HR 1891: House Study Committee on Physicians' Delegation Authority and Supervision of Georgia's Advanced Practice Providers; create

Georgia currently allows advanced practice registered nurses to work under nurse protocol agreements with supervising physicians, and physician assistants to work under approved job descriptions, both overseen by the Georgia Composite Medical Board and the Georgia Board of Nursing. The resolution notes there are more than 25,000 nurse protocol agreements and over 1,000 different physician assistant job descriptions currently in place, and cites ongoing challenges in processing and administering them. This resolution creates the House Study Committee on Physicians' Delegation Authority and Supervision of Georgia's Advanced Practice Providers, a nine-member panel including legislators, a nurse, a physician, a physician assistant, board designees, and the commissioner of community health or a designee. The committee would study these issues and recommend any needed legislation. It must file a report, if approved by majority vote, before the committee is abolished on December 1, 2026.

• Establishes a nine-member House study committee to examine physician supervision and delegation of duties to advanced practice registered nurses and physician assistants.
• Assigns three legislative members appointed by the Speaker of the House, plus a nurse, a physician, a physician assistant, and designees from state boards and agencies.
• Directs the committee to study problems with nurse protocol agreements and physician assistant job descriptions and recommend legislation if needed.
• Sets reimbursement rules for committee members' expenses, capped at five days of allowances unless additional days are authorized.
• Requires the committee to stand abolished on December 1, 2026, after filing an approved report or meeting minutes.

Physicians, advanced practice registered nurses, and physician assistants in Georgia who operate under supervision or delegation agreements, along with the Georgia Composite Medical Board, the Georgia Board of Nursing, the Department of Community Health, and members of the House of Representatives appointed to the committee.

The study committee's findings could shape future legislation affecting how nurses and physician assistants are supervised and what duties physicians may delegate to them, which could influence patient access to care and how medical practices are staffed across Georgia.

• Paragraph 1 creates the House Study Committee on Physicians' Delegation Authority and Supervision of Georgia's Advanced Practice Providers.
• Paragraph 2 sets the committee's nine-member composition, including legislators, a nurse, a physician, a physician assistant, board designees, and the commissioner of community health or a designee.
• Paragraph 3 directs the committee to study the issues raised and recommend any necessary action or legislation.
• Paragraph 5 sets expense allowances for legislative members under O.C.G.A. § 28-1-8 and daily allowances for other members under O.C.G.A. § 45-7-21, capped at five days unless extended.
• Paragraph 6 requires a majority-vote approved report to be filed with the Clerk of the House before the committee is abolished, or meeting minutes in its absence.
• Paragraph 7 sets the committee's abolishment date as December 1, 2026.

1. 2026-03-31House Committee Favorably Reported By Substitute (House)
2. 2026-03-31House Second Readers (House)
3. 2026-03-27House First Readers (House)
4. 2026-03-25House Hopper (House)

• Alan Powell (R, HD-033)Primary sponsor
• Lee Hawkins (R, HD-027)
• Rick Jasperse (R, HD-011)

• health care regulation
• nurse practitioners
• physician assistants
• medical licensing
• legislative study committees