(b) “Board” means the State Board of Physicians.

(c) “Committee” means the Polysomnography Professional Standards Committee established under § 14-5C-05 of this subtitle.

(d) “License” means a license issued by the Board.

(e) “Licensed polysomnographic technologist” means a polysomnographic technologist who is licensed by the Board under this subtitle to practice polysomnography under the supervision of a licensed physician.

(f) (1) “Practice polysomnography” means:

(i) Monitoring and recording physiologic data during sleep, including sleep-related respiratory disturbances under the supervision of a licensed physician; or

(ii) Using data collected under item (i) of this paragraph for the purposes of assisting a licensed physician in the diagnosis and treatment of sleep and wake disorders.

(2) “Practice polysomnography” includes:

(i) Providing polysomnography services that are safe, aseptic, preventive, and restorative;

(ii) Diagnosing and treating individuals who suffer from sleep disorders as a result of developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction;

(iii) Observing and monitoring physical signs and symptoms, general behavior, and general physical response to polysomnographic evaluation and determining whether initiation, modification, or discontinuation of a treatment regimen is warranted;

(iv) Using evaluation techniques that include limited cardiopulmonary function assessments, the need and effectiveness of therapeutic modalities and procedures, and the assessment and evaluation of the need for extended care; and

(v) Applying the use of techniques, equipment, and procedures involved in the evaluation of polysomnography, including:

1. Continuous positive airway pressure or bi-level positive airway pressure titration on spontaneously breathing patients;

2. Supplemental low flow oxygen therapy during polysomnogram;

3. Capnography during polysomnogram;

4. Cardiopulmonary resuscitation;

5. Pulse oximetry;

6. PH probe placement and monitoring;

7. Esophageal pressure;

8. Sleep staging including surface electroencephalography, surface electrooculography, and surface submental electromyography;

9. Surface electromyography of arms and legs;

10. Electrocardiography;

11. Respiratory effort including thoracic and abdominal;

12. Plethysmography blood flow;

13. Snore monitoring;

14. Audio or video monitoring;

15. Implementation of a written or verbal order from a licensed physician that requires the practice of polysomnography;

16. Monitoring the effects a nasal device, used to treat sleep apnea, has on sleep patterns provided that the device does not extend into the trachea; and

17. Monitoring the effects an oral device, used to treat sleep apnea, has on sleep patterns, provided that:

A. The device does not extend into the trachea;

B. A dentist has evaluated the structures of the patient’s oral and maxillofacial region for purposes of fitting;

C. A dentist made or directed the making of the oral device; and

D. A dentist directs the use of the oral device.

(g) “Registered polysomnographic technologist” means a polysomnographic technologist who is registered by the Board of Registered Polysomnographic Technicians.

(h) “Student” means an individual who, in accordance with section 14-5C-09(c) of this subtitle, is:

(1) Enrolled in an accredited educational program in order to qualify for a license under this title; and

(2) Performing polysomnography services within the accredited program under the supervision of a licensed physician and without compensation.

(i) “Supervision” means general or direct supervision of a licensed polysomnographic technologist by a licensed physician.