^6D^ - irrc.state.pa.us

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P.O. Box 128, Greensburg, PA 15601v i ? y c o # W o x ^^724) 836-6411 FAX (724) 836-4449

Charles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of MedicineP.O. Box 2649Harrisburg, Pennsylvania 17105-2649

Dear Dr. Hummer:

lysician assistant practicing under the supervision of Dr. _J\jr \ Kt\*x -UsNs-J'ennsylvania. I am writing in support of the proposed changes to

AlL^]

PennSylVa&ia Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by themedical board. They now are facing the next step in the process: review by thelegislature, public comment, and final review by the medical board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania. They will streamline but not diminish supervision and allow physicians tomake the best use of their PAs. In changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better access to appropriatetreatments.

The regulatory revisions represent a progressive view of the modern health care system.They are an appropriate blend of public protection and recognition of regulatory languagethat allows physicians to optimally and safely utilize PAs. The provisions represented inthe regulations are well in line with language adopted in other states.

As a licensed and practicing physician assistant in Pennsylvania, I urge the Board toadopt these proposed changes. Thank you for your consideration.

Sincerely,[Signature]

P.O. Box 128, Greensburg, PA 15601(724) 836-6411 FAX (724) 836-4449


Dear Dr. Hummer:

-iio

I ami a physician assistant practicing under the supervision of Dr. [OVO 1<L n^B-e r (2.**AL)in fiiMÛ^WÂ/, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow .me and my supervisingphysician to care for patients more effectively.




Sincerely,[Signal

*%% (%<_

Lebanon Surgical Associates, P.C.229 South 4th Street D :; - ••: ' y -:: n

Lebanon, Pennsylvania 17042 r i " ^ - - . - - ^(717) 273-2697 r,.- •,- , ; -,, , r • - , .

Robert A. Bazewicz, M.D. Fax (717) 273-0126 i i » ^ w u w ,-./, iU-•«,Donald A. Moyer, P.A.C.

Charles D. Hummer, Jr. M.D. ChairmanPennsylvania State Board of MedicineP.O. Box 2649Harrisburg, Pa. 17105-2649

Dear Dr. Hummer;

As a practicing Physician Assistant in Lebanon, Pennsylvania, I am writing in support of theproposed Changes to Pennsylvania Code Title 49, Chapter 18, relating to PA's. The suggestedchanges appear to be long overdue, and will allow us to more effectively care for our patients.

These regulations, previously approved by the Board of Medicine, are facing the next step in theapproval process. The changes do not appear to significantly alter supervisory regulations, butwill allow physicians to better utilize PA's.

Since we are a general surgical practice, the changes in prescription regulations seem appropriate,but it would make sense to change the category II authority to a 5 day limit instead of 3 days.Post operative surgical pain usually requires more than just 3 days of narcotic analgesia. Also, itis noted that there is no change to the anticoagulant regulation. As you are well aware, whatcardio-vascular or cardiology practice would not be streamlined by allowing their Pa's toprescribe anticoagulants? Changing the time for chart review and relaying treatment informationis more in sync with the times.

As a licensed and practicing PA, I urge the State Board of Medicine to adopt these changes,Thank you for your consideration in these matters.

MA 000432 L

Charles D. Hummer, Jr., M.D., Chairman

Pennsylvania State Board of Medicine

P.O. Box 2649

Harrisburg, Pennsylvania 17105-2649

Dear Dr. Hummer:

I am a physician assistant student atf^hflfhÛlfein ffebljgfaiffi,Pennsylvania. I am writing in support of the proposed bnanges to Pennsylvania CodeTitle 49, Chapter 18, relating to physician assistants. The proposed changes will updatethe regulation of my profession and allow me and my supervising physician to care forpatients more effectively.



As a physician assistant student in Pennsylvania, I urge the Board to adopt theseproposed changes. Thank you for your consideration.

f[Sfgnature], PA-S

o r r ^ f ^ -

" US !• CV 3U M% i4j$5^Box 128, Greensburg, PA 15601, , •:i-i L(724^«36-6411 FAX (724) 836-4449

RE\1[V\ CCMnlSSlON


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr.in /SXkSTzW Pennsylvania. I am writing in support of the prop

)o j&z/hJ&O

)sed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





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Dear Dr. Hummer:

ZC

ft

I am a physician assistant practicing under the supervision of Dr. <Jo^-Pjin ^MA H«M)f , Pennsylvania. I am writing in support of the proposPennsylvania Code Title 49, Chapter 18, relating to physician assistants:

V.\rf\ACL|changes tole proposed

changes will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,[Signature

4», P. A •

P.pi#*%28, Greensburg, PA 15601"(76^36-6411 FAX (724) 836-4449

Jeffrey T Frey PA-C, MPASPhysician Assistant71 Treasure LakeDuBois PA, 15801-9002 I I


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. ô.vS«"f-c? Dmo^ûin CltctrfWot Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





?

