VETOES

smear test slides for 2 years requiring that the regulations
include certain restrictions and certain requirements with
respect to certain practices of cytotechnologists,
cytopathologists, and cytology laboratories .; requiring
the Secretary of Health and Mental Hygiene to establish and
conduct a certain testing program; requiring medical
laboratories to pay a certain fee for a certain proficiency
testing program; and generally relating to the regulation of
certain medical laboratories in the State.

BY adding to

Article - Health - General
Section 17-215.1
Annotated Code of Maryland
(1987 Replacement Volume)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Health - General

17-215.1.

(A) THE SECRETARY SHALL ADOPT REGULATIONS GOVERNING MEDICAL
LABORATORIES ENGAGED IN THE FIELD OF CYTOPATHOLOGY THAT INCLUDE
THE PROVISIONS OF THIS SECTION. , INCLUDING REGULATIONS THAT:

(1)  LIMIT THE NUMBER OF SLIDES A CYTOTECHNOLOGIST MAY
EXAMINE PER DAY;

(2)  PROHIBIT CYTOTECHNOLOGISTS FROM EXAMINING SLIDES
AT ANY RESIDENTIAL DOMICILE OR ANY BUILDING NOT OWNED OR USED BY
A LICENSED MEDICAL LABORATORY;

(3)  PROHIBIT PAYMENT TO CYTOTECHNOLOGISTS ON A
PIECEWORK BASIS;

(4)  REQUIRE CYTOLOGY LABORATORIES TO RESCREEN NO LESS
THAN 10 PERCENT OF ALL NEGATIVE PAP SMEARS;

(5)  REQUIRE THAT CYTOLOGY RESCREENING BE PERFORMED BY
A SUPERVISORY LEVEL CYTOTECHNOLOGIST OR A CYTOPATHOLOGIST;

(6)  REQUIRE THE PATHOLOGIST WHO DIRECTS THE
CYTOPATHOLOGY LABORATORY TO ESTABLISH AND ADMINISTER AN ONGOING
QUALITY ASSURANCE PROGRAM WITH STANDARDS RECOGNIZED BY
PROFESSIONAL ORGANIZATIONS;

(7)  REQUIRE CYTOLOGY LABORATORIES TO REJECT
IMPROPERLY PREPARED SPECIMENS, MAKE APPROPRIATE COMMENTS
REGARDING THE QUALITY OF THE SPECIMEN, AND MAINTAIN RECORDS ON

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