SB184,25,2317 a. Evidence that, pursuant to the physician assistant's employment, there is
18a physician who is primarily responsible for the overall direction and management
19of the physician assistant's professional activities and for assuring that the services
20provided by the physician assistant are medically appropriate. In this subd. 1. a.,
21“employment” includes an arrangement between the physician assistant and a 3rd
22party in which the 3rd party receives payment for services provided by the physician
23assistant.
SB184,26,324 b. A written collaborative agreement with a physician that, subject to subd.
251m., describes the physician assistant's individual scope of practice, that includes a

1protocol for identifying an alternative collaborating physician for situations in which
2the collaborating physician or the physician's designee is not available for
3consultation, and that includes other information as required by the board.
SB184,26,54 1m. All of the following apply to a written collaborative agreement between a
5physician and physician assistant under subd. 1. b.:
SB184,26,86 a. The agreement may be terminated by either party by providing written
7notice at least 30 days prior to the date of termination, or as otherwise agreed to by
8the physician and physician assistant.
SB184,26,139 b. The agreement shall specify that the collaborating physician shall remain
10reasonably available to the physician assistant through the use of
11telecommunications or other electronic means within a medically appropriate time
12frame and that the collaborating physician may designate an alternate collaborator
13during periods of unavailability.
SB184,26,1614 c. The agreement shall specify an arrangement for physician consultation with
15the patient within a medically appropriate time frame for consultation, if requested
16by the patient or the physician assistant.
SB184,26,1817 d. The agreement shall be signed by the physician assistant and the
18collaborating physician.
SB184,26,2019 2. Subdivision 1. does not require the physical presence of a physician at the
20time and place a physician assistant renders a service.
SB184,26,2521 2m. A physician assistant may practice under the supervision and direction of
22a podiatrist. A physician assistant who is practicing under the supervision and
23direction of a podiatrist shall be limited to providing nonsurgical patient services.
24Subdivision 1. does not apply to a physician assistant who is practicing under the
25supervision and direction of a podiatrist.
SB184,27,3
13. Subdivision 1. does not apply with respect to a physician assistant who is
2employed by the federal government as a civilian or member of the uniformed
3services while performing duties incident to that employment or service.
SB184,27,54 (b) A physician assistant shall limit his or her practice to the scope of his or her
5experience, education, and training.
SB184,27,76 (c) No physician assistant may provide medical care, except routine screening
7and emergency care, in any of the following:
SB184,27,88 1. The practice of dentistry or dental hygiene within the meaning of ch. 447.
SB184,27,99 2. The practice of optometry within the meaning of ch. 449.
SB184,27,1010 3. The practice of chiropractic within the meaning of ch. 446.
SB184,27,1111 4. The practice of acupuncture within the meaning of ch. 451.
SB184,27,1412 5. The practice of podiatry, except when the physician assistant is acting under
13the supervision and direction of a podiatrist, subject to par. (a) 2m. and the rules
14promulgated under s. 448.695 (4).
SB184,27,16 15(3) (a) It shall be the obligation of a physician assistant to ensure all of the
16following:
SB184,27,1817 1. That the scope of the practice of the physician assistant is identified and is
18appropriate with respect to his or her experience, education, and training.
SB184,27,2019 2. For purposes of sub. (2) (a) 1. b., that the relationship with and access to a
20collaborating physician by the physician assistant is defined.
SB184,27,2221 3. That the requirements and standards of licensure under this subchapter are
22complied with.
SB184,28,223 4. That consultation with or referral to other licensed health care providers
24with a scope of practice appropriate for a patient's care needs occurs when the
25patient's care needs exceed the physician assistant's experience, education, or

1training. A physician assistant shall ensure that he or she has awareness of options
2for the management of situations that are beyond the physician assistant's expertise.
SB184,28,43 (b) A physician assistant is individually and independently responsible for the
4quality of the care he or she renders.
SB184,28,9 5(4) A physician assistant may delegate a care task or order to another clinically
6trained health care worker if the physician assistant is competent to perform the
7delegated task or order and has reasonable evidence that the clinically trained
8health care worker is minimally competent to perform the task or issue the order
9under the circumstances.
SB184,28,11 10(5) (a) 1. The board shall, subject to subd. 2. and s. 448.695 (4), promulgate any
11rules necessary to implement this section, including rules to do any of the following:
SB184,28,1412 a. Allow for temporary practice, specifically defined and actively monitored by
13the board, in the event of an interruption of a collaborative relationship under sub.
14(2) (a) 1. b.
SB184,28,1815 b. Allow a physician assistant, in the absence of an employment or collaborative
16relationship under sub. (2) (a) 1., to provide medical care at the scene of an
17emergency, during a declared state of emergency or other disaster, or when
18volunteering at sporting events or at camps.
SB184,29,319 2. Rules promulgated by the board may not permit a broader scope of practice
20than that which may be exercised in accordance with subs. (1) and (2).
21Notwithstanding s. 15.085 (5) (b) 2., if the Medical Examining Board reasonably
22determines that a rule submitted to it by the Physician Assistant Affiliated
23Credentialing Board under s. 15.085 (5) (b) 1. permits a broader scope of practice
24than that which may be exercised in accordance with subs. (1) and (2), then the
25Physician Assistant Examining Board shall, prior to submitting the proposed rule

1to the legislative council staff under s. 227.15 (1), revise the proposed rule so that it
2does not exceed or permit a broader scope of practice than that which may be
3exercised in accordance with subs. (1) and (2).
SB184,29,64 (b) The board shall develop and recommend to the podiatry affiliated
5credentialing board practice standards for physician assistants practicing under
6podiatrists under sub. (2) (a) 2m.