In 2021, the Oregon Legislature passed House Bill 3036
, which modernizes physician assistant practice in Oregon. The bill's effective date of June 23, 2021, allows the Oregon Medical Board to start working on implementation of the bill. The actual changes to PA practice provided in HB 3036 are operational in phases on January 15, 2022, and July 15, 2022 (see HB 3036 sections 9, 20, and 21).
The Board is using a multi-phased rulemaking plan to implement changes:
- Rulemaking #1: Amends sections of PA rules relating to PA dispensing, prescribing, chart review, and on-site supervision operational on January 15, 2022 (HB 3036 sections 1-2). Review draft rules and Rulemaking Notice.
- Rulemaking #2: Amends telemedicine rules to add a PA telemedicine status license operational on January 15, 2022 (HB 3036 sections 3-6). Review draft rules and Rulemaking Notice.
- Rulemaking #3: Amends licensure fee rules to add a PA telemedicine license status operational on January 15, 2022. Review draft rules and Rulemaking Notice.
- Rulemaking #4: Amends sections of PA rules to shift PA practice from a supervision to a collaboration model operational on July 15, 2022. This rulemaking will transition all PAs to a collaboration agreement by December 31, 2023. Initial draft rules are expected in early January 2022 (HB 3036 sections 10 & 11A).
The OMB has complied a list of Frequently Asked Questions to provide information as these changes are implemented. Please review and follow up with additional questions.
HB 3036 SummaryThe summary below does not include every provision of HB 3036, but highlights areas that will be addressed in OMB rulemaking. Section numbers are provided for reference to HB 3036, along with operational dates for each section. Please review HB 3036 for detailed information.
Operational January 15, 2022:
- Updates PA requirements to dispense prescription drugs (section 1).
- Removes requirement that PAs include supervising physician information on each prescription (section 2).
- Removes requirement that PAs practice within the scope of practice of a supervising physician (section 2).
- Updates the degree of autonomous judgment that a PA may exercise can be determined at the PA's primary location of practice by the community standards of care and the PA's education, training, and experience (section 2).
- Adds PA telemedicine license and allows Oregon-licensed PAs to practice via telemedicine on Oregon patients from outside of Oregon (sections 3-6).
Operational July 15, 2022:
- Adds definitions for collaboration, collaboration agreement, and employer. Removes definitions for practice agreement, supervision, and supervising physician definitions (section 10).
- Removes requirement for PAs to practice under a supervising physician (section 11A).
- Allows PAs to enter a collaboration agreement with an Oregon physician or the PA's employer (section 11A)
- Allows PAs to continue practicing under a current practice agreement or practice description until the PA enters into a collaboration agreement. Requires PAs to transition to a collaboration agreement when the PA's license is due for renewal or December 31, 2023, whichever is later (section 20).
Please email firstname.lastname@example.org
with comments or questions about HB 3036 and the implementation process.