Comments Due 9/23 on Proposed Rule Requiring Certification for Compact Licensure

As we’ve warned before, The Interstate Medical Licensure Compact, is not going to solve the problem it claims to fix. It simply creates a new bureaucratic entity with little meaningful accountability.

The Commission in control of the Compact appears to be making a minor concession on the issue of MOC in an upcoming rule. The proposed rule currently under consideration requires that a physician seeking Compact licensure:

Holds specialty certification or a time-unlimited specialty certificate recognized by the ABMS or the AOA’s Bureau of Osteopathic Specialists. The specialty certification or a time unlimited specialty certificate does not have to be maintained once a physician is initially determined to be eligible for expedited licensure through the Compact.

Because of the above wording, the Commission will now claim they aren’t requiring MOC for Compact participation. However as board certification is required at the time of initial determination of eligibility, physicians not participating in onerous recertification schemes when applying for a compact license may find their ability to obtain a license via the compact in jeopardy.
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Educating Legislators about Dangers of Interstate Medical Licensure Compact

Is your state considering entering the Interstate Medical Licensure Compact?  Educate your legislators about why this is a bad idea. Below is a sample letter you can use to assist your outreach efforts.  Even if your state isn’t yet a target start educating your legislators and colleagues today!

Dear Members of the Colorado House of Representatives,

Thank you for your dedicated service to the citizens of Colorado.

We are writing to voice concerns about HB 16-1047 which, if passed, will sign Colorado on to the Interstate Medical Licensure Compact. The Interstate Medical Licensure Compact “may seem like a positive step” at first glance, warns CATO adjunct scholar Shirley Svorny, PhD.  She continues, “[t]he compact is being promoted, disingenuously, as addressing license portability and access to interstate telemedicine…. Adding the Compact Commission creates another layer of bureaucracy and costs.”

States that are closely looking at the Compact are increasingly rejecting it and exploring other state-controlled policy options to better accomplish the goal of license portability. Continue reading

Total betrayal by AOA of ALL its members.

Your AOA dues are hard at work promoting the Interstate Medical License Compact.  This will mean mandatory certification for all new graduates before obtaining a license.  And the claim that OCC isn’t required for licensure through the Compact is pure smokescreen.  Does the AOA underestimate the intelligence of its members? Or perhaps AOA staff overestimates their own?

Is OCC required for licensure through the Compact?  “The answer to this question is ‘no,'” states the Commission. Yet a few sentences later they explain, “a physician must demonstrate current certification to be eligible for licensure via the Compact.”

Except for “grandfathers,” osteopathic physicians must pay in time and dollars for OCC compliance if they want to maintain their certification. OCC IS required for Compact participation.  Q.E.D. Continue reading

Time for the FSMB to Dissolve and Go Away. We don’t need it.

Dr. Ken Christman weighs in on FSMB & Interstate Licensure Compact:

So, what good is telemedicine if the Texas Medical Board is going to prevent doctors from prescribing? Perhaps the TMB should advise the FSMB (also headquartered in Texas) that the Interstate Compact is useless in advancing telemedicine if doctors are not able to prescribe! And, while the TMB is on the phone to FSMB, perhaps it can urge FSMB’s CEO, Dr. Humayun Chaudhry, to obtain a license to practice medicine in Texas. After all, if Dr. Chaudhry lists himself as an Associate Clinical Professor of Internal Medicine at the University of Texas Southwestern, he really should have a license to practice in that state.

Oh, yes, and if Dr. Chaudhry is issued a license to practice medicine, it would also be neat if he could participate in MOC. After all, his Interstate Compact defines a “doctor” as one who is specialty board certified. For all practical purposes, as grandfathered physicians retire, this will in essence mean that a “physician”, according to Chaudhry’s definition, is one who participates in MOC. I suppose that in Texas one can be on the medical school faculty without needing a license to practice medicine. Or, perhaps, if one is CEO of FSMB, he can mandate all sorts of things for fellow physicians, but then exempt himself. Chaudhry appears to fall short of his own definition of “doctor”.

