Petitioning Rhode Island State House

Oppose the Interstate Medical Licensure Compact Bill

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The Interstate Medical Licensure Compact was introduced to ease the burden of applying for medical licensure in multiple states in an effort to facilitate the practice of telemedicine.  Supporters suggest it would speed up the process of licensure for such physicians but it presents some other  long term issues which we believe outweigh its benefits.  

Most importantly, the language of this law defines a physician as someone who "(iv) Holds specialty certification or a time-unlimited specialty certificate recognized by he American Board of Medical Specialties or the American Osteopathic Association's Bureau of Osteopathic Specialists." This definition is at variance with all other state medical boards, including RI, which defines a physician as someone completing an approved training program, passing a licensure exam, and remaining current with annual continuing medical education.  

With this new definition, the Interstate Medical Compact enforces participation in the controversial Maintenance of Certification (MOC)® product. If participation in MOC®, which has been voluntary, becomes mandatory for licensure through The Compact, it will set a precedent for a new definition of "physician" and require its doctors to participate in a constantly changing yearly MOC® that is costly in terms of time and money with no proof that it improves care.  This would be a disservice to physicians in RI who chose not to participate in MOC® or chose to maintain certification through another board.  

The Interstate Commission would supersede the state's autonomy and control over the practice of medicine in RI and will likely implement changes to the state's Medical Practice Act.  There will be a significant cost to each participating state in joining The Compact and it will be difficult and expensive for a state to extricate itself later.  It will also increase the cost of licensure for physician who comply with these rules.  

Of concern to some physicians, is that the Federation of State Medical Boards (FSMB), who is the creator of the The Compact, is working towards linking MOC® to Maintenance of Licensure.  The FSMB already has a Uniform Application for Physician State Licensure, in which RI participates, so the only advantage to This Compact is the wait time for gaining a license in one of its states. The greater risk is additional bureaucracy, expense, regulation, and opening the door for FSMB to link MOC with MOL.

We urge you to oppose the Interstate Medical Licensure Compact Bill (formerly H7771 in 2016 and H5571 in 2015) now re-introduced this year as Bill S0269.  http://webserver.rilin.state.ri.us/BillText16/HouseText16/H7771.pdf

REFERENCES

THE INTERSTATE MEDICAL LICENSURE COMPACT: CLAIMS VS. REALITY  http://www.jpands.org/vol20no1/snavely.pdf

LETTER TO US SENATE: OPPOSE INTERSTATE MEDICAL LICENSING COMPACT http://www.aapsonline.org/index.php/site/article/letter_to_u.s._senate_oppose_interstate_medical_licensing_compact

MAINTENANCE OF CERTIFICATION - IMPORTANT AND TO WHOM?http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716034/

BOARDED TO DEATH — WHY MAINTENANCE OF CERTIFICATION IS BAD FOR DOCTORS AND PATIENTS  http://www.nejm.org/doi/full/10.1056/NEJMp1407422

ASSOCIATION BETWEEN PHYSICIAN TIME-UNLIMITED VS TIME-LIMITED INTERNAL BOARD CERTIFICATION AND AMBULATORY PATIENT CARE QUALITY  http://jama.jamanetwork.com/article.aspx?articleid=2020370 ;;;

BRINGS MOC TO COURThttp://www.aapsonline.org/index.php/site/article/aaps_takes_moc_to_court/

UNIFORM APLICATION FOR PHYSICIAN STATE LICENSUREhttps://www.fsmb.org/Media/Default/PDF/UA/ua-update.pdf

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