Charles D. Hummer, Jr., M.D., Chairman .-.- - ~ - , .«. --,,-, November 18, 2005Pennsylvania State Board of Medicine ^ ^ ~~ rt-• w* "^P.O. Box 2649 . a,,... .: -:;: ^ : . • :>._ •- A T C A YHarrisburg, Pennsylvania 17105-2649 ^v.,w,^î,0a

Dear Dr. Hummer:

I am a physician assistant student, currently attending Philadelphia University in my didacticyear. I am not only a student in Pennsylvania, but a resident, which I have been all of my life. Ihave planned to potentially practice in the state once I graduate, so these regulations do notpertain to me now, but will most definitely play an important role in my future, I am writing insupport of the proposed changes to Pennsylvania Code Title 49, Chapter 18, relating to physicianassistants. The proposed changes will update the regulation of the PA profession and allow meand my supervising physician to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by the medicalboard. They now are facing the next step in the process: review by the legislature, publiccomment, and final review by the medical board. While the proposed changes are numerous,they boil down to a moderate update of PA regulation in Pennsylvania. They will streamline butnot diminish supervision and allow physicians to make the best use of their PAs. In changing thelength of time for chart review and relaying treatment information, they respond to the realitiesof clinical practice. Altering the prescription regulations for PAs will give patients better accessto appropriate treatments.

The regulatory revisions represent a progressive view of the modern health care system. Theyare an appropriate blend of public protection and recognition of regulatory language that allowsphysicians to optimally and safely utilize PAs. The provisions represented in the regulations arewell in line with language adopted in other states.

As a current student, and potentially a practicing physician assistant in Pennsylvania, I urge theBoard to adopt these proposed changes. Thank you for your consideration.

Sincerely,

CU/u\J%_ U>vC<&, f/\ - S

P.O. Box 128, Greensburg, PA 15601i:^j&mtfife-6411 FAX (724) 836-4449


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. 9-ih^f^-vi^ A. (h Second. M'£>-in U'Xu.Virtrygrf , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





Charles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of Medicine J{\: ;",2£; - v I - w» 23P.O. Box 2649 " ' " JHarrisburg, Pennsylvania 17105-2649 'x"J":^r--(ir-:>~:iJ\

Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Jeffrey Gould inBethlehem, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by the...medical board. They now are facing the next step in the process: review by thelegislature, public comment, and final review by the medical board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania. They will streamline but not diminish supervision and allow physicians tomake the best use of their PAs. In changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better access to appropriatetreatments.



Sincerely,

9fhp-H


Dear Dr. Hummer: .





Sincerely,

C,Kcy^Sc,PA-c

Charles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of MedicineP.O. Box 2649Harrisburg,Pennsylvania 17105-2649 "' ,<:v.;w ^ . i . - . i i . ^

^ O W r\* « "•—'• *J •**'

Dear Dr. Hummer:





Sincerely,

UU^ma

: :.u u ATCBQ. BOX 128, Greensburg, PA. 15601"izw cdH: J"^s;o^724) 8 3 6 . 6 4 1 1 FAX (724) 836-4449


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr.JW^Lffi /)(]/9#/r>Affy—in/xfriifey jfotoPctL, Pennsylvania. I am writing in support of the proposed changes to .Pennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





^^4^^Sry#<L,

'"•'' °" % . Box 128, Greensburg, PA 15601, z v , w c u . # s s : b \ m ) 8 3 ^ 1 1 F A X (724) 8364449


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. CfCCWuv V 2>D o V V ^ , în PbvA ___, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





tosYWHWMJC- SCVUUJC^ QAc

%i\f .^



Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. ' r /V&ci 11A QyyTg^ //fflin P^rAZfrsfJ ., Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





J w l / -. .".. i U- %J J

Regulation 16A-4916Key Items we are changing

A. The requirement for weekly reviewiof (Mtidrif an# siipervisor counter-signature of medical record entries made by the PA within three dayswould be changed to a requirement for counter-signature within tendays. For satellite facilities, the proposed revisions would also lengthenthe time for counter-signature to ten days.

