In summary, there are no extensions, no 5-day waiting period and the eLicense system for submitting monitoring agreements has not been deactivated with immediate effect. From now on, for new hires, the monitoring contract is signed and stored on the training site and they can start working immediately. You can use any form you like, but the OSMB recommends using your forms because these forms meet legal requirements. 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 Board of Directors has put forward formal agreements for convenience, but physicians and their advisors can develop their own agreements in accordance with the law. The link to the form agreements is available here: http://www.med.ohio.gov/Apply/Physician-Assistant-PA. The Ohio General Assembly, which recognizes the increased use and independence of intermediary providers, has adopted am. sub.
H.B No. 111, revised Code 4731.19 (as of September 28, 2018) has been amended by the procedural obligation for physicians to submit to the order of physicians, for examination and authorization, the supervision arrangements of medical agents. The amended status also increased the civil fine from $1,000 to $5,000 if the Board were to find at any time that the supervising physician did not comply with Section 4731.19. In addition to the imposition of a civil fine, the law authorizes the Board of Directors to take disciplinary action against the attending physician and medical assistants if necessary. The Board of Directors is proactively implementing this legislation to enable licensees to benefit immediately from this new streamlined procedure. As a result, it is no longer necessary to submit monitoring agreements on eLicense. Since the oversight agreements are no longer before the House, there is no renewal of these agreements. These are living documents that remain active and can be modified at any time until the doctor stops monitoring the medical assistant. 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. 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). HB 561 calls for the suspension of the surveillance obligation during the COVID 19 pandemic. It does not call for the requirement to be permanently lifted, so it will be shaken as soon as the pandemic`s state of emergency dissipates. The OAPA has set itself the goal of finally lifting this requirement in the future. 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.