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PA - Law Change as Monday


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This bill (I will link here and try to load it as a PDF below) was signed into law and will go into effect on this Monday. Most notably, is that a PA in a remote site (as my arrangement) will be required to work with the SP 10% of the time . . . however, even that 10% can be waivered if they demonstrate a reliable communication channel . . . telemedicine . . . telephone perhaps. So it is a game changer for PAs as soon as they and their SPs capitalize on the potential. Second point: the state can not drag its feet on approving supervisory arrangement but must expedite them, Third Point: The concept of supervisory agreement has been deleted and replace with "delegatory agreement" and it is unclear what this might mean but it could be a first step in changing our role. Lastly: It clearly states, and has before, that PAs practice medicine in their own right and not an extension of their SP. This is a philosophical issue that is often debated by institutions (such as a debate I'm having right now with the headache group).

1737.pdf

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  • Moderator

THIS is a good first step but unfortunately hospital systems can apply more stringent rules. one of my current jobs in WA requires that a physician be present 8 hrs/day and review 100% of all charts. it is a 24 hr facility so we staff pa 24/7 with a doc on day shift doing exactly the same job. I work nights (so never see the docs) but we could save a lot of money by staffing pa 24/7 with no docs or with 4 hrs/week or whatever is required to "evaluate our practice patterns" to meet the state min requirement....

( Mike- please cross post on c1 where this is likely to get a significant discussion going)

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I am glad to hear this.....I wish that Alaska would delete the Collaborative Plan requirement from our practice guidelines and start the same "delegatory agreement" in this bill. Back in CT even before licensing for PA occured ,we practiced under the "delegatory authority" of or supervising physicians.

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Guest Paula

It will be interesting to see what delegatory agreement means? The devil is in the details. Will you need every act or procedure you do to be listed specifically in the agreement? Also interesting is the 's crossed out in the osteopathic physician assistant section. Michigan still uses the 's.

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