level> </level> <level label="g"> <text>“Medical nutrition” means the nutritional advice or counsel provided to an individual by a licensee in their professional capacity that is designed for an individual to alleviate a specific physiological complaint, condition, or symptom.</text> </level> <level label="h"> <level label="1"> <text>“Practice dietetics” means to apply the principles derived from integrating knowledge of food, biochemistry, physiology, management science, behavioral science, and social science to human nutrition.</text> </level> <level label="2"> <text>“Practice dietetics” includes:</text> <level label="i"> <text>Assessing individual and community food practices and nutritional status using anthropometric, biochemical, clinical, dietary, and demographic data, for clinical, research, and program planning purposes;</text> </level> <level label="ii"> <text>Developing, establishing, and evaluating nutritional care plans that establish priorities, goals, and objectives for meeting nutrient needs for individuals or groups;</text> </level> <level label="iii"> <text>Nutrition counseling and education as a part of preventive or restorative health care throughout the life cycle;</text> </level> <level label="iv"> <text>Determining, applying, and evaluating standards for food and nutrition services; and</text> </level> <level label="v"> <text>Applying scientific research to the role of food in the maintenance of health and the treatment of disease.</text> </level> </level> </level> <level label="i"> <text>“Registered dietitian” means an individual registered with the Commission on Dietetic Registration, the accrediting body of the Academy of Nutrition and Dietetics.</text> </level> <level label="j"> <text>“Supervision” means the management of an individual who aids in the practice of dietetics by a licensed dietitian-nutritionist who may or may not be on the premises.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-102" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <text>The purpose of this title is to protect the lives and health of the people of this State by:</text> <level label="1"> <text>Setting standards for the practice of dietetics; and</text> </level> <level label="2"> <text>Limiting the use of the title “licensed dietitian-nutritionist” to individuals who meet those standards.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-103" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <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> </level> <level label="b"> <text>This title does not limit the right of an individual or group to provide services and information related to nonmedical nutrition while:</text> <level label="1"> <text>Employed by or operating a health, weight loss, or fitness program;</text> </level> <level label="2"> <text>Employed by or operating a health food store;</text> </level> <level label="3"> <text>Employed by or operating a business that sells health products including dietary supplements, food, or food materials, or provides nonmedical nutritional information or distributes nutritional literature; or</text> </level> <level label="4"> <text>Conducting classes or disseminating information related to nonmedical nutrition.</text> </level> </level> <level label="c"> <text>This title does not limit the right of an individual to provide services related only to the purchasing, preparation, and service of food to groups of people.</text> </level> <level label="d"> <text>This title does not limit the right of an individual to provide nonmedical nutritional information or to distribute nutritional literature.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-201" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="2" subtitle_name="State Board of Dietetic Practice"> <text>There is a State Board of Dietetic Practice in the Department.</text> </section> <section article="gho" article_name="Health Occupations" number="5-202" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="2" subtitle_name="State Board of Dietetic Practice"> <level label="a"> <level label="1"> <text>The Board consists of nine members.</text> </level> <level label="2"> <text>Of the nine Board members:</text> <level label="i"> <text>Seven shall be dietitian-nutritionists licensed on or after July 1, 2004 to practice dietetics in Maryland, including:</text> <level label="1"> <text>One member who is engaged primarily in clinical dietetic practice;</text> </level> <level label="2"> <text>One member who is engaged primarily in community or public health dietetic practice;</text> </level> <level label="3"> <text>One member who is engaged primarily in administrative dietetic practice;</text> </level> <level label="4"> <text>One member who is engaged primarily in consulting dietetic practice;</text> </level> <level label="5"> <text>One member who is a faculty member in the field of dietetics or nutritional science; and</text> </level> <level label="6"> <text>Two members who are certified nutrition specialists and who may not be registered dietitians; and</text> </level> </level> <level label="ii"> <text>Two shall be consumer members.</text> </level> </level> <level label="3"> <text>The Governor shall appoint the licensed dietitian-nutritionist members with the advice of the Secretary and with the advice and consent of the Senate from a list submitted as provided in subsection (b) of this section.</text> </level> <level label="4"> <text>The Governor shall appoint the consumer members with the advice of the Secretary and the advice and consent of the Senate.</text> </level> </level> <level label="b"> <level label="1"> <text>For each licensed dietitian–nutritionist vacancy, the Board shall compile a list of names to be submitted to the Secretary in accordance with this subsection, including at least three names for each of the vacancies.