Maryland Register
Issue Date:  October 27, 2017
Volume 44• Issue 26 • Page 1234
Title 10
10.32.03 Delegation of Duties by a Licensed Physician—Physician Assistant
Authority: Health Occupations Article, §§14-205 and 15-302, Annotated Code of Maryland
Notice of Proposed Action
The Secretary of Health proposes to amend Regulation .07 under COMAR 10.32.03 Delegation of Duties by a Licensed Physician—Physician Assistant. This action was considered at a public meeting held on July 26, 2017, notice of which was given by publication on the Board’s website at from July 10, 2017, to July 26, 2017, pursuant to the General Provisions Article, §3-302(c), Annotated Code of Maryland.
Statement of Purpose
The purpose of this action is to remove limitations on the specific types of practice settings to all practice settings for purposes of consistency and reducing the paperwork that is required to be submitted to the Board of Physicians by allowing practice settings to maintain the documentation.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
The proposed action has no economic impact.
Economic Impact on Small Businesses
The proposed action has minimal or no economic impact on small businesses.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Michele Phinney, 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, or fax to 410-767-6483. Comments will be accepted through January 22, 2018. A public hearing has not been scheduled.
.07 Supervising Physicians.
   A. A primary supervising physician shall:
      (1)—(2) (text unchanged)
      (3) Provide continuous supervision of the physician assistant by means of one or more of the following:
          (a)—(c) (text unchanged)
          (d) Assignment of one or more alternate supervising physicians by one of the following means:
              (i) In [a hospital, correctional facility, detention center, or public health facility] any practice setting, by ensuring the [maintenance of a list] documentation of alternate supervising physicians with signed confirmation that each alternate understands and accepts [his] the role as an alternate supervising physician; [or] and
              [(ii) In any other location, through designation of the alternate on the delegation agreement sent to the Board.]
              (ii) By ensuring that the alternate supervising physician documentation is readily available, accessible, and provided to the Board upon request;
      (4)—(7) (text unchanged)
   B.—C. (text unchanged)
Secretary of Health