SB 951

SENATE BILL 951
     J2  6lr3188
  CF 6lr1440
     By: Senator Ellis
     Introduced and read first time: February 6, 2026
     Assigned to: Finance
  A BILL ENTITLED
1 AN ACT concerning
2State Board of Physicians – Anesthesiologist Assistants – Licensing
3 FOR the purpose of establishing a licensing and regulatory system for anesthesiologist
4      assistants under the State Board of Physicians; and generally relating to the
5      licensure of anesthesiologist assistants.
6 BY adding to
7      Article – Health Occupations
8      Section 14–5H–01 through 14–5H–16 to be under the new subtitle “Subtitle 5H.
9Anesthesiologist Assistants”
10      Annotated Code of Maryland
11      (2021 Replacement Volume and 2025 Supplement)
12SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
13 That the Laws of Maryland read as follows:
14Article – Health Occupations
15SUBTITLE 5H. ANESTHESIOLOGIST ASSISTANTS.
16 14–5H–01.
17(A)     IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS
18 INDICATED.
19(B)     “ANESTHESIOLOGIST” MEANS A PHYSICIAN LICENSED BY THE BOARD
20 WHO HAS COMPLETED A RESIDENCY IN ANESTHESIOLOGY APPROVED BY THE
21 AMERICAN BOARD OF ANESTHESIOLOGY OR THE AMERICAN OSTEOPATHIC BOARD
22 OF ANESTHESIOLOGY.
     EXPLANATION: CAPITALS INDICATE MATTER ADDED TO EXISTING LAW.
  [Brackets] indicate matter deleted from existing law.
  *sb0951*
2SENATE BILL 951
1      (C)    “ANESTHESIOLOGIST ASSISTANT” MEANS AN INDIVIDUAL WHO IS
2 LICENSED UNDER THIS SUBTITLE TO PERFORM AUTHORIZED ACTS UNDER THE
3 SUPERVISION OF AN ANESTHESIOLOGIST.
4      (D)    “SUPERVISION”  MEANS THE RESPONSIBILITY FOR IMMEDIATE
5 AVAILABILITY OF THE DIRECTING ANESTHESIOLOGIST FOR CONSULTATION AND
6 DIRECTION OF THE ACTIVITIES OF THE ANESTHESIOLOGIST ASSISTANT, INCLUDING:
7(1)   PHYSICAL PROXIMITY THAT ALLOWS THE ANESTHESIOLOGIST TO
8 REESTABLISH DIRECT CONTACT WITH THE PATIENT TO MEET MEDICAL NEEDS AND
9 ANY URGENT OR EMERGENT CLINICAL MATTERS; AND
10(2)   PERSONAL    PARTICIPATION     BY     THE    DIRECTING
11 ANESTHESIOLOGIST IN THE MOST DEMANDING PROCEDURES OF THE ANESTHESIA
12 PLAN, INCLUDING, AS CLINICALLY APPROPRIATE, INDUCTION AND EMERGENCE.
13      (E) “SUPERVISION AGREEMENT” MEANS A WRITTEN DOCUMENT EXECUTED
14 BETWEEN AN ANESTHESIOLOGIST ASSISTANT AND AN ANESTHESIOLOGIST
15 DESCRIBING THE SUPERVISORY RELATIONSHIP AND PRACTICE PARAMETERS
16 REQUIRED UNDER THIS SUBTITLE THAT IS MAINTAINED ON–SITE AND AVAILABLE TO
17 THE BOARD ON REQUEST.
18 14–5H–02.
19      THIS SUBTITLE DOES NOT LIMIT THE RIGHT OF AN INDIVIDUAL TO PRACTICE
20 A HEALTH OCCUPATION THAT THE INDIVIDUAL IS AUTHORIZED TO PRACTICE UNDER
21 THIS ARTICLE.
22 14–5H–03.
23     THIS SUBTITLE DOES NOT AUTHORIZE AN ANESTHESIOLOGIST ASSISTANT TO
24 PRACTICE INDEPENDENT OF AN ANESTHESIOLOGIST.
25 14–5H–04.