</text> </level> <level label="2"> <text>The Board shall notify all licensed dietitian–nutritionists in the State of the vacancy to solicit nominations to fill the vacancy.</text> </level> <level label="3"> <text>The Maryland Academy of Nutrition and Dietetics or the Maryland Nutritionists Association shall nominate qualified individuals to fill the vacancy within 30 days after the notice required in paragraph (2) of this subsection is given.</text> </level> <level label="4"> <text>The Maryland Academy of Nutrition and Dietetics may comment on an individual nominated by the Maryland Nutritionists Association under paragraph (3) of this subsection within 30 days after the nomination and before the list is submitted to the Secretary.</text> </level> <level label="5"> <text>The Maryland Nutritionists Association may comment on an individual nominated by the Maryland Academy of Nutrition and Dietetics under paragraph (3) of this subsection within 30 days after the nomination and before the list is submitted to the Secretary.</text> </level> </level> <level label="c"> <level label="1"> <text>Each licensed dietitian-nutritionist member of the Board shall:</text> <level label="i"> <text>Be a citizen of the United States;</text> </level> <level label="ii"> <text>Be a resident of the State; and</text> </level> <level label="iii"> <text>Have practiced dietetics for at least 5 of the last 10 years.</text> </level> </level> <level label="2"> <text>The consumer member of the Board:</text> <level label="i"> <text>Shall be a citizen of the United States;</text> </level> <level label="ii"> <text>Shall be a resident of this State;</text> </level> <level label="iii"> <text>May not be a licensed dietitian-nutritionist or have a household member who is a licensed dietitian-nutritionist;</text> </level> <level label="iv"> <text>May not have a financial interest in the provision of goods or services to licensed dietitian-nutritionists; and</text> </level> <level label="v"> <text>May not have a financial interest in the provision of dietary goods or services to consumers.</text> </level> </level> </level> <level label="d"> <level label="1"> <text>The term of a member is 4 years.</text> </level> <level label="2"> <text>The terms of the members are staggered as required by the terms provided for members of the Board on July 1, 1985.</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>To the extent practicable, the Governor shall fill any vacancy on the Board within 75 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="e"> <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> </section> <section article="gho" article_name="Health Occupations" number="5-203" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="2" subtitle_name="State Board of Dietetic Practice"> <level label="a"> <text>From among its members, the Board annually shall elect a chairman, a vice chairman, and a secretary.</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="5-204" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="2" subtitle_name="State Board of Dietetic Practice"> <level label="a"> <text>A majority of the members then serving on 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>A member of the Board:</text> <level label="1"> <text>Is entitled to compensation in accordance with the budget of the Board; and</text> </level> <level label="2"> <text>Is entitled to reimbursement for expenses at a rate determined by the Board.</text> </level> </level> <level label="d"> <text>The Board may employ a staff in accordance with the budget of the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-205" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="2" subtitle_name="State Board of Dietetic Practice"> <level label="a"> <text>In addition to the powers set forth elsewhere in this subtitle, the Board may:</text> <level label="1"> <text>Adopt regulations to carry out the provisions of this subtitle;</text> </level> <level label="2"> <text>Sue to enforce any provision of this subtitle by injunction; and</text> </level> <level label="3"> <text>Issue subpoenas, summon witnesses, administer oaths, take affidavits, and take testimony about matters that relate to the jurisdiction of the Board.</text> </level> </level> <level label="b"> <text>In addition to the duties set forth elsewhere in this subtitle, the Board shall:</text> <level label="1"> <text>Keep a list of all dietitian–nutritionists who are currently licensed;</text> </level> <level label="2"> <text>Keep a record of its proceedings;</text> </level> <level label="3"> <text>Submit an annual report of its transactions for the previous fiscal year to the Governor by September 30 of each year; and</text> </level> <level label="4"> <text>Investigate an alleged violation of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="5-206" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="2" subtitle_name="State Board of Dietetic Practice"> <level label="a"> <text>There is a State Board of Dietetic Practice Fund.</text> </level> <level label="b"> <level label="1"> <text>The Board may set reasonable fees for the issuance and renewal of licenses.</text> </level> <level label="2"> <text>The fees charged shall be set so as to approximate the cost of maintaining the Board.</text> </level> <level label="3"> <text>Funds to cover the 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 funds to the State Board of Dietetic Practice 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>Except as otherwise provided by law, 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>Moneys 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="5-207" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="2" subtitle_name="State Board of Dietetic Practice"> <text>A person shall have immunity from the liability described under § 5–719 of the Courts Article for giving information to the Board or otherwise participating in its activities.