Maryland 2024 Regular Session

Maryland Senate Bill SB830 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	WES MOORE, Governor Ch. 871
2	1
3		-	– 1 –
4		-	Chapter 871
5		-	(Senate Bill 830)
6	2
7		-	AN ACT concerning
	3	+	EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
	4	+	[Brackets] indicate matter deleted from existing law.
	5	+	Underlining indicates amendments to bill.
	6	+	Strike out indicates matter stricken from the bill by amendment or deleted from the law by
	7	+	amendment.
	8	+	Italics indicate opposite chamber/conference committee amendments.
	9	+	sb0830
8	10
9		-	Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology
10		-	Assistance – Limited Licensed Radiologic Technologist
11		-	State Board of Physicians – Performance of X–Ray Duties Without a License
	11	+	SENATE BILL 830
	12	+	J2 (4lr1308)
	13	+	ENROLLED BILL
	14	+	— Finance/Health and Government Operations —
	15	+	Introduced by Senator Klausmeier
12	16
13		-	FOR the purpose of establishing a licensing and regulatory system for the practice of
14		-	limited licensed radiologic technology under the State Board of Physicians; altering
15		-	the composition of the Radiation Therapy, Radiography, Nuclear Medicine
16		-	Technology, Radiology Assistance, and Limited Licensed Radiologic Technology
17		-	Advisory Committee; altering the circumstances under which individuals without a
18		-	license to practice medicine may perform X–ray duties; and generally relating to
19		-	limited licensed radiologic technologists the performance of X–ray duties by
20		-	individuals without a license.
	17	+	Read and Examined by Proofreaders:
21	18
22		-	BY repealing and reenacting, with amendments,
23		-	Article – Health Occupations
24		-	Section 14–306(e) 14–206(e)(2)(iii); and 14–5B–01, 14–5B–05 through 14–5B–09,
25		-	14–5B–12, 14–5B–14(a), 14–5B–18, 14–5B–18.1, and 14–5B–20 to be under
26		-	the amended subtitle “Subtitle 5B. Radiation Therapy, Radiography, Nuclear
27		-	Medicine Technology, Radiology Assistance, and Limited Licensed Radiologic
28		-	Technology”
29		-	Annotated Code of Maryland
30		-	(2021 Replacement Volume and 2023 Supplement)
	19	+	_______________________________________________
	20	+	Proofreader.
	21	+	_______________________________________________
	22	+	Proofreader.
31	23
32		-	BY adding to
33		-	Article – Health Occupations
34		-	Section 14–306(g) and (h)
35		-	Annotated Code of Maryland
36		-	(2021 Replacement Volume and 2023 Supplement)
	24	+	Sealed with the Great Seal and presented to the Governor, for his approval this
37	25
38		-	BY repealing and reenacting, without amendments,
39		-	Article – Health Occupations
40		-	Section 14–5B–03 and 14–5B–10
41		-	Annotated Code of Maryland
42		-	(2021 Replacement Volume and 2023 Supplement)
	26	+	_______ day of _______________ at _________________ _______ o’clock, ________M.
43	27
44		-	BY adding to
45		-	Article – Health Occupations
46		-	Section 14–5B–09.1, 14–5B–11(e), and 14–5B–17(e)
47		-	Annotated Code of Maryland
48		-	(2021 Replacement Volume and 2023 Supplement)
49		-	Ch. 871 2024 LAWS OF MARYLAND
	28	+	______________________________________________
	29	+	President.
50	30
51		-	– 2 –
52		-	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
53		-	That the Laws of Maryland read as follows:
	31	+	CHAPTER ______
54	32
55		-	~~Article – Health Occupations~~
	33	+	AN ACT concerning 1
56	34
57		-	14–306.
	35	+	Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology 2
	36	+	Assistance – Limited Licensed Radiologic Technologist 3
	37	+	State Board of Physicians – Performance of X–Ray Duties Without a License 4
58	38
59		-	(e) Except as otherwise provided in this section AND IN ACCORDANCE WITH
60		-	REGULATIONS ADOPTED BY THE BOARD, an individual may perform X–ray duties
61		-	without a license only if the duties:
	39	+	FOR the purpose of establishing a licensing and regulatory system for the practice of 5
	40	+	limited licensed radiologic technology under the State Board of Physicians; altering 6
	41	+	the composition of the Radiation Therapy, Radiography, Nuclear Medicine 7
	42	+	Technology, Radiology Assistance, and Limited Licensed Radiologic Technology 8
	43	+	Advisory Committee; altering the circumstances under which individuals without a 9
	44	+	license to practice medicine may perform X–ray duties; and generally relating to 10
	45	+	limited licensed radiologic technologists the performance of X–ray duties by 11
	46	+	individuals without a license. 12
62	47
63		-	(1) Do not include:
	48	+	BY repealing and reenacting, with amendments, 13
	49	+	Article – Health Occupations 14 2 SENATE BILL 830
64	50
65		-	(i) Computerized or noncomputerized tomography;
66	51
67		-	(ii) Fluoroscopy;
	52	+	Section 14–306(e) 14–206(e)(2)(iii); and 14–5B–01, 14–5B–05 through 14–5B–09, 1
	53	+	14–5B–12, 14–5B–14(a), 14–5B–18, 14–5B–18.1, and 14–5B–20 to be under 2
	54	+	the amended subtitle “Subtitle 5B. Radiation Therapy, Radiography, Nuclear 3
	55	+	Medicine Technology, Radiology Assistance, and Limited Licensed Radiologic 4
	56	+	Technology” 5
	57	+	Annotated Code of Maryland 6
	58	+	(2021 Replacement Volume and 2023 Supplement) 7
68	59
69		-	(iii) Invasive radiology;
	60	+	BY adding to 8
	61	+	Article – Health Occupations 9
	62	+	Section 14–306(g) and (h) 10
	63	+	Annotated Code of Maryland 11
	64	+	(2021 Replacement Volume and 2023 Supplement) 12
70	65
71		-	(iv) Mammography;
	66	+	BY repealing and reenacting, without amendments, 13
	67	+	Article – Health Occupations 14
	68	+	Section 14–5B–03 and 14–5B–10 15
	69	+	Annotated Code of Maryland 16
	70	+	(2021 Replacement Volume and 2023 Supplement) 17
72	71
73		-	(v) Nuclear medicine;
	72	+	BY adding to 18
	73	+	Article – Health Occupations 19
	74	+	Section 14–5B–09.1, 14–5B–11(e), and 14–5B–17(e) 20
	75	+	Annotated Code of Maryland 21
	76	+	(2021 Replacement Volume and 2023 Supplement) 22
74	77
75		-	(vi) Radiation therapy; or
	78	+	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 23
	79	+	That the Laws of Maryland read as follows: 24
76	80
77		-	~~(vii) Xerography;~~
	81	+	Article – Health Occupations 25
78	82
79		-	~~(2) Are limited to X–ray procedures of the:~~
	83	+	14–306. 26
80	84
81		-	(i) Chest[, anterior–posterior and lateral];
	85	+	(e) Except as otherwise provided in this section AND IN ACCORDANCE WITH 27
	86	+	REGULATIONS ADOPTED BY THE BOARD, an individual may perform X–ray duties 28
	87	+	without a license only if the duties: 29
82	88
83		-	(ii) ~~Spine[, anterior–posterior and lateral; or], INCLUDING THE~~ :
	89	+	(1) Do not include: 30
84	90
85		-	~~1. CERVICAL SPINE~~;
	91	+	(i) Computerized or noncomputerized tomography; 31
86	92
87		-	~~2. LUMBAR SPINE~~;
	93	+	(ii) Fluoroscopy; 32
88	94
89		-	~~3. SACROILIAC JOINTS~~ ;
	95	+	(iii) Invasive radiology; 33
90	96
91		-	4. SACRUM AND COCCYX; AND
	97	+	(iv) Mammography; 34
	98	+	SENATE BILL 830 3
92	99
93		-	5. THORACIC SPINE ;
94	100
95		-	(iii) [Extremities, anterior–posterior and lateral, not including the
96		-	head; and] LOWER EXTREMITIES , INCLUDING: WES MOORE, Governor Ch. 871
	101	+	(v) Nuclear medicine; 1
97	102
98		-	~~– 3 –~~
	103	+	(vi) Radiation therapy; or 2
99	104
100		-	~~1. TOES~~;
	105	+	(vii) Xerography; 3
101	106
102		-	2. THE ~~FOOT;~~
	107	+	(2) Are limited to X–ray procedures of the: 4
103	108
104		-	~~3. THE ANKLE~~;
	109	+	(i) Chest[, anterior–posterior and lateral]; 5
105	110
106		-	4. THE ~~CALCANEUS ;~~
	111	+	(ii) Spine[, anterior–posterior and lateral; or], INCLUDING THE : 6
107	112
108		-	5. ~~THE TIBIA AND FIBULA~~ ;
	113	+	1. CERVICAL SPINE; 7
109	114
110		-	6. ~~THE KNEE AND PATELLA~~ ; ~~AND~~
	115	+	2. LUMBAR SPINE; 8
111	116
112		-	7. ~~THE FEMUR~~; ~~AND~~
	117	+	3. SACROILIAC JOINTS ; 9
113	118
114		-	~~(IV) UPPER EXTREMITIES , INCLUDING:~~
	119	+	4. SACRUM AND COCCYX; AND 10
115	120
116		-	1. ~~FINGERS~~;
	121	+	5. THORACIC SPINE ; 11
117	122
118		-	2. THE HAND;
	123	+	(iii) [Extremities, anterior–posterior and lateral, not including the 12
	124	+	head; and] LOWER EXTREMITIES , INCLUDING: 13
119	125
120		-	3. ~~THE WRIST~~;
	126	+	1. TOES; 14
121	127
122		-	4. THE ~~FOREARM~~ ;
	128	+	2. THE FOOT; 15
123	129
124		-	5. THE ~~ELBOW~~;
	130	+	3. THE ANKLE; 16
125	131
126		-	6. THE ~~HUMERUS~~ ;
	132	+	4. THE CALCANEUS ; 17
127	133
128		-	7. THE ~~SHOULDER~~ ;
	134	+	5. THE TIBIA AND FIBULA ; 18
129	135
130		-	8. THE ~~CLAVICLE~~;
	136	+	6. THE KNEE AND PATELLA ; AND 19
131	137
132		-	9. ~~ACROMIOCLAVICULAR JOI NTS~~; AND
	138	+	7. THE FEMUR; AND 20
133	139
134		-	~~10. THE SCAPULA;~~ ~~AND~~
	140	+	(IV) UPPER EXTREMITIES , INCLUDING: 21
135	141
136		-	~~(3) Are performed:~~
	142	+	1. FINGERS; 22
137	143
138		-	~~(i) [By~~ ~~an individual who is not employed primarily to perform~~
139		-	~~X–ray duties;~~
	144	+	2. THE HAND; 23
	145	+	4 SENATE BILL 830
140	146
141		-	(ii)] In the [medical office of the physician who delegates the duties]
142		-	PHYSICIAN’S OFFICE UNDER THE S UPERVISION OF A LICE NSED PHYSICIAN OR Ch. 871 2024 LAWS OF MARYLAND
143	147
144		-	– 4 –
145		-	RADIOLOGIC TECHNOLOG IST WHO IS ON–SITE OR ABLE TO PROV IDE IMMEDIATELY
146		-	AVAILABLE DIRECTION ; and
	148	+	3. THE WRIST; 1
147	149
148		-	~~[(iii)] (II) 1~~. ~~By an individual who[, before October 1, 2002,] has:~~
	150	+	4. THE FOREARM ; 2
149	151
150		-	A. [Taken a course consisting of at least 30 hours of training
151		-	in performing X–ray procedures approved by the Maryland Radiological Society in
