Summary of Provisions Regarding New Graduate Physician Assistant Practice Prior to NCCPA Certification Excerpts from State Laws and Regulations

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Physician Assistant Practice Prior to NCCPA Certification

Excerpts from State Laws and Regulations

December 2006

Prepared by the AAPA Department of Government and Professional Affairs

STATE STATUTE REGULATIONS

ALABAMA

The board may grant a temporary license to an applicant who meets qualifications for licensure except that the applicant has not taken the PANCE exam for the first time or the applicant has taken the exam for the first time and is awaiting the results. Temporary license valid for one year from date issued or until results of exam are available or until the board makes a final decision on applicant's request for licensure, whichever comes first. Temporary licensees may not prescribe nor be allowed to practice without direct, on-site physician supervision (these restrictions may be waived by the board).

Code of Alabama §34-24-293

The board may grant a temporary certificate to an applicant who meets the qualifications for certification as a physician assistant except that the applicant has not yet taken the Physician Assistant National Certification Examination (PANCE) or the applicant has taken the PANCE and is awaiting the results. A temporary certificate is valid:

For one year from the date of issue, or

Until the results of an applicant's examination are available, or

Until the board makes a final decision on the applicant's request for certification as a physician assistant, whichever comes first.

Physician assistants granted temporary certificates will not be granted prescriptive privileges, allowed to practice without direct, on site physician supervision, or allowed to practice in a remote practice site.

The board, in its discretion, may waive the requirement(s) in paragraph (d) of this rule.

AAC Sec. 540-X-7-.10

ALASKA

No provision

"Graduate PA" license may be granted to CAHEA or CAAHEP program graduate who is scheduled to take the next NCCPA exam. Valid until board receives notice of failure to take or failure to pass the exam. May be reissued under special circumstances. On-site, continuous physician supervision required for practice.

12 AAC 40.445

ARIZONA

Board may issue temporary license to applicant who meets all other qualifications and is eligible to take next certifying exam. Temporary license not effective for more than 16 months and expires upon failure to pass exam, issuance of regular license, or expiration of term of temporary license. Applicant who has previously failed the NCCPA exam is ineligible. Temporary licensee must practice at same work site as supervising physician; may not prescribe controlled medications.

ARS §32-2524

Applicant for temporary license must submit information to board, including letter from NCCPA verifying applicant's registration for NCCPA certifying exam. Applicant for temporary license must enter into written agreement with board agreeing to practice only in settings where the supervising physician practices at all times. Temporary license expires 16 months from date of issuance, upon issuance of permanent license, or upon failure of exam, whichever occurs first.

Certified Rules & Regulations

R4-17-203

ARKANSAS

Graduate license may be granted to applicant who meets qualifications for licensure except that applicant has not yet taken PANCE exam, or the applicant has taken exam and is awaiting results. Graduate license valid for 1 year from date of issue, until the results of applicant's exam are available, or until board makes final decision on applicant's request for licensure, whichever comes first. Graduate license may be extended for a period not to exceed 1 year upon majority vote of board. No more than one extension is available.

Arkansas Code Title 17

Chapter 105-101 Sec. 3

[See statute]

CALIFORNIA

Graduate of approved program who has filed licensure application and submitted name(s) of supervising physician(s) may practice prior to receiving license.

If applicant fails to take or pass the next exam or fails to receive a license, interim approval privileges cease upon written notification from the PAC. Applicant must prove he has applied to take exam and has requested results sent to PAC. Failure to pass exam presumed if results not provided within 30 days after scores released.

ACC Chapter 7.7 §3517

Interim approval granted if PA has applied for and thereafter taken first certifying exam subsequent to graduation from approved program. If applicant fails, interim approval automatically terminates upon receipt of notice of failure from PAC or NCCPA. If applicant passes, must complete licensure process and pay fee within 90 days.

CAC Sec. 1399.508

COLORADO

Colorado statutes specify that the law does not prohibit "the rendering of services, other than the prescribing of drugs, by persons qualified by experience, education, or training, under the personal and responsible direction and supervision of a person licensed under the laws of this state to practice medicine."

CRS 12-36-103 (3)(1)

Graduates of physician assistant programs who have not yet taken the certification examination and, thus, are not qualified for licensure, may perform delegated medical services until such time as they have been notified that they have passed the certification exam and are eligible for a Colorado license. (No prescriptive authority; on-site supervision required.)

Medical Board Policy 20-13

CONNECTICUT

Temporary permit may be granted to graduate of accredited PA program who has completed at least 60 hours of pharmacology and, if applying after 9/30/91, holds baccalaureate degree. Permit valid until NCCPA exam results available. Not renewable if exam failed. Temporary permit authorizes PA to practice when supervising physician is on the premises and immediately available. Prescribing and dispensing not allowed.

CGS §20-12b.(d)

[See statute]

DELAWARE

Board may grant temporary license to graduate of accredited PA or SA program who has not sat for NCCPA exam. License valid until results of next exam available; rescinded immediately if exam is failed.

Delaware Code Title 24 §1770(g)

[See statute]

DISTRICT OF COLUMBIA

No provision

No provision

FLORIDA

Osteopathic

Department may grant temporary license to recent graduate of an approved program which expires upon receipt of scores from NCCPA or of results of agency-administered exam. If applicant fails exam twice, no longer eligible for temporary licensure.

FS §458.347(7)

Department may grant temporary certification to recent graduate of approved program which expires upon receipt of scores from NCCPA exam or agency-administered exam. If applicant fails exam twice, no longer eligible for temporary certification.

FS §459.022(7)

Recent graduates who meet all requirements for state certification except passage of NCCPA exam may be granted temporary certification. Permanent certification granted upon receipt of scores indicating successful completion of exam.

FAC 59R-30.003(2)

Temporary certification is available for those persons who are recent graduates [within last 24 months] of approved PA program and who are undergoing the NCCPA certification process.

[Application Instructions]

GEORGIA

Board may issue temporary certificate to any applicant who meets qualifications and is either waiting to take next scheduled exam or has taken exam and is awaiting results. Temporary permit expires upon notification of failure to pass exam.

OCGA §43-34-103

May be issued to applicants who have applied to take next available exam or have already taken exam and are awaiting results. Duties limited to those in basic job description approved by board. Permit expires upon notification of failure to pass exam. Temporary permit may be issued only one time.

