Missouri academy of physician assistants

Industry News

  • September 23, 2015 8:43 AM | Deleted user

    Update: 9/23/2015

    As promised, I was able to obtain a bit more information regarding the DEA and the issue with PAs prescribing hydrocodone. This information is coming directly from the Missouri BNDD who has been in contact with the DEA about this issue. Here is what I received:

    All the mid-level practitioners in Missouri are having the same issue with this.  They are all waiting on the DEA.

    I called our Mid-West regional DEA guy and asked him.

    Here is what he said:

    1.     Missouri copied the DEA on all the laws as they passed;

    2.     Missouri updated their laws and rules and have made the change;

    3.     The DEA has received our documentation and they are preparing to make the same adjustments….BUT

    4.     They are waiting on approval from their DEA attorneys.  Once the DEA legal department approves everything, then DEA will make the amendments.

    The hold up is the DEA registrations department is waiting on the DEA legal department.

    So the time frame of when this will be resolved appears to still be unknown but we will continue to monitor this and update all of you when more information becomes available. I know this is frustrating, but we will just have to be patient for a while longer. 

    Paul Winter, PA-C
    MOAPA President

  • September 21, 2015 12:30 PM | Deleted user
    Click here to access the entire voting record from the recent Veto override session. Please look at both the House Of Rep as well as the Senate and identify your legislators and if they voted in favor of the override, please drop them a brief thank you email for their support. And if they voted against this, consider also emailing them and just reminding them that you are a PA in their district and you are disappointed that they did not support our efforts with this veto override and ask them if they have any questions about your profession that we can answer that would make them feel more comfortable supporting our efforts in the future.

    It is important that you inform them that you are an involved, voting member of their district and PA issues are very important to you. This kind of dialogue with your legislators, whether it be a thank you or a note expressing your disappointment, either way it is the on going dialogue that will be vital for future efforts. 

    Thank you,


  • August 18, 2015 4:52 PM | Deleted user

    1) The bill that will grant PAs the authority to prescribe hydrocodone was signed into law and will become effective August 28, 2015. I have reached out to the BNDD regarding what the process will be for us once this law goes into effect and below is the response I received:

    Here are the steps we will be going through:

    1. Gov signed the bill into law;

    2. The law will go into effect on August 28, 2015;

    3. At that time, mid-levels will have C2 authority;

    4. Those already registered, can fax or email, or mail a request to BNDD to have Schedule 2 added to their existing registrations.  BNDD will amend and update a registration for no fee.

    5. Those who will be re-applying, will have a Schedule 2  box to check on their applications.

    Between now and August……BNDD will be working on two things:

    1. Updating our paper application to add the Schedule 2 box; and

    2. Working with OA-ITSD to have them update our online application by adding a Schedule 2 box.

    Once practitioners have updated their Missouri BNDD registration to show schedule 2…..they can go to the DEA website and make a similar request to update their DEA certificate.

    Michael R. Boeger, Administrator

    Missouri Bureau of Narcotics and Dangerous Drugs

    P.O. Box 570

    For any specific question(s) you may have about this process that do not seem clear on what they have provided, I would recommend contacting the MO BNDD directly for any clarification you might require. 

    2) We have also received an update regarding the MO Medicaid enrollment process for PAs of MO. Here is the language that was most recently sent to me:

    The MO HealthNet Division (MHD) is in the process of adding a new Physician Assistant provider type to allow PAs to independently enroll and submit claims for service reimbursement.  This change is targeted for implementation in August 2015.  A provider information bulletin will be released in advance so providers may begin enrolling.