152		-	consultation with the Maryland Society of Radiologic Technologists] ATTESTED TO THE
153		-	COMPLETION OF AT LEA ST 6 MONTHS OF CLINICAL CARE EXPERIENCE ; and
	152	+	5. THE ELBOW; 3
154	153
155		-	B. [Successfully passed an examination based on that course
156		-	that has been approved by the Maryland Radiological Society in consultation with the
157		-	Maryland Society of Radiologic Technologists; or] COMPLETED A LIMITED S COPE X–RAY
158		-	EDUCATIONAL PROGRAM CONSISTING OF AT LEA ST 115 HOURS OF DIDACTIC
159		-	TRAINING DELIVERED B Y A RADIOLOGIC TECHN OLOGIST CERTIFIED BY THE
160		-	AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS PROVIDI NG INSTRUCTION
161		-	IN RADIOGRAPHIC ANAT OMY, PROCEDURES , AND PATHOLOGY , DIGITAL IMAGE
162		-	ACQUISITION AND DISP LAY, FUNDAMENTALS , ETHICS, AND LAWS OF HEALTH C ARE,
163		-	HUMAN ANATOMY AND PH YSIOLOGY, IMAGE PRODUCTION AND ANALYSIS, IMAGING
164		-	EQUIPMENT AND RADIAT ION PRODUCTION , MEDICAL TERMINOLOGY , AND PATIENT
165		-	CARE;
	154	+	6. THE HUMERUS ; 4
166	155
167		-	C. COMPLETED AT LEAST 480 HOURS OF CLINICAL
168		-	TRAINING AND SUCCESS FULLY COMPLETED A MI NIMUM OF FIVE COMPET ENCIES IN
169		-	EACH BODY PART LISTE D IN ITEM (2) OF THIS SUBSECTION U NDER THE DIRECT
170		-	SUPERVISION OF A RAD IOLOGIC TECHNOLOGIST CERTIFIED BY THE AMERICAN
171		-	REGISTRY OF RADIOLOGIC TECHNOLOGISTS ;
	156	+	7. THE SHOULDER ; 5
172	157
173		-	D. ACHIEVED A PASSING SC ORE, AS DETERMINED BY
174		-	THE BOARD, ON THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS
175		-	EXAMINATION FOR LIMI TED SCOPE OF PRACTIC E IN RADIOGRAPHY OR AN
176		-	ALTERNATIVE EXAMINAT ION APPROVED BY THE BOARD; AND
	158	+	8. THE CLAVICLE; 6
177	159
178		-	E. REGISTERED WITH THE BOARD ATTESTING TO TH E
179		-	COMPLETION OF THE RE QUIREMENTS OF THIS I TEM AND THE COMPLETI ON OF AT
180		-	LEAST 24 HOURS OF APPROVED CO NTINUING EDUCATION C REDITS EARNED DURING
181		-	THE 2–YEAR PERIOD IMMEDIAT ELY FOLLOWING THE DA TE OF IN ITIAL
182		-	REGISTRATION AND EVE RY 2 YEARS THEREAFTER ; OR
	160	+	9. ACROMIOCLAVICULAR JOI NTS; AND 7
183	161
184		-	2. By a licensed physician assistant who has completed a
185		-	course that includes anterior–posterior and lateral radiographic studies of extremities on
186		-	at least 20 separate patients under the direct supervision of the delegating physician or
187		-	radiologist using a mini C–arm or similar low–level radiation machine to perform
188		-	nonfluoroscopic X–ray procedures, if the duties: WES MOORE, Governor Ch. 871
	162	+	10. THE SCAPULA; AND 8
189	163
190		-	~~– 5 –~~
	164	+	(3) Are performed: 9
191	165
192		-	~~A. Include only the X–ray procedures described in paragraph~~
193		-	~~(2)(iii) of this subsection~~; ~~and~~
	166	+	(i) [By an individual who is not employed primarily to perform 10
	167	+	X–ray duties; 11
194	168
195		-	B. Are performed pursuant to a Board–approved delegation
196		-	agreement that includes a request to perform advanced duties under § 15–302(c)(2) of this
197		-	article.
	169	+	(ii)] In the [medical office of the physician who delegates the duties] 12
	170	+	PHYSICIAN’S OFFICE UNDER THE S UPERVISION OF A LICE NSED PHYSICIAN OR 13
	171	+	RADIOLOGIC TECHNOLOG IST WHO IS ON–SITE OR ABLE TO PROVIDE IMMED IATELY 14
	172	+	AVAILABLE DIRECTION ; and 15
198	173
199		-	(G) IN ACCORDANCE WITH RE GULATIONS ADOPTED BY THE BOARD, A
200		-	PHYSICIAN’S OFFICE THAT EMPLOYS AN INDIVIDUA L AUTHORIZED TO PERF ORM
201		-	X–RAY DUTIES WITHOUT A LICENSE UNDER SUBSEC TION (E) OF THIS SECTION IS
202		-	RESPONSIBLE FOR ENSU RING THAT ALL REQUIR EMENTS OF SUBSECTION (E) OF
203		-	THIS SECTION ARE MET FOR EACH X–RAY EXAMINATION PERF ORMED.
	174	+	[(iii)] (II) 1. By an individual who[, before October 1, 2002,] has: 16
204	175
205		-	(H) IF AN UNLICENSED INDIVIDUA L PERFORMS X–RAY DUTIES WITHOUT
206		-	MEETING THE REQUIREM ENTS OF SUBSECTION (E) OF THIS SECTION , THE BOARD
207		-	MAY IMPOSE A CIVIL P ENALTY OF UP TO :
	176	+	A. [Taken a course consisting of at least 30 hours of training 17
	177	+	in performing X–ray procedures approved by the Maryland Radiological Society in 18
	178	+	consultation with the Maryland Society of Radiologic Technologists] ATTESTED TO THE 19
	179	+	COMPLETION OF AT LEA ST 6 MONTHS OF CLINICAL C ARE EXPERIENCE ; and 20
208	180
209		-	(1) $5,000 FOR EACH VIOLATION O N THE PHYSICIAN’S OFFICE WHERE
210		-	THE VIOLATION OCCURR ED; AND
	181	+	B. [Successfully passed an examination based on that course 21
	182	+	that has been approved by the Maryland Radiological Society in consultation with the 22
	183	+	Maryland Society of Radiologic Technologists; or] COMPLETED A LIMITED S COPE X–RAY 23
	184	+	EDUCATIONAL PROGRAM CONSISTING OF AT LEA ST 115 HOURS OF DIDACTIC 24
	185	+	TRAINING DELIVERED B Y A RADIOLOGIC TECHN OLOGIST C ERTIFIED BY THE 25
	186	+	AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS PROVIDI NG INSTRUCTION 26
	187	+	IN RADIOGRAPHIC ANAT OMY, PROCEDURES , AND PATHOLOGY , DIGITAL IMAGE 27
	188	+	ACQUISITION AND DISP LAY, FUNDAMENTALS , ETHICS, AND LAWS OF HEALTH C ARE, 28
	189	+	HUMAN ANATOMY AND PH YSIOLOGY, IMAGE PRODUCTION AND ANA LYSIS, IMAGING 29
	190	+	EQUIPMENT AND RADIAT ION PRODUCTION , MEDICAL TERMINOLOGY , AND PATIENT 30
	191	+	CARE; 31 SENATE BILL 830 5
211	192
212		-	(2) $1,000 FOR EACH VIOLATION O N THE INDIVIDUAL WHO
213		-	COMMITTED THE VIOLAT ION.
214	193
215		-	14–206.
216	194
217		-	(e) A disciplinary panel may issue a cease and desist order or obtain injunctive
218		-	relief against an individual for:
	195	+	C. COMPLETED AT LEAST 480 HOURS OF CLINICAL 1
	196	+	TRAINING AND SUCCESS FULLY COMPLETED A MI NIMUM OF FIVE COMPET ENCIES IN 2
	197	+	EACH BODY PART LISTE D IN ITEM (2) OF THIS SUBSECTION U NDER THE DIRECT 3
	198	+	SUPERVISION OF A RAD IOLOGIC TECHNOLOGIST CERTIFIED BY THE AMERICAN 4
	199	+	REGISTRY OF RADIOLOGIC TECHNOLOGISTS ; 5
219	200
220		-	(2) Representing to the public, by title, description of services, methods,
221		-	procedures, or otherwise, that the individual is authorized to practice:
	201	+	D. ACHIEVED A PASSING SC ORE, AS DETERMINED BY 6
	202	+	THE BOARD, ON THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS 7
	203	+	EXAMINATION FOR LIMI TED SCOPE OF PRACTIC E IN RADIOGRAPHY OR AN 8
	204	+	ALTERNATIVE EXAMINAT ION APPROVED BY THE BOARD; AND 9
222	205
223		-	(iii) Radiation therapy, radiography, nuclear medicine technology,
224		-	[or] radiation assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y in this
225		-	State, in violation of § 14–5B–18 of this title;
	206	+	E. REGISTERED WITH THE BOARD ATTESTING TO TH E 10
	207	+	COMPLETION OF THE RE QUIREMENTS OF THIS I TEM AND THE COMPLETI ON OF AT 11
	208	+	LEAST 24 HOURS OF APPROVED CONTINUI NG EDUCATION CREDITS EARNED DURING 12
	209	+	THE 2–YEAR PERIOD IMMEDIAT ELY FOLLOWING THE DA TE OF INITIAL 13
	210	+	REGISTRATION AND EVE RY 2 YEARS THEREAFTER ; OR 14
226	211
227		-	Subtitle 5B. Radiation Therapy, Radiography, Nuclear Medicine Technology, [and]
228		-	Radiology Assistance, AND LIMITED LICENSED RADIOLOGIC TECHNOLOGY .
	212	+	2. By a licensed physician assistant who has completed a 15
	213	+	course that includes anterior–posterior and lateral radiographic studies of extremities on 16
	214	+	at least 20 separate patients under the direct supervision of the delegating physician or 17
	215	+	radiologist using a mini C–arm or similar low–level radiation machine to perform 18
	216	+	nonfluoroscopic X–ray procedures, if the duties: 19
229	217
230		-	14–5B–01.
	218	+	A. Include only the X–ray procedures described in paragraph 20
	219	+	(2)(iii) of this subsection; and 21
231	220
232		-	(a) In this subtitle the following words have the meanings indicated.
	221	+	B. Are performed pursuant to a Board–approved delegation 22
	222	+	agreement that includes a request to perform advanced duties under § 15–302(c)(2) of this 23
	223	+	article. 24
233	224
234		-	(b) “Board” means the State Board of Physicians.
235		-	Ch. 871 2024 LAWS OF MARYLAND
	225	+	(G) IN ACCORDANCE WITH RE GULATIONS ADOPTED BY THE BOARD, A 25
	226	+	PHYSICIAN’S OFFICE THAT EMPLOY S AN INDIVIDUAL AUTH ORIZED TO PERFORM 26
	227	+	X–RAY DUTIES WITHOUT A LICENSE UNDER SUBSEC TION (E) OF THIS SECTION IS 27
	228	+	RESPONSIBLE FOR ENSU RING THAT ALL REQUIREMENTS OF SUBSECTION (E) OF 28
	229	+	THIS SECTION ARE MET FOR EACH X–RAY EXAMINATION PERF ORMED. 29
236	230
237		-	– ~~6 –~~
238		-	~~(c) “Certification” means recognition~~ of ~~an individual who has satisfied certain~~
239		-	~~standards required by~~ a ~~national certifying board.~~
	231	+	(H) IF AN UNLICENSED INDI VIDUAL PERFORMS X–RAY DUTIES WITHOUT 30
	232	+	MEETING THE REQUIREM ENTS OF SUBSECTION (E) OF THIS SECTION , THE BOARD 31
	233	+	MAY IMPOSE A CIVIL P ENALTY OF UP TO: 32
240	234
241		-	(d) ~~“Committee” means~~ the ~~Radiation Therapy,~~ ~~Radiography, Nuclear Medicine~~
242		-	~~Technology, [and] Radiology Assistance,~~ AND ~~LIMITED LICENSED RADIOLOGIC~~
243		-	~~TECHNOLOGY Advisory Committee of the Board.~~
	235	+	(1) $5,000 FOR EACH VIOLATION O N THE PHYSICIAN’S OFFICE WHERE 33
	236	+	THE VIOLATION OCCURR ED; AND 34
	237	+	6 SENATE BILL 830
244	238
245		-	[(f)] (E) “License” means a license issued by the Board to practice as a radiation
246		-	therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant, OR
247		-	LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST .
248	239
249		-	~~[(g)]~~ (F) ~~“Licensed nuclear medicine technologist”~~ ~~means a nuclear medicine~~
250		-	~~technologist who is licensed by~~ the ~~Board to practice nuclear medicine technology~~.
	240	+	(2) $1,000 FOR EACH VIOLATION O N THE INDIVIDUAL WHO 1
	241	+	COMMITTED THE VIOLAT ION. 2
251	242
252		-	[(h)] (G) “Licensed radiation therapist” means a radiation therapist who is
253		-	licensed by the Board to practice radiation therapy.
	243	+	14–206. 3
254	244
255		-	~~[(i)]~~ (H) ~~“Licensed radiographer” means~~ a ~~radiographer who is licensed by the~~
256		-	~~Board to practice radiography.~~
	245	+	(e) A disciplinary panel may issue a cease and desist order or obtain injunctive 4
	246	+	relief against an individual for: 5
257	247
258		-	~~[(j)]~~ (I) ~~“Licensed radiologist assistant” means an individual who is licensed~~ to
259		-	~~practice radiology assistance under~~ the ~~supervision of a licensed physician who~~:
	248	+	(2) Representing to the public, by title, description of services, methods, 6
	249	+	procedures, or otherwise, that the individual is authorized to practice: 7
260	250
261		-	(1) Specializes in radiology; and
	251	+	(iii) Radiation therapy, radiography, nuclear medicine technology, 8
	252	+	[or] radiation assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y in this 9
	253	+	State, in violation of § 14–5B–18 of this title; 10
262	254
263		-	(2) Is certified by:
	255	+	Subtitle 5B. Radiation Therapy, Radiography, Nuclear Medicine Technology, [and] 11
	256	+	Radiology Assistance, AND LIMITED LICENSED RADIOLOGIC TECHNOLOGY . 12
264	257
265		-	~~(i) The American Board of Radiology;~~
	258	+	14–5B–01. 13
266	259
267		-	(ii) The ~~American Osteopathic Board of Radiology;~~
	260	+	(a) In this subtitle the following words have the meanings indicated. 14
268	261
269		-	(~~iii~~) The ~~British Royal College~~ of ~~Radiology; or~~
	262	+	(b) “Board” means the State Board of Physicians. 15
270	263
271		-	(iv) The Canadian College of Physicians and Surgeons.
	264	+	(c) “Certification” means recognition of an individual who has satisfied certain 16
	265	+	standards required by a national certifying board. 17
272	266
273		-	(J) “~~LIMITED LICENSED RADI OLOGIC TECHNOLOGIST~~ ” MEANS AN
274		-	~~INDIVIDUAL WHO IS LICENSED TO PRACTICE~~ LIMITED LICENSED ~~RAD IOLOGIC~~
275		-	TECHNOLOGY ~~UNDER~~ THE ~~SUPERVISION OF A LIC ENSED PHYSICIAN~~ .
	267	+	(d) “Committee” means the Radiation Therapy, Radiography, Nuclear Medicine 18
	268	+	Technology, [and] Radiology Assistance, AND LIMITED LICENSED RADIOLOGIC 19
	269	+	TECHNOLOGY Advisory Committee of the Board. 20
276	270
277		-	(k) “~~Licensee~~” means ~~an individual who is licensed~~ by the Board to practice as a
278		-	~~radiation~~ therapist, a radiographer, a nuclear medicine technologist, [or] radiologist
279		-	~~assistant, OR~~ LIMITED LICENSED ~~RADIOLOGIC TECHNOLOG IST~~.
	271	+	[(f)] (E) “License” means a license issued by the Board to practice as a radiation 21
	272	+	therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant, OR 22
	273	+	LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST . 23
280	274
281		-	(l) “~~National certifying board~~” means:
282		-	~~WES MOORE,~~ ~~Governor~~ Ch. ~~871~~
	275	+	[(g)] (F) “Licensed nuclear medicine technologist” means a nuclear medicine 24
	276	+	technologist who is licensed by the Board to practice nuclear medicine technology. 25
283	277
284		-	~~– 7 –~~
285		-	~~(1)~~ The ~~American Registry of Radiologic Technologists;~~
	278	+	[(h)] (G) “Licensed radiation therapist” means a radiation therapist who is 26
	279	+	licensed by the Board to practice radiation therapy. 27
286	280
287		-	(2) The Nuclear Medicine Technology Certifying Board; or
	281	+	[(i)] (H) “Licensed radiographer” means a radiographer who is licensed by the 28
	282	+	Board to practice radiography. 29
288	283
289		-	(3) Another certifying organization approved by the Board.
	284	+	[(j)] (I) “Licensed radiologist assistant” means an individual who is licensed to 30
	285	+	practice radiology assistance under the supervision of a licensed physician who: 31 SENATE BILL 830 7
290	286
291		-	(M) “PRACTICE LIMITED LICE NSED RADIOLOGIC TECH NOLOGY” MEANS TO
292		-	PERFORM RADIOGRAPHIC PROCEDURES EMPLOYING EQUIPMENT THAT EMITS
293		-	IONIZING RADIATION T HAT IS LIMITED TO SP ECIFIC AREAS OF THE HUMAN BODY .
294	287
295		-	[(m)] (N) “Practice nuclear medicine technology” means to:
296	288
297		-	(1) ~~Prepare~~ and ~~administer radiopharmaceuticals to human beings; or~~
	289	+	(1) Specializes in radiology; and 1
298	290
299		-	(2) Conduct in vivo detection and measurement of radioactivity for medical
300		-	purposes to assist in the diagnosis and treatment of disease or injury.
	291	+	(2) Is certified by: 2
301	292
302		-	[(n)] (O) “Practice radiation therapy” means to perform tumor localization
303		-	radiography and apply therapeutic doses of radiation for the treatment of disease or injury.
	293	+	(i) The American Board of Radiology; 3
304	294
305		-	~~[(o)]~~ (P) ~~“Practice radiography”~~ ~~means to use ionizing radiation to:~~
	295	+	(ii) The American Osteopathic Board of Radiology; 4
306	296
307		-	(1) Demonstrate portions of the human body to assist in the diagnosis or
308		-	localization of disease or injury; or
	297	+	(iii) The British Royal College of Radiology; or 5
309	298
310		-	(2) ~~Perform tumor localization radiography~~.
	299	+	(iv) The Canadian College of Physicians and Surgeons. 6
311	300
312		-	[(p)] (Q) “Practice radiology assistance” means to practice radiography and to
313		-	perform:
	301	+	(J) “LIMITED LICENSED RADI OLOGIC TECHNOLOGIST ” MEANS AN 7
	302	+	INDIVIDUAL WHO IS LI CENSED TO PRACTICE L IMITED LICENSED RADI OLOGIC 8
	303	+	TECHNOLOGY UNDER THE SUPERVISION OF A LIC ENSED PHYSICIAN . 9
314	304
315		-	(1) Fluoroscopy and selected radiology procedures;
	305	+	(k) “Licensee” means an individual who is licensed by the Board to practice as a 10
	306	+	radiation therapist, a radiographer, a nuclear medicine technologist, [or] radiologist 11
	307	+	assistant, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST. 12
316	308
317		-	(2) ~~Patient assessment;~~ ~~and~~
	309	+	(l) “National certifying board” means: 13
318	310
319		-	(3) ~~Patient management.~~
	311	+	(1) The American Registry of Radiologic Technologists; 14
320	312
321		-	[(q)] (R) “Supervision” means the responsibility of a licensed physician to
322		-	exercise on–site or immediately available direction for licensees.
	313	+	(2) The Nuclear Medicine Technology Certifying Board; or 15
323	314
324		-	~~14–5B–03~~.
	315	+	(3) Another certifying organization approved by the Board. 16
325	316
326		-	The Board shall adopt regulations to carry out the provisions of this subtitle.
	317	+	(M) “PRACTICE LIMITED LICE NSED RADIOLOGIC TECH NOLOGY” MEANS TO 17
	318	+	PERFORM RADIOGRAPHIC PROCE DURES EMPLOYING EQUI PMENT THAT EMITS 18
	319	+	IONIZING RADIATION T HAT IS LIMITED TO SP ECIFIC AREAS OF THE HUMAN BODY . 19
327	320
328		-	14–5B–05.
329		-	Ch. 871 2024 LAWS OF MARYLAND
	321	+	[(m)] (N) “Practice nuclear medicine technology” means to: 20
330	322
331		-	– 8 –
332		-	(a) There is a Radiation Therapy, Radiography, Nuclear Medicine Technology,
333		-	[and] Radiology Assistance, AND LIMITED LICENSED RADIOLOGIC TECHNOLOGY
334		-	Advisory Committee within the Board.
	323	+	(1) Prepare and administer radiopharmaceuticals to human beings; or 21
335	324
336		-	(b) (1) The Committee consists of [nine] 11 members appointed by the Board.
	325	+	(2) Conduct in vivo detection and measurement of radioactivity for medical 22
	326	+	purposes to assist in the diagnosis and treatment of disease or injury. 23
337	327
338		-	(2) Of the [nine] members:
	328	+	[(n)] (O) “Practice radiation therapy” means to perform tumor localization 24
	329	+	radiography and apply therapeutic doses of radiation for the treatment of disease or injury. 25
339	330
340		-	(i) One shall be a licensed physician who specializes in radiology;
	331	+	[(o)] (P) “Practice radiography” means to use ionizing radiation to: 26
	332	+	8 SENATE BILL 830
341	333
342		-	(ii) One shall be a licensed physician who specializes in radiology
343		-	and who supervises a radiologist assistant OR LIMITED LICENSED RADIOLOGIC
344		-	TECHNOLOGIST ;
345	334
346		-	(~~iii~~) ~~One shall be a licensed physician who specializes~~ in ~~nuclear~~
347		-	~~medicine~~;
	335	+	(1) Demonstrate portions of the human body to assist in the diagnosis or 1
	336	+	localization of disease or injury; or 2
348	337
349		-	(iv) One shall be a licensed physician who specializes in radiation
350		-	oncology;
	338	+	(2) Perform tumor localization radiography. 3
351	339
352		-	(v) One shall be a radiation therapist;
	340	+	[(p)] (Q) “Practice radiology assistance” means to practice radiography and to 4
	341	+	perform: 5
353	342
354		-	(vi) ~~One shall be a radiographer~~;
	343	+	(1) Fluoroscopy and selected radiology procedures; 6
355	344
356		-	(~~vii~~) ~~One shall be a radiologist assistant~~;
	345	+	(2) Patient assessment; and 7
357	346
358		-	(~~viii~~) ~~One shall be a nuclear medicine technologist; [and]~~
	347	+	(3) Patient management. 8
359	348
360		-	(IX) ~~ONE SHALL BE~~ A ~~LIMITE D~~ LICENSED ~~RADIOLOGIC~~
361		-	~~TECHNOLOGIST ; AND~~
	349	+	[(q)] (R) “Supervision” means the responsibility of a licensed physician to 9
	350	+	exercise on–site or immediately available direction for licensees. 10
362	351
363		-	~~[(ix)] (X) [One] TWO shall be [a] consumer [member] MEMBERS~~.
	352	+	14–5B–03. 11
364	353
365		-	(c) (1) From among its members, the Committee shall elect a chair once every
366		-	2 years.
