Académique Documents
Professionnel Documents
Culture Documents
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In This Issue
OF INTEREST
As the year comes to a close, the FSMB offers our sincere thanks to you for all
of your work on behalf of the Advocacy Network, and would like to
acknowledge the important role you play in protecting patients across the
United States. This has been an important year for our member boards and we
look forward to another great year ahead!
And stay tuned for exciting news about our upcoming 103rd Annual Meeting, to
be held on April 23-25, 2015 in Fort Worth, Texas. We hope you will attend!
ON OUR RADAR
2.5M enrolled in
Obamacare in a month
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
Doctor Shortage
Looming? Maybe Not
Contact Us
Lisa Robin
Chief Advocacy Officer
FSMB
1300 Connecticut Avenue
NW
Suite 500
Washington, D.C. 20036
Phone: (202) 463-4000
lrobin@fsmb.org
Information Center.
U.S. Congress Agrees on Spending Bill
Last week, the U.S. House of Representatives and Senate passed a $1.01 trillion
spending bill that will keep the government funded through September 2015,
avoiding a potential shutdown. The bill includes $5.4 billion to fight Ebola in the
U.S. and abroad. The budgets for the Centers for Disease Control and
Prevention (CDC) and the Food and Drug Administration (FDA) will see
significant increases.
Presidential Nominations
On December 15, Vivek Murthy, MD, MBA, was confirmed in a vote of 51-43
by the U.S. Senate to become the next U.S. Surgeon General. Dr. Murthy was
nominated by President Obama last year and will replace Acting Surgeon
General Boris Lushniak, MD, MPH. Murthy, an internal medicine physician
and Harvard Medical School instructor, is co-founder and president of Doctors
for America.
The Senate Judiciary Committee held a voice vote in support of President
Obama's nomination of Office of National Drug Control Policy's (ONDCP) Acting
Director Michael Botticelli to become Director. However, the full Senate did
not take action on the nomination before adjourning and may consider his
nomination again in the next Congress.
The 114th Congress will convene on Tuesday, January 6th
The House of Representatives and the Senate have adjourned for the year. The
114th Congress will begin on January 6, 2015 and committee assignments will
be finalized in the upcoming weeks.
Please follow us on Twitter @FSMBPolicy for the latest updates on federal and
state policy and news of interest to state medical boards.
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
Alley, Jamie S
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The Federation of State Medical Boards is committed to protecting the public with high standards
for medical licensure and practice
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STAY CONNECTED
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Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
Alley, Jamie S
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Alley, Jamie S
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The FSMB received an inquiry from a state medical board asking if we were aware of any boards that have
adopted a policy on their own licensees using medical marijuana? (not authorizing it for a patientbut using it
themselves.) We are trying to determine if this is something boards have formally considered and adopted.
We would very much appreciate your insight into this issue, and I thank you in advance.
Kelly
Kelly C. Alfred, M.S.
Senior Director, Education Services
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-5160 direct | 817-868-4163 fax
kalfred@fsmb.org | www.fsmb.org
Alley, Jamie S
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We have no intentions of just stopping the verification of diplomas for the FCVS profile. The FCVS 2020 workgroup
recommended a gradual approach, and to get boards that could stop requesting diplomas to do so. For those that
cannot stop obtaining the diploma, we will continue to obtain the information.
The March 26th webinar is to showcase obtaining the diploma, but in an electronic format. I really think youll like it and
will see how it is more secure than current methods. Of course, not all schools participate at this time so we will
continue to process diplomas as usual with non-participating schools.
Hope this helps. If you need further clarification, I will be more than happy to give you a call.
Thanks,
Kevin
From: Thompson, Sheree J [mailto:Sheree.J.Thompson@wv.gov]
Sent: Thursday, February 12, 2015 2:45 PM
To: Kevin Caldwell (FSMB)
Cc: Robert Knittle; Alley, Jamie S
Subject: Today's webinar
Kevin,
Thank you and the rest of the staff for the presentation today. I look forward to the March 26th webinar as our state is
one that legislates a copy of the diploma as one of the components of the license application. If our Board doesnt
desire to change this part of the requirement or the Legislation is not acted upon, that will make the FCVS packet less
complete for our applicants. I also realize that this change is not immediate.
The other updates sound positive. Thank you for your assistance.
Sheree
Sheree J. Thompson
Supervisor of Licensing,
Certification and Renewals
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Ph. 304.558.2921 ext. 70011
Fax 304.558.2084
www.wvbom.wv.gov
1
Alley, Jamie S
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FSMB A dv ocacy News
In This Issue
OF INTEREST
The Obama
administration wants
to dramatically change
how doctors are
paid
Medical errors in
America kill more
people than AIDS or
drug overdoses
ON OUR RADAR
Contact Us
Lisa Robin
Chief Advocacy Officer
FSMB
1300 Connecticut Avenue
NW
Suite 500
Washington, D.C. 20036
Phone: (202) 463-4000
lrobin@fsmb.org
www.licenseportability.org
President Obama Sends Congress Budget Proposal
On February 2nd President Obama released a $4 trillion budget plan for fiscal
2016. The budget proposes to combat waste, fraud and abuse in Medicare,
Medicaid, and CHIP by directing states to track high prescribers and utilizers of
prescription drugs in Medicaid to identify aberrant billing and prescribing
patterns.
Additionally, the budget increases funding for every state to expand existing
Prescription Drug Monitoring Programs to improve clinical decision making,
interoperability, and effective public health interventions. The budget also
includes funding to expand and improve the treatment for people who use
heroin and prescription opioids.
The President's proposal includes new funding to implement innovative policies
to train new health care providers and ensure that the future health care
workforce is prepared to deliver high-quality and efficient health care services.
This includes increased funding for the National Health Services Corps to place
and maintain 15,000 health care providers in high-need areas.
The budget also proposes $5.25 billion over ten years to support 13,000 new
medical school graduate residents through a new competitive graduate medical
education program that incentivizes high-quality physician training.
President Obama Delivers his State of the Union
On January 20th President Obama delivered his State of the Union address to
the 114th Congress. In the address, the President highlighted public health
issues, including Ebola and the need for a global effort to prevent the spread of
pandemics. He discussed health care reform, while promising to veto any
legislation that would take away health insurance from families or defund the
Affordable Care Act. President Obama noted that health care inflation is at its
lowest rate in 50 years and that more Americans are insured than ever before.
Please follow us on Twitter @FSMBPolicy for the latest updates on federal and
state policy and news of interest to state medical boards.
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
Alley, Jamie S
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Right-click here to download pictures. To help p ro tect y our priv acy , Outlook prev ented automatic download of this picture from the Internet.
STAY CONNECTED
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Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
Alley, Jamie S
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Alley, Jamie S
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Below you can find part of the recap I provided earlier today to senior FSMB leadership as well as some comments
related to Frank's question:
In a 6-3 opinion issued today, the United States Supreme Court upheld the 4th Circuit Court of Appeals decision in favor
of the Federal Trade Commission in the case North Carolina State Board of Dental Examiners v. FTC. The Court rejected
the argument from the North Carolina State Board of Dental Examiners that its actions were immune from antitrust
scrutiny because it was acting on behalf of the state in its sovereign capacity to regulate professionals operating within its
borders. The Court concluded that a state agency, composed of controlling number of active participants of the regulated
profession may only immunize its actions under the state-action immunity doctrine if the actions were both consistent
with a clearly articulated policy and actively supervised by the state. In a nutshell, the opinion stands for the conclusion
that state agencies are not the state, but are akin to private actors so have to pass the 'Midcal Test'.
The Courts decision did not, by itself, explicitly strike down the ability of state regulatory agencies to enjoy protections
of the state immunity doctrine. Instead, state boards must be cognizant of the structural risk presented by the board's
composition and procedures and if these factors present opportunities for anticompetitive behavior that require heightened
supervision. The board's structure must provide a 'realistic assurance' that any regulation promotes state policies. Despite
the Court's statement that the determination of structural risk is context dependent, it notes several requirements. First, the
state (or its appointed supervisor of the board) must review the substance of any anticompetitive decision. Second, the
state must have the power to overturn any of the board's decisions. Third, the supervisor must not be a market participant.
The three requirements seem to assure state boards that function as part of larger agencies (ie: Department of Health,
Department of Professional Regulation, etc) of a predictable outcome if the state immunity doctrine is applied to their
actions. The controlling agencies are often headed by appointees who are usually not market participants, who are
politically accountable actors, and who have review powers over the component agencies. Less predictable however is the
extent to which independent boards can apply the doctrine. I suspect the decision will curtain the use of cease and desist
orders, like the NC Board used in this case, and boards may favor of working through the rulemaking process more and
more. The state administrative procedures act, with notice and comment periods, provides some level of supervision.
Another option is to refer any violations of practice to the attorney general or district attorney in your state.
In the dissenting opinion, Justice Alito posited that the Court's decision is puts the judiciary in the unenviable position of
now having to answer the vague questions that will result. These questions include such inquires as "what is a ACTIVE
market participant?", "what is a CONTROLLING number?", and "what is SUFFICIENT review"? Justice Alito points out
that these questions remain unanswered and will be troublesome to answer in the future.
Also of note, The Court's decision differs from the 4th Circuit opinion as to the importance of how the board members
were selected. The North Carolina State Board of Dental Examiners is composed of 6 members elected directly by the NC
Dental Association. The 4th Circuit highlighted this selection process as evidence that regulators were self-interested
actors. The Supreme Court's analysis shows no differentiation based on how a board member is selected to serve.
Appointment by a politically accountable actor carries no weight in whether the state action immunity doctrine applies (a
concurring opinion below tried to make that distinction), but it may factor into the 'flexible and context dependent' factors
the Supreme Court decision leaves us to grapple with in the future.
The FSMB is working to put together a roundtable next week to start discussing these questions. A notice of that call will
be sent soon. The case will also be discussed on a panel at the Annual Meeting held in April. If you have any comments or
guidance that would be helpful to FSMB staff as we put these programs together, please let me or Kelly Alfred know.
I am available to any of you to discuss this matter. Please do not hesitate to contact me via email or phone (202) 463-4005
Eric Fish
Im curious if any Board attorneys out there whove read todays decision have ideas on what type of regulatory setup
would comply with the active supervision requirement put forth by the Supreme Court? Have there been any
thoughts or discussions on changing the makeup of your Board, or adding some type of supervision/review element?
For those that havent yet had a chance to read todays decision from the Supreme Court, Ive attached a copy for your
review.
Frank B. Meyers
Associate General Counsel
Missouri Board of Registration for the Healing Arts
Missouri Department of Insurance, Financial Institutions & Professional Registration
Office: 573-751-6953
Fax: 573-751-3166
frank.meyers@pr.mo.gov
Sign up for Board of Healing Arts News
pr.mo.gov/healingarts.asp
ATTENTION: The following communication is confidential and may contain attorney-client privileged information. If you
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PLEASE NOTE: The Missouri Bar Chief Disciplinary Counsel requires all Missouri lawyers to notify all recipients of e-mail
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Alley, Jamie S
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FSMB ROUNDTABLE
THURSDAY, MARCH 5, 2015
2:00 3:00 P.M. (CENTRAL TIME)
Please join us for our next FSMB Roundtable which will be held next Thursday,
March 5, from 2:00 3:00 p.m. (Central Time).
On February 25, the U.S. Supreme Court issued its decision in North Carolina State
Board of Dental Examiners, a case reviewing the application of the state-action
antitrust immunity doctrine to the activities of a state regulatory board.
Event Date
Thursday, March 5,
2015
2:00 3:00 p.m.
(Central Time)
400 Fuller Wiser Rd
Suite 300
Euless, TX 76039
817-868-4000
www.fsmb.org
In its 6-3 opinion, the Court upheld the 4th Circuit Court of Appeals decision in
favor of the Federal Trade Commission. The Court rejected the argument from the
North Carolina State Board of Dental Examiners that claimed its actions were
immune from antitrust scrutiny because it was acting on behalf of the state in its
sovereign capacity to regulate professionals operating within its borders. The Court
concluded that a state agency, composed of a controlling number of active
participants of the regulated profession, may only immunize its actions under the
state-action immunity doctrine if the actions were both consistent with a clearly
articulated policy and actively supervised by the state.
This roundtable will examine the impact of the Courts decision on the actions of
the state medical boards and provide a forum to discuss practical considerations
facing boards as they align their activities with the ruling.
Please be sure to save the date. Call-in details will be emailed prior to the event.
We hope you will be able to join us!
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Importance:
High
Dear Colleague:
Following the 2015 Annual Meeting, FSMBs incoming Chair, J. Daniel Gifford, MD, will finalize appointments to
the Audit, Bylaws, Editorial, Education, Ethics and Professionalism, and Finance Committees, and potentially to
an FSMB Special Committee(s).
Committee responsibilities and time commitments vary, but to complete their charges successfully, all
committees require dedicated and knowledgeable members. To begin the appointment process, members
interested in serving on a committee, or those wishing to recommend an individual, should submit letters of
interest/recommendations by January 6, 2015 via mail, fax or email to:
J. Daniel Gifford, MD, Chair-elect
Federation of State Medical Boards
c/o Pat McCarty, Director of Leadership Services
400 Fuller Wiser Road, Suite 300
Euless, Texas 76039-3855
Fax: (817) 868-4167
Email: pmccarty@fsmb.org
Additionally a copy of the individuals CV (a maximum of five pages) and/or biographical sketch, including state
medical board and/or FSMB experience, should be forwarded to the email above.
A confirmation acknowledging receipt of appointment recommendations will be sent within one
week. If you do not receive confirmation, please contact Pat McCarty at (817) 868-4067 or by
email.
Sincerely,
Humayun J. Chaudhry, DO, MACP
President and CEO
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4044 direct | 817-868-4144 fax
hchaudhry@fsmb.org | www.fsmb.org
DATE:
December 8, 2014
TO:
FROM:
RE:
Committee Appointments
Following the 2015 Annual Meeting, FSMBs incoming Chair, J. Daniel Gifford, MD, will finalize
appointments to the Audit, Bylaws, Editorial, Education, Ethics and Professionalism, and Finance
Committees, and potentially to an FSMB Special Committee(s).
Committee responsibilities and time commitments vary, but to complete their charges successfully, all
committees require dedicated and knowledgeable members. To begin the appointment process,
individuals interested in serving on a committee, or those wishing to recommend an individual, should
submit letters of interest/recommendations by January 6, 2015 via mail, fax or email to:
J. Daniel Gifford, MD, Chair-elect
Federation of State Medical Boards
c/o Pat McCarty, Director of Leadership Services
400 Fuller Wiser Road, Suite 300
Euless, Texas 76039-3855
Fax: (817) 868-4167
Email: pmccarty@fsmb.org
Additionally a copy of the individuals CV (a maximum of five pages) and/or biographical sketch,
including state medical board and/or FSMB experience, should be forwarded to the email above.
A confirmation acknowledging receipt of appointment recommendations will be sent within one
week. If you do not receive confirmation, please contact Pat McCarty at (817) 868-4067 or by
email.
Editorial Committee
COMMITTEE CHARGE
The charge of the Editorial Committee, as currently set forth in the FSMB Bylaws, Article VIII,
Section D, is to advise the Editor-in-Chief on editorial policy for the FSMBs official publication
(Journal of Medical Regulation) and otherwise assist the Editor-in-Chief in the performance of duties as
appropriate and necessary.
Tasks of the Committee include:
1. Reviewing all articles submitted for publication in a timely manner.
2. Supplying the names of at least two authors (four is preferred) who are able to write an article(s)
for the Journal.
3. Writing or working with the Journal Editor-in-Chief to create an editorial for the Journal.
4. Serve as ongoing ambassadors for the Journal during any appropriate business meetings or
discussions with colleagues distributing the PDF Call for Papers in printed or electronic form
whenever and wherever appropriate.
TIME COMMITMENT
Members of the Editorial Committee serve three-year terms. The Committee will meet once each
year at FSMB headquarters or other location and will also meet via teleconference two to four times
each year. The Committee will also be asked to read manuscripts throughout the year.
Education Committee
COMMITTEE CHARGE
The charge of the Education Committee as currently set forth in the FSMB Bylaws, Article VIII,
Section E is to assist in the development of educational programs for the FSMB. This includes the
Annual Meeting program as well as webinars, teleconferences and other educational offerings.
Tasks of the Committee include:
1. Providing consultation and recommendations in the development and review of the FSMBs
annual education agenda.
2. Identifying and prioritizing educational topics in accordance with the mission, vision, core values
and goals of the FSMB.
3. Evaluating education trends and opportunities to provide quality educational programming to
FSMB membership.
TIME COMMITMENT
Members of the Education Committee serve one-year terms. The Committee will meet several times
per year either in person or via teleconference. The frequency of regular meetings will be determined
by need, but will occur at least quarterly.
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Attachments:
Importance:
High
Dear Colleague:
FSMB Needs YOUR Leadership Skills.
One of the most rewarding experiences for members of state medical boards is the opportunity to serve on
FSMBs Board of Directors or its Nominating Committee, helping guide our organizations vision and mission.
Each year, FSMBs Nominating Committee seeks capable and committed individuals for consideration as
candidates, and we would like to hear from you.
Service in a leadership position brings many benefits, notably the opportunity to make a real impact in the
direction and policy of a national organization with a vital role in health care.
Nominations opened August 18, 2014 and will close January 6, 2015. Details regarding the nomination
process are attached. We encourage you to make national service a part of your experience as an FSMB
Fellow.
Sincerely,
Humayun J. Chaudhry, DO, MACP
President and CEO
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4044 direct | 817-868-4144 fax
hchaudhry@fsmb.org | www.fsmb.org
DATE:
December 8, 2014
TO:
FROM:
RE:
Chair-elect
Treasurer
Board of Directors
Nominating Committee
1 Fellow, to be elected for 3 years: one year as chair-elect; one year as chair;
and one year as immediate past chair
1 Fellow, to be elected for a three-year term
3 Fellows, each to be elected for a three-year term*
3 Fellows, each to be elected for a two-year term**
The Nominating Committee requests that all nominations be submitted by January 6, 2015. No nominations will be
accepted after January 6.
*Should a current Director on the Board, whose term is not scheduled to expire in 2015, be elected Chair-elect
or Treasurer, then an additional Fellow will be elected as a Director to complete the unexpired term.
Additionally, in accordance with the FSMB Bylaws, at least one non-physician must be elected in 2015.
**No two Nominating Committee members shall be from the same member board. Continuing members of
the Committee will be from Missouri, North Carolina and Wisconsin.
distributed at the Annual Meeting and placed on the Candidates Website. Questions regarding photos should be
directed to David Hooper, Sr. Director of Marketing, at 817-868-4070 or dhooper@fsmb.org.
4.
Personal statement by the candidate (sample attached) WORD version; no greater than 500 words.
The candidate should state why he/she wants to serve in the particular position in which he/she will be campaigning
for election; how he/she fulfills the core competencies and/or additional position-specific qualifications of candidates,
and what he/she will contribute to FSMB. The personal statement will be included in the Election Manual and placed
on the Candidates Website.
5.
Electronic copy of the candidates curriculum vitae (CV) (a maximum of five (5) pages) and a one-page
bio or summary CV. Please provide relevant information including important appointments, honors and awards
received, etc. Please note that these documents will be published on the Candidates Website; therefore, social
security numbers and all other private information must be removed prior to forwarding with letters of
nomination.
Deadline for Submission of Letters and Materials
The members of the Nominating Committee request that all nominations be submitted in writing by mail, fax or email
to:
Jon V. Thomas, MD, MBA, Chair
Nominating Committee
c/o Pat McCarty, Director of Leadership Services
Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300
Euless, TX 76039-3855
Fax: (817) 868-4167
Email: pmccarty@fsmb.org
All letters of nomination and accompanying materials should be received at the Euless, TX office by EOB on
Tuesday, January 6, 2015. No nominations will be accepted after January 6.
A confirmation acknowledging receipt of nominations will be sent within one week. If you do not receive
confirmation, please contact Pat McCarty at (817) 868-4067 or at the email above.
Set goals, objectives and priorities necessary to achieve the FSMB Strategic Goals.
Set goals, objectives and critical success factors for the President/CEO.
Ensure effective management of the FSMBs financial resources.
Approve systems for assessing and addressing needs of member boards.
Implement adopted Board of Directors professional development and self-assessment plans.
Promote use of FSMB services among targeted customer groups.
Enhance communication with and among member boards.
Enhance support and education for member board executives and their staff.
TIME COMMITMENT
Board Meetings
The Board of Directors will meet five times during the 2015-2016 fiscal year:
April 26, 2015 Fort Worth, TX (immediately following the Annual Meeting)
July 7-12, 2015 Middleburg, VA
October 5-10, 2015 Arlington, VA
February 2016 site and actual dates TBD
April 27-May 1, 2016 San Diego, CA (in conjunction with the Annual Meeting)
New Directors Orientation
Newly elected directors will also be asked to participate in a New Directors Orientation scheduled
June 21-22, 2015 at the FSMB Euless, TX Office.
Board of Directors State Medical Board Liaison Program
A Directors participation in the Board of Directors State Medical Board Liaison Program may
involve telephone communications with member board leadership (dependent upon the leaderships
availability) and/or travel to a member board location (i.e., site visit) in partnership with FSMB
staff to meet with the member board representatives. New Directors may be asked to participate in
one or two site visits during their first year on the board, schedule permitting.
4
Nominating Committee
COMMITTEE CHARGE
The charge of the Nominating Committee as currently set forth in the FSMB Bylaws is to submit a
slate of one or more nominees for each of the offices and positions to be filled by election at the
Annual Meeting of the House of Delegates. The Committee will mail its slate of candidates to
Member Boards not fewer than 60 days prior to the meeting of the House of Delegates.
Tasks of the Committee include:
1. Soliciting recommendations for candidates for elected positions from Member Boards and
Fellows of the FSMB.
2. Assertively recruiting individuals who have the core competencies set forth on page 2 and who
represent diversified backgrounds, experiences and cultures.
3. Educating potential candidates on core competencies for FSMB leadership roles and the
responsibilities associated with respective leadership positions.
4. Reviewing letters of recommendation and supporting material of each individual nominated or
recruited as a candidate for election.
5. Verifying that candidates have the core competencies for FSMB leadership positions.
6. Verifying that queries of FSMB Board Action Data Bank have been completed on physician
candidates and that no actions have been reported which could call into question an individuals
fitness for FSMB leadership.
7. Affirming that all candidates for elected leadership have disclosed any potential conflicts of
interests.
8. Considering the importance of public representation on the FSMB Board of Directors and
assuring the slate of candidates provides for election of adequate/qualified public representation.
9. Selecting and narrowing the slate of candidates to those who best demonstrate the core
competencies; have the necessary qualifications and eligibility for a position; and bring valuable
talents and perspectives to the FSMB.
10. Preparing a report to the House of Delegates that includes a slate of nominees for positions to
be filled by election at the House of Delegates annual business meeting.
11. Determining process for notifying candidates of the Nominating Committees decisions as soon
as possible following the Committee meeting and providing the Nominating Committee report
the FSMB Board of Directors.
TIME COMMITMENT
Members of the Nominating Committee serve two-year terms. The Committee will have its kick-off
session in Fort Worth, TX on the morning of Sunday, April 26, 2015 directly after the FSMBs
Annual Meeting. The Committee will meet again via teleconference in July 2015 (date to be
determined) and in person at the FSMB Euless, TX Office in January 2016.
PLEASE TYPE OR PRINT AND LIMIT YOUR INFORMATION TO THE SPACE PROVIDED
(except where otherwise stated)
GENERAL
NAME: ______________________________________________________________________________
CANDIDATE FOR: ___________________________________________________________________
MAILING ADDRESS: _________________________________________________________________
_____________________________________________________________________________________
DAYTIME TELEPHONE: _____________________________________________________________
EMAIL AND/OR FAX: ________________________________________________________________
EDUCATION
UNDERGRADUATE: _________________________________________________________________
MEDICAL SCHOOL/GRADUATE SCHOOL: ____________________________________________
_____________________________________________________________________________________
POSTGRADUATE EDUCATION: ______________________________________________________
_____________________________________________________________________________________
CURRENT POSITION: _______________________________________________________________
AREA OF SPECIALIZATION: _________________________________________________________
FEDERATION ACTIVITIES
BOARD and/or COMMITTEES: ________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
OTHER FSMB ACTIVITIES: __________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please indicate your reasons for wanting to serve & why you think you are an appropriate candidate.
Please continue on a separate page if more space is required.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
How long have you served (did you serve) on your state medical board?
___________________________________
I will be a Fellow as defined by the FSMB Bylaws at the time of the election on Saturday, April
25, 2015 and understand that only an individual who is a Fellow at the time of the individuals
election shall be eligible for election. The Bylaws of the FSMB defines Fellow as:
SIGNATURE:
________________________________________________________________
NAME: _________________________________
CANDIDATE FOR: [Chair-elect, Board of Directors or Nominating Committee]
[SAMPLE TEXT please describe your own experiences using your own words]
I am a candidate for [elected office]. Since beginning my medical career in a small rural town
over 20 years ago, I have been involved in professionalism and upholding the higher
standards of being a physician. Currently, I am the Chairman of the Department of
[specialty] at the School of Medicine in [city].
My experiences with medical licensure began in the 90s when I was appointed to the
advisory committee for athletic trainers of the [state medical board]. Subsequently, I was
appointed as a member of the [state medical board] in 2009. I was elected Vice President in
2010 and have been serving as President since 2011.
Since being appointed to the [state medical board], I have been serving the [state medical
board] in a number of capacities, which have included [committee/workgroups, etc.].
Additionally, I have worked as [other professional experiences and associations].
It is with great anticipation that I am running for [elected office]. I have the energy,
enthusiasm and experience to represent the FSMB. My qualifications are broad and strong,
which will allow me to function well within a system that is focused on licensure, discipline
and protection of the public.
From:
Sent:
To:
Subject:
Attachments:
ANNUAL AWARDS
2014-2015
As the voice of the nations state medical boards, the Federation of State Medical
Boards is committed to recognizing and encouraging distinguished service and
leadership among individuals and organizations involved in medical licensure and
discipline. Each year, it offers a variety of awards that recognize remarkable
achievements and outstanding service to the profession.
FSMB member boards are invited to nominate individuals for the FSMB's awards
described below. Nominations must be approved by a nominating board; they cannot be
made by individual board members.
To submit nomination letters or for more information, please contact Pat McCarty at
pmccarty@fsmb.org or (817) 868-4067. Nominations should be submitted by Jan. 6,
2015. The awards will be presented at the FSMB Annual Meeting in Fort Worth, Texas
in April 2015.
AWARD OF MERIT
The Award of Merit is presented to an individual(s) in recognition of an activity or
contribution that has positively impacted and strengthened the profession of medical
licensure and discipline and helped enhance public protection. Any individual, whether a
physician, non-physician, fellow or honorary fellow may be nominated. Individuals who
are not members of the FSMB also may be considered.
DISTINGUISHED SERVICE AWARD
The Distinguished Service Award is presented to an individual in recognition of the
highest level of service, commitment, and contribution to the Federation of State
Medical Boards; the advancement of the profession of medical licensure and discipline;
and the strengthening and enhancement of public protection. Any individual, whether a
physician, non-physician, fellow or honorary fellow may be nominated. Individuals who
are not members of the FSMB also may be considered. Anyone who has served as an
FSMB officer, member of the Board of Directors, or member of the full-time staff within
two years of the presentation is ineligible for consideration. This award may be
presented posthumously.
AWARDS PRESENTATION
Each award will be given to the honoree, or a representative of the honoree, during
the FSMBs Annual Meeting. The Chair of the FSMB or his/her representative will
present the awards.
www.fsmb.org
17
www.fsmb.org
19
From:
Sent:
To:
Cc:
Subject:
Importance:
High
From:
Sent:
To:
Subject:
Jonathan Jagoda
Director, Federal Government Relations
Federation of State Medical Boards
1300 Connecticut Avenue NW | Suite 500 | Washington, DC 20036
202-463-4003 direct
jjagoda@fsmb.org
From:
Sent:
To:
Cc:
Subject:
Ive heard back from most folks. Would 4PM Eastern on Monday, December 15th work for the group? Can reply Yes or
No
From: Kathleen Selzler Lippert
Sent: Wednesday, December 10, 2014 4:14 PM
To: Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer; Margaret
Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
I am available:
Monday, December 15
o Only one meeting on my calendar for 1:30 2:30 PM Kansas time.
o I can be available for a telephone call the rest of the day.
Tuesday, December 16
o I am available any time for a call.
From:
Sent:
To:
Cc:
Subject:
Knittle, Robert C
Wednesday, December 10, 2014 3:31 PM
'Jonathan Jagoda'; Lyle Kelsey; Kathleen Selzler Lippert; Mari Robinson; Kevin
Bohnenblust, JD; Kimberly Kirchmeyer; Margaret Hansen; Jacqueline Watson, DO, MBA
Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
RE: Conference Call to Discuss Compact/ALEC
From:
Sent:
To:
Subject:
Knittle, Robert C
Thursday, December 11, 2014 10:43 AM
'Jonathan Jagoda'
Accepted: Advisory Council Call to Discuss Compact Messaging and Elements/Essentials
From:
Sent:
To:
Cc:
Subject:
Knittle, Robert C
Thursday, December 11, 2014 8:36 AM
'Jonathan Jagoda'; Kathleen Selzler Lippert; Lyle Kelsey; Mari Robinson; Kevin
Bohnenblust, JD; Kimberly Kirchmeyer; Margaret Hansen; Jacqueline Watson, DO, MBA
Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
RE: Conference Call to Discuss Compact/ALEC
Ive heard back from most folks. Would 4PM Eastern on Monday, December 15th work for the group? Can reply Yes or
No
From: Kathleen Selzler Lippert
Sent: Wednesday, December 10, 2014 4:14 PM
To: Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer; Margaret
Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
I am available:
Monday, December 15
o Only one meeting on my calendar for 1:30 2:30 PM Kansas time.
o I can be available for a telephone call the rest of the day.
Tuesday, December 16
o I am available any time for a call.
receive information via e-mail, please contact me. Any disclosure, reproduction or transmission of this e-mail is strictly
prohibited without specific authorization from me.
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 1:46 PM
To: Lyle Kelsey; Robert Knittle; Lippert, Kathleen [BOHA]; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: Conference Call to Discuss Compact/ALEC
Importance: High
From:
Sent:
To:
Cc:
Subject:
Attachments:
Thank you all for joining us on the call today. As we discussed, I have attached a draft communication that
would be sent to Executive Directors responding to the recent passage by ALEC of a resolution opposing the
Compact. Another, more public, statement will be coordinated after consultation with FSMB's public relations
team and the Council of State Governments.
It is our intention to send this to Executive Directors later this week. In order to meet that timeline, please
provide me any comments you may have by 4pm Eastern on December 17th.
Please let me know if you have any questions.
Thank you,
Eric
WHEREAS, there will be a significant cost to each participating state in joining such
an Interstate Medical Licensure Compact,
Throughout the discussion of the Compact and the Compact Commission it has been clear
that in order to succeed, the Compact must be as close to budget neutral as possible, and
thus, self-sustaining. This guided the drafting committee in its choices on how to allocate
powers to the Compact Commission. The Interstate Compact empowers the Interstate
Commission to secure outside funding, through private grants, federal appropriations in
support of license portability, or other similar sources to off-set the need for any
appropriation from states.
Additionally, the processing fees for expedited licensure will largely offset, if not totally
eliminate, the burden on the member states.
WHEREAS, it will be difficult and expensive for a state to extricate itself from the
Interstate Medical Licensure Compact,
State participation in the Interstate Compact is, and will remain, voluntary. States are free to
withdraw from the Compact and may do so by repealing the enacted statute.
The withdrawal provisions of the Interstate Compact are consistent with compacts currently
enacted throughout the country.
WHEREAS, the cost of obtaining medical licenses will be dramatically increased,
and states must protect its citizens from regulatory excesses,
All licensees would have to pay the fees set in a state in order to obtain and maintain a
license via the compact, just as with licenses currently obtained via current methods. States
retain the ability to adjust these fees accordingly to the regulatory needs of their state.
A processing fee for expedited licenses may be established to cover expenses of the
Interstate Commission, but outside funding and grants procured by the Commission will
largely offset, if not totally eliminate, the burden on the member states.
WHEREAS, the Interstate Medical Licensure Compacts definition of a physician is
at variance with all other State Medical Boards,
The definition of physician in the Interstate Compact relates only to the eligibility to receive a license
through the process outlined in the Compact. The definition does not change the definition of
physician in the Medical Practice Act, or the base requirements for licensure of a physician
seeking only one license within a state or who chooses to become licensed through existing
processes.
Each state has varying standards, requirements, and educational milestones that a physician
must meet for licensure. In order to for the Compact to be acceptable in ALL states, the
definition of physician had to be drafted in a manner that meets the highest standards
required for expedited licensure. To comply with this charge, the Compact includes limits on
the number of USMLE/COMLEX attempts, full completion of an accredited GME
program, and the requirement that the physician be board certified, or grandfathered, at the
time of application for expedited licensure.
This approach to defining eligibility is modeled on existing statutory language in those states
which have set forth specific requirements for expedited licensure. For example, in Iowa, a
physician seeking expedited endorsement for purposes of licensure must have (1) Held at
least one permanent/full U.S. state/jurisdiction or Canadian medical license (2) Held an
unrestricted license in every jurisdiction where the applicant is licensed (3) Had no formal
disciplinary actions, active or pending investigations by a board, licensing authority, medical
society, professional society, hospital, medical school, federal agency, or institution staff
sanctions in any state, country or jurisdiction, (4) Hold specialty board certification by an
ABMS or AOA specialty board, and (5) Have been in continuous active practice within the
past five years.
Initial surveys estimate that nearly 80% of the physician population licensed in the United
States will be eligible for expedited licensure via the Compact.
As always, the FSMB, its staff, and members of the Interstate Medical Licensure Compact drafting
taskforce are available to assist you in answering any questions you may receive from your board,
your legislature, or other interested stakeholders in your state. Please do not hesitate to contact us if
we can be of assistance.
Sincerely,
Lisa Robin
From:
Sent:
To:
Subject:
These are the state boards that have endorsed the Compact (17 total in 14 states and DC) thus far. We expect a few
more to trickle in by Jan/Feb. Many of these will have legislation in early 2015 (i.e. Oklahoma, Texas, South Dakota,
Utah, Wyoming, West Virginia). The bill has already been pre-filed in Texas and Montana.
Alabama
District of Columbia
Idaho
Kansas
Maine Medical
Nevada Medical
Oklahoma Medical
South Dakota
Texas
Utah Medical
Utah Osteo
Vermont Medical
Washington Osteo
Washington - Medical
West Virginia Medical
Wisconsin
Wyoming
Can you give me a run down on the states that are going to run this bill. Sounds like Lyle in Oklahoma is ready.
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Tuesday, December 16, 2014 2:19 PM
To: Knittle, Robert C
Cc: Eric Fish
Subject: RE: Conference Call to Discuss Compact/ALEC
Thanks, Bob! This is great news. Copying Eric Fish on this as well.
It is perfectly fine for the numbering to be different, so long as the language is the same state legislators are allowed to
make minor modifications so that the bill is in sync with the states legislative formatting.
Do you have any idea on timeframe?
Happy Holidays!
1
Jonathan
From: Robert Knittle
Sent: Tuesday, December 16, 2014 1:24 PM
To: Jonathan Jagoda
Subject: RE: Conference Call to Discuss Compact/ALEC
Jonathon, Sorry I missed the meeting yesterday. I was searching for a conference call number and got completely side
tracked.
Completely unrelated question: In moving the Interstate Compact language to a bill format the attorney staffer changed
some of the numbering. The language is exactly the same but for example instead of i, ii and iii he used 1. 2. and 3. How
specific does the bill have to reflect the submitted language. Ive attached the final langauge and the draft of the
proposed bill for your consideration.
Bob
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 4:59 PM
To: Kathleen Selzler Lippert; Lyle Kelsey; Knittle, Robert C; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
Ive heard back from most folks. Would 4PM Eastern on Monday, December 15th work for the group? Can reply Yes or
No
From: Kathleen Selzler Lippert
Sent: Wednesday, December 10, 2014 4:14 PM
To: Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer; Margaret
Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
I am available:
Monday, December 15
o Only one meeting on my calendar for 1:30 2:30 PM Kansas time.
o I can be available for a telephone call the rest of the day.
Tuesday, December 16
o I am available any time for a call.
This e-mail and any attachments may contain confidential and privileged information, and is intended for the addressee
only. If you are not the intended recipient, you should destroy this message and notify the sender by reply e-mail. Email is not a secure medium and there is no guarantee e-mail information will be confidential. If you do not wish to
receive information via e-mail, please contact me. Any disclosure, reproduction or transmission of this e-mail is strictly
prohibited without specific authorization from me.
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 1:46 PM
To: Lyle Kelsey; Robert Knittle; Lippert, Kathleen [BOHA]; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: Conference Call to Discuss Compact/ALEC
Importance: High
From:
Sent:
To:
Cc:
Subject:
Knittle, Robert C
Tuesday, December 16, 2014 8:39 AM
'Kevin Bohnenblust'; Eric Fish
Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Mari Robinson; Kimberly
Kirchmeyer; Margaret Hansen; Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB);
Natalie Weiner; Shiri A. Hickman
RE: ALEC rebutal
Kevin makes an excellent point which diminishes the import of this committee position and puts it at odds with previous
endorsement by the full group.
Bob
From: Kevin Bohnenblust [mailto:kevin.bohnenblust@wyo.gov]
Sent: Monday, December 15, 2014 6:08 PM
To: Eric Fish
Cc: Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Knittle, Robert C; Mari Robinson; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: Re: ALEC rebutal
Eric I think the letter looks good. I would suggest making it clear, however, that it's not ALEC as a whole, but only
a committee (or whatever the proper term is) that took this position. It may also be good to reference the action
by the greater ALEC body in January 2013 to endorse the concept of a physician licensure compact. That may
help discredit the action of the sub-body.
Thank you to everyone in the FSMB's D.C. office for staying on top of this and getting us together so quickly.
Kevin
Kevin Bohnenblust
Executive Director
Wyoming Board of Medicine
On Mon, Dec 15, 2014 at 3:18 PM, Eric Fish <efish@fsmb.org> wrote:
Thank you all for joining us on the call today. As we discussed, I have attached a draft communication that
would be sent to Executive Directors responding to the recent passage by ALEC of a resolution opposing the
Compact. Another, more public, statement will be coordinated after consultation with FSMB's public relations
team and the Council of State Governments.
It is our intention to send this to Executive Directors later this week. In order to meet that timeline, please
provide me any comments you may have by 4pm Eastern on December 17th.
1
From:
Sent:
To:
Cc:
Subject:
Is there any way we can have announcements when these are filed? I think it would be very helpful to see what is
happening in other states. What is the best way to do thisuse the AIM list serve?
We are pre-filed in Texas, and session will begin in the second half of Jan with committee meetings to start in Feb.
Mari Robinson, J.D.
Executive Director
Texas Medical Board
1
Eric I think the letter looks good. I would suggest making it clear, however, that it's
not ALEC as a whole, but only a committee (or whatever the proper term is) that
took this position. It may also be good to reference the action by the greater
ALEC body in January 2013 to endorse the concept of a physician licensure
compact. That may help discredit the action of the sub-body.
Thank you to everyone in the FSMB's D.C. office for staying on top of this and
getting us together so quickly.
Kevin
Kevin Bohnenblust
Executive Director
Wyoming Board of Medicine
On Mon, Dec 15, 2014 at 3:18 PM, Eric Fish <efish@fsmb.org> wrote:
Thank you all for joining us on the call today. As we discussed, I have attached a
draft communication that would be sent to Executive Directors responding to the
recent passage by ALEC of a resolution opposing the Compact. Another, more
public, statement will be coordinated after consultation with FSMB's public
relations team and the Council of State Governments.
It is our intention to send this to Executive Directors later this week. In order to
meet that timeline, please provide me any comments you may have by 4pm
Eastern on December 17th.
Please let me know if you have any questions.
Thank you,
Eric
E-Mail to and from me, in connection with the transaction
of public business, is subject to the Wyoming Public Records
Act and may be disclosed to third parties.
3
From:
Sent:
To:
Subject:
Attachments:
Knittle, Robert C
Tuesday, December 16, 2014 1:24 PM
'Jonathan Jagoda'
RE: Conference Call to Discuss Compact/ALEC
interstate compact.pdf; Interstate Medical Licensure Compact (FINAL) September
2014.pdf
Jonathon, Sorry I missed the meeting yesterday. I was searching for a conference call number and got completely side
tracked.
Completely unrelated question: In moving the Interstate Compact language to a bill format the attorney staffer changed
some of the numbering. The language is exactly the same but for example instead of i, ii and iii he used 1. 2. and 3. How
specific does the bill have to reflect the submitted language. Ive attached the final langauge and the draft of the
proposed bill for your consideration.
Bob
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 4:59 PM
To: Kathleen Selzler Lippert; Lyle Kelsey; Knittle, Robert C; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
Ive heard back from most folks. Would 4PM Eastern on Monday, December 15th work for the group? Can reply Yes or
No
From: Kathleen Selzler Lippert
Sent: Wednesday, December 10, 2014 4:14 PM
To: Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer; Margaret
Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
I am available:
Monday, December 15
o Only one meeting on my calendar for 1:30 2:30 PM Kansas time.
o I can be available for a telephone call the rest of the day.
Tuesday, December 16
o I am available any time for a call.
Good choices and decisions today lead to great results tomorrow; make today count.
This e-mail and any attachments may contain confidential and privileged information, and is intended for the addressee
only. If you are not the intended recipient, you should destroy this message and notify the sender by reply e-mail. Email is not a secure medium and there is no guarantee e-mail information will be confidential. If you do not wish to
receive information via e-mail, please contact me. Any disclosure, reproduction or transmission of this e-mail is strictly
prohibited without specific authorization from me.
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 1:46 PM
To: Lyle Kelsey; Robert Knittle; Lippert, Kathleen [BOHA]; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: Conference Call to Discuss Compact/ALEC
Importance: High
H. B./ S. B.
2
3
(By)
Committee on .]
6
7
8
9
10 A BILL to amend the Code of West Virginia, 1931, as amended, by
11
12
13
30-3F-9,
14
30-3F-14,
15
16
30-3F-24,
17
Compact.
30-3F-10,
30-3F-11,
30-3F-15,
all
30-3F-16,
relating
to
30-3F-12,
30-3F-13,
30-3F-17,
30-3F-18,
Interstate
30-3F-23 and
Medical
Licensure
30-3F-4,
30-3F-5,
30-3F-6,
30-3F-7,
30-3F-8,
25 follows:
26 ARTICLE 3F.
1 30-3F-1.
2
In
Purpose.
order
to
strengthen
access
to
health
care,
and
in
at
the
time
of
the
physician-patient
encounter,
and
In this compact:
23
(g)
"Medical
Practice
Act"
means
laws
and
regulations
(i) "Member State" means a state that has enacted the Compact.
24
physician
to
obtain
3
and
maintain
license
in
(k)
4 Liaison
Committee
on
Medical
Education,
the
Commission
on
(2)
Passed
each
component
of
the
United
States
Medical
(4)
Holds
specialty
certification
or
time-unlimited
3 suspended
or
revoked
by
state
or
the
United
States
Drug
6 law
enforcement
authority
in
any
state,
federal,
or
foreign
7 jurisdiction.
8
9 moral turpitude.
10
(m)
"Rule"
means
written
statement
by
the
Interstate
policy
or
provision of
the
Compact, or
an organizational,
(n)
"State"
means
any
state,
commonwealth,
district,
or
9 principal
license
for
purposes
of
registration
for
expedited
14
15 or
16
17
6 the
member
board
within
the
state
selected
as
the
state
of
(c)
Static
qualifications,
which
include
verification
of
(d) The member board within the state selected as the state of
with
the
requirements
of
the
Federal
Bureau
of
25 member state where the application was filed and shall be subject
26 to the law of that state.
7
(f)
After
receiving
verification
of
eligibility
under
7 subsection (b) and any fees under subsection (c), a member board
8 shall issue an expedited license to the physician. This license
9 shall authorize the physician to practice medicine in the issuing
10 state consistent with the Medical Practice Act and all applicable
11 laws and regulations of the issuing member board and member state.
12
13 the licensure period in the member state and in the same manner as
14 required for other physicians holding a full and unrestricted
15 license within the member state.
16
21 regarding
the
application
process,
including
payment
of
any
(b)
8 principal license;
9
foreign
jurisdiction,
excluding
any
action
related
to
17 suspended
or
revoked
by
state
or
the
United
States
Drug
18 Enforcement Administration.
19
20 development
or
continuing
medical
education
requirements
for
23 charged for the renewal of a license and distribute the fees to the
24 applicable member board.
25
(e)
Physician
information
collected
by
the
Interstate
(d)
Member
18 disciplinary,
or
boards
may
report
investigatory
any
non-public
information
not
complaint,
required
by
(e)
Member
boards
shall
share
complaint
or
disciplinary
1 boards.
2 30-3F-9. Joint Investigations.
3
4 deemed investigative.
5
(e)
Any
member
state
may
investigate
actual
or
alleged
licensed
through
the
Compact
shall
be
deemed
25 the
state
of
principal
license
is
revoked,
surrendered
or
(1)
impose
the
same
or
lesser
sanction(s)
against
the
(2)
or
pursue
separate
disciplinary
action
against
the
(b)
The
purpose
of
the
Interstate
Commission
is
the
11 joint
agency
of
the
member
states
and
shall
have
all
the
In
states
where
allopathic
and
osteopathic
25 board;
26
(2)
Executive
director,
executive
13
secretary,
or
similar
22 all meetings and all meetings shall be open to the public. The
23 Interstate Commission may close a meeting, in full or in portion,
24 where it determines by a two-thirds vote of the Commissioners
25 present that an open meeting would be likely to:
26
3 federal statute;
4
(3)
Discuss
trade
secrets,
commercial,
or
financial
(4)
Involve
accusing
person
of
crime,
or
formally
7 censuring a person;
8
9 would
constitute
clearly
unwarranted
invasion
of
personal
10 privacy;
11
12 purposes; or
13
of
rulemaking,
during
15
periods
when
the
Interstate
1 Commission
is
not
in
session.
When
acting
on
behalf
of
the
The Interstate Commission shall have the duty and power to:
10
11
(5)
Establish
and
appoint
committees
including,
but
not
(8)
Borrow,
accept,
hire,
or
contract
for
services
of
3 personnel;
4
(12)
Accept
donations
and
grants
of
money,
equipment,
17 otherwise
to own,
hold,
improve
or
use,
any
property,
real,
18 personal, or mixed;
19
22
25 member
states
concerning
the
activities
of
the
Interstate
11 annual assessment from each member state to cover the cost of the
12 operations and activities of the Interstate Commission and its
13 staff. The total assessment must be sufficient to cover the annual
14 budget approved each year for which revenue is not provided by
15 other sources. The aggregate annual assessment amount shall be
16 allocated
upon a
formula to
be determined
by
the
Interstate
20 any kind prior to securing the funds adequate to meet the same.
21
22 any of the member states, except by, and with the authority of, the
23 member state.
24
25 financial
audit
conducted
by
certified
or
licensed
public
(a)
The
Interstate
Commission
shall,
by
majority
of
of
the
Compact
within
twelve
months
of
the
first
be
specified
in
the
bylaws.
The
chairperson,
or
in
the
for
acts,
errors,
or
omissions
occurring
within
such
5 person's state, may not exceed the limits of liability set forth
6 under the constitution and laws of that state for state officials,
7 employees, and agents. The Interstate Commission is considered to
8 be an instrumentality of the states for the purposes of any such
9 action. Nothing in this subsection shall be construed to protect
10 such person from suit or liability for damage, loss, injury, or
11 liability
caused
by
the
intentional
or
willful
and
wanton
14 director,
its employees,
and
subject
to
the
approval
of
the
1 state,
or
the
Interstate
Commission,
the
representatives
or
(b)
Rules
deemed
appropriate
for
the
operations
of
the
that
substantially
conforms
to
the
"Model
State
26 any person may file a petition for judicial review of the rule in
21
not
5 effective
stay
unless
or
otherwise
the
court
prevent
finds
the
that
rule
the
from
becoming
petitioner
has
the
actions
of
the
Interstate
Commission
consistent
with
8 applicable law and shall not find the rule to be unlawful if the
9 rule represents a reasonable exercise of the authority granted to
10 the Interstate Commission.
11 30-3F-16. Oversight of Interstate Compact
12
13 government in each member state shall enforce the Compact and shall
14 take all actions necessary and appropriate to effectuate the
15 Compact's purposes and intent. The provisions of the Compact and
16 the rules promulgated hereunder shall have standing as statutory
17 law but shall not override existing state authority to regulate the
18 practice of medicine.
19
(b) All courts shall take judicial notice of the Compact and
order
void
as
to
the Interstate
Commission,
the
(a) The grounds for default include, but are not limited to,
24 failure
of
member
state
to
perform
such
obligations
or
the
Compact,
or
the
bylaws
or
promulgated
rules,
the
(2)
Provide
remedial
training
and
specific
technical
20 only after
all
other
means
of
securing
compliance
have
been
(d)
The
Interstate
Commission
shall
establish
rules
and
date
6 performance
of
of
which
termination
extends
including
beyond
the
obligations,
effective
the
date
of
7 termination.
8
(f)
The
Interstate
Commission
shall
not
bear
any
costs
(g)
The
defaulting
state
may
appeal
the
action
of
the
1 Compact.
2
17 remain binding upon each and every member state; provided that a
18 member
state
may
withdraw
from
the
Compact
by
specifically
21 a statute repealing the same, but shall not take effect until one
22 (1) year after the effective date of such statute and until written
23 notice of the withdrawal has been given by the withdrawing state to
24 the governor of each other member state.
25
(c)
The
withdrawing
state
shall
immediately
notify
the
1 introduction
of
legislation
repealing
the
Compact
in
the
2 withdrawing state.
3
granted
in
other
member
states
to
physicians
who
(a) The Compact shall dissolve effective upon the date of the
20 withdrawal
or
default
of the
member
state
which
reduces
the
23 null and void and shall be of no further force or effect, and the
24 business
and
affairs
of
the
Interstate
Commission
shall
be
This article
underscored.
is
new;
therefore,
29
it
has
been
completely
The ideas and conclusions set forth in this document, including the proposed statutory language and any comments
or notes, have not been formally endorsed by the Federation of State Medical Boards or its Board of Directors. This
document has been prepared as part of a study of the feasibility of an interstate compact, and 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.
1
2
In order to strengthen access to health care, and in recognition of the advances in the delivery of
health care, the member states of the Interstate Medical Licensure Compact have allied in
common purpose to develop a comprehensive process that complements the existing licensing
and regulatory authority of state medical boards, provides a streamlined process that allows
physicians to become licensed in multiple states, thereby enhancing the portability of a medical
license and ensuring the safety of patients. The Compact creates another pathway for licensure
and does not otherwise change a state's existing Medical Practice Act. The Compact also adopts
10
the prevailing standard for licensure and affirms that the practice of medicine occurs where the
11
patient is located at the time of the physician-patient encounter, and therefore, requires the
12
physician to be under the jurisdiction of the state medical board where the patient is located.
13
State medical boards that participate in the Compact retain the jurisdiction to impose an adverse
14
action against a license to practice medicine in that state issued to a physician through the
15
16
17
18
19
20
21
22
23
24
SECTION 2. DEFINITIONS
In this compact:
(a) Bylaws means those bylaws established by the Interstate Commission pursuant to
Section 11 for its governance, or for directing and controlling its actions and conduct.
(b) Commissioner means the voting representative appointed by each member board
pursuant to Section 11.
(c) "Conviction" means a finding by a court that an individual is guilty of a criminal
offense through adjudication, or entry of a plea of guilt or no contest to the charge by the
1
3
4
(d) "Expedited License" means a full and unrestricted medical license granted by a
member state to an eligible physician through the process set forth in the Compact.
(e) Interstate Commission" means the interstate commission created pursuant to Section
5
6
7
8
9
10
11
11.
(f) "License" means authorization by a state for a physician to engage in the practice of
medicine, which would be unlawful without the authorization.
(g) "Medical Practice Act" means laws and regulations governing the practice of
allopathic and osteopathic medicine within a member state.
(h) Member Board" means a state agency in a member state that acts in the sovereign
12
interests of the state by protecting the public through licensure, regulation, and education of
13
14
(i) "Member State" means a state that has enacted the Compact.
15
16
human disease, injury, or condition requiring a physician to obtain and maintain a license in
17
18
19
20
21
22
23
(2) Passed each component of the United States Medical Licensing Examination
(USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA)
within three attempts, or any of its predecessor examinations accepted by a state medical board
Association;
9
10
(5) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;
11
12
13
jurisdiction;
14
(7) Has never held a license authorizing the practice of medicine subjected to
15
discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action
16
17
18
19
20
(8) Has never had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration; and
(9) Is not under active investigation by a licensing agency or law enforcement
authority in any state, federal, or foreign jurisdiction.
21
22
23
requirement of the Interstate Commission, and has the force and effect of statutory law in a
member state, and includes the amendment, repeal, or suspension of an existing rule.
(n) State means any state, commonwealth, district, or territory of the United States.
(o) "State of Principal License" means a member state where a physician holds a license
to practice medicine and which has been designated as such by the physician for purposes of
8
9
10
11
SECTION 3. ELIGIBILITY
(a) A physician must meet the eligibility requirements as defined in Section 2(k) to
receive an expedited license under the terms and provisions of the Compact.
12
(b) A physician who does not meet the requirements of Section 2(k) may obtain a license
13
to practice medicine in a member state if the individual complies with all laws and requirements,
14
other than the Compact, relating to the issuance of a license to practice medicine in that state.
15
16
17
(a) A physician shall designate a member state as the state of principal license for
18
purposes of registration for expedited licensure through the Compact if the physician possesses a
19
full and unrestricted license to practice medicine in that state, and the state is:
20
21
(2) the state where at least 25% of the practice of medicine occurs, or
22
23
(4) if no state qualifies under subsection (1), subsection (2), or subsection (3), the
1
2
3
4
5
6
7
(a) A physician seeking licensure through the Compact shall file an application for an
expedited license with the member board of the state selected by the physician as the state of
10
principal license.
11
(b) Upon receipt of an application for an expedited license, the member board within the
12
state selected as the state of principal license shall evaluate whether the physician is eligible for
13
expedited licensure and issue a letter of qualification, verifying or denying the physicians
14
15
16
medical education, results of any medical or licensing examination, and other qualifications as
17
determined by the Interstate Commission through rule, shall not be subject to additional primary
18
source verification where already primary source verified by the state of principal license.
19
(ii) The member board within the state selected as the state of principal license
20
shall, in the course of verifying eligibility, perform a criminal background check of an applicant,
21
including the use of the results of fingerprint or other biometric data checks compliant with the
22
requirements of the Federal Bureau of Investigation, with the exception of federal employees who
23
24
(iii) Appeal on the determination of eligibility shall be made to the member state
5
where the application was filed and shall be subject to the law of that state.
(c) Upon verification in subsection (b), physicians eligible for an expedited license shall
complete the registration process established by the Interstate Commission to receive a license in
a member state selected pursuant to subsection (a), including the payment of any applicable
fees.
(d) After receiving verification of eligibility under subsection (b) and any fees under
subsection (c), a member board shall issue an expedited license to the physician. This license
shall authorize the physician to practice medicine in the issuing state consistent with the Medical
Practice Act and all applicable laws and regulations of the issuing member board and member
10
11
state.
(e) An expedited license shall be valid for a period consistent with the licensure period in
12
the member state and in the same manner as required for other physicians holding a full and
13
14
(f) An expedited license obtained though the Compact shall be terminated if a physician
15
fails to maintain a license in the state of principal licensure for a non-disciplinary reason, without
16
17
18
(g) The Interstate Commission is authorized to develop rules regarding the application
process, including payment of any applicable fees, and the issuance of an expedited license.
19
20
21
22
23
licenses.
2
3
4
5
jurisdiction;
10
(3) Has not had a license authorizing the practice of medicine subject to discipline
11
by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to
12
13
14
15
16
17
18
19
20
21
22
23
(4) Has not had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration.
(b) Physicians shall comply with all continuing professional development or continuing
medical education requirements for renewal of a license issued by a member state.
(c) The Interstate Commission shall collect any renewal fees charged for the renewal of
a license and distribute the fees to the applicable member board.
(d) Upon receipt of any renewal fees collected in subsection (c), a member board shall
renew the physician's license.
(e) Physician information collected by the Interstate Commission during the renewal
process will be distributed to all member boards.
(f) The Interstate Commission is authorized to develop rules to address renewal of
1
2
3
4
5
6
(b) Notwithstanding any other provision of law, member boards shall report to the
Interstate Commission any public action or complaints against a licensed physician who has
10
11
12
13
14
15
16
17
boards shall be confidential, filed under seal, and used only for investigatory or disciplinary
18
matters.
19
20
21
22
23
24
(b) In addition to the authority granted to a member board by its respective Medical
25
Practice Act or other applicable state law, a member board may participate with other member
8
(c) A subpoena issued by a member state shall be enforceable in other member states.
(d) Member boards may share any investigative, litigation, or compliance materials in
4
5
authorizing the practice of medicine in any other member state in which a physician holds a
8
9
10
11
through the Compact shall be deemed unprofessional conduct which may be subject to discipline
12
by other member boards, in addition to any violation of the Medical Practice Act or regulations
13
in that state.
14
(b) If a license granted to a physician by the member board in the state of principal
15
16
licenses issued to the physician by member boards shall automatically be placed, without further
17
action necessary by any member board, on the same status. If the member board in the state of
18
principal license subsequently reinstates the physicians license, a licensed issued to the
19
physician by any other member board shall remain encumbered until that respective member
20
board takes action to reinstate the license in a manner consistent with the Medical Practice Act of
21
that state.
22
23
(c) If disciplinary action is taken against a physician by a member board not in the state
of principal license, any other member board may deem the action conclusive as to matter of law
2
3
(i) impose the same or lesser sanction(s) against the physician so long as such
sanctions are consistent with the Medical Practice Act of that state;
(ii) or pursue separate disciplinary action against the physician under its
respective Medical Practice Act, regardless of the action taken in other member states.
relinquished in lieu of discipline, or suspended, then any license(s) issued to the physician by any
other member board(s) shall be suspended, automatically and immediately without further action
necessary by the other member board(s), for ninety (90) days upon entry of the order by the
10
disciplining board, to permit the member board(s) to investigate the basis for the action under the
11
Medical Practice Act of that state. A member board may terminate the automatic suspension of
12
the license it issued prior to the completion of the ninety (90) day suspension period in a manner
13
14
15
16
17
18
19
20
21
22
states and shall have all the responsibilities, powers, and duties set forth in the Compact, and
23
such additional powers as may be conferred upon it by a subsequent concurrent action of the
10
1
2
respective legislatures of the member states in accordance with the terms of the Compact.
(d) The Interstate Commission shall consist of two voting representatives appointed by
each member state who shall serve as Commissioners. In states where allopathic and osteopathic
physicians are regulated by separate member boards, or if the licensing and disciplinary authority
is split between multiple member boards within a member state, the member state shall appoint
9
10
11
board; or
(3) Member of the public appointed to a member board.
(e) The Interstate Commission shall meet at least once each calendar year. A portion of
12
this meeting shall be a business meeting to address such matters as may properly come before the
13
Commission, including the election of officers. The chairperson may call additional meetings
14
and shall call for a meeting upon the request of a majority of the member states.
15
16
17
(f) The bylaws may provide for meetings of the Interstate Commission to be conducted
by telecommunication or electronic communication.
(g) Each Commissioner participating at a meeting of the Interstate Commission is entitled
18
to one vote. A majority of Commissioners shall constitute a quorum for the transaction of
19
business, unless a larger quorum is required by the bylaws of the Interstate Commission. A
20
Commissioner shall not delegate a vote to another Commissioner. In the absence of its
21
Commissioner, a member state may delegate voting authority for a specified meeting to another
22
person from that state who shall meet the requirements of subsection (d).
23
(h) The Interstate Commission shall provide public notice of all meetings and all
11
meetings shall be open to the public. The Interstate Commission may close a meeting, in full or
in portion, where it determines by a two-thirds vote of the Commissioners present that an open
4
5
(1) Relate solely to the internal personnel practices and procedures of the
Interstate Commission;
or confidential;
10
11
12
13
14
15
proceeding.
(i) The Interstate Commission shall keep minutes which shall fully describe all matters
16
discussed in a meeting and shall provide a full and accurate summary of actions taken, including
17
18
(j) The Interstate Commission shall make its information and official records, to the
19
extent not otherwise designated in the Compact or by its rules, available to the public for
20
inspection.
