1. (a) In this subtitle the following words have the meanings indicated.
2. (b) “Board” means the State Board of Physicians.
3. (c) “Committee” means the Polysomnography Advisory Committee established under § 14-5C-05 of this subtitle.
4. (d) “License” means a license issued by the Board.
5. (e) “Licensed polysomnographic technologist” means a polysomnographic technologist who is licensed by the Board under this subtitle to practice polysomnography under the supervision of a licensed physician.

6. (f)

   1. (1) “Practice polysomnography” means:

      1. (i) Monitoring and recording physiologic data during sleep, including sleep-related respiratory disturbances under the supervision of a licensed physician; or
      2. (ii) Using data collected under item (i) of this paragraph for the purposes of assisting a licensed physician in the diagnosis and treatment of sleep and wake disorders.

   2. (2) “Practice polysomnography” includes:

      1. (i) Providing polysomnography services that are safe, aseptic, preventive, and restorative;
      2. (ii) Diagnosing and treating individuals who suffer from sleep disorders as a result of developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction;
      3. (iii) Observing and monitoring physical signs and symptoms, general behavior, and general physical response to polysomnographic evaluation and determining whether initiation, modification, or discontinuation of a treatment regimen is warranted;
      4. (iv) Using evaluation techniques that include limited cardiopulmonary function assessments, the need and effectiveness of therapeutic modalities and procedures, and the assessment and evaluation of the need for extended care; and

      5. (v) Applying the use of techniques, equipment, and procedures involved in the evaluation of polysomnography, including:

         1. 1. Continuous positive airway pressure or bi-level positive airway pressure titration on spontaneously breathing patients;
         2. 2. Supplemental low flow oxygen therapy during polysomnogram;
         3. 3. Capnography during polysomnogram;
         4. 4. Cardiopulmonary resuscitation;
         5. 5. Pulse oximetry;
         6. 6. PH probe placement and monitoring;
         7. 7. Esophageal pressure;
         8. 8. Sleep staging including surface electroencephalography, surface electrooculography, and surface submental electromyography;
         9. 9. Surface electromyography of arms and legs;
         10. 10. Electrocardiography;
         11. 11. Respiratory effort including thoracic and abdominal;
         12. 12. Plethysmography blood flow;
         13. 13. Snore monitoring;
         14. 14. Audio or video monitoring;
         15. 15. Implementation of a written or verbal order from a licensed physician that requires the practice of polysomnography;
         16. 16. Monitoring the effects a nasal device, used to treat sleep apnea, has on sleep patterns provided that the device does not extend into the trachea; and

         17. 17. Monitoring the effects an oral device, used to treat sleep apnea, has on sleep patterns, provided that:

             1. A. The device does not extend into the trachea;
             2. B. A dentist has evaluated the structures of the patient's oral and maxillofacial region for purposes of fitting;
             3. C. A dentist made or directed the making of the oral device; and
             4. D. A dentist directs the use of the oral device.
7. (g) “Registered polysomnographic technologist” means a polysomnographic technologist who is registered by the Board of Registered Polysomnographic Technicians.

8. (h) “Student” means an individual who, in accordance with section 14-5C-09(c) of this subtitle, is:

   1. (1) Enrolled in an accredited educational program in order to qualify for a license under this title; and
   2. (2) Performing polysomnography services within the accredited program under the supervision of a licensed physician and without compensation.
9. (i) “Supervision” means general or direct supervision of a licensed polysomnographic technologist by a licensed physician.

Added by Acts 2006, c. 595, § 2, eff. Oct. 1, 2006. Amended by Acts 2009, c. 261, § 1, eff. Oct. 1, 2009; Acts 2009, c. 262, § 1, eff. Oct. 1, 2009; Acts 2014, c. 45, § 5; Acts 2025, c. 675, § 1, eff. Oct. 1, 2025; Acts 2025, c. 676, § 1, eff. Oct. 1, 2025.