History of Advocacy 

• 1968 – Child Health Associate legislation and certification
• 1976 – CAPA registered with Colorado Secretary of State
• 1983 – PAs certified in Colorado under supervision of MD
• 1987 – PA prescriptive authority for non-scheduled drugs
• 1992 – Bill allowing hospital staff to take orders from PAs
• 1995 – First sunsetting of Medical Practice act – allowed for delegation of PA scheduled prescribing
• 2002 – graduated co-signature requirements
• 2005 – PA member of Colorado Medical Board, increase in PA supervisees, PAs can be 49% owner of medical practices
• 2011 – PAs can write for handicap placards
• 2016 – Senate Bill 16-158 allowing PAs to perform functions delegated by MD within PA scope of practice
• 2019 - House Bill 19-1095 increased MD supervisory limits from 4 PAs to 8 PAs, additional PA member on Colorado Medical Board, PA malpractice liability > 3years equivalent to MD colleagues
• 2020 - House Bill 20-1041 moves liability limits from Medical Practice Act to Health Care Affordability Act
• 2021 - House Bill 21-1184 replace supervision with collaboration, authorize direct pay for PAs, defeated 5-8 in Health and Insurance Committee but Medicare approves direct pay for PAs on 1/1/22
• 2022 – House Bill 22-1095 remove supervision from the statute and replace with collaboration, remove some confusing language concerning hours of direct observation, passed the Health and Insurance Committee 10-1, defeated on House floor 28-35
• 2023 – Senate Bill 23-083 https://leg.colorado.gov/bills/sb23-083 updates the term to describe the PA-physician relationship from supervision to collaboration, shifts collaborative plan to the practice level with continued regulation by the Colorado Medical board