<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 10.32.03.13" title_num="10" subtitle_num="32" chapter_num="03" heading="Prohibited Conduct.">
  <paragraph num="A.">
    <text>The Board may deny a license, reprimand a physician assistant, place a physician assistant on probation, or suspend or revoke a license if the physician assistant:</text>
    <paragraph num="(1)">
      <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or the licensee or for another;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Fraudulently or deceptively uses a license;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Is guilty of:</text>
      <paragraph num="(a)">
        <text>Immoral conduct in the practice of medicine; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Unprofessional conduct in the practice of medicine;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Is professionally, physically, or mentally incompetent;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Solicits or advertises in violation of Health Occupations Article, §14-503, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Abandons a patient;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Is habitually intoxicated;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Is addicted to, or habitually abuses, any narcotic or controlled dangerous substance as defined in Criminal Law Article, §5-101, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Provides professional services:</text>
      <paragraph num="(a)">
        <text>While under the influence of alcohol; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>While using any narcotic or controlled dangerous substance, as defined in Criminal Law Article, §5-101, Annotated Code of Maryland, or other drug that is in excess of therapeutic amounts or without valid medical indication;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>Promotes the sale of drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Willfully makes or files a false report or record in the practice of medicine;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Willfully fails to file or record any medical report as required under law, willfully impedes or obstructs the filing or recording of the report, or induces another to fail to file or record the report;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>On proper request, and in accordance with the provisions of Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland, fails to provide details of a patient's medical record to the patient, another physician, or hospital;</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Solicits professional patronage through an agent or other person or profits from the acts of a person who is represented as an agent of the physician assistant;</text>
    </paragraph>
    <paragraph num="(15)">
      <text>Pays or agrees to pay any sum to any person for bringing or referring a patient or accepts or agrees to accept any sum from any person for bringing or referring a patient;</text>
    </paragraph>
    <paragraph num="(16)">
      <text>Agrees with a clinical or bioanalytical laboratory to make payments to the laboratory for a test or test series for a patient, unless the licensed physician assistant discloses on the bill to the patient or third-party payor:</text>
      <paragraph num="(a)">
        <text>The name of the laboratory;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The amount paid to the laboratory for the test or test series; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The amount of procurement or processing charge of the licensed physician, if any, for each specimen taken;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>Makes a willful misrepresentation in treatment;</text>
    </paragraph>
    <paragraph num="(18)">
      <text>Practices medicine with an unauthorized person or aids an unauthorized person in the practice of medicine;</text>
    </paragraph>
    <paragraph num="(19)">
      <text>Grossly over-utilizes health care services;</text>
    </paragraph>
    <paragraph num="(20)">
      <text>Offers, undertakes, or agrees to cure or treat disease by a secret method, treatment, or medicine;</text>
    </paragraph>
    <paragraph num="(21)">
      <text>Is disciplined by a licensing or disciplinary authority or convicted or disciplined by a court of any state or country or disciplined by any branch of the United States uniformed services or the Veterans' Administration for an act that would be grounds for disciplinary action under Health Occupations Article, §15-314, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(22)">
      <text>Fails to meet appropriate standards as determined by appropriate peer review for the delivery of quality medical and surgical care performed in an outpatient surgical facility, office, hospital, or any other location in this State;</text>
    </paragraph>
    <paragraph num="(23)">
      <text>Willfully submits false statements to collect fees for which services are not provided;</text>
    </paragraph>
    <paragraph num="(24)">
      <text>Was subject to investigation or disciplinary action by a licensing or disciplinary authority or by a court of any state or country for an act that would be grounds for disciplinary action under this regulation and the licensee:</text>
      <paragraph num="(a)">
        <text>Surrendered the license issued by the state or country to the state or country; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Allowed the license issued by the state or country to expire or lapse;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(25)">
      <text>Knowingly fails to report suspected child abuse in violation of Family Law Article, §5-704, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(26)">
      <text>Fails to educate a patient being treated for breast cancer of alternative methods of treatment as required by Health-General Article, §20-113, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(27)">
      <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate medical purposes;</text>
    </paragraph>
    <paragraph num="(28)">
      <text>Fails to comply with the provisions of Health Occupations Article, §12-102, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(29)">
      <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>
    </paragraph>
    <paragraph num="(30)">
      <text>Except as to an association that has remained in continuous existence since July 1, 1963:</text>
      <paragraph num="(a)">
        <text>Associates with a pharmacist as a partner or co-owner of a pharmacy for the purpose of operating a pharmacy;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Employs a pharmacist for the purpose of operating a pharmacy; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Contracts with a pharmacist for the purpose of operating a pharmacy;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(31)">
      <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 universal precautions;</text>
    </paragraph>
    <paragraph num="(32)">
      <text>Fails to display the notice required under Health Occupations Article, §14-415, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(33)">
      <text>Fails to cooperate with a lawful investigation conducted by the Board;</text>
    </paragraph>
    <paragraph num="(34)">
      <text>Is convicted of insurance fraud as defined in Insurance Article, §27-801, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(35)">
      <text>Is in breach of a service obligation resulting from the applicant's or licensee's receipt of State or federal funding for the licensee's medical education;</text>
    </paragraph>
    <paragraph num="(36)">
      <text>Willfully makes a false representation when seeking or making application for licensure or any other application related to the practice of medicine;</text>
    </paragraph>
    <paragraph num="(37)">
      <text>By corrupt means, threats, or force, intimidates or influences, or attempts to intimidate or influence, for the purpose of causing any person to withhold or change testimony in hearings or proceedings before the Board or those otherwise delegated to the Office of Administrative Hearings;</text>
    </paragraph>
    <paragraph num="(38)">
      <text>By corrupt means, threats, or force, hinders, prevents, or otherwise delays any person from making information available to the Board in furtherance of any investigation of the Board;</text>
    </paragraph>
    <paragraph num="(39)">
      <text>Intentionally misrepresents credentials for the purpose of testifying or rendering an expert opinion in hearings or proceedings before the Board, a disciplinary panel, or those otherwise delegated by the Office of Administrative Hearings;</text>
    </paragraph>
    <paragraph num="(40)">
      <text>Fails to keep adequate medical records;</text>
    </paragraph>
    <paragraph num="(41)">
      <text>Performs medical acts in a manner that is not consistent with the collaboration agreement;</text>
    </paragraph>
    <paragraph num="(42)">
      <text>Performs medical acts which are outside the education, training, and experience of the physician assistant;</text>
    </paragraph>
    <paragraph num="(43)">
      <text>Performs medical acts that are not customary to the practice of the patient care team physicians listed on the collaboration agreement;</text>
    </paragraph>
    <paragraph num="(44)">
      <text>Practices as a physician assistant without first providing notice to the Board as required under Health Occupations Article, §15–302(A), Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(45)">
      <text>Fails to complete a criminal history records check under Health Occupations Article, §14–308.1, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(46)">
      <text>Fails to comply with the requirements of the Prescription Drug Monitoring Program set forth in Health-General Article, Title 21, Subtitle 2A, Annotated Code of Maryland; or</text>
    </paragraph>
    <paragraph num="(47)">
      <text>Fails to comply with any State or federal law or regulation pertaining to the practice of a physician assistant.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Unprofessional conduct in the practice of medicine, Health Occupations Article, §14-404(a)(3), Annotated Code of Maryland, includes the failure of a physician to comply with the statute and regulations governing the physician's duty to supervise the physician assistant.</text>
  </paragraph>
</regulation>