reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.05 - Telehealth › Section 10.32.05.02 - 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 at the
				  same time.
(2) "In-person" means
				  within the physical presence of the patient.
(3) "Interpretive services" means reading and
				  analyzing images, tracings, or specimens through telehealth or giving
				  interpretations based on visual, auditory, thermal, or ultrasonic patterns or
				  other patterns as may evolve with technology.
(4) "Remote patient monitoring" means the use
				  of telehealth devices to collect from patients medical and other forms of
				  health data that are securely provided to a telehealth practitioner in a
				  different location for assessment, recommendation, and diagnosis.
(5) "Store and forward telehealth services"
				  means a type of asynchronous telehealth service involving a response to or
				  interpretation of digital images, documents, audio files, or videos transmitted
				  electronically through secure means.
(6) "Surrogate examiner" means an individual
				  examining a patient at the direction of a telehealth practitioner during a
				  synchronous audio-visual telehealth encounter and providing the telehealth
				  practitioner with observations and information.
(7) "Synchronous" means simultaneously or
				  quickly enough to allow two or more individuals to conduct a
				  conversation.
(8) Telehealth.
(a) "Telehealth" means the use of interactive
				  audio, video, audio-visual, or other telecommunications or electronic
				  technology by a Maryland licensed physician or licensed allied health
				  practitioner to deliver clinical services within the scope of practice of the
				  Maryland licensed physician or licensed allied health practitioner at a
				  location other than the location of the patient.
(b) "Telehealth" does not include:
(i) An audio-only telephone conversation
				  between a Maryland licensed physician or licensed allied health practitioner
				  and a patient;
(ii) An electronic
				  mail message between a Maryland licensed physician or licensed allied health
				  practitioner and a patient; or
(iii) A facsimile transmission between a
				  Maryland licensed physician or licensed allied health practitioner and a
				  patient.
(9)
				  "Telehealth devices" means devices that gather visual or other data and
				  remotely sends the images or data to a telehealth practitioner in a different
				  location from that of the patient.
(10) "Telehealth practitioner" means a
				  Maryland licensed physician or licensed allied health practitioner performing
				  telehealth services within their respective scope of practice.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.05 - Telehealth › Section 10.32.05.03 - Licensure

Current through Register Vol. 51, No. 14, July 12, 2024
Except as specified in Health Occupations Article, §
										14-302, Annotated
					 Code of Maryland, a telehealth practitioner may practice telehealth if one or
					 both of the following occurs:
A. The
				  individual practicing telehealth is physically located in Maryland;
				  or
B. The patient is in
				  Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.05 - Telehealth › Section 10.32.05.04 - Specific Telehealth Requirements

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;
(2)
				  Except for interpretive services, obtain oral or written acknowledgement from a
				  patient or person in interest as defined by Health-General Article, §
				  4-301(m), Annotated Code of Maryland, to perform telehealth services;
(3) Prevent access to data by unauthorized
				  persons through encryption or other means;
(4) Notify patients in the event of a data
				  breach;
(5) Ensure that the
				  telehealth practitioner provides a secure and private telehealth connection
				  that complies with federal and state privacy laws; and
(6) Establish safety protocols to be used in
				  the case of an emergency.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.05 - Telehealth › Section 10.32.05.05 - Patient Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  telehealth practitioner shall perform a synchronous, audiovisual patient
				  evaluation adequate to establish diagnoses and identify underlying conditions
				  or contraindications to recommended treatment options before providing
				  treatment or prescribing medication.
B. Subject to Regulation .06 of this chapter,
				  the requirements of §A of this regulation do not apply to:
(1) Interpretive services where a prior
				  patient evaluation was performed by another provider;
(2) Remote patient monitoring; or
(3) Asynchronous telehealth services for a
				  patient who has had a prior synchronous, audio-visual telehealth patient
				  evaluation or in-person patient evaluation that complies with the requirements
				  of §A of this regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.05 - Telehealth › Section 10.32.05.06 - Standard Related to Telehealth

