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https://www.aapa.org/news-central/2021/04/wyoming-landmark-legislation-a-victory-for-pas-and-patients/?utm_source=medwatch&utm_campaign=news_central_article&utm_medium=email

 

Wyoming Landmark Legislation a Victory for PAs and Patients

Legislation Repeals Requirement for Specific Relationship with Physician to Practice

April 5, 2021

wapaphoto_FB.jpg Left to right: Josh Hannes Wyoming Hospital Association Vice President; Eric Boley President of the Wyoming Hospital Association; Jennifer Frary, PA-C, WAPA Vice President; Governor Mark Gordon; Julie Whitesell MPAS, PA-C, WAPA President Elect; Senator Fred Baldwin, PA-C and Sponsor of WY SF 0033

Wyoming Governor Mark Gordon signed legislation today that repeals requirements for PAs to have a specific relationship with a physician or other provider in order to practice. The new law also recognizes PAs‘ ability to practice medicine consistent with their education, training, and experience.

Senate File 0033, sponsored by Senator Fred Baldwin, PA-C, makes historic improvements to PA practice in the state and is the result of the dedication and hard work of the Wyoming Association of PAs (WAPA).

“I sponsored this bill to increase patient access to care,” said Sen. Baldwin, PA-C. “I know firsthand that PAs provide high-quality care and are vital to meeting patient demand for health care in our state. For too long, unnecessary state law requirements have created barriers limiting PAs’ ability to meet this demand and I appreciate my legislative colleagues’ support of these important changes.”

The new law also states that PAs may collaborate with or refer to the appropriate member of a health care team as indicated by the patient’s condition; the current standard of care; and the PA’s education, experience, and competence. Collaboration is determined at the practice level, which allows for greater flexibility among treating providers.

“We’re pleased to see these much-needed updates and the removal of state laws that have left patients in Wyoming in the office of a qualified, competent PA they’ve seen for decades, who suddenly cannot treat them because the PA does not have a relationship with a supervising physician due to unexpected circumstances,” said Julie Whitesell, PA-C, WAPA president elect. “This bill is essential to ensuring safe, high-quality patient access to care, especially in rural areas where a PA may be the only available provider.”

The bill also requires a PA majority on the state’s PA advisory committee which makes recommendations to the state medical board on matters relating to PAs.

[Help further AAPA’s advocacy work – join or renew your membership today]

“With the signing of the Optimal Team Practice bill, Wyoming took a critical step forward to provide Wyomingites improved access to quality healthcare,” said AAPA president Beth Smolko, DMSc, MMS, PA-C, DFAAPA. “Removing unnecessary supervisory requirements increases PAs’ ability to care for patients and strengthens the healthcare team’s effectiveness.”

AAPA applauds WAPA’s outstanding work advancing this monumental shift for PAs in Wyoming. As partners in state advocacy, AAPA provided ongoing legislative advocacy support, including drafting, strategic counsel and grassroots engagement. WAPA also attributes their success to effective teamwork with the Wyoming Medical Society and the Wyoming Board of Medicine.

The bill becomes effective January 1, 2022. For additional information on SF 0033, the full version of the bill is available here on the Wyoming Legislature’s website.

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heck I am thinking of moving.... so tired of all the crap

just want to be like the old small town doc with a shingle hanging and a small office..... enough of the politics

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9 minutes ago, ventana said:

heck I am thinking of moving.... so tired of all the crap

just want to be like the old small town doc with a shingle hanging and a small office..... enough of the politics

and WY might be nicer than N Dakota....😀😀

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... all the while MY (well, not any more since I declined to renew) WAPA is busy supporting expansion of physician-assisted suicide bills to include PAs and NPs.  You know... that thing that is forbidden by the Hippocratic oath that some patients think we actually still take?

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3 minutes ago, rev ronin said:

expansion of physician-assisted suicide bills to include PAs and NPs. 

You mean physicians can legally kill PAs and NPs they disagree with....:)

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5 hours ago, EMEDPA said:

pretty well for the solo gigs actually.

From what I recall, some of the lower percentiles in the country. I had an offer in Sheridan in 2019 starting at 72k. I’m sure prn and locums is different. 

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WHOA!! Senator Fred Baldwin PA-C!! Very cool. He practiced for MANY years in my home town in Wyoming and provided many of my relatives with exceptional health care. He is highly regarded and a great a PA and continues to do great things. I tried to get a job there as a new grad with hopes of working and learning from him.

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1 hour ago, rtPA20 said:

WY, UT, ID, and WI all passed OTP bills and we aren't even into May yet!

so much for the arguments that it would cost millions of dollars and take decades...... 

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19 minutes ago, ventana said:

so much for the arguments that it would cost millions of dollars and take decades...... 

ain't it the truth. I'm stunned at the speed of progress. Texas has a very ambitious agenda for the next legislative session. I just gave $100 to their PAC. here's hoping this thing just keeps on picking up speed.

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3 hours ago, sas5814 said:

ain't it the truth. I'm stunned at the speed of progress. Texas has a very ambitious agenda for the next legislative session. I just gave $100 to their PAC. here's hoping this thing just keeps on picking up speed.

Can you share what the agenda is?

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14 hours ago, GetMeOuttaThisMess said:

Can you share what the agenda is?

I would have to go back and find the email they sent out weeks ago but , essentially, they are going for some of the biggest aspects of OTP. Of particular interest to me is the elimination of state level supervision rules in favor of local/practice level rules.

The NPs have moved for full independence every legislative session within my memory. They will again this go around. It isn't new but they get closer and closer and, one day, will pull, it off.

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3 hours ago, GetMeOuttaThisMess said:

Thanks.  I’m off their radar now.

You're never off the Texas Medical Board's radar.  They are in your closet right now, waiting for you to do something wrong....

🤣

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On 4/6/2021 at 8:28 AM, EMEDPA said:

and WY might be nicer than N Dakota....😀😀

I'll take Southern Utah...A little place called St. George! (that is.. After getting my DMSc and of course, ummm...the wife agrees) 😉

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12 hours ago, Joelseff said:

I'll take Southern Utah...A little place called St. George! (that is.. After getting my DMSc and of course, ummm...the wife agrees) 😉

St. George uses more water per capita than Vegas for their golf courses.  Happily you're only an hour and change away from Kanab so you can go volunteer at Best Friends Animal Society! 😀

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