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Info from AAPA Regarding PAs Providing Disaster Relief in NC

Friday, September 14, 2018   (0 Comments)
Posted by: Janet Jordan
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We wanted to share the latest information we have received from your colleagues in North Carolina should any South Carolina licensed PAs wish to go to North Carolina and provide assistance.  As we all know, during a natural disaster many medical professionals volunteer their skills to help affected areas.  However, doing so can be tricky for PAs given state supervision requirements which could put them at odds with the law.

 

For PAs (and doctors)  from other states who are interested in volunteering, the NC Medical Board just passed an emergency policy to process temporary licenses during a disaster or State of Emergency. The new policy will allow volunteers to either use the existing hospital credentialing process, or apply for a limited emergency license. For more information, please use this link.  The North Carolina law. is pasted below.

 

I know that the North Carolina Academy of PAs has shared this information via their social media channels as well in case you’d like to re-tweet it, etc.

I hope that all of you and your loved ones will be safe given Hurricane Florence.

 

Best,

Stephanie Radix, JD

Sr. Director, Constituent Organization Outreach and Advocacy

AAPA

P 571-319-4355

E sradix@aapa.org

 

This e-mail message and any document(s) attached to it are for informational purposes only, and nothing herein is intended to be, or shall be construed as, legal or medical advice, or as  a substitute for legal or medical advice.  All information is being provided AS IS, and any reliance on such information is expressly at your own risk.

 

PHYSICIAN ASSISTANT PRACTICE AND LIMITED LICENSE FOR DISASTERS AND EMERGENCIES

 

(a)  The Board shall, pursuant to G.S. 90-12.5, permit physician assistant assistants not licensed in North Carolina to practice medicine in this State after the Governor of the State of North Carolina has declared a disaster or state of emergency, or in the event of an occurrence for which a county or municipality has declared a state of emergency, or to protect the public health, safety or welfare of its citizens under Article 22 of Chapter 130A of the General Statutes.  There are two ways for physician assistant assistants to practice under this rule:

(1)        Hospital to Hospital Credentialing: A physician assistant who holds a full, unlimited and unrestricted license to practice medicine in another U.S. state, territory or district and has unrestricted hospital credentials and privileges in any U.S. state, territory or district may come to North Carolina and practice medicine at a North Carolina hospital that is licensed by the North Carolina Department of Health and Human Services upon the following terms and conditions: 

(A)        the licensed North Carolina hospital shall verify all physician assistant credentials and privileges;

(B)        the licensed North Carolina hospital shall keep a list of all physician assistants coming to practice and their respective supervising physicians and shall provide this list to the Board within ten (10) days of each physician assistant practicing at the licensed North Carolina hospital.  The licensed North Carolina hospital shall also provide the Board a list of when each physician assistant has stopped practicing medicine in North Carolina under this section within ten (10) days after each physician assistant has stopped practicing medicine under this section;

(C)        all physician assistants practicing under this section shall be deemed licensed to practice medicine in the State of North Carolina and the Board shall have jurisdiction over all physician assistants practicing under this section for all purposes set forth in or related to Article 1 of Chapter 90 of the North Carolina General Statutes, and such jurisdiction shall continue in effect even after any and all physician assistants have stopped practicing medicine under this section;

(D)        the physician assistant must practice under the direct supervision of an on-site physician and the supervising physician must be licensed in this State or approved to practice in this State during a disaster or state of emergency pursuant to G.S. 90-12.5;

(E)        a physician assistant may practice under this section for the shorter of (a) thirty (30) days from the date the physician assistant has started practicing under this section or (b) a statement by an appropriate authority is made that the emergency or disaster declaration has been withdrawn or ended; and  

(F)        physician assistants practicing under this section shall not receive any compensation outside of their usual compensation for the provision of medical services during a disaster or emergency.

(2)        Limited Emergency License:  A physician assistant who holds a full, unlimited and unrestricted license to practice medicine in another U.S. state, territory or district may apply for a limited emergency license on the following conditions:

(A)        the applicant must complete a limited emergency license application;

(B)        the Board shall verify that the physician assistant holds a full, unlimited and unrestricted license to practice medicine in another U.S. state, territory or district;

(C)        in response to the specific circumstances presented by a declared disaster or state of emergency and in order to best serve the public interest, the Board may limit the physician assistant assistant's scope of practice;

(D)        the physician assistant must practice under the direct supervision of an on-site physician and the supervising physician must be licensed in this State or approved to practice in this State during a disaster or state of emergency pursuant to G.S. 90-12.5;

(E)        physician assistants and physicians practicing pursuant to this Rule are not required to maintain onsite documentation describing supervisory arrangements and instructions for prescriptive authority as otherwise required by 21 NCAC 32S .0213;

(F)        the Board shall have jurisdiction over all physician assistants practicing under this section for all purposes set forth in or related to Article 1 of Chapter 90 of the North Carolina General Statutes, and such jurisdiction shall continue in effect even after such physician assistant has stopped practicing medicine under this section or the Limited Emergency License has expired;

(G)        this license shall be in effect for the shorter of (a) thirty (30) days from the date it is issued or (b) a statement by an appropriate authority is made that the emergency or disaster declaration has been withdrawn or ended; and   

(H)        physician assistants holding limited emergency licenses shall not receive any compensation outside of their usual compensation for the provision of medical services during a disaster or emergency.

 

History Note:     Authority G.S. 90-9.3; 90-12.5; 90-18(c)(13); 166A-6;

Eff. September 1, 2009;

Amended Eff. November 1, 2010;

Pursuant to G.S. 150B-21.3A rule is necessary without substantive public interest Eff. March 1, 2016.

 



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