Current through Register Vol. 51, No. 14, July 12, 2024
A. A telehealth practitioner shall be held to
				  the same standards of practice and documentation as those applicable in
				  in-person health care settings.
B.
				  A telehealth practitioner may not treat a patient or prescribe medication based
				  solely on an online questionnaire.
C. A telehealth practitioner may not
				  prescribe opioids for the treatment of pain through telehealth except if the
				  patient is in a health care facility as defined in Health-General Article,
				  § 19-114(d)(1), Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.05 - Telehealth › Section 10.32.05.07 - Telehealth Practitioner Discipline

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall use the same standards in
				  evaluating and investigating a complaint about and in disciplining a licensee
				  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 Regulation .04, .05, or .06 of this chapter shall constitute
				  unprofessional conduct.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the practice of polysomnographic technology.
B. Except as provided in §C or D of this
				  regulation, on or before October 1, 2013, an individual shall be licensed by
				  the Board before the individual may practice polysomnography.
C. This chapter does not prohibit any
				  polysomnographic technology student who is currently enrolled in an approved
				  polysomnographic technology educational program from performing any of the
				  procedures described in this chapter as part of that program's polysomnographic
				  technology clinical curriculum.
D.
				  This chapter does not prohibit an individual from practicing a health
				  occupation that the individual is authorized to practice under Health
				  Occupations Article, Annotated Code of Maryland.
E. This chapter does not prohibit a licensed
				  respiratory care practitioner from practicing respiratory care within the scope
				  of practice of the respiratory care practitioner's license, including
				  practicing respiratory care in a sleep laboratory.
F. This chapter does not prohibit the
				  practice of respiratory care by a practitioner who was licensed by the Board to
				  practice respiratory care on or before December 31, 2012, and whose duties
				  include practicing polysomnography.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.03 - Committee

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall
				  appoint members of the Polysomnographic Professional Standards Committee as
				  follows:
(1) Three polysomnographic
				  technologists who:
(a) Before October 1,
				  2009, are registered polysomnographic technologists; and
(b) On or after October 1, 2009, are both
				  registered polysomnographic technologists and licensed polysomnographic
				  technologists;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.06 - Identification; Notice

Current through Register Vol. 51, No. 14, July 12, 2024
A. A licensed
				  polysomnographic technologist shall wear an identification tag or a badge which
				  identifies that individual as a licensed polysomnographic
				  technologist.
B. Change of Name or
				  Address.
(1) A licensed polysomnographic
				  technologist shall advise the Board in writing of any change in name or mailing
				  address within 60 days.
(2) The
				  Board may impose a fine of $100 for failure to notify the Board of a change in
				  name or mailing address.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.07 - Renewal and Reinstatement

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Renewal.
(1) The Board may not renew a
				  license until the Comptroller of Maryland has verified that the individual has
				  paid all undisputed taxes and unemployment insurance contributions, or arranged
				  for repayment, as required by COMAR 10.31.02.
(2) An individual who has been licensed by
				  the Board as a polysomnographic technologist may renew the license on or before
				  the date specified by the Board by:
(a)
				  Submitting a renewal application on a form supplied by the Board;
(b) Paying the required renewal fee set by
				  the Board in Regulation .09 of this chapter;
(c) Attesting to the completion of at least
				  20 hours of continuing education, earned during the 2-year period preceding the
				  expiration of the license, as specified in Regulation .08 of this chapter; and
(d) Meeting any other requirement
				  set by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.08 - Continuing Education

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Application.
(1) A licensed polysomnographic
				  technologist is not required to obtain continuing education hours for the first
				  renewal after initial licensure or reinstatement.
(2) Except as stated in §A(1) of this
				  regulation, the Board may not renew or reinstate the license of a
				  polysomnographic technologist unless the polysomnographic technologist has met
				  the requirements for continuing education described in §B of this
				  regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.09 - Fees

Current through Register Vol. 51, No. 14, July 12, 2024
The following fees are applicable to polysomnographic
					 technologists:
A. Initial license
				  fees:
(1) Initial licensure application fee .
				  . . $200; and
(2) Maryland Health
				  Care Commission (MHCC) fee . . . As determined by MHCC under COMAR
				  10.25.03;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.11 - Required Reports

