1. A. An assistant acting beyond the scope of this chapter may be:

   1. (1) Considered to be engaged in the unlicensed practice of licensed certified midwifery or any other health occupation regulated by the State; and
   2. (2) Subject to all applicable fines and penalties in accordance with Health Occupations Article, §§8-701 et seq., Annotated Code of Maryland and applicable regulations, or any other applicable provision of Health Occupations Article, Annotated Code of Maryland.
2. B. A delegating licensed certified midwife, through either act or omission, facilitation, or otherwise enabling or forcing an assistant to practice beyond the scope of this chapter, may be subject to discipline as set forth in Health Occupations Article, §8-6D-10, Annotated Code of Maryland.

3. C. A delegating licensed certified midwife may not:

   1. (1) Require an assistant to perform a delegated technical task; or
   2. (2) Permit an assistant to delegate any act to another individual.

Authority: Health Occupations Article, §§ 8-101, 8-205, 8-208, 8-508, 8-601, 8-6A-02, 8-6D-01 through 8-6D-15, 8-701, 8-708, and 8-710, Annotated Code of Maryland

Effective date: February 22, 2026 (52:17 Md. R. 875)