Revision: March 20, 2024, 5:22 p.m.
Rep. Rochefort, Graf. 1
Rep. Edwards, Rock. 31
February 2, 2024
2024-0454h
09/
Amendment to HB 1222
Amend the bill by replacing section 1 with the following:
1 Physician Assistants; Definitions. Amend RSA 328-D:1, II-a to read as follows:
II-a. "Collaboration" means a physician assistant's consultation with or referral [to an appropriate physician or other health care professional] to the appropriate member of the health care team as indicated based on the patient's condition, the physician assistant's education, training, and experience, and the applicable standards of care.
Amend the bill by replacing section 4 with the following:
4 Physician Assistants; Licensure Requirements Suspended. Amend RSA 328-D:2-a, I-II to read as follows:
I. New Hampshire state licensure laws, rules, and regulations for physician assistants are hereby suspended for those physician assistants licensed by another state or territory of the United States or another country who are employed by the United States Department of Veterans Affairs and who are offering medical services to patients offered through the Veterans Administration Medical Center (VAMC), provided that such physician assistants are acting within the scope of their employment at the VAMC and possess a current license in good standing in their respective state, territory, or country of licensure. [Physician assistants who are employed by the United States Department of Veterans Affairs and who are offering medical services to patients of the Veterans Administration Medical Center (VAMC) and requesting licensure in New Hampshire may collaborate with physicians licensed in any state or territory of the United States provided the participating physician possesses a current license in good standing in their respective state or territory of the United States.]
II. The acting director of the Manchester VAMC shall submit to the executive director of the New Hampshire office of professional licensure and certification, or designee, a list of all out-of-state or out-of-country licensed physician assistants offering services in the state of New Hampshire [and out-of-state licensed physicians collaborating with physician assistants].
Amend the bill by replacing section 5 with the following:
5 Repeal. The following are repealed:
I. RSA 328-D:1, II-b, relative to the definition of collaboration agreement.
II. RSA 328-D:1, II-c, relative to the definition of a participating physician.
III. RSA 328-D:3-b, I-VI, relative to the requirements for collaboration agreements.
IV. RSA 328-D:6, V, relative to operating outside of a collaboration agreement.
V. RSA 328-D:12, relative to physician liability.
VI. RSA 328-D:15, III, relative to suspension of the need for collaboration agreements during disaster and emergency care.
VII. RSA 328-D:16, II, relative to suspension of the need for collaboration agreements during volunteer care.
2024-0454h
AMENDED ANALYSIS
This bill eliminates the requirement for a collaboration agreement for physician assistants, and makes other changes to implement this elimination.