# Maryland SB 0915: State Board of Physicians - Delegation of Duties - Alterations

Maryland SB 0915, State Board of Physicians - Delegation of Duties - Alterations, is a 2026 Regular Session Senate bill sponsored by Johnny Mautz (Republican); status signed, last action 2026-04-28 (Approved by the Governor - Chapter 214) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MD-SB0915-2026RS
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland SB 0915
- State: Maryland
- Session: 2026 Regular Session
- Title: State Board of Physicians - Delegation of Duties - Alterations
- Status: signed
- Chamber: Senate
- Introduced: 2026-02-06
- Last action: 2026-04-28, Approved by the Governor - Chapter 214
- Sponsor: Johnny Mautz (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, Laboratories, Licenses -see also- AB Lic; Certifications; DrLic; Permits, Managers and Supervisors, Medical Equipment and Devices, Medical Technology, Patients, 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: 3 (218 yes, 0 no in all)
- Economic provisions PRIA read: 5

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Physician assistants may take extremity X-rays: benefit, low. A physician assistant may take nonfluoroscopic X‑rays of the extremities in a medical office. The PA must complete a course with radiographic studies on at least 20 separate patients. The PA works under direct supervision, uses a mini C‑arm or similar low‑radiation device, and gets the duty approve…
- Two-year role for supervised medical graduates: benefit, low. A supervised medical graduate (MD or DO who passed USMLE or COMLEX parts 1 and 2) may perform delegated duties under on‑site supervision. The delegating physician does not have to be in the room for each task if on‑site supervision rules are met. A person may serve in this role for no more than two…
- All changes start October 1, 2026: benefit, low. The law takes effect on October 1, 2026. The new registration, training, delegation, and enforcement rules apply starting that date.
- Fluoroscopy rules for cardiac labs: mixed, medium. A physician may delegate fluoroscopy tasks during a cardiac catheterization to a registered cardiovascular invasive specialist in a hospital lab. The doctor must be physically present and personally direct each act. The specialist must meet Board‑set training and experience, and the hospital must v…
- New path to limited X-ray jobs: mixed, medium. The law creates a registration for Limited X‑ray Machine Operators. You may do only listed, nonfluoroscopic X‑rays of the chest, spine, arms, and legs under on‑site supervision by a physician or radiographer. To register, you need at least 6 months of clinical care, 150 hours of classroom training,…

## Sponsors and cosponsors

- Sponsor: Johnny Mautz (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-09 | Senate | Third Reading Passed | pass | 40 | 0 | 3 |
| 2026-04-08 | House | Third Reading Passed | pass | 133 | 0 | 3 |
| 2026-03-19 | Senate | Third Reading Passed | pass | 45 | 0 |   |

## Actions (16)

- 2026-04-28: Approved by the Governor - Chapter 214
- 2026-04-09: Passed Enrolled (Senate)
- 2026-04-09: Third Reading Passed (40-0) (Senate)
- 2026-04-09: Senate Concurs House Amendments (Senate)
- 2026-04-08: Third Reading Passed (133-0) (House)
- 2026-04-03: Second Reading Passed with Amendments (House)
- 2026-04-03: Favorable with Amendments {163120/1 Adopted (House)
- 2026-04-03: Favorable with Amendments Report by Health (House)
- 2026-03-20: Hearing 4/01 at 1:00 p.m. (House)
- 2026-03-20: Referred Health (House)
- 2026-03-19: Third Reading Passed (45-0) (Senate)
- 2026-03-17: Second Reading Passed with Amendments (Senate)
- 2026-03-17: Favorable with Amendments {993729/1 Adopted (Senate)
- 2026-03-16: Favorable with Amendments Report by Finance (Senate)
- 2026-02-12: Hearing 3/03 at 1:00 p.m. (Senate)
- 2026-02-06: First Reading Finance (Senate)

## Bill text

- Enacted, 2026-04-28: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_214_sb0915e.pdf)
- Enrolled, 2026-04-09: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0915e.pdf)
- Third Reading, 2026-03-17: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0915t.pdf)
- First Reading, 2026-02-06: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0915f.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_214_sb0915e.pdf)
- [Enrolled (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0915e.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0915t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0915f.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)
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Source: PRIA, https://policyrisk.com/state-bill/MD-SB0915-2026RS (as of 2026-10-19).