reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 15 - Board of Massage Therapy › Article 4 - REGULATORY PROVISIONS › Section R4-15-401 - Rehearing or Review of Board's Decision

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in subsection (F), a
				party who is aggrieved by a decision issued by the Board may file with the
				Board, not later than 30 days after service of the decision, a written motion
				for rehearing or review of the decision specifying the grounds for rehearing or
				review. For purposes of this Section and except as provided in A.R.S. §
									41-1092.09(C),
				a decision is considered served when personally delivered to the party's last
				known address or mailed by certified mail to the party at the party's last
				known address or the party's attorney.
B. A party filing a motion for rehearing or
				review under this Section may amend the motion at any time before it is ruled
				upon by the Board. Other parties may file a response within 15 days after the
				date the motion for rehearing or review is filed. The Board may require that
				the parties file supplemental memoranda explaining the issues raised in the
				motion and may permit oral argument.
C. The Board may grant a rehearing or review
				of the decision for any of the following causes materially affecting the
				party's rights:
1. Irregularity in the
				proceedings of the Board, administrative law judge, or any abuse of discretion
				that deprived the party of a fair hearing;
2. Misconduct of the Board or administrative
				law judge;
3. Accident or surprise
				that could not have been prevented by ordinary prudence;
4. Newly discovered material evidence that
				could not, with reasonable diligence, have been discovered and produced at the
				hearing;
5. Excessive or
				insufficient penalties;
6. Error in
				the admission or rejection of evidence or other errors of law occurring at the
				hearing; or
7. That the findings of
				fact or decision are not supported by the evidence or are contrary to
				law.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 1 - GENERAL PROVISIONS › Section R4-16-101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
Unless the context otherwise requires, definitions prescribed
				  under A.R.S. §
									32-1401
				  and the following apply to this Chapter:
1. "ACLS" means advanced cardiac life support
				performed according to certification standards of the American Heart
				Association.
2. "Agent" means an
				item or element that causes an effect.
3. "Approved medical assistant training
				program" means a program accredited by one of the following:
a. The Commission on Accreditation of Allied
				Health Education Programs; or
b.
				The Accrediting Bureau of Health Education Schools.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 1 - GENERAL PROVISIONS › Section R4-16-102 - Continuing Medical Education

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A physician holding an active license to practice medicine in this state shall
				complete 40 credit hours of the continuing medial education required by A.R.S.
				§
									32-1434
				during the two calendar years preceding biennial registration.
1. A physician who is authorized to prescribe
				schedule II controlled substances and holds a valid U.S. Drug Enforcement
				Administration registration number shall complete at least three hours of
				opioid-related, substance-use-disorder-related, or addiction-related continuing
				medical education during each renewal cycle;
2. One hour of credit is allowed for each
				clock hour of participation in continuing medical education activities, unless
				otherwise designated in subsection (B); and
3. The physician may not carry excess hours
				of continuing medical education over to another two-year
				cycle.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 1 - GENERAL PROVISIONS › Section R4-16-103 - Rehearing or Review of Board Decision

Current through Register Vol. 30, No. 28, July 12, 2024
A. In a contested case or appealable agency
				action, a party aggrieved by an order of the Board may file a written motion
				for rehearing or review with the Board under A.R.S. Title 41, Chapter 6,
				Article 10, specifying the grounds for rehearing or review.
1. A motion for
				rehearing or review shall be filed with the Board and served no later than 30
				days after the decision of the Board.
2. For purposes of this
				Section, "service" has the same meaning as in A.R.S. §
										41-1092.09.
3. For
				purposes of this Section, a document is deemed filed when the Board receives
				the document.
4. For purposes of this Section, "party" has the same
				meaning as in A.R.S. §
										41-1001.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 2 - LICENSURE › Section R4-16-201 - Application for Licensure by Examination or Endorsement

Current through Register Vol. 30, No. 28, July 12, 2024
A. For purposes of this Article, unless
				otherwise specified:
1. "ABMS" means American
				Board of Medical Specialties.
2.
				"ECFMG" means Educational Commission for Foreign Medical Graduates.
3. "FCVS" means Federation Credentials
				Verification Service.
4. "FLEX"
				means Federation Licensing Examination.
5. "LMCC" means Licentiate of the Medical
				Council of Canada.
6. "NBME" means
				National Board of Medical Examiners.
7. "Primary source" means the original source
				or an approved agent of the original source of a specific credential that can
				verify the accuracy of a qualification reported by an applicant.
8. "SPEX" means Special Purposes
				Examination.
9. "USMLE" means
				United States Medical Licensing Examination.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 2 - LICENSURE › Section R4-16-202 - Application and Reapplication for Pro Bono Registration

