Physicians - Licensing - Internationally Trained Physicians and Licensed Physicians Residing in Other Jurisdictions

EXPLANATION: CAPITALS INDICATE MATTER ADDED TO EXISTING LAW.
[Brackets] indicate matter deleted from existing law.
Underlining indicates amendments to bill.
Strike out indicates matter stricken from the bill by amendment or deleted from the law by
amendment.
*hb0598*

HOUSE BILL 598
J2 6lr0946
HB 1199/25 – HGO CF SB 380
By: Delegates Hill, Bagnall, Feldmark, Guzzone, Lehman, Smith, and Wu Wu,
Alston, Cullison, Kaufman, Lopez, Martinez, Rosenberg, Ross,
White Holland, and Woorman
Introduced and read first time: January 28, 2026
Assigned to: Health
Committee Report: Favorable with amendments
House action: Adopted
Read second time: March 9, 2026

CHAPTER ______

AN ACT concerning 1

Physicians – Licensing – Internationally Trained Physicians and Licensed 2
Physicians Residing in Other Jurisdictions 3

FOR the purpose of authorizing the State Board of Physicians to issue a certain license to 4
practice medicine to an intern ationally trained physician under certain 5
circumstances; altering the circumstances under which a physician licensed by and 6
residing in another jurisdiction may practice medicine in the State without a license; 7
and generally relating to the licensure of internationally trained physicians. 8

BY repealing 9
Article – Health Occupations 10
Section 14–308 11
Annotated Code of Maryland 12
(2021 Replacement Volume and 2025 Supplement) 13

BY repealing and reenacting, with amendments, 14
Article – Health Occupations 15
Section 14–302(2)(iii)4., 14–306(g)(1)(iii)1.B., and 14–307(d)(2)(i) 16
Annotated Code of Maryland 17
(2021 Replacement Volume and 2025 Supplement) 18

BY adding to 19
Article – Health Occupations 20
2 HOUSE BILL 598

Section 14–321 14–308 1
Annotated Code of Maryland 2
(2021 Replacement Volume and 2025 Supplement) 3

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 4
That Section(s) 14–308 of Article – Health Occupations of the Annotated Code of Maryland 5
be repealed. 6

SECTION 1. 2. AND BE IT FURTHER ENACTED BY THE GENERAL ASSEMBLY 7
OF MARYLAND, That the Laws of Maryland read as follows: 8

Article – Health Occupations 9

14–321. 10

14–302. 11

Subject to the rules, regulations, and orders of the Board, the following individuals 12
may practice medicine without a license: 13

(2) A physician licens ed by and residing in another jurisdiction, if the 14
physician: 15

(iii) Is engaged in clinical training or participates in training or 16
teaching of a skill or procedure in a hospital if: 17

4. The visiting physician [has]: 18

A. HAS no history of any medical disciplinary action in any 19
other state, territory, nation, or any branch of the uniformed services or the U.S. 20
Department of Veterans Affairs, UNLESS THE DISCIPLIN ARY ACTION HAS BEEN 21
SATISFIED AND THE BOARD CONSIDERS THAT THE BEH AVIOR FOR WHICH THE 22
DISCIPLINARY ACTION WAS IMPOSED HAS BEEN SUFFICIENTLY CORRECT ED; and 23
[has] 24

B. HAS no significant detrimental malpractice history; 25

14–306. 26

(g) (1) (iii) “Supervised medical graduate” means an individual who: 27

1. Has a degree of: 28

B. Doctor of osteopathy from a school of osteopathy in the 29
United States, its territories or possessions, [Puerto Rico,] or Canada that has standards 30
HOUSE BILL 598 3

for graduation equivalent to those established by the American Osteopathic Association; 1
and 2

14–307. 3

(d) Except as provided in § 14–308 of this subtitle, the applicant shall: 4

(2) (i) Have a degree of doctor of osteopathy from a school of osteopathy 5
in the United States, its territories or possessions, [Puerto Rico, ] or Canada that has 6
standards for graduation equivalent to those established by the American Osteopathic 7
Association; and 8

