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Maine Physician Assistant Malpractice Insurance

A physician assistant (PA) in Maine, now titled physician associate, is licensed by the Board of Licensure in Medicine or the Board of Osteopathic Licensure, which merge into the Maine Board of Medicine on January 1, 2027. Maine law makes you legally responsible for the care you provide (32 M.R.S. 3270-G(5)). Quote online from Portland, Lewiston or Bangor and get same-day proof.

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Profession

Why Maine PAs Need Their Own Policy

Maine says a PA is legally responsible and assumes legal liability for services within their scope, and a PA who delegates tasks to staff is liable for that work too (32 M.R.S. 3270-G(5), 3270-E(4)). Since April 2026, PA-owned practices no longer file a practice agreement, so there's often no employer policy behind them. Seeing New Hampshire or Massachusetts patients by video? Each state needs its own license.

How much does malpractice insurance for Physician Assistants cost in Maine?

Costs are based on specialties as well as full vs part- time hours:

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Average $1M/$3M Coverage Premium - Part Time (less than 24 hours/week):

$1,012 - P1 (lower-risk outpatient specialties like family practice or dermatology)

$1,317 - P2 (hospital ER, urgent care, OR work under 10 hours/week)

$1,611 - P3 (surgical or OB/GYN without L&D, trauma, pain management)

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Average $1M/$3M Coverage Premium - Full Time (greater than 24 hours/week):

$1,523 - P1 (lower-risk outpatient specialties like family practice or dermatology)

$1,988 - P2 (hospital ER, urgent care, OR work under 10 hours/week)

$2,426 - P3 (surgical or OB/GYN without L&D, trauma, pain management)

 

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Sample rates only. Premium will be underwritten for your exact situation when using our Instant Online Quote portal.

Physician Assistant Insurance cost varies depending on:
 

* Scope of services provided  
* Claims-made vs. occurrence form  
* Policy limits (standard limits are $1/$3M, but $100k/$300k, $250k/$500k, $500k/$1M and $2M/$4M limits available
* Prior claims history

 

**Note:** Rates will be underwritten for your exact situation.

Maine PA Practice Rules

Coverage rule: Maine's PA law (32 M.R.S. 3270-E, 3270-G and 2594-E, 2594-F) sets no malpractice insurance requirement; contracts usually ask for $1M/$3M. Damages: no general cap; wrongful-death loss-of-comfort damages capped at $1 million, adjusted for inflation (18-C M.R.S. 2-807); no patient compensation fund. Deadline: 3 years from the act (24 M.R.S. 2902).

A Maine PA with under 4,000 documented clinical hours works under a collaborative agreement with an active physician, or under a group's or facility's credentialing and scope-of-practice agreement, approved by the Board and kept at the main practice site (32 M.R.S. 3270-G(5)). After 4,000 hours, scope is set by practice setting.

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Maine Physician Assistant (PA) FAQs

Are Maine physician assistants required to have liability insurance?

Not by statute. Maine's PA law has no coverage requirement, but it makes you legally responsible for the medical services you provide within your scope (32 M.R.S. 3270-G(5)). Hospitals and employers usually require $1M per claim and $3M aggregate.

$1M/$3M is the usual contract minimum. Maine has no general cap on malpractice damages, so PAs in surgery, emergency medicine or their own practice may want more. Your contract sets the number.

What policy limits do Maine hospitals expect PAs to carry?

How much does malpractice insurance for Physician Assistants cost in Maine?

Premiums for PAs in Maine may begin around $972 per year at the $100,000/$300,000 level. For standard $1M/$3M coverage, expect typical costs of about $1523 for P1 specialties (pediatrics, behavioral health, dermatology, family practice), $1988 for P2 (ER, urgent care, surgical centers under 10 hrs/week), and $2426 for P3 (OB/GYN excluding labor and delivery, trauma, high-risk surgical). Part-time Physician Assistants in Maine usually see lower rates, averaging $1012, $1317, and $1611 across the same P1 to P3 tiers. Premiums ultimately reflect specialty, procedures, venue, and malpractice history.

Is a group or hospital malpractice policy enough for a PA in Maine?

For on-the-job care, usually; for anything else, no. A Maine employer plan skips moonlighting, volunteer shifts and often board complaints, and the employer controls the defense.

Defense costs and damages for professional negligence. It does not cover intentional acts, crimes or premises claims like falls, so Maine PAs should list every site and service they provide.

