SB 29 West Virginia Senate · 2025 Regular Session

Allowing physicians assistants to own practice

SB 29 allows physician assistants (PAs) in West Virginia to own medical practices and be shareholders in medical corporations, removing previous restrictions. The bill specifically prohibits PAs with ownership interests from making patient referrals to their own practice and classifies PA practice as a "professional service" under state LLC laws. This directly affects PAs seeking business ownership, medical corporations seeking PA shareholders, and healthcare entities structuring ownership. The law amends existing medical practice statutes to clarify these ownership rules without changing PAs' clinical scope of practice. It focuses on business structure, not clinical authority or patient care standards.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
Senate Passage
Mar 2025
House of Delegates Passage
Governor
Introduced Feb 12, 2025 Last action Mar 4, 2025
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What changed between versions

Introduced Version Committee Substitute · 6 edits
MODERATE
This bill significantly expands the West Virginia Medical Practice Act to authorize physician assistants to own businesses and hold shares in medical corporations, while also designating the physician assistant profession as a professional service under the Uniform Limited Liability Company Act. The changes remove previous restrictions that prevented physician assistants from having proprietary interests in referral arrangements and update the definition of 'physician assistant' to align with the American Academy of Physician Associates' terminology. Additionally, the bill adds new reporting requirements for various healthcare entities regarding disciplinary actions and misconduct.
Scope change
The bill expands the scope from only physicians and podiatrists to include physician assistants in business ownership, corporate structures, and professional service classifications under state law.
ELIGIBILITY

Physician assistants are now authorized to own businesses and hold shares in medical corporations, removing previous restrictions on their proprietary interests.

Medical corporations may now include physician assistants as shareholders alongside licensed physicians and podiatric physicians.

DEFINITION

The definition of 'physician assistant' is updated to conform to the American Academy of Physician Associates' terminology for the profession.

Physician assistants are now designated as a professional service under the Uniform Limited Liability Company Act, expanding their legal business classification.

REQUIREMENT

New reporting requirements added for various healthcare entities including hospitals, managed care organizations, professional societies, and insurance providers regarding disciplinary actions and misconduct.

ENFORCEMENT

New provisions added requiring reporting of specific misconduct incidents including sexual misconduct, controlled substance violations, and gross misconduct within 30 days.

Floor votes · Senate Mar 3, 2025

How they voted

320
Passed · 1 other
Total votes 33
Mar 3, 2025
D Democratic2
2 Yea
100% Yea
R Republican31
30 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
16
Key actions
2
Committee
4
Mar 4, 2025
Committee
To House Health and Human Resources
lower
Mar 4, 2025
Committee
To Health and Human Resources
lower
Mar 4, 2025
Introduced
Introduced in House
lower
Mar 3, 2025
Upper · Passed
Passed Senate (Roll No. 48)
upper
Feb 26, 2025
Upper · Passed
Committee substitute reported
upper
Feb 12, 2025
Introduced
Introduced in Senate
upper
Feb 12, 2025
Committee
To Health and Human Resources
upper
1 primary · 1 co-sponsor

Sponsors