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LEGISLATURE
OF
THE
STATE
OF
IDAHO
Sixty-eighth
Legislature
Second
Regular
Session
-
2026
IN
THE
HOUSE
OF
REPRESENTATIVES
HOUSE
BILL
NO.
806
BY
HEALTH
AND
WELFARE
COMMITTEE
AN
ACT
1
RELATING
TO
PHYSICIANS
AND
PHYSICIAN
ASSISTANTS;
AMENDING
SECTION
54
-
1807A,
2
IDAHO
CODE,
TO
REVISE
PROVISIONS
REGARDING
THE
PRACTICE
OF
PHYSICIAN
3
ASSISTANTS;
AMENDING
SECTION
54
-
1814,
IDAHO
CODE,
TO
PROVIDE
FOR
HEALTH
4
PROFESSIONALS
WHO
REQUIRE
SUPERVISION;
AMENDING
SECTION
54
-
1867,
IDAHO
5
CODE,
TO
REMOVE
A
LIMITATION;
AND
DECLARING
AN
EMERGENCY
AND
PROVIDING
6
AN
EFFECTIVE
DATE.
7
Be
It
Enacted
by
the
Legislature
of
the
State
of
Idaho:
8
SECTION
1.
That
Section
54
-
1807A,
Idaho
Code,
be,
and
the
same
is
hereby
9
amended
to
read
as
follows:
10
54
-
1807A.
PHYSICIAN
ASSISTANTS
-
-
PHYSICIAN
ASSISTANT
ADVISORY
COM
-
1
1
MITTEE.
(1)
Physician
assistants
must
be
licensed
by
the
board
prior
to
the
12
commencement
of
activities
that
may
involve
the
practice
of
medicine
in
this
13
state.
The
licensure
requirements
for
physician
assistants
shall
include
14
passage
of
an
examination
acceptable
to
the
board
and
submission
of
a
com
-
15
pleted
application
to
the
board
on
forms
furnished
by
the
board.
All
appli
-
16
cants
for
original
licensure
as
a
physician
assistant
shall
submit
to
a
fin
-
17
gerprint
-
based
criminal
history
check
in
accordance
with
section
67
-
9411A,
18
Idaho
Code.
All
physician
assistants
shall
renew
their
licenses
biennially.
19
(2)
A
physician
assistant
may
practice
at
a
licensed
health
care
20
facility,
a
facility
with
a
credentialing
and
privileging
system,
a
physi
-
21
cian
-
owned
facility
or
practice,
or
another
facility
or
practice
allowed
22
by
this
chapter.
A
physician
assistant
shall
collaborate
with,
consult
23
with,
or
refer
to
the
appropriate
member
of
the
facility
health
care
team
as
24
indicated
by:
the
condition
of
the
patient;
the
education,
experience,
and
25
competence
of
the
physician
assistant;
and
the
community
standard
of
care.
26
The
degree
and
nature
of
collaboration
shall
be
determined
by
the
facility
27
or
practice
in
which
the
physician
assistant
works
and
shall
be
set
forth
in
28
facility
bylaws
or
procedures
for
facilities
that
have
credentialing
and
29
privileging
systems
or
in
a
written
collaborative
practice
agreement
for
all
30
other
facilities
and
practices.
Such
provisions
may
provide
for
collabo
-
31
rative
oversight
to
be
provided
by
the
employer,
group,
hospital
service,
32
or
the
credentialing
and
privileging
systems
of
a
licensed
facility,
but
33
at
a
minimum
shall
require
a
physician
assistant
to
collaborate
with
one
34
(1)
or
more
physicians
licensed
pursuant
to
this
chapter.
Such
physicians
35
need
not
be
identified
individually
in
the
facility
bylaws
or
procedures
36
or
collaborative
practice
agreement
if
more
than
one
(1)
physician
works
37
in
the
facility
or
practice.
A
physician
assistant
is
responsible
for
the
38
care
provided
by
the
physician
assistant
and
is
responsible
for
obtaining
39
professional
liability
insurance
if
the
physician
assistant
is
not
covered
40
by
the
facility
or
practice
in
which
the
physician
assistant
works.
A
physi
-
41
cian
assistant
may
be
employed
by
nonphysician
health
care
providers
if
the
42
2
physician
assistant
has
a
written
collaborative
practice
agreement
with
one
1
(1)
or
more
physicians
licensed
pursuant
to
this
chapter.
