Chapter 4730-1 Regulation of Physician Assistants

4730-1-01 Definitions.

(A) For purposes of Chapter 4730. of the Administrative Code:

(1) "On-site supervision" means the supervising physician is required to be physically present in the same location as the physician assistant, but does not require the supervising physician's physical presence in the same room.

(2) "Health care facility" means either of the following:

(a) A hospital registered with the department of health under section 3701.07 of the Revised Code;

(b) A health care facility licensed by the department of health under section 3702.30 of the Revised Code.

(3) "Office-based practice" means medical practice in a location other than a health care facility.

(4) "Service" means a medical function, task, or activity which requires training in the diagnosis, treatment or prevention of disease, including the use and administration of drugs.

(5) "Board" means the state medical board of Ohio.

(6) "Local anesthesia" means the injection of a drug or combination of drugs to stop or prevent a painful sensation in a circumscribed area of the body where a painful procedure is to be performed, and is limited to local infiltration anesthesia, digital blocks, and pudendal blocks. Local anesthesia does not include regional anesthesia or any systemic sedation.

(7) "Medical order" means one or more diagnostic or treatment directives generated by a physician or physician assistant that commands the execution of specific activities to be performed or delivered as part of a diagnostic or therapeutic regimen of a patient.

(8) "CME" means continuing medical education.

(9) "Licensure period" means the period between granting of the initial or renewed license and the next scheduled renewal date for the license.

(B) For purposes of Chapter 4730. of the Revised Code: "Being readily available to the physician assistant through some means of telecommunication and in a location that is a distance from the location where the physician assistant is practicing that reasonably allows the physician to assure proper care of patients" as used in section 4730.21 of the Revised Code means the physician is available to the physician assistant for direct communication via telephone or other real-time electronic, active communication.

Replaces: 4730-1-01


Five Year Review (FYR) Dates: 6/18/2020 and 06/18/2025
Promulgated Under: 119.03
Statutory Authority: 4730.07
Rule Amplifies: 4730.01, 4730.201, 4730.21
Prior Effective Dates: 10/31/2007, 09/30/2018

4730-1-02 [Rescinded] Physician assistant practice.


Effective: 9/30/2018
Five Year Review (FYR) Dates: 6/20/2018
Promulgated Under: 119.03
Statutory Authority: 4730.07
Rule Amplifies: 4730.02, 4730.03, 4730.08, 4730.09, 4730.091, 4730.21
Prior Effective Dates: 10/31/2007

4730-1-03 [Rescinded] Duties of a supervising physician.


Effective: 9/30/2018
Five Year Review (FYR) Dates: 6/20/2018
Promulgated Under: 119.03
Statutory Authority: 4730.07
Rule Amplifies: 4730.04, 4730.21
Prior Effective Dates: 10/31/2007, 06/30/2014

4730-1-04 [Rescinded] Supervision.


Effective: 9/30/2018
Five Year Review (FYR) Dates: 6/20/2018
Promulgated Under: 119.03
Statutory Authority: 4730.07, 4730.39
Rule Amplifies: 4730.21, 4730.45
Prior Effective Dates: 10/31/2007

4730-1-05 Quality assurance system.

(A) A quality assurance system shall be developed to assess the physician assistant's performance.

(B) The quality assurance system shall describe the process to be used for all of the following:

(1) Review by the physician of selected patient record entries made by the physician assistant and selected medical orders issued by the physician assistant, to include, at a minimum, all of the following:

(a) Assessment of the medical history and physical examination documented in the record;

(b) Assessment of the appropriateness of the diagnosis and treatment plan based on the medical history and physical examination documented in the record;

(c) Feedback to the physician assistant concerning appropriateness of the physician assistant's prescriptive decisions; and

(d) Assessment of whether the physician assistant is practicing according to the supervisory plan or the policies of the health care facility, as applicable.

(2) Discussion of complex cases;

(3) Discussion of new medical developments relevant to the practice of the physician and physician assistant, including new pharmaceuticals;

(4) Performance of any other quality assurance activities that the supervising physician considers to be appropriate.

