State Board of Physicians - Delegation of Duties - Alterations
SB 915 requires individuals performing limited X-ray procedures (such as chest, spine, and limb imaging) in Maryland to register with the State Board of Physicians. It restricts these operations to non-invasive X-rays only (excluding CT scans, mammography, or fluoroscopy) and mandates 115 hours of specialized training plus 6 months of clinical experience. The bill also establishes disciplinary procedures for violations and allows physician assistants to perform X-ray duties under physician supervision, while updating rules for cardiovascular specialists and medical graduates. This directly affects medical staff, radiologic technicians, and physician assistants conducting basic X-ray services in clinical settings.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Feb 6, 2026
Signed Apr 28, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Third - State Board of Physicians - Delegation of Duties - Alterations
→
Enrolled - State Board of Physicians - Delegation of Duties - Alterations
·
3 edits
·
Apr 28, 2026
MINOR
SB 915 was finalized as an enrolled bill, meaning it is now ready for the Governor's signature. The text was reorganized to clearly list specific sections of the Health Occupations article that are being repealed and added, clarifying the legal changes regarding physician assistant duties and limited x-ray operations.
Scope change
The bill's scope remains focused on delegating medical duties to non-licensed individuals under physician supervision, but the legislative text now explicitly enumerates the specific sections being amended rather than using general repeal language.
TECHNICAL
The bill status changed from a draft Senate Bill to an Enrolled Bill, indicating it has passed all legislative stages and is awaiting the Governor's approval.
The explanatory preamble was restructured to explicitly list the repealed section (14-206(e)(2)(ix)) and the new sections being added (14-206(e)(2)(x), 14-306.1 through 14-306.4) for clarity.
Page numbering and formatting were adjusted to reflect the final enrolled version, including the addition of proofreader signatures and the Great Seal presentation text.
Floor votes · Senate Mar 22, 2026 · House of Delegates Mar 22, 2026
How they voted
42–0
Passed · 7 other
Total votes 49
Mar 22, 2026
D
Democratic36
83% Yea
R
Republican13
92% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
17
Key actions
10
Committee
6
Amendments
1
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 214
executive
Apr 9, 2026
Upper · Passed
Passed Enrolled
upper
Apr 9, 2026
Upper · Passed
Third Reading Passed
upper
Apr 9, 2026
Introduced
Senate Concurs House Amendments
upper
Apr 8, 2026
Lower · Passed
Third Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable with Amendments {
lower
Apr 3, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 22, 2026
Senate · Passed
Senate Vote: pass (42-0-7)
senate
Mar 20, 2026
Committee
Referred Health
lower
Mar 19, 2026
Upper · Passed
Third Reading Passed
upper
Mar 17, 2026
Upper · Passed
Favorable with Amendments {
upper
Mar 16, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Feb 6, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Johnny Mautz
RRepublican
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