# COMAR 10.32.03.04: COMAR 10.32.03.04. Scope of Practice

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_04

## Section

- **Citation:** COMAR 10.32.03.04
- **Heading:** COMAR 10.32.03.04. Scope of Practice
- **Jurisdiction:** Maryland
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 32 BOARD OF PHYSICIANS / Chapter 03 Physician Assistant / COMAR 10.32.03.04

## Text

A. Except as otherwise provided under Health Occupations Article, Title 15, Annotated Code of Maryland , an individual shall be licensed by the Board and notify the Board of an executed collaboration agreement before the individual may practice as a physician assistant or collaborate with a patient care team physician.
B. A physician assistant's scope of practice will be limited to medical acts that are:
(1) Appropriate to the education, training, and experience of the physician assistant;
(2) Customary to the practice of a patient care team physician; and
(3) Performed in a manner consistent with the collaboration agreement.
C. A physician assistant may delegate technical medical acts authorized under Health Occupations Article, §14-306, Annotated Code of Maryland and COMAR 10.32.12 provided the physician assistant:
(1) Has notified the Board, in a manner approved by the Board of an executed collaboration agreement; and
(2) Has completed at least 7,000 hours of clinical practice experience.
D. Prohibitions.
(1) Regardless of the setting or other factors, a patient care team physician may not delegate, and a physician assistant may not perform general anesthesia or neuraxial anesthesia, including spinal, epidural, and image-guided interventional spine procedures.
(2) Except in hospitals, detention centers, correctional facilities, and public health facilities, a patient care team physician may not collaborate with more than eight physician assistants during the same shift.
Cross References 10.09.33.05A(1)(c)

## Nearby sections

- [COMAR 10.32.03.01 COMAR 10.32.03.01. Scope](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_01.md)
- [COMAR 10.32.03.02 COMAR 10.32.03.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_02.md)
- [COMAR 10.32.03.03 COMAR 10.32.03.03. Physician Assistant Advisory Committee](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_03.md)
- [COMAR 10.32.03.04 COMAR 10.32.03.04. Scope of Practice](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_04.md)
- [COMAR 10.32.03.05 COMAR 10.32.03.05. Qualifications for Licensure as a Physician Assistant](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_05.md)
- [COMAR 10.32.03.06 COMAR 10.32.03.06. Collaboration Agreements—Core Duties](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_06.md)
- [COMAR 10.32.03.07 COMAR 10.32.03.07. Collaboration Agreements—Advanced Duties](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_07.md)
- [COMAR 10.32.03.08 COMAR 10.32.03.08. Approval, Disapproval, Ineligible, or Modification of Advanced Duties](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_08.md)
- [COMAR 10.32.03.09 COMAR 10.32.03.09. Prescriptive Authority and Dispensing Starter Dosage or Drug Samples](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_09.md)
- [COMAR 10.32.03.10 COMAR 10.32.03.10. Renewal, Reinstatement, Change in Name or Address, and Continuing Education](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_10.md)
- [COMAR 10.32.03.11 COMAR 10.32.03.11. Identification as Physician Assistant](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_11.md)
- [COMAR 10.32.03.12 COMAR 10.32.03.12. Responsibility of the Physician Assistant](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_12.md)
- [COMAR 10.32.03.13 COMAR 10.32.03.13. Prohibited Conduct](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_13.md)
- [COMAR 10.32.03.14 COMAR 10.32.03.14. Reports by Employers and Patient Care Team Physician](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_04. Check the current official text before relying on it. Not legal advice.