Must someone be on site while a patient is treated in Montana?

The board shall adopt guidelines by administrative rule for: (a) the performance of administrative and clinical tasks by a medical assistant that are allowed to be delegated by a physician, physician assistant, or podiatrist, including the administration of medications; and (b) the level of physician, physician assistant, or podiatrist supervision required for a medical assistant when performing specified administrative and clinical tasks delegated by a physician, physician assistant, or podiatrist. However, the board shall adopt a rule requiring onsite supervision of a medical assistant by a physician, physician assistant, or podiatrist for invasive procedures, administration of medication, or allergy testing.

Mont. Code Ann. § 37-3-104(1) · verified Sep 8, 2026

A health care provider delegating administrative and/or clinical tasks to a medical assistant shall: (a) require that the medical assistant record in the patient's medical records: (i) the identity of the medical assistant to whom the health care provider has delegated tasks included in the patient's care; and (ii) the clinical tasks delegated to the medical assistant; (b) ensure through oversight and supervision that the medical assistant's performance of the delegated tasks meets the standard of medical care owed by the delegating health care provider to the patient; (c) personally provide onsite or direct supervision as defined by ARM 24.156.403 to a medical assistant to whom the health care provider has delegated: (i) injections other than immunizations; (ii) invasive procedures; (iii) conscious sedation monitoring; (iv) allergy testing; (v) intravenous administration of blood products; or (vi) intravenous administration of medication;

Mont. Admin. R. 24.156.401(3) · verified Sep 8, 2026