Role of the PA (H&R)

What do most states require between PAs and MD/DOs

an agreement with a specific physician

What states have change PA to Physican Associate

Delaware

Iowa

Maine

New Hampshire

Oregon

What states have passed title recognition legislation for physician associate

Kanas

Wisconsin

When can Physician Associate only be used (instead of assistant

In jurisdictions that have enacted title change or title recognition legislation

Must be consistent with individual state laws if patient facing

Must comply with employer policies, licensing policies, third-party payers, malpractice policies

PA Licensure Compact

A agreement between states to accept other state licenses

PA Practice Modernization

Working to update laws enacted in the 1970s

keep pace with evolving patient needs, technology, and innovations in healthcare delivery

What are the levels of modernatization

Foundational

Core

Optimal

What are key points to foundational modernizations

Licensure as regulatory term

Scope of practice at the practice lvel

Full prescriptive authority

Adaptable promixity

Co-Signing Requirements at the practice level

No ratio restrictions on the ratio

What are core modernization key poinys

PA Compact

Title Change

Harmonization Acts

Form Authenticaiton

Move from supervision to collaboration

Scope of practice determined by education, training, and experience

PAs practice medicine

PA responsible for care providied

Elimination of physician delegation

What are the key points of optimal modernaztion

Removal of the legal tether between PA and Physician

Separate PA board or one or more full PA voting members on medicial boards

Direct pay to PAs

Affordable Care Act (ACA)

Expands insurance coverage

Emphasis on prevention and primary care

How did ACA impact patient care

Increased coverage → potential for improved access to care

Reduced population of uninsured patients

How did ACA impact PA practice

Increased demand for primary care providers

Expands team based roles

Medicare and Medicaid

Public Insurance Programs

How did Medicare/Medicaid impact patient care

Determines access to services

How did Medicare/Medicaid impact PA practice

Defines reimbursement and billing

Influences practice setting and patient populations for PAs

Emergency Medical Treatment and Labor Act (EMTALA)

Requires emergency care and stabilization or transfer regardless of ability to pay

How did EMTALA impact patient care?

Ensures emergency care for all people

How did EMTALA impact PA practice?

employed in facilities that are bound by EMTALA

Federal Reimbursement Policy

Medicare recognizes PAs as billable providers

Payment for services linked to federal fee schedules

How does Federal Reimbursement Policy impact patient care

Influences care delivery models and provider availability

How does Federal Reimbursement Policy impact PA care

PAs bound by billing requirements

Allows for the financial viability of PA roles

Score of Practice Laws

Define what PAs are legally allowed to do in each state

What does the state dictate about PAs

Licensure

Scope of Practice

Supervision/Collaboration