Skip to the content

Physician Assistant: State Practice Environment
GO TO INFO

 ALABAMA

Co-Signature of Chart Needed: Required

Prescription Authority: Schedule III-V

Physician Agreements: Supervisory 

Ratio Requirements: No more than 160 cumulative hours per week for all PAs 

Scope of Practice Determination (By Practice Site): Yes

 

Alabama Physician Assistant State Laws

 

 ALASKA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Collaborative 

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Alaska Physician Assistant State Laws

 ARIZONA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

  • Limited II-III to 30 days, no refills without consent from physician

Physician Agreements: Collaborative 

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Arizona Physician Assistant Laws

 ARKANSAS

Co-Signature of Chart Needed: None

Prescription Authority: Schedule III-V

Physician Agreements: Supervisory

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Arkansas Physician Assistant State Laws

 CALIFORNIA

Co-Signature of Chart Needed: Required

  • Minimum of 5% of PA’s medical records/ Sample of at least 10 charts per months for 10 months

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs at any one time

Scope of Practice Determination (By Practice Site): Yes

 

California Physician Assistant Laws

 COLORADO

Co-Signature of Chart Needed: Required

  • Varies with experience

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs as primary supervising physician 

Scope of Practice Determination (By Practice Site): Yes

 

Colorado Physician Assistant Laws

 CONNECTICUT

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 6 full-time PAs/part-time equivalent thereof

Scope of Practice Determination (By Practice Site): Yes

 

Connecticut Physician Assistant Laws

 

 DELAWARE

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs at a given time

Scope of Practice Determination (By Practice Site): Yes

 

Delaware Physician Assistant Laws

 

 FLORIDA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

  • 7-day limit on Schedule II

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 currently licensed PAs at any one time

Scope of Practice Determination (By Practice Site): Yes

 

Florida Physician Assistant State Lawswidth=

 GEORGIA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule III-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs as primary supervising physician 

Scope of Practice Determination (By Practice Site): Yes

 

Georgia Physician Assistant Laws

 HAWAII

Co-Signature of Chart Needed: None

  • Supervising physician must review patient records every 7 working days

Prescription Authority: Schedule III-V

  • Schedule II allowed if employed/extended privileges by hospital or extended care facility

Physician Agreements: Supervisory

Ratio Requirements: No more than 2 PAs at one time

Scope of Practice Determination (By Practice Site): Full

  • NPs are recognized as primary care providers

 

Hawaii Physician Assistant Laws

 IDAHO

Co-Signature of Chart Needed: None

  • Periodic review of sample records required

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: Nomore than 3 total PAs at the same time

  • Board may authorize 6 total PAs, if necessary, upon prior petition

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assisstant State Laws in Idaho

  ILLINOIS

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Collaborative

Ratio Requirements: No more than 5 collaborative agreements with full-time PAs

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws in Illinois

  INDIANA

Co-Signature of Chart Needed: Required

  • Varies with experience/authority

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory 

Ratio Requirements: Can enter supervising agreements with more than 4 PAs, but cannot supervise more than 4 at the same time 

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Indiana

  IOWA

Co-Signature of Chart Needed: Required, If at a remote medical site

  • Supervising physician must review patient care &sign charts weekly

Prescription Authority: Schedule III-V

  • May order Schedule II listed as depressants in Iowa Code Chapter 124 with prior approval and direction from physician

Physician Agreements: Supervisory  

Ratio Requirements: No more than 5 PAs at the same time

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Iowa

  KANSAS

Co-Signature of Chart Needed: Required

  • Varies with physician relationship

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 3 total PAs who provide services at different locations

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Kansas

  KENTUCKY

Co-Signature of Chart Needed: Required

  • Only for sufficient number of notes as determined by practice

Prescription Authority: No legend drugs

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 collaborative agreements at the same time

Scope of Practice Determination (By Practice Site): Yes

Physician Assistant Laws Kentucky

  LOUISIANA

Co-Signature of Chart Needed: Required

  • Varies based on practice site arrangement and physician relationship

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory 

Ratio Requirements: No more than 4 PAs at the same time

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Louisiana

 

  MAINE

Co-Signature of Chart Needed: None, but selected charts must be reviewed at least quarterly

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory 

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Maine

  MARYLAND

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory  

Ratio Requirements: Cannot delegate medical acts to more than 4 PAs at one time

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Maryland

  MASSACHUSETTS

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

  • Schedule II must be reviewed by physician within 96 hours

Physician Agreements: Supervisory

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Massachusetts

  MICHIGAN

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Participating

Ratio Requirements: None

  • Reasonable standard-of-practice threshold

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Michigan

  MINNESOTA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory 

Ratio Requirements: None 

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Minnesota

  MISSISSIPPI

Co-Signature of Chart Needed: Required

  • 10% of charts per month

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Mississippi State Practice Restrictions

  MISSOURI

Co-Signature of Chart Needed: Required

  • 10% of charts every 14 days

Prescription Authority: Schedule II-V

  • Hydrocodone & Schedule III limited to 5-day supply with no refill

Physician Agreements: Supervisory

Ratio Requirements: No more than 3 full-time Physician Assistants for supervision

Scope of Practice Determination (By Practice Site): Limited

 

Missouri Physician Assistant State Regulations

MONTANA

Co-Signature of Chart Needed: Required

  • Varies based on experience and tenure

Prescription Authority: Schedule II-V

  • Schedule II must not exceed 34

Physician Agreements: Supervisory

Ratio Requirements: o more than 1 unless certain criteria are met

Scope of Practice Determination (By Practice Site): Yes

 

