EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
[Brackets] indicate matter deleted from existing law.
Underlining indicates amendments to bill.
Strike out indicates matter stricken from the bill by amendment or deleted from the law by
amendment.
*hb0633*
HOUSE BILL 633
J3 3lr2364
CF SB 258
By: Delegate Bhandari
Introduced and read first time: February 3, 2023
Assigned to: Health and Government Operations
Committee Report: Favorable
House action: Adopted
Read second time: March 1, 2023
CHAPTER ______
AN ACT concerning 1
Hospital Credentialing – Reappointment Process for Physician Staff – 2
Modification 3
FOR the purpose of requiring that the credential reappointment process for physician staff 4
included in certain minimum standards for hospitals licensed in the State be 5
conducted in accordance with standards of the accreditation body that accredits a 6
hospital, rather than with a certain frequency; and generally relating to the 7
credentialing process for hospital physician staff. 8
BY repealing and reenacting, without amendments, 9
Article – Health – General 10
Section 19–319(e)(2) and (7) 11
Annotated Code of Maryland 12
(2019 Replacement Volume and 2022 Supplement) 13
BY repealing and reenacting, with amendments, 14
Article – Health – General 15
Section 19–319(e)(4) 16
Annotated Code of Maryland 17
(2019 Replacement Volume and 2022 Supplement) 18
SECTION 1. BE IT ENACTED BY TH E GENERAL ASSEMBLY OF MARYLAND, 19
That the Laws of Maryland read as follows: 20
Article – Health – General 21 2 HOUSE BILL 633
19–319. 1
(e) (2) As a condition of licensure, each hospital shall: 2
(i) Establish a credentialing process for the physicians who are 3
employed by or who have staff privileges at the hospital; and 4
(ii) Use the uniform standard credentialing form as the initial 5
application of a physician seeking to be credentialed. 6
(4) (I) The Secretary shall, by regulation and in consultation with 7
hospitals, physicians, interested community and advocacy groups, and representatives of 8
the Maryland Defense Bar and Plaintiffs’ Bar, establish minimum standards for a 9
credentialing process which shall include: 10
[(i)] 1. A formal written appointment process documenting the 11
physician’s education, clinical expertise, licensure history, insurance history, medical 12
history, claims history, and professional experience[.]; 13
[(ii)] 2. A requirement that an initial appointment to staff not be 14
complete until the physician has successfully completed a probationary period[.]; AND 15
[(iii)] 3. [A] SUBJECT TO SUBPARAGRA PH (II) OF THIS 16
PARAGRAPH , A formal, written reappointment process to be conducted [at least every 2 17
years] IN ACCORDANCE WITH S TANDARDS OF THE ACCR EDITATION BODY THAT 18
ACCREDITS A HOSPITAL . 19
(II) The reappointment process ESTABLISHED UNDER 20
SUBPARAGRAPH (I)3 OF THIS PARAGRAPH shall document the physician’s pattern of 21
performance by analyzing: 22
1. Claims filed against the physician; 23
2. Data dealing with utilization, quality, and risk; 24
3. Clinical skills; 25
4. Adherence to hospital bylaws, policies, and procedures; 26
5. Compliance with continuing education requirements; 27
6. Mental and physical status; and 28
7. The results of the practitioner performance evaluation 29
process under subsection (i) of this section. 30 HOUSE BILL 633 3
(7) If a hospital fails to establish or maintain a credentialing process 1
required under this subsection, the Secretary may impose the following penalties: 2
(i) Delicensure of the hospital; or 3
(ii) $500 per day for each day the violation continues. 4
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 5
October 1, 2023. 6
Approved:
________________________________________________________________________________
Governor.
________________________________________________________________________________
Speaker of the House of Delegates.
________________________________________________________________________________
President of the Senate.