Section § 3520

Explanation

Each month, the board must tell the Controller how much money they've collected from fees and other sources related to their work. They then have to put that money into the State Treasury, specifically into a fund called the Physician Assistant Fund. This money can be used, but only if the Legislature allows it, to support the work related to this chapter.

Within 10 days after the beginning of each calendar month, the board shall report to the Controller the amount and source of all collections made under this chapter and at the same time pay all those sums into the State Treasury, where they shall be credited to the Physician Assistant Fund, which fund is hereby created. All money in the fund shall be available, upon appropriation of the Legislature, to carry out the purpose of this chapter.

Section § 3521.1

Explanation

This law sets the fees that physician assistants in California have to pay for various licenses and applications. Applicants have to pay up to $25 to apply. If they get licensed, they must pay up to $250 initially. Every two years, they need to renew their license, which costs up to $300. If a license renewal is late, there's a $25 late fee. If a physician assistant needs a duplicate license, it costs $10. Lastly, getting official letters such as a letter of endorsement or verification costs $10 each.

The fees to be paid by physician assistants are to be set by the board as follows:
(a)CA Business & Professions Code § 3521.1(a) An application fee not to exceed twenty-five dollars ($25) shall be charged to each physician assistant applicant.
(b)CA Business & Professions Code § 3521.1(b) An initial license fee not to exceed two hundred fifty dollars ($250) shall be charged to each physician assistant to whom a license is issued.
(c)CA Business & Professions Code § 3521.1(c) A biennial license renewal fee not to exceed three hundred dollars ($300).
(d)CA Business & Professions Code § 3521.1(d) The delinquency fee is twenty-five dollars ($25).
(e)CA Business & Professions Code § 3521.1(e) The duplicate license fee is ten dollars ($10).
(f)CA Business & Professions Code § 3521.1(f) The fee for a letter of endorsement, letter of good standing, or letter of verification of licensure shall be ten dollars ($10).

Section § 3521.2

Explanation

This law sets the fees for physician assistant training programs. A maximum application fee of $500 is charged when they apply for approval, and once approved, they pay an additional fee of up to $100.

The fees to be paid by physician assistant training programs are to be set by the board as follows:
(a)CA Business & Professions Code § 3521.2(a) An application fee not to exceed five hundred dollars ($500) shall be charged to each applicant seeking program approval by the board.
(b)CA Business & Professions Code § 3521.2(b) An approval fee not to exceed one hundred dollars ($100) shall be charged to each program upon its approval by the board.

Section § 3521.3

Explanation

This law allows physician assistants in California to apply for a 'retired status' on their licenses if they're not currently practicing. Once in retired status, they can't perform any work requiring a license. You can't apply for retired status if your license is canceled, suspended, or facing disciplinary action. Starting one year after these rules are in place, licenses with unpaid dues can't switch to retired status either. There are specific qualifications for both achieving retired status and returning to active status, like continuing education and possible fees. People with a retired status license might not have to follow the usual renewal rules.

(a)CA Business & Professions Code § 3521.3(a) The board may establish, by regulation, a system for the placement of a license on a retired status, upon application, for a physician assistant who is not actively engaged in practice as a physician assistant or any activity that requires them to be licensed by the board.
(b)CA Business & Professions Code § 3521.3(b) No licensee with a license on a retired status shall engage in any activity for which a license is required.
(c)CA Business & Professions Code § 3521.3(c) The board shall deny an applicant’s application for a retired status license if the license is canceled or if the license is suspended, revoked, or otherwise punitively restricted by the board or subject to disciplinary action under this chapter.
(d)CA Business & Professions Code § 3521.3(d) Beginning one year from the effective date of the regulations adopted pursuant to subdivision (a), if an applicant’s license is delinquent, the board shall deny an applicant’s application for a retired status license.
(e)CA Business & Professions Code § 3521.3(e) The board shall establish minimum qualifications for a retired status license.
(f)CA Business & Professions Code § 3521.3(f) The board may exempt the holder of a retired status license from the renewal requirements described in Section 3524.5.
(g)CA Business & Professions Code § 3521.3(g) The board shall establish minimum qualifications for the restoration of a license in a retired status to an active status. These minimum qualifications shall include, but are not limited to, continuing education and payment of a fee as provided in subdivision (c) of Section 3521.1.

Section § 3523

Explanation
Physician assistant licenses in California expire at midnight on the last day of the licensee's birth month every two years unless renewed. The board in charge sets up rules for a renewal system based on birthdates, which includes staggered expiration dates and calculated renewal fees. To keep their license active, physician assistants must submit a renewal form along with the fee before it expires.
All physician assistant licenses shall expire at 12 midnight of the last day of the birth month of the licensee during the second year of a two-year term if not renewed.
The board shall establish by regulation procedures for the administration of a birthdate renewal program, including, but not limited to, the establishment of a system of staggered license expiration dates and a pro rata formula for the payment of renewal fees by physician assistants affected by the implementation of the program.
To renew an unexpired license, the licensee shall, on or before the date of expiration of the license, apply for renewal on a form provided by the board, accompanied by the prescribed renewal fee.

Section § 3524

Explanation

If your physician assistant license or approval expires, you can renew it within five years by submitting a renewal application and paying any outstanding fees. If you don't renew within 30 days after it expires, you'll also have to pay a late fee. This renewal takes effect on the day the application is submitted, when all fees are paid, or when the late fee is paid, depending on which happens last. Once renewed, your license remains valid until its next expiration date.

