Vol. 24 Annals of Health Law 332
Board”).414 The Patient Care Board would reside within the Department of
Licensing and Regulatory Affairs and consist of three representatives from
each of the aforementioned professions, as well as seven public members,
for a total of nineteen voting members.415
Reflecting a more modern approach to the way in which medicine is
practiced and clinical care is provided, the bill supplants the requirement for
supervision with one for collaboration.416 In order to practice, PAs and
nurses would be required to be members of a patient care team with at least
one physician. 417 To collaboratively provide patient care, each member of
the patient care team must enter into a signed, written practice agreement
that would be available to the Board on request.418 Under the legislation,
other facets of PA practice that are embodied within both current Michigan
state law and regulation, and the Model State Legislation,419 would remain
unchanged.420 For example, PAs would be licensed health professionals.421
In addition, the determination of a PA’s scope of practice would be based
upon an individual’s education, training, and experience.422 Also unchanged
is the absence of a mandate for physicians to countersign orders in a patient’s clinical record.423 Lastly, the legislation preserves PA full prescriptive authority and authorizes team interaction using modern methods of
communication.424 In addition, the bill would allow PAs to make calls or
go on rounds in collaboration with a physician in all settings, as well as authenticate official forms—even those that list the physician as the required
signatory—provided that they have a written practice agreement.425 Unlike
current state law, which limits the number of PAs a physician can simultaneously supervise,426 the legislation would not impose such restrictions.427
Although it is unlikely to pass in its current form, Michigan SB 568 represents a breakthrough in innovation and collaboration.428
414. S. 568, supra note 412, at 145-46.
415. Id. at 60, 145-46.
416. Id. at 112-113.
417. Id. at 111-13.
418. Id. at 158.
419. See AM. ACAD. PHYSICIAN ASSISTANTS, MODEL STATE LEGISLATION FOR PHYSICIAN
ASSISTANTS, 1-6 (2013), available at http://www.aapa.org/WorkArea/DownloadAsset.aspx
?id=548 (last visited Nov. 17, 2014).
420. S. 568, supra note 412, at 112, 157, 159-160, 165.
421. Id. at 112.
422. Id. at 159.
423. Id. at 160.
424. Id. at 157 and 65.
425. S. 568, supra note 412, at 160, 68-69.
426. Mich. Comp. Laws Ann. § 333.17048 (West 2013).
427. See S. 568, supra note 412.