</text> </section> <section article="gho" article_name="Health Occupations" number="5-301" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <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 dietetics in the State.</text> </level> <level label="b"> <text>The following individuals may practice dietetics without a license:</text> <level label="1"> <text>A student or trainee, working under the supervision of a licensed dietitian-nutritionist while fulfilling an experience requirement or pursuing a course of study to meet requirements for licensure, for a limited period of time as determined by the Board;</text> </level> <level label="2"> <text>An individual employed by the United States government to practice dietetics, while practicing within the scope of that employment; and</text> </level> <level label="3"> <text>An individual who aids in the practice of dietetics, if the individual works under the supervision of a licensed dietitian-nutritionist or licensed physician.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="5-302" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <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 must be of good moral character.</text> </level> <level label="c"> <text>The applicant must be at least 18 years old.</text> </level> <level label="d"> <text>The applicant for licensure as a dietitian–nutritionist shall:</text> <level label="1"> <level label="i"> <level label="1"> <text>Have satisfactorily completed academic requirements for the field of dietetics as approved by the Board; and</text> </level> <level label="2"> <text>Have received at a minimum a baccalaureate degree from a college or university accredited by an educational accrediting association as required by the Commission on Dietetic Registration; or</text> </level> </level> <level label="ii"> <text>Have received a master’s or doctoral degree from a college or university accredited by an educational accrediting association recognized by the Council on Higher Education and Accreditation in nutritional sciences (with emphasis in human nutrition), food and nutrition, dietetics, human nutrition, community nutrition, public health nutrition, or equivalent training approved by the Board;</text> </level> </level> <level label="2"> <text>Have satisfactorily completed a program of supervised clinical experience approved by the Board;</text> </level> <level label="3"> <level label="i"> <text>Submit to the Board proof of certification by the Board for Certification of Nutrition Specialists; or</text> </level> <level label="ii"> <text>Submit to the Board proof of registration as a dietitian with the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics; and</text> </level> </level> <level label="4"> <text>Beginning July 1, 2027, submit to a criminal history records check in accordance with § 5–302.1 of this subtitle.</text> </level> </level> <level label="e"> <text>Except as otherwise provided in this subtitle, the applicant must pass an examination approved by the Board under this subtitle.</text> </level> <level label="f"> <text>The applicant shall meet any other qualifications or requirements that the Board establishes for license applicants.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-302.1" title_number="5" title_name="Licensed Dietitian-Nutritionists" 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>An applicant shall apply to the Central Repository for a State and national criminal history records check.</text> </level> <level label="c"> <text>As part of the application for a criminal history records check, an applicant shall complete and submit to the Central Repository:</text> <level label="1"> <text>A complete set of legible fingerprints taken in a format 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 Maryland criminal history records; and</text> </level> <level label="3"> <text>The mandatory processing fee required by the Federal Bureau of Investigation for a national criminal history records check.</text> </level> </level> <level label="d"> <text>In accordance with §§ 10–201 through 10–229 of the Criminal Procedure Article, the Central Repository shall forward to the Board and the individual the individual’s criminal history record information.</text> </level> <level label="e"> <text>Information obtained from the Central Repository under this section:</text> <level label="1"> <text>Is confidential;</text> </level> <level label="2"> <text>May not be redisseminated; and</text> </level> <level label="3"> <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 criminal history record information issued by the Central Repository as provided in § 10–223 of the Criminal Procedure Article.</text> </level> <level label="g"> <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 and the individual revised criminal history record information for the individual.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-303" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>An applicant for a license shall:</text> <level label="1"> <text>Submit an application to the Board on the form that the Board requires;</text> </level> <level label="2"> <text>Pay the application fee set by the Board;</text> </level> <level label="3"> <text>Provide proof of passing an examination approved by the Board; and</text> </level> <level label="4"> <text>Beginning July 1, 2027, submit to a criminal history records check in accordance with § 5–302.1 of this subtitle.</text> </level> </level> <level label="b"> <text>In addition to any other requirements of this section, an applicant who is or has been licensed to practice dietetics in another state or country shall submit proof of good standing in that state or country or proof of eligibility for a license in good standing in that state or country.