Maryland Code § HO-8-6A-04

Section HO-8-6A-04
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(a) (1) The Board shall set reasonable fees for the issuance and renewal
of certificates and other services it provides to certified nursing assistants, certified
dialysis technicians, and certified medication technicians.
(2) The fees charged shall be set to produce funds to approximate the
cost of maintaining the certification program and the other services provided to
certified nursing assistants, certified dialysis technicians, and certified medication
technicians.
(b) (1) The Board shall pay all fees collected under the provisions of this
subtitle to the Comptroller of the State.
(2) The Comptroller shall distribute all the fees to the State Board of
Nursing Fund established under § 8-206 of this title.
§8-6A-05. IN EFFECT
(a) The Board shall adopt regulations establishing:
(1) Categories of certified nursing assistants, including geriatric
nursing assistants, home health aides, school health aides, individuals working in
developmental disabilities administration facilities, and medicine aides;
(2) Qualifications for each category of certified nursing assistant;
(3) Qualifications for certified dialysis technicians;
(4) Qualifications for certified medication technicians;

(5) Standards for qualification of applicants for certification,
including the applicant's criminal history, work record, and prohibitions against
behavior which may be potentially harmful to patients; and
(6) Standards for the online provision of didactic instruction in a
nursing assistant training program that meets the requirements established by the
Board.
(b) (1) To qualify for certification as a nursing assistant, a nursing
assistant in a specific category, a dialysis technician, or a medication technician, an
applicant shall meet the requirements set by the Board.
(2) Requirements set by the Board under paragraph (1) of this
subsection regarding qualifications for certification as a geriatric nursing assistant
shall include provisions to allow an individual who has been practicing as a
temporary nursing assistant, in accordance with the waiver of the requirements of 42
C.F.R. § 483.35(d) issued by the Centers for Medicare and Medicaid Services on
March 6, 2020, to apply on-the-job experience as a nursing assistant toward the total
number of training hours required for certification as a geriatric nursing assistant.
(c) (1) An applicant for a certificate shall:
(i) Submit an application to the Board on the form that the
Board requires;
(ii) Provide evidence, as required by the Board, of successful
completion of:
1. An approved nursing assistant training program;
2. An approved dialysis technician training program;
3. An approved course in medication administration; or
4. A portion of an approved nursing education program
that the Board determines meets the requirements of a nursing assistant training
program or medication administration course;
(iii) Pay to the Board an application fee set by the Board;
(iv) Be of good moral character;
(v) Be at least 16 years old to apply for certification as a
nursing assistant;

(vi) Be at least 18 years old to apply for certification as a
dialysis technician; and
(vii) Be at least 18 years old to apply for certification as a
medication technician.
(2) Subject to paragraph (1) of this subsection, an applicant for
certification as a certified nursing assistant or dialysis technician shall submit to the
Board:
(i) A criminal history records check in accordance with § 8-
303 of this title and § 8-6A-08(k) of this subtitle; and
(ii) On the form required by the Board, written, verified
evidence that the requirement of item (i) of this paragraph is being met or has been
met.
(3) An applicant for certification as a certified medicine aide, in
addition to the requirements under paragraph (1) of this subsection, shall submit an
additional application to that effect to the Board on the form that the Board requires.
(4) An applicant for a certificate may not:
(i) Have committed any act or omission that would be grounds
for discipline or denial of certification under this subtitle; and
(ii) Have a record of abuse, negligence, misappropriation of a
resident's property, or any disciplinary action taken or pending in any other state or
territory of the United States against the certification of the nursing assistant or
medication technician in the state or territory.
§8-6A-05. ** TAKES EFFECT APRIL 1, 2026 PER CHAPTER 416 OF 2025 **
(a) The Board, after consultation with relevant stakeholders, shall adopt
regulations establishing:
(1) Qualifications for certified nursing assistants, including certified
medicine aides;
(2) Qualifications for certified dialysis technicians;
(3) Qualifications for certified medication technicians;

(4) Standards for qualification of applicants for certification,
including the applicant's criminal history, work record, and prohibitions against
behavior which may be potentially harmful to patients; and
(5) Standards for the online provision of didactic instruction in a
nursing assistant training program that meets the requirements established by the
Board.
(b) (1) To qualify for certification as a nursing assistant, a certified
medicine aide, a dialysis technician, or a medication technician, an applicant shall
meet the requirements set by the Board.
(2) Requirements set by the Board under paragraph (1) of this
subsection regarding qualifications for certification as a certified nursing assistant-I
shall include provisions to allow an individual who has been practicing as a
temporary nursing assistant, in accordance with the waiver of the requirements of 42
C.F.R. § 483.35(d) issued by the Centers for Medicare and Medicaid Services on
March 6, 2020, to apply on-the-job experience as a nursing assistant toward the total
number of training hours required for certification as a certified nursing assistant-I.
(c) (1) An applicant for a certificate shall:
(i) Submit an application to the Board on the form that the
Board requires;
(ii) Provide evidence, as required by the Board, of successful
completion of:
1. An approved nursing assistant training program or
approved acute care nursing assistant training program;
2. An approved dialysis technician training program;
3. An approved course in medication administration; or
4. A portion of an approved nursing education program
that the Board determines meets the requirements of an approved nursing assistant
training program or medication administration course;
(iii) Pay to the Board an application fee set by the Board;
(iv) Be of good moral character;

(v) Be at least 16 years old to apply for certification as a
nursing assistant;
(vi) Be at least 18 years old to apply for certification as a
dialysis technician; and
(vii) Be at least 18 years old to apply for certification as a
medication technician.
(2) Subject to paragraph (1) of this subsection, an applicant for
certification as a certified nursing assistant or dialysis technician shall submit to the
Board:
(i) A criminal history records check in accordance with § 8-
303 of this title and § 8-6A-08(k) of this subtitle; and
(ii) On the form required by the Board, written, verified
evidence that the requirement of item (i) of this paragraph is being met or has been
met.
(3) (i) An applicant for certification as a certified nursing
assistant shall submit to the Board satisfactory evidence of passing a nursing
assistant competency evaluation.
(ii) An applicant who has completed an approved acute care
nursing assistant training program shall be deemed to have fulfilled the classroom
and clinical standards to sit for the nursing assistant competency evaluation.
(4) An applicant for a certificate may not:
(i) Have committed any act or omission that would be grounds
for discipline or denial of certification under this subtitle; and
(ii) Have a record of abuse, negligence, misappropriation of a
resident's property, or any disciplinary action taken or pending in any other state or
territory of the United States against the certification of the nursing assistant or
medication technician in the state or territory.
(5) Beginning April 1, 2026, a certified nursing assistant-II may be
certified as a certified nursing assistant-I by:
(i) Submitting an application to the Board on the form that
the Board requires; and

(ii) Providing satisfactory evidence of:
1. Successful completion of an approved nursing
assistant training program; and
2. Passing a nursing assistant competency evaluation.

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