Delegation Of Services Agreement Between Supervising Physician And Nurse Practitioner

Senate Act 697 (“SB 697”), a bill that significantly changes the prudential requirements for medical assistants (“PAs”) in California, was signed on October 9, 2019 by California Governor Gavin Newsom and takes effect on January 1, 2020. One of the main changes made by SB 697 is the removal of the requirement for a service contract with a designated supervisor and the requirement for a “practice agreement” with an organized health system as a whole; 2. the elimination of most of the previous specific monitoring requirements for APAs and the implementation of appropriate prudential provisions for the organized health system; and three. Allow APs to prescribe medications without any special medical supervision or doctor`s contact information on the prescription. The net effects of these changes are the increased independence of P.A. and the rapprochement of their scope with the nursing sector (“NPs”), which have long enjoyed a more independent scope. Hospitals and other providers working with P.A. must be prepared to implement the new “practical agreements” requested by SB 697 from January 1, 2020 for all PAs with whom they enter into new agreements. California Business and Professions Code Section 13401.5 states: “The next licensed person may . .

. . professional staff of the designated professional societies in this section, then the various “healing arts” of the working companies and the professional collaborators they can employ. Medical companies can hire medical assistants. Care companies can use medical aids indoors. Medical assistants and assistants may employ medical assistants inside. Acupuncture companies can employ medical assistants. Finally, naturopathic medical societies can hire medical assistants. In Section 13402.5, medical assistants are not cited as licensed professionals in a chiropractic company. The provisions for equipment or ordering of medicines and equipment by the Palestinian Authority have also changed considerably.

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