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Legislative Update

Posted By Jen Feirstein, ASAPA Legislative Committee Chair, Tuesday, June 18, 2019
Updated: Monday, June 17, 2019
ASAPA Legislative Update – June 15, 2019

On May 10, 2019, Governor Ducey signed
HB 2519, which increases the physician to PA ratio from 1:4 to 1:6.  Accordingly, as of the general effective date of August 28, 2019, physicians will be able to supervise up to six PAs at any given time.  The original language and intent of HB 2519 was to change the term ‘supervision’ to ‘collaboration’ in Arizona PA legislation.  However, due to multiple stakeholder meetings, which included ASAPA leadership, physician professional organization leadership, malpractice insurance representatives, and legislators, and with the advisement of our association lobbyist, ASAPA opted to support a strike-everything amendment that changed the intent of the bill to that of increased physician to PA ratios.

ASAPA believes that the increased physician to PA ratio demonstrates progress toward the key elements of model PA legislation, which includes unlimited physician to PA ratios.  Additionally, it may decrease barriers to hiring PAs in large hospitals or medical organizations that utilize multiple physicians and PAs that all cross-collaborate.  The process of working on HB 2519 throughout the last Arizona legislative session was critical for the re-introduction of ASAPA and the PA profession to Arizona legislators.  It also allowed for incredible insight into the priorities and goals of our physician colleagues and their professional organizations.  This will be highly important as we start to plan and strategize for future legislative efforts that impact Arizona PAs.

Please reach out to the legislative committee or the Board of Directors of ASAPA with any questions about this legislative update.  We also encourage you to provide any support you can with regard to ASAPA’s future legislative efforts.  One of the most effective ways you can support legislative efforts is through your continued membership in ASAPA, and by promoting membership to your PA colleagues that may not be current members.  Membership applications can be found on the ASAPA


Jennifer Feirstein, MSPAS, PA-C, DFAAPA
Chair, Legislative Committee
Arizona State Association of Physician Assistants

Tags:  Legislative 

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