State Board of Physicians - Anesthesiologist Assistants - Licensing

EXPLANATION: CAPITALS INDICATE MATTER ADDED TO EXISTING LAW.
[Brackets] indicate matter deleted from existing law.
*hb1558*

HOUSE BILL 1558
J2 6lr1440
CF SB 951
By: Delegates Woods, Foley, J. Long, and Turner
Introduced and read first time: February 13, 2026
Assigned to: Health

A BILL ENTITLED

AN ACT concerning 1

State Board of Physicians – Anesthesiologist Assistants – Licensing 2

FOR the purpose of establishing a licensing and regulatory system for anesthesiologist 3
assistants under the State Board of Physicians; and generally relating to the 4
licensure of anesthesiologist assistants. 5

BY adding to 6
Article – Health Occupations 7
Section 14 –5H–01 through 14 –5H–16 to be under the new subtitle “Subtitle 5H. 8
Anesthesiologist Assistants” 9
Annotated Code of Maryland 10
(2021 Replacement Volume and 2025 Supplement) 11

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12
That the Laws of Maryland read as follows: 13

Article – Health Occupations 14

SUBTITLE 5H. ANESTHESIOLOGIST ASSISTANTS. 15

14–5H–01. 16

(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 17
INDICATED. 18

(B) “ANESTHESIOLOGIST” MEANS A PHYSICIAN LI CENSED BY THE BOARD 19
WHO HAS COMPLETED A RESIDENCY IN ANESTHE SIOLOGY APPROVED BY THE 20
AMERICAN BOARD OF ANESTHESIOLOGY OR THE AMERICAN OSTEOPATHIC BOARD 21
OF ANESTHESIOLOGY. 22

2 HOUSE BILL 1558

(C) “ANESTHESIOLOGIST ASSI STANT” MEANS AN INDIVIDUAL WHO IS 1
LICENSED UNDER THIS SUBTITLE TO PERFORM AUTHORIZED A CTS UNDER THE 2
SUPERVISION OF AN ANESTHESIOLOGIST. 3

(D) “SUPERVISION” MEANS THE RESPONSIBI LITY FOR IMMEDIATE 4
AVAILABILITY OF T HE DIRECTING ANESTHE SIOLOGIST FOR CONSUL TATION AND 5
DIRECTION OF THE ACTIVITIES OF THE ANESTHESIOLOGIST ASSISTANT, INCLUDING: 6

(1) PHYSICAL PROXIMITY THAT ALLOWS THE ANESTHESIOLOGIST TO 7
REESTABLISH DIRECT CONTACT WITH THE PATIENT TO MEET MEDICAL NEEDS AND 8
ANY URGENT OR EMERGENT CLINICAL MATTERS; AND 9

(2) PERSONAL PARTICIPATIO N BY THE DIRECTING 10
ANESTHESIOLOGIST IN THE MOST DEMANDIN G PROCEDURES OF THE ANESTHESIA 11
PLAN, INCLUDING, AS CLINICALLY APPROPRIATE, INDUCTION AND EMERGENCE. 12

(E) “SUPERVISION AGREEMENT” MEANS A WRITTEN DOCUMENT EXECUTED 13
BETWEEN AN ANESTHESI OLOGIST ASSISTANT AN D AN ANESTHESIOLOGIS T 14
DESCRIBING THE SUPER VISORY RELATIONSHIP AND PRACTICE PARAMET ERS 15
REQUIRED UNDER THIS SUBTITLE THAT IS MAINTAINED ON–SITE AND AVAILABLE TO 16
THE BOARD ON REQUEST. 17

14–5H–02. 18

THIS SUBTITLE DOES NOT LIMIT THE RIGHT OF AN INDIVIDUAL TO PRACTICE 19
A HEALTH OCCUPATION THAT THE INDIVIDUAL IS AUTHORIZED TO PRACTICE UNDER 20
THIS ARTICLE. 21

