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    PROPOSAL
    Maryland Register
    Issue Date:  June 23, 2017
    Volume 44 • Issue 13 • Pages 629—630
     
    Title 10
    DEPARTMENT OF HEALTH AND MENTAL HYGIENE
    Subtitle 27 BOARD OF NURSING
    10.27.01 Examination and Licensure
    Authority: Health Occupations Article, §§8-205 and 8-307, Annotated Code of Maryland; Chs. 281 and 282, Acts of 2013
    Notice of Proposed Action
    [17-158-P]
    The Secretary of Health and Mental Hygiene proposes to amend Regulation .10 under COMAR 10.27.01 Examination and Licensure. This action was considered by the Board at its regular monthly meeting on January 25, 2017, notice of which was given by publication on the Board’s website in November and December 2016 and on January 1, 2017, pursuant to General Provisions Article, §3-302(c) Annotated Code of Maryland.
    Statement of Purpose
    The purpose of this action is to allow graduates from an accredited registered nurse or licensed practical nursing program, that did not include a supervised clinical learning experience as part of the nursing program, to apply for a license by endorsement in Maryland if they have an active unencumbered license from another state or country and have completed 1,000 hours of nursing practice in the immediate 12-month period before the date of application. Additionally, the amendment sets forth what documentation will be required as evidence of completing the 1,000-hour practice requirement. These applicants will have to meet all other requirements for a license by endorsement.
    Comparison to Federal Standards
    There is no corresponding federal standard to this proposed action.
    Estimate of Economic Impact
    I. Summary of Economic Impact. The Board will receive a fee of $100 from each endorsement applicant. This will not be a major increase in revenue for the Board since it is expected that fewer than eight graduates of the Excelsior School of Nursing will apply in any 1 year.
     
     
    Revenue (R+/R-)
     
    II. Types of Economic Impact.
    Expenditure
    (E+/E-)
    Magnitude
     

     
    A. On issuing agency:
    (R+)
    $800
    B. On other State agencies:
    NONE
    C. On local governments:
    NONE
     
     
    Benefit (+)
    Cost (-)
    Magnitude
     

     
    D. On regulated industries or trade groups:
    (-)
    $800
    E. On other industries or trade groups:
    NONE
    F. Direct and indirect effects on public:
    NONE
    III. Assumptions. (Identified by Impact Letter and Number from Section II.)
    A. and D. Since 2013, the Board has issued a license by endorsement to 41 graduates from the Excelsior School of Nursing. In the last year, the Board received applications from eight licensees. All were approved. Each applicant was charged $100 for the initial license by endorsement.
    Economic Impact on Small Businesses
    The proposed action has minimal or no economic impact on small businesses.
    Impact on Individuals with Disabilities
    The proposed action has no impact on individuals with disabilities.
    Opportunity for Public Comment
    Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through July 24, 2017. A public hearing has not been scheduled.
    .10 Licensure by Endorsement.
    A. (text unchanged)
    B. Supervised Clinical Learning Experience Requirement.
    (1) A nursing education program approved in another state or country that does not have a supervised clinical learning experience requirement is not substantially equivalent to an approved nursing education program in this State.
    (2) An applicant who graduated from a nursing education program in another state or country that did not have a supervised clinical learning requirement does not meet the educational qualifications required by the laws of this State.
    (3) The Board may waive the supervised clinical learning experience requirement required by this State for an applicant for licensure by endorsement as a registered nurse who:
    (a) Has an active unencumbered license to practice registered nursing from another state or country;
    (b) Has graduated from a registered nursing program accredited by a nursing accreditation agency recognized by the Board;
    (c) Submits to the Board evidence of completing 1,000 hours of active practice as a registered nurse within the 12-month period immediately preceding the date of the application; and
    (d) Otherwise meets the requirements for licensure by endorsement as a registered nurse.
    (4) The Board may waive the supervised clinical learning experience requirement required by this State for an applicant for licensure by endorsement as a licensed practical nurse who:
    (a) Has an active unencumbered license to practice licensed practical nursing from another state or country;
    (b) Has graduated from a licensed practical nursing program accredited by a nursing accreditation agency recognized by the Board;
    (c) Submits to the Board evidence of 1,000 hours of active practice as a licensed practical nurse within the 12-month period immediately preceding the date of the application; and
    (d) Otherwise meets the requirements for licensure by endorsement as a licensed practical nurse.     
    (5) The Board shall accept the following documentation as evidence of completing 1,000 hours of active practice as a registered nurse or licensed practical nurse within the 12-month period immediately preceding the date of the application:
    (a) A letter from an employer on the facility’s letterhead, signed and mailed by the employer to the Board of Nursing that states the:
    (i) Applicant’s name and license number;
    (ii) Dates of employment;
    (iii) Job description; and
    (iv) Number of hours worked within the previous 12-month period immediately preceding the date
    of the application; and  
    (b) Pay stubs that indicate the hours of employment within the 12-month period immediately preceding the
    date of the application.
    (6) The Board will accept pay stubs by mail from the applicant.
    [B.] C.—[D.] E. (text unchanged)
    DENNIS R. SCHRADER
    Secretary of Health and Mental Hygiene