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MarylandHB 10472026 Regular SessionHouse

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.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 0 costs, 2 mixed.

New X-ray operator pathway with strict safeguards

Beginning October 1, 2026, Maryland allows qualified workers to register for limited X-ray work without a professional license. Only listed chest, spine, and extremity images are allowed, with supervision by a licensed physician or an on-site radiographer. The work excludes tomography, fluoroscopy, invasive radiology, mammography, nuclear medicine, radiation therapy, and xerography. Applicants need 6 months of clinical care experience and a limited X-ray education program or an accredited radiologic technology program’s first year in good standing. Training includes 115 classroom hours from a certified radiologic technologist, 480 clinical hours, and five supervised competencies per listed body part. Applicants must pass an accepted exam, complete a criminal history check, and pay Board-set fees. Anyone previously denied a license by the Board cannot register. Registration lasts no more than 3 years; renewal requires 24 approved continuing education hours in the preceding 2 years. Offices face penalties up to $5,000 per violation, and individuals face up to $1,000, for unauthorized X-ray work. The Board can deny registration, reprimand registrants, impose probation, suspend or revoke registration, and impose fines or conditions after a hearing. Grounds include fraud, unsafe practice, work beyond allowed duties, supervision failures, and other misconduct. Covered convictions or pleas involving moral turpitude require suspension, then revocation if they remain after appeals. The Board can also order people to stop false claims of authority to perform limited X-rays or seek court orders.

Physician assistants gain supervised X-ray duties

Beginning October 1, 2026, physician assistants can perform extremity X-rays in a patient care team physician’s medical office. They must complete a course that includes extremity X-ray studies of at least 20 separate patients. A collaborating physician or radiologist must directly supervise the work. Procedures must be nonfluoroscopic and use a mini C-arm or similar low-level radiation machine. The Maryland State Board of Physicians must approve the advanced duty through the collaboration agreement.

Sponsors & Cosponsors

Sponsor

  • Thomas S. Hutchinson

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 175 • No: 0

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: 3

Actions Timeline

  1. Approved by the Governor - Chapter 213

    4/28/2026

  2. Returned Passed

    4/9/2026House

  3. Third Reading Passed (43-0)

    4/8/2026Senate

  4. Second Reading Passed

    4/7/2026Senate

  5. Favorable Adopted

    4/7/2026Senate

  6. Favorable Report by Finance

    4/6/2026Senate

  7. Referred Finance

    3/19/2026Senate

  8. Third Reading Passed (132-0)

    3/18/2026House

  9. Favorable Adopted Second Reading Passed

    3/13/2026House

  10. Favorable Report by Health

    3/13/2026House

  11. Hearing 3/04 at 1:00 p.m.

    2/11/2026House

  12. First Reading Health

    2/9/2026House

Bill Text

  • Enacted

    4/28/2026

    PDF

  • Third Reading

    3/13/2026

    PDF

  • First Reading

    2/9/2026

    PDF

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