Rules & Regulations of the State of Georgia Sec. 360-5-.03

HAWAII

Board shall approve temporary licensure of an applicant if he has graduated from board-approved training program within 12 months of application and has never taken board-approved national certifying exam. If applicant fails to apply for or take next succeeding exam or fails exam, all privileges automatically cease. Temporary licensure may be issued only once to each person.

HRS §453-5.3(d)

Application for temporary licensure shall be made on board form. Applicant required to provide verification from NCCPA that applicant is scheduled to take next scheduled exam. Applicant must have graduated from board-approved program within previous 12 months.

HAR §16-85-46

IDAHO

Board may by regulation provide for temporary licensure of PAs.

Idaho Code §54-1813(2)

Graduate PA license issued by board to applicant who has met all licensure requirements but has not yet taken and passed the certification exam. Such registration automatically terminates upon receipt of the examination score if the graduate licensee fails to pass the exam. Graduate licensure may be considered by the board when all requirements have been met with the exception of a baccalaureate degree. Plan for completion of the baccalaureate degree must be submitted and approved by the board. PAs with graduate licenses may not prescribe and shall have a weekly record review by a supervising physician.

IDAPA 22.01.03 Sec. 036.

ILLINOIS

Department shall issue temporary certificate to applicant who has completed an approved PA program and submitted evidence of admission to NCCPA exam. Temporary certificate expires when NCCPA certification received or 15 months have elapsed, whichever comes first. Non-renewable. PA cannot practice on temporary certificate following notice of failing the exam.

225 ILCS §14

An applicant for a temporary certificate must submit proof of admission to the NCCPA exam and authorization to release examination scores from the NCCPA to the department. Temporary certificates are valid until exam results are available but may not be issued for more than 15 months.

Ill. Reg. Sec. 1350.50

INDIANA

Committee may grant temporary certification to an applicant who meets all qualifications for certification except for the taking of the NCCPA exam or has taken the exam and is awaiting the results. A temporary certification is valid until the results of the examination are available or the committee makes a final decision on the applicant's request for certification. A physician assistant practicing under a temporary certificate must practice with on site physician supervision and may not dispense drugs or medical devices.

IC §25-27.5-4-4

[See statute]

IOWA

The board may issue a temporary registration or a temporary license under special circumstances and upon conditions prescribed by board. A temporary registration or temporary license shall not exceed one year in duration and shall not be renewed more than once.

Iowa Code §148C.3

Graduate of approved program who has not yet taken NCCPA exam or received results will be given temporary registration and/or license until tests results available. Test results must be reported within 30 days of receipt. PA prohibited from working in remote clinics or prescribing drugs. Limit one year; renewable once if applicant was unable to take NCCPA exam. If the exam is failed, PA must cease practice immediately.

IAC Sec. 325.3

KANSAS

Board provides temporary registration for PA who has met all qualifications except examination. PA authorized to provide patient services within limits of temporary registration until exam results available. No more than one such temporary registration permitted without majority approval of board members.

KSA §65-2896d

[See statute]

KENTUCKY

No provision

No provision

LOUISIANA

The board may grant a working permit to a physician assistant applicant who meets the qualifications for licensure except that the applicant has not yet taken the national certifying examination or the applicant has taken the national certifying exam and is awaiting the results. The working permit is valid only until the exam results are available. The working permit is valid for one year, but may be renewed for one additional year.

LRS §1360.24(C,D)

Board may grant working permit (temporary license) to applicant who otherwise meets qualifications for licensure except that applicant has not yet taken or is awaiting results of certification exam. Expires when exam results are available if applicant has failed to pass or when board takes final action on application for licensure.

LAC §15013

MAINE

Osteopathic

Board authorized to promulgate rules and regulations governing the issuance of temporary PA certification and equivalency training eligibility for registration of PA trainees.

MRSA §3270-B(5)

No provision

Temporary license may be granted to applicant who meets other qualifications except that applicant has not yet taken the certifying exam or the applicant has taken exam and is awaiting results. Temporary license valid for 18 months or until the results of exam known and board makes final decision on applicant's request for licensure. May be extended for up to 1 year.

MAC Sec. 3

Temporary license may be granted to applicant who meets other qualifications except that applicant has not yet taken the certifying exam or the applicant has taken exam and is awaiting results. Temporary license valid for 12 months or until the results of exam known and board makes final decision on applicant's request for licensure. May be extended for up to one year.

MAC Sec. 3

MARYLAND

Board to adopt regulations governing temporary certificates for applicants who have met all other requirements but have not yet passed national exam.

Annotated Code of Maryland §15-303

Board may grant temporary certification to an applicant who has met all requirements but has not yet taken NCCPA exam if application made within 6 months of graduation. Temporary certificate is effective until exam results are available to the board. If applicant fails or fails to take exam, certificate is withdrawn. An extension may be granted if extraordinary circumstances prevented the applicant from taking the exam.

COMAR 10.32.05

MASSACHUSETTS

Subject to such rules and regulations as board may prescribe, an applicant who otherwise meets registration requirements may, while awaiting exam results, practice as a PA. An applicant failing the exam shall be entitled to re-examination within 2 years of graduation and to practice until notified of results. Thereafter, applicant may not practice as PA without having passed the exam.

MGL c.112 §9I

Temporary registration certificate available to applicant who meets other requirements but has not yet passed NCCPA exam.

263 CMR Sec. 3.04

Any prescription or medication order written by PA with temporary registration must be signed by the supervising physician prior to issuance of prescription or medication.

CMR §5.07

MICHIGAN

Osteopathic

Task force may grant nonrenewable temporary license to applicant who meets all requirements for licensure except examination. Valid for period of time as determined by task force, not to exceed one year, or until the exam results are available, whichever is sooner.

Michigan Compiled Laws §17072

No provision.

[See statute]

No provision.

MINNESOTA

Person who has satisfied education requirement and is enrolled in next exam or is awaiting exam results and who has physician-PA agreement in force and has submitted a practice setting description to board may be granted temporary registration. Expires upon receipt of exam results.

Minnesota Law §147A.01(25)

[See statute]

MISSISSIPPI

No provision

The board may grant a temporary license to an applicant who meets the qualifications for licensure except that the applicant has not yet taken the NCCPA exam or the applicant is awaiting the results of the exam. A temporary license is valid:

For 180 days from the date of issuance

Until the results of an applicant's examination are available; or

Until the board makes a final decision on the applicant's request for licensure, whichever comes first. The board may extend a temporary license, upon a majority vote of the board members, for a period not to exceed 180 days. Under no circumstances may the board grant more than one extension of a temporary license.

