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<chapter num="06" heading="Foreign-Educated Licensure Requirements" title_num="10" subtitle_num="38">
  <regulation prefix="Regulation" num=".01" heading="Requirements for Licensure.">
    <paragraph num="A.">
      <text>Application Options.</text>
      <paragraph num="(1)">
        <text>An applicant educated in a physical therapy core curriculum outside the United States or its territories shall apply for licensure under one of the categories described in §A(2)—(4) of this regulation.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Examination. The applicant shall file with the Board:</text>
        <paragraph num="(a)">
          <text>An application on the form the Board provides;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The application and examination fees as specified in COMAR 10.38.07;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Evaluation of educational credentials forwarded directly to the Board from an approved agency that provides evidence that the applicant's education is equivalent to that of an accredited core physical therapy program in the United States;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Evidence of oral competency in the English language; and</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Evidence of written competency in the English language.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>Transfer of Examination Scores. The applicant shall file the following with the Board:</text>
        <paragraph num="(a)">
          <text>An application on the form the Board provides;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The application fee as specified in COMAR 10.38.07;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Evaluation of educational credentials forwarded directly to the Board from an approved agency that provides evidence that the applicant's education is equivalent to that of an accredited physical therapy program in the United States;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Evidence of oral competency in the English language;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Evidence of written competency in the English language;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>A sworn statement that the applicant is not licensed in another state;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Evidence, satisfactory to the Board, that the applicant is registered to take, or has taken, the national licensing examination in another state; and</text>
        </paragraph>
        <paragraph num="(h)">
          <text>A copy of a letter or form to the appropriate reporting service requesting that licensing examination scores be sent to the Board.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>Waiver of Examination. The applicant shall file the following with the Board:</text>
        <paragraph num="(a)">
          <text>An application on the form the Board provides;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The application fee as specified in COMAR 10.38.07;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Evaluation of educational credentials forwarded directly to the Board from an approved agency that provides evidence that the applicant's education is equivalent to that of an accredited core physical therapy program in the United States;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Evidence of oral competency in the English language;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Evidence of written competency in the English language;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>A copy of a current physical therapy license;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Verification of current licensure on the form the Board provides; and</text>
        </paragraph>
        <paragraph num="(h)">
          <text>A copy of a letter or form to the appropriate reporting service requesting that licensing examination scores be sent to the Board.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>In addition to the requirements of §A of this regulation, an applicant educated in a core physical therapy curriculum outside the United States or its territories shall comply with §C of this regulation.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Additional Requirements. Applicants for licensure shall:</text>
      <paragraph num="(1)">
        <text>Achieve a passing score on the licensing examinations;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Attend an interview unless the Board waives this requirement; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Submit to a State and national criminal history records check in accordance with Health Occupations Article, §13–302.1, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Reexamination.">
    <paragraph num="A.">
      <text>National Licensing Examination.</text>
      <paragraph num="(1)">
        <text>An applicant who fails shall repeat the examination.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Fees.</text>
        <paragraph num="(a)">
          <text>The applicant shall pay to the Board the reexamination fee as specified in COMAR 10.38.07.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>An applicant who fails the licensing examination twice shall pay to the Board an application fee as specified in COMAR 10.38.07 in addition to the reexamination fee.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Examination on Maryland Physical Therapy Law. An applicant who fails the examination on the Maryland Physical Therapy Practice Act and associated regulations shall:</text>
      <paragraph num="(1)">
        <text>Repeat the examination; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Attend an interview unless the Board waives this requirement.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Issuance of Licenses.">
    <paragraph num="A.">
      <text>Temporary License.</text>
      <paragraph num="(1)">
        <text>The Board may issue a temporary license to an applicant who, except for passing an examination otherwise required under Health Occupations Article, Title 13, Annotated Code of Maryland, has met the appropriate education and experience requirements for a physical therapy license or a physical therapist assistant license set forth under Health Occupations Article, §13-302, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The holder of a temporary license shall:</text>
