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<chapter num="05" heading="Rules of Procedure for Board Hearings" title_num="10" subtitle_num="38">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter governs procedures for disciplinary matters and hearings before the State Board of Physical Therapy Examiners.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" 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>“Administrative law judge” means the hearing officer assigned to preside over a hearing in a case which the Board has delegated to the Office of Administrative Hearings pursuant to State Government Article, §10-205, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Administrative Procedure Act” means State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland, which governs contested cases arising from charges issued by the Board.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Board” means the State Board of Physical Therapy Examiners.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Case resolution conference” means a voluntary, informal, and confidential meeting between the parties to a contested case and the Board’s case resolution conference committee to discuss possible settlement of a disciplinary matter pending before the Board.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Case resolution conference committee” means a committee comprised of one or more members of the Board who make recommendations to the Board regarding settlement of disciplinary matters.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Cease and desist order” means a public letter issued by the Board ordering:</text>
        <paragraph num="(a)">
          <text>A licensee to cease doing a specified activity; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>An unlicensed person to cease the unauthorized practice of physical therapy.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(7)">
        <text>“Charges” means a nonpublic record issued by the Board which:</text>
        <paragraph num="(a)">
          <text>Alleges conduct by a licensee which the Board believes constitutes a violation under the Maryland Physical Therapy Act;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Sets forth sections of the Maryland Physical Therapy Act that the Board believes were violated; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Provides notice to the licensee of disciplinary proceedings before the Board.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(8)">
        <text>“Complaint” means an allegation:</text>
        <paragraph num="(a)">
          <text>That a licensee may have violated the Maryland Physical Therapy Act; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Which may be grounds for an investigation or disciplinary action by the Board.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(9)">
        <text>“Consent order” means a final order issued by the Board that has been negotiated and agreed to by both the licensee and the Board to resolve a formal disciplinary action.</text>
      </paragraph>
      <paragraph num="(10)">
        <text>“Contested case” means a proceeding conducted pursuant to the Administrative Procedure Act.</text>
      </paragraph>
      <paragraph num="(11)">
        <text>“Final order” means a public record issued by the Board resolving a formal disciplinary action, either by consent or after an adjudication, which:</text>
        <paragraph num="(a)">
          <text>Denies a license;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Sanctions by reprimand, probation, fine, or suspension or revocation of a license;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Summarily suspends a license;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Dismisses charges;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Surrenders a license;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Resolves the contested case by consent of the parties; or</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Takes any other action that the Board is authorized to do by law.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(12)">
        <text>“Formal disciplinary action” means action taken by the Board that:</text>
        <paragraph num="(a)">
          <text>Is initiated by charges or a notice of initial denial;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Is resolved by a consent order;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Results in a summary suspension; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Results in a letter of surrender.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(13)">
        <text>“Hearing committee” means a committee of three or more members of the Board which conducts hearings.</text>
      </paragraph>
      <paragraph num="(14)">
        <text>“Informal action” means that the Board closes a case, without any formal disciplinary action or without issuing a final order, by sending the licensee a:</text>
        <paragraph num="(a)">
          <text>Letter of education; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Letter of admonishment.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(15)">
        <text>Letter of Admonishment.</text>
        <paragraph num="(a)">
          <text>“Letter of admonishment” means an informal action taken by the Board consisting of a nonpublic letter closing the case when the Board believes a licensee has engaged in conduct which violated the Maryland Physical Therapy Act.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>“Letter of admonishment” may include a letter of agreement in which a licensee agrees to satisfy certain conditions in lieu of the Board issuing charges.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(16)">
        <text>Letter of Education.</text>
        <paragraph num="(a)">
          <text>“Letter of education” means an informal action taken by the Board consisting of a nonpublic letter in which the Board:</text>
          <paragraph num="(i)">
            <text>Closes the case when the Board does not believe that the licensee’s conduct rose to the level of a violation of the Maryland Physical Therapy Act; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Educates the licensee regarding the laws and standards of the practice of physical therapy.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>“Letter of education” may include a letter of agreement in which a licensee agrees to satisfy certain conditions.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(17)">
        <text>“Letter of surrender” means a public record accepted by the Board in which the licensee agrees to surrender the licensee’s license, which may include conditions for the Board’s acceptance of the surrender as a resolution of the case.</text>
      </paragraph>
      <paragraph num="(18)">
        <text>“Licensee” means the holder of a license issued by the Board of Physical Therapy Examiners.</text>
      </paragraph>
      <paragraph num="(19)">
        <text>“Maryland Physical Therapy Act” means Health Occupations Article, Title 13, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(20)">
