EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. [Brackets] indicate matter deleted from existing law. *hb0273* HOUSE BILL 273 J2 3lr0451 CF 3lr2642 By: Delegates Alston, Bagnall, Kaiser, Kelly, Kerr, R. Lewis, White, and Woods Introduced and read first time: January 25, 2023 Assigned to: Health and Government Operations A BILL ENTITLED AN ACT concerning 1 Health Occupations – Environmental Health Specialists – Revisions 2 FOR the purpose of altering the definition of “practice as an environmental health 3 specialist”; altering the education requirements for an applicant for licensure as an 4 environmental health specialist; authorizing the Board of Environmental Health 5 Specialists to approve an examination provider to administer the licensure 6 examination; altering the grounds for which the Board may take disciplinary action 7 against an applicant or a licensee; altering certain procedures relating to the review 8 of a final decision of the Board; and generally relating to environmental health 9 specialists. 10 BY repealing and reenacting, without amendments, 11 Article – Health Occupations 12 Section 21–101(a) 13 Annotated Code of Maryland 14 (2021 Replacement Volume and 2022 Supplement) 15 BY repealing and reenacting, with amendments, 16 Article – Health Occupations 17 Section 21–101(i), 21–304, 21–312, and 21–314 18 Annotated Code of Maryland 19 (2021 Replacement Volume and 2022 Supplement) 20 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 21 That the Laws of Maryland read as follows: 22 Article – Health Occupations 23 21–101. 24 (a) In this title the following words have the meanings indicated. 25 2 HOUSE BILL 273 (i) “Practice as an environmental health specialist” means, as a major component 1 of employment, to apply academic principles, methods and procedures of the 2 environmental, physical, biological, and health sciences to the inspections and 3 investigations necessary to collect and analyze data and to make decisions necessary to 4 secure compliance with federal, State, and local health and environmental laws and 5 regulations specifically relating to control of the public health aspects of the environment 6 including: 7 (1) The manufacture, preparation, handling, distribution, or sale of food 8 and milk; 9 (2) Water supply and treatment; 10 (3) Wastewater treatment and disposal; 11 (4) Solid waste management and disposal; 12 (5) Vector control; 13 (6) Insect and rodent control; 14 (7) Air quality; 15 (8) Noise control; 16 (9) Product safety; 17 (10) Recreational sanitation; [and] 18 (11) Institutional and residential sanitation; AND 19 (12) ASPECTS RELATED TO P UBLIC HEALTH EMERGEN CY 20 PREPAREDNESS . 21 21–304. 22 (a) An applicant who otherwise qualifies for licensure is entitled to be examined 23 as provided in this section. 24 (b) An applicant qualifies to take the examination if the applicant: 25 (1) (i) Has graduated from an accredited college or university with a 26 baccalaureate degree [in the chemical, physical, biological, or environmental sciences, as 27 defined in regulation, including] THAT INCLUDES : 28 HOUSE BILL 273 3 1. A minimum of [60] 30 semester credit hours or the 1 equivalent quarter credit hours of chemical, physical, biological, and environmental 2 sciences acceptable to the Board [which includes at least one laboratory course in two of 3 the following fields: 4 A. Chemistry; 5 B. Physics; 6 C. Biology; 7 D. Geographic information systems; or 8 E. Soil science; and]; 9 2. A course in mathematics; and 10 3. LABORATORY COURSEWORK AS REQUIRED IN 11 REGULATIONS ADOPTED BY THE BOARD; AND 12 (ii) Has obtained 12 months of experience in an environmental 13 health specialist–in–training program approved by the Board; OR 14 (2) [(i) Has graduated from an accredited college or university with a 15 baccalaureate degree that includes: 16 1. 