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Although it is possible to use a prescriptive authority agreement in a hospital or long term care facility based practice, it is not required. You may continue to practice under protocols in these settings. APRNs and PAs must exercise prescriptive authority under one of these delegation mechanisms.
12 states with limits on physician assistants' prescribing power. Even though all physician assistants must practice under the supervision of a physician, their scope of practice varies from state to state. According to Barton Associates, the following 12 states place some limit on PAs' prescribing powers. They are listed below alphabetically, along with details on the limits.