reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.12 - Procedures for Clinical Demonstrations in Public Place › Section 10.43.12.07 - Penalty

Current through Register Vol. 51, No. 14, July 12, 2024
The Board may initiate disciplinary proceedings, pursuant
					 to Health Occupations Article, §
										3-313, Annotated
					 Code of Maryland, against a chiropractor found in violation of this
					 chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to licensed chiropractors and
					 registered chiropractic assistants.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Chiropractic assistant" means an
				  individual who is registered by the Board to perform the duties authorized
				  under COMAR 10.43.07.
(2)
				  "Chiropractor" means an individual licensed by the Board:
(a) To practice chiropractic; or
(b) To practice chiropractic with the right
				  to practice physical therapy.
(3) "Non-bona-fide treatment" means when a
				  chiropractor or chiropractic assistant treats or examines a patient in a way
				  that involves sexual contact, but there is no medical reason for the procedure,
				  or the procedure falls outside the scope of reasonable chiropractic
				  practices.
(4) "Sexually
				  exploitative relationship" means when sexual contact occurs in an existing
				  therapeutic relationship or within a period of time after formal termination of
				  the relationship when the patient may still be vulnerable to the power
				  imbalance that exists in the practitioner-patient relationship, even if the
				  relationship may appear to be or is mutually consensual.
(5) "Therapeutic deception" means when a
				  chiropractor or chiropractic assistant misrepresents sexual conduct as a
				  legitimate form of treatment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.03 - Standards of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  chiropractor and chiropractic assistant shall concern themselves primarily with
				  the welfare of the patient.
B. A
				  chiropractor or chiropractic assistant who suffers from a physical, mental, or
				  emotional impairment, including chemical abuse, that impacts the individual's
				  ability to practice chiropractic or provide chiropractic assistance shall seek
				  professional treatment and refrain from the practice of chiropractic or the
				  practice of chiropractic assistance until the impairment no longer exists or
				  reasonable accommodations can be made.
C. A chiropractor and chiropractic assistant
				  shall:
(1) Use professional discretion and
				  integrity in relationships with a member of the health care
				  community;
(2) Be professional in
				  conduct, with honesty, integrity, self-respect, and fairness;
(3) Remain free from conflict of interest
				  while fulfilling the objectives and maintaining the integrity of the
				  chiropractic profession;
(4)
				  Provide accurate fee information to the patient, the individual responsible for
				  payment for treatment, and the insurer;
(5) At all times respect the patient's
				  dignity, autonomy, and privacy;
(6)
				  Practice chiropractic only as defined in the scope of practice set forth in
				  Health Occupations Article, §
											3-101(f)
				  and (g), Annotated Code of Maryland;
(7) Provide chiropractic assistance only
				  within the parameters set forth in Health Occupations Article, §
											3-404, Annotated
				  Code of Maryland, and COMAR 10.43.07;
(8) Cooperate with any lawful investigation
				  conducted by the Board, including:
(a)
				  Furnishing information requested;
(b) Complying with a subpoena;
(c) Responding to a complaint at the request
				  of the Board; and
(d) Providing
				  meaningful and timely access to relevant patient records; and
(9) Report to the Board, or other
				  appropriate authority, conduct in the practice of chiropractic that indicates a
				  violation of:
(a) This chapter;
(b) Health Occupations Article, Title 3,
				  Annotated Code of Maryland; or
(c)
				  Any other law, including but not limited to aiding or abetting the unauthorized
				  practice of chiropractic.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.04 - Relationship with Patient

