All Roll Calls
Yes: 0 • No: 0
GuamBill No. 123-38 (COR)38th Guam Legislature (2025-2026)legislatureWALLET
AN ACT RELATIVE TO INCLUDING PHYSICIAN ASSISTANTS ON THE GUAM BOARD OF MEDICAL EXAMINERS, UPDATING PRESCRIPTIVE AUTHORITY FOR PHYSICIAN ASSISTANTS, AND ADOPTING RULES AND REGULATIONS AND CODE OF ETHICS FOR PHYSICIAN ASSISTANTS BY ADDING A NEW (10) AND (11) TO §12215 AND AMENDING 12101(r), (7) OF §12202(a), (7) AND (8) OF 12202(b), §12203(a) (1) TO (4), AND §121609, ALL OF CHAPTER 12, TITLE 10, GUAM CODE ANNOTATED.
Sponsored By: Therese M. Terlaje (Democrat)
Signed by Governor
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
5 provisions identified: 2 benefits, 0 costs, 3 mixed.
PA licensing, renewal, and training rules
To get a PA license, you must graduate from an ARC‑PA–accredited program, pass the NCCPA exam, and keep NCCPA certification current. Licenses expire every two years on December 31 of even‑numbered years. To renew, pay the fee, show 50 hours of continuing education (at least 20 in your specialty), and show current basic CPR. The Board may prorate CE if you were licensed less than two years. If your NCCPA certification lapses, your license is automatically suspended.
PA prescribing and inpatient orders
PAs may prescribe, give, and dispense drugs only when the Board approves this in a Collaborative Practice Agreement. You must hold a valid federal DEA registration and a current Guam Controlled Substances Registration; the Board of Pharmacy must also approve the CPA for prescribing. If either registration is invalid or revoked, your prescriptive authority is suspended or revoked. If you have hospital or nursing facility privileges and bylaws allow it, you may write inpatient orders, and your supervising doctor must countersign or confirm within 24 hours. You may not work in specialties you or your supervisor are not qualified for.
Medical board now oversees PAs
The Guam Board of Medical Examiners now licenses and polices physician assistants. The board has nine members: at least six Guam‑licensed physicians, one Guam‑licensed PA, and one podiatrist; one seat is the GMHA Medical Director. Provider members have practiced in Guam for five years, and all members are U.S. citizens or permanent residents who lived in Guam for five years. Old Allied Health rules for PAs are repealed. The law adopts GBME’s PA rules (Exhibit A) and a PA Code of Ethics (Exhibit B), and the Board can update them under the Administrative Adjudication Law.
Short-term care by off-island clinicians
Doctors and PAs who live outside Guam may give short emergency or consult care on Guam without a Guam license in limited cases. A Guam medical institution or a federal agency must direct the care and take responsibility. The visitor cannot open a Guam office or usually issue a final written opinion directly to a Guam patient. They must follow Guam and federal privacy laws.
Supervision and practice limits for PAs
You must have a Board‑approved Collaborative Practice Agreement with a Guam‑licensed supervising doctor before you practice. The agreement must list your scope, drug lists, and alternate supervisors, and you must report supervisor changes at least 10 days before they take effect. One doctor may supervise no more than two PAs. The doctor must be reachable, provide written guidelines at each site, and co‑sign records within 7 days. You must wear PA identification, post your license at each office, and avoid titles or ads that mislead the public. The Board keeps a public registry of PAs and supervising doctors.
Sponsors & Cosponsors
Sponsor
Therese M. Terlaje
Democrat • legislature
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 7/31/2025
Floor Vote
Yes: 0 • No: 0
Actions Timeline
Public Law 38-43 — signed
8/18/2025GovernorCommittee report filed
7/10/2025legislaturePublic hearing held
6/18/2025legislatureFiscal note filed
5/2/2025legislatureFiscal note requested
4/25/2025legislatureReferred to committee
4/25/2025legislatureIntroduced as Bill No. 123-38 (COR)
4/18/2025legislatureTransmitted to Governor
legislature
Bill Text
Introduced
4/18/2025
Committee Report
Enrolled (Public Law)
Transmittal
Related Bills
Bill No. 225-38 (COR), AN ACT TO AMEND § 58110 OF ARTICLE 1, AND TO AMEND § 58205 OF ARTICLE 2, BOTH OF CHAPTER 58, TITLE 12, GUAM CODE ANNOTATED, RELATIVE TO EXPANDING PUBLIC INVESTMENTS AND COMMUNITY CONTRIBUTIONS UNDER GUAM’S QUALIFYING CERTIFICATES LAW TO INCLUDE EMERGENCY RESPONSE RESOURCES.
Bill No. 159-38 (COR), AN ACT TO ADD A NEW PARAGRAPH (o) TO § 61531 OF CHAPTER 61, TITLE 21, GUAM CODE ANNOTATED RELATIVE TO GRANTING THE DEPARTMENT OF PUBLIC WORKS TO DETERMINE THE MINIMUM NUMBER OF PARKING SPACES REQUIRED FOR HOMELESS SHELTERS.
Bill No. 41-38 (COR), AN ACT TO ADD A NEW (j) TO § 80105 OF CHAPTER 80, TITLE 21 GUAM CODE ANNOTATED RELATIVE TO TRANSFERRING LOT NOS. 7100, 7102, 7103 AND 7146 IN JANOM, IN THE MUNICIPALITY OF YIGO, GUAM, TO THE GUAM ANCESTRAL LAND USE COMMISSION.
Bill No. 1 (10-S), AN ACT MAKING APPROPRIATIONS FOR THE OPERATIONS OF THE EXECUTIVE, LEGISLATIVE, AND JUDICIAL BRANCHES OF THE GOVERNMENT OF GUAM FOR FISCAL YEAR ENDING SEPTEMBER 30, 2027, MAKING OTHER APPROPRIATIONS, AND ESTABLISHING MISCELLANEOUS AND ADMINISTRATIVE PROVISIONS.
Bill No. 309-38 (COR), AN ACT TO AMEND SECTION 18 OF CHAPTER II OF PUBLIC LAW 38-60, RELATIVE TO GRANTING GREATER FLEXIBILITY TO THE GUAM DEPARTMENT OF EDUCATION TO UTILIZE LAPSED FUNDS.
Bill No. 1 (9-S), AN ACT TO APPROPRIATE FROM FISCAL YEAR 2026 UNAPPROPRIATED GENERAL FUND REVENUES THE SUM OF UP TO THIRTEEN MILLION THREE HUNDRED SIXTY-ONE THOUSAND EIGHT HUNDRED FORTY-NINE DOLLARS ($13,361,849) TO I MAGA’HAGAN GUAHAN FOR SUPER TYPHOON BAVI RESPONSE AND RECOVERY, ELEVEN MILLION FOUR HUNDRED THOUSAND DOLLARS ($11,400,000) FOR CHILD CARE SUBSIDY PAYMENTS, AND SEVENTEEN MILLION SIX HUNDRED FIFTY-FOUR THOUSAND SIX HUNDRED TWENTY-FIVE DOLLARS ($17,654,625) FOR GUAM INTERNATIONAL AIRPORT AUTHORITY FINANCIAL OBLIGATIONS AND SHORTFALLS.