30 semester credit hours or the equivalent quarter credit 17 hours in the chemical, physical, biological, and environmental sciences acceptable to the 18 Board, which includes at least one laboratory course in two of the following fields: 19 A. Chemistry; 20 B. Physics; 21 C. Biology; 22 D. Geographic information systems; or 23 E. Soil science; and 24 2. A course in mathematics; and 25 (ii) Has obtained 24 months of experience in an environmental 26 health specialist–in–training program approved by the Board; or 27 (3)] Has graduated from an accredited college or university with a master’s 28 4 HOUSE BILL 273 degree in public or environmental health science that includes: 1 (i) A MINIMUM OF 30 semester credit hours or 45 quarter credit 2 hours of chemical, physical, biological, or environmental sciences acceptable to the Board 3 and obtained at the baccalaureate or master’s level[, which includes at least one laboratory 4 course in two of the following fields: 5 1. Chemistry; 6 2. Physics; 7 3. Biology; 8 4. Geographic information systems; or 9 5. Soil science]; 10 (ii) A course in mathematics; [and] 11 (iii) 3 months of internship approved by the Board if not previously 12 completed; AND 13 (IV) LABORATORY COURSEWORK AS REQUIRED IN 14 REGULATIONS ADOPTED BY THE BOARD. 15 (c) (1) This subsection does not alter the requirement that an applicant 16 demonstrate completion of a baccalaureate or master’s degree to qualify for examination. 17 (2) The Board may waive any of the specific course requirements for an 18 applicant to qualify for examination in subsection (b) of this section if the Board determines 19 that an applicant: 20 (i) Has obtained an equivalent number of credit hours in a course 21 relevant to practice as an environmental health specialist; or 22 (ii) Has work experience that is an acceptable substitute for a course 23 required in subsection (b) of this section. 24 [(3) The Board may waive the experience requirement in subsection 25 (b)(2)(ii) of this section if the Board determines that an applicant: 26 (i) Has obtained at least 12 months of experience in an 27 environmental health specialist–in–training program; and 28 (ii) Has the written support of the applicant’s employer.] 29 HOUSE BILL 273 5 (d) The examination REQUIRED BY THE BOARD shall include a written 1 examination in the physical, biological, and environmental sciences that relates to practices 2 and principles of environmental health. 3 (e) The Board shall [give]: 4 (1) ADMINISTER examinations to applicants at least once a year, at the 5 times and places that the Board determines; OR 6 (2) APPROVE AN EXAMINATIO N PROVIDER TO ADMINI STER THE 7 EXAMINATION TO APPLI CANTS AT LEAST ONCE PER YEAR, AT THE TIME AND PLACE 8 THAT THE PROVIDER DE TERMINES. 9 (f) The Board shall notify each qualified applicant of [the time]: 10 (1) IF THE EXAMINATION IS ADMINISTERED BY THE BOARD, THE TIME 11 and place of examination; OR 12 (2) IF THE EXAMINATION IS ADMINISTERED BY AN E XAMINATION 13 PROVIDER APPROVED UN DER SUBSECTION (E)(2) OF THIS SECTION , THE 14 REGISTRATION PROCEDUR E FOR THE EXAMINATIO N. 15 (g) IF THE BOARD ADMINISTERS THE EXAMINATION , THE BOARD SHALL: 16 (1) [Except as otherwise provided in this subtitle, the Board shall 17 determine] DETERMINE the subjects, scope, form, and passing score for examinations 18 [given under this subtitle.]; AND 19 (2) [The Board shall use] USE professional examinations prepared by 20 recognized examination agencies. 21 (h) [(1)] An applicant who fails an examination may retake the examination as 22 provided in the rules and regulations adopted by the Board. 23 [(2) An applicant for reexamination shall: 24 (i) Submit to the Board an application on the form the Board 25 requires; and 26 (ii) Pay to the Board a reexamination fee set by the Board.] 27 (i) The Board may waive any examination requirement under this section if the 28 Board recognizes the applicant as being outstanding in the field of environmental health. 29 21–312. 30 6 HOUSE BILL 273 (a) The Board shall adopt a code of ethics designed to protect the public’s interest. 