	354	+	The Board shall adopt regulations to carry out the provisions of this subtitle. 12
367	355
368		-	(2) The chair, or the chair’s designee, shall serve in an advisory capacity to
369		-	the Board as a representative of the Committee.
	356	+	14–5B–05. 13
370	357
371		-	(d) The consumer [member] MEMBERS of the Committee:
	358	+	(a) There is a Radiation Therapy, Radiography, Nuclear Medicine Technology, 14
	359	+	[and] Radiology Assistance, AND LIMITED LICENSED RADIOLOGIC TECHNOLOGY 15
	360	+	Advisory Committee within the Board. 16
372	361
373		-	(1) ~~Shall be~~ [~~a member]~~ MEMBERS of the ~~general public;~~
	362	+	(b) (1) The Committee consists of [nine] 11 members appointed by the Board. 17
374	363
375		-	(2) May not be or ever have been a health care professional or in training
376		-	to be a health care professional; and WES MOORE, Governor Ch. 871
	364	+	(2) Of the [nine] members: 18
377	365
378		-	~~– 9 –~~
	366	+	(i) One shall be a licensed physician who specializes in radiology; 19
379	367
380		-	(3) May not:
	368	+	(ii) One shall be a licensed physician who specializes in radiology 20
	369	+	and who supervises a radiologist assistant OR LIMITED LICENSED RADIOLOGIC 21
	370	+	TECHNOLOGIST ; 22
381	371
382		-	(i) Participate or ever have participated in a commercial or
383		-	professional field related to radiation therapy, radiography, nuclear medicine technology,
384		-	[or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y;
	372	+	(iii) One shall be a licensed physician who specializes in nuclear 23
	373	+	medicine; 24
385	374
386		-	(ii) Have a household member who participates in a commercial or
387		-	professional field related to radiation therapy, radiography, nuclear medicine technology,
388		-	[or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y; or
	375	+	(iv) One shall be a licensed physician who specializes in radiation 25
	376	+	oncology; 26
389	377
390		-	(iii) Have had within 2 years before appointment a financial interest
391		-	in a person regulated by the Board.
	378	+	(v) One shall be a radiation therapist; 27
392	379
393		-	(e) ~~(1) The term of~~ a ~~member is 3 years.~~
	380	+	(vi) One shall be a radiographer; 28 SENATE BILL 830 9
394	381
395		-	(2) The terms of members are staggered as required by regulation.
396	382
397		-	(3) At the end of a term, a member continues to serve until a successor is
398		-	appointed and qualifies.
399	383
400		-	(4) A ~~member may not serve more than 2 consecutive full terms.~~
	384	+	(vii) One shall be a radiologist assistant; 1
401	385
402		-	~~14–5B–06.~~
	386	+	(viii) One shall be a nuclear medicine technologist; [and] 2
403	387
404		-	(a) ~~In addition to the powers set forth elsewhere in this subtitle, the Committee~~
405		-	~~shall:~~
	388	+	(IX) ONE SHALL BE A LIMITE D LICENSED RADIOLOGI C 3
	389	+	TECHNOLOGIST ; AND 4
406	390
407		-	(1) Make recommendations to the Board on regulations necessary to carry
408		-	out the provisions of this subtitle;
	391	+	[(ix)] (X) [One] TWO shall be [a] consumer [member] MEMBERS. 5
409	392
410		-	(2) Make recommendations to the Board on a code of ethics for the practice
411		-	of radiation therapy, the practice of radiography, the practice of nuclear medicine
412		-	technology, [and] the practice of radiology assistance, AND THE PRACTICE OF LIMITED
413		-	LICENSED RADIOLOGIC TECHNOLOGY for adoption by the Board;
	393	+	(c) (1) From among its members, the Committee shall elect a chair once every 6
	394	+	2 years. 7
414	395
415		-	(3) On request, make recommendations to the Board on standards of care
416		-	for the practice of radiation therapy, the practice of radiography, the practice of nuclear
417		-	medicine technology, [and] the practice of radiology assistance, AND THE PRACTICE OF
418		-	LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ;
	396	+	(2) The chair, or the chair’s designee, shall serve in an advisory capacity to 8
	397	+	the Board as a representative of the Committee. 9
419	398
420		-	(4) Make recommendations to the Board on the requirements for licensure
421		-	as a radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist
422		-	assistant, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST;
423		-	Ch. 871 2024 LAWS OF MARYLAND
	399	+	(d) The consumer [member] MEMBERS of the Committee: 10
424	400
425		-	– 10 –
426		-	(5) On request, review applications for licensure as a radiation therapist,
427		-	radiographer, nuclear medicine technologist, [or] radiologist assistant, OR LIMITED
428		-	LICENSED RADIOLOGIC TECHNOLOGIST and make recommendations to the Board;
	401	+	(1) Shall be [a member] MEMBERS of the general public; 11
429	402
430		-	(6) ~~Develop and recommend to the Board continuing education~~
431		-	~~requirements for license renewal~~;
	403	+	(2) May not be or ever have been a health care professional or in training 12
	404	+	to be a health care professional; and 13
432	405
433		-	(7) Advise the Board on matters related to the practice of radiation
434		-	therapy, the practice of radiography, the practice of nuclear medicine technology, [and] the
435		-	practice of radiology assistance, AND THE PRACTICE OF LIMITED LICENSED
436		-	RADIOLOGIC TECHNOLOG Y;
	406	+	(3) May not: 14
437	407
438		-	(8) Keep a record of its proceedings; and
	408	+	(i) Participate or ever have participated in a commercial or 15
	409	+	professional field related to radiation therapy, radiography, nuclear medicine technology, 16
	410	+	[or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y; 17
439	411
440		-	(9) Submit an annual report to the Board.
	412	+	(ii) Have a household member who participates in a commercial or 18
	413	+	professional field related to radiation therapy, radiography, nuclear medicine technology, 19
	414	+	[or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y; or 20
441	415
442		-	(b) The Board shall:
	416	+	(iii) Have had within 2 years before appointment a financial interest 21
	417	+	in a person regulated by the Board. 22
443	418
444		-	(1) ~~Consider all recommendations~~ of ~~the Committee;~~ ~~and~~
	419	+	(e) (1) The term of a member is 3 years. 23
445	420
446		-	(2) Provide to the Committee an annual report on the disciplinary matters
447		-	involving licensees.
	421	+	(2) The terms of members are staggered as required by regulation. 24
448	422
449		-	14–5B–07.
	423	+	(3) At the end of a term, a member continues to serve until a successor is 25
	424	+	appointed and qualifies. 26
450	425
451		-	(a) (1) A licensee may only practice under the supervision of a licensed
452		-	physician.
	426	+	(4) A member may not serve more than 2 consecutive full terms. 27
453	427
454		-	(2) The failure of a licensed physician to properly supervise a licensee is
455		-	unprofessional conduct in the practice of medicine under § 14–404(a)(3) of this title.
	428	+	14–5B–06. 28 10 SENATE BILL 830
456	429
457		-	(b) (1) Except as provided in paragraph (2) of this subsection, the practice of a
458		-	radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant,
459		-	OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST is limited to those procedures,
460		-	operations, preparations, and practices listed in regulation.
461	430
462		-	(2) A radiologist assistant may not:
463	431
464		-	(i) Interpret images;
	432	+	(a) In addition to the powers set forth elsewhere in this subtitle, the Committee 1
	433	+	shall: 2
465	434
466		-	(ii) Make diagnoses; or
	435	+	(1) Make recommendations to the Board on regulations necessary to carry 3
	436	+	out the provisions of this subtitle; 4
467	437
468		-	(iii) Prescribe medications or therapies.
	438	+	(2) Make recommendations to the Board on a code of ethics for the practice 5
	439	+	of radiation therapy, the practice of radiography, the practice of nuclear medicine 6
	440	+	technology, [and] the practice of radiology assistance, AND THE PRACTICE OF L IMITED 7
	441	+	LICENSED RADIOLOGIC TECHNOLOGY for adoption by the Board; 8
469	442
470		-	14–5B–08. WES MOORE, Governor Ch. 871
	443	+	(3) On request, make recommendations to the Board on standards of care 9
	444	+	for the practice of radiation therapy, the practice of radiography, the practice of nuclear 10
	445	+	medicine technology, [and] the practice of radiology assistance, AND THE PRACTICE OF 11
	446	+	LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ; 12
471	447
472		-	– 11 –
	448	+	(4) Make recommendations to the Board on the requirements for licensure 13
	449	+	as a radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist 14
	450	+	assistant, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST; 15
473	451
474		-	(a) (1) Except as otherwise provided in this subtitle, an individual shall be
475		-	licensed by the Board before the individual may practice radiation therapy, radiography,
476		-	nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED
477		-	RADIOLOGIC TECHNOLOG Y in this State.
	452	+	(5) On request, review applications for licensure as a radiation therapist, 16
	453	+	radiographer, nuclear medicine technologist, [or] radiologist assistant, OR LIMITED 17
	454	+	LICENSED RADIOLOGIC TECHNOLOG IST and make recommendations to the Board; 18
478	455
479		-	(2) A radiologist assistant may not:
	456	+	(6) Develop and recommend to the Board continuing education 19
	457	+	requirements for license renewal; 20
480	458
481		-	(i) Interpret images;
	459	+	(7) Advise the Board on matters related to the practice of radiation 21
	460	+	therapy, the practice of radiography, the practice of nuclear medicine technology, [and] the 22
	461	+	practice of radiology assistance, AND THE PRACTICE OF LIMITED LICENSED 23
	462	+	RADIOLOGIC TECHNOLOG Y; 24
482	463
483		-	(ii) ~~Make diagnoses~~; or
	464	+	(8) Keep a record of its proceedings; and 25
484	465
485		-	(~~iii~~) ~~Prescribe medications or therapies~~.
	466	+	(9) Submit an annual report to the Board. 26
486	467
487		-	(b) ~~This section does not apply to~~:
	468	+	(b) The Board shall: 27
488	469
489		-	(1) An individual employed by the federal government as a radiation
490		-	therapist, radiographer, a nuclear medicine technologist, [or] radiologist assistant, OR
491		-	LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST while the individual is practicing
492		-	within the scope of that employment; or
	470	+	(1) Consider all recommendations of the Committee; and 28
493	471
494		-	(2) A radiation therapy student, a radiography student, a nuclear medicine
495		-	technology student, [or] a radiology assistant student, OR A LIMITED LICENSE D
496		-	RADIOLOGIC TECHNOLOG IST STUDENT enrolled in an education program which is
497		-	accredited by an approved accrediting organization while practicing radiation therapy,
498		-	radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED
499		-	LICENSED RADIOLOGIC TECHNOLOGY in that program.
	472	+	(2) Provide to the Committee an annual report on the disciplinary matters 29
	473	+	involving licensees. 30
500	474
501		-	14–5B–09.
	475	+	14–5B–07. 31
	476	+	SENATE BILL 830 11
502	477
503		-	(a) To qualify for a license, an applicant shall be an individual who meets the
504		-	requirements of this section.
