MO HB2094

Redefines "supervision" of physician assistants to require overseeing activities and accepting responsibility for their practice, with the supervising physician immediately available in person or via telecommunication during patient care.

Requires supervising physician and physician assistant to attest on a board-provided form prior to practice that supervision will be appropriate to the assistant's training, experience, and patient acuity.

Establishes new supervision agreement requirements including specific provisions for collaborative practice, coverage during physician absence, review of at least 10% of patient charts every 14 days, and 20% review of charts where controlled substances are prescribed.

Changes waiver distance limit from 30 miles to 50 miles by road for physician-physician assistant teams meeting specific criteria, including adequate supervision capability and service in health professional shortage areas.

Makes failure to appropriately supervise a physician assistant unprofessional conduct subject to board discipline.