1. (a) Representatives of the Board will be authorized to conduct scheduled and unscheduled onsite inspections of the locations where the physician assistants are utilized during the supervising physician’s office hours to review the following:

   1. (1) Supervision of the physician assistant. See § § 18.144 and 18.154 (relating to responsibility of primary supervising physician; and substitute supervising physician).
   2. (2) Presence of the written agreement and compliance with its terms. See § 18.142 (relating to written agreements).
   3. (3) Utilization in conformity with the act, this subchapter and the written agreement.
   4. (4) Appropriate identification of the physician assistant. See § 18.171 (relating to physician assistant identification).
   5. (5) Compliance with licensure and registration requirements. See § § 18.141 and 18.145 (relating to criteria for licensure as a physician assistant; and biennial registration requirements; renewal of physician assistant license).
   6. (6) Maintenance of records evidencing patient and supervisory contact by the supervising physician.
2. (b) Inspection reports shall be submitted to the Board and become a permanent record under the supervising physician’s registration. Deficiencies reported will be reviewed by the Board and may provide a basis for disciplinary action against the physician assistant and the supervising physician.
3. (c) The Board reserves the right to review physician assistant utilization without prior notice to either the physician assistant or the supervising physician. It is a violation of this subchapter for a supervising physician or a physician assistant to refuse to comply with the request by the Board for the information in subsection (a).
4. (d) Additional inspections, including follow-up inspections may be conducted if the Board has reason to believe that a condition exists which threatens the public health, safety or welfare.

Authority

The provisions of this § 18.156 amended under sections 8, 13 and 36 of the Medical Practice Act of 1985 (63 P.S. § § 422.8, 422.13 and 422.36); and sections 502 and 503 of the Vital Statistics Law of 1953 (35 P.S. § § 450.502 and 450.503).

Source

The provisions of this § 18.156 amended August 13, 1993, effective August 14, 1993, 23 Pa.B. 3780; amended November 17, 2006, effective November 18, 2006, 36 Pa.B. 7009; amended July 3, 2025, effective July 5, 2025, 55 Pa.B. 4534. Immediately preceding text appears at serial pages (323428) to (323429).