XI. (C)(4)

MISSOURI

The board may issue a temporary license to practice as a physician assistant to an applicant who meets every other qualification for licensure except for passage of the exam. The temporary license is valid until the results of the next examination are announced and may be renewed at the discretion of the board.

RSMo §334.736

[See statute]

MONTANA

No provision

No provision

NEBRASKA

Board issues temporary licenses to graduates who have not yet passed a proficiency exam. Valid for one year; may be extended for good cause.

Neb. Rev. Stat. §71-1,107.19

Board shall issue temporary licenses to persons who have completed an accredited PA program but have not yet passed the NCCPA exam. Issued for one year period; may be extended by the board with the approval of the department upon showing of good cause, such as the applicant being physically unable to appear for examination. Supervising physician must be present at the site for Prior to January 1, 2002, temporary license and/or utilization plan may be granted to an applicant who has met the requirements of approval except having never taken the examination given by the NCCPA and is scheduled for the next examination or to an applicant who has met all of the requirements of approval but is awaiting the next scheduled meeting of the board. Temporary license is valid only until the results of the examination are available or until the board meets. PA with temporary license must be supervised directly and may not practice in a remote site. PA and supervising physician must be interviewed by one board member forPA to work with temporary license.

172 NAC Sec. 90.003.01D

NEVADA

Osteopathic

No provision

No provision

Board may issue temporary license to any qualified applicant who has met education and training requirements and is scheduled to and does sit for next available NCCPA exam or has taken exam but not yet received results. PA with temporary license may perform only under immediate supervision.

NAC Sec. 630.320

Osteopathic physician may submit application to employ PA who is not certified by NCCPA if PA is scheduled to take next certifying examination and PA meets all other qualifications. Board may issue a temporary letter of permission and temporary license. Both become invalid if PA fails to take next certification exam or fails to become licensed within time specified on temporary license.

NAC Sec. 633.297

NEW HAMPSHIRE

No provision

No provision

NEW JERSEY

Board shall issue temporary license to applicant who meets all other requirements for licensure with exception of exam if applicant is either waiting to take the first scheduled exam following graduation or is awaiting results of the exam. Temporary license expires upon applicant's receipt of notification of failure to pass exam.

NJRS §45:9-27.13

PA with temporary license must practice with continuing physical presence of physician or licensed PA. Must have regularly scheduled physician review of practice and must have all charts and records reviewed by physician within 24 hours.

NJRS §45:9-27.18

Orders written by PA with temporary license must be countersigned by physician or licensed PA prior to execution.

NJRS §45:9-27.19a

Applicant for licensure who is awaiting next scheduled NCCPA exam or awaiting results of exam may apply for temporary license to be employed under direct supervision of physician.

NJAC Sec. 13:35-2B.13

Temporary licensee may not issue prescriptions.

NJAC Sec. 13:35-2B.14

Temporary licensee must practice with on-site supervision of supervising physician, designee, or licensed PA who countersigns any order immediately after chart entry.

Supervising physician or physician designee must review all charts and records within 24 hours of chart entry and must countersign medication order written by temporary licensee and countersigned by PA.

NJAC Sec. 13:35-2B.15

Temporary license expires immediately upon notification of exam failure or 30 days after notification of successful completion of exam. Temporary license may not be renewed except in extenuating circumstances such as applicant's critical illness or incapacitation.

NJAC Sec. 13:35-2B.16

NEW MEXICO

Osteopathic

No provision

No provision

If an eligible applicant has met all requirements except NCCPA certification because of the administration date of the exam, the board's secretary/treasurer may issue a temporary license, valid until after the next NCCPA exam and receipt of certification. If applicant fails, temporary license immediately expires and shall not be extended.

NMAC 15:7

Applicant who has met all requirements for certification, including NCCPA certification, may be issued a temporary certificate until the next board meeting.

NMAC 18.2.1

NEW YORK

A person who fulfills all requirements for PA registration except the examination shall be eligible for a limited permit which authorizes practice only under direct personal supervision of a physician. Permit expires one year from date of issuance, upon notice from the department that registration is denied, or ten days after notification of failure, whichever occurs first.

NYSCL §6548

Limited permit may be granted to person who fulfills all requirements for registration except that relate to the examination. May practice only under direct personal supervision of physician. Limited permit expires one year from the date of issuance or upon notice that application for registration has been denied or ten days after notification to permittee of failure on the examination, whichever comes first.

NYCRR §60.8

NORTH CAROLINA

No provision

No provision

NORTH DAKOTA

No provision

No provision

OHIO

No provision

No provision

OKLAHOMA

No provision

No provision

OREGON

No provision.

Applicant who is a graduate of an approved program may apply before passing NCCPA exam with the stipulation that if the exam is not passed within one year from the date of graduation, the board shall withdraw its approval.

OAR §847-50-0020

Applicant who has completed approved PA training program but has not yet passed NCCPA exam may be issued a Limited License, Postgraduate if all other requirements for certification are met and application and fee are submitted. Prescriptive privileges allowed at supervising physician's request. Limited License, Postgraduate valid for one year and automatically canceled if applicant fails NCCPA exam.

OAR §847-50-0023

PENNSYLVANIA

Osteopathic

Graduates of PA programs recognized by the board may register with the board and practice only under direct supervision of a physician until certified by a process recognized by the board. Practice limited to the period between graduation and receipt of results of the first examination offered after graduation. If exam failed, authority to practice expires. Must use title of "graduate physician assistant." May not prescribe.

PL §13.2

No provision

PA who has met educational requirements for certification and who is scheduled for the next available administration of the NCCPA exam may perform services as a PA pending receipt of exam results only if he provides services under direct supervision (physician on premises) and does not prescribe. Authorization to practice is limited to time from graduation through the next administration of the NCCPA exam and receipt of exam results. Applicant who fails shall cease practice. PA who continues to practice beyond this period without certification is subject to prosecution for practicing medicine without a license.

PAC §18.142

No provision

RHODE ISLAND

A graduate of an approved PA program who has filed an application may, upon receiving a receipt from the department, perform as a "graduate PA." If the applicant fails or fails to take the next succeeding NCCPA exam without due cause, all practice privileges automatically cease.

General Laws of

Rhode Island §5-54-9.1

A graduate of an approved PA program who has filed a completed application, except for exam scores, may perform as a "graduate PA" with a receipt from the department. If the applicant fails or fails to take the next succeeding NCCPA exam without due cause, all practice privileges automatically cease.

