Must someone be on site while a patient is treated in Maryland?
Oversight · part of The Practice Perimeter
Short answer
Depends on the act — delegated injections and IV lines require a physician on site, and surgical acts require the physician scrubbed and personally operating in the same field; microdermabrasion, oral drugs and patient prep need no on-site supervision.
Maryland sets the required physical presence by tier rather than by procedure. Patient preparation, history interviews, specimen collection, tuberculin skin tests, electrocardiography, transmitting prescriptions to a pharmacy, preparing and administering oral drugs and microdermabrasion may be delegated without on-site supervision. Injections and peripheral intravenous lines require on-site supervision. Surgical technical acts require the delegating physician to be present, scrubbed and personally performing the surgery in the same surgical field.
Md. Code Regs. 10.32.12.04(B)(1), (D)(1), (D)(2) · verified Sep 8, 2026 · regulatory monitoring, not legal advice
Related Maryland rules
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
A licensed physician may delegate nonsurgical technical acts while the assistant is under the licensed physician’s direct supervision or on-site supervision if the assistant performs the act in accordance with procedures of the site.
Md. Code Regs. 10.32.12.04(B)(2) · verified Sep 3, 2026
How other states answer this
- Alabama
- Alaska
- Arkansas
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Illinois
- Indiana
- Iowa
- Michigan
- Mississippi
- Missouri
- Montana
- Nevada
- New Mexico
- New York
- North Carolina
- Ohio
- Oklahoma
- South Carolina
- Tennessee
- Texas
- Utah
- Virginia
- Washington
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← All Maryland rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).