14–5H–03. 22

THIS SUBTITLE DOES NOT AUTHORIZE AN ANESTHESIOLOGIST ASSISTANT TO 23
PRACTICE INDEPENDENT OF AN ANESTHESIOLOGIST. 24

14–5H–04. 25

THE BOARD SHALL ADOPT REG ULATIONS TO CARRY OU T THIS SUBTITLE , 26
INCLUDING REGULATIONS ESTABLISHING: 27

(1) QUALIFICATIONS FOR LICENSURE AND RENEWAL; 28

(2) PROCEDURES FOR LICENSURE AND RENEWAL; 29

(3) SUPERVISION STANDARDS; 30
HOUSE BILL 1558 3

(4) DEFAULT AND ADJUSTED NUMBER OF CONCURRENT 1
PROCEDURES AN ANESTHESIOLOGIST IS DIRECTING OR SUPERVISING AT ONE TIME; 2

(5) CONTINUING EDUCATION REQUIREMENTS; 3

(6) QUALIFICATIONS AND PR OCEDURES FOR T EMPORARY AND 4
EXPEDITED LICENSURE; 5

(7) SUPERVISION AGREEMENT CONTENT AND AUDIT PROCEDURES; 6
AND 7

(8) PROCEDURES FOR THE ENFORCEMENT OF THIS SUBTITLE. 8

14–5H–05. 9

(A) (1) THE BOARD SHALL SET REASO NABLE FEES FOR THE ISSUANCE 10
AND RENEWAL OF LICEN SES AND OTHER SERVICES THE BOARD PROVIDE S TO 11
ANESTHESIOLOGIST ASSISTANTS. 12

(2) THE FEES CHARGED SHALL BE SET SO AS TO PR OVIDE FUNDS TO 13
APPROXIMATE THE COST OF MAINTAINING THE LICENSURE PROGRAM AND OTHER 14
SERVICES PROVIDED TO ANESTHESIOLOGIST ASSISTANTS. 15

(B) (1) THE BOARD SHALL PAY ALL F EES COLLECTED UNDER THE 16
PROVISIONS OF THIS SUBTITLE TO THE COMPTROLLER. 17

(2) THE COMPTROLLER SHALL DIS TRIBUTE ALL FEES TO THE 18
BOARD. 19

(C) THE FEES SHALL BE USE D TO COVER THE ACTUA L DOCUMENTED 20
DIRECT AND INDIRECT COSTS OF FULFILLING THE STATUTORY AND RE GULATORY 21
DUTIES OF THE BOARD AS PROVIDED BY THIS SUBTITLE. 22

14–5H–06. 23

(A) EXCEPT AS PROVIDED IN SUBSECTION (B) OF THIS SECTION , AN 24
INDIVIDUAL SHALL BE LICENSED BY THE BOARD BEFORE THE INDI VIDUAL MAY 25
PRACTICE AS AN ANESTHESIOLOGIST ASSISTANT IN THE STATE. 26

(B) THIS SECTION DOES NOT APPLY TO: 27

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(1) A STUDENT ENROLLED IN A N ANESTHESIOLOGIST A SSISTANT 1
PROGRAM ACCREDITED B Y THE COMMISSION ON ACCREDITATION OF ALLIED 2
HEALTH EDUCATION PROGRAMS, OR A SUCCESSOR ORGAN IZATION, PERFORMING 3
ASSIGNED TASKS UNDER THE SUPERVISION OF AN AN ESTHESIOLOGIST, AN 4
ANESTHESIOLOGIST ASS ISTANT, OR ANY OTHER LICENSE D ANESTHESIA 5
PROFESSIONAL; OR 6

(2) AN INDIVIDUAL EMPLOYE D BY THE UNITED STATES 7
GOVERNMENT WHILE THE INDIVIDUAL IS AC TING WITHIN THE SCOP E OF THAT 8
EMPLOYMENT. 9

14–5H–07. 10

TO QUALIFY FOR A LICENSE, AN APPLICANT MUST: 11

(1) BE OF GOOD MORAL CHARACTER; 12

(2) HAVE GRADUATED FROM A N ANESTHESIOLOGIST ASSISTANT 13
PROGRAM ACCREDITED B Y THE COMMISSION ON ACCREDITATION OF ALLIED 14
HEALTH EDUCATION PROGRAMS OR A SUCCESSOR ORGANIZATION; 15

