Title 10, Health and Safety

A spay/neuter clinic is a facility established only to spay and neuter animals. Surgeries are performed by, and directly supervised by, a licensed veterinarian. Services are limited to these specific surgical procedures and are performed only by a licensed veterinarian.

Notwithstanding any other provision of this Chapter 12, agents or employees of a government operated or government contracted animal shelter may lawfully possess and administer, under the indirect supervision of a Guam licensed veterinarian, sodium pentobarbital or Xylazine for t…

For purposes of this Article, the following words and phrases are defined to mean: COL 2026-06-10 (a) “Licensed Registered Respiratory Therapist (RRT)” means a person who is currently a “Registered Respiratory Therapist” credentialed by the National Board for Respiratory Care (NB…

Applicants for a license to practice respiratory therapy on Guam must complete and file an application with the Board. Applicants must have all of the following qualifications: (a) Licensed Registered Respiratory Therapist: (1) transcripts from an approved school of respiratory t…

At the time of licensure renewal, the Board is authorized to require continuing education credits, to include those in early childhood development and literacy that conforms with the Department of Public Health and Social Services regulations. SOURCE: Added by P.L. 38-049:20 (Aug…

(a) No person may practice respiratory therapy on Guam who is not licensed as a respiratory therapist by the Board. These rules and regulations shall not be construed: (1) to prohibit persons employed as respiratory therapists by a Federal agency from practicing their discipline;…

(a) Registered Respiratory Therapists. The practice of respiratory care includes, but is not limited to, the services set forth in the law. The licensed Registered Respiratory Therapist provides these services for the assessment, treatment, management, evaluation and care of pati…

(a) A licensed Registered Respiratory Therapist is professionally and legally responsible for patient care given by supportive personnel under the Registered Respiratory Therapist’s supervision. If a licensed Registered Respiratory Therapist fails to adequately supervise patient …

The practice of medicine is a privilege granted by the people acting through their elected representatives. It is not a natural right of individuals. In the interests of public health, safety and welfare, and to protect the public from the unprofessional, improper, incompetent, u…

(a) For purposes of this Article, the definition of the “practice of medicine” should include the following words and phrases which are defined to mean: (1) advertising, holding out to the public or representing in any manner that one is authorized to practice medicine in the jur…

(a) There is established, in and for the government of Guam, a Guam Board of Medical Examiners (Board) composed of nine (9) members who shall be nominated and appointed by I Maga’hågan/Maga’låhen Guåhan, with the advice and consent of I Liheslaturan Guåhan. COL 2026-06-10 (1) At …

(a) Medical Licensing Examination(s). (1) No person shall receive a license to practice medicine in Guam unless he or she has passed an examination or examinations satisfactory to the Board, including the National Board of Medical Examiners, FLEX, USMLE or future national examina…

(a) The applicant shall provide the Board and attest to the following information and documentation in a manner required by the Board: (1) his or her full name and all aliases or other names ever used, current address, social security number, and date and place of birth; (2) a re…

(a) Applicants who are graduates of foreign medical schools shall possess the degree of Doctor of Medicine or Osteopathy, Bachelor of Medicine or Osteopathy, or a Board-approved equivalent based on satisfactory completion of educational programs acceptable to the Board. (b) Appli…

(a) The Department of Public Health and Social Services (DPHSS) is designated as the state- equivalent health agency for Guam for purposes of administering the Conrad 30 J-1 Physician Waiver Program pursuant to federal law. (b) DPHSS shall administer the program in accordance wit…

(a) The Guam Board of Medical Examiners (GBME) may issue an Interim Provisional License, a limited licensed, to Internationally-Trained Physicians (ITPs) to practice medicine to a physician when the Board has received satisfactory verification of all of the following requirements…

(a) An Interim Provisional License holder shall be eligible for a Permanent Limited License after completing at least three (3) years of practice under the Interim Provisional License, if the licensee: (1) Has successfully completed the assessment and evaluation requirements of §…

(a) Holders of an Interim Provisional or Permanent Limited License issued pursuant to this Article shall be subject to the same disciplinary authority of the Board as holders of full and unrestricted licenses, including but not limited to suspension, revocation, and imposition of…

As part of offering employment to an ITP, the hiring authority of the government of Guam funded healthcare facility such as the CEO/Administrator of GMH, the Director of the DPHSS, the Chief Executive Officer of the FQHCs as applicable, or the Director of GBHWC upon receiving app…

(a) The Board shall adopt rules necessary to issue an ITP License. The Board is authorized to develop the Internationally-Trained Physicians Interim Provisional License and Permanent Limited License pathway, to include, but not limited to, the rules and regulations governing the …

(a) Licensure under §§ 12206.6 through 12206.10 shall constitute a distinct, limited, and service-based pathway separate from licensure under §12206. (b) The requirements of §§ 12206 and 12207 shall not apply to applicants for, or licenses issued under, §§ 12206.6 through 12206.1…

(a) Licensure Without Examination. The Board is authorized, at its discretion, to issue a license by endorsement to an applicant who: (1) has complied with all current medical licensing requirements save that for examination; (2) has passed a medical licensing examination given i…

