Can a physician assistant inject or prescribe in Maryland?
Oversight · part of The Practice Perimeter
Short answer
The cited rules do not settle this — they only confirm a physician assistant may delegate duties to unlicensed persons as Board rules permit; the injection supervision tiers govern unlicensed "assistants," not PAs, and no cited rule states PA scope.
To the extent permitted by the rules, regulations, and orders of the Board, an individual to whom duties are delegated by a licensed physician or physician assistant may perform those duties without a license. The individuals to whom duties may be delegated include any individual authorized to practice any other health occupation regulated under this article.
Md. Code, Health Occ. §14-306(a)-(b) · verified Sep 3, 2026 · regulatory monitoring, not legal advice
Related Maryland rules
A licensed physician who delegates shall: (1) Evaluate the risk to the patient and the outcome of the delegated acts; (2) Delegate only those technical acts that are customary to the practice of the licensed physician; (3) Delegate only those technical acts for which the assistant has been trained; (4) Be responsible for the acts of the assistant; and (5) Supervise the assistant.
Md. Code Regs. 10.32.12.03(A) (Standards for the Licensed Physician Delegating to an Assistant) · verified Sep 3, 2026
With on-site supervision a licensed physician may delegate to an assistant the preparing and administering of injections limited to intradermal, subcutaneous, and intramuscular (deltoid, gluteal, vastus lateralis), to include small amounts of local anesthetics, and the establishing of a peripheral intravenous line. Microdermabrasion may be delegated without on-site supervision.
Md. Code Regs. 10.32.12.04(D)(1)(j), (D)(2)(a)–(b) · verified Sep 8, 2026
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Related Maryland questions
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- Can a nurse practitioner treat without a supervising physician in Maryland?
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