        <text>“Notice of initial denial” means a nonpublic record issued by the Board by which an applicant or licensee is notified that the Board intends to deny a license, change a licensure status, or change some other benefit sought by the licensee.</text>
      </paragraph>
      <paragraph num="(21)">
        <text>“Party” means:</text>
        <paragraph num="(a)">
          <text>The respondent or any person named or admitted as a party, or properly seeking and entitled as a right to be a party in a formal disciplinary proceeding; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The administrative prosecutor from the Office of the Attorney General presenting a case on behalf of the Board.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(22)">
        <text>“Post-deprivation hearing” means a show cause or an evidentiary hearing scheduled by the Board after the Board has issued an order for summary suspension pursuant to State Government Article, §10-226(c)(2), Annotated Code of Maryland, in which the licensee may challenge the Board’s basis for issuing the order of summary suspension.</text>
      </paragraph>
      <paragraph num="(23)">
        <text>“Predeprivation hearing” means a show cause hearing at which the licensee has an opportunity to demonstrate to the Board why it should not:</text>
        <paragraph num="(a)">
          <text>Issue an order for summary suspension pursuant to State Government Article §10-226(c)(2), Annotated Code of Maryland; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Take some other action which the Board is authorized to take.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(24)">
        <text>“Presiding officer” means the chair of the Board or, in the chair’s absence, a Board member designated by the chair, who:</text>
        <paragraph num="(a)">
          <text>Conducts hearings before the Board; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Issues prehearing orders.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(25)">
        <text>“Probation” means a sanction imposed by the Board in a public final order where the licensee is:</text>
        <paragraph num="(a)">
          <text>Monitored by the Board for a period of time; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Required to comply with certain conditions in order to avoid further disciplinary action.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(26)">
        <text>“Public record” means a document that the Board is permitted or required to disclose to the public pursuant to State Government Article, Title 10, Subtitle 6, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(27)">
        <text>“Recommended decision” means a nonpublic record issued by a hearing committee or by an administrative law judge which sets out proposed findings of fact, proposed conclusions of law, and a proposed sanction, or any combination of these items.</text>
      </paragraph>
      <paragraph num="(28)">
        <text>“Recusal” means the disqualification of a member of the Board to participate in a proceeding because of interest, bias, or some other reason which may interfere with the Board member’s participation in the case.</text>
      </paragraph>
      <paragraph num="(29)">
        <text>“Respondent” means a licensee subject to the jurisdiction of the Board, who has been:</text>
        <paragraph num="(a)">
          <text>Given formal notice of allegations concerning violations of the Maryland Physical Therapy Act; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Notified as to the possible imposition of sanctions or a summary suspension.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(30)">
        <text>“Revocation” means the removal of a licensee’s license.</text>
      </paragraph>
      <paragraph num="(31)">
        <text>“Sanction” means an action by the Board which:</text>
        <paragraph num="(a)">
          <text>Reprimands;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Places on probation;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Fines;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Suspends or revokes a license; or</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Disciplines by way of a consent order.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(32)">
        <text>“Show cause hearing” means a nonevidentiary hearing in which the licensee has the opportunity to demonstrate to the Board why the Board should not issue a proposed order or continue to take an action that the Board is legally authorized to take.</text>
      </paragraph>
      <paragraph num="(33)">
        <text>“Summary suspension” means the indefinite suspension of a license pursuant to State Government Article, §10-226(c)(2), Annotated Code of Maryland, issued if the Board believes emergency action is necessary to protect the public health, safety, or welfare.</text>
      </paragraph>
      <paragraph num="(34)">
        <text>“Suspension” means the temporary denial of the right to use a license and is usually defined by:</text>
        <paragraph num="(a)">
          <text>A specified period of time;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Specific dates; or</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Specific conditions.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Confidentiality of Proceedings.">
    <paragraph num="A.">
      <text>Except as otherwise provided by law, the proceedings of the Board are confidential and that confidentiality may not be waived by the parties.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Office of Administrative Hearings’ proceedings involving the adjudication of a Board formal disciplinary action and the administrative law judge’s recommended decision are confidential.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The respondent may not waive the confidentiality of the:</text>
      <paragraph num="(1)">
        <text>Proceedings; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Patients whose medical records or care are reflected in the record of the proceedings.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>To the extent possible, even after the close of a formal disciplinary action, the parties shall refrain from revealing the identity of any patients involved in the matter, including but not limited to, information contained in:</text>
      <paragraph num="(1)">
        <text>Legal documents; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Oral statements.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Representation by Counsel.">
    <paragraph num="A.">
      <text>A respondent may be represented by counsel at any stage of a formal disciplinary action.</text>
    </paragraph>
    <paragraph num="B.">
      <text>If a hearing is held, the respondent shall be represented:</text>
      <paragraph num="(1)">
        <text>In proper person; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>By an attorney who has been:</text>
        <paragraph num="(a)">
          <text>Admitted to the Maryland Bar; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Specially admitted to practice law pursuant to Maryland Rules, Rules Governing Admission to the Bar of Maryland, Rule 16, Annotated Code of Maryland.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The Board may request the Office of the Attorney General to participate in a hearing to present the case on behalf of the State.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The member of the Office of the Attorney General presenting the case on behalf of the State shall have the same rights as any party with regard to:</text>
