WES MOORE, Governor Ch. 872
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Chapter 872
(House Bill 934)
AN ACT concerning
Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology
Assistance – Limited Licensed Radiologic Technologist
State Board of Physicians – Performance of X–Ray Duties Without a License
FOR the purpose of establishing a licensing and regulatory system for the practice of
limited licensed radiologic technology under the State Board of Physicians; altering
the composition of the Radiation Therapy, Radiography, Nuclear Medicine
Technology, Radiology Assistance, and Limited Licensed Radiologic Technology
Advisory Committee; altering the circumstances under which individuals without a
license to practice medicine may perform X–ray duties; and generally relating to
limited licensed radiologic technologists the performance of X–ray duties by
individuals without a license.
BY repealing and reenacting, with amendments,
Article – Health Occupations
Section 14–306(e) 14–206(e)(2)(iii); and 14–5B–01, 14–5B–05 through 14–5B–09,
14–5B–12, 14–5B–14(a), 14–5B–18, 14–5B–18.1, and 14–5B–20 to be under
the amended subtitle “Subtitle 5B. Radiation Therapy, Radiography, Nuclear
Medicine Technology, Radiology Assistance, and Limited Licensed Radiologic
Technology”
Annotated Code of Maryland
(2021 Replacement Volume and 2023 Supplement)
BY adding to
Article – Health Occupations
Section 14–306(g) and (h)
Annotated Code of Maryland
(2021 Replacement Volume and 2023 Supplement)
BY repealing and reenacting, without amendments,
Article – Health Occupations
Section 14–5B–03 and 14–5B–10
Annotated Code of Maryland
(2021 Replacement Volume and 2023 Supplement)
BY adding to
Article – Health Occupations
Section 14–5B–09.1, 14–5B–11(e), and 14–5B–17(e)
Annotated Code of Maryland
(2021 Replacement Volume and 2023 Supplement)
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SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
That the Laws of Maryland read as follows:
Article – Health Occupations
14–306.
(e) Except as otherwise provided in this section AND IN ACCORDANCE WITH
REGULATIONS ADOPTED BY THE BOARD, an individual may perform X–ray duties
without a license only if the duties:
(1) Do not include:
(i) Computerized or noncomputerized tomography;
(ii) Fluoroscopy;
(iii) Invasive radiology;
(iv) Mammography;
(v) Nuclear medicine;
(vi) Radiation therapy; or
(vii) Xerography;
(2) Are limited to X–ray procedures of the:
(i) Chest[, anterior–posterior and lateral];
(ii) Spine[, anterior–posterior and lateral; or], INCLUDING THE :
1. CERVICAL SPINE;
2. LUMBAR SPINE;
3. SACROILIAC JOINTS ;
4. SACRUM AND COCCYX ; AND
5. THORACIC SPINE ;
(iii) [Extremities, anterior–posterior and lateral, not including the
head; and] LOWER EXTREMITIES , INCLUDING: WES MOORE, Governor Ch. 872
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1. TOES;
2. THE FOOT;
3. THE ANKLE;
4. THE CALCANEUS ;
5. THE TIBIA AND FIBULA ;
6. THE KNEE AND PATELLA ; AND
7. THE FEMUR; AND
(IV) UPPER EXTREMITIES , INCLUDING:
1. FINGERS;
2. THE HAND;
3. THE WRIST;
4. THE FOREARM ;
5. THE ELBOW;
6. THE HUMERUS ;
7. THE SHOULDER ;
8. THE CLAVICLE;
9. ACROMIOCLAVICULAR JOI NTS; AND
10. THE SCAPULA; AND
(3) Are performed:
(i) [By an individual who is not employed primarily to perform
X–ray duties;
(ii)] In the [medical office of the physician who delegates the duties]
PHYSICIAN’S OFFICE UNDER THE S UPERVISION OF A LICE NSED PHYSICIAN OR Ch. 872 2024 LAWS OF MARYLAND
