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SENATE FLOOR VERSION
February 22, 2021
COMMITTEE SUBSTITUTE
FOR
SENATE BILL NO. 516 By: Montgomery
[ physician assistants - Physician Assistant Act -
effective date ]
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 59 O.S. 2011, Section 519.2, as
last amended by Section 1, Chapter 154, O.S.L. 2020 (59 O.S. Supp.
2020, Section 519.2), is amended to read as follows:
Section 519.2. As used in the Physician Assistant Act:
1. “Board” means the State Board of Medical Licensure and
Supervision;
2. “Committee” means the Physician Assistant Committee;
3. “Practice of medicine ” means services which require training
in the diagnosis, treatment and prevention of disease, in cluding the
use and administration of drugs, and which are performed by
physician assistants so long as such services are within the
physician assistants ’ skill, form a component of the phys ician’s
scope of practice, and are provided with physician supervi sion,
including authenticating by signature any form that may be
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authenticated by the delegating physician ’s signature with prior
delegation by the physician;
4. “Patient care setting ” means and includes, but is not
limited to, a physician ’s office, clinic, hospital, nursing home,
extended care facility, patient ’s home, ambulatory surgical center,
hospice facility or any other setting authorized by the delegating
physician;
5. “Physician assistant” means a health care professional,
qualified by academic a nd clinical education and licensed by the
State Board of Medical Licensure and Supervision, to practice
medicine with physician supervision;
6. “Delegating physician ” means an individual ho lding a license
in good standing as a physician from the State Boa rd of Medical
Licensure and Supervision or the State Board of Osteopathic
Examiners, who supervises an unlimited number of physician
assistants and delegates decision making pursuant to the practice
agreement;
7. “Supervision” means overseeing or delegati ng the activities
of the medical services rendered by a physician assistant through a
practice agreement between a medical doctor or osteopathic physician
performing procedures or directly o r indirectly involved with the
treatment of a patient, and the phy sician assistant working jointly
toward a common goal of providing services. Delegation shall be
defined by the practice agreement . The physical presence of the
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delegating physician is not required as long as t he delegating
physician and physician assist ant are or can be easily in contact
with each other by telecommunication. At all times a physician
assistant shall be considered an agent of the delegating physician;
8. “Telecommunication” means the use of ele ctronic technologies
to transmit words, soun ds or images for interpersonal communication,
clinical care (telemedicine) and review of electronic health
records; and
9. “Practice agreement” means a written agreement between a
physician assistant and the del egating physician concerning the
scope of practice of the physician assistant to only be determined
by the delegating physician and the physician assistant based on the
education, training, skills and experience of the physician
assistant. The agreement shall involve the joint formulation,
discussion and agreement on the methods of supervision and
collaboration for diagnosis, consultation and treatment of medical
conditions.
SECTION 2. This act shall become effective November 1, 2021.
COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES
February 22, 2021 - DO PASS AS AMENDED