Current through Register Vol. 51, No. 14, July 12, 2024
A. Except as
				  provided in §B, C, or F of this regulation, hospitals, related
				  institutions, alternative health systems as defined in Health Occupations
				  Article, §
										1-401, Annotated
				  Code of Maryland, and employers shall file with the Board a report that the
				  hospital, related institution, alternative health system, or employer limited,
				  reduced, otherwise changed, or terminated any licensed polysomnographic
				  technologist for any reason that might be grounds for disciplinary action under
				  Health Occupations Article, § 14-5 C-17, Annotated Code of Maryland, or
				  any regulation in this chapter.
B.
				  If the action taken by a hospital, related institution, alternative health
				  system, or employer under §A of this regulation relates to alcohol or drug
				  impairment, the hospital, related institution, alternative health system, or
				  employer is not required to report the polysomnographic technologist to the
				  Board if:
(1) The hospital, related
				  institution, alternative health system, or employer knows that the licensed
				  polysomnographic technologist is:
(a) In an
				  alcohol or drug treatment program that is accredited by the Joint Commission on
				  the Accreditation of Health Care Organizations or is certified by the
				  Department; or
(b) Under the care
				  of a health care practitioner who is competent and capable of dealing with
				  alcoholism and drug abuse;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.12 - Penalties

Current through Register Vol. 51, No. 14, July 12, 2024
A. An individual
				  who violates any provision of Heath Occupations Article, Title 14, Subtitle 5C,
				  Annotated Code of Maryland, is guilty of a misdemeanor and on conviction is
				  subject to a fine not exceeding $1,000 or imprisonment not exceeding 1 year, or
				  both.
B. An individual who violates
				  any provision of Health Occupations Article, Title 14, Subtitle 5C, Annotated
				  Code of Maryland, or any regulation in this chapter, is subject to a civil fine
				  of not more than $5,000 to be levied by the Board.
C. The Board shall pay any penalty collected
				  under §A or B of this regulation into the Board of Physicians
				  Fund.
D. Employment of Unlicensed
				  Polysomnography Practitioner.
(1) A person who
				  violates Health Occupations Article, § 14-5 C-22.1, Annotated Code of
				  Maryland, is subject to a civil fine of not more than $5,000.
(2) The Board shall pay any fine collected
				  under §D of this regulation into the State's General Fund.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the practice of athletic training.
B. This chapter does not prohibit an athletic
				  training student who is enrolled in an accredited athletic training educational
				  program from performing without pay any of the procedures described in this
				  chapter as part of that program's athletic training clinical
				  curriculum.
C. This chapter does
				  not prohibit an individual from practicing a health occupation that the
				  individual is authorized to practice under Health Occupations Article,
				  Annotated Code of Maryland.
D. This
				  chapter does not prohibit an individual employed by the federal government as
				  an athletic trainer from practicing within the scope of that
				  employment.
E. This chapter does
				  not apply to an individual employed by or under contract with an entity located
				  in another state who represents that entity:
(1) At an athletic event in
				  Maryland;
(2) For a period not
				  exceeding 45 days within a calendar year; and
(3) By providing athletic training services
				  to individuals representing the entity at the event.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.02 - 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) "Accredited athletic training educational
				  program" means an athletic training educational program that:
(a) Awards either a bachelor's or master's
				  degree in athletic training; and
(b) Is accredited by the Commission on
				  Accreditation of Athletic Training Education or its successor.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.03 - Committee

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall
				  establish a committee composed of the following individuals:
(1) Three licensed physicians meeting the
				  following criteria:
(a) At least one physician
				  shall be a specialist in orthopedic or sports medicine; and
(b) At least two of the physicians shall
				  currently be or in the past have been partnered with or directed an athletic
				  trainer;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.04 - Qualifications for Licensure as an Athletic Trainer