R5-54-PA §6.7

The level of supervision for the graduate PA shall be determined by the supervising physician.

R5-54-PA §6.7.1

SOUTH CAROLINA

The board may issue a limited license to an applicant who meets qualifications for licensure except the applicant has not yet successfully completed the NCCPA exam. The applicant must have never previously failed two consecutive NCCPA certifying examinations and has registered for, or intends to register to take the next offering of, the NCCPA examination.

A limited license is not renewable and is valid only until the results of a limited licensee's two consecutive NCCPA exams are reported to the baord. When a limited licensee has failed two consecutive NCCPA exams, or has failed one exam and does not take the next offering of the exam or, after appliying for a limited license fails to register for the next offering of the exam, the limited license is immediately void and the applicant is no longer eligible for further limited licensure.

The supervising physician of a limited licensee must be physically present on the premises at all times when the limited licensee is performing any task.

Code of Laws of

South Carolina §40-47-950

Board has authority to issue a non-renewable, limited certificate, valid only until results of next exam are received by board, to a graduate of an accredited PA program who has never taken the NCCPA exam but is registered (or intends to register) for the next exam and who has appeared with his sponsoring physician before a board member. If the limited certificate holder fails the next scheduled exam or does not take it, the certificate is immediately revoked. Supervising physician must be physically present on the premises at all times when the PA is performing any task.

SC Code of Regulations

Sec. 81-100.C(2)

Applicants for prescriptive authority must be fully certified.

Code of Regulations F.(a)

SOUTH DAKOTA

Board may issue temporary permit to PA program graduate who is accepted to take the exam or is awaiting results of the first exam for which he was eligible after graduation. Temporary permit may be issued only once, for no more than 8 months. It expires upon failure to pass exam, issuance of regular certificate, or expiration of term of permit. PA practicing under temporary certificate must be directly supervised for 30 days, followed by at least 2 1/2 days per week of on-site, personal supervision.

South Dakota

Code of Laws §36-4A8.1; 29

[See statute]

TENNESSEE

Graduate of accredited program may receive a temporary license from the board allowing him to function as and call himself a PA;

for 15 months immediately following graduation to allow opportunity to attempt exam, and

for one additional year thereafter in which to take and pass exam if unsuccessful on first attempt.

TCA §63-19-105

Graduate of accredited program who is awaiting opportunity to take exam may be issued a temporary license. Valid for only the 15 month period immediately following graduation. PA failing first exam who cannot take exam again during time remaining on initial temporary license may seek 1 year extension. Temporary license valid only for those who are attempting to take exam. Expires if person fails to take every scheduled exam until successful completion.

RRT §0880-3-.14

TEXAS

The board may issue a temporary license to an applicant who has graduated from an approved program no more than 6 months previous to the application and is waiting for examination results from the NCCPA. A temporary license is valid for not more than one year after the date issued as determined by board rule.

Texas Civil Statutes

Occupations Code §204.155

Board may issue temporary license to a PA who has graduated from an accredited PA program no later than 6 months previous to application and is waiting for exam results from the NCCPA.

TAC §185.7

UTAH

Applicant for licensure who has met all requirements except passage of exam may be granted a temporary license to practice. Temporary license expires on the date of the next PA exam if the applicant does not take it or 10 days after exam results are available to the examinees. PA with temporary license must work under direct supervision and all charts must be countersigned.

Utah Code Annotated §58-70a-306

[See statute]

VERMONT

Temporary certification may be issued to first-time applicant who has graduated from PA program or completed apprenticeship, for the purpose of allowing practice until applicant takes NCCPA exam or board evaluates qualifications. Issued for fixed period of time as determined by board, not renewable except for exceptional cause.

VSA §1734a

Temporary certification may be issued if applicant is applying for first-time certification in Vermont and applicant has graduated from board-approved PA program and applicant is eligible and has applied to sit for the first NCCPA examination. If applicant fails the first examination the applicant may sit for next exam. If applicant fails exam at second sitting, applicant must obtain additional training before again taking exam. Temporary certification not valid during retraining.

Board of Medical Practice

Rules and Regulations 3.1.5

VIRGINIA

Pending the outcome of the next exam administered by NCCPA, the board may grant provisional licensure to graduates of physicians' or podiatrists' assistants programs approved by CAHEA or the Education Committee of the American Podiatry Association. Such provisional licensure shall be granted at the discretion of the board.

Code of Virginia §54.1-2950

Applicant who has graduated from PA program may be granted provisional licensure by board, valid until he takes next subsequent NCCPA exam and results are reported. Provisional licensure expires within 30 days of the reporting of the exam scores.

VAC §85-50-56

WASHINGTON

Osteopathic

Department may grant an interim permit for one year to applicants who meet all other requirements except examination.

WSR §18.71A.20

No provision

Regulations make distinction between "PAs" and "certified PAs," both of whom are licensed by the medical board. Those who are not NCCPA-certified have restricted scope of practice.

No provision

WEST VIRGINIA

Osteopathic

When graduate of approved program submits job description and application for PA license to board, board issues temporary license allowing applicant to function as PA for one year. Temporary license expires and terminates automatically if PA fails the exam. PA who has not been certified by NCCPA is restricted to working under direct supervision of a physician.

W. Va. Code §30-3-16(f).

When graduate of approved program submits job description and application for osteopathic PA certificate to the board, board issues temporary certificate allowing applicant to function as osteopathic PA for one year. Temporary certificate may be renewed for one year upon request of the supervising physician. PA who has not been certified by the NCCPA is restricted to working under direct supervision of a physician.

Noncertified PAs who are issued a temporary license must sit for and obtain passing score on next exam offered following graduation. Temporary license not available for applicant who has taken and failed exam.

WAC §2.3

[See statute]

WISCONSIN

The board may, by rule, provide for various classes of temporary certificates to practice as PAs.

Wisconsin Statutes §448.04(f)

PA may apply for temporary certification if:

. graduate of approved program and scheduled to take next NCCPA exam or awaiting results

. provides proof of having completed NCCPA exam and applies not less than 30 days prior to date scheduled for next administration of the board's oral exam.

Limit one per applicant. Expires 30 days after next oral exam or on date the board denies or approves a permanent certificate, whichever is later; non-renewable.

WAC Sec. 8.06

WYOMING

The board may issue a temporary license to any person who successfully completes an approved program but has not passed a proficiency examination. To allow the opportunity to take the next available exam, any temporary license shall be issued for a period not to exceed 1 year.