B. Eliminate the requirement for the physician supervisor to see each patienton every third visit or at least once a year. Change it to recognizingthat the involvement of the physician supervisor be predicated onfactors such as the practice type and site and the condition of thepatient. This would also apply to satellite facilities.

C Presently, PAs may not prescribe or dispense Schedule I or II controlleddrugs. This proposal calls for allowing PAs to prescribe or dispenseSchedule II controlled drugs for initial therapy up to a 72-hour doseand requires that they notify the supervising physician within 24 hours.The proposal also would allow the PA to write for a Schedule IIcontrolled drug for up to a thirty-day supply if originally ordered andapproved for ongoing therapy by the supervising physician.

D. Removes the barrier of prescribing sympathomimetic agents (i.e. Sudafedand Albuterol)

Charles D. Hummer, Jr., M.D., Chairman


P.O. Box 2649


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. J Q n A n W ^ W / M D . in h-€&ntmPennsylvania. I am writing in support of the proposed changes to Pennsylvania Code Title 49, Chapter 18,relating to physician assistants. The proposed changes will update the regulation of my profession and allow meand my supervising physician to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by the medical board. Theynow are facing the next step in the process: review by the legislature, public comment,.and final review by themedical board. While the proposed changes are numerous, they boil down to a moderate update of PAregulation in Pennsylvania. They will streamline but not diminish supervision and allow physicians to make thebest use of their PAs. In changing the length of time for chart review and relaying treatment information, theyrespond to the realities of clinical practice. Altering the prescription regulations for PAs will give patients betteraccess to appropriate treatments.

The regulatory revisions represent a progressive view of the modern health caVe system. They are anappropriate blend of public protection and recognition of regulatory language that allows physicians to optimallyand safely utilize PAs. The provisions represented in the regulations are well in line with language adopted inother states.

As a licensed and practicing physician assistant in Pennsylvania, I urge the Board to adopt these proposedchanges. Thank you for your consideration.

Aleut. (M*<


o':ioCharles D. Hummer, Jr., M.D., Chairman

Pennsylvania State Board of MedicineP.O. Box 2649Harrisburg, Pennsylvania 17105-2649

Dear Dr. Hummer: ' "K

I am a physician assistant practicing under the supervision of Dr. A-( «-«— d*~a i -» «-in A«/«^*^4-«w.^ , Pennsylvania, I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.







Dear Dr. Hummer:

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b'

_fj d W-«LC.L^fI am a physician assistant practicing under the supervision of Dr. T>cin La-wisbu,'-^ , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





&_ "^LcJkJU f A—c_



Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. 4 C M < - fc-w^~£ **< Ain N o f K , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





Charles D. Hummer, Jr., M.D., Chairman 71 ^ j ~'"- - >


P.O. Box 2649


Dear Dr. Hummer:

I am a physician assistant student at Chatham College in Pittsburgh, Pennsylvania, I am writingin support of the proposed changes to Pennsylvania Code Title 49, Chapter 18, relating tophysician assistants. The proposed changes will update the regulation of my profession andallow me and my supervising physician to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by the medicalboard. They now are facing the next step in the process: review by the legislature, publiccomment, and final review by the medical board. While the proposed changes are numerous,they boil down to a moderate update of PA regulation in Pennsylvania. They will streamline butnot diminish supervision and allow physicians to make the best use of their PAs. In changing thelength of time for chart review and relaying treatment information, they respond to the realitiesof clinical practice. Altering the prescription regulations for PAs will give patients better accessto appropriate treatments.

The regulatory revisions represent a progressive view of the modem health care system. Theyare an appropriate blend of public protection and recognition of regulatory language that allowsphysicians to optimally and safely utilize PAs. The provisions represented in the regulations arewell in line with language adopted in other states.

As a physician assistant student in Pennsylvania, I urge the Board to adopt these proposedchanges. Thank you for your consideration.

Sincerely,

P.G>. E^x 128, Greensburg, PA 15601^ 2 ^ 8 3 6 - 6 4 1 1 FAX (724) 836-4449


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. &vrh?\ J/Uerhqh fi$in Wi-vrfinsh. , Pennsylvania. I am writing in support of the proposed cnanges toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.