        <paragraph num="(a)">
          <text>Practice under direct supervision while the temporary license is in effect;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Achieve a passing score on the Maryland Physical Therapy jurisprudence exam; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Submit to a State and national criminal history records check in accordance with Health Occupations Article, §13-302.1, Annotated Code of Maryland.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>A temporary license is valid until:</text>
        <paragraph num="(a)">
          <text>90 days after issuance;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The Board issues a full license to practice physical therapy or limited physical therapy to the holder of the temporary license; or</text>
        </paragraph>
        <paragraph num="(c)">
          <text>The Board revokes the temporary license.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Licensure Procedures.</text>
      <paragraph num="(1)">
        <text>When the applicant has met all the requirements for licensure, the Board may issue a physical therapist license to the applicant.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Renewal of Physical Therapist License.</text>
        <paragraph num="(a)">
          <text>The licensee shall renew the physical therapist license biennially.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The licensee shall be responsible for notifying the Board if a renewal notice is not received.</text>
        </paragraph>
        <paragraph num="(c)">
          <text>The Board may issue a renewal license to the licensee who meets the requirements of Health Occupations Article, §13-311(c), Annotated Code of Maryland.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>Method of Renewal Notification.</text>
        <paragraph num="(a)">
          <text>Except as otherwise provided in §B(3)(b) of this regulation, the Board shall mail notices for renewal at least 1 month before the expiration date.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>If requested by a licensee, the Board shall send to the licensee, at least two times within the month before a license expires, a renewal notice by electronic means to the last known electronic mail address of the licensee.</text>
        </paragraph>
        <paragraph num="(c)">
          <text>If a renewal notice sent by electronic mail under §B(3)(b) of this regulation is returned to the Board as undeliverable, the Board shall send to the licensee a renewal notice by first-class mail to the last known address of the licensee.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>The Board may issue a duplicate license for a lost, stolen, or destroyed license provided the licensee:</text>
        <paragraph num="(a)">
          <text>Makes a request in writing;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Provides a sworn statement or police report attesting to the facts; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Pays the fee as established in COMAR 10.38.07.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(5)">
        <text>The Board may not issue a license under this subtitle if the results of the criminal history records check required pursuant to Regulation .01C(3) of this chapter has not been received.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Restrictions.">
    <paragraph num="A.">
      <text>The Board may refuse to grant a license to an applicant who:</text>
      <paragraph num="(1)">
        <text>Begins practice as a physical therapist before being licensed to practice in Maryland;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Practices after the date of expiration of the license;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Fails the licensing examinations; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Fails to pay all outstanding fees to the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>An applicant shall complete the application process within 1 year of the date of the paid application or reapply for licensure.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The Board may refuse to renew a license of an applicant who fails to pay all outstanding fees to the Board.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health Occupations Article, §§13-206, 13-207, 13-301—13-303, 13-305—13-307, and 13-311, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: December 29, 1986 (13:26 Md. R. 2807)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01B—D amended effective August 5, 1991 (18:15 Md. R. 1727)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01D amended effective December 19, 1994 (21:25 Md. R. 2106)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02A amended effective August 5, 1991 (18:15 Md. R. 1727)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03A amended effective August 5, 1991 (18:15 Md. R. 1727); December 19, 1994 (21:25 Md. R. 2106)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04C amended effective August 5, 1991 (18:15 Md. R. 1727)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended effective April 17, 2000 (27:7 Md. R. 706); April 24, 2006 (33:8 Md. R. 734)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01A, B amended effective February 25, 2008 (35:4 Md. R. 515)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01C amended effective April 16, 2001 (28:7 Md. R. 690); June 8, 2015 (42:11 Md. R. 725)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02 amended effective April 17, 2000 (27:7 Md. R. 706)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03 amended effective April 17, 2000 (27:7 Md. R. 706); April 6, 2009 (36:7 Md. R. 525); April 2, 2012 (39:6 Md. R. 408); April 4, 2022 (49:7 Md. R. 466)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03A amended effective April 24, 2006 (33:8 Md. R. 734)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03E adopted effective June 8, 2015 (42:11 Md. R. 725)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04 amended effective April 17, 2000 (27:7 Md. R. 706); April 24, 2006 (33:8 Md. R. 734)</annotation>
  </annotations>
</chapter>