(3) HAVE PASSED THE CERTIFYING EXAMINATION ADMINISTERED BY 16
THE NATIONAL COMMISSION ON CERTIFICATION OF ANESTHESIOLOGIST 17
ASSISTANTS OR A SUCCESSOR ORGANIZATION, OR AN EXAMINATION APPROVED BY 18
THE BOARD; AND 19

(4) MEET ANY ADDITIONAL EDUCATION, TRAINING, OR EXAMINATION 20
REQUIREMENTS ESTABLISHED BY THE BOARD. 21

14–5H–08. 22

TO APPLY FOR A LICENSE, AN APPLICANT SHALL: 23

(1) COMPLETE A CRIMINAL H ISTORY RECORDS CHECK IN 24
ACCORDANCE WITH § 14–308.1 OF THIS TITLE; 25

(2) SUBMIT AN APPLICATION TO THE BOARD ON A FORM THAT THE 26
BOARD REQUIRES; 27

(3) SUBMIT TO THE BOARD ANY ATTESTATION OR DOCUMENTATION 28
THAT THE BOARD REQUIRES; AND 29

(4) PAY TO THE BOARD THE FEE SET BY THE BOARD. 30
HOUSE BILL 1558 5

14–5H–09. 1

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

(2) A LICENSE EXPIRES ON THE DATE SET BY THE BOARD UNLESS A 4
LICENSE IS RENEWED F OR AN ADDITIONAL TER M AS PROVIDED UNDER TH IS 5
SUBTITLE. 6

(B) AT LEAST 1 MONTH BEFORE THE LICENSE EXPIRES, THE BOARD SHALL 7
SEND TO THE LICENSEE A RENEWAL NOTICE THAT STATES: 8

(1) THE DATE ON WHICH THE CURRENT LICENSE EXPIRES; 9

(2) THE DATE BY WHICH THE RENEWAL APPLICATION MUST BE 10
RECEIVED BY THE BOARD FOR THE RENEWAL TO BE ISSUED AND MAI LED BEFORE 11
THE LICENSE EXPIRES; AND 12

(3) THE AMOUNT OF THE RENEWAL FEE. 13

(C) THE BOARD SHALL RENEW THE LICENSE OF A LICENSEE WHO: 14

(1) IS OTHERWISE ENTITLED TO BE LICENSED; 15

(2) PAYS TO THE BOARD THE RENEWAL FEE SET BY THE BOARD; 16

(3) SUBMITS TO THE BOARD: 17

(I) A RENEWAL APPLICATION ON THE FORM THAT THE BOARD 18
REQUIRES; AND 19

(II) SATISFACTORY EVIDENCE OF COMPLIANCE WITH A NY 20
CONTINUING EDUCATION REQUIREMENTS AND OTHER REQUIREMENTS SET UNDER 21
THIS SECTION FOR LICENSE RENEWAL; AND 22

(4) MEETS ANY OTHER RENEWAL REQUIREMENTS ESTABLISHED BY 23
THE BOARD IN REGULATION. 24

(D) THE BOARD MAY ADOPT REGUL ATIONS GOVERNING INACTIVE STATUS 25
AND THE REINSTATEMENT OF A LICENSE HOLDER. 26

14–5H–10. 27
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(A) SUBJECT TO THE REQUIR EMENTS OF THIS SECTI ON AND ANY 1
REGULATIONS ADOPTED BY THE BOARD, THE BOARD MAY ISSUE A TEM PORARY 2
LICENSE TO A GRADUAT E OF AN ANESTHESIOLOGIST ASSISTANT PROGRAM 3
ACCREDITED BY THE COMMISSION ON ACCREDITATION OF ALLIED HEALTH 4
EDUCATION PROGRAMS WHO IS AWAITING THE NEXT ADMINISTRATION OF THE 5
NATIONAL COMMISSION ON CERTIFICATION OF ANESTHESIOLOGIST ASSISTANTS 6
EXAM. 7

(B) A TEMPORARY LICENSE SH ALL BE IN EFFECT FOR A PERIOD NOT TO 8
EXCEED 12 MONTHS AS SET BY THE BOARD IN REGULATION. 9

(C) A TEMPORARY LICENSE AU THORIZES AN INDIVIDUAL TO PRACTICE 10
SUBJECT TO THIS SUBTITLE AND REGULATIONS ADOPTED BY THE BOARD. 11

