1. A. The following terms have the meanings indicated.

2. B. Terms Defined.

   1. (1) “Accredited institution” means a college or university accredited by a regional educational accrediting association through the Council for Higher Education Accreditation and the United States Department of Education.
   2. (2) “Act” means the Maryland Licensed Dietitian-Nutritionists Act, Health Occupations Article, §§5-101—5-502, Annotated Code of Maryland.

   3. (2-1) Aids in the Practice of Dietetics.

      1. (a) “Aids in the practice of dietetics” means an individual directly or indirectly supervised by a licensed dietitian, licensed nutritionist, or licensed physician who assists in the practice of dietetics by following instructions in:

         1. (i) Gathering and recording information for the purposes of assessing individual and community food practices and for assessing nutritional status using anthropometric, biochemical, clinical, dietary, and demographic data;
         2. (ii) Providing nutrition information as part of preventive or restorative health care if the nutrition care plan, priorities, goals, and objectives for meeting nutrient needs were developed by a licensed practitioner; and
         3. (iii) Applying standards for quality control in the areas of menu planning and procurement, food selection, production, assembly, distribution, and food safety and sanitation to ensure high quality nutritional care.

      2. (b) “Aids in the practice of dietetics” does not include:

         1. (i) Evaluation of nutritional status;
         2. (ii) Formulation of nutrition standards;
         3. (iii) Development or modification of diet instructions;
         4. (iv) Evaluation of patient progress;
         5. (v) Development of menu patterns for therapeutic diets; or
         6. (vi) Establishing therapeutic diet production policies and procedures.
   4. (3) “Applicant” means an individual who applies for licensure to practice dietetics in the State.
   5. (4) “Board” means the State Board of Dietetic Practice.
   6. (4-1) “Certified nutrition specialist” means an individual certified by the Board for Certification of Nutrition Specialists.
   7. (5) “Commission” means the Commission on Dietetic Registration of the American Dietetic Association.
   8. (6) “Coordinated undergraduate program” means a dietetic program that combines didactic and clinical experience within a 4-year baccalaureate program.
   9. (7) “Department” means the Maryland Department of Health.

   10. (8) “Dietetic practice” means a practice through which the principles derived from integrating knowledge of food, biochemistry, physiology, management science, behavioral science, and social science to human nutrition are applied. Dietetic practice includes:

       1. (a) Assessing individual and community food practices, and nutritional status for clinical, research, and program planning purposes using:

          1. (i) Anthropometric data,
          2. (ii) Biochemical data,
          3. (iii) Clinical data,
          4. (iv) Dietary data, and
          5. (v) Demographic data;
       2. (b) Developing, establishing, and evaluating nutritional care plans that establish priorities, goals, and objectives for meeting nutrient needs for individuals or groups;
       3. (c) Conducting nutrition counseling and education as a part of preventive or restorative health care throughout the life cycle;
       4. (d) Determining, applying, and evaluating standards for food and nutrition services; and
       5. (e) Applying scientific research to the role of food for the maintenance of health and the treatment of disease.
   11. (9) “License” means, unless the context requires otherwise, a license issued by the Board to practice dietetics.
   12. (10) “Licensed dietitian-nutritionist (LDN)” means an individual who is licensed by the Board to practice dietetics in the State.

   13. (11) Medical Device.

       1. (a) “Medical device” means a health care product used in the diagnosis, treatment, or prevention of disease.

       2. (b) “Medical device” does not mean:

          1. (i) A drug;
          2. (ii) A surgical or dental instrument;
          3. (iii) Physical therapy equipment;
          4. (iv) X-ray apparatus; or
          5. (v) A component part or accessory of any of the items listed in §B(11)(b) of this regulation.
   14. (12) “Medical nutrition” means nutritional advice or counsel provided to an individual by a licensee, in the licensee's professional capacity, that is designed for an individual to alleviate a specific physiological complaint, condition, or symptom.
   15. (13) “Nonmedical nutrition” means the application of basic principles of nutrition to food selection for the purpose of maintaining health.
   16. (14) “Registered dietitian (RD)” means an individual registered by the Commission.
   17. (15) “Supervision” means the management of an individual who aids in the practice of dietetics by a licensed dietitian-nutritionist who may or may not be on the premises.

