1. A. Scope. This regulation applies to hybrid nursing assistant training programs.
2. B. Approval. The Board shall approve a hybrid training program that meets all of the requirements of this regulation.

3. C. Prerequisite Qualifications. A program seeking initial approval as a hybrid training program shall:

   1. (1) Comply with the requirements set forth in Regulation .02 of this chapter;
   2. (2) Be approved by the Board as a traditional training program for at least 2 years before the program applies for initial approval as a hybrid training program; and
   3. (3) Comply with all requirements set forth under this chapter and be in good standing with the Board at the time that the program applies for initial approval as a hybrid training program.

4. D. Application and Approval Requirements.

   1. (1) A training program seeking initial approval as a hybrid training program shall apply for approval on a form required by the Board.

   2. (2) To be eligible for Board approval, a hybrid training program shall:

      1. (a) Host sessions no longer than 4 hours per session;
      2. (b) Specify the technology platform to be used for each content area of the curriculum;

      3. (c) Conduct lab and clinical training:

         1. (i) In person with a course instructor who meets the requirements under Regulation .04 of this chapter; and
         2. (ii) No later than 2 weeks after the completion of didactic instruction;
      4. (d) Require test sessions to be conducted in person;

      5. (e) Have a policy, which is provided to the Board as a part of the application, for:

         1. (i) Admissions, including determining whether a student has sufficient access to a computer and learning resources;
         2. (ii) Orienting students to online modules;
         3. (iii) Providing troubleshooting assistance for enrolled students; and
         4. (iv) In the case of technology failure, an alternative method of instruction and notification to the Board of the technology failure and the use of the alternative method of instruction;

      6. (f) Have sufficient mechanisms for:

         1. (i) Requiring the use of a personal identification number that confirms the identity of the students and instructor;
         2. (ii) Ensuring that all students have demonstrated competency on all virtual education content;
         3. (iii) Tracking and auditing active student participation in online instruction;
         4. (iv) Confirming student identity during and after completion of online modules and live sessions; and
         5. (v) Safeguarding appropriate security measures;
      7. (g) Provide the Board with access rights to the program to verify program compliance and monitor distance learning sessions; and

      8. (h) Provide the Board with statistics about the performance of students in the program, including:

         1. (i) Student exam pass rates;
         2. (ii) The rate at which students repeat each module of the program; and
         3. (iii) Any other information requested by the Board regarding student participation in and completion of the program.
5. E. Reapproval. An approved hybrid training program shall apply for renewal of approval in accordance with Regulation .08 of this chapter.
6. F. Withdrawal of Approval. The Board may withdraw approval of a hybrid training program in accordance with Regulation .09 of this chapter.

Authority: Health Occupations Article, §§8-205, 8-6A-05(a)(6), and 8-6A-14, Annotated Code of Maryland;
Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

Effective date: April 30, 2001 (28:8 Md. R. 761)

Regulation .02B amended effective July 2, 2018 (45:13 Md. R. 667)

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

Regulation .07B amended effective November 7, 2005 (32:22 Md. R. 1756)

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)