      <paragraph num="(1)">
        <text>Submission of evidence;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Examination and cross-examination of witnesses; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The filing of objections, exceptions, and motions.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>The Board may also request a member of the Office of the Attorney General to act as legal advisor to the Board on questions of:</text>
      <paragraph num="(1)">
        <text>Procedure;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Evidence; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Law.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Disposition of Complaints.">
    <paragraph num="A.">
      <text>For each complaint, after reviewing any completed investigative information or reports, the Board shall:</text>
      <paragraph num="(1)">
        <text>Dismiss the complaint;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Close the case with informal action;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Issue a cease and desist order;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Refer the matter for further investigation;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Refer the matter to an administrative prosecutor; or</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Vote to:</text>
        <paragraph num="(a)">
          <text>Charge a licensee with a violation of the Maryland Physical Therapy Act;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Consider the matter as a basis for a summary suspension;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Initially deny a license or reinstatement of a license; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Accept the surrender of a license subject to conditions acceptable to the Board.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The Board may refer a complaint or other disciplinary matter to the administrative prosecutor at any time, whether or not it has voted to charge a licensee with violations of the Maryland Physical Therapy Act.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Notice of Charges or Notice of Initial Denial.">
    <paragraph num="A.">
      <text>If the Board issues charges or a notice of initial denial, the document shall be:</text>
      <paragraph num="(1)">
        <text>Served on the respondent by certified mail at the address the respondent is required to maintain with the Board; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Hand-delivered in person.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Charges or notice of initial denial shall:</text>
      <paragraph num="(1)">
        <text>Inform the respondent of the statutory basis for the charges or denial of a license;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Allege sufficient facts that the Board believes constitute either a basis for:</text>
        <paragraph num="(a)">
          <text>Violation of the Maryland Physical Therapy Act; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Denial of a license; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>Include the notice of hearing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>If the Board issues a notice of initial denial to an applicant for a license, the applicant may not withdraw the application without approval from the Board.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Notice of Hearing.">
    <paragraph num="A.">
      <text>Except for a show cause hearing, written notice of all hearings shall be sent by the Executive Director or an officer of the Board to all parties at least 30 days before the hearing.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Board shall serve the notice of hearing by either:</text>
      <paragraph num="(1)">
        <text>Certified mail at the address the respondent is required to maintain with the Board; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Hand-delivery in person.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The notice of hearing shall state, if applicable:</text>
      <paragraph num="(1)">
        <text>The date, time, place, and nature of the hearing;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The right to call witnesses and submit documents or other relevant evidence;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The right to request subpoenas for witnesses and evidence and the costs associated with such a request;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>The right to representation;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>That a failure to appear for the scheduled hearing may result in an adverse action against the party; and</text>
      </paragraph>
      <paragraph num="(6)">
        <text>That the parties may agree to the evidence and waive their right to appear at the hearing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>The notice of hearing may include:</text>
      <paragraph num="(1)">
        <text>Deadlines for discovery and motions; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Dates for the prehearing conference and case resolution conference.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".08" heading="Prehearing Conference and Case Resolution Conference.">
    <paragraph num="A.">
      <text>The Board may set a prehearing conference or a case resolution conference, or both.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The prehearing conference may be used to prepare for the hearing by:</text>
      <paragraph num="(1)">
        <text>Delineating the issues;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Stipulating to facts, laws, and other matters;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Arranging a schedule for the exchange of documents and witnesses;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Arranging a schedule for the submission of motions and responses to motions; or</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Addressing any other matters that will promote the orderly and efficient conduct of the hearing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Prehearing Orders.</text>
      <paragraph num="(1)">
        <text>If a prehearing conference has been held, a prehearing order may be issued by the presiding officer.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The prehearing order shall set forth the actions taken or to be taken with regard to any matter addressed at the prehearing conference.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>If a prehearing conference is not held, the presiding officer may issue a prehearing order to regulate the conduct of the proceedings.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Absent an exception from the presiding officer, the prehearing order shall be binding on the parties.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Case Resolution Conference.</text>
      <paragraph num="(1)">
