32-2551. Grounds for disciplinary action; duty
to report; immunity; proceedings; board action; notice; civil
penalty
(L10, Ch. 172, sec. 12. Eff. 1/1/11)
A. The board on its own motion may investigate any evidence that appears to show
that a physician assistant is or may be medically incompetent, is or may be guilty of
unprofessional conduct or is or may be mentally or physically unable to carry out
approved health care tasks. Any physician, physician assistant or health care
institution as defined in section 36-401 shall, and any other person may, report to the
board any information the physician, physician assistant, health care institution or
other person has that appears to show that a physician assistant is or may be medically
incompetent, is or may be guilty of unprofessional conduct or is or may be mentally or
physically unable to carry out approved health care tasks. If the board begins an
investigation pursuant to this section, it may require the physician assistant to
promptly provide the name and address of the physician assistant's supervising physician
or physicians. The board or the executive director shall notify the physician assistant
and the supervising physician of the content of the reported information in writing
within one hundred twenty days of its receipt of the information. Any physician,
physician assistant, health care institution or other person that reports or provides
information to the board in good faith is not subject to an action for civil damages as a
result of reporting or providing information, and, if requested, the name of the reporter
shall not be disclosed unless the information is essential to proceedings conducted
pursuant to this section.
B. The board or, if delegated by the board, the executive director may require a
mental, physical or medical competency examination or any combination of those
examinations or may make investigations including investigational interviews between
representatives of the board and the physician assistant and the supervising physician as
it deems necessary to fully inform itself with respect to any information reported
pursuant to subsection A of this section. These examinations may include biological fluid
testing and other examinations known to detect the presence of alcohol or other drugs.
The board or, if delegated by the board, the executive director may require the physician
assistant, at the physician assistant's expense, to undergo assessment by a board
approved rehabilitative, retraining or assessment program.
C. If the board finds, based on the information it receives under subsections A and
B of this section, that the public safety imperatively requires emergency action, and
incorporates a finding to that effect in its order, the board may restrict a license or
order a summary suspension of a license pending proceedings for revocation or other
action. If the board acts pursuant to this subsection, the physician assistant shall also
be served with a written notice of complaint and formal hearing, setting forth the
charges, and is entitled to a formal hearing before the board or an administrative law
judge on the charges within sixty days pursuant to title 41, chapter 6, article 10.
D. If, after completing its investigation, the board finds that the information
provided pursuant to subsection A of this section is not of sufficient seriousness to
merit disciplinary action against the physician assistant's license, it may take the
following actions:
1. Dismiss if, in the opinion of the board, the complaint is without merit.
2. File an advisory letter. The licensee may file a written response with the board
within thirty days after receiving the advisory letter.
3. Require the licensee to complete designated continuing medical education
courses.
E. If the board finds that it can take rehabilitative or disciplinary action
without the presence of the physician assistant at a formal interview it may enter into a
consent agreement with the physician assistant to limit or restrict the physician
assistant's practice or to rehabilitate the physician assistant, protect the public and
ensure the physician assistant's ability to safely practice. The board may also require
the physician assistant to successfully complete a board approved rehabilitative,
retraining or assessment program at the physician assistant's own expense.
F. The board shall not disclose the name of the person who provided the information
regarding a licensee's drug or alcohol impairment or the name of the person who files a
complaint if that person requests anonymity.
G. If, after completing its investigation, the board believes that the information
is or may be true and that the information may be of sufficient seriousness to merit
direct action against the physician assistant's license, it may request a formal
interview with the physician assistant and the supervising physician. If the physician
assistant refuses the invitation for a formal interview, the board may issue a formal
complaint and order that a hearing be held pursuant to title 41, chapter 6, article 10.
The board shall notify the physician assistant in writing of the time, date and place of
the formal interview at least twenty days before the interview. The notice shall include
the right to be represented by counsel and shall fully set forth the conduct or matters
to be discussed.
H. After the formal interview, the board may take the following actions:
1. Dismiss if, in the opinion of the board, the information is without merit.
2. File an advisory letter. The licensee may file a written response with the board
within thirty days after receiving the advisory letter.
3. Enter into a stipulation with the physician assistant to restrict or limit the
physician assistant's practice or medical activities or to rehabilitate, retrain or
assess the physician assistant, in order to protect the public and ensure the physician
assistant's ability to safely perform health care tasks. The board may also require the
physician assistant to successfully complete a board approved rehabilitative, retraining
or assessment program at the physician assistant's own expense as prescribed in
subsection E of this section.
4. File a letter of reprimand.
5. Issue a decree of censure. A decree of censure is a disciplinary action against
the physician assistant's license and may include a requirement for restitution of fees
to a patient resulting from violations of this chapter or rules adopted under this
chapter.
6. Fix a period and terms of probation best adapted to protect the public health
and safety and rehabilitate or educate the physician assistant. Failure to comply with
any terms of probation is cause for initiating formal proceedings pursuant to title 41,
chapter 6, article 10. Probation may include:
(a) Restrictions on the health care tasks the physician assistant may perform.
(b) Temporary suspension for not to exceed twelve months.
(c) Restitution of patient fees.
(d) Education or rehabilitation at the licensee's own expense.
7. Require the licensee to complete designated continuing medical education
courses.
I. If the board finds that the information provided pursuant to subsection A of
this section warrants suspension or revocation of a physician assistant's license, it
shall immediately initiate formal proceedings for the suspension or revocation of the
license as provided in title 41, chapter 6, article 10. The notice of complaint and
hearing is fully effective by mailing a true copy of the notice of complaint and hearing
by certified mail addressed to the physician assistant's last known address of record in
the board's files. The notice of complaint and hearing is complete at the time of its
deposit in the mail.
J. A physician assistant who after a formal hearing pursuant to title 41, chapter
6, article 10 is found to be medically incompetent, guilty of unprofessional conduct or
mentally or physically unable to safely carry out the physician assistant's approved
health care tasks, or any combination of these, is subject to censure, probation,
suspension or revocation, or any combination of these, for a period of time or
permanently and under conditions the board deems appropriate for the protection of the
public health and safety.
K. In a formal interview pursuant to subsection G of this section or in a hearing
pursuant to subsection I of this section, the board in addition to any other action may
impose a civil penalty in the amount of not less than three hundred dollars nor more than
ten thousand dollars for each violation of this chapter or a rule adopted under this
chapter.
L. An advisory letter is a public document and may be used in future disciplinary
actions against a physician assistant.
M. The board may charge the costs of a formal hearing to the licensee if it finds
the licensee in violation of this chapter.
N. If the board acts to modify a physician assistant's prescription writing
privileges, the Arizona regulatory board of physician assistants shall immediately notify
the Arizona state board of pharmacy and the United States drug enforcement administration
of this modification.
O. If during the course of an investigation the Arizona regulatory board of
physician assistants determines that a criminal violation may have occurred involving the
performance of health care tasks, it shall provide evidence of the violation to the
appropriate criminal justice agency.
P. The board may accept the surrender of an active license from a person who admits
in writing to any of the following:
1. Being unable to safely engage in the practice of medicine.
2. Having committed an act of unprofessional conduct.
3. Having violated this chapter or a board rule.
Q. In determining the appropriate disciplinary action under this section, the board
shall consider all previous nondisciplinary and disciplinary actions against a licensee.
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