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10.32.03.00.htm 10.32.03.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 32 BOARD OF PHYSICIANS Chapter 03 Delegation of Duties by a Licensed Physician ― Physician Assistant Authority: Health Occupations Article, §1-213, 1-606, 14-205, 15-101―15-502, Annotated Code of Maryland
10.32.03.01.htm 10.32.03.01. 01 Scope.. A. This chapter governs the practice of physician assistants and the delegation of medical acts by a physician to a physician assistant.B. This chapter does not prohibit:. 1) A student from performing any of the procedures described in these regulations as part of an accredited school's clinical curriculum;2) An individual from practicing a health occupation that the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland; or
10.32.03.02.htm 10.32.03.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Accredited” means accredited by the Accreditation Review Commission on Education for the Physician Assistant or its successor.2) “Advanced duties” means medical acts that require additional training beyond the basic physician assistant education program required for licensure.3) "Alternate supervising physician" means one or more physicians designated by the primary supervis
10.32.03.03.htm 10.32.03.03. 03 Physician Assistant Advisory Committee.. A. Composition. The Physician Assistant Advisory Committee shall be composed as required under Health Occupations Article, §15-202, Annotated Code of Maryland.B. Tenure.. 1) The term of a member is 3 years.. 2) The initial terms of the members are staggered.. 3) At the end of a term, a member continues to serve until a successor is appointed.. 4) An individual may be reappointed for a second term but an individual may
10.32.03.04.htm 10.32.03.04. 04 Qualifications for Licensure as a Physician Assistant.. A. Application. Applicants shall:. 1) Complete an application on a form approved by the Board;. 2) Pay an application fee as defined in Regulation .16 of this chapter;. 3) Be at least 18 years old;. 4) Be of good moral character; and. 5) Demonstrate oral and written competency in English by one or more of the following:. a) Graduation from a recognized English-speaking high school or undergraduate school after at least
10.32.03.05.htm 10.32.03.05. 05 Delegation Agreements ― Contents.. A. Before a physician may delegate medical acts and before a physician assistant may perform medical acts, the physician assistant and primary supervising physician shall file with the Board:1) A delegation agreement on the Board-approved form; and. 2) The required fee as specified in Regulation .16 of this chapter.. B. The delegation agreement shall include the following information:.
10.32.03.06.htm 10.32.03.06. 06 Delegation Agreements ― Approval.. A. Review by the Board.. 1) The Board may review a delegation agreement filed under Regulation .05 of this chapter.. 2) The Board may disapprove a delegation agreement or delegation of an advanced duty based upon:. a) Licensure or compliance issues with the primary supervising physician or the physician assistant;. b) Failure of the delegation agreement to meet the requirements of:.
10.32.03.07.htm 10.32.03.07. 07 Supervising Physicians.. A. A primary supervising physician shall:. 1) File a delegation agreement with the Board, as required under Regulations .05 and .06 of this chapter;2) Accept responsibility for any medical acts performed by the physician assistant;. 3) Provide continuous supervision of the physician assistant by means of one or more of the following:a) On-site supervision;. b) Written instructions;. c) Electronic communication; or.
10.32.03.08.htm 10.32.03.08. 08 Prescriptive Authority and Dispensing Starter Dosage or Drug Samples.. A. In order for a primary supervising physician to delegate prescriptive authority, the primary supervising physician shall ensure that the delegation agreement includes:1) A statement describing whether the physician intends to delegate any of the following:. a) Prescribing of:. i) Controlled dangerous substances;. ii) Prescription drugs; or. iii) Medical devices;.
10.32.03.09.htm 10.32.03.09. 09 Renewal, Reinstatement, Change in Name or Address, and Continuing Education.. A. Renewal.. 1) The Board may not renew a license until the Comptroller of Maryland has verified that the individual has paid all undisputed taxes and unemployment insurance contributions, or arranged for repayment, as required by COMAR 10.31.02.2) An individual who has been licensed by the Board as a physician assistant may renew the license every 2 years on the date specified by the Board by:
10.32.03.10.htm 10.32.03.10. 10 Identification as Physician Assistant.. A. A physician assistant shall:. 1) Wear an identification tag or badge which identifies that individual as a physician assistant;. 2) Identify himself or herself to all patients as a physician assistant; and. 3) Maintain a copy of the physician assistant’s license and currently approved delegation agreement at the primary place of business of the licensee.B. An individual may not identify himself or herself as a physician assista
10.32.03.11.htm 10.32.03.11. 11 Prohibited Conduct.. A. The Board may deny a license, reprimand a physician assistant, place a physician assistant on probation, or suspend or revoke a license if the physician assistant:1) Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or the licensee or for another;2) Fraudulently or deceptively uses a license;. 3) Is guilty of:. a) Immoral conduct in the practice of medicine; or. b) Unprofessional conduct in the practice of medicine;.