14–5H–11. 12

(A) THE BOARD SHALL ADOPT REGULATIONS ESTABLISHING AN EXPEDITED 13
LICENSURE PROCESS FOR AN APPLICANT WHO HOLDS A CURRENT, ACTIVE LICENSE 14
AS AN ANESTHESIOLOGI ST ASSISTANT IN GOOD STANDING IN ANOTHER 15
JURISDICTION THAT THE BOARD DESIGNATES BY REGULATION. 16

(B) AN APPLICANT FOR EXPE DITED LICENSURE MUST MEET ANY 17
VERIFICATION, MORAL CHARACTER , AND CRIMINAL HISTORY REC ORDS CHECK 18
REQUIREMENTS ESTABLISHED BY THE BOARD. 19

(C) THE BOARD MAY REQUIRE EVIDENCE OF SUBSTANTIALLY EQUIVALENT 20
EDUCATION, TRAINING, AND EXAMINATION FOR AN APPLICANT FOR EXPEDITED 21
LICENSURE UNDER THIS SECTION. 22

14–5H–12. 23

(A) AN ANESTHESIOLOGIST ASSISTANT MAY NOT EXC EED THE SCOPE OF A 24
SUPERVISING ANESTHESIOLOGIST’S PRACTICE. 25

(B) AN ANESTHESIOLOGIST A SSISTANT MAY PERFORM DUTIES AND 26
RESPONSIBILITIES DEL EGATED BY THE SUPERV ISING ANESTHESIOLOGI ST FOR 27
WHICH THE ANESTHESIOLOGIST ASSISTANT IS COMPETENT THROUGH EDUCATION, 28
TRAINING, AND EXPERIENCE, INCLUDING: 29

(1) CONDUCTING PRE– AND POST–ANESTHESIA EVALUATIONS; 30

(2) DOCUMENTING PATIENT PROGRESS NOTES; 31

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(3) OBTAINING INFORMED CONSENT FOR ANESTHESIA OR RELATE D 1
PROCEDURES; 2

(4) UNDER THE SUPERVISING ANESTHESIOLOGIST’S CONSULTATION 3
AND DIRECTION, ORDERING: 4

(I) PERIOPERATIVE MEDICATIONS AND FLUIDS; OR 5

(II) CONTROLLED SUBSTANCES FOR USE ONLY AT THE FACILITY 6
WHERE ORDERED AND WITH TIMELY CO –SIGNATURE BY THE SUP ERVISING 7
ANESTHESIOLOGIST CONSISTENT WITH FACILITY POLICY; 8

(5) PERFORMING ADVANCED AIRWAY INTERVENTIONS; 9

(6) ESTABLISHING PERIPHERAL, CENTRAL, AND ARTERIAL LINES; 10

(7) PERFORMING INDUCTION, MAINTENANCE, AND EMERGENCE; 11

(8) PERFORMING PLACEMENT AND MANAGE MENT OF NEURAXIAL 12
AND REGIONAL ANESTHESIA; 13

(9) ADMINISTERING VASOACTIVE PHARMACEUTICALS AND 14
INFUSIONS; 15

(10) ADMINISTERING BLOOD AND FLUIDS; 16

(11) ADMINISTERING ANESTHETIC MEDICATIO NS, ADJUVANT 17
PHARMACEUTICALS, AND ACCESSORY PHARMACEUTICALS; 18

(12) PERFORMING CARDIOPULMONARY RESU SCITATION AND 19
EMERGENCY RESPONSE; 20

(13) PROVIDING ANESTHESIA EDUCATION AND TRAINING; 21

(14) PARTICIPATING IN ADMI NISTRATIVE, RESEARCH, AND CLINICAL 22
TEACHING ACTIVITIES AS AUTHORIZED BY THE SUPERVISING ANESTHESIOLOGIST; 23
AND 24

(15) PERFORMING OTHER TASKS NOT PROHIBITED BY LAW. 25

(C) AN ANESTHESIOLOGIST ASS ISTANT MAY NOT INDEP ENDENTLY 26
PRESCRIBE, ORDER, COMPOUND, OR DISPENSE DRUGS, MEDICATIONS, OR DEVICES. 27

