S T A T E O F N E W Y O R K
________________________________________________________________________
7355
2011-2012 Regular Sessions
I N A S S E M B L Y
May 2, 2011
___________
Introduced by M. of A. GOTTFRIED -- read once and referred to the
Committee on Higher Education
AN ACT to amend the public health law and the education law, in relation
to physician assistants and specialist assistants
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Article 37 of the public health law, as added by chapter
1135 of the laws of 1971, the article heading and sections 3700 and 3701
as amended by chapter 210 of the laws of 1975, subdivision 2 of section
3701 as amended by chapter 375 of the laws of 2003, section 3703 as
amended by chapter 618 of the laws of 2006, subdivision 3 of section
3703 as added by chapter 603 of the laws of 2007, section 3704 as added
by chapter 30 of the laws of 2010, is amended to read as follows:
ARTICLE 37
[PHYSICIAN'S] PHYSICIAN
ASSISTANTS [AND SPECIALIST'S ASSISTANTS]
Section 3700. Definitions.
3701. Commissioner; powers and duties.
[3703] 3702. Special provisions.
[3704] 3703. Statutory construction.
S 3700. Definitions. As used in this article:
1. [Physician's] PHYSICIAN assistant. The term "[physician's] PHYSI-
CIAN assistant" means a person who is [registered] LICENSED as a [physi-
cian's] PHYSICIAN assistant pursuant to section sixty-five hundred
[thirty-one] FORTY-ONE of the education law.
2. [Specialist's assistant. The term "specialist's assistant" means a
person who is registered pursuant to section sixty-five hundred thirty-
one of the education law as a specialist's assistant for a particular
medical specialty as defined by regulations promulgated by the commis-
sioner pursuant to section thirty-seven hundred one of this article.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD10463-04-1
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3.] Physician. The term "physician" means a practitioner of medicine
licensed to practice medicine pursuant to article one hundred thirty-one
of the education law.
[4] 3. Hospital. The term "hospital" means an institution or facility
possessing a valid operating certificate issued pursuant to article
twenty-eight of this chapter and authorized to employ [physician's]
PHYSICIAN assistants [and specialist's assistants] in accordance with
rules and regulations of the state hospital review and planning council.
[5] 4. Approved program. The term "approved program" means a program
for the education of [physician's] PHYSICIAN assistants [or specialist's
assistants] which has been formally approved by the [department of]
education DEPARTMENT.
S 3701. Commissioner; powers and duties. The commissioner shall have
the following powers and duties: 1. to promulgate regulations defining
and restricting the duties which may be assigned to [physician's] PHYSI-
CIAN assistants [and specialist's assistants] by their supervising
physician, the degree of supervision required and the manner in which
such duties may be performed;
2. [to promulgate regulations establishing such different medical
specialties for which specialist's assistants may be registered by the
education department pursuant to section sixty-five hundred forty-one of
the education law as will most effectively increase the quality of
medical care available in this state provided, however, that no category
of specialist's assistant shall be established: (a) for areas in which
allied health professions are presently licensed under the education law
or the public health law; or (b) relating to the practice of surgery or
practice in the intensive care unit of any general hospital, as defined
pursuant to article twenty-eight of this chapter.
3.] to conduct and support continuing studies respecting the nature
and scope of the duties of [physician's] PHYSICIAN assistants [and
specialist's assistants] in order to promote their effective functioning
as members of the health care team;
[4] 3. to determine the desirability of and to establish rules for
requiring continuing education of [physician's] PHYSICIAN assistants
[and specialist's assistants];
[5] 4. to furnish the education department with suggested criteria
which may be used by the education department to help determine whether
an applicant for [registration] LICENSURE as a [physician's] PHYSICIAN
assistant [or specialist's assistant] possesses equivalent education and
training, such as experience as a nurse or military corpsman, which may
be accepted in lieu of all or part of an approved program;
[6] 5. to adopt such other rules and regulations as may be necessary
or appropriate to carry out the purposes of this article.