(C) The quality assurance assessment shall be conducted at least twice per year during the first year of a physician assistant's practice and at least once per year thereafter.

(D) Each supervising physician and physician assistant shall keep records of their quality assurance activities for at least seven years, and shall make the records available to the board and any health care professional working with the supervising physician and physician assistant.

(E) The quality assurance system developed pursuant to this rule shall not preclude a health care facility or other entity in which physician assistants practice from conducting quality assurance activities involving the assessment of physician assistant performance.

(F) This provision allows, and does not preclude, multiple supervising physicians to assign the quality assurance process to one supervising physician.


Five Year Review (FYR) Dates: 6/19/2020 and 06/19/2025
Promulgated Under: 119.03
Statutory Authority: 4730.07
Rule Amplifies: 4730.21
Prior Effective Dates: 10/31/2007

4730-1-06 Licensure as a physician assistant.

(A) All applicants for a physician assistant license shall submit an application under oath in the manner prescribed by the board and provide such other facts and materials as the board requires.

(B) No application shall be considered filed, and shall not be reviewed, until the fee required by section 4730.10 of the Revised Code has been received by the board.

(C) An application shall be considered complete when all of the following requirements are met:

(1) The fee required pursuant to section 4730.10 of the Revised Code has been received by the board;

(2) Verification of the applicant's current certification has been received by the board directly from the "National Commission on Certification of Physician Assistants";

(3) All information required by section 4730.10 of the Revised Code, including such other facts and materials as the board requires, has been received by the board; and

(4) The applicant has complied with the requirements of paragraph (A) of rule 4731-4-02 of the Administrative Code and the board has received the results of the criminal records checks.

(5) The board is not conducting an investigation, pursuant to section 4730.26 of the Revised Code, of evidence appearing to show that the applicant has violated section 4730.25 of the Revised Code or applicable rules adopted by the board.

(D) All application materials submitted to the board will be thoroughly investigated.

The board will contact individuals, agencies, or organizations for information about applicants as the board deems necessary. As part of the application process, an applicant may be requested to appear before the board or a representative thereof to answer questions or provide additional information.

(E) Applications received from service members, veterans, or spouses of service members or veterans shall be identified and processed in accordance with rule 4731-36-03 of the Administrative Code.

(F) The following processes apply when an application is not complete within six months of the date the application is filed with the board:

(1) If an applicant fails to complete the application process within six months of initial application filing, the board may notify the applicant in writing of its intention to consider the application abandoned. If no response to that notice is received by the board within thirty days, the board shall consider the application as abandoned and no further processing shall be undertaken with respect to that application.

(2) If the application is not complete because the board is investigating, pursuant to section 4730.26 of the Revised Code, evidence appearing to show that the applicant has violated Chapter 4730. of the Revised Code or applicable rules adopted by the board, the board shall do both of the following:

(a) Notify the applicant that although otherwise complete, the application will not be processed pending completion of the investigation; and

(b) Upon completion of the investigation and the determination that the applicant is not in violation of statute or rule, process the application, including requiring updated information as it deems necessary.

(G) A physician assistant license must be renewed in the manner and according to the requirements of section 4730.14 of the Revised Code.

(H) To qualify for renewal of a physician assistant license, the holder shall comply with the following:

(1) Each applicant for renewal shall certify that the applicant has completed the requisite hours of CME since the start of the licensure registration period.

(2) Except as provided in paragraph (I)(4) of this rule, a physician assistant shall have completed one hundred hours of CME during the licensure registration period.

(3) Pursuant to the provisions of section 4745.04 of the Revised Code, the board shall permit a physician assistant to earn one hour of CME for each sixty minutes spent providing health care services in Ohio, as a volunteer, to indigent and unisured persons, up to a maximum of thirty-three hours per CME period. Physician assistants seeking to receive credit toward CME requirements shall maintain a log of their qualifying activities. The log shall indicate the dates the health care services were provided, the number of hours spent providing health care services on those dates, the location where the health care services were provided, and the signature of the medical director or the medical director's designee.