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for a pro bono registration
				to practice medicine for a maximum of 60 days in a calendar year in Arizona
				shall submit the following information on an application form available on
				request from the Board and on the Board's web site:
1. Applicant's full name, social security
				number, business and home addresses, primary e-mail address, and business and
				home telephone numbers;
2. List of
				all states, U.S. territories, and provinces in which the applicant is or has
				been licensed to practice medicine;
3. A statement verifying that the applicant:
a. Agrees to render all medical services
				without accepting a fee or salary; or
b. Agrees to perform only initial or
				follow-up examinations at no cost to the patient or the patient's family
				through a charitable organization,
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 2 - LICENSURE › Section R4-16-203 - Application for Locum Tenens Registration

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for a locum tenens
				registration to practice medicine for a maximum of 180 consecutive days in
				Arizona shall submit an application form available on request from the Board
				and on the Board's web site that provides the information required under
				R4-16-201(B).
B. In addition to the application form
				required under subsection (A), an applicant for a locum tenens registration to
				practice medicine shall have the the following submitted directly to the Board,
				electronically or in hard copy, by the primary source, ECFMG, Veridoc, or FCVS:
1. Official transcript or other
				authentication of graduation from a school of medicine;
2. Verification of completion of postgraduate
				training;
3. A statement completed
				by the sponsoring Arizona-licensed physician giving the reason for the request
				for issuance of the registration;
4. Verification of ECFMG certification if the
				applicant graduated from an unap-proved school of medicine; and
5. Verification of licensure from every state
				in which the applicant has ever held a medical license.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 2 - LICENSURE › Section R4-16-205 - Fees and Charges

Current through Register Vol. 30, No. 28, July 12, 2024
A. As
				specifically authorized under A.R.S. §
									32-1436(A),
				the Board establishes and shall collect the following fees:
1. Application for a license through
				endorsement, USMLE Step 3, or Endorsement with SPX Examination, $500;
2. Issuance of an initial license, $500,
				prorated from date of issuance to date of license renewal;
3. Renewal of license for two years,
				$500;
4. Application to reactivate
				an inactive license, $500;
5. Locum
				tenens registration, $350;
6.
				Annual registration of an approved internship, residency, clinical fellowship
				program, or short-term residency program, $50;
7. Annual teaching license at an approved
				school of medicine or at an approved hospital internship, residency, or
				clinical fellowship program, $250;
8. Five-day teaching permit at an approved
				school of medicine or at an approved hospital internship, residency, or
				clinical fellowship program, $100;
9. Initial registration to dispense drugs and
				devices, $200;
10. Annual renewal
				to dispense drugs and devices, $150;
11. Penalty fee for late renewal of an active
				license, $350; and
12. Application
				for temporary license, $250.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 2 - LICENSURE › Section R4-16-205.1 - Mandatory Reporting Requirement

Current through Register Vol. 30, No. 28, July 12, 2024
A. As required under A.R.S. §
									32-3208,
				an applicant, licensee, permit holder, or registrant who is charged with a
				misdemeanor involving conduct that may affect patient safety or a felony shall
				provide written notice of the charge to the Board within 10 working days after
				the charge is filed.
B. An
				applicant, licensee, permit holder, or registrant may obtain a list of
				reportable misdemeanors on request from the Board and on the Board's web
				site.
C. Failure to comply with
				A.R.S. §
									32-3208
				and this Section is unprofessional conduct.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 2 - LICENSURE › Section R4-16-206 - Time Frames for Licenses, Permits, and Registrations

Current through Register Vol. 30, No. 28, July 12, 2024
A. For each type of license, permit, or
				registration issued by the Board, the overall time frame under A.R.S. §
									41-1072(2)
				 is shown on Table 1.
B. For each type of license, permit, or
				registration issued by the Board, the administrative completeness review time
				frame under A.R.S. §
									41-1072(1)
				 is shown on Table 1 and begins on the date
				the Board receives an application and all required documentation and
				information.
1. If the application is not
				administratively complete, the Board shall send a written deficiency notice to
				the applicant.
a. In the deficiency notice,
				the Board shall state each deficiency and the information or supporting
				documentation required to complete the application. In the deficiency notice,
				the Board shall include a written notice that the application is withdrawn if
				the applicant does not submit the required information or documentation within
				the time provided for response.
b.
				Within the time provided in Table 1 for response to a deficiency notice, the
				applicant shall submit to the Board the documentation or information specified
				in the notice. The time frame for the Board to finish the administrative
				completeness review is suspended from the date of the notice until the date the
				Board receives the documentation or information from the applicant.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 2 - LICENSURE › Table 1 - Time Frames

