Berks County Medical Society Medical Record Winter 2019 - 30

M e d i c a l R e c o R d F e at u R e

2017-2018 Year-End
Legislative Session Report
December 6, 2018

INTRODUCTION

LEGISLATION

The Pennsylvania General Assembly
concluded its regular session, passing more
than 80 pieces of legislation in the final days of the two-year
session. In total, 3,953 bills were introduced and considered by the
legislature in 2017 and 2018. Only 246 bills - approximately 6
percent - were passed and signed into law.

Practice Advocacy Issues -
Scope of Practice

At last count, the Pennsylvania Medical Society (PAMED)
staff actively tracked 259 bills that were introduced during the
2017-2018 session that affect physicians, from proposals that
would directly impact the practice of medicine to those that more
generally relate to the provision of health care in our state. Below is
a review of what PAMED accomplished this session, what we hope
to build on in the coming year, and a summary of some of the
significant initiatives advanced this session.

PAMED dedicated a substantial amount of time and
resources this session to the successful defeat of legislation that
would allow Certified Registered Nurse Practitioners (CRNPs)
to practice independently of physicians in Pennsylvania
without the safety net of a collaborative agreement. Legislation
was introduced in both chambers - House Bill (HB) 100 in
the House of Representatives and Senate Bill (SB) 25 in the
Senate - to eliminate the current requirement for CRNPs to
collaborate with physicians in order to diagnose, treat, and
prescribe drugs to patients. In the end, neither HB 100 nor
SB 25 were brought up for consideration in the House of
Representatives this session.
Two bills - SB 895 and SB 896 - were introduced in the
Senate that would have changed the patient record review
process, the composition of the State Board of Medicine and
State Board of Osteopathic Medicine, and the supervisory/
written agreement between physician assistants and physicians.
PAMED went on record to oppose both bills by relaying our
position both verbally and in written form to key senators.
Neither of the bills were brought up for a committee vote and
did not see any action beyond introduction of the bills.
PAMED also supported the
Pennsylvania Association of
Ophthalmology (PAO) in opposition
of SB 668, which would have allowed
optometrists to perform ocular

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Berks County Medical Society Medical Record Winter 2019

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