S [3703] 3702. Special provisions. 1. Inpatient medical orders. A
[registered physician's] LICENSED PHYSICIAN assistant employed or
extended privileges by a hospital may, if permissible under the bylaws,
rules and regulations of the hospital, write medical orders, including
those for controlled substances, for inpatients under the care of the
physician responsible for his or her supervision. Countersignature of
such orders may be required if deemed necessary and appropriate by the
supervising physician or the hospital, but in no event shall countersig-
nature be required prior to execution.
2. Withdrawing blood. A [registered physician's] LICENSED PHYSICIAN
assistant or certified nurse practitioner acting within his or her
lawful scope of practice may supervise and direct the withdrawal of
blood for the purpose of determining the alcoholic or drug content ther-
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ein under subparagraph one of paragraph (a) of subdivision four of
section eleven hundred ninety-four of the vehicle and traffic law,
notwithstanding any provision to the contrary in clause (ii) of such
subparagraph.
3. Prescriptions for controlled substances. A [registered] LICENSED
physician assistant, in good faith and acting within his or her lawful
scope of practice, and to the extent assigned by his or her supervising
physician, may prescribe controlled substances as a practitioner under
article thirty-three of this chapter, to patients under the care of such
physician responsible for his or her supervision. The commissioner, in
consultation with the commissioner of education, may promulgate such
regulations as are necessary to carry out the purposes of this section.
S [3704] 3703. Statutory construction. A physician assistant may
perform any function in conjunction with a medical service lawfully
performed by the physician assistant, in any health care setting, that a
statute authorizes or directs a physician to perform and that is appro-
priate to the education, training and experience of the [registered]
LICENSED physician assistant and within the ordinary practice of the
supervising physician. This section shall not be construed to increase
or decrease the lawful scope of practice of a physician assistant under
the education law.
S 2. The public health law is amended by adding a new article 37-A to
read as follows:
ARTICLE 37-A
SPECIALIST ASSISTANTS
SECTION 3710. DEFINITIONS.
3711. COMMISSIONER; POWERS AND DUTIES.
S 3710. DEFINITIONS. AS USED IN THIS ARTICLE:
1. SPECIALIST ASSISTANT. THE TERM "SPECIALIST ASSISTANT" MEANS A
PERSON WHO IS REGISTERED PURSUANT TO SECTION SIXTY-FIVE HUNDRED
FORTY-EIGHT OF THE EDUCATION LAW AS A SPECIALIST ASSISTANT FOR A PARTIC-
ULAR MEDICAL SPECIALITY AS DEFINED BY REGULATIONS PROMULGATED BY THE
COMMISSIONER PURSUANT TO SECTION THIRTY-SEVEN HUNDRED ELEVEN OF THIS
ARTICLE.
2. PHYSICIAN. THE TERM "PHYSICIAN" MEANS A PRACTITIONER OF MEDICINE
LICENSED TO PRACTICE MEDICINE PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE
OF THE EDUCATION LAW.
3. HOSPITAL. THE TERM "HOSPITAL" MEANS AN INSTITUTION OR FACILITY
POSSESSING A VALID OPERATING CERTIFICATE ISSUED PURSUANT TO ARTICLE
TWENTY-EIGHT OF THIS CHAPTER AND AUTHORIZED TO EMPLOY SPECIALIST ASSIST-
ANTS IN ACCORDANCE WITH RULES AND REGULATIONS OF THE STATE HOSPITAL
REVIEW AND PLANNING COUNCIL.
4. APPROVED PROGRAM. THE TERM "APPROVED PROGRAM" MEANS A PROGRAM FOR
THE EDUCATION OF SPECIALIST ASSISTANTS WHICH HAS BEEN FORMALLY APPROVED
BY THE EDUCATION DEPARTMENT.
