1993 LAWS OF MARYLAND

(C) EACH MEMBER OF THE COMMISSION IS ENTITLED TO REIMBURSEMENT FOR
EXPENSES UNDER THE STANDARD STATE TRAVEL REGULATIONS, AS PROVIDED IN THE
STATE BUDGET.

(D) STAFF FOR THE ADVISORY COMMITTEE SHALL BE PROVIDED BY THE
COMMISSION, IN ACCORDANCE WITH ITS BUDGET.

19-1605.                                           

ON REQUEST OF THE COMMISSION, THE ADVISORY COMMITTEE SHALL ADVISE,
CONSULT WITH AND PROPOSE TO THE COMMISSION PRACTICE PARAMETERS FOR ANY
SPECIALTY DESIGNATED BY THE COMMISSION THAT:

(1) DEFINE APPROPRIATE CLINICAL INDICATIONS AND METHODS OF
TREATMENT FOR INDIVIDUAL PROCEDURES OR DISEASES THAT ARE SUBJECT TO A
SIGNIFICANT AMOUNT OF MEDICAL MALPRACTICE LITIGATION WITHIN THE MEDICAL
SPECIALTY AREA;

(2) ARE CONSISTENT WITH THE APPROPRIATE STANDARDS OF CARE;

      (3) ARE-DESIGNED TO DISCOURAGE INAPPROPRIATE UTILIZATION; AND

(4) ARE NOT INCONSISTENT WITH CERTIFICATION, LICENSURE, OR
ACCREDITATION STANDARDS- ESTABLISHED BY GOVERNMENTAL AGENCIES OR
NATIONAL ACCREDITATION ORGANIZATIONS, INCLUDING THE JOINT COMMISSION ON
THE ACCREDITATION OF HEALTH CARE ORGANIZATIONS.

19-1606.

(A) ON RECEIPT OF A PROPOSAL OF THE ADVISORY COMMITTEE CONCERNING
ADOPTION OF ANY PRACTICE PARAMETERS, BY REGULATION, THE COMMISSION MAY
ADOPT THE PRACTICE PARAMETERS.

(B) THE COMMISSION MAY ADOPT A PRACTICE PARAMETER IF:

(1) THE PROPOSAL OF THE ADVISORY COMMITTEE INCLUDES A
STATEMENT, WITH SUPPORTING DOCUMENTATION, THAT AT LEAST 60 PERCENT OF THE
SPECIALISTS IN THE STATE AFFECTED BY THE PRACTICE PARAMETERS HAS VOTED
FAVORABLY ON THE ADOPTION;

(2) THE PROPOSAL OF THE ADVISORY COMMITTEE INCLUDES SUPPORTING
INFORMATION SATISFACTORY TO THE COMMISSION THAT THE PRACTICE PARAMETER
MIGHT REDUCE UNNECESSARY UTILIZATION OF HEALTH CARE SERVICES; AND

(3) THE PROPOSAL OF THE ADVISORY COMMITTEE INCLUDES SUPPORTING
INFORMATION SATISFACTORY TO THE COMMISSION THAT THE PRACTICE PARAMETER
WILL CONTINUE TO PROVIDE A HIGH QUALITY OF HEALTH CARE.

(C) ANY PRACTICE PARAMETER ADOPTED BY THE COMMISSION SHALL REMAIN IN
EFFECT, BY REGULATION NO LONGER THAN 3 YEARS FROM THE DATE OF ITS ADOPTION.
THE COMMISSION MAY READOPT A PRACTICE PARAMETER AFTER ITS EXPIRATION
FOLLOWING CONSULTATION WITH THE APPROPRIATE MEDICAL SPECIALITY.

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Ch. 9