SB 1014 — Relating generally to physician assistants
Last action — Chapter 3, Acts, 1st Extraordinary Session, 2017
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House of Delegates
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced May 24, 2017. Enacted.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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2 sponsors
1 primary, 1 co-sponsors signed on.
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Cleared a recorded vote
Passed 2 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Bill Text
What changed in the latest version
218 added · 264 removedPlain-language change summary
The proposed amendments to SB 1014 include the repeal of a specific section that limited the practice of physician assistants. Additionally, new requirements for practice agreements were added, and physician assistants were granted signatory authority on certain forms, allowing them to take on more responsibilities in patient care. These changes matter because they expand the role of physician assistants in the healthcare system, potentially improving access to care for patients by allowing these professionals to perform additional tasks that were previously restricted.
NEWS RELEASES HELPFUL LINKS IntroducedEnrolled Version - Final Version « Senate Bill 1014 History OTHER VERSIONS — EnrolledIntroduced Version - Final Version | | Email Key:
Red = new code to be enacted WEST virginia Legislature FIRST EXTRAORDINARY session IntroducedEnrolled Senate Bill 1014 By Senators Carmichael (Mr.
President) and Prezioso (By Request of the Executive) [Introduced[Passed MayJune 24,9, 2017;
Referredin toeffect the90 Committeedays onfrom Healthpassage] andAN HumanACT Resources] A BILL to repeal §30-3E-8 of the Code of West Virginia, 1931, as amended;
adding requirements for practicepractice agreements;
(a) A certificate of death for each death which occurs in this state shall be filed with the section of vital statistics, or as otherwise directed by the stateState Registrar, within five days after death, and prior to final disposition, and shall be registered if it has been completed and filed in accordance with this section.
Provided, That for implementation of electronic filing of death certificates, the person who certifies to cause of death will be responsible for filing the electronic certification of cause of death as directed by the stateState Registrar and in accordance with legislative rule.
The board shall consist of fifteen sixteen members.
The other fourteen fifteen members shall be appointed by the Governor, with the advice and consent of the Senate.
One member shall be an individual licensed by the board as a physician assistant Two members shall be physician assistants licensed by the board.
Each term shall begin on October 1 of the applicable year and a member may not be appointed to more than two consecutive full terms on the board.
(2) “Alternate supervising collaborating physician” means one or more physicians licensed in this state and designated by the supervising collaborating physician to provide supervision of collaboration with a physician assistant in accordance with an authorized practice agreement.
(6) (8) “Endorsement” means a summer camp or volunteer endorsement authorized under this article.
(7) (9) “Health care facility” means any licensed hospital, nursing home, extended care facility, state health or mental institution, clinic or physician’s office.
(8) (10) “Hospital” means a facility licensed pursuant to article five-b, chapter sixteen of this code and any acute-care facility operated by the state government that primarily provides inpatient diagnostic, treatment or rehabilitative services to injured, disabled or sick persons under the supervision of physicians and includes psychiatric hospitals.
(9) (11) “License” means a license issued by either of the boards pursuant to the provisions of this article.
(10) (12) “Licensee” means a person licensed pursuant to the provisions of this article.
(11) (13) “Physician” means a doctor of allopathic or osteopathic medicine who is fully licensed pursuant to the provisions of either article three or article fourteen of this chapter to practice medicine and surgery in this state.
(12) (14) “Physician assistant” means a person who meets the qualifications set forth in this article and is licensed pursuant to this article to practice medicine under supervision collaboration.
(13) (15) “Practice agreement” means a document that is executed between a supervising collaborating physician and a physician assistant pursuant to the provisions of this article, and is filed with and approved by the appropriate licensing board.
(14) “Supervising§30-3E-2. physician” means a doctor of medicine, osteopathy or podiatry fully licensed, by the appropriate board in this state, without restriction or limitation, who supervises physician assistants.
(15) “Supervision” means overseeing the activities of, and accepting responsibility for, the medical services rendered by a physician assistant.
Constant physical presence of the supervising physician is not required as long as the supervising physician and physician assistant are, or can be, easily in contact with one another by telecommunication.
Supervision does not require the personal presence of the supervising physician at the place or places where services are rendered if the physician assistant’s normal place of employment is the same premises as the supervising physician.
§30-3E-2.