S 3711. COMMISSIONER; POWERS AND DUTIES. THE COMMISSIONER SHALL HAVE
THE FOLLOWING POWERS AND DUTIES:
1. TO PROMULGATE REGULATIONS DEFINING AND RESTRICTING THE DUTIES WHICH
MAY BE ASSIGNED TO SPECIALIST ASSISTANTS, THE DEGREE OF SUPERVISION
REQUIRED AND THE MANNER IN WHICH SUCH DUTIES MAY BE PERFORMED;
2. TO PROMULGATE REGULATIONS ESTABLISHING SUCH DIFFERENT MEDICAL
SPECIALTIES FOR WHICH SPECIALIST ASSISTANTS MAY BE REGISTERED BY THE
EDUCATION DEPARTMENT PURSUANT TO SECTION SIXTY-FIVE HUNDRED FORTY-EIGHT
OF THE EDUCATION LAW AS WILL MOST EFFECTIVELY INCREASE THE QUALITY OF
MEDICAL CARE AVAILABLE IN THIS STATE; PROVIDED, HOWEVER, THAT NO CATEGO-
RY OF SPECIALIST ASSISTANT SHALL BE ESTABLISHED: (A) FOR AREAS IN WHICH
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ALLIED HEALTH PROFESSIONS ARE LICENSED PURSUANT TO THE EDUCATION LAW OR
THIS CHAPTER; OR (B) RELATING TO THE PRACTICE OF SURGERY OR PRACTICE IN
THE INTENSIVE CARE UNIT OF ANY GENERAL HOSPITAL, AS DEFINED PURSUANT TO
ARTICLE TWENTY-EIGHT OF THIS CHAPTER.
3. TO CONDUCT AND SUPPORT CONTINUING STUDIES RESPECTING THE NATURE AND
SCOPE OF THE DUTIES OF SPECIALIST ASSISTANTS IN ORDER TO PROMOTE THEIR
EFFECTIVE FUNCTIONING AS MEMBERS OF THE HEALTH CARE TEAM;
4. TO DETERMINE THE DESIRABILITY OF AND TO ESTABLISH RULES FOR REQUIR-
ING CONTINUING EDUCATION OF SPECIALIST ASSISTANTS;
5. TO FURNISH THE EDUCATION DEPARTMENT WITH SUGGESTED CRITERIA WHICH
MAY BE USED BY THE EDUCATION DEPARTMENT TO HELP DETERMINE THE EDUCATION
AND TRAINING REQUIREMENTS FOR A SPECIALIST ASSISTANT;
6. TO ADOPT SUCH OTHER RULES AND REGULATIONS AS MAY BE NECESSARY OR
APPROPRIATE TO CARRY OUT THE PURPOSES OF THIS ARTICLE.
S 3. Article 131-B of the education law, as added by chapter 1135 of
the laws of 1971 and as renumbered by chapter 144 of the laws of 1975,
the article heading and sections 6540, 6541, 6542, 6545, 6547 and 6548
as amended by chapter 179 of the laws of 1992, the opening paragraph of
subdivision 1 of section 6541, subdivision 3 of section 6548 as amended
by chapter 573 of the laws of 1992, paragraphs (c), (d), (e) and (f) of
subdivision 1 of section 6541 as amended by chapter 293 of the laws of
2010 and subdivision 6 of section 6542 as amended by section 90 of
subpart B of part C of chapter 62 of the laws of 2011, is amended to
read as follows:
ARTICLE 131-B
PHYSICIAN ASSISTANTS [AND SPECIALIST ASSISTANTS]
SeDefinitions.
6541. [Registration] REQUIREMENTS FOR LICENSE.
6542. Performance of medical services.
[6545] 6543. Construction.
[6546] 6544. Regulations.
[6547] 6545. Emergency services rendered by physician assistant.
[6548] 6546. Limited permits.
S 6540. Definitions. As used in this article: 1. Physician assistant.
The term "physician assistant" means a person who is [registered]
LICENSED as a physician assistant pursuant to this article.
2. [Specialist assistant. The term "specialist assistant" means a
person who is registered pursuant to this article as a specialist
assistant for a particular medical specialty as defined by regulations
promulgated by the commissioner of health pursuant to section thirty-
seven hundred one of the public health law.
3.] Physician. The term "physician" means a practitioner of medicine
licensed to practice medicine pursuant to article one hundred thirty-one
of this chapter.
[4] 3. Approved program. The term "approved program" means a program
for the education of physician assistants [or specialist assistants]
which has been formerly approved by the department.
[5] 4. Hospital. The term "hospital" means an institution or facility
possessing a valid operating certificate issued pursuant to article
twenty-eight of the public health law and authorized to employ physician
assistants [and specialist assistants] in accordance with rules and
regulations of the state hospital review and planning council.