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(D) AN ANESTHESIOLOGIST A SSISTANT MAY SIGN AN D ATTEST TO ANY 1
CERTIFICATES, CARDS, FORMS, OR OTHER REQUIRED DO CUMENTATION THAT THE 2
SUPERVISING ANESTHESIOL OGIST MAY SIGN , IF THE ACT IS WITHIN TH E 3
ANESTHESIOLOGIST ASSISTANT’S AUTHORIZED SCOPE OF PRACTICE. 4

(E) THIS SECTION MAY NOT BE CONSTRUED TO: 5

(1) PREVENT AN ANESTHESIO LOGIST ASSISTANT FRO M ACCESSING 6
AND OBTAINING DRUGS AS DIRECTED BY THE SUPERVISING ANESTHESIOLOGIST; OR 7

(2) PROHIBIT A STUDENT AN ESTHESIOLOGIST ASSIS TANT WHO IS 8
ENROLLED IN A PROGRA M ACCREDITED BY THE COMMISSION ON ACCREDITATION 9
OF ALLIED HEALTH EDUCATION PROGRAMS, OR A SUCCESSOR ORGANIZATION, 10
FROM ENGAGING IN ACT S THAT CONSTITUTE THE PRACTICE OF AN 11
ANESTHESIOLOGIST ASSISTANT AS PART OF TH E STUDENT’S CLINICAL EDUCATION 12
UNDER APPROPRIATE SUPERVISION. 13

14–5H–13. 14

(A) AN ANESTHESIOLOGIST A SSISTANT MAY PRACTICE ONLY UNDER 15
SUPERVISION AS REQUIRED UNDER THIS SECTION AND UNDER REGULATIONS 16
ADOPTED BY THE BOARD. 17

(B) (1) UNLESS OTHERWISE PROV IDED BY REGULATION S ADOPTED BY 18
THE BOARD, AN ANESTHESIOLOGIST MAY NOT SUPERVISE MORE T HAN FOUR 19
ANESTHESIOLOGIST ASSISTANTS AT ANY ONE TIME. 20

(2) THE BOARD MAY ADOPT REGULATIONS AUTHORIZING DIFFERENT 21
RATIOS OF SUPERVISION WITH APPROPRIATE SAF EGUARDS AND MAY RECO GNIZE 22
GROUP–BASED SUPERVISION AND BACKUP ARRANGEMENTS. 23

(C) (1) EACH ANESTHESIOLOGIST ASSISTANT SHALL PRACTICE UNDER A 24
WRITTEN SUPERVISION AGREEMENT WITH ONE OR MORE ANESTHESIOLOGISTS. 25

(2) THE SUPERVISION AGREEMENT: 26

(I) SHALL BE MAINTAINED O N–SITE AT EACH PRACTIC E 27
LOCATION; 28

(II) IS NOT SUBJECT TO PREAPPROVAL; AND 29

(III) SHALL BE AVAILABLE TO THE BOARD ON REQUEST. 30

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(3) THE SUPERVISION AGREEMENT SHALL INCLUDE: 1

(I) PARTIES AND PRACTICE LOCATIONS; 2

(II) PROVISIONS DETAILING SUPERVISION AND BACKUP 3
SUPERVISION; 4

(III) PROCESSES FOR CLINICA L REVIEW AND QUALITY 5
ASSURANCE; 6

(IV) EMERGENCY PROCEDURES; 7

(V) ANY APPLICABLE FACILITY OR SYSTEM PROTOCOLS; AND 8

(VI) ANY OTHER INFORMATION REQUIRED BY THE BOARD. 9

(4) THE BOARD MAY AUDIT SUPER VISION AGREEMENTS FO R 10
COMPLIANCE AND TO ENFORCE THIS SUBTITLE. 11

14–5H–14. 12

ONLY A PERSON LICENSE D UNDER THIS SUBTITL E MAY USE THE TITLES 13
“ANESTHESIOLOGIST ASSISTANT”, “AA”, “CERTIFIED ANESTHESIOLOGIST 14
ASSISTANT”, OR “CAA” OR OTHERWISE REPRESE NT THEMSELVES AS BEI NG 15
AUTHORIZED TO PRACTICE AS AN ANESTHESIOLOGIST ASSISTANT IN THE STATE. 16