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant for licensure as an athletic
				  trainer shall:
(1) Complete an application on
				  a form supplied by the Board;
(2)
				  Pay an application fee as specified in Regulation .08 of this chapter;
				  and
(3) Submit all documentation
				  which the Board requires to evaluate the application.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.05 - Scope of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  scope of practice of an athletic trainer in the domain of injury prevention and
				  wellness protection includes the following:
(1) Minimization of risk of injury of
				  athletes through awareness and education;
(2) Monitoring of environmental conditions to
				  facilitate individual and group safety of athletes;
(3) Maintenance or enhancement of physical
				  conditioning of athletes; and
(4)
				  Promotion of a healthy lifestyle of athletes using appropriate education and
				  communication strategies to enhance wellness and minimize the risk of injury
				  and illness.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.06 - Evaluation and Treatment Protocol

Current through Register Vol. 51, No. 14, July 12, 2024
A. Contents. The evaluation and treatment
				  protocol shall include the following:
(1)
				  Identification, licensure information, and signature of the:
(a) Licensed athletic trainer; and
(b) Licensed supervising physician;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.07 - Renewal, Reinstatement, Continuing Education, and Change in Name or Address

Current through Register Vol. 51, No. 14, July 12, 2024
A. Renewal.
(1) The Board may not renew a license until
				  the Comptroller of Maryland has verified that the individual has paid all
				  undisputed taxes and unemployment insurance contributions, or arranged for
				  repayment, as required by COMAR 10.31.02.
(2) An individual who has been licensed by
				  the Board as an athletic trainer may renew the license every 2 years on the
				  date specified by the Board by:
(a)
				  Completing a renewal application on a form supplied by the Board;
(b) Paying the required renewal fee specified
				  in Regulation .08 of this chapter;
(c) Attesting to the completion of at least
				  50 hours of approved continuing education credits, earned during the 2-year
				  period preceding the expiration of the license for athletic training, in
				  accordance with the requirements specified in §C of this regulation; and
(d) Meeting any other requirement
				  established by the Board.
(3) The continuing education requirement
				  applies to all renewal applications after the first renewal.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.08 - Fees

Current through Register Vol. 51, No. 14, July 12, 2024
The following fees are applicable to athletic
					 trainers.
A. Initial licensure fee -
				  $200;
B. License renewal fees:
(1) License renewal fee - $135; and
(2) Maryland Health Care Commission (MHCC)
				  fee - as determined by MHCC under COMAR 10.25.03;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.08 - Licensure of Athletic Trainers › Section 10.32.08.10 - Investigations, Hearings, and Appeals

Current through Register Vol. 51, No. 14, July 12, 2024
A. Complaints alleging prohibited conduct
				  shall be referred to the Board to be investigated according to the Board's
				  procedures.
B. A hearing on charges
				  issued under Regulation .09A of this chapter or Health Occupations Article,
				  § 14-5 D-14(a), Annotated Code of Maryland, shall be held in accordance
				  with the hearing provisions of Health Occupations Article, §§
										14-405 and 14-5
				  D-15, Annotated Code of Maryland.
C. Proceedings for crimes of moral turpitude,
				  under Health Occupations Article, § 14-5 D-14(b), Annotated Code of
				  Maryland, or Regulation .09B of this chapter shall be held in accordance with
				  COMAR 10.32.02.08.
D. All other
				  hearings shall be held in accordance with the Administrative Procedure
				  Act.
E. Appeals from a final Board
				  decision shall be taken in accordance with Health Occupations Article, §
				  14-5 D-15, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the performance, delegation, assignment, and supervision of cosmetic
				  medical procedures, and the use of cosmetic medical devices by a physician or
				  under a physician's direction.
B.
				  This chapter does not govern use of medical procedures or medical devices for
				  the purpose of treating a disease.
C. This chapter does not endorse or certify
				  the safety of any cosmetic medical device or cosmetic medical
				  procedure.
D. This chapter does not
				  authorize the delegation of any duties to any person who is not licensed under
				  Health Occupations Article, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.03 - Physician Qualifications

