Md. Code, Health Occupations § 15-302

(a) A physician assistant may practice as a physician assistant only after providing notice to the Board, in a manner approved by the Board, of the executed collaboration agreement.

(b) (1) A collaboration agreement shall contain:

(i) A description of the qualifications of the physician assistant and the physician or group of physicians who developed the collaboration agreement with the physician assistant;

(ii) Any practice specialty of the physician or group of physicians; and

(iii) A description of the settings in which the physician assistant will practice.

(2) A collaboration agreement may include provisions limiting the physician assistant’s scope of practice, specifying office procedures, or otherwise detailing the practice of the physician assistant as agreed by the physician or group of physicians and the physician assistant.

(c) If the Board determines that a patient care team physician or physician assistant is practicing in a manner inconsistent with the requirements of this title or Title 14 of this article, the Board on its own initiative or on the recommendation of the Committee may demand modification of the practice, withdraw the approval of an advanced duty regardless of whether the advanced duty requires prior approval under this section, or refer the matter to a disciplinary panel for the purpose of taking other disciplinary action under § 14–404 of this article or § 15–314 of this subtitle.

(d) (1) Except as provided under paragraph (2) of this subsection, a patient care team physician may not delegate medical acts under a collaboration agreement to more than eight physician assistants at any one time.

(2) A patient care team physician may delegate medical acts under a collaboration agreement to more than eight physician assistants in:

(i) A hospital;

(ii) A correctional facility;

(iii) A detention center; or

(iv) A public health facility.

(e) A person may not coerce another person to enter into a collaboration agreement under this subtitle.

(f) Subject to the notice required under § 15–103 of this title, a physician assistant may terminate a collaboration agreement under this subtitle at any time.

(g) (1) In the event of a sudden departure, incapacity, or death of a patient care team physician, or change in license status that results in a patient care team physician being unable to legally practice medicine, the collaboration agreement will remain active and valid under the supervision of any remaining listed patient care team physicians.

(2) If there is no remaining patient care team physician listed on the collaboration agreement, the physician assistant may not practice until the physician assistant has executed a new collaboration agreement and, if applicable, has Board approval to perform any advanced duties delegated to the physician assistant under the new collaboration agreement.

(3) The Board may terminate a collaboration agreement if:

(i) The physician assistant has a change in license status that results in the physician assistant being unable to legally practice as a physician assistant; or

(ii) Immediately after an event listed under paragraph (1) of this subsection if there is no remaining patient care team physician listed in the collaboration agreement.

(h) A physician assistant whose collaboration agreement is terminated may not practice as a physician assistant until the physician assistant executes a new collaboration agreement under this section.

(i) A physician assistant may practice in accordance with a collaboration agreement under this subtitle.

(j) A patient care team physician may be added or removed from a collaboration agreement by immediately documenting the addition or removal in the collaboration agreement on file at the physician assistant’s primary place of business.
executes a new collaboration agreement under this section.

(i) A physician assistant may practice in accordance with a collaboration agreement under this subtitle.

(j) A patient care team physician may be added or removed from a collaboration agreement by immediately documenting the addition or removal in the collaboration agreement on file at the physician assistant’s primary place of business.

(k) The Board may modify a collaboration agreement if it finds that:

(1) The collaboration agreement does not meet the requirements of this subtitle; or

(2) The physician assistant is unable to perform the delegated duties safely.

(l) A collaboration agreement shall be maintained at the practice setting and made available to the Board on request.

(m) A licensed physician assistant who fails to comply with the collaboration agreement requirements is subject to an administrative penalty as established in regulations.