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  chiropractor shall:
(1) Use professional
				  judgment in the use of evaluation and treatment procedures;
(2) Decline to administer treatment if the
				  chiropractor believes that a treatment is contraindicated or
				  unjustified;
(3) Terminate a
				  professional relationship with a patient in an appropriate manner, such as:
(a) Providing the patient with sufficient
				  notice to permit the patient to obtain the services of another
				  professional;
(b) Assisting the
				  patient by providing referrals if appropriate; or
(c) Continuing to provide emergency treatment
				  to the patient if treatment is required before a reasonable time has passed to
				  allow the patient to obtain the services of another health care
				  provider;
(4) Maintain a
				  written record of treatment of the patient under the chiropractor's care for at
				  least:
(a) 5 years after the termination of
				  treatment; and
(b) 5 years after
				  the patient becomes 18 years old, if applicable;
(5) Make the written records of treatment
				  available to the patient upon request, in compliance with applicable laws for
				  disclosure of medical records;
(6)
				  Make arrangements for another professional to provide for the needs of the
				  patient during anticipated absences when the chiropractor is unavailable to the
				  patient;
(7) Make referrals only to
				  other qualified and duly licensed health care providers;
(8) Accurately inform the patient, other
				  health care professionals, and the public of the limitations of the practice of
				  chiropractic;
(9) Adequately assess
				  the patient to determine if contraindications against chiropractic treatment
				  exist and refer the patient to an appropriate health care
				  practitioner;
(10) Exercise
				  independent professional judgment in the treatment or evaluation of the patient
				  regardless of whether the patient was referred by another health care
				  provider;
(11) Ensure clear and
				  concise professional communications with patients regarding:
(a) Nature and duration of
				  treatment;
(b) Diagnoses;
(c) Costs;
(d) Billing; and
(e) Insurance; and
(12) Administer fair and equitable fees to
				  patients regardless of status or insurance.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.05 - Professional Boundaries

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  chiropractor and chiropractic assistant shall:
(1) Maintain professional boundaries, even
				  when the patient initiates crossing the boundaries of the professional
				  relationship; and
(2) Respect and
				  maintain professional boundaries and respect the patient's reasonable
				  expectation of professional conduct.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.06 - Records, Confidentiality, and Informed Consent

Current through Register Vol. 51, No. 14, July 12, 2024
A chiropractor shall:
A. Respect and maintain the privacy and
				  confidentiality of the patient;
B.
				  Disclose the patient's records or information about the patient only:
(1) In accordance with the consent to
				  treatment form signed by the:
(a) Patient;
				  or
(b) Parent or guardian of a
				  minor patient or incompetent patient; or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.07 - Education and Training

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  chiropractor or chiropractic assistant shall:
(1) Obtain additional training, information,
				  and supervision as needed to perform a new technique or service in a new
				  specialty area or when employing a new treatment modality; and
(2) Be current in the qualifications to
				  practice, including meeting continuing education requirements established by
				  the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.08 - Advertising

Current through Register Vol. 51, No. 14, July 12, 2024
A. A chiropractor
				  may advertise services subject to COMAR 10.43.03.
B. A chiropractor is accountable under this
				  regulation if the chiropractor uses an agent, partnership, professional
				  association, or health maintenance organization to implement an action
				  prohibited by COMAR 10.43.03.05C.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.09 - Ethical, Legal, and Professional Responsibilities

Current through Register Vol. 51, No. 14, July 12, 2024
A chiropractor and chiropractic assistant may not construe
					 any failure to specify a particular ethical, legal, or professional duty in
					 this chapter as a denial of the existence of other ethical, legal, or
					 professional duties or responsibilities that are equally as important and
					 generally recognized in the chiropractic profession.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.13 - Code of Ethics › Section 10.43.13.10 - Penalties