(4) Compile and publish an annual report that includes a list of currently licensed physician assistants, their supervising collaborating physicians and their locations in the state;
(7) The eligibility and extent to which a physician assistant may prescribe at the direction of his or her supervising collaborating physician, includingincluding: the following:
(A) A liststate offormulary drugsclassifying andthose pharmacologiccategories categories, or both, the prescription of drugs which mayshall not be delegatedprescribed toby a physician assistant, includingincluding, allbut drugsnot listedlimited into, Schedules I and II of the Uniform Controlled Substances Act, antineoplasticantineoplastics, radiopharmaceuticals and chemotherapeutic agents, or both, used in the active treatment of current cancer, radiopharmaceuticals, general anesthetics,anesthetics. radiographic contrast materials and any other limitation or exclusions of specific drugs or categories of drugs as determined by the boards;
(B) Authority to include, in a practice agreement, the delegation of prescribing authority for up to a 72-hour supply of drugs listed under Schedule III of the Uniform Controlled Substances Act so long as the prescription is nonrefillable and an annual supply of any drug, with the exception of controlled substances, which is prescribed for the treatment of a chronic condition, other than chronic pain management, with the chronic condition being treated identified on the prescription;
and (C) A description of the education and training requirements for a physician assistant to be eligible to receive delegated prescriptive writing authority as part of a practice agreement;
a state formulary classifying those categories of drugs which shall not be prescribed by a physician assistant, including, but not limited to, Schedules I and II of the Uniform Controlled Substances Act, antineoplastics, radiopharmaceuticals and general anesthetics.
(8) The authority a supervising collaborating physician may delegate for prescribing, dispensing and administering of controlled substances, prescription drugs or medical devices if the practice agreement includes:
(D) An attestation that all prescriptions shall include the physician assistant’s name and the supervisingcollaborating physician’s name, business address and business telephone number legibly written or printed;
The appropriate board shall issue a license to practice as a physician assistant under the supervision with the collaboration of that board’s licensed physicians or podiatrists.
and (3) ProofAn attestation that heall orcontinuing sheeducation isrequirements currentlyfor certified and has been continuously certified during the precedingreporting licensure period byhave thebeen Nationalmet. Commission on Certification of Physician Assistants;
and (4) (3) An attestation that all continuing education requirements for the reporting period have been met.
(3) Proof that he or she is currently certified and has been continuously certified during the preceding licensure period and expiration period by the National Commission on Certification of Physician Assistants has passed Physician Assistant National Certifying Examination;
(a) A physician assistant may not practice independent of a supervising collaborating physician.
(b) Before a licensed physician assistant may practice and before a supervisingcollaborating physician may delegate medical acts to a physician assistant, the supervising collaborating physician and the physician assistant shall:
(1) File a practice agreement with the appropriate licensing board, including any designated alternate supervisingcollaborating physicians;
Show all 71 changed lines (31 more)
(c) A physician applying to supervise collaborate with a physician assistant shall affirm that:
(1) The medical services set forth in the practice agreement are consistent with the skills and training of the supervising collaborating physician and the physician assistant;
(d) A supervising collaborating physician may enter into practice agreements with up to five full-time physician assistants at any one time.
A physician is prohibited from being a supervising collaborating or alternate supervising collaborating physician to more than five physician assistants at any one time.
However, a physician practicing medicine in an emergency department of a hospital or a physician who supervisescollaborating with a physician assistant who is employed by or on behalf of a hospital may providecollaborate supervisionwith for up to five physician assistants per shift if the physician has an authorized practice agreement in place with the supervised physician assistant or the physician has been properly authorized as an alternate supervising collaborating physician for each physician assistant.
(1) A description of the qualifications of the supervising collaborating physician, the alternate supervising collaborating physicians, if applicable, and the physician assistant;
(2) A description of the settings in which the supervising collaborating physician assistant will practice;
(3) A description of the continuous physician supervision collaboration mechanisms that are reasonable and appropriate for the practice setting, and the experience and training of the physician assistant;
(5) An attestation by the supervising collaborating physician that the medical acts to be delegated are:
(A) Within the supervising collaborating physician’s scope of practice;
and (7) A description of the limitation of the ability of the physician assistant to prescribe as set forth in subdivision (7), subsection (a), section three of this article;
and (7) (8) Any other information required by the boards.
or (2) Request additional information from the supervising collaborating physician and/or the physician assistant to evaluate the delegation of duties and advanced duties.
(1) A physician, with credentials that have been reviewed by the hospital or ambulatory surgical facility as a condition of employment as an independent contractor or as a member of the medical staff, supervises collaborates with the physician assistant;
(d) If a licensing board declines to authorize a practice agreement or any proposed delegated act incorporated therein, the board shall provide the supervising collaborating physician and the physician assistant with written notice.
Supervision of Collaboration with physician assistants.
