Code of the District of Columbia

Subchapter V. Licensing, Registration, or Certification of Health Professionals.


§ 3–1205.01. License, registration, or certification required.

(a)(1) A license issued pursuant to this chapter is required to practice acupuncture, advanced practice addiction counseling, assisted living administration, audiology, chiropractic, cytotechnology, dental hygiene, dentistry, dietetics, histotechnology, home health care administration, marriage and family therapy, massage therapy, medical laboratory technology, medicine, naturopathic medicine, nutrition, nursing home administration, occupational therapy, optometry, pharmaceutical detailing, pharmacy, physical therapy, podiatry, practical nursing, professional counseling, psychology, registered nursing, respiratory care, social work, speech-language pathology, veterinary medicine, or to practice as an anesthesiologist assistant, athletic trainer, personal fitness trainer, physician assistant, physical therapy assistant, polysomnographic technologist, occupational therapy assistant, surgical assistant, or trauma technologist in the District, except as otherwise provided in this chapter.

(2) Registration is required to practice as an audiology assistant, dental assistant, nursing assistive personnel, phlebotomist, psychology associate, polysomnographic technician or trainee, speech-language pathology assistant, or speech-language pathology clinical fellow.

(3) Certification is required to practice as an addiction counselor I, addiction counselor II, advanced practice registered nursing, veterinary technician, or a veterinary euthanasia technician.

(4) Except for administering general or sedation anesthesia in a hospital as defined in § 44-501(a)(1), a federal agency or facility, or a dental school, certification is required for a dentist, or for a facility where dentistry is practiced, to administer general or sedation anesthesia.

(b) A license, registration, or certification is the property of the District of Columbia and shall be surrendered on demand of the licensor.


(Mar. 25, 1986, D.C. Law 6-99, § 501, 33 DCR 729; July 22, 1992, D.C. Law 9-126, § 2(f), 39 DCR 3824; Mar. 14, 1995, D.C. Law 10-203, § 2(e), 41 DCR 7707; Mar. 14, 1995, D.C. Law 10-205, § 2(d), 41 DCR 7712; Mar. 23, 1995, D.C. Law 10-247, § 2(h), 42 DCR 457; Mar. 10, 2004, D.C. Law 15-88, § 2(g), 50 DCR 10999; July 8, 2004, D.C. Law 15-172, § 2(e), 51 DCR 4938; Mar. 16, 2005, D.C. Law 15-237, § 2(f), 51 DCR 10593; Mar. 6, 2007, D.C. Law 16-219, § 2(f), 53 DCR 10211; Mar. 6, 2007, D.C. Law 16-220, § 2(c), 53 DCR 10216; Mar. 6, 2007, D.C. Law 16-228, § 2(f), 53 DCR 10244; Mar. 26, 2008, D.C. Law 17-131, § 102(e), 55 DCR 1659; July 18, 2009, D.C. Law 18-26,§ 2(e)(2), 56 DCR 4043; May 1, 2013, D.C. Law 19-303, § 2(c), 60 DCR 2711; Jan. 25, 2014, D.C. Law 20-64, § 2(e), 60 DCR 16533; Mar. 26, 2014, D.C. Law 20-96, § 102(k), 61 DCR 1184; May 2, 2015, D.C. Law 20-272, § 2(e), 62 DCR 1911.)

Prior Codifications

1981 Ed., § 2-3305.1.

Section References

This section is referenced in § 3-1208.62, § 16-2301, § 21-501, and § 21-2202.

Effect of Amendments

D.C. Law 15-88 inserted “marriage and family therapy,” after “dietetics,”.

D.C. Law 15-172 substituted “massage therapy, naturopathic medicine,” for “massage therapy,”.

D.C. Law 15-237 substituted “an anesthesiologist assistant, physician assistant, or occupational therapy assistant” for “a physician assistant or occupational therapy assistant”.

D.C. Law 16-219 inserted “audiology, speech-language pathology,”.

D.C. Law 16-220, inserted “physical therapy assistant,” following “physician assistant,”.

D.C. Law 16-228, inserted “or surgical assistant” following “occupational therapy assistant,”.

D.C. Law 17-131 substituted “pharmaceutical detailing, pharmacy” for “pharmacy”.

D.C. Law 18-26 rewrote the section, which had read as follows: “A license issued pursuant to this chapter is required to practice medicine, acupuncture, chiropractic, registered nursing, practical nursing, dentistry, dental hygiene, dietetics, marriage and family therapy, massage therapy, naturopathic medicine, nutrition, nursing home administration, occupational therapy, optometry, pharmaceutical detailing, pharmacy, physical therapy, podiatry, psychology, social work, professional counseling, audiology, speech-language pathology, and respiratory care or to practice as an anesthesiologist assistant, physician assistant, physical therapy assistant, occupational therapy assistant, or surgical assistant in the District, except as provided in this chapter. A certification issued pursuant to this chapter is required to practice advanced practice registered nursing.”

The 2013 amendment by D.C. Law 19-303 substituted “dental assistant, or pharmacy technician or trainee” for “or dental assistant” in (a).

The 2014 amendment by D.C. Law 20-64 added “trauma technologist” in (a); and made a related change.

The 2014 amendment by D.C. Law 20-96 rewrote (a).

The 2015 amendment by D.C. Law 20-272, in (a)(1), added “cytotechnology,” “histotechnology,” and “medical laboratory technology“; and added “phlebotomist” in (a)(2).

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(2) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.02. Exemptions.

(a) The provisions of this chapter prohibiting the practice of a health occupation without a District of Columbia license, registration, or certification shall not apply:

(1) To an individual who administers treatment or provides advice in any case of emergency;

(2) To an individual employed in the District by the federal government, while he or she is acting in the official discharge of the duties of employment;

(2A) To an individual engaged in the practice of pharmaceutical detailing for less than 30 consecutive days per calendar year;

(3) To an individual, licensed, registered, or certified to practice a health occupation in a state, who is providing care to an individual, an animal, or group for a limited period of time, or who is called from a state in professional consultation by or on behalf of a specific patient, animal, or client to visit, examine, treat, or provide advice regarding the specific patient, animal, or client in the District, or to give a demonstration of a procedure or clinic in the District; provided, that the individual engages in the provision of care, consultation, demonstration, or clinic in affiliation with a comparable health professional licensed, registered, or certified pursuant to this chapter;

(3A) To an individual retained to testify as an expert witness in any court or administrative proceeding, hearing, or trial;

(4) To a health professional who is authorized to practice a health occupation in any state adjoining the District who treats patients in the District if:

(A) The health professional does not have an office or other regularly appointed place in the District to meet patients;

(B) The health professional registers with the appropriate board and pays the registration fee prescribed by the board prior to practicing in the District; and

(C) The state in which the individual is licensed allows individuals licensed by the District in that particular health profession to practice in that state under the conditions set forth in this section.

(b) Notwithstanding the provisions of subparagraphs (A), (B), and (C) of subsection (a)(4) of this section, a health professional practicing in the District pursuant to subsection (a)(4) of this section shall not see patients, animals, or clients in the office or other place of practice of a District licensee, or otherwise circumvent the provisions of this chapter.


(Mar. 25, 1986, D.C. Law 6-99, § 502, 33 DCR 729; Mar. 25, 2009, D.C. Law 17-353, § 188(b), 56 DCR 1117; July 18, 2009, D.C. Law 18-26, § 2(e)(3), 56 DCR 4043; Mar. 26, 2014, D.C. Law 20-96, § 102(l), 61 DCR 1184; Oct. 22, 2015, D.C. Law 21-36, § 5032(a), 62 DCR 10905.)

Prior Codifications

1981 Ed., § 2-3305.2.

Effect of Amendments

D.C. Law 17-353 designated the existing language as subsec. (a); in subsec. (a)(4)(C), substituted “this section” for “this subsection”; redesignated subsec. (a)(4)(D) as subsec. (b); and, in subsec. (b), substituted “subparagraphs (A), (B), and (C) of subsection (a)(4) of this section” for “subparagraphs (A), (B), and (C) of this paragraph” and substituted “ subsection (a)(4) of this section shall” for “this paragraph shall”.

D.C. Law 18-26, in subsec. (a), rewrote the lead-in language and par. (3); and added par. (3)(A).

The 2014 amendment by D.C. Law 20-96, in (a)(3), substituted “an individual, an animal, or group” for “an individual or group” and substituted “specific patient, animal, or client to visit, examine, treat, or provide advice regarding the specific patient, animal, or client” for “specific patient or client to visit, examine, treat, or advise the specific patient or client”; and substituted “patients, animals, or clients” for “patients or clients” in (b).

The 2015 amendment by D.C. Law 21-36 added (a)(2A).

Emergency Legislation

For temporary (90 days) amendment of this section, see § 2 of Pharmaceutical Detailing Licensure Exemption Emergency Amendment Act of 2016 (D.C. Act 21-601, Jan. 6, 2017, 64 DCR 164).

For temporary (90 day) amendment of section, see § 2(e)(3) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).

For temporary (90 days) addition of this section, see § 5032(a) of the Fiscal Year 2016 Budget Support Emergency Act of 2015 (D.C. Act 21-127, July 27, 2015, 62 DCR 10201).

Temporary Legislation

For temporary (225 days) amendment of this section, see § 2 of Pharmaceutical Detailing Licensure Exemption Temporary Amendment Act of 2017 (D.C. Law 21-247, Apr. 7, 2017, 64 DCR 1622).


§ 3–1205.03. General qualifications of applicants.

(a) An individual applying for a license under this chapter shall establish to the satisfaction of the board regulating the health occupation that the individual:

(1) Has not been convicted of an offense which bears directly on the fitness of the individual to be licensed;

(2) Is at least 18 years of age;

(3) Has successfully completed the additional requirements set forth in § 3-1205.04 and subchapters VI, VII, VIII and VIII-A of this chapter, as applicable;

(4) Has passed an examination, administered by the board or recognized by the Mayor pursuant to § 3-1205.06, to practice the health occupation; and

(5) Meets any other requirements established by the Mayor by rule to assure that the applicant has had the proper training, experience, and qualifications to practice the health occupation.

(b) The board may grant a license to an applicant whose education and training in the health occupation has been successfully completed in a foreign school, college, university, or training program if the applicant otherwise qualifies for licensure and if the board determines, in accordance with rules issued by the Mayor, that the education and training are substantially equivalent to the requirements of this chapter in assuring that the applicant has the proper training, experience, and qualifications to practice the health occupation.