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RADIOLOGIC TECHNOLOG IST WHO IS ON–SITE OR ABLE TO PROV IDE IMMEDIATELY
AVAILABLE DIRECTION ; and
[(iii)] (II) 1. By an individual who[, before October 1, 2002,] has:
A. [Taken a course consisting of at least 30 hours of training
in performing X–ray procedures approved by the Maryland Radiological Society in
consultation with the Maryland Society of Radiologic Technologists] ATTESTED TO THE
COMPLETION OF AT LEA ST 6 MONTHS OF CLINICAL CARE EXPERIENCE ; and
B. [Successfully passed an examination based on that course
that has been approved by the Maryland Radiological Society in consultation with the
Maryland Society of Radiologic Technologists; or] COMPLETED A LIMITED S COPE X–RAY
EDUCATIONAL PROGRAM CO NSISTING OF AT LEAST 115 HOURS OF DIDACTIC
TRAINING DELIVERED B Y A RADIOLOGIC TECHN OLOGIST CERTIFIED BY THE
AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS PROVIDI NG INSTRUCTION
IN RADIOGRAPHIC ANAT OMY, PROCEDURES , AND PATHOLOGY , DIGITAL IMAGE
ACQUISITION AND DISP LAY, FUNDAMENTALS , ETHICS, AND LAWS OF HEALTH C ARE,
HUMAN ANATOMY AND PH YSIOLOGY, IMAGE PRODUCTION AND ANALYSIS, IMAGING
EQUIPMENT AND RADIAT ION PRODUCTION , MEDICAL TERMINOLOGY , AND PATIENT
CARE;
C. COMPLETED AT LEAST 480 HOURS OF CLINICAL
TRAINING AND SUCCESS FULLY COMPLETED A MI NIMUM OF FIVE COMPET ENCIES IN
EACH BODY PART LISTE D IN ITEM (2) OF THIS SUBSECTION U NDER THE DIRECT
SUPERVISION OF A RAD IOLOGIC TECHNOLOGIST CERTIFIED BY THE AMERICAN
REGISTRY OF RADIOLOGIC TECHNOLO GISTS;
D. ACHIEVED A PASSING SC ORE, AS DETERMINED BY
THE BOARD, ON THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS
EXAMINATION FOR LIMI TED SCOPE OF PRACTIC E IN RADIOGRAPHY OR AN
ALTERNATIVE EXAMINAT ION APPROVED BY THE BOARD; AND
E. REGISTERED W ITH THE BOARD ATTESTING TO TH E
COMPLETION OF THE RE QUIREMENTS OF THIS I TEM AND THE COMPLETI ON OF AT
LEAST 24 HOURS OF APPROVED CO NTINUING EDUCATION C REDITS EARNED DURING
THE 2–YEAR PERIOD IMMEDIAT ELY FOLLOWING THE DA TE OF INITIAL
REGISTRATION AND EVE RY 2 YEARS THEREAFTER ; OR
2. By a licensed physician assistant who has completed a
course that includes anterior–posterior and lateral radiographic studies of extremities on
at least 20 separate patients under the direct supervision of the delegating physician or
radiologist using a mini C–arm or similar low–level radiation machine to perform
nonfluoroscopic X–ray procedures, if the duties: WES MOORE, Governor Ch. 872
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A. Include only the X–ray procedures described in paragraph
(2)(iii) of this subsection; and
B. Are performed pursuant to a Board–approved delegation
agreement that includes a request to perform advanced duties under § 15–302(c)(2) of this
article.
(G) IN ACCORDANCE WITH RE GULATIONS ADOPTED BY THE BOARD, A
PHYSICIAN’S OFFICE THAT EMPLOY S AN INDIVIDUAL AUTH ORIZED TO PERFORM
X–RAY DUTIES WITHOUT A LICENSE UNDER SUBSEC TION (E) OF THIS SECTION IS
RESPONSIBLE FOR ENSU RING THAT ALL REQUIR EMENTS OF SUBSECTION (E) OF
THIS SECTION ARE MET FOR EACH X–RAY EXAMINATION PERF ORMED.
(H) IF AN UNLICENSED INDI VIDUAL PERFORMS X–RAY DUTIES WITHOUT
MEETING THE REQUIREM ENTS OF SUBSECTION (E) OF THIS SECTION , THE BOARD
MAY IMPOSE A CIVIL P ENALTY OF UP TO :
(1) $5,000 FOR EACH VIOLATION O N THE PHYSICIAN’S OFFICE WHERE
THE VIOLATION OCCURR ED; AND
(2) $1,000 FOR EACH VIOLATION O N THE INDIVIDUAL WHO
COMMITTED THE VIOLAT ION.
14–206.
