§15–103.

    (a)    In this section, “alternative health care system” has the meaning stated in § 1–401 of this article.

    (b)    (1)    Subject to paragraph (2) of this subsection, an employer of a physician assistant shall report to the Board, on the form prescribed by the Board, any termination of employment of the physician assistant if the cause of termination is related to a quality of care issue.

        (2)    Subject to subsection (d) of this section, a physician or group of physicians that develops a collaboration agreement with a physician assistant or an employer of a physician assistant shall notify the Board within 10 days of the termination of employment of the physician assistant for reasons that would be grounds for discipline under this title.

        (3)    A physician or group of physicians that develops a collaboration agreement with a physician assistant or the physician assistant shall notify the Board within 10 days of the termination of the relationship under a collaboration agreement.

    (c)    Except as otherwise provided under subsections (b) and (d) of this section, a hospital, a related institution, an alternative health care system, or an employer of a physician assistant shall report to the Board any limitation, reduction, or other change of the terms of employment of the physician assistant or any termination of employment of the physician assistant for any reason that might be grounds for disciplinary action under § 15–314 of this title.

    (d)    A hospital, related institution, alternative health care system, or employer that has reason to know that a physician assistant has committed an action or has a condition that might be grounds for reprimand or probation of the physician assistant or suspension or revocation of the license of the physician assistant under § 15–314 of this title because the physician assistant is alcohol– or drug–impaired is not required to report to the Board if:

        (1)    The hospital, related institution, alternative health care system, or employer knows that the physician assistant is:

            (i)    In an alcohol or drug treatment program that is accredited by the Joint Commission on the Accreditation of Healthcare Organizations or is certified by the Department; or

            (ii)    Under the care of a health care practitioner who is competent and capable of dealing with alcoholism and drug abuse;

        (2)    The hospital, related institution, alternative health care system, or employer is able to verify that the physician assistant remains in the treatment program until discharge; and

        (3)    The action or condition of the physician assistant has not caused injury to any person while the physician assistant is practicing as a licensed physician assistant.

    (e)    (1)    If the physician assistant enters, or is considering entering, an alcohol or drug treatment program that is accredited by the Joint Commission on Accreditation of Healthcare Organizations or that is certified by the Department, the physician assistant shall notify the hospital, related institution, alternative health care system, or employer of the physician assistant’s decision to enter the treatment program.

        (2)    If the physician assistant fails to provide the notice required under paragraph (1) of this subsection, and the hospital, related institution, alternative health care system, or employer learns that the physician assistant has entered a treatment program, the hospital, related institution, alternative health care system, or employer shall report to the Board that the physician assistant has entered a treatment program and has failed to provide the required notice.

        (3)    If the physician assistant is found to be noncompliant with the treatment program’s policies and procedures while in the treatment program, the treatment program shall notify the hospital, related institution, alternative health care system, or employer of the physician assistant’s noncompliance.

        (4)    On receipt of the notification required under paragraph (3) of this subsection, the hospital, related institution, alternative health care system, or employer of the physician assistant shall report the physician assistant’s noncompliance to the Board.

    (f)    A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of alcohol– and drug–abuse patient records.

    (g)    The hospital, related institution, alternative health care system, or employer shall submit the report within 10 days of any action described in this section.

    (h)    A report under this section is not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.

    (i)    (1)    A disciplinary panel may impose a civil penalty of up to $1,000 for failure to report under this section.

        (2)    The Board shall pay any fees collected under this subsection into the General Fund of the State.

    (j)    An employer shall make the report required under this section to the Board within 5 days after the date of termination of employment.

    (k)    The Board shall adopt regulations to implement the provisions of this section.