1 | 1 | | underscored material = new |
---|
2 | 2 | | [bracketed material] = delete |
---|
3 | 3 | | 1 |
---|
4 | 4 | | 2 |
---|
5 | 5 | | 3 |
---|
6 | 6 | | 4 |
---|
7 | 7 | | 5 |
---|
8 | 8 | | 6 |
---|
9 | 9 | | 7 |
---|
10 | 10 | | 8 |
---|
11 | 11 | | 9 |
---|
12 | 12 | | 10 |
---|
13 | 13 | | 11 |
---|
14 | 14 | | 12 |
---|
15 | 15 | | 13 |
---|
16 | 16 | | 14 |
---|
17 | 17 | | 15 |
---|
18 | 18 | | 16 |
---|
19 | 19 | | 17 |
---|
20 | 20 | | 18 |
---|
21 | 21 | | 19 |
---|
22 | 22 | | 20 |
---|
23 | 23 | | 21 |
---|
24 | 24 | | 22 |
---|
25 | 25 | | 23 |
---|
26 | 26 | | 24 |
---|
27 | 27 | | 25 |
---|
28 | 28 | | HOUSE BILL 267 |
---|
29 | 29 | | 57 |
---|
30 | 30 | | TH LEGISLATURE |
---|
31 | 31 | | - |
---|
32 | 32 | | |
---|
33 | 33 | | STATE |
---|
34 | 34 | | |
---|
35 | 35 | | OF |
---|
36 | 36 | | |
---|
37 | 37 | | NEW |
---|
38 | 38 | | |
---|
39 | 39 | | MEXICO |
---|
40 | 40 | | |
---|
41 | 41 | | - |
---|
42 | 42 | | FIRST SESSION |
---|
43 | 43 | | , |
---|
44 | 44 | | |
---|
45 | 45 | | 2025 |
---|
46 | 46 | | INTRODUCED BY |
---|
47 | 47 | | Jenifer Jones and Elizabeth "Liz" Thomson |
---|
48 | 48 | | FOR THE LEGISLATIVE HEALTH AND HUMAN SERVICES COMMITTEE |
---|
49 | 49 | | AN ACT |
---|
50 | 50 | | RELATING TO LICENSURE; AMENDING THE PHYSICIAN ASSISTANT ACT TO |
---|
51 | 51 | | ALLOW CERTAIN EXPERIENCED PHYSICIAN ASSISTANTS TO SUPERVISE |
---|
52 | 52 | | NEWLY LICENSED PHYSICIAN ASSISTANTS. |
---|
53 | 53 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: |
---|
54 | 54 | | SECTION 1. Section 61-6C-2 NMSA 1978 (being Laws 1989, |
---|
55 | 55 | | Chapter 9, Section 2, as amended) is amended to read: |
---|
56 | 56 | | "61-6C-2. DEFINITIONS.--As used in the Physician |
---|
57 | 57 | | Assistant Act: |
---|
58 | 58 | | A. "administer" means to apply a prepackaged drug |
---|
59 | 59 | | directly to the body of a patient by any means; |
---|
60 | 60 | | B. "board" means the New Mexico medical board; |
---|
61 | 61 | | C. "dispense" means to deliver a drug directly to a |
---|
62 | 62 | | patient and includes the compounding, labeling and repackaging |
---|
63 | 63 | | of a drug from a bulk or original container; |
---|
64 | 64 | | .228895.1 underscored material = new |
---|
65 | 65 | | [bracketed material] = delete |
---|
66 | 66 | | 1 |
---|
67 | 67 | | 2 |
---|
68 | 68 | | 3 |
---|
69 | 69 | | 4 |
---|
70 | 70 | | 5 |
---|
71 | 71 | | 6 |
---|
72 | 72 | | 7 |
---|
73 | 73 | | 8 |
---|
74 | 74 | | 9 |
---|
75 | 75 | | 10 |
---|
76 | 76 | | 11 |
---|
77 | 77 | | 12 |
---|
78 | 78 | | 13 |
---|
79 | 79 | | 14 |
---|
80 | 80 | | 15 |
---|
81 | 81 | | 16 |
---|
82 | 82 | | 17 |
---|
83 | 83 | | 18 |
---|
84 | 84 | | 19 |
---|
85 | 85 | | 20 |
---|
86 | 86 | | 21 |
---|
87 | 87 | | 22 |
---|
88 | 88 | | 23 |
---|
89 | 89 | | 24 |
---|
90 | 90 | | 25 |
---|
91 | 91 | | D. "distribute" means to administer or supply |
---|
92 | 92 | | directly to a patient under the direct care of the distributing |
---|
93 | 93 | | physician assistant one or more doses of drugs prepackaged by a |
---|
94 | 94 | | licensed pharmacist and excludes the compounding or repackaging |
---|
95 | 95 | | from a bulk or original container; |
---|
96 | 96 | | E. "licensed physician" means a [medical or |
---|
97 | 97 | | osteopathic] physician with a current license to practice |
---|
98 | 98 | | medicine; [and] |
---|
99 | 99 | | F. "prescribe" means to issue an order individually |
---|
100 | 100 | | for the person for whom prescribed, either directly from the |
---|
