The major provisions of the legislation are:

• Establishing a supervised career entry interval of 4,000 clinical hours upon entry into practice for new PAs, and a training interval of 1,000 hours if a PA changes specialty;
• Defining team-based settings as physician-owned practices, medical practices, and licensed health facilities;
• Eliminating the legal requirement for experienced PAs to have a specific relationship with a physician when working in a team-based settings; and
• Requiring PAs to collaborate, consult with, or refer to the appropriate member of the health care team as indicated by the condition of the patient, the education, experience, and competence of the Physician Assistant, and the applicable standard of care;