Current through Register Vol. 51, No. 14, July 12, 2024
Violation of a regulation in this chapter may result in the
					 Board taking action pursuant to Health Occupations Article, §
										3-313, Annotated
					 Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.14 - Record Keeping › Section 10.43.14.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter establishes the minimum standards for the
					 documentation of patient care by the chiropractor.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.14 - Record Keeping › Section 10.43.14.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Board" means the Maryland Board of
				  Chiropractic Examiners.
(2)
				  "Diagnosis" means the determination by the chiropractor of the nature and cause
				  of a disease or injury through evaluation of patient history, examination, and
				  review of any laboratory and radiological data.
(3) "Examination" means varied procedures
				  such as analysis, assessment, and evaluation performed by the chiropractor to
				  determine a diagnosis.
(4)
				  "History" means the patient's account of past, present, and familial
				  health.
(5) "Subjective, objective,
				  assessment, and plan (SOAP) notes" means the written record maintained by the
				  chiropractor of:
(a) The patient's
				  qualitative or quantitative description of the patient's condition;
(b) Findings pertaining to the patient's
				  condition based on examination and tests;
(c) The chiropractor's clinical opinion of
				  the condition; and
(d) Instructions
				  given to the patient, orthopedic appliances provided to the patient with
				  instructions for usage, and recommendations for treatment, including modalities
				  used and areas treated.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.14 - Record Keeping › Section 10.43.14.03 - Record Keeping

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  chiropractor shall maintain accurate, detailed, legible, and organized records,
				  documenting all data collected pertaining to the patient's health
				  status.
B. The chiropractor may not
				  erase, alter, or conceal patient records but shall initial and date any changes
				  made in the corresponding margin.
C. The Patient Record.
(1) The chiropractor shall create a record
				  for each patient.
(2) The
				  chiropractor shall state the patient's name or identification number on each
				  document contained in the patient record.
(3) The chiropractor shall include the
				  following information in the patient record:
(a) Chiropractor and clinic name
				  identification;
(b) Patient
				  history;
(c) Examination
				  findings;
(d) Diagnoses;
(e) Treatment plan;
(f) SOAP notes;
(g) Financial records;
(h) Records of telephone
				  conversations;
(i) Copies of
				  correspondence and reports sent to other health care providers, diagnostic
				  facilities, and legal representatives;
(j) Records and reports provided by other
				  health care providers and diagnostic facilities; and
(k) The signed consent to treatment form of
				  the:
(i) Patient; or
(ii) Parent or guardian of a minor patient or
				  incompetent patient.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.14 - Record Keeping › Section 10.43.14.04 - Supervisory Responsibilities

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The chiropractor is responsible for record keeping, consent to treatment forms,
				  billing, and other patient-related documentation handled, maintained, or
				  managed by the chiropractor's staff.
B. The chiropractor shall ensure that
				  employees involved in the preparation, organization, and filing of records
				  adhere to the regulations of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.14 - Record Keeping › Section 10.43.14.05 - Patient History

Current through Register Vol. 51, No. 14, July 12, 2024
The chiropractor shall include the following in the patient
					 history:
A. Personal data, including:
(1) Name,
(2) Address,
(3) Telephone number,
(4) Date of birth,
(5) Race,
(6) Sex, and
(7) Current occupation;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.14 - Record Keeping › Section 10.43.14.06 - Penalties

Current through Register Vol. 51, No. 14, July 12, 2024
Violation of this chapter may result in disciplinary action
					 against the chiropractor, as set forth in Health Occupations Article, §
										3-313, Annotated
					 Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.15 - Sanctioning Guidelines › Section 10.43.15.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  shall be used by the Board and the Maryland Office of Administrative Hearings
				  as a framework for imposing discipline.
B. The Board and the Maryland Office of
				  Administrative Hearings shall take into consideration a range of activity
				  within certain types of conduct rather than assigning particular sanctions to
				  each specific violation.
C. The
				  Board shall complete a worksheet for each complaint considered by the Board
				  that is not initially closed.
D.
				  The Board is aware that there may be conduct by a licensee that does not fall
				  squarely within a particular guideline contained in Regulation .06 of this
				  chapter. In that event the Board will so indicate on the worksheet and use its
				  best judgment to determine the appropriate sanction.
E. The Board and the Maryland Office of
				  Administrative Hearings shall make determinations that maximize the protection
				  of the public's health while maintaining the rights of licensees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.15 - Sanctioning Guidelines › Section 10.43.15.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Board" means the Maryland State Board of
				  Chiropractic Examiners.
(2)
				  "Conditions" means requirements in a public or nonpublic order that a licensee
				  is required to satisfy which include but are not limited to:
(a) Treatment and counseling for an emotional
				  or physical illness;
(b) Submission
				  to drug and alcohol testing;
(c)
				  Abstinence from specified drugs;
(d) Abstinence from alcohol;
(e) Remedial training;
(f) Inspection;
(g) Monitoring;
(h) Evaluation;
(i) Supervision;
(j) Testing of clinical skills;
(k) Submission of written reports;
(l) A demonstration of knowledge or
				  competency;
(m) Limitation of
				  practice;
(n) Limitation on the
				  administration of specified drugs to patients;
(o) The provision of pro bono chiropractic to
				  the poor, elderly, or disabled;
(p) Obeyance of Maryland Chiropractic Act,
				  federal, state, and local laws; and
(q) The payment of a civil penalty.
(3) "Conduct" means behavior or
				  action or a failure to behave or act that results in a violation of the
				  Maryland Chiropractic Act or the regulations adopted by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.15 - Sanctioning Guidelines › Section 10.43.15.03 - Application

