reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.324 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.331 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.332 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.341 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.342 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.343 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.351 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.352 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.353 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.354 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 17 - STATE BOARD OF MEDICINE-MEDICAL DOCTORS › Subchapter C - GRADUATE MEDICAL TRAINEES AND HOSPITALS › Section 17.355 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.1 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this
						subchapter, have the following meanings, unless the context clearly indicates
						otherwise:
ACME
-The American Commission for
						Midwifery Education.
ACNM
-The American College of
						Nurse-Midwives.
AMCB
-The American Midwifery
						Certification Board.
Collaborating physician
-A medical or
						osteopathic doctor who has entered into a collaborative agreement with a
						nurse-midwife.
Collaborative agreement
-A signed written
						agreement between a midwife and collaborating physician in which they agree to
						the details of the collaborative arrangement between them with respect to care
						of midwifery clients.
Legend drug
-A drug:
(i) Limited by the Federal Food, Drug and
					 Cosmetic Act ( 21 U.S.C.A.
					 §§
												301 -
					 399 ) to being dispensed by
					 prescription.
(ii) The product
					 label of which is required to contain the following statement: "Rx
					 only."
Midwife examination
-An examination
						offered or recognized by the Board to test whether an individual has
						accumulated sufficient academic knowledge with respect to the practice of
						midwifery to qualify for a nurse-midwife license. The Board recognizes as
						midwife examinations the certifying examinations of the ACNM, the ACNM
						Certification Council, Inc. (ACC), and AMCB, or their successor
						organizations.
Midwifery practice
-Management of the
						care of essentially normal women and their normal neonates. This includes
						antepartum, intrapartum, postpartum and nonsurgically related gynecological
						care.
Midwife program
-An academic and clinical
						program of study in midwifery which has been approved by the Board or by an
						accrediting body recognized by the Board. The Board recognizes the ACNM and
						ACME or their successor organization as an accrediting body of programs of
						study in midwifery.
Midwife practice guidelines
-A written
						document developed by the nurse-midwife setting forth, in detail, the scope and
						limitations of the nurse-midwife's intended practice.
Neonate
-An infant during the first 28
						days following birth.
Nurse-midwife
-A person licensed by the
						Board to practice midwifery.
The provisions of this §
													18.1 amended under section 2 of
						  the act of April 4, 1929 (P. L. 160, No. 155) (63 P. S. §
														172); and sections 8, 12 and 35(a) of the
						  Medical Practice Act of 1985 (63 P. S. §§
														422.8,
						  422.12 and
						  422.35(a)).
This section cited in 49 Pa. Code §
													18.6 (relating to practice of
						  midwifery).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.2 - Licensure requirements

Current through Register Vol. 54, No. 28, July 13, 2024
The Board will grant a nurse-midwife license to an
						applicant who meets the following requirements. The applicant shall:
(1) Be licensed as a registered nurse in this
					 Commonwealth.
(2) Satisfy the
					 licensure requirements in §
											16.12 (relating to general
					 qualifications for licenses and certificates), including the completion of at
					 least 3 hours of approved training in child abuse recognition and reporting in
					 accordance with §
											16.108(a)
					 (relating to child abuse recognition and reporting-mandatory training
					 requirement).
(3) Have successfully
					 completed a midwife program.
(4)
					 Have obtained one of the following:
(i) A
					 passing grade on a midwife examination. The Board accepts the passing grade on
					 the certifying examination of the ACNM or AMCB as determined by the ACNM or
					 AMCB or successor organization as recognized by the Board.
(ii) Certification as a midwife by the
					 American College of Nurse-Midwives (ACNM) before the ACNM certification
					 examination was first administered in 1971. To be eligible for renewal of a
					 nurse-midwife license, the nurse-midwife shall maintain National certification
					 available to the profession and recognized by the Board.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.3 - Biennial registration requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A nurse-midwife license shall be
					 registered biennially. The procedure for the biennial registration of a
					 nurse-midwife license is in §
											16.15 (relating to biennial
					 registration; inactive status and unregistered status).
(b) As a condition of biennial license
					 renewal, a nurse-midwife shall complete the continuing education requirement in
					 section 12.1 of the Professional Nursing
					 Law (63 P.S. §
												222),
					 including at least 2 hours of approved continuing education in child abuse
					 recognition and reporting in accordance with §
											16.108(b)
					 (relating to child abuse recognition and reporting-mandatory training
					 requirement). In the case of a nurse-midwife who has prescriptive authority
					 under the act, the continuing education required by the Professional Nursing
					 Law (63 P.S. §§
												211-225.5) must include at least 16 hours in
					 pharmacology completed each biennium.
(c) The fees for the biennial renewal of a
					 nurse-midwife license and prescriptive authority are set forth in §
											16.13 (relating to licensure,
					 certification, examination and registration fees).
The provisions of this §
													18.3 amended under section 2 of
						  the act of April 4, 1929 (P. L. 160, No. 155) (63 P.S. §
														172); sections 8, 12 and 35(a) of the Medical
						  Practice Act of 1985 (63 P.S. §§
														422.8,
						  422.12 and
						  422.35(a)); and
						  23 Pa.C.S. §
														6383(b)(2).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.4 - Midwife practice guidelines

