☰ Revisor of Missouri

Title XXII OCCUPATIONS AND PROFESSIONS

Chapter 334

< > Effective - 28 Aug 2017, 3 histories, see footnote (history) bottom

  334.036.  Assistant physicians — definitions — limitation on practice — licensure, rulemaking authority — collaborative practice arrangements. — 1.  For purposes of this section, the following terms shall mean:

  (1)  "Assistant physician", any medical school graduate who:

  (a)  Is a resident and citizen of the United States or is a legal resident alien;

  (b)  Has successfully completed Step 1 and Step 2 of the United States Medical Licensing Examination or the equivalent of such steps of any other board-approved medical licensing examination within the two-year period immediately preceding application for licensure as an assistant physician, but in no event more than three years after graduation from a medical college or osteopathic medical college;

  (c)  Has not completed an approved postgraduate residency and has successfully completed Step 2 of the United States Medical Licensing Examination or the equivalent of such step of any other board-approved medical licensing examination within the immediately preceding two-year period unless when such two-year anniversary occurred he or she was serving as a resident physician in an accredited residency in the United States and continued to do so within thirty days prior to application for licensure as an assistant physician; and

  (d)  Has proficiency in the English language.

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Any medical school graduate who could have applied for licensure and complied with the provisions of this subdivision at any time between August 28, 2014, and August 28, 2017, may apply for licensure and shall be deemed in compliance with the provisions of this subdivision;

  (2)  "Assistant physician collaborative practice arrangement", an agreement between a physician and an assistant physician that meets the requirements of this section and section 334.037;

  (3)  "Medical school graduate", any person who has graduated from a medical college or osteopathic medical college described in section 334.031.

  2.  (1)  An assistant physician collaborative practice arrangement shall limit the assistant physician to providing only primary care services and only in medically underserved rural or urban areas of this state or in any pilot project areas established in which assistant physicians may practice.

  (2)  For a physician-assistant physician team working in a rural health clinic under the federal Rural Health Clinic Services Act, P.L. 95-210, as amended:

  (a)  An assistant physician shall be considered a physician assistant for purposes of regulations of the Centers for Medicare and Medicaid Services (CMS); and

  (b)  No supervision requirements in addition to the minimum federal law shall be required.

  3.  (1)  For purposes of this section, the licensure of assistant physicians shall take place within processes established by rules of the state board of registration for the healing arts.  The board of healing arts is authorized to establish rules under chapter 536 establishing licensure and renewal procedures, supervision, collaborative practice arrangements, fees, and addressing such other matters as are necessary to protect the public and discipline the profession.  An application for licensure may be denied or the licensure of an assistant physician may be suspended or revoked by the board in the same manner and for violation of the standards as set forth by section 334.100, or such other standards of conduct set by the board by rule.

  (2)  Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028.  This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly under chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2014, shall be invalid and void.

  4.  An assistant physician shall clearly identify himself or herself as an assistant physician and shall be permitted to use the terms "doctor", "Dr.", or "doc".  No assistant physician shall practice or attempt to practice without an assistant physician collaborative practice arrangement, except as otherwise provided in this section and in an emergency situation.

  5.  The collaborating physician is responsible at all times for the oversight of the activities of and accepts responsibility for primary care services rendered by the assistant physician.

  6.  The provisions of section 334.037 shall apply to all assistant physician collaborative practice arrangements.  To be eligible to practice as an assistant physician, a licensed assistant physician shall enter into an assistant physician collaborative practice arrangement within six months of his or her initial licensure and shall not have more than a six-month time period between collaborative practice arrangements during his or her licensure period.  Any renewal of licensure under this section shall include verification of actual practice under a collaborative practice arrangement in accordance with this subsection during the immediately preceding licensure period.

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(L. 2014 S.B. 716 merged with S.B. 754, A.L. 2017 S.B. 50 merged with S.B. 501)


---- end of effective  28 Aug 2017 ----

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334.036 7/6/2018
334.036 8/28/2017 7/6/2018
334.036 8/28/2014 8/28/2017

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