S 6541. [Registration] REQUIREMENTS FOR LICENSE. 1. To qualify for
[registration] A LICENSE as a physician assistant [or specialist assist-
ant], each person shall pay a fee of one hundred fifteen dollars to the
department for admission to a department conducted examination, a fee of
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forty-five dollars for each reexamination and a fee of seventy dollars
for persons not requiring admission to a department conducted examina-
tion and shall also submit satisfactory evidence, verified by oath or
affirmation, that he or she:
(a) at the time of application is at least twenty-one years of age;
(b) is of good moral character;
(c) [in the case of an applicant for registration as a specialist
assistant, has successfully completed a four-year course of study in a
secondary school approved by the board of regents or has passed an
equivalency test;
(d) in the case of an applicant for registration as a physician
assistant,] has received an education including a bachelor's or equiv-
alent degree in accordance with the commissioner's regulations;
[(e)] (D) has satisfactorily completed an approved program for the
training of physician assistants [or specialist assistants]. The
approved program for the training of physician assistants shall include
not less than forty weeks of supervised clinical training and thirty-two
credit hours of classroom work. Applicants for [registration] A LICENSE
as a physician assistant who have completed an approved program leading
to a bachelor's degree or equivalent in physician assistant studies
shall be deemed to have satisfied this paragraph. The commissioner is
empowered to determine whether an applicant possesses equivalent educa-
tion and training, such as experience as a nurse or military corpsman,
which may be accepted in lieu of all or part of an approved program; and
[(f)] (E) in the case of an applicant for [registration] A LICENSE as
a physician assistant, has obtained a passing score on an examination
acceptable to the department.
2. The department shall furnish to each person applying for [registra-
tion hereunder] A LICENSE PURSUANT TO THIS SECTION an application form
calling for such information as the department deems necessary and shall
issue to each applicant who satisfies the requirements of subdivision
one of this section a [certificate of registration] LICENSE as a physi-
cian assistant [or specialist assistant] in a particular medical
specialty for the period expiring December thirty-first of the first
odd-numbered year terminating subsequent to THE ISSUANCE OF such [regis-
tration] LICENSE.
3. Every [registrant] LICENSEE shall apply to the department for a
[certificate of registration] RENEWAL OF HIS OR HER LICENSE. The
department shall mail to every [registered] LICENSED physician assistant
[and specialist assistant] an application form for [registration]
RENEWAL, addressed to the [registrant's] LICENSEE'S post office address
on file with the department. Upon receipt of such application properly
executed, together with evidence of satisfactory completion of such
continuing education requirements as may be established by the commis-
sioner of health pursuant to section thirty-seven hundred one of the
public health law, the department shall issue a [certificate of regis-
tration] RENEWAL. [Registration] RENEWAL periods shall be triennial and
the [registration] RENEWAL fee shall be forty-five dollars.
S 6542. Performance of medical services. 1. Notwithstanding any other
provision of law, a physician assistant may perform medical services,
but only when under the supervision of a physician and only when such
acts and duties as are assigned to him OR HER are within the scope of
practice of such supervising physician.
2. [Notwithstanding any other provision of law, a specialist assistant
may perform medical services, but only when under the supervision of a
physician and only when such acts and duties as are assigned to him are
A. 7355 6
related to the designated medical specialty for which he is registered
and are within the scope of practice of his supervising physician.
3.] Supervision shall be continuous but shall not be construed as
necessarily requiring the physical presence of the supervising physician
at the time and place where such services are performed.
[4] 3. No physician shall employ or supervise more than two physician
assistants [and two specialist assistants] in his OR HER private prac-
tice.
[5] 4. Nothing in this article shall prohibit a hospital from employ-
ing physician assistants [or specialist assistants] provided they work
under the supervision of a physician designated by the hospital and not
beyond the scope of practice of such physician. The numerical limita-
tion of subdivision [four] THREE of this section shall not apply to
services performed in a hospital.
[6.] 5. Notwithstanding any other provision of this article, nothing
shall prohibit a physician employed by or rendering services to the
department of corrections and community supervision under contract from
supervising no more than four physician assistants or specialist assist-
ants in his OR HER practice for the department of corrections and commu-
nity supervision.