Current through Register Vol. 54, No. 28, July 13, 2024
At a minimum, the midwife practice guidelines must
						identify the following:
(1) The
					 procedures and routines of care, including specific treatment regimens to be
					 provided by the midwife, by practice area-for example, antepartum, intrapartum,
					 postpartum and nonsurgically related gynecological care.
(2) The circumstances under which
					 consultation, co-management, referral and transfer of care of women and
					 neonates are to take place, and the mechanics by which each are to
					 occur.
(3) Procedures and routines
					 of care of neonates, including specific treatment regimens, if the
					 nurse-midwife manages the care of neonates beyond the time of
					 delivery.
The provisions of this §
													18.4 amended under section 2 of
						  the act of April 4, 1929 (P. L. 160, No. 155) (63 P.S. §
														172); and sections 8, 12 and 35(a) of the
						  Medical Practice Act of 1985 (63 P.S. §§
														422.8,
						  422.12 and
						  422.35(a)).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.5 - Collaborative agreements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 nurse-midwife may not engage in midwifery practice without having entered into
					 a collaborative agreement and having filed the collaborative agreement with the
					 Board.
(b) A nurse-midwife shall
					 only engage in midwifery practice in accordance with the midwife practice
					 guidelines and collaborative agreements.
(c) A collaborative agreement must contain
					 either an acknowledgement that the nurse-midwife shall practice under the
					 midwife practice guidelines, or that the nurse-midwife shall practice under the
					 midwife practice guidelines as expanded or modified in the collaborative
					 agreement.
(d) Expansions and
					 modifications of the midwife practice guidelines agreed to by the nurse-midwife
					 and the collaborating physician shall be set forth, in detail, in the
					 collaborative agreement.
(e) If the
					 collaborating physician intends to authorize the nurse-midwife to relay to
					 other health care providers medical regimens prescribed by that physician,
					 including drug regimens, that authority, as well as the prescribed regimens,
					 shall be set forth in the collaborative agreement.
(f) The physician with whom a nurse-midwife
					 has a collaborative agreement shall have hospital privileges or a formal
					 arrangement for patient admission to a hospital and shall practice in the
					 specialty area of the care for which the physician is providing collaborative
					 services.
(g) Collaborative
					 agreements must meet the following requirements:
(1) The agreement must provide a
					 predetermined plan for emergency services, and immediate availability of a
					 physician to the nurse-midwife by direct communication or by radio, telephone
					 or other telecommunication for consultation, co-management, or transfer of care
					 as indicated by the health status of the patient.
(2) The agreement must identify and be signed
					 by at least one collaborating physician and the nurse-midwife.
(3) A physician providing coverage need not
					 be signatory to the collaborative agreement, but shall agree to adhere to the
					 terms of the collaborative agreement, and shall be identified by name of
					 physician, or name of group, or name of service.
(4) A physician providing interim coverage
					 need not be signatory to the collaborative agreement, but shall agree to adhere
					 to the terms of the collaborative agreement.
(5) Both the collaborating physician and the
					 nurse-midwife are responsible to assure adherence to the terms and conditions
					 of the collaborative agreement by themselves, others as appropriate within
					 their practice groups, and physicians providing coverage.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.6 - Practice of midwifery