14–5H–15. 17

(A) SUBJECT TO THE HEARIN G PROVISIONS OF § 14–405 OF THIS TITLE, A 18
DISCIPLINARY PANEL, ON THE AFFIRMATIVE VOTE OF A MAJORITY OF THE QUORUM 19
OF THE DISCIPLINARY PANEL, MAY DENY A LICENSE T O ANY APPLICANT , 20
REPRIMAND ANY LICENSEE, PLACE ANY LICENSEE ON PROBATION, OR SUSPEND OR 21
REVOKE A LICENSE, IF THE APPLICANT OR LICENSEE: 22

(1) FRAUDULENTLY OR DECEP TIVELY OBTAINS OR AT TEMPTS TO 23
OBTAIN A LICENSE FOR THE APPLICANT OR LICENSEE OR FOR ANOTHER; 24

(2) FRAUDULENTLY OR DECEPTIVELY USES A LICENSE; 25

(3) IS GUILTY OF: 26

(I) IMMORAL CONDUCT WHILE PRACTICING AS AN 27
ANESTHESIOLOGIST ASSISTANT; OR 28
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(II) UNPROFESSIONAL CONDUC T WHILE PRACTICING A S AN 1
ANESTHESIOLOGIST ASSISTANT; 2

(4) IS: 3

(I) PROFESSIONALLY INCOMPETENT; 4

(II) PHYSICALLY INCOMPETENT; OR 5

(III) MENTALLY INCOMPETENT; 6

(5) ABANDONS A PATIENT; 7

(6) IS HABITUALLY INTOXICATED; 8

(7) IS ADDICTED TO OR HAB ITUALLY ABUSES ANY N ARCOTIC OR 9
CONTROLLED DANGEROUS SUBSTANCE, AS DEFINED IN § 5–101 OF THE CRIMINAL 10
LAW ARTICLE; 11

(8) PROVIDES PROFESSIONAL SERVICES WHILE: 12

(I) UNDER THE INFLUENCE OF ALCOHOL; OR 13

(II) USING ANY NARCOTIC OR CONTROLLED DANGEROUS 14
SUBSTANCE, AS DEFINED IN § 5–101 OF THE CRIMINAL LAW ARTICLE, OR ANY 15
OTHER DRUG THAT IS I N EXCESS OF THERAPEU TIC AMOUNTS OR WITHO UT VALID 16
MEDICAL INDICATION; 17

(9) PROMOTES THE SALE OF SERVICES, DRUGS, DEVICES, 18
APPLIANCES, OR GOODS TO A PATIENT SO AS TO EXP LOIT THE PATIENT FOR 19
FINANCIAL GAIN; 20

(10) WILLFULLY MAKES OR FILES A FALSE REPORT OR RECORD WHILE 21
PRACTICING AS AN ANESTHESIOLOGIST ASSISTANT; 22

(11) WILLFULLY FAILS TO FILE OR RECORD ANY REPORT AS REQUIRED 23
UNDER LAW, WILLFULLY IMPEDES OR OBSTRUCTS THE FILING OR RECORDING OF A 24
REPORT, OR INDUCES ANOTHER TO FAIL TO FILE OR RECORD A REPORT; 25

(12) BREACHES PATIENT CONFIDENTIALITY; 26

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(13) PAYS OR AGREES TO PAY ANY SUM OR PROVIDE A NY FORM OF 1
REMUNERATION OR MATE RIAL BENEFIT TO ANY PERSON FOR BRINGING OR 2
REFERRING A PATIENT OR ACCEPTS OR AGREES TO ACCEPT ANY SUM OR ANY FORM 3
OF REMUNERATION OR MATERIAL BENEFIT FROM AN INDIVIDUAL FOR BRINGING OR 4
REFERRING A PATIENT; 5

(14) WILLFULLY MAKES A MIS REPRESENTATION WHILE PRACTICING 6
AS AN ANESTHESIOLOGIST ASSISTANT; 7

(15) WILLFULLY PRACTICES AS AN ANESTHESIOLOGI ST ASSISTANT 8
WITH AN UNAUTHORIZED INDIVIDUAL OR AIDS A N UNAUTHORIZED INDIV IDUAL IN 9
PRACTICING AS AN ANESTHESIOLOGIST ASSISTANT; 10

