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AAPA expert tells California PA Board that research shows practice modernization hasn’t raised malpractice risk

California Physician Assistant Board · February 24, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Sandra DePalma of the American Academy of Physician Associates told the board peer-reviewed studies and state reviews find no increase in malpractice payments or patient harm after relaxing supervision or practice-agreement requirements, and tied favorable practice environments to Rural Health Transformation funding opportunities.

The California Physician Assistant Board heard a national overview Feb. 23 from Sandra DePalma, vice president for reimbursement and professional practice at the American Academy of Physician Associates, who described research and state experiences showing that practice modernization for PAs did not increase malpractice risk and can improve access.

"A large body of research suggests that care provided by PAs produces health outcomes that are equivalent to physician provided care," DePalma told the board, citing analyses by MedPAC and other peer-reviewed studies. She summarized research…

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