NAPA Members and the Navy PA Community: Due to a lack of command funding across the Navy for Navy PAs to attend the 2019 AAPA Annual Conference in Denver from May 18-22, NAPA will NOT to hold it’s annual NAPA meeting there this year, but will still hold a Navy PA and NAPA member social gathering during the AAPA Conference. The annual NAPA meeting will be moved to Portsmouth, VA this year to be held in conjunction with the NAPA East Symposium on October 16-17, 2019. An estimated 30 or more PAs will be in attendance. For those who cannot attend or are on the west coast we plan to broadcast the symposium via NAPA Facebook live video for all to tune in.  The date and time is still to be determined. Please stay tuned for specifics, once finalized we will be emailing our members, as well as posting for all to see on our NAPA website and NAPA Facebook page. Thank you. 

NAPA Elections 2019: The following positions are taking nominations for 2019 NAPA leadership positions: NAPA President-Elect, NAPA Student Director, NAPA-East and NAPA-West President, Vice-President and Secretary. If you know (or are) a Navy PA who wants to make a direct impact, please nominate them by 01 May 2019 to be considered. Please see our Leadership Opportunities page here for more information.

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2017 Legislative Affairs Update from NAPA Meeting at AAPA


Legislative Affairs Update

From the 2017 NAPA Breakout Meeting at the AAPA Conference
Presented by LT Thomas Hurtado
NAPA Legislative Affairs Chair and Delegate to AAPA House of Delegates


Full Practice Authority and Responsibility (FPAR):

An AAPA joint task force was put together, formerly known as FPAR, and now being proposed as Optimal Team Practice (OTP). Placed before the AAPA House of Delegates in order to advance the PA profession in several key issues:

  • Team-Based Practice
  • Elimination of "Supervisory Agreements"
  • Autonomous State Boards
  • Direct Reimbursements


Earlier this year there was a nationwide survey collating PA responses to the new proposal with an overwhelming positive support.

legislative fpar



Federal Advocacy:

Additionally, there are several key issues at the federal level that AAPA will address. Most of these revolve around barriers to access in patient care or areas where PAs have traditionally been hindered from practicing medicine at the level accorded by their education and training. These issues are mostly based on Medicare laws.

  • Hospice
  • Home Health
  • Cardiac and Pulmonary Rehabilitation
  • Reimbursement and Transparency
  • Physician Co-signatures
  • Federal Worker’s Compensation
  • Diabetic Shoes
  • Program of All-inclusive Care for the Elderly (PACE)
  • Graduate CME
  • Medicaid EHR incentive
  • Good Act (Grow Our Own Directive) promotes PA education for prior medics and Corpsmen to help supply the VA shortages


State Legislature

At the state level, AAPA endorses legislature that promotes the above changes.

These six key elements should be part of every state PA practice act:

  1. "Licensure" as the regulatory term
  2. Full prescriptive authority
  3. Scope of practice determined at the practice level
  4. Adaptable collaboration requirements
  5. Chart co-signature requirements determined at the practice
  6. No restriction on the number of PAs with whom a physician may collaborate


legislative state laws



West Virginia Veto

April 14, 2017 "AAPA vs NCCPA"

  • Recertification exams and licensure
  • NCCPA lobbying

AAPA has been supporting state chapters to pass regulatory laws that promote PA-positive legislature. One of the more conservative states that has been receiving a lot of news is West Virginia, where a legislation allowing PAs to work with “collaborating” rather than “supervising” physicians, expanding prescriptive authority to some scheduled medications as well as forms, and removing the requirement to have NCCPA certification for state license renewal. NCCPA lobbying caused the governor to veto the legislation stating that certification is a necessary component to safe practice and patient care. Both AAPA and NCCPA have been at odds in regards to state legislature and recertification requirements. These issues will be addressed at the House of Delegates.

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