Current through Register Vol. 30, No. 28, July 12, 2024
Time Frames (in calendar days)
Type of License
Overall Time Frame
Administrative Review Time Frame
Time to Respond to Deficiency
							 Notice
Substantive Review Time Frame
Time to Respond to Request for Additional
							 Information
Initial License by Examination or
							 Endorsement
240
120
365
120
90
Biennial License Renewal
90
45
60
45
60
Locum Tenens or Pro Bono Registration
120
60
90
60
30
Teaching License
40
20
30
20
30
Educational Teaching Permit
20
10
30
10
10
Training Permit
40
20
30
20
30
Short-term Training Permit
40
20
30
20
30
One-year Training Permit
40
20
30
20
30
Annual Registration to Dispense Drugs and
							 Devices
150
45
30
105
30
Registration as an Out-of-state Health Care Provider
							 of Telehealth Services
40
20
30
20
30
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 3 - DISPENSING OF DRUGS › Section R4-16-301 - Registration and Renewal

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				physician who wishes to dispense a controlled substance , as restricted under
				A.R.S. §
									32-1491(B),
				prescription-only drug, or prescription-only device, as defined at A.R.S.
				§ 32-1901, shall be currently licensed to practice medicine in Arizona and
				shall register with the Board by providing the following to the Board:
1. A completed registration form, which is
				available on the Board's web site and includes the following information:
a. The physician's name, license number, and
				field of practice;
b. A list of the
				types of drugs and devices the physician will dispense; and
c. The location or locations where the
				physician will dispense a controlled substance, prescription-only drug, or
				prescription-only device;
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 3 - DISPENSING OF DRUGS › Section R4-16-302 - Packaging and Inventory; Exception

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A physician shall dispense all controlled substances and prescription-only
				drugs in prepackaged containers or in light-resistant containers with consumer
				safety caps that comply with standards specified in the official compendium, as
				defined in A.R.S. § 321901, and state and federal law, unless a patient or
				the patient's representative requests a non-safety cap.
B. A physician shall ensure a controlled
				substance or prescription-only drug dispensed is labeled with the following
				information:
1. The physician's name,
				address, and telephone number;
2.
				The date the controlled substance or prescription-only drug is
				dispensed;
3. The patient's name
				and date of birth;
4. The
				controlled substance or prescription-only drug name, strength, dosage, form,
				name of manufacturer, the quantity dispensed, directions for use, and any
				cautionary statement necessary for the safe and effective use of the controlled
				substance or prescription-only drug; and
5. A beyond-use date not to exceed one year
				from the date of dispensing or the manufacturer's expiration date if less than
				one year.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 3 - DISPENSING OF DRUGS › Section R4-16-303 - Prescribing and Dispensing Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. A physician shall record on the patient's
				medical record the name, strength, dosage, and form, of a controlled substance,
				prescription-only drug, or prescription-only device dispensed, the quantity or
				volume dispensed, the date the controlled substance, prescription-only drug, or
				prescription-only device is dispensed, the therapeutic reason for dispensing
				the controlled substance, prescription-only drug, or prescription-only device,
				and the number of refills authorized.
B. Before dispensing a controlled substance,
				prescription-only drug, or prescription-only device to a patient, a physician
				shall review the prepared controlled substance, prescription-only drug, or
				prescription-only device to ensure:
1. The
				container label and contents comply with the prescription order, and
2. The patient is informed of the name of the
				controlled substance, prescription-only drug, or prescription-only device,
				directions for use, precautions, and storage requirements.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 3 - DISPENSING OF DRUGS › Section R4-16-304 - Recordkeeping and Reporting Shortages

Current through Register Vol. 30, No. 28, July 12, 2024
A. A physician who dispenses a controlled
				substance or prescription-only drug shall ensure an original prescription order
				for the controlled substance or prescription-only drug is dated, consecutively
				numbered in the order in which it is originally dispensed, and filed separately
				from patient medical records. the physician shall ensure original prescription
				orders are maintained in three separate files, as follows:
1. Schedule II controlled
				substances;
2. Schedule III, IV,
				and V controlled substances; and
3.
				Prescription-only drugs.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 3 - DISPENSING OF DRUGS › Section R4-16-305 - Inspections; Denial and Revocation

