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<chapter num="09" heading="Licensure for Dental Hygienists Licensed in Another State" title_num="10" subtitle_num="44">
  <regulation prefix="Regulation" num=".01" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meaning indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“ADEX” means the American Board of Dental Examiners, Inc., or its successor organization.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“ADHLEX” means the American Dental Hygiene Licensing Examination, which includes both a written component and a clinic component, designed and developed by ADEX, or its successor examination.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Board” means the Maryland State Board of Dental Examiners.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Qualifications for All Applicants.">
    <text>A dental hygienist holding an active license in any other state may be granted a license in Maryland if the applicant:</text>
    <paragraph num="A.">
      <text>Meets the requirements of Health Occupations Article, §4-306, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="B.">
      <text>Is of good moral character;</text>
    </paragraph>
    <paragraph num="C.">
      <text>Is a graduate of a school for dental hygienists that:</text>
      <paragraph num="(1)">
        <text>Requires at least 2 years of education in an institution of higher education;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Is accredited by the American Dental Association Commission on Dental Accreditation; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Is approved by the Board; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Meets the qualifications otherwise required by Health Occupations Article, Title 4, Annotated Code of Maryland, for an active general license to practice dental hygiene.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Licensure of Dental Hygienists Who Have Passed the ADHLEX Examination.">
    <paragraph num="A.">
      <text>In addition to meeting the requirements of Regulation .02 of this chapter, a dental hygienist holding an active license in any other state shall be issued a license if the applicant:</text>
      <paragraph num="(1)">
        <text>Has passed the ADHLEX with a score of 75 or greater in each required section; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Has passed the Maryland Dental Hygiene Jurisprudence Examination given by the Board or its designee with a minimum score of 75 or greater on each section of the examination.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>In addition to the requirements of §A of this regulation, a candidate holding an active license in another state, or who has ever held an active license in another state, shall provide adequate evidence satisfactory to the Board that the candidate:</text>
      <paragraph num="(1)">
        <text>Is not being investigated by a disciplinary authority of another state:</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Does not have charges pending against the applicant’s license;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Has not been disciplined; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Has not been convicted or disciplined by a court of any state or country for an act that would be grounds for disciplinary action under Health Occupations Article, §4-315, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Licensure of Dental Hygienists Who Have Not Passed the ADHLEX Examination.">
    <paragraph num="A.">
      <text>In addition to meeting the requirements of Regulation .02 of this chapter, a dental hygienist holding an active license in another state who has not passed the ADHLEX examination with a score of 75 or greater in each required section of the ADHLEX shall be issued a license if the applicant:</text>
      <paragraph num="(1)">
        <text>For the 3 preceding years has been actively engaged in practicing dental hygiene for at least 150 hours on average per year;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Has passed an examination with a clinical component as a requirement for licensure in another state;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Has passed a comprehensive written examination on applied clinical diagnosis and treatment planning administered by ADEX with a score of 75 or greater in each required section; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Has passed the Maryland Dental Hygiene Jurisprudence Examination given by the Board or its designee with a score of 75 or greater on each section of the examination.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The practice of dental hygiene in the armed forces, the practice of dental hygiene in state and federal programs, participation in post-graduate intern programs, or participation in residency programs within the 5 years preceding application counts toward the required hours of active practice.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Application Procedures.">
    <paragraph num="A.">
      <text>An applicant who has passed the ADHLEX with a score of 75 or greater in each required section shall submit the following to the Board:</text>
      <paragraph num="(1)">
        <text>A completed application on a form provided by the Board;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>A photograph of the applicant not to exceed 3 inches by 3 inches accompanied by a notarized statement stating that “the photograph is a true photograph of me”;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>An original National Board Score Card;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Certified proof of dental hygiene education which contains the raised embossed school seal certifying its authenticity, except that letters from educational institutions on original letterhead, bearing an original signature, do not require a raised embossed seal;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>A certified examination score of the ADHLEX and, if requested by the Board, a specific point breakdown by procedure including penalty deductions if available;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>A certified letter with a raised embossed seal from the dental hygiene licensing authority of each state in which the applicant holds an active dental hygiene license or ever held an active dental hygiene license indicating that the license is or was in good standing and that the applicant:</text>
