PHYSICIAN ASSISTANT BOARD

2005 Evergreen Street, Suite 110, Sacramento, CA 95815 Tel: (916) 561-8780 / Fax: (916) 263-2671 / www.pac.ca.gov

FACTS AT A GLANCE

BOARD STAFF

Executive Officer Legislative Contact Glenn Mitchell Lynn Forsyth

LAWS & REGULATIONS

Business and Professions Code §§ 3500 - 3546 California Code of Regulations, Title 16, Division 13.8, §§ 1399.500 - 1399.623

BUDGET ACT OF 2015: FY 2015-16

Appropriation: $1,571,000 Authorized positions: 4.5

BOARD MEMBERS

Total Board Members: 9 Public Members: 4 Professional Members: 5

SUNSET REVIEW

Last review: 2012 Inoperative/Repeal date: January 1, 2017

LICENSEE STATISTICS Category Number of Licensees

Physician Assistants 10,534

FEES

PHYSICIAN ASSISTANT FEES ACTUAL FEE STATUTORY LIMIT Application Fee* $25 $25 Initial License Fee $200 $300

TOTAL INITIAL LICENSE FEE $225 Biennial Renewal Fee $300 $300

*The application fee using fingerprint cards is $49.00.

LICENSING REQUIREMENTS

Degree/Professional Schooling Examination Continuing Education/Competency Fingerprinting Requirements YES YES YES YES

DETAILS

PROGRAM BACKGROUND

The Physician’s Assistant Examining Committee (Committee) was created by the Legislature in 1975 under the Medical Board of California. SB 1236 (Price, Chapter 332, Statutes of 2012) renamed the Committee the Physician Assistant Board (Board). The Board ensures that licensees and approved programs have met minimum licensure requirements. Additionally, the Board is authorized to investigate complaints against physician assistants and conduct disciplinary and enforcement actions.

Physician assistants are highly skilled professionals who, under the supervision of a physician, provide patient services such as physical examinations, ordering tests, administering injections, providing referrals, performing minor surgery and acting as first or second assistant during surgery.

LICENSE REQUIREMENTS – Business and Professions Code §§ 3517 and 3519-

3519.5

Applicants must complete a physician assistant educational program approved by the Board and pass a written exam.

RECIPROCITY

The Board does not have reciprocity provisions.

BOARD MEMBERS* Name Appointment Expiration Date Appointment Authority/Type

Senate Confirmation

Charles Alexander January 1, 2020 Governor/Public NO

Michael Bishop, M.D., (Medical Board Member) January 1, 2020 Governor/Professional NO

Sonya Earley January 1, 2020 Governor/Professional NO Javier Esquival-Acosta January 1, 2020 Governor/Professional NO VACANT January 1, 2015 Senate/Public NO Jed Grant (Vice Chair) January 1, 2019 Governor/Professional NO Catherine Hazelton January 1, 2017 Assembly/Public NO Xavier Martinez January 1, 2019 Governor/Public NO Robert Sachs (Chair) January 1, 2019 Governor/Professional NO

COMMITTEES

The following committees have been created by the Board, and consist of Board Members, that meet on a regular basis, for the purpose of discussing specific issues in depth, and providing feedback and any recommendations to the full Board.  Legislative Committee  Education/Workforce Development Committee

LEGISLATIVE HISTORY

AB 679 (Allen, Chapter 778, Statutes of 2015) delays an existing requirement for prescribers and dispensers to register on the Controlled Substance Utilization Review and Evaluation System prescription drug database by January 1, 2016 to July 1, 2016.

SB 337 (Pavley, Chapter 536, Statutes of 2015) recasts the supervision requirements for physician assistants. Specifically this bill adds additional mechanisms for physicians and surgeons to review the medical records of physician assistants providing treatment. This bill establishes requirements for a medical record review meeting; authorizes patient medical record reviews to be conducted electronically between a physician assistant and the supervising physician; and, lowers the case review requirements when a physician assistant prescribes Schedule II controlled substances from 100 percent of cases to 20 percent of cases.

SB 464 (Hernandez, Chapter 387, Statutes of 2015) authorizes a physician, physician assistant, registered nurse, nurse practitioner, certified nurse-midwife, and pharmacist, acting within their scope of practice, to use a self-screening tool that will identify patient risk factors for the use of self-administered hormonal contraceptives by a patient, and, after an appropriate prior examination, prescribe, furnish, or dispense, as applicable, self-administered hormonal contraceptives to the patient.

