Optimal Team Practice was officially adopted by the AAPA House of Delegates in 2017. OTP urges states to adopt practice legislation that eliminates the legal requirement for PAs to have a relationship with a physician in order for the PA to practice to the full extent of their education and training; create a separate majority-PA board to regulate PAs or add PAs and physicians who work with PAs to medical or healing arts boards; and authorize PAs to be eligible for direct payment by all public and private insurers.