        <text>Matters admitted, revealed, negotiated, or otherwise discussed at a case resolution conference are without prejudice and may not be used by the respondent, administrative prosecutor, or the Board in any subsequent proceedings, unless the information is otherwise discoverable or available through another source.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The Board is not bound by the recommendations of the case resolution conference committee and may:</text>
        <paragraph num="(a)">
          <text>Modify the proposed settlement;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Require additional conditions; or</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Reject the recommendation and require the respondent to proceed to a hearing.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>If the respondent disagrees with the recommendation of the case resolution conference committee, the respondent may elect to proceed to a hearing on the matter, regardless of whether or not the Board has ratified the recommendation of the case resolution conference committee.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Participation in a case resolution conference is not a basis for recusal of a Board member, Board counsel, or Board prosecutor from further proceedings.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Motions.</text>
      <paragraph num="(1)">
        <text>General Requirements.</text>
        <paragraph num="(a)">
          <text>Unless otherwise set forth in a prehearing order or notice of hearing, all motions shall be:</text>
          <paragraph num="(i)">
            <text>Accompanied by a memorandum of points and authorities; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Filed with the Board at least 15 working days before the hearing.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>A copy of the motion shall be served on the opposing party.</text>
        </paragraph>
        <paragraph num="(c)">
          <text>A response shall be filed with the Board at least 10 working days before the hearing and a copy served on the opposing party.</text>
        </paragraph>
        <paragraph num="(d)">
          <text>The Board may refuse to consider a motion or response that is not timely filed.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>Motion for Summary Decision.</text>
        <paragraph num="(a)">
          <text>A party may move for summary decision on any appropriate issue in the case.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The Board may grant a proposed or final summary decision if the Board finds that:</text>
          <paragraph num="(i)">
            <text>There is no genuine issue of material fact; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>A party is entitled to prevail as a matter of law.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".09" heading="Discovery.">
    <paragraph num="A.">
      <text>Discovery on Request. By written request served on the other party and filed with the Board or the Office of Administrative Hearings, as appropriate, a party may require another party to produce, within 15 days, the following:</text>
      <paragraph num="(1)">
        <text>A list of witnesses to be called;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Copies of documents intended to be produced at the hearing; or</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Both §A(1) and (2) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Mandatory Discovery.</text>
      <paragraph num="(1)">
        <text>Each party shall provide to the other party not later than 15 days before the prehearing conference, if scheduled, or 45 days before the scheduled hearing date, whichever is earlier:</text>
        <paragraph num="(a)">
          <text>The name and curriculum vitae of any expert witness who will testify at the hearing; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>A detailed written report summarizing the expert’s testimony, which includes the:</text>
          <paragraph num="(i)">
            <text>Opinion offered;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Factual basis for the opinion; and</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Reasons underlying the opinion.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>If the Board or the Office of Administrative Hearings, as appropriate, finds that the report is not sufficiently specific, or otherwise fails to comply with the requirements of this section, the Board or the Office of Administrative Hearings, as appropriate, shall exclude from the hearing the testimony of the expert and any report of the expert.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The Board or the Office of Administrative Hearings, as appropriate, shall consider and decide arguments regarding the sufficiency of the report:</text>
        <paragraph num="(a)">
          <text>At the prehearing conference, if scheduled; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Immediately before the scheduled hearing.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>If an expert adopts a sufficiently specific charging document as the expert’s report, that adoption satisfies the requirements set forth in this section.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Parties are not entitled to discovery of items other than as listed in §§A and B of this regulation.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Both parties have a continuing duty to supplement their disclosure of witnesses and documents.</text>
    </paragraph>
    <paragraph num="E.">
      <text>Absent unforeseen circumstances that would otherwise impose an extraordinary hardship on a party, witnesses or documents may not be added to the list:</text>
      <paragraph num="(1)">
        <text>After the prehearing conference, if scheduled; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Later than 15 days before the hearing, if no prehearing conference is scheduled.</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>The prohibition against adding witnesses does not apply to witnesses or documents to be used for impeachment or rebuttal purposes.</text>
    </paragraph>
    <paragraph num="G.">
      <text>Construction.</text>
      <paragraph num="(1)">
        <text>In hearings conducted by an administrative law judge of the Office of Administrative Hearings, this regulation shall, whenever possible, be construed as supplementing and in harmony with COMAR 28.02.01.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>In the event of a conflict between this regulation and COMAR 28.02.01, this regulation applies.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".10" heading="Evidentiary Hearings.">
    <paragraph num="A.">
      <text>Hearings shall be conducted pursuant to the Administrative Procedure Act.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Board may delegate its authority to conduct hearings to:</text>
      <paragraph num="(1)">
        <text>A hearing committee of the Board; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The Office of Administrative Hearings.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Confidentiality.</text>
      <paragraph num="(1)">