(c) The board may deny a license to an applicant whose license to practice a health occupation was revoked or suspended in another state if the basis of the license revocation or suspension would have caused a similar result in the District, or if the applicant is the subject of pending disciplinary action regarding his or her right to practice in another state.

(d) The references in § 3-1205.04 and subchapters VI, VII, VIII and VIII-A of this chapter to named professional organizations and governmental entities for purposes of accreditation or the administration of national examinations shall be considered to refer to successor organizations or entities upon a determination by the Mayor that the successor is substantially equivalent in standards and purposes as the organization or entity named in this chapter.


(Mar. 25, 1986, D.C. Law 6-99, § 503, 33 DCR 729; Mar. 10, 2004, D.C. Law 15-88, § 2(h), 50 DCR 10999.)

Prior Codifications

1981 Ed., § 2-3305.3.

Section References

This section is referenced in § 3-1205.09a.

Effect of Amendments

D.C. Law 15-88, in subsecs. (a)(3) and (d), substituted “VIII and VIII-A” for “and VIII”.


§ 3–1205.04. Additional qualifications of applicants.

(a) An individual applying for a license to practice acupuncture under this chapter shall establish to the satisfaction of the Board of Medicine that the individual:

(1) If he or she is a licensed physician or chiropractor, has successfully completed at least 100 hours of instruction in the practice of acupuncture at a school or college accredited by the National Accreditation Commission for Schools and Colleges of Acupuncture and Oriental Medicine, or other training approved by the Board; or

(2) If he or she is not a licensed physician, has successfully completed an educational program in the practice of acupuncture of at least 3 academic years at the post-baccalaureate level at a school or college accredited by the National Accreditation Commission for Schools and Colleges of Acupuncture and Oriental Medicine, or other training approved by the Board.

(a-1)(1) An individual applying for a license to practice as an anesthesiologist assistant under this chapter shall establish to the satisfaction of the Board of Medicine that the individual has:

(A) Earned a degree or certification from an anesthesiologist assistant program accredited by the Commission for the Accreditation of Allied Health Educational Programs, or by the commission’s successor;

(B) Successfully completed the Commission for the Accreditation of Allied Health Educational Programs National Certification Exam for Anesthesiologist Assistants, or an examination administered by its successor; and

(C) Successfully completed and has current certification for the Advanced Cardiac Life Support program as administered by the American Heart Association or its successor organization.

(2) An application for licensure as an anesthesiologist assistant may be filed by an individual who has taken the national certification examination required under paragraph (1)(B) of this subsection but not yet received the results.

(b) An individual applying for a license to practice chiropractic under this chapter shall establish to the satisfaction of the Board of Chiropractic that the individual:

(1) Is a graduate of an educational program in the practice of chiropractic of at least 4 academic years at a college of chiropractic accredited by the Council on Chiropractic Education or the Straight Chiropractic Academic Standards Association, or approved by the Board of Chiropractic; and

(2) Has satisfied any clinical experience established by rule.

(c) An individual applying for a license to practice dental hygiene under this chapter shall establish to the satisfaction of the Board of Dentistry that the individual is a graduate of an educational program in the practice of dental hygiene of at least 2 academic years which is approved by the Board.

(d) An individual applying for a license to practice dentistry under this chapter shall establish to the satisfaction of the Board of Dentistry that the individual is a graduate of a school of dentistry accredited by the Commission on Dental Accreditation.

(d-1) An individual applying for a license to practice massage therapy under this chapter shall establish to the satisfaction of the Board of Massage Therapy that the individual has successfully completed a minimum of 500 hours of training in massage therapy.

(e) An individual applying for a license to practice medicine under this chapter shall establish to the satisfaction of the Board of Medicine that the individual is a graduate of an accredited school of medicine and has completed at least 1 year of residency in a hospital or other health-care facility licensed by the District or by any state.

(e-1)(1) An individual applying for a license to practice naturopathic medicine under this chapter shall:

(A) Establish to the satisfaction of the Board of Medicine that the individual has earned a degree of doctor of naturopathic medicine from a college or university which at the time of the awarding of the degree was accredited by or a candidate for accreditation with:

(i) The Council of Naturopathic Medical Education (“CNME”), so long as the CNME maintains recognition from the United States Department of Education; or

(ii) Any other accrediting agency recognized by the United States Department of Education;

(B) Have successfully passed the Naturopathic Physicians Licensing Examination (“NPLEX”) basic science examination and clinical science examination sections administered by the North American Board of Naturopathic Examiners, or other examination approved by the Board of Medicine or the Mayor; and

(C) Provide proof of a mailing address demonstrating that the applicant either is a District resident or has an office or location of practice involved in the practice of naturopathic medicine in the District. Post office boxes are not sufficient proof of residency to demonstrate that an applicant either is a District resident or has an office or location of practice in the District for the purposes of this subparagraph.

(2) The Board of Medicine shall not waive the educational requirements for licensure to practice naturopathic medicine for persons registered to practice naturopathy or naturopathic healing.

(e-2) An individual applying for a license to practice nursing under this chapter who was previously licensed in any jurisdiction and has not been actively practicing for 5 years or more shall submit proof of having completed a board-approved refresher course.

(f)(1) An individual applying for a license to practice nursing home administration under this chapter shall establish to the satisfaction of the Board of Long-Term Care Administration that the individual:

(A) Has earned a baccalaureate degree from an accredited 4-year institution of higher education with a specialty in the courses or program of study applicable to the practice of nursing home administration; and

(B) Except as provided in paragraph (2) of this subsection, has worked for at least 1 year in a nursing home licensed in the District under the supervision of a licensed nursing home administrator.

(2) The requirement of paragraph (1)(B) of this subsection shall not apply to an applicant who has earned a master’s degree in nursing home administration or other appropriate specialty from an accredited institution of higher education.

(g)(1) An individual applying for a license to practice occupational therapy under this chapter shall establish to the satisfaction of the Board of Occupational Therapy that the individual:

(A) Has successfully completed an entry-level occupational therapy educational program accredited by the Accreditation Council for Occupational Therapy Education (“ACOTE”); and

(B) Has successfully completed a period of at least 6 months of supervised work experience at an accredited educational institution or program approved by an accredited educational institution.

(2)(A) An individual applying for a license to practice as an occupational therapy assistant under this chapter shall establish to the satisfaction of the Board of Occupational Therapy that the individual has successfully completed an occupational therapy assistant educational program accredited by ACOTE; and.

(B) Has successfully completed a period of at least 2 months of supervised work experience at an accredited educational institution or program approved by an accredited educational institution.

(3) Repealed.

(h) An individual applying for a license to practice optometry under this chapter shall establish to the satisfaction of the Board of Optometry that the individual is a graduate of a school of optometry approved by the Board.

(i) An individual applying for a license to practice pharmacy under this chapter shall establish to the satisfaction of the Board of Pharmacy that the individual:

(1) Has earned a degree in pharmacy from a college or school of pharmacy accredited by the American Council of Pharmaceutical Education; and

(2) Has worked as a pharmacy intern in a pharmacy for the period of time required by the Mayor or has gained other equivalent experience the Mayor may permit by rule.

(j)(1) An individual applying for a license to practice physical therapy under this chapter shall establish to the satisfaction of the Board of Physical Therapy that the individual has successfully completed an educational program in the practice of physical therapy which is accredited by an agency recognized for that purpose by the United States Department of Education, or which is approved by the Board.

(2) An individual applying for a license to practice as a physical therapy assistant under this chapter shall establish to the satisfaction of the Board of Physical Therapy that the individual has successfully completed an educational program in physical therapy appropriate for preparation as a physical therapy assistant that is accredited by an agency recognized for that purpose by the United States Department of Education or is approved by the Board of Physical Therapy.

(k) An individual applying for a license to practice as a physician assistant under this chapter shall establish to the satisfaction of the Board of Medicine that the individual has successfully completed a physician assistant educational program accredited by the Committee on Allied Health Education and Accreditation.

(l) An individual applying for a license to practice podiatry under this chapter shall establish to the satisfaction of the Board of Podiatry that the individual is a graduate of a podiatry college recognized by the American Podiatric Medical Association and approved by the Board.

(m) An individual applying for a license to practice practical nursing under this chapter shall establish to the satisfaction of the Board of Nursing that the individual has successfully completed an educational program in practical nursing that is approved by the Board or by a state board of nursing with standards substantially equivalent to the standards of the District of Columbia.

(n) An individual applying for a license to practice registered nursing under this chapter shall establish to the satisfaction of the Board of Nursing that the individual has successfully completed an educational program in registered nursing approved by the Board or by a state board of nursing with standards substantially equivalent to the standards of the District.

(o) An individual applying for a license to practice psychology under this chapter shall establish to the satisfaction of the Board of Psychology that the individual has:

(1)(A) Earned a doctoral degree in psychology from an accredited college or university; or

(B) Earned a doctoral degree that the Board determines is related to psychology, provided that the application is received by the Board within 2 years from March 25, 1986; and

(i) The applicant commenced the doctoral program after March 24, 1978, but before March 25, 1986; or

(ii) The doctoral degree was conferred on the applicant after March 24, 1983, but before March 25, 1986; and

(2) Completed at least 2 years of experience acceptable to the Board, at least one year of which must be postdoctoral experience.

(p) An individual applying for a license to practice respiratory therapy under this chapter shall establish to the satisfaction of the Board of Respiratory Therapy that the individual has successfully completed a respiratory care educational program accredited by the American Medical Association’s Committee on Allied Health Education and Accreditation (“CAHEA”) in collaboration with the Joint Review Committee for Respiratory Therapy Education (“JRCRTE”) or their successor organizations.

(q) An individual applying for a license to practice as a surgical assistant under this chapter shall establish to the satisfaction of the Board of Medicine that the individual has:

(A) Earned a degree or certification from a surgical assistant program accredited by the Commission for the Accreditation of Allied Health Educational Programs, or by the commission’s successor;

(B) Successfully completed a dedicated training program for surgical assistants in the armed forces; or

(C) Demonstrated to the satisfaction of the board, the completion of full-time work experience performed in the United States under the direct supervision of a physician licensed in the United States and consisting of a least 1,300 hours of performance as a surgical assistant within the 3 years preceding the date of application; and

(D) Was certified as a surgical assistant by at least one of the following:

(i) The National Surgical Assistant Association;

(ii) The American Board of Surgical Assistants; or

(iii) The National Board of Surgical Technology and Surgical Assisting.