Both
the
physi
-
2
cian
assistant
and
the
physician
who
are
parties
to
a
collaborative
practice
3
agreement
must
comply
with
all
requirements
of
this
chapter
and
board
rules.
4
The
collaborative
practice
agreement
shall
be
provided
to
the
board
upon
re
-
5
quest.
necessary
to
appropriately
assess
and
treat
the
condition
of
the
pa
-
6
tient
within
the
scope
of
the
physician
assistant's
education,
training,
and
7
experience
and
within
the
community
standard
of
care.
The
degree
and
nature
8
of
collaboration
shall
be
determined
by
the
facility
or
practice
in
which
9
the
physician
assistant
works
and
shall
be
set
forth
in
facility
bylaws
or
10
procedures
for
facilities
that
have
credentialing
and
privileging
systems
1
1
or
in
a
written
collaborative
practice
agreement
for
all
other
facilities
12
and
practices.
Such
provisions
may
provide
for
collaborative
oversight
to
13
be
provided
by
the
employer,
group,
hospital
service,
or
the
credentialing
14
and
privileging
systems
of
a
licensed
facility.
A
physician
assistant
is
15
responsible
for
the
care
provided
and
is
responsible
for
obtaining
profes
-
16
sional
liability
insurance
if
the
physician
assistant
is
not
covered
by
the
17
facility
or
practice
in
which
the
physician
assistant
works.
A
physician
18
assistant
may
be
employed
by
nonphysician
health
care
providers.
Any
col
-
19
laborative
practice
agreement
shall
be
provided
to
the
board
upon
request.
20
(3)
A
physician
assistant
or
a
group
of
physician
assistants
may
inde
-
21
pendently
own
a
medical
practice
in
this
state
provided
that
each
physician
22
assistant
has
a
collaborative
practice
agreement
in
place
with
a
physician
23
licensed
under
this
chapter.
The
collaborative
practice
agreement
shall
24
specify
that
the
physician
assistant
must
collaborate
with,
consult
with,
25
or
refer
to
the
collaborating
physician
or
another
appropriate
physician
26
as
indicated
by:
the
condition
of
the
patient;
the
education,
experience,
27
and
competence
of
the
physician
assistant;
and
the
community
standard
of
28
care.
Both
the
physician
assistant
and
the
physician
who
are
parties
to
29
the
collaborative
practice
agreement
must
comply
with
all
requirements
of
30
this
chapter
and
board
rules.
The
collaborative
practice
agreement
shall
31
be
provided
to
the
board
upon
request.
A
physician
assistant
or
group
of
32
physician
assistants
may
independently
own
a
medical
practice
in
this
state.
33
Any
collaborative
practice
agreement
shall
be
provided
to
the
board
upon
34
request.
Each
physician
assistant
must
be
licensed,
registered
or
certi
-
35
fied
as
a
physician
assistant
in
any
state,
territory
or
jurisdiction
of
the
36
United
States
for
at
least
two
(2)
years
before
the
physician
assistant
may
37
independently
own
a
practice
in
this
state.
38
(4)
The
facility
or
practice
and
each
collaborating
physician
are
re
-
39
sponsible
for
ensuring
that
the
medical
services
performed
by
the
physician
40
assistant
are
within
the
physician
assistant's
scope
of
education,
experi
-
41
ence,
and
competence.
Each
collaborating
physician
shall
collaborate
with
42
the
physician
assistant
on
the
performance
of
only
those
medical
services
43
for
which
the
collaborating
physician
has
training
and
experience.
44
(5)
(4)
A
physician
assistant
advisory
committee
is
hereby
established
45
as
follows:
46
(a)
The
physician
assistant
advisory
committee
shall
consist
of
five
47
(5)
members
appointed
by
the
board.
Four
(4)
members
shall
be
physician
48
assistants
who
are
residents
in
this
state
and
engaged
in
the
active
49
practice
of
medicine
in
this
state,
and
one
(1)
member
shall
be
a
public
50
3
member.
Whenever
a
term
of
a
member
of
the
advisory
committee
expires
or
1
becomes
vacant,
the
board
shall
give
consideration
to
recommendations
2
made
by
professional
organizations
of
physician
assistants
and
physi
-
3
cians
or
by
any
individual
residing
in
the
state.