Current through Register Vol. 30, No. 28, July 12, 2024
A. A physician shall cooperate with and allow
				access to the physician's office and records for periodic inspection of
				dispensing practices by the Board or its authorized representative. Failure to
				cooperate or allow access constitutes grounds for revocation of a physician's
				registration to dispense a controlled substance, prescription-only drug, or
				prescription-only device or denial of renewal of the physician's dispensing
				registration.
B. Failure to comply
				with A.R.S. §
									32-1491
				or this Article constitutes grounds for denial or revocation of dispensing
				registration.
C. The Board shall
				revoke a physician's registration to dispense a controlled substance,
				prescription-only drug, or prescription-only device if any of the following
				occur:
1. Suspending, revoking, surrendering,
				or canceling the physician's license;
2. Placing the physician's license on
				inactive status;
3. Failing to
				renew the physician's license timely; or
4. Restricting the physician's ability to
				prescribe or administer medication, including loss or expiration of the
				physician's Drug Enforcement Administration Certificate of
				Registration.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 4 - MEDICAL ASSISTANTS › Section R4-16-401 - Medical Assistant Training Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. After the
				effective date of this Section, a supervising physician or physician assistant
				shall ensure that before a medical assistant is employed, the medical assistant
				completes one of the following:
1. An approved
				training program identified in
				R4-16-101;
2. An unapproved training program and
				successfully passes the medical assistant examination administered by a
				certifying organization accredited by either the National Commission for
				Certifying Agencies or the American National Standards Institute; or
3. A training program that meets the
				requirements of A.R.S. §
										32-1456(D)  and
				is designed and offered by a physician.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 4 - MEDICAL ASSISTANTS › Section R4-16-402 - Authorized Procedures for Medical Assistants

Current through Register Vol. 30, No. 28, July 12, 2024
A. A medical assistant may perform, under the
				direct supervision of a physician or a physician assistant, the medical
				procedures listed in Appendix B, Core Curriculum for Medical Assistants, 2015
				edition of Standards and Guidelines for the Accreditation of Educational
				Programs in Medical Assisting, published by the Commission on Accreditation of
				Allied Health Education Programs. This material is incorporated by reference,
				does not include later amendments or editions , and may be obtained from the
				publisher at 25400 U.S. Highway 19 N, Suite 158, Clearwater, FL 33763,
				www.caahep.org, or the Board.
B. In
				addition to the medical procedures in subsection (A), a medical assistant may
				administer the following under the direct supervision of a physician or
				physician assistant:
1. Whirlpool
				treatments,
2. Diathermy
				treatments,
3. Electronic galvation
				stimulation treatments,
4.
				Ultrasound therapy,
5. Massage
				therapy,
6. Traction
				treatments,
7. Transcutaneous Nerve
				Stimulation unit treatments,
8. Hot
				and cold pack treatments, and
9.
				Small volume nebulizer treatments.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-501 - Medical Competency Examination; Investigational Interview

Current through Register Vol. 30, No. 28, July 12, 2024
A. The executive
				director may require a physician, who is under investigation by the Board, to
				submit to a mental, physical, oral, or written medical competency examination
				after the following:
1. Reviewing the
				allegations and investigator's summary of findings; and
2. Consulting with and receiving the
				agreement of the Board's supervising medical consultant that an examination is
				necessary.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-502 - Direct Referral to Formal Interview

Current through Register Vol. 30, No. 28, July 12, 2024
The executive director shall refer a case to a formal
				  interview on a future Board meeting agenda if the investigative staff, lead
				  Board member, and in cases involving quality of care, supervising medical
				  consultant, concur after review of the case that a formal interview is
				  appropriate.
Editor's Note: At
				  the time of publication, A.R.S. §
										32-1401(26)
				   (referenced in
				  R4-16-503
				  ) was A.R.S. §
										32-1401(24).
				  Laws 2003, Ch. 59, § 1, effective 90 days after the close of the First
				  Regular Session of the Forty-sixth Legislature, will change the subparagraph
				  citation to A.R.S. §
										32-1401(26)
				   (Supp. 03-2). This Section was subsequently
				  recodified to a different Section in this Chapter. Refer to the historical
				  notes for more information (05-1).
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-503 - Request for Inactive Status or License Cancellation

Current through Register Vol. 30, No. 28, July 12, 2024
A. If a physician requests inactive status or
				license cancellation, meets the requirements of A.R.S. §
									32-1431
				or
				32-1433,
				and is not participating in the program defined under A.R.S. §
									32-1452,
				the executive director shall grant the request.
B. The executive director shall provide to
				the Board at each regularly scheduled Board meeting a list of the physicians
				granted inactive or cancelled license status since the preceding Board
				meeting.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-504 - Interim Consent Agreement

