SB 116 — AN ACT relating to physician assistants.

UNOFFICIALCHAPTER COPY94 261 RSCHAPTER 94 ( SB 116/EN116 ) AN ACT relating to physician assistants.

Each team of physicians and physician assistants shall ensure that the approved[delegation of] medical tasks are[is] appropriate to the physician assistant's level of training and Page 1 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN experience, that the identifications of and access to the supervising physician are clearly defined, and that a process for evaluation of the physician assistant's performance is established;

(b) The holder shall provide evidence of completion, during the previous two (2) years, of a minimum of one hundred (100) hours of continuing education approved by the American Medical Association, the Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY American Osteopathic Association, the American Academy of Family Physicians, the American Academy of Physician Assistants, or by another entity approved by the board.

During the first two (2) years of licensure or prior to the first licensure Page 2 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN renewal:

One and one-half (1.5) hours of continuing education in the prevention and recognition of pediatric abusive head trauma, as defined in KRS 620.020, except that graduating physician assistant students may apply pediatric abusive head trauma curriculum taught in their physician assistant graduate education to count towards the required one and one-halfone- half (1.5) hours;

and Page 3 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN 2.

PageCHAPTER 494 of3 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN (g) Been unable or is unable to practice medicine according to acceptable and prevailing standards of care by reason of mental or physical illness or other condition including but not limited to physical deterioration that adversely affects cognitive, motor, or perceptive skills, or by reason of an extended absence from the active practice of medicine;

Page 5 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN (r) Failed to complete the required number of hours of approved continuing education;

A statement of assurance by the supervising physician that the scope of Page 6 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN medical services and procedures of the physician assistant[described in the application or in any supplemental information] shall not exceed the normal scope of practice of the supervising physician[;

Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY 4.

and Page 7 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN (f) Any alternate physician supervision arrangements authorized under KRS 311.840 to 311.862[A description of the additional service or procedure;

Compliance with a board-approvedboard- approved alternative filing method shall be deemed compliant with the filing and amendment requirements of this section.

Page 8 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN (7) A licensed health care facility may designate one (1) or more physicians to serve as alternate supervising physicians for the purpose of providing supervision to one (1) or more physician assistants when the primary supervising physician is unavailable.

A health care facility's designation of alternate supervising physicians may be structured to allow for rotating, shift-based, or department-department-based based supervision, provided that all supervising physicians:

CHAPTER 94 5 (8) A supervision agreement shall not be required to name an alternate supervising physician.

Page 9 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN (a) Procedures for the submission, review, modification, and renewal of supervision agreements;

(7)[(9)] Not require a physician assistant to perform services or other acts that the Page 10 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN physician assistant feels incapable of carrying out safely and properly;

and Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (b) "Institution" means all or part of any public or private facility, place, building, or agency, whether organized for profit or not, that is used, operated, or designed to provide medical diagnosis, treatment, nursing, rehabilitative, or preventive care;

Page 11 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN Section 6.

Page 12 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN 3.

CHAPTER 94 7 (f)[(e)] Notwithstanding paragraph (e)[(d)] of this subsection, prescriptions issued by a physician assistant for benzodiazepines or Carisoprodol shall be limited to a thirty (30) day supply without any refill.

(6)[(7)] A physician assistant may perform local infiltrative anesthesia under the provisions of subsection (1) of this section, but a physician assistant shall not Page 13 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN administer or monitor general or regional anesthesia unless the requirements of KRS 311.862 are met.

or (c) Identified in Kentucky administrative regulations promulgated by the Transportation Cabinet or the Department of Kentucky State Police as being Page 14 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN required to undergo the exam required by KRS 186.480.

Legislative Research Commission PDF Version ACTS OF THE GENERAL ASSEMBLY (a) A vision specialist;

(a) Attest that the applicant meets or exceeds the visual acuity standard and visual Page 15 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN field standard established by the cabinet;

(11) The Transportation Cabinet may promulgate administrative regulations pursuant to Page 16 of 17 SB011620.100 - 875 - XXXX 3/31/2026 3:30 PM Engrossed UNOFFICIAL COPY 26 RS SB 116/EN KRS Chapter 13A to:

PageSigned 17by ofGovernor 17April SB011620.10010, -2026. 875 - XXXX 3/31/2026 3:30 PM Engrossed