Tennessee SB 1515: Medical Occupations - As enacted, revises terminology used to describe the relationship of physicians to advanced practice registered nurses and physician assistants; specifies that a licensed physician with whom a physician assistant collaborates has the duty to assure that the activities of the physician assistant are appropriate; revises other related provisions. - Amends TCA Title 38; Title 53; Title 55; Title 56; Title 63 and Title 68.

Bill Text

SB1515
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<BillNo> <Sponsor>

SENATE BILL 1515
By Massey

AN ACT to amend Tennessee Code Annotated, Title 38;
Title 53; Title 55; Title 56; Title 63 and Title 68,
relative to the terminology used to describe the
relationship of physicians to advanced practice
registered nurses and physician assistants.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 38-8-106(7), is amended by deleting
the language "supervising physician" and substituting instead "collaborating physician".
SECTION 2. Tennessee Code Annotated, Section 53-10-104(a), is amended by
deleting the language "under the supervision, control and responsibility of a licensed physician"
and substituting instead "in collaboration with a licensed physician who has responsibility for
and control of the prescription services rendered by the nurse".
SECTION 3. Tennessee Code Annotated, Section 53-10-104(c), is amended by
deleting the language "under a physician's supervision" and substituting instead the language
"in collaboration with a physician".
SECTION 4. Tennessee Code Annotated, Section 53-10-105, is amended by deleting
the language "under the supervision, control and responsibility of a licensed physician" and
substituting instead "in collaboration with a licensed physician who has responsibility for and
control of the services rendered by the nurse".
SECTION 5. Tennessee Code Annotated, Section 53-10-306(a)(3), is amended by
deleting the language "supervising physician" and substituting instead "supervising or
collaborating physician".
SECTION 6. Tennessee Code Annotated, Section 55-21-113, is amended by deleting
the language "supervising physician" and substituting instead "collaborating physician".

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SECTION 7. Tennessee Code Annotated, Section 56-7-1004(a), is amended by
deleting the language "under the physician's supervision" wherever it appears and substituting
instead "working in collaboration with the physician".
SECTION 8. Tennessee Code Annotated, Section 63-1-306(a)(3)(B), is amended by
deleting the subdivision and substituting instead the following:
(B) All physician assistants licensed under chapter 19 of this title who practice in
a licensed pain clinic shall collaborate with a pain medicine specialist.
SECTION 9. Tennessee Code Annotated, Section 63-3-101(e), is amended by deleting
the subsection and substituting instead the following:
(e) A licensed podiatrist may collaborate with a physician assistant or an
orthopedic physician assistant licensed pursuant to chapter 19 of this title. A podiatrist
collaborating with a physician assistant pursuant to this subsection (e) shall comply with
the requirements of and any rules adopted pursuant to §§ 63-19-106 and 63-19-107
governing collaboration with a physician assistant. A podiatrist collaborating with an
orthopedic physician assistant pursuant to this subsection (e) shall comply with the
requirements of and any rules adopted pursuant to §§ 63-19-203 - 63-19-205 governing
collaboration with an orthopedic physician assistant.
SECTION 10. Tennessee Code Annotated, Section 63-3-118, is amended by deleting
the language "supervised by" wherever it appears and substituting instead "collaborating with".
SECTION 11. Tennessee Code Annotated, Section 63-6-204(b), is amended by
deleting the language "under the supervision, control and responsibility of a licensed physician"
and substituting instead "under the supervision of or in collaboration with a licensed physician
who has responsibility for and control of the service rendered".
SECTION 12. Tennessee Code Annotated, Section 63-6-243, is amended by deleting
the language "supervising physician" wherever it appears and substituting instead "collaborating
physician".

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SECTION 13. Tennessee Code Annotated, Section 63-6-243, is amended by deleting
the language "A physician supervising" and substituting instead "A collaborating physician
responsible for".
SECTION 14. Tennessee Code Annotated, Section 63-6-802(9), is amended by
deleting the language "supervising physician" and substituting instead "collaborating physician".
SECTION 15. Tennessee Code Annotated, Section 63-9-113, is amended by deleting
the language "under the supervision, control and responsibility of a licensed osteopathic
physician" and substituting instead "under the supervision of or in collaboration with a licensed
osteopathic physician who has responsibility for and control of the service rendered".
SECTION 16. Tennessee Code Annotated, Section 63-9-120, is amended by deleting
the language "supervising physician" wherever it appears and substituting instead "collaborating
physician".
SECTION 17. Tennessee Code Annotated, Section 63-9-120, is amended by deleting
the language "A physician supervising" and substituting instead "A collaborating physician
responsible for".
SECTION 18. Tennessee Code Annotated, Section 63-10-217(d)(2), is amended by
deleting the subdivision and substi