505	478
506		-	(b) ~~Except as provided in [subsection] SUBSECTIONS~~ (c) ~~AND (D)~~ of ~~this section,~~
507		-	~~the applicant [shall] MUST:~~
	479	+	(a) (1) A licensee may only practice under the supervision of a licensed 1
	480	+	physician. 2
508	481
509		-	(1) Be of good moral character;
	482	+	(2) The failure of a licensed physician to properly supervise a licensee is 3
	483	+	unprofessional conduct in the practice of medicine under § 14–404(a)(3) of this title. 4
510	484
511		-	(2) Be at least 18 years old;
	485	+	(b) (1) Except as provided in paragraph (2) of this subsection, the practice of a 5
	486	+	radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant, 6
	487	+	OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST is limited to those procedures, 7
	488	+	operations, preparations, and practices listed in regulation. 8
512	489
513		-	(3) Demonstrate oral and written competency in English as required by the
514		-	Board;
	490	+	(2) A radiologist assistant may not: 9
515	491
516		-	(4) Meet any educational, training, or examination requirements
517		-	established by the Board, including:
518		-	Ch. 871 2024 LAWS OF MARYLAND
	492	+	(i) Interpret images; 10
519	493
520		-	– 12 –
521		-	(i) Graduation from an appropriate educational program as
522		-	determined by the Board; and
	494	+	(ii) Make diagnoses; or 11
523	495
524		-	(ii) ~~Certification; and~~
	496	+	(iii) Prescribe medications or therapies. 12
525	497
526		-	(5) Complete a criminal history records check in accordance with §
527		-	14–308.1 of this title.
	498	+	14–5B–08. 13
528	499
529		-	(c) To qualify for a license to practice as a radiologist assistant, an applicant shall:
	500	+	(a) (1) Except as otherwise provided in this subtitle, an individual shall be 14
	501	+	licensed by the Board before the individual may practice radiation therapy, radiography, 15
	502	+	nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED 16
	503	+	RADIOLOGIC TECHNOLOG Y in this State. 17
530	504
531		-	(1) ~~Be issued~~ a ~~general license to perform radiography;~~
	505	+	(2) A radiologist assistant may not: 18
532	506
533		-	(2) Complete an advanced academic program with a nationally recognized
534		-	radiology curriculum that results in a baccalaureate degree, post baccalaureate certificate,
535		-	or graduate degree and incorporates a radiologist–directed clinical preceptorship;
	507	+	(i) Interpret images; 19
536	508
537		-	(3) ~~Be certified in advanced cardiac life support~~; ~~and~~
	509	+	(ii) Make diagnoses; or 20
538	510
539		-	(4) Be certified as a radiologist assistant by the American Registry of
540		-	Radiologic Technologists.
	511	+	(iii) Prescribe medications or therapies. 21
541	512
542		-	(D) IN ADDITION TO THE RE QUIREMENTS OF SUBSEC TION (B) OF THIS
543		-	SECTION, TO QUALIFY FOR A LIC ENSE TO PRACTICE AS A LIMITED LICENSED
544		-	RADIOLOGIC TECHNOLOG IST, AN APPLICANT SHALL M EET THE REQUIREMENTS OF
545		-	§ 14–5B–09.1 OF THIS SUBTITLE.
	513	+	(b) This section does not apply to: 22
546	514
547		-	[(d)] (E) Except for requirements adopted by the Board for license renewal under
548		-	§ 14–5B–12 of this subtitle, nothing in this subtitle may be construed to require an
549		-	individual who is certified by the Board as a radiation oncology/therapy technologist,
550		-	medical radiation technologist, or nuclear medicine technologist as of October 1, 2008, to
551		-	meet additional education, training, or examination requirements.
	515	+	(1) An individual employed by the federal government as a radiation 23
	516	+	therapist, radiographer, a nuclear medicine technologist, [or] radiologist assistant, OR 24
	517	+	LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST while the individual is practicing 25
	518	+	within the scope of that employment; or 26
552	519
553		-	14–5B–09.1.
	520	+	(2) A radiation therapy student, a radiography student, a nuclear medicine 27
	521	+	technology student, [or] a radiology assistant student, OR A LIMITED LICENSE D 28
	522	+	RADIOLOGIC TECHNOLOG IST STUDENT enrolled in an education program which is 29
	523	+	accredited by an approved accrediting organization while practicing radiation therapy, 30 12 SENATE BILL 830
554	524
555		-	(A) AN APPLICANT FOR LICE NSURE AS A LIMITED L ICENSED RADIOLOGIC
556		-	TECHNOLOGIST SHALL S UBMIT TO THE BOARD:
557	525
558		-	(1~~) EVIDENCE OF COMPLETIO N OF EDUCATION REQUI REMENTS~~
559		-	~~UNDER SUBSECTION (B) OF THIS SECTION,~~ ~~AS APPLICABLE; AND~~
	526	+	radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED 1
	527	+	LICENSED RADIOLOGIC TECHNOLOGY in that program. 2
560	528
561		-	(2) (I) EVIDENCE OF HAVING AC HIEVED A PASSING SCO RE, AS
562		-	DETERMINED BY THE BOARD, ON THE SECTION OF TH E AMERICAN REGISTRY OF
563		-	RADIOLOGIC TECHNOLOGISTS EXAMINA TION FOR LIMITED SCOPE OF PRACTICE IN
564		-	RADIOGRAPHY APPROPRIA TE FOR THE ANATOMICA L AREA ON WHICH THE
565		-	APPLICANT IS APPLYIN G TO PRACTICE; WES MOORE, Governor Ch. 871
	529	+	14–5B–09. 3
566	530
567		-	– 13 –
	531	+	(a) To qualify for a license, an applicant shall be an individual who meets the 4
	532	+	requirements of this section. 5
568	533
569		-	(II) EVIDENCE OF HAVING AC HIEVED A PASSING SCO RE, AS
570		-	DETERMINED BY THE BOARD, ON ANOTHER EXAMINATI ON APPROVED BY THE
571		-	BOARD; OR
	534	+	(b) Except as provided in [subsection] SUBSECTIONS (c) AND (D) of this section, 6
	535	+	the applicant [shall] MUST: 7
572	536
573		-	(III) EVIDENCE OF COMPL ETION OF AN ALTERNAT IVE TO
574		-	EXAMINATION APPROVED BY THE BOARD.
	537	+	(1) Be of good moral character; 8
575	538
576		-	(B) TO QUALIFY FOR LICENS URE AS A LIMITED LIC ENSED RADIOLOGIC
577		-	TECHNOLOGIST , AN APPLICANT SHALL C OMPLETE:
	539	+	(2) Be at least 18 years old; 9
578	540
579		-	(1) EDUCATIONAL COURSEWOR K:
	541	+	(3) Demonstrate oral and written competency in English as required by the 10
	542	+	Board; 11
580	543
581		-	(I) DIRECTED BY A RADIOLO GIC TECHNOLOGIST WIT H A
582		-	BACHELOR’S DEGREE AND CURRENT AMERICAN REGISTRY OF RADIOLOGIC
583		-	TECHNOLOGISTS CERTIFI CATION;
	544	+	(4) Meet any educational, training, or examination requirements 12
	545	+	established by the Board, including: 13
584	546
585		-	(II) ~~TAUGHT BY INSTRUCTORS WHO ARE LICENSED RAD IOLOGIC~~
586		-	~~TECHNOLOGISTS OR PHY SICIANS WHO ARE BOAR D CERTIFIED IN RADIO LOGY~~; AND
	547	+	(i) Graduation from an appropriate educational program as 14
	548	+	determined by the Board; and 15
587	549
588		-	(~~III~~) ~~THAT INCLUDES AT LEAS T:~~
	550	+	(ii) Certification; and 16
589	551
590		-	~~1. 25 CLOCK HOURS OF IMAGE PRODUCTION AND~~
591		-	~~EQUIPMENT OPERATION ;~~
	552	+	(5) Complete a criminal history records check in accordance with § 17
	553	+	14–308.1 of this title. 18
592	554
593		-	~~2. 15 CLOCK HOURS OF RADIA TION PROTECTION ; AND~~
	555	+	(c) To qualify for a license to practice as a radiologist assistant, an applicant shall: 19
594	556
595		-	3. 10 CLOCK HOURS OF RADIO GRAPHIC PROCEDURES I N
596		-	THE ANATOMICAL AREA OF THE LIMITED LICEN SED RADIOLOGIC TECHN OLOGIST’S
597		-	PRACTICE, TAUGHT BY:
	557	+	(1) Be issued a general license to perform radiography; 20
598	558
599		-	A. A RADIOLOGIC TECHNOLOG IST WITH CURRENT
600		-	AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS CERTIFI CATION; OR
	559	+	(2) Complete an advanced academic program with a nationally recognized 21
	560	+	radiology curriculum that results in a baccalaureate degree, post baccalaureate certificate, 22
	561	+	or graduate degree and incorporates a radiologist–directed clinical preceptorship; 23
601	562
602		-	B. A LICENSED DOCTOR OF M EDICINE, OSTEOPATHY ,
603		-	PODIATRY, OR CHIROPRACTIC ; OR
	563	+	(3) Be certified in advanced cardiac life support; and 24
604	564
605		-	(2) ANY OTHER EDUCATION P ROGRAM APPROVED BY T HE BOARD.
	565	+	(4) Be certified as a radiologist assistant by the American Registry of 25
	566	+	Radiologic Technologists. 26
606	567
607		-	(C) AN APPLICANT WHO FAIL S AN EXAMINATION REQ UIRED UNDER THIS
608		-	SECTION MAY RETAKE T HE EXAMINATION TWICE BEFORE THE APPLICANT MUST
609		-	REAPPLY AND DEMONSTR ATE COMPLETION OF AN Y ADDITIONAL EDUCATI ON
610		-	REQUIRED BY THE BOARD.
611		-	Ch. 871 2024 LAWS OF MARYLAND
	568	+	(D) IN ADDITION TO THE RE QUIREMENTS OF SUBSEC TION (B) OF THIS 27
	569	+	SECTION, TO QUALIFY FOR A LIC ENSE TO PRACTICE AS A LIMITED LICENSED 28
	570	+	RADIOLOGIC TECHNOLOG IST, AN APPLICANT SHALL M EET THE REQUIREMENTS OF 29
	571	+	§ 14–5B–09.1 OF THIS SUBTITLE. 30 SENATE BILL 830 13
612	572
613		-	– 14 –
614		-	(D) A LICENSE ISSUED TO PRACTICE AS A LIMITE D LICENSED RADIOLOGI C
615		-	TECHNOLOGIST UNDER T HIS SECTION AUTHORIZ ES THE LICENSEE TO P RACTICE
616		-	ONLY ON THE ANATOMIC AL AREA AUTHORIZED B Y THE BOARD, AS DETERMINED BY
617		-	THE BOARD BASED ON THE ED UCATION AND EXAMINAT IONS COMPLETED BY TH E
618		-	LICENSEE.
619	573
620		-	14–5B–10.
621	574
622		-	(a) To apply for a license, an applicant shall:
	575	+	[(d)] (E) Except for requirements adopted by the Board for license renewal under 1
	576	+	§ 14–5B–12 of this subtitle, nothing in this subtitle may be construed to require an 2
	577	+	individual who is certified by the Board as a radiation oncology/therapy technologist, 3
	578	+	medical radiation technologist, or nuclear medicine technologist as of October 1, 2008, to 4
	579	+	meet additional education, training, or examination requirements. 5
623	580
624		-	(1) Complete a criminal history records check in accordance with §
625		-	14–308.1 of this title;
	581	+	14–5B–09.1. 6
626	582
627		-	(2) ~~Submit~~ an ~~application to the Board on the form that the Board requires;~~
628		-	~~and~~
	583	+	(A) AN APPLICANT FOR LICE NSURE AS A LIMITED L ICENSED RADIOLOGIC 7
	584	+	TECHNOLOGIST SHALL S UBMIT TO THE BOARD: 8
629	585
630		-	(3) Pay to the Board the application fee set by the Board.
	586	+	(1) EVIDENCE OF COMPLETIO N OF EDUCATION REQUI REMENTS 9
	587	+	UNDER SUBSECTION (B) OF THIS SECTION, AS APPLICABLE; AND 10
631	588
632		-	(b) Subject to subsection (c) of this section, the Board shall issue the appropriate
633		-	license to an applicant who meets the requirements of this subtitle for that license.