        <text>Hearings are not open to the public.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>All records, including the hearing committee’s decision and the administrative law judge’s recommended decision, are confidential and sealed.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Record. The Board shall prepare an official record of hearings which shall include all:</text>
      <paragraph num="(1)">
        <text>Pleadings;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Testimony;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Exhibits; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Other memoranda or material filed in the proceeding.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Transcript.</text>
      <paragraph num="(1)">
        <text>Unless waived by all parties, a stenographic record of the proceedings shall be made at the expense of the Board.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The stenographic record may not be transcribed, unless requested by a party or by the Board.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The cost of any typewritten transcripts of any proceedings, or parts of the transcript, shall be paid by the party requesting the transcript.</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>Presiding Officer.</text>
      <paragraph num="(1)">
        <text>The presiding officer shall:</text>
        <paragraph num="(a)">
          <text>Conduct a full, fair, and impartial hearing;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Take action to avoid unnecessary delay in the disposition of the proceedings;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Maintain order; and</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Adjourn or recess the hearing from time to time.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>The presiding officer has the power to regulate the course of the hearing and the conduct of the parties, including the power to:</text>
        <paragraph num="(a)">
          <text>Permit the examination of witnesses;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Rule on offers of proof and admit relevant and material evidence;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Consider and rule upon motions;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Grant a continuance or postponement;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Determine the order in which the parties shall present their cases;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Limit unduly repetitious testimony;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Reasonably limit the time for presentation; and</text>
        </paragraph>
        <paragraph num="(h)">
          <text>Issue orders as necessary to:</text>
          <paragraph num="(i)">
            <text>Secure procedural simplicity and administrative fairness; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Eliminate unjustifiable expense and delay.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>Examination of Witnesses and Introduction of Evidence.</text>
      <paragraph num="(1)">
        <text>The rules of evidence in State Government Article, §10-213, Annotated Code of Maryland, apply to hearings before the Board.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>A party may:</text>
        <paragraph num="(a)">
          <text>Submit evidence;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Examine and cross-examine witnesses; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>File objections, exceptions, and motions.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>If a party is represented by counsel, all submission of evidence, examination and cross-examination of witnesses, and filing of objections, exceptions, and motions shall be done and presented solely by counsel.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>The presiding officer, or a person designated by the presiding officer for that purpose, may examine a witness called by a party.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>The presiding officer may call as a witness a person necessary to ensure a full and complete record.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Any Board member may examine any witness.</text>
      </paragraph>
    </paragraph>
    <paragraph num="H.">
      <text>Briefs.</text>
      <paragraph num="(1)">
        <text>A party may submit a brief on the issues of fact and law involved in the hearing.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The presiding officer may designate:</text>
        <paragraph num="(a)">
          <text>The form of the brief;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The number of copies to be submitted; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>The date and time of submission.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>The Board may refuse to consider a brief that is not timely filed or fails to conform to requirements imposed by the presiding officer.</text>
      </paragraph>
    </paragraph>
    <paragraph num="I.">
      <text>If a party who is the respondent in the proceedings fails to appear at a hearing after due notice, the Board may:</text>
      <paragraph num="(1)">
        <text>Reschedule the hearing; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>In the Board’s discretion, proceed upon the investigation, report, documents, witnesses, and records before it.</text>
      </paragraph>
    </paragraph>
    <paragraph num="J.">
      <text>Any testimony taken by the Board shall be taken under oath.</text>
    </paragraph>
    <paragraph num="K.">
      <text>Decision and Order.</text>
      <paragraph num="(1)">
        <text>A decision and order rendered by the Board shall:</text>
        <paragraph num="(a)">
          <text>Be in writing; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Include the findings of fact and conclusions of law.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>A copy of the decision and order and accompanying findings and conclusions shall be delivered or mailed promptly to each party or the party’s attorney of record.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The findings of fact, conclusions of law, and order shall be retained as a permanent record by the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="L.">
      <text>Judicial Review.</text>
      <paragraph num="(1)">
        <text>A party who is aggrieved by a final decision of the Board under Health Occupations Article, §13-316, Annotated Code of Maryland, may seek judicial review of the Board’s decision.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The judicial review shall be in accordance with the provisions of State Government Article, §§10-222 — 10-223, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="M.">
      <text>Rehearings.</text>
      <paragraph num="(1)">
        <text>Within 10 days after service on a party of the decision of the Board, the party may apply to the Board for rehearing.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The application shall state the grounds for rehearing.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The Board shall grant or deny the application within 20 days of its submission to the Board.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Unless otherwise ordered, neither the rehearing nor the application for rehearing shall:</text>
        <paragraph num="(a)">
