[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-341748-105":59,"doc-detail-341748-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","house-bill-218-health-occupations-nursing-dialysis-technicians-support-letter","House Bill 218 - Health Occupations - Nursing - Dialysis Technicians - Support Letter","","Support letter submitted to the House Health and Government Operations Committee urging a favorable vote on House Bill 218. Dialysis providers argue the bill removes a requirement that dialysis technicians (DTs) also obtain certified nursing assistant (CNA) certification. The letter explains Maryland is the only state with this dual-certificate requirement and contrasts CNA duties with DT responsibilities such as treatment initiation, cannulation, monitoring, termination, complication management, and dialysis equipment operation. Providers cite staffing and training delays, limited evidence of improved care, and an ongoing dialysis workforce shortage.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/house-bill-218-health-occupations-nursing-dialysis-technicians-support-letter/341748/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/house-bill-218-health-occupations-nursing-dialysis-technicians-support-letter/341748.png","ImageObject",300,407,{"name":92,"@type":93},"Sophia Brooks","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What change does House Bill 218 make for dialysis technicians in Maryland?","Question",{"text":112,"@type":113},"House Bill 218 removes the requirement that a dialysis technician be certified as a nursing assistant. DT certification would still require completing an approved dialysis training program and obtaining a specified national certification.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why does the letter emphasize that DT duties differ from CNA duties?",{"text":117,"@type":113},"The letter states that dialysis is performed in chronic, ambulatory settings where typical CNA tasks are not performed or needed by DTs. DTs are trained for initiation, cannulation techniques, monitoring during treatment, termination, complication identification, and dialysis equipment operation.",{"name":119,"@type":110,"acceptedAnswer":120},"What staffing and training concerns are raised regarding the dual certification requirement?",{"text":121,"@type":113},"Dialysis centers face a healthcare worker shortage and compete with hospitals and other providers for CNAs. The added CNA-to-DT pathway requires training approval processes that are time-consuming, slowing hiring and creating service issues for maintaining access to dialysis care.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},341748,1790169450,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},962084925636,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","TO: The Honorable Shane E. Pendergrass, Chair  \nMembers, House Health and Government Operations Committee  \nThe Honorable Ariana B. Kelly  \nFROM: Danna L. Kauffman  \nPamela Metz Kasemeyer  \nDATE: February 1, 2022  \nRE: SUPPORT – House Bill 218 – Health Occupations – Nursing – Dialysis Technicians  \nDaVita, Fresenius Medical Care, Independent Dialysis Foundation, and U.S. Renal Care, the leading providers of kidney care in Maryland, support House Bill 218. Simply stated, House Bill 218 removes the requirement that an individual be certified as a nursing assistant in order to receive certification as a dialysis technician (DT) . Under the bill, to be a DT, an individual would still be required to complete a dialysis training program that is approved by the Maryland Board of Nursing (MBON) AND receive a national certification either through:  \n• Certified Clinical Hemodialysis Technician by the Nephrology Nursing Certification Commission; or  \n• Clinical Nephrology Technician by the National Nephrology Certification Organization; or  \n• Certified Hemodialysis Technician by the Board of Nephrology Examiners Nursing Technology.  \nAs illustrated in the attached chart, Maryland is the only state that requires an individual tobe a certified as a nursing assistant in order to work as a DT. The work performed by DTs is very different in scope than that often performed by a certified nursing assistant (CNA) . For example, CNAs perform such tasks as assisting with oral hygiene; performing range of motion; measuring and recording urinary output; providing perineal care and catheter care; making an occupied bed; providing foot care and fingernail care; assisting in feeding and positioning; providing baths; and assisting with daily hygiene tasks.  \nGiven that dialysis is performed in chronic, ambulatory settings, the tasks typically performed by CNAs are not being performed nor needed to be performed by DTs. Rather, DTsare trained to perform the following:  \n• Initiation of treatment  \n• Proper cannulation techniques of accesses  \n• Monitoring patients during treatment  \n• Termination of dialysis  \n• Identifying and addressing possible complications of dialysis  \n• Water treatment and dialysate preparation  \n• Operation of kidney dialysis equipment and machines.  \nAs you know, Maryland is facing a significant health care worker shortage. Dialysis centers are equally affected and are competing with hospitals, nursing homes, assisted living, and other entities to hire CNAs. Dialysis centers then have the added requirement to train them DTs. It is important to note that dialysis centers are eligible to be approved by the MBON to teach the CNA DT Program. Unfortunately, MBON’s approval process, both for the course and the instructors, is time-consuming and often creates additional angst in the hiring process. Consequently, the need to obtain both the CNA classification and the DT classification is proving to have a detrimental effect on the ability to staff dialysis centers, which creates service issues for ensuring that this life-saving service remains available to those in need. Equally important is the fact that there is no evidence available to demonstrate that Maryland patients receive a higher quality of care in Maryland than received in other states by this added requirement.  \nTherefore, we urge a favorable vote on House Bill 218.  \nFor more information call:  \nDanna L. Kauffman Pamela Metz Kasemeyer 410-244-7000  \nHouse Bill 218: Health Occupations – Nursing – Dialysis Technicians  \nSummary: Authorizes dialysis technicians to be certified without obtaining a nursing assistant certification. Maryland is the ONLY state that requires this dual certification – certified nursing assistant AND dialysis technician.  \n\n| State | Certification\u003Cbr>Requirement | Training/Licensure |\n| --- | --- | --- |\n| Maryland | CNA – DT\u003Cbr>CCHT-NNCC or CHTBONENT | Must complete the CNA requirements PLUS complete a dialysis training program that is approved by ","cbCaiuOdVmorYRgp","https://ap.wps.com/l/cbCaiuOdVmorYRgp","pdf",388697,"English","# Support – House Bill 218 – Health Occupations – Nursing – Dialysis Technicians\n## Request for favorable vote\n## Certification changes for dialysis technicians\n## CNA vs DT scope of work\n## Workforce shortage and staffing impact\n## Lack of evidence of higher-quality care\n## Summary and state-by-state comparison","[{\"question\":\"What change does House Bill 218 make for dialysis technicians in Maryland?\",\"answer\":\"House Bill 218 removes the requirement that a dialysis technician be certified as a nursing assistant. DT certification would still require completing an approved dialysis training program and obtaining a specified national certification.\"},{\"question\":\"Why does the letter emphasize that DT duties differ from CNA duties?\",\"answer\":\"The letter states that dialysis is performed in chronic, ambulatory settings where typical CNA tasks are not performed or needed by DTs. DTs are trained for initiation, cannulation techniques, monitoring during treatment, termination, complication identification, and dialysis equipment operation.\"},{\"question\":\"What staffing and training concerns are raised regarding the dual certification requirement?\",\"answer\":\"Dialysis centers face a healthcare worker shortage and compete with hospitals and other providers for CNAs. The added CNA-to-DT pathway requires training approval processes that are time-consuming, slowing hiring and creating service issues for maintaining access to dialysis care.\"}]","House Bill 218 - Health Occupations - Nursing - Dialysis Technicians - Support Letter | PDF",1790043528,13]