101 | 101 | | prescriber to the pharmacist or indirectly by means of a |
---|
102 | 102 | | written order signed by the prescriber, bearing the name and |
---|
103 | 103 | | address of the prescriber, the prescriber's license |
---|
104 | 104 | | classification, the name and address of the patient, the name |
---|
105 | 105 | | of the drug prescribed, directions for use and the date of |
---|
106 | 106 | | issue; and |
---|
107 | 107 | | G. "supervising physician assistant" means a |
---|
108 | 108 | | physician assistant who has: |
---|
109 | 109 | | (1) a license to practice medicine; |
---|
110 | 110 | | (2) completed three or more years of clinical |
---|
111 | 111 | | practice as a physician assistant; and |
---|
112 | 112 | | (3) received approval to supervise a newly |
---|
113 | 113 | | licensed physician assistant pursuant to rules promulgated by |
---|
114 | 114 | | the board." |
---|
115 | 115 | | SECTION 2. Section 61-6C-6 NMSA 1978 (being Laws 2017, |
---|
116 | 116 | | .228895.1 |
---|
117 | 117 | | - 2 - underscored material = new |
---|
118 | 118 | | [bracketed material] = delete |
---|
119 | 119 | | 1 |
---|
120 | 120 | | 2 |
---|
121 | 121 | | 3 |
---|
122 | 122 | | 4 |
---|
123 | 123 | | 5 |
---|
124 | 124 | | 6 |
---|
125 | 125 | | 7 |
---|
126 | 126 | | 8 |
---|
127 | 127 | | 9 |
---|
128 | 128 | | 10 |
---|
129 | 129 | | 11 |
---|
130 | 130 | | 12 |
---|
131 | 131 | | 13 |
---|
132 | 132 | | 14 |
---|
133 | 133 | | 15 |
---|
134 | 134 | | 16 |
---|
135 | 135 | | 17 |
---|
136 | 136 | | 18 |
---|
137 | 137 | | 19 |
---|
138 | 138 | | 20 |
---|
139 | 139 | | 21 |
---|
140 | 140 | | 22 |
---|
141 | 141 | | 23 |
---|
142 | 142 | | 24 |
---|
143 | 143 | | 25 |
---|
144 | 144 | | Chapter 103, Section 6) is amended to read: |
---|
145 | 145 | | "61-6C-6. PHYSICIAN ASSISTANT SUPERVISION AND |
---|
146 | 146 | | COLLABORATION [WITH LICENSED PHYSICIANS ]--SCOPE OF PRACTICE-- |
---|
147 | 147 | | MEDICAL MALPRACTICE INSURANCE.-- |
---|
148 | 148 | | A. A physician assistant may perform the acts and |
---|
149 | 149 | | duties that are within the physician assistant's scope of |
---|
150 | 150 | | practice in collaboration with a licensed physician, if the |
---|
151 | 151 | | physician assistant has: |
---|
152 | 152 | | (1) completed three years of clinical practice |
---|
153 | 153 | | as a physician assistant with the supervision of a licensed |
---|
154 | 154 | | physician or supervising physician assistant ; and |
---|
155 | 155 | | (2) complied with rules adopted by the board |
---|
156 | 156 | | establishing qualifications for when a physician assistant may |
---|
157 | 157 | | engage in the practice of medicine in collaboration with a |
---|
158 | 158 | | licensed physician. |
---|
159 | 159 | | B. A physician assistant practicing in |
---|
160 | 160 | | collaboration with a licensed physician shall, at a minimum, |
---|
161 | 161 | | maintain a policy of malpractice liability insurance that will |
---|
162 | 162 | | qualify the physician assistant under the provisions of the |
---|
163 | 163 | | Medical Malpractice Act." |
---|
164 | 164 | | SECTION 3. Section 61-6C-7 NMSA 1978 (being Laws 1973, |
---|
165 | 165 | | Chapter 361, Section 5, as amended) is amended to read: |
---|
166 | 166 | | "61-6C-7. PHYSICIAN ASSISTANTS--RULES.--The board may |
---|
167 | 167 | | promulgate rules in accordance with the State Rules Act and |
---|
168 | 168 | | enforce those rules in accordance with the Uniform Licensing |
---|
169 | 169 | | .228895.1 |
---|
