US · guidance
CMS SOM App. W, Tag C-0814
§485.608(b) Standard: Compliance With State and Local Laws and Regulations
All patient care services are furnished in accordance with applicable State and local
laws and regulations.
Interpretive Guidelines §485.608(b)
There are wide variations in the States' practice acts relative to the extent to which
MD/DOs may delegate responsibilities to nurse practitioners, clinical nurse specialists,
and physician assistants. Some states have updated their practice acts to include
definitions and specific references to permitted/prohibited activities,
supervision/guidance required by a MD/DO, and local situations in which nurse
practitioners, clinical nurse specialists, and physician assistants may function.
Survey Procedures §485.608(b)
Prior to going on the survey, determine what professional specialists provide patient care
services at the CAH and review State practice act requirements.
History
Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
8ffb7d4449997779a9549fc3e3ffeeba846f2dcb71f1507638ac9451c949919b
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