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Tell your legislators to oppose a bill that expands physician assistants’ scope of practice to include psychotherapy!
Please contact your state legislators to ask that they oppose language in a Health Licensing omnibus bill (SF4570/HF4247), as well as sponsor an amendment that removes the language, that seeks to remove collaboration requirements for physician assistants to provide psychiatric treatment for children with emotional disturbance and adults with serious mental illness. This bill language would allow them to practice psychotherapy with patients.

We are writing to request that you please contact your state legislators to ask that they oppose the language of the current omnibus bill and sponsor an amendment that removes the language in this current session. As psychologists deeply invested in mental health care, MPA believes this bill overlooks crucial concerns regarding the qualifications and training necessary for providing psychotherapy, particularly in sensitive cases involving psychiatric care.

While physician assistants play a vital role in the healthcare system and can fill a widening gap in psychopharmacological treatment, it is essential to recognize the specialized expertise required for psychotherapeutic treatment, especially when dealing with vulnerable populations such as children with emotional disturbance and adults with serious mental illness. Unlike physicians who undergo extensive training in psychiatry as part of their medical education, physician assistants typically do not receive comprehensive training in psychotherapy or psychiatric care as a core component of their curriculum. 

Allowing physician assistants to provide psychotherapeutic treatment without adequate training and supervision poses significant risks to patient safety and quality of care. Therapy for individuals with emotional disturbance or serious mental illness demands a nuanced understanding of psychological principles, diagnostic criteria, therapeutic techniques, and ethical considerations, which are not adequately covered in the training of physician assistants. 

Furthermore, physician assistants are paid at a higher rate than Mental Health Professionals. As a result, this bill would cost our healthcare system more money due to PAs’ higher rate while they provide reduced quality of services compared to other MHProfs, who are more trained and experienced in the care of for children with emotional disturbance and adults with serious mental illness.

Additionally, effective collaboration between healthcare professionals is paramount in ensuring holistic and evidence-based treatment approaches for individuals with complex mental health needs. By removing collaboration requirements, this bill undermines the importance of interdisciplinary teamwork and consultation, which are essential for delivering comprehensive care and addressing the diverse needs of patients.

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