The regulatory revisions represent a progressive view of the modem health care system.They are an appropriate blend of public protection and recognition of regulatory languagethat allows physicians to optimally and safely utilize PAs. The provisions represented inthe regulations are well in line with language adopted in other states.



Jaihtf JT (rib/ef

Charles D. Hummer, Jr., M.D., Chairman 122 CEO ™ 1 \ £: c~jPennsylvania State Board of MedicineP.O.Box2649 " ;Y^y^cc3 ' "Harrisburg, Pennsylvania 17105-2649

Dear Dr. Hummer:

I am a physician assistant student at Lock Haven University in Lock Haven,Pennsylvania. I am writing in support of the proposed changes to Pennsylvania CodeTitle 49, Chapter 18, relating to physician assistants. The proposed changes will updatethe regulation of my profession and allow me and my supervising physician to care forpatients more effectively.

As you are well aware, the proposed regulations have previously been approved by themedical board. They now are facing the next step in the process: review by thelegislature, public comment, and final review by the medical board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania, They will streamline but not diminish supervision and allow physicians tomake the best use of their PAs. In changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better access to appropriatetreatments.



Sincerely,

R E.CD \2^KGV_22 ^ A : 1 5

Charles D. Hummer, Jr., M.D., Chairman ' " ^ % ^ P^Jo^&sfax ^'Pennsylvania State Board of Medicine *- - • ' -^'P.O. Box 2649 :


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. U(XYlnL$lSY}

in L-gJoQ-O f/v\. Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.As you are well aware, the proposed regulations have previously been approved by themedical board. They now are facing the next step in the process: review by thelegislature, public comment, and final review by the medical board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania. They will streamline but not diminish supervision and allow physicians tomake the best use of their PAs. In changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better access to appropriatetreatments.



Sincerely,^ N

JA-C}&ufy).A.hoeuLb>P-A-C~

/354>UAJJ brio*- ia

ID15

Charles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of MedicineP.O. Box 2649Harrisburg, Pennsylvania 17105-2649 ..„.„_._,_. .,_ - •—-

Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. (LVXKAJLS-Ô (J>a-dLU_S'k<--fin t^-eJmaun csy\, , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,

l6"S HrLckoiro. ILL

RECEIVE

Charles D. Hummer, Jr., M.D., Chairman ?; _.. - scGyLATORYPennsylvania State Board of Medicine '^%V1%W COMMISSIONP.O. Box 2649Harrisburg, Pennsylvania 17105-2649 -™"

Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Fo&Aocksin l_(Jacu\on Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by themedical board. They now are facing the next step in the process: review by thelegislature, public comment, and final review by the medical-board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania. They will streamline but not diminish supervision and allow physicians tomake the best use of their PAs. In changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better access to appropriatetreatments.

The regulatory revisions represent a progressive view of the modern health care system.They are an appropriate blend of public protection and recognition of regulatory languagethat allows physicians to optimally and safely utilize PAs. The provisions represented inthe regulations are well in line with language adopted in other states. •.<

As a licensed and practicing physician assistant in Pennsylvania, I urge the Board to ,6adopt these proposed changes. Thank you for your consideration. •. ••,}.*•'}J*

Sincerely, r '

- RECEIVED

2samv 22 -m4: i tCharles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of Medicine '^%%fw%)B&&kw?^^


Dear Dr. Hummer:

I am a physician assistant student at CfoeftiA*. LtlL-tyC in fiuZot/i^h.Pennsylvania. I am writing in support of the proposed changes to Pennsylvania CodeTitle 49, Chapter 18, relating to physician assistants. The proposed changes will updatethe regulation of my profession and allow me and my supervising physician to care forpatients more effectively.




Sincerely,


1I

1I11

f iCharles D. Hummer, Jr., M.D., Chairman •(, %tyPennsylvania State Board of Medicine §'-«P.O. Box 2649 ••' gHarrisburg, Pennsylvania 17105-2649 &£Dear Dr. Hummer: | 4'% jr

I am a physician assistant practicing under the supervision of Dr. /%%#<_, 4^f)i Aue^Jin fkuJ COH^^-* , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,[Signature] _v



Dear Dr. Hummer:

ft£ istant practicing under the supervision of Dr.Pennsylvania. I am writing in support of the proposed changes to

Pennsylvania Cotfe Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.







t

IDear Dr. Hummer;:

im

u

assistant practicing under the supervision of Dr. Ê/i*w^^Pennsylvania. I am writing in support of the proposed changes to / " A j ^ y B â T-J+Ia AQ f~*l\<*-*\+£Mr 1 Q «ato+i«rr fr& nkirc iAiot i nc«ir4oMn ' i l i a nt>At\Ana/1 y^"^ —Pennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposed

changes will update the regulation of my profession and allowme and my supervisingphysician to care for patients more effectively.