(r) An individual applying for a license to practice as a trauma technologist under this chapter shall establish to the satisfaction of the Board of Medicine that the individual has:

(1) Successfully completed courses and training in anatomy and physiology, respiratory and cardiac care, wound treatment and closure, treatment of musculoskeletal injuries and burns, and other clinical aspects of emergency medical care from a trauma technology training program approved by the Board;

(2) Successfully completed the written and practical examinations for trauma technologists within 12 months after completing the trauma technology training program; and

(3)(A) Successfully completed and provided evidence of course completion of a life support training course, which includes all adult, child, and infant cardiopulmonary resuscitation and airway obstruction skills, from an agency approved by the Board, which teaches these skills in accordance with the current American Heart Association Guidelines for Basic Life Support at the health care provider level;

(B) Successfully completed and provided evidence of completion of a dedicated training program for trauma technologists in the armed forces and has been performing the functions of trauma technologists for at least 5 years before the date of application for licensure; or

(C) Demonstrated to the satisfaction of the Board the completion of full-time work experience performed in the United States or Canada under the direct supervision of an emergency room physician licensed in the United States or Canada and consisting of at least 1,300 hours of performance as a trauma technologist in a Level 1 trauma facility as designated by the Director of the Department of Health pursuant to Chapters 27 and 28 of Subtitle B of Title 22 of the District of Columbia Municipal Regulations (22-B DCMR § 2700 et seq. and § 2800 et seq.), within the 3 years preceding the date of application for licensure.

(s)(1) An individual applying for a license to practice as an athletic trainer under this chapter shall establish to the satisfaction of the Board of Physical Therapy that the individual has:

(A) Successfully obtained at least a baccalaureate degree from a 4-year college or university that is accredited by an agency recognized for that purpose by the United States Department of Education and has met the minimum athletic training curriculum requirements established by the Mayor by rulemaking;

(B) Successfully completed the certification examination administered by the National Athletic Trainers Association Board of Certification, or its successor, or an equivalent organization approved or recognized by the Board of Physical Therapy; and

(C) Successfully completed any other requirements for licensure as determined by rules issued pursuant to § 3-1203.02.

(2) The Board of Physical Therapy shall waive the requirement of a baccalaureate degree for an applicant holding a license, certification, or registration, in good standing, in another state to engage in the practice of athletic training, if that state maintains qualifications for licensure, certification, or registration that are substantially equivalent to those required in the District, and gives similar reciprocity to the licensees of the District.


(Mar. 25, 1986, D.C. Law 6-99, § 504, 33 DCR 729; Mar. 14, 1995, D.C. Law 10-203, § 2(f), 41 DCR 7707; Mar. 14, 1995, D.C. Law 10-205, § 2(e), 41 DCR 7712; Mar. 21, 1995, D.C. Law 10-231, § 2(e), 42 DCR 15; Mar. 23, 1995, D.C. Law 10-247, § 2(i)-(k), 42 DCR 457; July 8, 2004, D.C. Law 15-172, § 2(f), 51 DCR 4938; Mar. 16, 2005, D.C. Law 15-237, § 2(g), 51 DCR 10593; Mar. 6, 2007, D.C. Law 16-220, § 2(d), 53 DCR 10216; Mar. 6, 2007, D.C. Law 16-228, § 2(g), 53 DCR 10244; July 7, 2009, D.C. Law 18-11, § 2(c), 56 DCR 3602; July 7, 2009, D.C. Law 18-14, § 2(d), 56 DCR 3613; July 7, 2009, D.C. Law 18-18, § 2(d), 56 DCR 3624; July 18, 2009, D.C. Law 18-26, § 2(e)(4), 56 DCR 4043; Jan. 25, 2014, D.C. Law 20-64, § 2(f), 60 DCR 16533; Mar. 26, 2014, D.C. Law 20-96, § 102(m), 61 DCR 1184.)

Prior Codifications

1981 Ed., § 2-3305.4.

Section References

This section is referenced in § 3-1205.03, § 3-1205.09a, § 3-1206.42, § 3-1206.52, and § 3-1209.03.

Effect of Amendments

D.C. Law 15-172 added subsec. (e-1).

D.C. Law 15-237 added subsec. (a-1).

D.C. Law 16-220, in subsec. (j), designated existing text as par. (1), and added par. (2).

D.C. Law 16-228 added subsec. (q).

D.C. Law 18-11, in subsec. (g), rewrote pars. (1)(A) and (2)(A) and repealed par. (3).

The 2014 amendment by D.C. Law 20-64 added (r).

The 2014 amendment by D.C. Law 20-96 substituted “Board of Long-Term Care Administration” for “Board of Nursing Home Administration” in (f)(1); and added the subsection designated herein as (s).

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(4) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.05. Application for license, registration, or certification.

(a) An applicant for a license, registration, or certification shall:

(1) Submit an application to the board regulating the health occupation on the form required by the board; and

(2) Pay the applicable fees established by the Mayor.

(b) The social security number of each applicant for a license, registration, or certification issued pursuant to this chapter shall be recorded on the application. If a number other than the social security number is used on the face of the license, registration, or certification, the issuing agency or entity shall keep the applicant’s social security number on file and the applicant shall be so advised.


(Mar. 25, 1986, D.C. Law 6-99, § 505, 33 DCR 729; Apr. 3, 2001, D.C. Law 13-269, § 103, 48 DCR 1270; July 18, 2009, D.C. Law 18-26, § 2(e)(5), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.5.

Effect of Amendments

D.C. Law 13-269 rewrote the section which had read:

“An applicant for a license shall:

“(1) Submit an application to the board regulating the health occupation on the form required by the board; and

“(2) Pay the applicable fees established by the Mayor.”

D.C. Law 18-26, in the section heading, inserted “registration, or certification”; in subsec. (a), substituted “An applicant for a license, registration, or certification shall:” for “An applicant for a license shall:”; and, in subsec. (b), substituted “ license, registration, or certification issued” for “license issued” and substituted “ license, registration, or certification, the issuing” for “license, the issuing”.

Emergency Legislation

For temporary (90 day) amendment of section, see § 103 of Child Support and Welfare Reform Compliance Congressional Review Emergency Amendment Act of 2001 (D.C. Act 14-5, February 13, 2001, 48 DCR 2440).

For temporary (90 day) amendment of section, see § 2(e)(5) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.06. Examinations.

(a) An applicant who otherwise qualifies for a license, registration, or certification is entitled to be examined as provided by this chapter.

(b)(1) Each board that administers examinations shall give examinations to applicants at least twice a year at times and places to be determined by the Board.

(2) When the Mayor, pursuant to subsection (e)(2) of this section, determines that a national examination is acceptable, then the frequency, time, and place that the national examination is given shall be considered acceptable and in accordance with this chapter.

(c) Each board shall notify each qualified applicant of the time and place of examination.

(d) Except as otherwise provided by this chapter, each board shall determine the subjects, scope, form, and passing score for examinations to assess the ability of the applicant to practice effectively the health occupation regulated by the board.

(e) Each board, in its discretion, may waive the examination requirements:

(1) For any applicant who meets the requirements of § 3-1205.07 for licensure, registration, or certification by reciprocity or endorsement; or

(2) For any person who has been certified by a national examining board if the Mayor determines by rule that the examination was as effective for the testing of professional competence as that required in the District.


(Mar. 25, 1986, D.C. Law 6-99, § 506, 33 DCR 729; Mar. 23, 1995, D.C. Law 10-247, § 2(l), 42 DCR 457; July 18, 2009, D.C. Law 18-26, § 2(e)(6), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.6.

Section References

This section is referenced in § 3-1205.03 and § 3-1205.09a.

Effect of Amendments

D.C. Law 18-26, in subsec. (a), substituted “license, registration, or certification” for “license”; and, in subsec. (e)(1), substituted “licensure, registration, or certification” for “licensure”.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(6) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.07. Reciprocity and endorsement.

(a) For the purposes of this section, the term:

(1) “Endorsement” means the process of issuing a license, registration, or certification to an applicant who is licensed, registered, certified, or accredited by an accrediting association or a state board and recognized by the Board as a qualified professional according to standards that were the substantial equivalent at the time of the licensing, registration, certification, or accreditation to the standards for that profession set forth in this chapter and who has continually remained in good standing with the licensing, registering, certifying, or accrediting association or state board from the date of licensure, registration, certification, or accreditation until the date of licensure, registration, or certification in the District.

(2) “Reciprocity” means the process of issuing a license, registration, or certification to an applicant who is licensed, registered, or certified and in good standing under the laws of another state with requirements that, in the opinion of the Board, were substantially equivalent at the time of licensure, registration, or certification to the requirements of this chapter, and that state admits health professionals licensed, registered, or certified in the District of Columbia in a like manner.

(b) Each board shall issue a license, registration, or certification to an applicant who qualifies by reciprocity or endorsement and who pays the applicable fees established by the Mayor.


(Mar. 25, 1986, D.C. Law 6-99, § 507, 33 DCR 729; Mar. 23, 1995, D.C. Law 10-247, § 2(m), 42 DCR 457; Apr. 29, 1998, D.C. Law 12-86, § 403, 45 DCR 1172; July 18, 2009, D.C. Law 18-26, § 2(e)(7), 56 DCR 4043; Sept. 26, 2012, D.C. Law 19-171, § 30(b)(1), 59 DCR 6190.)

Prior Codifications

1981 Ed., § 2-3305.7.

Section References

This section is referenced in § 3-1205.06.

Effect of Amendments

D.C. Law 18-26 rewrote the section.

The 2012 amendment by D.C. Law 19-171 validated a previously made technical correction.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(7) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.08. Issuance of license, registration, or certification.

Each board shall issue a license, registration, or certification to an applicant who meets the requirements of this chapter and rules and regulations issued pursuant to this chapter to practice the health occupation regulated by the board.


(Mar. 25, 1986, D.C. Law 6-99, § 508, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(8), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.8.

Effect of Amendments

D.C. Law 18-26, in the section heading, inserted “, registration, or certification”; and substituted “license, registration, or certification”, for “license”.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(8) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.08a. Temporary license, registration, or certification.