Current through Register Vol. 30, No. 28, July 12, 2024
The executive director may enter into an interim consent
				  agreement with a physician if there is evidence that a restriction is needed to
				  mitigate imminent danger to public health and safety and the investigative
				  staff, supervising medical consultant, and lead Board member concur after
				  review of the case that a consent agreement is appropriate.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-505 - Mediated Case

Current through Register Vol. 30, No. 28, July 12, 2024
A. The executive
				director shall close a case resolved through mediation.
B. The executive director shall provide to
				the Board at each regularly scheduled Board meeting a list of the physicians
				whose cases were resolved through mediation since the preceding Board
				meeting.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-506 - Referral to Formal Hearing

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				The executive director may directly refer a case to a formal hearing if the
				investigative staff, supervising medical consultant, and lead Board member
				concur after review of the physician's case that a formal hearing is
				appropriate.
B. The executive
				director shall provide to the Board at each regularly scheduled Board meeting a
				list of the physicians whose cases were referred to formal hearing since the
				preceding Board meeting and whether the referral is for revocation or
				suspension or the result of an out- of-state disciplinary action or due to
				complexity of the case.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-507 - Dismissal of Complaint

Current through Register Vol. 30, No. 28, July 12, 2024
A. The
				executive director, with concurrence of the investigative staff, shall dismiss
				a complaint if the review shows the complaint is without merit and dismissal is
				appropriate.
B. The executive
				director shall provide to the Board at each regularly scheduled Board meeting a
				report that contains the information specified in A.R.S. §
				32-1405(C)(21).
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-508 - Denial of License

Current through Register Vol. 30, No. 28, July 12, 2024
A. The
				executive director shall deny a license to an applicant who does not meet
				statutory requirements for licensure if the executive director, investigative
				staff and supervising medical consultant concur after reviewing the application
				that the applicant does not meet the statutory requirements.
B. The executive director shall provide to
				the Board at each regularly scheduled Board meeting a list of the physicians
				whose applications were denied since the preceding Board meeting.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-509 - Non-disciplinary Consent Agreement

Current through Register Vol. 30, No. 28, July 12, 2024
The executive director may enter into a consent agreement
				  under A.R.S. §
									32-1451(F)
				   with a physician to limit the physician's
				  practice or rehabilitate the physician if there is evidence that a licensee is
				  mentally or physically unable to engage safely in the practice of medicine and
				  the investigative staff, supervising medical consultant, and lead Board member
				  concur after review of the case that a consent agreement is
				  appropriate.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 5 - EXECUTIVE DIRECTOR DUTIES › Section R4-16-510 - Appealing Executive Director Actions

Current through Register Vol. 30, No. 28, July 12, 2024
A. Any person aggrieved by an action taken by
				the executive director under the authority delegated in this Article may appeal
				that action to the Board. The aggrieved person shall file a written request
				with the Board no later than:
1. Thirty days
				after notification of the action, if personally served; or
2. Thirty-five days after the date on the
				notification, if mailed.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 6 - DISCIPLINARY ACTIONS › Section R4-16-602 - Expired

Current through Register Vol. 30, No. 28, July 12, 2024
To conform with the
				  renumbering in A.R.S., the Arizona Medical Board requested (under A.R.S. §
										41-1011
				  et seq.) a subsection reference update in
				  R4-16-603 [R05-85].
				  Please refer to the historical notes for more details (Supp. 05-1).
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 6 - DISCIPLINARY ACTIONS › Section R4-16-604 - Aggravating Factors Considered in Disciplinary Actions

Current through Register Vol. 30, No. 28, July 12, 2024
When determining the degree of discipline, the Board may
				  consider certain factors including, but not limited to, the following:
1. Prior disciplinary offenses;
2. Dishonest or selfish motive;
3. Pattern of misconduct; multiple offenses;
4. Bad faith obstruction of the
				disciplinary proceeding by intentionally failing to comply with rules or orders
				of the Board;
5. Submission of
				false evidence, false statements, or other deceptive practices during the
				investigative or disciplinary process;
6. Refusal to acknowledge wrongful nature of
				conduct; and
7.Vulnerability of
				the victim.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 6 - DISCIPLINARY ACTIONS › Section R4-16-605 - Mitigating Factors Considered in Disciplinary Actions

