I agree that the phrasing of 18VAC85-50-110(1) should be changed as stated.  This change is more in line with the nature of the supervising physician- PA relationship.  This relationship is built on collaboration and trust.  The new phrasing strengthens that trust.  It says to the PA, "I trust that you will collaborate when necessary, on any patient, whether the patient is presenting for the first or the third time."