What must the supervising physician actually do in Montana?
Oversight · part of The Practice Perimeter
Short answer
For a medical assistant: chart the MA and tasks, and ensure by oversight it meets your standard of care. Personal onsite or direct supervision for invasive procedures, IV meds, sedation monitoring, allergy testing, and injections other than immunizations.
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 · regulatory monitoring, not legal advice
Related Montana rules
"Supervision" may be of the following types: (i) "Direct supervision" means the supervisor is physically present with the person being supervised; (ii) "On-site supervision" means the supervisor must be in the facility and quickly available to the person being supervised. (o) "Surgery" means any procedure in which human tissue is cut or altered by mechanical or energy forms, including electrical or laser energy or ionizing radiation.
Mont. Admin. R. 24.156.403(1)(n)-(o) · verified Sep 8, 2026
"Practice of medicine" means the diagnosis, treatment, or correction of or the attempt to or the holding of oneself out as being able to diagnose, treat, or correct human conditions, ailments, diseases, injuries, or infirmities, whether physical or mental, by any means, methods, devices, or instrumentalities, including electronic and technological means such as telemedicine. If a person who does not possess a license to practice medicine in this state under this chapter and who is not exempt from the licensing requirements of this chapter performs acts constituting the practice of medicine, the person is practicing medicine in violation of this chapter.
Mont. Code Ann. § 37-3-102(11) · verified Sep 8, 2026
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← All Montana rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).