14–308. 9

(A) (1) IN THIS SECTION THE F OLLOWING WORDS HAVE THE MEANINGS 10
INDICATED. 11

(2) “COMMUNITY SPONSOR” MAY INCLUDE: 12

(I) A FEDERALLY QUALIFIED HEALTH CENTER; 13

(II) A RURAL HEALTH CLINIC; 14

(III) A COMMUNITY HEALTH CENTER; 15

(IV) A GROUP PRACTICE WITH AT LEAST TWO LICENSE D 16
PHYSICIANS IN GOOD STANDING WITH THE BOARD; 17

(V) A LOCAL HEALTH DEPARTMENT; AND 18

(VI) A NONPROFIT CLINIC SER VING UNDERSERVED 19
POPULATIONS. 20

(3) “FACILITY” MEANS: 21

(I) A HEALTH SYSTEM, HOSPITAL, HOSPITAL–BASED FACILITY, 22
FREESTANDING EMERGENCY FACILITY, OR URGENT CARE CLINIC THAT: 23

1. HAS AN ACCREDITATION COUNCIL FOR GRADUATE 24
MEDICAL EDUCATION OR AMERICAN OSTEOPATHIC ASSOCIATION RESIDENCY 25
PROGRAM; OR 26

2. IS AFFILIATED WITH TH E ACCREDITATION COUNCIL 27
FOR GRADUATE MEDICAL EDUCATION OR THE AMERICAN OSTEOPATHIC 28
ASSOCIATION; 29
4 HOUSE BILL 598

(II) A SCHOOL OF MEDICINE; 1

(III) THE NATIONAL INSTITUTES FOR HEALTH; OR 2

(IV) A FEDERALLY QUALIFIED HEALTH CENTER. 3

(4) “FOREIGN COUNTRY ” MEANS A COUNTRY OTHE R THAN THE 4
UNITED STATES, ITS TERRITORIES OR POSSESSIONS, OR CANADA. 5

(5) “SOLO PRACTICE” MEANS PRIVATE, INDEPENDENT PRACTICE IN 6
WHICH A PHYSICIAN OP ERATES WITHOUT PARTNERS OR EMPLOYME NT 7
AFFILIATIONS WITH OTHER ORGANIZATIONS. 8

(6) “STATE STANDARD OF CAR E ASSESSMENT ” MEANS AN EXAM 9
APPROVED BY THE BOARD TO ASSESS CLINI CAL JUDGMENT , MANAGEMENT OF 10
COMPLICATIONS, UNDERSTANDING OF APP ROPRIATE COLLABORATI ON AND 11
REFERRAL PRACTICES , AND ETHICAL STANDARD S, AND DEMONSTRATING TH E 12
ABILITY TO CON STRUCT AND EXECUTE S AFE, APPROPRIATE TREATMEN T PLANS , 13
INCLUDING ORAL THEORY AND PRACTICE SESSIONS COVERING: 14

(I) UNEXPECTED CLINICAL SCENARIOS; AND 15

(II) ONCE ANNUAL REVIEW OF A SUBSET OF THE LICE NSEE’S 16
ACTUAL CASES BY AN EXAMINER APPROVED BY THE BOARD. 17

(B) THIS SECTION DOES NOT APPLY TO: 18

(1) A PHYSICIAN WHO HAS COMPLETED: 19

(I) ACCREDITATION COUNCIL FOR GRADUATE MEDICAL 20
EDUCATION ACCREDITED RESIDENCY TRAINING IN THE UNITED STATES; OR 21

(II) AMERICAN OSTEOPATHIC ASSOCIATION RESIDENCY 22
TRAINING OR ROYAL COLLEGE OF PHYSICIANS TRAINING IN CANADA; OR 23

(2) A PHYSICIAN WHO HAS PR EVIOUSLY RESIDED IN OR HELD A 24
MEDICAL LICENSE FROM THE UNITED STATES, ITS TERRITORIES OR POSSESSIONS, 25
OR CANADA. 26

(A) (C) (1) BEGINNING OCTOBER JANUARY 1, 2028, THE BOARD MAY 27
ISSUE A LIMITED LICENSE TO PRACTICE MEDICINE TO A PHYSICIAN LICENSED IN A 28
COUNTRY OTHER THAN T HE UNITED STATES, ITS TERRITORIES OR P OSSESSIONS, 29
PUERTO RICO, OR CANADA WHO MEETS THE REQUIREMENTS OF THIS SECTION. 30
HOUSE BILL 598 5

