<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.32.03.08" title_num="10" subtitle_num="32" chapter_num="03" heading="Approval, Disapproval, Ineligible, or Modification of Advanced Duties.">
  <paragraph num="A.">
    <text>Approvals of Advanced Duties.</text>
    <paragraph num="(1)">
      <text>Documentation demonstrating a physician assistant’s authority to perform an advanced duty under this section shall be maintained at the facility where the physician assistant is performing the advanced duty.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Board may audit and review collaboration agreements kept by the physician assistant at the primary place of business of the licensee at any time.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If an advanced duty requires Board approval, the Committee:</text>
      <paragraph num="(a)">
        <text>Shall review the collaboration agreement;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May conduct a personal interview of the physician assistant and patient care team physicians; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>May recommend to the Board that the collaboration agreement be modified to ensure conformance with the requirements of Health Occupations Article, §§15–302 and 15–302.1, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Modification or Disapproval of Advanced Duties.</text>
    <paragraph num="(1)">
      <text>The Board may modify or disapprove the performance of advanced duties under a collaboration agreement if the physician assistant does not meet the applicable education, training, and experience requirements to perform the specified advanced duties.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the Board disapproves or modifies a request to perform an advanced duties, the Board shall:</text>
      <paragraph num="(a)">
        <text>Notify the delegating patient care team physician listed in the collaboration agreement and the physician assistant in writing of the particular elements of the advanced duty approval request that were the cause for the modification or denial;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Set forth the specific reasons for the modification or denial; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Give the applicant an opportunity to submit an amendment to the advanced duty or request a hearing before the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>To request a hearing regarding modification or disapproval of advanced duties, the applicant shall make a written request for a hearing within 30 days of the receipt of the notice of modification or disapproval.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Physician Assistant Deemed Ineligible to Perform an Advanced Duty.</text>
    <paragraph num="(1)">
      <text>A physician assistant who applies to perform an advanced duty may be deemed ineligible to perform an advanced duty if the physician assistant or patient care team physician:</text>
      <paragraph num="(a)">
        <text>Fails to complete the application;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Fails to provide additional information requested by the Board in connection with the application; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Submits false or misleading information to the Board in connection with the application.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If a physician assistant is deemed ineligible to perform the advanced duty, the Board shall:</text>
      <paragraph num="(a)">
        <text>Give written notice to the applicant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Set forth the specific reasons for the ineligibility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A physician assistant who is deemed ineligible to perform the advanced duty shall not be authorized to perform the advanced duty except for training purposes under the direct supervision of a patient care team physician listed on the collaboration agreement.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Individual members of the Board are not civilly liable for actions regarding the approval, modification, or disapproval of an advanced duty under the collaboration agreement described in this regulation.</text>
  </paragraph>
</regulation>