October 25, 2019 - Introduced by Representatives VanderMeer, Edming,
Considine, Anderson, Dittrich, Doyle, Felzkowski, James, Krug, Kulp,
Mursau, Oldenburg, Quinn, Ramthun, Rohrkaste, Sortwell, Spiros,
Summerfield, Tittl, Vruwink and Tauchen, cosponsored by Senators
Bernier, Kooyenga, Hansen, Tiffany, Schachtner and Bewley. Referred to
Committee on Regulatory Licensing Reform.

AB575,2,6 1An Act to repeal 15.407 (2), 50.01 (4p), 252.01 (5), 448.01 (6), 448.03 (1) (b),
2448.03 (3) (e), 448.04 (1) (f), 448.05 (5), 448.20, 448.21, 448.40 (2) (f), 448.695 (4)
3and 450.01 (15r); to renumber 448.038; to amend 15.08 (1m) (b), 16.417 (1)
4(e) 3m., 46.03 (44), 48.981 (2m) (b) 1., 49.45 (9r) (a) 7. a., 50.08 (2), 50.39 (3),
550.60 (1), 55.14 (8) (b), 69.01 (6g), 70.47 (8) (intro.), 97.67 (5m) (a) 3., 118.2925
6(1) (f), 146.38 (1) (b) 1., 146.81 (1) (d), 146.81 (1) (i), 146.81 (1) (j), 146.82 (3) (a),
7146.89 (1) (r) 1., 146.997 (1) (d) 5., 155.01 (7), 252.15 (1) (am), 252.15 (1) (ar) 1.,
8255.07 (1) (d), 255.07 (7), 257.01 (5) (a), 257.01 (5) (b), 343.16 (5) (a), 440.035
9(2m) (b), 440.035 (2m) (c) 1. (intro.), 448.015 (4) (am) 2., 448.02 (1), 448.03 (2)
10(a), 448.03 (2) (e), 448.03 (2) (k), 448.03 (5) (b), 448.035 (2) to (4), 448.037 (2) (a)
11(intro.) and (b) and (3), 448.62 (7), 450.01 (16) (hm) 3., 450.10 (3) (a) 5., 450.11
12(1), 450.11 (1g) (b), 450.11 (1i) (a) 1., 450.11 (1i) (b) 2. c., 450.11 (1i) (c) 2., 450.11
13(8) (b), 462.02 (2) (e), 462.04, 895.48 (1m) (a) (intro.), 961.01 (19) (a) and 971.14
14(4) (a); and to create 15.405 (4), 49.45 (9r) (a) 7. am., 69.18 (1) (ck), 146.81 (1)

1(hr), 146.997 (1) (d) 13m., 180.1901 (1m) (h), 450.10 (3) (a) 12., 450.11 (1i) (b) 2.
2cm., 450.11 (8) (f), chapter 461 and 990.01 (27s) of the statutes; relating to:
3regulation of physician assistants, creating a Physician Assistant Examining
4Board, extending the time limit for emergency rule procedures, providing an
5exemption from emergency rule procedures, granting rule-making authority,
6and providing a penalty.

Under current law, PAs are defined as individuals who are licensed to provide
medical care with physician supervision and direction. The Medical Examining
Board licenses and regulates PAs as well as physicians and certain other professions.
The Medical Examining Board is composed of ten physicians and three public
members and is authorized to promulgate rules establishing licensing and practice
standards for PAs.

This bill transfers licensure and regulation of PAs to the newly created
Physician Assistant Examining Board. The new board is composed of seven PAs, one
member who may be either a physician or a PA, and one public member. In addition,
the bill makes various changes to the licensure, regulation, and practice of PAs,
including all of the following:

1. Instead of requiring that a PA practice under the supervision and direction
of a physician, requires, subject to certain exceptions, that a PA who provides care
to patients maintain and provide to the board upon request either 1) evidence that,
pursuant to the physician assistant's employment, there is a physician who is
primarily responsible for the overall direction and management of the physician
assistant's professional activities and for assuring that the services provided by the
physician assistant are medically appropriate or 2) a written collaborative
agreement with a physician or, if the physician assistant's practice is limited to the
practice of podiatry, a podiatrist, which must describe the PA's scope of practice and
include other information as required by the board. However, the bill provides that
a PA is individually and independently responsible for the quality of the care he or
she renders.

2. Defines a PA's practice similarly to the definition of the practice of medicine
and surgery. The bill also explicitly provides that a PA may prescribe, dispense, and
administer drugs and may serve as a primary or specialty care provider. The bill
requires a PA to limit his or her practice to the scope of his or her experience,
education, and training, and retains a number of limitations on the practice of PAs.