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New Law on NO out of state rotations


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  • 3 weeks later...

This is a newer issue for many PA programs.  I don't have all the details but I can fill in a few pieces.  What you were told probably does have some basis in the interpretation of federal regulations regarding educational programs that cross state lines.  Which is why you were told it was a "law".  This has come to light because of the many on-line programs where you can live in one state and graduate from a college/university in another state.  Many institutions fear losing federal funding if they are not in compliance with these federal regulations, so in order to avoid being out of compliance until this is all figured out many programs are just keeping all educational oppurtunities within their state boundries. I'm sure this is not permanent, however, who knows how long it will take to figure out the fix.

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If this is true, which I highly doubt, programs like MEDEX will cease to exist.  

Interesting and different from when I went to PA school. Part of this is ARC-PA which several years ago put in place a rule that essentially all sites must be treated equally. If you go visit students at one site then you have to visit at others. This led some programs to discontinue out of state rotations to save money in staff traveling. 

 

According to this

http://docs.accet.org/downloads/program_integrity/state_reg_report_jan11.pdf

The principle driver is a 2010 department of education rule that the program has to show it has appropriate licensing in a state where it has activity. In the document they point out there is a wide disparity in state law regarding how these programs are treated. I've heard this is worse on the NP side. NP programs generally have to go through the state board of nursing while the board of medicine usually has very little to do with education. In North Carolina the BON has denied permission for students to do clinicals in the state if there is no physical presence.. 

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Also, if you want a good synopsis of the laws for PA's in a particular state: http://www.aapa.org/threeColumnLanding.aspx?id=304

 

I don't always agree with everything the AAPA does, but if you are a student I would highly recommend paying the small fee to become a member and learn as much as you can about the laws in the state(s) you will practice in. There have been several posts on the forum recently about new grads not understanding PA laws when it comes to prescribing meds or other obscure laws pertaining to their state of practice. If you go to school in California, but do a rotation in Colorado, you are subjected to the laws in the state of Colorado... Not CA.

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Have new PA programs popped up in neighboring areas where your program has historically had rotation sites? I know this can become an issue when programs impede on each other's turf and obligations to one school's students conflict with a site's ability to enter contract with another school which may be more closely located and have a newly opening PA program. It could be possible that there are some state laws (or, more likely, agreements among universities) that pertain to issues like this one. Just speculating, though.

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  • 1 month later...

I am a PA-S in Georgia about to start rotations in February. As from being from Boston, I had planned on doing clinical rotations in Boston or the surrounding cities, and I was told yesterday about the new "Federal Regulation" that prohibited me from doing so. Does anyone know more about this federal regulation, or where I can find more information on it? 

 

What I was told: Federal regulation that all states have the ability to enforce, but not all do. OOS schools sending students to complete rotations in that state are required complete application (similar to affiliation paperwork), pay an application fee, and also some type of security deposit or bond. The cost of doing so for each state is about $5,000-10,000. Not all states enforce this rule but some states do. Also the real issue comes when you try to get licensed in that state, the board can look back through your file and if you completed a rotation within that state w/o the paperwork from the OOS school, they can say your rotation was not completed properly and therefore you are ineligible candidate.

 

Massachusetts and Oregon are the states that are enforcing in (the 2 I asked about.) But NH, Vermont, Connecticut are allegedly okay for rotations. 

 

Now I am having to look for clinical rotations in New Hampshire! 

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  • 1 month later...

I'm currently attending school in attending school in Indiana and have been told that I cannot do rotations in Kentucky (where I am a legal resident) because I attend school in Indiana.  I have not been given the details behind this decision and I'm working on getting to the bottom of it, but like others have said here, I doubt that it is based in "law".  I suspect it is rather a financial or political problem.  When I left KY in May we had out of state PA students on rotation at our hospital.

 

I have great contacts back home in Kentucky but if anyone has any updates on this topic please post.  I will do likewise.  Thanks!

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