Current through Register Vol. 30, No. 28, July 12, 2024
When determining the degree of discipline, the Board may
				  consider certain factors including, but not limited to, the following:
1. Absence of prior disciplinary
				record;
2. Absence of dishonest or
				selfish motive;
3. Timely good
				faith effort to rectify consequences of misconduct;
4. Interim rehabilitation;
5. Remoteness of prior offenses; and
6. How much control the physician
				has of processes in the specific practice setting.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 7 - OFFICE-BASED SURGERY USING SEDATION › Section R4-16-701 - Health Care Institution License

Current through Register Vol. 30, No. 28, July 12, 2024
A physician who uses general anesthesia in the physician's
				  office or other outpatient setting that is not part of a licensed hospital or
				  licensed ambulatory surgical center when performing office-based surgery using
				  sedation shall obtain a health care institution license as required by the
				  Arizona Department of Health Services under A.R.S. Title 36, Chapter 4 and 9
				  A.A.C. 10.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 7 - OFFICE-BASED SURGERY USING SEDATION › Section R4-16-702 - Administrative Provisions

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				physician who performs office-based surgery using sedation in the physician's
				office or other outpatient setting that is not part of a licensed hospital or
				licensed ambulatory surgical center shall:
1.
				Establish, document, and implement written policies and procedures that cover:
a. Patient's rights,
b. Informed consent,
c. Care of patients in an emergency,
				and
d. The transfer of
				patients;
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 7 - OFFICE-BASED SURGERY USING SEDATION › Section R4-16-703 - Procedure and Patient Selection

Current through Register Vol. 30, No. 28, July 12, 2024
A. A physician shall ensure that each
				office-based surgery using sedation performed:
1. Can be safely performed with the
				equipment, staff members, and health care professionals at the physician's
				office;
2. Is of duration and
				degree of complexity that allows a patient to be discharged from the
				physician's office within 24 hours;
3. Is within the education, training,
				experience skills, and licensure of the physician; and
4. Is within the education, training,
				experience, skills, and licensure of the staff members and health care
				professionals at the physician's office.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 7 - OFFICE-BASED SURGERY USING SEDATION › Section R4-16-704 - Sedation Monitoring Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A physician who performs office-based surgery using sedation
				  shall ensure from the time sedation is administered until post-sedation
				  monitoring begins:
1. A quantitative
				method of assessing a patient's oxygenation, such as pulse oximetry, is used
				when minimal sedation is administered to the patient, and
2. When moderate or deep sedation is
				administered to a patient:
a. A quantitative
				method of assessing the patient's oxygenation, such as pulse oximetry, is
				used;
b. The patient's ventilatory
				function is monitored by any of the following:
i. Direct observation,
ii. Auscultation, or
iii. Capnography;
c. The patient's circulatory function is
				monitored during the surgery by:
i. Having a
				continuously displayed electrocardiogram,
ii. Documenting arterial blood pressure and
				heart rate at least every five minutes, and
iii. Evaluating the patient's cardiovascular
				function by pulse plethysmography,
d. The patient's temperature is monitored if
				the physician expects the patient's temperature to fluctuate; and
e. That a licensed and qualified healthcare
				professional, other than the physician performing the office-based surgery,
				whose sole responsibility is attending to the patient, is present throughout
				the office-based surgery.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 7 - OFFICE-BASED SURGERY USING SEDATION › Section R4-16-705 - Perioperative Period; Patient Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A physician performing office-based surgery using sedation
				  shall ensure all of the following:
1.
				During office-based surgery using sedation, the physician is physically present
				in the room where office-based surgery is performed;
2. After the office-based surgery using
				sedation is performed, a physician is at the physician's office and
				sufficiently free of other duties to respond to an emergency until the
				patient's post-sedation monitoring is discontinued;
3. If using minimal sedation, the physician
				or a health care professional certified in ACLS, PALS, or BLS is at the
				physician's office and sufficiently free of other duties to respond to an
				emergency until the patient is discharged;
4. If using deep or moderate sedation, the
				physician or a health care professional certified in ACLS or PALS is at the
				physician's office and sufficiently free of other duties to respond to an
				emergency until the patient is discharged;
5. A discharge is documented in the patient's
				medical record including:
a. The time and date
				of the patient's discharge, and
b.
				A description of the patient's medical condition at the time of discharge;
				and
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 7 - OFFICE-BASED SURGERY USING SEDATION › Section R4-16-706 - Emergency Drugs; Equipment and Space Used for Office-based Surgery Using Sedation

