Bill Text: MN SF1694 | 2013-2014 | 88th Legislature | Introduced
Bill Title: Physician assistant program alternate supervising physician provisions modification
Spectrum: Moderate Partisan Bill (Democrat 4-1)
Status: (Introduced - Dead) 2014-02-25 - Referred to Health, Human Services and Housing [SF1694 Detail]
Download: Minnesota-2013-SF1694-Introduced.html
1.2relating to health care; modifying provisions related to physician assistants;
1.3amending Minnesota Statutes 2012, sections 147A.01, subdivisions 17a, 23;
1.4147A.20, subdivision 1; 256B.0625, subdivision 28a; repealing Minnesota
1.5Statutes 2012, sections 147A.01, subdivision 5; 147A.20, subdivision 2.
1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.7 Section 1. Minnesota Statutes 2012, section 147A.01, subdivision 17a, is amended to
1.8read:
1.9 Subd. 17a. Physician-physician assistant delegation agreement.
1.10"Physician-physician assistant delegation agreement" means the document prepared and
1.11signed by the physician and physician assistant affirming the supervisory relationship and
1.12defining the physician assistant scope of practice.Alternate supervising physicians must be
1.13identified on the delegation agreement or a supplemental listing with signed attestation that
1.14each shall accept full medical responsibility for the performance, practice, and activities of
1.15the physician assistant while under the supervision of the alternate supervising physician.
1.16 The physician-physician assistant delegation agreement outlines the role of the physician
1.17assistant in the practice, describes the means of supervision, and specifies the categories of
1.18drugs, controlled substances, and medical devices that the supervising physician delegates
1.19to the physician assistant to prescribe. The physician-physician assistant delegation
1.20agreement must comply with the requirements of section147A.20 , be kept on file at the
1.21address of record, and be made available to the board or its representative upon request.
1.22 Sec. 2. Minnesota Statutes 2012, section 147A.01, subdivision 23, is amended to read:
1.23 Subd. 23. Supervising physician. "Supervising physician" means a Minnesota
1.24licensed physician who accepts full medical responsibility for the performance, practice,
2.1and activities of a physician assistant under an agreement as described in section147A.20 .
2.2The supervising physician who completes and signs the delegation agreement may be
2.3referred to as the primary supervising physician. A supervising physician shall not
2.4supervise more than five full-time equivalent physician assistants simultaneously. With
2.5the approval of the board, or in a disaster or emergency situation pursuant to section
2.6147A.23, a supervising physician may supervise more than five full-time equivalent
2.7physician assistants simultaneously.
2.8 Sec. 3. Minnesota Statutes 2012, section 147A.20, subdivision 1, is amended to read:
2.9 Subdivision 1. Physician-physician assistant delegation agreement. (a) A
2.10physician assistant and supervising physician must sign a physician-physician assistant
2.11delegation agreement which specifies scope of practice and manner of supervision as
2.12required by the board. The agreement must contain:
2.13(1) a description of the practice setting;
2.14(2) a listing of categories of delegated duties;
2.15(3) a description of supervision type; and
2.16(4) a description of the process and schedule for review of prescribing, dispensing,
2.17and administering legend and controlled drugs and medical devices by the physician
2.18assistant authorized to prescribe.
2.19(b) The agreement must be maintained by the supervising physician and physician
2.20assistant and made available to the board upon request. If there is a delegation of
2.21prescribing, administering, and dispensing of legend drugs, controlled substances, and
2.22medical devices, the agreement shall include a description of the prescriptive authority
2.23delegated to the physician assistant. Physician assistants shall have a separate agreement
2.24for each place of employment. Agreements must be reviewed and updated on an
2.25annual basis. The supervising physician and physician assistant must maintain the
2.26physician-physician assistant delegation agreement at the address of record.
2.27(c) Physician assistants must provide written notification to the board within 30
2.28days of the following:
2.29(1) name change;
2.30(2) address of record change; and
2.31(3) telephone number of record change.
2.32(d) Any alternate supervising physicians must be identified in the physician-physician
2.33assistant delegation agreement, or a supplemental listing, and must sign the agreement
2.34attesting that they shall provide the physician assistant with supervision in compliance
2.35with this chapter, the delegation agreement, and board rules.
3.1 Sec. 4. Minnesota Statutes 2012, section 256B.0625, subdivision 28a, is amended to
3.2read:
3.3 Subd. 28a. Licensed physician assistant services. (a) Medical assistance covers
3.4services performed by a licensed physician assistant if the service is otherwise covered
3.5under this chapter as a physician service and if the service is within the scope of practice
3.6of a licensed physician assistant as defined in section147A.09 .