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  shall be used by the Board as a guide for sanctioning licensees in formal and
				  informal actions and proceedings.
B. Except as provided in Regulation .05 of
				  this chapter, the Board shall impose a sanction not less severe than the
				  minimum listed in Regulation .06 of this chapter, nor more severe than the
				  maximum listed in Regulation .06 of this chapter.
C. When conduct results in multiple
				  violations of the Maryland Chiropractic Act and the regulations adopted by the
				  Board, the Board shall consider sanctions that are greater than those imposed
				  for a single violation.
D. This
				  chapter does not apply to disciplinary matters reviewed by the Board that are
				  initially closed.
E. Unless
				  otherwise indicated, the period of a suspension may be stayed in whole or in
				  part.
F. A respondent placed on
				  suspension or probation shall have conditions attached to the suspension or
				  probation which focus on the conduct and steps needed to assure public
				  protection.
G. Consent orders
				  shall:
(1) Include an acknowledgement of the
				  violation or violations; and
(2)
				  Indicate that the respondent accepts personal responsibility for the
				  respondent's behavior.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.15 - Sanctioning Guidelines › Section 10.43.15.04 - Worksheet

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall
				  complete a sanctions worksheet after considering each disciplinary
				  matter.
B. The sanctions worksheet
				  shall, at a minimum:
(1) Briefly summarize
				  the conduct that constituted the violation or violations meriting
				  action;
(2) Identify the severity
				  of the conduct;
(3) Describe other
				  factors that the Board considered in determining the recommended sanctions
				  imposed including but not limited to:
(a)
				  Aggravating factors as outlined in Regulation .05 of this chapter;
(b) Mitigating factors as outlined in
				  Regulation .05 of this chapter; and
(c) Prior disciplinary history; and
(4) Identify the recommended
				  sanctions.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.15 - Sanctioning Guidelines › Section 10.43.15.05 - Aggravating and Mitigating Factors

