VETOES

(2) The Secretary shall, by regulation and in consultation with hospitals,
physicians, interested community and advocacy groups, and representatives of the
Maryland Defense Bar and Plaintiffs' Bar, establish minimum standards for a
credentialling process which shall include:

(i) A formal written appointment process documenting the
physician's education, clinical expertise, licensure history, insurance history, medical
history, claims history, and professional experience.

(ii) A requirement that an initial appointment to staff not be
complete until the physician has successfully completed a probationary period.

(iii) A formal, written reappointment process to be conducted at least
every 2 years. The reappointment process shall document the physician's pattern of
performance by analyzing claims filed against the physician, data dealing with
utilization, quality, and risk, a review of clinical skills, adherence to hospital bylaws,
policies and procedures, compliance with continuing education requirements, and
mental and physical status.

(3) If requested by the Department, a hospital shall provide
documentation that, prior to employing or granting privileges to a physician, the
hospital has complied with the requirements of this subsection and that, prior to
renewing employment or privileges, the hospital has complied with the requirements of
this subsection.

(4) If a hospital fails to establish or maintain a credentialling process
required under this subsection, the Secretary may impose the following penalties:

(i) Delicensure of the hospital; or

(ii) $500 per day for each day the violation continues.

Article - Health Occupations
14-601.

(b) For purposes of this section, a medical review committee is:

(1) A regulatory board or agency established by State or federal law to
license, certify, or discipline any provider of health care;

(2) A committee of the Faculty or any of its component societies or a
committee of any other professional society or association composed of providers of
health care;

(3) A committee appointed by or established in a local health department
for review purposes;

(4) A committee appointed by or established in the Maryland Institute for
Emergency Medical Services Systems;

(5) A committee of the medical staff or other committee, including any

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