Section § 3513

Explanation

This law states that the board will accept and recognize physician assistant training programs that are accredited by a national organization approved by the board. In cases where there is no approved national accrediting body, the board itself can review and approve training programs that meet its standards.

The board shall recognize the approval of training programs for physician assistants approved by a national accrediting organization. Physician assistant training programs accredited by a national accrediting agency approved by the board shall be deemed approved by the board under this section. If no national accrediting organization is approved by the board, the board may examine and pass upon the qualification of, and may issue certificates of approval for, programs for the education and training of physician assistants that meet board standards.

Section § 3514.1

Explanation

This law requires the board to create rules for reviewing applications from people who want to become licensed physician assistants and for approving training programs that prepare physician assistants.

(a)CA Business & Professions Code § 3514.1(a) The board shall formulate by regulation guidelines for the consideration of applications for licensure as a physician assistant.
(b)CA Business & Professions Code § 3514.1(b) The board shall formulate by regulation guidelines for the approval of physician assistant training programs.

Section § 3516

Explanation

This section explains the rules regarding physician assistants (PAs) and their supervision by physicians in California. Firstly, PAs can work under a physician who isn't under disciplinary restrictions. Generally, a physician can't supervise more than four PAs at once. However, if the PAs are conducting in-home health evaluations, the physician may oversee up to eight. The evaluations are about collecting patient info and health assessments, not direct treatments or prescriptions. All activities need to comply with supervisory and regulatory standards. The Medical Board can limit the types of PAs a physician can supervise, especially if it involves working outside their specialty.

(a)CA Business & Professions Code § 3516(a) Notwithstanding any other law, a physician assistant licensed by the board shall be eligible for employment or supervision by a physician and surgeon who is not subject to a disciplinary condition imposed by the Medical Board of California prohibiting that employment or supervision.
(b)Copy CA Business & Professions Code § 3516(b)
(1)Copy CA Business & Professions Code § 3516(b)(1) Except as provided in paragraph (2) and in Section 3502.5, a physician and surgeon shall not supervise more than four physician assistants at any one time.
(2)CA Business & Professions Code § 3516(b)(2) Notwithstanding paragraph (1), a physician and surgeon may supervise up to, but no more than, eight physician assistants at one time, but only if the following conditions are satisfied by all supervised physician assistants:
(A)CA Business & Professions Code § 3516(b)(2)(A) The physician assistants are focused solely on performing in home health evaluations.
(B)CA Business & Professions Code § 3516(b)(2)(B) The physician assistants are performing in home health evaluations solely for the following purposes:
(i)CA Business & Professions Code § 3516(b)(2)(B)(i) Gathering patient information.
(ii)CA Business & Professions Code § 3516(b)(2)(B)(ii) Performing an annual wellness visit or health evaluation, if it does not involve direct patient treatment or prescribing medication.
(3)CA Business & Professions Code § 3516(b)(3) A physician assistant who performs an in home health evaluation for the purposes specified in subparagraph (B) of paragraph (2) remains subject to all supervisory and scope requirements pursuant to this chapter and shall provide the supervising physician and surgeon with all information related to their evaluation under subparagraphs (A) and (B) of paragraph (2).
(c)CA Business & Professions Code § 3516(c) The Medical Board of California may restrict a physician and surgeon to supervising specific types of physician assistants including, but not limited to, restricting a physician and surgeon from supervising physician assistants outside of the field of specialty of the physician and surgeon.
(d)CA Business & Professions Code § 3516(d) For purposes of this section:
(1)CA Business & Professions Code § 3516(d)(1) “In home health evaluation” means a comprehensive physical exam, assessment of current and prior health conditions, a complete medication review, screening tests, health education, and assessment of social determination of health needs to be used for diagnosing individual medical conditions.
(2)CA Business & Professions Code § 3516(d)(2) “Annual wellness visit” means a preventive visit with correlating current procedural terminology codes performed annually to a patient, to be used for the purposes of diagnosing patient conditions during the annual wellness visit, which may include a nonphysical examination for patients covered by Medicare Part B for more than 12 months.

Section § 3517

Explanation

This law requires that physician assistants in California must pass a written exam before they can be licensed. The exam is designed so that the identities of test-takers are not known to those grading the exams. It must be conducted under the board's rules and must ensure fairness. Exams are held at least once a year, with more exams if needed, and the board can collaborate with organizations to provide exam materials.