26      THE BOARD SHALL ADOPT REGULATIONS TO CARRY OUT THIS SUBTITLE,
27 INCLUDING REGULATIONS ESTABLISHING:
28(1)   QUALIFICATIONS FOR LICENSURE AND RENEWAL;
29(2)   PROCEDURES FOR LICENSURE AND RENEWAL;
30(3)   SUPERVISION STANDARDS;
  SENATE BILL 951  3
1(4)   DEFAULT
  AND    ADJUSTED    NUMBER    OF   CONCURRENT
2 PROCEDURES AN ANESTHESIOLOGIST IS DIRECTING OR SUPERVISING AT ONE TIME;
3(5)   CONTINUING EDUCATION REQUIREMENTS;
4(6) QUALIFICATIONS      AND   PROCEDURES   FOR   TEMPORARY   AND
5 EXPEDITED LICENSURE;
6(7)   SUPERVISION AGREEMENT CONTENT AND AUDIT PROCEDURES;
7 AND
8(8)   PROCEDURES FOR THE ENFORCEMENT OF THIS SUBTITLE.
9 14–5H–05.
10      (A) (1) THE BOARD SHALL SET REASONABLE FEES FOR THE ISSUANCE
11 AND RENEWAL OF LICENSES AND OTHER SERVICES THE BOARD PROVIDES TO
12 ANESTHESIOLOGIST ASSISTANTS.
13(2)   THE FEES CHARGED SHALL BE SET SO AS TO PROVIDE FUNDS TO
14 APPROXIMATE THE COST OF MAINTAINING THE LICENSURE PROGRAM AND OTHER
15 SERVICES PROVIDED TO ANESTHESIOLOGIST ASSISTANTS.
16(B)   (1)THE BOARD SHALL PAY ALL FEES COLLECTED UNDER THE
17 PROVISIONS OF THIS SUBTITLE TO THE COMPTROLLER.
18(2)   THE COMPTROLLER SHALL DISTRIBUTE ALL FEES TO THE
19 BOARD.
20(C)   THE FEES SHALL BE USED TO COVER THE ACTUAL DOCUMENTED
21 DIRECT AND INDIRECT COSTS OF FULFILLING THE STATUTORY AND REGULATORY
22 DUTIES OF THE BOARD AS PROVIDED BY THIS SUBTITLE.
23 14–5H–06.
24(A) EXCEPT AS PROVIDED IN SUBSECTION (B) OF THIS SECTION, AN
25 INDIVIDUAL SHALL BE LICENSED BY THE BOARD BEFORE THE INDIVIDUAL MAY
26 PRACTICE AS AN ANESTHESIOLOGIST ASSISTANT IN THE STATE.
27(B)   THIS SECTION DOES NOT APPLY TO:
4SENATE BILL 951
1(1)A STUDENT ENROLLED IN AN ANESTHESIOLOGIST ASSISTANT
2 PROGRAM ACCREDITED BY THE COMMISSION ON ACCREDITATION OF ALLIED
3 HEALTH EDUCATION PROGRAMS, OR A SUCCESSOR ORGANIZATION, PERFORMING
4 ASSIGNED TASKS UNDER THE SUPERVISION OF AN ANESTHESIOLOGIST, AN
5 ANESTHESIOLOGIST ASSISTANT, OR ANY OTHER LICENSED ANESTHESIA
6 PROFESSIONAL; OR
7(2)   AN
  INDIVIDUAL  EMPLOYED    BY  THE  UNITED STATES
8 GOVERNMENT WHILE THE INDIVIDUAL IS ACTING WITHIN THE SCOPE OF THAT
9 EMPLOYMENT.
10 14–5H–07.
11     TO QUALIFY FOR A LICENSE, AN APPLICANT MUST:
12(1)   BE OF GOOD MORAL CHARACTER;
13(2)
  HAVE GRADUATED FROM AN ANESTHESIOLOGIST ASSISTANT
14 PROGRAM ACCREDITED BY THE COMMISSION ON ACCREDITATION OF ALLIED
15 HEALTH EDUCATION PROGRAMS OR A SUCCESSOR ORGANIZATION;
16(3)HAVE PASSED THE CERTIFYING EXAMINATION ADMINISTERED BY
17 THE NATIONAL COMMISSION ON CERTIFICATION OF ANESTHESIOLOGIST
18 ASSISTANTS OR A SUCCESSOR ORGANIZATION, OR AN EXAMINATION APPROVED BY
19 THE BOARD; AND
20(4)
  MEET ANY ADDITIONAL EDUCATION, TRAINING, OR EXAMINATION
21 REQUIREMENTS ESTABLISHED BY THE BOARD.
22 14–5H–08.
