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Wisconsin 
Academy of PAs
  • Intro to SB-435/AB-438
  • What is a PA?
  • SCOPE OF PRACTICE
  • Information for PAs
  • Info -Legislators & Media
  • Information for Patients
  • Info for Employers
  • Information PA-Students
  • Information -Retired PAs
  • Info-Healthcare Colleague
  • PA Day at Capitol
  • Legislator & Media Tools
  • CONTACT YOUR LEGISLATOR
  • Read the Bill
  • Myth Busters
  • More
    • Intro to SB-435/AB-438
    • What is a PA?
    • SCOPE OF PRACTICE
    • Information for PAs
    • Info -Legislators & Media
    • Information for Patients
    • Info for Employers
    • Information PA-Students
    • Information -Retired PAs
    • Info-Healthcare Colleague
    • PA Day at Capitol
    • Legislator & Media Tools
    • CONTACT YOUR LEGISLATOR
    • Read the Bill
    • Myth Busters
Wisconsin 
Academy of PAs
  • Intro to SB-435/AB-438
  • What is a PA?
  • SCOPE OF PRACTICE
  • Information for PAs
  • Info -Legislators & Media
  • Information for Patients
  • Info for Employers
  • Information PA-Students
  • Information -Retired PAs
  • Info-Healthcare Colleague
  • PA Day at Capitol
  • Legislator & Media Tools
  • CONTACT YOUR LEGISLATOR
  • Read the Bill
  • Myth Busters

INFO FOR CURRENT PA's

SB-435 & AB-438 - PA Modernization Act - Summary

 

What the Bill Does

  • Updates the title: Changes the professional title from physician assistant to physician associate. Updates the state licensing board’s name to match.
     
  • Expands titles: PAs can use “physician associate” in addition to their current legal titles.
     
  • Independent practice option: Experienced physician associates can practice without a formal collaborative or supervisory agreement if they meet certain requirements.
     

 

What the Bill Doesn’t Do

  • ❌ Doesn’t eliminate team-based care. PAs will continue working alongside physicians, nurses, and other professionals — just as they do today.
     
  • ❌ Doesn’t apply to new graduates. Newly licensed PAs will still require supervision or collaboration and mentorship until they complete years of clinical experience and mentorship.
     
  • ❌ Doesn’t lower standards. Only PAs with at least 7,680 hours of supervised or collaborative practice and documented quality assurance are eligible for independent practice pathway.
     
  • ❌ Doesn’t allow unrestricted pain procedures. Invasive pain treatments still require physician involvement unless performed in hospital-based settings with proper privileges.
     
  • ❌ Doesn’t remove malpractice protections. All PAs — independent or collaborative — remain covered by malpractice insurance and the bill actually expands patient protections by including PAs to the Wisconsin’s Injured Patients and Families Compensation Fund.
     
  • ❌ Doesn’t replace physicians. Physicians, PAs, and NPs will continue to be essential parts of Wisconsin’s healthcare workforce. This bill simply gives experienced PAs the ability to expand access where physicians are not available -the very reason PAs were created.

Requirements for Independent Practice

To qualify, a physician associate must:

  • Have at least 7,680 hours (about 4 years full-time) of clinical practice.
     
  • Show that they worked in a professional collaborative or supervised relationship with during that time.
     
  • Keep records of any physician support for cases outside their expertise.
     
  • Have been part of a quality or peer review program that included physician input.
     
  • Hours can include past work inside or outside the state, federal service, or clinical training.
     

Limits on Pain Management

  • Physician associates may only use invasive pain treatment techniques (like complex pain management injections or procedures) if they are working with a pain-specialist physician. This does not include routine therapeutic joint injections.
     
  • If they qualify for independent practice, PAs may perform these advanced pain techniques in hospitals or hospital clinics — or if they are granted hospital privileges — without needing a collaborating physician. This provides PAs with the same standard as nurse practitioners.
     

Malpractice Coverage

  • Independent physician associates must join the Injured Patients and Families Compensation Fund, which provides extra malpractice coverage (just like physicians and other providers in the state).
     
  • All physician associates must continue to be covered by malpractice insurance under state law.

Frequently Asked Questions

Please reach us at info@accesstocarewi.org if you cannot find an answer to your question.

 No. Only PAs with at least 7,680 hours (about 4 years full-time) of documented clinical experience are eligible. New grads remain under collaboration or supervision. 


 Hours can include practice in Wisconsin, other states, federal service (civilian or military), and clinical rotations during a qualified educational program. 


 No. Independence is optional. You can choose to remain in a collaborative role if that best fits your career or practice setting. 


 Invasive pain procedures (like epidural injections) still require physician involvement unless you qualify for independence and perform them in a hospital or hospital-affiliated clinic with privileges. 


 All PAs must maintain malpractice insurance independently or through an employer or government agency. Independent PAs must also join the Injured Patients and Families Compensation Fund, just like physicians and certain tyoes of advanced practice nurses. 


STAND up and make a difference... United we stand

Share Your Story

  •  Legislators want to hear directly from you — real stories about your patients and your practice are more powerful than statistics.


  • Keep it short: Who you are, where you practice, and why this bill matters for your patients.

Contact Your Legislators

  • Use this link CONTACT to contact your State Senator and Representative.
     
  • Send an email, make a call, or schedule a meeting.
     
  • Be respectful, clear, and focused on access to care for patients.

Spread the Word

  • Share campaign graphics, infographics, and posts on Facebook, Instagram, Twitter, and LinkedIn.
     
  • Encourage colleagues, physicians, and patients who support you to reach out as well.

Show Up

  •  Attend regional WAPA meetings and local legislator town halls / listening sessions.
     
  • A visible presence shows unity and strength across the profession.

Stay Informed

  • Follow campaign updates at AccessToCareWI.org.
     
  • Join email lists, attend advocacy calls, and stay ready to act when key votes are scheduled.

Donate to the WAPA PAC Fund

  • Donations to the WAPA PA PAC give our profession a stronger seat at the table.
     
  • Even small contributions show legislators that PAs are united and invested in shaping healthcare policy.
     
  • Visit WAPA PAC to make a contribution.

Join Us Today

STAND UP & MAKE A DIFFERENCE

  “The Wisconsin PA Modernization Act - LRB-0509 is our chance to show that experienced PAs are essential to solving the state’s growing healthcare access crisis. Together, by sharing our voices and our stories, we can secure a future where every community has the care it deserves.” 

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Wisconsin Academy of PAs SB-435 & AB-438

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  • Information for PAs
  • Info -Legislators & Media
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  • Information PA-Students
  • Information -Retired PAs
  • Info-Healthcare Colleague
  • PA Day at Capitol
  • Legislator & Media Tools
  • CONTACT YOUR LEGISLATOR

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