#.


Mo

b


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr.in LjLfifv. ^^-Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow-me and my supervisingphysician to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by themedical board. They now are facing the next step in the process: review by thelegislature, public comment, and final review by the medical board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania. They will streamline but not diminish supervision and allow physicians tomake the best use of their P As. In changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better access to appropriatetreatments.




0, C



Dear Dr. Hummer:

M

b

I am a physician assistant practicing under the supervision of Dr. / C W M A W ^ /*?/£)/> &/}p/7/2oin (jgt/bJfroWr* , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposed

1 changes will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.






! % % /OFir, O r'""|

Charles D. Hummer, Jr., M.D., Chairman %p ^ rPennsylvania State Board of Medicine p 1 ' ^ iP.O. Box 2649 sM ~o 'Harrisburg, Pennsylvania 17105-2649 j*p; ::*:

r

Dear Dr. Hummer: ; '"g ^

I am a physician assistant practicing under the supervision ofDrs.<Soerc^\o 4 vWêfcskîn ^ L A . V U J U - Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by themedical board. They now are facing the next step in the process: review by thelegislature, public comment, and final review by the medical board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania. They will streamline but not diminish supervision and allow physicians tomake the besUtse of their PAs. In changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better accessto appropriatetreatments.



%^/&S -o

KZ,v-'- % —

CharlesD. Hummer, Jr., M.D., Chairman . r - ^G ;i AX0 R "Pennsylvania State Board of Medicine v*vi {z\iiz>k" cCHHissiCKP.O. Box 2649Harrisburg, Pennsylvania 17105-2649 , "

Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Cooperstein inDowningtown, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,

<^,a7y[. fûx/,^, f#<:


Charles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of MedicineP.O.Box2649 %[ A- i jHarrisburg, Pennsylvania 17105-2649 gp; ^ lJ

Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. /jitfnf AJtintla.,, (tl-O-in Pothviile Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





'<


-3

o1Charles D. Hummer, Jr., M.D., Chairman


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision ofDrJ^VJ. firic>tLo^xvV<în ÂAVVCAOISC^ , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow, me and my supervisingphysician to care for patients more effectively.







Dear Dr. Hummer:I;

8

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ino

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I am a physician assistant practicing under the supervision of Dr. D SMM •' S C/&X1/ AJ , MOin ffiQU-w p^hg-k , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants, The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,[Signature] ,/WC f&=72_ . PA-'C

(]07h>T

CZiVZDi«22?si..-«

^ u / t - S S l O Xm^mm^

November 12, 2005


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Sigrid Blome-Eberweinin Allentown, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





@ E po

Charles D. Hummer, Jr., M.D., Chairman ..;; r , JS

Pennsylvania State Board of Medicine kr; &•* j.1!P.O. Box 2649 : %;! N ^Harrisburg, Pennsylvania 17105-2649 [ % °

Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. ALBB0T £>, D /7 )/<$/'"in S&U^>W2i^£.Pemisylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincere!


§1

1iI


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. ^ în LANctWlN^" , Pennsylvania. I am writing in support of the propbsed changesPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




ci

MO


Uj^ "(L


jl

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ICharles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of MedicineP.O. Box 2649Harrisburg, Pennsylvania 17105-2649

Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. tftrmcun thrm.\in Johnstown Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.



As a licensed and practicing physician assistant in Pennsylvania, I urge, the Board toadopt these proposed changes. Thank you for your consideration.




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Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. /><•*. A» <rx^/<, A1**in 'ft'Hilfryk , Pennsylvania.. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants; The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




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Dear Dr. Hummer:

1

I amaohysician assistant practicing under the supervision of Dr. LMrfh$D\ir%t\ , Pennsylvania. I am writing in support of the proposed changes to

fl.r/ dloPennsylvania (Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





f>ft~<L


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision o f D r . / d / A Ltii SCfl/Ujf\xfJd{/J}YUjlL£_^ , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.







