Except as otherwise provided under Health Occupations Article, Title 15, Annotated Code of Maryland, an individual shall be licensed by the Board and notify the Board of an executed collaboration agreement before the individual may practice as a physician assistant or collaborate with a patient care team physician. A physician assistant's scope of practice will be limited to medical acts that are: Appropriate to the education, training, and experience of the physician assistant; Customary to the practice of a patient care team physician; and Performed in a manner consistent with the collaboration agreement. A physician assistant may delegate technical medical acts authorized under Health Occupations Article, §14-306, Annotated Code of Maryland and COMAR 10.32.12 provided the physician assistant: Has notified the Board, in a manner approved by the Board of an executed collaboration agreement; and Has completed at least 7,000 hours of clinical practice experience. Prohibitions. Regardless of the setting or other factors, a patient care team physician may not delegate, and a physician assistant may not perform general anesthesia or neuraxial anesthesia, including spinal, epidural, and image-guided interventional spine procedures. Except in hospitals, detention centers, correctional facilities, and public health facilities, a patient care team physician may not collaborate with more than eight physician assistants during the same shift.