Sb 697 Practice Agreement

The changes to California`s PA Law are in line with the national trend to ease restrictions on PAs and expand the scope of the work they do. In May 2016, the American Association of Physician Assistants (AAPA) approved a new version of its “Guidelines for State Regulation of PAs.” The new AAPA guidelines “provide that the scope of PA practice should include activities for which the PA is prepared through training and experience, does not link the scope of PA practice to that of a physician, does not require physician delegation, replaces references to physician “supervision” with “cooperation,” and removes the requirement, that physicians should be responsible for the care provided by the PA” (www.AAPA.org). Under the new guidelines, PA state associations can also “pursue even more advanced regulations that would increase the PA`s power of practice should the opportunity arise.” The Physician Assistants Practice Act provides for the approval and regulation of physician assistants by the Council of Physician Assistants, which falls under the jurisdiction of the California Medical Council. The law authorizes a physician`s assistant to provide medical services in accordance with regulations and the law and if such services are provided under the supervision of a licensed physician and surgeon. Among other things, the law requires the Council of Physician Assistants to provide recommendations to the California Medical Council on how to formulate guidelines for the review and approval of applications from physicians authorized to supervise physician assistants. The law prohibits a doctor and a surgeon from supervising more than 4 physician assistants at the same time. The law requires that the medical record identify the physician and surgeon responsible for supervising the physician`s assistant. The law requires that the supervising physician and surgeon be available to the physician assistant for consultation when such assistance is provided. The law requires the physician assistant and the attending physician and surgeon to establish written guidelines for appropriate supervision and authorize the supervising physician and surgeon to meet this requirement by agreeing to protocols for some or all of the duties performed by the physician assistant, as intended. The Act also authorizes a delegation of services agreement to authorize a physician assistant to order durable medical equipment, approve, sign, amend or supplement a treatment plan or care plan for persons receiving home health services or personal care services, or to certify a disability as intended.

This bill would remove the requirement for the Council of Physician Assistants to make recommendations to the California Medical Council on how to formulate guidelines for the review and approval of applications from physicians and surgeons authorized to supervise physician assistants. The bill would remove the requirement that the medical record must identify the supervising physician and surgeon responsible and that these written guidelines for appropriate oversight are established. Rather, the bill would authorize a physician assistant to provide medical services authorized by the Act as amended by that Act if certain requirements are met, including the fact that medical services are provided in accordance with an agreement of practice as defined and that the physician assistant is competent to provide the medical services. The bill would also require a practice agreement between a physician assistant and a physician and surgeon to meet certain requirements, and would require a practice agreement to establish policies and procedures to identify a physician and surgeon to supervise a physician assistant who provides services in a general acute care hospital. The law authorizes a physician`s assistant, under the supervision of a physician and surgeon, to administer or make drugs available to a patient, or to transmit a prescription orally or in writing in the patient`s record or in a drug prescription to a person who can lawfully provide the drug or medical device under certain requirements. This bill would revise and rewrite these provisions to authorize, among other related changes, the physician`s assistant to provide or order a drug or device that is subject to certain requirements, including that the disposition or appointment is consistent with the practitioner`s agreement and the physician`s academic preparation, or for which clinical competence has been established; == References == and that the physician and surgeon can be reached by telephone or other means of electronic communication at the time of the patient`s examination. The bill would also authorize the physician`s assistant to supply or order Schedule II or III controlled substances in accordance with the practice agreement or a patient-specific prescription approved by the attending physician and surgeon or supervisors. The law defines various terms for its purposes. This bill would revise and amend the definitions to implement the provisions of the bill. The bill would provide that any reference to a “delegation agreement” in another act would mean a “practice agreement” within the meaning of the bill. The bill would provide that “oversight,” as set out in the bill, does not require the supervising physician and surgeon to be physically present, but requires appropriate oversight, as agreed to in the practice agreement, and requires that the physician and surgeon be available by telephone or other means of electronic communication at the time of the patient`s examination. The bill would prohibit this provision from being interpreted as prohibiting the commission from requiring the physical presence of a physician and surgeon as a condition of reinstatement, probation or the imposition of disciplinary action by a PA.

The bill would also make various compliant changes. The law punishes the violation of certain provisions as an offence. By revising and revising the provisions of the law, the bill would change the definition of this crime and thus lead to a local state-mandated program. .