21
(k) The Interstate Commission shall establish an executive committee, which shall
22
include officers, members, and others as determined by the bylaws. The executive committee
23
shall have the power to act on behalf of the Interstate Commission, with the exception of
12
rulemaking, during periods when the Interstate Commission is not in session. When acting on
behalf of the Interstate Commission, the executive committee shall oversee the administration of
the Compact including enforcement and compliance with the provisions of the Compact, its
5
6
(l) The Interstate Commission may establish other committees for governance and
administration of the Compact.
7
8
The Interstate Commission shall have the duty and power to:
10
11
(b) Promulgate rules which shall be binding to the extent and in the manner provided for
12
13
14
in the Compact;
(c) Issue, upon the request of a member state or member board, advisory opinions
concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
15
(d) Enforce compliance with Compact provisions, the rules promulgated by the Interstate
16
Commission, and the bylaws, using all necessary and proper means, including but not limited to
17
18
(e) Establish and appoint committees including, but not limited to, an executive
19
committee as required by Section 11, which shall have the power to act on behalf of the
20
21
22
(f) Pay, or provide for the payment of the expenses related to the establishment,
organization, and ongoing activities of the Interstate Commission;
23
24
(j) Employ an executive director who shall have such powers to employ, select or appoint
employees, agents, or consultants, and to determine their qualifications, define their duties, and
5
6
7
(k) Establish personnel policies and programs relating to conflicts of interest, rates of
compensation, and qualifications of personnel;
(l) Accept donations and grants of money, equipment, supplies, materials and services,
and to receive, utilize, and dispose of it in a manner consistent with the conflict of interest
10
11
12
13
(m) Lease, purchase, accept contributions or donations of, or otherwise to own, hold,
improve or use, any property, real, personal, or mixed;
(n) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any
property, real, personal, or mixed;
14
15
(p) Adopt a seal and bylaws governing the management and operation of the Interstate
16
Commission;
17
(q) Report annually to the legislatures and governors of the member states concerning the
18
activities of the Interstate Commission during the preceding year. Such reports shall also include
19
reports of financial audits and any recommendations that may have been adopted by the
20
Interstate Commission;
21
22
23
(r) Coordinate education, training, and public awareness regarding the Compact, its
implementation, and its operation;
(s) Maintain records in accordance with the bylaws;
14
(u) Perform such functions as may be necessary or appropriate to achieve the purposes of
the Compact.
4
5
(a) The Interstate Commission may levy on and collect an annual assessment from each
member state to cover the cost of the operations and activities of the Interstate Commission and
its staff. The total assessment must be sufficient to cover the annual budget approved each year
for which revenue is not provided by other sources. The aggregate annual assessment amount
10
shall be allocated upon a formula to be determined by the Interstate Commission, which shall
11
12
13
14
15
(b) The Interstate Commission shall not incur obligations of any kind prior to securing
the funds adequate to meet the same.
(c) The Interstate Commission shall not pledge the credit of any of the member states,
except by, and with the authority of, the member state.
16
(d) The Interstate Commission shall be subject to a yearly financial audit conducted by a
17
certified or licensed public accountant and the report of the audit shall be included in the annual
18
19
20
21
22
(a) The Interstate Commission shall, by a majority of Commissioners present and voting,
23
adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes
15
1
2
of the Compact within twelve (12) months of the first Interstate Commission meeting.
(b) The Interstate Commission shall elect or appoint annually from among its
Commissioners a chairperson, a vice-chairperson, and a treasurer, each of whom shall have such
authority and duties as may be specified in the bylaws. The chairperson, or in the chairperson's
absence or disability, the vice-chairperson, shall preside at all meetings of the Interstate
Commission.
7
8
9
(c) Officers selected in subsection (b) shall serve without remuneration from the
Interstate Commission.
(d) The officers and employees of the Interstate Commission shall be immune from suit
10
and liability, either personally or in their official capacity, for a claim for damage to or loss of
11
property or personal injury or other civil liability caused or arising out of, or relating to, an actual
12
or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
13
14
responsibilities; provided that such person shall not be protected from suit or liability for
15
damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of
16
such person.
17
(1) The liability of the executive director and employees of the Interstate
18
Commission or representatives of the Interstate Commission, acting within the scope of such
19
person's employment or duties for acts, errors, or omissions occurring within such persons state,
20
may not exceed the limits of liability set forth under the constitution and laws of that state for
21
22
instrumentality of the states for the purposes of any such action. Nothing in this subsection shall
23
be construed to protect such person from suit or liability for damage, loss, injury, or liability
16
1
2
and subject to the approval of the attorney general or other appropriate legal counsel of the
Interstate Commission representative in any civil action seeking to impose liability arising out of
an actual or alleged act, error or omission that occurred within the scope of Interstate
Commission employment, duties or responsibilities, or that the defendant had a reasonable basis
for believing occurred within the scope of Interstate Commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not result from
10
11
12
13
harmless in the amount of a settlement or judgment, including attorneys fees and costs, obtained
14
against such persons arising out of an actual or alleged act, error, or omission that occurred
15
within the scope of Interstate Commission employment, duties, or responsibilities, or that such
16
persons had a reasonable basis for believing occurred within the scope of Interstate Commission
17
employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission
18
did not result from intentional or willful and wanton misconduct on the part of such persons.
19
20
21
22
23
17
the Interstate Commission exercises its rulemaking authority in a manner that is beyond the
scope of the purposes of the Compact, or the powers granted hereunder, then such an action by
(b) Rules deemed appropriate for the operations of the Interstate Commission shall be
made pursuant to a rulemaking process that substantially conforms to the Model State
(c) Not later than thirty (30) days after a rule is promulgated, any person may file a
petition for judicial review of the rule in the United States District Court for the District of
Columbia or the federal district where the Interstate Commission has its principal offices,
10
provided that the filing of such a petition shall not stay or otherwise prevent the rule from
11
becoming effective unless the court finds that the petitioner has a substantial likelihood of
12
success. The court shall give deference to the actions of the Interstate Commission consistent
13
with applicable law and shall not find the rule to be unlawful if the rule represents a reasonable
14
15
16
17
(a) The executive, legislative, and judicial branches of state government in each member
18
state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate
19
the Compacts purposes and intent. The provisions of the Compact and the rules promulgated
20
hereunder shall have standing as statutory law but shall not override existing state authority to
21
22
(b) All courts shall take judicial notice of the Compact and the rules in any judicial or
23
administrative proceeding in a member state pertaining to the subject matter of the Compact
24
which may affect the powers, responsibilities or actions of the Interstate Commission.
18
(c) The Interstate Commission shall be entitled to receive all service of process in any
such proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure
to provide service of process to the Interstate Commission shall render a judgment or order void
5
6
(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce
8
9
10
action in the United States District Court for the District of Columbia, or, at the discretion of the
11
Interstate Commission, in the federal district where the Interstate Commission has its principal
12
offices, to enforce compliance with the provisions of the Compact, and its promulgated rules and
13
bylaws, against a member state in default. The relief sought may include both injunctive relief
14
and damages. In the event judicial enforcement is necessary, the prevailing party shall be
15
16
(c) The remedies herein shall not be the exclusive remedies of the Interstate Commission.
17
The Interstate Commission may avail itself of any other remedies available under state law or the
18
regulation of a profession.
19
20
21
(a) The grounds for default include, but are not limited to, failure of a member state to
22
perform such obligations or responsibilities imposed upon it by the Compact, or the rules and
23
19
(b) If the Interstate Commission determines that a member state has defaulted in the
(1) Provide written notice to the defaulting state and other member states, of the
nature of the default, the means of curing the default, and any action taken by the Interstate
Commission. The Interstate Commission shall specify the conditions by which the defaulting
8
9
10
(2) Provide remedial training and specific technical assistance regarding the
default.
(c) If the defaulting state fails to cure the default, the defaulting state shall be terminated
11
from the Compact upon an affirmative vote of a majority of the Commissioners and all rights,
12
privileges, and benefits conferred by the Compact shall terminate on the effective date of
13
termination. A cure of the default does not relieve the offending state of obligations or liabilities
14
15
(d) Termination of membership in the Compact shall be imposed only after all other
16
means of securing compliance have been exhausted. Notice of intent to terminate shall be given
17
by the Interstate Commission to the governor, the majority and minority leaders of the defaulting
18
19
(e) The Interstate Commission shall establish rules and procedures to address licenses and
20
physicians that are materially impacted by the termination of a member state, or the withdrawal
21
of a member state.
22
23
(f) The member state which has been terminated is responsible for all dues, obligations,
and liabilities incurred through the effective date of termination including obligations, the
20
1
2
found to be in default or which has been terminated from the Compact, unless otherwise
mutually agreed upon in writing between the Interstate Commission and the defaulting state.
(h) The defaulting state may appeal the action of the Interstate Commission by
petitioning the United States District Court for the District of Columbia or the federal district
where the Interstate Commission has its principal offices. The prevailing party shall be awarded
9
10
11
(a) The Interstate Commission shall attempt, upon the request of a member state, to
12
resolve disputes which are subject to the Compact and which may arise among member states or
13
member boards.
14
15
(b) The Interstate Commission shall promulgate rules providing for both mediation and
binding dispute resolution as appropriate.
16
17
18
19
(b) The Compact shall become effective and binding upon legislative enactment of the
20
Compact into law by no less than seven (7) states. Thereafter, it shall become effective and
21
binding on a state upon enactment of the Compact into law by that state.
22
23
(c) The governors of non-member states, or their designees, shall be invited to participate
in the activities of the Interstate Commission on a non-voting basis prior to adoption of the
21
(d) The Interstate Commission may propose amendments to the Compact for enactment
by the member states. No amendment shall become effective and binding upon the Interstate
Commission and the member states unless and until it is enacted into law by unanimous consent
6
7
(a) Once effective, the Compact shall continue in force and remain binding upon each
9
10
and every member state; provided that a member state may withdraw from the Compact by
specifically repealing the statute which enacted the Compact into law.
11
(b) Withdrawal from the Compact shall be by the enactment of a statute repealing the
12
same, but shall not take effect until one (1) year after the effective date of such statute and until
13
written notice of the withdrawal has been given by the withdrawing state to the governor of each
14
15
(c) The withdrawing state shall immediately notify the chairperson of the Interstate
16
Commission in writing upon the introduction of legislation repealing the Compact in the
17
withdrawing state.
18
(d) The Interstate Commission shall notify the other member states of the withdrawing
19
states intent to withdraw within sixty (60) days of its receipt of notice provided under subsection
20
(c).
21
(e) The withdrawing state is responsible for all dues, obligations and liabilities incurred
22
through the effective date of withdrawal, including obligations, the performance of which extend
23
22
(f) Reinstatement following withdrawal of a member state shall occur upon the
withdrawing state reenacting the Compact or upon such later date as determined by the Interstate
Commission.
(g) The Interstate Commission is authorized to develop rules to address the impact of the
withdrawal of a member state on licenses granted in other member states to physicians who
7
8
(a) The Compact shall dissolve effective upon the date of the withdrawal or default of the
10
11
member state which reduces the membership in the Compact to one (1) member state.
(b) Upon the dissolution of the Compact, the Compact becomes null and void and shall
12
be of no further force or effect, and the business and affairs of the Interstate Commission shall be
13
concluded and surplus funds shall be distributed in accordance with the bylaws.
14
15
16
(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence,
17
18
enforceable.
19
(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
20
(c) Nothing in the Compact shall be construed to prohibit the applicability of other
21
22
23
23
1
2
3
4
5
6
7
8
9
(a) Nothing herein prevents the enforcement of any other law of a member state that is
not inconsistent with the Compact.
(b) All laws in a member state in conflict with the Compact are superseded to the extent of
the conflict.
(c) All lawful actions of the Interstate Commission, including all rules and bylaws
promulgated by the Commission, are binding upon the member states.
(d) All agreements between the Interstate Commission and the member states are binding
in accordance with their terms.
(e) In the event any provision of the Compact exceeds the constitutional limits imposed
10
on the legislature of any member state, such provision shall be ineffective to the extent of the
11
24
From:
Sent:
To:
Cc:
Subject:
Knittle, Robert C
Wednesday, December 17, 2014 11:38 AM
'Kevin Bohnenblust'; Eric Fish
Kimberly Kirchmeyer; Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Mari
Robinson; Margaret Hansen; Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Shiri A.
Hickman
RE: ALEC rebutal
Kevin Bohnenblust
Executive Director
Wyoming Board of Medicine
On Wed, Dec 17, 2014 at 9:00 AM, Eric Fish <efish@fsmb.org> wrote:
Attached is an edited version incorporating the comments received. The major change is to the question of excess and
fees and reflects Kim's concerns.
Eric
Kevin Bohnenblust
Executive Director
Wyoming Board of Medicine
On Tue, Dec 16, 2014 at 7:44 PM, Kirchmeyer, Kimberly@MBC <Kimberly.Kirchmeyer@mbc.ca.gov> wrote:
Eric,
I also agree with Kevins recommendations. I also would recommend that more clarity be provided in the
section regarding the cost of obtaining medical licenses will be dramatically increased. This is exactly
what our Medical Association brought up in our last meeting here. I think they are talking about the processing
fee that will be assessed, which will be in addition to each states licensure fees. They are stating that this will
be an undue hardship and regulatory excess. To me, the rebuttal to this is that the compact streamlines the
process for the licensees, in that rather than having to obtain individual documents for multiple states, which is
both expensive and time consuming, they have to do it once. I dont know what the processing fee will be, but
it seems by the time you have asked for transcripts sent to multiple states, exam scores, etc. plus the time, it
might be a cost savings. It isnt regulatory excess because applicants have a choice. The response ends with
talking about eliminating the burden to member states, but unless I am reading this wrong, they are talking
about the burden to licensees themselves. I may have totally missed the point, but I think more information
could be placed in that response.
Thank you very much for handling all this for the State Boards!
Kim
Thank you all for joining us on the call today. As we discussed, I have attached a draft communication that
would be sent to Executive Directors responding to the recent passage by ALEC of a resolution opposing the
Compact. Another, more public, statement will be coordinated after consultation with FSMB's public relations
team and the Council of State Governments.
2
It is our intention to send this to Executive Directors later this week. In order to meet that timeline, please
provide me any comments you may have by 4pm Eastern on December 17th.
Please let me know if you have any questions.
Thank you,
Eric
*** Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended
recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure
or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and
destroy all copies of the original message. ***
E-Mail to and from me, in connection with the transaction
of public business, is subject to the Wyoming Public Records
Act and may be disclosed to third parties.
E-Mail to and from me, in connection with the transaction
of public business, is subject to the Wyoming Public Records
Act and may be disclosed to third parties.
From:
Sent:
To:
Cc:
Subject:
Attachments:
Attached is an edited version incorporating the comments received. The major change is to the question of excess and
fees and reflects Kim's concerns.
Eric
From: Kevin Bohnenblust, JD
Sent: Wednesday, December 17, 2014 10:19 AM
To: Kimberly Kirchmeyer
Cc: Eric Fish; Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Margaret Hansen;
Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: Re: ALEC rebutal
Kevin Bohnenblust
Executive Director
Wyoming Board of Medicine
On Tue, Dec 16, 2014 at 7:44 PM, Kirchmeyer, Kimberly@MBC <Kimberly.Kirchmeyer@mbc.ca.gov> wrote:
Eric,
I also agree with Kevins recommendations. I also would recommend that more clarity be provided in the
section regarding the cost of obtaining medical licenses will be dramatically increased. This is exactly
what our Medical Association brought up in our last meeting here. I think they are talking about the processing
fee that will be assessed, which will be in addition to each states licensure fees. They are stating that this will
be an undue hardship and regulatory excess. To me, the rebuttal to this is that the compact streamlines the
process for the licensees, in that rather than having to obtain individual documents for multiple states, which is
both expensive and time consuming, they have to do it once. I dont know what the processing fee will be, but
it seems by the time you have asked for transcripts sent to multiple states, exam scores, etc. plus the time, it
might be a cost savings. It isnt regulatory excess because applicants have a choice. The response ends with
talking about eliminating the burden to member states, but unless I am reading this wrong, they are talking
about the burden to licensees themselves. I may have totally missed the point, but I think more information
could be placed in that response.
Thank you very much for handling all this for the State Boards!
1
Kim
Thank you all for joining us on the call today. As we discussed, I have attached a draft communication that
would be sent to Executive Directors responding to the recent passage by ALEC of a resolution opposing the
Compact. Another, more public, statement will be coordinated after consultation with FSMB's public relations
team and the Council of State Governments.
It is our intention to send this to Executive Directors later this week. In order to meet that timeline, please
provide me any comments you may have by 4pm Eastern on December 17th.
Please let me know if you have any questions.
Thank you,
Eric
*** Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended
recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure
or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and
destroy all copies of the original message. ***
E-Mail to and from me, in connection with the transaction
of public business, is subject to the Wyoming Public Records
Act and may be disclosed to third parties.
located at the time of the physician-patient encounter. The Interstate Compact requires, and
in fact ensures, that a physician operating a multistate practice is under the jurisdiction of the
state medical board where the patient is located.
WHEREAS, there will be a significant cost to each participating state in joining such
an Interstate Medical Licensure Compact,
Throughout the discussion of the Compact and the Compact Commission it has been clear
that in order to succeed, the Compact must be as close to budget neutral as possible, and
thus, self-sustaining. This guided the drafting committee in its choices on how to allocate
powers to the Compact Commission. The Interstate Compact empowers the Interstate
Commission to secure outside funding, through private grants, federal appropriations in
support of license portability, or other similar sources to off-set the need for any
appropriation from states.
Additionally, the processing fees for expedited licensure will largely offset, if not totally
eliminate, the burden on the member states.
WHEREAS, it will be difficult and expensive for a state to extricate itself from the
Interstate Medical Licensure Compact,
State participation in the Interstate Compact is, and will remain, voluntary. States are free to
withdraw from the Compact and may do so by repealing the enacted statute.
The withdrawal provisions of the Interstate Compact are consistent with compacts currently
enacted throughout the country.
WHEREAS, the cost of obtaining medical licenses will be dramatically increased,
and states must protect its citizens from regulatory excesses,
The Interstate Compact is not a regulatory excess, but instead a regulatory evolution. The
Interstate Compact serves as an alternative solution that improves license portability and
protects against federal preemption and national licensure that threatens to unravel a 150
year old system of state based regulation. It also has been drafted by state medical boards in
recognition that that once properly verified by a participating state, common elements and
standards of licensure could be relied upon to improve licensing processes around the
country.
Because licensure processes and required information vary by state, physicians currently face
unaccounted for costs if they seek licensure in multiple states. The Interstate Compact would
reduce these unaccounted for costs because states licensing boards would rely on the
affirmation and information provided by another member state to process the license. The
compact streamlines the process for the licensees, in that rather than having to obtain
individual documents for multiple states, which is both expensive and time consuming, they
have to do it once.
All licensees would have to pay the fees set in a state in order to obtain and maintain a
license via the compact, just as with licenses currently obtained via current methods. States
retain the ability to adjust these fees accordingly to the regulatory needs of their state. In fact,
during the drafting discussions, some state licensing boards expressed openness to reducing
fees for physicians licensed through the compact because much of the financial burden of
verifying documentation would be alleviated.
WHEREAS, the Interstate Medical Licensure Compacts definition of a physician is
at variance with all other State Medical Boards,
The definition of physician in the Interstate Compact relates only to the eligibility to receive a license
through the process outlined in the Compact. The definition does not change the definition of
physician in the Medical Practice Act, or the base requirements for licensure of a physician
seeking only one license within a state or who chooses to become licensed through existing
processes.
Each state has varying standards, requirements, and educational milestones that a physician
must meet for licensure. In order to for the Compact to be acceptable in ALL states, the
definition of physician had to be drafted in a manner that meets the highest standards
required for expedited licensure. To comply with this charge, the Compact includes limits on
the number of USMLE/COMLEX attempts, full completion of an accredited GME
program, and the requirement that the physician be board certified, or grandfathered, at the
time of application for expedited licensure.
This approach to defining eligibility is modeled on existing statutory language in those states
which have set forth specific requirements for expedited licensure. For example, in Iowa, a
physician seeking expedited endorsement for purposes of licensure must have (1) Held at
least one permanent/full U.S. state/jurisdiction or Canadian medical license (2) Held an
unrestricted license in every jurisdiction where the applicant is licensed (3) Had no formal
disciplinary actions, active or pending investigations by a board, licensing authority, medical
society, professional society, hospital, medical school, federal agency, or institution staff
sanctions in any state, country or jurisdiction, (4) Hold specialty board certification by an
ABMS or AOA specialty board, and (5) Have been in continuous active practice within the
past five years.
Initial surveys estimate that nearly 80% of the physician population licensed in the United
States will be eligible for expedited licensure via the Compact.
As always, the FSMB, its staff, and members of the Interstate Medical Licensure Compact drafting
taskforce are available to assist you in answering any questions you may receive from your board,
your legislature, or other interested stakeholders in your state. Please do not hesitate to contact us if
we can be of assistance.
Sincerely,
Lisa Robin
From:
Sent:
To:
Cc:
Subject:
Attachments:
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
1300 Connecticut Avenue NW | Suite 500 | Washington, DC 20036
202-463-4006 direct |
lrobin@fsmb.org
ATTENTION: This email may contain confidential and/or privileged material for the sole use of the intended recipient. Any review or distribution by others is strictly
prohibited. If you have received this email in error, please immediately notify the sender, and destroy all copies of the original message.
Resolution
Supporting
Telehealth Working Group
Efforts
of
WHEREAS, the cost of healthcare has grown an average of 2.4 percent faster than GDP since 1970 and
currently represents 18 percent of the United States total GDP; and
WHEREAS, the lack of access to health care in rural areas is contributing significantly to these increasing
costs; and
WHEREAS, 21 percent of the American population lives in rural areas, but only 11 percent of medical
specialists practice in those areas, which frequently results in patients in these areas being dramatically
underserved; and
WHEREAS, an integrated National medical response capability is essential to assist across state borders to
deal with the medical impacts of major disasters; and
WHEREAS, technology has the potential to improve telehealth, which in turn may significantly improve
access to health care in rural areas and in turn reduce costs for patients, states, and the federal government;
and
WHEREAS, similar technologies have been effectively used in industries such as finance, transportation, and
public safety to reduce costs and provide a more efficient product for consumers; and
WHEREAS, in order to take advantage of improvements in technology to better utilize telehealth and in turn
improve access to health care in rural areas, reform is needed in medical licensure regulations and payment
models; and
WHEREAS, one such means to promote these necessary reforms may be the use of an interstate compact;
and
WHEREAS, similar medical licensing compacts already exist, including the Nurse Licensure Compact; and
WHEREAS, interstate compacts are unique tools reserved for states that encourage multistate cooperation
and innovative policy solutions while asserting and preserving state sovereignty.
NOW THEREFORE BE IT RESOLVED THAT, the American Legislative Exchange Council supports the goals of
the Telehealth Care Interstate Compact Working Group and urges it to continue working to explore the
creation of a new interstate compact agreement designed to improve access to health care in rural areas by
facilitating the interstate licensing of doctors and reforming the existing reimbursement system.
On December 5, 2014 the Health and Human Services Task Force of the American Legislative
Exchange Council (ALEC) voted to support a resolution that opposes the Interstate Medical
Licensure Compact. The resolution makes several claims about the Compact that the FSMB staff,
the Compact's Drafting Team, and Advisory Council of Board Executives agree are erroneous and
misleading. It should be also be noted that, in 2014, the ALEC Board of Directors voted to support
creation of a new interstate compact agreement designed to improve access to health care in rural
areas by facilitating the interstate licensing of doctors and reforming the existing reimbursement
system.
You will find below a point by point rebuttal of the claims made in the resolution that may be
helpful in responding if the Taskforce resolution is referenced during your boards or legislatures
consideration of the Compact.
WHEREAS, the Interstate Medical Licensure Compact will supersede a states
autonomy and control over the practice of medicine,
Facilitating expedited medical licensure through the Interstate Medical Licensure Compact
protects state sovereignty. The ability of the states to enter into compacts that would stave
off federal legislation is enshrined in the U.S. Constitution. Unlike preemption from Federal
law or regulation, the Compact would allow the states and the state medical boards to
continue to exercise their authority to protect patient welfare and regulate physicians.
The telemedicine industry continues to seek relief from state medical licensure requirements,
most recently through Federal legislation such as HR 3077. Such bills would usurp the
powers to regulate physicians practicing within a state from the very agencies of the state
that have been given this duty by the state legislature in accordance to the duly apportioned
police powers in a system of federalism that respects state's rights.
The Compact represents the efforts of the states to develop a dynamic, self-regulatory
system of expedited licensure over which the member states can maintain control through a
coordinated legislative and administrative process.
WHEREAS, the Interstate Commission will likely cause changes to the state
Medical Practice Act,
The Interstate Compact serves to facilitate the expedited licensure of physicians who seek
licensure in multiple states.
As clearly stated in the preamble of the Interstate Compact, "The Compact creates another
pathway for licensure and does not otherwise change a state's existing Medical
Practice Act." The Compact also adopts the prevailing standard for licensure found in the
Medical Practice Acts of each state and affirms that the practice of medicine occurs where
the patient is located at the time of the physician-patient encounter. The Interstate Compact
requires, and in fact ensures, that a physician operating a multistate practice is under the
jurisdiction of the state medical board where the patient is located.
WHEREAS, there will be a significant cost to each participating state in joining such
an Interstate Medical Licensure Compact,
Throughout the discussion of the Compact and the Compact Commission it has been clear
that in order to succeed, the Compact must be as close to budget neutral as possible, and
thus, self-sustaining. This guided the drafting committee in its choices on how to allocate
powers to the Compact Commission. The Interstate Compact empowers the Interstate
Commission to secure outside funding, through private grants, federal appropriations in
support of license portability, or other similar sources to off-set the need for any
appropriation from states.
Additionally, the processing fees for expedited licensure will largely offset, if not totally
eliminate, the burden on the member states.
WHEREAS, it will be difficult and expensive for a state to extricate itself from the
Interstate Medical Licensure Compact,
State participation in the Interstate Compact is, and will remain, voluntary. States are free to
withdraw from the Compact and may do so by repealing the enacted statute.
The withdrawal provisions of the Interstate Compact are consistent with compacts currently
enacted throughout the country.
WHEREAS, the cost of obtaining medical licenses will be dramatically increased,
and states must protect its citizens from regulatory excesses,
Because licensure processes and required information vary by state, physicians currently face
unaccounted for costs if they seek licensure in multiple states. The Interstate Compact would
reduce these unaccounted for costs because states licensing boards would rely on the
affirmation and information provided by another member state to process the license. The
compact streamlines the process for the licensees, in that rather than having to obtain
individual documents for multiple states, which is both expensive and time consuming, they
have to do it once.
All licensees would have to pay the fees set in a state in order to obtain and maintain a
license via the compact, just as with licenses currently obtained via current methods. States
retain the ability to adjust these fees accordingly to the regulatory needs of their state. In fact,
during the drafting discussions, some state licensing boards expressed openness to reducing
fees for physicians licensed through the compact because much of the financial burden of
verifying documentation would be alleviated.
The Interstate Compact is not a regulatory excess, but instead a regulatory evolution. The
Interstate Compact serves as an alternative solution that improves license portability and
protects against federal preemption and national licensure that threatens to unravel a 150
year old system of state based regulation. It also has been drafted by state medical boards in
recognition that that once properly verified by a participating state, common elements and
standards of licensure could be relied upon to improve licensing processes around the
country.
WHEREAS, the Interstate Medical Licensure Compacts definition of a physician is
at variance with all other State Medical Boards,
The definition of physician in the Interstate Compact relates only to the eligibility to receive a license
through the process outlined in the Compact. The definition does not change the definition of
physician in the Medical Practice Act, or the base requirements for licensure of a physician
seeking only one license within a state or who chooses to become licensed through existing
processes.
Each state has varying standards, requirements, and educational milestones that a physician
must meet for licensure. In order to for the Compact to be acceptable in ALL states, the
definition of physician had to be drafted in a manner that meets the highest standards
required for expedited licensure. To comply with this charge, the Compact includes limits on
the number of USMLE/COMLEX attempts, full completion of an accredited GME
program, and the requirement that the physician be board certified, or grandfathered, at the
time of application for expedited licensure.
This approach to defining eligibility is modeled on existing statutory language in those states
which have set forth specific requirements for expedited licensure. For example, in Iowa, a
physician seeking expedited endorsement for purposes of licensure must have (1) held at
least one permanent/full U.S. state/jurisdiction or Canadian medical license (2) held an
unrestricted license in every jurisdiction where the applicant is licensed (3) had no formal
disciplinary actions, active or pending investigations by a board, licensing authority, medical
society, professional society, hospital, medical school, federal agency, or institution staff
sanctions in any state, country or jurisdiction, (4) hold specialty board certification by an
ABMS or AOA specialty board (current or time unlimited), and (5) have been in continuous
active practice within the past five years.
Initial surveys estimate that nearly 80% of the physician population licensed in the United
States will be eligible for expedited licensure via the Compact.
From:
Sent:
To:
Subject:
Hi Shiri, Its a bit of a head scratcher. We picked up on the same thing. Not sure why the changes in section 4&5 were
made. Weve talked with the staffer who did it and these are to be changed back. Should get a revised copy tomorrow.
Bob
From: Shiri A. Hickman [mailto:shickman@fsmb.org]
Sent: Thursday, December 18, 2014 2:35 PM
To: Knittle, Robert C
Cc: Eric Fish; Jonathan Jagoda; John Bremer
Subject: RE: Conference Call to Discuss Compact/ALEC
Bob,
I reviewed the WV bill format that you sent over to Jonathan. As you pointed out, there are some significant style
changes that Id be curious to know the rationale behind, though at face-value they seem to not impact the substance of
the legislation. However, the re-numbering/reformatting in sections 4 and 5 require cross references in those sections
to be changed, which was not done and should be corrected. Im happy to discuss further with you if its easier to do so
on the phone.
Be in touch,
Shiri
Shiri Ahronovich Hickman, J.D.
State Legislative and Policy Manager
Federation of State Medical Boards
1300 Connecticut Avenue, NW | Suite 500 | Washington, DC 20036
202-463-4002 direct | shickman@fsmb.org | www.fsmb.org
Jonathon, Sorry I missed the meeting yesterday. I was searching for a conference call number and got completely side
tracked.
Completely unrelated question: In moving the Interstate Compact language to a bill format the attorney staffer changed
some of the numbering. The language is exactly the same but for example instead of i, ii and iii he used 1. 2. and 3. How
specific does the bill have to reflect the submitted language. Ive attached the final langauge and the draft of the
proposed bill for your consideration.
Bob
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 4:59 PM
To: Kathleen Selzler Lippert; Lyle Kelsey; Knittle, Robert C; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
Ive heard back from most folks. Would 4PM Eastern on Monday, December 15th work for the group? Can reply Yes or
No
From: Kathleen Selzler Lippert
Sent: Wednesday, December 10, 2014 4:14 PM
To: Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer; Margaret
Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
I am available:
Monday, December 15
o Only one meeting on my calendar for 1:30 2:30 PM Kansas time.
o I can be available for a telephone call the rest of the day.
Tuesday, December 16
o I am available any time for a call.
This e-mail and any attachments may contain confidential and privileged information, and is intended for the addressee
only. If you are not the intended recipient, you should destroy this message and notify the sender by reply e-mail. Email is not a secure medium and there is no guarantee e-mail information will be confidential. If you do not wish to
receive information via e-mail, please contact me. Any disclosure, reproduction or transmission of this e-mail is strictly
prohibited without specific authorization from me.
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 1:46 PM
To: Lyle Kelsey; Robert Knittle; Lippert, Kathleen [BOHA]; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: Conference Call to Discuss Compact/ALEC
Importance: High
From:
Sent:
To:
Subject:
Attachments:
Importance:
High
The Federation of State Medical Boards 2014 Preliminary Annual Statistical Report is attached for your review.
Laura Smallman
Quality Assurance Administrator
Physician Data Center Board Action Data Bank
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4054 direct | 817-868-4213 fax
lsmallman@fsmb.org| www.fsmb.org
Confidentiality Notice: Unless otherwise stated, the information contained in this e-mail message is privileged and
confidential. This e-mail message is intended solely for the individual(s) and/or entities named herein. If you receive this
message and are not the intended recipient you are hereby notified that, any dissemination, distribution, publication, or
reproduction of this communication is unauthorized and no privilege is waived by your inadvertent receipt. If you have
received this communication in error, please notify sender by reply e-mail and then immediately and permanently
delete this message and any attachments.
From:
Sent:
To:
Cc:
Subject:
Attachments:
Deanne Dooley
Executive Administrative Assistant, Meetings & Travel
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4086 direct | 817-868-4183 fax
ddooley@fsmb.org| www.fsmb.org
Donald H. Polk, DO
Chair
Baggage Fees
The FSMB will reimburse airline charges for up to two checked bags. Overweight baggage fees will not be
reimbursed.
Preferred Seating
If travelers seating preference is not available within the base airfare, the FSMB will reimburse up to $75
roundtrip to purchase such seating.
Page 1 of 2/Nov 2014
Voting Delegates
Travel Reimbursement Guidelines
GROUND TRANSPORTATION
If using rail or personal automobile, the total expense for such travel may not exceed the cost of prevailing coach
airfare.
Reimbursement for use of personal autos will be at the prevailing IRS standard mileage rate plus fees for parking and
tolls. Other auto expenses (violation tickets, maintenance) are not reimbursable.
Reasonable cab fares and transfers to and from the airport will be reimbursed. Rental car expenses are not
reimbursable.
LODGING
In order to take advantage of the FSMBs scholarship, the Voting Delegate must stay at the host hotel. Hotel costs
will be reimbursed at the host hotels single convention rate for up to four nights from Wednesday through
Saturday nights.
MEALS & INCIDENTALS
Meals (when not provided) and incidentals (e.g., tips, phone calls) will be reimbursed up to $100 per day from
Wednesday through Sunday. Consumption of alcohol is at the travelers personal risk and the FSMB expects the
traveler to act responsibly and avoid intoxication.
Receipts for all meals are required. Itemized restaurant receipts should be submitted. Credit card signature
receipts alone may not meet the requirements of this policy. The FSMB does not reimburse on a per diem
basis.
Excessive phone calls, in terms of number or length, will not be reimbursed.
UNAUTHORIZED EXPENSES
Miscellaneous personal and business expenses are not reimbursable. These include: expense charges for family
members or guests; expenses incurred for business related to other organizations; movies, gift shop purchases,
business center, dry cleaning/laundry, and Continuing Medical Education fees.
SPECIAL TRAVEL ACCOMMODATIONS
Individuals with documented disabilities as defined under the Americans with Disabilities Act Amendments Act of
2008 (ADAAA) may request special travel accommodations. Individuals requesting special accommodations must
provide appropriate documentation to support the request. Requests will be evaluated on an individual basis.
The ADAAA and accompanying regulations define a person with a disability as someone that (1) has a physical or
mental impairment that substantially limits one or more major life activities; or (2) has a record of such an
impairment; or (3) is regarded as having such an impairment. The purpose of documentation is to validate that the
individual is covered under the ADAAA as a disabled individual. The purpose of accommodations is to provide
equal access for individuals traveling on behalf of FSMB.
REIMBURSEMENT FORMS
The FSMB Request for Reimbursement of Travel Expenses should be completed and submitted to the FSMBs
Director of Meetings and Travel within 30 days following completion of travel. Requests for extensions must be in
writing. Reimbursement will not be granted for requests received after 30 days unless a request for an extension has
been submitted.
Receipts for all individual expenses exceeding $25 must be attached to the reimbursement request.
MEMORANDUM
DATE:
TO:
FROM:
Deanne Dooley
Executive Administrative Assistant
Meeting and Travel Planning
RE:
Preparations are underway for FSMBs 103rd Annual Meeting to be held April 23 April 25, 2015,
at the Omni Fort Worth in Fort Worth, TX.
Reimbursement up to $1,800 in travel expenses will be provided for each member boards
president/chair attending as the voting delegate at the FSMBs House of Delegates Meeting on
Saturday, April 25, 2015. If the president/chair is unable to participate, an alternate member of
the medical board may be selected by the president/chair to attend as the designated voting
delegate. Please see the attached letter from the FSMBs Chair and President/CEO
stressing the importance of the role of the voting delegate.
The FSMB will also reimburse the executive director of each member board up to $1,800 for
expenses incurred in relation to his/her attendance at the Annual Meeting. In the event the
executive director cannot participate, the president/chair may select another senior staff person
to attend in the executive directors place.
Reimbursement for the voting delegate and the executive director will be made in accordance
with the attached guidelines. Please complete the attached Scholarship Response Form
identifying your boards scholarship recipients. The deadline for returning the response form
is February 2, 2015. Upon receipt of the form, scholarship information and travel policies will
be sent to the recipients.
Annual membership dues for member boards must be paid in full in order for both the voting
delegate and the executive director to take advantage of the scholarship opportunity. A draft
agenda for the 2015 Annual Meeting will be posted on the FSMBs website at www.fsmb.org.
Should you have any questions, you may reach me at 817-868-4086.
TEXAS OFFICE: 400 FULLER WISER ROAD, SUITE 300 EULESS, TX 76039 TEL: (817) 868 -4000 FAX: (817) 868 -4097 WWW.FSMB.ORG
WASHINGTON, D.C. OFFICE: 1300 CONNECTICUT AVE, SUITE 500 WASHINGTON, D.C. 20036 TEL: (202) 463-4000 FAX: (817) 868 -8888
_______________________________________
____________________________________
_________________________________
______________________________
Name
Title
Name
Title
NOTE: Confirmation and meeting materials will be sent to scholarship recipients at the address listed below.
_________________________________
______________________________
_________________________________
______________________________
Address
Address
_________________________________
City, State, Zip
_________________________________
Phone
_________________________________
Fax
_________________________________
Email
Address
Address
______________________________
City, State, Zip
______________________________
Phone
______________________________
Fax
______________________________
Email
___________________________________________
Signature of Board President/Chair (required)
TEXAS OFFICE: 400 FULLER WISER ROAD, SUITE 300 EULESS, TX 76039 TEL: (817) 868 -4000 FAX: (817) 868 -4097 WWW.FSMB.ORG
WASHINGTON, D.C. OFFICE: 1300 CONNECTICUT AVE, SUITE 500 WASHINGTON, D.C. 20036 TEL: (202) 463-4000 FAX: (817) 868 -8888
Baggage Fees
The FSMB will reimburse airline charges for up to two checked bags. Overweight baggage fees will not be
reimbursed.
Preferred Seating
If travelers seating preference is not available within the base airfare, the FSMB will reimburse up to
$75 roundtrip to purchase such seating.
Page 1 of 2/Nov 2014
GROUND TRANSPORTATION
If using rail or personal automobile, the total expense for such travel may not exceed the cost of prevailing coach
airfare.
Reimbursement for use of personal autos will be at the prevailing IRS standard mileage rate plus fees for parking
and tolls. Other auto expenses (violation tickets, maintenance) are not reimbursable.
Reasonable cab fares and transfers to and from the airport will be reimbursed. Rental car expenses are not
reimbursable.
LODGING
In order to take advantage of the FSMBs scholarship, the board executive director must stay at the host hotel. Hotel
costs will be reimbursed at the host hotels single convention rate for up to four nights from Wednesday through
Saturday nights.
MEALS & INCIDENTALS
Meals (when not provided) and incidentals (e.g., tips, phone calls) will be reimbursed up to $100 per day from
Wednesday through Sunday. Consumption of alcohol is at the travelers personal risk and the FSMB expects the
traveler to act responsibly and avoid intoxication.
Receipts for all meals are required. Itemized restaurant receipts should be submitted. Credit card signature
receipts alone may not meet the requirements of this policy. The FSMB does not reimburse on a per diem
basis.
Excessive phone calls, in terms of number or length, will not be reimbursed.
UNAUTHORIZED EXPENSES
Miscellaneous personal and business expenses are not reimbursable. These include: expense charges for family
members or guests; expenses incurred for business related to other organizations; movies, gift shop purchases,
business center, dry cleaning/laundry, and Continuing Medical Education fees.
SPECIAL TRAVEL ACCOMMODATIONS
Individuals with documented disabilities as defined under the Americans with Disabilities Act Amendments Act of
2008 (ADAAA) may request special travel accommodations. Individuals requesting special accommodations must
provide appropriate documentation to support the request. Requests will be evaluated on an individual basis.
The ADAAA and accompanying regulations define a person with a disability as someone that (1) has a physical or
mental impairment that substantially limits one or more major life activities; or (2) has a record of such an
impairment; or (3) is regarded as having such an impairment. The purpose of documentation is to validate that the
individual is covered under the ADAAA as a disabled individual. The purpose of accommodations is to provide
equal access for individuals traveling on behalf of FSMB.
REIMBURSEMENT FORMS
The FSMB Request for Reimbursement of Travel Expenses should be completed and submitted to the Federations
Director of Meetings and Travel within 30 days following completion of travel. Requests for extensions must be in
writing. Reimbursement will not be granted for requests received after 30 days unless a request for an extension has
been submitted.
Receipts for all individual expenses exceeding $25 must be attached to the reimbursement request.
From:
Sent:
To:
Subject:
Robert C. Knittle, MS
Your Registration Is Confirmed!
FSMBs 103rd Annual Meeting
Fort Worth, Texas
April 23-25, 2015
Event Dates:
View Agenda
(coming soon)
$209.00
(single or double)
Government Rate:
$144.00
(requires governmentissued photo ID at time
of check in)
For hotel reservations,
use this web link and
select the guest type of
Special Rate or
Government Rate
or
call toll free at:
1-800-THE-OMNI
(843-6664)
download the FSMB Annual Meeting mobile app to their smartphone or tablet. The
app will be available for download in early April 2015.
If you would like to live tweet during this event, please use the hashtag #FSMB2015.
FSMB Foundation
Luncheon
Local transportation
Taxi and
Super Shuttle service
are available from
Dallas-Fort Worth
International Airport.
Fort Worth Visitor
Information
Registration cancellations must be received by the FSMB no later than March 30,
2015. No refunds will be provided after this date. Attendees are responsible for
canceling all flight and hotel reservations.
This activity has been approved for AMA PRA Category 1 Credit by the accredited
sponsor, The University of Texas Southwestern Medical Center. American Osteopathic
Association (AOA) Category 2-A credit will also be available. The CME registration fee is
$75, payable in advance. Please note: In order to receive CME credit, daily sign-in at
the conference, submission of the Attendance Verification Form (included in the onsite registration packet), and full payment are required before May 8, 2015.
If you have any questions, please feel free to contact us. We look forward to seeing
you in Fort Worth!
Ruth Vinciguerra
Education Coordinator
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4007 direct | 817-868-4117 fax
rvinciguerra@fsmb.org | www.fsmb.org
From:
Sent:
To:
Cc:
Subject:
Knittle, Robert C
Friday, January 09, 2015 4:27 PM
'Shiri A. Hickman'; Lyle Kelsey; Kathleen Selzler Lippert; Mari Robinson; Kevin
Bohnenblust, JD; Kimberly Kirchmeyer; Margaret Hansen; Jacqueline Watson, DO, MBA
Lisa A. Robin (FSMB); John Bremer; Natalie Weiner
RE: FSMB Advisory Council follow up call Jan 20?
From:
Sent:
To:
Cc:
Subject:
Knittle, Robert C
Friday, January 09, 2015 8:50 AM
'Shiri A. Hickman'; Lyle Kelsey; Kathleen Selzler Lippert; Mari Robinson; Kevin
Bohnenblust, JD; Kimberly Kirchmeyer; Margaret Hansen; Jacqueline Watson, DO, MBA
Lisa A. Robin (FSMB); John Bremer; Natalie Weiner
RE: FSMB Advisory Council follow up call Jan 20?
Right now Jan. 20th is relatively open a.m. and p.m. Please let me know as the legislative session will be in full swing by
then.
Bob
From: Shiri A. Hickman [mailto:shickman@fsmb.org]
Sent: Thursday, January 08, 2015 3:41 PM
To: Lyle Kelsey; Knittle, Robert C; Kathleen Selzler Lippert; Mari Robinson; Kevin Bohnenblust, JD; Kimberly Kirchmeyer;
Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); John Bremer; Natalie Weiner
Subject: FSMB Advisory Council follow up call Jan 20?
Committee membership term length and make up (Elements Section III, D.)
Naming ACGME in post graduate training requirements (Essentials Section V/VI)
Endorsement for Licensed Applicants (Essentials Section VII)
Expedited Licensure (Essentials Section VII)
Separation of Functions (Essentials Section X)
Board relationship/authorization as related to impaired physician programs (Essentials Section XI)
Thank you all for your time, and I will let you know as soon as I hear back from everyone about the 20th.
Best,
Shiri
Shiri Ahronovich Hickman, J.D.
State Legislative and Policy Manager
Federation of State Medical Boards
1300 Connecticut Avenue, NW | Suite 500 | Washington, DC 20036
202-463-4002 direct | shickman@fsmb.org | www.fsmb.org
1
From:
Sent:
To:
Cc:
Subject:
Attachments:
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
1300 Connecticut Avenue NW | Suite 500 | Washington, DC 20036
202-463-4006 direct |
lrobin@fsmb.org
ATTENTION: This email may contain confidential and/or privileged material for the sole use of the intended recipient. Any review or distribution by others is strictly
prohibited. If you have received this email in error, please immediately notify the sender, and destroy all copies of the original message.
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In order to strengthen access to health care, and in recognition of the advances in the delivery of
health care, the member states of the Interstate Medical Licensure Compact have allied in
common purpose to develop a comprehensive process that complements the existing licensing
and regulatory authority of state medical boards, provides a streamlined process that allows
physicians to become licensed in multiple states, thereby enhancing the portability of a medical
license and ensuring the safety of patients. The Compact creates another pathway for licensure
and does not otherwise change a state's existing Medical Practice Act. The Compact also adopts
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the prevailing standard for licensure and affirms that the practice of medicine occurs where the
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patient is located at the time of the physician-patient encounter, and therefore, requires the
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physician to be under the jurisdiction of the state medical board where the patient is located.
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State medical boards that participate in the Compact retain the jurisdiction to impose an adverse
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action against a license to practice medicine in that state issued to a physician through the
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SECTION 2. DEFINITIONS
In this compact:
(a) Bylaws means those bylaws established by the Interstate Commission pursuant to
Section 11 for its governance, or for directing and controlling its actions and conduct.
(b) Commissioner means the voting representative appointed by each member board
pursuant to Section 11.
(c) "Conviction" means a finding by a court that an individual is guilty of a criminal
offense through adjudication, or entry of a plea of guilt or no contest to the charge by the
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(d) "Expedited License" means a full and unrestricted medical license granted by a
member state to an eligible physician through the process set forth in the Compact.
(e) Interstate Commission" means the interstate commission created pursuant to Section
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11.
(f) "License" means authorization by a state for a physician to engage in the practice of
medicine, which would be unlawful without the authorization.
(g) "Medical Practice Act" means laws and regulations governing the practice of
allopathic and osteopathic medicine within a member state.
(h) Member Board" means a state agency in a member state that acts in the sovereign
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interests of the state by protecting the public through licensure, regulation, and education of
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(i) "Member State" means a state that has enacted the Compact.
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human disease, injury, or condition requiring a physician to obtain and maintain a license in
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(2) Passed each component of the United States Medical Licensing Examination
(USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA)
within three attempts, or any of its predecessor examinations accepted by a state medical board
Association;
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(5) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;
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jurisdiction;
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(7) Has never held a license authorizing the practice of medicine subjected to
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discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action
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(8) Has never had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration; and
(9) Is not under active investigation by a licensing agency or law enforcement
authority in any state, federal, or foreign jurisdiction.
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requirement of the Interstate Commission, and has the force and effect of statutory law in a
member state, and includes the amendment, repeal, or suspension of an existing rule.
(n) State means any state, commonwealth, district, or territory of the United States.
(o) "State of Principal License" means a member state where a physician holds a license
to practice medicine and which has been designated as such by the physician for purposes of
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SECTION 3. ELIGIBILITY
(a) A physician must meet the eligibility requirements as defined in Section 2(k) to
receive an expedited license under the terms and provisions of the Compact.
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(b) A physician who does not meet the requirements of Section 2(k) may obtain a license
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to practice medicine in a member state if the individual complies with all laws and requirements,
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other than the Compact, relating to the issuance of a license to practice medicine in that state.
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(a) A physician shall designate a member state as the state of principal license for
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purposes of registration for expedited licensure through the Compact if the physician possesses a
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full and unrestricted license to practice medicine in that state, and the state is:
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(2) the state where at least 25% of the practice of medicine occurs, or
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(4) if no state qualifies under subsection (1), subsection (2), or subsection (3), the
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(a) A physician seeking licensure through the Compact shall file an application for an
expedited license with the member board of the state selected by the physician as the state of
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principal license.
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(b) Upon receipt of an application for an expedited license, the member board within the
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state selected as the state of principal license shall evaluate whether the physician is eligible for
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expedited licensure and issue a letter of qualification, verifying or denying the physicians
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medical education, results of any medical or licensing examination, and other qualifications as
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determined by the Interstate Commission through rule, shall not be subject to additional primary
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source verification where already primary source verified by the state of principal license.
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(ii) The member board within the state selected as the state of principal license
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shall, in the course of verifying eligibility, perform a criminal background check of an applicant,
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including the use of the results of fingerprint or other biometric data checks compliant with the
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requirements of the Federal Bureau of Investigation, with the exception of federal employees who
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(iii) Appeal on the determination of eligibility shall be made to the member state
5
where the application was filed and shall be subject to the law of that state.
(c) Upon verification in subsection (b), physicians eligible for an expedited license shall
complete the registration process established by the Interstate Commission to receive a license in
a member state selected pursuant to subsection (a), including the payment of any applicable
fees.
(d) After receiving verification of eligibility under subsection (b) and any fees under
subsection (c), a member board shall issue an expedited license to the physician. This license
shall authorize the physician to practice medicine in the issuing state consistent with the Medical
Practice Act and all applicable laws and regulations of the issuing member board and member
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state.
(e) An expedited license shall be valid for a period consistent with the licensure period in
12
the member state and in the same manner as required for other physicians holding a full and
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(f) An expedited license obtained though the Compact shall be terminated if a physician
15
fails to maintain a license in the state of principal licensure for a non-disciplinary reason, without
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(g) The Interstate Commission is authorized to develop rules regarding the application
process, including payment of any applicable fees, and the issuance of an expedited license.
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licenses.
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jurisdiction;
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(3) Has not had a license authorizing the practice of medicine subject to discipline
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by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to
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(4) Has not had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration.
(b) Physicians shall comply with all continuing professional development or continuing
medical education requirements for renewal of a license issued by a member state.
(c) The Interstate Commission shall collect any renewal fees charged for the renewal of
a license and distribute the fees to the applicable member board.
(d) Upon receipt of any renewal fees collected in subsection (c), a member board shall
renew the physician's license.
(e) Physician information collected by the Interstate Commission during the renewal
process will be distributed to all member boards.
(f) The Interstate Commission is authorized to develop rules to address renewal of
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(b) Notwithstanding any other provision of law, member boards shall report to the
Interstate Commission any public action or complaints against a licensed physician who has
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boards shall be confidential, filed under seal, and used only for investigatory or disciplinary
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matters.
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(b) In addition to the authority granted to a member board by its respective Medical
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Practice Act or other applicable state law, a member board may participate with other member
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(c) A subpoena issued by a member state shall be enforceable in other member states.
(d) Member boards may share any investigative, litigation, or compliance materials in
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authorizing the practice of medicine in any other member state in which a physician holds a
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through the Compact shall be deemed unprofessional conduct which may be subject to discipline
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by other member boards, in addition to any violation of the Medical Practice Act or regulations
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in that state.
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(b) If a license granted to a physician by the member board in the state of principal
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licenses issued to the physician by member boards shall automatically be placed, without further
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action necessary by any member board, on the same status. If the member board in the state of
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principal license subsequently reinstates the physicians license, a license issued to the
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physician by any other member board shall remain encumbered until that respective member
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board takes action to reinstate the license in a manner consistent with the Medical Practice Act of
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that state.
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(c) If disciplinary action is taken against a physician by a member board not in the state
of principal license, any other member board may deem the action conclusive as to matter of law
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(i) impose the same or lesser sanction(s) against the physician so long as such
sanctions are consistent with the Medical Practice Act of that state;
(ii) or pursue separate disciplinary action against the physician under its
respective Medical Practice Act, regardless of the action taken in other member states.
relinquished in lieu of discipline, or suspended, then any license(s) issued to the physician by any
other member board(s) shall be suspended, automatically and immediately without further action
necessary by the other member board(s), for ninety (90) days upon entry of the order by the
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disciplining board, to permit the member board(s) to investigate the basis for the action under the
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Medical Practice Act of that state. A member board may terminate the automatic suspension of
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the license it issued prior to the completion of the ninety (90) day suspension period in a manner
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states and shall have all the responsibilities, powers, and duties set forth in the Compact, and
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such additional powers as may be conferred upon it by a subsequent concurrent action of the
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respective legislatures of the member states in accordance with the terms of the Compact.
(d) The Interstate Commission shall consist of two voting representatives appointed by
each member state who shall serve as Commissioners. In states where allopathic and osteopathic
physicians are regulated by separate member boards, or if the licensing and disciplinary authority
is split between multiple member boards within a member state, the member state shall appoint
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board; or
(3) Member of the public appointed to a member board.
(e) The Interstate Commission shall meet at least once each calendar year. A portion of
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this meeting shall be a business meeting to address such matters as may properly come before the
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Commission, including the election of officers. The chairperson may call additional meetings
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and shall call for a meeting upon the request of a majority of the member states.
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(f) The bylaws may provide for meetings of the Interstate Commission to be conducted
by telecommunication or electronic communication.
(g) Each Commissioner participating at a meeting of the Interstate Commission is entitled
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to one vote. A majority of Commissioners shall constitute a quorum for the transaction of
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business, unless a larger quorum is required by the bylaws of the Interstate Commission. A
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Commissioner shall not delegate a vote to another Commissioner. In the absence of its
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Commissioner, a member state may delegate voting authority for a specified meeting to another
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person from that state who shall meet the requirements of subsection (d).
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(h) The Interstate Commission shall provide public notice of all meetings and all
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meetings shall be open to the public. The Interstate Commission may close a meeting, in full or
in portion, where it determines by a two-thirds vote of the Commissioners present that an open
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(1) Relate solely to the internal personnel practices and procedures of the
Interstate Commission;
or confidential;
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proceeding.
(i) The Interstate Commission shall keep minutes which shall fully describe all matters
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discussed in a meeting and shall provide a full and accurate summary of actions taken, including
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(j) The Interstate Commission shall make its information and official records, to the
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extent not otherwise designated in the Compact or by its rules, available to the public for
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inspection.
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(k) The Interstate Commission shall establish an executive committee, which shall
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include officers, members, and others as determined by the bylaws. The executive committee
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shall have the power to act on behalf of the Interstate Commission, with the exception of
12
rulemaking, during periods when the Interstate Commission is not in session. When acting on
behalf of the Interstate Commission, the executive committee shall oversee the administration of
the Compact including enforcement and compliance with the provisions of the Compact, its
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(l) The Interstate Commission may establish other committees for governance and
administration of the Compact.
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The Interstate Commission shall have the duty and power to:
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(b) Promulgate rules which shall be binding to the extent and in the manner provided for
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in the Compact;
(c) Issue, upon the request of a member state or member board, advisory opinions
concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
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(d) Enforce compliance with Compact provisions, the rules promulgated by the Interstate
16
Commission, and the bylaws, using all necessary and proper means, including but not limited to
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(e) Establish and appoint committees including, but not limited to, an executive
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committee as required by Section 11, which shall have the power to act on behalf of the
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(f) Pay, or provide for the payment of the expenses related to the establishment,
organization, and ongoing activities of the Interstate Commission;
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(j) Employ an executive director who shall have such powers to employ, select or appoint
employees, agents, or consultants, and to determine their qualifications, define their duties, and
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(k) Establish personnel policies and programs relating to conflicts of interest, rates of
compensation, and qualifications of personnel;
(l) Accept donations and grants of money, equipment, supplies, materials and services,
and to receive, utilize, and dispose of it in a manner consistent with the conflict of interest
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(m) Lease, purchase, accept contributions or donations of, or otherwise to own, hold,
improve or use, any property, real, personal, or mixed;
(n) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any
property, real, personal, or mixed;
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(p) Adopt a seal and bylaws governing the management and operation of the Interstate
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Commission;
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(q) Report annually to the legislatures and governors of the member states concerning the
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activities of the Interstate Commission during the preceding year. Such reports shall also include
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reports of financial audits and any recommendations that may have been adopted by the
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Interstate Commission;
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(r) Coordinate education, training, and public awareness regarding the Compact, its
implementation, and its operation;
(s) Maintain records in accordance with the bylaws;
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(u) Perform such functions as may be necessary or appropriate to achieve the purposes of
the Compact.
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(a) The Interstate Commission may levy on and collect an annual assessment from each
member state to cover the cost of the operations and activities of the Interstate Commission and
its staff. The total assessment must be sufficient to cover the annual budget approved each year
for which revenue is not provided by other sources. The aggregate annual assessment amount
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shall be allocated upon a formula to be determined by the Interstate Commission, which shall
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(b) The Interstate Commission shall not incur obligations of any kind prior to securing
the funds adequate to meet the same.
(c) The Interstate Commission shall not pledge the credit of any of the member states,
except by, and with the authority of, the member state.
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(d) The Interstate Commission shall be subject to a yearly financial audit conducted by a
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certified or licensed public accountant and the report of the audit shall be included in the annual
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(a) The Interstate Commission shall, by a majority of Commissioners present and voting,
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adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes
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of the Compact within twelve (12) months of the first Interstate Commission meeting.
(b) The Interstate Commission shall elect or appoint annually from among its
Commissioners a chairperson, a vice-chairperson, and a treasurer, each of whom shall have such
authority and duties as may be specified in the bylaws. The chairperson, or in the chairperson's
absence or disability, the vice-chairperson, shall preside at all meetings of the Interstate
Commission.
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(c) Officers selected in subsection (b) shall serve without remuneration from the
Interstate Commission.
(d) The officers and employees of the Interstate Commission shall be immune from suit
10
and liability, either personally or in their official capacity, for a claim for damage to or loss of
11
property or personal injury or other civil liability caused or arising out of, or relating to, an actual
12
or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
13
14
responsibilities; provided that such person shall not be protected from suit or liability for
15
damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of
16
such person.
17
(1) The liability of the executive director and employees of the Interstate
18
Commission or representatives of the Interstate Commission, acting within the scope of such
19
person's employment or duties for acts, errors, or omissions occurring within such persons state,
20
may not exceed the limits of liability set forth under the constitution and laws of that state for
21
22
instrumentality of the states for the purposes of any such action. Nothing in this subsection shall
23
be construed to protect such person from suit or liability for damage, loss, injury, or liability
16
1
2
and subject to the approval of the attorney general or other appropriate legal counsel of the
Interstate Commission representative in any civil action seeking to impose liability arising out of
an actual or alleged act, error or omission that occurred within the scope of Interstate
Commission employment, duties or responsibilities, or that the defendant had a reasonable basis
for believing occurred within the scope of Interstate Commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not result from
10
11
12
13
harmless in the amount of a settlement or judgment, including attorneys fees and costs, obtained
14
against such persons arising out of an actual or alleged act, error, or omission that occurred
15
within the scope of Interstate Commission employment, duties, or responsibilities, or that such
16
persons had a reasonable basis for believing occurred within the scope of Interstate Commission
17
employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission
18
did not result from intentional or willful and wanton misconduct on the part of such persons.
19
20
21
22
23
17
the Interstate Commission exercises its rulemaking authority in a manner that is beyond the
scope of the purposes of the Compact, or the powers granted hereunder, then such an action by
(b) Rules deemed appropriate for the operations of the Interstate Commission shall be
made pursuant to a rulemaking process that substantially conforms to the Model State
(c) Not later than thirty (30) days after a rule is promulgated, any person may file a
petition for judicial review of the rule in the United States District Court for the District of
Columbia or the federal district where the Interstate Commission has its principal offices,
10
provided that the filing of such a petition shall not stay or otherwise prevent the rule from
11
becoming effective unless the court finds that the petitioner has a substantial likelihood of
12
success. The court shall give deference to the actions of the Interstate Commission consistent
13
with applicable law and shall not find the rule to be unlawful if the rule represents a reasonable
14
15
16
17
(a) The executive, legislative, and judicial branches of state government in each member
18
state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate
19
the Compacts purposes and intent. The provisions of the Compact and the rules promulgated
20
hereunder shall have standing as statutory law but shall not override existing state authority to
21
22
(b) All courts shall take judicial notice of the Compact and the rules in any judicial or
23
administrative proceeding in a member state pertaining to the subject matter of the Compact
24
which may affect the powers, responsibilities or actions of the Interstate Commission.