(2) THE TERM OF A LIMITED LICENSE ISSUED BY THE BOARD UNDER 1
THIS SECTION MAY NOT EXCEED 3 YEARS. 2

(3) A LIMITED LICENSE ISSUED BY THE BOARD UNDER THIS SECTION 3
MAY NOT BE RENEWED. 4

(B) AN APPLICANT SHALL SUBMIT EVIDENCE ACCEPTABLE TO THE BOARD 5
THAT THE APPLICANT: 6

(D) TO BE ELIGIBLE FOR A LIMITED LICENSE, AN APPLICANT MUST: 7

(1) HAS HAVE RECEIVED A DEGREE OF DOCTOR OF MEDICINE OR ITS 8
EQUIVALENT FROM A LEGALLY CHARTERED MEDICAL SCHOOL OUTSI DE THE 9
UNITED STATES, ITS TERRITORIES OR P OSSESSIONS, PUERTO RICO, OR CANADA 10
THAT IS RECOGNIZED BY THE WORLD HEALTH ORGANIZATION WITH RECOGNIZED 11
ACCREDITATION STATUS FROM THE EDUCATIONAL COMMISSION FOR FOREIGN 12
MEDICAL GRADUATES; 13

(2) HAS COMPLETED AT LEAS T 2 YEARS OF POSTGRADUAT E 14
TRAINING IN THE COUN TRY IN WHICH THE APP LICANT IS LICENSED THAT IS 15
EQUIVALENT TO A POST GRADUATE RESIDENCY P ROGRAM ACCREDITED BY THE 16
ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION; 17

(3) HAS BEEN LICENSED OR OTHERWISE AUTHORIZED TO PRACTICE 18
MEDICINE IN A COUNTR Y OTHER THAN THE UNITED STATES, ITS TERRITORIES OR 19
POSSESSIONS, PUERTO RICO, OR CANADA, AND HAS PRACTICED MEDICINE FOR AT 20
LEAST 5 OF THE 7 YEARS IMMEDIATELY PRECEDING THE DATE OF APPLICATION; 21

(2) HAVE: 22

(I) COMPLETED AT LEAST 2 YEARS OF TRAINING IN A 23
RESIDENCY PROGRAM: 24

1. ACCREDITED BY THE ACCREDITATION COUNCIL FOR 25
GRADUATE MEDICAL EDUCATION–I; 26

2. IN A COUNTRY WHOSE GR ADUATE MEDICAL 27
EDUCATION ACCREDITIN G AGENCY HAS BEEN RE COGNIZED BY THE WORLD 28
FEDERATION FOR MEDICAL EDUCATION; 29

3. ACCREDITED BY THE COU NTRY’S GRADUATE 30
MEDICAL EDUCATION ACCREDITING AGENCY; OR 31

6 HOUSE BILL 598

4. ACCREDITED BY ANOTHER ACCREDITATION 1
AUTHORITY APPROVED BY THE BOARD; AND 2

(II) BEEN LICENSED OR OTHERWISE AUTHORIZED TO PRACTICE 3
MEDICINE IN A FOREIGN COUNTRY FOR AT LEAST 3 YEARS WITH A MEDICAL LICENSE 4
IN GOOD STANDING; 5

(3) HAVE PRACTICED MEDICINE IN A FOREIGN COUNTRY: 6

(I) FOR AT LEAST 3 OUT OF THE 10 YEARS IMMEDIATELY 7
PRECEDING THE APPLICATION FOR A LIMITED LICENS E AFTER COMPLETION O F A 8
POST–GRADUATE INTERNSHIP OR RESIDENCY; OR 9

(II) FOR A PERIOD OF TIME DETERMINED BY THE BOARD ON A 10
CASE–BY–CASE BASIS; 11

(4) IS IN GOOD STANDING W ITH THE MEDICAL LICE NSING OR 12
REGULATORY AUTHORITY IN THE COUNTRY OTHER THAN THE UNITED STATES, ITS 13
TERRITORIES OR POSSE SSIONS, PUERTO RICO, OR CANADA WITH WHICH THE 14
BOARD, THE FEDERATION OF STATE MEDICAL BOARDS, OR ANOTHER NATIONALLY 15
RECOGNIZED MEDICAL S TANDARDS OVERSIGHT E NTITY IS ABLE TO VER IFY THE 16
PHYSICIAN’S DISCIPLINE AND CRIMINAL BACKGROUND HISTORY; 17

(4) (I) HAVE BEEN IN GOOD STA NDING WITH THE MEDIC AL 18
LICENSING OR REGULATORY AUTHORITY OF THE FOREIGN COUNTRY AT T HE TIME 19
OF DEPARTURE; OR 20