[7] 6. Notwithstanding any other provision of law, a trainee in an
approved program may perform medical services when such services are
performed within the scope of such program.
[8] 7. Nothing in this article, or in article thirty-seven of the
public health law, shall be construed to authorize physician assistants
[or specialist assistants] to perform those specific functions and
duties specifically delegated by law to those persons licensed as allied
health professionals under the public health law or [the education law]
THIS CHAPTER.
S [6545] 6543. Construction. [1.] Only a person [registered] LICENSED
as a physician assistant by the department may use the title "[regis-
tered] physician assistant" or the letters ["R.P.A."] "P.A." after his
OR HER name.
[2. Only a person registered as a specialist assistant by the depart-
ment may use the title "registered specialist assistant" or the letters
"R.S.A." after his name.]
S [6546] 6544. Regulations. The commissioner may promulgate such
other regulations as are necessary to carry out the purposes of this
article.
S [6547] 6545. Emergency services rendered by physician assistant.
Notwithstanding any inconsistent provision of any general, special or
local law, any physician assistant properly [registered] LICENSED in
this state who voluntarily and without the expectation of monetary
compensation renders first aid or emergency treatment at the scene of an
accident or other emergency, outside a hospital, doctor's office or any
other place having proper and necessary medical equipment, to a person
who is unconscious, ill or injured, shall not be liable for damages for
injuries alleged to have been sustained by such person or for damages
for the death of such person alleged to have occurred by reason of an
act or omission in the rendering of such first aid or emergency treat-
ment unless it is established that such injuries were or such death was
caused by gross negligence on the part of such physician assistant.
Nothing in this section shall be deemed or construed to relieve a
licensed physician assistant from liability for damages for injuries or
death caused by an act or omission on the part of a physician assistant
A. 7355 7
while rendering professional services in the normal and ordinary course
of his OR HER practice.
S [6548] 6546. Limited permits. Permits limited as to eligibility,
practice and duration, shall be issued by the department to eligible
applicants, as follows:
1. Eligibility. A person who fulfills all requirements [for registra-
tion] TO BE LICENSED as a physician assistant except that relating to
the examination shall be eligible for a limited permit.
2. Limit of practice. A permittee shall be authorized to practice as a
physician assistant only under the direct supervision of a physician.
3. Duration. A limited permit shall expire one year from the date of
issuance or upon notice to the permittee by the department that the
application for [registration] A LICENSE has been denied. A limited
permit shall be extended upon application for one additional year,
provided that the permittee's request for such extension is endorsed by
a physician who either has supervised or will supervise the permittee,
except that such extension may be denied by the department for cause
which shall be stated in writing. If the permittee is awaiting the
results of a licensing examination at the time such limited permit
expires, such permit shall continue to be valid until ten days after
notification to the permittee of the result of such examination.
4. Fees. The fee for each limited permit shall be one hundred five
dollars.
S 4. The education law is amended by adding a new article 131-C to
read as follows:
ARTICLE 131-C
SPECIALIST ASSISTANTS
SECTION 6547. DEFINITIONS.
6548. REGISTRATION.
6549. PERFORMANCE OF MEDICAL SERVICES.
6549-A. CONSTRUCTION.
6549-B. REGULATIONS.
S 6547. DEFINITIONS. AS USED IN THIS ARTICLE:
1. SPECIALIST ASSISTANT. THE TERM "SPECIALIST ASSISTANT" MEANS A
PERSON WHO IS REGISTERED PURSUANT TO THIS ARTICLE AS A SPECIALIST
ASSISTANT FOR A PARTICULAR MEDICAL SPECIALTY AS DEFINED BY REGULATIONS
PROMULGATED BY THE COMMISSIONER OF HEALTH PURSUANT TO SECTION
THIRTY-SEVEN HUNDRED ELEVEN OF THE PUBLIC HEALTH LAW.
2. PHYSICIAN. THE TERM "PHYSICIAN" MEANS A PRACTITIONER OF MEDICINE
LICENSED TO PRACTICE MEDICINE PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE
OF THIS CHAPTER.
