IBM Finalizes PA Supervision Rules

Date of Publication September 15, 2017

This week, the Iowa Board of Medicine (IBM) draft rules on appropriate physician assistant (PA) supervision cleared their final administrative hurdle and are now set to take effect on September 20, 2017. On Tuesday, the legislative Administrative Rules Review Committee held its final review of the proposed rules and took no action to halt implementation. IMS offered testimony at Tuesday’s meeting in support of the rules, consistent with the written comments we previously submitted to the IBM. As we reported back in June, these rules are the culmination of more than two years of work on the part of the IBM and stakeholder organizations, and are in response to a growing number of inquiries regarding what constitutes appropriate supervision practice. The rules require the completion of a written supervisory agreement, which clearly delineates delegated medical services the PA will perform and the professional expectations of both the supervising physician and the PA. IMS has put together a summary document outlining the specific requirements of the new rules.

The IBM acknowledges that, while the expectations outlined in the new rules mirror existing statutory and administrative rule requirements, with the exception that they must now be articulated in a written agreement, it will take some time for clinics to complete written agreements for all of their PAs. To allow for implementation and to ensure practices understand the new rules, the IBM is delaying enforcement of the new rules until January 1, 2018. In addition, the IBM has announced a series of one-hour online training sessions through the end of the year. The IBM has also developed an FAQ document and a sample supervisory agreement, in a press release distributed Friday, to help guide supervising physicians in complying with the new rules. It is important to note that the new rules do not require practices to use the IBM’s supervisory agreement. Supervising physicians and their PAs may utilize any written agreements so long as they include the six primary components called for under the new rules, as well as the seventh required component if a PA is practicing in a remote practice location.

For more information on these new rules, please contact Dennis Tibben with the IMS Center for Physician Advocacy.

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