Supervision Watch · 2026-W39
Two states ask PAs for no written physician agreement at all
This week's brief looks at the short end of the map: the jurisdictions where a physician assistant practices without any named written instrument tying them to a physician.
Where physician assistants need no written agreement at all
2 jurisdictions require no written physician agreement for physician assistants.
North Dakota
North Dakota is one of two jurisdictions in our matrix with no written physician agreement requirement for physician assistants — no supervision agreement, no collaboration agreement, no separate prescriptive document to keep on file.
Rhode Island
Rhode Island likewise requires no written physician agreement for physician assistants, which removes the filing-and-approval step that shapes PA onboarding in most other states.
Every outside claim carries the source it was read from this week. Our own research dates are on each state page. Published 2026-09-21.