Delegation of Services Agreement California

The new law eliminates these requirements. Instead, it states: “Supervision as defined in this subsection shall not be construed as requiring the physical presence of the physician, but shall require: (A) compliance with appropriate supervision as agreed to in the agreement with the practitioner. B) The physician and surgeon are available by telephone or other electronic means of communication when the PA examines the patient. » Bus. & Prof. Code § 3501(f)(1), amended by SB 697 (valid from 1 January 2020). Service delegation agreement between supervising physician. The new law further provides that “nothing in the regulation requires a physician and surgeon to review or countersign a medical record of a patient being treated by a medical assistant, unless required by the agreement of practice.” Bus. & Prof. Code § 3502(c), amended by SB 697 (valid from 1. January 2020). To this end, section 3502.3 of the Business and Professions Code, as amended, provides that the agreement with the practitioner must cover “policies and procedures to ensure adequate supervision of the physician assistant, including, but not limited to, appropriate communication, availability, consultations and references between a physician and surgeon and the physician assistant in the provision of medical services.” Bus. & Prof. Code § 3502.3(a)(1)(B), amended by SB 697 (valid from 1 January 2020).

Under applicable law, PAs are required to enter into a delegation of service agreements that designate “any supervising physician.” Title 16 JRC Article 1399.540(b). The scope of activity of each agent is limited by the specific tasks assigned to the agent by their agreement on the delegation of services. Id. See also Bus. & Prof. Code §§ 3501(a)(10), 3502.3. The new law, as amended by SB 697, removes the requirement for an agreement on the delegation of services and replaces it with a requirement for a “practical agreement”. See Bus & Prof. Code §§ 3501(k), 3502.3, amended by SB 697 (valid from 1 January 2020). AGREEMENT ON THE DELEGATION OF SERVICES BETWEEN THE ATTENDING PHYSICIAN AND THE PHYSICIAN ASSISTANT AND WRITTEN GUIDELINES ON SUPERVISION [Optional wording is in italics.] This Delegation of Services Agreement (“Agreement”) is entered into between [__, M.D./D.O. (“Supervising Physician”)] [the physicians whose signatures appear below, each of whom is referred to herein as a “Supervising Physician”] and ___,, PA/PA-C (“PA”), in order to fulfill the purposes set out below.

1. Purpose. The purpose of this Agreement is to comply with the requirements of Title 16, Section 4, of the California Code of Regulations, hereinafter referred to as the “Physician Assistant Regulations”. Section 1399.540 of the Physician Assistants Regulation states in a relevant section: “A physician assistant may provide only those medical services that he or she is qualified to provide and that are consistent with the training, training and experience of the physician assistant and that are delegated in writing by a supervising physician. . who is responsible for the patients cared for by that doctor`s assistant. In this Agreement, the supervising physician hereby delegates the provision of certain medical services to the PA. Section 1399.545 of the Physician Assistants Regulation specifies the requirements for supervision by a supervising physician when a PA is caring for patients. This agreement specifies these requirements to be met by the attending physician.

2. Qualifications. The AP is accredited by the California Physician Assistant Committee. The supervising physician is licensed by the Medical Board of California or the Osteopathic Medical Board of California and qualified to act as a supervising physician. The PA and the supervising physician are familiar with the requirements for the provision of medical services by PAs and the oversight of PAs by supervising physicians, as set out in the Physician Assistants Regulations. 3. Authorized Services. (a) PA is authorized by the attending physician to perform all of the duties set out in subsections (a), (b), (c), (d), (e), (f) and (g) of section 1399.541 of the Physician Assistants Regulation, subject to the limitations and conditions described in this Agreement or established by the supervising physician in an applicable protocol or otherwise. [The PA is also authorized to perform certain surgical procedures determined by the supervising physician in accordance with paragraph 1399.541(i) of the Physician Assistants Regulations.] (b) In accordance with section 1399.540 of the Physician Assistants Regulation, the PA may only provide medical services that it is qualified to provide and that are consistent with the education, training and experience of the PA.

Pa shall consult with the attending physician or other qualified health professional about any task, procedure or diagnostic problem that pa determines to be beyond his or her level of competence, or refer such cases to the attending physician or other appropriate physician. 023.132639.4 DLMR_278157.1 -1- Senate Bill No. 697 (“SB 697”), a bill that significantly changes the oversight requirements for physician assistants (“MAs”) in California, was signed into law by California Governor Gavin Newsom on October 9, 2019 and comes into effect on January 1, 2020. Among the most significant changes made by SB 697 is 1. the cancellation of the requirement for a delegation of services agreement with a panel physician and the requirement for a “practice agreement” with an organized health care system as a whole; 2. Eliminate most of the previous specific surveillance requirements for PAs and provide appropriate oversight arrangements for the organized health care system; and 3. Approval of PAs to prescribe medications without specific medical supervision or medical contact information on the prescription. The net impact of these changes is to increase the independence of PaAs and bring their field of activity closer to that of nurses (“NPs”), who have long enjoyed a more independent field of activity. Hospitals and other providers working with PAs must be prepared to implement the new “practice agreements” under SB 697 as of January 1, 2020 for all PAs with whom they enter into new agreements. . . .