1 (b) Subject to the hearing provisions of § 21–313 of this subtitle, the Board, on the 2 affirmative vote of a majority of its full authorized membership, may deny any applicant 3 licensure, reprimand any licensee, or place any individual who is licensed on probation, or 4 suspend or revoke a license, if the applicant or licensee: 5 (1) Fraudulently or deceptively obtains or attempts to obtain a license for 6 the applicant or license holder or another; 7 (2) Fraudulently or deceptively uses a license; 8 (3) Knowingly violates any provision of this title, or any rule or regulation 9 adopted under this title; 10 (4) Commits any gross negligence, MISFEASANCE , MALFEASANCE , 11 incompetence, or misconduct while performing the duties of an environmental health 12 specialist; 13 (5) Is convicted of or pleads guilty or nolo contendere to a felony or to a 14 crime involving moral turpitude, whether or not any appeal or other proceeding is pending 15 to have the conviction or plea set aside; 16 (6) Provides professional services while: 17 (i) Under the influence of alcohol; or 18 (ii) Using any narcotic or controlled dangerous substance, as defined 19 in § 5–101 of the Criminal Law Article, or other drug that is in excess of therapeutic 20 amounts or without valid medical indication; 21 (7) Is disciplined by a licensing or disciplinary authority of any other state 22 or country or convicted or disciplined by a court of any state or country for an act that would 23 be grounds for disciplinary action under the Board’s disciplinary statutes; 24 (8) Willfully makes or files a false report or record while performing the 25 duties of an environmental health specialist; 26 (9) Willfully fails to file or record any report as required by law, willfully 27 impedes or obstructs the filing or recording of the report, or induces another to fail to file 28 or record the report; 29 (10) Submits a false statement to collect a fee; 30 (11) Promotes the sale of land, devices, appliances, or goods provided for a 31 person in such a manner as to exploit the person for financial gain of the licensed 32 HOUSE BILL 273 7 environmental health specialist; 1 (12) Willfully alters a sample, specimen, or any test procedure to cause the 2 results upon analysis to represent a false finding; 3 (13) Violates any rule or regulation adopted by the Board; 4 (14) Uses or promotes or causes the use of any misleading, deceiving, or 5 untruthful advertising matter, promotional literature, or testimonial; 6 (15) Is professionally, physically, or mentally incompetent; or 7 (16) Fails to cooperate with a lawful investigation conducted by the Board. 8 (c) Except as provided in subsection (d) of this section, any person, including a 9 Board employee, may make a written, specific charge of a violation under this section, if 10 the person: 11 (1) Swears to the charge; and 12 (2) Files the charge with the Board secretary. 13 (d) (1) If a licensed environmental health specialist knows of an action or 14 condition that might be grounds for action under subsection (b) of this section, the licensed 15 environmental health specialist shall report the action or condition to the Board. 16 (2) An individual shall have the immunity from liability described under § 17 5–702 of the Courts Article for making a report as required by this subsection. 18 21–314. 19 (A) Except as provided in this section for an action under § 21–312 of this subtitle, 20 any person aggrieved by a final decision of the Board in a contested case, as defined in § 21 10–202 of the State Government Article, may [take an appeal] PETITION FOR JUDICIA L 22 REVIEW as allowed [in §§ 10–222 and 10–223 of the State Government Article] BY THE 23 ADMINISTRATIVE PROCEDURE ACT. 24 (B) ANY PERSON AGGRIEVED BY A FINAL DECISION OF THE BOARD UNDER 25 § 21–312 OF THIS SUBTITLE MAY NOT APPEAL TO THE SECRETARY BUT MAY TAK E A 26 DIRECT JUDICIAL APPE AL AS PROVIDED IN TH E ADMINISTRATIVE PROCEDURE ACT. 27 (C) AN ORDER OF THE BOARD MAY NOT BE STAY ED PENDING JUDICIAL 28 REVIEW. 29 (D) THE BOARD MAY APPEAL ANY DECISION THAT REVERS ES OR MODIFIES 30 ITS ORDER. 31 8 HOUSE BILL 273 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 1 October 1, 2023. 2