S0397B0870A02235 AJB:CMD 09/15/21 #90 A02235
AMENDMENTS TO SENATE BILL NO. 397
Sponsor: REPRESENTATIVE HICKERNELL
Printer's No. 870
Amend Bill, page 3, line 29, by inserting after "10(G),"
(g.1),
Amend Bill, page 5, lines 24 through 26, by striking out all
of lines 24 and 25 and "THIS CHAPTER. THE AUDIT SHALL NOT
INCLUDE MORE THAN" in line 26 and inserting
shall review
Amend Bill, page 5, line 27, by striking out "ON AN ANNUAL
BASIS" and inserting
submitted to the board after the effective date of this
paragraph
Amend Bill, page 5, line 28, by striking out "AN AUDIT" and
inserting
a review
Amend Bill, page 6, line 1, by striking out "AUDIT" and
inserting
review
Amend Bill, page 6, line 5, by inserting after "BOARD."
A written agreement submitted to the board during the
declaration of disaster emergency issued by the Governor on
March 6, 2020, published at 50 Pa.B. 1644 (March 21, 2020),
or any renewal of the declaration of disaster emergency,
shall be deemed approved. This paragraph shall apply to
written agreements submitted to the board before the
effective date of this paragraph.
(3) No later than 120 days from the effective date of
this paragraph, the board shall submit the review process for
the written agreements under paragraph (2) to the Legislative
Reference Bureau for publication in the Pennsylvania
Bulletin.
2021/90AJB/SB0397A02235 - 1 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
Amend Bill, page 6, line 6, by striking out "(3)" and
inserting
(4)
Amend Bill, page 6, line 14, by striking out "SEVEN" and
inserting
six
Amend Bill, page 6, line 27, by striking out all of said line
and inserting
(g.1) In health care facilities licensed under the "Health
Care Facilities Act," the attending physician of record for a
particular patient shall act as the primary supervising
physician for the physician assistant while that patient is
under the care of the attending physician. Nothing in this act
shall be construed to authorize an employer or other entity to
require a physician to supervise more physician assistants when
the physician, in his or her clinical judgment, determines that
supervising more physician assistants will compromise patient
care or otherwise affect the physician's ability to properly
supervise another physician assistant in accordance with the
requirements of this act or regulations promulgated by the
board.
Amend Bill, page 8, line 19, by inserting a bracket before
"OSTEOPATHIC"
Amend Bill, page 8, line 19, by inserting after "MEDICINE"
] as an osteopathic physician assistant
Amend Bill, page 9, lines 29 and 30; page 10, lines 1 and 2;
by striking out "FOR THE" in line 29, all of line 30 on page 9
and all of lines 1 and 2 on page 10 and inserting
during each of the following time periods:
(i) The first 12 months of the physician assistant's
practice post graduation and after the physician
assistant has fulfilled the criteria for licensure set
forth in subsection (f)
(ii) The first 12 months of the physician
assistant's practice in a new specialty in which the
physician assistant is practicing.
(5) The board may not require, by order, regulation or
any other method, countersignature requirements of patient
records completed by a physician assistant that exceed the
2021/90AJB/SB0397A02235 - 2 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
requirements specified under this subsection.
Amend Bill, page 10, line 14, by inserting after "promulgate"
final
Amend Bill, page 10, line 19, by striking out "in 60 days"
and inserting
immediately
2021/90AJB/SB0397A02235 - 3 -
1
2
3
4
5
6
See A02235 in
the context
of SB397