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Massachusetts PA's - the time to act is now!!


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Please call your State Senator TODAY!
 
The Massachusetts State Senate has just released S.2769, An Act putting patients first. The legislation includes aspects of telemedicine and makes key changes to some healthcare professions – notably granting independent practice authority to Nurse Practitioners, Nurse Anesthetists, and Psychiatric Nurse Mental Health Specialists. The press release issued by the Senate notes that it is meant to codify some of the Emergency Executive Orders put in place during the COVID-19 pandemic in order to make permanent changes that have proved beneficial to patient care and access.
 
A March 2020 Emergency Order removed the requirement that PAs file a supervising physician with the Commonwealth and this has proven very successful in giving hospitals and healthcare institutions increased flexibility and autonomy in how they have leveraged PAs throughout this pandemic. However, PAs are notably MISSING from this legislation and we must ensure that we are included as a valued member of the Massachusetts healthcare landscape.
 
Therefore, we are asking now for your help in securing passage of the below Amendment #33:
  • Amendment 33 to S.2769, Removing Barriers to Care for Physician Assistants, proposed by Senator Harriette Chandler. This amendment would change the current statute governing physician assistant practice by removing the state requirement that a PA practice under a supervising physician.
 
And NOW We Need Your HELP!
 
We want to ensure that as many Senators as possible sign on to Amendment #33 to S 2769 as co-sponsors. The deadline for co-sponsorship is Thursday, June 25th when the bill is taken up on the Senate floor during the formal session.  
 
Current Action Steps:
We are asking you to make ONE call/email today:  
1.    To your current State Senator
 (You can find out who your state senator is by going to www.wheredoivotema.com, by calling (800) 462-VOTE, or by contacting our government affairs consultant Kathryn Jason via email at kjason@charlesgroupconsulting.com)
 
Calling your State Senator:
 
2.    Call your State Senator in the Massachusetts legislature (listed on www.wheredoivotema.com as “State Senator”). It is also fine to speak with an aide. Ask to speak to an aide who is dealing with bills related to health care. 
 
3.    What to say:
a.    I am calling on behalf of the Massachusetts Association of Physician Assistants (MAPA). As a Physician Assistant (PA), and your constituent, I am asking you to sign onto Amendment #33 to S.2769, which is extremely important to me and my profession.
 
4.    Please co-sponsor Amendment #33 filed by Senator Harriette Chandler. This amendment would change the current statute governing physician assistant practice by removing the state requirement that a PA practice under a supervising physician.
 
5.    This change makes permanent aspects of a March 2020 Executive Order issued by DPH which has proven very successful in the 3 months since its issuance.
 
6.    Thank them for their time. If they have any questions, and you are unsure of the answer, simply say you do not know but will call them back. Please contact our government affairs consultant Kathryn Jason at kjason@charlesgroupconsulting.com to help you get the answer.
 
THANK YOU for your support of MAPA and your profession!
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Want to support MAPA and its mission?
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Catch up with MAPA on Social Media!
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Recent grad in MA here - I'm pretty confused by this proposition. Is advocating for the removal of the requirement that a PA practice under a SP equivalent to advocating for independent practice? Is this supposed to be a temporary measure during the pandemic or a permanent change going forward?

Personally I'm opposed to NPs pursuing independent practice for a number of reasons, and I'm under the impression that many/most PAs are opposed to seeking independent practice for ourselves. It's my understanding that most docs are opposed to independent practice as well. I do recognize that some PAs have suggested that they only support independent practice for PAs in order to maintain equivalency/relevancy in the midst of NP independent practice. 

I guess my questions are 1) see above, 2) what do PAs have to gain from pursuing independent practice (particularly in MA if anyone can comment)?

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3 hours ago, LogicalChallenge11 said:

Recent grad in MA here - I'm pretty confused by this proposition. Is advocating for the removal of the requirement that a PA practice under a SP equivalent to advocating for independent practice? Is this supposed to be a temporary measure during the pandemic or a permanent change going forward?

Personally I'm opposed to NPs pursuing independent practice for a number of reasons, and I'm under the impression that many/most PAs are opposed to seeking independent practice for ourselves. It's my understanding that most docs are opposed to independent practice as well. I do recognize that some PAs have suggested that they only support independent practice for PAs in order to maintain equivalency/relevancy in the midst of NP independent practice. 

I guess my questions are 1) see above, 2) what do PAs have to gain from pursuing independent practice (particularly in MA if anyone can comment)?

I would strongly encourage you to read the reams and reams of posts and discussion on this board

 

There is litterlally 1000's of reasons that we need to  (Must) get out from underneath the physician.  We are the ONLY profession which is totally controlled by another profession

We are valuable highly trained members of the health care team

We are held back from caring for our patients by outdated regulations

We can not bill

we can not manage our patients with out a Doc

We can not own a practice with out a doc

The list just goes on and on and on.....

 

You have admitted you are new to the profession, and this is great to have new blood coming in and I applaud you for asking questions like you have.  

 

How about other offering some ways the "supervision" has hampered their career (I have lose 2 jobs for being correct when the doc was wrong (like dead wrong))  I was politically correct in pointing out their shortcomings and yet the Doc stayed and I left....  both times on my choice to not jeopardize my license

 

 

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4 hours ago, LogicalChallenge11 said:

Recent grad in MA here - I'm pretty confused by this proposition. Is advocating for the removal of the requirement that a PA practice under a SP equivalent to advocating for independent practice? Is this supposed to be a temporary measure during the pandemic or a permanent change going forward?

Personally I'm opposed to NPs pursuing independent practice for a number of reasons, and I'm under the impression that many/most PAs are opposed to seeking independent practice for ourselves. It's my understanding that most docs are opposed to independent practice as well. I do recognize that some PAs have suggested that they only support independent practice for PAs in order to maintain equivalency/relevancy in the midst of NP independent practice. 

I guess my questions are 1) see above, 2) what do PAs have to gain from pursuing independent practice (particularly in MA if anyone can comment)?

Not here I have been doing this 26 yrs medicine almost 13 yrs as a PA , I am ready - set me free 

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