EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. [Brackets] indicate matter deleted from existing law. *sb0995* SENATE BILL 995 J3, J2, J1 4lr2449 By: Senator Klausmeier Introduced and read first time: February 2, 2024 Assigned to: Finance A BILL ENTITLED AN ACT concerning 1 Health – Laser Hair Removal – Requirements 2 (Laser Hair Removal Act) 3 FOR the purpose of prohibiting an individual from performing or attempting to perform a 4 laser hair removal procedure unless the individual is a certain health professional; 5 establishing certain requirements for the performance of laser hair removal 6 procedures and laser hair removal practitioners; requiring certain physician 7 oversight of laser hair removal facilities and laser hair removal procedures 8 performed by laser hair removal practitioners; and generally relating to laser hair 9 removal procedures. 10 BY adding to 11 Article – Health – General 12 Section 19–3D–01 through 19–3D–04 to be under the new subtitle “Subtitle 3D. 13 Laser Hair Removal” 14 Annotated Code of Maryland 15 (2023 Replacement Volume) 16 Preamble 17 WHEREAS, Laser hair removal is a medical procedure, and its practice by 18 unqualified persons presents a danger to the public health and safety; and 19 WHEREAS, Because it is difficult for the public to make informed choices relating 20 to laser hair removal services and the consequences of wrong choices can harm the public 21 health and safety, laser hair removal must be performed only by persons who possess the 22 proper licensure and skills; and 23 WHEREAS, Restrictions should be imposed, however, only to the extent necessary 24 to protect the public and in a manner that will not unreasonably affect the competitive 25 market for the safe and effective delivery of such services; now, therefore, 26 2 SENATE BILL 995 SECTION 1. BE IT ENACTED BY THE GENERAL A SSEMBLY OF MARYLAND, 1 That the Laws of Maryland read as follows: 2 Article – Health – General 3 SUBTITLE 3D. LASER HAIR REMOVAL. 4 19–3D–01. 5 (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 6 INDICATED. 7 (B) “HEALTH PROFESSIONAL ” MEANS AN INDIVIDUAL: 8 (1) WHO IS LICENSED OR CERTIFIE D AS A PHYSICIAN, A PHYSICIAN 9 ASSISTANT, AN ADVANCED PRACTICE RE GISTERED NURSE , A REGISTERED NURSE , 10 OR A LICENSED PRACTICAL N URSE UNDER THE HEALTH OCCUPATIONS ARTICLE; 11 AND 12 (2) FOR WHOM THE PERFORMA NCE OF A L ASER HAIR REMOVAL 13 PROCEDURE IS WITHIN THE SCOPE OF THE IND IVIDUAL’S LICENSE OR 14 CERTIFICATION . 15 (C) “LASER HAIR REMOVAL FA CILITY” MEANS A BUSINESS LOC ATION THAT 16 PROVIDES LASER HAIR REMOVAL. 17 (D) “LASER HAIR REMOVAL PR ACTITIONER” MEANS A HEALTH 18 PROFESSIONAL WHO PRACTICES LASER HAIR REMOVAL . 19 (E) (1) “LASER HAIR REMOVAL PROCEDURE ” MEANS THE USE OF A LASER 20 LIGHT–BASED DEVICE TO PERFORM A NONABLATIV E HAIR REMOVAL PROCE DURE 21 THAT DOES NOT REMOVE THE EPIDERMIS . 