Dear Dr. Hummer: j

I am a physician assistant practicing under the supervision of Dr. D&c/0nt!y eyCi n ^ V / ^ 7 d < v J , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





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Charles D. Hummer, Jr., M.D., Chairman \ ' !


Dear Dr. Hummer:

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' ' c-5 1I am a physician assistant practicing under the supervision of Dr. <Q *& i *t' ** ^^în f k^ftty-M/k , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





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Illl lllllllll ll Illllllll

pedicrfric associates, IJ.c. 2m^GM2Z. ^&

'^-%iv{:wco^.ss:ox

11/11/06


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr.'s Lockman and Lubellin Fort Washington, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,

&A*6& /# ' C_

Michelle Wade PA-C

"The health of the child is the power of the notion"

Bruce E_ Lockman, MD

Andrew H. Lubell, MD

Evangeline Grover, MD

Michelle Pinto, PA-C

Suite 250 • 270 Commerce Drive • Fort Washington ft\ 190342(5-653-0600 • Foe 215-646-4422


A. The requirement for weekly review of patient and supervisor counter-signature of medical record entries made by the PA within three dayswould be changed to a requirement for counter-signature within tendays. For satellite facilities, the proposed revisions would also lengthenthe time for counter-signature to ten days.






Dear Dr. Hummer:

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I am a physician assistant practicing under the supervision of Dr. RI%QM) fTfaMXCiA) /A.Din (XA?. Y>fi 4f A. , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely A'&%_%'% D fZ)^ /^^ ( /if, /%L[Signature]






I I H


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. D.daniel Files D.O inLevittown, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely, y & % % X ^ ^

III1 i u



d

i iDear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. uCliAm nfififlGXClin Klfltlh'fyjMfc, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,



Dear Dr. Hummer:

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I ama physician assistant practicing under the supervision of Dr. <^}/)CA*V /Z4&Win ffffsbiJr&k, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Co&e Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





J4^.^ydk«&&#fL

F^M n



Dear Dr. Hummer:

I am. a physician assistant practicing under the supervision of Dr. Y^Y\V\OCX^-—in J4%|/f l4bU/%1 , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Cede Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,[Signature

& R ^

^ v k A c M # s : c ^

November 12, 2005


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Daniel Lozano inAllentown, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.



As a licensed and practicing physician assistant in Pennsylvania, I urge the Board toadopt these proposed changes. Thank you'for your consideration.

Sincerely,

TlV^CCms^ 'LEHIgHWl^HOSPITAL

November 12, 2005


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Sigrid Blome-Eberweinin Allentown, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,



Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr••juJc.fin p y ^ t r t K l o W ^ Pennsylvania. I am writing in support of the proposed changes toPennsylvaniacCode Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





f £---__) {f^(~—)<— —o-fcL-M

^CZu/vs. !Z>c\^Lt- uil,V|4/



Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. MBLin K Hi (AjPfaLrHI-A , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





Charles D. Hummer, Jr., M.D.,Chairman ^ " " - ' ~ ™ - ^ S uPennsylvania State Board of Medicine .-..,.:, , , ',P.O.Box2649 . ^ ' ^ / c o . « s s : c & "Harrisburg, Pennsylvania 17105-2649

Dear Dr. Hummer:

During the next few weeks, you will be reviewing regulations regarding physicianassistants practicing in Pennsylvania. I am asking you to support the proposed changes toPennsylvania Code Title 49, Chapter 18. I believe that these proposed changes willprovide me with better access to healthcare while maintaining a high level of care.

The proposed changes will allow my physician time to address my medical needs in amore timely manner due to the PA being permitted to see me more frequently andprescribe medications that I require at that time.

As a healthcare consumer in the state of Pennsylvania, I ask you to support theseregulations which will provide progressive up to date healthcare in our state. Thank youfor your consideration.

Sincerely,

Charles D. Hummer, Jr., M.D.,ChairmanPennsylvania State Board of MedicineP.O.Box2649 ' - - % / Y , T / V / ^ - A r ^ yHarrisburg, Pennsylvania 17105-2649 . ' - v — » . ^ \

Dear Dr. Hummer:

During the next few weeks, you will be reviewing regulations regarding physicianassistants practicing in Pennsylvania. I am asking you to support the proposed changes toPennsylvania Code Title 49, Chapter 18. I believe that these proposed changes willprovide me with better access to healthcare while maintaining a high level of care.