3.7(b) Licensed physician assistants, who are supervised by a physician certified by
3.8the American Board of Psychiatry and Neurology or eligible for board certification in
3.9psychiatry, may bill for medication management and evaluation and management services
3.10provided to medical assistance enrolleesin inpatient hospital settings, consistent with
3.11their authorized scope of practice, as defined in section147A.09 , with the exception of
3.12performing psychotherapy or diagnostic assessments or providing clinical supervision.
3.13 Sec. 5. REVISOR'S INSTRUCTION.
3.14The revisor of statutes shall change the term "physician's assistant" to "physician
3.15assistant" wherever that term is found in Minnesota Statutes and Minnesota Rules.
3.16 Sec. 6. REPEALER.
3.17Minnesota Statutes 2012, sections 147A.01, subdivision 5; and 147A.20, subdivision
3.182, are repealed.
1.3amending Minnesota Statutes 2012, sections 147A.01, subdivisions 17a, 23;
1.4147A.20, subdivision 1; 256B.0625, subdivision 28a; repealing Minnesota
1.5Statutes 2012, sections 147A.01, subdivision 5; 147A.20, subdivision 2.
1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.7 Section 1. Minnesota Statutes 2012, section 147A.01, subdivision 17a, is amended to
1.8read:
1.9 Subd. 17a. Physician-physician assistant delegation agreement.
1.10"Physician-physician assistant delegation agreement" means the document prepared and
1.11signed by the physician and physician assistant affirming the supervisory relationship and
1.12defining the physician assistant scope of practice.
1.13
1.14
1.15
1.16 The physician-physician assistant delegation agreement outlines the role of the physician
1.17assistant in the practice, describes the means of supervision, and specifies the categories of
1.18drugs, controlled substances, and medical devices that the supervising physician delegates
1.19to the physician assistant to prescribe. The physician-physician assistant delegation
1.20agreement must comply with the requirements of section
1.21address of record, and be made available to the board or its representative upon request.
1.22 Sec. 2. Minnesota Statutes 2012, section 147A.01, subdivision 23, is amended to read:
1.23 Subd. 23. Supervising physician. "Supervising physician" means a Minnesota
1.24licensed physician who accepts full medical responsibility for the performance, practice,
2.1and activities of a physician assistant under an agreement as described in section
2.2
2.3
2.4
2.5
2.6
2.7
2.8 Sec. 3. Minnesota Statutes 2012, section 147A.20, subdivision 1, is amended to read:
2.9 Subdivision 1. Physician-physician assistant delegation agreement. (a) A
2.10physician assistant and supervising physician must sign a physician-physician assistant
2.11delegation agreement which specifies scope of practice and manner of supervision as
2.12required by the board. The agreement must contain:
2.13(1) a description of the practice setting;
2.14(2) a listing of categories of delegated duties;
2.15(3) a description of supervision type; and
2.16(4) a description of the process and schedule for review of prescribing, dispensing,
2.17and administering legend and controlled drugs and medical devices by the physician
2.18assistant authorized to prescribe.
2.19(b) The agreement must be maintained by the supervising physician and physician
2.20assistant and made available to the board upon request. If there is a delegation of
2.21prescribing, administering, and dispensing of legend drugs, controlled substances, and
2.22medical devices, the agreement shall include a description of the prescriptive authority
2.23delegated to the physician assistant. Physician assistants shall have a separate agreement
2.24for each place of employment. Agreements must be reviewed and updated on an
2.25annual basis. The supervising physician and physician assistant must maintain the
2.26physician-physician assistant delegation agreement at the address of record.
2.27(c) Physician assistants must provide written notification to the board within 30
2.28days of the following:
2.29(1) name change;
2.30(2) address of record change; and
2.31(3) telephone number of record change.
2.32
2.33
2.34
2.35
3.1 Sec. 4. Minnesota Statutes 2012, section 256B.0625, subdivision 28a, is amended to
3.2read:
3.3 Subd. 28a. Licensed physician assistant services. (a) Medical assistance covers
3.4services performed by a licensed physician assistant if the service is otherwise covered
3.5under this chapter as a physician service and if the service is within the scope of practice
3.6of a licensed physician assistant as defined in section
3.7(b) Licensed physician assistants, who are supervised by a physician certified by
3.8the American Board of Psychiatry and Neurology or eligible for board certification in
3.9psychiatry, may bill for medication management and evaluation and management services
3.10provided to medical assistance enrollees
3.11their authorized scope of practice, as defined in section
3.12performing psychotherapy or diagnostic assessments or providing clinical supervision.
3.13 Sec. 5. REVISOR'S INSTRUCTION.
3.14The revisor of statutes shall change the term "physician's assistant" to "physician
3.15assistant" wherever that term is found in Minnesota Statutes and Minnesota Rules.
3.16 Sec. 6. REPEALER.
3.17Minnesota Statutes 2012, sections 147A.01, subdivision 5; and 147A.20, subdivision
3.182, are repealed.