The good news is that medical board of Missouri has voted AGAINST participation in the Interstate Compact. Great. 49 to go. South Dakota votes tomorrow. If you live in South Dakota, contact your state legislators immediately and urge them to vote AGAINST the Interstate Compact. There are at least 11 states with current pending legislation on the Interstate Compact. If you live in any of them, contact your state legislators as well as your state medical societies TOMORROW, urging them to follow the great state of Missouri in just saying NO to the Interstate Compact. These states are: Texas, Oklahoma, Montana, Minnesota, Iowa, Nebraska, West Virginia, South Dakota, Vermont, Utah, and Wyoming.

For all who live in those states, stop this Compact now. Introduce your legislators, especially the “conservative” ones, to the American Legislative Exchange (ALEC) resolution, which opposes the Interstate Compact. Also, introduce the state medical society resolution opposing the Interstate Compact. While your at it, introduce the resolution calling for your state medical board to withdraw from the FSMB. If all states withdraw from FSMB, it dissolves and goes away. We don’t need it. Please allow it to peacefully disappear before it does more harm to patients and physicians. This is your chance to make that happen.

A win for physicians in battle against FSMB

Arizona State Senator Kelli Ward, DO reports:

Friday at ALEC (American Legislative Exchange Council), my model legislation [co-sponsored by AAPS] opposing participation in the FSMB’s Compact passed unanimously through the Health and Human Services Task Force.

This resolution calls for all states to avoid any involvement with the Federation of State Medical Board’s Interstate Medical Licensure Compact. Tell your state legislators about this model legislation! CLICK here for background and full text.



Situation Normal: AOA toes government line leaves out opposition

Dr. Chip writes:

SO, AOA shows us the government line and entirely leaves out the opposition. Situation normal.

Without taking a side please look at the details of the other view which is in fact looking at the risk versus benefit issues that physicians have to look into, discuss intelligently and then resolve with patient input as to what they, the patients, are planning, from which to risk in order to take benefit.

This is the physician in the trenches issue that government, MOC, MOL, OCC, FSMB, ABIM and IOM continues to ignore.

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A Sad Day for the Future of Medicine

To All My Physician Friends:

For several years, I have sent out multiple emails and blogs expressing my many concerns about the flood of restrictive and counter-productive mandates that are being required of physicians. These mandates are coming from the State and Federal Boards of Medical Examiners, the State and Federal Legislators, the Hospitals, the HMO’s, and the Insurance Companies.

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AOA should represent the private practicing osteopathic physician

Bob Maurer, DO writes the AOA President and President-Elect

Bob and John:

One year ago, at the AOA convention, I asked to meet with Dr. Vinn to give him my perspective on the concerns of the general AOA membership. I came to him as a long time AOA member and NJAOPS leader.

He started off the conversation by calling me a bully and telling me that I do NOT
represent any AOA members. He refused to listen to any of my suggestions.

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Ask your state legislature to oppose the FSMB Interstate Medical Licensing Compact

On September 14, 2014, the Federation of State Medical Boards (FSMB) released its final version of the Interstate Medical Licensing Compact. Even though this 24-page document and the FSMB’s website promote the Interstate Medical Licensure Compact, the document claims “it does not necessarily reflect the views of the Federation of State Medical Boards, the Board of Directors of the Federation of State Medical Boards, or any state medical board or its members.”

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FSMBs plan for interstate medical licensure must be thwarted

This is their foot in the door to take the power away from individual state licensure boards. This must be thwarted or OCC, MOC and MOL are assured.

Dr. Chip Smutny weighs in on this power grab:

If my patient goes to florida in the winter I won’t be able to renew their prescriptions while they are there forcing them to have a second primary care physician and more office visits and more co-pays etc. instead of saving a phone call to fix the problem.

This is smart business sense?

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