(a) To be eligible for limited licensure, the applicant should have completed all the requirements for full and unrestricted medical licensure, except postgraduate training or specific examination requirements. (b) [No text] (1) The application for limited licensure shall be made…

(a) Range of Actions. The range of disciplinary actions available to the Board include, but not limited to, the following: (1) revocation of the medical license; (2) suspension of the medical license; (3) probation; (4) stipulations, limitations, restrictions and conditions relat…

(a) Board Authority. The Board is empowered to commence legal action to enforce the provisions of the Medical Practice Act and to exercise full discretion and authority with respect to disciplinary actions. (b) Separation of Functions. In the exercise of its power, the Board’s in…

For purposes of this Article, the following words and phrases have been defined to mean: (a) “Dietitian” shall mean a person certified as a Registered Dietitian by the Commission on Dietetic Registration. (b) “Nutritionist” shall mean a person who either: (1) has qualified as a d…

(a) Licensed Dietitian. The applicant for licensure as a dietitian shall: (1) Provide evidence of current registration as a Registered Dietitian (RD) by the Commission on Dietetic Registration (CDR); or (2) [No text] (A) Have received a baccalaureate or postgraduate degree from a…

The Board may grant a license to any person who is currently registered as a Registered Dietitian by the CDR, or who is currently recognized as a diplomate of the American Board of Nutrition or as a Certified Nutrition Specialist with the Certification Board for Nutrition Special…

Dietetics and Nutrition Practice is the integration and application of scientific principles derived from the study of food, nutrition, biochemistry, metabolism, nutrigenomics, physiology, food management, and from behavioral and social sciences in achieving and maintaining healt…

Nothing in this Article shall be construed as preventing or restricting the practice, services or activities of: (a) any person licensed or certified on Guam by any other law from engaging in the profession or occupation for which the person is licensed or certified, or any perso…

(a) Unauthorized Practice. Except as otherwise provided under this Article, a person may not practice, attempt to practice, or offer to practice dietetics or nutritional services on Guam, unless licensed by the Board. (b) Misrepresentation of Title. Except as otherwise provided u…

(a) For purposes of this Article the term “impairment” is defined as the inability of a licensee to practice medicine with reasonable skill and safety by reason of: (1) mental illness; or (2) physical illness, or condition, including, but not limited to, those illnesses or condit…

(a) Any person shall be permitted to report to the Board in writing any information he or she has reason to believe indicates a medical licensee is, or may be, medically incompetent, guilty of unprofessional conduct, or mentally or physically unable to engage safely in the practi…

Notwithstanding any other provision of law, the Board shall disclose to an inquiring member of the public, within four (4) working days which shall include via the internet, information regarding any enforcement actions taken against a licensee, including a former licensee, by th…

[Repealed.] COL 2026-06-10 SOURCE: Added by P.L. 31-084:1 (Sept. 30, 2011). Repealed by P.L. 34-079:4 (Feb. 9, 2018).

(a) Immunity. There shall be no monetary liability on the part of, and no cause of action for damages should arise against, any current or former member, officer, administrator, staff member, committee member, examiner, representative, agent, employee, consultant, witness, or any…

(a) It shall be declared unlawful for any person, corporation or association to perform any act constituting the practice of medicine as defined in the Medical Practice Act without first obtaining a medical license in accordance with that Act and the rules and regulations of the …

(a) At the time of renewal of licensure, the Board shall require the licensee to demonstrate to its satisfaction his or her continuing qualification for medical licensure. The application form for license reregistration shall be designed to require the licensee to update and/or a…

The Board shall adopt and enforce rules and regulations to carry into effect the provisions of the Medical Practice Act and to fulfill its duties under the Act. The Board shall adopt rules and regulations in accordance with the Administrative Adjudication Law.

(a) The Board shall be fully supported by the revenues generated from its activities, including fees, charges and reimbursed costs. All such revenues, including fines, shall be deposited to the Health Professional Licensing Office Revolving Fund. This Fund shall receive all inter…

[Repealed.] SOURCE: GC § 27117. Repealed by P.L. 24-208:1 (May 13, 1998). 2024 NOTE: This provision was omitted in previous publications.

[Repealed.] COL 2026-06-10 SOURCE: GC § 27118, as amended by P.L. 16-123:13 (Dec. 28, 1982). Repealed by P.L. 24-208:1 (May 13, 1998). 2024 NOTE: This provision was omitted in previous publications.

[Repealed.] SOURCE: GC § 27119, as amended by P.L. 16-123:14 (Dec. 28, 1982). Repealed by P.L. 24-208:1 (May 13, 1998). 2024 NOTE: This provision was omitted in previous publications.

A nursing home shall be administered by a licensed Nursing Home Administrator.

The Board shall issue a license to practice as a nursing home administrator to any applicant who meets the qualification for licensure upon submission of an application and payment of the required fee.

An applicant for a nursing home administrator license shall apply to the Board of Licensure on forms provided by the Board. The applicant shall submit: (a) proof of age; (b) proof of physical and emotional capability to administer the nursing home; (c) a notarized copy of a diplo…