Current through Register Vol. 54, No. 28, July 13, 2024
The nurse-midwife is authorized or required, or both, to
						do the following:
(1) Engage in
					 midwifery practice as defined in §
											18.1 (relating to definitions), as
					 further provided for in this subchapter and in accordance with the ethical and
					 quality standards of the profession as required in section 41(8) of the act
					 (63
					 P. S. §
												422.41(8)).
(2) Maintain a midwife protocol and
					 collaborative agreements, and make them available for inspection by clients and
					 the Board upon request.
(3)
					 Prescribe medical, therapeutic and diagnostic measures for essentially normal
					 women and their normal neonates in accordance with the midwife protocol or a
					 collaborative agreement, or both.
(4) Administer specified drugs as provided in
					 collaborative agreements or as directed by a collaborating physician for a
					 specific patient and, if specifically authorized to do so in a collaborative
					 agreement, relay to other health care providers medical regimens prescribed by
					 the collaborating physician, including drug regimens.
(5) A nurse-midwife may, in accordance with a
					 collaborative agreement with a physician, and consistent with the
					 nurse-midwife's academic educational preparation and National certification by
					 the AMCB or its successor organizations, prescribe, dispense, order and
					 administer medical devices, immunizing agents, laboratory tests and
					 therapeutic, diagnostic and preventative measures.
(6) A nurse-midwife who possesses a master's
					 degree or its substantial equivalent, and National certification, and applies
					 to the Board, is eligible to receive a certificate from the Board which will
					 authorize the nurse-midwife to prescribe, dispense, order, and administer
					 drugs, including legend drugs and Schedule II through Schedule V controlled
					 substances, as defined in The Controlled Substance, Drug, Device and Cosmetic
					 Act (35 P. S. §§
												780-101-780-144), in accordance with §
											18.6a (relating to prescribing and
					 dispensing drugs) provided that the nurse-midwife demonstrates to the Board
					 that:
(i) The nurse-midwife has successfully
					 completed at least 45 hours of course-work specific to advanced pharmacology at
					 a level above that required by a professional nursing education
					 program.
(ii) The nurse-midwife has
					 successfully completed 16 hours of advanced pharmacology within 2 years
					 immediately preceding the application for prescriptive authority.
(iii) The nurse-midwife is acting in
					 accordance with the terms and conditions set forth in a collaborative agreement
					 with a physician.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.6a - Prescribing, dispensing and administering drugs

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
No Schedule I controlled
					 substances
. A nurse-midwife may not prescribe or dispense Schedule I
					 controlled substances as defined by section 4 of The Controlled Substance,
					 Drug, Device and Cosmetic Act (35 P. S. §
												780-104).
(b)
Prescribing, dispensing and
					 administering drugs
. A nurse-midwife who has prescriptive authority
					 may prescribe, administer and dispense drugs as follows:
(1) A nurse-midwife may prescribe, dispense
					 or administer Schedule II through V controlled substances and legend drugs in
					 accordance with the following restrictions:
(i) A nurse-midwife may not prescribe,
					 dispense, order or administer a controlled substance except for a woman's acute
					 pain.
(ii) In the case of a
					 Schedule II controlled substance, the dose must be limited to 72 hours and may
					 not be extended except with the approval of the collaborating
					 physician.
(iii) In the case of a
					 Schedule III or IV controlled substance, the prescription must be limited to 30
					 days and shall only be refilled with the approval of the collaborating
					 physician.
(iv) A nurse-midwife may
					 prescribe, dispense, order or administer psychotropic drugs only after
					 consulting with the collaborating physician.
(v) A nurse-midwife may only prescribe or
					 dispense a drug for a patient in accordance with the collaborative
					 agreement.
(vi) A nurse-midwife may
					 not delegate prescriptive authority to another health care provider.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.7 - Disciplinary and corrective measures

