2023 Maryland Statutes › Health Occupations › Title 14 - Physicians › Subtitle 3 - Licensing › Section 14-306 - Duties Delegated by a Licensed Physician. [Effective Until October 1, 2024]

(a)    To the extent permitted by the rules, regulations, and orders of the Board, an individual to whom duties are delegated by a licensed physician may perform those duties without a license as provided in this section.
(b)    The individuals to whom duties may be delegated under this section include any individual authorized to practice any other health occupation regulated under this article or § 13–516 of the Education Article.
(c)    The Board shall adopt rules and regulations to delineate the scope of this section. Before it adopts any rule or regulation under this section, the Board shall invite and consider proposals from any individual or health group that could be affected by the rule or regulation.
(d)    (1)    If a duty that is to be delegated under this section is a part of the practice of a health occupation that is regulated under this article by another board, any rule or regulation concerning that duty shall be adopted jointly by the Board of Physicians and the board that regulates the other health occupation.
(2)    If the two boards cannot agree on a proposed rule or regulation, the proposal shall be submitted to the Secretary for a final decision.
(e)    Except as otherwise provided in this section, an individual may perform X–ray duties without a license only if the duties:
(1)    Do not include:
(i)    Computerized or noncomputerized tomography;
(ii)    Fluoroscopy;
(iii)    Invasive radiology;
(iv)    Mammography;
(v)    Nuclear medicine;
(vi)    Radiation therapy; or
(vii)    Xerography;
(2)    Are limited to X–ray procedures of the:
(i)    Chest, anterior–posterior and lateral;
(ii)    Spine, anterior–posterior and lateral; or
(iii)    Extremities, anterior–posterior and lateral, not including the head; and
(3)    Are performed:
(i)    By an individual who is not employed primarily to perform
X–ray duties;
(ii)    In the medical office of the physician who delegates the duties; and
(iii)    1.    By an individual who, before October 1, 2002, has:
A.    Taken a course consisting of at least 30 hours of training in performing X–ray procedures approved by the Maryland Radiological Society in consultation with the Maryland Society of Radiologic Technologists; and
B.    Successfully passed an examination based on that course that has been approved by the Maryland Radiological Society in consultation with the Maryland Society of Radiologic Technologists; or
2.    By a licensed physician assistant who has completed a course that includes anterior–posterior and lateral radiographic studies of extremities on at least 20 separate patients under the direct supervision of the delegating physician or radiologist using a mini C–arm or similar low–level radiation machine to perform nonfluoroscopic X–ray procedures, if the duties:
A.    Include only the X–ray procedures described in paragraph (2)(iii) of this subsection; and
B.    Are performed pursuant to a Board–approved delegation agreement that includes a request to perform advanced duties under § 15–302(c)(2) of this article.