“An Act Concerning Medical Assistants”: Raised Bill No. 459

On March 19 the Public Health Committee of the Connecticut legislature held a public hearing on General Assembly Raised Bill No. 459, “An Act Concerning Medical Assistants.”  This legislation was the result of a scope of practice request submitted by the American Association of Medical Assistants and the Connecticut Society of Medical Assistants (CSMA) on July 16, 2012, to the Connecticut Department of Public Health (as described in the March/April 2013 issue of CMA Today).

Raised Bill No. 459 would permit physicians to delegate to medical assistants who had graduated from an accredited postsecondary medical assisting program and who are certified by the Certifying Board of the AAMA “the administration of medication orally, by inhalation, or by intramuscular, intradermal, or subcutaneous injections, including, but not limited to, the administration of a vaccine.”  The bill would also require that the medication be administered “under the direct supervision, control, and responsibility of a physician who is in the outpatient clinic or office when such medication is administered.”

The AAMA and the CSMA submitted joint written testimony in support of Raised Bill No. 459, and Holly Martin, CMA (AAMA), of the CSMA, presented oral testimony at the March 19 hearing.  Legal Eye will keep readers informed about the outcome of Bill No. 459.

About Donald A. Balasa

Donald A. Balasa, JD, MBA, chief executive officer and legal counsel for the American Association of Medical Assistants, keeps his eye on what is happening in the profession.
This entry was posted in On the Job, Scope of Practice and tagged , , , . Bookmark the permalink.

26 Responses to “An Act Concerning Medical Assistants”: Raised Bill No. 459

  1. BarbaraJo Caisse says:

    So if this is passed it would only apply to CMAs (AAMA) not certified RMAs (AMT), too? I live and work in CT so this is of particular interest to me and I am a certified RMA.

  2. ALLISON says:

    DONALD,
    WOULD THIS BE FOR ALL STATES?

  3. Laurel Booska says:

    How close are we now? We are trained and CT doesn’t allow. Silly we need to fight

    Thanks in advance

  4. Patricia says:

    Can an RMA take orders from a nurse practitioner in a clinic setting?

  5. Stephanie says:

    State of Washington: Can MAs preform cat changes?

  6. Stephanie says:

    I mean Cath

  7. Michelle says:

    What is the rule of an office Medical Assistant vs CMA or RMA in a Medical office(Internal Medicine). Can all three perform the same office duties? Is this a law? If so, when did this Ruling become a law? What would happen if a medical office has Medical Assistant performing all duties as a CMA/RMA if this acyuallt a law? If a doctor has a staff that are all RMA’s/CMA’s, not a “Medical Asstistant”(not credentialed), does the doctor Malpractice Insurance decrease? I am from Ohio

    • Thank you for your question. The Connecticut legislation did not move forward in the CT legislature and was not enacted into law.

      Ohio law does not create different scope of practice for credential and non-credentialed medical assistants.

      Some malpractice insurance carriers have reduced their premiums if the medical assistants have a credential such as the CMA (AAMA). This varies from company to company, and from state to state.

      I hope this is helpful.

      Donald A. Balasa, JD, MBA
      Executive Director, Legal Counsel

      American Association of Medical Assistants
      Ph: 800/228-2262 | Fax: 312/899-1259 | http://www.aama-ntl.org

      Visit us on Facebook! http://www.aama-ntl.org/facebook

      The CMA (AAMA): Health Care’s Most Versatile Professional

  8. Lisa says:

    I live in Massachusetts. I am in a small practice as of the moment I am the only CMA there are 2 other medical assistants, I have been a bit confused in what they and I can physically do in the office to meet the new rules. At this time we have has an MA who has been there for 5 years handling the lab orders and calling patients in regards to results. They have also administered medication and have done in office testing on patients. Are they still able to do this under the new rules?

    • Thank you for your question. Raised Bill No. 459 was introduced into the Connecticut legislature and did not pass. Even if it did pass, it would have no applicability to the scope of practice in Massachusetts. I will send my legal opinion letter for Massachusetts to your e-mail address.