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The Board may refuse, revoke, suspend, limit or attach conditions to the
					 license of a nurse-midwife engaging in conduct prohibited by section 41(8) of
					 the act (63 P. S. §
												422.41(8)) for
					 Board-regulated practitioners.
(b)
					 The Board will order the emergency suspension of the license of a nurse-midwife
					 who presents an immediate and clear danger for the public health and safety, as
					 required by section 40 of the act (63 P. S. §
												422.40).
(c) The license of a nurse-midwife shall
					 automatically be suspended, as required by section 40 of the act.
The provisions of this §
													18.7 amended under section 2 of
						  the act of April 4, 1929 (P. L. 160, No. 155) (63 P. S. §
														172); and sections 8, 12 and 35(a) of the
						  Medical Practice Act of 1985 (63 P. S. §§
														422.8,
						  422.12 and
						  422.35(a)).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter A - LICENSURE AND REGULATION OF MIDWIFE ACTIVITIES › Section 18.9 - Notification of changes in collaboration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A nurse-midwife licensed to practice
					 midwifery who is unable to maintain a collaborative agreement and cannot
					 arrange interim coverage shall cease practicing until a collaborative agreement
					 is in place.
(b) A nurse-midwife
					 shall notify the Board, in writing, of a change in or termination of a
					 collaborative agreement or a change in mailing address within 30 days. The
					 nurse-midwife shall provide the Board with the nurse-midwife's new address of
					 residence, address of employment and any change of collaborating physician. A
					 change in medical staff of a medical practice identified in the collaborative
					 agreement is not a change in the collaborating agreement, so long as the named
					 collaborating physician continues to collaborate with the nurse-midwife under
					 the collaborative agreement.
(c)
					 Failure of a nurse-midwife to notify the Board within 30 days of changes in, or
					 a termination in the collaborating physician/nurse-midwife relationship is a
					 basis for disciplinary action against the nurse-midwife's license.
(d) A nurse-midwife with prescriptive
					 authority who cannot continue to fulfill the requirements for prescriptive
					 authority shall cease to prescribe and shall so notify the Board in writing
					 within 30 days.
The provisions of this §
													18.9 adopted under sections 12 and
						  35 of the Medical Practice Act of 1985 (63 P. S. §§
														422.12 and
						  422.35).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter B - REGISTRATION AND PRACTICE OF › Section 18.12 - Licensure as an acupuncturist

Current through Register Vol. 54, No. 28, July 13, 2024
A medical doctor who intends to practice acupuncture and
						any other individual who intends to practice acupuncture shall obtain a license
						from the Board as an acupuncturist.
The provisions of this §
													18.12 amended under section 3 of
						  the Acupuncture Licensure Act (63 P. S. §
														1803); and section 8 of the Medical Practice
						  Act of 1985 (63 P. S. §
														422.8).
This section cited in 49 Pa. Code §
													5.81 (relating to unprofessional
						  and immoral conduct).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter B - REGISTRATION AND PRACTICE OF › Section 18.13 - Requirements for licensure as an acupuncturist