A board may issue a temporary license, registration, or certification to an applicant for a fixed period of time, under conditions prescribed by the Mayor through rulemaking, who is licensed, registered, or certified and in good standing to practice in another jurisdiction.


(Mar. 25, 1986, D.C. Law 6-99, § 508a; as added July 18, 2009, D.C. Law 18-26, § 2(e)(9), 56 DCR 4043.)

Emergency Legislation

For temporary (90 day) addition, see § 2(e)(9) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.08b. Teaching license for dentistry and dental hygiene.

(a) A dentist is eligible for a teacher’s license if the dentist, in addition to meeting the requirements of this subchapter, meets the following criteria:

(1) Is of good moral character and professionally competent;

(2) Is at least 21 years of age;

(3) Holds a Degree of Doctor of Dental Surgery, Doctor of Dental Medicine, or its equivalent, from a college or university that is authorized by any state of the United States or any province of Canada to grant a degree and is recognized by the Board of Dentistry as requiring adequate professional collegiate training and as maintaining an acceptable course of dental instruction;

(4) Is licensed to practice dentistry in any other state; and

(5) Submits a complete application for licensure, along with the requisite fee, to the Board.

(b) A dentist who does not meet the criteria set forth in subsection (a) of this section may be eligible for a dental teacher’s license if the dean of the dental school where the dentist will practice requests that the dentist be granted the license, circumstances exist that justify granting the request, and the dentist meets the following criteria:

(1) Is at least 21 years of age;

(2) Holds a Degree of Doctor of Dental Surgery, Doctor of Dental Medicine, or an equivalent degree from a school, college, or faculty of dentistry;

(3) Demonstrates that the applicant has had at least 2 years of clinical dental experience;

(4) Is of good moral character and professionally competent; and

(5) Submits a complete application for licensure, along with the requisite fee, to the Board.

(c) An applicant for a teacher’s license in dentistry shall:

(1) Have completed an educational program in the practice of dentistry at an institution recognized by the Commission on Dental Accreditation of the American Dental Association (“CODA”); or demonstrate to the satisfaction of the Board that the applicant’s education and training are substantially equivalent to the requirements of this section;

(2) Have successfully completed Part I and Part II of the examination of the Joint Commission on National Dental Examinations; and

(3) Have an appointment or a promise of an appointment as a full-time or part-time faculty member at an accredited dental school located in the District of Columbia and the institution where the dentist is appointed provides documentation satisfactory to the Board of the appointment.

(d) The Board may grant a teacher’s license in dental hygiene if it finds that:

(1) The applicant has completed an educational program in the practice of dental hygiene of at least 2 academic years at an institution recognized by the CODA at the time the applicant graduated; or the applicant demonstrates to the satisfaction of the Board that the applicant’s education and training are substantially equivalent to the requirements of this section;

(2) The applicant submits evidence satisfactory to the Board that the applicant has been actively engaged in the practice of dental hygiene for the 3 years immediately preceding the application, and has at least 150 hours of active dental hygiene practice;

(3) The applicant is found to be of good moral character and professionally competent;

(4) The applicant has successfully completed the National Board of Dental Hygiene Examination; and

(5) The applicant will be appointed to a full-time or part-time faculty position at an accredited dental school located within the District of Columbia and the institution provides documentation satisfactory to the Board of the appointment.

(e)(1) While it is effective, a teacher’s license in dentistry issued under this subchapter authorizes the licensee to:

(A) Teach dentistry at only the institution named on the license; and

(B) Practice only at the institution named on the license to the same extent as other faculty members who hold general licenses to practice dentistry; provided, that a licensed dentist employed by the school provides general supervision in all clinical practice.

(2) For the purposes of this subsection, the term “general supervision” means that a licensed dentist is physically present or available by telecommunications device to supervise the holder of a teacher’s license in dentistry.

(f)(1) While it is effective, a teacher’s license in dental hygiene issued under this subchapter authorizes the licensee to:

(A) Teach dental hygiene only at the institution named on the license; and

(B) Practice dental hygiene only at the institution named on the license, and only under the direct supervision of a licensed dentist employed by the institution named on the license.

(2) For the purposes of this subsection, the term “direct supervision” means that a licensed dentist is physically present and reviews the work of the holder of a teacher’s license in dental hygiene before a patient leaves.

(g) A teacher’s license in dentistry or dental hygiene shall expire on the earlier of:

(1) The date set by the Board, unless the license is renewed for an additional term; or

(2) The date when the licensee ceases to be a full-time or part-time faculty member at the institution named on the license.

(h) The holder of a teacher’s license in dentistry or dental hygiene shall surrender the license to the Board within 30 days of ceasing to be a full-time or part-time faculty member at the institution named on the license.

(i) A holder of a teacher’s license in dentistry shall comply with all the requirements for the practice of dentistry under this chapter and the holder of a teacher’s license in dental hygiene shall comply with all the requirements for the practice of dental hygiene under this chapter.


(Mar. 25, 1986, D.C. Law 6-99, § 508b; as added Mar. 26, 2014, D.C. Law 20-96, § 102(n), 61 DCR 1184.)

Section References

This section is referenced in § 3-1202.01.

Effect of Amendments

The 2014 amendment by D.C. Law 20-96 added this section.


§ 3–1205.09. Scope of license, registration, or certification.

(a)(1) A person licensed, registered, or certified under this chapter to practice a health occupation is authorized to practice that occupation in the District while the license, registration, or certification is effective.

(2) A person certified to practice advanced registered nursing is authorized to practice the specialty for which he or she has been certified by the Board of Nursing.

(b) An individual who fails to renew a license, registration, or certification to practice a health occupation shall be considered to be unlicensed, unregistered, or uncertified and subject to the penalties set forth in this chapter and other applicable laws of the District, if he or she continues to practice the health occupation.


(Mar. 25, 1986, D.C. Law 6-99, § 509, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(10), 56 DCR 4043; Sept. 26, 2012, D.C. Law 19-171, § 30(a), 59 DCR 6190.)

Prior Codifications

1981 Ed., § 2-3305.9.

Effect of Amendments

D.C. Law 18-26 rewrote the section.

The 2012 amendment by D.C. Law 19-171 made a technical correction to D.C. Law 18-26, § 2(a)(2) which did not affect this section as codified.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(10) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.09a. Licenses for foreign doctors of eminence and authority.

(a) Notwithstanding any other provision of this subchapter, the Board shall grant a limited license to practice specialized medicine with a university, hospital or medical center in the District of Columbia to an applicant licensed as a physician in a foreign country or state who by virtue of the recognized and conceded eminence and authority in the profession of medicine or medical research in the international community, if this applicant:

(1) Is recommended to the Board by:

(A) The dean of an accredited school of medicine in the District of Columbia;

(B) The Director of the National Institute of Health; or

(C) The Director of an accredited and licensed hospital in the District of Columbia;

(2) Is to receive an appointment at the institution making the recommendation under paragraph (1) of this subsection; and

(3) Meets the requirements of subsection (d) of this section.

(b) The Board shall not issue to any entity under paragraph (1) of this section more than 1 such license in any single year.

(c) Any license issued under this section shall be issued jointly in the name of the applicant and the sponsoring entity under subsection (a)(1) of this section.

(d) In determining whether an applicant is a recognized and conceded eminence and authority in the profession, the Board shall consider, but not be limited to, whether the applicant meets the following criteria:

(1) Is a bona fide graduate in good standing who has successfully completed medical education at a foreign medical school which is recognized or accredited by the foreign country, the Liaison Committee on Medical Education of the Association of American Medical Colleges, or other organization satisfactory to the Board;

(2) Holds a valid foreign medical license or registration certificate, in good standing, issued by the United States or a foreign country on the basis of a foreign examination;

(3) Practiced medicine for at least 10 years in patient care, excluding the 2 years of postgraduate clinical training, 5 years of which occurred immediately preceding the date application is made to the Board;

(4) Successfully completed no less than 2 years of post graduate clinical training in a recognized medical specialty or subspecialty either in the United States or other foreign country, or in lieu of each year of required graduate medical training, documents a practice as a full time university medical school faculty member at an accredited institution;

(5) Meets the Federal Professional Visa requirements for HI Visa or holds a Federally issued HI Visa;

(6) Has been the recipient of professional honors and awards, and professional recognition in the international medical community, for achievements, contributions, or advancements in the field of medicine, or medical research as evidenced by (i) publications in recognized scientific, medical, or medical research journals, including American peer review journals, (ii) being the recipient or nominee for international or national awards for distinguished contributions to the advancement of medicine or medical research, (iii) acknowledgement of expertise from recognized American authorities in the applicant’s field of medical specialty, or (iv) other professional accomplishments as determined meritorious in the sole discretion of the Board;

(7) Submits documentation from the university, hospital or medical center from which the candidate is to receive an academic appointment at such institution or has been accepted for practice, pending receipt of a license, with privileges at a university medical school, local hospital, or medical institution making the recommendation under subsection (a)(1) of this section;

(8) Submits 3 letters of recommendation from District of Columbia physicians who are licensed in the areas of medical practice for which the applicant is applying for licensure who shall attest to the candidate’s qualifications, character, and ethical behavior;

(9) Submits 5 letters from renowned American specialists in the candidate’s discipline who attest to his eminence and qualifications;

(10) Has never been convicted of a felony; and

(11) Agrees to perform a maximum of 15 hours per month of community service for patient care, teaching, or training as may be required by the Board.

(e) As an exception to the general education and examination requirements of §§ 3-1205.03, 3-1205.04, and 3-1205.06, the Board shall waive those requirements when an applicant under this section shall furnish proof satisfactory to the Board of successful completion or satisfaction of the requirements of subsections (a) and (b) of this section, and shall provide documentation sufficient to support the application, including, but not limited to, a diploma or certified transcripts of the applicant’s medical or, if applicable, premedical education and certified verification of licensure or registration to practice medicine in a foreign country.

(1) An applicant under this section shall arrange to have certified transcripts of all medical and premedical, if applicable, education sent directly from the educational institution to the Board.

(2) The Board may waive the educational transcript requirement of this section on a showing of extraordinary hardship if the applicant is able to establish by substitute documentation that the applicant possesses the requisite education and degrees.

(3) If a document required by this section is in a language other than English, an applicant shall arrange for its translation into English by a translation service for the Board, and shall submit a notarized translation signed by the translator attesting to its accuracy.

(4) All applicants shall pay an applicant fee of $500 to the Board.