WS §33-26-504

PA who has graduated from accredited program may be granted temporary license to allow him to take next available certification exam. Temporary license valid for no longer than one year.

Board of Medicine Rules Sec. 9

Last Revised: 12/19/06

STATE	STATUTE	REGULATIONS
ALABAMA	The board may grant a temporary license to an applicant who meets qualifications for licensure except that the applicant has not taken the PANCE exam for the first time or the applicant has taken the exam for the first time and is awaiting the results. Temporary license valid for one year from date issued or until results of exam are available or until the board makes a final decision on applicant's request for licensure, whichever comes first. Temporary licensees may not prescribe nor be allowed to practice without direct, on-site physician supervision (these restrictions may be waived by the board). Code of Alabama §34-24-293	The board may grant a temporary certificate to an applicant who meets the qualifications for certification as a physician assistant except that the applicant has not yet taken the Physician Assistant National Certification Examination (PANCE) or the applicant has taken the PANCE and is awaiting the results. A temporary certificate is valid: For one year from the date of issue, or Until the results of an applicant's examination are available, or Until the board makes a final decision on the applicant's request for certification as a physician assistant, whichever comes first. Physician assistants granted temporary certificates will not be granted prescriptive privileges, allowed to practice without direct, on site physician supervision, or allowed to practice in a remote practice site. The board, in its discretion, may waive the requirement(s) in paragraph (d) of this rule. AAC Sec. 540-X-7-.10
ALASKA	No provision	"Graduate PA" license may be granted to CAHEA or CAAHEP program graduate who is scheduled to take the next NCCPA exam. Valid until board receives notice of failure to take or failure to pass the exam. May be reissued under special circumstances. On-site, continuous physician supervision required for practice. 12 AAC 40.445
ARIZONA	Board may issue temporary license to applicant who meets all other qualifications and is eligible to take next certifying exam. Temporary license not effective for more than 16 months and expires upon failure to pass exam, issuance of regular license, or expiration of term of temporary license. Applicant who has previously failed the NCCPA exam is ineligible. Temporary licensee must practice at same work site as supervising physician; may not prescribe controlled medications. ARS §32-2524	Applicant for temporary license must submit information to board, including letter from NCCPA verifying applicant's registration for NCCPA certifying exam. Applicant for temporary license must enter into written agreement with board agreeing to practice only in settings where the supervising physician practices at all times. Temporary license expires 16 months from date of issuance, upon issuance of permanent license, or upon failure of exam, whichever occurs first. Certified Rules & Regulations R4-17-203
ARKANSAS	Graduate license may be granted to applicant who meets qualifications for licensure except that applicant has not yet taken PANCE exam, or the applicant has taken exam and is awaiting results. Graduate license valid for 1 year from date of issue, until the results of applicant's exam are available, or until board makes final decision on applicant's request for licensure, whichever comes first. Graduate license may be extended for a period not to exceed 1 year upon majority vote of board. No more than one extension is available. Arkansas Code Title 17 Chapter 105-101 Sec. 3	[See statute]
CALIFORNIA	Graduate of approved program who has filed licensure application and submitted name(s) of supervising physician(s) may practice prior to receiving license. If applicant fails to take or pass the next exam or fails to receive a license, interim approval privileges cease upon written notification from the PAC. Applicant must prove he has applied to take exam and has requested results sent to PAC. Failure to pass exam presumed if results not provided within 30 days after scores released. ACC Chapter 7.7 §3517	Interim approval granted if PA has applied for and thereafter taken first certifying exam subsequent to graduation from approved program. If applicant fails, interim approval automatically terminates upon receipt of notice of failure from PAC or NCCPA. If applicant passes, must complete licensure process and pay fee within 90 days. CAC Sec. 1399.508
COLORADO	Colorado statutes specify that the law does not prohibit "the rendering of services, other than the prescribing of drugs, by persons qualified by experience, education, or training, under the personal and responsible direction and supervision of a person licensed under the laws of this state to practice medicine." CRS 12-36-103 (3)(1)	Graduates of physician assistant programs who have not yet taken the certification examination and, thus, are not qualified for licensure, may perform delegated medical services until such time as they have been notified that they have passed the certification exam and are eligible for a Colorado license. (No prescriptive authority; on-site supervision required.) Medical Board Policy 20-13
CONNECTICUT	Temporary permit may be granted to graduate of accredited PA program who has completed at least 60 hours of pharmacology and, if applying after 9/30/91, holds baccalaureate degree. Permit valid until NCCPA exam results available. Not renewable if exam failed. Temporary permit authorizes PA to practice when supervising physician is on the premises and immediately available. Prescribing and dispensing not allowed. CGS §20-12b.(d)	[See statute]
DELAWARE	Board may grant temporary license to graduate of accredited PA or SA program who has not sat for NCCPA exam. License valid until results of next exam available; rescinded immediately if exam is failed. Delaware Code Title 24 §1770(g)	[See statute]
DISTRICT OF COLUMBIA	No provision	No provision
FLORIDA *Osteopathic*	Department may grant temporary license to recent graduate of an approved program which expires upon receipt of scores from NCCPA or of results of agency-administered exam. If applicant fails exam twice, no longer eligible for temporary licensure. FS §458.347(7) Department may grant temporary certification to recent graduate of approved program which expires upon receipt of scores from NCCPA exam or agency-administered exam. If applicant fails exam twice, no longer eligible for temporary certification. FS §459.022(7)	Recent graduates who meet all requirements for state certification except passage of NCCPA exam may be granted temporary certification. Permanent certification granted upon receipt of scores indicating successful completion of exam. FAC 59R-30.003(2) Temporary certification is available for those persons who are recent graduates [within last 24 months] of approved PA program and who are undergoing the NCCPA certification process. [Application Instructions]
GEORGIA	Board may issue temporary certificate to any applicant who meets qualifications and is either waiting to take next scheduled exam or has taken exam and is awaiting results. Temporary permit expires upon notification of failure to pass exam. OCGA §43-34-103	May be issued to applicants who have applied to take next available exam or have already taken exam and are awaiting results. Duties limited to those in basic job description approved by board. Permit expires upon notification of failure to pass exam. Temporary permit may be issued only one time. Rules & Regulations of the State of Georgia Sec. 360-5-.03
HAWAII	Board shall approve temporary licensure of an applicant if he has graduated from board-approved training program within 12 months of application and has never taken board-approved national certifying exam. If applicant fails to apply for or take next succeeding exam or fails exam, all privileges automatically cease. Temporary licensure may be issued only once to each person. HRS §453-5.3(d)	Application for temporary licensure shall be made on board form. Applicant required to provide verification from NCCPA that applicant is scheduled to take next scheduled exam. Applicant must have graduated from board-approved program within previous 12 months. HAR §16-85-46
