These changes apply to medical assistants, supervisory physicians and their employers. The new laws require action by medical assistants and their supervisory physicians in anticipation of July 1, 2021, when it comes into force. For July 1, 2022, the effective date is not required. Under current legislation, medical assistants can sign any documents that their supervisory physician can sign as long as the documents fall within the scope of the delegation agreement. HB 2378 adds a subsection RCW 18.71A.090 which states: “A physician is not obligated to counter orders that are written in a patient`s clinical record or in an official form by a medical assistant with whom the physician has a practice agreement.” In addition, the Washington Medical Commission has put in place emergency rules to eliminate requirements for retired active physicians, including limitations on compensation and the essential requirements to encourage their return to practice. Read the Statement of the Medical Commission. Currently, assistants and physicians are working together under delegation agreements approved by the Washington Medical Commission. From 1 July 2021, the procedure for the delegation agreement will be replaced by the new system of conduct agreement. The current delegation agreements remain valid after 1 July 2021, unless the content of the delegation agreement changes or the medical assistant changes jobs. Under current law, medical assistants must obtain authorization from the Washington Medical Commission to practice at isolated sites. From July 1, 2021, medical assistants will be able to practice in isolated locations if this is within the framework of their practice agreement. The purpose of this bulletin is to inform hospitals of the amendments to The Replacement Law 2378 on medical assistants, osteopathic medical assistants and supervisory physicians.

The new laws aim to eliminate administrative burdens and allow for more efficient use of medical workers. This Bulletin discusses three important changes: in a separate announcement, the Washington State Department of Health extended the expiry date for physicians and other health care providers, whose licenses will be renewed between April 1 and September 30, 2020. In order to allow physicians and providers to focus on patient care and avoid further economic burdens, this measure means that the extension of licensing payments will not be required until September 30. For more information about the ad, click here. The Washington Medical Commission and the Medical Council of the Osteopathic Medicine and Surgery are responsible for participating in the implementation of the rules. Medical assistants, surveillance physicians and hospital staff should subscribe to regulatory updates from the Washington State Department of Health via this link. In a substantial change in existing legislation, practical agreements apply as soon as all parties sign them and no longer need the approval of the Washington Medical Commission.