3. APPROVED PROGRAM. THE TERM "APPROVED PROGRAM" MEANS A PROGRAM FOR
THE EDUCATION OF SPECIALIST ASSISTANTS WHICH HAS BEEN APPROVED BY THE
DEPARTMENT.
4. HOSPITAL. THE TERM "HOSPITAL" MEANS AN INSTITUTION OR FACILITY
POSSESSING A VALID OPERATING CERTIFICATE ISSUED PURSUANT TO ARTICLE
TWENTY-EIGHT OF THE PUBLIC HEALTH LAW AND AUTHORIZED TO EMPLOY SPECIAL-
IST ASSISTANTS IN ACCORDANCE WITH RULES AND REGULATIONS OF THE STATE
HOSPITAL REVIEW AND PLANNING COUNCIL.
S 6548. REGISTRATION. 1. TO QUALIFY FOR REGISTRATION AS A SPECIALIST
ASSISTANT, EACH PERSON SHALL PAY A FEE OF ONE HUNDRED FIFTEEN DOLLARS TO
THE DEPARTMENT FOR ADMISSION TO A DEPARTMENT CONDUCTED EXAMINATION, A
FEE OF FORTY-FIVE DOLLARS FOR EACH REEXAMINATION AND A FEE OF SEVENTY
DOLLARS FOR PERSONS NOT REQUIRING ADMISSION TO A DEPARTMENT CONDUCTED
EXAMINATION AND SHALL ALSO SUBMIT SATISFACTORY EVIDENCE, VERIFIED BY
OATH OR AFFIRMATION, THAT HE OR SHE:
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(A) AT THE TIME OF APPLICATION IS AT LEAST TWENTY-ONE YEARS OF AGE;
(B) IS OF GOOD MORAL CHARACTER;
(C) HAS SUCCESSFULLY COMPLETED A FOUR-YEAR COURSE OF STUDY IN A
SECONDARY SCHOOL APPROVED BY THE BOARD OF REGENTS OR HAS PASSED AN
EQUIVALENCY TEST; AND
(D) HAS SATISFACTORILY COMPLETED AN APPROVED PROGRAM FOR THE TRAINING
OF SPECIALIST ASSISTANTS.
2. THE DEPARTMENT SHALL FURNISH TO EACH PERSON APPLYING FOR REGISTRA-
TION HEREUNDER AN APPLICATION FORM CALLING FOR SUCH INFORMATION AS THE
DEPARTMENT DEEMS NECESSARY AND SHALL ISSUE TO EACH APPLICANT WHO SATIS-
FIES THE REQUIREMENTS OF SUBDIVISION ONE OF THIS SECTION A CERTIFICATE
OF REGISTRATION AS SPECIALIST ASSISTANT IN A PARTICULAR MEDICAL SPECIAL-
TY FOR THE PERIOD EXPIRING DECEMBER THIRTY-FIRST OF THE FIRST ODD-NUM-
BERED YEAR TERMINATING SUBSEQUENT TO SUCH REGISTRATION.
3. EVERY REGISTRANT SHALL APPLY TO THE DEPARTMENT FOR A CERTIFICATE OF
REGISTRATION. THE DEPARTMENT SHALL MAIL TO EVERY REGISTERED SPECIALIST
ASSISTANT AN APPLICATION FORM FOR REGISTRATION, ADDRESSED TO THE REGIS-
TRANT'S POST OFFICE ADDRESS ON FILE WITH THE DEPARTMENT. UPON RECEIPT OF
SUCH APPLICATION PROPERLY EXECUTED, TOGETHER WITH EVIDENCE OF SATISFAC-
TORY COMPLETION OF SUCH CONTINUING EDUCATION REQUIREMENTS AS MAY BE
ESTABLISHED BY THE COMMISSIONER OF HEALTH PURSUANT TO SECTION
THIRTY-SEVEN HUNDRED ELEVEN OF THE PUBLIC HEALTH LAW, THE DEPARTMENT
SHALL ISSUE A CERTIFICATE OF REGISTRATION. REGISTRATION PERIODS SHALL BE
TRIENNIAL AND THE REGISTRATION FEE SHALL BE FORTY-FIVE DOLLARS.
