SB-1075, As Passed House, December 8, 2004                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           SENATE BILL NO. 1075                                 

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending sections 17049 and 17549 (MCL 333.17049 and                     

                                                                                

    333.17549), as added by 1990 PA 247.                                        

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 17049.  (1) In addition to the other requirements of                   

                                                                                

2   this section and subject to subsection (5), a physician who                 

                                                                                

3   supervises a physician's assistant is responsible for all of the            

                                                                                

4   following:                                                                  

                                                                                

5       (a) Verification of the physician's assistant's credentials.                

                                                                                

6       (b) Evaluation of the physician's assistant's performance.                  

                                                                                

7       (c) Monitoring the physician's assistant's practice and                     

                                                                                

8   provision of medical care services.                                         

                                                                                

9       (2) Subject to section 17048, a physician who supervises a                  

                                                                                

10  physician's assistant may delegate to the physician's assistant             

                                                                                


                                                                                

1   the performance of medical care services for a patient who is               

                                                                                

2   under the case management responsibility of the physician, if the           

                                                                                

3   delegation is consistent with the physician's assistant's                   

                                                                                

4   training.                                                                   

                                                                                

5       (3) A physician who supervises a physician's assistant is                   

                                                                                

6   responsible for the clinical supervision of each physician's                

                                                                                

7   assistant to whom the physician delegates the performance of                

                                                                                

8   medical care service under subsection (2).                                  

                                                                                

9       (4) Subject to subsection (5), a physician who supervises a                 

                                                                                

10  physician's assistant shall keep on file in the physician's                 

                                                                                

11  office or in the health facility or agency or correctional                  

                                                                                

12  facility in which the physician supervises the physician's                  

                                                                                

13  assistant a permanent, written record that includes the                     

                                                                                

14  physician's name and license number and the name and license                

                                                                                

15  number of each physician's assistant supervised by the                      

                                                                                

16  physician.                                                                  

                                                                                

17      (5) A group of physicians practicing other than as sole                     

                                                                                

18  practitioners may designate 1 or more physicians in the group to            

                                                                                

19  fulfill the requirements of subsections (1) and (4).                        

                                                                                

20      (6) Notwithstanding any law or rule to the contrary, a                      

                                                                                

21  physician is not required to countersign orders written in a                

                                                                                

22  patient's clinical record by a physician's assistant to whom the            

                                                                                

23  physician has delegated the performance of medical care services            

                                                                                

24  for a patient.                                                              

                                                                                

25      Sec. 17549.  (1) In addition to the other requirements of                   

                                                                                

26  this section and subject to subsection (5), a physician who                 

                                                                                

27  supervises a physician's assistant is responsible for all of the            


                                                                                

1   following:                                                                  

                                                                                

2       (a) Verification of the physician's assistant's credentials.                

                                                                                

3       (b) Evaluation of the physician's assistant's performance.                  

                                                                                

4       (c) Monitoring the physician's assistant's practice and                     

                                                                                

5   provision of medical care services.                                         

                                                                                

6       (2) Subject to section 17548, a physician who supervises a                  

                                                                                

7   physician's assistant may delegate to the physician's assistant             

                                                                                

8   the performance of medical care services for a patient who is               

                                                                                

9   under the case management responsibility of the physician, if the           

                                                                                

10  delegation is consistent with the physician's assistant's                   

                                                                                

11  training.                                                                   

                                                                                

12      (3) A physician who supervises a physician's assistant is                   

                                                                                

13  responsible for the clinical supervision of each physician's                

                                                                                

14  assistant to whom the physician delegates the performance of                

                                                                                

15  medical care service under subsection (2).                                  

                                                                                

16      (4) Subject to subsection (5), a physician who supervises a                 

                                                                                

17  physician's assistant shall keep on file in the physician's                 

                                                                                

18  office or in the health facility or agency or state correctional            

                                                                                

19  facility in which the physician supervises the physician's                  

                                                                                

20  assistant a permanent, written record that includes the                     

                                                                                

21  physician's name and license number and the name and license                

                                                                                

22  number of each physician's assistant supervised by the                      

                                                                                

23  physician.                                                                  

                                                                                

24      (5) A group of physicians practicing other than as sole                     

                                                                                

25  practitioners may designate 1 or more physicians in the group to            

                                                                                

26  fulfill the requirements of subsections (1) and (4).                        

                                                                                

27      (6) Notwithstanding any law or rule to the contrary, a                      


                                                                                

1   physician is not required to countersign orders written in a                

                                                                                

2   patient's clinical record by a physician's assistant to whom the            

                                                                                

3   physician has delegated the performance of medical care services            

                                                                                

4   for a patient.