Current through Register Vol. 51, No. 14, July 12, 2024
A. Sanctions in a particular case may fall
				  outside the range of the sanctioning guidelines established by the
				  Board.
B. If the sanctions imposed
				  by the Board fall outside the range of the sanctioning guidelines the Board
				  shall state its reasons on its worksheet.
C. Depending on the facts and circumstances
				  of each case, and to the extent that the facts and circumstances apply, the
				  Board may consider the following aggravating and mitigating factors in
				  determining whether the sanction in a particular case should fall outside the
				  range of the sanctioning guidelines:
(1)
				  Aggravating Factors:
(a) Previous criminal or
				  administrative discipline history;
(b) Whether the offense was committed
				  deliberately or with gross negligence or recklessness;
(c) Whether the offense has the potential
				  for, or caused, serious patient harm;
(d) Whether the offense was part of a pattern
				  of detrimental conduct;
(e) Whether
				  the respondent pursued the respondent's financial gain over the patient's
				  welfare;
(f) Whether the patient
				  was especially vulnerable;
(g)
				  Whether the respondent attempted to hide error or misconduct from patients or
				  others;
(h) Whether the respondent:
(i) Concealed, falsified, or destroyed
				  evidence; or
(ii) Presented false
				  testimony or evidence;
(i) Whether the respondent willfully and
				  without legal justification failed to cooperate with a lawful investigation
				  conducted by the Board; and
(j)
				  Whether previous attempts to rehabilitate the respondent were unsuccessful;
				  and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.16 - Dry Needling › Section 10.43.16.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter establishes standards for the provision of dry
					 needling as an intervention performed by chiropractors.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.16 - Dry Needling › Section 10.43.16.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Board" means the State Board of
				  Chiropractic Examiners.
(2) "Dry
				  needling" means a chiropractic intervention, also known as intramuscular manual
				  therapy, that:
(a) Is performed only by
				  chiropractors with physical therapy privileges;
(b) Involves the insertion of one or more
				  solid needles, a mechanical device, into the muscle and related tissues to
				  affect change in muscle and related tissues;
(c) Requires ongoing evaluation, assessment,
				  and re-evaluation of the impairments;
(d) Is only utilized in parts of the body
				  with neuromuscular or musculoskeletal links to the impairments; and
(e) Is not performed for:
(i) The purposes of acupuncture as defined in
				  Health Occupations Article, §
													1A-101, Annotated
				  Code of Maryland; or
(ii) Any
				  purpose outside the scope of chiropractic.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.16 - Dry Needling › Section 10.43.16.03 - Standards of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  chiropractor registered to perform dry needling shall:
(1) Fully explain dry needling to the patient
				  in advance of treatment;
(2) Obtain
				  informed written consent specific to dry needling, which shall be included in
				  the patient's medical record;
(3)
				  Perform dry needling in a competent manner consistent with patient health and
				  safety; and
(4) Document the
				  provision and the specific location of the dry needling service in accordance
				  with the requirements of COMAR 10.43.14.03.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.16 - Dry Needling › Section 10.43.16.04 - Minimum Education and Training Required

Current through Register Vol. 51, No. 14, July 12, 2024
A. A chiropractor with physical therapy
				  privileges shall be in good standing before registering to perform dry
				  needling.
B. The Board shall accept
				  a dry needling course completed before May 18, 2020, if:
(1) The same course, in substantially similar
				  form, is sponsored by a continuing education provider approved by the Board;
				  and
(2) The chiropractor seeking to
				  perform dry needling provides the Board with a certificate of completion of 3
				  hours of a recertification course in dry needling.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.16 - Dry Needling › Section 10.43.16.05 - Registration Required

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Board shall register a chiropractor with physical therapy privileges as
				  qualified to perform dry needling in the State, provided the chiropractor
				  submits to the Board:
(1) Evidence of
				  completion of the education and training requirements outlined in Regulation
				  .04 of this chapter; and
(2) An
				  application for registration on a form provided by the
				  Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.17 - Teletherapy › Section 10.43.17.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the practice of chiropractic using telehealth as an adjunct to, or
				  replacement for, in-person patient visits.
B. Nothing in the chapter restricts or limits
				  reimbursement requirements pursuant to the Health-General Article and Insurance
				  Article, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.17 - Teletherapy › Section 10.43.17.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this
				  chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Asynchronous" means not occurring in
				  real time.
(2) "Board" means the
				  Maryland Board of Chiropractic Examiners.
(3) "In-person" means within the physical
				  presence of the patient.
(4)
				  "Synchronous" means occurring in real time.
(5) "Telehealth" has the meaning stated in
				  Health Occupations Article, §
											1-1001, Annotated
				  Code of Maryland.
(6) "Telehealth
				  practitioner" means a Maryland licensed chiropractor performing telehealth
				  services within their respective scope of
				  practice.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.17 - Teletherapy › Section 10.43.17.03 - Licensure

