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Physician Assistant board urges regulatory tweaks as PA workforce expands; ratio debate intensifies
Summary
The Physician Assistant Board reported a 22% growth in licensed PAs since the last sunset review and urged state action on fee caps, workforce supports and practice‑agreement regulations while stakeholders called for reducing or eliminating physician‑to‑PA ratios to expand access.
The California Physician Assistant Board told a joint Assembly–Senate sunset hearing that the state now licenses about 18,200 physician assistants — a roughly 22% increase since the last sunset review — and said it is pursuing modest fee increases to maintain enforcement and licensing services while lawmakers and stakeholders debated changes to practice agreements and physician‑to‑PA ratios.
Why it matters: Committee members and PA advocates framed ratio and practice‑agreement rules as a key lever to improve access to primary…
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