23     TO APPLY FOR A LICENSE, AN APPLICANT SHALL:
24(1)
  COMPLETE A CRIMINAL HISTORY  RECORDS   CHECK   IN
25 ACCORDANCE WITH § 14–308.1 OF THIS TITLE;
26(2)
  SUBMIT AN APPLICATION TO THE BOARD ON A FORM THAT THE
27 BOARD REQUIRES;
28(3) SUBMIT TO THE BOARD ANY ATTESTATION OR DOCUMENTATION
29 THAT THE BOARD REQUIRES; AND
30(4)   PAY TO THE BOARD THE FEE SET BY THE BOARD.
  SENATE BILL 951  5
1 14–5H–09.
2      (A)    (1)   THE TERM OF A LICENSE ISSUED BY THE BOARD MAY NOT EXCEED
3 3 YEARS.
4(2)   A LICENSE EXPIRES ON THE DATE SET BY THE BOARD UNLESS A
5 LICENSE IS RENEWED FOR AN ADDITIONAL TERM AS PROVIDED UNDER THIS
6 SUBTITLE.
7      (B)  AT LEAST 1 MONTH BEFORE THE LICENSE EXPIRES, THE BOARD SHALL
8 SEND TO THE LICENSEE A RENEWAL NOTICE THAT STATES:
9(1)   THE DATE ON WHICH THE CURRENT LICENSE EXPIRES;
10(2)THE DATE BY WHICH THE RENEWAL APPLICATION MUST BE
11 RECEIVED BY THE BOARD FOR THE RENEWAL TO BE ISSUED AND MAILED BEFORE
12 THE LICENSE EXPIRES; AND
13(3)   THE AMOUNT OF THE RENEWAL FEE.
14      (C)    THE BOARD SHALL RENEW THE LICENSE OF A LICENSEE WHO:
15(1)   IS OTHERWISE ENTITLED TO BE LICENSED;
16(2)   PAYS TO THE BOARD THE RENEWAL FEE SET BY THE BOARD;
17(3)   SUBMITS TO THE BOARD:
18(I)    A RENEWAL APPLICATION ON THE FORM THAT THE BOARD
19 REQUIRES; AND
20(II)   SATISFACTORY EVIDENCE OF COMPLIANCE WITH ANY
21 CONTINUING EDUCATION REQUIREMENTS AND OTHER REQUIREMENTS SET UNDER
22 THIS SECTION FOR LICENSE RENEWAL; AND
23(4)MEETS ANY OTHER RENEWAL REQUIREMENTS ESTABLISHED BY
24 THE BOARD IN REGULATION.
25      (D)  THE BOARD MAY ADOPT REGULATIONS GOVERNING INACTIVE STATUS
26 AND THE REINSTATEMENT OF A LICENSE HOLDER.
27 14–5H–10.
6SENATE BILL 951
1      (A) SUBJECT TO THE REQUIREMENTS OF THIS SECTION AND ANY
2 REGULATIONS ADOPTED BY THE BOARD, THE BOARD MAY ISSUE A TEMPORARY
3 LICENSE TO A GRADUATE OF AN ANESTHESIOLOGIST ASSISTANT PROGRAM
4 ACCREDITED BY THE COMMISSION ON ACCREDITATION OF ALLIED HEALTH
5 EDUCATION PROGRAMS WHO IS AWAITING THE NEXT ADMINISTRATION OF THE
6 NATIONAL COMMISSION ON CERTIFICATION OF ANESTHESIOLOGIST ASSISTANTS
7 EXAM.
8      (B) A TEMPORARY LICENSE SHALL BE IN EFFECT FOR A PERIOD NOT TO
9 EXCEED 12 MONTHS AS SET BY THE BOARD IN REGULATION.
10      (C)  A TEMPORARY LICENSE AUTHORIZES AN INDIVIDUAL TO PRACTICE
11 SUBJECT TO THIS SUBTITLE AND REGULATIONS ADOPTED BY THE BOARD.
12 14–5H–11.
