HF 2652

as introduced - 88th Legislature (2013 - 2014) Posted on 03/03/2014 03:08pm

A bill for an act
relating to health care; modifying provisions related to physician assistants;
amending Minnesota Statutes 2012, sections 147A.01, subdivisions 17a, 23;
147A.20, subdivision 1; 256B.0625, subdivision 28a; repealing Minnesota
Statutes 2012, sections 147A.01, subdivision 5; 147A.20, subdivision 2.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2012, section 147A.01, subdivision 17a, is amended to
read:

Subd. 17a.

Physician-physician assistant delegation agreement.

"Physician-physician assistant delegation agreement" means the document prepared and
signed by the physician and physician assistant affirming the supervisory relationship and
defining the physician assistant scope of practice. deleted text begin Alternate supervising physicians must be
identified on the delegation agreement or a supplemental listing with signed attestation that
each shall accept full medical responsibility for the performance, practice, and activities of
the physician assistant while under the supervision of the alternate supervising physician.
deleted text end The physician-physician assistant delegation agreement outlines the role of the physician
assistant in the practice, describes the means of supervision, and specifies the categories of
drugs, controlled substances, and medical devices that the supervising physician delegates
to the physician assistant to prescribe. The physician-physician assistant delegation
agreement must comply with the requirements of section 147A.20, be kept on file at the
address of record, and be made available to the board or its representative upon request.

Sec. 2.

Minnesota Statutes 2012, section 147A.01, subdivision 23, is amended to read:

Subd. 23.

Supervising physician.

"Supervising physician" means a Minnesota
licensed physician who accepts full medical responsibility for the performance, practice,
and activities of a physician assistant under an agreement as described in section 147A.20.
deleted text begin The supervising physician who completes and signs the delegation agreement may be
referred to as the primary supervising physician. A supervising physician shall not
supervise more than five full-time equivalent physician assistants simultaneously. With
the approval of the board, or in a disaster or emergency situation pursuant to section
147A.23, a supervising physician may supervise more than five full-time equivalent
physician assistants simultaneously.
deleted text end

Sec. 3.

Minnesota Statutes 2012, section 147A.20, subdivision 1, is amended to read:

Subdivision 1.

Physician-physician assistant delegation agreement.

(a) A
physician assistant and supervising physician must sign a physician-physician assistant
delegation agreement which specifies scope of practice and manner of supervision as
required by the board. The agreement must contain:

(1) a description of the practice setting;

(2) a listing of categories of delegated duties;

(3) a description of supervision type; and

(4) a description of the process and schedule for review of prescribing, dispensing,
and administering legend and controlled drugs and medical devices by the physician
assistant authorized to prescribe.

(b) The agreement must be maintained by the supervising physician and physician
assistant and made available to the board upon request. If there is a delegation of
prescribing, administering, and dispensing of legend drugs, controlled substances, and
medical devices, the agreement shall include a description of the prescriptive authority
delegated to the physician assistant. Physician assistants shall have a separate agreement
for each place of employment. Agreements must be reviewed and updated on an
annual basis. The supervising physician and physician assistant must maintain the
physician-physician assistant delegation agreement at the address of record.

(c) Physician assistants must provide written notification to the board within 30
days of the following:

(1) name change;

(2) address of record change; and

(3) telephone number of record change.

deleted text begin (d) Any alternate supervising physicians must be identified in the physician-physician
assistant delegation agreement, or a supplemental listing, and must sign the agreement
attesting that they shall provide the physician assistant with supervision in compliance
with this chapter, the delegation agreement, and board rules.
deleted text end

Sec. 4.

Minnesota Statutes 2012, section 256B.0625, subdivision 28a, is amended to
read:

Subd. 28a.

Licensed physician assistant services.

(a) Medical assistance covers
services performed by a licensed physician assistant if the service is otherwise covered
under this chapter as a physician service and if the service is within the scope of practice
of a licensed physician assistant as defined in section 147A.09.

(b) Licensed physician assistants, who are supervised by a physician certified by
the American Board of Psychiatry and Neurology or eligible for board certification in
psychiatry, may bill for medication management and evaluation and management services
provided to medical assistance enrollees deleted text begin in inpatient hospital settings deleted text end , consistent with
their authorized scope of practice, as defined in section 147A.09, with the exception of
performing psychotherapy or diagnostic assessments or providing clinical supervision.

Sec. 5. new text begin REVISOR'S INSTRUCTION.
new text end

new text begin The revisor of statutes shall change the term "physician's assistant" to "physician
assistant" wherever that term is found in Minnesota Statutes and Minnesota Rules.
new text end

Sec. 6. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2012, sections 147A.01, subdivision 5; and 147A.20, subdivision
2, new text end new text begin are repealed.
new text end