Registration of Physician Assistant’s Supervision

(a)“Collaborative Practice Agreement” or “CPA” means an agreement by and between a physician assistant and a Guam licensed physician (supervising physician) detailing the physician assistant’s authorized scope of practice or area of specialty, wherein the parties to such an agreement mutually agree, in writing, to the terms and conditions of the physician assistant’s authority to administer, prescribe, and dispense Schedule Drugs II-V as allowed by the current rules and regulations of the GBME. Alternate physicians shall be identified in the event of the unavailability of the primary physician under the CPA.

(b)Prior to practicing on Guam, the licensed physician assistant shall present for approval of the Board of Allied Health Examiners and Board of Medical Examiners a completed application for supervision by a Guam-licensed physician. The practice of the physician assistant must fall within the practice of the supervising physician with whom the physician assistant is registered. In the event of any changes of supervising physician, the names of the supervising physicians must be provided to the above boards. The Board must be notified at least ten

(10)days prior to the effective date of change. Practicing without a supervising physician shall be grounds for disciplinary action, including revocation of license.

(c)The supervising physician and physician assistant shall submit a scope of practice; list or class of drugs the physician assistant is authorized to administer, prescribe, and dispense; and the CPA for approval by the Board of Medical Examiners and Board of Pharmacy. The physician assistant shall not include any drug on the list that he or she is not competent to prescribe by education, training, and experience, nor shall the physician assistant administer, order, or prescribe drugs that are not routinely administered within the physician assistant’s scope of practice. The Board of Medical Examiners is authorized to amend the list of drugs.

(d)In the discretion of either the Board of Medical Examiners or Board of Pharmacy, the physician assistant and supervising physician may be requested to appear and provide additional information or documentation in aid of the board’s evaluation of the applicant’s qualifications for prescriptive authority.

(e)Modification to any of the terms of the CPA including the identity of the supervising physician shall be immediately reported to the boards for their consideration and subject to both board’s approval at the boards’ next available board meetings.