(16) WILLFULLY DELEGATES AN ANESTHESIOLOGIST ASSISTANT DUTY 11
TO AN UNLICENSED INDIVIDUAL; 12

(17) ESTABLISHES A PATTERN OF EXCESSIVE OR MEDI CALLY 13
UNNECESSARY PROCEDURES OR TREATMENT; 14

(18) OFFERS, UNDERTAKES, OR AGREES TO CURE OR TREAT DISEASE 15
BY A SECRET METHOD, TREATMENT, OR MEDICINE; 16

(19) IS DISCIPLINED BY A LICENSING OR DISCIPLINARY AUTHORITY OR 17
IS CONVICTED OR DISC IPLINED BY A COURT O F ANY STATE OR COUNT RY OR IS 18
DISCIPLINED BY ANY B RANCH OF THE UNIFORM ED SERVICES OR THE U.S. 19
DEPARTMENT OF VETERANS AFFAIRS FOR AN ACT THAT WOULD BE GROUNDS FOR 20
DISCIPLINARY ACTION UNDER THE BOARD’S DISCIPLINARY STATUTES; 21

(20) FAILS TO MEET APPROPRIATE STANDARDS FOR THE DELIVERY OF 22
ANESTHESIOLOGIST ASSISTANT SERVICES; 23

(21) WILLFULLY SUBMITS FALSE STATEMENTS TO COLLECT FEES FOR 24
WHICH SERVICES ARE NOT PROVIDED; 25

(22) (I) HAS BEEN SUBJECT TO I NVESTIGATION OR DISC IPLINARY 26
ACTION BY A LICENSIN G OR DISCIPLINARY AU THORITY OR BY A COUR T OF ANY 27
STATE OR COUNTRY FOR AN ACT THAT WOULD BE GROUNDS FOR DISCIPLI NARY 28
ACTION UNDER THE BOARD’S DISCIPLINARY STATUTES; AND 29

(II) HAS: 30

1. SURRENDERED THE LICENSE, IF ANY, ISSUED BY THE 31
STATE OR COUNTRY; OR 32
12 HOUSE BILL 1558

2. ALLOWED THE LICENSE , IF ANY , ISSUED BY THE 1
STATE OR COUNTRY TO EXPIRE OR LAPSE; 2

(23) WILLFULLY FAILS TO RE PORT SUSPECTED CHILD ABUSE IN 3
VIOLATION OF § 5–704 OF THE FAMILY LAW ARTICLE; 4

(24) PRACTICES OR ATTEMPTS TO PRACTICE BEYOND T HE 5
AUTHORIZED SCOPE OF PRACTICE; 6

(25) REFUSES, WITHHOLDS FROM , DENIES, OR DISCRIMINATES 7
AGAINST AN INDIVIDUA L WITH REGARD TO THE PROVISION OF PROFESS IONAL 8
SERVICES FOR WHICH T HE LICENSEE IS LICEN SED AND QUALIFIED TO RENDER 9
BECAUSE THE INDIVIDUAL IS HIV POSITIVE; 10

(26) PRACTICES OR ATTEMPTS TO PRACTICE AS AN 11
ANESTHESIOLOGIST ASS ISTANT IF THE APPLICANT OR LICENSEE HAS NOT 12
RECEIVED EDUCATION AND TRAINING IN THE PERFORMANCE OF THE PROCEDURE; 13

(27) FAILS TO COOPERATE WI TH A LAWFUL INVESTIG ATION OF THE 14
BOARD OR A DISCIPLINARY PANEL; 15

(28) FAILS TO COMPLETE A C RIMINAL HISTORY RECO RDS CHECK 16
UNDER § 14–308.1 OF THIS TITLE; OR 17

(29) VIOLATES ANY PROVISIO N OF THIS TITLE OR A NY RULE OR 18
REGULATION PERTAINING TO ANESTHESIOLOGIST ASSISTANTS THAT IS ADOPTED BY 19
THE BOARD, THE STATE, OR THE FEDERAL GOVERNMENT. 20