13      (A)  THE BOARD SHALL ADOPT REGULATIONS ESTABLISHING AN EXPEDITED
14 LICENSURE PROCESS FOR AN APPLICANT WHO HOLDS A CURRENT, ACTIVE LICENSE
15 AS AN ANESTHESIOLOGIST ASSISTANT IN GOOD STANDING  IN   ANOTHER
16 JURISDICTION THAT THE BOARD DESIGNATES BY REGULATION.
17      (B)  AN APPLICANT FOR EXPEDITED LICENSURE MUST MEET ANY
18 VERIFICATION, MORAL CHARACTER, AND CRIMINAL HISTORY RECORDS CHECK
19 REQUIREMENTS ESTABLISHED BY THE BOARD.
20      (C)  THE BOARD MAY REQUIRE EVIDENCE OF SUBSTANTIALLY EQUIVALENT
21 EDUCATION, TRAINING, AND EXAMINATION FOR AN APPLICANT FOR EXPEDITED
22 LICENSURE UNDER THIS SECTION.
23 14–5H–12.
24      (A)  AN ANESTHESIOLOGIST ASSISTANT MAY NOT EXCEED THE SCOPE OF A
25 SUPERVISING ANESTHESIOLOGIST’S PRACTICE.
26      (B)    AN ANESTHESIOLOGIST ASSISTANT MAY PERFORM DUTIES AND
27 RESPONSIBILITIES DELEGATED BY THE SUPERVISING ANESTHESIOLOGIST FOR
28 WHICH THE ANESTHESIOLOGIST ASSISTANT IS COMPETENT THROUGH EDUCATION,
29 TRAINING, AND EXPERIENCE, INCLUDING:
30(1)   CONDUCTING PRE– AND POST–ANESTHESIA EVALUATIONS;
31(2)   DOCUMENTING PATIENT PROGRESS NOTES;
  SENATE BILL 951  7
1(3)       OBTAINING INFORMED CONSENT FOR ANESTHESIA OR RELATED
2 PROCEDURES;
3(4)UNDER THE SUPERVISING ANESTHESIOLOGIST’S CONSULTATION
4 AND DIRECTION, ORDERING:
5(I)    PERIOPERATIVE MEDICATIONS AND FLUIDS; OR
6(II)
  CONTROLLED SUBSTANCES FOR USE ONLY AT THE FACILITY
7 WHERE ORDERED AND WITH TIMELY CO–SIGNATURE BY THE SUPERVISING
8 ANESTHESIOLOGIST CONSISTENT WITH FACILITY POLICY;
9(5)   PERFORMING ADVANCED AIRWAY INTERVENTIONS;
10(6)   ESTABLISHING PERIPHERAL, CENTRAL, AND ARTERIAL LINES;
11(7)   PERFORMING INDUCTION, MAINTENANCE, AND EMERGENCE;
12(8)
  PERFORMING PLACEMENT AND MANAGEMENT OF NEURAXIAL
13 AND REGIONAL ANESTHESIA;
14(9)   ADMINISTERING      VASOACTIVE    PHARMACEUTICALS      AND
15 INFUSIONS;
16(10) ADMINISTERING BLOOD AND FLUIDS;
17(11) ADMINISTERING     ANESTHETIC  MEDICATIONS,  ADJUVANT
18 PHARMACEUTICALS, AND ACCESSORY PHARMACEUTICALS;
19(12) PERFORMING  CARDIOPULMONARY     RESUSCITATION     AND
20 EMERGENCY RESPONSE;
21(13) PROVIDING ANESTHESIA EDUCATION AND TRAINING;
22(14) PARTICIPATING IN ADMINISTRATIVE, RESEARCH, AND CLINICAL
23 TEACHING ACTIVITIES AS AUTHORIZED BY THE SUPERVISING ANESTHESIOLOGIST;
24 AND
25(15) PERFORMING OTHER TASKS NOT PROHIBITED BY LAW.