The proposed changes will allow my physician time to address my medical needs in amore timely manner due to the PA being permitted to see me more frequently andprescribe medications that I require at that time.

As a healthcare consumer in the state of Pennsylvania, I ask you to support theseregulations which will provide progressive up to date healthcare in our state. Thank youfor your consideration.

Sincerely,

3J

^:\,^J,(^S

•V:f:6. Box 128, Greensburg, PA 15601"'^(724) 836-6411 FAX (724) 836-4449


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. i T ^ f L&.W WvU, *. *!• P .in £ , &4,. A A ^ \ , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.



As a licensed and practicing physician assistant in Pennsylvania, Iadopt these proposed changes. Thank you for your consideration.

urge the Board to


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i-c.


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. hy\X^în p^rVinvVoAW-, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.

t o /

As you are well aware, the proposed regulations have previously been approved by themedical board. They now are facing the next step in the process: review by thelegislature, public comment, and filial review by the medical board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania. They will streamline but not diminish supervision and allow physicians tomake the best use of their PAs. In changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better access to appropriatetreatments.



[Sign t ire]

hTu^-v




C. Presently, PAs may not prescribe or dispense Schedule I or II controlleddrugs. This proposal calls for allowing PAs to prescribe or dispenseSchedule II controlled drugs for initial therapy up to a 72-hour doseand requires that they notify the supervising physician within 24 hours.The proposal also would allow the PA to write for a Schedule IIcontrolled drug for up to a thirty-day supply if originally ordered andapproved for ongoing therapy by the supervising physician.


. ::,n,LAToRfto. Box 128, Greensburg, PA 15601Vi-ay co^.is.svo.w ( ? 2 4 ) 8 3 6 _ 6 4 n p ^ x (724) 836-4449


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. *V)\oi\<k. (rcvwilawrin Ugy|'6fov/e- , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allowme and my supervisingphysician to care for patients more effectively.





DrexelUNIVERSITY

College of Nursing and Health ProfessionsIn the tradition of Woman's Medical College of Pennsylvania and Hahnemann Medical College

Physician Assistant Programs:Entry - Level Master of Health ScienceAdvanced Physician Assistant Studies

November 8th, 2005 j


Dear Dr. Hummer: .

I am an Assistant Professor of Physician Assistant Program at Drexel University iffPhiladelphia, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my students tocare for patients more effectively and increase access to quality care.

As you are well aware, the proposed regulations have previously been approved by themedical board. They now are facing the next step in the process: review by thelegislature, public comment, and final review by the medical board. While the proposedchanges are numerous, they boil down to a moderate update of PA regulation inPennsylvania. They will streamline but not diminish supervision and allow physicians tomake the best use of their PAs. m changing the length of time for chart review andrelaying treatment information, they respond to the realities of clinical practice. Alteringthe prescription regulations for PAs will give patients better access to appropriatetreatments.



Sincerely,

o ; ;

0o

f1

1

Mail Stop 504, 245 N. 15th Street, Philadelphia, PA 19102-1192 • TEL 215.762.7135 FAX 215.762.1164

www.drexel.edu

Charles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of MedicineP^Bm_2649L.Harrisburg, Pennsylvania 17105-2649^

Dear Dr. Hummer-

Sincerely,[Signature] --^vwLojLM

V

jfjfr* Ms. Jill Sinclair5 Patriot Ct.

• • Marcuo I look, PA 19061



B. Eliminate the requirement for the physician supervisor to see each patienton every third visit or at least once a year. Change it to recognizingthaiThe~mvorvement ofthe^hysician supervisor be predicatedlmfactors such as the practice type and site and the condition of thepatient. This would also apply to satellite facilities.

C. Presently, PAs may not prescribe or dispense Schedule I or II controlleddrugs. This proposal calls for allowing PAs to prescribe or dispenseSchedule II controlled drugs for initial therapy up to a 72-hour doseand requires that they notify the supervising physician within 24 hours.The proposal also would allow the PA to write for a Schedule IIcontrolled drug for up to a thirty-day supply if originally ordered andapproved for ongoing therapy by the supervising physician.