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Board will license as an
					 acupuncturist a person who satisfies the following requirements:
(1) Has successfully completed an acupuncture
					 educational program which includes a course in needle sterilization
					 techniques.
(2) Has been certified
					 by NCCAOM or has obtained a passing grade on the NCCAOM examination component
					 in acupuncture and sterilization procedures, its successor examination or other
					 equivalent Board-approved examination. The Board will make available a list of
					 successor or other equivalent Board-approved examinations on its web site. If
					 the examination was not taken in English, but is otherwise acceptable and a
					 passing score was secured, the Board will accept the examination result if the
					 applicant has also demonstrated English language proficiency by one of the
					 following methods:
(i) The applicant-s
					 acupuncture educational program was conducted in English.
(ii) The applicant has achieved a scaled
					 score of at least 83 on the TOEFL® Internet-based test (IBT), a 220 for the
					 TOEFL® computer-based test (CBT) or a 550 on the TOEFL® paper based
					 test (PBT) or an equivalent score on a successor examination of the TOEFL®.
					 The Board will make available a list of Board-approved successor examinations
					 on its web site.
(iii) The
					 applicant has achieved a score of at least 350 on each of the four sub-tests of
					 the OET for any of the health-related professions.
(iv) The applicant has achieved a passing
					 score on an English language proficiency examination, equivalent to the
					 TOEFL® or OET, as determined by the Board. The Board will make available a
					 list of equivalent Board-approved English language proficiency examinations on
					 its web site.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter B - REGISTRATION AND PRACTICE OF › Section 18.13a - Requirements for licensure as a practitioner of Oriental medicine

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 acupuncturist who also intends to use herbal therapy is required to be licensed
					 by the Board as a practitioner of Oriental medicine.
(b) The Board will license an acupuncturist
					 as a practitioner of Oriental medicine if the licensee, in addition to meeting
					 the requirements under
					 18.13 (relating to requirements
					 for licensure as an acupuncturist) has fulfilled one of the following:
(1) Successfully completed an acupuncture
					 education program that includes the study of East Asian herbology and has
					 passed an East Asian herbology examination. Board-approved East Asian herbology
					 examinations include the NCCAOM examination component in Chinese herbology, its
					 successor examination or other equivalent Board-approved East Asian herbology
					 examination. The Board will make available a list of successor or other
					 equivalent Board-approved examinations on its web site.
(2) Has obtained NCCAOM certification in
					 Chinese herbology or Oriental medicine, which includes passing the NCCAOM
					 examination component in Chinese herbology.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter B - REGISTRATION AND PRACTICE OF › Section 18.14 - Biennial registration requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Acupuncturists and practitioners of
					 Oriental medicine shall register biennially and submit the appropriate
					 registration fee to engage in the practice of acupuncture for the biennial
					 period.
(b) Procedures for biennial
					 registration of acupuncturists and practitioners of Oriental medicine are
					 outlined in §
											16.15 (relating to biennial
					 registration; inactive status and unregistered status).
(c) The biennial registration fee is set
					 forth in §
											16.13 (relating to licensure,
					 certification, examination and registration fees).
(d) As a condition of biennial registration,
					 acupuncturists and practitioners of Oriental medicine shall complete at least 2
					 hours of approved training in child abuse recognition and reporting in
					 accordance with §
											16.108(b)
					 (relating to child abuse recognition and reporting-mandatory training
					 requirement).
The provisions of this §
													18.14 amended under section 3 of
						  the Acupuncture Licensure Act (63 P.S. §
														1803); section 8 of the Medical Practices Act
						  of 1985 (63 P.S. §
														422.8); and
						  23 Pa.C.S. §
														6383(b)(2).
This section cited in 49 Pa. Code §
													5.81 (relating to unprofessional
						  and immoral conduct).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter B - REGISTRATION AND PRACTICE OF › Section 18.15 - Practice responsibilities of acupuncturist and practitioner of Oriental medicine who is not a physician; practice responsibilities of an acupuncturist who is licensed as a medical doctor