(f) No license granted under this section shall issue to any candidate until the Board reviews the qualifications for eminence and makes a final decision. The Board shall have the sole authority and responsibility to interpret the qualifications for eminence and for licensure under these provisions, and may qualify, restrict, or otherwise limit a license granted under this section by controlling the type of medical areas of practice and patient care as the applicant has received credentials and acceptance for practice from an institution under subsection (a)(1) of this section.

(g) All applicants who have complied with these requirements, and have otherwise complied with the provisions of this subchapter, shall receive from the Board within 90 days after the application is complete by the candidate’s submission of all requirements imposed under subsection (b) of this section, a license entitling them to the right to practice in the District of Columbia. Each such license shall be duly recorded in the office of the Board, in a record to be properly kept for that purpose which shall be open to public inspection, and a certified copy of the record shall be received as evidence in all courts in the District of Columbia in the trial of any case.

(1) It shall be the duty of all persons now or hereafter licensed to be registered with the Board and, thereafter, to register in like manner at such intervals and by such methods as the Board shall determine by regulations, but in no case shall such renewal period be longer than any other licensed physician. The form and method of such registration shall be determined by the Board.

(2) Each person so registering with the Board shall pay, for each biennial registration, a fee of $1,000, which shall accompany the application for such registration.

(3) Upon receiving a proper application for such registration accompanied by the fee, if any, the Board shall issue a license to the applicant; provided, however, such license shall automatically expire when the holder’s relationship with any institution under subsection (a)(1) of this section is terminated.

(h) The holder of the limited license practicing medicine or surgery beyond the areas of the medical specialty or practice as laid down in said license shall be guilty of a misdemeanor, and upon conviction shall be fined not less than $10,000 for each and every offense; and the Board is empowered to revoke such limited license, for cause, after due notice.

(i) Any person granted a limited license under this section who subsequently desires to obtain a license without restriction shall be required to meet all of the requirements of such license as set forth in this section.


(Mar. 25, 1986, D.C. Law 6-99, § 509a; as added May 16, 1995, D.C. Law 11-14, § 2, 42 DCR 1388.)

Prior Codifications

1981 Ed., § 2-3305.9a.


§ 3–1205.10. Term and renewal of licenses, registrations, or certifications.

(a) A license, registration, or certification expires 1 year from the date of its first issuance or renewal unless renewed by the board that issued it as provided in this section, except that the Mayor, by rule, may provide for a period of licensure, registration, or certification of not more than 3 years.

(b) The Mayor may establish by rule continuing education requirements as a condition for renewal of licenses, registrations, or certifications under this section; provided, that the Mayor shall:

(1) Require that any continuing-education requirements for the practice of medicine include instruction on pharmacology, which shall:

(A) Be evidence-based;

(B) Provide physicians with information regarding the cost-effectiveness of pharmacological treatments; and

(C) Not be financially supported by any pharmaceutical company or manufacturer;

(2) Establish continuing-education requirements for the practice of pharmaceutical detailing, in accordance with § 3-1207.44;

(3) Establish continuing education requirements for nursing home administrators that include instruction on one or more of the following topics:

(A) Staff management;

(B) Continuity in assigning the same nursing staff to the same residents as often as practicable;

(C) Creating a resident-centered environment;

(D) Activities of daily living and instrumental activities of daily living;

(E) Wound care;

(F) Pain management;

(G) Prevention and treatment of depression;

(H) Prevention of pressure ulcers;

(I) Urinary incontinence management;

(J) Discharge planning and community transitioning;

(K) Fall prevention;

(L) Geriatric social services and individual competency; and

(M) Behavior management; and

(4)(A) Except as provided in subsection (b-1) of this section, require that any continuing education requirements for the following practices include 3 credits of instruction on the Human Immunodeficiency Virus (“HIV”) and the Auto Immune Deficiency Syndrome (“AIDS”) in accordance with subparagraph (B) of this paragraph:

(i) The practice of medicine;

(ii) The practice of registered nursing;

(iii) The practice of practical nursing;

(iv) The practice by nursing assistive personnel; and

(v) The practice of physician assistants.

(B) The instruction required by subparagraph (A) of this paragraph shall, at a minimum, provide information on one or more of the following topics:

(i) The impact of HIV/AIDS on populations of differing ages, particularly the senior population;

(ii) The impact of HIV/AIDS on populations of different racial and ethnic backgrounds;

(iii) The general risk to all individuals in the District of HIV infection;

(iv) How to inform all patients about HIV/AIDS, discuss HIV/AIDS with all patients, and appropriately monitor all patients for potential exposure to HIV and AIDS; or

(v) The use, benefits, and risks associated with pre- and post-exposure prophylaxis treatment; and

(5)(A) Except as provided in subsection (b-1)(4) of this section, require that any continuing education requirements for the practice of any health occupation licensed, registered, or certified under this section include 2 credits of instruction on cultural competency or specialized clinical training focusing on patients who identify as lesbian, gay, bisexual, transgender, gender nonconforming, queer, or question their sexual orientation or gender identity and expression ("LGBTQ").

(B) The instruction required by subparagraph (A) of this paragraph shall, at a minimum, provide information and skills to enable a health professional to care effectively and respectfully for patients who identify as LGBTQ, which may include:

(i) Specialized clinical training relevant to patients who identify as LGBTQ, including training on how to use cultural information and terminology to establish clinical relationships;

(ii) Training that improves the understanding and application, in a clinical setting, of relevant data concerning health disparities and risk factors for patients who identify as LGBTQ;

(iii) Training that outlines the legal obligations associated with treating patients who identify as LGBTQ;

(iv) Best practices for collecting, storing, using, and keeping confidential, information regarding sexual orientation and gender identity;

(v) Best practices for training support staff regarding the treatment of patients who identify as LGBTQ and their families;

(vi) Training that improves the understanding of the intersections between systems of oppression and discrimination and improves the recognition that those who identify as LGBTQ may experience these systems in varying degrees of intensity; and

(vii) Training that addresses underlying cultural biases aimed at improving the provision of nondiscriminatory care for patients who identify as LGBTQ.

(b-1) The Mayor may:

(1) In consultation with the Board of Medicine, waive by rule the requirements of subsection (b)(4) of this section for an individual who can prove to the satisfaction of the Board of Medicine that he or she did not see patients in a clinical setting in the District during the previous licensing cycle;

(2) With recommendations by the Department of Health, expand the continuing education requirements for any licensed health professional to specifically include instruction on HIV and AIDS;

(3) After December 31, 2018, with the advice of the relevant licensing boards, waive by rule the requirements of subsection (b)(4) of this section for one or more of the practices listed in subsection (b)(4) of this subsection, as he or she considers appropriate; and

(4) Waive by rule the requirement in subsection (b)(5) of this section for:

(A) Any health occupation licensed, registered, or certified under this section if members of that health occupation do not see patients in a clinical setting; or

(B) Any licensed health professional who can prove to the satisfaction of the relevant board that he or she did not see patients in a clinical setting in the District during the previous licensing cycle.

(c) At least 30 days before the license, registration, or certification expires, or a greater period as established by the Mayor by rule, each board shall send to the licensee, registrant, or person certified by first class mail to the last known address of the licensee, registrant, or person certified a renewal notice that states:

(1) The date on which the current license, registration, or certification expires;

(2) The date by which the renewal application must be received by the board for renewal to be issued and mailed before the license, registration, or certification expires; and

(3) The amount of the renewal fee.

(d) Before the license, registration, or certification expires, the licensee, registrant, or person certified may renew it for an additional term, if the licensee:

(1) Submits a timely application to the board;

(2) Is otherwise entitled to be licensed, registered, or certified;

(3) Pays the renewal fee established by the Mayor; and

(4) Submits to the board satisfactory evidence of compliance with any continuing education requirements established by the board for license, registration, or certification renewal.

(e) Each board shall renew the license, registration, or certification of each licensee, registrant, or person certified who meets the requirements of this section.


(Mar. 25, 1986, D.C. Law 6-99, § 510, 33 DCR 729; Mar. 26, 2008, D.C. Law 17-131, § 102(f), 55 DCR 1659; Mar. 25, 2009, D.C. Law 17-353, § 229, 56 DCR 1117; July 18, 2009, D.C. Law 18-26, § 2(e)(11), 56 DCR 4043; Apr. 29, 2010, D.C. Law 18-145, § 2(a), 57 DCR 1834; July 13, 2012, D.C. Law 19-156,§ 2, 59 DCR 5595; April 6, 2016, D.C. Law 21-95, § 2, 63 DCR 2203, 20 DCSTAT 3032.)

Prior Codifications

1981 Ed., § 2-3305.10.

Section References

This section is referenced in § 3-1206.32.

Effect of Amendments

D.C. Law 17-131 rewrote subsec. (b), which had read as follows: “(b) The Mayor may establish by rule continuing education requirements as a condition for renewal of licenses under this section.”

D.C. Law 17-353 validated a previously made technical correction in subsec. (b)(2).

D.C. Law 18-26 rewrote the section.

D.C. Law 18-145, in subsec. (b), deleted “and” from the end of par. (1)(C), substituted “; and” for a period at the end of par. (2), and added par. (3).

D.C. Law 19-156, in subsec. (b), deleted “and” from the end of par. (2), substituted “; and” for a period the end of par. (3)(M), and added par. (4); and added subsec. (b-1).

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(11) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).

Delegation of Authority

Delegation of Authority pursuant to D.C. Law 17-131, the SafeRX Amendment Act of 2008, see Mayor’s Order 2008-83, June 11, 2008 ( 55 DCR 9360).


§ 3–1205.11. Inactive status.

(a) Upon application by a licensee, registrant, or person certified and payment of the inactive status fee established by the Mayor, each board shall place a licensee, registrant, or person certified on inactive status.

(b) While on inactive status, the individual shall not be subject to the renewal fee and shall not practice, attempt to practice, or offer to practice the health occupation in the District.

(c) Each board shall issue a license, registration, or certification to an individual who is on inactive status and who desires to resume the practice of a health occupation if the individual:

(1) Pays the fee established by the Mayor;

(2) Complies with the continuing education requirements in effect when the licensee, registrant, or person certified seeks to reactivate the license, registration, or certification; and

(3) Complies with the current requirements for renewal of a license, registration, or certification.


(Mar. 25, 1986, D.C. Law 6-99, § 511, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(12), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.11.