IDAHO	Board may by regulation provide for temporary licensure of PAs. Idaho Code §54-1813(2)	Graduate PA license issued by board to applicant who has met all licensure requirements but has not yet taken and passed the certification exam. Such registration automatically terminates upon receipt of the examination score if the graduate licensee fails to pass the exam. Graduate licensure may be considered by the board when all requirements have been met with the exception of a baccalaureate degree. Plan for completion of the baccalaureate degree must be submitted and approved by the board. PAs with graduate licenses may not prescribe and shall have a weekly record review by a supervising physician. IDAPA 22.01.03 Sec. 036.
ILLINOIS	Department shall issue temporary certificate to applicant who has completed an approved PA program and submitted evidence of admission to NCCPA exam. Temporary certificate expires when NCCPA certification received or 15 months have elapsed, whichever comes first. Non-renewable. PA cannot practice on temporary certificate following notice of failing the exam. 225 ILCS §14	An applicant for a temporary certificate must submit proof of admission to the NCCPA exam and authorization to release examination scores from the NCCPA to the department. Temporary certificates are valid until exam results are available but may not be issued for more than 15 months. Ill. Reg. Sec. 1350.50
INDIANA	Committee may grant temporary certification to an applicant who meets all qualifications for certification except for the taking of the NCCPA exam or has taken the exam and is awaiting the results. A temporary certification is valid until the results of the examination are available or the committee makes a final decision on the applicant's request for certification. A physician assistant practicing under a temporary certificate must practice with on site physician supervision and may not dispense drugs or medical devices. IC §25-27.5-4-4	[See statute]
IOWA	The board may issue a temporary registration or a temporary license under special circumstances and upon conditions prescribed by board. A temporary registration or temporary license shall not exceed one year in duration and shall not be renewed more than once. Iowa Code §148C.3	Graduate of approved program who has not yet taken NCCPA exam or received results will be given temporary registration and/or license until tests results available. Test results must be reported within 30 days of receipt. PA prohibited from working in remote clinics or prescribing drugs. Limit one year; renewable once if applicant was unable to take NCCPA exam. If the exam is failed, PA must cease practice immediately. IAC Sec. 325.3
KANSAS	Board provides temporary registration for PA who has met all qualifications except examination. PA authorized to provide patient services within limits of temporary registration until exam results available. No more than one such temporary registration permitted without majority approval of board members. KSA §65-2896d	[See statute]
KENTUCKY	No provision	No provision
LOUISIANA	The board may grant a working permit to a physician assistant applicant who meets the qualifications for licensure except that the applicant has not yet taken the national certifying examination or the applicant has taken the national certifying exam and is awaiting the results. The working permit is valid only until the exam results are available. The working permit is valid for one year, but may be renewed for one additional year. LRS §1360.24(C,D)	Board may grant working permit (temporary license) to applicant who otherwise meets qualifications for licensure except that applicant has not yet taken or is awaiting results of certification exam. Expires when exam results are available if applicant has failed to pass or when board takes final action on application for licensure. LAC §15013
MAINE *Osteopathic*	Board authorized to promulgate rules and regulations governing the issuance of temporary PA certification and equivalency training eligibility for registration of PA trainees. MRSA §3270-B(5) No provision	Temporary license may be granted to applicant who meets other qualifications except that applicant has not yet taken the certifying exam or the applicant has taken exam and is awaiting results. Temporary license valid for 18 months or until the results of exam known and board makes final decision on applicant's request for licensure. May be extended for up to 1 year. MAC Sec. 3 Temporary license may be granted to applicant who meets other qualifications except that applicant has not yet taken the certifying exam or the applicant has taken exam and is awaiting results. Temporary license valid for 12 months or until the results of exam known and board makes final decision on applicant's request for licensure. May be extended for up to one year. MAC Sec. 3
MARYLAND	Board to adopt regulations governing temporary certificates for applicants who have met all other requirements but have not yet passed national exam. Annotated Code of Maryland §15-303	Board may grant temporary certification to an applicant who has met all requirements but has not yet taken NCCPA exam if application made within 6 months of graduation. Temporary certificate is effective until exam results are available to the board. If applicant fails or fails to take exam, certificate is withdrawn. An extension may be granted if extraordinary circumstances prevented the applicant from taking the exam. COMAR 10.32.05
MASSACHUSETTS	Subject to such rules and regulations as board may prescribe, an applicant who otherwise meets registration requirements may, while awaiting exam results, practice as a PA. An applicant failing the exam shall be entitled to re-examination within 2 years of graduation and to practice until notified of results. Thereafter, applicant may not practice as PA without having passed the exam. MGL c.112 §9I	Temporary registration certificate available to applicant who meets other requirements but has not yet passed NCCPA exam. 263 CMR Sec. 3.04 Any prescription or medication order written by PA with temporary registration must be signed by the supervising physician prior to issuance of prescription or medication. CMR §5.07
MICHIGAN *Osteopathic*	Task force may grant nonrenewable temporary license to applicant who meets all requirements for licensure except examination. Valid for period of time as determined by task force, not to exceed one year, or until the exam results are available, whichever is sooner. Michigan Compiled Laws §17072 No provision.	[See statute] No provision.
MINNESOTA	Person who has satisfied education requirement and is enrolled in next exam or is awaiting exam results and who has physician-PA agreement in force and has submitted a practice setting description to board may be granted temporary registration. Expires upon receipt of exam results. Minnesota Law §147A.01(25)	[See statute]
MISSISSIPPI	No provision	The board may grant a temporary license to an applicant who meets the qualifications for licensure except that the applicant has not yet taken the NCCPA exam or the applicant is awaiting the results of the exam. A temporary license is valid: For 180 days from the date of issuance Until the results of an applicant's examination are available; or Until the board makes a final decision on the applicant's request for licensure, whichever comes first. The board may extend a temporary license, upon a majority vote of the board members, for a period not to exceed 180 days. Under no circumstances may the board grant more than one extension of a temporary license. XI. (C)(4)
