Compilation of Rules and Regulations of the State of Georgia
Department 360 - RULES OF GEORGIA COMPOSITE MEDICAL BOARD.
Chapter 360-5 - PHYSICIAN'S ASSISTANTS
Rule 360-5-.05 - Limitations on Physician Assistant Practice
RULE 360-5-.05. Limitations on Physician Assistant Practice
(1) No person shall practice as a physician assistant without a license or temporary permit from the Board, Board approval of a supervising physician, and Board approval of his/her job description.
(2) A physician employed by the Department of Community Health, an institution thereof or by a local health department, whose duties are administrative and do not normally include providing health care to patients, shall not be authorized to supervise a physician assistant who is employed by these entities.
(3) A physician may not be an employee of the physician assistant who he/she is required to supervise unless the arrangement was approved by the Board prior to July 1, 2009.
(4) A physician may serve as primary supervising physician to only four physician assistants. A physician may be an alternate supervising physician for any number of physician assistants.
(5) A physician may serve as a primary supervising physician for no more than eight physician assistants who have completed a board approved anesthesiologist assistant program licensed to him or her at a time. A physician may be an alternate supervising physician for any number of anesthesiologist assistants.
(6) When acting as a Primary or Alternate supervising physician, a physician may supervise as many as (4) four physician assistants who have completed a board approved anesthesiologist assistant program at one time, who are working within the scope of practice of the Supervising Physician.
When acting as a Primary or Alternate supervising physician, a physician may supervise as many as (4) four physician assistants at one time, who are working within the scope of practice of the Supervising Physician.
This limitation shall not apply to a Physician Assistant who is practicing:
(A) In a hospital licensed under Title 31;
(B) In any college or university as defined in Code Section 20-8-1;
(C) In the Department of Public Health;
(D) In any county board of health;
(E) In any community service board;
(F) In any free health clinic;
(G) In a birthing center;
(H) In any entity:
(i) Which is exempt from federal taxes pursuant to Section 501(c)(3) of the Internal Revenue Code, as defined in Code Section 48-1-2, and primarily serves uninsured or indigent Medicaid and Medicare patients; or
(ii) Which has been established under the authority of or is receiving funds pursuant to 42 U.S.C. Section 254b or 254c of the United States Public Health Service Act; or
(I) In a health maintenance organization that has an exclusive contract with a medical group practice and arranges for the provision of substantially all physician services to enrollees in health benefits of the health maintenance organization.
(7) A physician assistant may not perform an abortion or administer, prescribe or issue a drug order that is intended to cause an abortion to occur pharmacologically.
(8) A physician assistant may not be utilized to perform the duties of a pharmacist licensed under Title 26, Chapter 4 of the Official Code of Georgia Annotated, relating to pharmacists, as now or hereafter amended.
(9) A physician assistant may not issue a written prescription for a Schedule II controlled substance. Provided, however, this does not preclude:
(a) a physician assistant from preparing such a prescription for administration of a Schedule II controlled substance for signature by the primary or alternate supervising physician on the date that the prescription is issued to the patient. Such prescriptions may not be pre-signed.
(b) A physician assistant from issuing a written or verbal order for a Schedule II controlled substance within a health care setting. The supervising or an alternate supervising physician must co-sign such orders in compliance with any provisions required by the location where the physician assistant is practicing.
(10) A physician assistant does not have the authority to sign death certificates or assign a percentage of a disability rating.
O.C.G.A. §§43-1-19, 43-1-25, 43-34-5, 43-34-8, 43-34-23, 43-34-102, 43-34-103, 43-34-104, 43-34-108, 43-34-109, 43-34-110, 43-39-5.(Original Rule entitled "Time Limits for Applications" adopted. F. Sept. 11, 1972; eff. Oct. 1, 1972. Repealed: New Rule of same title adopted. F. Dec. 4, 1981; eff. Jan. 1, 1982, as specified by the Agency. Amended: F. Sept. 19, 2007; eff. Oct. 9, 2007. Repealed: New Rule entitled "Limitations on Physician Assistant Practice" adopted. F. Jan. 18, 2011; eff. Feb. 7, 2011. Repealed: New Rule with same title adopted. F. Jan. 13, 2012; eff. Feb. 2, 2012. Repealed: New Rule with same title adopted. F. June 16, 2021; eff. July 6, 2021.)