Current through Register Vol. 51, No. 14, July 12, 2024
Subject to the provisions of Health Occupations Article,
					 Title 3, Annotated Code of Maryland, a telehealth practitioner shall be
					 licensed in Maryland when providing telehealth services to a patient located in
					 the State.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.17 - Teletherapy › Section 10.43.17.04 - Standards of Practice for Telehealth

Current through Register Vol. 51, No. 14, July 12, 2024
A. Before
				  performing telehealth services, a telehealth practitioner shall develop and
				  follow a procedure to:
(1) Verify the
				  identification of the patient receiving telehealth services through use of:
(a) A government-issued photograph
				  identification;
(b) An insurance,
				  Medicaid, or Medicare card; or
(c)
				  Documentation of the patient's:
(i) Date of
				  birth; and
(ii) Home
				  address;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.17 - Teletherapy › Section 10.43.17.05 - Patient Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
A. A telehealth
				  practitioner shall:
(1) Perform a synchronous
				  or asynchronous clinical patient evaluation that is appropriate for the patient
				  and the condition with which the patient presents before providing a treatment
				  plan through telehealth; and
(2) If
				  clinically appropriate for the patient, provide or refer a patient to:
(a) In-person treatment; or
(b) Another type of telehealth
				  service.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.17 - Teletherapy › Section 10.43.17.06 - Telehealth Practitioner Discipline

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board
				  shall use the same standards of evaluating and investigating a complaint about
				  and in disciplining a telehealth practitioner who practices telehealth as it
				  would use for a licensee who does not use telehealth technology in the
				  licensee's practice.
B. The failure
				  of a telehealth practitioner to comply with this chapter shall constitute
				  unprofessional conduct and may be subject to disciplinary action by the
				  Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.01 - Scope (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.02 - Definitions (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.03 - Standards of Practice (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.04 - Relationship with Client (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.05 - Professional Boundaries (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.06 - Records, Confidentiality, and Informed Consent (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.07 - Education and Training (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.08 - Ethical, Legal, and Professional Responsibilities of Massage Therapist and Practitioners (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.18 - Massage Therapy-Code of Ethics (Recodified to be COMAR 10.65.03) › Section 10.43.18.09 - Penalties (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.19 - Massage Therapy-Advertising (Recodified to be COMAR 10.65.04) › Section 10.43.19.01 - Scope (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.19 - Massage Therapy-Advertising (Recodified to be COMAR 10.65.04) › Section 10.43.19.02 - Definitions (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.19 - Massage Therapy-Advertising (Recodified to be COMAR 10.65.04) › Section 10.43.19.03 - Advertising (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.19 - Massage Therapy-Advertising (Recodified to be COMAR 10.65.04) › Section 10.43.19.04 - Solicitation (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.19 - Massage Therapy-Advertising (Recodified to be COMAR 10.65.04) › Section 10.43.19.05 - Accountability (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.19 - Massage Therapy-Advertising (Recodified to be COMAR 10.65.04) › Section 10.43.19.06 - Penalties for Violation (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.20 - Massage Therapy-Continuing Education Requirements (Recodified to be COMAR 10.65.05) › Section 10.43.20.01 - Required Continuing Education Hours (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.20 - Massage Therapy-Continuing Education Requirements (Recodified to be COMAR 10.65.05) › Section 10.43.20.02 - Approval of Continuing Education Programs (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.20 - Massage Therapy-Continuing Education Requirements (Recodified to be COMAR 10.65.05) › Section 10.43.20.03 - Exemptions (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.20 - Massage Therapy-Continuing Education Requirements (Recodified to be COMAR 10.65.05) › Section 10.43.20.04 - Board Procedures (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.21 - Record Keeping (Recodified to be COMAR 10.65.06) › Section 10.43.21.01 - General Requirements (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 43 - BOARD OF CHIROPRACTIC EXAMINERS › Chapter 10.43.21 - Record Keeping (Recodified to be COMAR 10.65.06) › Section 10.43.21.02 - Maintenance and Release of Records (Recodified)

