S0871B1222A07571 MSP:JMT 10/05/20 #90 A07571
AMENDMENTS TO SENATE BILL NO. 871
Sponsor: SENATOR KILLION
Printer's No. 1222
Amend Bill, page 1, line 6, by striking out "and" and
inserting
, for practice of osteopathic medicine and surgery without
license prohibited and
Amend Bill, page 1, lines 11 through 14, by striking out all
of said lines and inserting
Section 1. The definitions of "physician assistant" and
"primary supervising physician" in section 2 of the act of
October 5, 1978 (P.L.1109, No.261), known as the Osteopathic
Medical Practice Act, added July 2, 2019 (P.L.415, No.69), are
amended to read:
Amend Bill, page 2, by inserting between lines 5 and 6
"Primary supervising physician." An osteopathic physician
[who is registered with the board and] designated in a written
agreement with a physician assistant under section [10(g)]
10(g.4) as having primary responsibility for [directing and
personally] supervising the physician assistant.
Amend Bill, page 2, line 7, by striking out all of said line
and inserting
Section 2. Sections 2.1(a) and 3(b) of the act are amended
to read:
Amend Bill, page 2, line 16, by inserting a bracket before
"six"
Amend Bill, page 2, line 16, by inserting after "six"
] seven
Amend Bill, page 2, lines 29 and 30; page 3, line 1; by
striking out all of said lines on said pages and inserting
Section 3. Practice of osteopathic medicine and surgery without
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license prohibited.
* * *
(b) Nothing in this act shall be construed to prohibit
services and acts rendered by a qualified physician assistant,
technician or other allied medical person if such services and
acts are rendered under the supervision, direction or control of
a licensed physician. It shall be unlawful for any person to
practice as a physician assistant unless licensed and approved
by the board. It shall also be unlawful for any physician
assistant to render medical care and services except under the
supervision [and direction] of the primary supervising physician
in accordance with section 10(g.4) and (j.1). A physician
assistant may use the title physician assistant or an
appropriate abbreviation for that title, such as "P.A.-C."
Section 3. Section 10(g), (g.2)(1) introductory paragraph,
(j.1), (l) and (m) of the act, amended July 2, 2019 (P.L.415,
No.69), are amended and the section is amended by adding
subsections to read:
Amend Bill, page 3, line 6, by inserting after "The"
primary
Amend Bill, page 3, line 10, by inserting after "the"
primary
Amend Bill, page 4, line 28, by inserting after "The"
primary
Amend Bill, page 4, lines 28 and 29, by striking out "shall
determine the number of " and inserting
may supervise seven
Amend Bill, page 4, line 29, by striking out "supervised"
Amend Bill, page 4, line 29, by inserting after "The"
primary
Amend Bill, page 5, line 2, by inserting after "the" where it
occurs the third time
primary
Amend Bill, page 5, by inserting between lines 4 and 5
(g.2) (1) Except as limited by paragraph (2), and in
addition to existing authority, a physician assistant shall have
authority to do all of the following, provided that the
physician assistant is acting within the supervision [and
direction] of the primary supervising physician:
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* * *
Amend Bill, page 5, by inserting between lines 9 and 10
(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 12, by inserting after "the" where
it occurs the second time
primary
Amend Bill, page 5, lines 14 through 21, by striking out all
of said lines
Amend Bill, page 5, by inserting between lines 21 and 22
(4) 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 5, line 23, by striking out the bracket
before "(j.1)"
Amend Bill, page 5, line 23, by inserting a bracket before
"approved"
Amend Bill, page 5, line 23, by inserting after "approved"
] primary supervising
Amend Bill, page 5, line 28, by inserting a bracket before
"practice"
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Amend Bill, page 5, line 30, by inserting after "(f)."
] employment outlined under the written agreement.
Amend Bill, page 6, line 1, by inserting a bracket before
"12"
Amend Bill, page 6, line 1, by inserting after "12"
] six
Amend Bill, page 6, line 4, by inserting a bracket before
"(iii)"
Amend Bill, page 6, line 21, by striking out all of said line
and inserting
(j.2) 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 (j.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.
* * *
(l) Nothing in this act shall be construed to prohibit the
employment of physician assistants by a health care facility
where such physician assistants function under the supervision
and direction of a primary supervising physician or group of
physicians.
(m) The physician assistant being licensed in this act and
functioning under the supervision of the primary supervising
physician defines his/her status as an employee and subject to
the normal employer/employee reimbursement procedures.
* * *
Amend Bill, page 6, line 22, by inserting after "of"
Osteopathic
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