(e) A disciplinary panel may issue a cease and desist order or obtain injunctive
relief against an individual for:
(2) Representing to the public, by title, description of services, methods,
procedures, or otherwise, that the individual is authorized to practice:
(iii) Radiation therapy, radiography, nuclear medicine technology,
[or] radiation assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y in this
State, in violation of § 14–5B–18 of this title;
Subtitle 5B. Radiation Therapy, Radiography, Nuclear Medicine Technology, [and]
Radiology Assistance, AND LIMITED LICENSED RADIOLOGIC TECHNOLOGY .
14–5B–01.
(a) In this subtitle the following words have the meanings indicated.
(b) “Board” means the State Board of Physicians.
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(c) “Certification” means recognition of an individual who has satisfied certain
standards required by a national certifying board.
(d) “Committee” means the Radiation Therapy, Radiography, Nuclear Medicine
Technology, [and] Radiology Assistance, AND LIMITED LICENSED RADIOLOGIC
TECHNOLOGY Advisory Committee of the Board.
[(f)] (E) “License” means a license issued by the Board to practice as a radiation
therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant, OR
LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST .
[(g)] (F) “Licensed nuclear medicine technologist” means a nuclear medicine
technologist who is licensed by the Board to practice nuclear medicine technology.
[(h)] (G) “Licensed radiation therapist” means a radiation therapist who is
licensed by the Board to practice radiation therapy.
[(i)] (H) “Licensed radiographer” means a radiographer who is licensed by the
Board to practice radiography.
[(j)] (I) “Licensed radiologist assistant” means an individual who is licensed to
practice radiology assistance under the supervision of a licensed physician who:
(1) Specializes in radiology; and
(2) Is certified by:
(i) The American Board of Radiology;
(ii) The American Osteopathic Board of Radiology;
(iii) The British Royal College of Radiology; or
(iv) The Canadian College of Physicians and Surgeons.
(J) “LIMITED LICENSED RADI OLOGIC T ECHNOLOGIST ” MEANS AN
INDIVIDUAL WHO IS LI CENSED TO PRACTICE L IMITED LICENSED RADI OLOGIC
TECHNOLOGY UNDER THE SUPERVISION OF A LIC ENSED PHYSICIAN .
(k) “Licensee” means an individual who is licensed by the Board to practice as a
radiation therapist, a radiographer, a nuclear medicine technologist, [or] radiologist
assistant, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST.
(l) “National certifying board” means:
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(1) The American Registry of Radiologic Technologists;
(2) The Nuclear Medicine Technology Certifying Board; or
(3) Another certifying organization approved by the Board.
(M) “PRACTICE LIMITED LICE NSED RADIOLOGIC TECH NOLOGY” MEANS TO
PERFORM RADIOGRAPHIC PROCEDURES EMPLOYING EQUIPMENT THAT EMITS
IONIZING RADIATION T HAT IS LIMITED TO SPECIFIC AREAS OF TH E HUMAN BODY .
[(m)] (N) “Practice nuclear medicine technology” means to:
(1) Prepare and administer radiopharmaceuticals to human beings; or
(2) Conduct in vivo detection and measurement of radioactivity for medical
purposes to assist in the diagnosis and treatment of disease or injury.
[(n)] (O) “Practice radiation therapy” means to perform tumor localization
radiography and apply therapeutic doses of radiation for the treatment of disease or injury.
[(o)] (P) “Practice radiography” means to use ionizing radiation to:
(1) Demonstrate portions of the human body to assist in the diagnosis or
localization of disease or injury; or
(2) Perform tumor localization radiography.
[(p)] (Q) “Practice radiology assistance” means to practice radiography and to
perform:
(1) Fluoroscopy and selected radiology procedures;
(2) Patient assessment; and
(3) Patient management.
[(q)] (R) “Supervision” means the responsibility of a licensed physician to
exercise on–site or immediately available direction for licensees.
14–5B–03.
The Board shall adopt regulations to carry out the provisions of this subtitle.
14–5B–05.
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(a) There is a Radiation Therapy, Radiography, Nuclear Medicine Technology,
[and] Radiology Assistance, AND LIMITED LICENSED RADIOLOGIC TECHNOLOGY
Advisory Committee within the Board.
(b) (1) The Committee consists of [nine] 11 members appointed by the Board.