What does PA malpractice insurance cover in Maine?

When can a Maine PA practice without a collaborative agreement?

Once you submit documentation of 4,000 hours of clinical practice to the Board in Maine (32 M.R.S. 3270-G(5)). Before then, a group or facility credentialing system and scope-of-practice agreement can take the place of an individual collaborative agreement.

Yes. Maine's definition of prescription drugs includes Schedule II to V substances, and a PA may provide any service they are trained and competent to perform (32 M.R.S. 3270-G(1)(G), (2)). You still need DEA registration and must follow Maine's opioid prescribing rules.

Can PAs prescribe controlled substances in Maine?

How long does a patient have to sue a PA for malpractice in Maine?

Three years from the act or omission in Maine. Minors must sue within 6 years of the act or 3 years after turning 18, whichever comes first. A foreign object left in the body starts the clock at discovery (24 M.R.S. 2902). Claims-made policies need tail for that window.

Does Maine cap malpractice damages or have a patient compensation fund?

No. Maine has no patient compensation fund, so your policy limits are your only layer. The only damages cap that commonly applies is in wrongful-death cases, where loss-of-comfort damages are capped at $1 million adjusted for inflation (18-C M.R.S. 2-807).

Is tail coverage required for PAs in Maine?

On a claims-made policy, yes; on occurrence, never. Tail covers claims filed after the policy ends for care you already gave. In Maine, claims are due 3 years from the act, and minors get longer (24 M.R.S. 2902).

What is the difference between claims-made and occurrence for PAs in Maine?

Occurrence covers each year's incidents permanently. Claims-made starts cheaper but needs tail. Maine's 3-year deadline, longer for some minors, sets how long tail must last, and no general cap means the limits matter.

Do new-grad PAs need malpractice insurance in Maine?

Have coverage in place before you see patients. Your first Maine employer will usually ask for proof at credentialing, and a personal occurrence policy keeps you covered if that first job ends early.

Am I covered for telemedicine as a PA in Maine?

It should. Maine enacted the PA Licensure Compact in 2024 (32 M.R.S. ch. 145-A), but privileges depend on the Compact Commission's rollout. Until then you need a license in each patient's state, and the policy should list every state.

Do Maine PAs need license protection coverage?

Often, but not always on group plans. If the Maine Board of Licensure in Medicine sends you a complaint letter, call your carrier before you answer it; license defense coverage pays the attorney who prepares your response.

What happens if a Maine PA practices without malpractice insurance?

No law bars it, but most hospitals and employers won't credential you. Because Maine makes you legally liable for your own services (32 M.R.S. 3270-G(5)) and has no general damages cap, an uninsured judgment would fall on your own assets.

Do malpractice settlements get reported to the Maine PA licensing board?

Payments made for you go to the NPDB in Maine. Panel proceedings are confidential, and filings during screening are not public (24 M.R.S. 2853(1-A), 2857). The Board can require you to report certain events by rule (32 M.R.S. 3270-E(5)(F)), so check its rules and tell your carrier early.

How fast can a PA get malpractice insurance in Maine?

Yes. Get an instant online quote, pick limits and occurrence or claims-made, and apply online; most Maine PAs receive proof of coverage the same day.

Does a PA-owned practice in Maine need its own malpractice policy?

Yes, in Maine. Since LD 2088 (P.L. 2025, c. 604, effective April 3, 2026) repealed the practice-agreement requirement, scope in independent private practice is set by the practice setting (3270-G(2)). There's no employer policy behind you, so you need individual and entity coverage, plus tail or prior acts when you switch.

Does Maine's prelitigation screening panel apply to PA malpractice claims?

Yes, in Maine. Malpractice claims against practitioners and their employees or agents go to a mandatory screening and mediation panel first (24 M.R.S. 2851). A unanimous finding against you is admissible at trial (2857), so make sure your policy defends panel proceedings.

LD 2233 (P.L. 2025, c. 738) creates the Maine Board of Medicine, which takes over physician associate licensing from both boards. The scope and 4,000-hour collaboration rules carry over into 32 M.R.S. 20152. Update the board name on credentialing and policy records.

What changes for Maine PAs on January 1, 2027?

Covering PAs Across Maine in:

Portland
Lewiston
Bangor
South Portland
Auburn
Biddeford
Sanford
Saco
Westbrook
Augusta
Waterville
Brunswick
Presque Isle
Bath
Brewer

Get Covered in Maine

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