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-304" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <text>The Board shall determine the passing score for the examination approved.</text> </section> <section article="gho" article_name="Health Occupations" number="5-305" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Subject to the provisions of this section, the Board may waive an examination requirement of this title for an individual who:</text> <level label="1"> <text>Is licensed to practice dietetics in another state or country;</text> </level> <level label="2"> <text>Is registered as a dietitian by the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics; or</text> </level> <level label="3"> <text>Is certified by the Board for Certification of Nutrition Specialists.</text> </level> </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 application fee set by the Board under § 5–206 of this title; 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 subtitle; and</text> </level> <level label="ii"> <level label="1"> <text>Became licensed in the other state or country after passing, in that state or country, an examination that the Board determines to be comparable to the examination for which the applicant is seeking the waiver;</text> </level> <level label="2"> <text>Became registered as a dietitian by the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics after meeting the examination waiver requirements of that Commission or its predecessor; or</text> </level> <level label="3"> <text>Became certified by the Board for Certification of Nutrition Specialists after meeting the examination waiver requirements of that Certification Board or its predecessor.</text> </level> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="5-306" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>If an applicant qualifies for a license under this subtitle, the Board shall send the applicant a notice that specifies that:</text> <level label="1"> <text>The applicant has qualified for a license; and</text> </level> <level label="2"> <text>On receipt of the license fee set by the Board, the Board will issue a license to the applicant.</text> </level> </level> <level label="b"> <text>On payment of the license fee, the Board shall issue a license to any applicant who meets the requirements of this subtitle.</text> </level> <level label="c"> <text>The Board shall include on each license that the Board issues:</text> <level label="1"> <text>The full name of the licensee;</text> </level> <level label="2"> <text>A serial number assigned by the Board to the licensee; and</text> </level> <level label="3"> <text>The signature of the chairman of the Board, under seal of the Board.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="5-307" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <text>A license authorizes the licensee to practice dietetics while the license is effective.</text> </section> <section article="gho" article_name="Health Occupations" number="5-308" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <level label="1"> <text>Unless the license is renewed for an additional term as provided in this section, a license expires on the date set by the Board.</text> </level> <level label="2"> <text>A license may not be renewed for a term longer than 2 years.</text> </level> </level> <level label="b"> <text>At least 1 month before the license expires, the Board shall send to the licensee, by electronic means or first–class mail to the last known electronic or physical address of 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 Board must receive the renewal application 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>Before the license expires, the licensee may renew it for an additional 2-year term, if the licensee:</text> <level label="1"> <text>Otherwise is entitled to be licensed;</text> </level> <level label="2"> <text>Pays to the Board 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 for license renewal set by the Board under this section.</text> </level> </level> </level> <level label="d"> <text>In addition to any other qualifications and requirements established by the Board, the Board shall establish continuing education requirements as a condition to 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>An individual licensed before July 1, 2027, shall provide satisfactory evidence of a criminal history records check in accordance with § 5–302.1 of this title for the licensee’s first renewal after January 1, 2028.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-309" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <level label="1"> <text>The Board shall place a licensee on inactive status if the licensee:</text> <level label="i"> <text>Submits to the Board an application for inactive status on the form required by the Board; and</text> </level> <level label="ii"> <text>Pays to the Board the inactive status fee set by the Board.</text> </level> </level> <level label="2"> <text>The Board shall reactivate the license of an individual placed on inactive status if the individual:</text> <level label="i"> <text>Satisfies the continuing education requirements established by the Board;</text> </level> <level label="ii"> <text>Pays to the Board a reactivation fee set by the Board; and</text> </level> <level label="iii"> <text>Submits to a criminal history records check in accordance with § 5–302.1 of this subtitle.