(2) Of the [nine] members:
(i) One shall be a licensed physician who specializes in radiology;
(ii) One shall be a licensed physician who specializes in radiology
and who supervises a radiologist assistant OR LIMITED LICENSED RADIOLOGIC
TECHNOLOGIST ;
(iii) One shall be a licensed physician who specializes in nuclear
medicine;
(iv) One shall be a licensed physician who specializes in radiation
oncology;
(v) One shall be a radiation therapist;
(vi) One shall be a radiographer;
(vii) One shall be a radiologist assistant;
(viii) One shall be a nuclear medicine technologist; [and]
(IX) ONE SHALL BE A LIMITE D LICENSED RADIOLOGI C
TECHNOLOGIST ; AND
[(ix)] (X) [One] TWO shall be [a] consumer [member] MEMBERS.
(c) (1) From among its members, the Committee shall elect a chair once every
2 years.
(2) The chair, or the chair’s designee, shall serve in an advisory capacity to
the Board as a representative of the Committee.
(d) The consumer [member] MEMBERS of the Committee:
(1) Shall be [a member] MEMBERS of the general public;
(2) May not be or ever have been a health care professional or in training
to be a health care professional; and WES MOORE, Governor Ch. 872
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(3) May not:
(i) Participate or ever have participated in a commercial or
professional field related to radiation therapy, radiography, nuclear medicine technology,
[or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y;
(ii) Have a household member who participates in a commercial or
professional field related to radiation therapy, radiography, nuclear medicine technology,
[or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y; or
(iii) Have had within 2 years before appointment a financial interest
in a person regulated by the Board.
(e) (1) The term of a member is 3 years.
(2) The terms of members are staggered as required by regulation.
(3) At the end of a term, a member continues to serve until a successor is
appointed and qualifies.
(4) A member may not serve more than 2 consecutive full terms.
14–5B–06.
(a) In addition to the powers set forth elsewhere in this subtitle, the Committee
shall:
(1) Make recommendations to the Board on regulations necessary to carry
out the provisions of this subtitle;
(2) Make recommendations to the Board on a code of ethics for the practice
of radiation therapy, the practice of radiography, the practice of nuclear medicine
technology, [and] the practice of radiology assistance, AND THE PRACTICE OF L IMITED
LICENSED RADIOLOGIC TECHNOLOGY for adoption by the Board;
(3) On request, make recommendations to the Board on standards of care
for the practice of radiation therapy, the practice of radiography, the practice of nuclear
medicine technology, [and] the practice of radiology assistance, AND THE PRACTICE OF
LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ;
(4) Make recommendations to the Board on the requirements for licensure
as a radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist
assistant, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST;
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(5) On request, review applications for licensure as a radiation therapist,
radiographer, nuclear medicine technologist, [or] radiologist assistant, OR LIMITED
LICENSED RADIOLOGIC TECHNOLOGI ST and make recommendations to the Board;
(6) Develop and recommend to the Board continuing education
requirements for license renewal;
(7) Advise the Board on matters related to the practice of radiation
therapy, the practice of radiography, the practice of nuclear medicine technology, [and] the
practice of radiology assistance, AND THE PRACTICE OF LIMITED LICENSED
RADIOLOGIC TECHNOLOG Y;
(8) Keep a record of its proceedings; and
(9) Submit an annual report to the Board.
(b) The Board shall:
(1) Consider all recommendations of the Committee; and
(2) Provide to the Committee an annual report on the disciplinary matters
involving licensees.
14–5B–07.
(a) (1) A licensee may only practice under the supervision of a licensed
physician.
(2) The failure of a licensed physician to properly supervise a licensee is
unprofessional conduct in the practice of medicine under § 14–404(a)(3) of this title.
(b) (1) Except as provided in paragraph (2) of this subsection, the practice of a
radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant,
OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST is limited to those procedures,
operations, preparations, and practices listed in regulation.
(2) A radiologist assistant may not:
(i) Interpret images;
(ii) Make diagnoses; or
(iii) Prescribe medications or therapies.
14–5B–08. WES MOORE, Governor Ch. 872
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(a) (1) Except as otherwise provided in this subtitle, an individual shall be
licensed by the Board before the individual may practice radiation therapy, radiography,
nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED
RADIOLOGIC TECHNOLOG Y in this State.
(2) A radiologist assistant may not:
(i) Interpret images;
(ii) Make diagnoses; or
(iii) Prescribe medications or therapies.
(b) This section does not apply to:
(1) An individual employed by the federal government as a radiation
therapist, radiographer, a nuclear medicine technologist, [or] radiologist assistant, OR
LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST while the individual is practicing
within the scope of that employment; or
(2) A radiation therapy student, a radiography student, a nuclear medicine
technology student, [or] a radiology assistant student, OR A LIMITED LICENSE D
RADIOLOGIC TECHNOLOG IST STUDENT enrolled in an education program which is
accredited by an approved accrediting organization while practicing radiation therapy,
radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED
LICENSED RADIOLOGIC TECHNOLOGY in that program.
