Maryland Administrative Code

.05 Consideration of Applications. The Board shall grant the application for a dispensing permit if: A. The applicant meets the requirements of Regulation .04 of this chapter; B. The applicant has not been sanctioned by the Board for dispensing drugs without a permit within the l…

.06 Requirements for Permit Holders. A. A permit holder shall comply with all federal and State statutes and regulations regarding prescription drugs, including all requirements for: (1) Dispensing, including labeling; (2) Storing and securing inventory; (3) Allowing access only …

.07 Delegation of Dispensing Functions. A. A permit holder may delegate to an unlicensed person only mechanical acts involved in dispensing a drug. B. Delegation to a Physician Assistant. (1) Except as required in §B(2) of this regulation, a permit holder may delegate to a physic…

.08 Dispensing Prescription Drugs Prescribed by Physician Assistants. A. Except as required in §§B and C of this regulation, a permit holder may dispense a drug prescribed by a physician assistant with whom the permit holder has a delegation agreement under Health Occupations Art…

.09 Dispensing Prescription Drugs Prescribed by Certified Registered Nurse Practitioners. A. Except as required in §§B and C of this regulation, a permit holder may dispense a drug prescribed by a certified registered nurse practitioner who is: (1) Authorized under Health Occupat…

.10 Records. A. A permit holder shall keep readily retrievable at each dispensing location: (1) A copy of the dispensing permit issued by the Board; (2) A record of each final check; (3) A copy of the form, signed and dated by the patient, maintained in accordance with COMAR 10.1…

.11 Revision of Dispensing Permit. A permit holder may revise a permit twice during its term, without charge, to change the location at which prescriptions will be dispensed.

.12 Lapse of Dispensing Permit. A. A permit automatically lapses if the permit holder: (1) Dies; (2) Fails to retain a valid and active Maryland medical license; (3) Fails without good cause to file the annual report required by Health Occupations Article, §12-102(c)(2)(ii)4L, An…

.13 Written Notice on Reactivation of Dispensing. A permit holder who has reported pursuant to Health Occupations Article, §12-102(c)(2)(ii)4L, Annotated Code of Maryland, that the permit holder has not personally dispensed prescription drugs during the previous year: A. Will not…

.14 Grounds for Revocation of Dispensing Permit. A. Subject to the Administrative Procedure Act, and in addition to any sanction for violation of Health Occupations Article, §14-404(a)(28), Annotated Code of Maryland, the Board may revoke a dispensing permit on any of the followi…

.15 Summary Suspension of Dispensing Permit. A. The Board may summarily suspend a dispensing permit if it finds that the public safety, health, or welfare imperatively requires emergency action. B. Procedures for summary suspension shall be governed by COMAR 10.32.02.08.

.16 Fraud or Deception in Obtaining a Permit. Subject to the Administrative Procedure Act, a licensee who fraudulently or deceptively obtains or attempts to obtain a permit is guilty of violating Health Occupations Article, §14-404(a)(1), Annotated Code of Maryland.

.17 Permit Holders Sanctioned for Violating the Medical Practice Act. A. If the Board sanctions a permit holder for violating Health Occupations Article, §14-404(a)(7), (8), (9), (10), or (28), or §14-404(b), Annotated Code of Maryland, the Board shall, in addition to any sanctio…

.18 Dispensing Without a Permit. Unless otherwise authorized by Health Occupations Article, §12-102, Annotated Code of Maryland, the dispensing of prescription drugs by a physician without a permit is a violation of Health Occupations Article, §14-404(a)(28), Annotated Code of Ma…

.19 Interpretation. Nothing in this chapter relieves any permit holder from meeting the requirements of State or federal law or COMAR 10.13.01.

.01 Scope. A. This chapter governs the practice of genetic counseling. B. Except as provided in §§C— D of this regulation, on or after January 1, 2024, an individual shall be licensed by the Board before the individual may practice genetic counseling. C. This chapter does not pro…

.02 Incorporation by Reference. The National Society of Genetic Counselors Code of Ethics (1992, revised 2017) is incorporated by reference.

.03 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Accredited educational program” means an educational program that is accredited by the national accrediting council or an equivalent accrediting body recognized by the nat…

.04 Genetic Counseling Advisory Committee. A. The Board shall appoint members of the Committee as follows: (1) Three individuals who practice genetic counseling who: (a) Are in good standing with the Board; (b) Are a resident of the State with at least 1 year of active genetic co…

.05 Code of Ethics. A genetic counselor in the State shall follow The National Society of Genetic Counselors Code of Ethics.

