History and Accomplishments

RIAPA has a long history of accomplishmentS that have afforded Rhode Island PAs with one of the best practice environments in the country. Here's a list of what we have been able to accomplish .........

1976 – RIAPA founded as a Chartered Constitur]ent Organizations of the American Academy of PAs

That same year Rhode Island General Assembly  enacted RIGL 5-54 authorizing PA practice.

1978 – The Rhode Island Medical Society accepts PAs as members

1982 – RIGL 5-54 amended to specifically to correct technical isssues that impeded the registrtion of PAs by the Department of Health

1988 – RIGL5-54 amended to remove the requirement that the supervising physician’s presence was required in the facility at all times.

1991 – PAs granted prescriptive privileges for all legend medications and Schedule V controlled substances. At the same time the restriction of two PAs per supervising physician was deleted for PAs working in hospitals.

1995 – Supervision was redefined by removing “regularly available” and the credential was changed from registration to licensure.

1996 – Requirement for CME was added.

1998 – PAs granted authority to prescribe Schedule II-V controlled substances and unprofessional conduct defined.

1999 – Restriction limiting 2 PAs per supervising physician was eliminated in all settings. By elimibating the ratio Rhode Island become the first state to achieve all of the AAPA's 6 Key Elements of a Modern PA Practice Act 9 years before the elements were defined. In addition PAs were added to the “Professional Corporations Act” thereby allowing PAs to form their own corporations or become partners with PAs, physicians, and other providers. Additionaly, professional misconduct was redefined to allow for non-judicial discipline by the board.

2003 – RIAPA successfully opposed an amendment to the Rules and Regulations for the licensing of Hospitals which would have prohibited PAs from administering anesthesia in any form including local anesthesia. in hospitals

2004 – Radiologic Technology Act amended by adding PAs to the list of professionals exempt from licensure as a radiologic technologist thereby allowing PAs to perform fluoroscopy when practicing within his or her field of expertise. 

2005 – PA regulations amended uncoupling licensing from employment status. 

2005 – RIAPA successfully lobbied against a bill before the Senate HEW Committee which would have granted surgical technologists the same scope of practice as PAs with the exception of prescriptive practice. 

2008 - Rhode Island Medical Society creates PA seat on Governing Council

2011 - Provisions added to 5-54 allowing PAs to participate in emergencies and disasters without supervision or with whatever physician supervision is available and exempting physicians from supervision requirements.

2019 -  The PA Modernization Act 0f 2019 is enacte making sweeping chnages to the law including changing the PA / physician relationship from supervision to collaboration, removing the requirement for a written practice agreement, clarifying he extent of collaborating physician's liability for for acts by a PA and providing that PAs scope of practice be determined  at the practice level based on the PA's skills, education, and training.

2021 - RIAPA successfully petitions EOHHS for regulatory changes to P authorize As to order home healthcaare services.

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