14–5B–09.
(a) To qualify for a license, an applicant shall be an individual who meets the
requirements of this section.
(b) Except as provided in [subsection] SUBSECTIONS (c) AND (D) of this section,
the applicant [shall] MUST:
(1) Be of good moral character;
(2) Be at least 18 years old;
(3) Demonstrate oral and written competency in English as required by the
Board;
(4) Meet any educational, training, or examination requirements
established by the Board, including:
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(i) Graduation from an appropriate educational program as
determined by the Board; and
(ii) Certification; and
(5) Complete a criminal history records check in accordance with §
14–308.1 of this title.
(c) To qualify for a license to practice as a radiologist assistant, an applicant shall:
(1) Be issued a general license to perform radiography;
(2) Complete an advanced academic program with a nationally recognized
radiology curriculum that results in a baccalaureate degree, post baccalaureate certificate,
or graduate degree and incorporates a radiologist–directed clinical preceptorship;
(3) Be certified in advanced cardiac life support; and
(4) Be certified as a radiologist assistant by the American Registry of
Radiologic Technologists.
(D) IN ADDITION TO THE RE QUIREMENTS OF SUBSEC TION (B) OF THIS
SECTION, TO QUALIFY FOR A LIC ENSE TO PRACTICE AS A LIMITED LICENSED
RADIOLOGIC TECHNOLOG IST, AN APPLICANT SHALL M EET THE REQUIREMENTS OF
§ 14–5B–09.1 OF THIS SUBTITLE.
[(d)] (E) Except for requirements adopted by the Board for license renewal under
§ 14–5B–12 of this subtitle, nothing in this subtitle may be construed to require an
individual who is certified by the Board as a radiation oncology/therapy technologist,
medical radiation technologist, or nuclear medicine technologist as of October 1, 2008, to
meet additional education, training, or examination requirements.
14–5B–09.1.
(A) AN APPLICANT FOR LICE NSURE AS A LIMITED L ICENSED RADIOLOGIC
TECHNOLOGIST SHALL S UBMIT TO THE BOARD:
(1) EVIDENCE OF COMPLETIO N OF EDUCATION REQUI REMENTS
UNDER SUBSECTION (B) OF THIS SECTION, AS APPLICABLE; AND
(2) (I) EVIDENCE OF HAVING AC HIEVED A PASSING SCO RE, AS
DETERMINED BY THE BOARD, ON THE SECTION OF TH E AMERICAN REGISTRY OF
RADIOLOGIC TECHNOLOGISTS EXAMINA TION FOR LIMITED SCOPE OF PRACTICE IN
RADIOGRAPHY APPROPRIA TE FOR THE ANATOMICA L AREA ON WHICH THE
APPLICANT IS APPLYIN G TO PRACTICE; WES MOORE, Governor Ch. 872
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(II) EVIDENCE OF HAVING AC HIEVED A PASSING SCO RE, AS
DETERMINED BY THE BOARD, ON ANOTHER EXAMINATION APPROVED BY THE
BOARD; OR
(III) EVIDENCE OF COMPLETIO N OF AN ALTERNATIVE TO
EXAMINATION APPROVED BY THE BOARD.
(B) TO QUALIFY FOR LICENS URE AS A LIMITED LIC ENSED RADIOLOGIC
TECHNOLOGIST , AN APPLICANT SHALL C OMPLETE:
(1) EDUCATIONAL COURSEWORK :
(I) DIRECTED BY A RADIOLO GIC TECHNOLOGIST WIT H A
BACHELOR’S DEGREE AND CURRENT AMERICAN REGISTRY OF RADIOLOGIC
TECHNOLOGISTS CERTIFI CATION;
(II) TAUGHT BY INSTRUCTORS WHO ARE LICENSED RAD IOLOGIC
TECHNOLOGISTS OR PHY SICIANS WHO ARE BOAR D CERTIFIED IN RADIO LOGY; AND
(III) THAT INCLUDES AT LEAS T:
1. 25 CLOCK HOURS OF IMAGE PRODUCTION AND
EQUIPMENT OPERATION ;
2. 15 CLOCK HOURS OF RADIA TION PROTECTION ; AND
3. 10 CLOCK HOURS OF RADIO GRAPHIC PROCEDURES I N
THE ANATOMICAL AREA OF THE LIMITED LICENSED RADIOLOGIC TECHNOLOGIST ’S
PRACTICE, TAUGHT BY:
A. A RADIOLOGIC TECHNOLOG IST WITH CURRENT
AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS CERTIFI CATION; OR
B. A LICENSED DOCTOR OF M EDICINE, OSTEOPATHY ,
PODIATRY, OR CHIROPRACTIC; OR
(2) ANY OTHER EDUCATION P ROGRAM APPROVED BY T HE BOARD.