MISSOURI	The board may issue a temporary license to practice as a physician assistant to an applicant who meets every other qualification for licensure except for passage of the exam. The temporary license is valid until the results of the next examination are announced and may be renewed at the discretion of the board. RSMo §334.736	[See statute]
MONTANA	No provision	No provision
NEBRASKA	Board issues temporary licenses to graduates who have not yet passed a proficiency exam. Valid for one year; may be extended for good cause. Neb. Rev. Stat. §71-1,107.19	Board shall issue temporary licenses to persons who have completed an accredited PA program but have not yet passed the NCCPA exam. Issued for one year period; may be extended by the board with the approval of the department upon showing of good cause, such as the applicant being physically unable to appear for examination. Supervising physician must be present at the site for Prior to January 1, 2002, temporary license and/or utilization plan may be granted to an applicant who has met the requirements of approval except having never taken the examination given by the NCCPA and is scheduled for the next examination or to an applicant who has met all of the requirements of approval but is awaiting the next scheduled meeting of the board. Temporary license is valid only until the results of the examination are available or until the board meets. PA with temporary license must be supervised directly and may not practice in a remote site. PA and supervising physician must be interviewed by one board member forPA to work with temporary license. 172 NAC Sec. 90.003.01D
NEVADA *Osteopathic*	No provision No provision	Board may issue temporary license to any qualified applicant who has met education and training requirements and is scheduled to and does sit for next available NCCPA exam or has taken exam but not yet received results. PA with temporary license may perform only under immediate supervision. NAC Sec. 630.320 Osteopathic physician may submit application to employ PA who is not certified by NCCPA if PA is scheduled to take next certifying examination and PA meets all other qualifications. Board may issue a temporary letter of permission and temporary license. Both become invalid if PA fails to take next certification exam or fails to become licensed within time specified on temporary license. NAC Sec. 633.297
NEW HAMPSHIRE	No provision	No provision
NEW JERSEY	Board shall issue temporary license to applicant who meets all other requirements for licensure with exception of exam if applicant is either waiting to take the first scheduled exam following graduation or is awaiting results of the exam. Temporary license expires upon applicant's receipt of notification of failure to pass exam. NJRS §45:9-27.13 PA with temporary license must practice with continuing physical presence of physician or licensed PA. Must have regularly scheduled physician review of practice and must have all charts and records reviewed by physician within 24 hours. NJRS §45:9-27.18 Orders written by PA with temporary license must be countersigned by physician or licensed PA prior to execution. NJRS §45:9-27.19a	Applicant for licensure who is awaiting next scheduled NCCPA exam or awaiting results of exam may apply for temporary license to be employed under direct supervision of physician. NJAC Sec. 13:35-2B.13 Temporary licensee may not issue prescriptions. NJAC Sec. 13:35-2B.14 Temporary licensee must practice with on-site supervision of supervising physician, designee, or licensed PA who countersigns any order immediately after chart entry. Supervising physician or physician designee must review all charts and records within 24 hours of chart entry and must countersign medication order written by temporary licensee and countersigned by PA. NJAC Sec. 13:35-2B.15 Temporary license expires immediately upon notification of exam failure or 30 days after notification of successful completion of exam. Temporary license may not be renewed except in extenuating circumstances such as applicant's critical illness or incapacitation. NJAC Sec. 13:35-2B.16
NEW MEXICO *Osteopathic*	No provision No provision	If an eligible applicant has met all requirements except NCCPA certification because of the administration date of the exam, the board's secretary/treasurer may issue a temporary license, valid until after the next NCCPA exam and receipt of certification. If applicant fails, temporary license immediately expires and shall not be extended. NMAC 15:7 Applicant who has met all requirements for certification, including NCCPA certification, may be issued a temporary certificate until the next board meeting. NMAC 18.2.1
NEW YORK	A person who fulfills all requirements for PA registration except the examination shall be eligible for a limited permit which authorizes practice only under direct personal supervision of a physician. Permit expires one year from date of issuance, upon notice from the department that registration is denied, or ten days after notification of failure, whichever occurs first. NYSCL §6548	Limited permit may be granted to person who fulfills all requirements for registration except that relate to the examination. May practice only under direct personal supervision of physician. Limited permit expires one year from the date of issuance or upon notice that application for registration has been denied or ten days after notification to permittee of failure on the examination, whichever comes first. NYCRR §60.8
NORTH CAROLINA	No provision	No provision
NORTH DAKOTA	No provision	No provision
OHIO	No provision	No provision
OKLAHOMA	No provision	No provision
OREGON	No provision.	Applicant who is a graduate of an approved program may apply before passing NCCPA exam with the stipulation that if the exam is not passed within one year from the date of graduation, the board shall withdraw its approval. OAR §847-50-0020 Applicant who has completed approved PA training program but has not yet passed NCCPA exam may be issued a Limited License, Postgraduate if all other requirements for certification are met and application and fee are submitted. Prescriptive privileges allowed at supervising physician's request. Limited License, Postgraduate valid for one year and automatically canceled if applicant fails NCCPA exam. OAR §847-50-0023
PENNSYLVANIA *Osteopathic*	Graduates of PA programs recognized by the board may register with the board and practice only under direct supervision of a physician until certified by a process recognized by the board. Practice limited to the period between graduation and receipt of results of the first examination offered after graduation. If exam failed, authority to practice expires. Must use title of "graduate physician assistant." May not prescribe. PL §13.2 No provision	PA who has met educational requirements for certification and who is scheduled for the next available administration of the NCCPA exam may perform services as a PA pending receipt of exam results only if he provides services under direct supervision (physician on premises) and does not prescribe. Authorization to practice is limited to time from graduation through the next administration of the NCCPA exam and receipt of exam results. Applicant who fails shall cease practice. PA who continues to practice beyond this period without certification is subject to prosecution for practicing medicine without a license. PAC §18.142 No provision
RHODE ISLAND	A graduate of an approved PA program who has filed an application may, upon receiving a receipt from the department, perform as a "graduate PA." If the applicant fails or fails to take the next succeeding NCCPA exam without due cause, all practice privileges automatically cease. General Laws of Rhode Island §5-54-9.1	A graduate of an approved PA program who has filed a completed application, except for exam scores, may perform as a "graduate PA" with a receipt from the department. If the applicant fails or fails to take the next succeeding NCCPA exam without due cause, all practice privileges automatically cease. R5-54-PA §6.7 The level of supervision for the graduate PA shall be determined by the supervising physician. R5-54-PA §6.7.1