(a) A licensed physician or podiatrist may supervisecollaborate with a physician assistant:
(1) As a supervising collaborating physician in accordance with an authorized practice agreement;
or (2) As an alternate supervising collaborating physician who:
(A) Supervises Collaborates in accordance with an authorized practice agreement;
(B) Has been designated an alternate supervising collaborating physician in the authorized practice agreement;
and (C) Only delegates those medical acts that have been authorized by the practice agreement and are within the scope of practice of both the primary supervising collaborating physician and the alternate supervising collaborating physician.
(b) A supervising collaborating physician is responsible at all times for the physician assistant under his or her supervision with whom he or she is collaborating, including:
and (3) Supervising Collaborating with the physician assistant in the care and treatment of a patient in a health care facility.
Credentialed medical facility staff and attending physicians of a hospital who provide direction to or utilize physician assistants employed by or on behalf of the hospital are considered alternate supervising collaborating physicians.
(3) Customary to the practice of the supervising collaborating physician;
(A) The organizers of the summer camp and public or community event have arranged for a supervising collaborating physician to be available as needed to the physician assistant;
(A) The organizers of the summer camp and public or community event have arranged for a supervising collaborating physician to be available as needed to the physician assistant;
(a) All hearings and procedures related to denial of a license, and all complaints, investigations, hearings and procedures regarding a physician assistant licenses license and the discipline accorded thereto, shall be in accordance with the processes and procedures set forth in articles three and/or fourteen of this chapter, depending on which board licenses the physician assistant.
(c) The boards shall direct to the appropriate licensing board a complaint against a physician assistant, a supervising collaborating physician and/or an alternate supervisingcollaborating physician.
(d) In the event that independent complaint processes are warranted by the boards with respect to the professional conduct of a physician assistant or a supervising collaborating and/or alternate supervising collaborating physician, the boards are authorized to work cooperatively and to disclose to one another information which may assist the recipient appropriate licensing board in its disciplinary process.
Show all 71 changed rows (31 more)
View plain text versions (2)
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Action History
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Chapter 3, Acts, 1st Extraordinary Session, 2017
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Approved by Governor 6/19/17 - House Journal
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Approved by Governor 6/1917 - Senate Journal
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Approved by Governor 6/19/17
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To Governor 6/13/17 - House Journal
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To Governor 6/13/17
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House received Senate message
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Completed legislative action
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Communicated to House
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Senate concurred in House amendments and passed bill (Roll No. 32)
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House Message received
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Communicated to Senate
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Passed House (Roll No. 639)
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Read 3rd time
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On 3rd reading, Special Calendar
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Committee amendment adopted (Voice vote)
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Read 2nd time
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On 2nd reading, Special Calendar
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Read 1st time
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Immediate consideration
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With amendment, do pass
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To House Health and Human Resources
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To Health and Human Resources
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Introduced in House
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Ordered to House
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Passed Senate (Roll No. 21)
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Read 3rd time
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Read 2nd time
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Constitutional Rule Suspended (Roll No. 20)
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Read 1st time
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Immediate consideration
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Reported do pass
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To Health and Human Resources
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Introduced in Senate
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To Health and Human Resources
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Filed for introduction
Sponsors
- Prezioso · Cosponsor
- Carmichael · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 1 co-sponsors · 150 not signed on
Sponsors (1)
- Carmichael
Co-sponsors (1)
- Prezioso
Not signed on (150)
150 members have not signed on to this bill.