(C) AN APPLICANT WHO FAIL S AN EXAMINATION REQ UIRED UNDER THIS
SECTION MAY RETAKE T HE EXAMINATION TWICE BEFORE THE APPLICANT MUST
REAPPLY AND DEMONSTR ATE COMPLETION OF AN Y ADDITIONAL EDUCATION
REQUIRED BY THE BOARD.
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(D) A LICENSE ISSUED TO PR ACTICE AS A LIMITED LICENSED RADIOLOGIC
TECHNOLOGIST UNDER T HIS SECTION AUTHORIZ ES THE LICENSEE TO P RACTICE
ONLY ON THE ANATOMIC AL AREA AUTHORIZED B Y THE BOARD, AS DETERMINED BY
THE BOARD BASED ON THE EDUCATION AND EXAMINATIONS COMPLET ED BY THE
LICENSEE.
14–5B–10.
(a) To apply for a license, an applicant shall:
(1) Complete a criminal history records check in accordance with §
14–308.1 of this title;
(2) Submit an application to the Board on the form that the Board requires;
and
(3) Pay to the Board the application fee set by the Board.
(b) Subject to subsection (c) of this section, the Board shall issue the appropriate
license to an applicant who meets the requirements of this subtitle for that license.
(c) (1) On receipt of the criminal history record information of an applicant for
licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining
whether to issue a license, the Board shall consider:
(i) The age at which the crime was committed;
(ii) The nature of the crime;
(iii) The circumstances surrounding the crime;
(iv) The length of time that has passed since the crime;
(v) Subsequent work history;
(vi) Employment and character references; and
(vii) Other evidence that demonstrates whether the applicant poses a
threat to the public health or safety.
(2) The Board may not issue a license if the criminal history record
information required under § 14–308.1 of this title has not been received.
14–5B–11.
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(E) SUBJECT TO § 14–5B–09.1(D) OF THIS SUBTITLE , LICENSURE AS A
LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST AUTHORIZES AN INDIVI DUAL TO
PRACTICE LIMITED LIC ENSED RADIOLOGIC TEC HNOLOGY WHILE THE LI CENSE IS
EFFECTIVE.
14–5B–12.
(a) (1) The term of a license issued by the Board may not exceed 3 years.
(2) A license expires on a date set by the Board, unless the license is
renewed for an additional term as provided in this section.
(b) At least 1 month before the license expires, the Board shall send to the licensee
a renewal notice that states:
(1) The date on which the current license expires;
(2) The date by which the renewal application must be received by the
Board for the renewal to be issued and mailed before the license expires; and
(3) The amount of the renewal fee.
(c) Except as otherwise provided in this subtitle, before a license expires, the
licensed individual may periodically renew it for an additional term, if the individual:
(1) Is of good moral character;
(2) Pays to the Board a renewal fee set by the Board;
(3) Submits to the Board:
(i) A renewal application on the form that the Board requires; and
(ii) Satisfactory evidence of compliance with any continuing
education or competency requirements and other requirements required by the Board for
license renewal; and
(4) Meets any additional renewal requirements established by the Board.
(d) (1) In addition to any other qualifications and requirements established by
the Board, the Board may establish continuing education or competency requirements as a
condition to the renewal of licenses under this section.
(2) A disciplinary panel may impose a civil penalty of up to $100 per
continuing medical education credit in lieu of a sanction under § 14–5B–14 of this subtitle, Ch. 872 2024 LAWS OF MARYLAND
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for a first offense, for the failure of a licensee to obtain the continuing medical education
credits required by the Board.
(e) (1) The Board shall renew the license of each individual who meets the
renewal requirements of this section.
(2) A license may not be renewed for a term longer than 2 years.
