TeddyRucpin Posted April 17, 2021 Share Posted April 17, 2021 I’ve been seeing a fair number of states modify/improve their PA practice laws this year, especially during the pandemic. For the folks doing this a while, are things moving positively this year more than others? Overall thoughts? Quote Link to comment Share on other sites More sharing options...
sas5814 Posted April 17, 2021 Share Posted April 17, 2021 OTP type changes have happened and continue to happen at a speed I couldn't imagine 2 years ago. When discussing it with one national leader we thought 4 or 5 states in the first 2 years would be exceptional. I have lost count now of how many states either have made changes or have them in the hopper for the next legislative session. It is a lot if not a majority. Practice level collaboration is fast becoming the norm and resistance to it will be less and less as states see it didn't bring on the end times. SOME title change is going to happen though there is a lot of resistance within our own ranks. The biggest seems to be coming from old PAs who are very happy living in the days of yore and (in their retirement) don't see a need for it. I also expect our three other "pillars" will speak against it for their own self interested reasons. Watch what happens at the HOD to see if I am right. I'm not quite sure why non-AAPA groups with their own agenda get to speak at all but that is a different discussion. Bigger OTP goals like having our own PA boards will be harder and will take longer. Overall I think we are moving in a very positive direction and, if we can avoid cutting our own throats, will come out in a good position. 2 1 Quote Link to comment Share on other sites More sharing options...
TeddyRucpin Posted April 17, 2021 Author Share Posted April 17, 2021 28 minutes ago, sas5814 said: OTP type changes have happened and continue to happen at a speed I couldn't imagine 2 years ago. When discussing it with one national leader we thought 4 or 5 states in the first 2 years would be exceptional. I have lost count now of how many states either have made changes or have them in the hopper for the next legislative session. It is a lot if not a majority. Practice level collaboration is fast becoming the norm and resistance to it will be less and less as states see it didn't bring on the end times. SOME title change is going to happen though there is a lot of resistance within our own ranks. The biggest seems to be coming from old PAs who are very happy living in the days of yore and (in their retirement) don't see a need for it. I also expect our three other "pillars" will speak against it for their own self interested reasons. Watch what happens at the HOD to see if I am right. I'm not quite sure why non-AAPA groups with their own agenda get to speak at all but that is a different discussion. Bigger OTP goals like having our own PA boards will be harder and will take longer. Overall I think we are moving in a very positive direction and, if we can avoid cutting our own throats, will come out in a good position. Entering PA school this summer but it does feel like I’m reading state enhancements on a weekly basis, especially near and after the new year Would you mind explaining the benefits with scope determined at the practice level? I imagine there may have been certain restrictions when on state level but specific examples would be helpful. Also, is there a real benefit with changing the term “supervisor/supervision” to “collaboration/collaborative?” besides verbiage? Quote Link to comment Share on other sites More sharing options...
Komorebi Posted April 17, 2021 Share Posted April 17, 2021 (edited) As an NP, what sort of things do the PAs fight for at the state level? Obviously for NPs it is full practice. Is that what PAs are achieving as well or is there a different goal? Edited April 17, 2021 by Komorebi Quote Link to comment Share on other sites More sharing options...
PAinPenna Posted April 17, 2021 Share Posted April 17, 2021 What we generally fight for is legislation that reduces the administrative burden of having a PA on any health care team. We are excellently prepared to do so, though outdated laws are holding us back. Happy to say we are making great strides and the momentum is picking up. 1 1 2 Quote Link to comment Share on other sites More sharing options...
sas5814 Posted April 18, 2021 Share Posted April 18, 2021 21 hours ago, TeddyRucpin said: Entering PA school this summer but it does feel like I’m reading state enhancements on a weekly basis, especially near and after the new year Would you mind explaining the benefits with scope determined at the practice level? I imagine there may have been certain restrictions when on state level but specific examples would be helpful. Also, is there a real benefit with changing the term “supervisor/supervision” to “collaboration/collaborative?” besides verbiage? For many years our practice was limited by a rigid set of rules written and enforced at the state level. It generally required we be tied to a specific physician or number of physicians and each had to be registered with the state. No matter your skills and experience you had this state mandated rules you had to follow. With the changes you simply go to work, are part of a team, and your practice decides how you are utilized and who you are associated with. Besides the ease of this new system it reduces the administrative burden and costs of employing PAs making us more competitive in the job market. 2 2 Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted April 19, 2021 Share Posted April 19, 2021 Some specific prohibitions from states where I'm licensed (varies by state): pronouncing death signing mental health holds performing procedural sedations and/or ordering meds for RSI admitting patients to the hospital All are very relevant and limiting to someone who practices EM. Removing state level legislative and rule level prohibitions and making those decisions at the practice/hospital credentialing level would open up doors and permit more autonomous practice. Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 19, 2021 Moderator Share Posted April 19, 2021 18 minutes ago, ohiovolffemtp said: Some specific prohibitions from states where I'm licensed (varies by state): pronouncing death signing mental health holds performing procedural sedations and/or ordering meds for RSI admitting patients to the hospital All are very relevant and limiting to someone who practices EM. Removing state level legislative and rule level prohibitions and making those decisions at the practice/hospital credentialing level would open up doors and permit more autonomous practice. those are all unacceptable. In WA I can do all of those things. Quote Link to comment Share on other sites More sharing options...
iconic Posted April 19, 2021 Share Posted April 19, 2021 Old PAs need to get out of the way; they can stay assistants all they want 1 Quote Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted April 19, 2021 Administrator Share Posted April 19, 2021 4 hours ago, EMEDPA said: those are all unacceptable. In WA I can do all of those things. You can involuntary someone? I didn't think we could do that... Quote Link to comment Share on other sites More sharing options...
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