.06 Application for Initial Licensure as a Genetic Counselor. A. An applicant for a license as a licensed genetic counselor or a supervised genetic counselor shall: (1) Complete an application on a form provided by the Board; (2) Pay the required application fee set by the Board …

.07 Referral to Other Health Care Practitioners. If, while practicing genetic counseling, a licensed genetic counselor or supervised genetic counselor determines that a patient requires diagnosis, treatment, or management, the genetic counselor shall: A. Refer the patient to a li…

.08 Scope of Practice. The scope of practice of a licensed genetic counselor or a supervised genetic counselor includes the following: A. Obtaining and interpreting individual or family medical and developmental histories; B. Determining the mode of inheritance and risk of transm…

.09 Supervised Genetic Counselors. A. Term and Expiration. (1) A supervised genetic counselor license shall expire on the earliest of: (a) The issuance of a genetic counselor license to the supervised genetic counselor; (b) On notice of the second failure of the supervised geneti…

.10 Renewal and Reinstatement of Licensure as a Licensed Genetic Counselor. A. At least 1 month before the license expires, the Board shall send a renewal notice to the licensed genetic counselor that states: (1) The date on which the current license expires; (2) The date by whic…

.11 Change in Name or Address. A. A licensed genetic counselor or supervised genetic counselor shall notify the Board in writing of a change of name or address within 60 days after the change. B. If a licensed genetic counselor or supervised genetic counselor fails to notify the …

.12 Fees. The following fees are applicable to licensed genetic counselors and supervised genetic counselors: A. Initial licensed genetic counselor licensure fee—$300; B. Supervised genetic counselor licensure fee—$100; C. License renewal fees: (1) License renewal fee—$250; and (…

.13 Prohibited Conduct. A. Subject to the hearing provisions set forth in Health Occupations Article, §14-405, Annotated Code of Maryland, a disciplinary panel may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a lic…

.14 Required Reports. A. Except as provided in §B, C, or F of this regulation, hospitals, related institutions, alternative health systems as defined in Health Occupations Article, §1-401, Annotated Code of Maryland, and employers shall file with the Board a report that the hospi…

.15 Penalties, Fines, and Sanctioning Guidelines. A. An individual who violates any provision of Health Occupations Article, Title 14, Subtitle 5G, Annotated Code of Maryland, is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment n…

.16 Sanctioning Guidelines for Genetic Counselors. A. Subject to provisions of Regulation .14E and F of this chapter, a disciplinary panel may impose sanctions as outlined in §B of this regulation on genetic counselors and supervised genetic counselors for violations of Health Oc…

.01 Scope. A. This chapter governs the delegation of duties by a delegating physician to a supervised medical graduate in accordance with Regulations .04 and .05 of this chapter. B. This chapter may not be construed: (1) As establishing licensure, certification, or registration b…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the State Board of Physicians. (2) “Delegated duty” means a routine medical or surgical act that does not require medical judgment and is performed under the …

.03 Qualifications. A supervised medical graduate shall: A. Have a degree of: (1) Doctor of Medicine from a school of medicine accredited by the LCME or its successor at the time of graduation; (2) Doctor of Osteopathy from a school of osteopathy in the United States, its territo…

.04 Requirements. A. An individual may not practice as a supervised medical graduate for a period of more than 2 years. B. A supervised medical graduate may only be delegated duties by a delegating physician while under the direct supervision of the physician. C. A supervised med…

.05 Scope of Delegation to a Supervised Medical Graduate. A. A delegating physician may delegate duties consistent with national standards in the medical community and the approved policies and procedures of the medical office. B. A delegating physician is not required to be in t…

.06 Prohibited Conduct. A. A supervised medical graduate acting beyond the scope of this chapter may be: (1) Considered to be engaged in the unlicensed practice of medicine; and (2) Subject to all applicable penalties and fines in accordance with Health Occupations Article, §§14-…

.07 Enforcement. The Board shall conduct any necessary investigation regarding the failure to comply with the requirements of Health Occupations Article, §14-306, Annotated Code of Maryland and this chapter.

.01 Scope. This subtitle governs the licensure, practice, and discipline of nursing home administrators and assisted living managers in the State.

.02 Definitions. A. In this subtitle, the following terms have the meanings indicated. B. Terms Defined. (1) “Administrator-in-training (AIT)” means an applicant approved by the Board to train to practice as a nursing home administrator in a nursing home under the supervision of …

.03 General Powers of the Board. A. The Board shall exercise the powers provided by the laws of this State pertaining to the licensure, practice, and discipline of nursing home administrators and assisted living managers. B. Board staff and designees of the Board: (1) May enter a…

.04 Severability. If any provision of the regulations in this subtitle is declared unconstitutional or invalid, or the application of these regulations to any person or circumstances is held invalid, the applicability of the provision to other persons and circumstances and the co…

.01 Scope. This chapter governs nursing home administrator applicants and licensees in the State pursuant to Health Occupations Article, Title 9, Annotated Code of Maryland.

.02 Licensure Qualifications, Applications, and Requirements. A. Except as otherwise provided by law, to qualify for an initial license to practice nursing home administration in the State, the applicant shall: (1) Be at least 21 years old; (2) Be of good moral character; (3) Sub…

.03 Examinations for Nursing Home Administrators. A. Subjects for Examination. The State standards exam and the NAB exams shall include, at a minimum, the following subjects: (1) Applicable standards of environmental health and safety; (2) Local health and safety regulations; (3)…

.04 Administrator-in-Training Program—Requirements for AIT Participation. A. General Provisions. (1) An AIT program is a supervised 12-month full-time, or 18-month part-time, internship during which the AIT works under the guidance and supervision of a preceptor who is a licensed…

.05 Requirements for AIT Program. A. The preceptor for an AIT shall be currently certified by the Board under Regulation .06 of this chapter. B. The preceptor may not be responsible for more than two AITs at any one time. The preceptor shall devote a minimum of 16 hours per week …