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PA Scope of Practice Laws

Interactive PA Scope of Practice Law Guide

All PAs must practice with a collaborating physician; however, state laws dictate the extent of that relationship. This interactive guide provides an overview of PA scope of practice laws by state with regard to the Six Key Elements of a Modern PA Practice Act from the American Academy of PAs (AAPA). For more information on specific state laws, consult your state’s PA practice act.

Interactive PA Scope of Practice Law Guide

Last Updated: 10/09/2018

  • "Licensure" As a Regulatory Term Yes! i

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    Yes: Law uses the term “licensure” to describe the process by which the state authorizes PAs to practice.

  • Full Prescriptive Authority Yes! i

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    Yes: PA prescriptive authority is determined at the practice level by the supervising physician.

  • Scope of Practice Determined on Site No i

    No: Law requires the scope of practice of each individual PA to be approved by the state medical board.

  • Adaptable Supervision Requirements No i

    No: Law determines the exact means by which responsible supervision is accomplished.

  • Cosignature Requirements Determined at the Practice Level No i

    No: "Countersignature by supervising physician must be pursuant to established policy and/or applicable legal regulations and accreditation standards. For inpatients and nursing home patients, a physician assistant may enter a verbal order from the supervising physician for controlled substances or other medications which the assistant is not authorized to prescribe, provided that the order is co-signed by the supervising physician in accordance with established guidelines and institutional policies."

  • No Limit on Number of PAs a Physician Can Supervise No i

    No: "A physician in a registration agreement with a physician assistant totaling 160 hours per week (four FTEs) may request a transitional allowance increasing the total weekly hours for the purpose of orientation of the incoming physician assistant."

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