Megan Zawacki started working at St. Peter’s Health in Helena, Montana, in 2020 as a physician assistant trained in treating addiction. She had gone through specialized training that allowed her to prescribe Suboxone, a medication to fight opioid addiction, but she couldn’t do so for six months. That’s because Zawacki was hired to work with a doctor who specialized in addiction medicine, but that doctor did not join St. Peter’s until three months after Zawacki was hired, and it was another three months before he became her supervisor. Under Montana law, physician assistants must be supervised by a licensed physician, with a supervision agreement filed with the state Board of Me
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