A license or approval that has expired may be renewed at any time within five years after its expiration by filing an application for renewal on a form prescribed by the board and payment of all accrued and unpaid renewal fees. If the license or approval is not renewed within 30 days after its expiration, the licensed physician assistant and approved supervising physician, as a condition precedent to renewal, shall also pay the prescribed delinquency fee, if any. Renewal under this section shall be effective on the date on which the application is filed, on the date on which all renewal fees are paid, or on the date on which the delinquency fee, if any, is paid, whichever occurs last. If so renewed, the license shall continue in effect through the expiration date provided in Section 3522 or 3523 which next occurs after the effective date of the renewal, when it shall expire, if it is not again renewed.

Section § 3524.5

Explanation

This section allows the board to require physician assistants to complete up to 50 hours of continuing education every two years for license renewal. Starting in 2022, these courses must teach about implicit bias, which is an unconscious prejudice that affects decision-making. By 2023, education providers must ensure their courses include this curriculum, and the board will conduct audits to check compliance. Courses that focus solely on research without patient care aren't required to cover implicit bias. Topics could include how bias affects health outcomes and ways to reduce such biases. Additionally, the board may consider courses on menopausal and maternal mental health as part of the requirements.

(a)CA Business & Professions Code § 3524.5(a) The board may require a licensee to complete continuing education as a condition of license renewal under Section 3523 or 3524. The board shall not require more than 50 hours of continuing education every two years. The board shall, as it deems appropriate, accept certification by the National Commission on Certification of Physician Assistants (NCCPA), or another qualified certifying body, as determined by the board, as evidence of compliance with continuing education requirements.
(b)Copy CA Business & Professions Code § 3524.5(b)
(1)Copy CA Business & Professions Code § 3524.5(b)(1) The board shall adopt regulations to require that, on and after January 1, 2022, all continuing education courses for licensees under this chapter contain curriculum that includes the understanding of implicit bias.
(2)CA Business & Professions Code § 3524.5(b)(2) Beginning January 1, 2023, continuing education providers shall ensure compliance with paragraph (1).
(3)CA Business & Professions Code § 3524.5(b)(3) Beginning January 1, 2023, the board shall audit continuing education providers at least once every five years to ensure adherence to regulatory requirements, and shall withhold or rescind approval from any provider that is in violation of the regulatory requirements.
(c)CA Business & Professions Code § 3524.5(c) Notwithstanding the provisions of subdivision (b), a continuing education course dedicated solely to research or other issues that does not include a direct patient care component is not required to contain curriculum that includes implicit bias in the practice of physician assistants.
(d)CA Business & Professions Code § 3524.5(d) In order to satisfy the requirements of subdivision (a), continuing education courses shall address at least one or a combination of the following:
(1)CA Business & Professions Code § 3524.5(d)(1) Examples of how implicit bias affects perceptions and treatment decisions of physician assistants, leading to disparities in health outcomes.
(2)CA Business & Professions Code § 3524.5(d)(2) Strategies to address how unintended biases in decisionmaking may contribute to health care disparities by shaping behavior and producing differences in medical treatment along lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status, or other characteristics.
(e)Copy CA Business & Professions Code § 3524.5(e)
(1)Copy CA Business & Professions Code § 3524.5(e)(1) In determining its continuing education requirements, the board shall consider including a course in menopausal mental or physical health.
(2)CA Business & Professions Code § 3524.5(e)(2) In determining its continuing education requirements, the board shall consider including a course in maternal mental health.

Section § 3524.6

Explanation

This law requires physician assistants who treat a lot of older patients—specifically if more than 25% of their patients are 65 years or older—to dedicate at least 20% of their required continuing education to topics like geriatric medicine, dementia care, or the care of older adults.

A physician assistant who provides primary care to a patient population of which over 25 percent are 65 years of age or older shall complete at least 20 percent of all mandatory continuing education hours in a course in the field of geriatric medicine, the special care needs of patients with dementia, or the care of older patients.

Section § 3524.7

Explanation

This law section requires the board to think about adding courses on infection-associated chronic conditions, like long COVID, myalgic encephalomyelitis, and dysautonomia, when setting their continuing education requirements for medical professionals.

In determining its continuing education requirements, the board shall consider including a course in infection-associated chronic conditions, including, but not limited to, long COVID, as defined by the United States Department of Health and Human Services, myalgic encephalomyelitis, and dysautonomia.

Section § 3525

Explanation

If your professional license in California is suspended, it can still expire and must be renewed like any other license, but renewing it doesn't let you use it until the suspension is lifted. If your license has been revoked and you get it back after it has expired, you'll have to pay a fee the same as the renewal fee that was due the last time it was supposed to be renewed.

A suspended license is subject to expiration and shall be renewed as provided in this chapter. However, such renewal does not entitle such holder, to practice or otherwise violate the order or judgment by which the license was suspended.
A revoked license is subject to expiration as provided in this chapter. If the license is reinstated after expiration, the license holder, as a condition to reinstatement, shall pay a reinstatement fee in an amount equal to the renewal fee in effect on the last preceding regular renewal date before the date on which it is reinstated.

Section § 3526

Explanation

If you don't renew your license within five years, you can't just renew it. Instead, you'll have to apply for a brand new license. This means you need to prove you haven't done anything that would get your license denied, pass the necessary exams, and pay all the fees as if you were a first-time applicant.

A person who fails to renew their license or approval within five years after its expiration may not renew it, and it may not be reissued, reinstated, or restored after that time has elapsed, but that person may apply for and obtain a new license or approval if they:
(a)CA Business & Professions Code § 3526(a) Have not committed any acts or crimes constituting grounds for denial of licensure under Division 1.5 (commencing with Section 475).
(b)CA Business & Professions Code § 3526(b) Take and pass the examination, if any, that would be required of them if application for licensure was being made for the first time, or otherwise establishes to the satisfaction of the board that, with due regard for the public interest, they are qualified to practice as a physician assistant.
(c)CA Business & Professions Code § 3526(c) Pay all of the fees that would be required as if application for licensure was being made for the first time.