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Responsibilities to patient and public-acupuncturist who is not a
					 physician.
An acupuncturist who is not a physician:
(1) Shall perform an acupuncture evaluation
					 and develop an acupuncture treatment plan.
(1.1) May treat an individual presenting with
					 no symptoms of a condition for an unlimited period of time.
(2) May treat an individual presenting with
					 symptoms of a condition for 60 calendar days from the date of the first
					 treatment without the condition being diagnosed by a physician, dentist or
					 podiatrist.
(3) May treat an
					 individual presenting with symptoms of a condition beyond 60 calendar days from
					 the date of first treatment if the patient has obtained an examination and
					 diagnosis from a physician, dentist or podiatrist.
(4) Shall promptly refer the patient
					 presenting with symptoms of a condition to a physician, dentist or podiatrist,
					 as appropriate to the patient-s condition, if the acupuncturist determines that
					 further acupuncture treatment is contraindicated for the patient or determines
					 that the patient-s symptoms have worsened.
(5) Shall consult with the patient-s
					 physician, dentist, podiatrist or other health care practitioner upon request
					 of the patient.
(6) Shall cooperate
					 with the patient-s physician, dentist or podiatrist in regard to the
					 coordination of the patient-s care, and comply with restrictions or conditions
					 as directed by the physician, dentist or podiatrist.
(7) May not diagnose a physical or mental
					 ailment or condition or prescribe or dispense a drug. This provision does not
					 prohibit the use of diagnostic billing codes for billing or reimbursement
					 purposes.
(8) Shall comply strictly
					 with sterilization standards relative to aseptic practices.
(9) Shall maintain patient records in a
					 manner consistent with
					 16.95 (relating to medical
					 records).
(10) Shall wear a tag or
					 badge with lettering clearly visible to the patient bearing the acupuncturist's
					 name and the title "acupuncturist." The use of the words, doctor, physician or
					 any title or abbreviation implying licensure as a physician on this tag or
					 badge is prohibited, provided, however, that an individual licensed as an
					 acupuncturist who also possesses a current and active registration as a
					 naturopathic doctor may utilize the title "doctor of naturopathic medicine" or
					 "naturopathic doctor" in addition to the title "acupuncturist."
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter B - REGISTRATION AND PRACTICE OF › Section 18.15a - Scope of practice of acupuncturists and practitioners of Oriental medicine

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 acupuncturist may practice acupuncture and use supplemental techniques,
					 including the use of non-prescription topical remedies which contain as active
					 ingredients parts of plants, minerals and other organic materials, but may not
					 use herbal therapy as defined in
					 18.11 (relating to definitions)
					 unless licensed by the Board as a practitioner of Oriental medicine.
(b) A practitioner of Oriental medicine may
					 practice acupuncture and use supplemental techniques including herbal therapy.
					 A practitioner of Oriental medicine is not prohibited from dispensing or
					 administering therapeutic herbs that contain ingredients that are similar or
					 equivalent to active ingredients in drugs as classified by the Federal Food and
					 Drug Administration, unless otherwise prohibited by law or
					 regulation.
(c) This section does
					 not limit the scope of practice of a medical doctor who is registered as an
					 acupuncturist.
(d) This section
					 does not limit a registered naturopathic doctor when recommending herbs,
					 minerals and other supplements, or combinations, according to traditions other
					 than Oriental medicine traditions.
The provisions of this §
													18.15a amended under section 3 of
						  the Acupuncture Licensure Act (63 P.S. §
														1803); and section 8 of the Medical Practice
						  Act of 1985 (63 P.S. §
														422.8).
This section cited in 49 Pa. Code §
													5.81 (relating to unprofessional
						  and immoral conduct).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter B - REGISTRATION AND PRACTICE OF › Section 18.18 - Disciplinary and corrective measures

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The Board may impose any of the disciplinary sanctions authorized under section
					 42 of the act (63 P.S. §
												422.42) or
					 63 Pa.C.S. §
												3108(b) (relating to civil
					 penalties) for any of the following:
(1)
					 Failing to comply with the duties and requirements in §
												18.15 (relating to practice
					 responsibilities of acupuncturist and practitioner of Oriental medicine who is
					 not a physician; practice responsibilities of medical doctor licensed as an
					 acupuncturist).
(2) Practicing or
					 holding out as being able to practice acupuncture without a current and valid
					 license to practice acupuncture.
(3) Practicing or holding out as being able
					 to practice East Asian herbology without a current and valid license as a
					 practitioner of Oriental medicine.
(4) Practicing acupuncture or East Asian
					 herbology without current professional liability insurance coverage as required
					 under section
					 3.2 of the Acupuncture Licensure
					 Act (63 P.S. §
													1803.2) and
					 § 18.20 (relating to professional liability insurance coverage for
					 acupuncturists and practitioners of Oriental medicine).
(5) Engaging in conduct prohibited under
					 section 41 of the act (63 P.S. §
													422.41) for Board-regulated
					 practitioners.
(6) Failure to
					 notify the Board within 30 days of licensee-s failure to be covered by
					 insurance under as required under section
					 3.2 of the Acupuncture Licensure
					 Act and § 18.20.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter B - REGISTRATION AND PRACTICE OF › Section 18.20 - Professional liability insurance coverage for acupuncturists and practitioners of Oriental medicine