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition
				to the requirements in
				R4-16-702(A)(3)
				and
				R4-16-703(A)(1),
				a physician who performs office-based surgery using sedation shall ensure that
				the physician's office has at a minimum:
1.
				The following:
a. A reliable oxygen source
				with a SaO2 monitor;
b.
				Suction;
c. Resuscitation
				equipment, including a defibrillator;
d. Emergency drugs; and
e. A cardiac monitor;
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 16 - ARIZONA MEDICAL BOARD › Article 7 - OFFICE-BASED SURGERY USING SEDATION › Section R4-16-707 - Emergency and Transfer Provisions

Current through Register Vol. 30, No. 28, July 12, 2024
A. A physician who performs office-based
				surgery using sedation shall ensure that before a health care professional
				participates in or staff member assists with office-based surgery using
				sedation, the health care professional and staff member receive instruction in
				the following:
1. Policy and procedure in
				cases of emergency,
2. Policy and
				procedure for office evacuation, and
3. Safe and timely patient
				transfer.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 1 - GENERAL PROVISIONS › Section R4-17-102 - Time-frames for Licenses and Approvals

Current through Register Vol. 30, No. 28, July 12, 2024
A. The overall time-frame described in A.R.S.
				§
									41-1072(2)
				 for a regular license or renewal license is
				set forth in Table 1.
B. The
				administrative completeness review time-frame described in A.R.S. §
									41-1072(1)
				 for a regular license or renewal license is
				set forth in Table 1 and begins on the date the Board receives an application.
1. If the application is not administratively
				complete, the Board shall send a deficiency notice to the applicant.
a. The deficiency notice shall state each
				deficiency and the information needed to complete the application.
b. Within the time provided in Table 1 for
				response to the deficiency notice, the applicant shall submit to the Board the
				missing information specified in the deficiency notice. The time-frame for the
				Board to finish the administrative completeness review is suspended from the
				date the Board mails the deficiency notice to the applicant until the date the
				Board receives the missing information.
c. If the applicant does not submit the
				missing information within the time to respond to the deficiency notice set
				forth in Table 1, the Board shall send a written notice to the applicant
				informing the applicant that the application is deemed withdrawn.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 1 - GENERAL PROVISIONS › Table 1 - Time Frames (in days)

Current through Register Vol. 30, No. 28, July 12, 2024
Type of License
Overall Time Frame
Administrative Review Time Frame
Time to Respond to Deficiency Notice
Substantive Review Time Frame
Time to Respond to Request for Additional
							 Information
Regular License including schedule II or schedule III
							 controlled substances approval
							 R4-17-203
120
30
365
90
90
License Renewal
							 R4-17-206
75
30
60
45
60
Registration as an Out-of-state Health Care Provider
							 of Telehealth Services A.R.S. §
													36-3606(A)(3)
40
20
30
20
30
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 2 - PHYSICIAN ASSISTANT LICENSURE › Section R4-17-202 - Examination

Current through Register Vol. 30, No. 28, July 12, 2024
An
				  applicant for a regular license as a physician assistant shall pass the PANCE
				  or PANRE and be certified by the NCCPA at the time of application for
				  licensure.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 2 - PHYSICIAN ASSISTANT LICENSURE › Section R4-17-203 - Regular License Application

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for
				a regular license shall submit a completed application to the Board that
				includes:
1. The applicant's:
a. First, last, and middle name;
b. Every other name used by the
				applicant;
c. Social Security
				number;
d. Office, mailing, e-mail,
				and home addresses;
e. Office,
				mobile, and home telephone numbers; and
f. Birth date and state or country of
				birth;
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 2 - PHYSICIAN ASSISTANT LICENSURE › Section R4-17-204 - Fees and Charges

Current through Register Vol. 30, No. 28, July 12, 2024
A. As expressly
				authorized under A.R.S. §
									32-2526(A) (1) through
				(4), the Board shall charge the following
				fees:
1. License application -
				$125.00;
2. Regular license -
				$370.00, prorated for each month remaining in the biennial period;
3. Regular license renewal - $370.00 if the
				renewal application is postmarked no later than the applicant's birthdate;
				and
4. Penalty for late renewal -
				$100.00.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 2 - PHYSICIAN ASSISTANT LICENSURE › Section R4-17-205 - Continuing Medical Education; Request for Extension of Time