18
(c) The Interstate Commission shall be entitled to receive all service of process in any
such proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure
to provide service of process to the Interstate Commission shall render a judgment or order void
5
6
(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce
8
9
10
action in the United States District Court for the District of Columbia, or, at the discretion of the
11
Interstate Commission, in the federal district where the Interstate Commission has its principal
12
offices, to enforce compliance with the provisions of the Compact, and its promulgated rules and
13
bylaws, against a member state in default. The relief sought may include both injunctive relief
14
and damages. In the event judicial enforcement is necessary, the prevailing party shall be
15
16
(c) The remedies herein shall not be the exclusive remedies of the Interstate Commission.
17
The Interstate Commission may avail itself of any other remedies available under state law or the
18
regulation of a profession.
19
20
21
(a) The grounds for default include, but are not limited to, failure of a member state to
22
perform such obligations or responsibilities imposed upon it by the Compact, or the rules and
23
19
(b) If the Interstate Commission determines that a member state has defaulted in the
(1) Provide written notice to the defaulting state and other member states, of the
nature of the default, the means of curing the default, and any action taken by the Interstate
Commission. The Interstate Commission shall specify the conditions by which the defaulting
8
9
10
(2) Provide remedial training and specific technical assistance regarding the
default.
(c) If the defaulting state fails to cure the default, the defaulting state shall be terminated
11
from the Compact upon an affirmative vote of a majority of the Commissioners and all rights,
12
privileges, and benefits conferred by the Compact shall terminate on the effective date of
13
termination. A cure of the default does not relieve the offending state of obligations or liabilities
14
15
(d) Termination of membership in the Compact shall be imposed only after all other
16
means of securing compliance have been exhausted. Notice of intent to terminate shall be given
17
by the Interstate Commission to the governor, the majority and minority leaders of the defaulting
18
19
(e) The Interstate Commission shall establish rules and procedures to address licenses and
20
physicians that are materially impacted by the termination of a member state, or the withdrawal
21
of a member state.
22
23
(f) The member state which has been terminated is responsible for all dues, obligations,
and liabilities incurred through the effective date of termination including obligations, the
20
1
2
found to be in default or which has been terminated from the Compact, unless otherwise
mutually agreed upon in writing between the Interstate Commission and the defaulting state.
(h) The defaulting state may appeal the action of the Interstate Commission by
petitioning the United States District Court for the District of Columbia or the federal district
where the Interstate Commission has its principal offices. The prevailing party shall be awarded
9
10
11
(a) The Interstate Commission shall attempt, upon the request of a member state, to
12
resolve disputes which are subject to the Compact and which may arise among member states or
13
member boards.
14
15
(b) The Interstate Commission shall promulgate rules providing for both mediation and
binding dispute resolution as appropriate.
16
17
18
19
(b) The Compact shall become effective and binding upon legislative enactment of the
20
Compact into law by no less than seven (7) states. Thereafter, it shall become effective and
21
binding on a state upon enactment of the Compact into law by that state.
22
23
(c) The governors of non-member states, or their designees, shall be invited to participate
in the activities of the Interstate Commission on a non-voting basis prior to adoption of the
21
(d) The Interstate Commission may propose amendments to the Compact for enactment
by the member states. No amendment shall become effective and binding upon the Interstate
Commission and the member states unless and until it is enacted into law by unanimous consent
6
7
(a) Once effective, the Compact shall continue in force and remain binding upon each
9
10
and every member state; provided that a member state may withdraw from the Compact by
specifically repealing the statute which enacted the Compact into law.
11
(b) Withdrawal from the Compact shall be by the enactment of a statute repealing the
12
same, but shall not take effect until one (1) year after the effective date of such statute and until
13
written notice of the withdrawal has been given by the withdrawing state to the governor of each
14
15
(c) The withdrawing state shall immediately notify the chairperson of the Interstate
16
Commission in writing upon the introduction of legislation repealing the Compact in the
17
withdrawing state.
18
(d) The Interstate Commission shall notify the other member states of the withdrawing
19
states intent to withdraw within sixty (60) days of its receipt of notice provided under subsection
20
(c).
21
(e) The withdrawing state is responsible for all dues, obligations and liabilities incurred
22
through the effective date of withdrawal, including obligations, the performance of which extend
23
22
(f) Reinstatement following withdrawal of a member state shall occur upon the
withdrawing state reenacting the Compact or upon such later date as determined by the Interstate
Commission.
(g) The Interstate Commission is authorized to develop rules to address the impact of the
withdrawal of a member state on licenses granted in other member states to physicians who
7
8
(a) The Compact shall dissolve effective upon the date of the withdrawal or default of the
10
11
member state which reduces the membership in the Compact to one (1) member state.
(b) Upon the dissolution of the Compact, the Compact becomes null and void and shall
12
be of no further force or effect, and the business and affairs of the Interstate Commission shall be
13
concluded and surplus funds shall be distributed in accordance with the bylaws.
14
15
16
(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence,
17
18
enforceable.
19
(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
20
(c) Nothing in the Compact shall be construed to prohibit the applicability of other
21
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2
3
4
5
6
7
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(a) Nothing herein prevents the enforcement of any other law of a member state that is
not inconsistent with the Compact.
(b) All laws in a member state in conflict with the Compact are superseded to the extent of
the conflict.
(c) All lawful actions of the Interstate Commission, including all rules and bylaws
promulgated by the Commission, are binding upon the member states.
(d) All agreements between the Interstate Commission and the member states are binding
in accordance with their terms.
(e) In the event any provision of the Compact exceeds the constitutional limits imposed
10
on the legislature of any member state, such provision shall be ineffective to the extent of the
11
24
From:
Sent:
To:
Subject:
Attachments:
Knittle, Robert C
Monday, January 12, 2015 3:03 PM
'Lisa A. Robin (FSMB)'
RE: Compact Update
BOM -interstate compact - final Jan12 2015.pdf; BOM telemedicine - final Jan 12
2015.pdf; IC Legislative Summary.doc; 13 and 13a Legislative Summary.doc
Lisa, This is very good support. We have the PP and talking point information. If you have an updated list of those states
that have endorsed the Compact to date that would be very helpful as well as those associations and systems that have
endorsed it. Our session begins this Wednesday January 14th and we intend to meet with the Senate Health Committee
chair that afternoon. Ive attached the bills we intend to introduce as well at the bullet sheets developed for the two
bills.
Bob
From: Lisa A. Robin (FSMB) [mailto:LRobin@fsmb.org]
Sent: Monday, January 12, 2015 2:49 PM
To: Lisa A. Robin (FSMB)
Cc: Eric Fish; Jonathan Jagoda; John Bremer
Subject: Compact Update
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
1300 Connecticut Avenue NW | Suite 500 | Washington, DC 20036
202-463-4006 direct |
lrobin@fsmb.org
ATTENTION: This email may contain confidential and/or privileged material for the sole use of the intended recipient. Any review or distribution by others is strictly
prohibited. If you have received this email in error, please immediately notify the sender, and destroy all copies of the original message.
H. B./ S. B.
(By)
[Introduced January ; referred to the
Committee on .]
BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new article, designated 30-3F-1,
30-3F-2, 30-3F-3, 30-3F-4, 30-3F-5, 30-3F-6, 30-3F-7, 30-3F-8, 30-3F-9, 30-3F-10, 30-3F-11, 30-3F-12,
30-3F-13, 30-3F-14, 30-3F-15, 30-3F-16, 30-3F-17, 30-3F-18, 30-3F-19, 30-3F-20, 30-3F-21, 30-3F-22,
30-3F-23 and 30-3F-24, all relating to Interstate Medical Licensure Compact.
30-3F-23 and
In order to strengthen access to health care, and in recognition of the advances in the delivery of health care, the
member states of the Interstate Medical Licensure Compact have allied in common purpose to develop a comprehensive
process that complements the existing licensing and regulatory authority of state medical boards, provides a streamlined
process that allows physicians to become licensed in multiple states, thereby enhancing the portability of a medical license and
ensuring the safety of patients. The Compact creates another pathway for licensure and does not otherwise change a state's
existing Medical Practice Act. The Compact also adopts the prevailing standard for licensure and affirms that the practice of
medicine occurs where the patient is located at the time of the physician-patient encounter, and therefore, requires the
physician to be under the jurisdiction of the state medical board where the patient is located.
State medical boards that participate in the Compact retain the jurisdiction to impose an adverse action against a
license to practice medicine in that state issued to a physician through the
procedures in the Compact.
30-3F-2. Definitions.
In this compact:
(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to section eleven for its
governance, or for directing and controlling its actions and conduct.
(b) "Commissioner" means the voting representative appointed by each member board pursuant to section eleven.
(c) "Conviction" means a finding by a court that an individual is guilty of a criminal offense through adjudication, or
entry of a plea of guilt or no contest to the charge by the offender. Evidence of an entry of a conviction of a criminal offense by
the court shall be considered final for purposes of disciplinary action by a member board.
(d) "Expedited License" means a full and unrestricted medical license granted by a member state to an eligible
2
(1) Is a graduate of a medical school accredited by the Liaison Committee on Medical Education, the Commission on
Osteopathic College Accreditation, or a medical school listed in the International Medical Education Directory or its equivalent;
(2) Passed each component of the United States Medical Licensing Examination (USMLE) or the Comprehensive
Osteopathic Medical Licensing Examination (COMLEX-USA) within three attempts, or any of its predecessor examinations
accepted by a state medical board as an equivalent examination for licensure purposes;
(3) Successfully completed graduate medical education approved by the Accreditation Council for Graduate Medical
Education or the American Osteopathic Association;
(4) Holds specialty certification or a time-unlimited specialty certificate recognized by the American Board of Medical
3
(b) Upon receipt of an application for an expedited license, the member board within the state selected as the state of
principal license shall evaluate whether the physician is eligible for expedited licensure and issue a letter of qualification,
verifying or denying the physician's eligibility, to the Interstate Commission.
(i) Static qualifications, which include verification of medical education, graduate medical education, results of any
medical or licensing examination, and other qualifications as determined by the Interstate Commission through rule, shall not
be subject to additional primary source verification where already primary source verified by the state of principal license.
(ii) The member board within the state selected as the state of principal license shall, in the course of verifying
eligibility, perform a criminal background check of an applicant, including the use of the results of fingerprint or other biometric
data checks compliant with the requirements of the Federal Bureau of Investigation, with the exception of federal employees
who have suitability determination in accordance with U.S. C.F.R. 731.202.
(iii) Appeal on the determination of eligibility shall be made to the member state where the application was filed and
shall be subject to the law of that state.
(c) Upon verification in subsection (b), physicians eligible for an expedited license shall complete the registration
process established by the Interstate Commission to receive a license in a member state selected pursuant to subsection (a),
including the payment of any applicable fees.
(d) After receiving verification of eligibility under subsection (b) and any fees under subsection (c), a member board
shall issue an expedited license to the physician. This license shall authorize the physician to practice medicine in the issuing
state consistent with the Medical Practice Act and all applicable laws and regulations of the issuing member board and member
state.
(e) An expedited license shall be valid for a period consistent with the licensure period in the member state and in the
6
same manner as required for other physicians holding a full and unrestricted license within the member state.
(f) An expedited license obtained though the Compact shall be terminated if a physician fails to maintain a license in
the state of principal licensure for a non-disciplinary reason, without redesignation of a new state of principal licensure.
(g) The Interstate Commission is authorized to develop rules regarding the application process, including payment of
any applicable fees, and the issuance of an expedited license.
30-3F-6. Fees for Expedited Licensure.
(a) A member state issuing an expedited license authorizing the practice of medicine in that state may impose a fee for
a license issued or renewed through the Compact.
(b)
The Interstate Commission is authorized to develop rules regarding fees for expedited licenses.
principal license subsequently reinstates the physician's license, a licensed issued to the physician by any other member board
shall remain encumbered until that respective member board takes action to reinstate the license in a manner consistent with
the Medical Practice Act of that state.
(c) If disciplinary action is taken against a physician by a member board not in the state of principal license, any other
member board may deem the action conclusive as to matter of law
and fact decided, and:
(i) Impose the same or lesser sanction(s) against the physician so long as such sanctions are consistent with the
Medical Practice Act of that state; or
(ii) Pursue separate disciplinary action against the physician under its respective Medical Practice Act, regardless of the
action taken in other member states.
(d) If a license granted to a physician by a member board is revoked, surrendered or relinquished in lieu of discipline,
or suspended, then any licenses issued to the physician by any other member boards shall be suspended, automatically and
immediately without further action necessary by the other member boards, for ninety days upon entry of the order by the
disciplining board, to permit the member boards to investigate the basis for the action under the Medical Practice Act of that
state. A member board may terminate the automatic suspension of the license it issued prior to the completion of the ninety day
suspension period in a manner consistent with the Medical Practice Act of that state.
30-3F-11. Interstate Medical Licensure Compact Commission.
(a) The member states hereby create the "Interstate Medical Licensure Compact Commission".
(b) The purpose of the Interstate Commission is the administration of the Interstate Medical Licensure Compact,
which is a discretionary state function.
10
(c) The Interstate Commission shall be a body corporate and joint agency of the member states and shall have all the
responsibilities, powers, and duties set forth in the Compact, and such additional powers as may be conferred upon it by a
subsequent concurrent action of the respective legislatures of the member states in accordance with the terms of the Compact.
(d) The Interstate Commission shall consist of two voting representatives appointed by each member state who shall
serve as Commissioners. In states where allopathic and osteopathic physicians are regulated by separate member boards, or if
the licensing and disciplinary authority is split between multiple member boards within a member state, the member state shall
appoint one representative from each member board. A Commissioner shall be an:
(1) Allopathic or osteopathic physician appointed to a member board;
(2) Executive director, executive secretary, or similar executive of a member board; or
(3) Member of the public appointed to a member board.
(e) The Interstate Commission shall meet at least once each calendar year. A portion of this meeting shall be a business
meeting to address such matters as may properly come before the Commission, including the election of officers. The
chairperson may call additional meetings and shall call for a meeting upon the request of a majority of the member states.
(f) The bylaws may provide for meetings of the Interstate Commission to be conducted by telecommunication or
electronic communication.
(g) Each Commissioner participating at a meeting of the Interstate Commission is entitled to one vote. A majority of
Commissioners shall constitute a quorum for the transaction of business, unless a larger quorum is required by the bylaws of
the Interstate Commission. A Commissioner shall not delegate a vote to another Commissioner. In the absence of its
Commissioner, a member state may delegate voting authority for a specified meeting to another person from that state who
shall meet the requirements of subsection (d).
11
(h) The Interstate Commission shall provide public notice of all meetings and all meetings shall be open to the public.
The Interstate Commission may close a meeting, in full or in portion, where it determines by a two-thirds vote of the
Commissioners present that an open meeting would be likely to:
(1) Relate solely to the internal personnel practices and procedures of the Interstate Commission;
(2) Discuss matters specifically exempted from disclosure by federal statute;
(3) Discuss trade secrets, commercial, or financial information that is privileged or confidential;
(4) Involve accusing a person of a crime, or formally censuring a person;
(5) Discuss information of a personal nature where disclosure would constitute a clearly unwarranted invasion of
personal privacy;
(6) Discuss investigative records compiled for law enforcement purposes; or
(7) Specifically relate to the participation in a civil action or other legal proceeding.
(i) The Interstate Commission shall keep minutes which shall fully describe all matters discussed in a meeting and
shall provide a full and accurate summary of actions taken, including record of any roll call votes.
(j) The Interstate Commission shall make its information and official records, to the extent not otherwise designated in
the Compact or by its rules, available to the public for inspection.
(k) The Interstate Commission shall establish an executive committee, which shall include officers, members, and
others as determined by the bylaws. The executive committee shall have the power to act on behalf of the Interstate
Commission, with the exception of rulemaking, during periods when the Interstate Commission is not in session. When acting
on behalf of the Interstate Commission, the executive committee shall oversee the administration of the Compact including
enforcement and compliance with the provisions of the Compact, its bylaws and rules, and other such duties as necessary.
12
(l) The Interstate Commission may establish other committees for governance and administration of the Compact.
30-3F-12. Powers and Duties of the Interstate Commission.
The Interstate Commission shall have the duty and power to:
(1) Oversee and maintain the administration of the Compact;
(2) Promulgate rules which shall be binding to the extent and in the manner provided for in the Compact;
(3) Issue, upon the request of a member state or member board, advisory opinions concerning the meaning or
interpretation of the Compact, its bylaws, rules, and actions;
(4) Enforce compliance with Compact provisions, the rules promulgated by the Interstate Commission, and the
bylaws, using all necessary and proper means, including but not limited to the use of judicial process;
(5) Establish and appoint committees including, but not limited to, an executive committee as required by Section 11,
which shall have the power to act on behalf of the Interstate Commission in carrying out its powers and duties;
(6) Pay, or provide for the payment of the expenses related to the establishment, organization, and ongoing activities
of the Interstate Commission;
(7) Establish and maintain one or more offices;
(8) Borrow, accept, hire, or contract for services of personnel;
(9) Purchase and maintain insurance and bonds;
(10) Employ an executive director who shall have such powers to employ, select or appoint employees, agents, or
consultants, and to determine their qualifications, define their duties, and fix their compensation;
(11) Establish personnel policies and programs relating to conflicts of interest, rates of compensation, and
qualifications of personnel;
13
(12) Accept donations and grants of money, equipment, supplies, materials and services, and to receive, utilize, and
dispose of it in a manner consistent with the conflict of interest policies established by the Interstate Commission;
(13) Lease, purchase, accept contributions or donations of, or otherwise to own, hold, improve or use, any property,
real, personal, or mixed;
(14) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any property, real, personal, or
mixed;
(15) Establish a budget and make expenditures;
(16) Adopt a seal and bylaws governing the management and operation of the Interstate Commission;
(17) Report annually to the legislatures and governors of the member states concerning the activities of the Interstate
Commission during the preceding year. Such reports shall also include reports of financial audits and any recommendations
that may have been adopted by the Interstate Commission;
(18) Coordinate education, training, and public awareness regarding the Compact, its implementation, and its
operation;
(19) Maintain records in accordance with the bylaws;
(20) Seek and obtain trademarks, copyrights, and patents; and
(21) Perform such functions as may be necessary or appropriate to achieve the purposes of the Compact.
30-3F-13. Finance Powers.
(a) The Interstate Commission may levy on and collect an annual assessment from each member state to cover the
cost of the operations and activities of the Interstate Commission and its staff. The total assessment must be sufficient to cover
the annual budget approved each year for which revenue is not provided by other sources. The aggregate annual assessment
14
amount shall be allocated upon a formula to be determined by the Interstate Commission, which shall promulgate a rule
binding upon all member states.
(b) The Interstate Commission shall not incur obligations of any kind prior to securing the funds adequate to meet the
same.
(c) The Interstate Commission shall not pledge the credit of any of the member states, except by, and with the
authority of, the member state.
(d) The Interstate Commission shall be subject to a yearly financial audit conducted by a certified or licensed public
accountant and the report of the audit shall be included in the annual report of the Interstate Commission.
30-3F-14. Organization and Operation of the Interstate Commission.
(a) The Interstate Commission shall, by a majority of Commissioners present and voting, adopt bylaws to govern its
conduct as may be necessary or appropriate to carry out the purposes of the Compact within twelve months of the first
Interstate Commission meeting.
(b) The Interstate Commission shall elect or appoint annually from among its Commissioners a chairperson, a
vice-chairperson, and a treasurer, each of whom shall have such authority and duties as may be specified in the bylaws. The
chairperson, or in the chairperson's absence or disability, the vice-chairperson, shall preside at all meetings of the Interstate
Commission.
(c) Officers selected in subsection (b) shall serve without remuneration from the Interstate Commission.
(d) The officers and employees of the Interstate Commission shall be immune from suit and liability, either personally
or in their official capacity, for a claim for damage to or loss of property or personal injury or other civil liability caused or arising
out of, or relating to, an actual or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
15
believing occurred, within the scope of Interstate Commission employment, duties, or responsibilities; provided that such
person shall not be protected from suit or liability for damage, loss, injury, or liability caused by the intentional or willful and
wanton misconduct of such person.
(1) The liability of the executive director and employees of the Interstate Commission or representatives of the
Interstate Commission, acting within the scope of such person's employment or duties for acts, errors, or omissions occurring
within such person's state, may not exceed the limits of liability set forth under the constitution and laws of that state for state
officials, employees, and agents. The Interstate Commission is considered to be an instrumentality of the states for the purposes
of any such action. Nothing in this subsection shall be construed to protect such person from suit or liability for damage, loss,
injury, or liability caused by the intentional or willful and wanton misconduct of such person.
(2) The Interstate Commission shall defend the executive director, its employees, and subject to the approval of the
attorney general or other appropriate legal counsel of the member state represented by an Interstate Commission
representative, shall defend such Interstate Commission representative in any civil action seeking to impose liability arising out
of an actual or alleged act, error or omission that occurred within the scope of Interstate Commission employment, duties or
responsibilities, or that the defendant had a reasonable basis for believing occurred within the scope of Interstate Commission
employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission did not result from intentional
or willful and wanton misconduct on the part of such person.
(3) To the extent not covered by the state involved, member state, or the Interstate Commission, the representatives or
employees of the Interstate Commission shall be held harmless in the amount of a settlement or judgment, including attorney's
fees and costs, obtained against such persons arising out of an actual or alleged act, error, or omission that occurred within the
scope of Interstate Commission employment, duties, or responsibilities, or that such persons had a reasonable basis for
16
believing occurred within the scope of Interstate Commission employment, duties, or responsibilities, provided that the actual
or alleged act, error, or omission did not result from intentional or willful and wanton misconduct on the part of such persons.
30-3F-15. Rulemaking Functions of the Interstate Commission.
(a) The Interstate Commission shall promulgate reasonable rules in order to effectively and efficiently achieve the
purposes of the Compact. Notwithstanding the foregoing, in the event the Interstate Commission exercises its rulemaking
authority in a manner that is beyond the scope of the purposes of the Compact, or the powers granted hereunder, then such an
action by the Interstate Commission shall be invalid and have no force or effect.
(b) Rules deemed appropriate for the operations of the Interstate Commission shall be made pursuant to a rulemaking
process that substantially conforms to the "Model State Administrative Procedure Act" of 2010, and subsequent amendments
thereto.
(c) Not later than thirty days after a rule is promulgated, any person may file a petition for judicial review of the rule in
the United States District Court for the District of Columbia or the federal district where the Interstate Commission has its
principal offices, provided that the filing of such a petition shall not stay or otherwise prevent the rule from becoming effective
unless the court finds that the petitioner has a substantial likelihood of success. The court shall give deference to the actions of
the Interstate Commission consistent with applicable law and shall not find the rule to be unlawful if the rule represents a
reasonable exercise of the authority granted to the Interstate Commission.
30-3F-16. Oversight of Interstate Compact
(a) The executive, legislative, and judicial branches of state government in each member state shall enforce the
Compact and shall take all actions necessary and appropriate to effectuate the Compact's purposes and intent. The provisions of
the Compact and the rules promulgated hereunder shall have standing as statutory law but shall not override existing state
17
responsibilities imposed upon it by the Compact, or the rules and bylaws of the Interstate Commission promulgated under the
Compact.
(b) If the Interstate Commission determines that a member state has defaulted in the performance of its obligations or
responsibilities under the Compact, or the bylaws or promulgated rules, the Interstate Commission shall:
(1) Provide written notice to the defaulting state and other member states, of the nature of the default, the means of
curing the default, and any action taken by the Interstate Commission. The Interstate Commission shall specify the conditions by
which the defaulting state must cure its default; and
(2) Provide remedial training and specific technical assistance regarding the default.
(c) If the defaulting state fails to cure the default, the defaulting state shall be terminated from the Compact upon an
affirmative vote of a majority of the Commissioners and all rights, privileges, and benefits conferred by the Compact shall
terminate on the effective date of termination. A cure of the default does not relieve the offending state of obligations or
liabilities incurred during the period of the default.
(d) Termination of membership in the Compact shall be imposed only after all other means of securing compliance
have been exhausted. Notice of intent to terminate shall be given by the Interstate Commission to the governor, the majority
and minority leaders of the defaulting state's legislature, and each of the member states.
(e) The Interstate Commission shall establish rules and procedures to address licenses and physicians that are
materially impacted by the termination of a member state, or the withdrawal of a member state.
(f) The member state which has been terminated is responsible for all dues, obligations, and liabilities incurred
through the effective date of termination including obligations, the performance of which extends beyond the effective date of
termination.
19
(g) The Interstate Commission shall not bear any costs relating to any state that has been found to be in default or
which has been terminated from the Compact, unless otherwise mutually agreed upon in writing between the Interstate
Commission and the defaulting state.
(h) The defaulting state may appeal the action of the Interstate Commission by petitioning the United States District
Court for the District of Columbia or the federal district where the Interstate Commission has its principal offices. The prevailing
party shall be awarded all costs of such litigation including reasonable attorney's fees.
30-3F-19. Dispute Resolution.
(a) The Interstate Commission shall attempt, upon the request of a member state, to resolve disputes which are
subject to the Compact and which may arise among member states or member boards.
(b) The Interstate Commission shall promulgate rules providing for both mediation and binding dispute resolution as
appropriate.
30-3F-20. Member States, Effective Date and Amendment
(a) Any state is eligible to become a member state of the Compact.
(b) The Compact shall become effective and binding upon legislative enactment of the Compact into law by no less
than seven states. Thereafter, it shall become effective and binding on a state upon enactment of the Compact into law by that
state.
(c) The governors of non-member states, or their designees, shall be invited to participate in the activities of the
Interstate Commission on a non-voting basis prior to adoption of the Compact by all states.
(d) The Interstate Commission may propose amendments to the Compact for enactment by the member states. No
amendment shall become effective and binding upon the Interstate Commission and the member states unless and until it is
20
(a) The Compact shall dissolve effective upon the date of the withdrawal or default of the member state which
reduces the membership in the Compact to one member state.
(b) Upon the dissolution of the Compact, the Compact becomes null and void and shall be of no further force or effect,
and the business and affairs of the Interstate Commission shall be concluded and surplus funds shall be distributed in
accordance with the bylaws.
30-3F-23. Severability and Construction.
(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence, or provision is deemed
unenforceable, the remaining provisions of the Compact shall be enforceable.
(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
(c) Nothing in the Compact shall be construed to prohibit the applicability of other interstate compacts to which the
states are members.
30-3F-24. Binding Effect of Compact and other Laws.
(a) Nothing herein prevents the enforcement of any other law of a member state that is not inconsistent with the
Compact.
(b) All laws in a member state in conflict with the Compact are superseded to the extent of the conflict.
(c) All lawful actions of the Interstate Commission, including all rules and bylaws promulgated by the Commission, are
binding upon the member states.
(d) All agreements between the Interstate Commission and the member states are binding in accordance with their
terms.
(e) In the event any provision of the Compact exceeds the constitutional limits imposed on the legislature of any
22
member state, such provision shall be ineffective to the extent of the conflict with the constitutional provision in question in
that member state.
NOTE: The purpose of this bill is to establish and approve the Interstate Medical Licensure Compact. This compact,
which was developed by a workgroup consisting of representatives from medical boards from across the country and in
conjunction with the Federation of State Medical Boards, is intended to facilitate expedited multi-licensure for highly qualified
applicants while presenting the traditional modalities of state licensing for all physicians.
This article is new; therefore, it has been completely underscored.
23
Board of Medicine
Page 2 of 2
H. B.
(By Delegate
[Introduced January , 2015]
A BILL to amend and reenact 30-3-13 of the Code of West Virginia, 1931, as amended, and to amend said code by adding
thereto a new section designated, 30-3-13a, all relating to the practice of medicine.
Use any title, word or abbreviation to indicate to or induce others to believe that he or she is licensed to practice
The physician does not engage in the practice of medicine and surgery or podiatry outside of the auspices of the
The sponsoring medical school or institution provides prior written notification to the board including the
physician's name, all jurisdictions of licensure and the beginning and end date of the physician's visiting medical faculty status.
(7) A physician or podiatrist holding one or more unrestricted licenses granted by another state present in the state as
a member of an air ambulance treatment team or organ harvesting team;
(8) A physician or podiatrist holding one or more unrestricted licenses granted by another state or foreign country
providing a consultation on a singular occasion to a licensed physician or podiatrist in this state, whether the consulting
physician or podiatrists is physically present in the state for the consultation or not;
(9) A physician or podiatrist holding one or more unrestricted licenses granted by another state or foreign country
providing teaching assistance, in a medical capacity, for a period not to exceed seven days;
(10) A physician or podiatrist holding one or more unrestricted licenses granted by another state or foreign country
serving as a volunteer in a non-compensated role for a charitable function for a period not to exceed seven days;
(11) A physician or podiatrist holding one or more unrestricted licenses granted by another state or foreign country
3
providing medical services to a college or university affiliated and/or sponsored sports team or an incorporated sports team if:
(A) He or she has a written agreement with that sports team to provide care to team members, coaching staff, and
families traveling with the team for a specific sporting event, team appearance or training camp occurring in this state;
(B) He or she may only provide care or consultation to team members, coaching staff, and families traveling with the
team no longer than seven consecutive days per sporting event;
(C) He or she is not authorized to practice at a health care facility or clinic, acute care facility, or urgent care center
located in this state; but the physician may accompany the patient to the facility and consult; and
(D) The physician or podiatrist may be permitted, by written permission from the executive director, to extend his or
her authorization to practice medicine for a maximum of seven additional consecutive days if the requestor shows good cause
for the extension.
(d) A physician or podiatrist who does not hold a license issued by the Board and who is practicing medicine in this
state pursuant to the exceptions to licensure set forth in this section may practice in West Virginia under one or more of the
licensure exceptions for no greater than a cumulative total of thirty days in any one calendar year.
(e) The executive director shall send by certified mail to a physician not licensed in this state a written order that
revokes the privilege to practice medicine under this section if the executive director finds good cause to do so. If no current
address can be determined, the order may be sent by regular mail to the physician's last known address.
(f) A person is guilty of a misdemeanor and, upon conviction thereof, shall be fined not more than $5,000 or confined
in jail not more than twelve months, or both fined and confined, if he or she engages in unlawful practice of medicine and
surgery or podiatry while holding a license issued pursuant to this article which has been classified by the board as expired for
ninety days or fewer at the time of the unlawful conduct.
4
(g) A person is guilty of a felony and, upon conviction thereof, shall be fined not more than $10,000 or imprisoned in a
state correctional facility for not less than one year nor more than five years, or both fined and imprisoned, if he or she engages
in unlawful practice of medicine and surgery or podiatry while:
(1) Having never been licensed by the board under the provisions of this article;
(2) Holding a license which has been classified by the board as expired for greater than ninety days; or
(3) Holding a license which has been placed in inactive status, revoked, suspended or surrendered to the board.
30-3-13A. Telemedicine.
(a) (1) Telemedicine" means the practice of medicine using tools such as electronic communication, information
technology or other means of interaction between a licensed health care professional in one location and a patient in another
location, with or without an intervening healthcare provider. The utilization of electronic communication in on-call,
cross-coverage and emergency services situations is not telemedicine.
(2) "Telemedicine technologies" means technologies and devices enabling secure electronic communications and
information exchange in the practice of telemedicine, and typically involve the application of secure real time
videoconferencing or similar secure video services, remote monitoring and store and forward digital image technology to
provide or support healthcare delivery by replicating the interaction of a traditional in person encounter between a provider and
a patient.
(3) Store and forward telemedicine means the asynchronous computer-based communication of medical data
and/or images between a patient and a physician or podiatrist at another site for the purpose of diagnostic and/or therapeutic
assistance.
(b) The practice of medicine or surgery or podiatry occurs where the patient is located at the time telemedicine
5
A physician, podiatrist or physician assistant who engages in the practice of medicine through
telemedicine technologies with respect to patients located in this state shall be licensed by the board.
(c) A
physician, podiatrist or physician assistant using telemedicine technologies to practice medicine or surgery or
utilization to telemedicine technologies, or when services are rendered solely through telemedicine technologies, a physician,
podiatrist or physician assistant patient relationship may only be established through the use of telemedicine technologies
which incorporate real time videoconferencing or similar secure video services during the initial physician, podiatrist or
physician assistant patient encounter; Provided, however, That a physician patient relationship may be established through
store and forward telemedicine for the practice of pathology and radiology. Once a physician, podiatrist or physician assistant
patient relationship has been established, the physician, podiatrist or physician assistant, with the informed consent of the
patient, may utilize any telemedicine technology which meets the standard of care and is appropriate for the particular patient
presentation.
(f) The practice of medicine and surgery or podiatry provided via telemedicine technologies, including the
establishment of a physician, podiatrist or physician assistant patient relationship and issuing a prescription via electronic
means as part of a telemedicine encounter, are subject to the same standard of care, professional practice requirements and
scope of practice limitations as traditional in-person physician, podiatrist or physician assistant patient encounters.
Treatment, including issuing a prescription, based solely on an online questionnaire does not constitute an acceptable standard
of care.
(g) The utilization of telemedicine technologies to practice medicine and surgery or podiatry on a patient for whom
the standard of care requires an in-person, physical examination shall constitute dishonorable, unethical and unprofessional
conduct.
(h) The patient record established during the use of telemedicine technologies shall be accessible and documented for
both the physician, podiatrist, physician assistant and the patient, consistent with the laws and legislative rules governing
patient healthcare records and shall include a copy of the informed consent to the practice of medicine and surgery or podiatry
7
All laws governing the confidentiality of health care information and governing patient access
to medical records shall apply to records of practice of medicine and surgery or podiatry provided through telemedicine
technologies.
A physician, podiatrist or physician assistant solely providing services using telemedicine technologies shall
make documentation of the encounter easily available to the patient, and subject to the patient's consent, any identified care
provider of the patient immediately after the encounter.
(i) A physician, podiatrist or physician assistant whose has a physician, podiatrist or physician assistant patient
relationship and who practices medicine and surgery or podiatry to a patient solely through the utilization of telemedicine
technologies may not prescribe any controlled substances listed in Schedules I or II of the Uniform Controlled Substances Act.
(j) The board may propose rules for legislative approval in accordance with the provisions of article three, chapter
twenty-nine-a of this code to implement standards for and limitations upon the utilization of telemedicine technologies in the
practice of medicine and podiatry in this state.
(k) Nothing in this section changes the rights, duties, privileges, responsibilities and liabilities incident to the physician,
podiatrist or physician assistant patient relationship, nor is it meant or intended to change in any way the personal character of
the physician, podiatrist or physician assistant patient relationship.
healthcare provider or authorize the delivery of health care services in a setting, or in a manner, not otherwise authorized by
law.
NOTE: The purpose of this bill is to reformulate what constitutes the unauthorized practice of medicine and podiatry
under the West Virginia Board of Medicine, including qualified exemptions. The bill also updates and defines telemedicine and
telemedicine technologies and medical services delivery standards. The bill establishes penalties for unauthorized medical
practice.
Strike-throughs indicate language that would be stricken from the present law, and underscoring indicates new
language that would be added.
8
Board of Medicine
state of licensure, which has already completed extensive primary source verifications
on the physician when issuing the physicians original license in that state, is
responsible for certifying that the physician meets eligibility criteria for a compact
license. The multi-state licensure process is streamlined because only the principal
state of licensure conducts primary source verifications and criminal background
checks on the applicant. The principal state of licensure also certifies that the
applicant meets all of the other qualifications for a compact license. Only highly
qualified, board certified physicians with clean disciplinary histories are eligible for
expedited licensure through the interstate compact.
The Compact Does Not Interfere in a States Ability to Set Professional Practice
Standards and Discipline Physicians, but Does Permit member states to
Automatically Mirror Discipline Imposed by other Compact States. The West
Virginia Medical Practice Act remains in full force and effect. There is no abrogation
of the professional practice standards or disciplinary process currently in place.
However, if a physician with a compact license is suspended or revoked in his or her
principal state of licensure, the discipline is automatically imposed upon the
physicians compact licenses unless a member state chooses not to mirror the
disciplinary action. Currently, if a physician holds a West Virginia license and a
Page 2 of 3
license in another state, and the physicians license in the other state is revoked, the
West Virginia Board of Medicine cannot mirror the other states action. The Board
must initiate a complaint, conduct an investigation and hold a public hearing prior to
taking action on the license.
The Compact Bill will be Budget Neutral. There are no anticipated costs or fees for
being a member of the Compact. Please keep in mind that the Board of Medicine
functions only on the fees it collects and does not receive any monies from the
general fund.
Page 3 of 3
From:
Sent:
To:
Subject:
Attachments:
Hi Bob,
Attached please find the Compact talking points you requested. Please let me know if I can provide any additional
information.
Sincerely,
Jonathan Jagoda
Director, Federal Government Relations
Federation of State Medical Boards
1300 Connecticut Avenue NW | Suite 500 | Washington, DC 20036
202-463-4003 direct
jjagoda@fsmb.org
Beginning in April 2013, the Interstate Medical Licensure Compact was developed by representatives of
state medical boards from across the country and supported by the Federation of State Medical Boards
(FSMB) and the Council of State Governments (CSG). In a rapidly changing health care environment,
the Compact will expand access to care, facilitate multistate practice and enable telemedicine without
compromising patient safety. The Compact counters the efforts by some lawmakers and stakeholders
that seek to federalize or nationalize the medical licensure system.
The purpose of the Compact is to streamline the process of applying for medical licenses in multiple
states while ensuring the responsibility for licensing and disciplining physicians remains with individual
state medical boards.
Participation in the Compact will be voluntary for both physicians and states.
As of Jan. 13, 2015, there are currently 24 State Medical Boards, nine State Medical Associations, and
three State Hospital Associations who are formally supporting the Compact, as well as the American
Medical Association, the American Academy of Dermatology, the Council of Medical Specialty Societies,
the Society of Hospital Medicine, and many other health management associations and hospital systems.
The list of supporters continues to grow as state legislatures begin to formally consider the Compact.
Interstate compacts are formal agreements between states that have the characteristics of both statutory
law and contractual agreements. An interstate compact is enacted by state legislatures adopting reciprocal
laws that substantively are identical to one another. Compact terms cannot be modified (beyond minor
state legislative formatting requirements) unilaterally by state legislation and take precedence over
conflicting state law.
This is not a national license - the license to practice medicine will continue to be issued by individual
state medical boards and physicians will continue to have to be licensed in the state where the patient is
located.
The Compact does not usurp states rights it represents the efforts of the states to develop a dynamic
nationwide system of expedited licensure over which the member states can maintain control through a
coordinated legislative and administrative process.
The Compact does not change a states Medical Practice Act. Instead, it creates another pathway for
licensure that would grant the same full and unrestricted license to practice medicine as the physician
would receive if applying through the traditional state licensure processes.
Initial surveys estimate that 80% of licensed physicians in the United States would be eligible for an
expedited license through the Compact.
o
Physicians ineligible to participate in the Compact would still be able to obtain multiple licenses through
the traditional licensure processes.
The Compact would set a procedure for expedited licensure - a physician would apply and have their
eligibility verified by a member state (selected by the physician as the State of Principal Licensure) which
will communicate the necessary information to the Interstate Commission. The Commission would then
facilitate the sharing of all information with those Compact states the physician selects for additional
licensure.
The Commission will facilitate distribution of fees and physician licensure information to those member
states where the physicians seeks licenses. Upon receipt of the information from the Commission, the
selected states will issue a license to practice medicine in that state.
A physician must comply with the statutes, rules and regulations of the state where the patient is located.
The ability of boards to assess fees will not be compromised and licensure fees will be set by each
Compact member state, and may vary by state. However, it is believed that member states, recognizing
the value of collective action, may agree to modify fees for expedited licenses in order to enhance
portability and increase access to care while retaining the regulatory resources necessary to investigate and
discipline licensees. Licenses facilitated through the Compact may be subject to a processing fee
established by rule of the Commission.
The Compact would substantially reduce the time it takes to receive multiple medical licenses. As soon as
eligibility is verified and fees are transferred, additional selected states would issue a full and unrestricted
license to the physician.
The Compact establishes a new system of sharing of complaint and investigative information between
medical boards, and allows for joint investigations.
Any disciplinary action on a license issued by a member state may be subject to discipline by other
member states. Other member states that have issued a license to the physician may impose the same or
lesser sanctions on that license or pursue separate disciplinary action based on the respective Medical
Practice Act.
The Commission does not issue or revoke licenses it serves in an administrative role only. Only state
medical boards may issue or revoke licenses.
The Commission would provide oversight and administration of the Compact, create and enforce rules
governing the processes outlined in the Compact, and promote interstate cooperation, ultimately
ensuring that the Compact continues to facilitate safe and expedient access to care and physician
licensure. Each participating state would select two representatives to serve on the Commission.
Under the terms of the proposed Compact, the Commission will be budget neutral, as it may assess
processing fees for expedited licensure, ultimately off-setting any burden on the member states.
Additionally, the Commission is enabled to seek grants and secure outside funding, through private
grants, or federal appropriations in support of license portability.
A minimum of seven (7) states must enact the Compact for it to become effective. It is expected that at
least 10-15 states will join the Compact in 2015.
From:
Sent:
To:
Subject:
Knittle, Robert C
Tuesday, January 13, 2015 3:22 PM
'Jonathan Jagoda'
RE: Compact Talking Points
Thanks Jonathon. Also do you have an updated version of the Boards who have endorsed the Compact. Lisa said we
were up to 24 and the last list I had we were at 17 boards in 14 states. Session starts tomorrow. Its going to be a very
interesting year at the Capitol.
Bob
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Tuesday, January 13, 2015 2:55 PM
To: Knittle, Robert C
Subject: Compact Talking Points
Hi Bob,
Attached please find the Compact talking points you requested. Please let me know if I can provide any additional
information.
Sincerely,
Jonathan Jagoda
Director, Federal Government Relations
Federation of State Medical Boards
1300 Connecticut Avenue NW | Suite 500 | Washington, DC 20036
202-463-4003 direct
jjagoda@fsmb.org
From:
Sent:
To:
Subject:
Attachments:
Hi Bob,
Attached please find the Compact talking points you requested. Please let me know if I can provide any additional
information.
Sincerely,
Jonathan Jagoda
Director, Federal Government Relations
Federation of State Medical Boards
1300 Connecticut Avenue NW | Suite 500 | Washington, DC 20036
202-463-4003 direct
jjagoda@fsmb.org
Beginning in April 2013, the Interstate Medical Licensure Compact was developed by representatives of
state medical boards from across the country and supported by the Federation of State Medical Boards
(FSMB) and the Council of State Governments (CSG). In a rapidly changing health care environment,
the Compact will expand access to care, facilitate multistate practice and enable telemedicine without
compromising patient safety. The Compact counters the efforts by some lawmakers and stakeholders
that seek to federalize or nationalize the medical licensure system.
The purpose of the Compact is to streamline the process of applying for medical licenses in multiple
states while ensuring the responsibility for licensing and disciplining physicians remains with individual
state medical boards.
Participation in the Compact will be voluntary for both physicians and states.
As of Jan. 13, 2015, there are currently 24 State Medical Boards, nine State Medical Associations, and
three State Hospital Associations who are formally supporting the Compact, as well as the American
Medical Association, the American Academy of Dermatology, the Council of Medical Specialty Societies,
the Society of Hospital Medicine, and many other health management associations and hospital systems.
The list of supporters continues to grow as state legislatures begin to formally consider the Compact.
Interstate compacts are formal agreements between states that have the characteristics of both statutory
law and contractual agreements. An interstate compact is enacted by state legislatures adopting reciprocal
laws that substantively are identical to one another. Compact terms cannot be modified (beyond minor
state legislative formatting requirements) unilaterally by state legislation and take precedence over
conflicting state law.
This is not a national license - the license to practice medicine will continue to be issued by individual
state medical boards and physicians will continue to have to be licensed in the state where the patient is
located.
The Compact does not usurp states rights it represents the efforts of the states to develop a dynamic
nationwide system of expedited licensure over which the member states can maintain control through a
coordinated legislative and administrative process.
The Compact does not change a states Medical Practice Act. Instead, it creates another pathway for
licensure that would grant the same full and unrestricted license to practice medicine as the physician
would receive if applying through the traditional state licensure processes.
Initial surveys estimate that 80% of licensed physicians in the United States would be eligible for an
expedited license through the Compact.
o
Physicians ineligible to participate in the Compact would still be able to obtain multiple licenses through
the traditional licensure processes.
The Compact would set a procedure for expedited licensure - a physician would apply and have their
eligibility verified by a member state (selected by the physician as the State of Principal Licensure) which
will communicate the necessary information to the Interstate Commission. The Commission would then
facilitate the sharing of all information with those Compact states the physician selects for additional
licensure.
The Commission will facilitate distribution of fees and physician licensure information to those member
states where the physicians seeks licenses. Upon receipt of the information from the Commission, the
selected states will issue a license to practice medicine in that state.
A physician must comply with the statutes, rules and regulations of the state where the patient is located.
The ability of boards to assess fees will not be compromised and licensure fees will be set by each
Compact member state, and may vary by state. However, it is believed that member states, recognizing
the value of collective action, may agree to modify fees for expedited licenses in order to enhance
portability and increase access to care while retaining the regulatory resources necessary to investigate and
discipline licensees. Licenses facilitated through the Compact may be subject to a processing fee
established by rule of the Commission.
The Compact would substantially reduce the time it takes to receive multiple medical licenses. As soon as
eligibility is verified and fees are transferred, additional selected states would issue a full and unrestricted
license to the physician.
The Compact establishes a new system of sharing of complaint and investigative information between
medical boards, and allows for joint investigations.
Any disciplinary action on a license issued by a member state may be subject to discipline by other
member states. Other member states that have issued a license to the physician may impose the same or
lesser sanctions on that license or pursue separate disciplinary action based on the respective Medical
Practice Act.
The Commission does not issue or revoke licenses it serves in an administrative role only. Only state
medical boards may issue or revoke licenses.
The Commission would provide oversight and administration of the Compact, create and enforce rules
governing the processes outlined in the Compact, and promote interstate cooperation, ultimately
ensuring that the Compact continues to facilitate safe and expedient access to care and physician
licensure. Each participating state would select two representatives to serve on the Commission.
Under the terms of the proposed Compact, the Commission will be budget neutral, as it may assess
processing fees for expedited licensure, ultimately off-setting any burden on the member states.
Additionally, the Commission is enabled to seek grants and secure outside funding, through private
grants, or federal appropriations in support of license portability.
A minimum of seven (7) states must enact the Compact for it to become effective. It is expected that at
least 10-15 states will join the Compact in 2015.
From:
Sent:
To:
Subject:
Knittle, Robert C
Thursday, January 15, 2015 1:40 PM
'Shiri A. Hickman'
RE: FSMB Advisory Council follow up call Jan 20?
It's on my calendar, Thanks Shiri. I'll be happy to get some closure on this.
Bob
-----Original Message----From: Shiri A. Hickman [mailto:shickman@fsmb.org]
Sent: Thursday, January 15, 2015 1:03 PM
To: Kathleen Selzler Lippert; Lyle Kelsey; Mari Robinson; Knittle, Robert C; Kevin Bohnenblust, JD; Jacqueline Watson,
DO, MBA; Kimberly Kirchmeyer; Margaret Hansen
Cc: Lisa A. Robin (FSMB); John Bremer; Natalie Weiner
Subject: Re: FSMB Advisory Council follow up call Jan 20?
All- it looks like this timing works for a majority of the group. Please plan to call in 2:30pm-3:30pm EST on January 20th.
The conference number is 1-888<tel:1-888
> and the Passcode is
.
Thank you,
Shiri
On Jan 9, 2015, at 11:06 PM, Shiri A. Hickman <shickman@fsmb.org<mailto:shickman@fsmb.org>> wrote:
Thanks all for your responses. It looks like 2:30pm-3:30pm EST on January 20th works well based on what I've heard so
far. Please tell me if you cannot do a call at that time by Monday, and tentatively reserve this time slot if you can. I will
confirm with you all next week once I've heard back from everyone.
Have a good weekend,
Shiri
Sent from my iPhone
On Jan 8, 2015, at 3:41 PM, Shiri A. Hickman <shickman@fsmb.org<mailto:shickman@fsmb.org>> wrote:
This message cannot be displayed because of the way it is formatted. Ask the sender to send it again using a different
format or email program. message/rfc822
From:
Sent:
To:
Subject:
Knittle, Robert C
Tuesday, January 20, 2015 12:16 PM
'Shiri A. Hickman'
RE: FSMB Advisory Council Call Today
Well sounds like youve earned a second (third) cup of coffee in this one at least!
From: Robert Knittle
Sent: Tuesday, January 20, 2015 11:50 AM
To: Shiri A. Hickman
Subject: RE: FSMB Advisory Council Call Today
Three Committee meetings, 2 Senate 1 House, right in a row beginning at 1:00 p.m. Im thinking I must have had one
heck of a time in a previous life to merit this
Bob
From: Shiri A. Hickman [mailto:shickman@fsmb.org]
Sent: Tuesday, January 20, 2015 11:47 AM
To: Knittle, Robert C
Subject: RE: FSMB Advisory Council Call Today
Thanks, Bob. We understand duty calls. Will keep you posted how the call goes.
Good luck at the hearings,
Shiri
From: Robert Knittle
Sent: Tuesday, January 20, 2015 11:44 AM
To: Shiri A. Hickman; Kathleen Selzler Lippert; Lyle Kelsey; Mari Robinson; Kevin Bohnenblust, JD; Jacqueline Watson,
DO, MBA; Kimberly Kirchmeyer; Margaret Hansen
Cc: Lisa A. Robin (FSMB); John Bremer; Natalie Weiner
Subject: RE: FSMB Advisory Council Call Today
Good morning all, The legislative session has begun and will be at the legislature all afternoon for Board bills and Board
related bills. Would rather hang out with you guys but its not to be today. I did a broad rewrite of the examinations
section in the Essentials document in an attempt to update the language to reflect what Boards currently do rather than
what they did. I ran this by Dave Johnson prior to submission and thank him for his valuable input. I hope it gives you a
solid basis to work from and ultimate approval of this new language.
Bob
From: Shiri A. Hickman [mailto:shickman@fsmb.org]
Sent: Tuesday, January 20, 2015 11:24 AM
To: Kathleen Selzler Lippert; Lyle Kelsey; Mari Robinson; Knittle, Robert C; Kevin Bohnenblust, JD; Jacqueline Watson,
DO, MBA; Kimberly Kirchmeyer; Margaret Hansen
1
AllLooking forward to our call today at 2:30-3:30pm EST. The conference number is 1-888-450-
, Passcode:
Please also connect via Adobe Connect, the link is below. You do not need to enter in a username or password, simply
enter as a guest. Please contact me if you have an trouble connecting. We look forward to speaking with you this
afternoon.
To join the meeting:
https://fsmb.adobeconnect.com/
---------------If you have never attended an Adobe Connect meeting before:
Test your connection: https://fsmb.adobeconnect.com/common/help
Get a quick overview: http://www.adobe.com/products/adobeconnect.html
Thanks,
Shiri
Shiri Ahronovich Hickman, J.D.
State Legislative and Policy Manager
Federation of State Medical Boards
1300 Connecticut Avenue, NW | Suite 500 | Washington, DC 20036
202-463-4002 direct | shickman@fsmb.org | www.fsmb.org
.htm
From:
Sent:
To:
Cc:
Subject:
AllLooking forward to our call today at 2:30-3:30pm EST. The conference number is 1-888-450-
, Passcode:
Please also connect via Adobe Connect, the link is below. You do not need to enter in a username or password, simply
enter as a guest. Please contact me if you have an trouble connecting. We look forward to speaking with you this
afternoon.
To join the meeting:
https://fsmb.adobeconnect.com/
---------------If you have never attended an Adobe Connect meeting before:
Test your connection: https://fsmb.adobeconnect.com/common/help/
Get a quick overview: http://www.adobe.com/products/adobeconnect.html
Thanks,
Shiri
Shiri Ahronovich Hickman, J.D.
State Legislative and Policy Manager
Federation of State Medical Boards
1300 Connecticut Avenue, NW | Suite 500 | Washington, DC 20036
202-463-4002 direct | shickman@fsmb.org | www.fsmb.org
.htm
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pdccustomercare@fsmb.org
The Federation of State Medical Boards is committed to protecting the public with high
standards for medical licensure and practice.
STAY CONNECTED
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
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Please join us for the next FSMB Roundtable Webinar which will be held this
Wednesday, January 28, from 2:00 3:00 p.m. (Central Time) for an update on
the North Carolina State Board of Dental Examiners v. the Federal Trade
Commission case.
Event Date
January 28, 2015
2:00 3:00 p.m.
(Central Time)
Webinar
Access
Information
To access the Web
presentation, please
click here.
For the audio portion
of the event, please
call toll free:
The presentation will highlight the fundamental questions facing the Supreme
Court as it decides this case. Undoubtedly, the decision will impact the sovereign
interests of the states to structure and oversee its licensing and professional
regulatory bodies. The presentation will also provide an opportunity for
discussion regarding the interplay between a healthy system of competition, the
role market participants play in regulating a profession, and the public interest
rationale behind the need to regulate professions.
Speakers will include Humayun Chaudhry, DO, MACP, FSMB President and Chief
Executive Officer; Lisa Robin, MLA, FSMB Chief Advocacy Officer; and Eric Fish,
JD, FSMB Senior Director of Legal Services.
To join the web presentation of the meeting, please go to:
https://fsmb.adobeconnect.com/
/
and type your name and enter as a guest.
For the audio portion of the webinar, dial 1-866-861
conference ID #
and reference
If you have never attended a Connect Pro meeting, you should test your
connection in advance at:
http://fsmb.adobeconnect.com/common/help/
.htm.
If you need additional information, please contact us. We hope you will be able
to join us!
1
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DATE:
TO:
FROM:
CC:
RE:
Interstate Medical Licensure Compact Misinformation
_____________________________________________________________________
Hi Everyone,
The Federation of State Medical Boards (FSMB) has become aware in recent days of an effort being conducted by
various individuals to undermine the Interstate Medical Licensure Compact.
Attached please find some guidance that you may find useful.
Hank
DATE:
TO:
FROM:
CC:
RE:
Interstate Medical Licensure Compact Misinformation
_____________________________________________________________________
The Federation of State Medical Boards (FSMB) has become aware in recent days of an effort being
conducted by various individuals to undermine the Interstate Medical Licensure Compact.
This memorandum is being sent to the Executive Directors of those state medical and osteopathic boards
that have formally endorsed or supported the Compact. It lists the concerns of those opposed to the
Compact and refutes each of the misrepresentations and falsehoods that we have heard. Please feel free to
share these with your state board members, state legislators and state medical and osteopathic societies, as
appropriate.
As you know, the Compact was put together by representatives of several state boards and has been
endorsed by physician organizations such as the American Medical Association (AMA) and by 25 state
medical and osteopathic boards in just the few short months since it was introduced. It provides a
reasonable, innovative way to get more physicians licensed in the states where their services are vitally
needed while preserving all of the protections of state-based medical regulation and allowing physicians
the freedom to choose the licensing path that works best for them. The Compact has already been
introduced in 10 state legislatures (Iowa, Minnesota, Nebraska, Oklahoma, South Dakota, Texas, Utah,
Vermont, West Virginia, and Wyoming).
There have been false and misleading public statements and distortions made about the Compact in an
effort to discredit it and help thwart its adoption by state legislatures. Ironically, such an effort empowers
those that favor a national approach to medical licensure.
The anti-Compact campaign is riddled with falsehoods that are easily debunked by simply reading the
model legislation that was crafted in an open and collaborative fashion by the state medical boards with
input from stakeholders across the nation. Perhaps the most egregious of these falsehoods is the notion
that the Compact would somehow force practicing physicians to participate in additional levels of medical
certification beyond basic licensing and standard requirements for continuing medical education (CME).
Participation in the proposed Compact is totally optional, and is intended only for those physicians who
wish to practice in multiple states and who want to avoid the process of applying for multiple state
licenses one at a time. It in no way changes the requirements for state medical licensure for physicians
seeking one license within a state or for those who choose to become licensed in multiple states through
existing processes. The status quo remains, for any physician who wants to continue to use current
licensing processes.
The FSMB has prepared a fact sheet about Six Myths About the Compact, outlined below, that refutes
the misleading claims.. The fact sheet will also soon be available at the FSMBs Interstate Medical
Licensure Compact website (www.licenseportability.org).
MYTH: It is alleged that the definition of a physician in the Compact is at variance with the definition of a
physician by all other state medical boards.
FACT: The definition of a physician in the Interstate Compact relates only to the eligibility to receive a
license through the process outlined in the Compact. The Compact definition does not change the
existing definition of a physician in a states existing Medical Practice Act, nor does it change the basic
requirements for state medical licensure of a physician seeking only one license within a state or who
chooses to become licensed in additional states through existing processes.
FACT: In order for the Compact to be acceptable in ALL states, the definition of a physician was drafted by
state medical boards in a manner that meets the highest standards already required for expedited
licensure or licensure by endorsement (many states already have standards in place for expedited
licensure or licensure by endorsement that require specialty-board certification.)
FACT: Physicians who do not meet the requirements, including those not specialty certified, are still eligible
to apply for state medical licensure in a member state through the current process. Initial estimates
show that up to 80% of licensed physicians in the U.S. are currently eligible to participate in the
Compact, if they choose to do so.
MYTH: It is alleged that physicians participating in the Compact would be required to participate in
Maintenance of Certification (MOC), or that MOC is an eligibility requirement for the Compact.
FACT: The Compact makes absolutely no reference to Maintenance of Certification (MOC) or its osteopathic
counterpart, Osteopathic Continuous Certification (OCC). The Compact does not require a physician
to participate in MOC, nor does it require or even make mention of the need to participate in MOC as
a licensure renewal requirement in any state. Once a physician is issued a license via the Compact
from a state, he or she must adhere (as now) to the renewal and continuing medical education
requirements of that state. No state requires MOC as a condition for licensure renewal, and therefore,
this will not be required for physicians participating in the Compact.
MYTH: It is claimed that the Compact would "supersede a state's authority and control over the practice of
medicine."
FACT: The Compact reflects the effort of the state medical boards to develop a dynamic, self-regulatory
system of expedited state medical licensure over which the participating states maintain control
through a coordinated legislative and administrative process. Coordination through a compact is not
the same as commandeering state authority. It is the ultimate expression of state authority.
FACT: Some of the groups that are distorting the facts about the Compact are contradicting their own
policies and goals: The American Legislative Exchange Council (ALEC), for example, which is now
criticizing the Compact, has supported interstate compacts as solutions to other multi-state-based
legislative challenges in the past.
MYTH: It is claimed that the Compact would change a state's Medical Practice Act.
FACT: The Compact clearly states that it would not change a states Medical Practice Act. From the
Compacts preamble: The Compact creates another pathway for licensure and does not otherwise
change a state's existing Medical Practice Act."
FACT: The Compact also adopts the prevailing standard for state medical licensure found in the Medical
Practice Acts of each state, affirming that the practice of medicine occurs where the patient is located
at the time of the physician-patient encounter.
MYTH: It is asserted that it would be expensive for a state to extricate itself from the Interstate Medical
Licensure Compact.
FACT: State participation in the Compact is, and will remain, voluntary. States are free to withdraw from the
Compact and may do so by repealing the enacted statute. The withdrawal provisions of the Interstate
Compact are consistent with interstate compacts currently enacted throughout the country.
MYTH: It is claimed that the Compact represents a regulatory excess, and costs and burdens on the state will be
increased.
FACT: The process of licensure proposed in the Compact would reduce costs, streamlining the process for
licensees. Rather than having to obtain individual documents for multiple states, which is both
expensive and time consuming, member states can rely on verified, shared information to speed the
licensee through the licensing process. Licensees would have to pay the fees set by their state in order
to obtain and maintain a license via the Compact, just as with licenses currently obtained via current
methods. The Compact is not an example of regulatory excess but an example of regulatory common
sense.
For more information about the Compact, visit www.licenseportability.org.
About the Federation of State Medical Boards: The Federation of State Medical Boards (FSMB) is a national
non-profit organization representing all medical boards within the United States and its territories that license
and discipline allopathic and osteopathic physicians and, in some jurisdictions, other health care professionals.
FSMB leads by promoting excellence in medical practice, licensure and regulation as the national resource and
voice on behalf of state medical boards in their protection of the public. To learn more about FSMB visit:
http://www.fsmb.org/. You can also follow FSMB on Twitter (@theFSMB and @FSMBPolicy) and Facebook by
liking the Federation of State Medical Boards page.
