# Maryland HB 1047: State Board of Physicians - Delegation of Duties - Alterations

Maryland HB 1047, State Board of Physicians - Delegation of Duties - Alterations, is a 2026 Regular Session House bill sponsored by Thomas S. Hutchinson (Republican); status signed, last action 2026-04-28 (Approved by the Governor - Chapter 213) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MD-HB1047-2026RS
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland HB 1047
- State: Maryland
- Session: 2026 Regular Session
- Title: State Board of Physicians - Delegation of Duties - Alterations
- Status: signed
- Chamber: House
- Introduced: 2026-02-09
- Last action: 2026-04-28, Approved by the Governor - Chapter 213
- Sponsor: Thomas S. Hutchinson (Republican)
- Cosponsors: 0
- Subjects: Health Occupations, Applicants and Applications, Committees and Commissions, Continuing Education, Crimes and Punishments -see also- Penalties and Sentnc; etc., Criminal Background Investigations, Discipline, Education -see also- ContEd; DrvEd; HigherEd; etc., Ethics, Fees -see also- Attys' Fees; Devt Fees & Taxes, Forms, Fraud -see also- Forgery, Health Occupations -see also- (specific health occupations), Hearings, Hospitals -see also- Clinics; State Hospitals, Job Training -see also- Continuing Ed; Vocational Rehab, Licenses -see also- AB Lic; Certifications; DrLic; Permits, Medical Equipment and Devices, Medical Technology, Penalties and Sentences -see also- Death Penalty, Physician Assistants, Physicians -see also- MedExmnrs; Pediatr; Psychiatrists etc., Pleas, Privacy, Radiation, Records -see also- Land Records; Vital Records, Registration -see also- Motor Vehicle Registration, Revenue and Taxes -see also- (specific tax), Rules and Regulations, Substance Abuse, Work, Labor, and Employment -see also- JobTrn; Leave; etc.
- Touches household money: no
- Roll calls: 2 (175 yes, 0 no in all)
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- New X-ray operator pathway with strict safeguards: mixed, low. 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,…
- Physician assistants gain supervised X-ray duties: mixed, low. 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 wo…

## Sponsors and cosponsors

- Sponsor: Thomas S. Hutchinson (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-08 | Senate | Third Reading Passed | pass | 43 | 0 | 2 |
| 2026-03-18 | House | Third Reading Passed | pass | 132 | 0 | 3 |

## Actions (12)

- 2026-04-28: Approved by the Governor - Chapter 213
- 2026-04-09: Returned Passed (House)
- 2026-04-08: Third Reading Passed (43-0) (Senate)
- 2026-04-07: Second Reading Passed (Senate)
- 2026-04-07: Favorable Adopted (Senate)
- 2026-04-06: Favorable Report by Finance (Senate)
- 2026-03-19: Referred Finance (Senate)
- 2026-03-18: Third Reading Passed (132-0) (House)
- 2026-03-13: Favorable Adopted Second Reading Passed (House)
- 2026-03-13: Favorable Report by Health (House)
- 2026-02-11: Hearing 3/04 at 1:00 p.m. (House)
- 2026-02-09: First Reading Health (House)

## Bill text

- Enacted, 2026-04-28: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_213_hb1047t.pdf)
- Third Reading, 2026-03-13: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1047t.pdf)
- First Reading, 2026-02-09: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1047f.pdf)

## Related bills

- SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization (became law)
- SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishment (became law)
- SB 0244: Code Revision - Health - Maryland Medical Assistance Program (became law)
- SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-1 Specialists Act) (became law)
- SB 0016: Child Support - Earnings Withholdings Limits (became law)
- HB 0529: Code Revision - Health - Maryland Medical Assistance Program (became law)

## Sources
- [Enacted (PDF)](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_213_hb1047t.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1047t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1047f.pdf)

## Related
- [SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - A…](https://policyrisk.com/state-bill/MD-SB0496-2026RS)
- [SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishm…](https://policyrisk.com/state-bill/MD-SB0366-2026RS)
- [SB 0244: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-SB0244-2026RS)
- [SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-…](https://policyrisk.com/state-bill/MD-SB0148-2026RS)
- [SB 0016: Child Support - Earnings Withholdings Limits](https://policyrisk.com/state-bill/MD-SB0016-2026RS)
- [HB 0529: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-HB0529-2026RS)
- [Maryland bills](https://policyrisk.com/states/maryland/bills)
- [Maryland state hub](https://policyrisk.com/states/maryland)
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Source: PRIA, https://policyrisk.com/state-bill/MD-HB1047-2026RS (as of 2026-10-19).