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HB 143

Revise definition of treating physician to include physician assistants without regard to proximity of other providers

2025 Regular Session Introduced by Jodee Etchart

Montana law now allows physician assistants to serve as treating physicians without proximity restrictions to supervising doctors, expanding autonomous PA authority in medical and legal contexts.

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#healthcareservices(seealso:health) #professionsandoccupationsgenerally #workers'compensation(seealso:laborandemployment)
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Bill Summary · HB 143

Legislative bill overview

HB 143 expands Montana's legal definition of "treating physician" to include physician assistants (PAs) without requiring them to be in close physical proximity to supervising physicians. This removes a geographic restriction that previously limited when PAs could independently serve as treating physicians in medical and legal contexts.

Why is this important

This change affects healthcare access, workers' compensation claims, medical testimony, and patient care in rural areas where physician shortages are common. The revision could enable PAs to provide more autonomous care and documentation in underserved regions, though it also raises questions about oversight and quality consistency.

Potential points of contention

  • Scope of practice concerns: Medical boards and physician groups may worry about expanding PA authority without corresponding supervision requirements, potentially affecting patient safety standards
  • Insurance and liability implications: Workers' compensation insurers and liability carriers may face uncertainty about coverage and claim validation when PAs serve as treating physicians
  • Rural vs. urban equity: While beneficial for rural access, the provision could create inconsistent care standards between areas with abundant physicians versus those with shortages, raising questions about equal treatment across the state

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

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