        <paragraph num="(a)">
          <text>Is not being investigated;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Does not have charges pending against the applicant's license;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Has not been disciplined; and</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Has not been convicted or disciplined by a court of any state or country for an act that would be grounds for disciplinary action under Health Occupations Article, §4-315, Annotated Code of Maryland;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(7)">
        <text>Documentation of change of name if the name on any of the documents submitted to the Board differs from the applicant's name; and</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Any other documents or information pertinent to licensure required by the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>An applicant who has not passed the ADHLEX shall submit the following to the Board:</text>
      <paragraph num="(1)">
        <text>A completed application on a form provided by the Board;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>A photograph of the applicant not to exceed 3 inches by 3 inches accompanied by a notarized statement stating that “the photograph is a true photograph of me”;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>An original National Board Score Card;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Certified proof of dental hygiene education which contains the raised embossed school seal certifying its authenticity, except that letters from educational institutions on original letterhead, bearing an original signature, do not require a raised embossed seal;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>A certified letter with a raised embossed seal from the dental hygiene licensing authority of each state in which the applicant holds an active dental hygiene license or ever held an active dental hygiene license indicating that the license is or was in good standing and that the applicant:</text>
        <paragraph num="(a)">
          <text>Is not being investigated;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Does not have charges pending against the applicant's license;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Has not been disciplined; and</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Has not been convicted or disciplined by a court of any state or country for an act that would be grounds for disciplinary action under Health Occupations Article, §4-315, Annotated Code of Maryland;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(6)">
        <text>A notarized affidavit or other evidence satisfactory to the Board indicating that for the 3 preceding years the applicant has been actively engaged in practicing dental hygiene for at least 150 hours on average per year;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Documentation of change of name if the name on any of the documents submitted to the Board differs from the applicant's name; and</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Any other documents or information pertinent to licensure required by the Board.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Fees.">
    <paragraph num="A.">
      <text>The application fee shall accompany the application and is specified in COMAR 10.44.20.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The application fee is nonrefundable.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health Occupations Article, §§4-303.1(d) and 4-306, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: August 1, 1983 (10:15 Md. R. 1351)</annotation>
    <annotation type="History" subtype="Administrative History">Recodified from COMAR 10.44.12 to 10.44.09</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 recodified to Regulation .01-1 and the Preface recodified to Regulation .01 in November 1990</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended effective April 19, 1999 (26:8 Md. R. 615)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01-1 amended effective April 19, 1999 (26:8 Md. R. 615)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02A amended effective September 3, 1990 (17:17 Md. R. 2081); April 19, 1999 (26:8 Md. R. 615)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02B amended effective April 19, 1999 (26:8 Md. R. 615); December 23, 2002 (29:25 Md. R. 1984)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02C adopted effective September 3, 1990 (17:17 Md. R. 2081)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02C amended effective September 17, 2001 (28:18 Md. R. 1621)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02C repealed effective December 23, 2002 (29:25 Md. R. 1984)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03 amended effective September 3, 1990 (17:17 Md. R. 2081); April 19, 1999 (26:8 Md. R. 615)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04C adopted effective September 3, 1990 (17:17 Md. R. 2081)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .05A amended effective April 19, 1999 (26:8 Md. R. 615)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.05 repealed and new Regulations .01 — .05 adopted effective December 22, 2003 (30:25 Md. R. 1848)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02 amended effective October 24, 2005 (32:21 Md. R. 1708)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03A amended effective October 24, 2005 (32:21 Md. R. 1708)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.05 repealed and new Regulations .01 — .06 adopted as an emergency provision effective October 1, 2012 (39:22 Md. R. 1426); adopted permanently effective December 24, 2012 (39:25 Md. R. 1613)</annotation>
  </annotations>
</chapter>