Maryland Health Occupations Section 2-314.1
§ 2-314.1.
  (a)   In this section, "medical examination" means a physical examination of the ear of an individual by an otolaryngologist, otologist, or other physician.
  (b)   (1)   Before an audiologist or a hearing aid dispenser sells a hearing aid to an individual, the audiologist or hearing aid dispenser shall determine whether the individual has had a medical examination within the 6 months before the hearing aid service is to be provided.
    (2)   Unless an audiologist or a hearing aid dispenser determines that an individual has had a medical examination within the period set under paragraph (1) of this subsection, the audiologist or hearing aid dispenser:
      (i)   Shall give the individual a written recommendation that the individual obtain a medical examination; and
      (ii)   Except as provided in subsection (c) of this section, may not sell a hearing aid to the individual until the individual provides to the audiologist or the hearing aid dispenser satisfactory written evidence that the individual has had a medical examination within the 6 months before the hearing aid is provided.
  (c)   (1)   An audiologist or a hearing aid dispenser may sell a hearing aid to an individual without complying with the requirements of subsection (b)(2)(ii) of this section only if the services are:
      (i)   Limited to replacement of a hearing aid; or
      (ii)   Provided to an individual who:
        1.   Is at least 18 years old; and
        2.   Before a hearing aid is provided:
        A.   Signs a written waiver of the medical examination that otherwise is required under subsection (b)(2)(ii) of this section; and
        B.   Is given a copy of the signed waiver by the audiologist or hearing aid dispenser.
    (2)   Each audiologist or hearing aid dispenser shall keep a copy of each signed waiver given to an individual under this subsection.