SB-1075, As Passed Senate, August 4, 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.