	589	+	(2) (I) EVIDENCE OF HAVING AC HIEVED A PASSING SCO RE, AS 11
	590	+	DETERMINED BY THE BOARD, ON THE SECTION OF TH E AMERICAN REGISTRY OF 12
	591	+	RADIOLOGIC TECHNOLOGISTS EXAMINA TION FOR LIMITED SCOPE OF PRACTICE IN 13
	592	+	RADIOGRAPHY APPROPR IATE FOR THE ANATOMI CAL AREA ON WHICH TH E 14
	593	+	APPLICANT IS APPLYIN G TO PRACTICE; 15
634	594
635		-	(c) ~~(1) On receipt~~ of ~~the criminal history record information of an applicant for~~
636		-	~~licensure forwarded to~~ the Board ~~in accordance with § 14–308.1 of this title~~, ~~in determining~~
637		-	~~whether to issue a license, the Board shall consider:~~
	595	+	(II) EVIDENCE OF HAVING AC HIEVED A PASSING SCO RE, AS 16
	596	+	DETERMINED BY THE BOARD, ON ANOTHER EXAMINATI ON APPROVED BY THE 17
	597	+	BOARD; OR 18
638	598
639		-	(i) The age at which the crime was committed;
	599	+	(III) EVIDENCE OF COMPLETIO N OF AN ALTERNA TIVE TO 19
	600	+	EXAMINATION APPROVED BY THE BOARD. 20
640	601
641		-	(ii) The nature of the crime;
	602	+	(B) TO QUALIFY FOR LICENS URE AS A LIMITED LIC ENSED RADIOLOGIC 21
	603	+	TECHNOLOGIST , AN APPLICANT SHALL C OMPLETE: 22
642	604
643		-	(~~iii~~) ~~The circumstances surrounding the crime;~~
	605	+	(1) EDUCATIONAL COURSEWOR K: 23
644	606
645		-	(iv) The length of time that has passed since the crime;
	607	+	(I) DIRECTED BY A RADIOLO GIC TECHNOLOGIST WIT H A 24
	608	+	BACHELOR’S DEGREE AND CURRENT AMERICAN REGISTRY OF RADIOLOGIC 25
	609	+	TECHNOLOGISTS CERTIFI CATION; 26
646	610
647		-	(v) Subsequent work history;
	611	+	(II) TAUGHT BY INSTRUCTORS WHO ARE LICENSED RAD IOLOGIC 27
	612	+	TECHNOLOGISTS OR PHY SICIANS WHO ARE BOAR D CERTIFIED IN RADIO LOGY; AND 28
648	613
649		-	(vi) ~~Employment and character references;~~ ~~and~~
	614	+	(III) THAT INCLUDES AT LEAS T: 29
650	615
651		-	~~(vii) Other evidence that demonstrates whether the applicant poses a~~
652		-	~~threat to the public health or safety.~~
	616	+	1. 25 CLOCK H OURS OF IMAGE PRODUC TION AND 30
	617	+	EQUIPMENT OPERATION ; 31 14 SENATE BILL 830
653	618
654		-	(2) The Board may not issue a license if the criminal history record
655		-	information required under § 14–308.1 of this title has not been received.
656	619
657		-	14–5B–11.
658		-	WES MOORE, Governor Ch. 871
659	620
660		-	– 15 –
661		-	(E) SUBJECT TO § 14–5B–09.1(D) OF THIS SUBTITLE , LICENSURE AS A
662		-	LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST AUTHORIZES AN INDIVI DUAL TO
663		-	PRACTICE LIMITED LIC ENSED RADIOLOGIC TEC HNOLOGY WHILE THE LI CENSE IS
664		-	EFFECTIVE.
	621	+	2. 15 CLOCK HOURS OF RADIA TION PROTECTION ; AND 1
665	622
666		-	14–5B–12.
	623	+	3. 10 CLOCK HOURS OF RADIO GRAPHIC PROCEDURES I N 2
	624	+	THE ANATOMICAL AREA OF THE LIMITED LICEN SED RADIOLOGIC TECHN OLOGIST’S 3
	625	+	PRACTICE, TAUGHT BY: 4
667	626
668		-	(a) (1) The term of a license issued by the Board may not exceed 3 years.
	627	+	A. A RADIOLOGIC TECHNOLOG IST WITH CURRENT 5
	628	+	AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS CERTIFI CATION; OR 6
669	629
670		-	~~(2)~~ A ~~license expires on a date set by the Board~~, ~~unless the license is~~
671		-	~~renewed for an additional term as provided in this section.~~
	630	+	B. A LICENSED DOCTOR OF M EDICINE, OSTEOPATHY , 7
	631	+	PODIATRY, OR CHIROPRACTIC ; OR 8
672	632
673		-	(b) At least 1 month before the license expires, the Board shall send to the licensee
674		-	a renewal notice that states:
	633	+	(2) ANY OTHER EDUCATION P ROGRAM APPROVED BY T HE BOARD. 9
675	634
676		-	(1) The date on which the current license expires;
	635	+	(C) AN APPLICANT WHO FAILS AN EXAMINATION REQUI RED UNDER THIS 10
	636	+	SECTION MAY RETAKE T HE EXAMINATION TWICE BEFORE THE APPLICANT MUST 11
	637	+	REAPPLY AND DEMONSTR ATE COMPLETION OF AN Y ADDITIONAL EDUCATI ON 12
	638	+	REQUIRED BY THE BOARD. 13
677	639
678		-	(2) The date by which the renewal application must be received by the
679		-	Board for the renewal to be issued and mailed before the license expires; and
	640	+	(D) A LICENSE ISSUED TO PR ACTICE AS A LIMITED LICENSED RADIOLOGIC 14
	641	+	TECHNOLOGIST UNDER T HIS SECTION AUTHORIZ ES THE LICENSEE TO P RACTICE 15
	642	+	ONLY ON THE ANATOMIC AL AREA AUTHORIZED B Y THE BOARD, AS DETERMINED BY 16
	643	+	THE BOARD BASED ON THE ED UCATION AND EXAMINAT IONS COMPLETED BY TH E 17
	644	+	LICENSEE. 18
680	645
681		-	~~(3) The amount of the renewal fee~~.
	646	+	14–5B–10. 19
682	647
683		-	(c) Except as otherwise provided in this subtitle, before a license expires, the
684		-	licensed individual may periodically renew it for an additional term, if the individual:
	648	+	(a) To apply for a license, an applicant shall: 20
685	649
686		-	(1) Is of good moral character;
	650	+	(1) Complete a criminal history records check in accordance with § 21
	651	+	14–308.1 of this title; 22
687	652
688		-	(2) Pays to the Board a renewal fee set by the Board;
	653	+	(2) Submit an application to the Board on the form that the Board requires; 23
	654	+	and 24
689	655
690		-	(3) ~~Submits~~ to the Board:
	656	+	(3) Pay to the Board the application fee set by the Board. 25
691	657
692		-	(i) A renewal application on the form that the Board requires; and
	658	+	(b) Subject to subsection (c) of this section, the Board shall issue the appropriate 26
	659	+	license to an applicant who meets the requirements of this subtitle for that license. 27
693	660
694		-	(ii) Satisfactory evidence of compliance with any continuing
695		-	education or competency requirements and other requirements required by the Board for
696		-	license renewal; and
	661	+	(c) (1) On receipt of the criminal history record information of an applicant for 28
	662	+	licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining 29
	663	+	whether to issue a license, the Board shall consider: 30
	664	+	SENATE BILL 830 15
697	665
698		-	(4) Meets any additional renewal requirements established by the Board.
699	666
700		-	(d) (1) In addition to any other qualifications and requirements established by
701		-	the Board, the Board may establish continuing education or competency requirements as a
702		-	condition to the renewal of licenses under this section.
	667	+	(i) The age at which the crime was committed; 1
703	668
704		-	(2) A disciplinary panel may impose a civil penalty of up to $100 per
705		-	continuing medical education credit in lieu of a sanction under § 14–5B–14 of this subtitle, Ch. 871 2024 LAWS OF MARYLAND
	669	+	(ii) The nature of the crime; 2
706	670
707		-	– 16 –
708		-	for a first offense, for the failure of a licensee to obtain the continuing medical education
709		-	credits required by the Board.
	671	+	(iii) The circumstances surrounding the crime; 3
710	672
711		-	(e) (1) The Board shall renew the license of each individual who meets the
712		-	renewal requirements of this section.
	673	+	(iv) The length of time that has passed since the crime; 4
713	674
714		-	(2) ~~A license may not be renewed for a term longer than 2 years.~~
	675	+	(v) Subsequent work history; 5
715	676
716		-	(f) The Board shall reinstate the license of a radiation therapist, radiographer,
717		-	nuclear medicine technologist, [or] radiologist assistant, OR LIMITED LICENSED
718		-	RADIOLOGIC TECHNOLOG IST who has failed to renew a license for any reason if the
719		-	radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant,
720		-	OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST:
	677	+	(vi) Employment and character references; and 6
721	678
722		-	(1) Meets the renewal requirements of this section;
	679	+	(vii) Other evidence that demonstrates whether the applicant poses a 7
	680	+	threat to the public health or safety. 8
723	681
724		-	(2) Submits to the Board:
	682	+	(2) The Board may not issue a license if the criminal history record 9
	683	+	information required under § 14–308.1 of this title has not been received. 10
725	684
726		-	(i) A reinstatement application on the form that the Board requires;
727		-	and
	685	+	14–5B–11. 11
728	686
729		-	(ii) Satisfactory evidence of compliance with any continuing
730		-	education or competency requirements; and
	687	+	(E) SUBJECT TO § 14–5B–09.1(D) OF THIS SUBTITLE, LICENSURE AS A 12
	688	+	LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST AUTHORIZES AN INDIVI DUAL TO 13
	689	+	PRACTICE LIMITED LIC ENSED RADIOLOGIC TEC HNOLOGY WHILE THE LI CENSE IS 14
	690	+	EFFECTIVE. 15
731	691
732		-	(3) Meets any additional requirements established by the Board for
733		-	reinstatement.
	692	+	14–5B–12. 16
734	693
735		-	(g) (1) Beginning October 1, 2016, the Board shall require a criminal history
736		-	records check in accordance with § 14–308.1 of this title for:
	694	+	(a) (1) The term of a license issued by the Board may not exceed 3 years. 17
737	695
738		-	(i) ~~Renewal applicants as determined by regulations adopted~~ by the
739		-	~~Board; and~~
	696	+	(2) A license expires on a date set by the Board, unless the license is 18
	697	+	renewed for an additional term as provided in this section. 19
740	698
741		-	(ii) ~~Each former~~ licensee ~~who files for reinstatement under~~
742		-	~~subsection (f) of this section.~~
	699	+	(b) At least 1 month before the license expires, the Board shall send to the licensee 20
	700	+	a renewal notice that states: 21
743	701
744		-	(2) On receipt of the criminal history record information of a licensee
745		-	forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether
746		-	disciplinary action should be taken, based on the criminal history record information,
747		-	against a licensee who renewed or reinstated a license, the Board shall consider:
	702	+	(1) The date on which the current license expires; 22
748	703
749		-	(i) The age at which the crime was committed;
	704	+	(2) The date by which the renewal application must be received by the 23
	705	+	Board for the renewal to be issued and mailed before the license expires; and 24
750	706
751		-	(ii) The ~~nature~~ of the ~~crime;~~
	707	+	(3) The amount of the renewal fee. 25
752	708
753		-	(iii) The circumstances surrounding the crime; WES MOORE, Governor Ch. 871
	709	+	(c) Except as otherwise provided in this subtitle, before a license expires, the 26
	710	+	licensed individual may periodically renew it for an additional term, if the individual: 27
754	711
755		-	~~– 17 –~~
	712	+	(1) Is of good moral character; 28 16 SENATE BILL 830
756	713
757		-	(iv) The length of time that has passed since the crime;
758	714
759		-	(v) Subsequent work history;
760	715
761		-	(vi) ~~Employment and character references~~; ~~and~~
	716	+	(2) Pays to the Board a renewal fee set by the Board; 1
762	717
763		-	(vii) Other evidence that demonstrates whether the licensee poses a
764		-	threat to the public health or safety.