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Attachments:
Importance:
High
House of Delegates
Meeting Guidebook
Preface
The House of Delegates is the official public policy-making body of the FSMB. A public
policy is defined in the FSMB Bylaws as the official public position of the FSMB on a
matter that may be reasonably expected to affect Member Boards when dealing with
their licensees, other health care providers, health-related special interest groups,
governmental bodies or the public. At its Annual Meeting each spring, the House acts
on numerous reports and resolutions and establishes policy to guide the organization
and its members.
This Guide provides information about the Houses policy development process, and is
designed to help those attending the Annual Meeting understand and/or participate in
that process.
Preface
Chapter 1
Chapter 2
Chapter 3
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2
2
3
4
5
5
6
7
7
8
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Chapter 1:
Two characteristics distinguish the FSMB from most other nonprofit organizations: it is a
membership association and it has a national scope. The FSMB Bylaws distribute the
authority to govern across six levels. The organizational elements that participate in the
FSMBs system of governance and policymaking process include: Member Medical
Boards, House of Delegates, Board of Directors, Executive Committee, Standing and
Special Committees, and the Executive Office. (see FSMBs Organizational Chart on
page 4)
The roles and responsibilities of each of these components of the FSMBs governance
structure are described below.
I.
The term Member Medical Board, as used in the FSMBs Articles of Incorporation and
Bylaws, refers to any board, committee or other group in any state, territory, the District
of Columbia or possession of the United States of America that is empowered by law to
pass on the qualifications of applicants for licensure to practice allopathic or osteopathic
medicine or to discipline such licensees. If a state or other jurisdiction has more than
one such entity and if each is an independent agency unrelated to the others, each is
eligible for membership. Any eligible Medical Board may become a Member Medical
Board upon approval of its application by the Board of Directors.
A Member Medical Boards participation in the policymaking process of the FSMB takes
place at the corporations annual business meeting of the House of Delegates. The right
to vote at meetings of the House of Delegates is vested in, and restricted to, Member
Medical Boards in good standing. All classes of FSMB membership (Fellows, Honorary
Fellows, Associate Members, Courtesy Members, Affiliate Members and Official
Observers) shall have the right of the floor at meetings of the House upon request of a
delegate and approval of the presiding officer; however, the right to introduce reports
and resolutions for the House of Delegates to act upon is restricted to Member Medical
Boards and the Board of Directors. Except as otherwise noted in the FSMB Bylaws,
rights, duties, privileges and obligations of a member of the FSMB may be exercised
only by a Member Medical Board.
II.
House of Delegates
III.
Board of Directors
As the body responsible for the control and administration of the FSMB, the Board of
Directors reports to the House of Delegates. The Board represents the interests of the
2
House of Delegates and FSMB membership between Annual Meetings. The
responsibilities of the Board include: providing leadership in the development and
implementation of the FSMBs Strategic Plan; governing and conducting the business of
the corporation, including supervising the President/Chief Executive Officer
(President/CEO); and, under the leadership of the FSMBs Chair and President/CEO,
representing the FSMB to the leadership of other organizations and speaking on behalf
of the FSMB to promote recognition of the FSMB as the premier organization concerned
with medical licensure and discipline.
IV.
Executive Committee
Under the leadership of the Chair, the Executive Committee represents the Board of
Directors between Board meetings. The members of the Executive Committee, either
collectively or individually, provide leadership on behalf of the Chair in scheduling and
conducting Board committee meetings; provide leadership on behalf of the Chair to the
Directors-at-Large and Associate Members on the Board in the fulfillment of their
responsibilities, including governing and conducting the business of the corporation and
supervising the President/CEO; and, at the direction of the Chair, represent the FSMB
to the leadership of other organizations, promoting recognition of the FSMB as the
premier organization concerned with medical licensure and discipline.
V.
The Board of Directors governs by making decisions about goals and objectives,
programs and services, personnel, finances, facilities and equipment and then seeing to
it that those decisions are carried out. To assure that the Board conducts its business
efficiently and democratically, assistance is provided through the FSMBs committee
structure. The Board oversees the work of two types of committees: standing and
special.
Standing committees are permanent and assist the House of Delegates and Board of
Directors with overseeing a specific aspect of governance such as finance. All standing
committees are either specifically mentioned in the Bylaws or must be created by
resolution of the corporation. Membership on standing committees is determined by the
Bylaws, Chair or House of Delegates. The FSMB standing committees include:
Audit Committee
Bylaws Committee
Editorial Committee
Education Committee
Ethics and Professionalism Committee
Finance Committee
Nominating Committee
Special committees are temporary and are created for some special purpose such as
overseeing the development of a program or conducting research on a specific subject.
The Chair, with approval of the Board, determines the membership of special
committees. One Special Committee was established in FY 2015 the Special
3
Committee on Strategic Positioning, which was charged with evaluating the continued
relevance of the FSMBs Strategic Plan.
.
In addition to the existence of standing and special committees, a Rules Committee and
Reference Committee(s) meet at each Annual Meeting to help facilitate the progress of
business at the House of Delegates meeting.
VI.
Executive Office
The President/CEO reports to the Board of Directors. The President/CEO supports and
assists the Board and its committees in the conduct of its corporate business and
apprises the Board of the internal operations of the organization. Additionally, the
President/CEO acts as the primary spokesperson for the FSMB to outside
organizations, government authorities, special interest groups, the media and the public
promoting recognition of the FSMB as the premier organization concerned with medical
licensure and discipline.
Bylaws and
Nominating
Committees
Audit, Editorial,
Education, Ethics and
Professionalism, and
Finance Committees
House of Delegates
Reference
and
Rules Committees
Board of Directors
Special Committee(s)
President/CEO
Chapter 2:
I.
Reports of the Board of Directors, Executive Office, FSMB committees and FSMB
representatives to other organizations are transmitted to the House of Delegates for
information or action. Informational reports provide highlights or an update on activities
or projects that have been completed or are in progress, and do not require any
decision-making on the part of the House. Action reports recommend a new or modified
policy or that a particular action be carried out by the FSMB.
While the full text of reports and proposals is published, only the recommendations are
subject to amendment, and only the recommendations adopted by the House become
FSMB policy.
II.
Resolutions
Member Medical Boards may wish to submit resolutions for consideration at the annual
business meeting of the House of Delegates. A resolution is a way to express an idea or
to identify a problem or opportunity. Although resolutions may deal with complex issues,
most resolutions begin simply when a problem is recognized and a solution is
suggested. Resolutions are structured to express the background of the problem and to
lay out a course of action in a logical way so that the need for action on the issue is
clear. To set the tone for discussion, each Whereas clause should carry a message and
develop statements that require a solution. Resolved clauses should reflect what has
just been stated and then go on to address what the FSMB should do or what position
the FSMB should take on the identified topic.
Member Medical Boards wishing to submit resolutions are requested to forward all
proposed resolutions to the FSMBs Executive Office. In order to streamline the
processing of business for the meeting and increase the efficiency with which the House
of Delegates agenda materials are produced, resolutions must be submitted in writing or
via e-mail to the FSMB at least 60 days prior to the meeting. The FSMB cannot accept
resolutions after the published deadline.
When drafting resolutions for submission:
The title of the resolution should appropriately and concisely reflect the action for
which it calls.
The date on which the resolution was approved by the Member Medical Board
should appear beneath the title.
Information contained in the resolution should be checked for accuracy.
The Resolved portions should stand alone, since the House adopts only the
Resolved portions and the Whereas portions are not subject to adoption.
III.
Reference Committee(s)
One or more Reference Committee hearings are scheduled prior to the House of
Delegates annual business meeting. An agenda for the items to be heard by each
Committee is distributed with the Annual Meeting materials and posted on the FSMB
website.
All interested Annual Meeting participants may attend Reference Committee hearings
and make statements on items being considered. Agenda items can include resolutions,
Board reports, Bylaws amendments or other proposals that require a vote by the House
of Delegates. All items heard in Reference Committee hearings will be voted upon by
the full House of Delegates at the annual business meeting. Reference Committees are
not empowered to take any action on items of business. Their role is to make
recommendations to the House of Delegates. Only those items acted upon by the
House of Delegates are considered official.
Each Reference Committee will be appointed by the Chair of the FSMB and will be
composed of three to five members. However, the Chair may appoint additional
members as needed. The Chairs of the Reference Committees introduce each item of
business, open the floor for comment and recognize individuals from the floor. While the
purpose of the Reference Committees is to hear as much testimony as necessary for a
full discussion of each item, the Committee Chairs may, at their discretion, set time
limits on the testimony.
Members of the FSMBs Board of Directors, standing committees, special committees
and staff are present at Reference Committee hearings to provide any requested
resources or information. The Reference Committees are to listen and, if necessary,
seek out any appropriate information and/or viewpoints on each item under discussion.
Members of the Reference Committees are not allowed to engage in debate or express
their own opinions during the hearings, and they are not empowered to entertain
motions or make decisions on items of business.
At the close of the hearings, Reference Committee members meet to formulate their
recommendations on each item. These recommendations are based on what is in the
best interest of the FSMB, and not on the amount of testimony for or against a particular
proposal.
At the House of Delegates business meeting, the Chair of each Reference Committee
presents the Committees report. Reference Committees may recommend that a
proposal be adopted, rejected, amended or otherwise disposed of, and give reasons
therefore. They may also recommend amendments to proposals that have been
referred and/or make substitute proposals of their own. Reference Committees must
forward a recommendation to the House of Delegates on each item of business, and the
House must take action on these recommendations. Any whereas portions or
preambles of resolutions before the Committees are informational and explanatory, and
only the resolve portions are considered by the House of Delegates.
Recommendations of Reference Committees are advisory, and it is important that the
7
House of Delegates has the opportunity to consider all proposals submitted to it and
make the final decision on each.
The use of Reference Committee hearings allows for a more detailed and thorough
discussion of items of business to come before the House of Delegates, thereby
facilitating the progress of the annual House of Delegates business meeting.
IV.
Setting Policy
A simple majority vote of the House is required for most items of business. Some
actions, such as changes to the Bylaws, require a two-thirds majority vote.
The House of Delegates may act on items before it in one of the following ways:
V.
Elections
Elections for filling vacancies within the Board of Directors and Nominating Committee
are conducted at the annual business meeting of the House of Delegates in accordance
with the Bylaws of the FSMB, the process of which is described in Section VII of this
chapter (Rules Committee). Only individuals who are Fellows of the FSMB at the
time of the election may run for elective office. An individual member who as a result
of appointment holds full time membership on a Member Medical Board shall be a
Fellow of the FSMB during the members period of service on a Member Medical Board,
and for a period of 36 months thereafter.
8
a.
Officers:
The Chair and Chair-elect may serve for terms of one (1) year or until their
successors assume office. The Chair then serves one year as Immediate Past
Chair, and the Chair-elect serves one year as Chair. The Treasurer may serve
for a single term of three (3) years or until his/her successor assumes office. At
each annual business meeting of the House of Delegates the Chair-elect will be
elected and every third year at the Annual Meeting the Treasurer will be elected.
(The position of Secretary is an ex-officio office, without vote, and the
President/CEO serves as Secretary.) Officers assume office upon final
adjournment of the Annual Meeting at which they were elected.
b.
c.
VI.
The House of Delegates business meeting materials include the agenda, minutes of the
previous meeting, management notes (summaries of agenda items with any
9
recommendations by FSMB management required on appropriate actions to be taken
by the House of Delegates), and reference or backup information for agenda items. The
House of Delegates business meeting materials are distributed at the Annual Meeting in
a published handbook or on a flash drive, as requested by each delegate. The
information is also posted on the FSMB website as it is completed for easy reference.
VII.
Rules Committee
The role of the Rules Committee is to develop the rules for conducting business during
the House of Delegates annual business meeting and to develop a Report of the Rules
Committee for ratification by the House of Delegates directly after the House approves
the minutes to the previous meeting.
The 2014 Report of the Rules Committee as ratified by the House of Delegates states
the following:
I.
House Security:
Maximum security shall be maintained at all times to prevent disruptions of the Annual
Business Meeting. Only those individuals with proper badges shall be permitted to
attend. The presiding officer may appoint three (3) sergeants-at-arms to maintain order
in the meeting room and escort any special guests to the podium.
II.
Credentials:
Only properly registered voting representatives with marked badges shall be allowed to
sit in the voting section at the Annual Meeting. Voting credentials cannot be transferred
from the official voting delegate to another after the meeting is called to order.
III. Order of Business:
The agenda as published in the delegates handbook shall be the official agenda for the
Annual Business Meeting. This may be modified by the presiding officer if, in his/her
judgment, it will expedite the business of the meeting or by majority vote of the House.
IV.
All classes of membership shall have the right of the floor at meetings of the House
upon request of a delegate and approval of the presiding officer. The presiding officer
shall have the discretion to structure and limit discussion, as needed for the orderly
conduct of the meeting.
V.
The presiding officer shall appoint tellers for the purpose of assisting in the election
process and certification of votes. Tellers should be Fellows, Honorary Fellows or
Associate Members of the Federation, but should not be designated voting delegates of
the Annual Business Meeting.
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The presiding officer shall appoint a parliamentarian to advise on all procedural
questions using the Federation Bylaws and American Institute of Parliamentarians
Standard Code of Parliamentary Procedure, current edition. The parliamentarian may
not participate in the general discussion but only advise on procedural issues when
there is a dispute or question.
All issues not decided by voice vote, or issues for which a secret ballot or a division of
the House is requested, shall be decided by electronic balloting. In the event electronic
balloting is not possible because of technical or other reasons, voting will be conducted
by written ballot.
VI.
Nominations:
The report of the Nominating Committee is presented as a slate of candidates and does
not require a second. At an appropriate time, the presiding officer shall introduce all
nominations for office. Candidates for officers, directors, and the Nominating Committee
must be Fellows at the time of election.
VII. Elections:
Voting shall be by electronic ballot. In the event electronic balloting is not possible
because of technical or other reasons, voting shall be conducted by written ballot. If
there is only one candidate for office, then that individual shall be declared elected by
acclamation.
The elections shall be conducted in accordance with the Bylaws of the Federation. The
presiding officer may call for a vote at any time during the meeting.
Election to an officer/director slot requires a majority of the votes cast and all other
elected positions shall be elected by a plurality vote. A majority is one more than onehalf (1/2) of the number of delegates voting. A plurality vote is more votes than the
number received by any other candidate.
In the event any slot on the Board of Directors is vacated by previous election or other
reason, individuals receiving the top majority of votes shall be declared to be elected to
the full-term slots and the candidate with the next highest number of votes constituting a
majority shall be declared to be elected to the unexpired term.
When it is necessary to meet the minimum Bylaws requirement for election of a nonphysician director, election of a non-physician director from the field of non-physicians
shall precede election of at-large candidates to the Board of Directors. Non-physician
candidates not elected to the required seat shall join the slate of physician candidates
for the at-large positions on the Board of Directors. The same procedures shall be used
for election of the Nominating Committee.
If more than one seat on the Board of Directors is to be filled from a single list of
candidates, and if one or more seats are not filled by majority vote on the first ballot, a
runoff election shall be held with the ballot listing candidates equal in number to twice
11
the number of undesignated seats remaining to be filled. These candidates shall be
those who received the most votes short of a majority on the first ballot. The same
procedures shall be used for any subsequent runoff elections.
In the event of a deadlock, or tie for a single position, up to two additional runoff
elections shall be held. If the vote is not resolved, the deadlock shall be resolved by coin
toss.
The top vote getters shall be elected until all positions are filled when the position
requires election by a plurality vote.
A legal written ballot shall be one marked with the legible name of a qualified
candidate(s) in that election.
A ballot containing votes for more than the number of positions to be filled is invalid.
A ballot containing more than one vote for the same person is invalid.
Proxies - In accordance with the American Institute of Parliamentarians Standard Code
of Parliamentary Procedure, current edition, no proxies shall be accepted in the voting
process.
The presiding officer shall announce the election results as soon as appropriate.
12
Chapter 3:
I.
Designation
of
Voting
Delegates
and
Representatives (Scholarship Recipients)
Senior
Staff
During the month of November prior to the Annual Meeting, the presidents/chairs of
each Member Board are sent a memorandum requesting they begin the process of
identifying the individuals who will be attending the FSMB House of Delegates meeting
as their boards Voting Delegate (usually the president/chair) and senior staff
representative (usually the executive director). The FSMB provides scholarships for the
voting delegate and one senior staff person from each board to attend the Annual
Meeting.
In the event the board president/chair cannot attend the meeting as the Voting
Delegate, an alternate may be identified by the board president/chair to attend in his/her
place. Only board members or a boards Associate Member of the FSMB may be
designated as an alternate delegate. In the event the executive director cannot attend
the meeting as the senior staff representative, another senior staff person may be
identified by the board president/chair to attend in the executive directors place.
A response form is to be completed and signed by the president/chair and returned to
the FSMB indicating the names of the individuals who have been selected as Annual
Meeting scholarship recipients.
II.
Upon receiving the scholarship recipient form, the FSMB will forward a confirmation
letter, registration form, reimbursement policy and travel information to the selected
individuals. Annual Meeting registration fees are waived for scholarship recipients.
III.
Upon identification of each boards Voting Delegate, FSMB will forward specific
information to the delegate that will assist him/her in carrying out his/her Voting
Delegate responsibilities in a truly representative capacity on behalf of the delegates
Member Board.
IV.
The FSMB will reimburse board presidents/chairs up to $1,800 for travel, lodging and
meal expenses incurred to attend the FSMBs Annual House of Delegates Meeting
according to the Travel Reimbursement Guidelines. In the event the president/chair
cannot attend the meeting, an alternate member of the medical board may be selected
by the board president/chair to attend as the designated Voting Delegate.
13
Only board members or associate members who participate as the Voting
Delegate at the House of Delegates meeting will be eligible for reimbursement of
expenses under this policy. The Annual Meeting registration fee will be waived.
AIR TRAVEL
The FSMB will reimburse the cost of one coach class, round trip airline ticket for the
Voting Delegate attending the annual meeting. Tickets must be booked 14 days prior
to travel through the FSMBs authorized travel agency and billed directly to the
corporate account. Tickets booked less than 14 days prior to travel or booked
elsewhere will not be reimbursed. However, if the Voting Delegate has access to a
lower fare (such as a government rate) through another source, the FSMB will
reimburse that airfare provided he/she obtains a written quote from the FSMBs travel
agency for comparison. The FSMBs Director of Meetings & Travel must be notified
prior to making these alternate reservations.
Should the voting delegate choose a flight itinerary at a higher fare than a comparable
fare offered by the FSMBs travel agency, he/she will be responsible for the additional
expense regardless of whether the $1,800 expense cap is reached.
Airline Class of Service
All air travel must be in coach class. Travelers are expected to use the lowest logical
airfare available (see below for definition) regardless of personal participation in a
frequent flyer program. Tickets will be nonrefundable and nontransferable.
Upgrades for Air Travel
Upgrades may be used only if they do not disqualify the traveler from a cheaper fare
and are only allowed at the travelers personal expense.
Personal Stopovers
Travelers must pay for any personal stopovers which increase airfare.
Changes to Tickets
Changes to tickets must be pre-approved by FSMBs Director of Meetings & Travel.
Any additional fare or fee resulting from the change (including for standby travel on an
earlier flight) will be at the travelers expense unless the FSMB is requesting the traveler
to make the change.
Lowest Airfare Definition
Travelers are expected to book the lowest logical airfare as determined by the travel
agency based on the following parameters.
Negotiated Airfares - This could include designated airlines for certain routes,
with which the Federation has a negotiated rate.
Routing - Routing requires no more than one stop with one change of plane for
each way of a round trip. Routing does not increase the one-way total elapsed
trip time (origin to destination) by more than 2 hours.
14
Time Window - Departure/arrival must be no more than 1 hours before or after
requested time for flights of 4 or more hours and 1 hour for flights less than 4
hours.
Baggage Fees
The FSMB will reimburse airline charges for up to two checked bags. Overweight
baggage fees will not be reimbursed.
Preferred Seating
If travelers seating preference is not available within the base airfare, the FSMB will
reimburse up to $75 roundtrip to purchase such seating.
GROUND TRANSPORTATION
If using rail or personal automobile, the total expense for such travel may not exceed
the cost of prevailing coach airfare.
Reimbursement for use of personal autos will be at the prevailing IRS standard mileage
rate plus fees for parking and tolls. Other auto expenses (violation tickets, maintenance)
are not reimbursable. Reasonable cab fares and transfers to and from the airport will be
reimbursed. Rental car expenses are not reimbursable.
LODGING
In order to take advantage of the FSMBs scholarship, the Voting Delegate must stay at
the host hotel. Hotel costs will be reimbursed at the host hotels single convention rate
for up to four nights from Wednesday through Saturday nights.
MEALS & INCIDENTALS
Meals (when not provided) and incidentals (e.g., tips, phone calls) will be reimbursed
up to $100 per day from Wednesday through Sunday. Consumption of alcohol is at the
travelers personal risk and the FSMB expects the traveler to act responsibly and avoid
intoxication. Receipts for all meals are required. Itemized restaurant receipts
should be submitted. Credit card signature receipts alone may not meet the
requirements of this policy. The FSMB does not reimburse on a per diem basis.
Excessive phone calls, in terms of number or length, will not be reimbursed.
MISCELLANEOUS EXPENSES
Miscellaneous personal and business expenses are not reimbursable. These include:
a) expense charges for family members or guests;
b) expenses incurred for business related to other organizations;
c) movies, gift shop purchases, business center, dry cleaning/laundry, and
Continuing Medical Education fees
SPECIAL TRAVEL ACCOMMODATIONS
Individuals with documented disabilities as defined under the Americans with Disabilities
Act Amendments Act of 2008 (ADAAA) may request special travel accommodations.
Individuals requesting special accommodations must provide appropriate
15
documentation to support the request. Requests will be evaluated on an individual
basis.
The ADAAA and accompanying regulations define a person with a disability as
someone that (1) has a physical or mental impairment that substantially limits one or
more major life activities; or (2) has a record of such an impairment; or (3) is regarded
as having such an impairment. The purpose of documentation is to validate that the
individual is covered under the ADAAA as a disabled individual. The purpose of
accommodations is to provide equal access for individuals traveling on behalf of FSMB.
REIMBURSEMENT FORMS
The FSMB Request for Reimbursement of Travel Expenses should be completed and
submitted to the FSMBs Director of Meetings and Travel within 30 days following
completion of travel. Requests for extensions must be in writing. Reimbursement will not
be granted for requests received after 30 days unless a request for an extension has
been submitted. Receipts for all individual expenses exceeding $25 must be
attached to the reimbursement request.
V.
The FSMB will reimburse board executive directors up to $1,800 for travel, lodging and
meal expenses incurred to attend the FSMBs Annual Meeting according to the Travel
Reimbursement Guidelines. In the event the board executive director cannot attend the
meeting, another senior staff person may be selected by the board president/chair to
attend in the executive directors place. Annual Meeting registration fee will be waived.
AIR TRAVEL
The FSMB will reimburse the cost of one coach class, round trip airline ticket for the
board executive director attending the annual meeting. Tickets must be booked 14
days prior to travel through the Federations authorized travel agency and billed
directly to the corporate account. Tickets booked less than 14 days prior to travel
or booked elsewhere will not be reimbursed. However, if the executive director has
access to a lower fare (such as a government rate) through another source, the FSMB
will reimburse that airfare provided he/she obtains a written quote from the FSMBs
travel agency for comparison. The FSMBs Director of Meetings & Travel must be
notified prior to making these alternate reservations.
Should the board executive director choose a flight itinerary at a higher fare than a
comparable fare offered by the FSMBs travel agency, he/she will be responsible for the
additional expense regardless of whether the $1,800 expense cap is reached.
Airline Class of Service
All air travel must be in coach class. Travelers are expected to use the lowest logical
airfare available (see below for definition) regardless of personal participation in a
frequent flyer program. Tickets will be nonrefundable and nontransferable.
16
Upgrades for Air Travel
Upgrades may be used only if they do not disqualify the traveler from a cheaper fare
and are only allowed at the travelers personal expense.
Personal Stopovers
Travelers must pay for any personal stopovers which increase airfare.
Changes to Tickets
Changes to tickets must be pre-approved by FSMBs Director of Meetings and Travel.
Any additional fare or fee resulting from the change (including for standby travel on an
earlier flight) will be at the travelers expense unless the FSMB is requesting the traveler
to make the change.
Lowest Airfare Definition
Travelers are expected to book the lowest logical airfare as determined by the travel
agency based on the following parameters.
Negotiated Airfares - This could include designated airlines for certain routes,
with which the Federation has a negotiated rate.
Routing - Routing requires no more than one stop with one change of plane for
each way of a round trip. Routing does not increase the one-way total elapsed
trip time (origin to destination) by more than 2 hours.
Time Window - Departure/arrival must be no more than 1 hours before or after
requested time for flights of 4 or more hours and 1 hour for flights less than 4
hours.
Baggage Fees
The FSMB will reimburse airline charges for up to two checked bags.
baggage fees will not be reimbursed.
Overweight
Preferred Seating
If travelers seating preference is not available within the base airfare, the FSMB will
reimburse up to $75 roundtrip to purchase such seating.
GROUND TRANSPORTATION
If using rail or personal automobile, the total expense for such travel may not exceed
the cost of prevailing coach airfare.
Reimbursement for use of personal autos will be at the prevailing IRS standard mileage
rate plus fees for parking and tolls. Other auto expenses (violation tickets, maintenance)
are not reimbursable. Reasonable cab fares and transfers to and from the airport will be
reimbursed. Rental car expenses are not reimbursable.
LODGING
In order to take advantage of the FSMBs scholarship, the board executive director must
stay at the host hotel. Hotel costs will be reimbursed at the host hotels single
convention rate for up to four nights from Wednesday through Saturday nights.
17
MEALS & INCIDENTALS
Meals (when not provided) and incidentals (e.g., tips, phone calls) will be reimbursed
up to $100 per day from Wednesday through Sunday. Consumption of alcohol is at the
travelers personal risk and the FSMB expects the traveler to act responsibly and avoid
intoxication. Receipts for all meals are required. Itemized restaurant receipts
should be submitted. Credit card signature receipts alone may not meet the
requirements of this policy. The FSMB does not reimburse on a per diem basis.
Excessive phone calls, in terms of number or length, will not be reimbursed.
MISCELLANEOUS EXPENSES
Miscellaneous personal and business expenses are not reimbursable. These include:
a) expense charges for family members or guests;
b) expenses incurred for business related to other organizations;
c) movies, gift shop purchases, business center, dry cleaning/laundry, and
Continuing Medical Education fees.
SPECIAL TRAVEL ACCOMMODATIONS
Individuals with documented disabilities as defined under the Americans with Disabilities
Act Amendments Act of 2008 (ADAAA) may request special travel accommodations.
Individuals requesting special accommodations must provide appropriate
documentation to support the request. Requests will be evaluated on an individual
basis.
The ADAAA and accompanying regulations define a person with a disability as
someone that (1) has a physical or mental impairment that substantially limits one or
more major life activities; or (2) has a record of such an impairment; or (3) is regarded
as having such an impairment. The purpose of documentation is to validate that the
individual is covered under the ADAAA as a disabled individual. The purpose of
accommodations is to provide equal access for individuals traveling on behalf of FSMB.
REIMBURSEMENT FORMS
The FSMB Request for Reimbursement of Travel Expenses should be completed and
submitted to the Federations Director of Meetings and Travel within 30 days following
completion of travel. Requests for extensions must be in writing. Reimbursement will
not be granted for requests received after 30 days unless a request for an extension
has been submitted. Receipts for all individual expenses exceeding $25 must be
attached to the reimbursement request.
From:
Sent:
To:
Subject:
Knittle, Robert C
Thursday, January 29, 2015 10:04 AM
Lisa A. Robin (LRobin@fsmb.org); Eric Fish; 'Jonathan Jagoda'
Misinformation
HI all,
I wanted to share with you some of the information shared with me by the State Medical Association which has caused
them concern and are for the time being withholding any decision to support or oppose the Compact. Our bill SB330
was introduced Tuesday.
Bob
ACTION ALERT:
Help STOP WV Participation in Interstate
Medical Licensure Compact
Dear West Virginia AAPS members and friends,
Earlier this week SB 330 was introduced which seeks to hand control of aspects of the
practice of medicine in West Virginia over to un-elected bureaucrats in Texas! You read
that right: the Federation of State Medical Boards (FSMB), based near Dallas, is pushing
state legislatures across the country to adopt their Interstate Medical Licensing
Compact.
If SB 330 is enacted by the West Virginia legislature it will be a victory for the special
interests seeking to tie MOC to licensure for ALL physicians.
We have heard from many of you who have already spoken out. Thank you! Keep
the pressure on to stop this bill!
Proponents of the Compact are responding by claiming that because participation in the
compact by physicians is "voluntary" there is no cause for concern. The truth is the fact
that licensure via the compact is not (yet) mandatory is irrelevant! The board certification
requirements in the Compact are an unprecedented encroachment of MOC into the
licensure process.
For over a decade the FSMB has been driving to incorporate the ABMS Maintenance of
Certification (MOC) program into the renewal process for a basic medical license.
Physician opposition has so far thwarted these FSMB efforts BUT if the Interstate Medical
Licensing Compact is enacted the FSMB will have won a strategic foothold towards their
goal.
Please call your West Virginia state senator TODAY and tell your senator to oppose
S.B. 330. You can find the contact info for your senator here:
http://www.legis.state.wv.us/Senate1/roster.cfm
Legislators who have been educated about the real implications of passing this Compact
strongly oppose it. In fact, the influential coalition of state legislators, the American
Legislative Exchange Council (ALEC)just this past Decemberpassed a resolution
firmly opposing the FSMB compact.
We've already mentioned perhaps the most shocking part of the proposed
Compact: It would require physicians seeking a license via the Compact to participate in
Maintenance of Certification (MOC). In fact, the compact defines physician as one who
holds specialty certification recognized by the American Board of Medical Specialties or
the American Osteopathic Association's Bureau of Osteopathic Specialists. NO STATE
currently defines a physician in this manner.
The adoption of such a definition of physician in the Compact could open the floodgates
to regulations requiring MOC for ALL physicians in order to keep their medical license; it
appears to be yet another shameless attempt to force this counterproductive moneymaking scheme on physicians. Mandatory MOC would harm patient access to medical
care from independent physicians of their choosing.
Legislators should not be giving special advantages to out-of-state specialty
groups that sell MOC, which is what these bills wrongly do. Physicians who spend
more time helping patients will be at a disadvantage under this law unless they spend time
and money taking pointless exams offered by out-of-state MOC groups.
Here is a list of additional important reasons why it must be opposed:
The Compact would abdicate essential state sovereignty over medical issues, by
There will be significant financial costs to states joining such an Interstate Medical
Licensure Compact;
It would be difficult and expensive for West Virginia to extricate itself from the
Interstate Medical Licensure Compact;
The cost of obtaining medical licenses will increase, and West Virginia must
protect its citizens from regulatory excesses;
The issue of telemedicine is best handled by West Virginia for West Virginia
residents. West Virginia legislature should not be delegating that responsibility to
private, out-of-state organizations and to other State licensing bodies.
Please contact your representatives today and stay-tuned. We are tracking this important
issue and will update you as more details become available.
Additional Resources:
Short video explaining need to oppose Compact
Resolution to introduce in your medical society in opposition to Compact
3
Robert C. Knittle
Executive Director
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, West Virginia 25311
Telephone: 304/558-2921 x 70005
The information contained in this electronic message is legally privileged and confidential under applicable law and
is intended only for the use of the individual or entity named above. If the recipient of this message is not the abovenamed intended recipient, you are hereby notified that any dissemination, copy or disclosure of this communication
is strictly prohibited. If you have received this communication in error, please notify the West Virginia Board of
Medicine, (304) 558-2921, and purge this communication immediately without making any copy or distribution.
From:
Sent:
To:
Cc:
Subject:
https://www.fsmb.org/Media/Default/PDF/Elements_of_a_State_Medical_and_Osteopathic_Board_for_
comment.pdf
https://www.fsmb.org/Media/Default/PDF/Essentials_of_a_State_Medical_and_Osteopathic_Board_for
_comment.pdf
Amend Section II.A to include where the patient is located in the definition of the Practice of
Medicine;
Amend Section II.B to except team physicians from the application of the medical practice act in
accordance with the recommendations in the policy, Innovations in State Based Licensure (HoD 2014);
Revise Examinations (IV) to reflect current practices and procedures;
Specify approved graduate medical education be accredited by the Accreditation Council for Graduate
Medical Education (ACGME) or American Osteopathic Association (AOA) (IV.D);
Specify approved licensing examinations as USMLE, COMLEX-USA or their predecessor examinations
(V.E);
Amend Section VII.D to reflect the recommendation contained in the policy, Innovations in State Based
Licensure (HoD 2014);
Expand the list of laboratory bodily fluid examinations that the board may require to evaluate chemical
dependency to include the examination of tissues, hair, or nails (IX.C);
Delete Section X.B regarding the separation of a Boards investigative and judicial functions;
Amend Sections XI.B and XII.D to authorize the Board to place conditions on" a license as a disciplinary
option related to impaired , dyscompetent or incompetent physicians;
Expand the list of those required to report possible violations of the medical practice act (XIII.B); and
Revise Section XII regarding the regulation of physician assistants to bring current with current practice.
The Advisory Council has recommended revision of the Elements to provide greater flexibility while maintaining key
elements of board structure and administration. Proposed revisions include:
1
Amends Section II to define Telemedicine as contained in the policy, Model Policy for the Use of
Telemedicine Technologies in Medical Practice (HoD 2014);.
Amends the qualifications for public members (III.D.2b);
Expands the number of consecutive terms a board member may serve from two to three (III.D.3);
Deletes coordinate Board activities as a duty of Board officers (III.E);
Provides greater flexibility as regards board committees, frequency of committee meetings and the use
of teleconferences (III.G);
Deletes language regarding the bonding of staff members charged with the handling of funds (III.I); and
Expands the duties and authority of the board to impose "conditions" on the medical license (III.K and
L).
ATTENTION: This email may contain confidential and/or privileged material for the sole use of the intended recipient. Any review or distribution by others is strictly
prohibited. If you have received this email in error, please immediately notify the sender, and destroy all copies of the original message.
From:
Sent:
To:
Cc:
Subject:
We have no intentions of just stopping the verification of diplomas for the FCVS profile. The FCVS 2020 workgroup
recommended a gradual approach, and to get boards that could stop requesting diplomas to do so. For those that
cannot stop obtaining the diploma, we will continue to obtain the information.
The March 26th webinar is to showcase obtaining the diploma, but in an electronic format. I really think youll like it and
will see how it is more secure than current methods. Of course, not all schools participate at this time so we will
continue to process diplomas as usual with non-participating schools.
Hope this helps. If you need further clarification, I will be more than happy to give you a call.
Thanks,
Kevin
From: Thompson, Sheree J [mailto:Sheree.J.Thompson@wv.gov]
Sent: Thursday, February 12, 2015 2:45 PM
To: Kevin Caldwell (FSMB)
Cc: Robert Knittle; Alley, Jamie S
Subject: Today's webinar
Kevin,
Thank you and the rest of the staff for the presentation today. I look forward to the March 26th webinar as our state is
one that legislates a copy of the diploma as one of the components of the license application. If our Board doesnt
desire to change this part of the requirement or the Legislation is not acted upon, that will make the FCVS packet less
complete for our applicants. I also realize that this change is not immediate.
The other updates sound positive. Thank you for your assistance.
Sheree
Sheree J. Thompson
Supervisor of Licensing,
Certification and Renewals
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Ph. 304.558.2921 ext. 70011
Fax 304.558.2084
www.wvbom.wv.gov
1
From:
Sent:
To:
Subject:
In This Issue
OF INTEREST
The Obama
administration wants
to dramatically change
how doctors are
paid
Medical errors in
America kill more
people than AIDS or
drug overdoses
ON OUR RADAR
Contact Us
Lisa Robin
Chief Advocacy Officer
FSMB
1300 Connecticut Avenue
NW
Suite 500
Washington, D.C. 20036
Phone: (202) 463-4000
lrobin@fsmb.org
www.licenseportability.org
President Obama Sends Congress Budget Proposal
On February 2nd President Obama released a $4 trillion budget plan for fiscal
2016. The budget proposes to combat waste, fraud and abuse in Medicare,
Medicaid, and CHIP by directing states to track high prescribers and utilizers of
prescription drugs in Medicaid to identify aberrant billing and prescribing
patterns.
Additionally, the budget increases funding for every state to expand existing
Prescription Drug Monitoring Programs to improve clinical decision making,
interoperability, and effective public health interventions. The budget also
includes funding to expand and improve the treatment for people who use
heroin and prescription opioids.
The President's proposal includes new funding to implement innovative policies
to train new health care providers and ensure that the future health care
workforce is prepared to deliver high-quality and efficient health care services.
This includes increased funding for the National Health Services Corps to place
and maintain 15,000 health care providers in high-need areas.
The budget also proposes $5.25 billion over ten years to support 13,000 new
medical school graduate residents through a new competitive graduate medical
education program that incentivizes high-quality physician training.
President Obama Delivers his State of the Union
On January 20th President Obama delivered his State of the Union address to
the 114th Congress. In the address, the President highlighted public health
issues, including Ebola and the need for a global effort to prevent the spread of
pandemics. He discussed health care reform, while promising to veto any
legislation that would take away health insurance from families or defund the
Affordable Care Act. President Obama noted that health care inflation is at its
lowest rate in 50 years and that more Americans are insured than ever before.
Please follow us on Twitter @FSMBPolicy for the latest updates on federal and
state policy and news of interest to state medical boards.
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
From:
Sent:
To:
Cc:
Subject:
Attachments:
Importance:
High
Hi Sheree. Were finalizing the transition to the webservice and I need to get two things:
1) The IP addresses you will be accessing the service from.
2) Approval on changing some of the wording and links in the state instructions. The changes are highlighted in the
first file attached. Please let me know if these are okay or if any other changes need to be made. Im assuming
no changes are needed to the addenda but do let me know if any changes are needed in that as well.
Thanks,
Linda
Linda Becker
Uniform Application Coordinator
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817.868.5022 direct | 817.868.4149 fax
lbecker@fsmb.org | www.fsmb.org
7. Tips, Tricks, Hints of the Trade. Certain techniques expedite rapid third-party responses.
Provide third parties with self-addressed, stamped postcards to be returned to you when
documentation is sent to the Board office. Provide third parties with overnight mail envelopes
so that the documentation may be forwarded to the Board in a timely manner. For your own
records, note the dates of each request sent to third-party agencies.
8. Save Time, Save Money, Reduce Anxiety. Do not make commitments on loans, practice
start dates, home purchases, airline tickets, etc., until a license is granted. It may be that
not all physicians who apply will receive a license. Don't waste valuable time assuming that an
exception will be made or that a requirement will be waived for you.
9. Temporary Licensure. Fees are not refundable. A temporary license may be available to
persons licensed in another state, the District of Columbia, Canada, or Puerto Rico. The fee for a
temporary license is $100, payable to the West Virginia Board of Medicine by cashiers check,
money order, personal check, or credit card (via phone call only). Once eligibility is determined
and met, only the $100 fee is needed for temporary licensure. There is no additional application.
10. License Renewal. Regardless of the date of issuance, all licensees whose surnames begin
with the letters A L expire on June 30 of every even year, and all licensees whose surnames
begin with letters M Z expire on June 30 of every odd year. The full renewal fee will be
required regardless of the date of initial licensure.
If you follow these suggestions in filling out your application, the process should proceed with few
complications. We are committed to thoroughly reviewing credentials and to licensing qualified
candidates in the shortest possible time.
Canada, which has been approved by the Accreditation Council for Graduate Medical Education
(ACGME); or
If a foreign medical graduate, successful completion of at least three (3) years of
postgraduate clinical training (internship, residency or fellowship) in the United States or
Canada, which has been approved by the ACGME, or successful completion of at least one
such year and current certification by a member Board of the American Board of Medical
Specialties (ABMS); and
One of the following:
a) Valid Educational Commission for Foreign Medical Graduates (ECFMG) certificate; or
b) Evidence of receipt of a passing score on the examination of the ECFMG, or
c) Provided, that an applicant who:
i.
is currently fully licensed, excluding any temporary, conditional or restricted
license or permit, under the laws of another state, the District of Columbia,
Canada or the Commonwealth of Puerto Rico;
ii.
has been engaged on a full-time professional basis in the practice of medicine
within the state or jurisdiction where the applicant is fully licensed for a period of
at least five years; and
iii.
is not the subject of any pending disciplinary action by a medical licensing board
and has not been the subject of professional discipline by a medical licensing
board in any jurisdiction, is not required to have a certificate from the educational
commission for foreign medical graduates; and
3. One of the following:
a) A Federation Licensing Examination (FLEX) Weighted Average (FWA) of 75% or better
obtained at one sitting of the FLEX. Scores averaged together from two or more sittings
will not be accepted; or
b) A score of 75% or better on both FLEX Component I and FLEX Component II; or
c) A General average score of 75% or better on each of the National Board Examination
Parts I, II and III; or
d) Successful passage of a State Board examination (the Puerto Rico examination is not
accepted as it is not solely in English); or
e) Enrollment as a Licentiate of the Medical Council of Canada (LMCC); or
f) Successful passage of the USMLE.
To be eligible for licensure, an applicant must successfully complete and obtain a passing score of
75% or better on USMLE Step 1, USMLE Step 2, and USMLE Step 3 within a period of ten (10)
consecutive years. Each USMLE Step must be passed individually in order to successfully
complete the USMLE.
The Board (or a majority of them) shall accept a passing score of 75% percent or better on USMLE
Step 3, in lieu of a passing score on the FLEX, the NBME or LMCC certificate, or successful passage of
a State Board examination. To be eligible for USMLE Step 3, an applicant must have successfully
completed and obtained passing scores of 75% or better on both USMLE Step 1 and USMLE Step 2.
The USMLE replaces the NBME Part Examination program and the FLEX program, and some medical
students and physicians may have successfully completed part of the NBME and/or FLEX program(s).
In order to facilitate a smooth transition to USMLE and to avoid undue eligibility burden on applicants
for licensure, the Board considers several combinations of these examinations as comparable to the
existing examinations. Applicants must reach a passing score of 75% on each examination listed in one
of the following combinations:
graduation, and provide any information on medical malpractice claims. We recommend having this
information on hand before you begin.
Carefully read and follow the online instructions on each page and complete the UA as instructed.
Make special note of the information and instructions appearing at the top of each screen. If you are
using FCVS and need to update information in a pre-populated (grayed-out) field, contact FCVS at 888275-3287 or use the messaging tool within FCVS to have them make those changes for you.
Physicians applying for an initial license and physicians wishing to reactivate a license can access the
UA by visiting http://www.fsmb.org/ and selecting Uniform Application (UA) in the Sign In menu, then
signing in as directed. If you receive an error while working in the UA, email your username and
password, the type of error, and a description of what was happening to ua@fsmb.org. You may also
call FSMB UA customer service at 800-793-7939.
Personal Information Pages
Full Name; Alternate Names; Address/Phone; Identification
If you have ever used an alternate name or your name is not the same on all of your submitted
documents and you are not using FCVS, you must submit a certified copy of your marriage
certificate, divorce decree, court order, or other document that indicates your legal name
change to the Board.
In order to comply with federal law, the West Virginia Board of Medicine is obligated to inform
each applicant or licensee from whom it requests a Social Security Number that disclosing such
number is MANDATORY in order for this Board to comply with the requirements of the federal
National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank. If this
Board should be required to make a report about one of its applicants or licensees to either of
these data banks, it must report that individual's Social Security Number.
If you are not using FCVS, you must also complete the Medical School Verification form, the
Fifth Pathway Verification form (if applicable), and the Postgraduate Training Verification form
(Forms 2-4 in the Forms & Affidavits section later in the UA). See pages 7 and 8 for information
about these forms.
Do not list practice experience for postgraduate training.
Examination History
If you are not using FCVS, you must contact the appropriate entity to have a certified transcript
of your scores sent directly to the Board. If you have taken any component of the NBME with
another exam (USMLE/FLEX), you must request the transcripts from the NBME.
o
State Board Examination: If applying for licensure on the basis of a state board
examination, you must request that state or jurisdiction to send your grades directly to this
Board. Most states require a fee for this so contact the state board in advance of sending
your request. See http://www.fsmb.org/policy/contacts for a directory of state medical
boards. The Puerto Rico examination is not accepted as it is not solely in English.
LMCC: Complete the Service Request form at http://mcc.ca/documents/certified-transcriptexaminations/ to request a transcript from the LMCC. For assistance, email service@mcc.ca
or call 613.520.2240 between 8am am and 4:30 pm Eastern time Monday through Thursday
or between 9:30 am to 4:30 pm Eastern time on Friday.
If you graduated from a medical school outside of the United States or Canada and are not
using FCVS, you must provide a copy of your ECFMG certificate. Request certified National
Boards Part I & II subjects and scores and a status report at https://cvsonline2.ecfmg.org/.
ECFMG will send this information to the Board. For assistance, email credentials@ecfmg.org or
call 215.386.5900 between 9am and 5pm Eastern time Monday through Friday.
List all other professional licenses you have held (nurse, EMT, etc.) in the U.S. or Canada,
regardless of the status of that license (i.e., active, inactive, expired, suspended, or revoked) or
the type of license (permanent, temporary, locum tenens, education, or training). Send Form #1
to these boards as well.
Also list any state or jurisdiction in which you have ever applied for a medical license, including
those where your application was withdrawn.
If you are applying for a special or temporary license and hold licenses in countries outside the
U.S. or Canada, please provide that information on this page. Enter the name of the country in
the Specify if Other box.
You must also have each license verified. Refer to the Licensure Verification Information
resource at http://www.fsmb.org/licensure/uniform-application/ to determine fees and preferred
verification method of each verifying board. UA Form #1 should be used for boards needing
written requests. You may use VeriDoc (https://www.veridoc.org/) or a boards preferred
electronic verification method in lieu of Form #1.
Chronology of Activities
Activities that need to be listed on this page include hospitals, teaching institutions, HMOs,
private practice, corporations, military assignments, government agencies, and Locum Tenens
assignments. Exclude postgraduate training (internship, residency, fellowship) previously
entered. Include all periods of unemployment.
Describe all non-working activity in the Practice/Employment Name field. If you select Health
Activity as the type of activity, describe the condition that caused you to not be able to work
during that time. Similarly, describe times of military service (list the branch you were in),
postgraduate training/education, seeking employment, and vacation in the Practice/Employment
Name field.
Check the Staff Privileges box for all locations where you have had admitting privileges.
Clinical time indicates time spent with patients. Administrative indicates time spent on
paperwork or research.
List the name and the address of the insurance company in the Insurance carrier at time field.
List as much detail as possible in the specifics section for each professional liability judgment
or settlement, including the name, age, sex of patient/claimant, the nature of the allegations in
claims/suits (specify whether a suit was ever filed), names of other practitioners and hospital (if
any) involved in claims/suits, name of defense attorney, and reason for settlement.
Affidavit and Authorization for Release of Information: Securely tape or glue a recent (less than
6 month old) front-view 2x2 passport-type studio quality color photo of yourself (head and
shoulders only) in the square provided. Proof photos, negatives, copies of photographs, poor
quality digital photos, and photographs cut from books or newspaper articles are not acceptable.
This form must be notarized and sent to the West Virginia Board of Medicine.
Form #1: Licensure Verification Form: All licenses must be verified. Refer to the Licensure
Verification Information resource at http://www.fsmb.org/licensure/uniform-application/ to
determine fees and preferred verification method of each verifying board. UA Form #1 should be
used for boards needing written requests. You may use VeriDoc (https://www.veridoc.org/) or a
boards preferred electronic verification method in lieu of Form #1.
If you are using FCVS, you will not need to complete forms 2, 3 and 4. This information will be sent to
the Board on your behalf. Applicants who have previously held a permanent license in West Virginia
and are seeking to reactivate that license also will not use forms 2, 3 and 4 or need to request an FCVS
profile. The Board has received this information when you were initially licensed.
Form #2: Medical School Verification: If you are not using FCVS, complete section 1 of this form
and fill in your name at the top of page 2. Send this form and a copy of your medical school
diploma to the current Dean of your medical school. The Dean or designated official will
complete section 2 and send this form, the sealed copy of your diploma (to be sealed by your
medical school), and an official copy of your transcripts to the West Virginia Board of Medicine.
If transcripts are not in English, an original, certified, and official English translation is required.
o
For schools located in countries under Communist rule or presently engaged in civil war, we
will accept notarized letters from two (2) classmates, officials of the school, professors,
etc., who will swear to your graduation and who were at the school the same time you were.
These letters must give the name of the school, the dates both you and the letter writer
started and graduated (month, day, year). The letters must be received by the West Virginia
Board of Medicine directly from the letter writer, not from you. These letters will not be
accepted by the board just because it will take a long time to have your school
complete this form. It will be up to the Board office to determine which schools cannot or will
not complete this form.
Form #3: Postgraduate Training Verification: If you are not using FCVS, complete section 1 of
this form and fill in your name at the top of page 2. Send this form to the current Program
Director of your postgraduate training program. The Program Director or designated official will
complete section 2 and send this form and any applicable documentation to the West Virginia
Board of Medicine. If you have more than one program director, please send the form to each
director.
Form #4: Fifth Pathway Verification (if applicable): If you are not using FCVS, complete section
1 of this form and fill in your name at the top of page 2. Send this form to your Fifth Pathway
Program Director. The Program Director or designated official will complete section 2 and send
this form and any applicable documentation to the West Virginia Board of Medicine.
Addendum 3 Affidavit. If you are a foreign medical graduate and relying on option
3.c.(listed on page 2), this form is to be completed by another medical doctor (not a D.O.)
who is licensed in the state or jurisdiction where you have been engaged in the practice of
medicine on a full-time professional basis for at least five (5) years. The form must be
notarized and sent to the Board with this application. Keep a copy of this completed form to
take with you to your interview. Other than the top portion, this is not to be completed
by you.
To check on the status of your UA, log in to the UA and click on Check Submission Status on the right
side of the home page (available at the UA Home link above the gray navigation bar). You will be able
to see the date your UA was submitted and the date your UA was retrieved by the Board.
For further assistance, refer to the FAQ at http://www.fsmb.org/licensure/uniform-application/faq. If your
issue is not listed, contact UA customer service at 800-793-7939 or email ua@fsmb.org with your
username and issue. Provide a screenshot if you encounter an error message. If you are also using
FCVS, please provide your FCVS ID number as well.
5. Copy of your birth certificate, passport, or baptismal record. No other documents will be accepted
in lieu of this. You may skip this if using FCVS.
6. Copy of your marriage license, divorce decree, or court order of change of name if the name
shown on your diploma is not the name you are now using. You will be licensed under the
name shown on your medical diploma if evidence is not provided to the Board of a change
of name. You may skip this if using FCVS.
7. Permanent license fee of $400 by cashiers check, money order, or personal check made
payable to the WEST VIRGINIA BOARD OF MEDICINE, or by credit card payment via phone call.
This fee is not refundable under any circumstances. This fee is a separate fee from FCVS
fees and the UA fee.
For reactivation applicants only:
8. Continuing Medical Education. In addition to the above requirements, you will need to submit
satisfactory evidence of CME completed the previous 4 to 5 years prior to submission of your
application. Please refer to the CME requirements on page 2 of the instructions and contact the
Board Licensure Analyst at 304-558-2921, ext. 70011, for confirmation of the time periods needed
for submission.
Reactivating applicants do not need to use FCVS or update the existing FCVS profile. The Board
has already received the relevant information from your initial licensure application.
Please use the checklist at the end of these instructions to ensure that you submit all needed items.
Board Meetings
Board meetings are held every other month, beginning in January. When your application is processed,
you will receive a letter notifying you of what documentation is outstanding. When all documentation has
been received, you will be mailed a letter of completion. However, if you answer "yes" to any of the
Professional Practice Questions in Addendum 1, you may be required to appear before the Licensure
Committee and you will not be eligible for a temporary license.
If you are eligible for a temporary license (see page 2) and request a temporary license be issued
between the time your application is completed and the Board meeting at which it will be presented, an
additional non-refundable fee of $100.00 is required, in the form of a cashier's check, money order, or
personal check, or by credit card via a phone call. Payment of this fee does not guarantee you a
temporary license. The granting of a temporary license occurs in writing from the Board office.
The West Virginia Board of Medicine will provide reasonable accommodation to a qualified applicant with
a disability in accordance with the Americans with Disabilities Act.
Using FCVS
or License
Reactivation
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Sent UA Medical School Verification form (Form #2) and a copy of your diploma
to each medical school attended.
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Sent UA Fifth Pathway Verification form (Form #4) to the program director at the
medical school/institution, if applicable. This is for physicians who went through
a Fifth Pathway program only.
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Provided by FCVS
or initial application
7. Tips, Tricks, Hints of the Trade. Certain techniques expedite rapid third-party responses.
Provide third parties with self-addressed, stamped postcards to be returned to you when
documentation is sent to the Board office. Provide third parties with overnight mail envelopes
so that the documentation may be forwarded to the Board in a timely manner. For your own
records, note the dates of each request sent to third-party agencies.
8. Save Time, Save Money, Reduce Anxiety. Do not make commitments on loans, practice
start dates, home purchases, airline tickets, etc., until a license is granted. It may be that
not all physicians who apply will receive a license. Don't waste valuable time assuming that an
exception will be made or that a requirement will be waived for you.
9. Temporary Licensure. Fees are not refundable. A temporary license may be available to
persons licensed in another state, the District of Columbia, Canada, or Puerto Rico. The fee for a
temporary license is $100, payable to the West Virginia Board of Medicine by cashiers check,
money order, personal check, or credit card (via phone call only). Once eligibility is determined
and met, only the $100 fee is needed for temporary licensure. There is no additional application.
10. License Renewal. Regardless of the date of issuance, all licensees whose surnames begin
with the letters A L expire on June 30 of every even year, and all licensees whose surnames
begin with letters M Z expire on June 30 of every odd year. The full renewal fee will be
required regardless of the date of initial licensure.
If you follow these suggestions in filling out your application, the process should proceed with few
complications. We are committed to thoroughly reviewing credentials and to licensing qualified
candidates in the shortest possible time.
Canada, which has been approved by the Accreditation Council for Graduate Medical Education
(ACGME); or
If a foreign medical graduate, successful completion of at least three (3) years of
postgraduate clinical training (internship, residency or fellowship) in the United States or
Canada, which has been approved by the ACGME, or successful completion of at least one
such year and current certification by a member Board of the American Board of Medical
Specialties (ABMS); and
One of the following:
a) Valid Educational Commission for Foreign Medical Graduates (ECFMG) certificate; or
b) Evidence of receipt of a passing score on the examination of the ECFMG, or
c) Provided, that an applicant who:
i.
is currently fully licensed, excluding any temporary, conditional or restricted
license or permit, under the laws of another state, the District of Columbia,
Canada or the Commonwealth of Puerto Rico;
ii.
has been engaged on a full-time professional basis in the practice of medicine
within the state or jurisdiction where the applicant is fully licensed for a period of
at least five years; and
iii.
is not the subject of any pending disciplinary action by a medical licensing board
and has not been the subject of professional discipline by a medical licensing
board in any jurisdiction, is not required to have a certificate from the educational
commission for foreign medical graduates; and
3. One of the following:
a) A Federation Licensing Examination (FLEX) Weighted Average (FWA) of 75% or better
obtained at one sitting of the FLEX. Scores averaged together from two or more sittings
will not be accepted; or
b) A score of 75% or better on both FLEX Component I and FLEX Component II; or
c) A General average score of 75% or better on each of the National Board Examination
Parts I, II and III; or
d) Successful passage of a State Board examination (the Puerto Rico examination is not
accepted as it is not solely in English); or
e) Enrollment as a Licentiate of the Medical Council of Canada (LMCC); or
f) Successful passage of the USMLE.
To be eligible for licensure, an applicant must successfully complete and obtain a passing score of
75% or better on USMLE Step 1, USMLE Step 2, and USMLE Step 3 within a period of ten (10)
consecutive years. Each USMLE Step must be passed individually in order to successfully
complete the USMLE.
The Board (or a majority of them) shall accept a passing score of 75% percent or better on USMLE
Step 3, in lieu of a passing score on the FLEX, the NBME or LMCC certificate, or successful passage of
a State Board examination. To be eligible for USMLE Step 3, an applicant must have successfully
completed and obtained passing scores of 75% or better on both USMLE Step 1 and USMLE Step 2.
The USMLE replaces the NBME Part Examination program and the FLEX program, and some medical
students and physicians may have successfully completed part of the NBME and/or FLEX program(s).
In order to facilitate a smooth transition to USMLE and to avoid undue eligibility burden on applicants
for licensure, the Board considers several combinations of these examinations as comparable to the
existing examinations. Applicants must reach a passing score of 75% on each examination listed in one
of the following combinations:
graduation, and provide any information on medical malpractice claims. We recommend having this
information on hand before you begin.
Carefully read and follow the online instructions on each page and complete the UA as instructed.
Make special note of the information and instructions appearing at the top of each screen. If you are
using FCVS and need to update information in a pre-populated (grayed-out) field, contact FCVS at 888275-3287 or use the messaging tool within FCVS to have them make those changes for you.
Physicians applying for an initial license and physicians wishing to reactivate a license can access the
UA by visiting http://www.fsmb.org/ and selecting Uniform Application (UA) in the Sign In menu, then
signing in as directed. If you receive an error while working in the UA, email your username and
password, the type of error, and a description of what was happening to ua@fsmb.org. You may also
call FSMB UA customer service at 800-793-7939.
Personal Information Pages
Full Name; Alternate Names; Address/Phone; Identification
If you have ever used an alternate name or your name is not the same on all of your submitted
documents and you are not using FCVS, you must submit a certified copy of your marriage
certificate, divorce decree, court order, or other document that indicates your legal name
change to the Board.
In order to comply with federal law, the West Virginia Board of Medicine is obligated to inform
each applicant or licensee from whom it requests a Social Security Number that disclosing such
number is MANDATORY in order for this Board to comply with the requirements of the federal
National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank. If this
Board should be required to make a report about one of its applicants or licensees to either of
these data banks, it must report that individual's Social Security Number.
If you are not using FCVS, you must also complete the Medical School Verification form, the
Fifth Pathway Verification form (if applicable), and the Postgraduate Training Verification form
(Forms 2-4 in the Forms & Affidavits section later in the UA). See pages 7 and 8 for information
about these forms.
Do not list practice experience for postgraduate training.
Examination History
If you are not using FCVS, you must contact the appropriate entity to have a certified transcript
of your scores sent directly to the Board. If you have taken any component of the NBME with
another exam (USMLE/FLEX), you must request the transcripts from the NBME.
o
State Board Examination: If applying for licensure on the basis of a state board
examination, you must request that state or jurisdiction to send your grades directly to this
Board. Most states require a fee for this so contact the state board in advance of sending
your request. See http://www.fsmb.org/policy/contacts for a directory of state medical
boards. The Puerto Rico examination is not accepted as it is not solely in English.
LMCC: Complete the Service Request form at http://mcc.ca/documents/certified-transcriptexaminations/ to request a transcript from the LMCC. For assistance, email service@mcc.ca
or call 613.520.2240 between 8am am and 4:30 pm Eastern time Monday through Thursday
or between 9:30 am to 4:30 pm Eastern time on Friday.
If you graduated from a medical school outside of the United States or Canada and are not
using FCVS, you must provide a copy of your ECFMG certificate. Request certified National
Boards Part I & II subjects and scores and a status report at https://cvsonline2.ecfmg.org/.
ECFMG will send this information to the Board. For assistance, email credentials@ecfmg.org or
call 215.386.5900 between 9am and 5pm Eastern time Monday through Friday.
List all other professional licenses you have held (nurse, EMT, etc.) in the U.S. or Canada,
regardless of the status of that license (i.e., active, inactive, expired, suspended, or revoked) or
the type of license (permanent, temporary, locum tenens, education, or training). Send Form #1
to these boards as well.
Also list any state or jurisdiction in which you have ever applied for a medical license, including
those where your application was withdrawn.
If you are applying for a special or temporary license and hold licenses in countries outside the
U.S. or Canada, please provide that information on this page. Enter the name of the country in
the Specify if Other box.
You must also have each license verified. Refer to the Licensure Verification Information
resource at http://www.fsmb.org/licensure/uniform-application/ to determine fees and preferred
verification method of each verifying board. UA Form #1 should be used for boards needing
written requests. You may use VeriDoc (https://www.veridoc.org/) or a boards preferred
electronic verification method in lieu of Form #1.
