<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".15" citation="COMAR 10.32.03.15" title_num="10" subtitle_num="32" chapter_num="03" heading="Examination and Audit of Physician Assistant Practice.">
  <paragraph num="A.">
    <text>Examination.</text>
    <paragraph num="(1)">
      <text>The Board may direct a physician assistant who is an applicant or licensee to submit to an appropriate examination to determine the physician assistant’s physical, mental, or professional ability to perform delegated medical acts.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A physician assistant is deemed to have consented to an examination and waived any claim to privilege as to the examination report.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The unreasonable failure or refusal of an applicant or licensee to submit to an examination is:</text>
      <paragraph num="(a)">
        <text>Prima facie evidence that the physician assistant cannot perform delegated medical acts; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Cause for denial of an application or suspension of a license.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Entry.</text>
    <paragraph num="(1)">
      <text>The executive director of the Board or other authorized representative or investigator may enter at any reasonable hour a place of business of a physician or physician assistant or into public premises:</text>
      <paragraph num="(a)">
        <text>For the purpose of an audit to verify general compliance with the Maryland Physician Assistants Act; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To investigate an allegation with respect to a physician assistant.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A person may not deny or interfere with an entry under §B(1) of this regulation.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A person who violates any provision of §B(1) of this regulation is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $100.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Audit.</text>
    <paragraph num="(1)">
      <text>The Board’s representatives may require a physician, physician assistant, or facility where the physician assistant is employed or practicing to provide immediate access to any records relating to the physician assistant’s employment, credentialing, and practice and any medical records of patients seen by the physician assistant.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Board’s representative shall refer possible compliance issues to:</text>
      <paragraph num="(a)">
        <text>The compliance section of the Board; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An outside agency that has jurisdiction over a facility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A physician, physician assistant, or facility who fails to comply with a Board audit in accordance with §C(1) of this regulation is subject to an administrative fine.</text>
    </paragraph>
  </paragraph>
</regulation>