1. A. In this chapter, the following terms have the meanings indicated.

2. B. Terms Defined.

   1. (1) “Acute care nursing assistant training program” means a course of training that meets the acute care nursing assistant training program curriculum approved by the Board.
   2. (2) “Board” means the Maryland Board of Nursing.
   3. (3) “Central Repository” means the Maryland Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.
   4. (4) “Certificate” means a certificate issued by the Board to practice as a certified nursing assistant in the State.

   5. (5) Certified Nursing Assistant (CNA).

      1. (a) “Certified nursing assistant (CNA)” means an individual, regardless of title, who, for compensation and subject to regulations adopted by the Board, routinely performs:

         1. (i) Nursing tasks delegated by a registered nurse, licensed practical nurse, or advanced practice registered nurse; or
         2. (ii) Technical tasks delegated by a licensed certified midwife.
      2. (b) “Certified nursing assistant (CNA)” does not include dialysis technician or medication technician.

   6. (6) Certified Nursing Assistant-I (CNA-I).

      1. (a) “Certified nursing assistant-I (CNA-I)” means a CNA who:

         1. (i) Meets the requirements set by the Board and federal law; and
         2. (ii) May practice in any practice setting.

      2. (b) “Certified nursing assistant-I (CNA-I)” includes a:

         1. (i) CNA who was certified as a geriatric nursing assistant on March 31, 2026;
         2. (ii) Certified medicine aide; and
         3. (iii) CNA who is certified under Health Occupations Article, §8-6A-05(c)(5), Annotated Code of Maryland.

   7. (7) “Certified nursing assistant-II (CNA-II)” means a CNA who:

      1. (a) On March 31, 2026, was certified as a CNA but not certified as a geriatric nursing assistant; and
      2. (b) May not practice in a nursing facility or skilled nursing facility.
   8. (8) “Criminal history records check (CHRC)” means the performance of both a State criminal history records check by the Central Repository and a national criminal history records check performed by the Federal Bureau of Investigation (FBI).
   9. (9) “Criminal history record information” means information provided by the criminal history records check regarding an applicant’s criminal arrests, charges, and convictions and other dispositions of criminal charges.
   10. (10) “Good standing” means without an encumbrance that limits or restricts practice, such as revocation, suspension, or probation.

   11. (11) “Nursing assistant competency evaluation” means an examination approved by the Board that:

       1. (a) Determines the competency of the individual to practice as a CNA-I; and
       2. (b) Meets the requirements under federal law.
   12. (12) “Nursing assistant training program” means a course of training approved by the Board that meets the requirements under federal and State law.
   13. (13) “Service member” has the meaning stated in State Government Article, §9-901, Annotated Code of Maryland.
   14. (14) “Temporary nurse aide” means an individual who practiced as a geriatric nursing assistant without certification during the national Coronavirus Disease 2019 (COVID-19) Public Health Emergency, as declared on January 31, 2020, and periodically continued by the United States Secretary of Health and Human Services, pursuant to the waiver of the requirements of 42 CFR §483.35(d) issued by the Centers for Medicare and Medicaid Services on March 6, 2020.
   15. (15) “Technical task” means a routine clinical act or task that does not require clinical judgment and is performed with the supervision as specified in COMAR 10.69.02.

   16. (16) “Temporary nurse aide training” means an 8-hour online training and examination program offered by:

       1. (a) The American Health Care Association;
       2. (b) The National Center for Assisted Living; or
       3. (c) Another comparable program approved by the Board.

Authority: Health Occupations Article, §§8-205, 8-206, and 8-6A-01—8-6A-17, Annotated Code of Maryland; Ch. 486, Acts of 2012;
Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

Effective date: February 5, 2001 (28:2 Md. R. 100)

Regulation .01B amended as an emergency provision effective January 2, 2007 (34:4 Md. R. 397); amended permanently effective May 7, 2007 (34:9 Md. R. 825)

Regulations .02A, .06B, .09B amended as an emergency provision effective November 15, 2001 (28:24 Md. R. 2125); amended permanently effective February 18, 2002 (29:3 Md. R. 221)

Regulation .02A amended effective February 2, 2004 (31:2 Md. R. 85); August 27, 2007 (34:17 Md. R. 1509)

Regulation .03 amended effective April 24, 2006 (33:8 Md. R. 734)

Regulation .04 amended as an emergency provision effective January 2, 2007 (34:4 Md. R. 397); amended permanently effective May 7, 2007 (34:9 Md. R. 825)

Regulation .04D amended effective January 6, 2014 (40:26 Md. R. 2164)

Regulation .06 amended as an emergency provision effective January 2, 2007 (34:4 Md. R. 397); amended permanently effective May 7, 2007 (34:9 Md. R. 825)

Regulation .06 amended effective August 25, 2008 (35:17 Md. R. 1489); April 19, 2010 (37:8 Md. R. 617)

Regulation .06H amended effective January 6, 2014 (40:26 Md. R. 2164)

Regulation .06N amended effective June 13, 2011 (38:12 Md. R. 705)

Regulation .07 amended effective April 19, 2010 (37:8 Md. R. 617)

Regulation .08 repealed and Regulation .09 recodified to be Regulation .08 effective April 24, 2006 (33:8 Md. R. 734)

Regulation .08 amended as an emergency provision effective January 2, 2007 (34:4 Md. R. 397); amended permanently effective May 7, 2007 (34:9 Md. R. 825)

Regulation .08A, B amended effective April 7, 2008 (35:7 Md. R. 748)

Regulation .08D amended effective March 22, 2010 (37:6 Md. R. 478)

Regulation .10 repealed effective April 24, 2006 (33:8 Md. R. 734)

Chapter revised effective February 13, 2017 (44:3 Md. R. 189)

Regulation .01B amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .01B amended as an emergency provision effective September 22, 2022 (49:22 Md. R. 975); emergency status expired effective March 30, 2023

Regulation .04D adopted as an emergency provision effective September 22, 2022 (49:22 Md. R. 975); emergency status expired effective March 30, 2023

Regulation .05 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .05 amended as an emergency provision effective September 22, 2022 (49:22 Md. R. 975); emergency status expired effective March 30, 2023

Regulation .07 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .08 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .09 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .09A amended as an emergency provision effective September 22, 2022 (49:22 Md. R. 975); emergency status expired effective March 30, 2023

Chapter revised as an emergency provision effective April 3, 2026 (53:9 Md. R. 411); amended permanently effective June 8, 2026 (53:11 Md. R. 484)