Chronology of Activities
Activities that need to be listed on this page include hospitals, teaching institutions, HMOs,
private practice, corporations, military assignments, government agencies, and Locum Tenens
assignments. Exclude postgraduate training (internship, residency, fellowship) previously
entered. Include all periods of unemployment.
Describe all non-working activity in the Practice/Employment Name field. If you select Health
Activity as the type of activity, describe the condition that caused you to not be able to work
during that time. Similarly, describe times of military service (list the branch you were in),
postgraduate training/education, seeking employment, and vacation in the Practice/Employment
Name field.
Check the Staff Privileges box for all locations where you have had admitting privileges.
Clinical time indicates time spent with patients. Administrative indicates time spent on
paperwork or research.
List the name and the address of the insurance company in the Insurance carrier at time field.
List as much detail as possible in the specifics section for each professional liability judgment
or settlement, including the name, age, sex of patient/claimant, the nature of the allegations in
claims/suits (specify whether a suit was ever filed), names of other practitioners and hospital (if
any) involved in claims/suits, name of defense attorney, and reason for settlement.
Affidavit and Authorization for Release of Information: Securely tape or glue a recent (less than
6 month old) front-view 2x2 passport-type studio quality color photo of yourself (head and
shoulders only) in the square provided. Proof photos, negatives, copies of photographs, poor
quality digital photos, and photographs cut from books or newspaper articles are not acceptable.
This form must be notarized and sent to the West Virginia Board of Medicine.
Form #1: Licensure Verification Form: All licenses must be verified. Refer to the Licensure
Verification Information resource at http://www.fsmb.org/licensure/uniform-application/ to
determine fees and preferred verification method of each verifying board. UA Form #1 should be
used for boards needing written requests. You may use VeriDoc (https://www.veridoc.org/) or a
boards preferred electronic verification method in lieu of Form #1.
If you are using FCVS, you will not need to complete forms 2, 3 and 4. This information will be sent to
the Board on your behalf. Applicants who have previously held a permanent license in West Virginia
and are seeking to reactivate that license also will not use forms 2, 3 and 4 or need to request an FCVS
profile. The Board has received this information when you were initially licensed.
Form #2: Medical School Verification: If you are not using FCVS, complete section 1 of this form
and fill in your name at the top of page 2. Send this form and a copy of your medical school
diploma to the current Dean of your medical school. The Dean or designated official will
complete section 2 and send this form, the sealed copy of your diploma (to be sealed by your
medical school), and an official copy of your transcripts to the West Virginia Board of Medicine.
If transcripts are not in English, an original, certified, and official English translation is required.
o
For schools located in countries under Communist rule or presently engaged in civil war, we
will accept notarized letters from two (2) classmates, officials of the school, professors,
etc., who will swear to your graduation and who were at the school the same time you were.
These letters must give the name of the school, the dates both you and the letter writer
started and graduated (month, day, year). The letters must be received by the West Virginia
Board of Medicine directly from the letter writer, not from you. These letters will not be
accepted by the board just because it will take a long time to have your school
complete this form. It will be up to the Board office to determine which schools cannot or will
not complete this form.
Form #3: Postgraduate Training Verification: If you are not using FCVS, complete section 1 of
this form and fill in your name at the top of page 2. Send this form to the current Program
Director of your postgraduate training program. The Program Director or designated official will
complete section 2 and send this form and any applicable documentation to the West Virginia
Board of Medicine. If you have more than one program director, please send the form to each
director.
Form #4: Fifth Pathway Verification (if applicable): If you are not using FCVS, complete section
1 of this form and fill in your name at the top of page 2. Send this form to your Fifth Pathway
Program Director. The Program Director or designated official will complete section 2 and send
this form and any applicable documentation to the West Virginia Board of Medicine.
Addendum 3 Affidavit. If you are a foreign medical graduate and relying on option
3.c.(listed on page 2), this form is to be completed by another medical doctor (not a D.O.)
who is licensed in the state or jurisdiction where you have been engaged in the practice of
medicine on a full-time professional basis for at least five (5) years. The form must be
notarized and sent to the Board with this application. Keep a copy of this completed form to
take with you to your interview. Other than the top portion, this is not to be completed
by you.
To check on the status of your UA, log in to the UA and click on Check Submission Status on the right
side of the home page (available at the UA Home link above the gray navigation bar). You will be able
to see the date your UA was submitted and the date your UA was retrieved by the Board.
For further assistance, refer to the FAQ at http://www.fsmb.org/licensure/uniform-application/faq. If your
issue is not listed, contact UA customer service at 800-793-7939 or email ua@fsmb.org with your
username and issue. Provide a screenshot if you encounter an error message. If you are also using
FCVS, please provide your FCVS ID number as well.
5. Copy of your birth certificate, passport, or baptismal record. No other documents will be accepted
in lieu of this. You may skip this if using FCVS.
6. Copy of your marriage license, divorce decree, or court order of change of name if the name
shown on your diploma is not the name you are now using. You will be licensed under the
name shown on your medical diploma if evidence is not provided to the Board of a change
of name. You may skip this if using FCVS.
7. Permanent license fee of $400 by cashiers check, money order, or personal check made
payable to the WEST VIRGINIA BOARD OF MEDICINE, or by credit card payment via phone call.
This fee is not refundable under any circumstances. This fee is a separate fee from FCVS
fees and the UA fee.
For reactivation applicants only:
8. Continuing Medical Education. In addition to the above requirements, you will need to submit
satisfactory evidence of CME completed the previous 4 to 5 years prior to submission of your
application. Please refer to the CME requirements on page 2 of the instructions and contact the
Board Licensure Analyst at 304-558-2921, ext. 70011, for confirmation of the time periods needed
for submission.
Reactivating applicants do not need to use FCVS or update the existing FCVS profile. The Board
has already received the relevant information from your initial licensure application.
Please use the checklist at the end of these instructions to ensure that you submit all needed items.
Board Meetings
Board meetings are held every other month, beginning in January. When your application is processed,
you will receive a letter notifying you of what documentation is outstanding. When all documentation has
been received, you will be mailed a letter of completion. However, if you answer "yes" to any of the
Professional Practice Questions in Addendum 1, you may be required to appear before the Licensure
Committee and you will not be eligible for a temporary license.
If you are eligible for a temporary license (see page 2) and request a temporary license be issued
between the time your application is completed and the Board meeting at which it will be presented, an
additional non-refundable fee of $100.00 is required, in the form of a cashier's check, money order, or
personal check, or by credit card via a phone call. Payment of this fee does not guarantee you a
temporary license. The granting of a temporary license occurs in writing from the Board office.
The West Virginia Board of Medicine will provide reasonable accommodation to a qualified applicant with
a disability in accordance with the Americans with Disabilities Act.
Using FCVS
or License
Reactivation
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Sent UA Medical School Verification form (Form #2) and a copy of your diploma
to each medical school attended.
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Sent UA Fifth Pathway Verification form (Form #4) to the program director at the
medical school/institution, if applicable. This is for physicians who went through
a Fifth Pathway program only.
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Provided by FCVS
or initial application
USMLE
FLEX
LMCC
USMLE/FLEX
NBME/USMLE
dd
yyyy
Photo Declaration
I hereby declare under penalty of perjury under the laws of the State of West Virginia, that the photo of
myself attached to the Affidavit and Authorization for Release of Information form was taken on or about
_____________________.
Date
Sex:
Male
Female
________________________________________________________________________________
________________________________________
been called before or appeared before any board or panel for discussions or questions
concerning violations of the law or rules pertaining to the practice of medicine, or for
unethical conduct?
2.
3.
been charged with or convicted of a violation of the Controlled Substance Act or any
other federal, state or local law pertaining to the manufacture, distribution, prescribing,
or dispensing of controlled substances?
4.
had limitations, restrictions or conditions placed upon your license to practice, or had
your license to practice suspended, revoked or subjected to any kind of disciplinary
action, including censure, reprimand or probation, and/or are any disciplinary actions
pending against you?
5.
6.
7.
voluntarily resigned from any medical staff or voluntarily limited such staff privileges
while under investigation by any health care institution or committee thereof or prior to
any final decision by a hospital or health care facilitys governing board?
8.
been denied the right to take an examination for licensure in any state or been ejected
from any medical examination?
9.
10.
11.
12.
* had any judgments or settlements arising from medical professional liability rendered
or made against you, and if so, how many?
YES
NO
YES
NO
** been addicted to, or received treatment for the use or misuse of, prescription drugs
and/or illegal chemical substances, or been dependent upon alcohol or received
treatment for alcohol dependency?
YES
14.
had any interruption in your practice of medicine which might reasonably be expected
by an objective person to currently impair your ability to carry out the duties and
responsibilities of the medical profession in a manner consistent with standards of
conduct for the medical profession?
15.
NO
If you answered YES to any of the above questions, you MUST furnish full details on an 8 by 11 sheet of
paper which MUST be attached to this application. On attachment, please include your name and list
Addendum 1 for reference.
If you answered YES to Question 2 and/or 3, you MUST cause to be submitted directly to this office
from the court all court documents pertaining to your answer.
If you answered YES to Question 6, you MUST cause to be submitted directly to this office from the
facility all information pertaining to your answer.
* If you answered YES to Question 12, for each judgment or settlement you MUST complete the
Malpractice Liability Claims Information page within the online Uniform Application. If more than one
judgment or settlement, you may attach a separate 8 by 11 sheet of paper with details of each.
** If you answered YES to Question 13 and have gone through a rehabilitation program, you MUST have
that program furnish this Board a report of your treatment and progress.
2.
I have a court ordered child support obligation and arrearage amount equals or
exceeds the amount of child support payable for six (6) months).
3.
YES
NO
Application Certification
I hereby certify that I have read the instructions explaining the medical licensure requirements for the State
of West Virginia, and I understand what I have read and what I am required to produce for medical licensure
in the State of West Virginia. I understand that if I am unable to meet all these requirements, including the
production of all required documents and materials, I must be denied medical licensure in the State of West
Virginia. I hereby certify that I am able to meet all these requirements for medical licensure in the State of
West Virginia and that I will be able to produce all required documents and materials and that I will make no
request of the Board for a waiver of any of the requirements, including the production of all required
documents and materials. I understand that if I make any request for such a waiver, my request must and
will be denied.
I also understand that if this application is not completed within six (6) months, I will be required to update
the application fully.
Please return this form to the West Virginia Board of Medicine at the mailing address on page 1.
I swear that I have known the applicant ________________________________________ well for a minimum of
Printed Name of Applicant
two (2) years. Further, I know him/her to be a person of good moral character, and he/she is physically and
mentally capable of engaging in the practice of medicine and surgery.
___________________________________________
_____________________________________________
Signature of Affiant
___________________________________________
_____________________________________________
Notary
State of __________________________________, County of ____________________________________,
I certify that on the date set forth below, the individual named above did appear personally before me and that I did
identify this affiant by: (a) comparing his/her physical appearance with the photograph on the identifying document
presented by the affiant, and (b) comparing the affiants signature made in my presence on this form with the
signature on his/her identifying document.
The statements on this document are subscribed and sworn to before me by the affiant on this ______ day of
_________________, 20____.
Please return this form to the West Virginia Board of Medicine at the mailing address above.
West Virginia Board of Medicine
Revised August 2014
Addendum 3 Affidavit
This section is to be completed by the applicant.
If you are a foreign medical graduate and relying on option 3.c. in the application instructions, this page is to be
completed by another medical doctor (not a D.O.) who is licensed in the state or jurisdiction where you have been
engaged in the practice of medicine on a full-time professional basis for at least five years. The form must be notarized
and sent to the Board at the mailing address above. Keep a copy of this completed form to take with you to your interview.
Name: ______________________________________________________________________________________, M.D.
Address: _________________________________________________________________________________________
Mailing address
City
State
Zip Code
The following Affidavit is made upon my personal knowledge and I am competent to testify as to the matters stated herein.
I, ____________________________________________________________, M.D., being first duly sworn, do state as follows:
Name of Affiant
that I am currently licensed to practice medicine in the state/jurisdiction of _______________________________, and that the
applicant ____________________________________________________________, M.D., has been engaged on a full-time
Printed Name of Applicant
professional basis in the practice of medicine in this state/jurisdiction for a period of at least five (5) years.
___________________________________________
_____________________________________________
Signature of Affiant
___________________________________________
_____________________________________________
Notary
State of _________________________________________, County of _____________________________________________,
I certify that on the date set forth below, the individual named above did appear personally before me and that I did identify this
applicant by: (a) comparing his/her physical appearance with the photograph on the identifying document presented by the
applicant and with the photograph affixed hereto, and (b) comparing the applicants signature made in my presence on this form
with the signature on his/her identifying document.
The statements on this document are subscribed and sworn to before me by the applicant on this ______ day of
_________________, 20____.
Notary Public Signature: ____________________________________________________
(NOTARY PUBLIC SEAL)
My Notary Commission Expires: ______________________________________________
West Virginia Board of Medicine
Revised August 2014
From:
Sent:
To:
Subject:
Knittle, Robert C
Thursday, February 26, 2015 9:45 AM
'Denise Bransford (FSMB)'
RE: Federation of State Medical Boards
Hi Denise, Yes Dr. Jimenez has bounced around some in email-land. His current email is carconlp@comcasr.net .
Thanks
Bob
From: Denise Bransford (FSMB) [mailto:DBransford@fsmb.org]
Sent: Thursday, February 26, 2015 9:41 AM
To: Knittle, Robert C
Subject: Federation of State Medical Boards
Good morning!
Do you have a valid email address for board member, Dr. Jimenez? The message below bounced.
Denise Bransford
Manager, Membership Database & Customer Service
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-5178 direct | 817-868-4191 fax
dbransford@fsmb.org| www.fsmb.org
The link ed
image can not
be d isplay ed.
The file may
hav e been
mov ed,
ren amed, or
deleted.
Verify that
the link
points to the
correct file
and location.
_________________________________________
From: MAILER-DAEMON
Sent: Wednesday, February 25, 2015 4:10 PM
To: Ruth Vinciguerra
Subject: Undeliverable: Save the Date/FSMB Roundtable/March 5, 2015
From:
Sent:
To:
Cc:
Subject:
All,
The IP address has been added to the filter. You should be able to access the demo environment. Please let me know if
you encounter any difficulties.
Thank you,
Ingo
From: Derek Schaible [mailto:derek@albertsonconsulting.com]
Sent: Thursday, February 26, 2015 10:35 AM
To: Daniel Albertson
Cc: Brian Deaver; Doug Frazier; Ingo Hagemann; Robert Knittle
Subject: RE: UA Big Picture Software
Derek,
Can you provide him the IP address?
From: Ingo Hagemann [mailto:ihagemann@fsmb.org]
Sent: Thursday, February 26, 2015 8:45 AM
To: Daniel Albertson; Robert Knittle
Cc: Brian Deaver; Doug Frazier
Subject: RE: UA Big Picture Software
Bob,
I have attempted to contact Ingo last week and have called and left a message this afternoon but have yet to receive a
response. Do I have the correct email address?
From: Daniel Albertson
Sent: Friday, February 20, 2015 10:56 AM
To: 'Ingo Hagemann'
Cc: Brian Deaver; Doug Frazier
Subject: RE: UA Big Picture Software
PhysicianProfilesByIDs
This method is used to access the UA data for multiple applicants according to the UA
submission IDs.
Request =
WVBOM is ready to being work on this.
From: Ingo Hagemann [mailto:ihagemann@fsmb.org]
Sent: Thursday, December 04, 2014 11:24 AM
To: Troy Rauschenberger
Cc: Daniel Albertson
Subject: RE: UA Big Picture Software
Ingo,
Any updates on the grant funding payment for the UA integration with the WV Board of Medicine? I believe the funds
were to come directly to us per Bob Knittles request? Thanks.
Regards,
2
Troy Rauschenberger
Big Picture Software Helping Government Do More
Director Of Government Markets
troy@ebigpicture.com
www.ebigpicture.com
Toll Free- 888-907-2790 x114
Office - 701.839.7523 x114
Mobile - 701.720.8817
From:
Sent:
To:
Subject:
https://www.fsmb.org/Media/Default/PDF/Resolution_15-1_TX_EMR_Format.pdf
https://www.fsmb.org/Media/Default/PDF/Resolution_15-2_WA_Opioids.pdf
https://www.fsmb.org/Media/Default/PDF/Resolution_15-3_WA_Board_Actions.pdf
https://www.fsmb.org/Media/Default/PDF/Resolution_15-4_MN_Access_to_EMRs.pdf
https://www.fsmb.org/Media/Default/PDF/Resolution15-5_NC_Social_Media.pdf
Best regards,
Pat
Patricia McCarty
Director
Leadership Services
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4067 direct | 817-868-4167 fax
pmccarty@fsmb.org| www.fsmb.org
From:
Sent:
To:
Subject:
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
From:
Sent:
To:
Subject:
The Federation of State Medical Boards is committed to protecting the public with high standards
for medical licensure and practice
STAY CONNECTED
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
From:
Sent:
To:
Subject:
pdccustomercare@fsmb.org
The Federation of State Medical Boards is committed to protecting the public with high
standards for medical licensure and practice.
STAY CONNECTED
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
From:
Sent:
To:
Subject:
WEBINAR DETAILS
February 12, 2015
2:00 - 3:00 CST
From:
Sent:
To:
Subject:
I am in training sessions today and tomorrow. I will respond to emails on Wednesday, January 28, 2015. If you need
immediate assistance, you may contact Debbie Reyna at dreyna@fsmb.org and/or 817-868-4072.
Thank you.
From:
Sent:
To:
Subject:
Thompson, Sheree J
Tuesday, January 27, 2015 12:09 PM
'lsmallman@fsmb.org'
PDC access
Categories:
Laura,
Who would I contact about accessing the Physician Data Center? I thought I had a user account and password but it is
not recognizing my e-mail Sheree.J.Thompson@wv.gov .
Sheree
Sheree J. Thompson
Supervisor of Licensing,
Certification and Renewals
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Ph. 304.558.2921 ext. 70011
Fax 304.558.2084
www.wvbom.wv.gov
From:
Sent:
To:
Subject:
Thompson, Sheree J
Wednesday, January 28, 2015 9:33 AM
'Paula Yingst'
RE: Your FSMB PDC login instructions
Categories:
Red Category
Dear Sheree,
1. To log back into your FSMB PDC account go to www.fsmb.org and in the Sign In drop
down box, on the top right of the page, choose Physician Data Center (PDC) to get to your
sign in page.
2. Enter your username
pyingst@fsmb.org | www.fsmb.org
Confidentiality Notice: Unless otherwise stated, the information contained in this e-mail message is privileged and confidential. This e-mail
message is intended solely for the individual(s) and/or entities named herein. If you receive this message and are not the intended recipient you
are hereby notified that, any dissemination, distribution, publication, or reproduction of this communication is unauthorized and no privilege is
waived by your inadvertent receipt. If you have received this communication in error, please notify sender by reply e-mail and then immediately
and permanently delete this message and any attachments.
From:
Sent:
To:
Subject:
Importance:
High
Dear Sheree,
1. To log back into your FSMB PDC account go to www.fsmb.org and in the Sign In drop
down box, on the top right of the page, choose Physician Data Center (PDC) to get to your
sign in page.
2. Enter your username
Confidentiality Notice: Unless otherwise stated, the information contained in this e-mail message is privileged and confidential. This e-mail
message is intended solely for the individual(s) and/or entities named herein. If you receive this message and are not the intended recipient you
are hereby notified that, any dissemination, distribution, publication, or reproduction of this communication is unauthorized and no privilege is
waived by your inadvertent receipt. If you have received this communication in error, please notify sender by reply e-mail and then immediately
and permanently delete this message and any attachments.
1
From:
Sent:
To:
Subject:
notification@fsmb.org
Wednesday, January 28, 2015 9:25 AM
Thompson, Sheree J
Password changed for
Your password has recently been changed for the Physician Data Center. If you did not initiate this change,
please contact the Federation of State Medical Boards to report the problem.
Contact us at PDCCustomerCare@fsmb.org or call 817-868-4010.
From:
Sent:
To:
Subject:
notification@fsmb.org
Wednesday, January 28, 2015 9:17 AM
Thompson, Sheree J
Password reset for
This is an automated message generated at your request providing you with a temporary password for the
Physician Data Center. You will be prompted to set up a new password upon signing in.
Please note: If you choose to copy/paste the above password into the sign in screen, please ensure there are no
trailing spaces in the text you are copying.
Questions? Contact us at PDCCustomerCare@fsmb.org or call 817-868-4010.
From:
Sent:
To:
Subject:
ACCESS INFORMATION
Dear Sheree,
We're looking forward to sharing with you exciting updates about FSMB's products and
services in our next webinar session on Feb. 12, 2015. The webinar will be led by Michael
Dugan, MBA, Chief Information Officer and Senior Vice President for Operations of the
Federation of State Medical Boards.
To join the web portion of the meeting, please go
to https://fsmb.adobeconnect.com/
and enter as a guest.
For the audio portion of the webinar, dial 1-866-802ID #
.
If you have never attended an Adobe Connect meeting before, please test your
connection: https://fsmb.adobeconnect.com/common/
WEBINAR AGENDA
Annual Meeting Update
2015 Roadmap
UA Update
PDC Enhancements
FCVS Update
FCVS 2020 Update
1
.htm
at kcaldwell@fsmb.org.
If you need additional information, please contact Kevin Caldwell, State Board Liaison, at
kcaldwell@fsmb.org.
Sincerely,
David R. Hooper
Senior Director of Marketing
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
From:
Sent:
To:
Cc:
Subject:
Thompson, Sheree J
Thursday, February 12, 2015 3:59 PM
'Kevin Caldwell (FSMB)'
Knittle, Robert C; Alley, Jamie S
RE: Today's webinar
Thank you for the clarification. It sounds like the electronic format would work for graduating students. I wonder how
far back it would go or is it just from now forward? Most of our applicants are not recent graduates.
Sheree
From: Kevin Caldwell (FSMB) [mailto:KCaldwell@fsmb.org]
Sent: Thursday, February 12, 2015 3:56 PM
To: Thompson, Sheree J
Cc: Knittle, Robert C; Alley, Jamie S
Subject: RE: Today's webinar
We have no intentions of just stopping the verification of diplomas for the FCVS profile. The FCVS 2020 workgroup
recommended a gradual approach, and to get boards that could stop requesting diplomas to do so. For those that
cannot stop obtaining the diploma, we will continue to obtain the information.
The March 26th webinar is to showcase obtaining the diploma, but in an electronic format. I really think youll like it and
will see how it is more secure than current methods. Of course, not all schools participate at this time so we will
continue to process diplomas as usual with non-participating schools.
Hope this helps. If you need further clarification, I will be more than happy to give you a call.
Thanks,
Kevin
From: Thompson, Sheree J [mailto:Sheree.J.Thompson@wv.gov]
Sent: Thursday, February 12, 2015 2:45 PM
To: Kevin Caldwell (FSMB)
Cc: Robert Knittle; Alley, Jamie S
Subject: Today's webinar
Kevin,
Thank you and the rest of the staff for the presentation today. I look forward to the March 26th webinar as our state is
one that legislates a copy of the diploma as one of the components of the license application. If our Board doesnt
desire to change this part of the requirement or the Legislation is not acted upon, that will make the FCVS packet less
complete for our applicants. I also realize that this change is not immediate.
The other updates sound positive. Thank you for your assistance.
Sheree
Sheree J. Thompson
Supervisor of Licensing,
1
From:
Sent:
To:
Subject:
That is a great question. If you are on the call on March 26 th, it would be great if you could ask our presenters that very
same question. Im sure others will want to know the answer as well. This is brand new technology so Im not sure if any
thought has been given to historical.
From: Thompson, Sheree J [mailto:Sheree.J.Thompson@wv.gov]
Sent: Thursday, February 12, 2015 2:59 PM
To: Kevin Caldwell (FSMB)
Cc: Robert Knittle; Alley, Jamie S
Subject: RE: Today's webinar
Thank you for the clarification. It sounds like the electronic format would work for graduating students. I wonder how
far back it would go or is it just from now forward? Most of our applicants are not recent graduates.
Sheree
From: Kevin Caldwell (FSMB) [mailto:KCaldwell@fsmb.org]
Sent: Thursday, February 12, 2015 3:56 PM
To: Thompson, Sheree J
Cc: Knittle, Robert C; Alley, Jamie S
Subject: RE: Today's webinar
We have no intentions of just stopping the verification of diplomas for the FCVS profile. The FCVS 2020 workgroup
recommended a gradual approach, and to get boards that could stop requesting diplomas to do so. For those that
cannot stop obtaining the diploma, we will continue to obtain the information.
The March 26th webinar is to showcase obtaining the diploma, but in an electronic format. I really think youll like it and
will see how it is more secure than current methods. Of course, not all schools participate at this time so we will
continue to process diplomas as usual with non-participating schools.
Hope this helps. If you need further clarification, I will be more than happy to give you a call.
Thanks,
Kevin
From: Thompson, Sheree J [mailto:Sheree.J.Thompson@wv.gov]
Sent: Thursday, February 12, 2015 2:45 PM
To: Kevin Caldwell (FSMB)
Cc: Robert Knittle; Alley, Jamie S
Subject: Today's webinar
Kevin,
Thank you and the rest of the staff for the presentation today. I look forward to the March 26th webinar as our state is
one that legislates a copy of the diploma as one of the components of the license application. If our Board doesnt
1
desire to change this part of the requirement or the Legislation is not acted upon, that will make the FCVS packet less
complete for our applicants. I also realize that this change is not immediate.
The other updates sound positive. Thank you for your assistance.
Sheree
Sheree J. Thompson
Supervisor of Licensing,
Certification and Renewals
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Ph. 304.558.2921 ext. 70011
Fax 304.558.2084
www.wvbom.wv.gov
From:
Sent:
To:
Subject:
Thompson, Sheree J
Thursday, February 12, 2015 4:04 PM
'Kevin Caldwell (FSMB)'
RE: Today's webinar
Okay, Ill print this e-mail to save for the meeting. Youre welcome,
Sheree
From: Kevin Caldwell (FSMB) [mailto:KCaldwell@fsmb.org]
Sent: Thursday, February 12, 2015 4:02 PM
To: Thompson, Sheree J
Subject: RE: Today's webinar
That is a great question. If you are on the call on March 26 th, it would be great if you could ask our presenters that very
same question. Im sure others will want to know the answer as well. This is brand new technology so Im not sure if any
thought has been given to historical.
From: Thompson, Sheree J [mailto:Sheree.J.Thompson@wv.gov]
Sent: Thursday, February 12, 2015 2:59 PM
To: Kevin Caldwell (FSMB)
Cc: Robert Knittle; Alley, Jamie S
Subject: RE: Today's webinar
Thank you for the clarification. It sounds like the electronic format would work for graduating students. I wonder how
far back it would go or is it just from now forward? Most of our applicants are not recent graduates.
Sheree
From: Kevin Caldwell (FSMB) [mailto:KCaldwell@fsmb.org]
Sent: Thursday, February 12, 2015 3:56 PM
To: Thompson, Sheree J
Cc: Knittle, Robert C; Alley, Jamie S
Subject: RE: Today's webinar
We have no intentions of just stopping the verification of diplomas for the FCVS profile. The FCVS 2020 workgroup
recommended a gradual approach, and to get boards that could stop requesting diplomas to do so. For those that
cannot stop obtaining the diploma, we will continue to obtain the information.
The March 26th webinar is to showcase obtaining the diploma, but in an electronic format. I really think youll like it and
will see how it is more secure than current methods. Of course, not all schools participate at this time so we will
continue to process diplomas as usual with non-participating schools.
Hope this helps. If you need further clarification, I will be more than happy to give you a call.
Thanks,
Kevin
Kevin,
Thank you and the rest of the staff for the presentation today. I look forward to the March 26th webinar as our state is
one that legislates a copy of the diploma as one of the components of the license application. If our Board doesnt
desire to change this part of the requirement or the Legislation is not acted upon, that will make the FCVS packet less
complete for our applicants. I also realize that this change is not immediate.
The other updates sound positive. Thank you for your assistance.
Sheree
Sheree J. Thompson
Supervisor of Licensing,
Certification and Renewals
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Ph. 304.558.2921 ext. 70011
Fax 304.558.2084
www.wvbom.wv.gov
From:
Sent:
To:
Cc:
Subject:
We have no intentions of just stopping the verification of diplomas for the FCVS profile. The FCVS 2020 workgroup
recommended a gradual approach, and to get boards that could stop requesting diplomas to do so. For those that
cannot stop obtaining the diploma, we will continue to obtain the information.
The March 26th webinar is to showcase obtaining the diploma, but in an electronic format. I really think youll like it and
will see how it is more secure than current methods. Of course, not all schools participate at this time so we will
continue to process diplomas as usual with non-participating schools.
Hope this helps. If you need further clarification, I will be more than happy to give you a call.
Thanks,
Kevin
From: Thompson, Sheree J [mailto:Sheree.J.Thompson@wv.gov]
Sent: Thursday, February 12, 2015 2:45 PM
To: Kevin Caldwell (FSMB)
Cc: Robert Knittle; Alley, Jamie S
Subject: Today's webinar
Kevin,
Thank you and the rest of the staff for the presentation today. I look forward to the March 26th webinar as our state is
one that legislates a copy of the diploma as one of the components of the license application. If our Board doesnt
desire to change this part of the requirement or the Legislation is not acted upon, that will make the FCVS packet less
complete for our applicants. I also realize that this change is not immediate.
The other updates sound positive. Thank you for your assistance.
Sheree
Sheree J. Thompson
Supervisor of Licensing,
Certification and Renewals
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Ph. 304.558.2921 ext. 70011
Fax 304.558.2084
www.wvbom.wv.gov
1
From:
Sent:
To:
Cc:
Subject:
Thompson, Sheree J
Thursday, February 12, 2015 3:45 PM
'kcaldwell@fsmb.org'
Knittle, Robert C; Alley, Jamie S
Today's webinar
Kevin,
Thank you and the rest of the staff for the presentation today. I look forward to the March 26th webinar as our state is
one that legislates a copy of the diploma as one of the components of the license application. If our Board doesnt
desire to change this part of the requirement or the Legislation is not acted upon, that will make the FCVS packet less
complete for our applicants. I also realize that this change is not immediate.
The other updates sound positive. Thank you for your assistance.
Sheree
Sheree J. Thompson
Supervisor of Licensing,
Certification and Renewals
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Ph. 304.558.2921 ext. 70011
Fax 304.558.2084
www.wvbom.wv.gov
From:
Sent:
To:
Subject:
STAY CONNECTED
Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039
From:
Sent:
To:
Cc:
Subject:
Attachments:
Importance:
High
Hi Sheree. Were finalizing the transition to the webservice and I need to get two things:
1) The IP addresses you will be accessing the service from.
2) Approval on changing some of the wording and links in the state instructions. The changes are highlighted in the
first file attached. Please let me know if these are okay or if any other changes need to be made. Im assuming
no changes are needed to the addenda but do let me know if any changes are needed in that as well.
Thanks,
Linda
Linda Becker
Uniform Application Coordinator
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817.868.5022 direct | 817.868.4149 fax
lbecker@fsmb.org | www.fsmb.org
7. Tips, Tricks, Hints of the Trade. Certain techniques expedite rapid third-party responses.
Provide third parties with self-addressed, stamped postcards to be returned to you when
documentation is sent to the Board office. Provide third parties with overnight mail envelopes
so that the documentation may be forwarded to the Board in a timely manner. For your own
records, note the dates of each request sent to third-party agencies.
8. Save Time, Save Money, Reduce Anxiety. Do not make commitments on loans, practice
start dates, home purchases, airline tickets, etc., until a license is granted. It may be that
not all physicians who apply will receive a license. Don't waste valuable time assuming that an
exception will be made or that a requirement will be waived for you.
9. Temporary Licensure. Fees are not refundable. A temporary license may be available to
persons licensed in another state, the District of Columbia, Canada, or Puerto Rico. The fee for a
temporary license is $100, payable to the West Virginia Board of Medicine by cashiers check,
money order, personal check, or credit card (via phone call only). Once eligibility is determined
and met, only the $100 fee is needed for temporary licensure. There is no additional application.
10. License Renewal. Regardless of the date of issuance, all licensees whose surnames begin
with the letters A L expire on June 30 of every even year, and all licensees whose surnames
begin with letters M Z expire on June 30 of every odd year. The full renewal fee will be
required regardless of the date of initial licensure.
If you follow these suggestions in filling out your application, the process should proceed with few
complications. We are committed to thoroughly reviewing credentials and to licensing qualified
candidates in the shortest possible time.
Canada, which has been approved by the Accreditation Council for Graduate Medical Education
(ACGME); or
If a foreign medical graduate, successful completion of at least three (3) years of
postgraduate clinical training (internship, residency or fellowship) in the United States or
Canada, which has been approved by the ACGME, or successful completion of at least one
such year and current certification by a member Board of the American Board of Medical
Specialties (ABMS); and
One of the following:
a) Valid Educational Commission for Foreign Medical Graduates (ECFMG) certificate; or
b) Evidence of receipt of a passing score on the examination of the ECFMG, or
c) Provided, that an applicant who:
i.
is currently fully licensed, excluding any temporary, conditional or restricted
license or permit, under the laws of another state, the District of Columbia,
Canada or the Commonwealth of Puerto Rico;
ii.
has been engaged on a full-time professional basis in the practice of medicine
within the state or jurisdiction where the applicant is fully licensed for a period of
at least five years; and
iii.
is not the subject of any pending disciplinary action by a medical licensing board
and has not been the subject of professional discipline by a medical licensing
board in any jurisdiction, is not required to have a certificate from the educational
commission for foreign medical graduates; and
3. One of the following:
a) A Federation Licensing Examination (FLEX) Weighted Average (FWA) of 75% or better
obtained at one sitting of the FLEX. Scores averaged together from two or more sittings
will not be accepted; or
b) A score of 75% or better on both FLEX Component I and FLEX Component II; or
c) A General average score of 75% or better on each of the National Board Examination
Parts I, II and III; or
d) Successful passage of a State Board examination (the Puerto Rico examination is not
accepted as it is not solely in English); or
e) Enrollment as a Licentiate of the Medical Council of Canada (LMCC); or
f) Successful passage of the USMLE.
To be eligible for licensure, an applicant must successfully complete and obtain a passing score of
75% or better on USMLE Step 1, USMLE Step 2, and USMLE Step 3 within a period of ten (10)
consecutive years. Each USMLE Step must be passed individually in order to successfully
complete the USMLE.
The Board (or a majority of them) shall accept a passing score of 75% percent or better on USMLE
Step 3, in lieu of a passing score on the FLEX, the NBME or LMCC certificate, or successful passage of
a State Board examination. To be eligible for USMLE Step 3, an applicant must have successfully
completed and obtained passing scores of 75% or better on both USMLE Step 1 and USMLE Step 2.
The USMLE replaces the NBME Part Examination program and the FLEX program, and some medical
students and physicians may have successfully completed part of the NBME and/or FLEX program(s).
In order to facilitate a smooth transition to USMLE and to avoid undue eligibility burden on applicants
for licensure, the Board considers several combinations of these examinations as comparable to the
existing examinations. Applicants must reach a passing score of 75% on each examination listed in one
of the following combinations:
graduation, and provide any information on medical malpractice claims. We recommend having this
information on hand before you begin.
Carefully read and follow the online instructions on each page and complete the UA as instructed.
Make special note of the information and instructions appearing at the top of each screen. If you are
using FCVS and need to update information in a pre-populated (grayed-out) field, contact FCVS at 888275-3287 or use the messaging tool within FCVS to have them make those changes for you.
Physicians applying for an initial license and physicians wishing to reactivate a license can access the
UA by visiting http://www.fsmb.org/ and selecting Uniform Application (UA) in the Sign In menu, then
signing in as directed. If you receive an error while working in the UA, email your username and
password, the type of error, and a description of what was happening to ua@fsmb.org. You may also
call FSMB UA customer service at 800-793-7939.
Personal Information Pages
Full Name; Alternate Names; Address/Phone; Identification
If you have ever used an alternate name or your name is not the same on all of your submitted
documents and you are not using FCVS, you must submit a certified copy of your marriage
certificate, divorce decree, court order, or other document that indicates your legal name
change to the Board.
In order to comply with federal law, the West Virginia Board of Medicine is obligated to inform
each applicant or licensee from whom it requests a Social Security Number that disclosing such
number is MANDATORY in order for this Board to comply with the requirements of the federal
National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank. If this
Board should be required to make a report about one of its applicants or licensees to either of
these data banks, it must report that individual's Social Security Number.
If you are not using FCVS, you must also complete the Medical School Verification form, the
Fifth Pathway Verification form (if applicable), and the Postgraduate Training Verification form
(Forms 2-4 in the Forms & Affidavits section later in the UA). See pages 7 and 8 for information
about these forms.
Do not list practice experience for postgraduate training.
Examination History
If you are not using FCVS, you must contact the appropriate entity to have a certified transcript
of your scores sent directly to the Board. If you have taken any component of the NBME with
another exam (USMLE/FLEX), you must request the transcripts from the NBME.
o
State Board Examination: If applying for licensure on the basis of a state board
examination, you must request that state or jurisdiction to send your grades directly to this
Board. Most states require a fee for this so contact the state board in advance of sending
your request. See http://www.fsmb.org/policy/contacts for a directory of state medical
boards. The Puerto Rico examination is not accepted as it is not solely in English.
LMCC: Complete the Service Request form at http://mcc.ca/documents/certified-transcriptexaminations/ to request a transcript from the LMCC. For assistance, email service@mcc.ca
or call 613.520.2240 between 8am am and 4:30 pm Eastern time Monday through Thursday
or between 9:30 am to 4:30 pm Eastern time on Friday.
If you graduated from a medical school outside of the United States or Canada and are not
using FCVS, you must provide a copy of your ECFMG certificate. Request certified National
Boards Part I & II subjects and scores and a status report at https://cvsonline2.ecfmg.org/.
ECFMG will send this information to the Board. For assistance, email credentials@ecfmg.org or
call 215.386.5900 between 9am and 5pm Eastern time Monday through Friday.
List all other professional licenses you have held (nurse, EMT, etc.) in the U.S. or Canada,
regardless of the status of that license (i.e., active, inactive, expired, suspended, or revoked) or
the type of license (permanent, temporary, locum tenens, education, or training). Send Form #1
to these boards as well.
Also list any state or jurisdiction in which you have ever applied for a medical license, including
those where your application was withdrawn.
If you are applying for a special or temporary license and hold licenses in countries outside the
U.S. or Canada, please provide that information on this page. Enter the name of the country in
the Specify if Other box.
You must also have each license verified. Refer to the Licensure Verification Information
resource at http://www.fsmb.org/licensure/uniform-application/ to determine fees and preferred
verification method of each verifying board. UA Form #1 should be used for boards needing
written requests. You may use VeriDoc (https://www.veridoc.org/) or a boards preferred
electronic verification method in lieu of Form #1.
Chronology of Activities
Activities that need to be listed on this page include hospitals, teaching institutions, HMOs,
private practice, corporations, military assignments, government agencies, and Locum Tenens
assignments. Exclude postgraduate training (internship, residency, fellowship) previously
entered. Include all periods of unemployment.
Describe all non-working activity in the Practice/Employment Name field. If you select Health
Activity as the type of activity, describe the condition that caused you to not be able to work
during that time. Similarly, describe times of military service (list the branch you were in),
postgraduate training/education, seeking employment, and vacation in the Practice/Employment
Name field.
Check the Staff Privileges box for all locations where you have had admitting privileges.
Clinical time indicates time spent with patients. Administrative indicates time spent on
paperwork or research.
List the name and the address of the insurance company in the Insurance carrier at time field.
List as much detail as possible in the specifics section for each professional liability judgment
or settlement, including the name, age, sex of patient/claimant, the nature of the allegations in
claims/suits (specify whether a suit was ever filed), names of other practitioners and hospital (if
any) involved in claims/suits, name of defense attorney, and reason for settlement.
Affidavit and Authorization for Release of Information: Securely tape or glue a recent (less than
6 month old) front-view 2x2 passport-type studio quality color photo of yourself (head and
shoulders only) in the square provided. Proof photos, negatives, copies of photographs, poor
quality digital photos, and photographs cut from books or newspaper articles are not acceptable.
This form must be notarized and sent to the West Virginia Board of Medicine.
Form #1: Licensure Verification Form: All licenses must be verified. Refer to the Licensure
Verification Information resource at http://www.fsmb.org/licensure/uniform-application/ to
determine fees and preferred verification method of each verifying board. UA Form #1 should be
used for boards needing written requests. You may use VeriDoc (https://www.veridoc.org/) or a
boards preferred electronic verification method in lieu of Form #1.
If you are using FCVS, you will not need to complete forms 2, 3 and 4. This information will be sent to
the Board on your behalf. Applicants who have previously held a permanent license in West Virginia
and are seeking to reactivate that license also will not use forms 2, 3 and 4 or need to request an FCVS
profile. The Board has received this information when you were initially licensed.
Form #2: Medical School Verification: If you are not using FCVS, complete section 1 of this form
and fill in your name at the top of page 2. Send this form and a copy of your medical school
diploma to the current Dean of your medical school. The Dean or designated official will
complete section 2 and send this form, the sealed copy of your diploma (to be sealed by your
medical school), and an official copy of your transcripts to the West Virginia Board of Medicine.
If transcripts are not in English, an original, certified, and official English translation is required.
o
For schools located in countries under Communist rule or presently engaged in civil war, we
will accept notarized letters from two (2) classmates, officials of the school, professors,
etc., who will swear to your graduation and who were at the school the same time you were.
These letters must give the name of the school, the dates both you and the letter writer
started and graduated (month, day, year). The letters must be received by the West Virginia
Board of Medicine directly from the letter writer, not from you. These letters will not be
accepted by the board just because it will take a long time to have your school
complete this form. It will be up to the Board office to determine which schools cannot or will
not complete this form.
Form #3: Postgraduate Training Verification: If you are not using FCVS, complete section 1 of
this form and fill in your name at the top of page 2. Send this form to the current Program
Director of your postgraduate training program. The Program Director or designated official will
complete section 2 and send this form and any applicable documentation to the West Virginia
Board of Medicine. If you have more than one program director, please send the form to each
director.
Form #4: Fifth Pathway Verification (if applicable): If you are not using FCVS, complete section
1 of this form and fill in your name at the top of page 2. Send this form to your Fifth Pathway
Program Director. The Program Director or designated official will complete section 2 and send
this form and any applicable documentation to the West Virginia Board of Medicine.
Addendum 3 Affidavit. If you are a foreign medical graduate and relying on option
3.c.(listed on page 2), this form is to be completed by another medical doctor (not a D.O.)
who is licensed in the state or jurisdiction where you have been engaged in the practice of
medicine on a full-time professional basis for at least five (5) years. The form must be
notarized and sent to the Board with this application. Keep a copy of this completed form to
take with you to your interview. Other than the top portion, this is not to be completed
by you.
To check on the status of your UA, log in to the UA and click on Check Submission Status on the right
side of the home page (available at the UA Home link above the gray navigation bar). You will be able
to see the date your UA was submitted and the date your UA was retrieved by the Board.
For further assistance, refer to the FAQ at http://www.fsmb.org/licensure/uniform-application/faq. If your
issue is not listed, contact UA customer service at 800-793-7939 or email ua@fsmb.org with your
username and issue. Provide a screenshot if you encounter an error message. If you are also using
FCVS, please provide your FCVS ID number as well.
5. Copy of your birth certificate, passport, or baptismal record. No other documents will be accepted
in lieu of this. You may skip this if using FCVS.
6. Copy of your marriage license, divorce decree, or court order of change of name if the name
shown on your diploma is not the name you are now using. You will be licensed under the
name shown on your medical diploma if evidence is not provided to the Board of a change
of name. You may skip this if using FCVS.
7. Permanent license fee of $400 by cashiers check, money order, or personal check made
payable to the WEST VIRGINIA BOARD OF MEDICINE, or by credit card payment via phone call.
This fee is not refundable under any circumstances. This fee is a separate fee from FCVS
fees and the UA fee.
For reactivation applicants only:
8. Continuing Medical Education. In addition to the above requirements, you will need to submit
satisfactory evidence of CME completed the previous 4 to 5 years prior to submission of your
application. Please refer to the CME requirements on page 2 of the instructions and contact the
Board Licensure Analyst at 304-558-2921, ext. 70011, for confirmation of the time periods needed
for submission.
Reactivating applicants do not need to use FCVS or update the existing FCVS profile. The Board
has already received the relevant information from your initial licensure application.
Please use the checklist at the end of these instructions to ensure that you submit all needed items.
Board Meetings
Board meetings are held every other month, beginning in January. When your application is processed,
you will receive a letter notifying you of what documentation is outstanding. When all documentation has
been received, you will be mailed a letter of completion. However, if you answer "yes" to any of the
Professional Practice Questions in Addendum 1, you may be required to appear before the Licensure
Committee and you will not be eligible for a temporary license.
If you are eligible for a temporary license (see page 2) and request a temporary license be issued
between the time your application is completed and the Board meeting at which it will be presented, an
additional non-refundable fee of $100.00 is required, in the form of a cashier's check, money order, or
personal check, or by credit card via a phone call. Payment of this fee does not guarantee you a
temporary license. The granting of a temporary license occurs in writing from the Board office.
The West Virginia Board of Medicine will provide reasonable accommodation to a qualified applicant with
a disability in accordance with the Americans with Disabilities Act.
Using FCVS
or License
Reactivation
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Sent UA Medical School Verification form (Form #2) and a copy of your diploma
to each medical school attended.
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Sent UA Fifth Pathway Verification form (Form #4) to the program director at the
medical school/institution, if applicable. This is for physicians who went through
a Fifth Pathway program only.
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Provided by FCVS
or initial application
7. Tips, Tricks, Hints of the Trade. Certain techniques expedite rapid third-party responses.
Provide third parties with self-addressed, stamped postcards to be returned to you when
documentation is sent to the Board office. Provide third parties with overnight mail envelopes
so that the documentation may be forwarded to the Board in a timely manner. For your own
records, note the dates of each request sent to third-party agencies.
8. Save Time, Save Money, Reduce Anxiety. Do not make commitments on loans, practice
start dates, home purchases, airline tickets, etc., until a license is granted. It may be that
not all physicians who apply will receive a license. Don't waste valuable time assuming that an
exception will be made or that a requirement will be waived for you.
9. Temporary Licensure. Fees are not refundable. A temporary license may be available to
persons licensed in another state, the District of Columbia, Canada, or Puerto Rico. The fee for a
temporary license is $100, payable to the West Virginia Board of Medicine by cashiers check,
money order, personal check, or credit card (via phone call only). Once eligibility is determined
and met, only the $100 fee is needed for temporary licensure. There is no additional application.
10. License Renewal. Regardless of the date of issuance, all licensees whose surnames begin
with the letters A L expire on June 30 of every even year, and all licensees whose surnames
begin with letters M Z expire on June 30 of every odd year. The full renewal fee will be
required regardless of the date of initial licensure.
If you follow these suggestions in filling out your application, the process should proceed with few
complications. We are committed to thoroughly reviewing credentials and to licensing qualified
candidates in the shortest possible time.
Canada, which has been approved by the Accreditation Council for Graduate Medical Education
(ACGME); or
If a foreign medical graduate, successful completion of at least three (3) years of
postgraduate clinical training (internship, residency or fellowship) in the United States or
Canada, which has been approved by the ACGME, or successful completion of at least one
such year and current certification by a member Board of the American Board of Medical
Specialties (ABMS); and
One of the following:
a) Valid Educational Commission for Foreign Medical Graduates (ECFMG) certificate; or
b) Evidence of receipt of a passing score on the examination of the ECFMG, or
c) Provided, that an applicant who:
i.
is currently fully licensed, excluding any temporary, conditional or restricted
license or permit, under the laws of another state, the District of Columbia,
Canada or the Commonwealth of Puerto Rico;
ii.
has been engaged on a full-time professional basis in the practice of medicine
within the state or jurisdiction where the applicant is fully licensed for a period of
at least five years; and
iii.
is not the subject of any pending disciplinary action by a medical licensing board
and has not been the subject of professional discipline by a medical licensing
board in any jurisdiction, is not required to have a certificate from the educational
commission for foreign medical graduates; and
3. One of the following:
a) A Federation Licensing Examination (FLEX) Weighted Average (FWA) of 75% or better
obtained at one sitting of the FLEX. Scores averaged together from two or more sittings
will not be accepted; or
b) A score of 75% or better on both FLEX Component I and FLEX Component II; or
c) A General average score of 75% or better on each of the National Board Examination
Parts I, II and III; or
d) Successful passage of a State Board examination (the Puerto Rico examination is not
accepted as it is not solely in English); or
e) Enrollment as a Licentiate of the Medical Council of Canada (LMCC); or
f) Successful passage of the USMLE.
To be eligible for licensure, an applicant must successfully complete and obtain a passing score of
75% or better on USMLE Step 1, USMLE Step 2, and USMLE Step 3 within a period of ten (10)
consecutive years. Each USMLE Step must be passed individually in order to successfully
complete the USMLE.
The Board (or a majority of them) shall accept a passing score of 75% percent or better on USMLE
Step 3, in lieu of a passing score on the FLEX, the NBME or LMCC certificate, or successful passage of
a State Board examination. To be eligible for USMLE Step 3, an applicant must have successfully
completed and obtained passing scores of 75% or better on both USMLE Step 1 and USMLE Step 2.
The USMLE replaces the NBME Part Examination program and the FLEX program, and some medical
students and physicians may have successfully completed part of the NBME and/or FLEX program(s).
In order to facilitate a smooth transition to USMLE and to avoid undue eligibility burden on applicants
for licensure, the Board considers several combinations of these examinations as comparable to the
existing examinations. Applicants must reach a passing score of 75% on each examination listed in one
of the following combinations:
graduation, and provide any information on medical malpractice claims. We recommend having this
information on hand before you begin.
Carefully read and follow the online instructions on each page and complete the UA as instructed.
Make special note of the information and instructions appearing at the top of each screen. If you are
using FCVS and need to update information in a pre-populated (grayed-out) field, contact FCVS at 888275-3287 or use the messaging tool within FCVS to have them make those changes for you.
Physicians applying for an initial license and physicians wishing to reactivate a license can access the
UA by visiting http://www.fsmb.org/ and selecting Uniform Application (UA) in the Sign In menu, then
signing in as directed. If you receive an error while working in the UA, email your username and
password, the type of error, and a description of what was happening to ua@fsmb.org. You may also
call FSMB UA customer service at 800-793-7939.
Personal Information Pages
Full Name; Alternate Names; Address/Phone; Identification
If you have ever used an alternate name or your name is not the same on all of your submitted
documents and you are not using FCVS, you must submit a certified copy of your marriage
certificate, divorce decree, court order, or other document that indicates your legal name
change to the Board.
In order to comply with federal law, the West Virginia Board of Medicine is obligated to inform
each applicant or licensee from whom it requests a Social Security Number that disclosing such
number is MANDATORY in order for this Board to comply with the requirements of the federal
National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank. If this
Board should be required to make a report about one of its applicants or licensees to either of
these data banks, it must report that individual's Social Security Number.
If you are not using FCVS, you must also complete the Medical School Verification form, the
Fifth Pathway Verification form (if applicable), and the Postgraduate Training Verification form
(Forms 2-4 in the Forms & Affidavits section later in the UA). See pages 7 and 8 for information
about these forms.
Do not list practice experience for postgraduate training.
Examination History
If you are not using FCVS, you must contact the appropriate entity to have a certified transcript
of your scores sent directly to the Board. If you have taken any component of the NBME with
another exam (USMLE/FLEX), you must request the transcripts from the NBME.
o
State Board Examination: If applying for licensure on the basis of a state board
examination, you must request that state or jurisdiction to send your grades directly to this
Board. Most states require a fee for this so contact the state board in advance of sending
your request. See http://www.fsmb.org/policy/contacts for a directory of state medical
boards. The Puerto Rico examination is not accepted as it is not solely in English.
LMCC: Complete the Service Request form at http://mcc.ca/documents/certified-transcriptexaminations/ to request a transcript from the LMCC. For assistance, email service@mcc.ca
or call 613.520.2240 between 8am am and 4:30 pm Eastern time Monday through Thursday
or between 9:30 am to 4:30 pm Eastern time on Friday.
If you graduated from a medical school outside of the United States or Canada and are not
using FCVS, you must provide a copy of your ECFMG certificate. Request certified National
Boards Part I & II subjects and scores and a status report at https://cvsonline2.ecfmg.org/.
ECFMG will send this information to the Board. For assistance, email credentials@ecfmg.org or
call 215.386.5900 between 9am and 5pm Eastern time Monday through Friday.
List all other professional licenses you have held (nurse, EMT, etc.) in the U.S. or Canada,
regardless of the status of that license (i.e., active, inactive, expired, suspended, or revoked) or
the type of license (permanent, temporary, locum tenens, education, or training). Send Form #1
to these boards as well.
Also list any state or jurisdiction in which you have ever applied for a medical license, including
those where your application was withdrawn.
If you are applying for a special or temporary license and hold licenses in countries outside the
U.S. or Canada, please provide that information on this page. Enter the name of the country in
the Specify if Other box.
You must also have each license verified. Refer to the Licensure Verification Information
resource at http://www.fsmb.org/licensure/uniform-application/ to determine fees and preferred
verification method of each verifying board. UA Form #1 should be used for boards needing
written requests. You may use VeriDoc (https://www.veridoc.org/) or a boards preferred
electronic verification method in lieu of Form #1.
Chronology of Activities
Activities that need to be listed on this page include hospitals, teaching institutions, HMOs,
private practice, corporations, military assignments, government agencies, and Locum Tenens
assignments. Exclude postgraduate training (internship, residency, fellowship) previously
entered. Include all periods of unemployment.
Describe all non-working activity in the Practice/Employment Name field. If you select Health
Activity as the type of activity, describe the condition that caused you to not be able to work
during that time. Similarly, describe times of military service (list the branch you were in),
postgraduate training/education, seeking employment, and vacation in the Practice/Employment
Name field.
Check the Staff Privileges box for all locations where you have had admitting privileges.
Clinical time indicates time spent with patients. Administrative indicates time spent on
paperwork or research.
List the name and the address of the insurance company in the Insurance carrier at time field.
List as much detail as possible in the specifics section for each professional liability judgment
or settlement, including the name, age, sex of patient/claimant, the nature of the allegations in
claims/suits (specify whether a suit was ever filed), names of other practitioners and hospital (if
any) involved in claims/suits, name of defense attorney, and reason for settlement.
Affidavit and Authorization for Release of Information: Securely tape or glue a recent (less than
6 month old) front-view 2x2 passport-type studio quality color photo of yourself (head and
shoulders only) in the square provided. Proof photos, negatives, copies of photographs, poor
quality digital photos, and photographs cut from books or newspaper articles are not acceptable.
This form must be notarized and sent to the West Virginia Board of Medicine.
Form #1: Licensure Verification Form: All licenses must be verified. Refer to the Licensure
Verification Information resource at http://www.fsmb.org/licensure/uniform-application/ to
determine fees and preferred verification method of each verifying board. UA Form #1 should be
used for boards needing written requests. You may use VeriDoc (https://www.veridoc.org/) or a
boards preferred electronic verification method in lieu of Form #1.
If you are using FCVS, you will not need to complete forms 2, 3 and 4. This information will be sent to
the Board on your behalf. Applicants who have previously held a permanent license in West Virginia
and are seeking to reactivate that license also will not use forms 2, 3 and 4 or need to request an FCVS
profile. The Board has received this information when you were initially licensed.
Form #2: Medical School Verification: If you are not using FCVS, complete section 1 of this form
and fill in your name at the top of page 2. Send this form and a copy of your medical school
diploma to the current Dean of your medical school. The Dean or designated official will
complete section 2 and send this form, the sealed copy of your diploma (to be sealed by your
medical school), and an official copy of your transcripts to the West Virginia Board of Medicine.
If transcripts are not in English, an original, certified, and official English translation is required.
o
For schools located in countries under Communist rule or presently engaged in civil war, we
will accept notarized letters from two (2) classmates, officials of the school, professors,
etc., who will swear to your graduation and who were at the school the same time you were.
These letters must give the name of the school, the dates both you and the letter writer
started and graduated (month, day, year). The letters must be received by the West Virginia
Board of Medicine directly from the letter writer, not from you. These letters will not be
accepted by the board just because it will take a long time to have your school
complete this form. It will be up to the Board office to determine which schools cannot or will
not complete this form.
Form #3: Postgraduate Training Verification: If you are not using FCVS, complete section 1 of
this form and fill in your name at the top of page 2. Send this form to the current Program
Director of your postgraduate training program. The Program Director or designated official will
complete section 2 and send this form and any applicable documentation to the West Virginia
Board of Medicine. If you have more than one program director, please send the form to each
director.
Form #4: Fifth Pathway Verification (if applicable): If you are not using FCVS, complete section
1 of this form and fill in your name at the top of page 2. Send this form to your Fifth Pathway
Program Director. The Program Director or designated official will complete section 2 and send
this form and any applicable documentation to the West Virginia Board of Medicine.
Addendum 3 Affidavit. If you are a foreign medical graduate and relying on option
3.c.(listed on page 2), this form is to be completed by another medical doctor (not a D.O.)
who is licensed in the state or jurisdiction where you have been engaged in the practice of
medicine on a full-time professional basis for at least five (5) years. The form must be
notarized and sent to the Board with this application. Keep a copy of this completed form to
take with you to your interview. Other than the top portion, this is not to be completed
by you.
To check on the status of your UA, log in to the UA and click on Check Submission Status on the right
side of the home page (available at the UA Home link above the gray navigation bar). You will be able
to see the date your UA was submitted and the date your UA was retrieved by the Board.
For further assistance, refer to the FAQ at http://www.fsmb.org/licensure/uniform-application/faq. If your
issue is not listed, contact UA customer service at 800-793-7939 or email ua@fsmb.org with your
username and issue. Provide a screenshot if you encounter an error message. If you are also using
FCVS, please provide your FCVS ID number as well.
5. Copy of your birth certificate, passport, or baptismal record. No other documents will be accepted
in lieu of this. You may skip this if using FCVS.
6. Copy of your marriage license, divorce decree, or court order of change of name if the name
shown on your diploma is not the name you are now using. You will be licensed under the
name shown on your medical diploma if evidence is not provided to the Board of a change
of name. You may skip this if using FCVS.
7. Permanent license fee of $400 by cashiers check, money order, or personal check made
payable to the WEST VIRGINIA BOARD OF MEDICINE, or by credit card payment via phone call.
This fee is not refundable under any circumstances. This fee is a separate fee from FCVS
fees and the UA fee.
For reactivation applicants only:
8. Continuing Medical Education. In addition to the above requirements, you will need to submit
satisfactory evidence of CME completed the previous 4 to 5 years prior to submission of your
application. Please refer to the CME requirements on page 2 of the instructions and contact the
Board Licensure Analyst at 304-558-2921, ext. 70011, for confirmation of the time periods needed
for submission.
Reactivating applicants do not need to use FCVS or update the existing FCVS profile. The Board
has already received the relevant information from your initial licensure application.
Please use the checklist at the end of these instructions to ensure that you submit all needed items.
Board Meetings
Board meetings are held every other month, beginning in January. When your application is processed,
you will receive a letter notifying you of what documentation is outstanding. When all documentation has
been received, you will be mailed a letter of completion. However, if you answer "yes" to any of the
Professional Practice Questions in Addendum 1, you may be required to appear before the Licensure
Committee and you will not be eligible for a temporary license.
If you are eligible for a temporary license (see page 2) and request a temporary license be issued
between the time your application is completed and the Board meeting at which it will be presented, an
additional non-refundable fee of $100.00 is required, in the form of a cashier's check, money order, or
personal check, or by credit card via a phone call. Payment of this fee does not guarantee you a
temporary license. The granting of a temporary license occurs in writing from the Board office.
The West Virginia Board of Medicine will provide reasonable accommodation to a qualified applicant with
a disability in accordance with the Americans with Disabilities Act.
Using FCVS
or License
Reactivation
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Sent UA Medical School Verification form (Form #2) and a copy of your diploma
to each medical school attended.
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Sent UA Fifth Pathway Verification form (Form #4) to the program director at the
medical school/institution, if applicable. This is for physicians who went through
a Fifth Pathway program only.
