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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6/28/23  6:18 pm
Commenter: Evan Turnbull, MPAS, PA-C, UVA Health

This is a common sense update

Since Virginia is a collaborative agreement state between a MD and PA instead of a supervising agreement state, it is unnecessary and nonsensical to require a physician’s name, NPI and DEA number on my prescriptions.  I am the evaluating provider and the treating provider, and many times independent in decision making from a collaborating physician. For that reason I am responsible for what I prescribe and my name and IDs are the only necessary credentials needed to validate my prescriptions, having certification to practice medicine under this collaborative agreement and prescribing authority in Virginia for schedule 2-5 and nonscheduled medications. Any argument against this change, for example fears of abuse, accountability or proper decision-making, are baseless. Protections against all of these are already in place through the legal system, board of medicine, scope of practice guidelines, standard of care, our nationally standardized and accredited training and health system/practice oversight. By eliminating the MD credential requirement it will eliminate confusion for the patient about who treated them, and especially eliminate unnecessary calls and prescription fulfillment delays from the pharmacy if the MD information is not available or incomplete. In short, this necessary change will improve patient care delivered by PAs and the patient’s experience. Thank you

CommentID: 217506