26(C) AN ANESTHESIOLOGIST ASSISTANT MAY NOT INDEPENDENTLY
27 PRESCRIBE, ORDER, COMPOUND, OR DISPENSE DRUGS, MEDICATIONS, OR DEVICES.
8SENATE BILL 951
1      (D)  AN ANESTHESIOLOGIST ASSISTANT MAY SIGN AND ATTEST TO ANY
2 CERTIFICATES, CARDS, FORMS, OR OTHER REQUIRED DOCUMENTATION THAT THE
3 SUPERVISING ANESTHESIOLOGIST MAY SIGN, IF THE ACT IS WITHIN THE
4 ANESTHESIOLOGIST ASSISTANT’S AUTHORIZED SCOPE OF PRACTICE.
5      (E)    THIS SECTION MAY NOT BE CONSTRUED TO:
6(1)PREVENT AN ANESTHESIOLOGIST ASSISTANT FROM ACCESSING
7 AND OBTAINING DRUGS AS DIRECTED BY THE SUPERVISING ANESTHESIOLOGIST; OR
8(2)PROHIBIT A STUDENT ANESTHESIOLOGIST ASSISTANT WHO IS
9 ENROLLED IN A PROGRAM ACCREDITED BY THE COMMISSION ON ACCREDITATION
10 OF ALLIED HEALTH EDUCATION PROGRAMS, OR A SUCCESSOR ORGANIZATION,
11 FROM ENGAGING IN ACTS THAT CONSTITUTE THE PRACTICE OF AN
12 ANESTHESIOLOGIST ASSISTANT AS PART OF THE STUDENT’S CLINICAL EDUCATION
13 UNDER APPROPRIATE SUPERVISION.
14 14–5H–13.
15      (A)    AN ANESTHESIOLOGIST ASSISTANT MAY PRACTICE ONLY UNDER
16 SUPERVISION AS REQUIRED UNDER THIS SECTION AND UNDER REGULATIONS
17 ADOPTED BY THE BOARD.
18      (B) (1) UNLESS OTHERWISE PROVIDED BY REGULATIONS ADOPTED BY
19 THE BOARD, AN ANESTHESIOLOGIST MAY NOT SUPERVISE MORE THAN FOUR
20 ANESTHESIOLOGIST ASSISTANTS AT ANY ONE TIME.
21(2)   THE BOARD MAY ADOPT REGULATIONS AUTHORIZING DIFFERENT
22 RATIOS OF SUPERVISION WITH APPROPRIATE SAFEGUARDS AND MAY RECOGNIZE
23 GROUP–BASED SUPERVISION AND BACKUP ARRANGEMENTS.
24      (C)    (1)
  EACH ANESTHESIOLOGIST ASSISTANT SHALL PRACTICE UNDER A
25 WRITTEN SUPERVISION AGREEMENT WITH ONE OR MORE ANESTHESIOLOGISTS.
26(2)   THE SUPERVISION AGREEMENT:
27(I)    SHALL BE MAINTAINED ON–SITE AT EACH PRACTICE
28 LOCATION;
29(II)   IS NOT SUBJECT TO PREAPPROVAL; AND
30(III) SHALL BE AVAILABLE TO THE BOARD ON REQUEST.
  SENATE BILL 951  9
1(3)   THE SUPERVISION AGREEMENT SHALL INCLUDE:
2(I)    PARTIES AND PRACTICE LOCATIONS;
3(II)   PROVISIONS   DETAILING    SUPERVISION    AND   BACKUP
4 SUPERVISION;
5(III) PROCESSES     FOR   CLINICAL     REVIEW   AND   QUALITY
6 ASSURANCE;
7(IV)   EMERGENCY PROCEDURES;
8(V)    ANY APPLICABLE FACILITY OR SYSTEM PROTOCOLS; AND
9(VI)   ANY OTHER INFORMATION REQUIRED BY THE BOARD.
10(4) THE BOARD MAY AUDIT SUPERVISION  AGREEMENTS      FOR
11 COMPLIANCE AND TO ENFORCE THIS SUBTITLE.
12 14–5H–14.
13      ONLY A PERSON LICENSED UNDER THIS SUBTITLE MAY USE THE TITLES
14 “ANESTHESIOLOGIST ASSISTANT”, “AA”, “CERTIFIED ANESTHESIOLOGIST
15 ASSISTANT”, OR “CAA” OR OTHERWISE REPRESENT THEMSELVES AS BEING
16 AUTHORIZED TO PRACTICE AS AN ANESTHESIOLOGIST ASSISTANT IN THE STATE.
17 14–5H–15.