Current through Register Vol. 30, No. 28, July 12, 2024
A. Under A.R.S.
				§
									32-2523(A),
				renewal of a license is conditioned on the licensee completing 40 hours of
				category I continuing medical education during each biennial license
				period.
B. During a licensee's
				first biennial license period, the licensee may complete a pro-rated number of
				continuing medical education hours established by the Board.
C. A
				licensee who is unable to complete the required hours of continuing medical
				education for any of the reasons in A.R.S. §
									32-2523(E)
				 may submit a written request to the Board
				for an extension no later than 30 days before expiration of the license that
				contains:
1. The name, address, and telephone
				number of the licensee;
2. The
				reason for the request;
3. The
				number of continuing medical education hours completed during the biennial
				license period;
4. The dates on which the remaining hours of
				continuing medical education are scheduled to be completed; and
5. The
				signature of the licensee.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 2 - PHYSICIAN ASSISTANT LICENSURE › Section R4-17-206 - License Renewal

Current through Register Vol. 30, No. 28, July 12, 2024
A. To renew a
				license, a licensee shall submit a completed application to the Board that
				includes:
1. An application form that
				contains the licensee's:
a. First, last, and
				middle names;
b. Arizona license
				number;
c. Office, mailing, e-mail,
				and home addresses;
d. Office,
				mobile, and home telephone numbers;
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 2 - PHYSICIAN ASSISTANT LICENSURE › Section R4-17-207 - Denial of License or Extension to Complete Continuing Education

Current through Register Vol. 30, No. 28, July 12, 2024
An applicant for a license who is denied the license or a
				  physician assistant who is denied an extension to complete continuing medical
				  education may request a hearing to contest the matter by filing a written
				  notice with the Board within 30 days of receipt of notice of the Board's
				  action. A hearing shall be conducted in accordance with A.R.S. Title 41,
				  Chapter 6, Article 6 and Article 10.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 3 - DUTIES OF THE EXECUTIVE DIRECTOR › Section R4-17-301 - Dismissal of Complaint

Current through Register Vol. 30, No. 28, July 12, 2024
A. The
				executive director, with concurrence of the investigative staff, shall dismiss
				a complaint if review shows the complaint is without merit and dismissal is
				appropriate.
B. The executive
				director shall provide to the Board, at each regularly scheduled Board meeting,
				a list of physician assistants about whom complaints were dismissed since the
				preceding Board meeting.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 3 - DUTIES OF THE EXECUTIVE DIRECTOR › Section R4-17-302 - Referral to Formal Hearing

Current through Register Vol. 30, No. 28, July 12, 2024
A. The
				executive director may refer a case directly to a formal hearing if the
				investigative staff, medical consultant, and lead Board member concur after
				review of the case that a formal hearing is appropriate.
B. The executive director shall provide to
				the Board, at each regularly scheduled Board meeting, a list of the physician
				assistants whose cases were referred to formal hearing since the preceding
				Board meeting and indicate whether each case was referred because it involves
				revocation, suspension, out- of-state disciplinary action, or
				complexity.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 3 - DUTIES OF THE EXECUTIVE DIRECTOR › Section R4-17-303 - Non-disciplinary Consent Agreement

Current through Register Vol. 30, No. 28, July 12, 2024
The executive director may enter into a consent agreement
				  under A.R.S. §
									32-2505(C)(23)
				   with a physician assistant to limit the
				  physician assistant's practice or rehabilitate the physician assistant if there
				  is evidence the physician assistant is mentally or physically unable to engage
				  in the practice of medicine safely and the investigative staff, medical
				  consultant, and lead Board member concur after review of the case that a
				  consent agreement is appropriate.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 3 - DUTIES OF THE EXECUTIVE DIRECTOR › Section R4-17-304 - Request for Inactive Status and License Cancellation

Current through Register Vol. 30, No. 28, July 12, 2024
A. If a physician assistant requests inactive
				status or license cancellation, meets the requirements of A.R.S. §§
									32-2525
				or
				32-2528,
				and is not participating in the program defined under A.R.S. §
									32-2552(E),
				the executive director shall grant the request.
B. The executive director shall provide to
				the Board, at each regularly scheduled Board meeting, a list of the individuals
				granted inactive or cancelled license status since the preceding Board
				meeting.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 17 - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS › Article 3 - DUTIES OF THE EXECUTIVE DIRECTOR › Section R4-17-305 - Referral to Formal Interview

Current through Register Vol. 30, No. 28, July 12, 2024
The executive director shall refer a case to a formal
				  interview on a future Board meeting agenda if the investigative staff, lead
				  Board member, and in cases involving quality of care, the medical consultant,
				  concur after review of the case that a formal interview is
				  appropriate.