Senate Bill No. 172

Public Act No. 00-205

An Act Concerning The Composition Of Medical Hearing Panels And The Prescriptive Authority Of Physician Assistants.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. Subsection (c) of section 20-8a of the general statutes, as amended by section 4 of public act 99-102, is repealed and the following is substituted in lieu thereof:

(c) The Commissioner of Public Health shall establish a list of [sixteen] eighteen persons who may serve as members of medical hearing panels established pursuant to subsection (g) of this section. Persons appointed to the list shall serve as members of the medical hearing panels and provide the same services as members of the Connecticut Medical Examining Board. Members from the list serving on such panels shall not be voting members of the Connecticut Medical Examining Board. The list shall consist of [sixteen] eighteen members appointed by the commissioner, eight of whom shall be physicians, as defined in section 20-13a, as amended by [this act] public act 99-102, with at least one of such physicians being a graduate of a medical education program accredited by the American Osteopathic Association, one of whom shall be a physician assistant licensed pursuant to section 20-12b, and [eight] nine of whom shall be members of the public. No professional member of the list shall be an elected or appointed officer of a professional society or association relating to such member's profession at the time of appointment to the list or have been such an officer during the year immediately preceding such appointment to the list. A licensed professional appointed to the list shall be a practitioner in good professional standing and a resident of this state. All vacancies shall be filled by the commissioner. Successors and appointments to fill a vacancy on the list shall possess the same qualifications as those required of the member succeeded or replaced. No person whose spouse, parent, brother, sister, child or spouse of a child is a physician, as defined in section 20-13a, as amended by [this act] public act 99-102, or a physician assistant, as defined in section 20-12a, as amended by [this act] public act 99-102, shall be appointed to the list as a member of the public. Each person appointed to the list shall serve without compensation at the pleasure of the commissioner.

Sec. 2. Subsection (a) of section 20-12d of the general statutes, as amended by section 9 of public act 99-102, is repealed and the following is substituted in lieu thereof:

(a) A physician assistant who has complied with the provisions of sections 20-12b and 20-12c, as amended, may perform medical functions delegated by a supervising physician when: (1) The supervising physician is satisfied as to the ability and competency of the physician assistant; (2) such delegation is consistent with the health and welfare of the patient and in keeping with sound medical practice; and (3) when such functions are performed under the oversight, control and direction of the supervising physician. The functions that may be performed under such delegation are those that are within the scope of the supervising physician's license, within the scope of such physician's competence as evidenced by such physician's postgraduate education, training and experience and within the normal scope of such physician's actual practice. Delegated functions shall be implemented in accordance with written protocols established by the supervising physician. All orders written by physician assistants shall be followed by the signature of the physician assistant and the printed name of the supervising physician. A physician assistant may, as delegated by the supervising physician within the scope of such physician's license, (A) prescribe and administer drugs, including controlled substances in schedule IV or V [; except that a physician assistant may, as delegated by the supervising physician within the scope of such physician's license,] in all settings, (B) renew prescriptions for controlled substances in schedule II or III in outpatient settings, and (C) prescribe and administer [drugs, including] controlled substances in schedule [II, III, IV, or V] II or III to an inpatient in a short-term hospital, chronic disease hospital, emergency room satellite of a general hospital, or, after an admission evaluation by a physician, in a chronic and convalescent nursing home, as defined in the regulations of Connecticut state agencies and licensed pursuant to subsection (a) of section 19a-491, provided in all cases where the physician assistant prescribes a controlled substance in schedule II or III, the physician under whose supervision the physician assistant is prescribing shall cosign the order not later than twenty-four hours thereafter. The physician assistant may, as delegated by the supervising physician within the scope of such physician's license, dispense drugs, in the form of professional samples as defined in section 20-14c, as amended, or when dispensing in an outpatient clinic as defined in the regulations of Connecticut state agencies and licensed pursuant to subsection (a) of section 19a-491 that operates on a not-for-profit basis, or when dispensing in a clinic operated by a state agency or municipality. Nothing in this subsection shall be construed to allow the physician assistant to dispense any drug the physician assistant is not authorized under this subsection to prescribe.

Approved June 7, 2000