(4) Proration of hours required:

(a) If the physician assistant license is initially issued prior to the first day of the second year of a licensure period, the licensee shall be required to earn fifty total hours; if the license is issued on or after the first day of the second year of the licensure period and prior to the first day of the eighteenth month of that licensure period, the licensee shall be required to earn twenty-five total hours; if the license is issued on or after the first day of the eighteenth month of a licensure period, the licensee shall not be required to earn any hours of CME for that licensure period.

(b) Pursuant to the provisions of section 4745.04 of the Revised Code, the board shall permit a physician assistant to earn one hour of CME for each sixty minutes spent providing health care services in Ohio, as a volunteer, to indigent and uninsured persons, when it is documented as required by paragraph (I)(3) of this rule, up to the following maximums:

(i) For a physician assistant required to earn fifty total hours, a maximum of sixteen hours for that CME period.

(ii) For a physician assistant required to earn twenty-five total hours, a maximum of eight hours for that CME period.

(5) Only those hours earned from the date of licensure to the end of the licensure period shall be used towards the total hour requirement as contained in this rule.

(6) Completion of the CME requirement may be satisfied by courses acceptable for the individual to maintain NCCPA certification.

(I) To qualify for renewal of a physician assistant license with a valid prescriber number, the physician assistant shall comply with all of the following requirements:

(1) Completion of the requirements in paragraph ( H) of the rule;

(2) Except as provided in paragraph ( I)(4) of this rule, completion of at least twelve hours of category I continuing education in pharmacology.

(3) If the physician assistant prescribes opioid analgesics or benzodiazepines, the applicant for renewal shall certify having been granted access to OARRS, unless one of the exemptions in section 4730.49 of the Revised Code is applicable.

(4) If the renewal of the license with a valid prescriber number is the first renewal after the holder has completed the five hundred hours of on site supervision required by section 4730.44 of the Revised Code, the requisite hours of pharmacology continuing education are as follows:

(a) If the five hundred hours were completed prior to the first day of the second year of the licensure period, the licensee shall be required to earn six total hours of pharmacology continuing education;

(b) If the five hundred hours were completed on or after the first day of the second year of the licensure period and prior to the eighteenth month of that licensure period, the licensee shall be required to earn three total hours;

(c) If the five hundred hours were completed on or after the first day of the eighteenth month of a licensure period, the licensee shall not be required to earn any hours of pharmacology continuing education for that licensure period.


Effective: 9/30/2020
Five Year Review (FYR) Dates: 9/30/2023
Promulgated Under: 119.03
Statutory Authority: 4730.07, 4776.03
Rule Amplifies: 4730.10, 4730.101, 4730.11, 4730.12, 4730.14, 4730.44, 4745.04, 4776.02
Prior Effective Dates: 10/31/2007, 09/30/2008, 01/31/2015, 09/30/2018

4730-1-06.1 Military provisions related to certificate to practice as a physician assistant.

(A) Definitions

(1) "Armed forces" means any of the following:

(a) The armed forces of the United States, including the army, navy, air force, marine corps, and coast guard;

(b) A reserve component of the armed forces listed in paragraph (A)(1)(a) of this rule;

(c) The national guard, including the Ohio national guard or the national guard of any other state;

(d) The commissioned corps of the United States public health service;

(e) The merchant marine service during wartime;

(f) Such other service as may be designated by Congress; or

(g) The Ohio organized militia when engaged in full-time national guard duty for a period of more than thirty days.

(2) "Board" means the state medical board of Ohio.

(B) Education and service for eligibility for licensure.

In accordance with section 5903.03 of the Revised Code, the following military programs of training, military primary specialties, and lengths of service are substantially equivalent to or exceed the educational and experience requirements for licensure as a physician assistant and for the certificate to prescribe:

(1) An individual serving in a military primary specialty listed in paragraph (B)(2) of this rule must be a graduate of a physician assistant education program approved by the accreditation review commission on education for the physician assistant.