The
board
may
remove
4
any
committee
member
for
misconduct,
incompetency
or
neglect
of
duty
5
after
giving
the
member
a
written
statement
of
the
charges
and
an
oppor
-
6
tunity
to
be
heard
thereon.
The
executive
director
of
the
Idaho
state
7
board
of
medicine
shall
serve
as
the
executive
director
to
the
physician
8
assistant
advisory
committee.
9
(b)
Members
will
serve
a
term
of
three
(3)
years
and
terms
will
be
stag
-
10
gered.
Members
may
serve
two
(2)
successive
terms.
The
committee
shall
1
1
elect
a
chairman
from
its
membership.
The
committee
shall
meet
as
often
12
as
necessary
to
fulfill
its
responsibilities.
Members
will
be
compen
-
13
sated
according
to
section
59
-
509(p),
Idaho
Code.
14
(c)
The
physician
assistant
advisory
committee
shall
not
have
author
-
15
ity
to
revoke
licenses
or
impose
limitations
or
conditions
on
licenses
16
issued
pursuant
to
this
chapter.
The
committee
has
authority
to
make
17
recommendations
to
the
board.
The
board
shall
make
all
final
decisions
18
with
respect
thereto.
19
(d)
The
physician
assistant
advisory
committee
shall
work
in
the
fol
-
20
lowing
areas
in
conjunction
with
and
make
recommendations
to
the
board
21
and
shall
perform
other
duties
and
functions
assigned
to
it
by
the
22
board,
including:
23
(i)
Evaluating
the
qualifications
of
applicants
for
licensure
24
and
registration;
25
(ii)
Performing
investigations
of
misconduct
and
making
recom
-
26
mendations
regarding
discipline;
27
(iii)
Maintaining
a
list
of
currently
licensed
physician
assis
-
28
tants
and
graduate
physician
assistants
in
this
state;
and
29
(iv)
Advising
the
board
on
rule
changes
necessary
to
license
and
30
regulate
physician
assistants
and
graduate
physician
assistants
31
in
this
state.
32
SECTION
2.
That
Section
54
-
1814,
Idaho
Code,
be,
and
the
same
is
hereby
33
amended
to
read
as
follows:
34
54
-
1814.
GROUNDS
FOR
MEDICAL
DISCIPLINE.
Every
person
licensed
to
35
practice
medicine,
or
registered
as
an
intern
or
resident
in
this
state
is
36
subject
to
discipline
by
the
board
pursuant
to
the
procedures
set
forth
in
37
this
chapter
and
rules
promulgated
pursuant
thereto
upon
any
of
the
follow
-
38
ing
grounds:
39
(1)
Being
convicted
of
a
felony,
pleading
guilty
to
a
felony,
or
the
40
finding
of
guilt
by
a
jury
or
court
of
commission
of
a
felony.
41
(2)
Using
false,
fraudulent
or
forged
statements
or
documents,
diplo
-
42
mas
or
credentials
in
connection
with
any
licensing
or
other
requirements
of
43
this
act.
44
(3)
Practicing
medicine
under
a
false
or
assumed
name
in
this
or
any
45
other
state.
46
(4)
Advertising
the
practice
of
medicine
in
any
unethical
or
unprofes
-
47
sional
manner.
48
4
(5)
Knowingly
aiding
or
abetting
any
person
to
practice
medicine
who
is
1
not
authorized
to
practice
medicine
as
provided
in
this
chapter.
2
(6)
Performing
or
procuring
an
unlawful
abortion
or
aiding
or
abetting
3
the
performing
or
procuring
of
an
unlawful
abortion.
4
(7)
Providing
health
care
which
fails
to
meet
the
standard
of
health
5
care
provided
by
other
qualified
physicians
or
physician
assistants
in
the
6
same
community
or
similar
communities,
taking
into
account
his
training,
ex
-
7
perience
and
the
degree
of
expertise
to
which
he
holds
himself
out
to
the
pub
-
8
lic.
9
(8)
Dividing
fees
or
gifts
or
agreeing
to
split
or
divide
fees
or
gifts
10
received
for
professional
services
with
any
person,
institution
or
corpora
-
1
1
tion
in
exchange
for
referral.
12
(9)
Giving
or
receiving
or
aiding
or
abetting
the
giving
or
receiving
of
13
rebates,
either
directly
or
indirectly.
