S0870B1221A07559 MSP:JMT 10/05/20 #90 A07559
AMENDMENTS TO SENATE BILL NO. 870
Sponsor: SENATOR KILLION
Printer's No. 1221
Amend Bill, page 1, line 9, by inserting after "for"
definitions, for
Amend Bill, page 1, lines 13 through 15, by striking out all
of said lines and inserting
Section 1. The definition of "primary supervising physician"
in section 2 of the act of December 20, 1985 (P.L.457, No.112),
known as the Medical Practice Act of 1985, added July 2, 2019
(P.L.413, No.68), is amended to read:
Section 2. Definitions.
The following words and phrases when used in this act shall
have the meanings given to them in this section unless the
context clearly indicates otherwise:
* * *
"Primary supervising physician." A medical doctor who is
registered with the board and designated in a written agreement
with a physician assistant under section 13(e) as having primary
responsibility for [directing and personally] supervising the
physician assistant.
* * *
Section 1.1. Section 3 (a) and (b) of the act are amended to
read:
Amend Bill, page 1, line 21, by striking out "eight" and
inserting
nine
Amend Bill, page 2, line 1, by inserting a bracket before
"six"
Amend Bill, page 2, line 1, by inserting after "six"
] seven
Amend Bill, page 2, line 29, by striking out "13(d)" and
inserting
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13(a), (d)
Amend Bill, page 2, line 30, by inserting after "amended"
and the section is amended by adding a subsection
Amend Bill, page 3, by inserting between lines 1 and 2
(a) Authorized services.--A physician assistant may perform
a medical service delegated by [an approved physician and as
approved by the appropriate board. An approved physician is] a
physician identified in the written agreement required by
subsection (e).
Amend Bill, page 3, line 3, by striking out the bracket
before "A"
Amend Bill, page 3, line 3, by inserting a bracket before
"not"
Amend Bill, page 3, line 3, by inserting a bracket after
"not"
Amend Bill, page 3, line 4, by inserting a bracket before
"without"
Amend Bill, page 3, line 8, by inserting after "Commonwealth"
subject to the provisions of subsections (d.2) and (e)
Amend Bill, page 3, line 10, by inserting after "The"
primary supervising
Amend Bill, page 3, line 10, by inserting a bracket before
"approved"
Amend Bill, page 3, line 10, by inserting a bracket after
"approved"
Amend Bill, page 3, line 15, by inserting a bracket before
"practice"
Amend Bill, page 3, line 17, by inserting after "36(c)"
] employment outlined under the written agreement
Amend Bill, page 3, line 18, by inserting a bracket before
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"12"
Amend Bill, page 3, line 18, by inserting after "12"
] six
Amend Bill, page 3, line 21, by inserting a bracket before
"(iii)"
Amend Bill, page 4, lines 7 through 10, by striking out " The
supervising physician shall be responsible for" in line 7 and
all of lines 8 through 10 and inserting
(d.2) Supervision.--The following apply:
(1) The primary supervising physician shall be
responsible for the medical services that a physician
assistant renders.
(2) A physician assistant subject to subsection (d.1)
shall not be eligible to perform a medical service without
the supervision of an approved physician.
(3) The primary supervising physician may require
personal review of a selected number of patient records
completed by the physician assistant in order to maintain the
supervisory role outlined in the written agreement.
Amend Bill, page 4, by inserting between lines 17 and 18
(1.1) Identifies and is signed by an alternative
supervising physician in order to maintain the continuity of
care if the primary supervising physician cannot fulfill the
responsibilities. If the alternative supervising physician
becomes the primary supervising physician, the physician,
physician assistant or their designee has 30 days to make the
board aware of the change.
Amend Bill, page 5, line 7, by inserting after "the"
primary
Amend Bill, page 5, line 9, by inserting a bracket before
"(4)"
Amend Bill, page 5, line 9, by striking out the bracket
before "of"
Amend Bill, page 5, line 9, by striking out "] physician"
Amend Bill, page 5, line 10, by striking out the bracket
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before "and"
Amend Bill, page 5, line 11, by striking out the bracket
after "directing"
Amend Bill, page 5, line 12, by striking out the bracket
before "(5)"
Amend Bill, page 6, lines 3 through 6, by striking out all of
said lines and inserting
(5.1) Is filed with the board by the primary supervising
physician, the physician assistant or a delegate of the
primary supervising physician and physician assistant and a
copy maintained by the primary supervising physician at the
practice or health care facility and the physician assistant.
It shall not be a defense in any administrative or civil
action that the physician assistant acted outside the scope
of the practice or that the primary supervising physician
utilized the physician assistant outside the scope of
practice because the primary supervising physician or
physician assistant permitted another person to represent to
the board that the description had been approved by the
primary supervising physician or physician assistant. A
written agreement goes into effect once it is filed with the
board.
Amend Bill, page 6, line 21, by inserting after "the"
written
Amend Bill, page 6, lines 22 and 23, by striking out all of
said lines and inserting
primary supervising physician may supervise up to seven
physician assistants at any one time.
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