1. (1) The board may issue either an active or inactive license to a physician assistant applying for a license or license renewal in Montana.

2. (2) A physician assistant with fewer than 8,000 hours of postgraduate clinical experience shall practice medicine with a collaborative agreement between the physician assistant and one or more collaborating providers, who may be:

   1. (a) a licensed physician; or
   2. (b) a licensed physician assistant with 8,000 or more hours of postgraduate clinical experience.

3. (3) "Collaborative agreement" as used in this section means the interaction and relationship that a physician assistant has with a collaborating provider as described in subsection (2), in which:

   1. (a) the physician assistant and collaborating provider are cognizant of the physician assistant's qualifications and limitations in caring for patients:
   2. (b) the physician assistant consults with the collaborating provider while remaining responsible for care provided by the physician assistant; and
   3. (c) the collaborating provider gives direction and guidance to the physician assistant.

4. (4) A physician assistant with a collaborative agreement under subsection (2) shall:

   1. (a) practice under written policies and procedures established at a practice level that:

      1. (i) describe how collaboration will occur in accordance with subsection (2); and
      2. (ii) describe methods for evaluating the physician assistant's competency, knowledge, and skills; and
   2. (b) provide a copy of the written policies and procedures and documentation of compliance under this subsection (4) to the board upon the board's request.
5. (5) A licensed physician assistant actively practicing for 8,000 hours prior to October 1, 2023, is exempt from the collaborative agreement requirement.

History: En. Sec. 10, Ch. 419, L. 1993; amd. Sec. 27, Ch. 492, L. 1997; amd. Sec. 10, Ch. 519, L. 2005; amd. Sec. 5, Ch. 88, L. 2023.