SOUTH CAROLINA	The board may issue a limited license to an applicant who meets qualifications for licensure except the applicant has not yet successfully completed the NCCPA exam. The applicant must have never previously failed two consecutive NCCPA certifying examinations and has registered for, or intends to register to take the next offering of, the NCCPA examination. A limited license is not renewable and is valid only until the results of a limited licensee's two consecutive NCCPA exams are reported to the baord. When a limited licensee has failed two consecutive NCCPA exams, or has failed one exam and does not take the next offering of the exam or, after appliying for a limited license fails to register for the next offering of the exam, the limited license is immediately void and the applicant is no longer eligible for further limited licensure. The supervising physician of a limited licensee must be physically present on the premises at all times when the limited licensee is performing any task. Code of Laws of South Carolina §40-47-950	Board has authority to issue a non-renewable, limited certificate, valid only until results of next exam are received by board, to a graduate of an accredited PA program who has never taken the NCCPA exam but is registered (or intends to register) for the next exam and who has appeared with his sponsoring physician before a board member. If the limited certificate holder fails the next scheduled exam or does not take it, the certificate is immediately revoked. Supervising physician must be physically present on the premises at all times when the PA is performing any task. SC Code of Regulations Sec. 81-100.C(2) Applicants for prescriptive authority must be fully certified. Code of Regulations F.(a)
SOUTH DAKOTA	Board may issue temporary permit to PA program graduate who is accepted to take the exam or is awaiting results of the first exam for which he was eligible after graduation. Temporary permit may be issued only once, for no more than 8 months. It expires upon failure to pass exam, issuance of regular certificate, or expiration of term of permit. PA practicing under temporary certificate must be directly supervised for 30 days, followed by at least 2 1/2 days per week of on-site, personal supervision. South Dakota Code of Laws §36-4A8.1; 29	[See statute]
TENNESSEE	Graduate of accredited program may receive a temporary license from the board allowing him to function as and call himself a PA; for 15 months immediately following graduation to allow opportunity to attempt exam, and for one additional year thereafter in which to take and pass exam if unsuccessful on first attempt. TCA §63-19-105	Graduate of accredited program who is awaiting opportunity to take exam may be issued a temporary license. Valid for only the 15 month period immediately following graduation. PA failing first exam who cannot take exam again during time remaining on initial temporary license may seek 1 year extension. Temporary license valid only for those who are attempting to take exam. Expires if person fails to take every scheduled exam until successful completion. RRT §0880-3-.14
TEXAS	The board may issue a temporary license to an applicant who has graduated from an approved program no more than 6 months previous to the application and is waiting for examination results from the NCCPA. A temporary license is valid for not more than one year after the date issued as determined by board rule. Texas Civil Statutes Occupations Code §204.155	Board may issue temporary license to a PA who has graduated from an accredited PA program no later than 6 months previous to application and is waiting for exam results from the NCCPA. TAC §185.7
UTAH	Applicant for licensure who has met all requirements except passage of exam may be granted a temporary license to practice. Temporary license expires on the date of the next PA exam if the applicant does not take it or 10 days after exam results are available to the examinees. PA with temporary license must work under direct supervision and all charts must be countersigned. Utah Code Annotated §58-70a-306	[See statute]
VERMONT	Temporary certification may be issued to first-time applicant who has graduated from PA program or completed apprenticeship, for the purpose of allowing practice until applicant takes NCCPA exam or board evaluates qualifications. Issued for fixed period of time as determined by board, not renewable except for exceptional cause. VSA §1734a	Temporary certification may be issued if applicant is applying for first-time certification in Vermont and applicant has graduated from board-approved PA program and applicant is eligible and has applied to sit for the first NCCPA examination. If applicant fails the first examination the applicant may sit for next exam. If applicant fails exam at second sitting, applicant must obtain additional training before again taking exam. Temporary certification not valid during retraining. Board of Medical Practice Rules and Regulations 3.1.5
VIRGINIA	Pending the outcome of the next exam administered by NCCPA, the board may grant provisional licensure to graduates of physicians' or podiatrists' assistants programs approved by CAHEA or the Education Committee of the American Podiatry Association. Such provisional licensure shall be granted at the discretion of the board. Code of Virginia §54.1-2950	Applicant who has graduated from PA program may be granted provisional licensure by board, valid until he takes next subsequent NCCPA exam and results are reported. Provisional licensure expires within 30 days of the reporting of the exam scores. VAC §85-50-56
WASHINGTON *Osteopathic*	Department may grant an interim permit for one year to applicants who meet all other requirements except examination. WSR §18.71A.20 No provision	Regulations make distinction between "PAs" and "certified PAs," both of whom are licensed by the medical board. Those who are not NCCPA-certified have restricted scope of practice. No provision
WEST VIRGINIA *Osteopathic*	When graduate of approved program submits job description and application for PA license to board, board issues temporary license allowing applicant to function as PA for one year. Temporary license expires and terminates automatically if PA fails the exam. PA who has not been certified by NCCPA is restricted to working under direct supervision of a physician. W. Va. Code §30-3-16(f). When graduate of approved program submits job description and application for osteopathic PA certificate to the board, board issues temporary certificate allowing applicant to function as osteopathic PA for one year. Temporary certificate may be renewed for one year upon request of the supervising physician. PA who has not been certified by the NCCPA is restricted to working under direct supervision of a physician.	Noncertified PAs who are issued a temporary license must sit for and obtain passing score on next exam offered following graduation. Temporary license not available for applicant who has taken and failed exam. WAC §2.3 [See statute]
WISCONSIN	The board may, by rule, provide for various classes of temporary certificates to practice as PAs. Wisconsin Statutes §448.04(f)	PA may apply for temporary certification if: . graduate of approved program and scheduled to take next NCCPA exam or awaiting results . provides proof of having completed NCCPA exam and applies not less than 30 days prior to date scheduled for next administration of the board's oral exam. Limit one per applicant. Expires 30 days after next oral exam or on date the board denies or approves a permanent certificate, whichever is later; non-renewable. WAC Sec. 8.06
WYOMING	The board may issue a temporary license to any person who successfully completes an approved program but has not passed a proficiency examination. To allow the opportunity to take the next available exam, any temporary license shall be issued for a period not to exceed 1 year. WS §33-26-504	PA who has graduated from accredited program may be granted temporary license to allow him to take next available certification exam. Temporary license valid for no longer than one year. Board of Medicine Rules Sec. 9