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 licensed acupuncturist shall maintain a level of professional liability
					 insurance coverage in the minimum amount of $1 million per occurrence or claims
					 made, as required under section
					 3.2 of the Acupuncture Licensure
					 Act (63 P.S. §
												1803.2).
(b) Proof of professional liability insurance
					 coverage may include:
(1) A certificate of
					 insurance or copy of the declaration page from a personally purchased
					 professional liability insurance policy setting forth the effective date,
					 expiration date and dollar amount of coverage.
(2) A certificate of insurance or copy of the
					 declaration page from an employer purchased professional liability insurance
					 policy describing the licensee by name as a covered party under the policy, the
					 effective date, expiration date and dollar amount of coverage.
(3) Evidence of a plan of self-insurance
					 approved by the Insurance Commissioner of the Commonwealth under regulations of
					 the Insurance Department in 31 Pa. Code Chapter 243 (relating to medical
					 malpractice and health-related self-insurance plans).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter C - Reserved › Section 18.53 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													18.53 issued under section 15(b)
						  of the Medical Practice Act of 1985 (63 P. S. §
														422.15(b)); and section 2(1)
						  of the Professional Nursing Law (63 P. S. §
														212(1)); reserved under
						  section 8 of the Medical Practice Act of 1985 (63 P. S. §
														422.8); and sections
						  2.1(k) and (l)
						  and 8.1-8.3 of The Professional Nursing Law (63 P. S. §§
														212.1(k) and (l) and
						  218.1-218.3).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter C - Reserved › Section 18.54 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													18.54 issued under section 15(b)
						  of the Medical Practice Act of 1985 (63 P. S. §
														422.15(b)); and section 2(1)
						  of the Professional Nursing Law (63 P. S. §
														212(1)); reserved under
						  section 8 of the Medical Practice Act of 1985 (63 P. S. §
														422.8); and sections
						  2.1(k) and (l)
						  and 8.1-8.3 of The Professional Nursing Law (63 P. S. §§
														212.1(k) and (l) and
						  218.1-218.3).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter C - Reserved › Section 18.55 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													18.55 issued under section 15(b)
						  of the Medical Practice Act of 1985 (63 P. S. §
														422.15(b)); and section 2(1)
						  of the Professional Nursing Law (63 P. S. §
														212(1)); reserved under
						  section 8 of the Medical Practice Act of 1985 (63 P. S. §
														422.8); and sections
						  2.1(k) and (l)
						  and 8.1-8.3 of The Professional Nursing Law (63 P. S. §§
														212.1(k) and (l) and
						  218.1-218.3).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter C - Reserved › Section 18.56 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													18.56 issued under section 15(b)
						  of the Medical Practice Act of 1985 (63 P. S. §
														422.15(b)); and section 2(1)
						  of the Professional Nursing Law (63 P. S. §
														212(1)); reserved under
						  section 8 of the Medical Practice Act of 1985 (63 P. S. §
														422.8); and sections
						  2.1(k) and (l)
						  and 8.1-8.3 of The Professional Nursing Law (63 P. S. §§
														212.1(k) and (l) and
						  218.1-218.3).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter C - Reserved › Section 18.57 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													18.57 issued under section 15(b)
						  of the Medical Practice Act of 1985 (63 P. S. §
														422.15(b)); and section 2(1)
						  of the Professional Nursing Law (63 P. S. §
														212(1)); reserved under
						  section 8 of the Medical Practice Act of 1985 (63 P. S. §
														422.8); and sections
						  2.1(k) and (l)
						  and 8.1-8.3 of The Professional Nursing Law (63 P. S. §§
														212.1(k) and (l) and
						  218.1-218.3).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › GENERAL PROVISIONS › Section 18.121 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
This subchapter implements section 13 of the act
						  (63
						  P. S. §
													422.13) pertaining to physician
						  assistants and provides for the delegation of certain medical tasks to
						  qualified physician assistants by supervising physicians when the delegation is
						  consistent with the written agreement.
The provisions of this §
														18.121 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT EDUCATIONAL PROGRAMS › Section 18.131 - Recognized educational programs/standards