Effect of Amendments

D.C. Law 18-26 substituted “licensee, registrant, or person certified” for “licensee”; substituted “license, registration, or certification” for “license” both times it appears; and substituted “a license, registration, or certification” for “licenses”.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(12) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.12. Reinstatement of expired licenses, registrations, or certifications.

(a) If a health professional fails for any reason to renew the license, registration, or certification issued under this subchapter, the board regulating the health occupation shall reinstate the license, registration, or certification if the health professional:

(1) Applies to the board for reinstatement of the license, registration, or certification within 5 years after the license, registration, or certification expires;

(2) Complies with current requirements for renewal of a license, registration, or certification as set forth in this subchapter;

(3) Pays a reinstatement fee established by the Mayor; and

(4) Submits to the board satisfactory evidence of compliance with the qualifications and requirements established under this subchapter for license, registration, or certification reinstatements.

(b) The board shall not reinstate the license, registration, or certification of a health professional who fails to apply for reinstatement of a license, registration, or certification within 5 years after the license, registration, or certification expires. The health professional may become licensed, registered, or certified by meeting the requirements then in existence for obtaining an initial license, registration, or certification under this subchapter; except, that an individual applying for a license to practice nursing who has not been actively practicing for 5 years or more shall submit proof of having completed a board-approved refresher course in lieu of the requirements then in existence for obtaining an initial license.


(Mar. 25, 1986, D.C. Law 6-99, § 512, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(13), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.12.

Effect of Amendments

D.C. Law 18-26, in the section heading, inserted “registrations, or certifications” following “licenses”; in subsec. (a), inserted “registration or certification,” following “license,”; and rewrote subsec. (b), which had read as follows: “(b) The board shall not reinstate the license of a health professional who fails to apply for reinstatement of a license within 5 years after the license expires. The health professional may become licensed by meeting the requirements then in existence for obtaining an initial license under this subchapter.”

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(13) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.13. Professional requirements.

(a) Each licensee, registrant, or person certified shall:

(1) Display the board-issued license, registration, or certification conspicuously in each place of business or employment of the licensee, registrant, or person certified;

(2) Wear a tag at all times, if practical, while acting in a professional capacity that displays his or her name and profession or title;

(3) Practice only under the legal name that appears on his or her license, registration, or certification;

(4) Notify the board in writing of any:

(A) Change of address of place of residence or place of business or employment within 30 days after the change of address;

(B) Legal change of name within 30 days after the change; or

(C) Termination, revocation, suspension, or voluntary surrender (“separation event”) of health care facility privileges by reason of incompetence or improper professional conduct, during any period while an application is pending or during the licensing, registration, or certification period by certified mail, return receipt, within 10 days of the separation event.

(b) Each licensee, registrant, or person certified shall be subject to the penalties provided by this chapter for failure to comply with the requirements of this section.


(Mar. 25, 1986, D.C. Law 6-99, § 513, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(14), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.13.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(14) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.13a. Physician and health care provider notice requirements, penalty for noncompliance; settlement agreement not a bar to filing a complaint or testifying.

(a)(1) A physician licensed by the Board shall report to the Board within 60 days of the occurrence of any of the following:

(A) Notice of a judgment against a physician named in a medical malpractice suit or notice of a confidential settlement of a medical malpractice claim to be paid by a physician, an insurer, or other entity on behalf of the physician; or

(B) Disciplinary action taken against the physician by a health care licensing authority of another state.

(2)(A) A health care provider who employs a physician who is licensed in the District of Columbia shall report to the Board any disciplinary action taken against the physician within 10 days of the action being taken. The resignation of a physician that occurs while the physician is being investigated by the health care provider shall also be reported to the Board by the health care provider within 10 days of the resignation.

(B) The Board shall impose a penalty not to exceed $2,500 on a health care provider for failure to comply with the provisions of this paragraph.

(b) Nothing in a confidential settlement agreement shall operate to prevent the parties to the agreement from filing a complaint with the Board or from testifying in any investigation conducted by the Board.


(Mar. 25, 1986, D.C. Law 6-99, § 513a; as added Mar. 14, 2007, D.C. Law 16-263, § 201(c), 54 DCR 807.)


§ 3–1205.14. Revocation, suspension, or denial of license or privilege; civil penalty; reprimand.

(a) Each board, subject to the right of a hearing as provided by this subchapter, on an affirmative vote of a majority of a quorum of its appointed members may take one or more of the disciplinary actions provided in subsection (c) of this section against any applicant for a license, registration, or certification, an applicant to establish or operate a school of nursing or nursing program, or a person permitted by this subchapter to practice a health occupation regulated by the board in the District who:

(1) Fraudulently or deceptively obtains or attempts to obtain a license, registration, or certification for himself, herself, or another person;

(2) Fraudulently or deceptively uses a license, registration, or certification;

(3) Is disciplined by a licensing or disciplinary authority or peer review body or convicted or disciplined by a court of any jurisdiction for conduct that would be grounds for disciplinary action under this section; for the purposes of this paragraph, the term “convicted” means a judgment or other admission of guilt, including a plea of nolo contendere or an Alford plea;

(4) Has been convicted in any jurisdiction of any crime involving moral turpitude, which for the purposes of this paragraph means a crime that:

(A) Offends the generally accepted moral code of mankind;

(B) Is one of baseness, vileness, or depravity in the conduct of the private and social duties that an individual owes to his or her fellow man or to society in general; or

(C) Is one of conduct contrary to justice, honesty, modesty, or good morals.

(5) Is professionally or mentally incompetent or physically incapable;

(6) Is addicted to, or habitually abuses, any narcotic or controlled substance as defined by Unit A of Chapter 9 of Title 48;

(7) Provides, or attempts to provide, professional services while under the influence of alcohol or while using any narcotic or controlled substance as defined by Unit A of Chapter 9 of Title 48, or other drug in excess of therapeutic amounts or without valid medical indication;

(8) Willfully makes or files a false report or record in the practice of a health occupation;

(9) Willfully fails to file or record any medical report as required by law, impedes or obstructs the filing or recording of the report, or induces another to fail to file or record the report;

(10) Upon proper request, and payment of a reasonable copy fee, if required, fails to provide, within a reasonable period of time, a copy or summary report, if the patient or client consents, of the patient’s or client’s health care record to the patient or client, his or her legal representative or guardian, a hospital or third-party health professional licensed under this chapter or under the laws of another jurisdiction; for the purposes of this paragraph, the term “health care record” means any document, or combination of documents, except for a birth or death record or a record of admission to or discharge from a hospital or other health-care facility, that pertains to the history, diagnosis, or health condition of a patient or client and is generated and maintained in the process of providing health-care treatment, regardless of whether the health care record originated with or was previously in the possession of another health-care provider;

(11) Willfully makes a misrepresentation in treatment;

(12) Willfully practices a health occupation with an unauthorized person or aids an unauthorized person in the practice of a health occupation;

(13) Submits false statements to collect fees for which services are not provided or submits statements to collect fees for services which are not medically necessary;

(14) Pays or agrees to pay anything of value to, or to split or divide fees for professional services with, any person for bringing or referring a patient;

(15) Fails to pay a civil fine imposed by a board, other administrative officer, or court;

(16) Willfully breaches a statutory, regulatory, or ethical requirement of confidentiality with respect to a person who is a patient or client of the health professional, unless ordered by a court;

(17) Refuses to provide service to a person in contravention of Chapter 14 of Title 2;

(18) Violates any of the conditions of an agreement between the licensee and the board to voluntarily limit the practice of the licensee made pursuant to § 3-1205.18;

(19) Prescribes, dispenses, recommends, or administers drugs when not authorized to do so;

(20) Practices without a protocol when required by subchapter VI of this chapter;

(21) Performs, offers, or attempts to perform services beyond the scope of those authorized by the license held by the health professional;

(22) Maintains an unsanitary office or performs professional services under unsanitary conditions;

(23) Engages in:

(A) Sexual harassment of a patient or client;

(B) Sexual contact with a patient or client concurrent with and by virtue of the practitioner-patient or practitioner-client relationship;

(C) At any time during the course of the practitioner-patient or patient-client relationship, in conduct of a sexual nature that a reasonable patient or client would consider lewd or offensive; or

(D) Sexual contact with a former patient or client when the patient or client may still be vulnerable by virtue of the power imbalance that existed in the practitioner-patient or practitioner-client relationship, even if the relationship may appear to be or is mutually consensual when such contact is likely to have an adverse impact on the patient or client;

(24) Violates any provision of this chapter or rules and regulations issued pursuant to this chapter;

(25) Violates any District of Columbia or federal law, regulation, or rule related to the practice of a health profession or drugs, or fails to conduct business with honesty and fair dealing with employees or students in his or her school of nursing or nursing program, the District of Columbia, a state, the federal government, or the public;

(26) Fails to conform to standards of acceptable conduct and prevailing practice within a health profession;

(27) Violates an order of the board or the Mayor, or violates a consent decree or negotiated settlement entered into with a board or the Mayor;

(28) Demonstrates a willful or careless disregard for the health, welfare, or safety of a patient, regardless of whether the patient sustains actual injury as a result;

(29) Fails to pay the applicable fees established by the Mayor;

(30) Abandons a patient; for the purposes of this paragraph, the term “abandons” means termination, without adequate notice, of the professional relationship between a health care provider and a patient or client at a time when the patient or client is in need of further emergency care;

(31) Knowingly fails to report suspected child abuse in violation of § 4-1321.02;

(32) Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services that the licensee, registrant, or person certified is licensed and qualified to render because the individual is HIV positive;

(33) Refuses on ethical, moral, or religious grounds to provide services to a patient, customer, or client;

(34) By corrupt means, threats, or force, intimidates or influences, or attempts to intimidate or influence, any person for the purpose of causing the person to withhold or change his or her testimony in a hearing or proceeding before a board, court, or the Office of Administrative Hearings;

(35) By corrupt means, threats, or force, hinders, prevents, or otherwise delays any person from making information available to a board, court, or the Office of Administrative Hearings in furtherance of any investigation of a board, court, or the Office of Administrative Hearings;

(36) Intentionally misrepresents credentials for the purpose of testifying or rendering an expert opinion in a hearing or proceeding before a board, court, or the Office of Administrative Hearings;

(37) Fails to keep adequate medical, dental, health, or client records, as determined by a review of a board;

(38) Makes a misrepresentation or false promise, directly or indirectly, to influence, persuade, or induce patronage;

(39) Practices under a name other than the name under which the individual is licensed, registered, or certified;

(40) Makes a false or misleading statement regarding his or her skill or the efficacy or value of a medicine, treatment, or remedy prescribed or recommended by him or her, at his or her discretion, in the treatment of any disease or other condition of the body or mind;

(41) Is subject to recurrent health claims or client-liability claims, which in a board’s opinion evidences professional incompetence likely to injure the public;

(42) Fails to cooperate in an investigation or obstructs an investigation ordered by a board;

(43) Continues to practice a health profession when the licensed, registered, or certified individual knows he or she has an infectious or communicable disease and that there is a high probability that the disease may be transmitted to a patient or client;

(44) Falsifies an application to establish a school of nursing or nursing program;

(45) Commits fraud or makes false claims in connection with the practice of an occupation regulated by this chapter, or relating to Medicaid, Medicare, or insurance;

(46) Acts in a manner inconsistent with the health and safety of the residents of the nursing facility of which the licensee is the administrator;

(47) Acts fraudulently or dishonestly in the application or reporting of a test for animal disease;

(48) Fails to report, as required by law, or makes a false report of a contagious or infectious disease;

(49) Willfully neglects or misrepresents the inspection of food-stuffs or the issuance of health or inspection certificates;

(50) Knowingly or negligently tortures, beats, or mutilates an animal, kills or injures an animal, or deprives an animal of necessary food, water, or shelter; or

(51) Engages in the financial exploitation of a patient, client, or employer.