Provided by FCVS
or initial application
Provided by FCVS
or initial application
Provided by FCVS
or initial application
USMLE
FLEX
LMCC
USMLE/FLEX
NBME/USMLE
dd
yyyy
Photo Declaration
I hereby declare under penalty of perjury under the laws of the State of West Virginia, that the photo of
myself attached to the Affidavit and Authorization for Release of Information form was taken on or about
_____________________.
Date
Sex:
Male
Female
________________________________________________________________________________
________________________________________
been called before or appeared before any board or panel for discussions or questions
concerning violations of the law or rules pertaining to the practice of medicine, or for
unethical conduct?
2.
3.
been charged with or convicted of a violation of the Controlled Substance Act or any
other federal, state or local law pertaining to the manufacture, distribution, prescribing,
or dispensing of controlled substances?
4.
had limitations, restrictions or conditions placed upon your license to practice, or had
your license to practice suspended, revoked or subjected to any kind of disciplinary
action, including censure, reprimand or probation, and/or are any disciplinary actions
pending against you?
5.
6.
7.
voluntarily resigned from any medical staff or voluntarily limited such staff privileges
while under investigation by any health care institution or committee thereof or prior to
any final decision by a hospital or health care facilitys governing board?
8.
been denied the right to take an examination for licensure in any state or been ejected
from any medical examination?
9.
10.
11.
12.
* had any judgments or settlements arising from medical professional liability rendered
or made against you, and if so, how many?
YES
NO
YES
NO
** been addicted to, or received treatment for the use or misuse of, prescription drugs
and/or illegal chemical substances, or been dependent upon alcohol or received
treatment for alcohol dependency?
YES
14.
had any interruption in your practice of medicine which might reasonably be expected
by an objective person to currently impair your ability to carry out the duties and
responsibilities of the medical profession in a manner consistent with standards of
conduct for the medical profession?
15.
NO
If you answered YES to any of the above questions, you MUST furnish full details on an 8 by 11 sheet of
paper which MUST be attached to this application. On attachment, please include your name and list
Addendum 1 for reference.
If you answered YES to Question 2 and/or 3, you MUST cause to be submitted directly to this office
from the court all court documents pertaining to your answer.
If you answered YES to Question 6, you MUST cause to be submitted directly to this office from the
facility all information pertaining to your answer.
* If you answered YES to Question 12, for each judgment or settlement you MUST complete the
Malpractice Liability Claims Information page within the online Uniform Application. If more than one
judgment or settlement, you may attach a separate 8 by 11 sheet of paper with details of each.
** If you answered YES to Question 13 and have gone through a rehabilitation program, you MUST have
that program furnish this Board a report of your treatment and progress.
2.
I have a court ordered child support obligation and arrearage amount equals or
exceeds the amount of child support payable for six (6) months).
3.
YES
NO
Application Certification
I hereby certify that I have read the instructions explaining the medical licensure requirements for the State
of West Virginia, and I understand what I have read and what I am required to produce for medical licensure
in the State of West Virginia. I understand that if I am unable to meet all these requirements, including the
production of all required documents and materials, I must be denied medical licensure in the State of West
Virginia. I hereby certify that I am able to meet all these requirements for medical licensure in the State of
West Virginia and that I will be able to produce all required documents and materials and that I will make no
request of the Board for a waiver of any of the requirements, including the production of all required
documents and materials. I understand that if I make any request for such a waiver, my request must and
will be denied.
I also understand that if this application is not completed within six (6) months, I will be required to update
the application fully.
Please return this form to the West Virginia Board of Medicine at the mailing address on page 1.
I swear that I have known the applicant ________________________________________ well for a minimum of
Printed Name of Applicant
two (2) years. Further, I know him/her to be a person of good moral character, and he/she is physically and
mentally capable of engaging in the practice of medicine and surgery.
___________________________________________
_____________________________________________
Signature of Affiant
___________________________________________
_____________________________________________
Notary
State of __________________________________, County of ____________________________________,
I certify that on the date set forth below, the individual named above did appear personally before me and that I did
identify this affiant by: (a) comparing his/her physical appearance with the photograph on the identifying document
presented by the affiant, and (b) comparing the affiants signature made in my presence on this form with the
signature on his/her identifying document.
The statements on this document are subscribed and sworn to before me by the affiant on this ______ day of
_________________, 20____.
Please return this form to the West Virginia Board of Medicine at the mailing address above.
West Virginia Board of Medicine
Revised August 2014
Addendum 3 Affidavit
This section is to be completed by the applicant.
If you are a foreign medical graduate and relying on option 3.c. in the application instructions, this page is to be
completed by another medical doctor (not a D.O.) who is licensed in the state or jurisdiction where you have been
engaged in the practice of medicine on a full-time professional basis for at least five years. The form must be notarized
and sent to the Board at the mailing address above. Keep a copy of this completed form to take with you to your interview.
Name: ______________________________________________________________________________________, M.D.
Address: _________________________________________________________________________________________
Mailing address
City
State
Zip Code
The following Affidavit is made upon my personal knowledge and I am competent to testify as to the matters stated herein.
I, ____________________________________________________________, M.D., being first duly sworn, do state as follows:
Name of Affiant
that I am currently licensed to practice medicine in the state/jurisdiction of _______________________________, and that the
applicant ____________________________________________________________, M.D., has been engaged on a full-time
Printed Name of Applicant
professional basis in the practice of medicine in this state/jurisdiction for a period of at least five (5) years.
___________________________________________
_____________________________________________
Signature of Affiant
___________________________________________
_____________________________________________
Notary
State of _________________________________________, County of _____________________________________________,
I certify that on the date set forth below, the individual named above did appear personally before me and that I did identify this
applicant by: (a) comparing his/her physical appearance with the photograph on the identifying document presented by the
applicant and with the photograph affixed hereto, and (b) comparing the applicants signature made in my presence on this form
with the signature on his/her identifying document.
The statements on this document are subscribed and sworn to before me by the applicant on this ______ day of
_________________, 20____.
Notary Public Signature: ____________________________________________________
(NOTARY PUBLIC SEAL)
My Notary Commission Expires: ______________________________________________
West Virginia Board of Medicine
Revised August 2014
From:
Sent:
To:
Cc:
Subject:
Thompson, Sheree J
Thursday, February 26, 2015 10:48 AM
'Linda Becker'
Knittle, Robert C; Ingo Hagemann
RE: UA instruction changes for review/approval
Hi Sheree. I just talked with Ingo; we should be getting the IP addresses from Big Picture so no worries there. Please let
me know if any changes are needed to the files Id sent earlier at your convenience.
Thanks,
Linda
Linda Becker
Uniform Application Coordinator
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817.868.5022 direct | 817.868.4149 fax
lbecker@fsmb.org | www.fsmb.org
Hi Sheree. Were finalizing the transition to the webservice and I need to get two things:
1) The IP addresses you will be accessing the service from.
2) Approval on changing some of the wording and links in the state instructions. The changes are highlighted in the
first file attached. Please let me know if these are okay or if any other changes need to be made. Im assuming
no changes are needed to the addenda but do let me know if any changes are needed in that as well.
Thanks,
Linda
Linda Becker
Uniform Application Coordinator
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817.868.5022 direct | 817.868.4149 fax
lbecker@fsmb.org | www.fsmb.org
From:
Sent:
To:
Cc:
Subject:
Hi Sheree. I just talked with Ingo; we should be getting the IP addresses from Big Picture so no worries there. Please let
me know if any changes are needed to the files Id sent earlier at your convenience.
Thanks,
Linda
Linda Becker
Uniform Application Coordinator
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817.868.5022 direct | 817.868.4149 fax
lbecker@fsmb.org | www.fsmb.org
Hi Sheree. Were finalizing the transition to the webservice and I need to get two things:
1) The IP addresses you will be accessing the service from.
2) Approval on changing some of the wording and links in the state instructions. The changes are highlighted in the
first file attached. Please let me know if these are okay or if any other changes need to be made. Im assuming
no changes are needed to the addenda but do let me know if any changes are needed in that as well.
Thanks,
Linda
Linda Becker
Uniform Application Coordinator
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817.868.5022 direct | 817.868.4149 fax
lbecker@fsmb.org | www.fsmb.org
From:
Sent:
To:
Cc:
Subject:
Thompson, Sheree J
Friday, February 27, 2015 2:31 PM
'Linda Becker'
Knittle, Robert C
RE: UA instruction changes for review/approval
Categories:
Red Category
Linda,
On page 2 *- 2nd paragraph under Continuing Medical Education Requirements should say Read Series 6 Continuing
Education for Physicians & Podiatrists very carefully
Otherwise, I think the corrections mostly include changes you need to make for FCVS, streamlining language or more
informative wording.
Sheree
Sheree J. Thompson
Supervisor of Licensing,
Certification and Renewals
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Ph. 304.558.2921 ext. 70011
Fax 304.558.2084
www.wvbom.wv.gov
Hi Sheree. Were finalizing the transition to the webservice and I need to get two things:
1) The IP addresses you will be accessing the service from.
1
2) Approval on changing some of the wording and links in the state instructions. The changes are highlighted in the
first file attached. Please let me know if these are okay or if any other changes need to be made. Im assuming
no changes are needed to the addenda but do let me know if any changes are needed in that as well.
Thanks,
Linda
Linda Becker
Uniform Application Coordinator
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817.868.5022 direct | 817.868.4149 fax
lbecker@fsmb.org | www.fsmb.org
From:
Sent:
To:
Subject:
Thank you for contacting the Federation of State Medical Boards. I will be out of the office Thursday and Friday, Feb. 2627. If you are a reporter and need immediate assistance, please contact Paul Larson at larsonpw@gmail.com or 847-4751283.
Drew Carlson
Director of Communications
Federation of State Medical Boards
817-868-4043
From:
Sent:
To:
Subject:
Walker, Carmella L
Monday, December 01, 2014 1:57 PM
'Michelle Dill (FSMB)'
RE: FCVS downloads
Perfect, thanks.
Thank you,
Carmella L. Walker
Licensure Analyst
WV Board of Medicine
304-558-2921, ext 70021
From: Michelle Dill (FSMB) [mailto:MDill@fsmb.org]
Sent: Monday, December 01, 2014 1:15 PM
To: Walker, Carmella L
Subject: RE: FCVS downloads
Carmella,
Please try the attached document instead.
Thank you,
Michelle Dill
From: Walker, Carmella L [mailto:Carmella.L.Walker@wv.gov]
Sent: Monday, December 01, 2014 11:14 AM
To: Michelle Dill (FSMB)
Subject: RE: FCVS downloads
Yes, this is the page but I cant get it to print on 8.5 X 11.
Thank you,
Carmella L. Walker
Licensure Analyst
WV Board of Medicine
304-558-2921, ext 70021
From: Michelle Dill (FSMB) [mailto:MDill@fsmb.org]
Sent: Monday, December 01, 2014 11:55 AM
To: Walker, Carmella L
Subject: RE: FCVS downloads
Carmella,
On our end, page 39 is the
profile? Or was that only with
. However, did it appear that this page was larger than 8 x 11 in your
1
to this email.
Michelle,
Im having a lot of difficulties with printing of a few packets. I need page 39 of Dr.
s
file, I cannot get it to print completely. I also had problems with Dr.
, but I
was able to get those pages printed. It appears the pages were not reduced to 8 X 11 size.
Thank you,
Carmella Walker
Licensure Analyst
(For Physicians Last Names M thru Z)
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Phone: 304-558-2921, ext. 70021
Fax: 304-558-2084
Carmella.L.Walker@wv.gov
www.wvbom.wv.gov
The information contained in this electronic message is legally privileged and confidential under applicable law and is intended only for the use of
the individual or entity named above. If the recipient of this message is not the above-named intended recipient, you are hereby notified that any
dissemination, copy or disclosure of this communication is strictly prohibited. If you have received this communication in error, please notify the
West Virginia Board of Medicine, (304) 558-2921, and purge this communication immediately without making any copy or distribution.
From:
To:
Subject:
Date:
Bradley Dunn
Wilkinson, Scott A
RE: WVBOM Files
Wednesday, February 25, 2015 2:17:16 PM
You can proceed with uploads to the server. Are the files we have you emailed to be
discarded or can they be loaded?
Thank you,
Thanks,
Scott A. Wilkinson
Information Systems Coordinator
West Virginia Board of Medicine
101 Dee Drive Suite 103
Charleston, WV 25311
(304) 558-2921 Ext 70006
Thank you.
Bradley,
In the new database we are only using the actual number without having the type in front of it.
Cause the actual license number is just the number.
Thanks,
Scott A. Wilkinson
Information Systems Coordinator
West Virginia Board of Medicine
101 Dee Drive Suite 103
Charleston, WV 25311
(304) 558-2921 Ext 70006
Scott,
In prior files the license number was listed as PDP00217, now coming in as 217.
Thanks,
Bradley,
That is not problem just let me know. The only thing different that I know of is the date format.
Thanks,
Scott A. Wilkinson
Information Systems Coordinator
West Virginia Board of Medicine
101 Dee Drive Suite 103
Charleston, WV 25311
(304) 558-2921 Ext 70006
Scott,
Thank you for the files, I will review and get back with you. We are not in office today as DFW has
been hit with an ice storm. It might not be till tomorrow when I can get back.
Thanks,
Bradley,
We are switching to a new data base and I have attached a couple of files for your review. Can you
let me know if they are before I upload them normally.
Thanks,
Scott A. Wilkinson
Information Systems Coordinator
West Virginia Board of Medicine
101 Dee Drive Suite 103
Charleston, WV 25311
(304) 558-2921 Ext 70006
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org>
Friday, July 24, 2015 1:43 PM
Knittle, Robert C
FSMB eNews 7-24-2015
From:
Sent:
To:
Subject:
NEWS CLIPS
Report cites shortfalls in
Medicare's screening process for
doctors (Wall Street Journal; July
21, 2015)
Surgeon Scorecard needs
improvement (HealthLeaders
Media, July23,2015)
Oklahoma governor's order gives
attorney general new power (The
Oklahoman, July 22, 2015)
Primary care, psychiatry top
recruiter's list (HealthLeaders
Media, July 15, 2015)
Medical residents are indebted
but reasonably happy (NPR, July
24, 2015)
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000
Forward email
Privacy Policy.
National Office
! Euless
TX
76039
Knittle, Robert C
From:
Sent:
To:
Subject:
STAN D A R D ~
NEWS CLIPS
U.S. News releases 'Best
Hospitals 2015-16' report (U.S .
News & World Report; July 20,
2015)
';:;.;=
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Forward email
c.oostantCotmid
Federation of State Medical Boards
National Office
! Euless 1 TX 76039
Knittle, Robert C
From:
Sent:
To:
Subject:
IG --------------NEWS CLIPS
ME~ SAG~
FSMB Chair Dan Gifford, MD, and Past Chair Don Polk, DO,
are in Chicago this weekend for the AOA's House of
Delegates meeting , where John Becher, DO, will be installed
as the new AOA President. Tomorrow, I join Senior VP David
Johnson, MA, and Assistant VP Frances Cain , MPA, in
Cooperstown, NY, for a meeting of the USMLE Management
Committee, joining NBME CEO Don Melnick, MD, and
ECFMG CEO Emmanuel Cassimatis, MD, and others from
our three organizations to discuss innovations and the
implementation of changes connected with the
Comprehensive Review of the USMLE (CRU) that were
approved by the FSMB and NBME in 2010.
: _::-::-~--:j
:--~-=-:
'
~==~--- --------
============------------
-------------------- - - - -- - --
The FSMB's board-by-board
overview of state telemedicine
policies provides updated
information on licensure
requirements, reimbursement
parity, arid rules and
(202) 463-4000
Forward email
E_J:
This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.org 1
Update Profile/Email Address 1 Rapid removal w ith SafeUnsubscribeTM 1 Privacy Policy.
Federation of State Medical Boards 1 400 Fuller Wiser Road, Suite 300 1 National Office 1 Euless 1 T X
! 76039
Knittle, Robert C
From:
Se nt:
To:
Subject:
NEWS CLIPS
Michigan doctor who mistreated
cancer patients sentenced to 45
years (ABC News, July 10, 2015)
Making the cut: Why choosing the
right surgeon matters even more
than you kn ow (ProPublica, July
13, 2015)
Do cell phones belong in the
operating room? (Kaiser Health
News, July 14, 2015)
Waiting to pick your baby's name
raises the risk for medical
mistake...(NPR, July 13, 2015)
Why we need to build a culture of
health in the U.S. (Academic
Medicine, July 2015)
Suite 500
Washington DC 20036
(202) 463-4000
Forward e mail
National Office
Euless
TX
76039
Knittle, Robert C
From:
Se nt:
To:
Subject:
10 - - ------------NEWS CLIPS
8 in 10 doctors admit to treating
patients while sick (Time, July 6,
2015)
.
Improving patient safety incident
reporting? There's an app for that
(Health Affairs 8/og, July 1, 2015)
.W ill iPhones change medicine -by turning us all into subjects?
(Scientific American, June 16, 2015)
Learning how health care works
(AMA Journal of Ethics, July 2015)
The role of shame and guilt in
medical learning (AAMC Reporter,
June 2015)
ESS~ GF
------..
---~-------IT-~fib~:;-;;;~20
Texas Office
Forward emai l
! 400 Fuller Wiser Road, Suite 300 I National Office 1 Euless i TX i 76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Tuesday, July 07, 2015 2:23 PM
Knittle, Robert C
FSMB eNews 7-7-2015
From:
Sent:
To:
Subject:
Frdr.;ariono}
STATE Ill
MEDICAL
BOARDS
fP.OHCTING T i l ( P tJI1LI C WITH liiGH H.'.NOAI\0<; fO fl MEDICA L LKCN$ ( 111 AND P RAC T i CE
NEWS CLIPS
fli1ESSP~GE F ROf~~
THE CEO
HumayunJ.Chaudh~,DO,MACP
r"W ~~-~:uflli
~~:;;iM
filA . -~~
The FSMB Physician-Patient
Communicat ions Resource
Center provides resources for
!
1
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000
Forward email
i
I Privacy
Policy.
i 400 Fuller Wiser Road, Suite 300 I National Office I Euless I TX i 76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Tuesday, June 30, 2015 3:06 PM
Knittle, Robert C
FSMB eNews 6-30-2015
From:
Sent:
To:
Subject:
10 --------------NEWS CLIPS
Medical school hopefuls grapple
with overhauled entrance exam
(NPR, June 29, 2015)
Anesthesiologist trashes sedated
patient- and it en ds up costing
her (Washington Post, June 23,
2015)
Personalized technology will
upend the doctor-patient
relationship (Harvard Business
Review, June 19, 2015)
The downside of medical
screening .(The Atlantic, June 29,
2015)
Texas Office
400 Fuller Wiser Road
Su ite 300
' Euless, Texas 76039
' (817) 868-4000
www.fsmb.org
Washington, D.C. Office
substances.
Forward emai l
I Privacy
Policy .
National Office
Euless
TX
76039
Knittle. Robert C
From:
To:
Subject:
Sent:
U.S. Senator John Barrasso, MD, (WY) keynoted the event, and praised his
home state of Wyoming for being the first in the nation to enact the Compact.
Senator Barrasso commended the role of state medical boards in medical
regulation and public protection .
Utah State Representative Raymond Ward, MD, the original sponsor of
t he Compact legislation in Utah, served as a panelist, stating "This bill would
increase access to health care services for our most vulnerable residents and I
am proud that Utah has joined eight ot her states in supporting this bipartisan,
states-driven effort."
Additional panelists at the National Press Club event who also spoke to the
beneficial impact of the newly enacted Compact included representatives of
state medical and osteopathic boards, the American Medical Association (AMA),
Council of Medical Specialty Societies, Gundersen Health System, and the
National Patient Safety Foundation.
Compact legislation has been enacted by nine states, including Alabama, Idaho,
Minnesota, Montana, Nevada, South Dakota, Utah, West Virginia, and Wyoming
and has been introduced in ten other state legislatures this year. State medical
board support continues to grow, with 29 boards having now formally
expressed support for the Compact, while others are looking to do so in the
coming weeks and months. We expect several additional legislative
introductions and enactments in 2015.
Please visit www. licenseportability.org for resources and informat ion about the
Compact.
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
r; ~rn - :
CcmtantCt:lntact" '
?Lu<.rt~-r C.rr!5J (
Federat ion of State Medica l Boards 1 400 Fuller W ise r Rd, Suite 300 1 Euless 1 TX 1 76039
Knittle, Robert C
From:
Sent:
To:
Subject:
'ii
~:
iIU WJ.IJJ
(~fl"'l
J;;;J;~aii~~
l l like!
of
STATER
MEDICAL
BOARDS
f' ll.OHCTlNG HI( Ptlllll(: W!TII HIGH STANDARDS fOR MCD ICAL l!C!:NSUI\L AI-W f'RACT!C[, ,..,.
NEWS CLIPS
I
; ~::~:News an:<~~=~l:tters
........
consider compensation
arrangements carefully
GMC approves development of
UK medical licensing assessment
West Virginia Board of Medicine
Newsletter
,
!I
1
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Forward emai l
I 400
I Privacy
Policy.
National Office
1Euless I TX ! 76039
Kn ittle, Robert C
Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org >
Tuesday, June 23, 2015 2:32 PM
Knittle, Robert C
FSMB eNews 6-23-2015
Fro m:
Sent:
To:
Subject:
jG ----------------NEWS CLIPS
Hundreds charged with Medicare
fraud in record enforcement
sweep (USA Today, June 18, 2015)
When shou ld surgeons stop
operating? (NPR, June 18, 2015)
When drug addicts work in
hospitals, no one is safe
(Newsweek, June 18, 2015)
Naturopathic doctors push for
mainstream recognition
(Sacramento Bee, June 15, 2015)
Seven questions for persona lized
medicine (JAMA , June 21, 2015)
Board
News
and Newsletters
.
.
.
GMC approves development of
UK medical licensing assessment
r;zJ
LJ
= -------------------
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Forward email
TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Friday, June 19, 2015 1:12 PM
Knittle, Robert C
FSMB eNews 6-19-2015
From:
Sent:
To:
Subject:
10 --------------NEWS CLIPS
. !
/
:
~f01
' ,.
~=~~i~~~:::,;~~~nsure in
~-~~~!ITJm~~
The FSMB Directory of Physician
Assessment and Remedial
Education Programs identifies
resources for physician assessment
and remediation, including clinical
competence, mental health,
substance abuse, ethics and
boundaries, prescribing and
behavio ral concerns.
=-----------------
(817) 868-4000
www.fsmb.org
Forward email
I 400
I
1
Privacy Policy.
I National
Office
Eules~
! TX l 76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Tuesday, June 02, 2015 1:32PM
Knittle, Robert C
FSMB eNews 6-2-2015
From:
Sent:
To:
Subject:
(tj
HVM"YUN I
STATE
HAUDHRY DO MACP
r1
r '
~r.r
MEDICAL
BOARDS
r i\ OHC T I N<:; Ti l( P IJ ULI C lt.'I T II II IGI11T.o\NfJA><D~ r Of\ MCO IC M Li([NSIJ IH ,AND f' RA, C TI C : , 0,
NEWS CLIPS
Medical agreement could bring
more doctors. telemedicine to
Wyomin~t (Caspar Star Tribune,
May 31, 2015)
V i rgin ~ !!!!.!!"!!
Newsletter
'C!
u.c-.
~a.l"t icine
National Office
Euless
TX
76039
Knittle, Robert C
Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org >
Friday, May 29, 2015 3:40 PM
Knittle, Robert C
FSMB eNews 5-29-2015
From:
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1 110~
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb .org
Forward email
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Euless
TX I 76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Tuesday, May 26, 2015 3:23 PM
Knittle, Robert C
FSMB eNews 5-26-2015
From:
Sent:
To:
Subject:
MESSAGE
~f1
.'!:_
THE C EO
FRO f~.>~
Texas Office
(817) 868-4000
www.fsmb.org
Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000
Forward email
Federation of State Medica l Boards I 400 Fuller Wiser Road, Suite 300 I National Office
i Euless 1 TX 1 76039
Knittle. Robert C
From:
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Subject:
rr;l111
r:::1
=-------------
(817) 868-4000
www.fsmb.org
Washington, D.C. Office
Forward email
! 400
I Privacy
Pol icy.
National Office
I Euless I TX I 76039
Knittle, Robert C
From:
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Subject:
10 -------------NEWS CUPS
~!1ESSAGE FRO~il
!
..:!:
I
i
'
Interstate Medicallicensure
Compact established with
seventh state enactment
:'
THE CEO
I was in West Point, New York, this weekend for the 1OOth
anniversary of the American College of Physicians' New York
Chapter, which has 14,000 members and whose Executive
Director is Linda Lambert, CAE. Joining me was Lynn Cleary,
MD, the new Vice Chair of the National Board of Medical
Examiners, and Andrew Dunn, MD, the new Chair of the
ACP's Board of Governors. Tomorrow, FSMB Chief
Information Officer and Senior Vice President for Operations
Michael Dugan, MBA, will be a guest on a conference call of
the Physician Information Exchange (PIE) Workgroup of the
International Association of Medical Regulatory Authorities
(IAMRA) to discuss potential approaches and options for
promoting proactive data sharing among the world's
regulatory authorities. FSMB Chief Advocacy Officer Lisa
Robin, MLA, was in Chicago yesterday for a meeting of the
ACGME's Lifelong Physician Development Stakeholder
Workgroup. Meanwhile, FSMB Chair Dan Gifford, MD, Chair
elect Art Hengerer, MD, and I continue to get favorable
comments about our article in support of state medical
and osteopathic boards in last week's Journal of the
American Medical Association (JAMA@]
-. _
Humayun J. Chaudhry, DO, MACP
0)01=
:J-~-.l
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Forward email
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Euless
TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards < dcarlson@fsmb.org >
Tuesday, May 12, 2015 2:03 PM
Knittle, Robert C
FSMB eNews 5-12-2015
From:
Se nt:
To:
Subject:
1'R0T[C T INGtH t f'UULIC WITII HIGH STANDA!\OS f Of\ MCD ICAL H CfNSURCANO PRACT lC [ lt~
NEWS CLIPS
Ensuring competency and
professionalism through state
medical licensing (JAMA, May 12,
2015)
Patients press the 'record ' button,
making doctors squirm
(Washington Post, May 11, 2015)
Orthopedic surgeons largely
contribute to opioid epidemic,
study reveals (Forbes, May 12,
2015)
Developing health care
workforces for uncertain futu res
(Academic Medicine, April 2015)
Hospitals redesigning spaces to
boost patient hea lth (U.S. Ne ws &
WorfdReport, May 1, 2015)
r~
Forward email
i
1
I 400 Fuller Wiser Road, Suite 300 I National Office I Euless I TX i 76039
Knittle, Robert C
From:
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Fcrle ratiau of
STATEitl
MEDICAL
BOARDS
MESSAGEFROMTHECEO
Medical schools reboot for 21st
Century (NPR, April 9, 2015)
Alabama health committees pass
bills to improve interstate
physician licensure (Birmingham
Business Journal, April 9, 2015)
Many people with substance
abuse problems may find few to.
treat them (Kaiser Health News,
April 8, 2015)
Patient-doctor relationship forged
through computer screens (St.
Louis Post-Dispatch, April 10, 2015)
Visit frequency and the
Accountable Care Organization
(JAMA, Apri16, 2015)
FSMB Board member Pat King, MD, PhD, and FSMB Senior
Vice President for Assessment Services David Johnson, MA,
are heading to Portland , Oregon, for a three-day meeting of
the Accelerating Change in Medical Education Consortium,
sponsored by the American Medical Association. Yesterday,
in preparation for the FSMB's upcoming Annual Meeting in
Fort Worth, Texas, FSMB Chair Don Polk, DO, held a
conference call with Wayne Reynolds, DO, and Scott
Steingard, DO, who will be serving as chairs of Reference
Committees that will be reviewing various reports and
resolutions before the FSMB House of Delegates. More than
400 individuals have already registered to attend the meeting
with additional individuals expected to register in the days
ahead and at the meeting, which begi~s April 23.
' ~:tl'j
open
can
view the webcast on computers, tablets and mobile devices. To register for
the webcast, please visit our online webcast registration page today.
I
I
2
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76039
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From:
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l~lJ~1
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Forward email
Suite 300
I National
Office
I Euless I TX I 76039
Knittle, Robert C
Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org>
Friday, March 27, 2015 1:42 PM
Knittle, Robert C
FSMB eNews 3-27-2015
From:
Sent:
To:
Subject:
j0 ---------------NEWS CLIPS
Lawmakers work to simpl ify how
doctors get licenses in multiple
states (KWQC, March 23, 2015)
Should you trust that new medical
study? (NPR; March 25, 2015)
Schools reconsidering how med
school applicants are evaluated
(AMA Wire , Feb. 19, 2015)
'Pay attention to how doctors talk'
(HealthLeaders Media, March 25,
2015)
Half-ba ked - The retail promotion
of ma rijuana edibles (New England
Journal of Medicine, March 12,
2015)
10 --------------1
Forward email
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Euless i TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Friday, March 20, 2015 2:27 PM
Knittle, Robert C
FSMB eNews 3-20-2015
From:
Sent:
To:
Subject:
I -----------------~
NEWS CLIPS
Er
~@
R M f fE
ii!ESS
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000
of Medical Regulation.
Forward email
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Euless
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76039
Knittle. Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Tuesday, March 17, 2015 1:31 PM
Knittle, Robert C
FSMB eNews 3-17-2015
From:
Sent:
To:
Subject:
------------- --
NEWS CLIPS
Ethical implications of patients
and families secretly recording
conversations with physicians
(JAMA. March 12, 2015)
Intensive care gets friendlier with
apps. devices (Wall Street Journal,
March 16, 2015)
Inviting patients to help decide
their own treatment (Kaiser Health
News, March 16, 2015)
Hospital consolidations at the
tipping point (HealthLeaders
Media, March 16, 2015)
Newly discovered brain pathway
could solve antipsychotic
mystery (Harvard School of
Medicine, March 6, 2015)
ME
AG
F 0
::
FSMB Chair Don Polk, DO, and Chair-elect Dan Gifford, MD,
were among the participants on a conference call yesterday
of the FSMB Ethics and Professionalism Committee, which is
chaired by FSMB Board member Art Hengerer, MD. The
primary topic of discussion was physician burnout and stress
and its potential im pact on state medical regulation and state
medical boards. This week, FSMB Board member Linda
Gage-White, MD, PhD, MBA, will participate in a meeting of
the Board of Directors of the Accreditation Council for
Continuing Medical Education (ACCME) in Chicago. On
Thursday evening, Dr. Polk will lead a conference call of the
FSMB Executive Committee as we continue with preparations
for our Annual Meetin in Fort Worth Texas , next month.
Training physicians and allied health care staff about safe and effective
pain care.
Learn more about OHA's efforts at http://www.orpdmp.com. For more
information about prescription drug overdose, visit the CDC Injury Center's
Prescription Drug Overdose Home Page.
Forward email
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TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Med ical Boards <dcarlson@fsmb.org >
Friday, March 13, 2015 1:16 PM
Knittle, Robert C
FSMB eNews 3-13-20 15
From:
Sent:
To:
Subject:
II Like
F~dtratiOIJ
of
H UHAVUN J
STATE-
CHAU DHRY , DO . HA CP
J.IH.~ '-IIl;tN
AN D t f'{)
MEDICAL
BOARDS
PROTECTING THE PUBLIC WITH HIGH STANDARDS FOil LICENSURE AND PRACTICE
NEWS CLIPS
Efforts to instill empathy among
doctors is paying dividends
(Kaiser Health News, March 12,
2015)
Crush-proof OxyContin pills
haven't curbed U.S. drug abuse
(Medical Daily, March 11 , 2015)
U.S. News and World Report
announces 2016 best medical
schools (U.S. News and World
Report, March 10, 2015)
Fed up, doctors take healthcare
overuse campaign to the street
(HealthLeaders Media, March 12,
2015)
F F OM THE
Forward email
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Knittle, Robert C
Drew Carlson - Federation of State Medical Boards < dcarlson@fsmb.org >
Tuesday, March 03, 2015 2:22 PM
Knittle, Robert C
FSMB eNews 3-3-2015
From:
Sent:
To:
Subject:
10------------NEWS CLIPS
Doctors with bad news seen as
less compassionate (Reuters, Feb.
27, 2015)
Physician locum tenens rates
near double digits (Hea lthLeaders
Media, March 2, 2015)
Attention. shoppers: Prices for 70
health care procedures now
online! (Kaiser Health News, Feb.
27, 2015)
Patients, doctors see benefits of
sharing medical records (Reuters,
Feb. 24, 2015)
A state-led approach to
accelerating health care system
transformation (JAMA, March 2,
2015)
ME.= SA E FR
1
L.:::::.l
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76039
Knittle, Robert C
Drew Carlson - Federat ion of State Medical Boards <dcarlson@fsmb.org>
Friday, February 27, 2015 2:07 PM
Knittle, Robert C
FSMB eNews 2-27-2015
From:
Sent:
To:
Subject:
10---------------NEWS CLIPS
Mapping the country's most
infectious hospitals (Reuters, Feb.
24, 2015)
Five prescription drugs most
likely to be abused- and leave
you in the ER or worse (Iodine,
Feb. 16, 2015)
EHRs and the paper monster
(HealthLeaders Media), Feb. 24,
2015)
Where are the mental-health
providers? (Wall Street Journal,
Feb. 16, 2015}
Defining 'faculty' in academic
medicine: Responding to the
challenges of a changing
environment (Academic Medicine,
March 2015)
A F FRO
TH
~.~
=-----------
during the FSMB's 2015 Annual Meeting at the Omni Fort Worth Hotel in Fort
Worth, Texas. To register, click here.
Texas Office
~about
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76039
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r:l
l2.J
=-e-=----------------
Don't forget: Registration is now open for our 103rd Annual Meeting, to be held
on April 23-25, 2015 in Fort Worth, Texas. We hope to see you there!
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
www.licenseportability.org
Rep. Ed Whitfield (R-KY- 01) will reintroduce The National All Schedules
Prescription Electronic Reporting (NASPER) Reauthorization Act, which
2
Additional Legislation
Rep. Tim J. Walz (D-MN-01) introduced H.R.203, Clay Hunt SAV Act,
which would direct the Secretary of Veterans Affairs to provide for the conduct
of annual evaluations of mental health care and suicide prevention programs of
the Department of Veterans Affairs and to require a pilot program on loan
repayment for psychiatrists who agree to serve in t he Veterans Health
Administration. Both the House and the Senate passed the legislation sending
it to President Obama for his signature.
Rep. Doris 0. Matsui (D-CA-06) introduced H.R.691 which would promote
the provision of telehealth by establishing a Federal standard for telehealth.
Sen. David Vitter (R-LA) introduced S.78, Pregnant Women Health and
Safety Act, which would impose admitting privilege requirements with respect
to physicians who perform abortions.
Privacy Policy .
Euless
TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org>
Friday, January 23, 2015 2:02 PM
Knittle, Robert C
FSMB eNews 1-23-2015
From:
Sent:
To:
Subject:
10------------NEWS CLIPS
America's new healthcare
economy: Three trends to wat ch
(Fortune, Jan. 21, 2015)
Analysis: Nurse practitioners
doubled in 10 years (The Hill, Jan.
21,2015)
Texas prisons try telemedicine to
curb spending (Dallas Morning
News, Jan. 20, 2015)
Bridging the hospitalist-primary
care divide through collaborative
~ (New England Journal of
Medicine, Jan. 22, 2015)
Situational judgment tests gain
traction in medical school
admissions (AAMC Reporter,
January 2015)
...
ME
H..
0~-0:
;~
_:
A list of state-specific
requirements for initial medical
licensure is available on the FSMB
website.
0 =----------------
Texas Office
400 Fuller Wiser Road
Suite 300
Euless. Texas 76039
(817) 868-4000
www.fsmb.org
Forwa rd email
Privacy Policy.
National Office
Euless
TX
76039
Knittle, Robert C
Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org>
Tuesday, January 13, 2015 1:19 PM
Knittle, Robert C
FSMB eNews 1-13-2015
From:
Sent:
To:
Subject:
MES AG
~ROM
-HE
..
-
0 ;:~.
:_
~-----------
, Texas Office
400 Fuller Wiser Road
1 Suite 300
Euless, Texas 76039
(817) 868-4000
1 www.fsmb .org
Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000
More meetings and events
United States Medical Licensing Examination
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Knittle, Robert C
From:
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Subject:
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
Information Center.
Presidential Nominations
On December 15, Vivek Murthy, MD, MBA, was confirmed in a vote of 51-43
by the U.S. Senate to become the next U.S. Surgeon General. Dr. Murthy was
nominated by President Obama last year and will replace Acting Surgeon
General Boris Lushniak, MD, MPH. Murthy, an internal medicine physician
and Harvard Medical School instructor, is co-founder and president of Doctors
for America.
The Senate Judiciary Committee held a voice vote in support of President
Obama's nomination of Office of National Drug Control Policy's (ONDCP) Acting
Director Michael Botticelli to become Director. However, the full Senate did
not take action on the nomination before adjourning and may consider his
nomination again in the next Congress.
shjckman@fsmb.org.
Privacy Policy .
Euless
TX
76039
Knittle, Robert C
Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org >
Friday, December 19, 2014 3:27 PM
Knittle, Robert C
FSMB eNews 12-19-2014
From:
Sent:
To:
Subject:
J0--------------NEWS CLIPS
Meningitis outbreak that killed 64
draws murder charges (USA
Today, Dec. 17,2014)
Medicare fraud scheme
mastermind. doctor plead guilty
(Associated Press, Dec. 18, 2014)
Lessons from an outbreak: How
Ebola shaped 2014 (The Atlantic,
Dec. 17, 2014)
Do patients mind if their
healthcare data is shared? It
depends (Reuters, Dec. 15, 2014)
Ratcheting up patient experience
has a downside (HealthLeaders
Media, Dec. 17, 2014)
ME~SA
E: R M
~ki1
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Knittle. Robert C
Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org>
Tuesday, November 18, 2014 6:13 PM
Knittle, Robert C
FSMB eNews 11-18-2014
From:
Sent:
To:
Subject:
J0----------------NEWS CLIPS
Doctor shortage looming? Maybe
not (NPR, Nov. 18, 2014)
Scientists close in on nonaddictive opioid painkillers (USA
Today, Nov. 17,2014)
Exposing students to rural health
key to producing rural doctors
(AA FP News, Nov. 14, 2014)
Final Prescription Drug TakeBack Day collects 617,150 pounds
of unwanted medications (NABP,
Nov. 12, 2014)
GME's new focus on resident
engagement in quality and safety
(Academic Medicine, October 2014)
MES A E FRO
[j ===-==~~-
He
0"0
:~
-~
Forward email
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TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Friday, November 14, 2014 1:44 PM
Knittle, Robert C
FSMB eNews 11-14-2014
From:
Sent:
To:
Subject:
~m
1)(1
L.:J
=-==--------------
4 I
ROM H
. _ __ _ _ _ _ _ _...J
Committee Meeting
Suite 500
Washington DC 20036
(202) 463-4000
of Medical Regulation.
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From:
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10--------------NEWS CLIPS
AMA backs interstate compact to
streamline medical licensure
(AMA Wire, Nov. 10, 2014)
New mapping tool highlights
physician shortage areas (AAFP
News, Nov. 7, 2014)
Electronic medical records, built
for efficiency, often backfire
(NPR, Nov. 7, 2014)
Less than 17% of hospitals
demonstrate MU Stage 2
capabilities (HealthLeaders Media,
Nov. 5, 2014)
ME
OM
FSMB Chair Don Polk, DO, Chair-elect Dan Gifford, MD, and
I are in Chicago today for a meeting with the leadership of the
National Board of Osteopathic Medical Examiners, including
Chair Wayne Carlsen, DO, Vice Chair Gary Slick, DO, and
President and CEO John Gimpel, DO. Topics of discussion
include updates on the Interstate Medical Licensure
Compact, physician workforce issues, Maintenance of
Licensure and the COM LEX-USA exam.
~~
Committee Meeting
Jan. 13, 2015: Nominating
Committee Meeting
April 23-25, 2015: FSMB 103rd
of Medical Regulation.
Forward email
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TX
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Knittle, Robert C
Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org>
Friday, October 24, 2014 3:44 PM
Knittle, Robert C
FSMB eNews 10-24-2014
From:
Sent:
To:
Subject:
Ia -------~----------NEWS CLIPS
Defensive medicine still prevalent
despite tort reform (HealthLeaders
Media, Oct. 22, 2014)
Primary care doctors to patients:
Don't forget about us (Washington
Post, Oct. 23, 2014)
HHS prescribes $840 million to
help doctors transform their
practices (Washington Bureau, Oct.
23, 2014}
Public trust in physicians - U.S.
medicine in international
perspective (New England Journal
of Medicine, Oct. 23, 2014)
3-D printed heart helps surgeons
save newborn's life (Columbia
University Medical Center, Oct. 16,
2014)
FROM THE
S A
0~ :
;;_
EJ :"
~
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
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TX
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From:
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Knittle, Robert C
FSMB Advocacy Network News
Subject:
"'=~-------------
In This Issue
'
U.S. Supreme Court hears arguments in the case North Carolina Board
of Dental Examiners v. FTC
On October 14, the U.S. Supreme Court heard arguments in the case of North
Carolina Board of Dental Examiners v. Federal Trade Commission. The FSMB
filed an amicus brief in support of the North Carolina Board of Dental
Examiners. The Court's decision will impact medical boards charged with
regulating practitioners and protecting patients. The Court's decision is
expected in June 2015. A one-hour audio recording of the arguments is
available online.
This summer, the FSMB endorsed H.R. 5498, Primary Care Physician Reentry
Act, introduced by Rep. John Sarbanes (D-MD-03) . The legislation would
establish a grant program for medical schools, hospitals and non-profit
organizations to create or expand their physician reentry programs wh ich give
physicians a streamlined process for credentialing and continuing medical
education to return to medical practice after a period of absence. In return for
this assistance, these physicians would serve at community health centers, VA
medical centers or school-based health centers to help fill the national shortage
of primary care doctors.
President Obama signs into law The Veterans Access; Choice, and
Accountability Act
Under the law, the Department of Veterans Affairs will be allowed to hire
additional doctors, nurses, and health care professionals to work at VA facilities.
It also allows veterans to receive care from civilian providers if they have waited
more than 30 days for an appointment or live more than 40 miles f rom a VA
facility. The $16.3 billion law received bipartisan support in both the House and
Senate. The legislation was introduced by Rep. Hal Rogers (R-KY-05) and Sen.
Bernard Sanders {1-VT) .
Please follow us on Twitter @FSMBPolicy for the latest updates on federal and
state policy and news of interest to state medical boards.
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
Sen. Sheldon Whitehouse (D- RI) and Sen. Rob Portman (R-OH)
introduced S. 2839, Comprehensive Addiction and Recovery Act, which
would authorize the Attorney General to award grants to address the national
2
shickman@fsmb.org .
0 """"______________
Euless
TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org>
Friday, October 17, 2014 1:49 PM
Knittle, Robert C
FSMB eNews 10-17-2014
From:
Sent:
To:
Subject:
10------------NEWS CLIPS
Supreme Court considers if state
board serves public or limits
competition (Los Angeles Times ,
Oct. 15, 2014)
Painkiller deaths drop for first
time since 1999 (USA Today, Oct.
15, 2014)
How will telemedicine shape the
future of patient-doctor
relationships? (The Atlantic, Oct.
14, 2014)
Q&A: What are states doing to
prepare for an Ebola outbreak?
(Stateline, Oct. 16, 2014)
Researchers hope for greater
transparency through Sunshine
Act database (AAMC Reporter,
September 2014)
MESSA E FRO
TH
0 ---------------
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
1
(817) 868-4000
www.fsmb.org
Forward email
Privacy Policy .
National Office
Euless
TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org>
Friday, October 10, 2014 1:27 PM
Knittle, Robert C
FSMB eNews 10-10-2014
From:
Sent:
To:
Subject:
10
-------~---
NEWS CLIPS
Prescription database privacy
case heads for legal showdown
(Information Week, Oct. 8, 2014}
Can brain surgery be taught in an
SO-hour workweek? (Minneapolis
Star-Tribune, Oct. 8, 2014)
EHR no substitute for nursephysician communication
(HealthLeaders Media, Oct. 7, 2014}
Rural primary care challenges
extend beyond physician supply
(HealthLeaders Media, Oct. 9, 2014}
'lnstagram for doctors' to be
launched in Europe (BBC News,
Oct. 7, 2014}
M HI:
E SA
fillf1
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000
United States Medical Licensing Examination
(817) 868-4041; usmle@fsmb.org
Forward email
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From:
Sent:
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F~daatzor~
of
HUHAVUN
STATE-
J.
MEDICAL
BOARDS
PROTECTING THE PUBLIC WITH HIGH STANDARDS FOR LICENSURE AND PRACTICE
NEWS CLIPS
question on drug testing doctors
buried in California ballot
(Governing, Sept. 30, 2014)
FDA. DEA crack down on
hydrocodone-combo drugs
(HealthLeaders Media, Oct. 2, 2014)
Hospitals step up apology
process around medical errors
(New England Public Radio, Oct. 2,
2014)
8 in 10 doctors 'overextended' or
at 'full capacity' (HealthLeaders
Media, Oct. 2, 2014)
Forwa rd email
Privacy Policy.
CmstlmCmb:t"
Federation of State Medical Boards
National Office
Euless
TX
76039
Knittle, Robert C
Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org>
Tuesday, September 30, 2014 2:04 PM
Knittle, Robert C
FSMB eNews 9-30-2014
From:
Sent:
To:
Subject:
I] I.Jile
F~d~r~Jtro11
STATE-
of
HUHAYUN
J.
AN D (
t-{)
MEDICAL
BOARDS
PROTECTING THE PUBLIC WITH H I GH STANDARDS FOR L IC E NSUR E AND PRACT I CE
NEWS CLIPS
Database flaws cloud sunshine
on industry payments to doctors
(NPR, Sept. 30, 2014)
Governors push to expand role of
PAs. telemedicine (HealthLeaders
Media, Sept. 29, 2014)
No appointment necessary?
Ethical challenges in treating
friends and family (New England
Journal of Medicine, Sept. 25, 2014)
Medical devices lack safety
evidence. study finds (Wall Street
Journal, Sept. 29, 2014)
ME;S AG
F OM
---
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000
United States Medical Licensing Examination
(817) 868-4041; usmle@fsmb.org
Forward email
Privacy Policy .
National Office
Euless
TX
76039
Knittle, Robert C
From:
Sent:
To:
Subject:
Frdalltior; of
STATE-
MEDICAL
BOARDS
PROTECTING THE PUBLIC WITH HIGH STANDARDS FOR L I C E NSURE AND PRACTICE
NEWS CLIPS
Interstate medical licensure effort
advances (HealthLeaders Media ,
Sept. 17, 2014)
How will rescheduling of
hydrocodone combo products
affect physicians. patients?
(AAFP News, Sept. 17, 2014)
Massive opioid diversion case in
New York hospital raises
concerns (NABP, Sept. 17, 2014)
When a hospital closes (Kaiser
Health News, Sept. 18, 2014)
How much money do we waste on
useless health care? (Vox, Sept.
18, 2014)
MESSAG
OM
HE:
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
of Medical Regulation.
Forward email
1
1 ...... " . ! 1l'al1 f..,
Privacy Policy.
,~
CaastmtContrxt"
Federation of State Medical Boards
National Office
Euless
TX
76039
Knittle, Robert C
Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >
Tuesday, July 01, 2014 2:36 PM
Knittle, Robert C
FSMB eNews 7-1-2014
From:
Sent:
To:
Subject:
ID --------------NEWS CLIPS
lrxl1~
B ----------
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb .org
Washington, D.C. Office
Forward email
Privacy Policy.
National Office
Euless
TX
76039
Knittle, Robert C
From:
Sent:
To:
Subject:
BARRASSO SPEAKS AT FSMB EVENT: Sen. John Barrasso, one of three physicians in the Senate, spoke at a Federation of
State Medical Boards event Wednesday and praised the group's interstate licensing compact, saying t he federa l
government should stay out of medical regulation. "When people have concerns at home, they want to go to the state
medical licensing board," said Barrasso, whose home state of Wyoming was the first to adopt the compact earlier this
year. "I think it's critical we still have that." Illinois and Iowa will soon become t he 10th and 11th states to adopt the
compact, which aims to expedite and cheapen the licensing of doctors in states part of the compact. If doctors don't
want to use it, "fine. They don' t have to," Barrasso added . The commission overseeing the compact's work will be
completed in the next 12 to 18 months, FSMB officials said Wednesday, at which time it will start processing licenses.
Knittle, Robert C
From:
Sent:
To:
Subject:
REGISTER HERE
The Federation of State Medical Boards is committed to protecting the public with high standards
for medical licensure and practice
STAY CONNECTED
. ..
I " I..J.
......
l.rt \ 111
Privacy Policy.
~Confrxt
Euless
TX
76039
Knittle, Robert C
Jonathan Jagoda <jjagoda@fsmb.org >
Friday, June 12, 2015 3:42 PM
Knittle, Robert C
Thank you for registering for "Expanding Access to Health Care Through the Interstate
Med ical Licensure Compact" -June 24, 2015
From:
Sent:
To:
Subject:
Personal Information
First Name:
Last Name:
Robert C.
Knittle
robert.c. kn ittle@wv.gov
Email Address:
Business Information
Company:
Job Title:
Executive Director
Contact
Jonathan Jagoda
Federation of State Medical Boards
202-463-4003
jjagoda@fsmb.org
Add to Calendar
This email was sent to robert.c.knittle@wv.gov by jjagoda@fsmb.org
because you registered for "Expanding Access to Health Care Through the Interstate Medical
Licensure Compact" -June 24, 2015. Click here if you no longer wish to receive emails about this
event.
Federation of State Medical Boards
II I I
1
Knittle, Robert C
From:
Sent:
To:
Subject:
My announcement was premature-- my staff looked at the wrong bill number. Expected to be signed Monday.
From: Lisa A. Robin (FSMB)
Sent: Thursday, April 02, 2015 4:00 PM
To: Margaret Hansen; Kevin Bohnenblust, JD; Nancy Kerr; April Ellis, JD; Robert Knittle; Diana Shepard
Subject: RE: Montana enacted- hooray
6 - one to go!
From: Margaret Hansen
Sent: Thursday, April 02, 2015 4:58 PM
To: Lisa A. Robin (FSMB); Kevin Bohnenblust, JD; Nancy Kerr; April Ellis, JD; Robert Knittle; Diana Shepard
Subject: RE: Montana enacted - hooray
Is this 7 now?
Sincerely,
Meg
Margaret B. Hansen, PA-C, MPAS, CMBE
Executive Director
South Dakota Board of Medical & Osteopathic Examiners
Phone 605-367-7781
General Email: SDBMOE@state.sd.us<mailto:SDBMOE@state.sd.us>
Web site: Http://www.sdbmoe.gov
From: Lisa A. Robin (FSMB) [mailto:LRobin@fsmb.org]
Sent: Thursday, April 02, 2015 3:58PM
To: Kevin Bohnenblust, JD; Nancy Kerr; April Ellis, JD; Hansen, Margaret; Robert Knittle; Diana Shepard
Subject: Montana enacted - hooray
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
1300 Connecticut Avenue NW I Suite 500
202-463-4006 direct I
lrobin@fsmb.org<mailto:lrobin@fsmb.org>
Washington, DC 20036
ATTENTION: This email may contain confidential and/or privileged material for the sole use of the intended recipient.
Any review or distribution by others is strictly prohibited . If you have received this email in error, please immediately
notify the sender, and destroy all copies of the original message.
Knittle. Robert C
Jonathan Jagoda <jjagoda@fsmb.org>
Tuesday, March 31, 2015 4:04 PM
Knittle, Robert C
Blue Engine Media; Lisa A. Robin (FSMB)
RE: Congrats!
03232015UTPassesCompactv2 doc.docx; 3 OS 2015 Compact State Passage template
v3.doc
From:
Sent:
To:
Cc:
Subject:
Attachments:
Sure do. Attached is a model press release that Utah is currently considering releasing, along with a template press
release announcing the enactment of the Compact in a state. I am also copying Blue Engine Media (David DiMartino and
Tiffany Edwards), a communications firm that we work with in DC, that would be happy to assist you in drafting and
preparing the release. Would you be able to get quotes from the Governor, the Board (or you), the bill sponsors, the
medical society/local hospital, AARP WV, etc.? I presume you'll coordinate with Diana too, right?
Please let us know how we can help.
Jonathan
1-"erler,ltion
STATE
I Washington, DC 20036
f1/
MEDiCAL
BOARDS
, ""II
,
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...
Knittle, Robert C
Jonathan Jagoda <jjagoda@fsmb.org >
Tuesday, March 31, 2015 3:08 PM
Knittle, Robert C; Shepard, Diana K
Congrats!
From:
Sent:
To:
Subject:
I Washington, DC 20036
STATE
MEDICAL
BOARDS
it
...
. \.
I.IL , " 1
\
:
,.,. ..
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i
Knittle, Robert C
From:
Sent:
To:
Subject:
John Bremer
State Legislative and Policy Coordinator
Federation of State Medical Boards
1300 Connecticut Avenue/ NW I Suite 500
202-463-4021 direct I jbremer@fsmb.org
,,STATE...,, "'
I Washington, DC
I www.fsmb.org
MEDICAL
BOARDS
20036
Knittle. Robert C
From:
Sent:
To:
Subject :
John Bremer
State Legislative and Policy Coordinator
Federation of State Medical Boards
1300 Connecticut Avenue, NW I Suite 500
202-463-4021 direct I jbremer@fsmb.org
Washington, DC 20036
www.fsmb.org
fttltr~r,., .,~
STATE.
MEDICAL
BOARDS
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Knittle, Robert C
Humayun Chaudhry <hchaudhry@fsmb.org>
Wednesday, January 28, 2015 6:12 PM
Humayun Chaudhry
Interstate Compact Update
MemolnterstateCompact,28Jan2015.pdf
From:
Sent:
To:
Subject:
Attachments:
DATE:
TO:
Member Medical Board Executive Directors Interstate Medical Licensure Compact Supporters
FROM:
CC:
RE:
Hi Everyone,
The F ederation of State Medical Boards (FSMB) has become aware in recent days of an effort being conducted by
various individuals to undermine the Interstate Medical Licensure Compact.
Attached please find some guidance that you may find useful.
Hank
Federation of
STATE Ia
MEDICAL
BOARDS
DATE:
January 28,2015
TO:
Member Medical Board Executive Directors Interstate Medical Licensure Compact Supporters
FROM:
CC:
RE:
The Federation of State Medical Boards (FSMB) has become aware in recent days of an effort being
conducted by various individuals to undermine the Interstate Medical Licensure Compact.
This memorandum is being sent to the Executive Directors of those state medical and osteopathic boards
that have formally endorsed o r supported the Compact. It lists the concerns of those opposed to the
Compact and refutes each of the misrepresentations and falsehoods that we have heard. Please feel free to
share these with your state board members, state legislators and state medical and osteopathic societies, as
appropriate.
As you know, the Compact was put together by representatives of several state boards and has been
endorsed by physician organizations such as the American Medical Association (AMA) and by 25 state
medical and osteopathic boards in just the few short months since it was introduced. It provides a
reasonable, innovative way to get more physicians licensed in the states where their services are vitally
needed -while preserving all o f the protections of state-based medical regulation and allowing physicians
the freedom to choose the licensing path that works best for them. The Compact has already been
introduced in 10 state legislatures (Iowa, Minnesota, Nebraska, O klahoma, South Dakota, Texas, Utah ,
Vermont, West Virginia, and Wyoming).
There have been false and misleading public statements and distortions made about the Compact in an
effort to discredit it and help thwart its adoption by state legislatures. Ironically, such an effort empowers
those that favor a national approach to medical licensure.
The anti-Compact campaign is riddled with falsehoods that are easily debunked by simply reading the
model legislation that was crafted in an open and collaborative fashion by the state medical boards with
input from stakeholders across the nation. Perhaps the most egregious of these falsehoods is the notion
that the Compact would somehow force practicing physicians to participate in additional levels of medical
certification beyond basic licensing and standard requirements for continuing medical education (CME).
Participation in the proposed Compact is totally optional, and is intended only for those physicians who
wish to practice in multiple states and who want to avoid the process of applying for multiple state
licen ses one at a time. It in no way changes the requirements for state medical licensure for physicians
seeking one license within a state or for those who choose to become licensed in multiple states through
existing processes. The status quo remains, for any physician who wants to continue to use current
licensing processes.
The FSMB has prepared a fact sheet about "Six Myths About the Compact", outlined below, that refutes
the misleading claims .. The fact sheet will also soon be available at the FSMB's Interstate Medical
Licensure Compact website (w\-vw.licenseportability.org).
MYTH: It is alle(.; t:d that the definition of a physician in the Compact is at variance with the definition of a
physician by all other state medical boards.
FACT: The definition of a physician in the Interstate Compact relates only to the eligibility to receive a
license through the process outlined in the Compact. The Compact definition does not change the
existing definition of a physician in a state's existing Medical Practice Act, nor does it change t~e ba~ic
requirements for state medical licensure of a physician seeking only one license within a stai:e or who
chooses to become licensed in additional states through existing processes.
FACT: In order for the Compact to be acceptable in ALL states, the definition of a physician was drafted by
state medical boards in a manner that meets the highest standards already required for expedited
licensure or licensure by endorsement (many states already have standards in place for expedited
licensure or licensure by endorsement that require specialty-board certification.)
FACT: Physicians who do not meet the requirements, including those not specialty certified, are still eligible
to apply for state medical licensure in a member state through the current process. Initial estimates
show that up to 80% of licensed physicians in the U.S. are currently eligible to participate in the
Compact, if they choose to do so.
MYTH: It is alleged that physicians participating in the Compact would be required to participate in
Maintenance of Certification {MDC}, or that MDC is an eligibility requirement for the Compact.
FACT: The Compact makes absolutely no reference to Maintenance of Certification (MOC) or its osteopathic
counterpart, Osteopathic Continuous Certification (OCC). The Compact does not require a physician
to participate in MOC, nor does it require or even make mention of the need to participate in MOC as
a licensure renewal requirement in any state. Once a physician is issued a license via the Compact
from a state, he or she must adhere (as now) to the renewal and continuing medical education
requirements of that state. No state requires MOC as a condition for licensure renewal, and therefore,
this will not be required for physicians participating in the Compact.
MYTH: It is claimed that the Compact would "supersede a state's authority and control over the practice of
medicine."
FACT:
FACT:
The Compact reflects the effort of the state medical boards to develop a dynamic, self-regulatory
system of expedited state medical licensure over which the participating states maintain control
through a coordinated legislative and administrative process. Coordination through a compact is not
the same as commandeering state authority. It is the ultimate expression of state authority.
Some of the groups that are distorting the facts about the Compact are contradicting their own
policies and goals : The American Legislative Exchange Council (ALEC), for example, which is now
criticizing the Compact, has supported interstate compacts as solutions to other multi-state-based
legislative challenges in the past.
MYTH: It is claimed that the Compact would change a state's Medical Practice Act.
FACT:
FACT:
The Compact clearly states that it would not change a state's Medical Practice Act. From the
Compact's preamble: "The Compact creates another pathway for licensure and does not otherwise
change a state's existing Medical Practice Act."
The Compact also adopts the prevailing standard for state medical licensure found in the Medical
Practice Acts of each state, affirming that the practice of medicine occurs where the patient is located
at the time of the physician-patient encounter.
MYTH: It is asserted that it would be expensive for a state to extricate itself from the Interstate Medical
Licensure Compact.
FACT:
State participation in the Compact is, and will remain, voluntary. States are free to withdraw from the
Compact and may do so by repealing the enacted statute. The withdrawal provisions of the Interstate
Compact are consistent with interstate compacts currently enacted throughout the country.
MYTH: It is claimed that the Compact represents a regulatory excess, and costs and burdens on the state will be
increased.
FACT:
The process of licensure proposed in the Compact would reduce costs, streamlining the process for
licensees. Rather than having to obtain individual documents for mu ltiple states, which is both
expensive and time consuming, member states can rely on verified, shared information to speed the
licensee through the licensing process. Licensees would have to pay the fees set by their state in order
to obtain and maintain a license via the Compact, just as with licenses currently obtained via current
methods. The Compact is not an example of regulatory excess but an example of regulatory common
sense.
About the Federation of State Medical Boards: The Federation of State Medical Boards (FSMB) is a national
non-profit orga nization representing all medical boards within the United States and its territories that license
and discipline allopathic and osteopathic physicians and, in some jurisdictions, other health care professio nals.
FSMB leads by promoting excellence in medical practice, licensure and regulation as the national resource and
voice on behalf of state medical boards in their protection of the public. To learn more about FSMB visit:
http://www.fsmb.org/. You can also fo llow FSMB on Twitter (@theFSMB and @FSMBPolicy) and Facebook by
liking the Federation of State Medical Boards page.
