1. A. An applicant shall:

   1. (1) Complete an application on a form supplied by the Board;
   2. (2) Pay the required application fee set by the Board in Regulation .09 of this chapter;
   3. (3) Be 18 years old or older;
   4. (4) Be of good moral character;

   5. (5) Demonstrate spoken and written competency in English by any of the following:

      1. (a) Documentation of graduation from a recognized English-speaking high school or undergraduate school after at least 3 years of enrollment;
      2. (b) Documentation of graduation from a recognized English-speaking professional school; or

      3. (c) Documentation of receiving a grade of at least:

         1. (i) 26 on the “Speaking Section” of the Internet-based Test of English as a Foreign Language; and
         2. (ii) 79 on the Internet-based Test of English as a Foreign Language;
   6. (6) Provide documentation of current certification as a registered polysomnographic technologist by the Board of Registered Polysomnographic Technologists or by another national certification agency approved by the Board;
   7. (7) Provide documentation of licensure, certification, or registration from all states where the applicant has ever held a license, certificate, or registration in any health profession; and
   8. (8) Meet the requirements of §B of this regulation.

2. B. An applicant shall meet the requirements of one of the following pathways to licensure:

   1. (1) Graduation from a polysomnographic educational program that is accredited by the Commission on Accreditation of Allied Health Education Programs;

   2. (2) In regard to a respiratory care educational program:

      1. (a) Graduation from a respiratory care educational program that is accredited by the Commission on Accreditation of Allied Health Education Programs; and
      2. (b) Completion of the Committee on Accreditation for Respiratory Care’s curriculum for a polysomnography certificate that is accredited by the Commission on Accreditation of Allied Health Education Programs;

   3. (3) In regard to an electroneurodiagnostic technology educational program:

      1. (a) Graduation from an electroneurodiagnostic technology educational program that is accredited by the Commission on Accreditation of Allied Health Education Programs; and
      2. (b) Completion of an add-on track in polysomnography for electroneurodiagnostic technologists that is accredited by the Commission on Accreditation of Allied Health Education Programs; or
   4. (4) In regard to a sleep technologist educational program, completion of the requirements of §C of this regulation.

3. C. An applicant who has graduated from a sleep technologist education program accredited by the American Academy of Sleep Medicine shall:

   1. (1) Provide proof of meeting core competencies in the 3 years preceding the date of the submission of the licensure application as assessed by a sleep technologist credentialed as a Registered Polysomnographic Technologist, a sleep technologist with national certification approved by the Board, or a physician who is either board-eligible or board-certified in sleep medicine by the American Board of Sleep Medicine, American Board of Medical Specialties, or American Osteopathic Association;
   2. (2) Provide a letter of attestation for completion of clinical hours and competencies from a physician who is either board-eligible or board-certified in sleep medicine by the American Board of Sleep Medicine, American Board of Medical Specialties, or American Osteopathic Association where the applicant practiced; and

   3. (3) Provide proof of completion of a minimum of 546 hours of clinical experience in the 3 years preceding the date of the submission of the licensure application as either:

      1. (a) A student enrolled in a sleep technologist educational program supervised at a sleep laboratory accredited by the American Academy of Sleep Medicine or The Joint Commission by:

         1. (i) A sleep technologist credentialed as a Registered Polysomnographic Technologist;
         2. (ii) A sleep technologist with national certification approved by the Board; or
         3. (iii) A licensed physician who is either board-eligible or board-certified in sleep medicine by the American Board of Sleep Medicine, American Board of Medical Specialties, or American Osteopathic Association; or

      2. (b) A sleep technologist with a current, active, unrestricted license in another state or is otherwise recognized and has practiced as a sleep technologist in another state who has:

         1. (i) Full-time practice experience as a sleep technologist in another state at a sleep laboratory accredited by the American Academy of Sleep Medicine or The Joint Commission for a minimum of 6 months in the 3 years preceding the date of the submission of the licensure application; and
         2. (ii) Completed at least 30 hours of approved continuing education in the 3 years preceding the date of the submission of the licensure application.

Authority: Health Occupations Article, §§1-213, 1-221, 1-606, 14-205, and 14-5C-01—14-5C-23, Annotated Code of Maryland

Effective date: December 1, 2008 (35:24 Md. R. 2078)

Regulation .01B amended as an emergency provision effective October 1, 2009 (36:17 Md. R. 1311); amended permanently effective October 5, 2009 (36:20 Md. R. 1528)

Regulation .01B amended effective March 5, 2012 (39:4 Md. R. 337)

Regulation .01E, F adopted effective May 11, 2015 (42:9 Md. R. 647)

Regulation .02B amended effective August 15, 2016 (43:16 Md. R. 900); September 29, 2025 (52:19 Md. R. 956)

Regulation .04 amended effective December 22, 2014 (41:25 Md. R. 1485); September 29, 2025 (52:19 Md. R. 956)

Regulation .04A amended effective June 20, 2016 (43:12 Md. R. 667)

Regulation .04C repealed effective August 15, 2016 (43:16 Md. R. 900)

Regulation .04G amended as an emergency provision effective October 1, 2009 (36:17 Md. R. 1311); amended permanently effective October 5, 2009 (36:20 Md. R. 1528)

Regulation .04G amended effective March 5, 2012 (39:4 Md. R. 337)

Regulation .06 amended effective September 29, 2025 (52:19 Md. R. 956)

Regulation .07 amended effective January 2, 2017 (43:26 Md. R. 1446)

Regulation .07A amended effective September 29, 2025 (52:19 Md. R. 956)

Regulation .07B, C amended effective December 22, 2014 (41:25 Md. R. 1485)

Regulation .08B amended effective August 15, 2016 (43:16 Md. R. 900); January 2, 2017 (43:26 Md. R. 1446)

Regulation .09 amended effective May 11, 2015 (42:9 Md. R. 647); September 29, 2025 (52:19 Md. R. 956)

Regulation .10 amended effective September 29, 2025 (52:19 Md. R. 956)

Regulation .10A amended effective May 11, 2015 (42:9 Md. R. 647)

Regulation .11 amended effective September 29, 2025 (52:19 Md. R. 956)

Regulation .12 amended effective May 11, 2015 (42:9 Md. R. 647); September 29, 2025 (52:19 Md. R. 956)

Regulation .12D—H adopted effective July 22, 2013 (40:14 Md. R. 1175)

Regulation .13 adopted effective July 22, 2013 (40:14 Md. R. 1175)

Regulation .13 amended effective May 11, 2015 (42:9 Md. R. 647)

Regulation .13A amended effective September 29, 2025 (52:19 Md. R. 956)