Alaska SB 89 and the evolving supervision of physician assistants
Implications for MIEC members and healthcare organizations The Alaska Legislature’s passage of Senate Bill 89 (SB 89) in May 2026 represents one of the most significant changes to provider scope of practice in the state in recent years. The bill modernizes how physician assistants (PAs) practice, shifting from a rigid supervision framework to a more flexible, collaborative model. While the legislation is intended to improve access to care — particularly in rural areas — it also introduces meaningful clinical, legal, and operational risks that healthcare organizations must actively manage. What SB 89 Changes From supervision to collaboration: SB 89 reduces...
Last year, numerous pieces of legislation impacting physicians were signed into law in California. The following new health laws are particularly relevant to physician practices and medical professional liability. This alert is based in part on information obtained from the California Medical Association. All laws are effective January 1, 2026, unless otherwise noted. Advanced practice providers: AB 1501 Updates and clarifies various statutory provisions governing physician assistants (PAs), supervising physicians, and podiatrists. These changes impact administrative processes, modify licensing, renewal, and application fees for PAs and podiatrists, and align licensing processes and terminology between the associated professional licensing agencies. The key...
DEA Extends Telemedicine Prescribing Flexibilities Through 2026
Just before the clock struck midnight on the New Year, the DEA issued a long-awaited formal statement clarifying the federal rules for prescribing controlled substances through telemedicine in the coming year. Since May 2023, the U.S. Drug Enforcement Agency (DEA) has repeatedly extended the COVID-19 telemedicine flexibilities for prescribing controlled substances, which had been set to expire at the end of the federal COVID Public Health Emergency (PHE). The flexibilities affected an important requirement of The Ryan Haight Online Pharmacy Consumer Protection Act of 2008, which requires prescribers to conduct an in-person examination (i.e. in a medical office) to evaluate each...
California SB 1451 and Impacts on Independent Nurse Practitioners
Among the new legislation in California that went into effect in 2025, one law includes some important changes that are likely to further stimulate the growth of independent nurse practitioners (NPs) in California. In 2023, the California Board of Registered Nursing (BRN) began accepting applications for a certification that allows experienced NPs to practice without the need for standardized procedures that outline scope of practice. The new designation, known as a “103” NP, requires NPs to have worked in good standing in California for at least 3 years and requires independently practicing 103 NPs to work in a group setting...
The first few months of 2025 have seen some significant developments in the legal landscape of reproductive care in Idaho following the 2022 ruling in Dobbs v. Jackson and the subsequent prohibition of abortion in Idaho. For related developments leading up to this year, see Update on Dobbs and Obstetrical Care in Idaho. Most recent news: January 2025- St. Luke’s Healthcare in Boise, ID filed a lawsuit (St. Luke’s v. Labrador) in which they seek a declaratory judgment that invalidates Idaho’s abortion prohibition, to the extent that it conflicts with the Emergency Medicine Treatment and Labor Act (EMTALA). As...
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