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.01 - Dental Assistants › Section 10.44.01.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Board" means State Board of Dental
				  Examiners.
(2) "Dental assistant"
				  means a person, other than an individual licensed in the state as a dentist or
				  dental hygienist, employed for the purpose of assisting a dentist in the
				  performance of intraoral duties related to dental care.
(3) "Direct supervision" means that the
				  supervising dentist is in the dental office, personally diagnoses the condition
				  to be treated, personally authorizes the procedure, and, before dismissal of
				  the patient, personally evaluates the performance of the dental
				  assistant.
(4) "General
				  supervision" means the supervision of a dental assistant by a dentist where the
				  dentist may or may not be present when the dental assistant performs the dental
				  assisting procedures.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.01 - Dental Assistants › Section 10.44.01.02 - Exceptions

Current through Register Vol. 51, No. 14, July 12, 2024
A. Notwithstanding
				  any other provisions of this chapter, a dental assistant may provide the
				  following dental assisting duties under the general supervision of a dentist
				  for a dental sealant program:
(1) Instructing
				  on oral hygiene;
(2) Cleaning and
				  disinfecting environmental surfaces and equipment;
(3) Preparing materials for the application
				  of sealants;
(4) Retracting lips,
				  cheek, and tongue;
(5) Placing and
				  removing materials for the isolation of the dentition, if the material is not
				  retained by the dentition;
(6)
				  Transferring instruments and sealants to a dentist or dental
				  hygienist;
(7) Rinsing and
				  aspirating of the oral cavity; and
(8) Sterilizing instruments.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.01 - Dental Assistants › Section 10.44.01.03 - Intraoral Procedures Permitted To Be Performed by a Dental Assistant

Current through Register Vol. 51, No. 14, July 12, 2024
A dentist may use the services of a dental assistant to
					 perform the following intraoral duties under the direct supervision of a
					 dentist:
A. Rinsing and aspiration of
				  the oral cavity;
B. Retraction of
				  the lips, cheek, tongue, and flaps;
C. Placement and removal of materials for the
				  isolation of the dentition, provided that the material is not retained by the
				  dentition;
D. Instructing on oral
				  hygiene;
E. Performing intraoral
				  photography;
F. Taking impressions
				  for study models or diagnostic casts;
G. Constructing athletic mouth guards on
				  models;
H. Applying topical
				  anesthesia;
I. Curing by the use of
				  halogen light;
J. Checking for
				  loose bands; and
K. Any other duty
				  approved by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.01 - Dental Assistants › Section 10.44.01.04 - Dental Assistants Recognized as Qualified in Orthodontics

Current through Register Vol. 51, No. 14, July 12, 2024
A. A dentist may
				  use the services of a dental assistant to perform certain duties if the dental
				  assistant:
(1) Has successfully completed a
				  Board-approved course of at least 35 hours related to Maryland orthodontic
				  dental assisting; and
(2) Is certified by
				  the Dental Assisting National Board in orthodontics or recognized by the Board
				  of Dental Examiners, on or before June 19, 1974, as a dental assistant
				  qualified in orthodontics.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.01 - Dental Assistants › Section 10.44.01.05 - Dental Assistants Recognized as Qualified in General Duties

Current through Register Vol. 51, No. 14, July 12, 2024
A. A dentist may
				  use the services of a dental assistant to perform certain duties if the dental
				  assistant:
(1) Has successfully completed a
				  Board-approved course of at least 35 hours related to Maryland general duties
				  dental assisting; and
(2) Is certified by
				  the Dental Assisting National Board as qualified in general duties or -was
				  recognized by the Board of Dental Examiners, on or before June 19, 1974, as a
				  dental assistant qualified in general duties.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.01 - Dental Assistants › Section 10.44.01.06 - Radiographs

Current through Register Vol. 51, No. 14, July 12, 2024
A dentist may not permit a dental assistant to place and
					 expose radiographs unless the dental assistant is a dental assistant certified
					 to practice dental radiation technology.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.01 - Dental Assistants › Section 10.44.01.07 - Posting