          <text>Stay the enforcement of the order; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Excuse the persons affected by the order for failure to comply with the terms of the order.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(5)">
        <text>At a rehearing, the Board shall only consider facts not presented in the original proceeding, including facts arising after the date of the original proceeding.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>By new order, the Board may abrogate, change, or modify its original order.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".11" heading="Recommended Decisions, Exceptions Hearings, and Oral Argument.">
    <paragraph num="A.">
      <text>If a case has been delegated to a hearing committee of the Board or to the Office of Administrative Hearings pursuant to State Government Article, §10-205, Annotated Code of Maryland, the hearing committee or administrative law judge shall prepare a recommended decision for consideration by a quorum of the Board.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A quorum of the Board may include members of the hearing committee.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The hearing committee shall issue a recommended decision within 90 days of the conclusion of the hearing. This 90-day time frame may be extended by a majority vote of a quorum of the Board.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The Board shall notify the parties of the parties’ right to:</text>
      <paragraph num="(1)">
        <text>File written exceptions to the recommended decision issued by the administrative law judge or the hearing committee; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Present oral argument to the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>A party may file written exceptions to the recommended decision issued by the administrative law judge or the hearing committee within 30 days of receipt of the recommended decision.</text>
    </paragraph>
    <paragraph num="F.">
      <text>The party opposing the exceptions has 15 days to file a written response.</text>
    </paragraph>
    <paragraph num="G.">
      <text>The Board may refuse to consider exceptions or responses filed in violation of §§E and F of this regulation.</text>
    </paragraph>
    <paragraph num="H.">
      <text>Oral Arguments.</text>
      <paragraph num="(1)">
        <text>If either party files exceptions, the Board shall schedule an oral argument to be held before a quorum of the Board.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>After oral argument, the Board shall prepare an order containing the:</text>
        <paragraph num="(a)">
          <text>Accepted findings of fact;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Conclusions of law; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Disposition.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>The Board may refuse to hear oral argument if exceptions are not timely filed.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>The presiding officer shall:</text>
        <paragraph num="(a)">
          <text>Determine all procedural issues that are governed by this regulation;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Make any rulings reasonably necessary to facilitate the effectiveness and efficiency of oral argument; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Impose reasonable time limitations on oral argument and, ordinarily, limit the parties to 30 minutes each.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(5)">
        <text>The party filing the exceptions shall proceed first.</text>
      </paragraph>
    </paragraph>
    <paragraph num="I.">
      <text>If the parties do not file timely exceptions and no oral argument is scheduled, a quorum of the Board shall consider the recommended decision issued by the administrative law judge or hearing committee.</text>
    </paragraph>
    <paragraph num="J.">
      <text>The Board shall prepare an order based on the Board’s review of the:</text>
      <paragraph num="(1)">
        <text>Recommended decision of the administrative law judge or hearing committee;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Record developed before the administrative law judge or hearing committee; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Any exceptions and responses filed by the parties.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".12" heading="Revocation of Hearing Authority from the Office of Administrative Hearings.">
    <paragraph num="A.">
      <text>Consistent with the provisions of State Government Article, §10-205, Annotated Code of Maryland, the Board may revoke authority delegated to the Office of Administrative Hearings by written notice.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Criteria for Revocation of Authority in a Specific Case. The Board may revoke all or part of the Office of Administrative Hearings’ authority in a specific case if the case:</text>
      <paragraph num="(1)">
        <text>Involves novel or unanticipated factual or legal issues;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Has significant fiscal consequences to the Board;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Involves policy issues of general applicability; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Is likely to have precedential value.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Procedures for Revocation of the Office of Administrative Hearings’ Authority in a Specific Case.</text>
      <paragraph num="(1)">
        <text>The Board shall provide written notice of a revocation of the Office of Administrative Hearings’ authority:</text>
        <paragraph num="(a)">
          <text>To:</text>
          <paragraph num="(i)">
            <text>All parties; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>The Office of Administrative Hearings; and</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>That includes:</text>
          <paragraph num="(i)">
            <text>A brief statement of the reasons for the revocation;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Whether all or part of the Office of Administrative Hearings’ delegated authority has been revoked; and</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>If only part of the delegation has been revoked, the portions of the contested case for which the delegation has been revoked.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>The Board may revoke the Office of Administrative Hearings’ authority to decide a case at any time before the earlier of:</text>
        <paragraph num="(a)">
          <text>Issuance of a ruling by the administrative law judge on a substantive issue; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Taking of oral testimony from the first witness.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>A decision issued by the Board shall reflect that the Office of Administrative Hearings’ authority was revoked.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>The Board shall include as part of the record a copy of the revocation notice.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".13" heading="Summary Suspensions.">
    <paragraph num="A.">