14
(10)
Inability
to
obtain
or
renew
a
license
to
practice
medicine,
or
re
-
15
vocation,
suspension,
or
other
discipline
of
a
license
to
practice
medicine
16
by
any
other
state,
territory,
district
of
the
United
States
or
Canada,
un
-
17
less
it
can
be
shown
that
such
action
was
not
related
to
the
competence
of
the
18
person
to
practice
medicine
or
to
any
conduct
designated
herein.
19
(11)
Prescribing
or
furnishing
narcotic
or
hallucinogenic
drugs
to
ad
-
20
dicted
persons
to
maintain
their
addictions
and
level
of
usage
without
at
-
21
tempting
to
treat
the
primary
condition
requiring
the
use
of
narcotics.
22
(12)
Prescribing
or
furnishing
narcotic,
hypnotic,
hallucinogenic,
23
stimulating
or
dangerous
drugs
for
other
than
treatment
of
any
disease,
in
-
24
jury
or
medical
condition.
25
(13)
Failing
to
safeguard
the
confidentiality
of
medical
records
or
26
other
medical
information
pertaining
to
identifiable
patients,
except
as
27
required
or
authorized
by
law.
28
(14)
Directly
promoting
the
sale
of
drugs,
devices,
appliances
or
goods
29
to
a
patient
that
are
unnecessary
and
not
medically
indicated.
30
(15)
Abandoning
a
patient.
31
(16)
Willfully
and
intentionally
representing
that
a
manifestly
incur
-
32
able
disease
or
injury
or
other
manifestly
incurable
condition
can
be
perma
-
33
nently
cured.
34
(17)
Failing
to
supervise
the
activities
of
interns,
residents,
nurse
35
practitioners,
certified
nurse
-
midwives,
clinical
nurse
specialists,
or
36
physician
assistants
health
professionals
who
require
supervision
.
37
(18)
Practicing
medicine
when
a
license
pursuant
to
this
chapter
is
sus
-
38
pended,
revoked
or
inactive.
39
(19)
Practicing
medicine
in
violation
of
a
voluntary
restriction
or
40
terms
of
probation
pursuant
to
this
chapter.
41
(20)
Refusing
to
divulge
to
the
board
upon
demand
the
means,
method,
de
-
42
vice
or
instrumentality
used
in
the
treatment
of
a
disease,
injury,
ailment,
43
or
infirmity.
44
(21)
Committing
any
act
constituting
a
felony.
45
(22)
Engaging
in
any
conduct
which
constitutes
an
abuse
or
exploitation
46
of
a
patient
arising
out
of
the
trust
and
confidence
placed
in
the
physician
47
by
the
patient.
48
5
(23)
Being
convicted
of
or
pleading
guilty
to
driving
under
the
influ
-
1
ence
of
alcohol,
drugs
or
other
intoxicating
substances
or
being
convicted
2
of
or
pleading
guilty
to
other
drug
or
alcohol
related
criminal
charges.
3
(24)
Failing
to
comply
with
a
board
order
entered
by
the
board.
4
(25)
Failing
to
comply
with
the
requirements
of
the
abortion
complica
-
5
tions
reporting
act,
chapter
95,
title
39,
Idaho
Code.
6
(26)
Engaging
in
a
pattern
of
unprofessional
or
disruptive
behavior
or
7
interaction
in
a
health
care
setting
that
interferes
with
patient
care
or
8
could
reasonably
be
expected
to
adversely
impact
the
quality
of
care
ren
-
9
dered
to
a
patient.
Such
behavior
does
not
have
to
have
caused
actual
patient
10
harm
to
be
considered
unprofessional
or
disruptive.
1
1
(27)
Interfering
with
an
investigation
or
disciplinary
proceeding
12
by
willful
misrepresentation
of
facts
or
by
use
of
threats
of
harassment
13
against
any
patient,
member
of
a
board
or
committee
on
professional
disci
-
14
pline,
board
staff,
hearing
officer,
or
witness
in
an
attempt
to
influence
15
the
outcome
of
a
disciplinary
proceeding,
investigation,
or
other
legal
16
action.