22 (2) “LASER HAIR REMOVAL PR OCEDURE” DOES NOT INCLUDE 23 ELECTROLOGY . 24 19–3D–02. 25 THIS SUBTITLE MAY NOT BE CONSTRUED TO REST RICT OR LIMIT AN 26 INDIVIDUAL LICENSED OR CERTIFIED UNDER T HE HEALTH OCCUPATIONS ARTICLE 27 FROM ENGAGING IN A P RACTICE FOR WHICH TH E INDIVIDUAL IS DULY LICENSED OR 28 CERTIFIED UNDER THAT ARTICLE. 29 SENATE BILL 995 3 19–3D–03. 1 (A) AN INDIVIDUAL MAY NOT PERFORM OR A TTEMPT TO PERFORM A LASER 2 HAIR REMOVAL PROCEDURE UNLESS THE INDIVIDUA L IS A HEALTH PROFES SIONAL. 3 (B) A LASER HAIR REMOVAL PRACTITIONER MAY PERFORM A LAS ER HAIR 4 REMOVAL PROCEDURE ONLY USING LASERS APPROVED BY T HE U.S. FOOD AND 5 DRUG ADMINISTRATION FOR NO NINVASIVE PROCEDURES . 6 (C) (1) A LASER HAIR REMOVAL PRACTITIONER WHO IS NOT A PHYSICIAN 7 SHALL COMPLETE A LASER HAIR REMOVAL PRACTITIONER TRAINING AND 8 EDUCATION PROGRAM . 9 (2) THE TRAINING AND EDUCATION PROGRAM RE QUIRED UNDER 10 PARAGRAPH (1) OF THIS SUBSECTION : 11 (I) MAY BE COMPLETED : 12 1. AT A LASER HAIR REMOVAL FACILITY AT WHICH TH E 13 LASER HAIR REMOVAL PRACTITIONER PROVIDE S LASER HAIR REMOVAL 14 PROCEDURES ; OR 15 2. USING A PROGRAM PROVI DED BY A THIRD PARTY IF 16 THE PROGRAM IS UNDER THE OVERSIGHT OF A P HYSICIAN; AND 17 (II) SHALL INCLUDE AT LEAS T 40 HOURS OF TRAINING , WHICH 18 MAY CONSIST OF ANY C OMBINATION OF DIDACT IC TRAINING, IN–PERSON HANDS –ON 19 TRAINING, AND THE PERFORMANCE OF LASER HAIR REMOVAL PROCEDURES . 20 19–3D–04. 21 (A) A LASER HAIR REMOVAL F ACILITY SHALL BE OVE RSEEN BY A 22 PHYSICIAN. 23 (B) A PHYSICIAN THAT PROVIDES OVERSI GHT FOR A LASER HAIR REMOVAL 24 FACILITY SHALL: 25 (1) ESTABLISH PROPER PROT OCOLS FOR LASER HAIR REMOVAL 26 PROCEDURES PROVIDED AT THE LASER HAIR REMOVAL FACILITY, INCLUDING 27 PROTOCOLS FOR THE MA NAGEMENT OF PROCEDUR E COMPLICATIONS INVOLVING 28 THE USE OF A PHYSICI AN, A PHYSICIAN ASSISTANT , OR AN ADVANCED PRACTICE 29 REGISTERED NURSE ; 30 4 SENATE BILL 995 (2) DETERMINE THE NUMBER OF LASER HAIR REMOVAL 1 PRACTITIONERS UNDER THE PHYSICIAN ’S SUPERVISION AT THE LASER HAIR 2 REMOVAL FACILITY; AND 3 (3) REVIEW AT LEAST 10% OF ALL LASER HAIR REMOVAL P ATIENT 4 RECORDS. 5 (C) A PHYSICIAN IS NOT REQ UIRED TO BE PHYSICAL LY PRESENT OR 6 IMMEDIATELY AVAILABL E TO SUPERVISE LASER HA IR REMOVAL PROCEDURE S, BUT 7 MAY BE AVAILABLE FOR COMM UNICATION DURING THE PROCEDURE IN PERSON OR 8 BY TWO–WAY, REAL–TIME, INTERACTIVE COMMUNIC ATION. 9 (D) A LASER HAIR REMOVAL PRACTITIONER : 10 (1) SHALL FOLLOW WRITTEN PROTOCOLS ESTABLISHE D AND 11 REVISED, AS NECESSARY, BY A PHYSICIAN UNDER SUBSECTION (B) OF THIS SECTION; 12 AND 13 (2) MAY PERFORM LASER HAI R REMOVAL PROCEDURES ON A 14 PATIENT WITHOUT: 15 (I) A PRIOR DIAGNOSIS OR I NITIAL ASSESSMENT OF THE 16 PATIENT HAVING BEEN MADE BY A PHYSICIAN ; OR 17 (II) AN INDIVIDUAL TREATME NT PLAN HAVING BEEN 18 PREPARED BY A PHYSIC IAN. 19 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 20 October 1, 2024. 21