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<regulation prefix="Regulation" num=".02" citation="COMAR 10.32.03.02" title_num="10" subtitle_num="32" chapter_num="03" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Accredited” means accredited by the Accreditation Review Commission on Education for the Physician Assistant or its successor.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Advanced duties” means medical acts that require additional education, training, or experience that is beyond the physician assistant education program required for licensure.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Ambulatory surgical facility” means a facility:</text>
      <paragraph num="(a)">
        <text>Accredited by:</text>
        <paragraph num="(i)">
          <text>The American Association for Accreditation of Ambulatory Surgical Facilities;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The Accreditation Association for Ambulatory Health Care; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The Joint Commission on the Accreditation of Health Care Organizations; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Certified to participate in the Medicare Program, as enacted by Title XVIII of the Social Security Act.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Applicant” means an individual who applies to the State Board of Physicians for licensure as a physician assistant.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Board” means the State Board of Physicians.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Category I hours” means hours of continuing medical education given in formally organized programs pertinent to the practice of physician assistant duties, accredited by the American Academy of Physician Assistants, the American Academy of Family Physicians, the Accreditation Council on Continuing Medical Education, the Medical and Chirurgical Faculty of Maryland, or equivalent certifying bodies.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Collaborating physician” means one or more patient care team physicians who collaborate with a physician assistant under a collaboration agreement.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Collaboration.</text>
      <paragraph num="(a)">
        <text>“Collaboration” means the communication and decision-making process among health care providers who are members of a patient care team related to the treatment of a patient which includes the degree of cooperation necessary to provide treatment and care to the patient.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Collaboration” includes:</text>
        <paragraph num="(i)">
          <text>Communication of data and information about the treatment and care of a patient, including the exchange of clinical observations and assessments; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The development of an appropriate plan of care including decisions regarding the health care provided, accessing and assessing appropriate additional resources, expertise, referrals, testing, or studies.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>“Collaboration” does not require constant, physical presence of a collaborating physician on-site in the practice setting provided that the collaborating physician is accessible by electronic means.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Collaboration agreement” means a document that outlines the relationship between a physician assistant and an individual physician or a group of physicians which is maintained at the practice level and is developed between a physician assistant and collaborating physician or physicians.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Committee” means the Physician Assistant Advisory Committee.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Controlled dangerous substances” means any drug listed as such in Criminal Law Article, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Core duties” means medical acts that are included in the standard curricula of accredited physician assistant education programs.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Correctional facility” means a State or local correctional facility.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Detention center” means a State or local detention center.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Drug sample” means a unit of a prescription drug that is intended to promote the sale of the drug and is not intended for sale.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“English-speaking professional school” means a school:</text>
      <paragraph num="(a)">
        <text>That offers a degree after graduation from high school;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>That is in the United States, its territories and possessions, or the British Commonwealth; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Where all academic and clinical courses are taught in English.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“Exempt facility” means:</text>
      <paragraph num="(a)">
        <text>A hospital;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An ambulatory surgical facility;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A federally qualified health center as defined in Health-General Article, §24-1301(b), Annotated Code of Maryland; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Any other practice setting listed on a hospital delineation of privileges document.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Hospital” means:</text>
      <paragraph num="(a)">
        <text>A hospital as defined under Health-General Article, §19-301(g), Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A comprehensive care facility that:</text>
        <paragraph num="(i)">
          <text>Meets the requirements of a hospital-based skilled nursing facility under 42 U.S.C. §1395i-3; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Offers acute care in the same building; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>An emergency room that is physically connected to a hospital or a freestanding medical facility that is licensed under Health-General Article, Title 19, Subtitle 3A, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(19)">
      <text>“Joint Commission” means the organization formerly known as the Joint Commission on Accreditation of Health Care Organizations.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“NCCPA” means the National Commission on Certification of Physician Assistants, Inc.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“On-site” means the physical presence of the collaborating physician on the premises of the facility where the physician assistant performs delegated medical acts.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Patient care team” means a multidisciplinary team of health care providers actively functioning as a unit with the leadership of one or more patient care team physicians for the purpose of providing and delivering health care to a patient or group of patients.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Patient care team physician” means a licensed physician who regularly practices in the State and who provides leadership in the care of patients as part of a patient care team.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Physician” means an individual who is licensed by the Board to practice medicine.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“Physician assistant” means an individual who is licensed by the Board to practice as a physician assistant.</text>
    </paragraph>
    <paragraph num="(26)">
      <text>“Prescriptive authority” means the authority of a physician assistant to:</text>
      <paragraph num="(a)">
        <text>Prescribe and administer:</text>
        <paragraph num="(i)">
          <text>Controlled dangerous substances;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Prescription drugs; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Medical devices;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Give verbal, written, or electronic orders for medications; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Dispense starter dosages or drug samples.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(27)">
      <text>“Public health facility” means a site where clinical public health services are rendered under the auspices of the Department, a local health department in a county, or the Baltimore City Health Department.</text>
    </paragraph>
    <paragraph num="(28)">
      <text>“Starter dosage” means an amount of a drug sufficient to begin therapy:</text>
      <paragraph num="(a)">
        <text>Of short duration of 72 hours or less; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Before obtaining a larger quantity of the drug to complete therapy.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(29)">
      <text>“Training” means the education or on-the-job training a physician assistant:</text>
      <paragraph num="(a)">
        <text>Receives after initial licensure as a physician assistant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Requires to perform advanced duties.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>