MD HB1047

Requires individuals performing limited X-ray machine operations in Maryland to register with the State Board of Physicians, completing at least 6 months clinical experience, 115 hours didactic training, 480 hours clinical training, and passing the American Registry of Radiologic Technologists examination

Establishes disciplinary procedures for limited X-ray machine operators including denial, suspension, or revocation of registration for misconduct, incompetence, substance abuse, fraud, or failure to meet care standards

Authorizes physician assistants to perform X-ray duties on extremities after completing radiographic studies on at least 20 patients, under direct supervision of a collaborating physician or radiologist, using mini C-arm or similar low-level radiation equipment

Imposes civil penalties of up to $5,000 per violation on physician offices and $1,000 per violation on individuals who perform X-ray duties without meeting registration requirements

Takes effect October 1, 2026