Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 32 - BOARD OF PHYSICIANS
Chapter 10.32.02 - Hearings Before the Board of Physicians
Section 10.32.02.07 - Proceedings under Health Occupations Article, Sections 14 - 404(b), 14 - 5A - 17(c), 14 - 5B - 14(c), 14 - 5C - 17(c), 14 - 5D - 14(b), 14 - 5E - 16(c), 14 - 5F - 18(c) and 15 - 314(b), Annotated Code of Maryland

Universal Citation: MD Code Reg 10.32.02.07

Current through Register Vol. 51, No. 19, September 20, 2024

A. In this regulation, "health care provider" means an individual who is a:

(1) Licensed physician;

(2) Licensed respiratory care practitioner;

(3) Licensed radiographer;

(4) Licensed nuclear medical technologist;

(5) Licensed radiation therapist;

(6) Licensed radiologist assistant;

(7) Licensed polysomnographic technologist;

(8) Licensed athletic trainer;

(9) Licensed perfusionist;

(10) Licensed naturopathic doctor; or

(11) Licensed physician assistant.

B. Health Occupations Article, §§14-404(b), 14-5 A-17(c), 14-5B-14(c), 14-5C-17(c), 14-5D-14(b), 14-5E-16(c), 14-5F-18(c) and 15-314(b), Annotated Code of Maryland, govern mandatory actions of the suspension or revocation of a license on the filing of certified docket entries, if the health care provider is convicted of or pleads guilty, including by an Alford plea, or a plea of nolo contendere to a crime involving moral turpitude.

C. Procedures.

(1) The Office of the Attorney General through Board counsel shall provide to the disciplinary panel assigned to the case certified docket entries of the criminal court proceeding and the following documents from the court record:
(a) For a conviction, at least:
(i) The indictment, information, or other formal statement of the charges; and

(ii) Documentation of the verdict and sentencing; and

(b) For a plea of guilty, including an Alford plea, or a plea of nolo contendere, at least one of the following:
(i) Stipulated statement of facts or statement of facts on the record;

(ii) Plea agreement containing agreed facts;

(iii) Transcript of plea agreement proceedings; or

(iv) Written or transcribed opinion or statement of the judge accepting the plea.

(2) When the disciplinary panel determines that documents provided to it indicate that the respondent comes within the language and intent of Health Occupations Article, §14-404(b), 14-5 A-17(c), 14-5B-14(c), 14-5C-17(c), 14-5D-14(b), 14-5E-16(c), 14-5F-18(c) or 15-314(b), Annotated Code of Maryland, and the disciplinary panel has a basis for finding preliminarily that it applies to the respondent, the disciplinary panel shall vote to issue an order requiring the respondent to show cause why the disciplinary panel should not take action under this section.

(3) After the vote to issue the show cause order, the disciplinary panel shall refer the matter to the administrative prosecutor for prosecutorial action.

(4) Based upon a review of the case, the prosecutor may refer the matter back to the disciplinary panel for further consideration.

D. Service.

(1) The disciplinary panel shall serve the respondent by regular mail or hand delivery at the address the respondent maintains for purposes of licensure notice.

(2) The disciplinary panel may choose to serve the respondent personally.

E. Opportunity to be Heard.

(1) The respondent, after service of the show cause order, has 30 days in which to respond.

(2) The respondent may show cause in writing on the following issues:
(a) Lack of conviction or plea;

(b) Whether the crime is one involving moral turpitude;

(c) Misidentity of the respondent with the defendant in the criminal matter; and

(d) Other relevant issues, if any, other than mitigation.

(3) The respondent may also, within 30 days of service of the show cause order, request an opportunity to address the disciplinary panel by a limited evidentiary hearing on the same issues. However, this argument may not be as of right, but is discretionary based on the existence of genuine issues of material fact or law as determined by the disciplinary panel.

(4) The presiding disciplinary panel member, usually the disciplinary panel chair, shall determine all procedural issues that are governed by this section, and may impose reasonable time limitations. The presiding disciplinary panel member shall make any rulings reasonably necessary to facilitate the effective and efficient operation of the hearing. Ordinarily, the respondent and the administrative prosecutor shall limit their oral presentation to 20 minutes each. The respondent shall proceed first.

(5) The presiding disciplinary panel member shall allow for consideration of documents the presiding disciplinary panel member determines relevant and material. The presiding disciplinary panel member may not admit oral testimony or witnesses.

(6) Disciplinary panel members may ask questions of any party appearing before the disciplinary panel.

F. Representation.

(1) The respondent may appear in proper person or be represented by counsel.

(2) The administrative prosecutor shall present argument in support of the proposed sanction.

G. Burdens of Production and Persuasion.

(1) The respondent may argue issues as set out in §E(2) of this regulation and has the burden of producing argument or evidence in response to the show cause order.

(2) The administrative prosecutor bears the burden of persuasion by a preponderance of the evidence that the respondent was convicted of or pled guilty or nolo contendere to a crime of moral turpitude.

H. Disciplinary Panel Action.

(1) After consideration of the respondent's answer, either in writing or at a hearing, the disciplinary panel shall deliberate and determine whether the crime is a crime involving moral turpitude, and then shall issue an appropriate order.

(2) A pending appeal of the conviction or plea does not operate as a bar to the disciplinary panel's acting under Health Occupations Article, §14-404(b)(1), 14-5 A-17(c)(1), 14-5B-14(c)(1), 14-5C-17(c), 14-5D-14(b)(1), 14-5E-16(c), 14-5F-18(c) or 15-314(b), Annotated Code of Maryland.

(3) A respondent suspended pursuant to Health Occupations Article, §14-404(b), 14-5 A-17(c), 14-5B-14(c), 14-5C-17(c), 14-5D-14(b)(1), 14-5E-16(e), 14-5F-18(c) or 15-314(b), Annotated Code of Maryland, shall be reinstated immediately upon the filing of a certified docket entry that the conviction has been reversed. The reinstatement does not terminate any other disciplinary action or investigation pending against the respondent.

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