(2) Service in one of the following military primary specialties for at least three consecutive years while on active duty, with evidence of service under honorable conditions, including any experience attained while practicing as a physician assistant at a health care facility or clinic operated by the United States department of veterans affairs, may be substituted for a master's degree for eligibility for a license to practice as a physician assistant and for a certificate to prescribe, pursuant to sections 4730.11 and 4730.44 of the Revised Code:

(a) Army: MOS 65D;

(b) Navy: NOBC 0113;

(c) Air force: AFSC 42G;

(d) The national guard of Ohio or any state;

(e) Marine: Physician assistant services are provided by Navy personnel;

(f) Coast guard;

(g) Public health service.

(C) Renewal of an expired license without a late free or re-examination.

(1) An expired license to practice as a physician assistant shall be renewed upon payment of the biennial renewal fee provided in section 4730.14 of the Revised Code and without a late fee or re-examination if the holder meets all of the following three requirements:

(a) The licensee is not otherwise disqualified from renewal because of mental or physical disability;

(b) The licensee meets the requirements for renewal under section 4730.14 of the Revised Code;

(c) Either of the following situations applies:

(i) The license was not renewed because of the licensee's service in the armed forces, or

(ii) The license was not renewed because the licensee's spouse served in the armed forces, and the service resulted in the licensee's absence from this state.

(d) The licensee or the licensee's spouse, whichever is applicable, has presented satisfactory evidence of the service member's discharge under honorable conditions or release under honorable conditions from active duty or national guard duty within six months after the discharge or release.

(2) Pursuant to section 4730.48 of the Revised Code, a certificate to prescribe expires on the same date as the physician assistant's license to practice as a physician assistant. There is no late fee or examination requirement for late renewal.

(D) Continuing education.

(1) Extension of the continuing education period for the licensure to practice as a physician assistant or for the certificate to prescribe:

(a) The holder of a physician assistant license or certificate to prescribe may apply for an extension of the current continuing education reporting period in the manner provided in section 5903.12 of the Revised Code by submitting both of the following:

(i) A statement that the licensee has served on active duty, whether inside or outside of the United States, for a period in excess of thirty-one days during the current continuing education reporting period.

(ii) Proper documentation certifying the active duty service and the length of that active duty service.

(b) Upon receiving the application and proper documentation, the board shall extend the current continuing education reporting period by an amount of time equal to the total number of months that the licensee spent on active duty during the current continuing education reporting period. Any portion of a month served shall be considered one full month.

(2) The board shall consider relevant education, training, or service completed by a licensee as a member of the armed forces in determining whether a licensee has met the continuing education requirements needed to renew the license or the certificate to prescribe.


Effective: 9/30/2015
Five Year Review (FYR) Dates: 09/30/2020
Promulgated Under: 119.03
Statutory Authority: 5903.03 ; 4730.07
Rule Amplifies: 5903.03 , 5903.12, 5903.121

4730-1-07 Miscellaneous provisions.

For purposes of Chapter 4730. of the Revised Code and Chapters 4730-1 and 4730-2 of the Administrative Code:

(A) An adjudication hearing held pursuant to the provisions of Chapter 119. of the Revised Code shall be conducted in conformance with the provisions of Chapter 4731-13 of the Administrative Code.

(B) The provisions of Chapters 4731-4, 4731-11, 4731-13, 4731-14, 4731-15, 4731-16, 4731-17, 4731-18 , 4731-23, 4731-25, 4731-26, 4731-28, and 4731-29 of the Administrative Code are applicable to the holder of a physician assistant license issued pursuant to section 4730.12 of the Revised Code, as though fully set forth in Chapter 4730-1 or 4730-2 of the Administrative Code.


Effective: 9/30/2020
Five Year Review (FYR) Dates: 9/30/2023
Promulgated Under: 119.03
Statutory Authority: 4730.07, 4730.39
Rule Amplifies: 4730.41
Prior Effective Dates: 10/31/2007, 06/30/2014, 09/30/2018

4730-1-08 [Rescinded] Physician assistant delegation of medical tasks and administration of drugs.


Effective: 9/30/2020
Five Year Review (FYR) Dates: 6/19/2020
Promulgated Under: 119.03
Statutory Authority: 4730.07 ; 4730.39
Rule Amplifies: 4730.203, 4730.25
Prior Effective Dates: 10/31/2007, 01/31/2015, 07/31/2016