S 6549. PERFORMANCE OF MEDICAL SERVICES. 1. NOTWITHSTANDING ANY OTHER
PROVISION OF LAW, A SPECIALIST ASSISTANT MAY PERFORM MEDICAL SERVICES,
BUT ONLY WHEN UNDER THE SUPERVISION OF A PHYSICIAN AND ONLY WHEN SUCH
ACTS AND DUTIES AS ARE ASSIGNED TO HIM OR HER ARE RELATED TO THE DESIG-
NATED MEDICAL SPECIALITY FOR WHICH HE OR SHE IS REGISTERED AND ARE WITH-
IN THE SCOPE OF PRACTICE OF HIS OR HER SUPERVISING PHYSICIAN.
2. SUPERVISION SHALL BE CONTINUOUS BUT SHALL NOT BE CONSTRUED AS
NECESSARILY REQUIRING THE PHYSICAL PRESENCE OF THE SUPERVISING PHYSICIAN
AT THE TIME AND PLACE WHERE SUCH SERVICES ARE PERFORMED.
3. NO PHYSICIAN SHALL EMPLOY OR SUPERVISE MORE THAN TWO SPECIALIST
ASSISTANTS IN HIS OR HER PRIVATE PRACTICE.
4. NOTHING IN THIS ARTICLE SHALL PROHIBIT A HOSPITAL FROM EMPLOYING
SPECIALIST ASSISTANTS PROVIDED THEY WORK UNDER THE SUPERVISION OF A
PHYSICIAN DESIGNATED BY THE HOSPITAL AND NOT BEYOND THE SCOPE OF PRAC-
TICE OF SUCH PHYSICIAN. THE NUMERICAL LIMITATION OF SUBDIVISION THREE OF
THIS SECTION SHALL NOT APPLY TO SERVICES PERFORMED IN A HOSPITAL.
5. NOTWITHSTANDING ANY OTHER PROVISION OF THIS ARTICLE, NOTHING SHALL
PROHIBIT A PHYSICIAN EMPLOYED BY OR RENDERING SERVICES TO THE DEPARTMENT
OF CORRECTIONAL SERVICES UNDER CONTRACT FROM SUPERVISING NO MORE THAN
FOUR SPECIALIST ASSISTANTS IN HIS OR HER PRACTICE FOR THE DEPARTMENT OF
CORRECTIONAL SERVICES.
6. NOTWITHSTANDING ANY OTHER PROVISION OF LAW, A TRAINEE IN AN
APPROVED PROGRAM MAY PERFORM MEDICAL SERVICES WHEN SUCH SERVICES ARE
PERFORMED WITHIN THE SCOPE OF SUCH PROGRAM.
7. NOTHING IN THIS ARTICLE OR IN ARTICLE THIRTY-SEVEN-A OF THE PUBLIC
HEALTH LAW, SHALL BE CONSTRUED TO AUTHORIZE SPECIALIST ASSISTANTS TO
PERFORM THOSE SPECIFIC FUNCTIONS AND DUTIES SPECIFICALLY DELEGATED BY
LAW TO THOSE PERSONS LICENSED AS ALLIED HEALTH PROFESSIONALS UNDER THE
PUBLIC HEALTH LAW OR THIS CHAPTER.
S 6549-A. CONSTRUCTION. ONLY A PERSON REGISTERED AS A SPECIALIST
ASSISTANT BY THE DEPARTMENT MAY USE THE TITLE "REGISTERED SPECIALIST
ASSISTANT" OR THE LETTERS "R.S.A." AFTER HIS OR HER NAME.
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S 6549-B. REGULATIONS. THE COMMISSIONER MAY PROMULGATE SUCH OTHER
REGULATIONS AS ARE NECESSARY TO CARRY OUT THE PURPOSES OF THIS ARTICLE.
S 5. Every physician assistant registered pursuant to article 131-B of
the education law immediately prior to the effective date of this act
shall be deemed to be licensed pursuant to such article on and after
such date.
S 6. This act shall take effect on the first of January next succeed-
ing the date on which it shall have become a law; provided that, effec-
tive immediately, any rules and regulations necessary to implement the
provisions of this act on its effective date are authorized to be added,
amended and/or repealed on or before such date.