170 | 170 | | - 3 - underscored material = new |
---|
171 | 171 | | [bracketed material] = delete |
---|
172 | 172 | | 1 |
---|
173 | 173 | | 2 |
---|
174 | 174 | | 3 |
---|
175 | 175 | | 4 |
---|
176 | 176 | | 5 |
---|
177 | 177 | | 6 |
---|
178 | 178 | | 7 |
---|
179 | 179 | | 8 |
---|
180 | 180 | | 9 |
---|
181 | 181 | | 10 |
---|
182 | 182 | | 11 |
---|
183 | 183 | | 12 |
---|
184 | 184 | | 13 |
---|
185 | 185 | | 14 |
---|
186 | 186 | | 15 |
---|
187 | 187 | | 16 |
---|
188 | 188 | | 17 |
---|
189 | 189 | | 18 |
---|
190 | 190 | | 19 |
---|
191 | 191 | | 20 |
---|
192 | 192 | | 21 |
---|
193 | 193 | | 22 |
---|
194 | 194 | | 23 |
---|
195 | 195 | | 24 |
---|
196 | 196 | | 25 |
---|
197 | 197 | | Act for: |
---|
198 | 198 | | A. education, skill and experience for licensure of |
---|
199 | 199 | | a person as a physician assistant and providing forms and |
---|
200 | 200 | | procedures for biennial license renewal; |
---|
201 | 201 | | B. examining and evaluating an applicant for |
---|
202 | 202 | | licensure as a physician assistant as to skill, knowledge and |
---|
203 | 203 | | experience of the applicant in the field of medical care; |
---|
204 | 204 | | C. establishing when and for how long physician |
---|
205 | 205 | | assistants are permitted to prescribe, administer, dispense and |
---|
206 | 206 | | distribute dangerous drugs other than controlled substances in |
---|
207 | 207 | | Schedule I of the Controlled Substances Act pursuant to rules |
---|
208 | 208 | | adopted by the board after consultation with the board of |
---|
209 | 209 | | pharmacy; |
---|
210 | 210 | | D. allowing a supervising [or collaborating ] |
---|
211 | 211 | | licensed physician or supervising physician assistant to |
---|
212 | 212 | | temporarily delegate supervision [or collaboration ] |
---|
213 | 213 | | responsibilities for a physician assistant to another licensed |
---|
214 | 214 | | physician or supervising physician assistant; |
---|
215 | 215 | | E. allowing a collaborating licensed physician to |
---|
216 | 216 | | temporarily delegate collaboration responsibilities to another |
---|
217 | 217 | | licensed physician; |
---|
218 | 218 | | [E.] F. establishing when a physician assistant may |
---|
219 | 219 | | engage in the practice of medicine in collaboration with a |
---|
220 | 220 | | licensed physician; [and |
---|
221 | 221 | | F.] G. establishing an approval process for |
---|
222 | 222 | | .228895.1 |
---|
223 | 223 | | - 4 - underscored material = new |
---|
224 | 224 | | [bracketed material] = delete |
---|
225 | 225 | | 1 |
---|
226 | 226 | | 2 |
---|
227 | 227 | | 3 |
---|
228 | 228 | | 4 |
---|
229 | 229 | | 5 |
---|
230 | 230 | | 6 |
---|
231 | 231 | | 7 |
---|
232 | 232 | | 8 |
---|
233 | 233 | | 9 |
---|
234 | 234 | | 10 |
---|
235 | 235 | | 11 |
---|
236 | 236 | | 12 |
---|
237 | 237 | | 13 |
---|
238 | 238 | | 14 |
---|
239 | 239 | | 15 |
---|
240 | 240 | | 16 |
---|
241 | 241 | | 17 |
---|
242 | 242 | | 18 |
---|
243 | 243 | | 19 |
---|
244 | 244 | | 20 |
---|
245 | 245 | | 21 |
---|
246 | 246 | | 22 |
---|
247 | 247 | | 23 |
---|
248 | 248 | | 24 |
---|
249 | 249 | | 25 |
---|
250 | 250 | | supervising physician assistants to supervise newly licensed |
---|
251 | 251 | | physician assistants; and |
---|
252 | 252 | | H. carrying out all other provisions of the |
---|
253 | 253 | | Physician Assistant Act." |
---|
254 | 254 | | SECTION 4. Section 61-6C-8 NMSA 1978 (being Laws 1973, |
---|
255 | 255 | | Chapter 361, Section 6, as amended) is amended to read: |