(b)(1) A board may require a health professional to submit to a mental or physical examination whenever it has probable cause to believe the health professional is impaired due to the reasons specified in subsection (a)(5), (6), and (7) of this section. The examination shall be conducted by 1 or more health professionals designated by the board, and he, she, or they shall report their findings concerning the nature and extent of the impairment, if any, to the board and to the health professional who was examined.

(2) Notwithstanding the findings of the examination commissioned by the board, the health professional may submit, in any proceedings before a board or other adjudicatory body, the findings of an examination conducted by 1 or more health professionals of his or her choice to rebut the findings of the examination commissioned by the board.

(3) Willful failure or refusal to submit to an examination requested by a board shall be considered as affirmative evidence that the health professional is in violation of subsection (a)(5), (6), or (7) of this section, and the health professional shall not then be entitled to submit the findings of another examination in disciplinary or adjudicatory proceedings related to the violation.

(c) Upon determination by the board that an applicant, licensee, registrant, person certified, or person permitted by this subchapter to practice in the District has committed any of the acts described in subsection (a) of this section, the board may:

(1) Deny a license, registration, or certification to any applicant or an application to establish a school of nursing or nursing program;

(2) Revoke or suspend the license, registration, or certification of any licensee, registrant, or person certified or withdraw approval of a school of nursing or nursing program;

(3) Revoke or suspend the privilege to practice in the District of any person permitted by this subchapter to practice in the District;

(4) Reprimand any licensee, registrant, person certified, or person permitted by this subchapter to practice in the District;

(5) Impose a civil fine not to exceed $5,000 for each violation by an applicant, licensee, registrant, person certified, or person permitted by this subchapter to practice in the District;

(6) Require a course of remediation, approved by the board, which may include:

(A) Therapy or treatment;

(B) Retraining;

(C) Reexamination, in the discretion of and in the manner prescribed by the board, after the completion of the course of remediation; and

(D) Require participation in continuing education and professional mentoring.

(7) Require a period of probation; or

(8) Issue a cease and desist order pursuant to § 3-1205.16.

(d) Nothing in this subchapter shall preclude prosecution for a criminal violation of this chapter regardless of whether the same violation has been or is the subject of 1 or more of the disciplinary actions provided by this subchapter. Criminal prosecution may proceed prior to, simultaneously with, or subsequent to administrative enforcement action.

(e) A person licensed, registered, or certified to practice a health occupation in the District of Columbia is subject to the disciplinary authority of the board although engaged in practice elsewhere. Subsection (a) of this section shall not be construed to limit the disciplinary authority of the board only to conduct or activities engaged in outside of the District that result in the imposition of discipline by a licensing or disciplinary authority where the conduct occurred.


(Mar. 25, 1986, D.C. Law 6-99, § 514, 33 DCR 729; Mar. 23, 1995, D.C. Law 10-247, § 2(n), 42 DCR 457; July 18, 2009, D.C. Law 18-26, § 2(e)(15), 56 DCR 4043; Apr. 29, 2010, D.C. Law 18-145, § 2(b), 57 DCR 1834; Mar. 26, 2014, D.C. Law 20-96, § 102(o), 61 DCR 1184; Feb. 18, 2017, D.C. Law 21-209, § 3(d), 63 DCR 15291; Feb. 22, 2019, D.C. Law 22-227, § 101(b), 66 DCR 197.)

Prior Codifications

1981 Ed., § 2-3305.14.

Section References

This section is referenced in § 3-1251.09, § 7-1671.07, § 47-2888.04, and § 48-853.03.

Effect of Amendments

D.C. Law 18-26 rewrote subsecs. (a) and (c); and, in subsec. (e), substituted “licensed, registered, or certified” for “licensed”.

D.C. Law 18-145, in subsec. (a), deleted “or” from the end of par. (44), substituted “; or” for a period at the end of par. (45), and added par. (46); and, in subsec. (c)(6), deleted “; and” from the end of subpar. (B), inserted “and” at the end of subpar. (C), and added subpar. (D).

The 2014 amendment by D.C. Law 20-96 added (a)(47), (a)(48), (a)(49), and (a)(50); and made related changes.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(15) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.15. Summary action.

(a)(1) The Mayor may summarily suspend or restrict, without a hearing. the license, registration, or certification of a person:

(A) Who has had his or her license, registration, or certification to practice the same profession or occupation revoked or suspended in another jurisdiction and has not had the license, registration, or certification to practice reinstated within that jurisdiction;

(B) Who has been convicted of a felony;

(C) Who has been adjudged incapacitated;

(D) Whose conduct presents an imminent danger to the health and safety of the public or to animals, as determined by the Mayor following an investigation; or

(E) Whose financial exploitation of a patient, client, or employer has or will harm the economic welfare of the client, patient, or employer, as determined by the Mayor following an investigation.

(2) A suspension or restriction shall not be stayed pending any appeal of the revocation, suspension, conviction, or judgment of incapacity.

(b) The Mayor, at the time of the summary suspension or restriction of a license, registration, or certification, shall provide the licensee, registrant, or person certified with written notice stating the action that is being taken, the basis for the action, and the right of the licensee, registrant, or person certified to request a hearing.

(c) A licensee, registrant, or person certified shall have the right to request a hearing within 72 hours after service of notice of the summary suspension or restriction of license, registration, or certification. The Mayor shall hold a hearing within 72 hours of receipt of a timely request, and shall issue a decision within 72 hours after the hearing.

(d) Every decision and order adverse to a licensee, registrant, or person certified shall be in writing and shall be accompanied by findings of fact and conclusions of law. The findings shall be supported by, and in accordance with, reliable, probative, and substantial evidence. The Mayor shall provide a copy of the decision and order and accompanying findings of fact and conclusions of law to each party to a case or to his or her attorney of record.

(e) Any person aggrieved by a final summary action may file an appeal in accordance with subchapter I of Chapter 5 of Title 2.


(Mar. 25, 1986, D.C. Law 6-99, § 515, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(16), 56 DCR 4043; Mar. 26, 2014, D.C. Law 20-96, § 102(p), 61 DCR 1184; Feb. 22, 2019, D.C. Law 22-227, § 101(c), 66 DCR 197.)

Prior Codifications

1981 Ed., § 2-3305.15.

Section References

This section is referenced in § 3-1251.09.

Effect of Amendments

D.C. Law 18-26 rewrote subsec. (a); in subsecs. (b), (c), and (d), substituted “licensee, registrant, or person certified” for “licensee”; and, in subsecs. (b) and (c), substituted “license, registration, or certification” for “license”. Prior to amendment, subsec. (a) read as follows: “(a) If the Mayor determines, after investigation, that the conduct of a licensee presents an imminent danger to the health and safety of the residents of the District, the Mayor may summarily suspend or restrict, without a hearing, the license to practice a health occupation.”

The 2014 amendment by D.C. Law 20-96 added “or to animals” after “health and safety of the public” in (a)(1)(D).

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(16) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.16. Cease and desist orders.

(a) When a board or the Mayor, after investigation but prior to a hearing, has cause to believe that any person is violating any provision of this chapter and the violation has caused or may cause immediate and irreparable harm to the public, the board or the Mayor may issue an order requiring the alleged violator to cease and desist immediately from the violation. The order shall be served by certified mail or delivery in person.

(b)(1) The alleged violator may, within 15 days of the service of the order, submit a written request to the board or the Mayor to hold a hearing on the alleged violation.

(2) Upon receipt of a timely request, the board or the Mayor shall conduct a hearing and render a decision pursuant to § 3-1205.19.

(c)(1) The alleged violator may, within 10 days of the service of an order, submit a written request to the board or the Mayor for an expedited hearing on the alleged violation, in which case he or she shall waive his or her right to the 15-day notice required by § 3-1205.19(d).

(2) Upon receipt of a timely request for an expedited hearing, the board or the Mayor shall conduct a hearing within 10 days of the date of receiving the request and shall deliver to the alleged violator at his or her last known address a written notice of the hearing by any means guaranteed to be received at least 5 days before the hearing date.

(3) The board or the Mayor shall issue a decision within 30 days after an expedited hearing.

(d) If a request for a hearing is not made, the order of the board or the Mayor to cease and desist is final.

(e) If, after a hearing, the board determines that the alleged violator is not in violation of this chapter, the board or the Mayor shall revoke the order to cease and desist.

(f) If any person fails to comply with a lawful order of a board or the Mayor issued pursuant to this section, the board or the Mayor may petition the court to issue an order compelling compliance or take any other action authorized by this chapter.


(Mar. 25, 1986, D.C. Law 6-99, § 516, 33 DCR 729.)

Prior Codifications

1981 Ed., § 2-3305.16.

Section References

This section is referenced in § 3-1205.14.


§ 3–1205.17. Voluntary surrender of license, registration, or certification.

