1. A. To apply for LXMO registration, an applicant shall:

   1. (1) Pay the fee determined by the Board established in Regulation .09 of this chapter; and

   2. (2) Complete a form provided by the Board attesting to:

      1. (a) Completion of at least 6 months of clinical care experience;

      2. (b) Completion of a limited scope X-ray educational program consisting of at least 115 hours of didactic training delivered by a certified radiologic technologist providing instruction in:

         1. (i) Radiographic anatomy, procedures, and pathology;
         2. (ii) Digital image acquisition and display;
         3. (iii) Fundamentals, ethics, and laws of health care;
         4. (iv) Human anatomy and physiology;
         5. (v) Image production and analysis;
         6. (vi) Imaging equipment and radiation production;
         7. (vii) Medical terminology; and
         8. (viii) Patient care;
      3. (c) Completion of at least 480 hours of clinical training performed under the direct supervision of a certified radiologic technologist;
      4. (d) Completion of a minimum of five competencies in each body part listed in Regulation .06B(2) of this chapter performed under the direct supervision of a certified radiologic technologist; and
      5. (e) Achievement of a passing result of 75 percent or higher on the ARRT Examination for Limited Scope of Practice in Radiography or a passing result on an alternative exam as determined by the Board.

   3. (3) Criminal History Records Check. An applicant shall submit to a criminal history records check in accordance with Health Occupations Article, §14-308.1, Annotated Code of Maryland, by submitting to the Central Repository:

      1. (a) Two complete sets of legible fingerprints taken on forms approved by the Central Repository and the Federal Bureau of Investigation; and
      2. (b) All fees required by the Central Repository and the Federal Bureau of Investigation.

2. B. Renewal.

   1. (1) Before the expiration of the registration, an individual applying for renewal shall complete an application for renewal on the form supplied by the Board.
   2. (2) LXMO registration shall be renewed every 2 years on the date set by the Board.
   3. (3) An LXMO shall pay the renewal fee, and any additional charges set by the Board in accordance with Regulation .09 of this chapter.
   4. (4) An LXMO shall attest to the completion of continuing education activities as specified in Regulation .04 of this chapter.
   5. (5) The Board may request an LXMO to submit evidence of having met the continuing education requirement specified in Regulation .04 of this chapter.
   6. (6) If an LXMO cannot demonstrate completion of the required continuing education credit hours, the Board may impose a civil penalty of up to $100 per missing continuing education hour.
   7. (7) If an LXMO fails to renew their registration for any reason, the registration will expire.
   8. (8) After the expiration of the registration, an individual is no longer authorized to practice as an LXMO.

   9. (9) The Board may impose a civil penalty of up to $1,000 on the individual and a civil penalty of up to $5,000 on the employer of the individual for practicing without registration if a formerly registered individual:

      1. (a) Fails to submit an application and pay the requisite renewal fee before the expiration of the registration; and
      2. (b) Practices as a LXMO after the expiration of the registration.

3. C. Reinstatement.

   1. (1) The Board shall reinstate the registration of an LXMO if the individual:

      1. (a) Completes the reinstatement application on the form approved by the Board.
      2. (b) Pays a reinstatement fee as determined by the Board in accordance with Regulation .09 of this chapter; and
      3. (c) Documents evidence of completion of at least 24 hours of approved continuing education earned during the 2-year period preceding the date of the submission of the application for reinstatement for the registration as an LXMO.

   2. (2) The applicant shall submit to a criminal history records check in accordance with Health Occupations Article, §14-308.1, Annotated Code of Maryland, by submitting to the Central Repository:

      1. (a) Two complete sets of legible fingerprints taken on forms approved by the Central Repository and the Federal Bureau of Investigation; and
      2. (b) All fees required by the Central Repository and the Federal Bureau of Investigation.

Authority: Health Occupations Article, §§14-205, 14-207, 14-306, and 14-308.1, Annotated Code of Maryland

Effective date: April 25, 1994 (21:8 Md. R. 674)

Regulation .01 amended effective March 1, 2004 (31:4 Md. R. 316); August 18, 2025 (52:16 Md. R. 846)

Regulation .02 adopted effective August 18, 2025 (52:16 Md. R. 846)

Regulation .03 adopted effective August 18, 2025 (52:16 Md. R. 846)

Regulation .04 adopted effective August 18, 2025 (52:16 Md. R. 846)

Regulation .05 adopted effective August 18, 2025 (52:16 Md. R. 846)

Regulation .06 adopted effective August 18, 2025 (52:16 Md. R. 846)

Regulation .07 adopted effective August 18, 2025 (52:16 Md. R. 846)

Regulation .08 adopted effective August 18, 2025 (52:16 Md. R. 846)

Regulation .09 adopted effective August 18, 2025 (52:16 Md. R. 846)