HB 325 DE Became Law
AN ACT TO AMEND THE DELAWARE CODE RELATING TO PHYSICIAN ASSOCIATES AND PHYSICIAN ASSISTANTS.
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Summary
This Delaware bill changes the title of "physician assistant" to "physician associate" throughout state law. It allows physician associates with more than 6,000 hours of post-graduate clinical practice to apply for independent practice authority and practice without a collaborating physician, subject to regulatory council approval and conditions. The bill requires physician associates to be considered primary care providers in applicable medical specialties and mandates they receive direct payment for services covered under the same terms as physician-provided services. The bill also authorizes physician associates with independent practice authority to certify disability for special license plate applications.
AI-generated plain-language summary of the bill (from the OpenStates abstract — no full text available yet) — neutral, and may be imperfect.
Official abstract
This Act changes the title of “physician assistant” to “physician associate” in Title 24, as well as changes the references from physician assistant to physician associate throughout the Delaware Code. It does not change any rights or privileges of those who have been or continue to hold themselves out to be a “physician assistant.” Current law provides that a physician associate may not maintain or manage a location that does not have oversight by the physician associate’s collaborating physician. This Act provides that a licensed physician associate with more than 6,000 post-graduate clinical practice hours who intends to practice without a collaborative agreement must apply to the Regulatory Council for Physician Assistants for independent practice authority. This Act also provides that the Regulatory Council for Physician Associates must adopt rules and regulations to address the following: (1) the verification of post-graduate clinical practice hours for physician associates with more than 6,000 post-graduate clinical practice hours; (2) creating an application for physician associates with more than 6,000 post-graduate clinical practice hours to request independent practice authority; (3) creating a process for physician associates who practice without at least 1 licensed Delaware physician in the group, practice, or health system, and have been granted independent practice authority, to notify the Physician Associates Regulatory Council prior to a change of their practice area and provide proof they have had training which aligns to the new practice area; and (4) the conditions under which a physician associate may be denied independent practice authority and how to reapply. The Act also provides that a physician associate is considered to be a primary care provider when practicing in the medical specialties for a physician to be a primary care provider. Payment for services within the physician associate’s scope of practice must be made when ordered or performed by the physician associate, if the same service would have been covered if ordered or performed by a physician. Payment for services must be based on the services provided and not on the health care professional who delivered the service. Physician associates must be authorized to bill for and receive direct payment for the medically necessary services they deliver. The Act also provides that a physician associate who has independent practice authority may sign the special disabled license plate or placard applicant form certifying that a person is disabled, for use in an application to receive a special license plate. This Act also makes technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual. This Act is effective immediately and to be implemented the earlier of : (1) One year from the date of the Act’s enactment; or (2) When the Board of Medical Licensure and Discipline approves the enabling regulations promulgated by the Regulatory Council of Physician Associates.
Sponsors (9)
- Alonna Berry Democratic · primary
- Nicole Poore Democratic · primary
- Trey Paradee Democratic · primary
- Eric Morrison Democratic · primary
- Marie Pinkney Democratic · primary
- Cyndie Romer Democratic · primary
- Mara Gorman Democratic · primary
- Laura V. Sturgeon Democratic · primary
- Russell Huxtable Democratic · primary
Action history (11)
- Mar 12, 2026 Introduced and Assigned to Sunset Committee (Policy Analysis & Government Accountability) Committee in House · lower
- Mar 24, 2026 Reported Out of Committee (Sunset Committee (Policy Analysis & Government Accountability)) in House with 3 On Its Merits · lower
- Mar 26, 2026 Amendment HA 1 to HB 325 - Introduced and Placed With Bill · lower
- Apr 14, 2026 Amendment HA 1 to HB 325 - Passed In House by Voice Vote · lower
- Apr 14, 2026 Amendment HA 2 to HB 325 - Introduced and Placed With Bill · lower
- Apr 14, 2026 Amendment HA 2 to HB 325 - Passed In House by Voice Vote · lower
- Apr 14, 2026 Passed By House. Votes: 38 YES 3 ABSENT · lower
- Apr 14, 2026 Assigned to Legislative Oversight & Sunset Committee in Senate · upper
- Apr 22, 2026 Reported Out of Committee (Legislative Oversight & Sunset) in Senate with 1 Favorable, 3 On Its Merits · upper
- May 6, 2026 Passed By Senate. Votes: 20 YES 1 NO · upper
- May 12, 2026 Signed by Governor · executive
Full text
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