(a) Any health professional who is the subject of an investigation into, or a pending proceeding involving, allegations involving misconduct may voluntarily surrender his or her license, registration, certification, or privilege to practice in the District, but only by delivering to the board regulating the health occupation an affidavit stating that the health professional desires to surrender the license, registration, certification, or privilege and that the action is freely and voluntarily taken, and not the result of duress or coercion.

(b) Upon receipt of the required affidavit, the board shall enter an order revoking or suspending the license, registration, or certification of the health professional or the privilege to practice.

(c) The voluntary surrender of a license, registration, or certification shall not preclude the imposition of civil or criminal penalties against the licensee, registrant, or person certified.


(Mar. 25, 1986, D.C. Law 6-99, § 517, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(17), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.17.

Effect of Amendments

D.C. Law 18-26, in the section heading, inserted “, registration, or certification”; in subsec. (a), inserted “, registration, or certification,” twice; in subsec. (b), inserted “, registration, or certification”; and rewrote subsec. (c), which had read as follows: “(c) The voluntary surrender of a license shall not preclude the imposition of civil or criminal penalties against the licensee.”

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(17) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.18. Voluntary limitation or surrender of a license, registration, or certification by impaired health professional.

(a)(1) Any license, registration, or certification issued under this chapter may be voluntarily limited by the licensee, registrant, or person certified either:

(A) Permanently;

(B) For an indefinite period of time to be restored at the discretion of the board regulating the health occupation; or

(C) For a definite period of time under an agreement between the licensee, registrant, or person certified and the board.

(2) During the period of time that the license, registration, or certification has been limited, the licensee, registrant, or person certified shall not engage in the practices or activities to which the voluntary limitation of practice relates.

(3) As a condition for accepting the voluntary limitation of practice, the board may require the licensee, registrant, or person certified to do 1 or more of the following:

(A) Accept care, counseling, or treatment by physicians or other health professionals acceptable to the board;

(B) Participate in a program of education prescribed by the board; and

(C) Practice under the direction of a health professional acceptable to the board for a specified period of time.

(b)(1) Any license, registration, or certification issued under this chapter may be voluntarily surrendered to the board by the licensee, registrant, or person certified either:

(A) Permanently;

(B) For an indefinite period of time to be restored at the discretion of the board regulating the health occupation; or

(C) For a definite period of time under an agreement between the licensee, registrant, or person certified and the board.

(2) During the period of time that the license, registration, or certification has been surrendered, the individual surrendering the license, registration, or certification shall not practice, attempt to practice, or offer to practice the health occupation for which the license, registration, or certification is required, shall be considered as unlicensed, unregistered, or uncertified, and shall not be required to pay the fees for the license, registration, or certification.

(c) All records, communications, and proceedings of the board related to the voluntary limitation or surrender of a license, registration, or certification under this section shall be confidential.


(Mar. 25, 1986, D.C. Law 6-99, § 518, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(18), 56 DCR 4043; Sept. 26, 2012, D.C. Law 19-171, § 30(b)(2), 59 DCR 6190.)

Prior Codifications

1981 Ed., § 2-3305.18.

Section References

This section is referenced in § 3-1205.14 and § 3-1251.09.

Effect of Amendments

D.C. Law 18-26, in the section heading, substituted “a license, registration, or certification” for “license”; substituted “license, registration, or certification” for “license”; and substituted “licensee, registrant, or person certified” for “licensee”.

The 2012 amendment by D.C. Law 19-171 substituted “unlicensed, unregistered, or uncertified” for “unlicensed” in (b)(2).

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(18) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.19. Hearings.

(a) Before a board denies an applicant a license, registration, or certification, revokes or suspends a license, registration, or certification or privilege to practice, reprimands a licensee, registrant, or person certified imposes a civil fine, requires a course of remediation or a period of probation, or denies an application for reinstatement, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the board except where the denial of the license, registration, or certification is based solely on an applicant’s failure to meet minimum age requirements, hold a required degree, pass a required examination, pay the applicable fees established by the Mayor, or where there are no material facts at issue.

(b) A board, at its discretion, may request the applicant or licensee, registrant, or person certified to attend a settlement conference prior to holding a hearing under this section, and may enter into negotiated settlement agreements and consent decrees to carry out its functions.

(c) Except to the extent that this chapter specifically provides otherwise, a board shall give notice and hold the hearing in accordance with subchapter I of Chapter 5 of Title 2.

(d) The hearing notice to be given to the individual shall be sent by certified mail to the last known address of the individual at least 15 days before the hearing.

(e) The individual may be represented at the hearing by counsel.

(f)(1) A board may administer oaths and require the attendance and testimony of witnesses and the production of books, papers, and other evidence in connection with any proceeding under this section.

(2) A board shall require the attendance of witnesses and the production of books, papers, and other evidence reasonably requested by the person against whom an action is contemplated.

(3) In case of contumacy by or refusal to obey a subpoena issued by the board to any person, a board may refer the matter to the Superior Court of the District of Columbia, which may by order require the person to appear and give testimony or produce books, papers, or other evidence bearing on the hearing. Refusal to obey such an order shall constitute contempt of court.

(g) If, after due notice, the individual against whom the action is contemplated fails or refuses to appear, a board may nevertheless hear and determine the matter.

(h) A board shall issue its final decision in writing within 90 days after conducting a hearing.

(i) A board may delegate its authority under this chapter to hold hearings and issue final decisions to a panel of 3 or more members of the board or an administrative law judge in accordance with rules promulgated by the Mayor. Final decisions of a hearing panel shall be considered final decisions of the board for purposes of appeal to the District of Columbia Court of Appeals.


(Mar. 25, 1986, D.C. Law 6-99, § 519, 33 DCR 729; Mar. 23, 1995, D.C. Law 10-247, § 2(o), 42 DCR 457; July 18, 2009, D.C. Law 18-26, § 2(e)(19), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.19.

Section References

This section is referenced in § 3-1203.02 and § 3-1205.16.

Effect of Amendments

D.C. Law 18-26 substituted “license, registration, or certification” for “license”; and substituted “licensee, registrant, or person certified” for “licensee”; and, in subsec. (i), substituted “board or an administrative law judge in accordance” for “board in accordance”.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(19) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.20. Judicial and administrative review of actions of board.

Any person aggrieved by a final decision of a board or the Mayor may appeal the decision to the District of Columbia Court of Appeals pursuant to § 2-510.


(Mar. 25, 1986, D.C. Law 6-99, § 520, 33 DCR 729.)

Prior Codifications

1981 Ed., § 2-3305.20.


§ 3–1205.21. Reinstatement of suspended or revoked license, registration, or certification.

(a) Except as provided in subsection (b) of this section, a board may reinstate the license, registration, or certification or privilege of an individual whose license, registration, or certification or privilege has been suspended or revoked by the board only in accordance with:

(1) The terms and conditions of the order of suspension or revocation; or

(2) A final judgment or order in any proceeding for review.

(b)(1) If an order of suspension or revocation was based on the conviction of a crime which bears directly on the fitness of the individual to be licensed, registered, or certified, and the conviction subsequently is overturned at any stage of an appeal or other postconviction proceeding, the suspension or revocation shall end when the conviction is overturned.

(2) After the process of review is completed, the clerk of the court issuing the final disposition of the case shall notify the board or the Mayor of that disposition.


(Mar. 25, 1986, D.C. Law 6-99, § 521, 33 DCR 729; July 18, 2009, D.C. Law 18-26, § 2(e)(20), 56 DCR 4043.)

Prior Codifications

1981 Ed., § 2-3305.21.

Effect of Amendments

D.C. Law 18-26, in the section heading, inserted “registration, or certification”; in subsec. (a), substituted “license, registration, or certification” for “license”; and, in subsec. (b), substituted “licensed, registered, or certified” for “licensed”.

Emergency Legislation

For temporary (90 day) amendment of section, see § 2(e)(20) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).


§ 3–1205.22. Criminal background check.

(a) No license or registration shall be issued to a health professional before a criminal background check has been conducted for that person. The applicant for a license or registration shall pay the fee established by the Department of Health for the criminal background check.

(b) The criminal background check shall be obtained by the Department of Health from the U.S. Department of Justice, or from a private agency determined by the Department of Health. The results of the criminal background check shall be forwarded directly to the appropriate health licensing board.


(Mar. 25, 1986, D.C. Law 6-99, § 522; as added Mar. 6, 2007, D.C. Law 16-222, § 2, 53 DCR 10219.)


§ 3–1205.23. Suspension of license, registration, or certification during incarceration for felony or misdemeanor conviction.

A board may suspend the license, registration, or certification of a person during any time that the person is incarcerated after conviction of a felony or misdemeanor, regardless of whether the conviction has been appealed. A board, immediately upon receipt of a certified copy of a record of a criminal conviction, shall notify the person in writing at that person’s address of record with the board, and at the facility in which the person is incarcerated, of the suspension and that the person has a right to request a hearing. If requested, the hearing shall be held within 6 months of the release of the licensee, registrant, or person certified.


(Mar. 25, 1986, D.C. Law 6-99, § 523; as added July 18, 2009, D.C. Law 18-26, § 2(e)(21), 56 DCR 4043.)

Cross References

Licensing of health professionals, general qualifications of applicants, see § 3-1205.03.

Emergency Legislation

For temporary (90 day) addition, see § 2(e)(21) of Health Occupations Revision General Amendment Emergency Act of 2009 (D.C. Act 18-146, July 28, 2009, 56 DCR 6308).

For temporary addition of D.C. Law 6-99, § 524, concerning Council approval of massage therapy regulations directed at licensed therapist facilities, see § 502 of the Omnibus Criminal Code Amendments Emergency Amendment Act of 2012 (D.C. Act 19-599, January 14, 2013, 60 DCR 1017).


§ 3–1205.24. Council approval of massage therapy regulations directed at licensed therapist facilities.

There shall be no regulation of massage therapy that is directed at regulating a licensed therapist facility without affirmative approval by the Council of the District of Columbia.


(Mar. 25, 1986, D.C. Law 6-99, § 524; as added June 19, 2013, D.C. Law 19-320, § 502, 60 DCR 3390.)

Effect of Amendments

The 2013 amendment by D.C. Law 19-320 added this section.

Emergency Legislation

For temporary (90 days) addition of this section, see § 502 of the Omnibus Criminal Code Amendment Congressional Review Emergency Act of 2013 (D.C. Act 20-44, April 1, 2013, 60 DCR 5381, 20 DCSTAT 1281).