---|
256 | 256 | | "61-6C-8. SUPERVISING OR COLLABORATING LICENSED |
---|
257 | 257 | | PHYSICIAN--RESPONSIBILITY--SUPERVISING PHYSICIAN ASSISTANT |
---|
258 | 258 | | RESPONSIBILITY.-- |
---|
259 | 259 | | A. As a condition of licensure, all physician |
---|
260 | 260 | | assistants practicing in New Mexico shall be supervised by a |
---|
261 | 261 | | licensed physician or supervising physician assistant . The |
---|
262 | 262 | | physician assistant shall inform the board of the name of the |
---|
263 | 263 | | licensed physician or supervising physician assistant under |
---|
264 | 264 | | whose supervision the physician assistant will practice. All |
---|
265 | 265 | | supervising physicians and supervising physician assistants |
---|
266 | 266 | | shall be licensed pursuant to the Medical Practice Act and |
---|
267 | 267 | | approved by the board. |
---|
268 | 268 | | B. Every licensed physician or supervising |
---|
269 | 269 | | physician assistant supervising a physician assistant shall be |
---|
270 | 270 | | individually responsible and liable for the performance of the |
---|
271 | 271 | | acts and omissions delegated to the physician assistant the |
---|
272 | 272 | | physician or supervising physician assistant supervises. |
---|
273 | 273 | | Nothing in this section shall be construed to relieve the |
---|
274 | 274 | | physician assistant of responsibility and liability for the |
---|
275 | 275 | | .228895.1 |
---|
276 | 276 | | - 5 - underscored material = new |
---|
277 | 277 | | [bracketed material] = delete |
---|
278 | 278 | | 1 |
---|
279 | 279 | | 2 |
---|
280 | 280 | | 3 |
---|
281 | 281 | | 4 |
---|
282 | 282 | | 5 |
---|
283 | 283 | | 6 |
---|
284 | 284 | | 7 |
---|
285 | 285 | | 8 |
---|
286 | 286 | | 9 |
---|
287 | 287 | | 10 |
---|
288 | 288 | | 11 |
---|
289 | 289 | | 12 |
---|
290 | 290 | | 13 |
---|
291 | 291 | | 14 |
---|
292 | 292 | | 15 |
---|
293 | 293 | | 16 |
---|
294 | 294 | | 17 |
---|
295 | 295 | | 18 |
---|
296 | 296 | | 19 |
---|
297 | 297 | | 20 |
---|
298 | 298 | | 21 |
---|
299 | 299 | | 22 |
---|
300 | 300 | | 23 |
---|
301 | 301 | | 24 |
---|
302 | 302 | | 25 |
---|
303 | 303 | | acts and omissions of the physician assistant. |
---|
304 | 304 | | C. Rules promulgated in accordance with the State |
---|
305 | 305 | | Rules Act pursuant to the Physician Assistant Act shall: |
---|
306 | 306 | | (1) require that a physician assistant whose |
---|
307 | 307 | | practice is a specialty care, as defined by the board, shall be |
---|
308 | 308 | | supervised by a licensed physician or supervising physician |
---|
309 | 309 | | assistant in accordance with requirements established by the |
---|
310 | 310 | | board; and |
---|
311 | 311 | | (2) allow a physician assistant whose practice |
---|
312 | 312 | | is primary care, as defined by the board, to collaborate with a |
---|
313 | 313 | | licensed physician in accordance with requirements established |
---|
314 | 314 | | by the board for different practice settings. |
---|
315 | 315 | | [C.] D. A physician assistant shall be supervised |
---|
316 | 316 | | by [or collaborate with ] a licensed physician or supervising |
---|
317 | 317 | | physician assistant in accordance with rules adopted by the |
---|
318 | 318 | | board. |
---|
319 | 319 | | E. A physician assistant shall collaborate with a |
---|
320 | 320 | | licensed physician in accordance with rules adopted by the |
---|
321 | 321 | | board." |
---|
322 | 322 | | - 6 - |
---|
323 | 323 | | .228895.1 |
---|