(II) WHEN REASONABLE EFFOR TS TO SHOW GOOD STAN DING 21
UNDER ITEM (I) OF THIS ITEM HAVE BE EN UNSUCCESSFUL, BE APPROVED BY THE 22
BOARD ON A CASE–BY–CASE BASIS; 23

(5) HAVE A VALID CERTIFIC ATE ISSUED BY THE EDUCATIONAL 24
COMMISSION FOR FOREIGN MEDICAL GRADUATES; 25

(5) (6) HAS HAVE NO PENDING DISCIPLIN ARY MATTERS BEFORE 26
ANY LICENSING OR REGULATORY BODY; 27

(6) HAS A VALID CERTIFICA TE ISSUED BY THE EDUCATIONAL 28
COMMISSION FOR FOREIGN MEDICAL GRADUATES; 29

(7) HAS ACHIEVED A PASSIN G SCORE ON STEP 1, STEP 2 (CLINICAL 30
KNOWLEDGE), AND STEP 3 OF THE UNITED STATES MEDICAL LICENSING 31
EXAMINATION; 32

HOUSE BILL 598 7

(8) IS DOMICILED IN THE STATE; 1

(9) DEMONSTRATES ORAL AND WRITTEN COMPETENCY I N THE 2
ENGLISH LANGUAGE; 3

(10) (7) IS BE OF GOOD MORAL CHARACTER; 4

(11) MEETS THE REQUIREMENT S UNDER §§ 14–309 AND 14–313 OF 5
THIS SUBTITLE; AND 6

(8) (I) 1. HAVE ACHIEVED A PASSING SCORE ON STEP 1, STEP 7
2, AND STEP 3 OF THE UNITED STATES MEDICAL LICENSING EXAMINATION; AND 8

2. SUBMIT EVIDENCE OF HA VING PASSED PART 1 OF 9
THE STATE STANDARDS OF CARE ASSESSMENT; OR 10

(II) 1. HAVE AN OFFER OF EMPL OYMENT FROM A FACILI TY 11
APPROVED BY THE BOARD THAT WILL: 12

A. EVALUATE THE PHYSICIA N’S NONCLINICAL SKILLS 13
AND FAMILIARITY WITH STANDARDS APPROPRIATE FOR MEDICAL PRACTICE IN THE 14
STATE; 15

B. PROVIDE DIRECT CLINIC AL OVERSIGHT FOR AN 16
INITIAL PERIOD FOLLO WED BY PROGRESSIVE A UTONOMY BASED ON 17
DEMONSTRATED COMPETENCE; 18

C. CONDUCT REGULAR CASE REVIEWS, CHART AUDITS, 19
AND DIRECT OBSERVATION; 20

D. SUBMIT BIANNUAL COMPE TENCY EVALUATIONS TO 21
THE BOARD; 22

E. PROVIDE STRUCTURED SUPPORT TO ACCLIMATE THE 23
INTERNATIONALLY TRAI NED PHYSICIAN TO U.S. MEDICAL LEGAL STANDA RDS, 24
DOCUMENTATION PRACTICES, QUALITY METRICS, AND PATIENT COMMUNIC ATION 25
NORMS; AND 26

F. IMMEDIATELY REPORT AN Y COMPETENCE OR 27
PROFESSIONALISM CONCERNS TO THE BOARD; AND 28

3. SUBMIT A STATEMENT TO THE BOARD THAT THE 29
APPLICANT AGREES TO: 30

8 HOUSE BILL 598

A. ENTER A FULL –TIME EMPLOYMENT RELA TIONSHIP 1
WITH THE FACILITY THAT HAS MADE THE OFFER OF EMPLOYMENT UNDER ITEM 1 OF 2
THIS ITEM; AND 3

B. PRACTICE MEDICINE SOL ELY AT FACILITIES 4
OPERATED BY THE FACILITY AS AUTHORIZED BY THE LIMITED LICENSE ISSUED BY 5
THE BOARD FOR THE DURATION OF THE LIMITED LICENSE; AND 6

(12) (9) HAS SATISFIED SATISFY ANY OTHER CRITERIA 7
ESTABLISHED BY THE BOARD FOR ISSUANC E OF A LIMITED LICENSE UNDER THIS 8
SECTION. 9