Authority: Health Occupations Article, §§5-205, 5-301, 5-303, 5-306, and 5-308––5-310, Annotated Code of Maryland

Effective date:

Regulations .01—.09, Licensure, adopted as an emergency provision effective February 9, 1988 (15:5 Md. R. 612); emergency status extended at 15:18 Md. R. 2144; emergency status expired December 31, 1988

Regulations .04 and .07 amended as an emergency provision effective August 8, 1988 (15:18 Md. R. 2144); emergency status expired December 31, 1988

Regulations .01—.08, General Regulations, adopted effective February 20, 1989 (16:3 Md. R. 344)

Regulation .01B amended effective February 4, 1991 (18:2 Md. R. 150)

Regulation .02B amended effective November 7, 1994 (21:22 Md. R. 1878); September 9, 1996 (23:18 Md. R. 1317); October 29, 2001 (28:21 Md. R. 1856); August 13, 2007 (34:16 Md. R. 1432); August 18, 2025 (52:16 Md. R.847)

Regulation .03 amended effective November 7, 1994 (21:22 Md. R. 1878); October 29, 2001 (28:21 Md. R. 1856); August 18, 2025 (52:16 Md. R.847)

Regulation .04 amended effective October 29, 2001 (28:21 Md. R. 1856); August 18, 2025 (52:16 Md. R.847)

Regulation .04A amended effective February 4, 1991 (18:2 Md. R. 150); September 9, 1996 (23:18 Md. R. 1317)

Regulation .04A, B amended effective August 13, 2007 (34:16 Md. R. 1432)

Regulation .05 amended effective October 29, 2001 (28:21 Md. R. 1856)

Regulation .06 amended effective February 4, 1991 (18:2 Md. R. 150); October 29, 2001 (28:21 Md. R. 1856)

Regulation .06A amended effective November 7, 1994 (21:22 Md. R. 1878)

Regulation .06B amended as an emergency provision effective February 5, 1992 (19:4 Md. R. 469); emergency status expired August 7, 1992

Regulation .06B amended effective August 8, 1992 (19:9 Md. R. 879); October 29, 2001 (28:21 Md. R. 1856); August 13, 2007 (34:16 Md. R. 1432); August 18, 2025 (52:16 Md. R. 847)

Regulation .06E amended effective November 7, 1994 (21:22 Md. R. 1878)

Regulation .07 amended effective October 29, 2001 (28:21 Md. R. 1856)

Regulation .07B, H, I amended effective November 7, 1994 (21:22 Md. R. 1878)

Regulation .08 amended effective October 29, 2001 (28:21 Md. R. 1856)

Regulation .08D amended and Regulation .09 adopted as an emergency provision effective December 5, 1989 (16:26 Md. R. 2782); adopted permanently effective May 14, 1990 (17:9 Md. R. 1092); August 18, 2025 (52:16 Md. R. 847)

Regulation .08E amended effective November 7, 1994 (21:22 Md. R. 1878)

Regulation .09C amended effective January 6, 1992 (18:26 Md. R. 2830); October 29, 2001 (28:21 Md. R. 1856)

Regulation .09 repealed and new Regulation .09 adopted effective August 13, 2007 (34:16 Md. R. 1432)

Regulation .09 repealed and new Regulation .09 adopted effective August 18, 2025 (52:16 Md. R. 847)

Regulation .10 adopted effective August 18, 2025 (52:16 Md. R. 847)

Regulation .11 adopted effective August 18, 2025 (52:16 Md. R. 847 )

Regulation .12 adopted effective August 18, 2025 (52:16 Md. R. 847)