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  License. A physician shall obtain a license to practice medicine in Maryland
				  before the physician may perform, delegate, assign, or supervise cosmetic
				  medical procedures or the use of cosmetic medical devices.
B. Education.
(1) A physician who performs, assigns,
				  supervises, or delegates the performance of cosmetic medical procedures by a
				  non-physician first shall obtain training in the indications for and
				  performance of the cosmetic medical procedures and operation of any cosmetic
				  medical device to be used.
(2)
				  Training programs provided by a manufacturer or vendor of cosmetic medical
				  devices or supplies may not be a physician's only education in the cosmetic
				  medical procedures or the operation of the cosmetic medical devices to be
				  used.
(3) ACCME or AOA approved
				  continuing education, or completion of an ACGME or AOA accredited postgraduate
				  program that includes training in the cosmetic medical procedure performed
				  satisfies this requirement.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.04 - Qualifications of Individual to Whom Acts May Be Delegated and Assigned

Current through Register Vol. 51, No. 14, July 12, 2024
A. A cosmetic
				  medical procedure may be delegated to a physician assistant or assigned to any
				  other health care provider licensed under Health Occupations Article, Annotated
				  Code of Maryland, whose licensing board has determined that the procedure falls
				  within the provider's scope of practice.
B. A physician may not permit any individual
				  who performs cosmetic medical procedures delegated or assigned by that
				  physician to operate a cosmetic medical device or perform a cosmetic medical
				  procedure unless the individual has received:
(1) Training as described in Regulation .07
				  of this chapter; and
(2) Any
				  training required by that individual's health occupations board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.05 - Physician Responsibilities

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  physician shall:
(1) Develop and maintain at
				  each site where the delegated, assigned, or supervised cosmetic medical
				  procedures will be rendered written office protocols for each such cosmetic
				  medical procedure;
(2) Personally
				  perform the initial assessment of each patient;
(3) Prepare a written treatment plan for each
				  patient, including diagnosis and planned course of treatment and specification
				  of the device and device settings to be used;
(4) Obtain informed consent of the patient to
				  be treated by a non-physician;
(5)
				  Except as indicated in §B or C of this regulation, provide onsite
				  supervision whenever a non-physician is performing cosmetic medical procedures
				  or using cosmetic medical devices;
(6) Retain responsibility for any acts
				  delegated to a non-physician; and
(7) Create and maintain medical records in a
				  manner consistent with accepted medical practice and in compliance with
				  Health-General Article, Title 4, Subtitles 3 and 4, Annotated Code of Maryland,
				  and with Health Insurance Portability and Accountability Act of 1996
				  (42 U.S.C. §
												1320d-2, as amended, and 45 CFR Parts 160 and
				  164, as amended).
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.06 - Written Protocols

Current through Register Vol. 51, No. 14, July 12, 2024
Written protocols for cosmetic medical procedures and
					 equipment shall include the following:
A. List of all equipment, including:
(1) Manufacturer's specifications;
(2) Operating instructions; and
(3) Maintenance log;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.07 - Training of Non-Physicians

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The physician is responsible for assuring that any individual to whom the
				  physician delegates or assigns the performance of a cosmetic medical procedure
				  or the operation of a cosmetic medical device is properly trained. Training
				  shall include both theoretical instruction and clinical instruction.
B. Theoretical instruction shall include:
(1) Cosmetic-dermatological indications and
				  contraindications for treatment;
(2) Identification of realistic and expected
				  outcomes of each procedure;
(3)
				  Selection, maintenance, and utilization of equipment;
(4) Appropriate technique for each procedure,
				  including infection control and safety precautions;
(5) Pharmacological intervention specific to
				  the procedure;
(6) Identification
				  of complications and adverse reactions for each procedure;
(7) Emergency procedures to be used in the
				  event of:
(a) Complications;
(b) Adverse reactions;
(c) Equipment malfunction; or
(d) Any other interruption of a procedure;
				  and
(8) Appropriate
				  documentation of the procedure in the patient's chart.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.08 - Non-Physician's Responsibility