Dear Dr. Hummer:5 >

g

I am a physician assistant practicing under the supervision of Dr. QojNkOjT\in AUJtAfro*M\A , Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





U

^ - - ^ ^

^^ ^ ^ ^ ^ ^ ^ ^ ^ ^ - 1

-mmom^r

November 12, 2005


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Pamela Howard inAllentown, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,


f


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr.in u,iLn&>-6nj>n,t- t Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





(Ut / % - c

ivû . ^ j ! JU

HOSPITAL

November 12, 2005


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Daniel Lozano inAllentown, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely,

////7/6)6"

Charles D. Hummer, Jr., M.D., Chairman ' ' ; ; ' ; v; r.; " ;;£-, , » -.,,... vPennsylvania State Board of Medicine " c v ' c w coî'slTo'\^Y

P.O. Box 2649Harrisburg, Pennsylvania 17105-2649

Dear Dr. Hummer:

I am a physician assistant student studying at Gannon University in Erie, Pennsylvania, and Iam writing in support of the proposed changes to Pennsylvania Code Title 49, Chapter 18,relating to physician assistants. The proposed changes will update the regulation of my futureprofession and enable me and my future colleagues to care for patients more effectively.

As you are well aware, the proposed regulations have previously been approved by themedical board and are now facing the next steps of the process: review by the legislature,public comment, and final review by the medical board. While the proposed changes arenumerous, they boil down to a moderate update of PA regulation in Pennsylvania. They willstreamline but not diminish supervision and allow physicians to make the best use of theirPAs. By altering the prescription regulations for PAs, patients will receive better access toappropriate treatments. Changing the length of time for chart review and relaying treatmentinformation responds to the realities of clinical practice.

The regulatory revisions represent a progressive view of the modern health care system. Theyare an appropriate blend of public protection and recognition of regulatory language thatallows physicians to optimally and safely utilize PAs. The provisions represented in theregulations are well in line with language adopted in other states.

As a physician assistant student who plans to practice in Pennsylvania, I urge the Board toadopt these proposed changes. Thank you for your consideration.

Sincerely,

^?w^y&^^^

Charles D. Hummer, Jr., M.D., Chairman • -:--- -• -J

Pennsylvania State Board of Medicine ,,, .,,...,. ,,, . , _P.O.Box2649 ij.c ^VOU A / ^ ^ JHarrisburg,Pennsylvania 17105-2649 = .,/j._._.-_:.;•;..;>•; ;.• • G,..,A TO*Y

Dear Dr. Hummer:

I am a physician assistant student at Lock Haven University in Clearfield,Pennsylvania. I am writing in support of the proposed changes to Pennsylvania CodeTitle 49, Chapter 18, relating to physician assistants. The proposed changes will updatethe regulation of my profession and allow me and my supervising physician to care forpatients more effectively.




Sincerely,Javier Licon, PA-S

2^:\uVoJ Aivwû

.UL.} .• .MJ ::K : r • CM - R D K ^ O X 128, Greensburg, PA 15601KHV.CW c o f t a ^ ^ 836-6411 FAX (724) 836-4449


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. Mr Cz>>-O/\J°g^t—

in [AJA^.&^J Pennsylvania. I am writing in support of the proposed changes toPennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.


The regulatory revisions represent a progressive view of the modern health care system.They are an appropriate blend of public protection and recognition of regulatory languagemat allows physicians to optimally and safely utilize PAs. The provisions represented inthe regulations are well in line with language adopted in other states.


Sincerely,[Signature] / y . / , / / ^ y < f % - C L

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Charles D. Hummer, Jr., M.D., ChairmanPennsylvania State Board of MedicineP.O. Box 2649Harrisburg, Pennsylvania 17105-2649 0' ', ^

Dear Dr. Hummer: f :

I am a^physicjan assistant practicing under the supervision of Dr. _ fl&0f&Q "%fr/fa_, Pennsylvania. I am writing in support of tn^proposed changes to

Pennsylvania Code Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.




Sincerely, * y

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i X. > > # ) . Box 128, Greensburg, PA 15601: ; A T ( ^ 4 ) 836-6411 FAX (724) 836-4449


Dear Dr. Hummer:

I am a physician assistant practicing under the supervision of Dr. V I V < ^ M " r- r ^ W w VT&fvS T

in \}^\\\\0^^P^C, Pennsylvania. I am writing in support of the proposed changes toPennsylvania Oode Title 49, Chapter 18, relating to physician assistants. The proposedchanges will update the regulation of my profession and allow me and my supervisingphysician to care for patients more effectively.





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