18      (A)  SUBJECT TO THE HEARING PROVISIONS OF § 14–405 OF THIS TITLE, A
19 DISCIPLINARY PANEL, ON THE AFFIRMATIVE VOTE OF A MAJORITY OF THE QUORUM
20 OF THE DISCIPLINARY PANEL, MAY DENY A LICENSE TO ANY APPLICANT,
21 REPRIMAND ANY LICENSEE, PLACE ANY LICENSEE ON PROBATION, OR SUSPEND OR
22 REVOKE A LICENSE, IF THE APPLICANT OR LICENSEE:
23(1)FRAUDULENTLY OR DECEPTIVELY OBTAINS OR ATTEMPTS TO
24 OBTAIN A LICENSE FOR THE APPLICANT OR LICENSEE OR FOR ANOTHER;
25(2)   FRAUDULENTLY OR DECEPTIVELY USES A LICENSE;
26(3)   IS GUILTY OF:
27(I)
  IMMORAL CONDUCT  WHILE    PRACTICING    AS   AN
28 ANESTHESIOLOGIST ASSISTANT; OR
10SENATE BILL 951
1(II)UNPROFESSIONAL CONDUCT WHILE PRACTICING AS AN
2 ANESTHESIOLOGIST ASSISTANT;
3(4)   IS :
4(I)    PROFESSIONALLY INCOMPETENT;
5(II)   PHYSICALLY INCOMPETENT; OR
6(III) MENTALLY INCOMPETENT;
7(5)   ABANDONS A PATIENT;
8(6)   IS HABITUALLY INTOXICATED;
9(7) IS ADDICTED TO OR HABITUALLY ABUSES ANY NARCOTIC OR
10 CONTROLLED DANGEROUS SUBSTANCE, AS DEFINED IN § 5–101 OF THE CRIMINAL
11 LAW ARTICLE;
12(8)   PROVIDES PROFESSIONAL SERVICES WHILE:
13(I)    UNDER THE INFLUENCE OF ALCOHOL; OR
14(II)USING ANY NARCOTIC OR CONTROLLED DANGEROUS
15 SUBSTANCE, AS DEFINED IN § 5–101 OF THE CRIMINAL LAW ARTICLE, OR ANY
16 OTHER DRUG THAT IS IN EXCESS OF THERAPEUTIC AMOUNTS OR WITHOUT VALID
17 MEDICAL INDICATION;
18(9) PROMOTES THE SALE OF SERVICES, DRUGS, DEVICES,
19 APPLIANCES, OR GOODS TO A PATIENT SO AS TO EXPLOIT THE PATIENT FOR
20 FINANCIAL GAIN;
21(10) WILLFULLY MAKES OR FILES A FALSE REPORT OR RECORD WHILE
22 PRACTICING AS AN ANESTHESIOLOGIST ASSISTANT;
23(11) WILLFULLY FAILS TO FILE OR RECORD ANY REPORT AS REQUIRED
24 UNDER LAW, WILLFULLY IMPEDES OR OBSTRUCTS THE FILING OR RECORDING OF A
25 REPORT, OR INDUCES ANOTHER TO FAIL TO FILE OR RECORD A REPORT;
26(12) BREACHES PATIENT CONFIDENTIALITY;