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  physician who delegates or assigns a cosmetic medical procedure or the use of a
				  cosmetic medical device to a non-physician or who supervises a non-physician
				  performing these functions shall assure that the non-physician complies with
				  this regulation.
B. A non-physician
				  may not use a cosmetic medical device or perform a cosmetic medical procedure
				  unless the individual has received:
(1) The
				  training described in Regulation .07 of this chapter; and
(2) Any training required by that
				  individual's health occupations board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.09 - Grounds for Discipline

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Physician. A physician may be disciplined for any of the following:
(1) Delegating, assigning, or supervising a
				  cosmetic medical procedure performed by an individual who is not a physician
				  assistant or another licensed health care provider whose licensing board has
				  determined that the procedure is within the scope of practice of the
				  individual;
(2) Delegating cosmetic
				  medical procedures to an individual who has not had:
(a) The training specified in Regulation .07
				  of this chapter; and
(b) The
				  training required by that individual's health occupations board; or
(3) Failure to adhere to any
				  requirement of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the practice of radiation therapy, radiography, nuclear medicine
				  technology, and radiology assistance.
B. This chapter does not prohibit:
(1) A radiation therapy, radiography, nuclear
				  medicine technology, or radiology assistance student enrolled in an educational
				  program accredited by JRCERT or NMTCB, or recognized by ARRT as a radiology
				  assistance education program from practicing radiation therapy, radiography,
				  nuclear medicine technology, or radiology assistance in the educational
				  program;
(2) An individual employed
				  by the federal government as a radiation therapist, radiographer, nuclear
				  medicine technologist, or radiologist assistant from practicing within the
				  scope of that employment; or
(3) An
				  individual from practicing a health occupation that the individual is
				  authorized to practice under the Health Occupations Article.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.03 - Committee

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall
				  establish a Committee composed of the following individuals:
(1) One physician whose approved specialty is
				  radiology;
(2) One physician whose
				  approved specialty is nuclear medicine;
(3) One physician whose approved specialty is
				  radiation oncology;
(4) One
				  physician who specializes in radiology and who supervises a radiologist
				  assistant;
(5) One
				  radiographer;
(6) One radiation
				  therapist;
(7) One nuclear medicine
				  technologist;
(8) One radiologist
				  assistant;
(9) One consumer member;
				  and
(10) One Board
				  member.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.04 - Qualifications for Licensure-Radiographer

Current through Register Vol. 51, No. 14, July 12, 2024
A. An individual shall be licensed by the
				  Board if the individual meets the requirements of §B of this
				  regulation.
B. An individual shall
				  be licensed by the Board if the individual:
(1) Completes an application on a form
				  supplied by the Board;
(2) Pays an
				  application fee as specified in Regulation .18 of this chapter;
(3) Is 18 years old or older;
(4) Is of good moral character;
(5) Demonstrates oral and written competency
				  in English by any of the following:
(a)
				  Graduation from a recognized English-speaking high school or undergraduate
				  school after at least 3 years of enrollment;
(b) Graduation from a recognized
				  English-speaking professional school with acceptable proof of proficiency in
				  the oral and written communication of English;
(c) Receiving a grade of:
(i) At least 26 on the "Speaking Section" of
				  the Internet-based Test of English as a Foreign Language; and
(ii) At least 79 on the Internet-based Test
				  of English as a Foreign Language;
(6) Has successfully completed and graduated
				  from a:
(a) Program of radiography which has
				  been accredited by the JRCERT or one of its predecessors or successors; or
(b) Radiographer educational
				  program that is recognized by the national certifying body as approved by the
				  Board, if the applicant also provides documentation, satisfactory to the Board,
				  verifying that the applicant:
(i) Possesses a
				  current, active, unrestricted license as a radiographer in another state or is
				  otherwise recognized as a radiographer in another state;
(ii) Has full-time practice experience as a
				  radiographer in another state for at least 3 of the last 5 years immediately
				  preceding the application; and
(iii) Has no history of public disciplinary
				  action taken, or pending, against any license currently or previously held or
				  expired;
(7)
				  Submits verification, on a form that the Board requires, from employers,
				  supervisors or colleagues, that the applicant has satisfactorily practiced
				  radiography for the length of time specified in §B(6)(b)(ii) of this
				  regulation;
(8) Has passed the
				  examination in radiography constructed by the national certifying body as
				  approved by the Board; and
(9) Has
				  been certified and maintains current registration or active certification from
				  the national certifying body as approved by the Board at the time of
				  application.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.05 - Qualifications for Licensure-Nuclear Medicine Technologist

