Amendment H-1059 to HF 424

Filed March 6, 2023 in the House by

What it changes

1. Page 1, by striking line 8 and inserting “assistant licensed for two or more years or licensed for less than two years and practicing under a supervising physician”
2. Page 1, by striking lines 25 through 27 and inserting: “
3. “Physician assistant” means a person licensed to practice under the supervision of a physician as authorized in chapters 147 and 148C or licensed as a physician assistant under chapter 148C for two or more years .”
4. Page 1, by striking lines 32 and 33 and inserting “licensed and practicing under a supervising physician pursuant to chapter 148C or licensed as a physician assistant under chapter 148C for two or more years , a podiatrist licensed under chapter 149, a”
5. By striking page 2, line 35, through page 3, line
7. Page 3, line 8, by striking “and practicing under a” and inserting “and practicing under a”
8. Page 3, by striking line 9 and inserting “supervising physician under chapter 148C or licensed as a physician assistant under chapter 148C for two or more years , a podiatrist licensed”
9. By striking page 3, line 21, through page 5, line 20, and inserting: “Sec. ___. Section 148C.1, subsection 5, Code 2023, is amended to read as follows:
10. “Licensed physician assistant” or “licensed P.A.” means a person who is licensed by the board to practice as a physician assistant under the supervision of one or more physicians or who has been licensed by the board to practice as a physician assistant for two or more years . “Supervision” does not require the personal presence of the supervising physician at the place where medical services are rendered except insofar as the personal presence is expressly required by this chapter or required by rules of the board adopted pursuant to this chapter . Sec. ___. Section 148C.3, subsection 2, Code 2023, is amended to read as follows:
11. Rules shall be adopted by the board pursuant to this chapter requiring a licensed physician assistant to be supervised by physicians during the first two years of licensure . The rules shall provide that not more than five physician assistants shall be supervised by a physician at one time. The rules shall also provide that a physician assistant shall notify the board of the identity of the physician assistant’s supervising physician and of any change in the status of the supervisory relationship. Sec. ___. Section 148C.4, subsection 3, Code 2023, is amended to read as follows:
12. The degree of collaboration between a physician assistant and the appropriate member of a health care team shall be determined at the practice level, and may involve decisions made by the medical group, hospital service, supervising physician, or employer of the physician assistant, or the credentialing and privileging system of a licensed health care facility. A physician shall be accessible at all times for consultation with a physician assistant unless the physician assistant is providing emergency medical services pursuant to 645 IAC 327.1(1)(n) . The supervising physician shall have ultimate responsibility for determining the medical care provided by the supervising physician-physician assistant team. A physician assistant shall be responsible for the services performed by the physician assistant that are not performed under the supervision of a physician. Sec. ___. Section 148C.9, Code 2023, is amended to read as follows: 148C.9 Eye examination restricted. A physician assistant shall not be permitted to prescribe lenses, prisms, or contact lenses for the aid, relief, or correction of human vision during the first two years of licensure . A physician assistant shall not be permitted to measure the visual power and visual efficiency of the human eye, as distinguished from routine visual screening, except in the personal presence of a supervising physician at the place where such services are rendered , unless the physician assistant has been licensed for two or more years .”
13. Page 5, by striking lines 29 through 31 and inserting “assistant who has been delegated the authority to order the services of an orthotist, prosthetist, or pedorthist by the assistant’s supervising physician or who has been licensed as a physician assistant for two or more years .”
14. Page 5, line 35, by striking “and licensed physician assistants ,” and inserting “licensed physician assistants during the first two years of licensure”
15. Page 6, line 1, by striking “and” and inserting “and”
16. Page 6, line 2, after “physician,” by inserting “licensed physician assistants who have been licensed for two or more years,”
17. Page 6, line 25, by striking “to practice under the” and inserting “to practice under the”
18. Page 6, by striking lines 26 and 27 and inserting “supervision of a physician as authorized in chapters 147 and 148C or who has been licensed as a physician assistant for two or more years .”
19. Page 6, line 35, by striking “under the supervision of” and inserting “under the supervision of or”
20. Page 7, line 11, by striking “to” and inserting “to”
21. Page 7, by striking lines 12 and 13 and inserting “practice under the supervision of a physician as authorized in chapters 147 and 148C or who has been licensed as a physician assistant for two or more years”
22. Page 7, line 17, by striking “or modify the” and inserting “or modify the”
23. Page 7, by striking lines 18 through 20 and inserting “requirement in section 148C.4 that a physician assistant perform medical services under the supervision of a licensed physician during the first two years of licensure as a physician assistant .”
24. Page 7, line 24, by striking “or modify the” and inserting “or modify the”
25. Page 7, by striking lines 25 through 27 and inserting “requirement in section 148C.4 that a physician assistant perform medical services under the supervision of a licensed physician during the first two years of licensure as a physician assistant .”
26. Page 7, line 31, by striking “or modify the” and inserting “or modify the”
27. Page 7, by striking lines 32 through 34 and inserting “requirement in section 148C.4 that a physician assistant perform medical services under the supervision of a licensed physician during the first two years of licensure as a physician assistant .”
28. Page 8, line 3, by striking “or modify the” and inserting “or modify the”
29. Page 8, by striking lines 4 through 6 and inserting “requirement in section 148C.4 that a physician assistant perform medical services under the supervision of a licensed physician during the first two years of licensure as a physician assistant .”
30. Page 8, by striking lines 7 and
32. Title page, line 2, after “practice of” by inserting “certain”
33. By renumbering as necessary.

Official amendment (PDF) · In the Bill Book