(C) (E) THE BOARD MAY DETERMINE A N APPLICANT INELIGIB LE FOR 10
LICENSURE IF THE APPLICANT HAD: 11

(1) A HAD A PREVIOUS DISCIPLINARY ACTION; OR 12

(2) DISCIPLINE HAD DISCIPLINE OR COMPETENCY ISSUES DURING 13
THE APPLICANT’S POSTGRADUATE TRAINING; OR 14

(3) DOES NOT SUBMIT EVIDENCE ACCEPTABLE TO THE BOARD THAT 15
THE APPLICANT MEETS THE REQUIREMENTS FOR A LIMITED LICENSE UN DER 16
SUBSECTION (D) OF THIS SECTION. 17

(D) (F) THE BOARD MAY REVOKE A LIMITED LICENSE ISSUED UNDER 18
THIS SECTION IF: 19

(1) THE LICENSEE HAS PRAC TICED OUTSIDE THE SC OPE OF THE 20
LIMITED LICENSE; 21

(2) THE LICENSEE’S EMPLOYMENT IS TERMINATED; 22

(3) THE LICENSEE PRACTICE S MEDICINE OUTSIDE T HE STATE, 23
UNLESS LICENSED BY THE OTHER STATE; 24

(3) (4) THE LICENSEE HAS BEEN THE SUBJECT OF A DISCIPLINARY 25
ACTION BY THE HEALTH CARE FACILITY OR THE BOARD; OR 26

(4) (5) THE LICENSEE IS NO LO NGER ELIGIBLE FOR TH E LIMITED 27
LICENSE. 28

(E) THE BOARD SHALL ADOPT REGULATIONS: 29

HOUSE BILL 598 9

(1) TO ESTABLISH MINIMUM QUALIFICATIONS AND A PPLICATION 1
FEES FOR A LICENSE ISSUED UNDER THIS SECTION; 2

(2) TO ESTABLISH CONDITIONS APPLICABLE TO A LICENSEE; 3

(3) TO PROVIDE A PATHWAY TO FULL LICENSURE AF TER THE 4
LICENSEE SUCCESSFULLY SAT ISFIES ANY LICENSE C ONDITIONS ESTABLISHED BY 5
THE BOARD UNDER ITEM (2) OF THIS SUBSECTION; AND 6

(4) NECESSARY FOR THE IMP LEMENTATION, ADMINISTRATION, AND 7
ENFORCEMENT OF THIS SECTION. 8

(G) A HOLDER OF A LIMITED LICENSE WHO MEETS TH E CRITERIA 9
DESCRIBED UNDER SUBSECTION (D)(8)(I) OF THIS SECTION: 10

(1) MAY NOT ENGAGE IN SOLO PRACTICE; 11

(2) SHALL PRACTICE IN AFF ILIATION WITH A COMM UNITY SPONSOR 12
APPROVED BY THE BOARD THAT HAS AGREED TO: 13

(I) SUBMIT A SUPERVISION AND INTEGRATION PLAN 14
APPROVED BY THE BOARD DEMONSTRATING CAPACITY TO PROVIDE: 15

1. STRUCTURED CLINICAL OVERSIGHT; 16

2. ACCESS TO ELECTRONIC HEALTH RECORDS AND 17
QUALITY ASSURANCE SYSTEMS; 18

3. TRAINING ON U.S. STANDARDS OF CA RE, RISK 19
MANAGEMENT, AND REGULATORY COMPLIANCE; AND 20

4. OPPORTUNITIES FOR SKI LL DEVELOPMENT AND 21
PEER REVIEW; 22

(II) PROVIDE DIRECT CLINIC AL OVERSIGHT FOR AN INITIAL 23
PERIOD FOLLOWED BY P ROGRESSIVE AUTONOMY BASED ON DEMONSTRATE D 24
COMPETENCE; 25

(III) CONDUCT REGULAR CASE REVIEWS, CHART AUDITS , AND 26
DIRECT OBSERVATION; 27

(IV) SUBMIT BIANNUAL COMPE TENCY EVALUATIONS TO THE 28
BOARD; 29

10 HOUSE BILL 598

(V) PROVIDE STRUCTURED SU PPORT TO ACCLIMATE T HE 1
INTERNATIONALLY TRAI NED PHYSICIAN TO U.S. MEDICAL LEGAL STANDA RDS, 2
DOCUMENTATION PRACTICES, QUALITY METRICS, AND PATIENT COMMUNIC ATION 3
NORMS; AND 4

