Amendment #328 to H5562

Removing Barriers to Care for Physician Assistants

Ms. Barber of Somerville moves to amend the bill by adding the following sections:

SECTION XXXX. Section 7 of chapter 94C of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by striking the words, “by the supervising physician and the physician assistant” and inserting thereof the words, “at the practice level.”

SECTION XXXX. Section 9E of chapter 112 of the General Laws, as so appearing, is hereby amended by striking out the first and second paragraphs and inserting in place thereof the following paragraphs:-

Notwithstanding any other provisions of law, a physician assistant may perform medical services when such services are within the education, training and experience of the physician assistant and which the physician assistant is competent to perform.

Physician assistants, depending upon their level of professional training and experience, may perform medical services of a general nature and may order tests and therapeutics.

SECTION XXXX. Said section 9E of said chapter 112, as so appearing, is hereby further amended striking out the fourth and fifth paragraphs and inserting in place thereof the following paragraphs:-

The legal responsibility of the physician assistant shall remain that of the individual physician assistant, employing physician, group of physicians, or healthcare facility as part of the health care team responsible for the care and treatment of the patient.

Notwithstanding any provision of law or regulation to the contrary, services provided by a physician assistant consistent with their scope of practice shall be covered by insurers and other payers if the same service is covered if provided by a physician. When appropriate, a physician assistant shall be identified as the provider in the bill and claims process when services have been provided directly by the physician assistant. A physician assistant may bill an insurer or other payer directly and receive direct payment for the delivery of medically necessary services. An insurer or other payer shall not impose a practice, education, or collaboration requirement that is inconsistent with or more restrictive than required by statute or regulation.

SECTION XXXX. Section 9F of said chapter 112 of the General Laws, as so appearing, is hereby amended by inserting after the first paragraph the following paragraph:-

The board shall require as a condition of granting or renewing a physician assistant's certificate of registration that a physician assistant shall practice for at least 3,000 hours, within the context of a collaborative agreement, within a hospital or integrated clinical setting where physician assistants and physicians work together to provide patient care. The physician assistant shall submit written evidence of such practice to the board with the application, or upon completion of the required collaborative practice experience. A collaborative agreement is a mutually agreed upon plan for the overall working relationship between the physician assistant and one or more physicians that designates the scope of collaboration necessary to manage the care of patients. The physician assistant and collaborating physician or physicians must have experience in providing care to patients with the same or similar medical problems.

SECTION XXXX. Section 9F of said chapter 112, as so appearing, is hereby amended by striking out the words, “and consistent with the authority of the board of registration in medicine over the supervising physician and the practice of medicine”

SECTION XXXX. The third sentence of the third paragraph section 9I of chapter 112, as so appearing, is hereby amended by striking out, in lines 29 - 30, the words “and the name and address of any supervising physician”.

SECTION XXXX. Said section 9I of said chapter 112, as so appearing, is hereby amended by striking out, in lines 35 – 36, the words “, change of supervising physician”.

SECTION XXXX.  Section 12B of said chapter 112, as so appearing, is hereby amended by striking out, in line 4, the words “or supervising”.

SECTION XXXX. The board of registration of physician assistants shall amend its regulations at 263 CMR 5.05 to be consistent with this act.

Additional co-sponsor(s) added to Amendment #328 to H5562

Removing Barriers to Care for Physician Assistants