Current through September 21, 2024
(a) Consultants.
Physicians residing in and currently licensed in good standing to practice
medicine in another state or country brought into this state for consultation
by a physician licensed to practice medicine in this state may practice
medicine without first obtaining a Wyoming license for a total of not more than
twelve (12) days in any fifty-two (52) week period and, therefore, are exempt
from the licensure requirements of these rules and W.S. 33-26-103(a)(iv).
Consults of longer duration or greater frequency require written advance
approval of a majority of the Board officers. For purposes of this subsection,
the term "brought into this state" means establishing a physician-patient
relationship, either by the physician's physical presence with the patient or
through telemedicine. To qualify a consulting physician for exemption from
licensure, the following is required:
(i) The
physician licensed to practice medicine in this state shall provide written
notification of the consultation to the Board, including:
(A) The full name of the consulting
physician;
(B) The date(s) on which
the consultation will occur;
(C)
The state or country where the consulting physician is currently licensed in
good standing to practice medicine, and the consulting physician's license
number in that jurisdiction; and,
(D) A brief description of
consultation.
(ii)
Except in an emergency, the written notification shall be given to the Board no
less than one business day before the first day of the consultation.
(iii) In an emergency, the written
notification shall be given to the Board within three business days after the
first day of the consultation. The notification will include an explanation of
the emergency which prevented notification from being sent to the Board before
the first day of the consultation.
(b) Physicians in training. The term "medical
students" in W.S. 33-26-103 (a)(ii) includes physicians trained in an LCME or
AOA accredited or board approved school of medicine, or certified by the
E.C.F.M.G., who are participating or serving in a program of clinical
clerkship, internship, externship, residency or fellowship training under the
supervision of a physician licensed by the Board. "Medical students" are exempt
from the licensure requirements listed herein. Notwithstanding the foregoing, a
medical student who applies for and receives a license issued by the Board
shall be subject to the act and the Board's rules and jurisdiction.
(c) Physician assistants. The term "persons"
in W.S. 33-26-103(a)(i) specifically includes currently licensed physician
assistants who may render aid at the scene of an emergency without physician
supervision, such physician assistants are exempt from the licensure
requirements listed herein when they are acting under such statutory
authorization.
(d) Emergencies.
Physicians and physician assistants residing in and who hold full and
unrestricted licenses to practice medicine or to practice as a physician
assistant in another state or country who come into this state to provide
medical care during an emergency or pandemic declared as such by Order of the
Governor of this state and/or pursuant to any State Emergency Plan and who
comply with all requirements of the board for verification of licensure and
identity, may practice medicine or practice as a physician assistant without
first obtaining a Wyoming license for the period during which any such
emergency or pandemic Declaration or Order remains in effect.
(i) Physicians and physician assistants not
otherwise licensed in this state may practice in Wyoming under the consultation
exemption during a public health emergency declared by the Governor. For
purposes of this paragraph, a physician or physician assistant brought into
this state is deemed to be consulting with the state health officer.
(A) For a physician or physician assistant
not licensed in this state to practice in Wyoming during a public health
emergency, the state health officer shall cause the following to be submitted
to the board:
(I) The full name, date of birth
and social security number of the consulting physician or physician
assistant;
(II) The date(s) on
which the consultation will occur;
(III) The state or country where the
consulting physician or physician assistant is currently licensed in good
standing to practice medicine, and the consulting physician's license number in
that jurisdiction; and
(IV) A brief
description of the consultation, including the declaration of a public health
emergency by the governor.
(B) A physician's or physician assistant's
consultation begins upon the submission of that person's information to the
board, and shall terminate on the earlier of forty-five (45) days after the
date the governor declares the public emergency has ended, or the state health
officer notifies the board that the physician's or physician assistant's
consultation has ended.
(C) Upon
the board's receipt of a physician's or physician assistant's information to
consult with the state health officer under this subsection, the board shall
query the National Practitioner Data Bank and the Federation of State Medical
Boards' Physician Data Center regarding the physician or physician assistant.
The board shall immediately notify the state health officer of any adverse
information received as a result of those queries.
(D) A physician or physician assistant who is
approved to practice in Wyoming under this exemption may apply for a full,
unrestricted license to practice in Wyoming at a reduced fee. The application
must be received in the Board office while the public health emergency is in
effect. The applicant must follow the normal licensing procedure set for in the
Act and these rules.
(e) Continuation of care received outside
Wyoming. A physician or physician assistant who has established a
provider-patient relationship in another state with a patient who is a resident
of Wyoming may provide continued care to the patient via telehealth without a
Wyoming physician or physician assistant license subject to the following:
(i) The provider-patient relationship must
have been established in an in-person encounter in a state in which the
physician or physician assistant is licensed;
(ii) Subsequent care may be provided to the
patient via telehealth while the patient is in Wyoming if the care is a logical
and expected continuation of the care provided in an in-person encounter in the
state where the physician or physician assistant is licensed. If the patient is
presenting with new medical conditions, or conditions that the standard of care
dictates an in-person encounter is needed, patient must either return to the
state in which the physician or physician assistant is licensed for care, or
must be referred to a Wyoming-licensed health care provider.
(iii) The telehealth care may continue for up
to six (6) months after the establishment of the provider-patient relationship
in another state, after which an in-person encounter must take place in a
jurisdiction where the physician or physician assistant is licensed before the
telehealth may resume for another six (6) months.
