14 ADMINISTRATIVE RULES

 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR'S OFFICE

OSTEOPATHIC MEDICINE AND SURGERY - GENERAL RULES

 

Filed with the Secretary of State on November 29, 2012

 

These rules become effective immediately upon filing with the Secretary of State unless adopted under section 33, 44, or 45a(6) of 1969 PA 306. Rules adopted under these sections become effective 7 days after filing with the Secretary of State.

 

(By authority conferred on the director of the department of licensing and regulatory affairs by sections 16145 and 17501 of 1978 PA 368, MCL 333.16145 and 333.17501 and Executive Reorganization Order

Nos. 1996-1, 1996-2, 2003-1, and 2011-4, MCL 330.3101, 445.2001, 445.2011, and 445-2030)

 

 

R 338.101 and R 338.108a of the Michigan Administrative Code are amended to read as follows:

 

 

PART 1. GENERAL PROVISIONS

 

R 338.101  Definitions.

Rule 1. As used in these rules:

(a) "Board" means the board of osteopathic medicine and surgery. (b) "Code" means 1978 PA 368, MCL 333.1101 to 333.25211.

(c) "Department" means the department of licensing and regulatory affairs.

 

 

R 338.108a  Delegation to physician’s assistants; limitation written authorization; requirements.

Rule 8a. (1) A physician who supervises a physician’s assistant under sections 17548 and 17549 of the code shall establish a written authorization that delegates to a physician’s assistant the performance of medical care services or the prescribing of schedule 2 to 5 controlled substances, or both. The written authorization shall contain all of the following information:

(a)      The name, license number, and signature of the supervising physician.

(b)      The name, license number, and signature of the physician’s assistant.

(c)         The limitations or exceptions to the delegation of any medical care services or prescription of schedule 2 to 5 controlled substances.

(d)      The effective date of the delegation.

(2)      A delegating physician shall review and update a written authorization prior to the renewal of a physician’s assistant’s license or in the interim as needed. A delegating physician shall note the review date on the written authorization.

(3)        A delegating physician shall maintain a written authorization in each separate location of the physician's office where the delegation occurs.

 

 

(4)         A delegating physician shall ensure that an amendment to the written authorization is in compliance with subrule (1)(a) to (d) of this rule.

(5)       A delegating physician shall not delegate the prescription of a drug or device individually, in combination, or in succession for a woman known to be pregnant with the intention of causing either a miscarriage or fetal death.