(B) EXCEPT AS OTHERWISE P ROVIDED IN THE ADMINISTRATIVE 21
PROCEDURE ACT, BEFORE THE BOARD OR A DISCIPLINA RY PANEL TAKES ANY 22
ACTION UNDER SUBSECTION (A) OF THIS SECTION, IT SHALL GIVE THE INDIVIDUAL 23
AGAINST WHOM THE ACTION IS CONTEMPLATED AN OPPORTUNITY FOR A HEARING 24
BEFORE THE BOARD OR THE DISCIPLI NARY PANEL IN ACCORD ANCE WITH THE 25
HEARING REQUIREMENTS OF § 14–405 OF THIS TITLE. 26

(C) (1) ON THE FILING OF CERTIFIED DOCKET ENTRIES WITH THE BOARD 27
BY THE OFFICE OF THE ATTORNEY GENERAL, A DISCIPLINARY PANEL SHALL ORDER 28
THE SUSPENSION OF A LICENSE IF THE LICEN SEE IS CONVICTED OF OR PLEADS 29
GUILTY OR NOLO CONTENDERE W ITH RESPECT TO A CRI ME INVOLVING MORAL 30
TURPITUDE, WHETHER OR NOT ANY APPEAL OR OTHER PROCEEDING IS PENDING TO 31
HAVE THE CONVICTION OR PLEA SET ASIDE. 32

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(2) AFTER COMPLETION OF T HE APPELLATE PROCESS , IF THE 1
CONVICTION HAS NOT BEEN REVERSED OR THE PLEA HAS NOT BEEN SET ASIDE WITH 2
RESPECT TO A CRIME I NVOLVING MORAL TURPI TUDE, A DISCIPLINARY PANEL 3
SHALL ORDER THE REVO CATION OF A LICENSE ON THE CERTIFICATION BY THE 4
OFFICE OF THE ATTORNEY GENERAL. 5

(D) (1) IF, AFTER A HEARING UNDE R § 14–405 OF THIS TITLE , A 6
DISCIPLINARY PANEL FINDS THAT THERE ARE GROUNDS UNDER SUBSECTION (A) OF 7
THIS SECTION TO SUSPEND OR REVOKE A LICENSE, TO REPRIMAND A LICENSEE, OR 8
TO PLACE A LICENSEE ON PROBATION, THE DISCIPLINARY PAN EL MAY IMPOSE A 9
FINE SUBJECT TO THE BOARD’S REGULATIONS IN ADD ITION TO SUSPENDING OR 10
REVOKING THE LICENSE , REPRIMANDING THE LIC ENSEE, OR PLACING THE 11
LICENSEE ON PROBATION. 12

(2) THE BOARD SHALL PAY ANY F INES COLLECTED UNDER THIS 13
SECTION INTO THE GENERAL FUND OF THE STATE. 14

(E) IN ADDITION TO A NY SANCTION AUTHORIZED UNDER THIS SECTIO N, A 15
DISCIPLINARY PANEL M AY REQUIRE A LICENSE E TO COMPLY WITH SPE CIFIED 16
TERMS AND CONDITIONS DETERMINED BY THE DISCIPLINARY PANEL. 17

14–5H–16. 18

(A) (1) ANY PERSON AGGRIEVED BY A FINAL DECISION OF THE BOARD OR 19
A DISCIPLINARY PANEL U NDER THIS SUBTITLE M AY TAKE A DIRECT JUD ICIAL 20
APPEAL. 21

(2) THE APPEAL SHALL BE M ADE AS PROVIDED FOR JUDICIAL 22
REVIEW OF FINAL DECISIONS IN THE ADMINISTRATIVE PROCEDURE ACT. 23

(B) AN ORDER OF THE BOARD OR A DISCIPLINA RY PANEL MAY NOT BE 24
STAYED PENDING REVIEW. 25

(C) THE BOARD MAY APPEAL FROM ANY DECISION THAT RE VERSES OR 26
MODIFIES AN ORDER OF THE BOARD OR A DISCIPLINARY PANEL. 27

SECTION 2. AND BE IT FURTHER ENACTED, That, on or before October 1, 2027, 28
the State Board of Physicians shall ad opt regulations necessary to carry out this Act, 29
including establishing the date by which the Board shall begin accepting applications for 30
licensure under this Act. 31

SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 32
October 1, 2026. 33