Protocol · PA · Idaho

Practice Protocol for Physician Assistants in Idaho

Idaho does not define a named protocol for Physician Assistants. Here is what the state does require and what a written protocol usually covers.

Practice authoritySupervision required
Written agreementAgreement required
What Idaho calls itNo named instrument
Governing boardIdaho State Board of Medicine and the Idaho State Board of Pharmacy
Agreement familySupervising Physician
Research date2026-09-03 · clauses 2026-09-03

No independent-practice pathway exists for PAs in Idaho — a written collaborative practice agreement with one or more physicians is required for as long as the PA practices (Idaho Code § 54-1807A).

What a Physician Assistant protocol must contain in Idaho

Idaho requires a written protocol but gives it no statutory name. Governed by the Idaho State Board of Medicine and the Idaho State Board of Pharmacy. Each numbered item is a requirement the protocol must satisfy.

  1. The Physician Assistant ("PA") shall collaborate with, consult with, or refer to the Physician as the patient's condition, the Physician Assistant's competence, and the applicable community standard of care require, consistent with Idaho Code § 54-1807A. At least one Idaho-licensed physician shall be available to collaborate with the Physician Assistant, though physicians need not be individually named where more than one physician works at the facility.

  2. If the Physician Assistant is employed by a non-physician entity or practices independently, the Physician Assistant shall maintain a written collaborative practice agreement identifying the parties, the Physician Assistant's authorized scope of practice, the collaboration, consultation, and referral obligation, and any monitoring parameters clinically warranted. Idaho law does not fix a numerical limit on the number of Physician Assistants with whom a physician may collaborate. The agreement need not be filed with the Idaho State Board of Medicine in advance, but the Parties shall keep an accessible copy and produce it to the Board upon request.

  3. The protocol also carries 1 scope, 1 education and 1 registration clauses, authored in the document itself.

Terms it has to carry

Ratio, proximity, chart review, meeting and prescribing terms the protocol has to carry, from Idaho's supervision rules.

Proximity

Available remotely (no on-site requirement)

The degree and nature of collaboration is set by the facility/practice in facility bylaws or a written collaborative practice agreement — no fixed mile/minute radius or on-site requirement is codified (Idaho Code § 54-1807A).

Supervision ratio

Not codified — no cap on file

Chart review

Not codified — left to the agreement

Meeting cadence

Not codified — left to the agreement

Prescriptive authority

Separate prescribing terms required · controlled substances permitted

Prescriptive scope is addressed in the collaborative practice agreement or facility bylaws; Idaho statute does not state a PA-specific schedule limit.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — Following the Idaho Board of Medicine's March 2016 disavowal of corporate-practice-of-medicine enforcement, a PA may generally hold equity in a standard LLC/corporation alongside physicians, NPs, or even non-licensees, so long as licensed professionals actually deliver the care through employment/contract with the entity.

Sources for the supervision rules (2)
How the relationship works day to day
Who has to be where, how often you meet, and what the physician costs: Physician Assistant in Idaho on collaborativeagreement.com.

About Idaho's rules

Idaho APRNs (NP, CRNA, CNM, CNS) have full independent practice authority. The Idaho Board of Medicine formally disavowed corporate-practice-of-medicine enforcement in March 2016, so physicians, NPs, PAs and non-licensees may generally co-own a standard business entity as long as licensed professionals deliver the care.

Other clinicians in Idaho: see the state overview.