The Act provides that the supervision arrangements for medical assistants who practice a medical practice contain conditions that specify: (a) the responsibilities to be performed by the supervisory physician, including the performance of the tasks listed in Ohio, the revised code 4730.21 and the correct delegation of medical duties in accordance with the Ohio Administrative Code 4731-23-02; (b) the tasks that the medical assistant must perform in the exercise of medically controlled delegated services and tasks; (c) restrictions on the responsibilities of the medical assistant; and (d) the circumstances under which the medical assistant must refer the patient to the medical provider. The supervisory agreement must also clearly state that the supervisory physician is « legally responsible and assumes legal responsibility » for the services that the medical assistant provides to patients in practice. The monitoring agreements to be filed at the place of practice remain in effect for an indefinite period until the doctor terminates the surveillance of the Pa (s). Although the board has less control, the physical requirements for oversight agreements remain the same. In addition, the possible penalty for non-compliance is more serious. Previously, the Board of Directors could impose up to $1,000 in civil penalties for non-compliance. Now the board can sanction non-compliance with a fine of up to $5,000. Therefore, while the newly adopted legislation is less cumbersome, potential sanctions should encourage employers and doctors to comply with the material requirements of these agreements. Prior to the passage of HB 111, The Ohio Law was an often tedious process, requiring the submission of supervisory agreements to the Board of Directors and waiting for them to be approved before the PA began its practice for a new employer. This registration and waiting process took time, often resulted in delays in the start of work, access to patients and contributed to scheduling problems.
In addition, under current legislation, the supervisory agreements had a two-year period and required an extension and re-submission of the supervisory agreement for board approval. In addition, all amendments were to be submitted to the board and the amendments did not change the expiry dates of the original agreements. As a result, these provisions have created a heavy administrative burden for PA employers. The passage of HB 111 should alleviate these problems and streamline the use of P.A. by Ohio employers and physicians. Yes, P.A. and the supervisory physician must complete the corresponding contract application.