Knittle, Robert C
Jonathan Jagoda <jjagoda@fsmb.org >
Tuesday, January 13, 2015 3:06 PM
Knittle, Robert C
RE: Compact Talking Points
Compact Status.l.l2.15.docx
From:
Sent:
To:
Subject:
Attachments:
' 1
'\~I
,
"1
1
-
...
i .
l / '..
I I
I Washingto n, DC 20036
...
I
i1
'
"
!
I I
South Dakota
Texas
Washington
Wisconsin
National Specialty Societies/Organizations
American Academy of Dermatology
Council of Medical Specialty Societies
Society of Hospital Medicine
State Specialty Associations
Iowa Academy of Family Physicians
Iowa Psychiatric Association
Hospitals/Health Systems
Genesis Health System
Gundersen Health System
Mercy Health Network
Unitypoint Health System
University of Iowa Hospitals and Clinics
Other
Minnesota Medical Group Management Association
Wisconsin Rural Health Cooperative
vRad Radiology
Compact Website
The FSMB is developing an independent website (www.licenseportability.org) for the Interstate
Compact, which is expected to launch in the first quarter of2015. The website will serve as the
primary resource for state boards, state legislators and other stakeholders with a vested interest in
the implementation of the Compact.
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Attachments:
Washington, DC 20036
lrobin@fsmb.org
ATIENTION: This email may contain confidential and/ or privil eged material for the sole use of the intended recipient. Any review or distribut ion by others is stri ctly
prohibited. If you have r eceived this email in error, please im mediately notify th e sender, and destroy all copies of t he origi nal message.
SECTION 1. PURPOSE
In order to strengthen access to health care, and in recognition of the advances in the delivery of
health care, the member states of the Interstate Medical Licensure Compact have allied in
common purpose to develop a comprehensive process that complements the existing licensing
and regulatory authority of state medical boards, provides a streamlined process that allows
physicians to become licensed in multiple states, thereby enhancing the portability of a medical
license and ensuring the safety of patients. The Compact creates another pathway for licensure
and does not otherwise change a state's existing Medical Practice Act. The Compact also adopts
10
the prevailing standard for licensure and affirms that the practice of medicine occurs where the
11
patient is located at the time of the physician-patient encounter, and therefore, requires the
12
physician to be under the jurisdiction of the state medical board where the patient is located.
13
State medical boards that participate in the Compact retain the jurisdiction to impose an adverse
14
action against a license to practice medicine in that state issued to a physician through the
15
16
17
18
19
20
21
22
23
24
SECTION 2. DEFINITIONS
In this compact:
(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to
Section 11 for its governance, or for directing and controlling its actions and conduct.
(b) "Commissioner" means the voting representative appointed by each member board
pursuant to Section 11 .
(c) "Conviction" means a finding by a court that an individual is guilty of a criminal
offense through adjudication, or entry of a plea of guilt or no contest to the charge by the
1
3
4
member state to an eligible physician through the process set forth in the Compact.
(e) "Interstate Commission" means the interstate commission created pursuant to Section
5
6
7
8
9
10
11
11.
(f) "License" means authorization by a state for a physician to engage in the practice of
medicine, which would be unlawful without the authorization.
(g) "Medical Practice Act" means laws and regulations governing the practice of
allopathic and osteopathic medicine within a member state.
(h) "Member Board" means a state agency in a member state that acts in the sovereign
12
interests of the state by protecting the public through licensure, regulation, and education of
13
14
(i) "Member State" means a state that has enacted the Compact.
15
16
human disease, injury, or condition requiring a physician to obtain and maintain a license in
17
18
19
20
21
22
23
(2) Passed each component of the United States Medical Licensing Examination
(USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA)
within three attempts, or any of its predecessor examinations accepted by a state medical board
Association;
9
10
(5) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;
11
12
13
jurisdiction;
14
(7) Has never held a license authorizing the practice of medicine subjected to
15
discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action
16
17
18
19
20
(8) Has never had a controlled substance license or pennit suspended or revoked by
a state or the United States Drug Enforcement Administration; and
(9) Is not under active investigation by a licensing agency or law enforcement
authority in any state, federal, or foreign jurisdiction.
21
22
23
requirement of the Interstate Commission, and has the force and effect of statutory law in a
member state, and includes the amendment, repeal, or suspension of an existing rule.
(n) "State" means any state, commonwealth, district, or territory of the United States.
(o) "State of Principal License" means a member state where a physician holds a license
to practice medicine and which has been designated as such by the physician for purposes of
9
10
11
SECTION 3. ELIGIDILITY
(a) A physician must meet the eligibility requirements as defined in Section 2(k) to
receive an expedited license under the terms and provisions of the Compact.
12
(b) A physician who does not meet the requirements of Section 2(k) may obtain a license
13
to practice medicine in a member state if the indiv idual complies with all laws and requirements,
14
other than the Compact, relating to the issuance of a license to practice medicine in that state.
15
16
17
(a) A physician shall designate a member state as the state of principal license for
18
purposes of registration for expedited licensure through the Compact if the physician possesses a
19
full and unrestricted license to practice medicine in that state, and the state is:
20
21
(2) the state where at least 25% of the practice of medicine occurs, or
22
23
(4) if no state qualifies under subsection (1), subsection (2), or subsection (3), the
2
3
4
5
(a) A physician seeking licensure through the Compact shall fi le an application for an
expedited license with the member board of the state selected by the physician as the state of
10
principallicense.
11
(b) Upon receipt of an application for an expedited license, the member board within the
12
state selected as the state of principal license shall evaluate whether the physician is eligible for
13
expedited licensure and issue a letter of qualification, verifying or denying the physician's
14
I5
16
medical education, results of any medical or licensing examination, and other qualifications as
17
determined by the Interstate Commission through rule, shall not be subject to additional primary
18
source verification where already primary source verified by the state of principal license.
19
(ii) The member board within the state selected as the state of principal license
20
shall, in the course of verifying eligibility, perform a criminal background check of an applicant,
21
including the use of the results of fingerprint or other biometric data checks compliant with the
22
requirements of the Federal Bureau ofhwestigation, with the exception of federal employees who
23
24
(iii) Appeal on the determination of eligibility shall be made to the member state
where the application was filed and shall be subject to the law of that state.
(c) Upon verification in subsection (b), physicians eligible for an expedited license shall
2
3
complete the registration process established by the Interstate Commission to receive a license in
a member state selected pursuant to subsection (a), including the payment of any applicable
fees.
(d) After receiving verification of eligibility under subsection (b) and any fees under
subsection (c), a member board shall issue an expedited license to the physician. This license
shall authorize the physician to practice medicine in the issuing state consistent with the Medical
Practice Act and all applicable laws and regulations of the issuing member board and member
10
11
state.
(e) An expedited license shall be valid for a period consistent with the licensure period in
12
the member state and in the same manner as required for other physicians holding a full and
13
14
(f) An expedited license obtained though the Compact shall be terminated if a physician
15
fails to maintain a license in the state of principal licensure for a non-disciplinary reason, without
16
17
18
(g) The Interstate Commission is authorized to develop rules regarding the application
process, including payment of any applicable fees, and the issuance of an expedited license.
19
20
21
22
23
licenses.
2
3
4
5
jurisdiction;
10
(3) Has not had a license authorizing the practice of medicine subject to discipline
11
by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to
12
13
14
15
16
17
18
19
20
21
22
23
(4) Has not had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration.
(b) Physicians shall comply with all continuing professional development or continuing
medical education requirements for renewal of a license issued by a member state.
(c) The Interstate Commission shall collect any renewal fees charged for the renewal of
a license and distribute the fees to the applicable member board.
(d) Upon receipt of any renewal fees collected in subsection (c), a member board shall
renew the physician's license.
(e) Physician information collected by the Interstate Commission during the renewal
process will be distributed to all member boards.
(f) The Interstate Commission is authorized to develop rules to address renewal of
2
3
5
6
(a) The Interstate Commission shall establish a database of all physicians licensed, or
who have applied for licensure, under Section 5.
(b) Notwithstanding any other provision of law, member boards shall report to the
Interstate Commission any public action or complaints against a licensed physician who has
10
11
12
13
14
15
16
17
boards shall be confidential, filed under seal, and used only for investigatory or d isciplinary
18
matters.
19
20
21
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23
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(b) In addition to the authority granted to a member board by its respective Medical
25
Practice Act or other applicable state law, a member board may participate with other member
8
(c) A subpoena issued by a member state shall be enforceable in other member states.
(d) Member boards may share any investigative, litigation, or compliance materials in
4
5
authorizing the practice of medicine in any other member state in which a physician holds a
8
9
10
(a) Any disciplinary action taken by any member board against a physician licensed
11
through the Compact shall be deemed unprofessional conduct which may be subject to discipline
12
by other member boards, in addition to any violation of the Medical Practice Act or regulations
13
in that state.
14
(b) If a license granted to a physician by the member board in the state of principal
15
16
licenses issued to the physician by member boards shall automatically be placed, without further
17
action necessary by any member board, on the same status. Ifthe member board in the state of
18
principal license subsequently reinstates the physician's license, a license issued to the
19
physician by any other member board shall remain encumbered until that respective member
20
board takes action to reinstate the license in a manner consistent with the Medical Practice Act of
21
that state.
22
23
(c) If disciplinary action is taken against a physician by a member board not in the state
of principal license, any other member board may deem the action conclusive as to matter of law
2
3
sanctions are consistent with the Medical Practice Act of that state;
(ii) or pursue separate disciplinary action against the physician under its
respective Medical Practice Act, regardless of the action taken in other member states.
relinquished in lieu of discipline, or suspended, then any license(s) issued to the physician by any
other member board(s) shall be suspended, automatically and immediately without further action
necessary by the other member board(s), for ninety (90) days upon entry of the order by the
10
disciplining board, to permit the member board(s) to investigate the basis for the action under the
11
Medical Practice Act of that state. A member board may terminate the automatic suspension of
12
the license it issued prior to the completion of the ninety (90) day suspension period in a manner
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states and shall have all the responsibilities, powers, and duties set forth in the Compact, and
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such additional powers as may be conferred upon it by a subsequent concurrent action of the
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respective legislatures of the member states in accordance with the terms of the Compact.
(d) The Interstate Commission shall consist of two voting rep resentatives appointed by
each member state who shall serve as Commissioners. In states where allopathic and osteopathic
physicians are regulated by separate member boards, or if the licensing and disciplinary authority
is split between multiple member boards within a member state, the member state shall appoint
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board; or
(3) Member ofthe public appointed to a member board.
(e) The Interstate Commission shall meet at least once each calendar year. A portion of
12
this meeting shall be a business meeting to address such matters as may properly come before the
13
Commission, including the election of officers. The chairperson may call additional meetings
14
and shall call for a meeting upon the request of a majority of the member states.
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(f) The bylaws may provide for meetings of the Interstate Commission to be conducted
by telecommunication or electronic communication.
(g) Each Commissioner participating at a meeting of the Interstate Commission is entitled
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to one vote. A majority of Commissioners shall constitute a quorum for the transaction of
19
business, unless a larger quorum is required by the bylaws of the Interstate Commission. A
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Commissioner shall not delegate a vote to another Commissioner. In the absence of its
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Commissioner, a member state may delegate voting authority for a specified meeting to another
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person from that state who shall meet the requirements of subsection (d).
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(h) The Interstate Commission shall provide public notice of all meetings and all
11
meetings shall be open to the public. The Interstate Commission may close a meeting, in full or
2
in portion, where it determines by a two-thirds vote of the Commissioners present that an open
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5
Interstate Commission;
or confidential;
(4) Involve accusing a person of a crime, or formally censuring a person;
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proceeding.
(i) The Interstate Commission shall keep minutes which shall fully describe all matters
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discussed in a meeting and shall provide a full and accurate summary of actions taken, including
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U) The Interstate Commission shall make its information and official records, to the
19
extent not otherwise designated in the Compact or by its rules, available to the public for
20
inspection.
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(k) The Interstate Commission shall establish an executive committee, which shall
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include officers, members, and others as determined by the bylaws. The executive committee
23
shall have the power to act on behalf of the Interstate Commission, with the exception of
12
rulemaking, during periods when the Interstate Commission is not in session. When acting on
behalf of the Interstate Commission, the executive committee shall oversee the administration of
the Compact including enforcement and compliance with the provisions of the Compact, its
5
6
(I) The Interstate Commission may establish other committees for governance and
administration of the Compact.
The Interstate Commission shall have the duty and power to:
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(b) Promulgate rules which shall be binding to the extent and in the manner provided for
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in the Compact;
(c) Issue, upon the request of a member state or member board, advisory opinions
concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
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(d) Enforce compliance with Compact provisions, the rules promulgated by the Interstate
16
Commission, and the bylaws, using all necessary and proper means, including but not lim ited to
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(e) Establish and appoint committees including, but not limited to, an executive
19
committee as required by Section 11, which shall have the power to act on behalf of the
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(f) Pay, or provide for the payment of the expenses related to the establishment,
organization, and ongoing activities of the Interstate Commission;
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G) Employ an executive director who shall have such powers to employ, select or appoint
employees, agents, or consultants, and to determine their qualifications, define their duties, and
5
6
7
(k) Establish personnel policies and programs relating to conflicts of interest, rates of
compensation, and qualifications of personnel;
(l) Accept donations and grants of money, equipment, supplies, materials and services,
and to receive, utilize, and dispose of it in a manner consistent with the conflict of interest
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(m) Lease, purchase, accept contributions or donations of, or otherwise to own, hold,
improve or use, any property, real, personal, or mixed;
(n) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any
property, real, personal, or mixed;
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15
(p) Adopt a seal and bylaws governing the management and operation of the Interstate
16
Commission;
17
(q) Report annually to the legislatures and governors of the member states concerning the
18
activities of the Interstate Comm ission during the preceding year. Such reports shall also include
19
reports of fmancial audits and any recommendations that may have been adopted by the
20
Interstate Commission;
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(r) Coordinate education, training, and public awareness regarding the Compact, its
implementation, and its operation;
(s) Maintain records in accordance with the bylaws;
14
(u) Perform such functions as may be necessary or appropriate to achieve the purposes of
the Compact.
4
5
(a) The Interstate Commi ssion may levy on and collect an annual assessment from each
member state to cover the cost of the operations and activities of the Interstate Commission and
its staff. The total assessment must be sufficient to cover the annual budget approved each year
for which revenue is not provided by other sources. The aggregate annual assessment amount
I0
shall be allocated upon a formula to be determined by the Interstate Commission, which shall
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(b) The Interstate Commission shall not incur obligations of any kind prior to securing
the funds adequate to meet the same.
(c) The Interstate Comm ission shall not pledge the credit of any of the member states,
except by, and with the authority of, the member state.
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(d) The Interstate Commission shall be subject to a yearly financial audit conducted by a
17
certified or Iicensed public accountant and the report of the audit shall be included in the annual
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(a) The Interstate Commission shall, by a majority of Commissioners present and voting,
23
adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes
15
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of the Compact within twelve (12) months of the first Interstate Commission meeting.
(b) The Interstate Commission shall elect or appoint annually from among its
Commissioners a chairperson, a vice-chairperson, and a treasurer, each of whom shall have such
authority and duties as may be specified in the bylaws. The chairperson, or in the chairperson's
absence or disability, the vice-chairperson, shall preside at all meetings of the Interstate
Commission.
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(c) Officers selected in subsection (b) shall serve without remuneration from the
Interstate Commission.
(d) The officers and employees of the Interstate Commission shall be immune from suit
10
and liability, either personally or in their official capacity, for a claim for damage to or loss of
11
property or personal injury or other civil liability caused or arising out of, or relating to, an actual
12
or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
14
responsibilities; provided that such person shall not be protected from suit or liability for
15
damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of
16
such person.
17
(1) The liability of the executive director and employees of the Interstate
18
Commission or representatives of the Interstate Commission, acting within the scope of such
19
person's employment or duties for acts, errors, or omissions occurring within such person' s state,
20
may not exceed the limits of liability set forth under the constitution and laws of that state for
21
22
instrumentality of the states for the purposes of any such action. Nothing in this subsection shall
23
be construed to protect such person from suit or liability for damage, loss, injury, or liability
16
(2) The Interstate Commission shall defend the executive director, its employees,
and subj ect to the approval of the attorney general or other appropriate legal counsel of the
Interstate Commission representative in any civil action seeking to impose liability arising out of
an actual or alleged act, error or omission that occurred within the scope of Interstate
Commission employment, duties or responsibilities, or that the defendant had a reasonable basis
for believing occurred within the scope oflnterstate Commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not result from
10
11
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harmless in the amount of a settlement or JUdgment, including attorney's fees and costs, obtained
14
against such persons arising out of an actual or alleged act, error, or omission that occurred
15
within the scope of Interstate Commission employment, duties, or responsibilities, or that such
16
persons had a reasonable basis for believing occurred within the scope of Interstate Commission
17
employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission
18
did not result from intentional or willful and wanton misconduct on the part of such persons.
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the Interstate Commission exercises its rulemaking authority in a manner that is beyond the
2
scope of the purposes of the Compact, or the powers granted hereunder, then such an action by
(b) Rules deemed appropriate for the operations of the Interstate Commission shall be
made pursuant to a rulemaking process that substantially conforms to the "Model State
(c) Not later than thirty (30) days after a rule is promulgated, any person may file a
petition for judicial review of the rule in the United States District Court for the District of
Columbia or the federal district where the Interstate Commission has its principal offices,
10
provided that the filing of such a petition shall not stay or otherwise prevent the rule from
11
becoming effective unless the court finds that the petitioner has a substantial likelihood of
12
success. The court shall give deference to the actions of the Interstate Commission consistent
13
with applicable law and shall not find the rule to be unlawful if the rule represents a reasonable
14
15
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(a) The executive, legislative, and judicial branches of state government in each member
18
state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate
19
the Compact's purposes and intent. The provisions of the Compact and the rul es promulgated
20
hereunder shall have standing as statutory law but shall not override existing state authority to
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(b) All courts shall take judicial notice of the Compact and the rules in any judicial or
23
administrative proceeding in a member state pertaining to the subject matter of the Compact
24
which may affect the powers, responsibilities or actions of the Interstate Commission.
18
(c) The Interstate Commission shall be entitled to receive all service of process in any
such proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure
to provide service of process to the Interstate Commission shall render a judgment or order void
5
6
(a) The Interstate Commission, in the reasonable exercise of its di scretion, shall enforce
8
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action in the United States District Court for the District of Columbia, or, at the di scretion of the
11
Interstate Commission, in the federal district where the Interstate Commission has its principal
12
offices, to enforce compliance with the provisions of the Compact, and its promulgated rules and
13
byiaws, against a member state in default. The relief soughi may include both injunctive relief
14
and damages. In the event j udicial enforcement is necessary, the prevailing party shall be
15
16
(c) The remedies herein shall not be the exclusive remedies of the Interstate Commission.
17
The Interstate Commission may avail itself of any other remedies available under state law or the
18
regulation of a profession.
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(a) The grounds for default include, but are not limited to, fai lure of a member state to
22
perform such obligations or responsibilities imposed upon it by the Compact, or the rules and
23
19
(b) If the Interstate Commission determines that a member state has defaulted in the
2
(1) Provide written notice to the defaulting state and other member states, of the
nature of the default, the means of curing the default, and any action taken by the Interstate
Commission. The Interstate Commission shall specify the conditions by which the defaulting
8
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default.
(c) If the defaulting state fails to cure the default, the defaulting state shall be terminated
11
from the Compact upon an affirmative vote of a majority of the Commissioners and all rights,
12
privileges, and benefits conferred by the Compact shall terminate on the effective date of
13
termination. A cure of the default does not relieve the offending state of obligations or liabilities
14
15
(d) Termination of membership in the Compact shall be imposed only after all other
16
means of securing compliance have been exhausted. Notice of intent to terminate shall be given
17
by the Interstate Commission to the governor, the majority and minority leaders of the defaulting
18
19
(e) The Interstate Commission shall establish rules and procedures to address licenses and
20
physicians that are materially impacted by the termination of a member state, or the withdrawal
21
of a member state.
22
23
(f) The member state which has been terminated is responsible for all dues, obligations,
and liabilities incurred through the effective date of termination including obligations, the
20
(g) The Interstate Commission shall not bear any costs relating to any state that has been
found to be in default or which has been terminated from the Compact, unless otherwise
mutually agreed upon in writing between the Interstate Commission and the defaulting state.
(h) The defaulting state may appeal the action of the Interstate Commission by
petitioning the United States D istrict Court for the District of Columbia or the federal district
where the Interstate Commission has its principal offices. The prevailing party shall be awarded
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(a) The Interstate Commission shall attempt, upon the request of a member state, to
12
resolve disputes which are subject to the Compact and which may arise among member states or
1:?,.
member boards.
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15
(b) The Interstate Commission shall promulgate rules providing for both mediation and
binding dispute resolution as appropriate.
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17
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(b) The Compact shall become effective and binding upon legislative enactment of the
20
Compact into law by no less than seven (7) states. Thereafter, it shall become effective and
21
binding on a state upon enactment of the Compact into law by that state.
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(c) The governors of non-member states, or their designees, shall be invited to participate
in the activities of the Interstate Commission on a non-voting basis prior to adoption of the
21
2
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b y the member states. No amendment shall become effective and binding upon the Interstate
Commission and the member states unless and until it is enacted into law by unanimous consent
6
7
(a) Once effective, the Compact shall continue in force and remain binding upon each
9
10
and every member state; provided that a m ember state may withdraw from the Compact by
specifically repealing the statute which enacted the Compact into law.
11
(b) Withdrawal from the Compact shall be by the enactment of a statute repealing the
12
same, but shall not take effect until one (1) year after the effective date of such statute and until
13
written notice of the withdrawal has been given by the withdrawing state to the governor of each
14
15
(c) The withdrawing state shall immediately notify the chairperson of the Interstate
16
Commission in writing upon the introduction of legislation repealing the Compact in the
17
withdrawing state.
(d) The Interstate Commission shall notify the other member states of the withdrawing
18
19
state's intent to withdraw within sixty (60) days of its receipt of notice provided under subsection
20
(c).
21
(e) The withdrawing state is responsible for a ll dues, obligations and liabilities incurred
22
through the effective date of withdrawal, including obligations, the performance of which extend
23
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(f) Reinstatement following withdrawal of a member state shall occur upon the
withdrawing state reenacting the Compact or upon such later date as determined by the Interstate
Commission.
(g) The Interstate Commission is authorized to develop rules to address the impact of the
withdrawal of a member state on licenses granted in other member states to physicians who
(a) The Compact shall dissolve effective upon the date of the withdrawal or default of the
10
11
member state which reduces the membership in the Compact to one (1) member state.
(b) Upon the dissolution of the Compact, the Compact becomes null and void and shall
12
be of no further force or effect, and the business and affairs of the Interstate Commission shall be
13
concluded and surplus fund s shall be distributed in accordance with the bylaws.
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(a) The provisions ofthe Compact shall be severable, and if any phrase, clause, sentence,
17
18
enforceable.
19
(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
20
(c) Nothing in the Compact shall be construed to prohibit the applicability of other
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(a) Nothing herein prevents the enforcement of any other law of a member state that is
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on the legislature of any member state, such provision shall be ineffective to the extent of the
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Knittle. Robert C
From:
Sent:
To:
Subject:
1
I
Washington, DC 20036
www.fsmb.org
s'f A.
MEDICAL
BOARDS
Monday, December 15
o Only one meeting on my calendar for 1:30- 2:30PM Kansas time.
o I can be available for a telephone call the rest of the day.
Tuesday, December 16
o I am available any time for a call.
This e-mail and any attachments may contain confidential and privileged information, and is intended for the addressee
only. If you are not the intended recipient, you should destroy this message and notify the sender by reply e-mail. Email is not a secure medium and there is no guarantee e-mail information will be confidential. If you do not wish to
receive information via e-mail, please contact me. Any disclosure, reproduction or transmission of this e-mail is strictly
prohibited without specific authorization from me.
Jonathan Jagoda
Director, Federal Government Relations
Federation of State Medical Boards
1300 Connecticut Avenue NW I Suite 500 I Washington, DC 20036
202-463-4003 direct
jjagoda@fsmb.org
Frd~ration
o'
STATE
MEDICAL
BOARDS
.
I
\ r1
r :
I '
1
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Attachments:
We are tracking the boards' activities regarding the Compact so please let us know if your board will be considering
or endorsing the Compact in 2015. As always, the FSMB staff and members of the Compact's Drafting Team are
available to assist you in answering any questions you may receive from your board, your legislature, or other
interested stakeholders in your state. Please do not hesitate to contact us if you have any questions or we can be of
assistance.
Best regards,
Lisa
Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards
1300 Connecticut Avenue NW I Suite 500
202-463-4006 direct I
I Washington, DC 20036
lrobin@fsmb .org
srXfE" Y
MEDICAL
BOARDS
~-~_;:::,:"'~:,::.:.~ .;=~
ATIENTION : This email may contain confidential and/or privileged material for the sole use of the intended recipient. Any review or distribution by others is stri ctly
prohibited. If you have received this email in error, please immediately notify the sender, and destroy all copies of the ori ginal message.
Resolution
WHEREAS, the Interstate Medical Licensu re Compact will supersede a state's autonomy and control
over the practice of medicine,
WHEREAS, the Interstate Commission will likely cause changes to the state Medical Practice Act,
WHEREAS, there will be a significant cost to each participating state in joining such an Interstate
Medical Licensure Compact,
WHEREAS, it will be difficult and expensive for a state to extricate itself from the Interstate Med ical
Licensure Compact,
WHEREAS, the cost of obta in ing medical licenses will be dramatically increased, and states must
protect its citizens from regulatory excesses,
WHEREAS, the Interstate Medical Licensure Compact's definition of a physician is at variance with
all other State Medical Boards,
NOW THEREFORE BE IT RESOLVED, that the {insert name of state legislature} is opposed to any
participation with the Federation of Medical State Licensure's Interstate Medical Licensure
Compact.
Resolution
Supporting
Telehealth Working Group
Efforts
of
WHEREAS, the cost of healthcare has grown an average of 2.4 percent faster than GOP since 1970 and
currently represents 18 percent of the United States' total GOP; and
WHEREAS, the lack of access to health care in rural areas is contributing significantly to these increasing
costs; and
WHEREAS, 21 percent of the American population lives in rural areas, but only 11 percent of medical
specialists practice in those areas, which frequently results in patients in these areas being dramatically
underserved; and
WHEREAS, an integrated National medical response capability is essential to assist across state borders to
deal with the medical impacts of major disasters; and
WHEREAS, technology has the potential to improve telehealth, which in turn may significantly improve
access to health care in rural areas and in turn reduce costs for patients, states, and the federal government;
and
WHEREAS, similar technologies have been effectively used in industries such as finance, transportation, and
public safety to reduce costs and provide a more efficient product for consumers; and
WHEREAS, in order to take advantage of improvements in technology to better utilize telehealth and in turn
improve access to health care in rural areas, reform is needed in medical licensure regulations and payment
models; and
WHEREAS, one such means to promote these necessary reforms may be the use of an interstate compact;
and
WHEREAS, similar medical licensing compacts already exist, including the Nurse Licensure Compact; and
WHEREAS, interstate compacts are unique tools reserved for states that encourage multistate cooperation
and innovative policy solutions wh ile asserting and preserving state sovereignty.
NOW THEREFORE BE IT RESOLVED THAT, the American Legislative Exchange Council supports the goals of
the Telehealth Care Interstate Compact Working Group and urges it to conti nue working to explore the
creation of a new interstate compact agreement designed to improve access to health care in rural areas by
facilitating the interstate licensing of doctors and reforming the existing reimbursement system.
WHEREAS, the Interstate Commission will likely cause changes to the state
Medical Practice Act,
The Interstate Compact serves to facilitate the expedited licensure of physicians who seek
licensure in multiple states.
As clearly stated in the preamble of the Interstate Compact, "The Compact creates another
pathway for licensure and does not otherwise change a state's existing Medical Practice Act."
The Compact also adopts the prevailing standard for licensure found in the Medical Practice
Acts of each state and affirms that the practice of medicine occurs where the patient is
located at the time of the physician-patient encounter. The Interstate Compact requires, and
in fact ensures, that a physician operating a multistate practice is under the jurisdiction of the
state medical board where the patient is located.
WHEREAS, there will be a significant cost to each participating state in joining such
an Interstate Medical Licensure Compact,
Throughout the discussion of the Compact and the Compact Commission it has been clear
that in order to succeed, the Compact must be as close to budget neutral as possible, and
thus, self-sustaining. This guided the drafting committee in its choices on how to allocate
powers to the Compact Commission. The Interstate Compact empowers the Interstate
Commission to secure outside funding, through private grants, federal appropriations in
support of license portability, or other similar sources to off-set the need for any
appropriation from states.
Additionally, the processing fees for expedited licensure will largely offset, if not totally
eliminate, the burden on the member states.
WHEREAS, it will be difficult and expensive for a state to extricate itself from the
Interstate Medical Licensure Compact,
State participation in the Interstate Compact is, and will remain, voluntary. States are free to
withdraw from the Compact and may do so by repealing the enacted statute.
The withdrawal provisions of the Interstate Compact are consistent with compacts currently
enacted throughout the country.
On December 5, 2014 the Health and Human Services Task Force of the American Legislative
Exchange Council (ALEC) voted to support a resolution that opposes the Interstate Medical
Licensure Compact. The resolution makes several claims about the Compact that the FSMB staff,
the Compact's Drafting Team, and Advisory Council of Board Executives agree are erroneous and
misleading. It should be also be noted that, in 2014, the ALEC Board of Directors voted to support
creation of a new interstate compact agreement designed to improve access to health care in rural
areas by facilitating the interstate licensing of doctors and reforming the existing reimbursement
system.
You will find below a point by point rebuttal of the claims made in the resolution that may be
helpful in responding if the Taskforce resolution is referenced during your board's or legislature's
consideration of the Compact.
WHEREAS, the Interstate Commission will likely cause changes to the state
Medical Practice Act,
The Interstate Compact serves to facilitate the expedited licensure of physicians who seek
licensure in multiple states.
As clearly stated in the preamble of the Interstate Compact, "The Compact creates another
pathway for licensure and does not otherwise change a state's existing Medical
Practice Act." The Compact also adopts the prevailing standard for licensure found in the
Medical Practice Acts of each state and affirms that the practice of medicine occurs where
the patient is located at the time of the physician-patient encounter. The Interstate Compact
requires, and in fact ensures, that a physician operating a multistate practice is under the
jurisdiction of the state medical board where the patient is located.
WHEREAS, there will be a significant cost to each participating state in joining such
an Interstate Medical Licensure Compact,
Throughout the discussion of the Compact and the Compact Commission it has been clear
that in order to succeed, the Compact must be as close to budget neutral as possible, and
thus, self-sustaining. This guided the drafting committee in its choices on how to allocate
powers to the Compact Commission. The Interstate Compact empowers the Interstate
Commission to secure outside funding, through private grants, federal appropriations in
support of license portability, or other similar sources to off-set the need for any
appropriation &om states.
Additionally, the processing fees for expedited licensure will largely offset, if not totally
eliminate, the burden on the member states.
WHEREAS. it will be difficult and expensive for a state to extricate itself from the
Interstate Medical Licensure Compact,
State participation in the Interstate Compact is, and will remain, voluntary. States are free to
withdraw &om the Compact and may do so by repealing the enacted statute.
The withdrawal provisions of the Interstate Compact are consistent with compacts currently
enacted throughout the country.
The Interstate Compact is not a regulatory excess, but instead a regulatory evolution. The
Interstate Compact serves as an alternative solution that improves license portability and
protects against federal preemption and national licensure that threatens to unravel a 150
year old system of state based regulation. It also has been drafted by state medical boards in
recognition that that once properly verified by a participating state, common elements and
standards of licensure could be relied upon to improve licensing processes around the
country.
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Attachments:
Attached is an edited version incorporating the comments received. The major change is to the question of excess and
fees and reflects Kim's concerns.
Eric
Cc: Eric Fish; Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Margaret Hansen;
Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: Re: ALEC rebutal
Kevin Bohnenblust
Executive Director
Wyoming Board of Medicine
On Tue, Dec 16,2014 at 7:44PM, Kirchmeyer, Kimberly@MBC <Kimberly.Kirchmeyer@mbc.ca.gov> wrote:
Eric,
I also agree with Kevin's recommendations. I also would recommend that more clarity be provided in the
section regarding "the cost of obtaining medical licenses will be dramatically increased". This is exactly
what our Medical Association brought up in our last meeting here. I think they are talking about the processing
fee that will be assessed. which will be in addition to each state's licensure fees. They are stating that this will
be an undue hardship and regulatory excess. To me, the rebuttal to this is that the compact streamlines the
process for the licensees, in that rather than having to obtain individual documents for multiple states. which is
both expensive and time consuming, they have to do. it once. I don't know what the processing fee will be, but
it seems by the time you have asked for transcripts sent to multiple states, exam scores, etc. plus the time. it
might be a cost savings. It isn't regulatory excess because applicants have a choice. The response ends with
talking about eliminating the burden to member states, but unless I am reading this wrong, they are talking
about the burden to licensees themselves. I may have totally missed the point, but I think more information
could be placed in that response.
Thank you very much for handling all this for the State Boards!
1
Kim
Thank you all for joining us on the call today. As we discussed, I have attached a draft communication that
would be sent to Executive Directors responding to the recent passage by ALEC of a resolution opposing the
Compact. Another, more public, statement will be coordinated after consultation with FSMB's public relations
team and the Council of State Governments.
It is our intention to send this to Executive Directors later this week. In order to meet that timelinc, please
provide me any comments you may have by 4pm Eastern on December 17th.
All licensees would have to pay the fees set in a state in order to obtain and maintain a
license via the compact, just as with licenses currently obtained via current methods. States
retain the ability to adjust these fees accordingly to the regulatory needs of their state. In fact,
during the drafting discussions, some state licensing boards expressed openness to reducing
fees for physicians licensed through the compact because much of the financial burden of
verifying documentation would be alleviated.
As always, the FSMB, its staff, and members of the Interstate Medical Licensure Compact drafting
taskforce are available to assist you in answering any questions you may receive from your board,
your legislature, or other interested stakeholders in your state. Please do not hesitate to contact us if
we can be of assistance.
Sincerely,
Lisa Robin
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
This message contains confidential information and is intended only for the individual named. If you are not the named addressee yo u
should not disseminate, distribute or copy this e-mail. Please notify the sender immed iately by e-mail if you have received this e-mail by
mistake and delete this e-mail from your system.
I also wanted to report that I will be running compact as a board bill here in SD come January...
Sent from my iPhone
On Dec 16, 2014, at 1:05PM, Lyle Kdsey <lkelsey@okmedicalboard.org> wrote:
To all:
I am very sorry to have missed the call. My wife has been diagnosed with her third bout of
cancer and so I have taking tinY: 0ff to do the hospital and doctor taxi duty. She will have colon
surgery this Friday.
I have been reading the responses and I think it important to distinguish between ALEC & sub
committee. The letter looks good and I will be running the compact legislation this session so I
hope to collect all our material.
Sorry to dump my personal stuffbut I solicit your thoughts and prayers. We are at 46 years ...
hope to see 50 together.
Your friend,
Lyle Kelsey
On Dec 16,2014, at 11:27 AM, Mari Robinson <Mari.Robinson@tmb.state.tx.us> wrote:
Agree with this point and that the letter looks great otherwise.
Mari Robinson, J.D.
Executive Director
Texas Medica l Board
This message contains confidential information and is intended only for the individual named. If you
are not the named addressee you should not disseminate, distribute or copy this e-mail. Please
notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this
e-mail from your system.
EricI think the letter looks good. I would suggest making it clear, however, that it's
not ALEC as a whole, but only a committee (or whatever the proper term is) that
took this position. It may also be good to reference the action by the greater
ALEC body in January 2013 to endorse the concept of a physician licensure
compact. That may help discredit the action of the sub-body.
Thank you to everyone in the FSMB's D.C. office for staying on top of this and
getting us together so quickly.
Kevin
Kevin Bohnenblust
Executive Director
Wyoming Board of Medicine
. On Mon, Dec 15, 2014 at 3:18PM, Eric Fish <efish@fsmb.org> wrote:
Thank you all for joining us on the call today. As we discussed, I have attached a
draft communication that would be sent to Executive Directors responding to the
recent passage by ALEC of a resolution opposing the Compact. Another, more
public, statement will be coordinated after consultation with FSMB's public
relations team and the Council of State Govemments.
It is our intention to send this to Executive Directors later this week. In order to
meet that timeline, please provide me any comments you may have by 4pm
Eastem on December 17th.
Please let me know if you have any questions.
Thank you,
Eric
E-Mai l t o and f r om me , i n c o n n ect i o n with th e tr a nsac tio n
of pub l i c business, is subj e c t to t he Wyomi n g Public Records
Act a nd ma y b e dis clos ed t o third part i es .
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Thanks, Bob! This is great news. Copying Eric Fish on this as well.
It is perfectly f ine for the numbering to be different, so long as the langu age is the same - state legislators are allowed to
make minor modifications so that t he bi ll is in sync with the state's legislative formatting.
Do you have any idea on timeframe?
Happy Hol idays!
Jonath an
From: Robert Knittle
Monday, December 15
o Only one meeting on my calendar for 1:30 -2:30 PM Kansas time.
o I can be available for a telephone call the rest of the day.
Tuesday, December 16
o I am available any time for a call.
Good choices and decisions today lead to great results tomorrow; make today count.
This e-mail and any attachments may contain confidential and privileged information, and is intended for the addressee
only. If you are not the intended recipient, you should destroy this message and notify the sender by reply e- mail. Email is not a secure medium and there is no guarantee e-mail information will be confidential. If you do not wish to
receive information via e-mail, please contact me. Any disclosure, reproduction or transmission of this e-mail is strictly
prohibited w ithout specific authorization from me.
Sincerely,
Jonathan Jagoda
DC 20036
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Attachments:
Thank you all for joining us on the call today. As we discussed, I have attached a draft communication that
would be sent to Executive Directors responding to the recent passage by ALEC of a resolution opposing the
Compact. Another, more public, statement will be coordinated after consultation with FSMB's public relations
team and the Council of State Governments.
It is our intention to send this to Executive Directors later this week. In order to meet that timeline, please
provide me any comments you may have by 4pm Eastern on December 17th.
Please let me know if you have any questions.
Thank you,
Eric
WHEREAS, the Interstate Commission will likely cause changes to the state
Medical Practice Act,
The Interstate Compact serves to facilitate the expedited licensure of physicians who seek
licensure in multiple states.
As clearly stated in the preamble of the Interstate Compact, "The Compact creates another
pathway for licensure and does not otherwise change a state's existing Medical Practice Act."
T he Compact also adopts the prevailing standard for licensure found in the Medical Practice
Acts of each state and affirms that the practice of medicine occurs where the patient is
located at the time of the physician-patient encounter. T he Interstate Compact requires, and
in fact ensures, that a physician operating a multistate practice is under the jurisdiction of the
state medical board where llie patient is located.
WHEREAS, there will be a significant cost to each participating state in joining such
an Interstate Medical Licensure Compact,
Throughout the discussion of the Compact and the Compact Commission it has been clear
that in order to succeed, the Compact must be as close to budget neutral as possible, and
thus, self-sustaining. This guided the drafting committee in its choices on how to allocate
powers to the Compact Commission. The Interstate Compact empowers the Interstate
Commission to secure outside funding, through private grants, federal appropriations in
support of license portability, or other similar sources to off-set the need for any
appropriation from states.
Additionally, the processing fees for expedited licensure will largely offset, if not totally
eliminate, the burden on the member states .
WHEREAS, it will be difficult and expensive for a state to extricate itself from the
Interstate Medical Licensure Compact,
State participation in the Interstate Compact is, and will remain, voluntary. States are free to
withdraw from the Compact and may do so by repealing the enacted statute.
The withdrawal provisions of the Interstate Compact ate consistent with compacts currently
enacted throughout the country.
Each state has varying standards, requirements, and educational milestones that a physician
must meet for licensure. In order to for the Compact to be acceptable in l\LL states, the
definition of physician had to be drafted in a manner that meets the highest standards
required for expedited licensure. To comply with this charge, the Compact includes limits on
the number of USMLE/COMLEX attempts, full completion of an accredited GME
program, and the requirement that the physician be board certified, or grandfathered, at the
time of application for expedited licensure.
This approach to defining eligibility is modeled on existing statutory language in those states
which have set forth specific requirements for expedited licensure. For example, in Iowa, a
physician seeking expedited endorsement for purposes of licensure must have (1) Held at
least one permanent/ full U.S. state/jurisdiction or Canadian medical license (2) Held an
unrestricted license in every jurisdiction where the applicant is licensed (3) Had no formal
disciplinary actiom, active or pending investigations by a board, licensing authority, medical
society, professional society, hospital, medical school, federal agency, or institution staff
sanctions in any state, country or jurisdiction, (4) Hold specialty board certification by an
ABMS or AOA specialty board, and (5) Have been in continuous active practice within the
past five years.
Initial surveys estin1ate that nearly 80% of the physician population licensed in the United
States will be eligible for expedited licensure via the Compact.
As always, the FSMB, its staff, and members of the Interstate Medical Licensure Compact drafting
taskforce are available to assist you in answering any questions you may receive frmn your board,
your legislature, or other interested stakeholders in your state. Please do not hesitate to contact us if
we can be of assistance.
Sincerely,
Lisa Robin
APTA
141002/002
2
3
(DRAFT,
l.>cccmbt.~r
5, 2014)
Summaty
7
8
Opposes parlicipution with the Federation or Medical State l.ict.!nSllre'!) Interstate Mcdicul
Lic~nsure Compact.
9
10
ll
12
13
14
Model Resolution
supcr~cdc
16
WHEREAS, the.: Intcr~lat~.: Commission under the Compnct will likely cause chnngcs to the stme
Medea! Practice Act; and
17
18
19
WHEREAS, there will be a signiticant cost to each participating stale in joining such l.ln
ltltCl"Statc Medical Licensure Compact; and
15
20
21
WHEREAS, it will be diJllcult nnd cxpei'isi'v.e for a state to t:xlricntc itself from the lnterstatl!
22
23
'14
25
2G
27
28 witt all other State Medical Board~; and would require a physician to hold specialty certi 11cation
29
or a limc.-unlimilcd specialty eertillcriic.--~~--~-~..--~.~--30' -- - - - .
"
NOW THEREFORE 13E IT RESOLVED, that {inscl't stntc lcgislnture} is opposed to any
31
33
parllcipation with the Fcdcrntion of Medicul State Licensure's Interstate Medical Licensure
Conlpact.
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
I've heard back from most folks. Would 4PM Eastern on Monday, December 15th work for the group? Can reply Yes or
No
Monday, December 15
o Only one meeting on my calendar for 1:30-2:30 PM Kansas time .
o I can be available for a telephone call the rest ofthe day.
Tuesday, December 16
o I am available any time for a call.
Frdrrtltinrl of
STATE
MEDiCAL
BOARDS
'\ F''
'
\. ';~:
I ~~
I .....
1
L
l I
., lt
I J i.J. I ! I)
:I. \
I' l
Ask your state legislature to oppose the FSMB Interstate Medical Licensing Compact I IP...
Page 1 of 4
IP4PI-Independent
Physicians for Patient
independence
Independent physicians for patient independence deny
insurance and government limitations on patient care.
~y
On September 14, 2014, the Federation of State Medical Boards (FSMB) released its
final version of th e 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."
The stated purpose of the Interstate Med ical Licensure Compact is to "strengthen access
to health care and provide for a streamlined process that allows physicians to become
licensed in multiple states." This supposedly provides for expedited issuance of medical
licenses. While the FSMB might be able to expedite the issuance of medical licenses,
states could easily do this without being encumbered by yet another layer of
bureaucracy. Furthermore, this Compact will not strengthen access to health care, as it
will provide for numerous additional hurdles.
Follow
"IP~PI-
Ask your state legislature to oppose the FSMB Interstate Medical Licensing Compact I TP... Page 2 of 4
individual member states will be called upon to fund it via fees and other obligations. This
is particularly evident in the event that an individual state might seek to withdraw from
participation. This document clearly specifies that "the withdrawi ng state is responsible
for all dues, obligations and liabilities incurred through the effective date of withdrawal,
including obligations, the performance of which extend beyond the effective date of
withdrawal."
According to the FSMB, this Compact "creates another pathway for licensure and does
not otherwise change a state's existing Medical Practice Act." However, this Compact
clearly calls for issuing medical licenses which are a clear departure from current state's
Medical Practice Acts. For instance, the Compact defines a physician as one who "holds
specialty certification or a time-unlimited specialty certificate recognized by the American
Board of Medical Specialties or the American Osteopathic Association's Bureau of
Osteopathic Specialists. " No state currently defines a physician in this manner. Such a
definition of "physician" will limit access to health care, not strengthen it.
While the life long specialty medical board re-certification requirements are creating huge
burdens for all physicians, current efforts by the American Osteopathic Association are
mandating membership as a condition for maintenance of certification! Since when did
membership in a trade organization become a necessity in order to prove capability?
The current f-'resident and CEO of the Federation of State Medical Boards is Humayun
Chaudhry, D.O.
He is himself currently not participating in his own specialty Maintenance of Certification.
It is not clear whether he is exempting himself from onerous requirements he seeks to
impose on all his fellow physicians, or whether he knows he cannot pass these hurdles.
What is clear, however, is th at under this Interstate Medical Compact's requirements, he
would not be eligible to be issued a medical license.
In order to create the Interstate Medical Licensure Compact, at least 7 state legislatures
would need to vote in favo r of it. Some mistakenly believe that this Compact is necessary
to allow for telemedicine, but there are clearly better and less expensive ways for this to
be accomplished. As a matter of fact, it is unclear whether or not this Compact will be of
any help to telemedicine.
Summary
This resolution calls for all states to avoid any involvement with the Federation of State
Medical Board's Interstate Medical Licensure Compact.
Resolution
0 Foll ow
Follow "IP.t..PI-
Ask your state legislature to oppose the FSMB Interstate Medical Licensing Compact I IP... Page 3 of 4
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LICENSING COMPACT"
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Knittle, Robert C
From:
Sent:
To:
Subject:
Bob,
That is great news! I am so pleased, and thank you for sharing. I did meet with the Osteo Board last week as well Diana can fill you in, if she hasn't already.
We have some change coming to Washington, DC too ...I think we can expect a very bumpy (and unproductive) next two
years.
If I do not speak with you beforehand, I wish you and your family a very Happy Thanksgiving.
Sincerely,
Jonathan
Hope all is well. As we are counting the number of boards who have endorsed/supported the Compact, can we count
the West Virginia Medica l Board? I know we had a very positive discussion in September with your Board, but wasn't
certain if the Board had formally offered to support it.
Thanks!
Jonathan
Sent from my iPhone
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Washington, DC 20036
Fr.:nati.. n "f'
STATE.
MEDICAL
BOARDS
"!'F t T, . E l
{C(
t' (,;
c:
i 1 f; T
" ~ ,; ; 1 ;; ;:,
r. ," ::; ;\ P L
ATIENTION: This emai l may contain confidential and/or privileged material for the sole use of the intended recipient. Any review or distribution by others is strictly
prohi bited. If you have received this email in error, please immed iately notify the sender, and destroy all copies of t he original message.
Knittle, Robert C
From:
Sent:
To:
Cc:
Subject:
Attachments:
Federntion of
STATE Ill
MEDICAL
BOARDS
September 3, 2014
Dear Colleague:
The attached document is a copy of the language for an Interstate Medical Licensure Compact, as
finalized by the drafting subcommittee of the Interstate Medical Licensure Compact Taskforce.
This document represents the culmination of the 18 month project undertaken by state medical
boards, th e FSMB, experts from the Council of State Governments, and interested stakeholder
groups that explored the formation of an interstate compact to enhance medical lice nse
portability.
This document memorializes the eight consensus principles developed by the Interstate Medical
Licensure Compact Taskforce, which included the following:
Participation in an interstate compact for medical licensure will be strictly voluntary for
both physicians and state boards of medicine or osteopathic medicine.
Generally, participation in an interstate compact creates another pathway for licensure, but
does not otherwise change a state's existing Medical Practice Act.
The practice of medicine occurs where the patient is located at the time of the physicianpatient encounter, and therefore, requires the physician to be under the jurisdiction of the
state medical or osteopathic board where the patient is located.
An interstate compact for medical licensure will establish a mechanism whereby any
physician practicing in the state will be known by, and under the jurisdiction of, the state
medical or osteopathic board where the practice occurs.
Regulatory authority will remain with the participating state medical and osteopathic
boards, and will not be delegated to any entity that would administer a compact.
A physician practicing under an interstate compact is bound to comply with the statutes,
rules and regulations of each compact state wherein he/she chooses to practice.
State boards participating in an interstate compact are required to share
complaint/investigative information with each other.
The license to practice can be revoked by any or all of the compact states.
Beginning in 2015, state legislatures will introduce the Interstate Medical Licensure Compact for
enactment. Although some states may believe that the Compact will not provide a solution to
problems of license portability or access to care within their state, it is anticipated that the
Interstate Medical Licensure Compact will be introduced in over 15 states next year. Many state
medical boards, legislators, and stakeholders have already begun the initial work in support of
the enactment process.
I encourage you to review the document and discuss with your state medical board, state elected
officials, and other stakeholders the viability of the Interstate Medical Licensure Compact in
your state. Please feel free to contact Eric Fish, Sr. Director of Legal Services (202-463-4000 or
efish@fsmb.org) with any questions about the Interstate Medical Licensure Compact or how
your state can start the enactment process.
Sincerely,
The ideas and conclusions set forth in this document, including the proposed statutmy language and any comments
or notes, have not been formally endorsed by the Federation of State Medical Boards or its Board of Directors.
This document has been prepared as part ofa study of the feasibility of an interstate compact, and it does not
necessarily reflect the views of the Federation ofState Medical Boards, the Board of Directors ofthe Federation of
State Medical Boards, or any state medical board or its members.
SECTION 1. PURPOSE
In order to strengthen access to health care, and in recognition of the advances in the delivery of
health care, the member states of the Interstate Medical Licensure Compact have allied in
common purpose to develop a comprehensive process that complements the existing licensing
and regulatory authority of state medical boards, provides a streamlined process that allows
physicians to become licensed in multiple states, thereby enhancing the portability of a medical
license and ensuring the safety of patients. The Compact creates another pathway for licensure
and does not otherwise change a state's existing Medical Practice Act. The Compact also adopts
10
the prevailing standard for licensure and affirms that the practice of medicine occurs where the
11
patient is located at the time of the physician -patient encounter, and therefore, requires the
12
physician to be under the jurisdiction of the state medical board where the patient is located.
13
State medical boards that participate in the Compact retain the jurisdiction to impose an adverse
14
action against a license to practice medicine in that state issued to a physician through the
15
16
17
18
19
20
21
22
23
24
SECTION 2. DEFINITIONS
In this compact:
(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to
Section 11 for its governance, or for directing and controlling its actions and conduct.
(b) "Commissioner" means the voting representative appointed by each member board
pursuant to Section 11.
(c) "Conviction" means a fmding by a court that an individual is guilty of a criminal
offense through adjudication, or entry of a plea of guilt or no contest to the charge by the
3
4
member state to an eligible physician through the process set forth in the Compact.
(e) "Interstate Commission" means the interstate commission created pursuant to Section
6
7
8
9
10
11
11.
(f) "License" means authorization by a state for a physician to engage in the practice of
medicine, which would be unlawful without the authorization.
(g) "Medical Practice Act" means laws and regulations governing the practice of
allopathic and osteopathic medicine within a member state.
(h) "Member Board" means a state agency in a member state that acts in the sovereign
12
interests of the state by protecting the public through licensure, regulation, and education of
13
14
(i) "Member State" means a state that has enacted the Compact.
15
16
human disease, injury, or condition requiring a physician to obtain and maintain a license in
17
18
19
20
21
22
23
(2) Passed each component of the United States Medical Licensing Examination
(USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA)
within three attempts, or any of its predecessor examinations accepted by a state medical board
2
Association;
9
10
(5) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;
11
12
13
Jurisdiction;
14
(7) Has never held a license authorizing the practice of medicine subjected to
15
discipline by a licensing agency in any state, federal , or foreign jurisdiction, excluding any action
16
17
18
19
20
(8) Has never had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration; and
(1 0) Is not under active investigation by a licensing agency or law enforcement
21
22
23
requirement of the Interstate Commission, and has the force and effect of statutory law in a
member state, and includes the amendment, repeal, or suspension of an existing rule.
(n) "State" means any state, commonwealth, district, or territory of the United States.
(o) "State of Principal License" means a member state where a physician holds a license
to practice medicine and which has been designated as such by the physician for purposes of
8
9
10
11
SECTION 3. ELIGIBILITY
(a) A physician must meet the eligibility requirements as defined in Section 2(k) to
receive an expedited license under the terms and provisions of the Compact.
12
(b) A physician who does not meet the requirements of Section 2(k) may obtain a license
13
to practice medicine in a member state if the .individual complies with all laws and requirements,
14
other than the Compact, relating to the issuance of a license to practice medicine in that state.
15
16
17
(a) A physician shall designate a member state as the state of principal license for
18
purposes of registration for expedited licensure through the Compact if the physician possesses a
19
full and unrestricted license to practice medicine in that state, and the state is:
20
21
(2) the state where at least 25% of the practice of medicine occurs, or
22
23
(4) if no state qualifies under subsection (I), subsection (2), or subsection (3), the
(b) A physician may redesignate a member state as state of principal license at any time,
as long as the state meets the requirements in subsection (a).
(c) The Interstate Commission is authorized to develop rules to facilitate redesignation of
another member state as the state of principal license.
6
7
(a) A physician seeking licensure through the Compact shall file an application for an
expedited license with the member board of the state selected by the physician as the state of
l0
principal license.
11
(b) Upon receipt of an application for an expedited license, the member board within the
12
state selected as the state of principal license shall evaluate whether the physician is eligible for
13
expedited lict>nsure and issue a letter of qualification, verifying or denying the physician's
14
15
16
medical education, results of any medical or licensing examination, and other qualifications as
17
determined by the Interstate Commission through rule, shall not be subject to additional primary
18
source verification where already primary source verified by the state of principal license.
19
(ii) The member board within the state selected as the state of principal license
20
shall, in the course of verifying eligibility, perform a criminal background check of an applicant,
21
including the use of the results of fingerprint or other biometric data checks compliant with the
22
requirements of the Federal Bureau of Investigation, with the exception of federal employees who
23
24
(iii) Appeal on the determination of eligibility shall be made to the member state
where the application was filed and shall be subject to the law of that state.
(c) Upon verification in subsection (b), physicians eligible for an expedited license shall
2
3
complete the registration process established by the Interstate Commission to receive a license in
a member state selected pursuant to subsection (a), including the payment of any applicable
fees.
(d) After receiving verification of eligibility under subsection (b) and any fees under
6
7
subsection (c), a member board shall issue an expedited license to the physician. This license
shall authorize the p hysician to practice medicine in the issuing state consistent with the Medical
Practice Act and all applicable laws and regulations of the issuing member board and member
10
11
state.
(e) An expedited license shall be valid for a period consistent with the licensure period in
12
the member state and in the same manner as required for other physicians holding a full and
13
14
(f) An expedited license obtained though the Compact shall be terminated if a physician
15
fails to maintain a license in the state of principal licensure for a non-disciplinary reason , without
16
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18
(g) The Interstate Commission is authorized to develop rules regarding the application
process, including payment of any applicable fees, and the issuance of an expedited license.
19
20
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licenses.
3
4
5
jurisdiction;
10
(3) Has not had a license authorizing the practice of medicine subject to discipline
11
by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to
12
13
14
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(4) Has not had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration.
(b) Physicians shall comply with all continuing professional development or continuing
medical education requirements for renewal of a license issued by a member state.
(c) The Interstate Commission shall collect any renewal fees charged for the renewal of
a license and distribute the fees to the applicable member board .
(d) Upon receipt of any renewal fees collected in subsection (c), a member board shall
renew the physician's license.
(e) Physician information collected by the Interstate Commission during the renewal
process will be distributed to all member boards.
2
3
5
6
(a) The Interstate Commission shall establish a database of all physicians licensed, or
who have applied for licensure, under Section 5.
(b) Notwithstanding any other provision of law, member boards shall report to the
Interstate Commission any public action or complaints against a licensed physician who has
10
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boards shall be confidential, filed under seal, and used only for investigatory or disciplinary
18
matters.
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(b) In addition to the authority granted to a member board by its respective Medical
25
Practice Act or other applicable state law, a member board may participate with other member
8
(c) A subpoena issued by a member state shall be enforceable in other member states.
(d) Member boards may share any investigative, litigation, or compliance materials in
4
5
authorizing the practice of medicine in any other member state in which a physician holds a
9
10
11
through the Compact shall be deemed unprofessional conduct which may be subject to discipline
12
by other member boards, in addition to any violation of the Medical Practice Act or regulations
13
in that state.
14
(b) If a license granted to a physician by the member board in the state of principal
15
16
licenses issued to the physician by member boards shall automatically be placed, without further
17
action necessary by any member board, on the same status. If the member board in the state of
18
principal license subsequent!y reinstates the physician's license, a licensed issued to the
19
physician by any other member board shall remain encumbered until that respective member
20
board takes action to reinstate the license in a manner consistent with the Medical Practice Act of
21
that state.
22
23
(c) If disciplinary action is taken against a physician by a member board not in the state
of principal license, any other member board may deem the action conclusive as to matter of law
2
3
sanctions are consistent with the Medical Practice Act of that state;
(ii) or pursue separate disciplinary action against the physician under its
respective Medical Practice Act, regardless of the action taken in other member states.
relinquished in lieu of discipline, or suspended, then any license(s) issued to the physician by any
other member board(s) shall be suspended, automatically and immediately without further action
necessary by the other member board(s), for ninety (90) days upon entry of the order by the
10
disciplining board, to permit the member board(s) to investigate the basis for the action under the
11
Medical Practice Act of that state. A member board may terminate the automatic suspension of
12
the license it issued prior to the completion of the ninety (90) day suspension period in a manner
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(a) The member states hereby create the "Interstate Medical Licensure Compact
Commission".
(b) The purpose of the Interstate Commission is the administration of the Interstate
Medical Licensure Compact, which is a discretionary state function.
(c) The Interstate Commission shall be a body corporate and joint agency ofthe member
22
states and shall have all the responsibilities, powers, and duties set forth in the Compact, and
23
such additional powers as may be conferred upon it by a subsequent concurrent action of the
10
1
2
respective legislatures of the member states in accordance with the terms of the Compact.
(d) The Interstate Commission shall consist of two voting representatives appointed by
each member state who shall serve as Commissioners. In states where allopathic and osteopathic
physicians are regulated by separate member boards, or if the licensing and disciplinary authority
is split between multiple member boards within a member state, the member state shall appoint
9
10
II
board; or
(3) Member of the public appointed to a member board.
(e) The Interstate Commission shall meet at least once each calendar year. A portion of
12
this meeting shall be a business meeting to address such matters as may properly come before the
13
Commission, including the election of officers. The chairperson may call additional meetings
14
and shall call for a meeting upon the request of a majority of the member states.
15
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(f) The bylaws may provide for meetings of the Interstate Commission to be conducted
by telecommunication or electronic communication.
(g) Each Commissioner participating at a meeting of the Interstate Commission is entitled
18
to one vote. A majority of Commissioners shall constitute a quorum for the transaction of
19
business, unless a larger quorum is required by the bylaws of the Interstate Commission. A
20
Commissioner shall not delegate a vote to another Commissioner. In the absence of its
21
Commissioner, a member state may delegate voting authority for a specified meeting to another
22
person from that state who shall meet the requirements of subsection (d).
23
(h) The Interstate Commission shall provide public notice of all meetings and all
11
meetings shall be open to the public. The Interstate Commiss ion may close a meeting, in full or
in portion, where it determines by a two-thirds vote of the Commissioners present that an open
4
5
Interstate Commission;
or confidential;
(4) Involve accusing a person of a crime, or formally censuring a person;
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proceeding.
(i) The Interstate Commission shall keep minutes which shall fully describe all matters
16
discussed in a meeting and shall provide a full and accurate summary of actions taken, including
17
18
G) The Interstate Commission shall make its information and official records, to the
19
extent not otherwise designated in the Compact or by its rules, available to the public for
20
inspection.
