KRS 311.854: Approval of supervising physician -- Requirements -- Supervision

agreement -- Alternative filing method -- Alternate supervising physicians --

Number of assistants -- Restrictions on practice and supervision --

Administrative regulations.

(1) A physician shall not supervise a physician assistant without approval of the board.

Failure to obtain board approval as a supervising physician or failure to comply

with the requirements of KRS 311.840 to 311.862 or related administrative

regulations shall be considered unprofessional conduct and shall be subject to

disciplinary action by the board that may include revocation, suspension,

restriction, or placing on probation the supervising physician's right to supervise a

physician assistant.

(2) To be approved by the board as a supervising physician, a physician shall:

(a) Be currently licensed and in good standing with the board;

(b) Maintain a practice primarily within this Commonwealth. The board in its

discretion may modify or waive this requirement;

(c) Submit a completed application and the required fee to the board. The

application shall include but is not limited to:

1. A description of the nature of the physician's practice; and

2. A statement of assurance by the supervising physician that the scope of

medical services and procedures of the physician assistant shall not

exceed the normal scope of practice of the supervising physician.

(3) A physician assistant shall not render any medical service or procedure unless the

required supervision agreement is completed and signed by the supervising

physician and physician assistant, and in effect. The supervision agreement shall

include but is not limited to:

(a) The scope of medical services and procedures approved by the supervising

physician to be performed by the physician assistant;

(b) The level and method of supervision to be provided by the supervising

physician;

(c) Any applicable requirements for review a nd countersignature of the physician

assistant's medical notes, orders, or prescriptions;

(d) Procedures governing communications and clinical decision -making between

the supervising physician and the physician assistant;

(e) The primary practice location and any additional sites where the physician

assistant is authorized to provide services; and

(f) Any alternate physician supervision arrangements authorized under KRS

311.840 to 311.862.

(4) (a) The board shall develop and make available a standardized su pervision

agreement form to be used by supervising physicians and physician assistants.

(b) A copy of the completed and signed supervision agreement, and any

subsequent amendments, shall be furnished to and maintained on file by the

board and shall be main tained, in a readily accessible physical or electronic

form, at the primary practice location where the physician assistant provides

patient care.

(5) The supervision agreement may be amended at any time upon the mutual agreement

of the supervising physici an and physician assistant. All amendments shall be

submitted to the board and maintained in accordance with this section.

(6) A licensed health care facility utilizing alternate supervising physicians may satisfy

the filing requirements of this section through an alternative filing method approved

by the board. Compliance with a board -approved alternative filing method shall be

deemed compliant with the filing and amendment requirements of this section.

(7) A licensed health care facility may designate one (1) or more physicians to serve as

alternate supervising physicians for the purpose of providing supervision to one (1)

or more physician assistants when the primary supervising physician is unavailable.

A health care facility's designation of alternate s upervising physicians may be

structured to allow for rotating, shift -based, or department -based supervision,

provided that all supervising physicians:

(a) Are licensed and in good standing with the board;

(b) Have been designated in the applicable supervis ion agreement described in

this section; and

(c) Fulfill the responsibilities of a supervising physician under this section and

KRS 311.856.

(8) A supervision agreement shall not be required to name an alternate supervising

physician. Alternate supervising physician designations shall comply with

administrative regulations promulgated by the board in accordance with KRS

Chapter 13A and the supervision agreement.

(9) A physician who has been supervising a physician assistant prior to July 15, 2002,

may continue supervision and the physician assistant may continue to perform all

medical services and procedures that were provided by the physician assistant prior

to July 15, 2002. The supervising physician shall submit the initial application and

any supplemental application as required in this section by October 15, 2002.

(10) A physician may enter into supervision agreements with no more than four (4)

physician assistants and shall not supervise more than four (4) physician assistants

at any one (1) time. Appli cation for board approval to be a supervising physician

shall be obtained individually for each physician assistant.

(11) The board shall promulgate administrative regulations in accordance with KRS

Chapter 13A to implement and enforce this section, including:

(a) Procedures for the submission, review, modification, and renewal of

supervision agreements; and

(b) Alternative filing methods for licensed health care facilities to utilize alternate

supervising physicians.