(a)CA Business & Professions Code § 3517(a) The board shall require a written examination of physician assistants in the manner and under the rules and regulations as it shall prescribe, but the examination shall be conducted in that manner as to ensure that the identity of each applicant taking the examination will be unknown to all of the examiners until all examination papers have been graded. Except as otherwise provided in this chapter, or by regulation, no physician assistant applicant shall receive approval under this chapter without first successfully passing an examination given under the direction of the board.
(b)CA Business & Professions Code § 3517(b) Examinations for licensure as a physician assistant may be required by the board under a uniform examination system, and for that purpose the board may make those arrangements with organizations furnishing examination material as may, in its discretion, be desirable. The licensure examination for physician assistants shall be held by the board at least once a year with such additional examinations as the board deems necessary.

Section § 3518

Explanation
This law requires the board to maintain an updated list of licensed Physician Assistants (PAs), showing their names, last known addresses, and licensing dates. Anyone can request a copy of this list by applying to the board and paying a fee, which can't be more than the cost of providing the list. This request must follow the rules set by the Information Practices Act of 1977.
The board shall keep a current register for licensed PAs, if applicable. The register shall show the name of each licensee, the licensee’s last known address of record, and the date of the licensee’s licensure. Any interested person is entitled to obtain a copy of the register in accordance with the Information Practices Act of 1977 (Chapter 1 (commencing with Section 1798) of Title 1.8 of Part 4 of Division 3 of the Civil Code) upon application to the board together with a sum as may be fixed by the board, which amount shall not exceed the cost of this list so furnished.

Section § 3519

Explanation

This law explains that to get a license, physician assistant applicants must complete four steps: finish an approved program, pass a required exam, ensure there's no reason for license denial, and pay the necessary fees.

The board shall issue a license to all physician assistant applicants who meet all of the following requirements:
(a)CA Business & Professions Code § 3519(a) Provide evidence of successful completion of an approved program.
(b)CA Business & Professions Code § 3519(b) Pass any examination required under Section 3517.
(c)CA Business & Professions Code § 3519(c) Not be subject to denial of licensure under Division 1.5 (commencing with Section 475) or Section 3527.
(d)CA Business & Professions Code § 3519(d) Pay all fees required under Section 3521.1.

Section § 3519.5

Explanation

This law allows the board to give a probationary license to a physician assistant applicant, which comes with certain conditions. These conditions may include working under supervision, limited authority to prescribe controlled substances, mandatory medical or psychiatric treatment, participation in rehabilitation, completing clinical training, avoiding alcohol and drugs, and not engaging in specific medical services. The board can change or end these conditions if the licensee requests it. The board is responsible for enforcing and monitoring the probation terms, with proceedings following specific government rules.

(a)CA Business & Professions Code § 3519.5(a) The board may issue a probationary license to an applicant subject to terms and conditions, including, but not limited to, any of the following conditions of probation:
(1)CA Business & Professions Code § 3519.5(a)(1) Practice limited to a supervised, structured environment where the applicant’s activities shall be supervised by another physician assistant.
(2)CA Business & Professions Code § 3519.5(a)(2) Total or partial restrictions on issuing a drug order for controlled substances.
(3)CA Business & Professions Code § 3519.5(a)(3) Continuing medical or psychiatric treatment.
(4)CA Business & Professions Code § 3519.5(a)(4) Ongoing participation in a specified rehabilitation program.
(5)CA Business & Professions Code § 3519.5(a)(5) Enrollment and successful completion of a clinical training program.
(6)CA Business & Professions Code § 3519.5(a)(6) Abstention from the use of alcohol or drugs.
(7)CA Business & Professions Code § 3519.5(a)(7) Restrictions against engaging in certain types of medical services.
(8)CA Business & Professions Code § 3519.5(a)(8) Compliance with all provisions of this chapter.
(b)CA Business & Professions Code § 3519.5(b) The board may modify or terminate the terms and conditions imposed on the probationary license upon receipt of a petition from the licensee.
(c)CA Business & Professions Code § 3519.5(c) Enforcement and monitoring of the probationary conditions shall be under the jurisdiction of the board. These proceedings shall be conducted in accordance with Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code.