AB 1841 (Mullin, Chapter 333, Statutes of 2014) allows medical assistants to provide patients pre-labeled, pre-packaged medication (that is not a controlled substance) after that patient has been seen by their physician or clinician, who has provided a diagnosis, discussed treatment options, educated the patient about the medication, and finally, selected and packaged the medication. This bill applies to clinics where physicians may prescribe, or physician assistants, nurse practitioners, or certified nurse midwives may furnish medication, except state facilities.

AB 2139 (Eggman, Chapter 568, Statutes of 2014) requires health care providers who diagnose a patient as terminally ill to notify the patient of her or his right to comprehensive information and counseling regarding legal end-of-life options, and specifies that this requirement shall not be construed to interfere with the clinical judgment of the health care provider in recommending a course of treatment to the patient.

SB 1083 (Pavley, Chapter 438, Statutes of 2014) allows, on or before January 1, 2017, a physician assistant, under the supervision of a physician, to certify disability after performance of a physical exam by their supervising physician; expands the Unemployment Insurance Code definition of “practitioner” to include physician assistants; and, requires implementation costs to be appropriated from the Unemployment Compensation Disability Fund.

AB 110 (Blumenfield, Chapter 20, Statutes of 2013) made numerous appropriations, including the transfer of funds from the Physician Assistant Board to the Department of

Justice for operation of the Controlled Substance Utilization Review and Evaluation System program.

AB 154 (Atkins, Chapter 662, Statutes of 2013) allows a physician assistant, nurse practitioner, or certified nurse midwife to perform aspiration abortions once they have completed training modeled after the Health Workforce Pilot Project #171, which has been recognized by the Board or Board of Registered Nursing; requires adherence to standardized procedures for physician supervision, transfer of patients, obtaining assistance from physicians and a method for periodic review of standardized procedures; effectively makes the pilot project permanent by deleting the existing restriction for qualified mid-level practitioners to provide first term surgical abortions; and, deletes the requirement that specified practitioners assist in performing abortions.

AB 512 (Rendon, Chapter 111, Statutes of 2013) extends the date that authorizes out of state licensed health care practitioners to treat patients at sponsored free health care events in California from January 1, 2014, to January 1, 2018.

AB 635 (Ammiano, Chapter 707, Statutes of 2013) revises provisions from the current pilot program authorizing prescription of opioid antagonists for treatment of drug overdose and limiting civil and criminal liability, expands these provisions statewide, and removes the 2016 sunset date.

SB 352 (Pavley, Chapter 286, Statutes of 2013) allows medical assistants to practice without the supervision of an on-site physician and instead, under the supervision of a mid-level practitioner in any medical setting and specifies that it would constitute professional misconduct for a physician assistant, nurse practitioner, or certified nursemidwife to permit a medical assistant to perform a clinical laboratory test or examination for which she or he is not authorized to perform.

SB 494 (Monning, Chapter 684, Statutes of 2013) requires a health care service plan licensed by the Department of Managed Health Care to ensure one primary care physician for every 2,000 enrollees and authorizes up to an additional 1,000 enrollees for each full-time equivalent non-physician medical practitioner supervised by that primary care physician until January 1, 2019.

SB 809 (DeSaulnier, Chapter 400, Statutes of 2013) establishes the Controlled Substance Utilization Review and Evaluation System (CURES) Fund within the State Treasury with the purpose of funding the continued operation of CURES, administered by the Department of Justice, and establishes a six dollar fee per licensee for this purpose.

AB 1896 (Chesbro, Chapter 119, Statutes of 2012) exempts all health care practitioners, including physician assistants, employed by a Tribal Health Program from California licensure, as long as the practitioner is licensed in another state.

SB 1236 (Price, Chapter 332, Statutes of 2012) changes the name of the Committee to the Board, extends the authorization of the Board to 2017, requires the Board to keep a central files of licensees, removes the Medical Board of California Board member representative and replaces the member with a physician assistant, and creates a retired license category.

SB 1274 (Wolk, Chapter 793, Statutes of 2012) allows California Shriners Hospitals to begin billing health carriers for services rendered by practitioners, including physician assistants, notwithstanding the prohibition on the corporate practice of medicine.

AB 415 (Logue, Chapter 547, Statutes of 2011), the “Telehealth Advancement Act of 2011,” replaces the term “telemedicine” with the term “telehealth” in the Medical Practice Act, and removes the requirement for a written, signed patient waiver prior to the provision of telehealth services provided by health care practitioners, including physician assistants.

SB 233 (Pavley, Chapter 333, Statutes of 2011) clarified existing law to explicitly permit appropriate licensed health care personnel, including physician assistants, acting within their scope of practice, to provide treatment and consultations in the emergency department of a medical facility.