The Act provides that the supervision arrangements for medical assistants who practice a medical practice contain conditions that specify: (a) the responsibilities to be performed by the supervisory physician, including the performance of the tasks listed in Ohio, the revised code 4730.21 and the correct delegation of medical duties in accordance with the Ohio Administrative Code 4731-23-02; (b) the tasks that the medical assistant must perform in the exercise of medically controlled delegated services and tasks; (c) restrictions on the responsibilities of the medical assistant; and (d) the circumstances under which the medical assistant must refer the patient to the medical provider. The supervisory agreement must also clearly state that the supervisory physician is “legally responsible and assumes legal responsibility” for the services that the medical assistant provides to patients in practice. “According to HB 111, the obligation to submit any supervisory agreement to medical advice and review it is removed. The Physicians` Order is legally authorized to impose a civil fine of up to US$1,000 if it finds that the supervised medical assistant has performed in a manner that departs from the terms of the monitoring agreement and/or that the treating physician has been deviated from the terms of the monitoring agreement approved by the Medical Board. In a way, the audit and authorization process of the Chamber of Supervisory Agreements served as a safety net for the respect of physicians. The Ohio General Assembly, which recognizes the increased use and independence of intermediary providers, has adopted am. Sub. H.B No. 111, revised Code 4731.19 (as of September 28, 2018) has been amended by the procedural obligation for physicians to submit to the order of physicians, for examination and authorization, the supervision arrangements of medical agents. The amended status also increased the civil fine from $1,000 to $5,000 if the Board were to find at any time that the supervising physician did not comply with Section 4731.19. In addition to the imposition of a civil fine, the law authorizes the Board of Directors to take disciplinary action against the attending physician and medical assistants if necessary. In summary, there are no extensions, no 5-day waiting period and the eLicense system for submitting monitoring agreements has not been deactivated with immediate effect.
From now on, for new hires, the monitoring contract is signed and stored on the training site and they can start working immediately. You can use any form you like, but the OSMB recommends using your forms because these forms meet legal requirements. The Board of Directors is proactively implementing this legislation to enable licensees to benefit immediately from this new streamlined procedure. As a result, it is no longer necessary to submit monitoring agreements on eLicense. Since the oversight agreements are no longer before the House, there is no renewal of these agreements. These are living documents that remain active and can be modified at any time until the doctor stops monitoring the medical assistant. The monitoring agreements to be filed at the site of practice remain in effect indefinitely until the doctor terminates the surveillance of pa (s).