(f) The Board shall reinstate the license of a radiation therapist, radiographer,
nuclear medicine technologist, [or] radiologist assistant, OR LIMITED LICENSED
RADIOLOGIC TECHNOLOG IST who has failed to renew a license for any reason if the
radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant,
OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST:
(1) Meets the renewal requirements of this section;
(2) Submits to the Board:
(i) A reinstatement application on the form that the Board requires;
and
(ii) Satisfactory evidence of compliance with any continuing
education or competency requirements; and
(3) Meets any additional requirements established by the Board for
reinstatement.
(g) (1) Beginning October 1, 2016, the Board shall require a criminal history
records check in accordance with § 14–308.1 of this title for:
(i) Renewal applicants as determined by regulations adopted by the
Board; and
(ii) Each former licensee who files for reinstatement under
subsection (f) of this section.
(2) On receipt of the criminal history record information of a licensee
forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether
disciplinary action should be taken, based on the criminal history record information,
against a licensee who renewed or reinstated a license, the Board shall consider:
(i) The age at which the crime was committed;
(ii) The nature of the crime;
(iii) The circumstances surrounding the crime; WES MOORE, Governor Ch. 872
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(iv) The length of time that has passed since the crime;
(v) Subsequent work history;
(vi) Employment and character references; and
(vii) Other evidence that demonstrates whether the licensee poses a
threat to the public health or safety.
(3) The Board may renew or reinstate a license only if the licensee or
applicant attests that the licensee or applicant has submitted to a criminal history records
check under § 14–308.1 of this title.
14–5B–14.
(a) Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel,
on the affirmative vote of a majority of the quorum of the disciplinary panel, may deny a
license to any applicant, reprimand any licensee, place any licensee on probation, or
suspend or revoke a license, if the applicant or licensee:
(1) Fraudulently or deceptively obtains or attempts to obtain a license for
the applicant, licensed individual, or for another;
(2) Fraudulently or deceptively uses a license;
(3) Is guilty of unprofessional or immoral conduct in the practice of
radiation therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR
LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ;
(4) Is professionally, physically, or mentally incompetent;
(5) Abandons a patient;
(6) Is habitually intoxicated;
(7) Is addicted to or habitually abuses any narcotic or controlled dangerous
substance as defined in § 5–101 of the Criminal Law Article;
(8) Provides professional services while:
(i) Under the influence of alcohol; or
(ii) Using any narcotic or controlled dangerous substance as defined
in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic
amounts or without valid medical indication; Ch. 872 2024 LAWS OF MARYLAND
– 18 –
(9) Promotes the sale of services, drugs, devices, appliances, or goods to a
patient so as to exploit the patient for financial gain;
(10) Willfully makes or files a false report or record in the practice of
radiation therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR
LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ;
(11) Willfully fails to file or record any report as required under law,
willfully impedes or obstructs the filing or recording of a report, or induces another to fail
to file or record a report;
(12) Breaches patient confidentiality;
(13) Pays or agrees to pay any sum or provide any form of remuneration or
material benefit to any person for bringing or referring a patient or accepts or agrees to
accept any sum or any form of remuneration or material benefit from an individual for
bringing or referring a patient;
(14) Knowingly makes a misrepresentation while practicing radiation
therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED
LICENSED RADIOLOGIC TECHNOLOGY ;
(15) Knowingly practices radiation therapy, radiography, nuclear medicine
technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC
TECHNOLOGY with an unauthorized individual or aids an unauthorized individual in the
practice of radiation therapy, radiography, nuclear medicine technology, [or] radiology
assistance, OR LIMITED LICENSED RADIOLOG IC TECHNOLOGY ;
(16) Offers, undertakes, or agrees to cure or treat disease by a secret
method, treatment, or medicine;
(17) Is disciplined by a licensing or disciplinary authority or is convicted or
disciplined by a court of any state or country or is disciplined by any branch of the United
States uniformed services or the Veterans’ Administration for an act that would be grounds
for disciplinary action under the Board’s disciplinary statutes;
(18) Fails to meet appropriate standards for the delivery of quality radiation
therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED
LICENSED RADIOLOGIC TECHNOLOGY care performed in any outpatient surgical facility,
office, hospital or related institution, or any other location in this State;
(19) Knowingly submits false statements to collect fees for which services
are not provided;
WES MOORE, Governor Ch. 872
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(20) (i) Has been subject to investigation or disciplinary action by a
licensing or disciplinary authority or by a court of any state or country for an act that would
be grounds for disciplinary action under the Board’s disciplinary statutes; and
(ii) Has:
1. Surrendered the license issued by the state or country; or
2. Allowed the license issued by the state or country to expire
or lapse;
(21) Knowingly fails to report suspected child abuse in violation of § 5–704
of the Family Law Article;
(22) Sells, prescribes, gives away, or administers drugs for illegal or
illegitimate medical purposes;
(23) Practices or attempts to practice beyond the authorized scope of
practice;
(24) Refuses, withholds from, denies, or discriminates against an individual
with regard to the provision of professional services for which the licensee is licensed and
qualified to render because the individual is HIV positive;
(25) Practices or attempts to practice a radiation therapy, radiography,
nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED
RADIOLOGIC TECHNOLOG Y procedure or uses radiation therapy, radiography, nuclear
medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC
TECHNOLOGY equipment if the applicant or licensee has not received education,
internship, training, or experience in the performance of the procedure or the use of the
equipment;
(26) Fails to cooperate with a lawful investigation conducted by the Board
or a disciplinary panel;
(27) Fails to practice under the supervision of a physician or violates a
supervisory order of a supervising physician; or
(28) Fails to complete a criminal history records check under § 14–308.1 of
this title.