</text> </level> </level> </level> <level label="b"> <text>The Board, in accordance with its regulations, shall reinstate the license of an individual who failed to renew a license for any reason if the individual:</text> <level label="1"> <text>Otherwise is entitled to be licensed;</text> </level> <level label="2"> <text>Satisfies the continuing education requirements established by the Board;</text> </level> <level label="3"> <text>Pays to the Board a reinstatement fee set by the Board;</text> </level> <level label="4"> <text>Applies to the Board for reinstatement of a license within 5 years after the expiration of the license; and</text> </level> <level label="5"> <text>Submits to a criminal history records check in accordance with § 5–302.1 of this subtitle.</text> </level> </level> <level label="c"> <level label="1"> <text>The Board may not reinstate the license of an individual who fails to apply for reinstatement of the license within 5 years after the expiration of the license.</text> </level> <level label="2"> <text>An individual who fails to apply for reinstatement of a license within 5 years after the expiration of the license may become licensed by meeting the requirements for obtaining an initial license under this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="5-310" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Each licensee shall produce a valid license when requested to do so by an existing or potential employer or client.</text> </level> <level label="b"> <text>Each licensee shall give the Board written notice of any change of address within 30 days of any change of address.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-310.1" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Unless the Board agrees to accept the surrender of a license, a licensed dietitian-nutritionist 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> </level> <level label="b"> <text>The Board may set conditions on its agreement with the licensee under investigation or against whom charges are pending to accept surrender of the license.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-311" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <text>Subject to the hearing provisions of § 5–312 of this subtitle, the Board, on the affirmative vote of a majority of its members then serving, may deny a license to any applicant, reprimand any licensee, 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 or licensee or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Violates any provision of this title or any regulations adopted under this title;</text> </level> <level label="4"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional service for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="5"> <text>Commits fraud or deceit in the practice of dietetics;</text> </level> <level label="6"> <text>Is convicted of or pleads 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="7"> <text>Obtains or attempts to obtain a fee through fraud or misrepresentation;</text> </level> <level label="8"> <text>Employs any individual to practice dietetics whose license or certificate to practice a health occupation under this article has been suspended;</text> </level> <level label="9"> <text>Uses or promotes or causes the use of any misleading, deceiving, or untruthful advertising matter, or promotional literature, testimonial, guarantee, warranty, label, brand, insignia, or other representation;</text> </level> <level label="10"> <text>Commits any act of unprofessional conduct, as defined by the rules and regulations of the Board, or violates the code of ethics adopted by the Board;</text> </level> <level label="11"> <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="12"> <text>Is disciplined by a licensing or disciplinary authority of any other state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, or convicted or disciplined by a court of any other state or country for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="13"> <text>Practices dietetics with an unauthorized individual or supervises or aids an unauthorized individual in the practice of dietetics;</text> </level> <level label="14"> <text>Fails to file or record any report or record as required by law in the practice of dietetics, impedes or obstructs the filing or recording of the report or record, or induces another to fail to file or record the report or record;</text> </level> <level label="15"> <text>Submits a false statement to collect a fee;</text> </level> <level label="16"> <text>Is professionally, physically, or mentally incompetent;</text> </level> <level label="17"> <text>Promotes the sale of devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="18"> <text>Fails to cooperate with a lawful investigation conducted by the Board; or</text> </level> <level label="19"> <text>Fails to submit to a criminal history records check in accordance with § 5–302.1 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-311.1" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>If after a hearing under § 5-312 of this subtitle the Board finds that there are grounds under § 5-311 of this subtitle to suspend or revoke a license, the Board may impose a penalty not exceeding $5,000:</text> <level label="1"> <text>Instead of suspending the license; or</text> </level> <level label="2"> <text>In addition to suspending or revoking the license or reprimanding the licensee.</text> </level> </level> <level label="b"> <text>The Board shall adopt regulations to set standards for the imposition of penalties under this section.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section into the General Fund of the State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-312" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Except as otherwise provided in § 10-226 of the State Government Article, before the Board takes any action under § 5-311 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 Title 10, Subtitle 2 of the State Government Article.