	718	+	(3) Submits to the Board: 2
765	719
766		-	(3) The Board may renew or reinstate a license only if the licensee or
767		-	applicant attests that the licensee or applicant has submitted to a criminal history records
768		-	check under § 14–308.1 of this title.
	720	+	(i) A renewal application on the form that the Board requires; and 3
769	721
770		-	14–5B–14.
	722	+	(ii) Satisfactory evidence of compliance with any continuing 4
	723	+	education or competency requirements and other requirements required by the Board for 5
	724	+	license renewal; and 6
771	725
772		-	(a) Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel,
773		-	on the affirmative vote of a majority of the quorum of the disciplinary panel, may deny a
774		-	license to any applicant, reprimand any licensee, place any licensee on probation, or
775		-	suspend or revoke a license, if the applicant or licensee:
	726	+	(4) Meets any additional renewal requirements established by the Board. 7
776	727
777		-	(1) Fraudulently or deceptively obtains or attempts to obtain a license for
778		-	the applicant, licensed individual, or for another;
	728	+	(d) (1) In addition to any other qualifications and requirements established by 8
	729	+	the Board, the Board may establish continuing education or competency requirements as a 9
	730	+	condition to the renewal of licenses under this section. 10
779	731
780		-	(2) Fraudulently or deceptively uses a license;
	732	+	(2) A disciplinary panel may impose a civil penalty of up to $100 per 11
	733	+	continuing medical education credit in lieu of a sanction under § 14–5B–14 of this subtitle, 12
	734	+	for a first offense, for the failure of a licensee to obtain the continuing medical education 13
	735	+	credits required by the Board. 14
781	736
782		-	(3) Is guilty of unprofessional or immoral conduct in the practice of
783		-	radiation therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR
784		-	LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ;
	737	+	(e) (1) The Board shall renew the license of each individual who meets the 15
	738	+	renewal requirements of this section. 16
785	739
786		-	(4) ~~Is professionally,~~ ~~physically, or mentally incompetent;~~
	740	+	(2) A license may not be renewed for a term longer than 2 years. 17
787	741
788		-	(5) Abandons a patient;
	742	+	(f) The Board shall reinstate the license of a radiation therapist, radiographer, 18
	743	+	nuclear medicine technologist, [or] radiologist assistant, OR LIMITED LICENSED 19
	744	+	RADIOLOGIC TECHNOLOG IST who has failed to renew a license for any reason if the 20
	745	+	radiation therapist, radiographer, nuclear medicine technologist, [or] radiologist assistant, 21
	746	+	OR LIMITED LICENSED RADIOLOGIC TECHNOLOG IST: 22
789	747
790		-	(6) ~~Is habitually intoxicated~~;
	748	+	(1) Meets the renewal requirements of this section; 23
791	749
792		-	(7) Is addicted to or habitually abuses any narcotic or controlled dangerous
793		-	substance as defined in § 5–101 of the Criminal Law Article;
	750	+	(2) Submits to the Board: 24
794	751
795		-	(8) Provides professional services while:
	752	+	(i) A reinstatement application on the form that the Board requires; 25
	753	+	and 26
796	754
797		-	(i) Under the influence of alcohol; or
	755	+	(ii) Satisfactory evidence of compliance with any continuing 27
	756	+	education or competency requirements; and 28
798	757
799		-	(ii) ~~Using~~ any ~~narcotic or controlled dangerous substance as defined~~
800		-	~~in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic~~
801		-	~~amounts or without valid medical indication; Ch. 871~~ ~~2024 LAWS OF MARYLAND~~
	758	+	(3) Meets any additional requirements established by the Board for 29
	759	+	reinstatement. 30
	760	+	SENATE BILL 830 17
802	761
803		-	– 18 –
804	762
805		-	(9) ~~Promotes~~ the ~~sale of services, drugs, devices, appliances, or goods to~~ a
806		-	~~patient so as to exploit the patient~~ for ~~financial gain;~~
	763	+	(g) (1) Beginning October 1, 2016, the Board shall require a criminal history 1
	764	+	records check in accordance with § 14–308.1 of this title for: 2
807	765
808		-	(10) Willfully makes or files a false report or record in the practice of
809		-	radiation therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR
810		-	LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ;
	766	+	(i) Renewal applicants as determined by regulations adopted by the 3
	767	+	Board; and 4
811	768
812		-	(11) Willfully fails to file or record any report as required under law,
813		-	willfully impedes or obstructs the filing or recording of a report, or induces another to fail
814		-	to file or record a report;
	769	+	(ii) Each former licensee who files for reinstatement under 5
	770	+	subsection (f) of this section. 6
815	771
816		-	(12) Breaches patient confidentiality;
	772	+	(2) On receipt of the criminal history record information of a licensee 7
	773	+	forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether 8
	774	+	disciplinary action should be taken, based on the criminal history record information, 9
	775	+	against a licensee who renewed or reinstated a license, the Board shall consider: 10
817	776
818		-	(13) Pays or agrees to pay any sum or provide any form of remuneration or
819		-	material benefit to any person for bringing or referring a patient or accepts or agrees to
820		-	accept any sum or any form of remuneration or material benefit from an individual for
821		-	bringing or referring a patient;
	777	+	(i) The age at which the crime was committed; 11
822	778
823		-	(14) Knowingly makes a misrepresentation while practicing radiation
824		-	therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED
825		-	LICENSED RADIOLOGIC TECHNOLOGY ;
	779	+	(ii) The nature of the crime; 12
826	780
827		-	(15) Knowingly practices radiation therapy, radiography, nuclear medicine
828		-	technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC
829		-	TECHNOLOGY with an unauthorized individual or aids an unauthorized individual in the
830		-	practice of radiation therapy, radiography, nuclear medicine technology, [or] radiology
831		-	assistance, OR LIMITED LICENSED RADIOLOG IC TECHNOLOGY ;
	781	+	(iii) The circumstances surrounding the crime; 13
832	782
833		-	(16) Offers, undertakes, or agrees to cure or treat disease by a secret
834		-	method, treatment, or medicine;
	783	+	(iv) The length of time that has passed since the crime; 14
835	784
836		-	(17) Is disciplined by a licensing or disciplinary authority or is convicted or
837		-	disciplined by a court of any state or country or is disciplined by any branch of the United
838		-	States uniformed services or the Veterans’ Administration for an act that would be grounds
839		-	for disciplinary action under the Board’s disciplinary statutes;
	785	+	(v) Subsequent work history; 15
840	786
841		-	(18) Fails to meet appropriate standards for the delivery of quality radiation
842		-	therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED
843		-	LICENSED RADIOLOGIC TECHNOLOGY care performed in any outpatient surgical facility,
844		-	office, hospital or related institution, or any other location in this State;
	787	+	(vi) Employment and character references; and 16
845	788
846		-	(19) Knowingly submits false statements to collect fees for which services
847		-	are not provided;
848		-	WES MOORE, Governor Ch. 871
	789	+	(vii) Other evidence that demonstrates whether the licensee poses a 17
	790	+	threat to the public health or safety. 18
849	791
850		-	– 19 –
851		-	(20) (i) Has been subject to investigation or disciplinary action by a
852		-	licensing or disciplinary authority or by a court of any state or country for an act that would
853		-	be grounds for disciplinary action under the Board’s disciplinary statutes; and
	792	+	(3) The Board may renew or reinstate a license only if the licensee or 19
	793	+	applicant attests that the licensee or applicant has submitted to a criminal history records 20
	794	+	check under § 14–308.1 of this title. 21
854	795
855		-	~~(ii) Has:~~
	796	+	14–5B–14. 22
856	797
857		-	1. Surrendered the license issued by the state or country; or
	798	+	(a) Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, 23
	799	+	on the affirmative vote of a majority of the quorum of the disciplinary panel, may deny a 24
	800	+	license to any applicant, reprimand any licensee, place any licensee on probation, or 25
	801	+	suspend or revoke a license, if the applicant or licensee: 26
858	802
859		-	~~2. Allowed the~~ license ~~issued by the state or country to expire~~
860		-	or ~~lapse~~;
	803	+	(1) Fraudulently or deceptively obtains or attempts to obtain a license for 27
	804	+	the applicant, licensed individual, or for another; 28
861	805
862		-	(21) ~~Knowingly fails to report suspected child abuse in violation of § 5–704~~
863		-	~~of the Family Law Article;~~
	806	+	(2) Fraudulently or deceptively uses a license; 29
	807	+	18 SENATE BILL 830
864	808
865		-	(22) Sells, prescribes, gives away, or administers drugs for illegal or
866		-	illegitimate medical purposes;
867	809
868		-	(23) Practices or attempts to practice beyond the authorized scope of
869		-	practice;
	810	+	(3) Is guilty of unprofessional or immoral conduct in the practice of 1
	811	+	radiation therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR 2
	812	+	LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ; 3
870	813
871		-	(24) Refuses, withholds from, denies, or discriminates against an individual
872		-	with regard to the provision of professional services for which the licensee is licensed and
873		-	qualified to render because the individual is HIV positive;
	814	+	(4) Is professionally, physically, or mentally incompetent; 4
874	815
875		-	(25) Practices or attempts to practice a radiation therapy, radiography,
876		-	nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED
877		-	RADIOLOGIC TECHNOLOG Y procedure or uses radiation therapy, radiography, nuclear
878		-	medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC
879		-	TECHNOLOGY equipment if the applicant or licensee has not received education,
880		-	internship, training, or experience in the performance of the procedure or the use of the
881		-	equipment;
	816	+	(5) Abandons a patient; 5
882	817
883		-	(26) Fails to cooperate with a lawful investigation conducted by the Board
884		-	or a disciplinary panel;
	818	+	(6) Is habitually intoxicated; 6
885	819
886		-	(27) ~~Fails~~ to ~~practice under the supervision of a physician~~ or ~~violates a~~
887		-	~~supervisory order~~ of ~~a supervising physician~~; or
	820	+	(7) Is addicted to or habitually abuses any narcotic or controlled dangerous 7
	821	+	substance as defined in § 5–101 of the Criminal Law Article; 8
888	822
889		-	(28) Fails to complete a criminal history records check under § 14–308.1 of
890		-	this title.
	823	+	(8) Provides professional services while: 9
891	824
892		-	~~14–5B–17.~~
	825	+	(i) Under the influence of alcohol; or 10
893	826
894		-	(E) EXCEPT AS OTHERWISE P ROVIDED IN THIS SUBT ITLE, A PERSON MAY
895		-	NOT PRACTICE, ATTEMPT TO PRACTICE , OR OFFER TO PRACTICE LIMITED LIC ENSED Ch. 871 2024 LAWS OF MARYLAND
	827	+	(ii) Using any narcotic or controlled dangerous substance as defined 11
	828	+	in § 5–101 of the Criminal Law Article or any other drug that is in excess of therapeutic 12
	829	+	amounts or without valid medical indication; 13
896	830
897		-	– 20 –
898		-	RADIOLOGIC TECHNOLOG Y IN THIS STATE UNLESS LICENSED TO PRACTICE AS A
899		-	LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST BY THE BOARD.
	831	+	(9) Promotes the sale of services, drugs, devices, appliances, or goods to a 14
	832	+	patient so as to exploit the patient for financial gain; 15
900	833
901		-	14–5B–18.
	834	+	(10) Willfully makes or files a false report or record in the practice of 16
	835	+	radiation therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR 17
	836	+	LIMITED LICENSED RAD IOLOGIC TECHNOLOGY ; 18
902	837
903		-	(a) Unless authorized to practice radiation therapy, radiography, nuclear
904		-	medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC
905		-	TECHNOLOGY under this subtitle, a person may not represent to the public by title, by
906		-	description of services, methods, or procedures, or otherwise, that the person is authorized
907		-	to practice radiation therapy, radiography, nuclear medicine technology, [or] radiology
908		-	assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y in this State.