Current through Register Vol. 51, No. 14, July 12, 2024
A. An individual shall be licensed by the
				  Board if the individual meets the requirements of §B of this
				  regulation.
B. An individual shall
				  be licensed by the Board if the individual:
(1) Completes an application on a form
				  supplied by the Board;
(2) Pays an
				  application fee as specified in Regulation .18 of this chapter;
(3) Is 18 years old or older;
(4) Is of good moral character;
(5) Demonstrates oral and written competency
				  in English by any of the following:
(a)
				  Graduation from a recognized English-speaking high school or undergraduate
				  school after at least 3 years of enrollment;
(b) Graduation from a recognized
				  English-speaking professional school with acceptable proof of proficiency in
				  the oral and written communication of English;
(c) Receiving a grade of:
(i) At least 26 on the "Speaking Section" of
				  the Internet-based Test of English as a Foreign Language; and
(ii) At least 79 on the Internet-based Test
				  of English as a Foreign Language;
(6) Has successfully completed and graduated
				  from a:
(a) Program of nuclear medicine
				  technology which has been accredited by the JRCNMT or one of its predecessors
				  or successors; or
(b) Nuclear
				  medicine educational program that is recognized by the national certifying body
				  as approved by the Board, if the applicant also provides documentation,
				  satisfactory to the Board, verifying that the applicant:
(i) Possesses a current, active, unrestricted
				  license as a nuclear medicine technologist in another state or is otherwise
				  recognized as a nuclear medicine technologist in another state;
(ii) Has full-time practice experience as a
				  nuclear medicine technologist in another state for at least 3 of the last 5
				  years immediately preceding the application; and
(iii) Has no history of public disciplinary
				  action taken, or pending, against any license currently or previously held or
				  expired;
(7)
				  Submits verification, on a form that the Board requires, from employers,
				  supervisors or colleagues, that the applicant has satisfactorily practiced
				  nuclear medicine technology for the length of time specified in
				  §B(6)(b)(ii) of this regulation;
(8) Has passed the examination in nuclear
				  medicine technology constructed by the national certifying body as approved by
				  the Board; and
(9) Has been
				  certified and maintains current registration or active certification from the
				  national certifying body as approved by the Board at the time of
				  application.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.05-1 - Qualifications for Licensure-Radiation Therapists

Current through Register Vol. 51, No. 14, July 12, 2024
A. An individual shall be licensed by the
				  Board if the individual meets the requirements of §B of this
				  regulation.
B. An individual shall
				  be licensed by the Board if the individual:
(1) Completes an application on a form
				  supplied by the Board;
(2) Pays an
				  application fee as specified in Regulation .18 of this chapter;
(3) Is 18 years old or older;
(4) Is of good moral character;
(5) Demonstrates oral and written competency
				  in English by any of the following:
(a)
				  Graduation from a recognized English-speaking high school or undergraduate
				  school after at least 3 years of enrollment;
(b) Graduation from a recognized
				  English-speaking professional school with acceptable proof of proficiency in
				  the oral and written communication of English;
(c) Receiving a grade of:
(i) At least 26 on the "Speaking Section" of
				  the Internet-based Test of English as a Foreign Language; and
(ii) At least 79 on the Internet-based Test
				  of English as a Foreign Language;
(6) Has successfully completed and graduated
				  from a:
(a) Program of radiation therapy
				  which has been accredited by the JRCERT or one of its predecessors or
				  successors; or
(b) Radiation
				  therapy educational program that is recognized by the national certifying body
				  as approved by the Board, if the applicant also provides documentation,
				  satisfactory to the Board, verifying that the applicant:
(i) Possesses a current, active, unrestricted
				  license as a radiation therapist technologist in another state or is otherwise
				  recognized as a radiation therapist in another state;
(ii) Has full-time practice experience as a
				  radiation therapist in another state for at least 3 of the last 5 years
				  immediately preceding the application; and
(iii) Has no history of public disciplinary
				  action taken, or pending, against any license currently or previously held or
				  expired;
(7)
				  Submits verification, on a form that the Board requires, from employers,
				  supervisors or colleagues, that the applicant has satisfactorily practiced
				  radiation therapy for the length of time specified in §B(6)(b)(ii) of this
				  regulation;
(8) Has passed the
				  examination in radiation therapy constructed by the national certifying body as
				  approved by the Board; and
(9) Has
				  been certified and maintains current registration or active certification from
				  the national certifying body as approved by the Board at the time of
				  application.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.05-2 - Qualifications for Licensure-Radiologist Assistants