Current through Register Vol. 51, No. 14, July 12, 2024
The dentist in charge of a dental office shall post a copy
					 of these regulations and the list of Board-approved dental assistant duties in
					 a conspicuous place in the office for the information of office
					 personnel.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.01 - Dental Assistants › Section 10.44.01.08 - Penalties for Violations of These Regulations

Current through Register Vol. 51, No. 14, July 12, 2024
A. A dentist who uses the services of a
				  dental assistant who is not qualified or for purposes other than what is
				  permitted may be found guilty of unprofessional conduct under Health
				  Occupations Article, §
										4-315(a)(16),
				  Annotated Code of Maryland, or violating any rule or regulation adopted by the
				  Board under Health Occupations Article, §
										4-315(a)(18),
				  Annotated Code of Maryland.
B. The
				  performance of intraoral duties not authorized by these regulations by a dental
				  assistant may constitute the illegal practice of dentistry, a misdemeanor which
				  on conviction is subject to:
(1) For a first
				  offense, a fine not exceeding $2,000 or imprisonment in jail not exceeding 6
				  months; or
(2) For a subsequent
				  offense, a fine not exceeding $6,000 or imprisonment in the State penitentiary
				  not exceeding 1 year.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.02 - Licensure of Graduates of Foreign Dental Schools › Section 10.44.02.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Applicant" means any person applying for
				  a license to practice dentistry pursuant to the provisions of these regulations
				  and of Health Occupations Article, §§
											4-303 and
				  4-303.1, Annotated
				  Code of Maryland.
(2) "Board" means
				  the Maryland State Board of Dental Examiners.
(3) "Graduate of a foreign dental school"
				  means any person who has graduated from a dental school located in any country
				  outside the United States, its territories, districts, or possessions and the
				  Dominion of Canada, and recognized by the country in which it is
				  located.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 44 - BOARD OF DENTAL EXAMINERS › Chapter 10.44.02 - Licensure of Graduates of Foreign Dental Schools › Section 10.44.02.02 - Requirements for Limited License to Practice Dentistry; Exclusion

Current through Register Vol. 51, No. 14, July 12, 2024
A. This regulation
				  does not apply to a pediatric dental fellow or an individual who has
				  successfully completed a pediatric dental fellowship. The requirements for
				  these individuals are contained in Regulation .03 of this chapter.
B. In addition to meeting the requirements
				  set forth in Health Occupations Article, §
										4-302, Annotated
				  Code of Maryland, with respect to moral character, and in addition to passing
				  any required examination, to qualify for a limited license to practice
				  dentistry, a graduate of a foreign dental school shall be 21 years old or older
				  and shall submit the following credentials to the Board:
(1) A completed application on a form the
				  Board prescribes and furnishes to the applicant, accompanied by a 3 inch by 3
				  inch notarized photograph of the applicant;
(2) Evidence satisfactory to the Board that
				  the applicant has completed at least 24 months of formal general clinical
				  training in a United States or Canadian accredited institution;
(3) A copy of the degree or diploma issued to
				  the applicant by the foreign dental school conferring it, properly
				  authenticated by an official of that foreign dental school authorized to make
				  the authentication;
(4) A copy of
				  the subjects taken and the credits earned by the applicant at the foreign
				  dental school, duly authenticated by an official authorized to make the
				  authentication;
(5) A license to
				  practice dentistry issued by the foreign country, or the proper subdivision of
				  the country, in which the applicant has graduated, duly authenticated by the
				  issuing authority;
(6) A
				  translation into English of a degree, diploma, or license required to be
				  furnished to the Board, certified by an individual acceptable to the Board, if
				  issued in a language other than English;
(7) Two letters of recommendation written by
				  persons acceptable to the Board, which shall certify to the Board the good
				  moral character of the applicant and the applicant's age, qualifications,
				  background, and experience, if any; and
(8) A letter indicating that the applicant
				  possesses sufficient comprehension and communication skills in written and
				  spoken English to enable the applicant to adequately treat dental
				  patients.