17
(28)
Delegating
professional
responsibilities
to:
18
(a)
An
unlicensed
person
when
the
licensee
knows
or
has
reason
to
know
19
that
such
person
is
not
qualified
by
training,
experience,
or
license
to
20
carry
them
out;
or
21
(b)
A
person
licensed
by
this
state
to
engage
in
activities
which
may
22
involve
the
practice
of
medicine
when
the
delegating
licensee
knows
or
23
has
reason
to
know
that
the
delegated
activities
are
outside
the
li
-
24
censed
person's
scope
of
practice.
25
(29)
Failure
to
report
the
charge
or
conviction
of
a
felony
to
the
board
26
within
thirty
(30)
days
of
the
charge.
27
SECTION
3.
That
Section
54
-
1867,
Idaho
Code,
be,
and
the
same
is
hereby
28
amended
to
read
as
follows:
29
54
-
1867.
LIMITED
LICENSE
FOR
BRIDGE
YEAR
PHYSICIANS.
(1)
As
used
in
30
this
section:
31
(a)
"Board"
means
the
state
board
of
medicine.
32
(b)
"Bridge
year
physician"
means
a
person
who:
33
(i)
Is
within
the
first
year
of
graduation
from
a
medical
school
34
accredited
or
provisionally
accredited
by
an
entity
recognized
by
35
the
board;
36
(ii)
Is
a
United
States
citizen
or
attended
medical
school
in
the
37
United
States;
and
38
(iii)
Applied
to,
but
was
not
accepted
into,
an
accredited
medical
39
residency
training
program.
40
(2)
The
board
shall
establish
a
one
(1)
year,
nonrenewable
limited
li
-
41
cense
under
which
bridge
year
physicians
may
practice
medicine
under
terms,
42
conditions,
and
a
scope
of
practice
determined
by
the
board.
If
there
is
a
43
limit
to
the
number
of
limited
licenses
that
may
be
issued,
priority
shall
be
44
granted
to
bridge
year
physicians
who
live
in
Idaho
or
who
have
longstanding
45
ties
to
the
state
of
Idaho,
as
determined
by
the
board.
46
(3)
Persons
practicing
under
a
limited
license
established
pursuant
to
47
this
section
shall:
48
(a)
Practice
only
within
the
scope
of
practice
determined
by
the
board;
49
6
(b)
Practice
under
the
supervision
of
a
licensed
physician
or
pursuant
1
to
a
collaborative
practice
agreement.
The
person
practicing
under
a
2
limited
license
shall
qualify
as
one
(1)
of
a
supervising
physician's
3
permitted
advanced
practice
professionals.
The
board
shall
prescribe
4
supervision
requirements
for
limited
licensees
,
provided
that
such
re
-
5
quirements
shall
be
no
less
stringent
than
supervision
requirements
for
6
physician
assistants
;
7
(c)
Have
prescriptive
authority
as
determined
by
the
board;
and
8
(d)
Be
subject
to
the
same
professional
discipline,
civil
liability,
9
and
criminal
liability
as
a
fully
licensed
physician.
10
(4)
The
services
provided
by
a
person
practicing
under
a
limited
li
-
1
1
cense
shall
be
compensable
in
accordance
with
customary
medical
billing
12
practices.
13
(5)
The
board
is
authorized
to:
14
(a)
Take
such
actions
as
are
necessary
to
implement
the
provisions
of
15
this
section,
including
the
promulgation
of
any
necessary
rules;
16
(b)
Charge
a
fee
of
up
to
three
hundred
dollars
($300)
for
a
limited
li
-
17
cense;
and
18
(c)
Cooperate
with
the
department
of
health
and
welfare
and
other
rel
-
19
evant
entities,
including
hospitals
and
health
care
clinics,
whether
20
public
or
private,
in
establishing
a
limited
license.
21
(6)
No
later
than
January
31,
2033,
the
board
shall
provide
a
report
to
22
the
senate
and
house
of
representatives
health
and
welfare
committees
on:
23
(a)
Requirements
for
a
limited
license;
24
(b)
The
number
of
limited
licenses
issued
and
the
number
of
limited
li
-
25
cense
holders
who
were
later
accepted
into
a
residency
program;
and
26
(c)
Whether
and
how
limited
licenses
have
increased
the
supply
of
27
health
care
providers
in
health
professional
shortage
areas.
28
SECTION
4.
An
emergency
existing
therefor,
which
emergency
is
hereby
29
declared
to
exist,
this
act
shall
be
in
full
force
and
effect
on
and
after
30
July
1,
2026.
31