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Board recognizes physician assistant
						educational programs accredited by the American Medical Association's CAHEA,
						the CAAHEP, ARC-PA or a successor organization. Information regarding
						accredited programs may be obtained directly from ARC-PA at its website:
						www.arc-pa.org.
(b) The criteria
						for recognition by the Board of physician assistant educational programs will
						be identical to the essentials developed by the various organizations listed in
						this section or other accrediting agencies approved by the Board.
The provisions of this §
														18.131 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 18.141 - Criteria for licensure as a physician assistant

Current through Register Vol. 54, No. 28, July 13, 2024
The Board will approve for licensure as a physician
						  assistant an applicant who:
(1)
						Satisfies the licensure requirements in §
												16.12 (relating to general
						qualifications for licenses and certificates) including the completion of at
						least 3 hours of approved training in child abuse recognition and reporting in
						accordance with §
												16.108(a)
						(relating to child abuse recognition and reporting-mandatory training
						requirement).
(2) Has graduated
						from a physician assistant program recognized by the Board.
(3) Has submitted a completed application
						together with the required fee, under §
												16.13 (relating to licensure,
						certification, examination and registration fees).
(4) Has passed the physician assistant
						examination.
The provisions of this §
														18.141 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
							 23 Pa.C.S. §
															6383(b)(2).
This section cited in 49 Pa. Code §
														18.156 (relating to monitoring and
							 review of physician assistant
							 utilization).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 18.142 - Written agreements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						written agreement required by section 13(e) of the act (63 P. S. §
													422.13(e)) satisfies the
						following requirements. The agreement must:
(1) Identify and be signed by the physician
						assistant and each physician the physician assistant will be assisting who will
						be acting as a supervising physician. At least one physician shall be a medical
						doctor.
(2) Describe the manner in
						which the physician assistant will be assisting each named physician. The
						description must list functions to be delegated to the physician
						assistant.
(3) Describe the time,
						place and manner of supervision and direction each named physician will provide
						the physician assistant, including the frequency of personal contact with the
						physician assistant.
(4) Designate
						one of the named physicians who shall be a medical doctor as the primary
						supervising physician.
(5) Require
						that the supervising physician shall countersign the patient record completed
						by the physician assistant within a reasonable amount of time. This time period
						may not exceed 10 days.
(6)
						Identify the locations and practice settings where the physician assistant will
						serve.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 18.143 - Criteria for registration as a supervising physician

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Board will register a supervising
						physician applicant who:
(1) Possesses a
						current license without restriction to practice medicine and surgery in this
						Commonwealth.
(2) Has filed a
						completed registration form accompanied by the written agreement (see §
													18.142 (relating to written
						agreements)) and the required fee under §
													16.13 (relating to licensure,
						certification, examination and registration fees). The registration requires
						detailed information regarding the physician's professional background and
						specialties, medical education, internship, residency, continuing education,
						membership in American Boards of medical specialty, hospital or staff
						privileges and other information the Board may require.
(3) Includes with the registration, a list,
						identifying by name and license number, the other physicians who are serving as
						supervising physicians of the designated physician assistant under other
						written agreements.