Law Expands PA Scope of Practice

Physician assistants (PAs), under Act 45 of 2008, can now: 

  • Order durable medical equipment
  • Issue oral orders to the extent permitted by a health care facility’s bylaws, rules, regulations, or administrative policies and guidelines
  • Order physical therapy and dietitian referrals
  • Order respiratory and occupational therapy referrals
  • Perform disability assessments for the program providing temporary assistance to needy families (TANF)
  • Issue homebound schooling certifications
  • Perform and sign the initial assessment of methadone treatment evaluations in accordance with federal and state law, provided that any order for methadone treatment is made only be a physician 

PAs must act within the scope of their collaborative agreement and under the supervision and direction of a physician. The act does not override Department of Health or Public Welfare rules and regulations pertaining to health care professionals. 

Applicants for initial licensure in Pennsylvania must have a bachelor’s degree or higher from a college or university and must have successfully completed at least 60 hours of pharmacology instruction. 

PAs must maintain $1 million in professional liability insurance coverage. When applying for licensure, applicants have 30 days to provide a certificate of insurance or a copy of the policy declaration page as proof of insurance.

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Comments: 2


I scheduled an appointment with an orthopedic doctor following an injury. I was not initially seen by the doctor,but was seen by a PA. I told him I felt it was a rotator tear,as i felt a strong, painful popping sensation in my upper arm when the incident occurred. He decided I had burcitis and would not order an MRI. He said I could go to therapy and wrote orders. He told me to come back in a month if I did not feel better.After a month of therapy I was still experiencing pain and I returned to the doctor. At this time I was seen by the MD who ordered an MRI. The conclusion is a large full thickness tear in the supraspinatus tendon. The report shows a lot of damage and some muscle atrophy. Should I not have been seen initally by an MD for diagnosis?

anonymous at 11/3/2011 7:04:12 PM


what chemical treatment is used for this neuro disorder? My son is autistic with this disorder preventing him to come home to me

intermitten explosive disorder at 2/22/2010 7:32:43 PM

Last Updated: 8/21/2008
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