November 26, 2018
45 • Issue 24 • Page 1170-1171
MARYLAND DEPARTMENT OF HEALTH
Subtitle 27 BOARD OF NURSING
Examination and Licensure
Authority: Health Occupations
Article, §§8-205 and 8-312(c), Annotated Code of Maryland
The Secretary of Health proposes to amend Regulations .01 and .13 under COMAR
10.27.01 Examination and Licensure. This action was considered at public
meetings of the Board of Nursing on April 25, 2018, and August 22, 2018, notice
of which was given by publication on the Board’s website beginning January 1,
2018, through August 22, 2018, pursuant to General Provisions Article,
§3-302(c), Annotated Code of Maryland.
The purpose of this action is to allow registered nurses and
licensed practical nurses to establish continued competency for renewal of
their licenses by selecting the option of obtaining continuing education units
(CEUs) in lieu of active practice. At present, continued competency can only be
established by 1,000 hours of active nursing practice in the immediate 5 years
prior to renewal. The proposal establishes what constitutes a CEU, the number
of CEUs required for renewal, rules for accepting CEUs, responsibilities of the
renewal applicant, and the Board’s method for auditing CEUs.
There is no corresponding federal standard to this proposed
The proposed action has no economic impact.
on Small Businesses
The proposed action has minimal or no economic impact on small
Individuals with Disabilities
The proposed action has no impact on individuals with
Comments may be sent to Jake Whitaker, Acting Director, Office of
Regulation and Policy Coordination, Maryland Department of Health, 201 West
Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY
800-735-2258), or email to email@example.com, or fax to 410-767-6483.
Comments will be accepted through December 26, 2018. A public hearing has not
A. (text unchanged)
B. Terms Defined.
(1)―(4) (text unchanged)
(5) “Continuing education” means planned, organized learning
experiences designed to augment the knowledge, skill, and ability to enhance
nursing practice and therefore improve health care delivered to the public.
(6) “Continuing education unit (CEU)” means 1 contact hour
of 50—60 minutes.
[(5)] (7)―[(17)] (19) (text
C. (text unchanged)
Renewal of License.
A.―F. (text unchanged)
G. Active Licensure Renewal.
individual applying for active licensure renewal shall show evidence of:
hours of active nursing practice [or graduation from an approved
nursing program] within the 5 years immediately preceding the date
of the renewal application[.];
(b) Satisfactory completion of all requirements for a
diploma or degree from a Board-approved nursing education program within the 5
years immediately preceding the date of the renewal application; or
(c) Completion of 30 continuing education units (CEUs)
within the 2 years immediately preceding the date of the renewal application.
(2) College or University Coursework.
(a) A renewal applicant may submit qualifying college or
university coursework to fulfill the requirement under §G(1)(c)
of this regulation.
(b) 15 CEUs shall be awarded for each semester hour
completed of a qualifying college or university course.
(c) For the coursework to qualify:
(i) The college or university course shall be related to the
renewal applicant’s nursing practice; and
(ii) The renewal applicant shall receive a grade of “C” or
higher, or the numeric equivalent in the course.
(d) An official transcript shall be acceptable as proof of
completion of a qualifying college or university course.
H. Continuing Education.
(1) Except as provided in §G(2) of
this regulation, CEUs shall be approved by an entity listed in §H(5)
of this regulation.
(2) CEUs used for the purpose of renewing a license are
subject to random audits by the Board or the Board’s designee.
(3) CEUs that are used for the purpose of renewing a license
shall be earned within the 2 years immediately preceding the date of the
(4) The renewal applicant shall be responsible for:
(a) Ensuring that a CEU course, forum, or meeting has been
approved for CEUs by one of the entities listed in §H(5)
of this regulation;
(b) Retaining evidence of completed CEUs that are submitted
for the purpose of renewing a license for 6 years after the license is renewed;
(c) Producing evidence of completed CEUs for an audit by the
Board or the Board’s designee within 30 days of the request.
(5) The Board shall accept CEUs awarded by:
(a) Area Health Education Centers (AHEC), including all
local, state, and national centers;
(b) The American Nurses Association (ANA);
(c) The American Nurses Credentialing Center (ANCC);
(d) Professional organizations offering CEUs for the purpose
of renewing a national certification for advanced practice registered nursing;
(e) A local, state, or national professional nursing
association that provides educational programs;
(f) The Maryland Nurses Association (MNA);
(g) The National Council of State Boards of Nursing; and
(h) The National League for Nursing.
(6) CEUs may not be carried forward into the next renewal
[H.] I.—[N.] O. (text
ROBERT R. NEALL
Secretary of Health
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464