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Wisconsin 
Academy of PAs
  • Intro to SB-435/AB-438
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  • SCOPE OF PRACTICE
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  • 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
    • Membership Update
    • 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
  • Membership Update
  • Myth Busters

READ THE BILL - INFO FOR WISCONSIN PA's

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Wisconsin Academy of PAs

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After the years of study, exams, and financial sacrifice it takes to become and stay credentialed as a PA, membership in WAPA isn’t just an option — it’s a responsibility. 


Our profession only stays strong when we stand united, advocate together, and protect the investment we’ve all made in our careers and in patient care.  

Stand together. Advocate together.

 Because when we unite as PAs, our collective voice becomes stronger — advancing our profession, shaping policy, and protecting our shared interests in a way no individual can alone.  Your membership matters!

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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.

Read THE BILL

Contact us with any questions.
Link to Assembly Bill AB 438LINK TO SENATE BILL 435Membership Renew or Sign up

Copyright © 2025 Wisconsin Academy of PAs SB435 & AB438 - All Rights Reserved.

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

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