physician providing the temporary authorization for the
physician assistant to begin practice. If the application is
not complete, including, but not limited to, required
information or signatures not being provided or the fee not
being submitted, a temporary authorization for the physician
assistant to begin practicing shall not be issued. The
temporary authorization, when issued, shall provide a period
of 120 days during which the physician assistant may practice
under the terms set forth in the written agreement as
submitted to the board. Within 120 days the board shall
notify the supervising physician of the final approval or
disapproval of the application. If approved, a final approval
of the written agreement shall be issued to the supervising
physician. If there are discrepancies that have not been
corrected within the 120-day period, the temporary
authorization to practice shall expire.]
(6) Becomes effective upon submission by the primary
supervising physician, the physician assistant or a delegate
of the primary supervising physician and the physician
assistant to the board. The board may develop audit
procedures to ensure supervision and scope of practice
protections are maintained in accordance with this act. The
audit shall not include more than 10% of all written
agreements on an annual basis. A written agreement subject to
an audit shall remain in effect for two weeks after the board
notifies the primary supervising physician and the physician
assistant with remedies, if necessary, on the outcome of the
audit. The primary supervising physician, physician assistant
or delegate to the primary supervising physician and
physician assistant must submit a new written agreement which
shall be effective upon submission to the board.
A physician assistant shall not assist a physician in a manner
not described in the agreement or without the nature and degree
of supervision [and direction] described in the agreement. There
shall be no more than [four] six physician assistants for whom a
physician has responsibility or supervises pursuant to a written
agreement at any time. In health care facilities licensed under
the act of July 19, 1979 (P.L.130, No.48), known as the Health
Care Facilities Act, a physician assistant shall be under the
supervision [and direction] of a physician or physician group
pursuant to a written agreement, provided that a physician
supervises no more than [four] seven physician assistants at any
time. A physician may apply for a waiver to employ or supervise
more [than four] physician assistants at any time under this
section for good cause, as determined by the board.
* * *
(g) Supervision.--A physician assistant may be employed by a
health care facility licensed under the Health Care Facilities
Act under the supervision [and direction] of an approved
physician or group of such physicians, provided one of those
physicians is designated as having the primary responsibility
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