Tennessee 2023-2024 Regular Session

Tennessee House Bill HB1311

Introduced
1/31/23  
Refer
2/2/23  
Refer
3/14/23  
Refer
3/22/23  
Refer
4/3/23  
Refer
4/12/23  
Refer
4/18/23  
Chaptered
5/24/23  

Caption

AN ACT to amend Tennessee Code Annotated, Title 49; Title 63 and Title 68, relative to graduate physicians.

Impact

The enactment of HB 1311 is expected to transform the state's approach to healthcare delivery by facilitating the entry of graduate physicians into practice, particularly where medical resources are limited. By formally establishing collaborative practice arrangements that define the roles and responsibilities of participating physicians, the bill sets a legal framework through which graduate physicians can contribute to patient care. This licensing process supports the integration of these practitioners into the healthcare system, potentially increasing patient access to healthcare services in rural settings.

Summary

House Bill 1311, known as the Graduate Physicians Act, aims to address the physician shortage in Tennessee by allowing graduate physicians—medical school graduates who have passed certain qualifying examinations—to practice under collaborative agreements with licensed physicians. This bill is particularly focused on expanding healthcare availability in underserved rural areas of the state. Under this act, graduate physicians will be authorized to provide primary care services only in specific settings, ensuring that those services are delivered in areas that need them most. The law is viewed as a necessary step to mitigate the ongoing deficit of practicing physicians, especially in rural locations where medical expertise is scarce.

Sentiment

General sentiment around HB 1311 appears to be cautiously optimistic among supporters who believe that the bill fills a critical gap in healthcare availability. Advocates argue that this law is vital for addressing the physician shortage and increasing medical care in underserved areas. However, there are also concerns about the quality of care provided by graduate physicians, especially regarding supervision and training. Opponents may argue that this arrangement could compromise patient safety if not managed correctly, leading to mixed opinions within the medical community regarding the adequacy of training and oversight for graduate physicians.

Contention

One notable point of contention regarding HB 1311 lies in the supervision requirements outlined in the bill. Critics express apprehensions that the regulations may not sufficiently ensure that graduate physicians receive adequate oversight while practicing. The requirement that a collaborating physician can only supervise a limited number of graduate physicians simultaneously raises concerns about available support for these practitioners. Additionally, debates have surfaced regarding scope limitations for graduate physicians, particularly in relation to prescribing authority, with discussions about whether or not allowing such authority is safe based on their training.

Companion Bills

TN SB0937

Crossfiled AN ACT to amend Tennessee Code Annotated, Title 49; Title 63 and Title 68, relative to graduate physicians.

Previously Filed As

TN SB0764

AN ACT to amend Tennessee Code Annotated, Title 47; Title 63 and Title 68, relative to health care.

TN HB0979

AN ACT to amend Tennessee Code Annotated, Title 47; Title 63 and Title 68, relative to health care.

TN HB2539

AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 33; Title 36; Title 37; Title 48; Title 49; Title 52; Title 53; Title 55; Title 56; Title 62; Title 63 and Title 68, relative to health.

TN SB2227

AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 33; Title 36; Title 37; Title 48; Title 49; Title 52; Title 53; Title 55; Title 56; Title 62; Title 63 and Title 68, relative to health.

TN SB0461

AN ACT to amend Tennessee Code Annotated, Title 4; Title 63 and Title 68, relative to anesthesiology.

TN HB0758

AN ACT to amend Tennessee Code Annotated, Title 4; Title 63 and Title 68, relative to anesthesiology.

TN HB0598

AN ACT to amend Tennessee Code Annotated, Title 32; Title 39; Title 56; Title 63 and Title 68, relative to vulnerable persons.

TN SB0640

AN ACT to amend Tennessee Code Annotated, Title 32; Title 39; Title 56; Title 63 and Title 68, relative to vulnerable persons.

TN SB2080

AN ACT to amend Tennessee Code Annotated, Title 56; Title 63; Title 68 and Title 71, relative to TennCare.

TN HB2046

AN ACT to amend Tennessee Code Annotated, Title 56; Title 63; Title 68 and Title 71, relative to TennCare.

Similar Bills

CA AB2398

Graduate medical education capacity: report.

NV AB170

Providing for the licensure of associate physicians and associate osteopathic physicians. (BDR 54-840)

GA HB1273

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LA HB1143

Provides relative to physician assistants

MO HB2749

Modifies provisions relating to collaborative practice arrangements between physicians and physician assistants

DE HB325

An Act To Amend The Delaware Code Relating To Physician Associates And Physician Assistants.

MO HB3039

Modifies provisions relating to the prescriptive authority of physician assistants

NM HB267

Physician Assistants Supervising Others