(VI) IMMEDIATELY REPORT AN Y COMPETENCE OR 5
PROFESSIONALISM CONCERNS TO THE BOARD; AND 6

(3) MAY NOT SUPERVISE PHY SICIAN ASSISTANTS , RESIDENTS, OR 7
MEDICAL STUDENTS. 8

(H) A HOLDER OF A LIMITED LICENSE MAY APPLY FOR A LICENSE UNDER § 9
14–309 OF THIS SUBTITLE IF THE HOLDER OF THE LI MITED LICENSE SUBMIT S TO 10
THE BOARD: 11

(1) FOR A HOLDER OF A LIMITED LICENSE WHO MEETS THE CRITERIA 12
DESCRIBED UNDER SUBSECTION (D)(8)(I) OF THIS SECTION: 13

(I) ENDORSEMENTS BY TWO P HYSICIANS LICENSED I N THE 14
STATE, AT LEAST ONE OF WHOM IS NOT IN PRACTICE W ITH THE HOLDER OF TH E 15
LIMITED LICENSE; AND 16

(II) EVIDENCE OF HAVING PA SSED PART 2 OF THE STATE 17
STANDARD OF CARE ASSESSMENT; OR 18

(2) FOR A HOLDER OF A LIMITED LICENSE WHO MEETS THE CRITERIA 19
DESCRIBED UNDER SUBSECTION (D)(8)(II) OF THIS SECTION, EVIDENCE OF: 20

(I) SUCCESSFUL COMPLETION OF THE FACILITY ’S 21
EVALUATION, WITH AN ATTESTATION FROM THE FACILITY ’S CHIEF MEDICAL 22
OFFICER OR A PHYSICIAN IN AN EQUIVALENT POSITION THAT THE HOLDER OF THE 23
LIMITED LICENSE IS COMPETENT TO PRACTICE INDEPENDENTLY; AND 24

(II) 1. ACHIEVEMENT OF A PASS ING SCORE ON STEP 3 OF 25
THE UNITED STATES MEDICAL LICENSING EXAMINATION; OR 26

2. HAVING PASSED PARTS 1 AND 2 OF THE STATE 27
STANDARD OF CARE ASSESSMENT. 28

(I) THE BOARD MAY: 29

(1) ADOPT REGULATIONS NEC ESSARY FOR THE IMPLE MENTATION, 30
ADMINISTRATION, AND ENFORCEMENT OF THIS SECTION; 31

HOUSE BILL 598 11

(2) CONDUCT SITE VISITS OR AUDITS OF COMMUNITY SPONSORS; AND 1

(3) REQUIRE REMEDIATION OR MODIF Y SUPERVISION REQUIR ED 2
UNDER THIS SECTION IF DEFICIENCIES ARE IDENTIFIED. 3

SECTION 3. AND BE IT FURTHER ENACTED, That, on or before December 1, 4
2027, the State Board of Physicians shall report to the Senate Finance Committee and the 5
House Health Committee, in accordance with § 2 –1257 of the State Government Article, 6
on: 7

(1) the status of the Board’s preparations to begin accepting applications 8
for a limited license under § 14–308 of the Health Occupations Article, as enacted by Section 9
2 of this Act; and 10

(2) if the Board is unable to meet the January 1, 2028, deadline to begin 11
accepting applications, the reason it is unable to comply with the deadline and the projected 12
date when it will begin accepting applications. 13

SECTION 4. AND BE IT FURTHER ENACTED, That it is the intent of the General 14
Assembly that: 15

(1) on or before July 1, 2027, Johns Hopkins University School of Medicine, 16
the University of Maryland School of Medicine, and the Meritus School of Osteopathic 17
Medicine, in collaboration with other facilities, as defined under § 14 –308(a)(2) of the 18
Health Occupations Article, as enacted under Section 2 of this Act, shall develop the State 19
standard of care assessment described in § 14–308(a)(5) of the Health Occupations Article, 20
as enacted under Section 2 of this Act, for review by the State Board of Physicians and to 21
be administered by the facilities, including a method for examiners to notify the Board if a 22
candidate’s exam performance indicates that the candidate is practicing in a manner that 23
may put patients at risk or should otherwise prompt an investigation by the Board; 24

(2) the entities described in item (1) of this section shall establish an entity 25
to serve as the examiner described in § 14 –308(a)(5)(ii) of the Health Occupations Article, 26
as enacted under Section 2 of this Act; and 27

(3) the State Board of Physicians shall consult with MedChi, the Maryland 28
State Medical Society, on the development of policies and regulations implementing Section 29
1 of this Act. 30

SECTION 2. 5. AND BE IT FURTHER ENACTED, That this Act shall take effect 31
October 1, 2026. 32