All Roll Calls
Yes: 175 • No: 0
MarylandHB 10472026 Regular SessionHouseWALLET
State Board of Physicians - Delegation of Duties - Alterations
Sponsored By: Thomas S. Hutchinson (Republican)
Signed by Governor
Health OccupationsApplicants and ApplicationsCommittees and CommissionsContinuing EducationCrimes and Punishments -see also- Penalties and Sentnc; etc.Criminal Background InvestigationsDisciplineEducation -see also- ContEd; DrvEd; HigherEd; etc.EthicsFees -see also- Attys' Fees; Devt Fees & TaxesFormsFraud -see also- ForgeryHealth Occupations -see also- (specific health occupations)HearingsHospitals -see also- Clinics; State HospitalsJob Training -see also- Continuing Ed; Vocational RehabLicenses -see also- AB Lic; Certifications; DrLic; PermitsMedical Equipment and DevicesMedical TechnologyPenalties and Sentences -see also- Death PenaltyPhysician AssistantsPhysicians -see also- MedExmnrs; Pediatr; Psychiatrists etc.PleasPrivacyRadiationRecords -see also- Land Records; Vital RecordsRegistration -see also- Motor Vehicle RegistrationRevenue and Taxes -see also- (specific tax)Rules and RegulationsSubstance AbuseWork, Labor, and Employment -see also- JobTrn; Leave; etc.
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
7 provisions identified: 3 benefits, 1 costs, 3 mixed.
Fines and discipline for X‑ray violations
Beginning Oct 1, 2026, the Board can fine a physician’s office up to $5,000 per violation if an unregistered person performs X‑rays. It can fine the individual up to $1,000 per violation. The office is responsible for making sure every X‑ray meets the law’s registration and supervision rules. A disciplinary panel can deny, suspend, revoke, or fine a registrant for fraud, incompetence, or other listed conduct. The panel may also order anyone to stop falsely claiming they are allowed to operate limited X‑ray machines.
PAs may X‑ray arms and legs
Beginning Oct 1, 2026, a physician assistant may take X‑rays of the extremities in a medical office. The PA must finish a course with radiographic studies of at least 20 separate patients. A collaborating physician or radiologist must directly supervise the X‑rays. The PA must use a mini C‑arm or similar low‑level device for nonfluoroscopic work and get Board approval as an advanced duty.
New registration for limited X‑ray operators
Beginning Oct 1, 2026, the state registers limited X‑ray machine operators. Work is limited to chest, spine, and arms or legs, and excludes fluoroscopy, mammography, and other advanced imaging. You must have at least 115 classroom hours, 480 clinical hours, five competencies per body part, at least 6 months of experience, and a passing ARRT or Board‑approved exam. You must work under on‑site supervision by a physician or radiographer. Registration lasts up to 3 years, requires a criminal background check, Board‑set fees, and 24 hours of continuing education every 2 years. A program director may attest for first‑year radiography students. If the Board once denied you a license, you cannot register.
Using 'physician' in job titles
Beginning Oct 1, 2026, unlicensed delegated staff acting under the listed delegation laws may use the word “physician” with another word in a job title, like “physician’s assistant.” They still may not claim to be licensed to practice medicine.
Stakeholder input and joint rulemaking
Beginning Oct 1, 2026, the Board must invite and consider proposals from people and health groups before setting rules on delegated duties. When a duty overlaps another licensed field, the Board must adopt the rule together with that board. If the boards cannot agree, the Secretary makes the final decision.
Delegated duties and supervised graduates
Beginning Oct 1, 2026, people may perform duties a physician or physician assistant delegates without a separate license when Board rules allow it. The law defines on‑site supervision. Supervised medical graduates may perform delegated duties under on‑site supervision, but only for up to 2 years. The delegating physician does not have to be physically present to finish a delegated duty, if allowed by Board regulation.
Fluoroscopy delegation in hospital cath labs
Beginning Oct 1, 2026, a doctor may delegate fluoroscopy tasks to a registered cardiovascular invasive specialist only during a cardiac catheterization in a hospital cath lab. The doctor must be there in person and direct each act. The specialist must meet Board training rules, and the hospital must verify and document that training. A disciplinary panel may fine a hospital up to $5,000 for each time it fails to follow these rules.
Free Policy Watch
You just read the policy. Now see what it costs you.
Pick a topic. PRIA runs your household against live legislation and sends you a free personalized readout.
Pick a topic to get started
Sponsors & Cosponsors
Sponsor
Thomas S. Hutchinson
Republican • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/8/2026
Third Reading Passed
Yes: 43 • No: 0 • Other: 2
House vote • 3/18/2026
Third Reading Passed
Yes: 132 • No: 0 • Other: 6
Actions Timeline
Approved by the Governor - Chapter 213
4/28/2026Returned Passed
4/9/2026HouseThird Reading Passed (43-0)
4/8/2026SenateSecond Reading Passed
4/7/2026SenateFavorable Adopted
4/7/2026SenateFavorable Report by Finance
4/6/2026SenateReferred Finance
3/19/2026SenateThird Reading Passed (132-0)
3/18/2026HouseFavorable Adopted Second Reading Passed
3/13/2026HouseFavorable Report by Health
3/13/2026HouseHearing 3/04 at 1:00 p.m.
2/11/2026HouseFirst Reading Health
2/9/2026House
Bill Text
Third Reading
3/13/2026
First Reading
2/9/2026
Related Bills
SB 1007 — Prior Authorizations of State Debt - Alterations
SB 0940 — Environment - Water Quality Testing - Secondary Maximum Contaminant Levels Action Plan
SB 0915 — State Board of Physicians - Delegation of Duties - Alterations
SB 0777 — Labor and Employment - Workforce Development - Hospital Employee Retraining and Placement Program and Workforce Development and Local Workforce Development Boards (Local Workforce Solutions Investment Act)
SB 0772 — Maryland Department of Health - Employment Training and Opportunity Database
SB 0742 — Maryland Medical Assistance Program and Developmental Disabilities Administration - Home- and Community-Based Services Eligibility Determinations (Maryland Protecting People With Disabilities Act)
Take It Personal
Get Your Personalized Policy View
Take the PRIA Score to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.
Already have an account? Sign in