Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S1354

Introduced
2/16/23  
Refer
2/16/23  
Refer
3/21/24  

Caption

Relative to removing barriers to care for physician assistants

Impact

The anticipated impact of S1354 on state laws includes the modification of Chapter 94C and Chapter 112 of the General Laws regarding the practice of physician assistants. By removing certain supervisory requirements, the bill potentially facilitates a more collaborative practice environment between PAs and physicians. Furthermore, it allows PAs to take on more responsibilities, which advocates argue could improve patient care and health outcomes in underserved areas. However, the bill does maintain that PAs cannot practice independently, emphasizing a continued reliance on collaborative agreements with supervising physicians. This balance aims at maximizing the capabilities of PAs while ensuring patient safety and quality of care through oversight.

Summary

Senate Bill S1354, titled 'An Act relative to removing barriers to care for physician assistants,' aims to amend existing regulations surrounding the practice of physician assistants (PAs) in Massachusetts. The bill intends to enhance the ability of PAs to provide medical care by reducing restrictive supervisory conditions that previously dictated their practice. Specifically, the bill proposes to change the requirements for supervision, allowing PAs to operate within the scope of their education, training, and competencies without the continuous physical presence of a supervising physician. This legislative change is designed to expand access to healthcare services by enabling PAs to function more independently within their professional roles, particularly in areas where physician shortages currently exist.

Contention

While supporters of the bill, including healthcare advocates and many PAs, assert that reducing bureaucratic barriers will lead to improved patient care and access, there are notable points of contention regarding the implications of such changes. Opponents argue that the bill could undermine the traditional supervisory relationships that ensure oversight and accountability in patient care. Concerns have been raised about the potential risks of PAs operating with less direct supervision, especially in complex medical scenarios. The debate reflects broader discussions on how best to maximize the healthcare workforce while ensuring patient safety standards are upheld.

Companion Bills

MA H4293

Similar To Prohibiting nonconsensual intimate examinations of anesthetized or unconscious patients

MA H2135

Replaces Relative to removing barriers to care for physician assistants

Similar Bills

CA AB1070

Physician assistants: physician supervision: exceptions.

LA HB702

Provides with respect to the practice of physician assistants

LA SB115

Provides with respect to the practice of physician assistants. (gov sig)

OK HB2051

Practice of medicine; creating the Supervised Physicians Act; limiting scope of supervised practice; directing specified Boards to promulgate certain rules; requiring collaborative practice arrangements; creating certain exemptions; effective date.

LA SB166

Provides relative to physician assistants. (8/1/19)

CA AB2194

Physician assistants: supervision: doctors of podiatric medicine.

CO SB083

Physician Assistant Collaboration Requirements

NV AB170

Providing for the licensure of associate physicians and associate osteopathic physicians. (BDR 54-840)