14–5B–17.
(E) EXCEPT AS OTHERWISE P ROVIDED IN THIS SUBT ITLE, A PERSON MAY
NOT PRACTICE, ATTEMPT TO PRACTICE , OR OFFER TO PRACTICE LIMITED LICENSED Ch. 872 2024 LAWS OF MARYLAND
– 20 –
RADIOLOGIC TECHNOLOG Y IN THIS STATE UNLESS LICENSED TO PRACTICE AS A
LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST BY THE BOARD.
14–5B–18.
(a) Unless authorized to practice radiation therapy, radiography, nuclear
medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC
TECHNOLOGY under this subtitle, a person may not represent to the public by title, by
description of services, methods, or procedures, or otherwise, that the person is authorized
to practice radiation therapy, radiography, nuclear medicine technology, [or] radiology
assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y in this State.
(b) A person may not provide, attempt to provide, offer to provide, or represent
that the person provides radiation therapy, radiography, nuclear medicine technology, [or]
radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y care unless the
radiation therapy, radiography, nuclear medicine technology, or radiology assistance care
is provided by an individual who is authorized to practice radiation therapy, radiography,
nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED
RADIOLOGIC TECHNOLOG Y under this subtitle.
14–5B–18.1.
(a) Except as otherwise provided in this subtitle, a licensed physician may not
employ or supervise an individual practicing radiation therapy, radiography, nuclear
medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC
TECHNOLOGY without a license.
(b) Except as otherwise provided in this subtitle, a hospital, related institution,
alternative health system, or employer may not employ an individual practicing radiation
therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED
LICENSED RADIOLOGIC TECHNOLOGY without a license.
(c) A disciplinary panel may impose a civil penalty of up to $1,000 for employing
an individual without a license under this section.
(d) The Board shall remit any penalty collected under this section into the
General Fund of the State.
14–5B–20.
This subtitle may be cited as the “Maryland Radiation Therapy, Radiography,
Nuclear Medicine Technology, [and] Radiology Assistance, AND LIMITED LICENSED
RADIOLOGIC TECHNOLOGY Act”.
WES MOORE, Governor Ch. 872
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SECTION 2. AND BE IT FURTHER ENACTED, That, on or before October 1, 2029,
the State Board of Physicians shall report to the Senate Finance Committee and the House
Health and Government Operations Committee, in accordance with § 2–1257 of the State
Government Article, on:
(1) the number of individuals who have registered with the Board to
perform limited X–ray duties under § 14–306(e) of the Health Occupations Article, as
enacted by Section 1 of this Act; and
(2) its recommendations regarding the continuation of the registration
process or the replacement of the registration process with a limited licensure category.
SECTION 3. AND BE IT FURTHER ENACTED, That this Act may not be construed
to prohibit the establishment of a program that provides the training described in §
14–306(e)(3)(ii) of the Health – General Article, as enacted by Section 1 of this Act, before
the effective date of this Act.
SECTION 2. 4. AND BE IT FURTHER ENACTED, That this Act shall take effect
October January 1, 2024 2025. It shall remain effective for a period of 5 6 years and, at the
end of December 31, 2030, this Act, with no further action required by the General
Assembly, shall be abrogated and of no further force and effect.
Approved by the Governor, May 16, 2024.