</text> </level> <level label="c"> <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="d"> <text>If, without lawful excuse, a person disobeys a subpoena from the Board, an order by the Board to take any oath or to testify, or answer a question, then, on petition of the Board, a court of competent jurisdiction may punish the person for contempt of court.</text> </level> <level label="e"> <text>If after due notice the individual against whom the action is contemplated fails or refuses to appear, the Board may hear and determine the matter.</text> </level> <level label="f"> <text>The hearing notice to be given to the individual shall be sent by certified mail to the last known address of the individual at least 14 days before the hearing.</text> </level> <level label="g"> <text>The individual may be represented at the hearing by counsel.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-313" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Except as otherwise provided in this section for an action under § 5–311 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 § 5–311 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"> <text>An order of the Board may not be stayed pending review.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-314" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>In this section, “dietetic 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 dietetic rehabilitation committee is a committee of the Board or a committee of an association representing licensed dietitian-nutritionists that:</text> <level label="1"> <text>Is recognized by the Board; and</text> </level> <level label="2"> <text>Includes but is not limited to dietitian-nutritionists.</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 dietetic rehabilitation committee evaluates and provides assistance to any dietitian-nutritionist 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 dietetic 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 dietetic 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 dietetic rehabilitation committee and that otherwise would be subject to discovery or introduction into evidence in a civil action.</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 dietetic rehabilitation committee is not civilly liable for any action as a member of the dietetic rehabilitation committee or for giving information to, participating in, or contributing to the function of the dietetic rehabilitation committee.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-401" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="4" subtitle_name="Prohibited Acts; Penalties"> <text>Except as otherwise provided in this title, a person may not practice, attempt to practice, or offer to practice dietetics in the State unless licensed by the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="5-402" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="4" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <text>Except as otherwise provided under this title, a person may not represent or imply to the public by use of the title “licensed dietitian-nutritionist”, by other title, by description of services, methods, or procedures that the person is authorized to practice dietetics in the State.</text> </level> <level label="b"> <text>Unless authorized to practice dietetics under this title, a person may not use the words or terms “dietitian-nutritionist”, “licensed dietitian-nutritionist”, “LDN”, “dietitian”, “licensed dietitian”, “D”, “LD”, “nutritionist”, “licensed nutritionist”, or “LN”.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-403" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="4" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <text>A person who violates § 5–401 or § 5–402 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 § 5–401 or § 5–402 of this subtitle is subject to a civil fine not to exceed $50,000 to be assessed by the Board in accordance with regulations adopted by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-404" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="4" subtitle_name="Prohibited Acts; Penalties"> <text>The Board may issue a cease and desist order or obtain injunctive relief for a violation of any provision of § 5–401 or § 5–402 of this subtitle.</text> </section> <section article="gho" article_name="Health Occupations" number="5-405" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="4" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <text>An action may be maintained in the name of the State or the Board to enjoin:</text> <level label="1"> <text>The unauthorized practice of dietetics; or</text> </level> <level label="2"> <text>Conduct that is a ground for disciplinary action under § 5–311 of this title.</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 the State; or</text> </level> <level label="3"> <text>A State’s Attorney, in the name of the 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 act sought to be enjoined.</text> </level> </level> <level label="d"> <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="e"> <text>An action under this section is in addition to and not instead of criminal prosecution for the unauthorized practice of dietetics under § 5–401 of this subtitle or disciplinary action under § 5–311 of this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="5-501" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="5" subtitle_name="Short Title; Termination of Title"> <text>This title may be cited as the “Maryland Licensed Dietitian-Nutritionists Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="5-502" title_number="5" title_name="Licensed Dietitian-Nutritionists" subtitle_number="5" 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 regulations adopted under this title shall terminate and be of no effect after July 1, 2030.</text> </section>