Ownership of Outpatient Clinics and Scope of Practice

I have been receiving questions from medical assistants who work in outpatient clinics owned by hospitals.  They are wondering whether their legal scope of practice is different because they do not work in outpatient settings owned by physicians.

I am not aware of any state laws that establish a different scope of practice for medical assistants who work in settings owned by hospitals or other non-physician entities.  The consistent requirement in all states is that medical assistants work under direct physician supervision in outpatient settings, regardless of the ownership structure of the setting.

About Donald 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.

2 Responses to Ownership of Outpatient Clinics and Scope of Practice

  1. hj says:

    02/18/2015 I WORK FOR A HEALTHCARE SYSTEM AS A MEDICAL ASSISTANT IN PITTSBURGH, PA IN AN OFFSITE HOSPITAL BASED DEPARTMENT/CLINIC & FOR YEARS THE MA’S WERE ALLOWED TO GIVE INJECTIONS, SINCE IT IS A HOSPITAL BASED DEPARTMENT THE DEPT OF HEALTH AND THE JOINT COMMISSION VISIT AND THE MA’S ARE NO LONGER ALLOWED TO GIVE INJECTIONS(THIS HAPPENED YEARS AGO). WE DID QUESTION WHY THE CHANGE AND WE WERE TOLD THAT SINCE IN A HOSPITAL THE REGISTERED NURSES ARE THE ONES WHO ADMINISTER INJECTIONS THE SAME WOULD HOLD TRUE FOR OUR DEPARTMENT.THE MA’S HAD TRAINING FROM A MEDICAL ASSISTANT SCHOOL ?WHY THE CHANGE WHEN WE HAD BEEN ABLE TO DO THIS PREVIOUSLY. ALTHOUGH WE WERE PERMITTED TO DO VENIPUNCTURES ON PATIENTS. THE MEDICAL ASSISTANTS ALSO WERE PERMITTED TO LOG IN SAMPLES OF MEDICATION RECEIVED FROM THE PHARMACEUTICAL REPS FOR PATIENTS BUT, THIS WAS ALSO STOPPED AND NOW ONLY THE PROVIDERS OR RN’S ARE ABLE TO DO THIS AS WELL.

  2. I just have a question for you are the MA’s there Certified through AAMA or AMT and are unable to give injections?

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