Sec. 10.44.12.20. Renewal of Class I and Class II Permits

A. The Board shall mail a renewal application to each individual holding a Class I or Class II permit at least 180 days before the expiration of the permit.

B. Before a Class I or Class II permit expires, an applicant may apply to renew the permit for an additional 5-year term if the applicant:

(1) Submits to the Board at least 90 days before the expiration of the permit:

(a) A renewal application on a form provided by the Board;

(b) Written verification of inspection of the applicant's anesthesia and monitoring equipment from a recognized service company; and

(c) Written verification from the applicant that:

(i) Since the issuance of the permit or the previous renewal of the permit, the applicant and the appropriate individuals on the applicant's office staff have completed training in basic life support and the handling of medical emergencies;

(ii) The applicant maintains the appropriate drugs on the premises; and

(iii) The applicant only utilizes drugs on the premises the dates of which have not expired;

(2) Pays the renewal fee set by the Board in COMAR 10.44.20;

(3) Provides an affidavit to the Board indicating whether the applicant, since the issuance of the original permit or renewal, whichever is later, has treated a patient under deep sedation or general anesthesia with an incident requiring admission to a hospital either for a period greater than 24 hours, or for purposes other than observation.

(4) Provides evidence satisfactory to the Board that the applicant meets the continuing education requirements outlined in Regulation .29 of this chapter; and

(5) Submits any other pertinent documents or information requested by the Board.

C. An affidavit provided to the Board under §B(3) of this regulation, which indicates that the applicant has treated a patient under deep sedation or general anesthesia with an incident, shall include the information contained in Regulation .08G of this chapter.

D. The training in basic life support and the handling of medical emergencies outlined in §B(1)(c)(i) of this regulation shall be completed before the submission of each application for renewal.

E. If an applicant for the renewal of a Class I or Class II permit returns a renewal application to the Board at least 90 days before the expiration of the permit, and the Board is unable to approve or deny the application before the expiration of the permit through no fault of the applicant, the permit shall remain in effect until the Board:

(1) Renews the permit; or

(2) Denies renewal of the permit.

F. Failure to receive the Board's renewal application does not relieve the permit holder from the requirement to submit a renewal application to the Board at least 90 days before the expiration of the permit.

G. The Board may issue a renewal of a Class I or Class II permit to an applicant for a specific practice location after the Board's review of:

(1) The applicant's renewal application and accompanying affidavit;

(2) The applicant's qualifications; and

(3) Any other pertinent documents or information, including, but not limited to, patient complaints that may affect the applicant's ability to safely and effectively administer anesthesia and sedation.