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Q: Is the physician still required to countersign orders prior to treatment being rendered? A: No. The legislation eliminated the requirement that a supervising physician must countersign every order before the order is carried out (4730.21(E)). The bill retains the requirement that a supervising physician be not more than 60 minutes travel time from the location where the PA is seeing patients, and to be readily available for communication (4730.21(A)). Language was added, requiring the supervising physician to establish a quality assurance system, to maintain documentation of the quality assurance activities, and to provide the documentation to the Board upon request (4730.06(B) and 4730.21(A)(4) and (F)).
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