    3) As we reported several weeks ago, Governor Nixon vetoed HB618 which contained language giving PAs authority to declare death and sign death certificates. Jorgen has been discussing this issue with the sponsors of the bill as well as other groups who were supporting this bill in hopes that there would be interest from these people and groups to pursue overriding his veto. Therefore, it is time to call the troops into action. We are asking every PA to contact their state representative and state senator and ask them to support the veto override on HB618. We will place some talking points for you to use in the members only section. Don’t feel the need to be bogged down with too many details as the legislators will not ask you pointed detailed questions if you speak with them or in an email response. If you are asked anything that you are unsure of the answer, just tell them that you are not sure but you will find out and get back in contact with them and provide whatever answers they need. Then contact me or your local DAL and we will help you find the answers they are looking for from you.  Feel free to ask your physicians, patients, families or whoever is willing to contact their legislators as well with the same request. If you are unsure who your state legislators currently are, there is a link on our website that will provide that info but have your 9 digit zip code with you as that will be needed. The veto session will be held in September so do not procrastinate with reaching out to these legislators! Remember, we need a 2/3 majority to override a veto so this is by no means a lay-up. 

  • July 13, 2015 8:27 AM | Deleted user

    With a mixture of surprise as well as a healthy dose of frustration I have to report that Gov Nixon vetoed HB618 which included the language giving PAs as well as NPs the authority to pronounce death as well as sign death certificates. Besides these mentioned groups of healthcare providers, the members of the funeral home associations were also in favor and very supportive of this bill as they have been looking for ways to improve the process of death certificates being signed so that families can continue the process of closing out loved ones estates, making insurance claims, etc. We certainly found this action to be a surprise and did not anticipate this veto. I have been in discussions with Jorgen Schleimeier, or lobbyist, since receiving this news and we have been discussing what our options might be. All of the options will be reviewed carefully and then we will decide what the next move for MOAPA will be. In the meantime, I ask all of you to read the explanation that Gov Nixon provided and feel free, as a citizen of Missouri, to express whatever message you feel you would like to express to him or his office. You are also free, and I encourage you, to contact your state legislators and express your thoughts and feelings to them as well. Clearly our legislative system has the process in place to override a governor veto but the support of the legislators will be needed in order for that to be possible. So your communication will be needed at some point if that is an avenue we choose to proceed with. 

    Believe me, it is much more enjoyable to deliver good news but there are times that the message that needs to be communicated is not a positive one such as this one. Having a bill vetoed is not something that MOAPA, luckily, has been familiar with dealing with, but we are resilient and will persevere through the process and continue to work for the progression of the profession in Missouri. Thanks for taking the time to read this as well as the letter from Gov Nixon. More information about this issue will be communicated with all of you as it becomes available. 

    Paul Winter

    MOAPA President

  • July 06, 2015 1:01 PM | Deleted user

    Gov Nixon signed into law HB 709 which contains the hydrocodone prescribing language. Although we did not anticipate an issue with this being signed, it is always nice to have that last hurdle jumped. All bills passed into law during that year's legislative session, and are not vetoed, go into effect Aug 28, 2015.

  • November 12, 2014 3:09 PM | Deleted user
    AAPA President John McGinnity, MS, PA-C, discusses the roles of PAs in today's healthcare system.

    Click Here to view the segment. 

  • October 24, 2014 11:11 AM | Deleted user

    The Physician Assistant's Role in Missouri.

    Did you know that there are more than 100,000 nationally certified and state-licensed physician assistants in America? We’re highly trained health care professionals who practice medicine in teams with physicians and other providers. We conduct physical exams, write prescriptions, diagnose illnesses and assist in surgery.

    Click Here to read more. 

  • July 16, 2014 3:39 PM | Deleted user
    No. 1 Best Master's Degree For Jobs: Physician Assistant Studies

    Click Here to Read More

  • July 11, 2014 3:28 PM | Deleted user

    The CEO of the Accreditation Council for Graduate Medical Education calls Missouri's move to license assistant physicians "precedent-setting and very concerning on a number of fronts."

    Missouri doctors are pushing for a new physician workforce to help solve the state's dire physician shortage.

    Click Here to Read More

  • January 28, 2014 10:01 AM | Deleted user

    KCTV, 1/27/2014

    A new program in the Kansas City area will helpboost medical services, especially in rural areas.

    The University of Missouri at Kansas City's School of Medicine is now offering a program to train future physicians assistants. The Missouri General Assembly passed a bill last year that lessens the amount of time that assistants must receive supervision from a physician.

    Read more

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