Current through Register Vol. 51, No. 14, July 12, 2024
A. An individual shall be licensed by the
				  Board if the individual meets the requirements of §B of this regulation.
B. An individual shall be licensed
				  by the Board if the individual:
(1) Completes
				  an application on a form supplied by the Board;
(2) Pays an application fee as specified in
				  Regulation .18 of this chapter;
(3) Is 18 years old or older;
(4) Is of good moral character;
(5) Demonstrates oral and written competency
				  in English by any of the following:
(a)
				  Graduation from a recognized English-speaking high school or undergraduate
				  school after at least 3 years of enrollment;
(b) Graduation from a recognized
				  English-speaking professional school with acceptable proof of proficiency in
				  the oral and written communication of English; or
(c) Receiving a grade of:
(i) At least 26 on the "Speaking Section" of
				  the Internet-based Test of English as a Foreign Language; and
(ii) At least 79 on the Internet-based Test
				  of English as a Foreign Language;
(6) Has been educated as follows:
(a) Completed a radiologist assistant
				  educational program that is recognized by the national certifying body as
				  approved by the Board; and
(b)
				  Successfully completed coursework that leads to a baccalaureate degree or
				  post-baccalaureate certificate;
(7) Has passed the examination administered
				  by the national certifying body as approved by the Board for radiologist
				  assistants; and
(8) Has been
				  certified and maintains current registration or active certification from the
				  national certifying body as approved by the Board at the time of
				  application.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.06 - Temporary Licensure - Repealed

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.07 - Scope of Practice - General

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Supervision.
(1) A radiation therapist,
				  radiographer, or a nuclear medicine technologist may practice only under the
				  supervision of a licensed physician.
(2) A licensed radiologist assistant may
				  practice only under the supervision of a licensed radiologist.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.08 - Scope of Practice - Radiation Therapy

Current through Register Vol. 51, No. 14, July 12, 2024
The practice of radiation therapy includes the
					 following:
A. Scope of practice for
				  simulation procedures and for operation of external beam treatment devices, CT
				  simulator, and fluoroscopic simulator for patient therapy which includes:
(1) Preparation of machine for patient
				  procedure;
(2) Positioning patient
				  for treatment or localization, or both;
(3) Adjustment of machine components and
				  systems;
(4) Application of machine
				  adjustments while patient is on the table;
(5) Attachment or removal of any machine
				  device or machine accessory for patient service, or both;
(6) Manipulation of machine controls for
				  patient exposure for localization or treatment, or both;
(7) Production of radiation for tumor or
				  field localization on, or treatment of, a patient, or both;
(8) Documentation of technical set up used on
				  a patient;
(9) Monitoring of
				  patient and equipment during the simulation or treatment procedures for
				  application of corrective actions;
(10) Oversight and application of image
				  development standards and appropriate labeling of images regarding patient
				  identification, date, and documentation of technical parameters;
(11) Performance of patient or image
				  measurements, or both;
(12)
				  Application of technical procedures in accordance with accepted radiation
				  safety standards and regulations;
(13) Performance of dosimetric and geometric
				  calculations related to patient treatment; and
(14) Manipulation, data entry, or other use
				  of computer-accelerator interfaced hardware or software for patient
				  treatment;