	838	+	(11) Willfully fails to file or record any report as required under law, 19
	839	+	willfully impedes or obstructs the filing or recording of a report, or induces another to fail 20
	840	+	to file or record a report; 21
909	841
910		-	(b) A person may not provide, attempt to provide, offer to provide, or represent
911		-	that the person provides radiation therapy, radiography, nuclear medicine technology, [or]
912		-	radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y care unless the
913		-	radiation therapy, radiography, nuclear medicine technology, or radiology assistance care
914		-	is provided by an individual who is authorized to practice radiation therapy, radiography,
915		-	nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED
916		-	RADIOLOGIC TECHNOLOG Y under this subtitle.
	842	+	(12) Breaches patient confidentiality; 22
917	843
918		-	14–5B–18.1.
	844	+	(13) Pays or agrees to pay any sum or provide any form of remuneration or 23
	845	+	material benefit to any person for bringing or referring a patient or accepts or agrees to 24
	846	+	accept any sum or any form of remuneration or material benefit from an individual for 25
	847	+	bringing or referring a patient; 26
919	848
920		-	(a) Except as otherwise provided in this subtitle, a licensed physician may not
921		-	employ or supervise an individual practicing radiation therapy, radiography, nuclear
922		-	medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC
923		-	TECHNOLOGY without a license.
	849	+	(14) Knowingly makes a misrepresentation while practicing radiation 27
	850	+	therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED 28
	851	+	LICENSED RADIOLOGIC TECHNOLOGY ; 29
924	852
925		-	(b) Except as otherwise provided in this subtitle, a hospital, related institution,
926		-	alternative health system, or employer may not employ an individual practicing radiation
927		-	therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED
928		-	LICENSED RADIOLOGIC TECHNOLOGY without a license.
	853	+	(15) Knowingly practices radiation therapy, radiography, nuclear medicine 30
	854	+	technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC 31
	855	+	TECHNOLOGY with an unauthorized individual or aids an unauthorized individual in the 32 SENATE BILL 830 19
929	856
930		-	(c) A disciplinary panel may impose a civil penalty of up to $1,000 for employing
931		-	an individual without a license under this section.
932	857
933		-	~~(d) The Board shall remit any penalty collected under this section into the~~
934		-	~~General Fund of the State.~~
	858	+	practice of radiation therapy, radiography, nuclear medicine technology, [or] radiology 1
	859	+	assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y; 2
935	860
936		-	14–5B–20.
	861	+	(16) Offers, undertakes, or agrees to cure or treat disease by a secret 3
	862	+	method, treatment, or medicine; 4
937	863
938		-	~~This subtitle may be cited as the “Maryland~~ ~~Radiation Therapy,~~ ~~Radiography,~~
939		-	~~Nuclear Medicine Technology,~~ ~~[and] Radiology Assistance,~~ ~~AND LIMITED LICENSED~~
940		-	~~RADIOLOGIC TECHNOLOGY~~ Act”.
941		-	~~WES MOORE,~~ ~~Governor~~ ~~Ch. 871~~
	864	+	(17) Is disciplined by a licensing or disciplinary authority or is convicted or 5
	865	+	disciplined by a court of any state or country or is disciplined by any branch of the United 6
	866	+	States uniformed services or the Veterans’ Administration for an act that would be grounds 7
	867	+	for disciplinary action under the Board’s disciplinary statutes; 8
942	868
943		-	– 21 –
944		-	SECTION 2. AND BE IT FURTHER ENACTED, That, on or before October 1, 2029,
945		-	the State Board of Physicians shall report to the Senate Finance Committee and the House
946		-	Health and Government Operations Committee, in accordance with § 2–1257 of the State
947		-	Government Article, on:
	869	+	(18) Fails to meet appropriate standards for the delivery of quality radiation 9
	870	+	therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED 10
	871	+	LICENSED RADIOLOGIC TECHNOLOGY care performed in any outpatient surgical facility, 11
	872	+	office, hospital or related institution, or any other location in this State; 12
948	873
949		-	(1) the number of individuals who have registered with the Board to
950		-	perform limited X–ray duties under § 14–306(e) of the Health Occupations Article, as
951		-	enacted by Section 1 of this Act; and
	874	+	(19) Knowingly submits false statements to collect fees for which services 13
	875	+	are not provided; 14
952	876
953		-	(2) its recommendations regarding the continuation of the registration
954		-	process or the replacement of the registration process with a limited licensure category.
	877	+	(20) (i) Has been subject to investigation or disciplinary action by a 15
	878	+	licensing or disciplinary authority or by a court of any state or country for an act that would 16
	879	+	be grounds for disciplinary action under the Board’s disciplinary statutes; and 17
955	880
956		-	SECTION 3. AND BE IT FURTHER ENACTED, That this Act may not be construed
957		-	to prohibit the establishment of a program that provides the training described in §
958		-	14–306(e)(3)(ii) of the Health – General Article, as enacted by Section 1 of this Act, before
959		-	the effective date of this Act.
	881	+	(ii) Has: 18
960	882
961		-	SECTION 2. 4. AND BE IT FURTHE R ENACTED, That this Act shall take effect
962		-	October January 1, 2024 2025. It shall remain effective for a period of 5 6 years and, at the
963		-	end of December 31, 2030, this Act, with no further action required by the General
964		-	Assembly, shall be abrogated and of no further force and effect.
	883	+	1. Surrendered the license issued by the state or country; or 19
965	884
966		-	Approved by the Governor, May 16, 2024.
	885	+	2. Allowed the license issued by the state or country to expire 20
	886	+	or lapse; 21
	887	+
	888	+	(21) Knowingly fails to report suspected child abuse in violation of § 5–704 22
	889	+	of the Family Law Article; 23
	890	+
	891	+	(22) Sells, prescribes, gives away, or administers drugs for illegal or 24
	892	+	illegitimate medical purposes; 25
	893	+
	894	+	(23) Practices or attempts to practice beyond the authorized scope of 26
	895	+	practice; 27
	896	+
	897	+	(24) Refuses, withholds from, denies, or discriminates against an individual 28
	898	+	with regard to the provision of professional services for which the licensee is licensed and 29
	899	+	qualified to render because the individual is HIV positive; 30
	900	+
	901	+	(25) Practices or attempts to practice a radiation therapy, radiography, 31
	902	+	nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED 32
	903	+	RADIOLOGIC TECHNOLOGY procedure or uses radiation therapy, radiography, nuclear 33 20 SENATE BILL 830
	904	+
	905	+
	906	+	medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC 1
	907	+	TECHNOLOGY equipment if the applicant or licensee has not received education, 2
	908	+	internship, training, or experience in the performance of the procedure or the use of the 3
	909	+	equipment; 4
	910	+
	911	+	(26) Fails to cooperate with a lawful investigation conducted by the Board 5
	912	+	or a disciplinary panel; 6
	913	+
	914	+	(27) Fails to practice under the supervision of a physician or violates a 7
	915	+	supervisory order of a supervising physician; or 8
	916	+
	917	+	(28) Fails to complete a criminal history records check under § 14–308.1 of 9
	918	+	this title. 10
	919	+
	920	+	14–5B–17. 11
	921	+
	922	+	(E) EXCEPT AS OTHERWISE P ROVIDED IN THIS SUBT ITLE, A PERSON MAY 12
	923	+	NOT PRACTICE, ATTEMPT TO PRACTICE , OR OFFER TO PRACTICE LIMITED LICENSED 13
	924	+	RADIOLOGIC TECHNOLOG Y IN THIS STATE UNLESS LICENSED TO PRACTICE AS A 14
	925	+	LIMITED LICENSED RAD IOLOGIC TECHNOLOGIST BY THE BOARD. 15
	926	+
	927	+	14–5B–18. 16
	928	+
	929	+	(a) Unless authorized to practice radiation therapy, radiography, nuclear 17
	930	+	medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC 18
	931	+	TECHNOLOGY under this subtitle, a person may not represent to the public by title, by 19
	932	+	description of services, methods, or procedures, or otherwise, that the person is authorized 20
	933	+	to practice radiation therapy, radiography, nuclear medicine technology, [or] radiology 21
	934	+	assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y in this State. 22
	935	+
	936	+	(b) A person may not provide, attempt to provide, offer to provide, or represent 23
	937	+	that the person provides radiation therapy, radiography, nuclear medicine technology, [or] 24
	938	+	radiology assistance, OR LIMITED LICENSED RADIOLOGIC TECHNOLOG Y care unless the 25
	939	+	radiation therapy, radiography, nuclear medicine technology, or radiology assistance care 26
	940	+	is provided by an individual who is authorized to practice radiation therapy, radiography, 27
	941	+	nuclear medicine technology, [or] radiology assistance, OR LIMITED LICENSED 28
	942	+	RADIOLOGIC TECHNOLOG Y under this subtitle. 29
	943	+
	944	+	14–5B–18.1. 30
	945	+
	946	+	(a) Except as otherwise provided in this subtitle, a licensed physician may not 31
	947	+	employ or supervise an individual practicing radiation therapy, radiography, nuclear 32
	948	+	medicine technology, [or] radiology assistance, OR LIMITED LICENSED RADIOLOGIC 33
	949	+	TECHNOLOGY without a license. 34
	950	+	SENATE BILL 830 21
	951	+
	952	+
	953	+	(b) Except as otherwise provided in this subtitle, a hospital, related institution, 1
	954	+	alternative health system, or employer may not employ an individual practicing radiation 2
	955	+	therapy, radiography, nuclear medicine technology, [or] radiology assistance, OR LIMITED 3
	956	+	LICENSED RADIOLOGIC TECHNOLOGY without a license. 4
	957	+
	958	+	(c) A disciplinary panel may impose a civil penalty of up to $1,000 for employing 5
	959	+	an individual without a license under this section. 6
	960	+
	961	+	(d) The Board shall remit any penalty collected under this section into the 7
	962	+	General Fund of the State. 8
	963	+
	964	+	14–5B–20. 9
	965	+
	966	+	This subtitle may be cited as the “Maryland Radiation Therapy, Radiography, 10
	967	+	Nuclear Medicine Technology, [and] Radiology Assistance, AND LIMITED LICENSED 11
	968	+	RADIOLOGIC TECHNOLOGY Act”. 12
	969	+
	970	+	SECTION 2. AND BE IT FURTHER ENACTED, That, on or before October 1, 2029, 13
	971	+	the State Board of Physicians shall report to the Senate Finance Committee and the House 14
	972	+	Health and Government Operations Committee, in accordance with § 2–1257 of the State 15
	973	+	Government Article, on: 16
	974	+
	975	+	(1) the number of individuals who have registered with the Board to 17
	976	+	perform limited X–ray duties under § 14–306(e) of the Health Occupations Article, as 18
	977	+	enacted by Section 1 of this Act; and 19
	978	+
	979	+	(2) its recommendations regarding the continuation of the registration 20
	980	+	process or the replacement of the registration process with a limited licensure category. 21
	981	+
	982	+	SECTION 3. AND BE IT FURTHER ENACTED, That this Act may not be construed 22
	983	+	to prohibit the establishment of a program that provides the training described in § 23
	984	+	14–306(e)(3)(ii) of the Health – General Article, as enacted by Section 1 of this Act, before 24
	985	+	the effective date of this Act. 25
	986	+
	987	+	SECTION 2. 4. AND BE IT FURTHER ENACTED, That this Act shall take effect 26
	988	+	October January 1, 2024 2025. It shall remain effective for a period of 5 6 years and, at the 27
	989	+	end of December 31, 2030, this Act, with no further action required by the General 28
	990	+	Assembly, shall be abrogated and of no further force and effect. 29
	991	+
	992	+
	993	+