      <text>The Board shall order the summary suspension of a license if the Board determines that there is a substantial likelihood that a licensee poses a risk of harm to the public health, safety, or welfare.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Based on information gathered in an investigation or otherwise provided to the Board, the Board may vote to issue:</text>
      <paragraph num="(1)">
        <text>A notice of an intent to summarily suspend a license; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>An order of summary suspension.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>If the Board votes to issue a notice of intent to summarily suspend or an order of summary suspension, the Board shall refer the matter to an administrative prosecutor for prosecution.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Service of the notice of intent to summarily suspend a license shall be made by:</text>
      <paragraph num="(1)">
        <text>Hand delivery in person to the respondent;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Certified mail to the address the respondent is required to maintain with the Board; or</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Other reasonable means to effect service.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Notice of Intent to Summarily Suspend.</text>
      <paragraph num="(1)">
        <text>A notice of intent to summarily suspend a license shall include, but is not limited to:</text>
        <paragraph num="(a)">
          <text>A proposed order of summary suspension which is unexecuted by the Board and which includes:</text>
          <paragraph num="(i)">
            <text>The statutory authority on which the action has been taken;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Allegations of fact which the Board believes demonstrate a substantial likelihood that the licensee poses a risk of harm to the public health, safety, or welfare; and</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Notice to the respondent of the right to request an evidentiary hearing of the summary suspension if the Board executes the proposed order of summary suspension; and</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>An order or summons to appear before the Board:</text>
          <paragraph num="(i)">
            <text>To show cause why the Board should not execute the order of summary suspension; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Which notifies the respondent of the consequences of failing to appear.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>Predeprivation Hearing.</text>
        <paragraph num="(a)">
          <text>If the Board issues a notice of intent to summarily suspend a license, the Board shall offer the respondent the opportunity to appear before the Board to show cause why the respondent’s license should not be summarily suspended.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The show cause hearing shall be a nonevidentiary hearing to provide the parties with an opportunity for oral argument on the proposed summary suspension.</text>
        </paragraph>
        <paragraph num="(c)">
          <text>The presiding officer:</text>
          <paragraph num="(i)">
            <text>Shall determine all procedural issues;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>May impose reasonable time limits on each party’s oral argument; and</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Shall make any rulings reasonably necessary to facilitate the effective and efficient operation of the show cause hearing.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>Order of Summary Suspension.</text>
      <paragraph num="(1)">
        <text>The Board may order the summary suspension of a license without first issuing a notice of intent to summarily suspend or providing a respondent with a predeprivation hearing if the Board determines that the threat to public health, safety, and welfare requires the immediate suspension of the license.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Post-Deprivation Hearing.</text>
        <paragraph num="(a)">
          <text>The respondent shall be provided with a show cause hearing within a reasonable time after the effective date of the order of summary suspension.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The show cause hearing pursuant to §F(2)(a) of this regulation shall:</text>
          <paragraph num="(i)">
            <text>Be conducted before the Board as provided in §E(2) of this regulation; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Provide the respondent with an opportunity to show cause why the Board should lift the summary suspension.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>After a show cause hearing, if the Board votes to continue the summary suspension, the respondent may request an evidentiary hearing before the Board.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>An evidentiary hearing:</text>
        <paragraph num="(a)">
          <text>May be consolidated with a hearing on charges issued by the Board which include the facts which form the basis for the summary suspension; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Shall be conducted pursuant to the Administrative Procedure Act.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>Disposition.</text>
      <paragraph num="(1)">
        <text>If the Board issues a notice of intent to summarily suspend a license, the Board may, after the show cause hearing, vote to:</text>
        <paragraph num="(a)">
          <text>Order a summary suspension;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Deny the summary suspension;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Enter into a consent order; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Enter into any interim order warranted by the circumstances of the case, including one providing for the stay of the summary suspension subject to certain conditions.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>If the Board orders a summary suspension before a show cause hearing, the Board may, at the conclusion of the show cause hearing, vote to:</text>
        <paragraph num="(a)">
          <text>Affirm its order of summary suspension;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Rescind the order of summary suspension;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Enter into a consent order; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Enter into any interim order warranted by the circumstances of the case, including one providing for a stay of the summary suspension subject to certain conditions.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>An order for summary suspension or any other order of the Board issued after the initiation of summary suspension proceedings is a:</text>
        <paragraph num="(a)">
          <text>Final order of the Board; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Public record.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".14" heading="Surrender of a License.">
    <paragraph num="A.">
      <text>The Board may accept the surrender of a license.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Board may require conditions for surrender of a license, including but not limited to:</text>