  SENATE BILL 951  11
1(13) PAYS OR AGREES TO PAY ANY SUM OR PROVIDE ANY FORM OF
2 REMUNERATION OR MATERIAL BENEFIT TO ANY PERSON FOR BRINGING OR
3 REFERRING A PATIENT OR ACCEPTS OR AGREES TO ACCEPT ANY SUM OR ANY FORM
4 OF REMUNERATION OR MATERIAL BENEFIT FROM AN INDIVIDUAL FOR BRINGING OR
5 REFERRING A PATIENT;
6(14) WILLFULLY MAKES A MISREPRESENTATION WHILE PRACTICING
7 AS AN ANESTHESIOLOGIST ASSISTANT;
8(15) WILLFULLY PRACTICES AS AN ANESTHESIOLOGIST ASSISTANT
9 WITH AN UNAUTHORIZED INDIVIDUAL OR AIDS AN UNAUTHORIZED INDIVIDUAL IN
10 PRACTICING AS AN ANESTHESIOLOGIST ASSISTANT;
11(16) WILLFULLY DELEGATES AN ANESTHESIOLOGIST ASSISTANT DUTY
12 TO AN UNLICENSED INDIVIDUAL;
13(17) ESTABLISHES A PATTERN  OF   EXCESSIVE   OR   MEDICALLY
14 UNNECESSARY PROCEDURES OR TREATMENT;
15(18) OFFERS, UNDERTAKES, OR AGREES TO CURE OR TREAT DISEASE
16 BY A SECRET METHOD, TREATMENT, OR MEDICINE;
17(19) IS DISCIPLINED BY A LICENSING OR DISCIPLINARY AUTHORITY OR
18 IS CONVICTED OR DISCIPLINED BY A COURT OF ANY STATE OR COUNTRY OR IS
19 DISCIPLINED BY ANY BRANCH OF THE UNIFORMED SERVICES OR THE U.S.
20 DEPARTMENT OF VETERANS AFFAIRS FOR AN ACT THAT WOULD BE GROUNDS FOR
21 DISCIPLINARY ACTION UNDER THE BOARD’S DISCIPLINARY STATUTES;
22(20) FAILS TO MEET APPROPRIATE STANDARDS FOR THE DELIVERY OF
23 ANESTHESIOLOGIST ASSISTANT SERVICES;
24(21) WILLFULLY SUBMITS FALSE STATEMENTS TO COLLECT FEES FOR
25 WHICH SERVICES ARE NOT PROVIDED;
26(22) (I)     HAS BEEN SUBJECT TO INVESTIGATION OR DISCIPLINARY
27 ACTION BY A LICENSING OR DISCIPLINARY AUTHORITY OR BY A COURT OF ANY
28 STATE OR COUNTRY FOR AN ACT THAT WOULD BE GROUNDS FOR DISCIPLINARY
29 ACTION UNDER THE BOARD’S DISCIPLINARY STATUTES; AND
30(II)    HAS:
311.     SURRENDERED THE LICENSE, IF ANY, ISSUED BY THE
32 STATE OR COUNTRY; OR
12SENATE BILL 951
12.  ALLOWED THE LICENSE, IF ANY, ISSUED BY THE
2 STATE OR COUNTRY TO EXPIRE OR LAPSE;
3(23) WILLFULLY FAILS TO REPORT SUSPECTED CHILD ABUSE IN
4 VIOLATION OF § 5–704 OF THE FAMILY LAW ARTICLE;
5(24) PRACTICES OR    ATTEMPTS      TO   PRACTICE   BEYOND   THE
6 AUTHORIZED SCOPE OF PRACTICE;
7(25) REFUSES, WITHHOLDS FROM, DENIES, OR DISCRIMINATES
8 AGAINST AN INDIVIDUAL WITH REGARD TO THE PROVISION OF PROFESSIONAL
9 SERVICES FOR WHICH THE LICENSEE IS LICENSED AND QUALIFIED TO RENDER
10 BECAUSE THE INDIVIDUAL IS HIV POSITIVE;
11(26) PRACTICES  OR    ATTEMPTS    TO   PRACTICE   AS   AN
12 ANESTHESIOLOGIST ASSISTANT IF THE APPLICANT OR LICENSEE HAS NOT
13 RECEIVED EDUCATION AND TRAINING IN THE PERFORMANCE OF THE PROCEDURE;
14(27) FAILS TO COOPERATE WITH A LAWFUL INVESTIGATION OF THE
15 BOARD OR A DISCIPLINARY PANEL;
16(28) FAILS TO COMPLETE A CRIMINAL HISTORY RECORDS CHECK
17 UNDER § 14–308.1 OF THIS TITLE; OR
18(29) VIOLATES ANY PROVISION OF THIS TITLE OR ANY RULE OR
19 REGULATION PERTAINING TO ANESTHESIOLOGIST ASSISTANTS THAT IS ADOPTED BY
20 THE BOARD, THE STATE, OR THE FEDERAL GOVERNMENT.
21      (B)  EXCEPT AS OTHERWISE PROVIDED IN THE ADMINISTRATIVE
22 PROCEDURE ACT, BEFORE THE BOARD OR A DISCIPLINARY PANEL TAKES ANY
23 ACTION UNDER SUBSECTION (A) OF THIS SECTION, IT SHALL GIVE THE INDIVIDUAL
24 AGAINST WHOM THE ACTION IS CONTEMPLATED AN OPPORTUNITY FOR A HEARING
25 BEFORE THE BOARD OR THE DISCIPLINARY PANEL IN ACCORDANCE WITH THE
26 HEARING REQUIREMENTS OF § 14–405 OF THIS TITLE.
27      (C) (1) ON THE FILING OF CERTIFIED DOCKET ENTRIES WITH THE BOARD
28 BY THE OFFICE OF THE ATTORNEY GENERAL, A DISCIPLINARY PANEL SHALL ORDER
29 THE SUSPENSION OF A LICENSE IF THE LICENSEE IS CONVICTED OF OR PLEADS
30 GUILTY OR NOLO CONTENDERE WITH RESPECT TO A CRIME INVOLVING MORAL
31 TURPITUDE, WHETHER OR NOT ANY APPEAL OR OTHER PROCEEDING IS PENDING TO
32 HAVE THE CONVICTION OR PLEA SET ASIDE.
  SENATE BILL 951  13
1(2)    AFTER COMPLETION OF THE APPELLATE PROCESS, IF THE
2 CONVICTION HAS NOT BEEN REVERSED OR THE PLEA HAS NOT BEEN SET ASIDE WITH
3 RESPECT TO A CRIME INVOLVING MORAL TURPITUDE, A DISCIPLINARY PANEL
4 SHALL ORDER THE REVOCATION OF A LICENSE ON THE CERTIFICATION BY THE
5 OFFICE OF THE ATTORNEY GENERAL.
6(D) (1) IF, AFTER A HEARING UNDER § 14–405 OF THIS TITLE, A
7 DISCIPLINARY PANEL FINDS THAT THERE ARE GROUNDS UNDER SUBSECTION (A) OF
8 THIS SECTION TO SUSPEND OR REVOKE A LICENSE, TO REPRIMAND A LICENSEE, OR
9 TO PLACE A LICENSEE ON PROBATION, THE DISCIPLINARY PANEL MAY IMPOSE A
10 FINE SUBJECT TO THE BOARD’S REGULATIONS IN ADDITION TO SUSPENDING OR
11 REVOKING THE LICENSE, REPRIMANDING THE LICENSEE, OR PLACING THE
12 LICENSEE ON PROBATION.
13(2)THE BOARD SHALL PAY ANY FINES COLLECTED UNDER THIS
14 SECTION INTO THE GENERAL FUND OF THE STATE.
15(E)   IN ADDITION TO ANY SANCTION AUTHORIZED UNDER THIS SECTION, A
16 DISCIPLINARY PANEL MAY REQUIRE A LICENSEE TO COMPLY WITH SPECIFIED
17 TERMS AND CONDITIONS DETERMINED BY THE DISCIPLINARY PANEL.
18 14–5H–16.
19(A)   (1)    ANY PERSON AGGRIEVED BY A FINAL DECISION OF THE BOARD OR
20 A DISCIPLINARY PANEL UNDER THIS SUBTITLE MAY TAKE A DIRECT JUDICIAL
21 APPEAL.
22(2) THE APPEAL SHALL BE MADE AS PROVIDED FOR JUDICIAL
23 REVIEW OF FINAL DECISIONS IN THE ADMINISTRATIVE PROCEDURE ACT.
24(B) AN ORDER OF THE BOARD OR A DISCIPLINARY PANEL MAY NOT BE
25 STAYED PENDING REVIEW.
26(C) THE BOARD MAY APPEAL FROM ANY DECISION THAT REVERSES OR
27 MODIFIES AN ORDER OF THE BOARD OR A DISCIPLINARY PANEL.
28SECTION 2. AND BE IT FURTHER ENACTED, That, on or before October 1, 2027,
29 the State Board of Physicians shall adopt regulations necessary to carry out this Act,
30 including establishing the date by which the Board shall begin accepting applications for
31 licensure under this Act.
32SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
33 October 1, 2026.