Current Legislation

Sb259 Graphic 3 June
 
 

SB259 Update

 

Sep 25, 2018

SB259 UPDATE: Good news Ohio PAs! SB259 was passed by the Senate today and will now move to the House. The bill must pass through the House Health Committee, House Floor, and then signed before December 31st or else the process must begin all over again in the New Year. To track the bill’s progress: http://ow.ly/OmPo30lYpmr

Additional questions may be sent to oapa@ohiopa.com or 800.292.4997

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June 28, 2018

SB259 was introduced in mid-February by the bill’s sponsor, Senator Hackett, with the anticipation to remove significant practice barriers for Ohio PAs. The most notable goals of our OAPA legislative leaders were to remove the PA Formulary, increase the Physician/PA ratio to 5, allow PAs to order conscious sedation medications to perform various procedures (i.e. rapid sequence intubation), and the elimination for filing supervision agreements with the OSMB.

After much discussion between OAPA legislative leaders, Senator Hackett, our lobbyists Bricker & Eckler, and several other interested parties, it became apparent that SB259 would not pass with the sedation language included as originally introduced. Therefore, a decision was made to strike the sedation language from the original text.

SB259 was then reintroduced to the Senate Health Committee and subsequently passed on June 26th with a unanimous vote. Currently, SB259 is awaiting introduction onto the Senate Floor. With Summer recess looming close the reality of the bill reaching the full Senate will likely be November. Once passed in the Senate the bill must also be heard in the House, beginning with the House Health Committee, and then passed before moving onto the Governor’s desk before December 31st. With the removal of the sedation language, the bill has no opposition from the interested parties and we hope that this will help expedite moving through the House.

While having to eliminate the sedation language from SB259 comes as a devastating blow to many PAs, removal of the PA Formulary would be a monumental leap forward for PA practice in Ohio. Currently, Ohio is 1 of 6 states that still use an antiquated PA Formulary. The Ohio Association of PAs recognizes the detrimental extent and limitations of being unable to legally order the appropriate medications to perform rapid intubation and related procedures. Rest assured OAPA will continue to work on changing the law with regards to sedation in the future.

Be sure to sign up for email alerts, track the bill’s progress, and read the legislative text here.

 

Additional questions may be sent to oapa@ohiopa.com or 800.292.4997

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Supervision Agreement Changes


An email was received on July 6 from the Medical Board and OAPA also spoke with a representative from the Medical Board to confirm the information.

In summary, effective immediately there are no renewals, no 5 day waiting period and the eLicense system for submitting supervision agreements has been disabled. Effective immediately for new hires the supervision agreement is signed and kept on file at the practice site and they may begin to work immediately. You may use any form you like but the OSMB recommends that you use their form(s) as those forms meet the statutory requirements.

Supervision agreements on file at the practice site remain in effect indefinitely until the physician ceases supervision of the PA(s).

For those with existing supervision agreements nothing needs to be done (except make sure there is a copy on file at the practice site) even if they are scheduled for renewal. Make sure that any changes you make to the agreements between now and September 26, 2018 generate a new supervision agreement that is kept on file. Make sure that all the supervision agreements you have on file on September 26, 2018 are correct. After September 26 the Medical Board will begin the audit process and there are penalties for non-compliance.

The email from the Medical Board states:

According to HB 111, the requirement that each supervision agreement be submitted to, and reviewed by, the Medical Board, is eliminated.
 
For more information, a legislative summary of the new law can be found here.
A link to the new legislation can be found by visiting this site and selecting the View Current Version option next to Legislation Text.
 
The Board is proactively implementing this legislation so that licensees can immediately avail themselves of this new streamlined process. Therefore, the filing of supervision agreements through eLicense is no longer necessary.
 
For convenience, the Board has updated the supervision agreement forms that can be found at the following links:
Please note that use of these specific forms is not required; you may create your own documents that meet the requirements of the law.
 
Since supervision agreements are no longer filed with the board, there is no renewal of them. They are living documents that remain active and can be amended at any time until the physician ceases supervision of the physician assistant.

 

 

 Additional questions may be sent to oapa@ohiopa.com or 800.292.4997

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Frequently Asked Questions


So what does SB259 now include?

Highlights of SB259 in its current form:

  1. Removes the PA Formulary.

  2. Allow a PA, who previously had a Master’s degree when they obtained an Ohio license, but did not pursue prescriptive authority, to now receive prescriptive authority.

  3. Allow a PA from out-of-state to receive an Ohio license if they have a valid license in another jurisdiction and are in active practice anytime within the last 2 yrs.

  4. Increase the supervision ratio to 5-1.

  5. Include language that will allow Emergency Medical Services to recognizes DNR orders signed by PAs. (Amended)

SB259 passed the Senate Health Committee. Does that mean the above is law now?!

No. Once a bill is passed by a Committee, a bill is then introduced on the Floor of both chambers (House and Senate). Most states require 3 separate readings of the bill on 3 separate days. The bill must be passed by both the House and Senate before being signed by the Governor.

Currently, SB259 is awaiting passage by the entire Senate Floor. We anticipate this to occur in November. Once passed in the Senate the bill must also be heard in the House, beginning with the House Health Committee,and then passed before moving onto the Governor’s desk before December 31st. SB259 still has a long way to go but with the removal of the sedation language, the bill has no opposition from the interested parties and we hope that this will help expedite moving through the House.

Do PAs still have to complete a Supervisory Agreement?

Yes, PAs and the supervising physician must still complete the appropriate agreement application. However, these forms no longer need to be filed online with the OSMB. HB 111 allows these supervisory agreements to be kept on-site of the physician's practice. The supervisory agreements can be found here:

How can I help?

  1. Over the Summer contact you Senate and House Representative. Call, write, or even better, meet with them and talk to them about SB259.

  2. Renew or become a member of OAPA: Membership dollars fund the efforts to break down practice barriers in Ohio.

  3. Get Involved: Serve on Committees of OAPA, run for office, be a voice

  4. Stay informed of PA practice in Ohio and help others stay informed as well!

  5. Donate to the legal fund or the PAC of OAPA!

 

 

Additional questions may be sent to oapa@ohiopa.com or 800.292.4997

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07/17/2018

SB 259 Update