      <paragraph num="(1)">
        <text>The admission of a violation of the Maryland Physical Therapy Act;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The admission of facts;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>A statement of the circumstances under which the surrender was offered or accepted;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Restrictions on future licensing;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Conditions for reinstatement of the license; or</text>
      </paragraph>
      <paragraph num="(6)">
        <text>An agreement that the respondent may not again apply for a license.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>A letter of surrender is a:</text>
      <paragraph num="(1)">
        <text>Final order of the Board; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Public record.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".15" heading="Probation and Violation of Probation.">
    <paragraph num="A.">
      <text>If the Board imposes a period of probation as a sanction, the Board may impose conditions of probation which the Board deems appropriate, including:</text>
      <paragraph num="(1)">
        <text>Re-education or completion of approved courses;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Payment of a fine;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Practicing physical therapy or limited physical therapy under supervision;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Monitoring by the Board or by an individual or entity approved by the Board with periodic reporting to the Board;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Periodic review of a licensee’s practice;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Periodic audits of a licensee’s billing practice;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>An examination by a physician or other appropriate health care provider;</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Limitation of the licensee’s practice;</text>
      </paragraph>
      <paragraph num="(9)">
        <text>Drug screenings;</text>
      </paragraph>
      <paragraph num="(10)">
        <text>Individual or group counseling or therapy;</text>
      </paragraph>
      <paragraph num="(11)">
        <text>Obtaining a passing score on an appropriate examination; or</text>
      </paragraph>
      <paragraph num="(12)">
        <text>Any other condition the Board deems appropriate for the rehabilitation or retraining of a licensee.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>A term of probation may be defined by a specific period of time or the successful completion of certain conditions or acts by the licensee.</text>
    </paragraph>
    <paragraph num="C.">
      <text>A licensee seeking release from probation shall do so only by petitioning the Board to terminate the probation when the:</text>
      <paragraph num="(1)">
        <text>Specific period of time has passed; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Licensee has successfully completed the conditions or acts required for release.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>At any time, if the Board has reason to believe that the licensee is not in compliance with the conditions of probation, the Board shall:</text>
      <paragraph num="(1)">
        <text>Charge the licensee with a violation of probation;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Take any action provided for in the final order in the event of a violation of probation, including suspension of the license;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Consider a summary suspension of the license; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Take any other action the Board deems appropriate and which the Board is authorized to take by law.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>If the Board determines that the respondent has violated probation, the Board shall:</text>
      <paragraph num="(1)">
        <text>Take any action provided for in the final order in the event of a violation of probation;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Impose additional conditions or probation; or</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Impose any sanction or take any other action that the Board deems appropriate and is authorized to take by law.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".16" heading="Reinstatement.">
    <paragraph num="A.">
      <text>A licensee shall petition the Board for a lifting of the suspension of a license or a reinstatement following revocation or surrender of a license.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Board may reinstate a license only in accordance with:</text>
      <paragraph num="(1)">
        <text>The terms and conditions of the order of revocation or suspension;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>A letter of surrender;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>An order of reinstatement issued by the Board; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>A final judgment in any proceeding for judicial review.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>When a time period is not specified in the Board’s final order, a petition for reinstatement may not be considered by the Board before the expiration of 1 year after the date of the order.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The form of a reinstated license shall:</text>
      <paragraph num="(1)">
        <text>Be similar in every respect to an original license; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Bear the new date of issue.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>A licensee whose license has been revoked or surrendered for 3 years or more before filing a petition for reinstatement is not eligible for reinstatement but instead shall apply for initial licensure.</text>
    </paragraph>
    <paragraph num="F.">
      <text>If the Board grants reinstatement of a license, the Board may impose any restrictions or conditions on the license that the Board deems appropriate.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health Occupations Article, §§13-206 and 13-317;State Government Article, §§10-205 and 10-206; Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: November 8, 1982 (9:22 Md. R. 2197)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02A amended effective November 7, 1994 (21:22 Md. R. 1878)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02C amended effective July 12, 1999 (26:14 Md. R. 1083)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04 amended effective January 24, 2000 (27:1 Md. R. 77)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .05 amended as an emergency provision effective January 1, 2001 (28:3 Md. R. 203); amended permanently effective April 16, 2001 (28:7 Md. R. 690)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .05B, C amended effective November 7, 1994 (21:22 Md. R. 1878)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .05-1 adopted effective March 18, 2002 (29:5 Md. R. 504)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01 — .08 repealed and new Regulations .01&lt;MD.16 adopted effective November 15, 2010 (37:23 Md. R. 1609)</annotation>
  </annotations>
</chapter>