Show all 150 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 64 | 0 | 0 | 8 |
| Republican | 19 | 0 | 0 | 4 |
| Democrat | 4 | 0 | 0 | 1 |
| Total | 87 | 0 | 0 | 13 |
| % of votes cast | 87% | 0% | 0% | 13% |
How each member voted (100)
| Member | Party | Vote |
|---|---|---|
| Lane | — | Yea |
| Romine, C. | — | Yea |
| Arvon | — | Yea |
| Romine, R. | — | Yea |
| Blair | — | Yea |
| Foster, G. | — | Yea |
| Martin | — | Yea |
| Maynard | — | Yea |
| Sypolt | — | Yea |
| Hartman | — | Yea |
| Thompson | — | Yea |
| Atkinson | — | Yea |
| Boggs | — | Yea |
| Brewer | — | Yea |
| Byrd | — | Yea |
| Capito | — | Yea |
| Fast | — | Yea |
| Fleischauer | — | Yea |
| Folk | — | Yea |
| Hamrick | — | Yea |
| Hicks | — | Yea |
| Longstreth | — | Yea |
| Love | — | Yea |
| Lynch | — | Yea |
| Marcum | — | Yea |
| Rowan | — | Yea |
| Rowe | — | Yea |
| Shott | — | Yea |
| Sponaugle | — | Yea |
| Storch | — | Yea |
| Summers | — | Yea |
| Upson | — | Yea |
| Nelson | — | Yea |
| Walters | — | Yea |
| Diserio | — | Yea |
| Speaker Armstead | — | Yea |
| Evans, E. | — | Yea |
| Foster, N. | — | Not Voting |
| Phillips | — | Not Voting |
| Evans, A. | — | Not Voting |
| Cowles | — | Yea |
| Deem | — | Yea |
| Espinosa | — | Yea |
| Higginbotham | — | Yea |
| Hollen | — | Not Voting |
| Householder | — | Yea |
| Isner | — | Yea |
| Kessinger | — | Yea |
| O'Neal | — | Yea |
| Overington | — | Yea |
| Pethtel | — | Yea |
| Robinson | — | Yea |
| Wagner | — | Yea |
| Wilson | — | Yea |
| Ambler | — | Yea |
| Baldwin | — | Not Voting |
| Bates | — | Not Voting |
| Canestraro | — | Yea |
| Caputo | — | Yea |
| Ferro | — | Yea |
| Frich | — | Yea |
| Harshbarger | — | Yea |
| Hill | — | Yea |
| Iaquinta | — | Yea |
| Lovejoy | — | Yea |
| Miley | — | Yea |
| Moye | — | Not Voting |
| Paynter | — | Yea |
| Pyles | — | Yea |
| Rodighiero | — | Yea |
| Sobonya | — | Yea |
| Westfall | — | Not Voting |
| Hollis Lewis | Democrat | Yea |
| John Williams | Democrat | Yea |
| Mike Pushkin | Democrat | Yea |
| Sean Hornbuckle | Democrat | Not Voting |
| Shawn Fluharty | Democrat | Yea |
| Ben Queen | Republican | Not Voting |
| Betsy Kelly | Republican | Yea |
| Bill Hamilton | Republican | Yea |
| Erica Moore | Republican | Yea |
| Gary G. Howell | Republican | Yea |
| George Miller | Republican | Yea |
| George Miller | Republican | Yea |
| Guy Ward | Republican | Yea |
| Jason Barrett | Republican | Yea |
| Jeff Eldridge | Republican | Yea |
| Jim Butler | Republican | Yea |
| Joe Ellington | Republican | Not Voting |
| Joe Statler | Republican | Yea |
| Lisa White | Republican | Not Voting |
| Mark Dean | Republican | Yea |
| Mark Zatezalo | Republican | Yea |
| Marty Gearheart | Republican | Yea |
| Matthew Rohrbach | Republican | Not Voting |
| Pat McGeehan | Republican | Yea |
| Roger Hanshaw | Republican | Yea |
| Roy Cooper | Republican | Yea |
| Vernon Criss | Republican | Yea |
| William Anderson | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 4 | 0 | 0 | 0 |
| Unaffiliated | 28 | 0 | 0 | 2 |
| Total | 32 | 0 | 0 | 2 |
| % of votes cast | 94% | 0% | 0% | 6% |
How each member voted (34)
| Member | Party | Vote |
|---|---|---|
| KARNES | — | Yea |
| RUCKER | — | Yea |
| BEACH | — | Yea |
| MANN | — | Yea |
| SMITH | — | Yea |
| BLAIR | — | Yea |
| MARONEY | — | Not Voting |
| STOLLINGS | — | Yea |
| BOLEY | — | Yea |
| MAYNARD | — | Yea |
| SWOPE | — | Yea |
| BOSO | — | Yea |
| SYPOLT | — | Yea |
| MULLINS | — | Not Voting |
| TAKUBO | — | Yea |
| CLINE | — | Yea |
| OJEDA | — | Yea |
| TRUMP | — | Yea |
| FACEMIRE | — | Yea |
| PALUMBO | — | Yea |
| UNGER | — | Yea |
| FERNS | — | Yea |
| PLYMALE | — | Yea |
| WELD | — | Yea |
| GAUNCH | — | Yea |
| PREZIOSO | — | Yea |
| WOELFEL | — | Yea |
| ROMANO | — | Yea |
| MR PRESIDENT | — | Yea |
| JEFFRIES | — | Yea |
| Charles H. Clements | Republican | Yea |
| George Miller | Republican | Yea |
| Mike Azinger | Republican | Yea |
| Walter Hall | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors SB 1014?
- SB 1014 is sponsored by Prezioso and Carmichael.
- What is the current status of SB 1014?
- This bill has been enacted into law. Introduced May 24, 2017. Enacted.
- Where can I track SB 1014?
- Track SB 1014 free on One Click Politics — get push/email alerts when it moves.
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