1. A. The Board, in its discretion, may grant a license by endorsement to practice nursing home administration in the State, upon satisfactory evidence that the endorsement applicant, in addition to the requirements of this section, meets all the qualifications and requirements for a nursing home administrator license set forth in Regulation .02 of this chapter, except that the endorsement applicant is not required to:

   1. (1) Take the NAB exams set forth under Regulation .03 of this chapter; or
   2. (2) Participate in the AIT program that is set forth under Regulation .04 of this chapter.

2. B. The endorsement applicant shall:

   1. (1) Possess a valid license as a nursing home administrator, which has not been revoked or suspended in each state from which the applicant has ever received a nursing home administrator license or reciprocal endorsement;
   2. (2) Provide satisfactory evidence of having completed one year as the full-time nursing home administrator of record in a nursing home within the last 5 years; and
   3. (3) Be familiar with State and local health and safety regulations related to nursing homes by evidence of a passing score on the State standards exam.

3. C. To be granted a State nursing home administrator license, the endorsement applicant shall possess a nursing home administrator license in other states that shall:

   1. (1) Maintain a system and standard of qualification and examination for a license, which are substantially equivalent to those required by this State; and
   2. (2) Give similar recognition and endorsement to nursing home administrator licenses of this State.

4. D. The Board may waive:

   1. (1) The education requirements of COMAR 10.33.02.02C(3), if the endorsement applicant provides satisfactory evidence to the Board that the endorsement applicant is licensed and has practiced as a nursing home administrator for at least 3 years in another state; and
   2. (2) The State standards examination, if the endorsement applicant provides satisfactory evidence to the Board that the endorsement applicant met the requirements of Health Occupations Article, §9-306(b), Annotated Code of Maryland.

Authority: Health Occupations Article, §§9-205, 9-301—9-316.1, and 9-401—9-501, Annotated Code of Maryland

Effective date: January 19, 2026 (53:1 Md. R 22)