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Bill

SB 5633

Authorizing physician assistant collaborative practice.

2023-2024 Regular Session Introduced by Steve Conway and 2 co-sponsors

SB 5633 would allow Washington physician assistants greater clinical autonomy through collaborative practice agreements rather than requiring direct physician supervision.

By resolution, reintroduced and retained in present status.
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Bill Summary · SB 5633

Legislative bill overview

SB 5633 would authorize physician assistants (PAs) in Washington state to practice with greater autonomy through "collaborative practice" arrangements. Rather than requiring direct physician supervision, the bill would allow PAs to work under collaborative agreements with physicians, potentially expanding their independent clinical decision-making authority within defined scopes of practice.

Why is this important

This bill directly affects healthcare access and workforce flexibility in Washington. Expanding PA autonomy could increase care availability in underserved areas, reduce patient wait times, and make healthcare more efficient by allowing PAs to handle routine clinical tasks independently. However, it raises questions about patient safety oversight and the appropriate level of physician involvement in care decisions.

Potential points of contention

  • Patient safety and liability: Opponents may argue that reducing physician oversight creates risks, while supporters contend that PAs are highly trained professionals capable of safe independent practice
  • Physician professional interests: Some physicians may view this as encroaching on their scope of practice and patient relationships, potentially affecting referral patterns and revenue
  • Definition of "collaborative practice": The specifics matter enormously—how much autonomy, which procedures, what physician involvement is required, and how disputes are resolved will determine actual impact

Compiled from official sources — confirm details with the bill’s official record.

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