10.32.03.12.htm 10.32.03.12. 12 Modification or Disapproval of Delegation Agreements.. A. When the Board disapproves a delegation agreement, or a request to perform an advanced duty, the Board shall:1) Give written notice to the applicant;. 2) Set forth the specific reasons for the denial; and. 3) Give the applicant an opportunity to request a hearing before the Board.. B. Hearings Before the Board.. 1) To request a hearing before the Board, the applicant shall make a written request for a hearing b
10.32.03.13.htm 10.32.03.13. 13 Reports by Employer and Primary Supervising Physician.. A. Except as provided in §B of this regulation, a hospital, related institution, alternative health care system, employer, and primary supervising physician shall file with the Board a report that the hospital, related institution, alternative health system, employer, or primary supervising physician limited, reduced, otherwise changed, or terminated any licensee for any reason that might be grounds for disciplinary actio
10.32.03.14.htm 10.32.03.14. 14 Examination and Audit of Physician Assistant Practice.. A. Examination.. 1) The Board may direct a physician assistant who is an applicant or licensee to submit to an appropriate examination to determine the physician assistant’s physical, mental, or professional ability to perform delegated medical acts.2) A physician assistant is deemed to have consented to an examination and waived any claim to privilege as to the examination report.
10.32.03.15.htm 10.32.03.15. 15 Practice During a Disaster.. A. A physician assistant licensed in this State or in any other state is authorized to perform acts, tasks, or functions as a physician assistant under the supervision of a physician licensed to practice medicine in Maryland during a disaster within a county in which a state of disaster has been declared by the Governor, or counties contiguous to a county in which a state of disaster has been declared, in accordance with Public Safety Article, §1
10.32.03.16.htm 10.32.03.16. 16 Fees.. The following fees are applicable to physician assistants:. A. Initial application fees:. 1) Initial license . $200; and. 2) Physician assistant rehabilitation program . $25; and. B. Renewal fees:. 1) License renewal fee . $135;. 3) Maryland Health Care Commission (MHCC) fee . As determined by MHCC under COMAR 10.25.03;. C. Reinstatement fees:. 1) Reinstatement of license fee . $200; and. D. Delegation agreements . $200;. E. Written verification of licensure . $25; and.
10.32.03.17.htm 10.32.03.17. 17 Sanctioning and Imposition of Fines.. A. General Application of Sanctioning Guidelines.. 1) Sections A and B of this regulation and Regulation .18A and B of this chapter do not apply to offenses for which a mandatory sanction is set by statute or regulation.2) Except as provided in §B of this regulation, for violations of the sections of the Physician Assistants Act listed in the sanctioning guidelines, the Board shall impose a sanction not less severe than the minimum listed in
10.32.03.18.htm 10.32.03.18. 18 Sanctioning Guidelines for Physician Assistants.. A. Subject to provisions of Regulation .17A and B of this chapter, the Board may impose sanctions as outlined in §B of this regulation on physician assistants for violations of Health Occupations Article, §15-314(a) Annotated Code of Maryland.B. Range of Sanctions.. Ground. Maximum Sanction. Minimum Sanction. Maximum Fine. Minimum Fine. 1) Fraudulently or deceptively obtains or attempts to obtain a license for
10.32.03.9999.htm 10.32.03.9999. Administrative History Effective date: May 28, 1975 (2:12 Md. R. 870). Chapter revised effective October 26, 1981 (8:21 Md. R. 1708). Regulations .02 and .05F amended effective September 27, 1982 (9:19 Md. R. 1895). Regulations .05B-1 and .09A-1 adopted effective September 27, 1982 (9:19 Md. R. 1895). Regulations .01―11 repealed effective March 18, 1991 (18:5 Md. R. 594) ―. Regulations .01―12 adopted effective March 18, 1991 (18:5 Md. R. 594). Regulations .02, .03, .06
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