Virginia Regulatory Town Hall
Department of Health Professions
Board of Medicine
Regulations Governing the Practice of Physician Assistants [18 VAC 85 ‑ 50]
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6/14/23  3:25 pm
Commenter: Bobby Cockram

Barrier to care

I am supportive of removing this requirement as it poses a barrier to providing safe and efficient care to our patients. Requiring a PA prescribing medications to include a collaborating physician's name on the prescription is an unnecessary burden on patients, physicians, and PA's.  It does not increase safety for patients, if anything it may create a safety issue as patients meds are unnecessarily delayed.  In addition, it reduces the efficiency in which we can provide patient care services, putting an unnecessary barrier on patient access.  I serve as a director in a large healthcare system here in Virginia and I am consistently made aware of situations where patients have been prescribed meds after hospitalization or an ED visit and those prescriptions are being refused to be filled by pharmacies because of this requirement.  This results in a delay in patients receiving medications and requires the patient to return to the hospital, ED, or providers office to obtain a new prescription. I am consistently made aware of this unfortunately happening to patients.  PAs in Virginia have prescriptive authority and are required to have a DEA registration unique to them and thus should be able to exercise this prescriptive authority without this unnecessary additional requirement.  

CommentID: 217254