71st OREGON LEGISLATIVE ASSEMBLY--2001 Regular Session
 
NOTE:  Matter within  { +  braces and plus signs + } in an
amended section is new. Matter within  { -  braces and minus
signs - } is existing law to be omitted. New sections are within
 { +  braces and plus signs + } .
 
LC 2828
 
                           A-Engrossed
 
                         Senate Bill 569
                 Ordered by the Senate April 24
           Including Senate Amendments dated April 24
 
Sponsored by Senator FISHER; Senator CARTER, Representative
  MORRISETTE (at the request of Oregon Society of Physician
  Assistants)
 
 
                             SUMMARY
 
The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure.
 
   { +  Eliminates requirement for physician to obtain annual
approval to use services of physician assistant. + }
  Modifies circumstances under which physician may supervise up
to four physician assistants.
   { +  Sunsets modification of circumstances under which
physician may supervise up to four physician assistants January
2, 2006. + }
 
                        A BILL FOR AN ACT
Relating to supervision of physician assistants; creating new
  provisions; and amending ORS 677.510.
Be It Enacted by the People of the State of Oregon:
  SECTION 1. ORS 677.510 is amended to read:
  677.510. (1) A person licensed to practice medicine under this
chapter shall not use the services of a physician assistant
without the prior approval of the Board of Medical Examiners. The
application shall state the name of the physician assistant,
describe the manner and extent to which the physician assistant's
services would be used and supervised, state the education,
training and experience of the physician assistant and provide
such other information in such a form as the board may require.
  (2) The board may approve or reject an application, or it may
modify the proposed use of the services of the physician
assistant and approve the application as modified.   { - Approval
shall be valid for no more than one year but may be renewed
annually. - }  When it appears to the board that the services of
a physician assistant are being used in a manner inconsistent
with the approval granted, the board may withdraw its approval.
If a hearing is requested by the physician or the physician
assistant upon the rejection of an application, or upon the
withdrawal of an approval, a hearing shall be conducted in
accordance with ORS 677.200.
  (3) The supervising physician may have a different specialty
from the physician assistant. A physician assistant may be
supervised by no more than four physicians. A physician may
supervise   { - two - }   { + four + } physician assistants.
 { - However, in population groups federally designated as
underserved, or in geographic areas of the state that are
federally designated health professional shortage areas,
federally designated medically underserved areas or areas
designated as medically disadvantaged and in need of primary
health care providers by the Director of Human Services or the
Office of Rural Health, a physician may supervise four physician
assistants. - }  The board may review and approve applications
from physicians serving federally designated underserved
populations, or physicians in federally designated health
professional shortage areas, federally designated medically
underserved areas or areas designated as medically disadvantaged
and in need of primary health care providers by the Director of
Human Services or the Office of Rural Health to supervise more
than four physician assistants, and applications from physician
assistants to be supervised by more than four physicians. A
physician assistant may render services in an emergency room and
other hospital settings, a nursing home, a corrections
institution and any site included in the practice description.
  (4) A licensed physician assistant may make application to the
board for emergency drug dispensing authority. The board shall
consider the criteria adopted by the Physician Assistant
Committee under ORS 677.545 (4) in reviewing the application.
Such emergency dispensing shall be of drugs prepared or
prepackaged by a licensed pharmacist, manufacturing drug outlet
or wholesale drug outlet authorized to do so under ORS chapter
689.
  SECTION 2. ORS 677.510, as amended by section 1 of this 2001
Act, is amended to read:
  677.510. (1) A person licensed to practice medicine under this
chapter shall not use the services of a physician assistant
without the prior approval of the Board of Medical Examiners. The
application shall state the name of the physician assistant,
describe the manner and extent to which the physician assistant's
services would be used and supervised, state the education,
training and experience of the physician assistant and provide
such other information in such a form as the board may require.
  (2) The board may approve or reject an application, or it may
modify the proposed use of the services of the physician
assistant and approve the application as modified. When it
appears to the board that the services of a physician assistant
are being used in a manner inconsistent with the approval
granted, the board may withdraw its approval. If a hearing is
requested by the physician or the physician assistant upon the
rejection of an application, or upon the withdrawal of an
approval, a hearing shall be conducted in accordance with ORS
677.200.
  (3) The supervising physician may have a different specialty
from the physician assistant. A physician assistant may be
supervised by no more than four physicians. A physician may
supervise   { - four - }   { + two + } physician assistants.
 { + However, in population groups federally designated as
underserved, or in geographic areas of the state that are
federally designated health professional shortage areas,
federally designated medically underserved areas or areas
designated as medically disadvantaged and in need of primary
health care providers by the Director of Human Services or the
Office of Rural Health, a physician may supervise four physician
assistants.  + }The board may review and approve applications
from physicians serving federally designated underserved
populations, or physicians in federally designated health
professional shortage areas, federally designated medically
underserved areas or areas designated as medically disadvantaged
and in need of primary health care providers by the Director of
Human Services or the Office of Rural Health to supervise more
than four physician assistants, and applications from physician
assistants to be supervised by more than four physicians. A
physician assistant may render services in an emergency room and
other hospital settings, a nursing home, a corrections
institution and any site included in the practice description.
  (4) A licensed physician assistant may make application to the
board for emergency drug dispensing authority. The board shall
consider the criteria adopted by the Physician Assistant
Committee under ORS 677.545 (4) in reviewing the application.
Such emergency dispensing shall be of drugs prepared or
prepackaged by a licensed pharmacist, manufacturing drug outlet
or wholesale drug outlet authorized to do so under ORS chapter
689.
  SECTION 3.  { + The amendments to ORS 677.510 by section 2 of
this 2001 Act become operative on January 2, 2006. + }
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