Until recently, the supervisory physician was required to provide a copy of the monitoring agreement to the Ohio Medical Council, which would allow him to verify compliance with the Ohio 4730.19 surveillance code. In the event of compliance, the monitoring agreement would take effect at the end of the fifth working day following receipt of the agreement, unless the board notifies the supervisory physician of any breaches or breaches. According to the board, the attending physician had the opportunity to revise the monitoring agreement and resubmit it for approval. The Board of Directors has put forward formal agreements for convenience, but physicians and their advisors can develop their own agreements in accordance with the law. The link to the form agreements is available here: www.med.ohio.gov/Apply/Physician-Assistant-PA. The Ohio General Assembly, which recognizes the increased use and independence of intermediary providers, has adopted am. Sub. H.B No. 111, revised Code 4731.19 (as of September 28, 2018) has been amended by the procedural obligation for physicians to submit to the order of physicians, for examination and authorization, the supervision arrangements of medical agents. The amended status also increased the civil fine from $1,000 to $5,000 if the Board were to find at any time that the supervising physician did not comply with Section 4731.19. In addition to the imposition of a civil fine, the law authorizes the Board of Directors to take disciplinary action against the attending physician and medical assistants if necessary. Although the board has less control, the physical requirements for oversight agreements remain the same.
In addition, the possible penalty for non-compliance is more serious. Previously, the Board of Directors could impose up to $1,000 in civil penalties for non-compliance. Now the board can sanction non-compliance with a fine of up to $5,000. Therefore, while the newly adopted legislation is less cumbersome, potential sanctions should encourage employers and doctors to comply with the material requirements of these agreements. The Physicians` Order is legally authorized to impose a civil fine of up to US$1,000 if it finds that the supervised medical assistant has performed in a manner that departs from the terms of the monitoring agreement and/or that the treating physician has been deviated from the terms of the monitoring agreement approved by the Medical Board. In a way, the audit and authorization process of the Chamber of Supervisory Agreements served as a safety net for the respect of physicians.