Rules Proposed and Adopted

PROPOSED RULES

Written Comments due by May 31

PHYSICIAN ASSISTANTS (PA)
Prescribing and Dispensing Privileges

The proposed rule amendment allows physician assistants to prescribe and dispense buprenorphine for medication-assisted opioid dependency treatment if the PA is authorized to prescribe Schedule III-V medication, holds a DEA buprenorphine waiver, is authorized to dispense, has a supervising physician who prescribes and dispenses buprenorphine, and has been delegated this medical service in the practice agreement on file with the Board.

  

EMERGENCY MEDICAL SERVICES (EMS)
Scope of Practice

The proposed rule amendment (1) adds "hemorrhage control" to the Emergency Medical Responder (EMR) scope of practice, which will allow use of multiple modalities such as tourniquets and bandages; (2) adds "emergency moves for endangered patients" to the EMR scope of practice; (3) allows intraosseous infusions to be performed by Advanced Emergency Medical Technicians (AEMTs) for all patients, not just pediatric patients; and (4) moves intraosseous infusion of lidocaine for anesthetic from the EMT-Intermediate scope of practice to the AEMT scope of practice.


BOARD ADMINISTRATION
Declared Emergency -- Delegation of Authority

The proposed rule amendment clarifies that the Board Chair may exercise authority vested in the Board in the event of an emergency.



PERMANENT RULE

MEDICAL AND OSTEOPATHIC PHYSICIANS (MD/DO)
Visiting Physician Approval

The rule amendment allows physicians acting as expert witnesses to apply for visiting physician approval (sometimes called "courtesy privileges").  A physician is not practicing medicine if the physician only reviews records and provides an expert opinion; however, if the physician will perform a physical or mental examination in their role as an expert, this is the practice of medicine and requires Board approval.  The rule amendment clarifies the limitations of practicing medicine under this Visiting Physician Approval.

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