# COMAR 10.32.03.07: COMAR 10.32.03.07. Collaboration Agreements—Advanced Duties > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_07 ## Section - **Citation:** COMAR 10.32.03.07 - **Heading:** COMAR 10.32.03.07. Collaboration Agreements—Advanced Duties - **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 10.32.03.07 ## Text A. A physician assistant that has sufficient education, training, and experience in the performance of an advanced duty, may perform that advanced duty under a collaboration agreement without Board approval if: (1) The physician assistant is practicing at an exempt facility in accordance with Health Occupations Article, §15 –302.1, Annotated Code of Maryland and meets the conditions in §A(4) of this regulation ; (2) The physician assistant has previously received Board approval to perform the advanced duty; or (3) The physician assistant has at least 7,000 hours of clinical practice experience as attested to by the physician assistant. (4) For a physician assistant practicing at an exempt facility the following shall be met: (a) The patient care team physician listed on the collaboration agreement has been credentialed by the exempt facility as a condition of employment; (b) The physician assistant listed on the collaboration agreement has been credentialed by the exempt facility as a condition of employment; and (c) The advanced duty to be delegated by the patient care team physician to the physician assistant is reviewed and approved in a process approved by the exempt facility before the physician assistant performs the advanced duty. B. Except as provided under §A of this regulation , a physician assistant shall receive Board approval to perform an advanced duty prior to performing the advanced duty. C. A physician assistant performing X-Ray duties in accordance with Health Occupations Article, §14 –306(e), Annotated Code of Maryland, shall: (1) Notify the Board of an executed collaboration agreement in a manner approved by the Board; (2) Maintain a copy of the collaboration agreement on file at the practice location; (3) Obtain Board approval for the X-Ray duty as an advanced duty if practicing at a location other than an exempt facility; (4) Perform the X-Ray duty in the medical office of a patient care team physician; and d, shall: (1) Notify the Board of an executed collaboration agreement in a manner approved by the Board; (2) Maintain a copy of the collaboration agreement on file at the practice location; (3) Obtain Board approval for the X-Ray duty as an advanced duty if practicing at a location other than an exempt facility; (4) Perform the X-Ray duty in the medical office of a patient care team physician; and (5) Be limited to nonfluoroscopic X-Ray procedures of the extremities, anterior-posterior and lateral, not including the head. D. In addition to the requirements of §C of this regulation , a physician assistant performing the advanced duty of nonfluoroscopic X-ray procedures using a mini C-arm or similar low-level radiation machine shall be required to present the Board with evidence of completion of a course that includes: (1) Didactic instruction of at least eight hours on the following subject matters: (a) Principles of radiography; (b) Image acquisition; (c) Principles of exposure; (d) Image evaluation; (e) Radiation safety; (f) Equipment overview; and (g) Documentation; and (2) Clinical instruction, which shall: (a) Include anterior-posterior and lateral radiographic studies of extremities, not including the head, on at least 20 separate patients; and (b) Be under the direct supervision of the delegating physician or radiologist. ## 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) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_03_07. Check the current official text before relying on it. Not legal advice.