Relative to the regulation and practice of physician assistants.
Impact
If enacted, SB 228 would amend existing statutes around PA practice, granting PAs a broader scope of practice, which includes prescribing medications, rendering emergency medical care, and receiving direct reimbursement for services rendered. The modifications aim to alleviate healthcare provider shortages by allowing PAs to practice with greater autonomy while still ensuring their collaboration with physicians. This increased independence could enhance patient access to care, especially in underserved areas, while putting structures in place for professional accountability through mandatory liability insurance for practicing PAs.
Summary
Senate Bill 228 revises the regulation and practice of physician assistants in New Hampshire. This legislation introduces a framework where physician assistants (PAs) can operate under collaboration agreements with physicians, which dictate the scope of services they are authorized to provide based on their training and experience. The bill aims to enhance the transparency and accountability of PAs in medical practices, requiring PAs to identify themselves as treating providers in billing processes and ensuring that health insurers cannot impose stricter regulations than outlined in the bill. The bill facilitates the participation of PAs in emergency and disaster care without the requirement of a collaboration agreement in such situations.
Contention
One notable point of contention surrounding SB 228 hinges upon the balance between autonomy for physician assistants and the oversight required by supervising physicians. Some legislative discussions may raise concerns about the potential dilution of physician oversight in clinical settings, as PAs gain increased authority to practice independently. Additionally, there could be debates over the implications for malpractice liability and whether the existing frameworks sufficiently protect patients while allowing PAs to deliver high-quality care.
Relating to the practice of advanced practice registered nurses and physician assistants and the delegation of prescriptive authority by physicians to and the supervision by physicians of certain advanced practice registered nurses and physician assistants.