263 CMR 3.04
Temporary License
(1) Any individual who graduates from an accredited educational institution, as defined in
263 CMR 3.02, and who has completed a physician assistant training program that was an
Approved Program on the date of graduation, but who has not yet passed the NCCPA certifying
examination, may obtain a temporary license if:
(a) He or she graduated from an Approved Program not more than two years prior to the
date of his or her application for a temporary license;
(b)
He or she submits proof satisfactory to the Board that he or she meets all of the
requirements for licensure as a physician assistant set forth in 263 CMR 3.02 except for
passage of the certifying examination; and
(c) He or she certifies in writing, under the pains and penalties of perjury, that he or she will
register for and take the next available NCCPA certifying examination.
(2) In the event that an individual who obtains a temporary license pursuant to 263 CMR
3.04(1) passes the NCCPA certifying examination, his or her temporary license shall remain
valid and in effect until such time as the Board has issued a full license to said individual.
(3) In the event that an individual who obtains a temporary license pursuant to 263 CMR
3.04(1) fails the NCCPA certifying examination, his or her temporary license shall remain valid
only if the individual submits a new written certification, that he or she has registered to retake
the certifying examination within two years of his or her graduation from an Approved Program.
Upon submission of such proof to the Board, his or her temporary license shall remain valid
until the results of the re-examination are published. In the event that said individual fails the
second administration of the certifying examination, he or she shall cease practice as a physician
assistant immediately upon receipt of the examination results.
(4) An application for a temporary license as a physician assistant shall be made on a form
provided by the Board. The application form shall be filled out completely and shall be
accompanied by the following:
(a) An authorization signed by the applicant, which authorizes the NCCPA to release such
information as the Board may deem necessary to verify that the applicant has passed the
NCCPA certifying examination;
(b) An official transcript, or other official documentation satisfactory to the Board, verifying
that the applicant has graduated from a physician assistant training program that was an
Approved Program on the date of graduation;
(c) An official transcript, or other official documentation satisfactory to the Board, verifying
that the applicant meets the educational requirements specified in 263 CMR 3.02;
(d) Documentation satisfactory to the Board demonstrating completion of training required
pursuant to M.G.L. c. 94C, § 18(e);
(e) Any and all additional documentation which may be requested in writing by the Board;
(f) A valid form of payment made payable to the Commonwealth of Massachusetts for the
amount of any application and license fees, as determined by the Executive Office of
Administration and Finance pursuant to M.G.L. c. 7, § 3B, unless waived in accordance with
M.G.L. c. 112 § 1B.