      Donald A. Balasa, JD, MBA
      Executive Director, Legal Counsel

      American Association of Medical Assistants
      Ph: 800/228-2262 | Fax: 312/899-1259 | http://www.aama-ntl.org

      Visit us on Facebook! http://www.aama-ntl.org/facebook

      The CMA (AAMA): Health Care’s Most Versatile Professional

  9. Kathleen Clark says:

    I am a Nurse Practitioner in the state of Indiana. I just returned from a national educational conference. There I was told that CMA’s should not give injections or do blood draws. If that is the case in Indiana, we have a real problem, as most offices use the CMA to do injections, start IV’s, Draw blood, and do TB skin testing. Is this legal?

    • Thank you for your question. Indiana law permits physicians to delegate to competent and knowledgeable unlicensed allied health professionals such as medical assistants working under their direct supervision in outpatient settings the administration of medication orally, and by IM, sub-Q, and ID injection. Do you have anything in writing from the conference you attended that you can send to me? If so, I will review and will respond in detail.

      Donald A. Balasa, JD, MBA
      Executive Director, Legal Counsel

      American Association of Medical Assistants
      Ph: 800/228-2262 | Fax: 312/899-1259 | http://www.aama-ntl.org

      Visit us on Facebook! http://www.aama-ntl.org/facebook

      The CMA (AAMA): Health Care’s Most Versatile Professional

      • Kathleen Clark says:

        Thank you for your prompt response. I do not have anything in writing from the National Conference. This was discussed in a forum.
        Your response states “Indiana low permits physicians……” I am not a physician, but a certified Family Nurse Practitioner. Could you clarify that the Indiana law permits Certified Nurse Practitioners to delegate the same?

      • You are welcome, and thank you for your additional question. Note the following from the rules of the Indiana Board of Nursing:
        848 IAC 2-2-3 Unprofessional conduct
        Authority: IC 25-23-1-7
        Affected: IC 25-23
        Sec. 3. Nursing behaviors (acts, knowledge, and practices) failing to
        meet the minimal standards of acceptable and prevailing nursing
        practice, which could jeopardize the health, safety, and welfare of the
        public, shall constitute unprofessional conduct. These behaviors shall
        include, but are not limited to, the following:
        (1) Using unsafe judgment, technical skills, or inappropriate
        interpersonal behaviors in providing nursing care.
        (2) Performing any nursing technique or procedure for which the
        nurse is unprepared by education or experience.
        (3) Disregarding a patient/client’s dignity, right to privacy, or right to
        confidentiality.
        (4) Failing to provide nursing care because of diagnosis, age, sex,
        race, color, or creed.
        (5) Abusing a patient/client verbally, physically, emotionally, or
        sexually.
        (6) Falsifying, omitting, or destroying documentation of nursing
        actions on the official patient/client record.
        (7) Abandoning or knowingly neglecting patients/clients requiring
        nursing care.
        (8) Delegating nursing care, functions, tasks, or responsibility to
        others when the nurse knows, or should know, that such delegation
        is to the detriment of patient safety.

        The above language is in the rules pertaining to registered nurses. Because all nurse practitioners are first RNs, it would apply to you. I can find no more specific language about what tasks are and are not delegable by nurse practitioners under Indiana law.

        I will send the rules of the Indiana BON directly to your e-mail address.

        I hope this is helpful.

        Donald A. Balasa, JD, MBA
        Executive Director, Legal Counsel

        American Association of Medical Assistants
        Ph: 800/228-2262 | Fax: 312/899-1259 | http://www.aama-ntl.org

        Visit us on Facebook! http://www.aama-ntl.org/facebook

        The CMA (AAMA): Health Care’s Most Versatile Professional

  10. Barbara Choon, RN, MSN says:

    Could you tell me where I can get information on the scope of practice for CCMAs in MASS. Can Medical assistants still do injections in MA. I am an instructor for MA and I have been hearing conflicting reports. I want to do the best and teach the students the best that I can.
    Thank you.

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  12. Fada says:

    I need to know what Medical Asdistants can do without a physician in the building? In the state of Illinois please. Can we continue to call patients with results/prescription refills with a protocol written by the physician to follow when she is not present?

  13. Magdala Allen says:

    I am a Medical Assistant in Massachusetts. I work for a small practice, 2 MA’s (including me), one doctor and an NP. What does the law say about triaging patients, and refilling non-narcotics scripts for patients?

  14. Christie G says:

    Has this bill passed yet?

  15. Brian Sullivan says:

    When will this pass

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