Montana Physician Assistant Rules
  Nebraska

Co-Signature of Chart Needed: Required

  • 20% of charts per month
  • 100% when less than 20 patients

Prescription Authority: Schedule II-V

Physician Agreements: Collaborative

Ratio Requirements: No more than 4 Physician Assistants unless good cause is own

Scope of Practice Determination (By Practice Site): Yes

 

Nebraska PA practice rules

  NEVADA

Co-Signature of Chart Needed: Required

  • 10% of charts 4 times per year

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 3 total Physician Assistants at a time

Scope of Practice Determination (By Practice Site): Yes

 

Nevada PA Restrictions

  NEW HAMPSHIRE

Co-Signature of Chart Needed: Required

  • Regular, ongoing evaluation of representative chart sample

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory 

Ratio Requirements: No more than 4 PAs for supervision

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws New Hampshire

  NEW JERSEY

Co-Signature of Chart Needed: Required

  • Physician must review charts, patient records, and countersign all medical orders

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory  

Ratio Requirements: No more than 4 PAs at a time

Scope of Practice Determination (By Practice Site): None

 

Physician Assistant Laws New Jersey

 

 

  NEW MEXICO

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Dependent on Practice Area

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): No

 

Physician Assistant State Laws

  NEW YORK

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs in private practice; 6 PAs in hospital setting

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant State laws New York

  NORTH CAROLINA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

  • Schedule II and III can’t exceed a 30-day supply

Physician Agreements: Supervisory

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant State Laws North Carolina

  NORTH DAKOTA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant State Laws North Dakota

  OHIO

Co-Signature of Chart Needed: Required

  • Review of selected patient record entries and medical orders

Prescription Authority: Schedule II-V

  • II limited under R.C. 4730.411

Physician Agreements: Supervisory

Ratio Requirements: May enter into any number of PA agreements, but cannot supervise more than 3 at any one time

Scope of Practice Determination (By Practice Site): Yes

 

State Laws Physician Assistant's Ohio

  OKLAHOMA

Co-Signature of Chart Needed: Required

  • Only in locum tenens

Prescription Authority: Schedule II-V

  • Schedule III-V limited to 30-day supply with no refills
  • Schedule II for administration on site

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs for supervision at one time 

Scope of Practice Determination (By Practice Site): Yes

 

Oklahoma Physician Assistant State Laws

  OREGON

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs for supervision unless board approves

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Laws Oregon

 

  PENNSYLVANIA

Co-Signature of Chart Needed: Required

  • 100% (Decreases as experience increases)

Prescription Authority: Schedule II-V

  • Schedule II limited to 72-hour notification to physician within 24 hours of issuance

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs at one time

Scope of Practice Determination (By Practice Site): Yes

 

Pennsylvania Physician Assistant State License

  RHODE ISLAND

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Rhode Island Physician Assistant State Practice Laws

  SOUTH CAROLINA

Co-Signature of Chart Needed: Required

  • 10% per month when working off-site

Prescription Authority: Schedule II-V

  • Schedule II must only be an initial dose and cannot exceed a 72-hour supply

Physician Agreements: Supervisory

Ratio Requirements: No more than 3 full-time PAs providing clinical service at one time

Scope of Practice Determination (By Practice Site): Yes

 

South Carolina Physician Assistant State Practice Laws

  SOUTH DAKOTA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

  • Schedule II cannot exceed more than 30-days

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 full-time PAs with board approval

Scope of Practice Determination (By Practice Site): Yes

 

South Dakota Physician Assistant Practice Laws

  TENNESSEE

Co-Signature of Chart Needed: Required

  • At least 20% of patients/ 100% of specific categories of patients every 30 days

Prescription Authority: Schedule II-V

  • Schedule II and II limited to 30-days

Physician Agreements: Supervisory

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Tennessee Physician Assistant Practice Laws

  TEXAS

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: None

Scope of Practice Determination (By Practice Site): Yes

 

Texas Physician Assistant State Practice Laws

  UTAH

Co-Signature of Chart Needed: Required

  • Sufficient number of charts and records needed to ensure patient’s health and welfare was not compromised

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 full-time PAs with board approval

Scope of Practice Determination (By Practice Site): Yes

 

Physician Assistant Utah

  VERMONT

Co-Signature of Chart Needed: Required

  • Sufficient number of charts and records needed to ensure patient’s health and welfare was not compromised

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 full-time PAs with board approval

Scope of Practice Determination (By Practice Site): Yes

 

Vermont Physician Assistant State Regulations

  VIRGINIA

Co-Signature of Chart Needed: Required

  • Only if established in practice agreement

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 6 PAs with board approval

Scope of Practice Determination (By Practice Site): Yes

 

Virginia PA State Regulations

  WASHINGTON

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 5 delegation agreements, but may petition the commission for a waiver

Scope of Practice Determination (By Practice Site): Yes

 

Washington PA State Practice Regulations

  WEST VIRGINIA

Co-Signature of Chart Needed: None

Prescription Authority: Schedule III-V

  • Schedule III limited to 30-day supply without refill

Physician Agreements: Collaborative

Ratio Requirements: No more than 5 practice agreements with full-time PAs at one time

Scope of Practice Determination (By Practice Site): Yes

 

West Virginia PA State Practice Laws

  WISCONSIN

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 4 PAs at one time unless a written plan has been submitted to and approved by the Board

Scope of Practice Determination (By Practice Site): No

 

Wisconsin PA State Practice Restrictions

  WYOMING

Co-Signature of Chart Needed: None

Prescription Authority: Schedule II-V

Physician Agreements: Supervisory

Ratio Requirements: No more than 3 PAs

Scope of Practice Determination (By Practice Site): Yes

 

Wyoming PA State Practice Restrictions

How may we help?

Call us anytime 1-800-272-2707.