Physician Assistants

Provides for the licensing, rather than certification, of
physician assistants who are nationally certified.  (HB47 HD1)

HOUSE OF REPRESENTATIVES                H.B. NO.           H.D. 1
TWENTIETH LEGISLATURE, 1999                                
STATE OF HAWAII                                            

                   A  BILL  FOR  AN  ACT



 1      SECTION 1.  Section 453-5.3, Hawaii Revised Statutes, is
 2 amended to read as follows:
 3      "453-5.3  Physician assistant; [certification] licensure
 4 required.(a)  The board of medical examiners shall require each
 5 person practicing medicine under the supervision of a physician,
 6 other than a person licensed under section 453-3, to be
 7 [certified] licensed as a physician assistant.  A person who is
 8 trained to do only a very limited number of diagnostic or
 9 therapeutic procedures under the direction of a physician shall
10 not be deemed a practitioner of medicine and therefore does not
11 require [certification] licensure under this section.
12      (b)  The board shall establish medical educational and
13 training standards with which a person applying for
14 [certification] licensure as a physician assistant shall comply.
15 The standards shall be at least equal to recognized national
16 education and training standards for physician assistants.
17      (c)  Upon satisfactory proof of compliance with the required
18 medical educational and training standards, the board may grant
19 state [certification] licensure to a person who has been granted
20 certification based upon passage of a national certifying

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                                     H.B. NO.           H.D. 1

 1 examination and who holds a current certificate from the national
 2 certifying entity approved by the board.
 3      (d)  The board shall approve temporary [certification]
 4 licensure of an applicant under this section.  The applicant
 5 shall have graduated from a board approved training program
 6 within twelve months of the date of application and never taken a
 7 national certifying examination approved by the board but
 8 otherwise meet the requirements of this section.  The applicant
 9 shall file a complete application with the board and pay all
10 required fees.  If the applicant fails to apply for, or to take,
11 the first examination scheduled by the board following the
12 issuance of the temporary [certificate,] license, fails to pass
13 the examination, or fails to receive [certification,] licensure,
14 all privileges under this section shall automatically cease upon
15 written notification sent to the applicant by the board.  A
16 temporary [certificate] license shall be issued only once to each 
17 person.
18      (e)  Prior to practicing under temporary [certification,]
19 licensure, holders of temporary [certificates] licenses shall
20 notify the board in writing of any and all supervising physicians
21 under whom they will be performing services.
22      (f)  The board shall establish the degree of supervision
23 required by the supervising physician when a physician assistant

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                                     H.B. NO.           H.D. 1

 1 performs a service within the practice of medicine.  A physician
 2 who does not supervise a physician assistant's services at the
 3 degree required by the board shall be deemed to have engaged in
 4 professional misconduct.
 5      (g)  Any [certification] license of a physician assistant
 6 may be denied, not [recertified,] renewed, revoked, limited, or
 7 suspended under section 453-8.
 8      (h)  The board shall establish the application procedure,
 9 medical educational and training standards, examination
10 requirement, if any, and degrees of supervision by rule.
11      (i)  Every person holding a [certificate] license under this
12 section shall apply for [recertification] renewal with the board
13 no later than January 31 of each even-numbered year and pay a
14 renewal fee.  Failure to apply for [recertification] renewal
15 shall constitute a forfeiture of the [certificate which] license
16 that may only be restored upon written application for
17 [recertification] restoration and payment to the board of a
18 restoration fee.
19      (j)  A [certificate] license that has been forfeited for one
20 renewal term shall be automatically terminated and cannot be
21 restored.  A new application for [certification] licensure shall
22 be required."

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                                     H.B. NO.           H.D. 1

 1      SECTION 2.  Section 453-5.4, Hawaii Revised Statutes, is
 2 amended to read as follows:
 3      "[[]453-5.4[]]  Physician assistant advisory committee.
 4 There shall be a physician assistant advisory committee under the
 5 board of medical examiners consisting solely of persons
 6 [certified] licensed under section 453-5.3.  The committee shall
 7 review all complaints and requests relating to physician
 8 assistants, and review and recommend revisions of the physician
 9 assistant regulations.
10      The chairperson of the committee shall be the representative
11 for the committee members to the board of medical examiners for
12 the purpose of providing input to the board from the physician
13 assistant's perspective on issues and concerns, including
14 complaints and requests, regarding physician assistants.  The
15 chairperson shall not be a member of the board of medical
16 examiners to avoid conflict of interests."
17      SECTION 3.  Statutory material to be repealed is bracketed.
18 New statutory material is underscored.
19      SECTION 4.  This Act shall take effect                 .