21
(k) The Interstate Commission shall establish an executive committee, which shall
22
include officers, members, and others as determined by the bylaws. The executive committee
23
shall have the power to act on behalf of the Interstate Commission, with the exception of
12
rulemaking, during periods when the Interstate Commission is not in session. When acting on
2
behalf of the Interstate Commission, the executive committee shall oversee the administration of
the Compact including enforcement and compliance with the provisions of the Compact, its
5
6
(1) The Interstate Commission may establish other committees for governance and
administration ofthe Compact.
The Interstate Commission shall have the duty and power to:
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11
(b) Promulgate rules which shall be binding to the extent and in the manner provided for
12
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in the Compact;
(c) Issue, upon the request of a member state or member board, advisory opinions
concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
(d) Enforce compliance with Compact provisions, the rules promulgated by the Interstate
16
Commission, and the bylaws, using all necessary and proper means, including but not limited to
17
18
(e) Establish and appoint committees including, but not limited to, an executive
19
committee as required by Section 11, which shall have the power to act on behalf of the
20
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(f) Pay, or provide for the payment of the expenses related to the establishment,
23
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(j) Employ an executive director who shall have such powers to employ, select or appoint
employees, agents, or consultants, and to determine their qualifications, define their duties, and
5
6
7
(k) Establish personnel policies and programs relating to conflicts of interest, rates of
compensation, and qualifications of personnel;
(I) Accept donations and grants of money, equipment, supplies, materials and services,
and to receive, utilize, and dispose of it in a manner consistent with the conflict of interest
10
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(m) Lease, purchase, accept contributions or donations of, or otherwise to own, hold,
improve or use, any property, real, personal, or mixed;
(n) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any
property, real, personal, or mixed;
14
15
(p) Adopt a seal and bylaws governing the management and operation of the Interstate
16
Commission;
17
(q) Report annually to the legislatures and governors of the member states concerning the
18
activities of the Interstate Commission during the preceding year. Such reports shall also include
19
reports of financial audits and any recommendations that may have been adopted by the
20
Interstate Commission;
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(r) Coordinate education, training, and public awareness regarding the Compact, its
implementation, and its operation;
(s) Maintain records in accordance with the bylaws;
14
(u) Perform such functions as may be necessary or appropriate to achieve the purposes of
the Compact.
(a) The Interstate Commission may levy on and collect an annual assessment from each
member state to cover the cost of the operations and activities of the Interstate Commission and
its staff. The total assessment must be sufficient to cover the annual budget approved each year
for which revenue is not provided by other sources. The aggregate annual assessment amount
I0
shall be allocated upon a formula to be determined by the Interstate Commission, which shall
11
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(b) The Interstate Commission shall not incur obligations of any kind prior to securing
the funds adequate to meet the same.
(c) The Interstate Commission shall not pledge the credit of any of the member states,
except by, and with the authority of, the member state.
16
(d) The Interstate Commission shall be subject to a yearly financial audit conducted by a
17
certified or licensed public accountant and the report of the audit shall be included in the annual
18
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(a) The Interstate Commission shall, by a majority of Commissioners present and voting,
23
adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes
15
1
2
of the Compact within twelve (12) months of the first Interstate Commission meeting.
(b) The Interstate Commission shall elect or appoint annually from among its
Commissioners a chairperson, a vice-chairperson, and a treasurer, each of whom shall have such
authority and duties as may be specified in the bylaws. The chairperson, or in the chairperson's
absence or disability, the vice-chairperson, shall preside at all meetings of the Interstate
Comm ission.
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9
(c) Officers selected in subsection (b) shall serve without remuneration from the
Interstate Commission.
(d) The officers and employees of the Interstate Commission shall be immune from suit
10
and liability, either personally or in their official capacity, for a claim for damage to or loss of
11
property or personal injury or other civil liability caused or arising out of, or relating to, an actual
12
or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
lJ
14
responsibilities; provided that such person shall not be protected from suit or liability for
15
damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of
16
such person.
17
(1) The liability of the executive director and employees of the Interstate
18
Commission or representatives of the Interstate Commission, acting within the scope of such
19
person's employment or duties for acts, errors, or omissions occurring within such person's state,
20
may not exceed the limits of liability set forth under the constitution and laws of that state for
21
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instrumentality of the states for the purposes of any such action. Nothing in this subsection shall
23
be construed to protect such person from suit or liability for damage, loss, injury, or liability
16
(2) The Interstate Commission shall defend the executive director, its employees,
and subject to the approval of the attorney general or other appropriate legal counsel of the
Interstate Commission representative in any civil action seeking to impose liability arising out of
an actual or alleged act, error or omission that occurred within the scope of Interstate
Commission employment, duties or responsibilities, or that the defendant had a reasonable basis
for believing occurred within the scope of Interstate Commission employment, duties, or
responsibilities, prov ided that the actual or alleged act, error, or omission did not result from
10
11
12
13
harmless in the amount of a settlement or judgment, including attorney's fees and costs, obtained
14
against such persons arising out of an actual or alleged act, error, or omission that occurred
15
within the scope of Interstate Commission employment, duties, or responsibilities, or that such
16
persons had a reasonable basis for believing occurred within the scope of Interstate Commission
17
employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission
18
did not result from intentional or willful and wanton misconduct on the part of such persons.
19
20
21
22
23
17
the Interstate Commission exercises its rulemaking authority in a manner that is beyond the
scope of the purposes of the Compact, or the powers granted hereunder, then such an action by
(b) Rules deemed appropriate for the operations of the Interstate Comm ission shall be
made pursuant to a rulemaking process that substantially conforms to the "Model State
(c) Not later than thirty (30) days after a rule is promulgated, any person may file a
petition for judicial review of the rule in the United States District Court for the District of
Columbia or the federal district where the Interstate Commission has its principal offices,
10
provided that the filing of such a petition shall not stay or otherwise prevent the rule from
11
becoming effective unless the court finds that the petitioner has a substantial likelihood of
12
success. The court shall give deference to the actions of the Interstate Commission consistent
l3
with appli cable law and shall not find the rule to be unlawful if the rule represents a reasonable
14
15
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(a) The executive, legislative, and judicial branches of state government in each member
18
state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate
19
the Compact's purposes and intent. The provisions ofthe Compact and the rules promulgated
20
hereunder shall have standing as statutory law but shall not override existing state authority to
21
22
(b) All courts shall take judicial notice of the Compact and the rules in any judicial or
23
administrative proceeding in a member state pertaining to the subject matter of the Compact
24
which may affect the powers, responsibilities or actions of the Interstate Commission.
18
(c) The Interstate Commission shall be entitled to receive all serv ice of process in any
2
such proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure
to provide serv ice of process to the Interstate Commission shall render a judgment or order void
(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce
8
9
10
action in the United States District Court for the District of Columbia, or, at the discretion of the
11
Interstate Commission, in the federal district where the Interstate Commission has its principal
12
offices, to enforce compliance with the provisions of the Compact, and its promulgated rules and
13
bylaws, against a member state in default. The relief sought may include both injunctive relief
14
and damages. In the event judicial enforcement is necessary, the prevailing party shall be
15
16
(c) The remedies herein shall not be the exclusive remedies of the Interstate Commission.
17
The Interstate Commission may avail itself of any other remedies available under state law or the
18
regulation of a profession.
19
20
21
(a) The grounds for default include, but are not limited to, failure of a member state to
22
perform such obligations or responsibilities imposed upon it by the Compact, or the rules and
23
19
(b) Ifthe Interstate Commission determines that a member state has defaulted in the
4
5
nature of the default, the means of curing the default, and any action taken by the Interstate
Commission. The Interstate Commission shall specify the conditions by which the defaulting
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10
(2) Provide remedial training and specific technical assistance regarding the
default.
(c) If the defaulting state fails to cure the default, the defaulting state shall be terminated
11
from the Compact upon an affirmative vote of a majority of the Commissioners and all rights,
12
privileges, and benefits conferred by the Compact shall terminate on the effective date of
13
termination. A cure of the default does not relieve the offending state of obligations or liabilities
14
15
(d) Termination of membership in the Compact shall be imposed only after all other
16
means of securing compliance have been exhausted. Notice of intent to terminate shall be given
17
by the Interstate Commission to the governor, the majority and minority leaders of the defaulting
18
19
(e) The Interstate Commission shall establish rules and procedures to address 1icenses and
20
physicians that are materially impacted by the termination of a member state, or the withdrawal
21
of a member state.
22
23
(f) The member state which has been terminated is responsible for all dues, obligations,
and liabilities incurred through the effective date of termination including obligations, the
20
found to be in default or which has been terminated from the Compact, unless otherwise
mutually agreed upon in writing between the Interstate Commission and the defaulting state.
(h) The defaulting state may appeal the action of the Interstate Commission by
petitioning the United States District Court for the District of Columbia or the federal district
where the Interstate Commission has its principal offices. The prevailing party shall be awarded
9
10
11
(a) The Interstate Commission shall attempt, upon the request of a member state, to
12
resolve disputes which are subject to the Compact and which may arise among member states or
13
member boards.
14
15
(b) The Interstate Commission shall promulgate rules providing for both mediation and
binding dispute resolution as appropriate.
16
17
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(b) The Compact shall become effective and binding upon legislative enactment of the
20
Compact into law by no less than seven (7) states. Thereafter, it shall become effective and
21
binding on a state upon enactment of the Compact into law by that state.
22
23
(c) The governors of non-member states, or their designees, shall be invited to participate
in the activities of the Interstate Commission on a non-voting basis prior to adoption of the
21
(d) The Interstate Commission may propose amendments to the Compact for enactment
by the member states. No amendment shall become effective and binding upon the Interstate
Commission and the member states unless and until it is enacted into law by unanimous consent
(a) Once effective, the Compact shall continue in force and remain binding upon each
9
10
and every member state; provided that a member state may withdraw from the Compact by
specifically repealing the statute which enacted the Compact into law.
11
(b) Withdrawal from the Compact shall be by the enactment of a statute repealing the
12
same, but shall not take effect until one (1) year after the effective date of such statute and until
13
written notice of the withdrawal has been given by the withdrawing state to the governor of each
14
15
(c) The withdrawing state shall immediately notify the chairperson of the Interstate
16
Commission in writing upon the introduction of legislation repealing the Compact in the
17
withdrawing state.
18
(d) The Interstate Commission shall notify the other member states of the withdrawing
19
state' s intent to withdraw within sixty (60) days of its receipt of notice provided under subsection
20
(c).
21
(e) The withdrawing state is responsible for all dues, obligations and liabilities incurred
22
through the effective date of withdrawal, including obligations, the performance of which extend
23
22
(f) Reinstatement following withdrawal of a member state shall occur upon the
2
withdrawing state reenacting the Compact or upon such later date as determined by the Interstate
Commission.
(g) The Interstate Commission is authorized to develop rules to address the impact ofthe
withdrawal of a member state on licenses granted in other member states to physicians who
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(a) The Compact shall dissolve effective upon the date of the withdrawal or default of the
10
11
member state which reduces the membership in the Compact to one ( 1) member state.
(b) Upon the dissolution of the Compact, the Compact becomes null and void and shall
12
be of no further force or effect, and the business and affairs of the Interstate Commission shall be
13
concluded and
~urpius
14
15
16
(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence,
17
18
enforceable.
19
(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
20
(c) Nothing in the Compact shall be construed to prohibit the applicability of other
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(a) Nothing herein prevents the enforcement of any other law of a member state that is
not inconsistent with the Compact.
(b) All laws in a member state in conflict with the Compact are superseded to the extent of
the conflict.
(c) All lawful actions of the Interstate Commission, including all rules and bylaws
promulgated by the Commission, are binding upon the member states.
(d) All agreements between the Interstate Commission and the member states are binding
in accordance with their terms.
(e) In the event any provision of the Compact exceeds the constitutional limits imposed
10
on the legislature of any member state, such provision shall be ineffective to the extent of the
11
24
Knittle. Robert C
Humayun Chaudhry <hchaudhry@fsmb.org>
Monday, June 30, 2014 12:58 PM
Humayun Chaudhry
Today's NY Times Article about Interstate Compact
From:
Sent:
To:
Subject:
The FSMB is prepared to manage and address any ofthe questions that may emerge as a result of
the article in the days and weeks ahead. Please contact us if you have any questions or would like
assistance addressing any media queries that you or your board may receive.
Thank you,
Hank
I Washington,
DC 20036
Fer/ ua t; o 11
flf
STATE
MEDICAL
BOARDS
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Knittle, Robert C
Humayun Chaudhry <hchaudhry@fsmb.org>
Tuesday, May 06, 2014 2:38 PM
Humayun Chaudhry
Interstate Medical Licensure Compact REVISED DRAFT
Interstate Compact DRAFT (May 5 2014).pdf
From:
Sent:
To:
Subject:
Attachments:
To: Executive Directors and Presidents/Chairs of State and Territorial Medical and Osteopathic Boards
From: Humayun Chaudhry, DO, MACP
Subject: Interstate Medical Licensure Compact
Date: May 6, 201 4
Hi Everyone,
Attached please find a revised draft of the Interstate Medical License Compact. This draft is a step further in the ongoing
efforts of the FSMB and its member boards to study the feasibility of an Interstate Medical License Compact, as directed
by the FSMB' s House of Delegates in 2013 under Resolution 13-5. This draft reflects changes based upon comments
received from member boards and other stakeholders over the past few months and achieves greater consensus and clarity
on those points that are essential for the Compact to succeed, facilitating greater license portability while maintaining a
high level of public protection and patient safety.
Once again, I would ask you to review the draft and share any comments that you may have with the Interstate Medical
License Compact Drafting Team. Please provide any comments about the attached draft document directly to Eric Fish,
JD, FSMB' s Senior Director ofLegal Services, by June 1, 2014. Comments can be sent directly to him at
efish@fsmb.org. You may copy me on your comments, if you wish.
Please note that this draft document does not necessarily reflect the views and opinions at this time of the FSMB, the
FSMB 's Board of Directors, or any state medical or osteopathic board or its members and staff. Later today, we will also
be sharing the document with a range of interested and relevant stakeholders to obtain their continuing feedback and
suggestions.
Thank you in advance for your thoughtful consideration of an important step forward to advance medical licensure
portability in the United States while preserving state-based medical regulation and ensuring the protection of the public.
Hank
I Washington,
DC 20036
www.fsmb.org
Pul t r r1 t ion o (
STATE MEDICAL
BOARDS
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DRAFT
FOR DISCUSSION ONLY
The ideas and conclusions set forth in this draft, including the proposed statutory language and any comments or
notes, have not been formally endorsed by the Federation ofState Medical Boards or its Board ofDirectors. This
draft has been prepared to study the feasibility ofan interstate compact, and does not necessarily reflect the views of
the Federation ofState Medical Boards, the Board ofDirectors ofthe Federation ofState Medical Boards, or any
state medical board or its members.
In order to strengthen access to health care and in recognition of the advances in the delivery of
health care, the member states of the Interstate Medical Licensure Compact have allied in
common purpose to develop a comprehensive process that complements the existing licensing
and regulatory authority of state medical boards, ensures the safety of patients, and enhances the
become licensed in multiple states. The Compact also adopts the prevailing standard for
licensure, that the practice of medicine occurs where the patient is located at the time ofthe
10
physician-patient encounter, and therefore, requires the physician to be under the jurisdiction of
11
the state medical board where the patient is located. The Compact creates another pathway for
12
licensure and does not otherwise change a state's existing Medical Practice Act. State medical
13
boards that participate in the Compact retain the jurisdiction to impose an adverse action against
14
a license to practice medicine in that state issued to a physician through the procedures in the
15
Compact.
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18
19
20
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SECTION 2. DEFINITIONS
In this compact:
(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to
Section 11 for its governance, or for directing and controlling its actions and conduct.
(b) "Commissioner" means the voting representative appointed by each member board
pursuant to Section 11.
(c) "Conviction" means a fmding by a court that an individual is guilty of a criminal
offense through adjudication, or entry of a plea of guilt or no contest to the charge by the
offender. Evidence of an entry of a conviction of a criminal offense by the trial court shall be
3
4
member state to an eligible physician through the process set forth in the Compact.
5
6
7
8
9
10
11
(e) "Interstate Commission" means the interstate commission created pursuant to Section
11.
(f) "License" means authorization by a state for a physician to engage in the practice of
medicine, which would be unlawful without the authorization.
(g) "Medical Practice Act" means laws and regulations governing the practice of
allopathic and osteopathic medicine within a member state.
(h) "Member Board" means a state agency in a member state that acts in the sovereign
12
interests of the state by protecting the public through licensure, regulation, and education of
13
14
(i) "Member State" means a state that has enacted the Compact.
15
16
disease, injury, or condition requiring a physician to obtain and maintain a license in compliance
17
18
19
20
21
22
23
(i) Passed each part of the United States Medical Licensing Examination
(USMLE) within three attempts, or any of its predecessor examinations accepted by a state
4
5
(ii) Held a full and unrestricted license to practice medicine in any state
for at least the past 5 years;
Association;
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10
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12
(4) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;
13
14
15
jurisdiction;
16
(6) Has never held a license authorizing the practice of medicine subject to
17
discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action
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19
20
21
22
23
(7) Has never had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration;
(8) Is not under active investigation by a licensing agency or law enforcement
authority in any state, federal, or foreign jurisdiction.
requirement of the Interstate Commission, and has the force and effect of statutory law in a
member state, and includes the amendment, repeal, or suspension of an existing rule.
(n) "State" means any state, commonwealth, district, or territory of the United States.
(o) "State of Principal License" means a member state where a physician holds a license
to practice medicine and which has been designated as such by the physician for purposes of
10
11
SECTION 3. ELIGffiiLITY
12
(a) A physician must meet the eligibility requirements as defmed in Section 2(k) to
13
receive an expedited license under the terms and provisions of the Compact.
14
(b) A physician who does not meet the requirements of Section 2(k) may obtain a license
15
to practice medicine in a member state if the individual complies with all laws and requirements,
16
other than the Compact, relating to the issuance of a license to practice medicine in that state.
17
18
19
(a) A physician shall designate a member state as the state of principal license for
20
purposes of registration for expedited licensure through the Compact if the physician possesses a
21
full and unrestricted license to practice medicine in that state, and the state is:
22
23
(2) the state where at least 25% of the practice of medicine occurs, or
(4) if no state qualifies under subsection (1 ), subsection (2), or subsection (3), the
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5
6
7
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(a) A physician seeking licensure through the Compact shall file an application for an
11
expedited license with the member board of the state selected by the physician as the state of
12
principallicense.
13
(b) Upon receipt of an application for an expedited license, the member board in the state
14
selected as the state of principal license shall evaluate whether the physician is eligible for
15
expedited licensure and issue a letter of qualification, verifying or denying the physician' s
16
17
medical education, graduate medical education, results of any medical or licensing examination,
18
and other qualifications as determined by the Interstate Commission through rule, shall not be
19
subject to additional primary source verification where already primary source verified by the
20
state of principal licensure. Appeal on the determination of eligibility shall be made to the
21
member state where the application was filed and shall be subject to the law of that state.
22
(c) Physicians eligible for an expedited license shall complete the registration process
23
established by the Interstate Commission to receive a license in a member state, including the
2
3
Section 6, a member board shall issue an expedited license to the physician. This license shall
authorize the physician to practice medicine in the issuing state consistent with the Medical
Practice Act and all applicable laws and regulations of the issuing member board and member
state.
(e) An expedited license shall be valid for a period consistent with the licensure periods
in the member state and in the same manner as required for other physicians holding a license
10
(f) An expedited license obtained though the Compact shall be terminated if a physician
11
fails to maintain a license in the state of principal licensure for a non-disciplinary reason, without
12
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14
(g) The Interstate Commission is authorized to develop rules regarding the application
process and the issuance of an expedited license.
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jurisdiction,
(3) Has not had a license authorizing the practice of medicine subject to discipline
by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to
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(4) Has not had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration, and
(5) Is not under investigation by a licensing agency or law enforcement authority
in any state, federal , or foreign jurisdiction at the time renewal is sought.
(b) Physicians shall comply with all continuing professional development or continuing
medical education requirements in member states where renewal is sought.
(c) The Interstate Commission shall collect any renewal fees charged for the renewal of
a license and distribute the fees to the applicable member board.
(c) Upon receipt of any renewal fees collected in subsection (b), a member board shall
renew the physician's license.
(d) Physician information collected by the Interstate Commission during the renewal
process will be distributed to all member boards.
(e) The Interstate Commission is authorized to develop rules to address renewal of
22
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24
2
3
(a) The Interstate Commission shall establish a database of all physicians licensed, or
who have applied for licensure, under Section 5.
(b) Notwithstanding any other provision of law, member boards shall report to the
Interstate Commission any public action or complaints against a physician licensed who has
7
8
9
10
11
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boards shall be confidential, filed under seal, and used only for investigatory or disciplinary
15
matters.
16
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(g) The Interstate Commission is authorized to develop rules for mandated .or
discretionary sharing of information by member boards.
18
19
20
21
(b) In addition to the authority granted to a member board by its respective Medical
22
Practice Act or other applicable state law, a member board may participate with other member
23
24
(c) A subpoena issued by a member state shall be enforceable in other member states.
8
1
2
3
(d) Member boards may share any investigative, litigation, or compliance materials in
furtherance of any joint or individual investigation initiated under the Compact.
(e) Any member state may investigate actual or alleged violations of the statutes
authorizing the practice of medicine in any other member state in which a physician holds a
6
7
(a) Any disciplinary action taken by any member board against a physician licensed
through the Compact shall be deemed unprofessional conduct which may be subject to discipline
10
by other member boards, in addition to any violation of the Medical Practice Act or regulations
11
in that state.
12
(b) If a license granted to a physician by the member board in the state of principal
13
14
indefinite period of time, all licenses issued to the physician by member boards shall
15
automatically be placed, without further action necessary by any member board, on the same
16
status. If the member board in the state of principal license subsequently reinstates the
17
physician' s license, a licensed issued to the physician by any other member board shall remain
18
encumbered until that respective member board takes action to reinstate the license.
19
(c) If disciplinary action is taken against a physician by a member board not in the state
20
of principal license, any other member board may deem the action conclusive as to matter of law
21
22
23
(ii) or pursue separate disciplinary action against the physician under its
respective medical practice act, regardless of the action taken in other member states.
(d) If a license granted to a physician by a member board is revoked, surrendered or
relinquished in lieu of discipline, or suspended for an indefinite period oftime, any license(s)
issued to the physician by any other member board(s) shall be suspended, automatically and
immediately without further action necessary by the other member board(s), for ninety (90) days
upon entry of the order by the disciplining board, to permit the member board(s) to investigate
the basis for the action. A member board may terminate the automatic suspension of the license
it issued prior to the completion of the ninety (90) day suspension period.
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15
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(a) The member states hereby create the "Interstate Medical Licensure Compact
Commission".
(b) The purpose of the Interstate Commission is the administration of the Interstate
Medical Licensure Compact, which is a discretionary state function.
(c) The Interstate Commission shall be a body corporate and joint agency of the member
17
states and shall have all the responsibilities, powers, and duties set forth in the Compact, and
18
such additional powers as may be conferred upon it by a subsequent concurrent action of the
19
respective legislatures of the member states in accordance with the terms of the Compact.
20
(d) The Interstate Commission shall consist of two voting representatives appointed by
21
each member state who shall serve as Commissioners. In states where allopathic and osteopathic
22
physicians are regulated by separate member boards, or if the licensing and disciplinary authority
23
is split between multiple member boards within a member state, the member state shall appoint
10
4
5
6
board, or
(3) Member of the public appointed to a member board.
(e) The Interstate Commission shall meet at least once each calendar year. A portion of
this meeting shall be a business meeting to address such matters as may properly come before the
Commission, including the election of officers. The chairperson may call additional meetings
and shall call for a meeting upon the request of a majority of the member states.
10
11
12.
(f) The bylaws may provide for meetings of the Interstate Commission to be conducted
by telecommunication or electronic communication.
(g) Each Commissioner participating at a meeting of the Interstate Commission is entitled
to one vote. A majority of Commissioners shall constitute a quorum for the transaction of
14
business, unless a larger quorum is required by the bylaws of the Interstate Commission. A
15
Commissioner shall not delegate a vote to another Commissioner. In the absence of its
16
Commissioner, a member state may delegate voting authority for a specified meeting to another
17
person from that state who shall meet the requirements of subsection (d).
18
(h) The Interstate Commission shall provide public notice of all meetings and all
19
meetings shall be open to the public. The Interstate Commission may close a meeting, in full or
20
in portion, where it determines by a two-thirds vote of the Commissioners present that an open
21
22
23
(1) Relate solely to the internal personnel practices and procedures of the
Interstate Commission;
11
or confidential;
9
10
proceeding.
(i) The Interstate Commission shall keep minutes which shall fully describe all matters
11
discussed in a meeting and shall provide a full and accurate summary of actions taken, including
12
13
G) The Interstate Commission shall make its information and official records, to the
14
extent not otherwise designated in the Compact or by its rules, available to the public for
15
inspection.
16
(k) The Interstate Commission shall establish an executive committee, which shall
17
include officers, members, and others as determined by the bylaws. The executive committee
18
shall have the power to act on behalf of the Interstate Commission, with the exception of
19
rulemaking, during periods when the Interstate Commission is not in session. The executive
20
committee shall oversee the administration of the Compact including enforcement and
21
compliance with the provisions of the Compact, its bylaws and rules, and other such duties as
22
necessary.
23
(l) The Interstate Commission may establish other committees for governance and
12
(b) Promulgate rules which shall be binding to the extent and in the manner provided for
7
8
9
in the Compact;
(c) Issue, upon the request of a member state or member board, advisory opinions
concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
10
(d) Enforce compliance with Compact provisions, the rules promulgated by the Interstate
11
Commission, and the bylaws, using all necessary and proper means, including but not limited to
12
13
(e) Establish and appoint committees including, but not limited to, an executive
14
committee as required by Section 11, which shall have the power to act on behalf of the
15
16
17
(f) Pay, or provide for the payment of the expenses related to the establishment,
organization, and ongoing activities of the Interstate Commission;
18
19
20
21
G) Employ an executive director who shall have such powers to employ, select or appoint
22
employees, agents, or consultants, and to determine their qualifications, define their duties, and
23
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(k) Establish personnel policies and programs relating to conflicts of interest, rates of
13
and to receive, utilize, and dispose of it in a manner consistent with the conflict of interest
5
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10
11
(m) Lease, purchase, accept contributions or donations of, or otherwise to own, hold,
improve or use, any property, real, personal, or mixed;
(n) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any
property, real, personal, or mixed;
(o) Establish a budget and make expenditures;
(p) Adopt a seal and bylaws governing the management and operation of the Interstate
Commission;
12
( q) Report annually to the legislatures and governors of the member states concerning the
13
activities of the Interstate Commission during the preceding year. Such reports shall also include
14
reports of fmancial audits and any recommendations that may have been adopted by the
15
Interstate Commission;
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17
(r) Coordinate education, training, and public awareness regarding the Compact, its
implementation, and its operation;
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(u) Perform such functions as may be necessary or appropriate to achieve the purposes of
21
the Compact.
22
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14
(a) The Interstate Commission may levy on and collect an annual assessment from each
member state to cover the cost of the operations and activities of the Interstate Commission and
its staff. The total assessment must be sufficient to cover the annual budget approved each year
for which revenue is not provided by other sources. The aggregate annual assessment amount
shall be allocated upon a formula to be determined by the Interstate Commission, which shall
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(b) The Interstate Commission shall not incur obligations of any kind prior to securing
the funds adequate to meet the same.
(c) The Interstate Commission shall not pledge the credit of any of the member states,
except by and with the authority ofthe member state.
(d) The Interstate Commission shall be subject to a yearly financial audit conducted by a
12
certified or licensed public accountant and the report of the audit be included in the annual report
13
14
15
16
17
(a) The Interstate Commission shall, by a majority of members present and voting, adopt
18
bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes of the
19
Compact within twelve (12) months of the first Interstate Commission meeting.
20
(b) The Interstate Commission shall elect or appoint annually from among its members a
21
chairperson, a vice-chairperson, and a treasurer, each ofwhom shall have such authority and
22
duties as may be specified in the bylaws. The chairperson, or in the chairperson's absence or
23
disability, the vice-chairperson, shall preside at all meetings of the Interstate Commission.
15
1
2
3
(c) Officers selected in subsection (b) shall serve without compensation or remuneration
from the Interstate Commission.
(d) The officers and employees of the Interstate Commission shall be immune from suit
and liability, either personally or in their official capacity, for a claim for damage to or loss of
property or personal injury or other civil liability caused or arising out of or relating to an actual
or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
responsibilities; provided that such person shall not be protected from suit or liability for
damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of
10
11
such person.
(1) The liability of the executive director and employees ofthe Interstate
12
Commission or representatives of the Interstate Commission, acting within the scope of such
13
person's employment or duties for acts, errors, or omissions occurring within such person's state,
14
may not exceed the limits of liability set forth under the constitution and laws of that state for
15
16
instrumentality of the states for the purposes of any such action. Nothing in this subsection shall
17
be construed to protect such person from suit or liability for damage, loss, injury, or liability
18
19
(2) The Interstate Commission shall defend the executive director, its employees,
20
and subject to the approval of the attorney general or other appropriate legal counsel of the
21
22
Interstate Commission representative in any civil action seeking to impose liability arising out of
23
an actual or alleged act, error or omission that occurred within the scope of Interstate
16
Commission employment, duties or responsibilities, or that the defendant had a reasonable basis
for believing occurred within the scope of Interstate Commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not result from
(3) To the extent not covered by the state involved, member state, or the Interstate
harmless in the amount of a settlement or judgment, including attorney' s fees and costs, obtained
against such persons arising out of an actual or alleged act, error, or omission that occurred
within the scope of Interstate Commission employment, duties, or responsibilities, or that such
10
persons had a reasonable basis for believing occurred within the scope of Interstate Commission
11
employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission
12
did not result from intentional or willful and wanton misconduct on the part of such persons.
13
14
15
16
17
and efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, in the event
18
the Interstate Commission exercises its rulemaking authority in a manner that is beyond the
19
scope of the purposes of the Compact, or the powers granted hereunder, then such an action by
20
21
(b) Rules shall be made pursuant to a rulemaking process that substantially conforms to
22
the "Model State Administrative Procedure Act" of2010, and as subsequently amended, as may
23
17
(c) Not later than thirty (30) days after a rule is promulgated, any person may file a
petition for judicial review of the rule in the United States District Court for the District of
Columbia or the federal district where the Interstate Commission has its principal offices;
provided, that the filing of such a petition shall not stay or otherwise prevent the rule from
becoming effective unless the court fmds that the petitioner has a substantial likelihood of
success. The court shall give deference to the actions ofthe Interstate Commission consistent
with applicable law and shall not find the rule to be unlawful if the rule represents a reasonable
9
10
11
(a) The executive, legislative, and judicial branches of state government in each member
12
state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate
13
the Compact's pu..rposes and intent. The provisions of the Compact and the rules promulgated
14
hereunder shall have standing as statutory law but shall not override existing state authority to
15
16
(b) All courts shall take judicial notice of the Compact and the rules in any judicial or
17
administrative proceeding in a member state pertaining to the subject matter of the Compact
18
which may affect the powers, responsibilities or actions of the Interstate Commission.
19
(c) The Interstate Commission shall be entitled to receive all service of process in any
20
such proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure
21
to provide service of process to the Interstate Commission shall render a judgment or order void
22
23
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(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce
the provisions and rules of the Compact.
(b) The Interstate Commission may, by majority vote of the Commissioners, initiate legal
action in the United States District Court for the District of Columbia or, at the discretion ofthe
Interstate Commission, in the federal district where the Interstate Commission has its principal
offices, to enforce compliance with the provisions of the Compact, and its promulgated rules and
bylaws, against a member state in default. The relief sought may include both injunctive relief
and damages. In the event judicial enforcement is necessary, the prevailing party shall be
10
(c) The remedies herein shall not be the exclusive remedies ofthe Interstate Commission.
11
The Interstate Commission may avail itself of any other remedies available under state law or the
12
regulation of a profession.
13
14
15
(a) The grounds for default include, but are not limited to, failure of a member state to
16
perform such obligations or responsibilities imposed upon it by the Compact, or the rules and
17
18
(b) Ifthe Interstate Commission determines that a member state has defaulted in the
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20
21
(1) Provide written notice to the defaulting state and other member states, of the
22
nature of the default, the means of curing the default, and any action taken by the Interstate
23
Commission. The Interstate Commission shall specify the conditions by which the defaulting
19
2
3
4
(2) Provide remedial training and specific technical assistance regarding the
default.
(c) If the defaulting state fai ls to cure the default, the defaulting state shall be terminated
from the Compact upon an affirmative vote of a majority of the Commissioners and all rights,
privileges, and benefits conferred by the Compact shall terminate on the effective date of
termination. A cure of the default does not relieve the offending state of obligations or liabilities
(d) Termination of membership in the Compact shall be imposed only after all other
10
means of securing compliance have been exhausted. Notice of intent to terminate shall be given
11
by the Interstate Commission to the governor, the majority and minority leaders of the defaulting
12
13
(e) The Interstate Commission shall establish rules and procedures to address licenses and
14
physicians that are materially impacted by the termination of a member state, or the withdrawal
15
of a member state.
16
(f) The member state which has been terminated is responsible for all dues, obligations,
17
and liabilities incurred through the effective date of termination including obligations, the
18
19
(g) The Interstate Commission shall not bear any costs relating to any state that has been
20
found to be in default or which has been terminated from the Compact, unless otherwise
21
mutually agreed upon in writing between the Interstate Commission and the defaulting state.
22
(h) The defaulting state may appeal the action of the Interstate Commission by
23
petitioning the United States District Court for the District of Columbia or the federal district
20
where the Interstate Commission has its principal offices. The prevailing party shall be awarded
(a) The.Interstate Commission shall attempt, upon the request of a member state, to
resolve disputes which are subject to the Compact and which may arise among member states or
member boards.
8
9
(b) The Interstate Commission shall promulgate rules providing for both mediation and
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11
12
13
(b) The Compact shall become effective and binding upon legislative enactment of the
14
Compact into law by no less than seven (7) states. Thereafter, it shall become effective and
15
binding on a state upon enactment of the Compact into law by that state.
16
(c) The governors of non-member states, or their designees, shall be invited to participate
17
in the activities of the Interstate Commission on a non-voting basis prior to adoption of the
18
19
(d) The Interstate Commission may propose amendments to the Compact for enactment
20
by the member states. No amendment shall become effective and binding upon the Interstate
21
Commission and the member states unless and until it is enacted into law by unanimous consent
22
23
21
(a) Once effective, the Compact shall continue in force and remain binding upon each
and every member state; provided that a member state may withdraw from the Compact by
specifi.c ally repealing the statute which enacted the Compact into law.
(b) Withdrawal from the Compact shall be by the enactment of a statute repealing the
5
6
same, but shall not take effect until one (1) year after the effective date of such statute and until
written notice of the withdrawal has been given by the withdrawing state to the governor of each
(c) The withdrawing state shall immediately notify the chairperson of the Interstate
10
Commission in writing upon the introduction of legislation repealing the Compact in the
11
withdrawing state.
12
(d) The Interstate Commission shall notify the other member states of the withdrawing
13
state' s intent to withdraw within sixty (60) days of its receipt of notice provided under subsection
14
(c).
15
(e) The withdrawing state is responsible for all dues, obligations and liabilities incurred
16
through the effective date of withdrawal, including obligations, the performance of which
17
18
(f) Reinstatement following withdrawal of a member state shall occur upon the
19
withdrawing state reenacting the compact or upon such later date as determined by the Interstate
20
Commission.
21
(g) The Interstate Commission is authorized to develop rules to address the impact of the
22
withdrawal of a member state on licenses granted in other member states to physicians who
23
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(a) The Compact shall dissolve effective upon the date of the withdrawal or default of the
4
5
member state which reduces the membership in the Compact to one (1) member state.
(b) Upon the dissolution of the Compact, the Compact becomes null and void and shall
be of no further force or effect, and the business and affairs of the Interstate Commission shall be
concluded and surplus funds shall be distributed in accordance with the bylaws.
9
10
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12
enforceable.
13
(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
14
(c) Nothing in the Compact shall be construed to prohibit the applicability of other
15
16
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(a) Nothing herein prevents the enforcement of any other law of a member state that is
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on the legislature of any member state, such provision shall be ineffective to the extent of the
24
Knittle, Robert C
Eric Fish <efish@fsmb.org>
Monday, May OS, 2014 5:58 PM
Undisclosed recipients
Int erstate Medical License Compact- REVISED DRAFT
Interstate Compact DRAFT (May 5 2014).pdf
From:
Sent:
To:
Subject:
Attachments:
Members of the Interstate Medical License Compact TaskforceAttached please frnd a revised draft of the Interstate Medical License Compact. This draft is a step further in the ongoing
efforts of the FSMB and its member boards to study the feasibility of an Interstate Medical License Compact, as directed
by the FSMB 's House of Delegates in 2013 under Resolution 13-5. This draft reflects changes based upon comments
received from member boards and other stakeholders over the past few months and achieves greater consensus and clarity
on those points that are essential for the Compact to succeed, facilitating greater license portability while maintaining a
high level of public protection and patient safety.
Once again, I would ask you to review the draft and share any comments that you may have with the Interstate Medical
License Compact Drafting Team. Please provide any comments about the attached draft directly to me at efish@fsmb.org.
Please note that this draft document does not necessarily reflect the views and opinions at this time of the FSMB, the
FSMB's Board of Directors, or any state medical or osteopathic board or its members.
Thank you in advance for your thoughtful consideration of an important step forward to advance medical licensure
portability in the United States while preserving state-based medical regulation and ensuring the protection of the public.
Best,
Eric
Eric M. Fish
Senior Director, Legal Services
Federation of State Medical Boards
1300 Connecticut Avenue, NW Suite 500
Washington, DC 20036
Phone: 202-463-4005
efish@fsmb.org I www .fsmb.org
STATE
MEDICAl
BOARDS
1
I L
.' l
DRAFT
FOR DISCUSSION ONLY
The ideas and conclusions set forth in this draft, including the proposed statutory language and any comments or
notes, have not been formally endorsed by the Federation ofState Medical Boards or its Board ofDirectors. This
draft has been prepared to study the feasibility ofan interstate compact, and does not necessarily reflect the views of
the Federation ofState Medical Boards, the Board of Directors of the Federation ofState Medical Boards, or any
state medical board or its members.
In order to strengthen access to health care and in recognition of the advances in the delivery of
health care, the member states of the Interstate Medical Licensure Compact have allied in
common purpose to develop a comprehensive process that complements the existing licensing
and regulatory authority of state medical boards, ensures the safety of patients, and enhances the
become licensed in multiple states. The Compact also adopts the prevailing standard for
licensure, that the practice of medicine occurs where the patient is located at the time of the
10
physician-patient encounter, and therefore, requires the physician to be under the jurisdiction of
11
the state medical board where the patient is located. The Compact creates another pathway for
12
licensure and does not otherwise change a state's existing Medical Practice Act. State medical
13
boards that participate in the Compact retain the jurisdiction to impose an adverse action against
14
a license to practice medicine in that state issued to a physician through the procedures in the
15
Compact.
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20
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SECTION 2. DEFINITIONS
In this compact:
(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to
Section 11 for its governance, or for directing and controlling its actions and conduct.
(b) "Commissioner" means the voting representative appointed by each member board
pursuant to Section 11.
(c) "Conviction" means a fmding by a court that an individual is guilty of a criminal
offense through adjudication, or entry of a plea of guilt or no contest to the charge by the
offender. Evidence of an entry of a conviction of a criminal offense by the trial court shall be
3
4
member state to an eligible physician through the process set forth in the Compact.
(e) "Interstate Commission" means the interstate commission created pursuant to Section
6
7
8
9
10
11
11.
(f) "License" means authorization by a state for a physician to engage in the practice of
medicine, which would be unlawful without the authorization.
(g) "Medical Practice Act" means Jaws and regulations governing the practice of
allopathic and osteopathic medicine within a member state.
(h) "Member Board" means a state agency in a member state that acts in the sovereign
12
interests of the state by protecting the public through licensure, regulation, and education of
13
14
(i) "Member State" means a state that has enacted the Compact.
15
(j) "Practice of medicine" means the clinical prevention, diagnosis, or treatment of human
16
disease, injury, or condition requiring a physician to obtain and maintain a license in compliance
17
18
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23
(i) Passed each part of the United States Medical Licensing Examination
(USMLE) within three attempts, or any of its predecessor examinations accepted by a state
4
5
Association;
9
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12
(4) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;
13
14
15
jurisdiction;
16
(6) Has never held a license authorizing the practice of medicine subject to
17
discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action
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19
20
21
22
23
(7) Has never had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration;
(8) Is not under active investigation by a licensing agency or law enforcement
authority in any state, federal , or foreign jurisdiction.
(l) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.
requirement of the Interstate Commission, and has the force and effect of statutory law in a
member state, and includes the amendment, repeal, or suspension of an existing rule.
(n) "State" means any state, commonwealth, district, or territory of the United States.
(o) "State of Principal License" means a member state where a physician holds a license
to practice medicine and which has been designated as suc.h by the physician for purposes of
10
11
SECTION 3. ELIGIBILITY
12
(a) A physician must meet the eligibility requirements as defmed in Section 2(k) to
13
receive an expedited license under the terms and provisions of the Compact.
14
(b) A physician who does not meet the requirements of Section 2(k) may obtain a license
15
to practice medicine in a member state if the individual complies with all laws and requirements,
16
other than the Compact, relating to the issuance of a license to practice medicine in that state.
17
18
19
(a) A physician shall designate a member state as the state of principal license for
20
purposes of registration for expedited licensure through the Compact if the physician possesses a
21
full and unrestricted license to practice medicine in that state, and the state is:
22
23
(2) the state where at least 25% of the practice of medicine occurs, or
(4) if no state qualifies under subsection (1), subsection (2), or subsection (3), the
state designated as state of residence for purpose of federal income tax.
(b) A physician may redesignate a member state as state of principal license at any time,
as long as the state meets the requirements in subsection (a).
(c) The Interstate Commission is authorized to develop rules to facilitate redesignation of
another member state as the state of principal license.
8
9
10
(a) A physician seeking licensure through the Compact shall file an application for an
11
expedited license with the member board of the state selected by the physician as the state of
12
principallicense.
13
(b) Upon receipt of an application for an expedited license, the member board in the state
14
selected as the state of principal license shall evaluate whether the physician is eligible for
15
expedited licensure and issue a letter of qualification, verifying or denying the physician's
16
17
medical education, graduate medical education, results of any medical or licensing examination,
18
and other qualifications as determined by the Interstate Commission through rule, shall not be
19
subject to additional primary source verification where already primary source verified by the
20
state of principal licensure. Appeal on the determination of eligibility shall be made to the
21
member state where the application was filed and shall be subject to the law of that state.
22
(c) Physicians eligible for an expedited license shall complete the registration process
23
established by the Interstate Commission to receive a license in a member state, including the
(d) After receiving verification of eligibility under subsection (b) and any fees under
Section 6, a member board shall issue an expedited license to the physician. This license shall
authorize the physician to practice medicine in the issuing state consistent with the Medical
Practice Act and all applicable laws and regulations of the issuing member board and member
state.
(e) An expedited license shall be valid for a period consistent with the licensure periods
in the member state and in the same manner as required for other physicians holding a license
10
(f) An expedited license obtained though the Compact shall be terminated if a physician
11
fails to maintain a license in the state of principal licensure for a non-disciplinary reason, without
12
13
14
(g) The Interstate Commission is authorized to develop rules regarding the application
process and the issuance of an expedited license.
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jurisdiction,
(3) Has not had a license authorizing the practice of medicine subject to discipline
by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to
9
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12
I3
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(4) Has not had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration, and
(5) Is not under investigation by a licensing agency or law enforcement authority
in any state, federal, or foreign jurisdiction at the time renewal is sought.
(b) Physicians shall comply with all continuing professional development or continuing
medical education requirements in member states where renewal is sought.
(c) The Interstate Commission shall collect any renewal fees charged for the renewal of
a license and distribute the fees to the applicable member board.
(c) Upon receipt of any renewal fees collected in subsection (b), a member board shall
renew the physician's license.
(d) Physician information collected by the Interstate Commission during the renewal
process will be distributed to all member boards.
(e) The Interstate Commission is authorized to develop rules to address renewal of
22
23
24
(a) The Interstate Commission shall establish a database of all physicians licensed, or
who have applied for licensure, under Section 5.
(b) Notwithstanding any other provision of law, member boards shall report to the
Interstate Commission any public action or complaints against a physician licensed who has
7
8
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14
boards shall be confidential, filed under seal, and used only for investigatory or disciplinary
15
matters.
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(b) In addition to the authority granted to a member board by its respective Medical
22
Practice Act or other applicable state law, a member board may participate with other member
23
24
(c) A subpoena issued by a member state shall be enforceable in other member states.
8
1
2
3
(d) Member boards may share any investigative, litigation, or compliance materials in
furtherance of any joint or individual investigation initiated under the Compact.
(e) Any member state may investigate actual or alleged violations ofthe statutes
authorizing the practice of medicine in any other member state in which a physician holds a
6
7
(a) Any disciplinary action taken by any member board against a physician licensed
through the Compact shall be deemed unprofessional conduct which may be subject to discipline
10
by other member boards, in addition to any violation of the Medical Practice Act or regulations
11
in that state.
12
(b) If a license granted to a physician by the member board in the state of principal
13
14
indefmite period of time, all licenses issued to the physician by member boards shall
15
automatically be placed, without further action necessary by any member board, on the same
16
status. lfthe member board in the state of principal license subsequently reinstates the
17
physician's license, a licensed issued to the physician by any other member board shall remain
18
encumbered until that respective member board takes action to reinstate the license.
19
(c) If disciplinary action is taken against a physician by a member board not in the state
20
of principal license, any other member board may deem the action conclusive as to matter of law
21
22
23
(ii) or pursue separate disciplinary action against the physician under its
respective medical practice act, regardless of the action taken in other member states.
(d) If a license granted to a physician by a member board is revoked, surrendered or
relinquished in lieu of discipline, or suspended for an indefinite period of time, any license(s)
issued to the physician by any other member board(s) shall be suspended, automatically and
immediately without further action necessary by the other member board(s), for ninety (90) days
upon entry of the order by the disciplining board, to permit the member board(s) to investigate
the basis for the action. A member board may terminate the automatic suspension of the license
it issued prior to the completion of the ninety (90) day suspension period.
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states and shall have all the responsibilities, powers, and duties set forth in the Compact, and
18
such additional powers as may be conferred upon it by a subsequent concurrent action of the
19
respective legislatures of the member states in accordance with the terms of the Compact.
20
(d) The Interstate Commission shall consist of two voting representatives appointed by
21
each member state who shall serve as Commissioners. In states where allopathic and osteopathic
22
physicians are regulated by separate member boards, or if the licensing and disciplinary authority
23
is split between multiple member boards within a member state, the member state shall appoint
10
4
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board, or
(3) Member of the public appointed to a member board.
(e) The Interstate Commission shall meet at least once each calendar year. A portion of
this meeting shall be a business meeting to address such matters as may properly come before the
Commission, including the election of officers. The chairperson may call additional meetings
and shall call for a meeting upon the request of a majority of the member states.
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12
(f) The bylaws may provide for meetings of the Interstate Commission to be conducted
by telecommunication or electronic communication.
(g) Each Commissioner participating at a meeting of the Interstate Commission is entitled
13
to one vote. A majority of Commissioners shall constitute a quorum for the transaction of
14
business, unless a larger quorum is required by the bylaws of the Interstate Commission. A
15
Commissioner shall not delegate a vote to another Commissioner. In the absence of its
16
Commissioner, a member state may delegate voting authority for a specified meeting to another
17
person from that state who shall meet the requirements of subsection (d).
18
(h) The lnterstate Commission shall provide public notice of all meetings and all
19
meetings shall be open to the public. The Interstate Commission may close a meeting, in full or
20
in portion, where it determines by a two-thirds vote of the Commissioners present that an open
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(1) Relate solely to the internal personnel practices and procedures of the
Interstate Commission;
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3
or confidential;
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10
proceeding.
(i) The Interstate Commission shall keep minutes which shall fully describe all matters
11
discussed in a meeting and shall provide a full and accurate summary of actions taken, including
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(j) The Interstate Commission shall make its information and official records, to the
14
extent not otherwise designated in the Compact or by its rules, available to the public for
15
inspection.
16
(k) The Interstate Commission shall establish an executive committee, which shall
17
include officers, members, and others as determined by the bylaws. The executive committee
18
shall have the power to act on behalf of the Interstate Commission, with the exception of
19
rulemaking, during periods when the Interstate Commission is not in session. The executive
20
committee shall oversee the administration of the Compact including enforcement and
21
compliance with the provisions of the Compact, its bylaws and rules, and other such duties as
22
necessary.
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(I) The Interstate Commission may establish other committees for governance and
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3
(b) Promulgate rules which shall be binding to the extent and in the manner provided for
7
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9
in the Compact;
(c) Issue, upon the request of a member state or member board, advisory opinions
concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
10
(d) Enforce compliance with Compact provisions, the rules promulgated by the Interstate
11
Commission, and the bylaws, using all necessary and proper means, including but not limited to
12
13
(e) Establish and appoint committees including, but not limited to, an executive
14
committee as required by Section 11, which shall have the power to act on behalf of the
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(f) Pay, or provide for the payment of the expenses related to the establishment,
organization, and ongoing activities of the Interstate Commission;
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(j) Employ an executive director who shall have such powers to employ, select or appoint
22
employees, agents, or consultants, and to determine their qualifications, define their duties, and
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(k) Establish personnel policies and programs relating to conflicts of interest, rates of
13
and to receive, utilize, and dispose of it in a manner consistent with the conflict of interest
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(m) Lease, purchase, accept contributions or donations of, or otherwise to own, hold,
improve or use, any property, real, personal, or mixed;
(n) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any
property, real, personal, or mixed;
( o) Establish a budget and make expenditures;
(p) Adopt a seal and bylaws governing the management and operation of the Interstate
Commission;
12
(q) Report annually to the legislatures and governors of the member states concerning the
13
activities of the Interstate Commission during the preceding year. Such reports shall also include
14
reports of financial audits and any recommendations that may have been adopted by the
15
Interstate Commission;
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(r) Coordinate education, training, and public awareness regarding the Compact, its
implementation, and its operation;
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(u) Perform such functions as may be necessary or appropriate to achieve the purposes of
21
the Compact.
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(a) The Interstate Commission may levy on and collect an annual assessment from each
member state to cover the cost of the operations and activities of the Interstate Commission and
its staff. The total assessment must be sufficient to cover the annual budget approved each year
for which revenue is not provided by other sources. The aggregate annual assessment amount
shall be allocated upon a formula to be determined by the Interstate Commission, which shall
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(b) The Interstate Commission shall not incur obligations of any kind prior to securing
the funds adequate to meet the same.
(c) The Interstate Commission shall not pledge the credit of any of the member states,
except by and with the authority of the member state.
(d) The Interstate Commission shall be subject to a yearly financial audit conducted by a
12
certified or licensed public accountant and the report of the audit be included in the annual report
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(a) The Interstate Commission shall, by a majority of members present and voting, adopt
18
bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes of the
19
Compact within twelve (12) months of the first Interstate Commission meeting.
20
(b) The Interstate Commission shall elect or appoint annually from among its members a
21
chairperson, a vice-chairperson, and a treasurer, each of whom shall have such authority and
22
duties as may be specified in the bylaws. The chairperson, or in the chairperson's absence or
23
disability, the vice-chairperson, shall preside at all meetings of the Interstate Commission.
15
(c) Officers selected in subsection (b) shall serve without compensation or remuneration
from the Interstate Commission.
(d) The officers and employees of the Interstate Commission shall be immune from suit
and liability, either personally or in their official capacity, for a claim for damage to or loss of
property or personal injury or other civil liability caused or arising out of or relating to an actual
or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
responsibilities; provided that such person shall not be protected from suit or liability for
damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of
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such person.
(1) The liability of the executive director and employees of the Interstate
12
Commission or representatives of the Interstate Commission, acting within the scope of such
13
person's employment or duties for acts, errors, or omissions occurring within such person's state,
14
may not exceed the limits of liability set forth under the constitution and laws of that state for
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instrumentality of the states for the purposes of any such action. Nothing in this subsection shall
17
be construed to protect such person from suit or liability for damage, loss, injury, or liability
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(2) The Interstate Commission shall defend the executive director, its employees,
20
and subject to the approval of the attorney general or other appropriate legal counsel of the
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Interstate Commission representative in any civil action seeking to impose liability arising out of
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an actual or alleged act, error or omission that occurred within the scope of Interstate
16
Commission employment, duties or responsibilities, or that the defendant had a reasonable basis
for believing occurred within the scope of Interstate Commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not result from
(3) To the extent not covered by the state involved, member state, or the Interstate
harmless in the amount of a settlement or judgment, including attorney's fees and costs, obtained
against such persons arising out of an actual or alleged act, error, or omission that occurred
within the scope of Interstate Commission employment, duties, or responsibilities, or that such
10
persons had a reasonable basis for believing occurred within the scope of interstate Commission
11
employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission
12
did not result from intentional or willful and wanton misconduct on the part of such persons.
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and efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, in the event
18
the Interstate Commission exercises its rulemaking authority in a manner that is beyond the
19
scope of the purposes of the Compact, or the powers granted hereunder, then such an action by
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(b) Rules shall be made pursuant to a rulemaking process that substantially conforms to
22
the "Model State Administrative Procedure Act" of2010, and as subsequently amended, as may
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petition for judicial review of the rule in the United States District Court for the District of
Columbia or the federal district where the Interstate Commission has its principal offices;
provided, that the filing of such a petition shall not stay or otherwise prevent the rule from
becoming effective unless the court finds that the petitioner has a substantial likelihood of
success. The court shall give deference to the actions of the Interstate Commission consistent
with applicable law and shall not find the rule to be unlawful if the rule represents a reasonable
10
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(a) The executive, legislative, and judicial branches of state government in each member
12
state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate
13
the Compact's purposes and intent. The provisions of the Compact and the rules promulgated
14
hereunder shall have standing as statutory law but shall not override existing state authority to
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(b) All courts shall take judicial notice of the Compact and the rules in any judicial or
17
administrative proceeding in a member state pertaining to the subject matter of the Compact
18
which may affect the powers, responsibilities or actions of the Interstate Commission.
19
(c) The Interstate Commission shall be entitled to receive all service of process in any
20
such proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure
21
to provide service of process to the Interstate Commission shall render a judgment or order void
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action in the United States District Court for the District of Columbia or, at the discretion of the
Interstate Commission, in the federal district where the Interstate Commission has its principal
offices, to enforce compliance with the provisions ofthe Compact, and its promulgated rules and
bylaws, against a member state in default. The relief sought may include both injunctive relief
and damages. In the event judicial enforcement is necessary, the prevailing party shall be
10
(c) The remedies herein shall not be the exclusive remedies of the Interstate Commission.
11
The Interstate Commission may avail itself of any other remedies available under state law or the
12
regulation of a profession.
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(a) The grounds for default include, but are not limited to, failure of a member state to
16
perform such obligations or responsibilities imposed upon it by the Compact, or the rules and
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(b) If the Interstate Commission determines that a member state has defaulted in the
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(1) Provide written notice to the defaulting state and other member states, of the
22
nature of the default, the means of curing the default, and any action taken by the Interstate
23
Commission. The Interstate Commission shall specify the conditions by which the defaulting
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(2) Provide remedial training and specific technical assistance regarding the
default.
(c) If the defaulting state fails to cure the default, the defaulting state shall be terminated
from the Compact upon an affirmative vote of a majority of the Commissioners and all rights,
privileges, and benefits conferred by the Compact shall terminate on the effective date of
termination. A cure of the default does not relieve the offending state of obligations or liabilities
(d) Termination of membership in the Compact shall be imposed only after all other
10
means of securing compliance have been exhausted. Notice of intent to terminate shall be given
11
by the Interstate Commission to the governor, the majority and minority leaders of the defaulting
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(e) The Interstate Commission shall establish rules and procedures to address licenses and
14
physicians that are materially impacted by the termination of a member state, or the withdrawal
15
of a member state.
16
(f) The member state which has been terminated is responsible for all dues, obligations,
17
and liabilities incurred through the effective date oftermination including obligations, the
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(g) The Interstate Commission shall not bear any costs relating to any state that has been
20
found to be in default or which has been terminated from the Compact, unless otherwise
21
mutually agreed upon in writing between the Interstate Commission and the defaulting state.
22
(h) The defaulting state may appeal the action of the Interstate Commission by
23
petitioning the United States District Court for the District of Columbia or the federal district
20
(a) The Interstate Commission shall attempt, upon the request of a member state, to
resolve disputes which are subject to the Compact and which may arise among member states or
member boards.
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9
(b) The Interstate Commission shall promulgate rules providing for both mediation and.
binding dispute resolution as appropriate.
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(b) The Compact shall become effective and binding upon legislative enactment of the
14
Compact into law by no less than seven (7) states. Thereafter, it shall become effective and
15
binding on a state upon enactment of the Compact into law by that state.
16
(c) The governors of non-member states, or their designees, shall be invited to participate
17
in the activities of the Interstate Commission on a non-voting basis prior to adoption of the
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(d) The Interstate Commission may propose amendments to the Compact for enactment
20
by the member states. No amendment shall become effective and binding upon the Interstate
21
Commission and the member states unless and until it is enacted into law by unanimous consent
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(a) Once effective, the Compact shall continue in force and remain binding upon each
and every member state; provided that a member state may withdraw from the Compact by
specifically repealing the statute which enacted the Compact into law.
(b) Withdrawal from the Compact shall be by the enactment of a statute repealing the
same, but shall not take effect until one (1) year after the effective date of such statute and until
written notice of the withdrawal has been given by the withdrawing state to the governor of each
(c) The withdrawing state shall immediately notify the chairperson ofthe Interstate
10
Commission in writing upon the introduction of legislation repealing the Compact in the
11
withdrawing state.
12
(d) The Interstate Commission shall notify the other member states of the withdrawing
13
state's intent to withdraw within sixty (60) days of its receipt of notice provided under subsection
14
(c).
15
(e) The withdrawing state is responsible for all dues, obligations and liabilities incurred
16
through the effective date ofwithdrawal, including obligations, the performance ofwhich
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(f) Reinstatement following withdrawal of a member state shall occur upon the
19
withdrawing state reenacting the compact or upon such later date as determined by the Interstate
20
Commission.
21
(g) The Interstate Commission is authorized to develop rules to address the impact ofthe
22
withdrawal of a member state on licenses granted in other member states to physicians who
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(a) The Compact shall dissolve effective upon the date of the withdrawal or default ofthe
4
5
member state which reduces the membership in the Compact to one (1) member state.
(b) Upon the dissolution of the Compact, the Compact becomes null and void and shall
be of no further force or effect, and the business and affairs of the Interstate Commission shall be
concluded and surplus funds shall be distributed in accordance with the bylaws.
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enforceable.
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(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
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(c) Nothing in the Compact shall be construed to prohibit the applicability of other
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(a) Nothing herein prevents the enforcement of any other law of a member state that is
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(d) All agreements between the Interstate Commission and the member states are binding
on the legislature of any member state, such provision shall be ineffective to the extent of the
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Knittle, Robert C
From:
Sent:
Subject:
Attachments:
Importance:
High
To:
January 9, 2014
Please keep us apprised of the progress FSMB makes to advance physicians' ability to be
licensed to practice in multiple states via telemedicine.
Sincerely,
~d,
MICHAEL B. ENZI
United States Senator
T~~
United States Senator
-25~~
TIMJOHNSO
United States Senator
LAMARALEXAND~~
/2~~THAD COCHRAN
United States Senator
/b(.,J..
United States Senator
A
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A~
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MARKR. WARNER
United States Senator
:::::..;..;.; ;....._--
CHAR
Knittle, Robert C
From:
Sent:
To:
Subject:
Attachments:
To: State Medical and Osteopathic Board Executive Directors and Presidents/Chairs
From: Humayun J. Chaudhry, DO, MACP
Subject: Interstate Medical Licensure Compact
Date: December 19, 2013
Hi Everyone,
As you may recall, at the April20 13 Annual Meeting of the Federation of State Medical Boards our House of Delegates
unanimously passed Resolution 13-5: Development of an Interstate Compact to Expedite Medical Licensure and
Facilitate Multi-State Practice, directing the FSMB to convene representatives from state medical boards and special
expetts to explore the formation of an Interstate Compact to enhance medical license portability.
Following the Annual Meeting, several representatives of state medical and osteopathic boards worked in conjunction
with experts from the Council of State Governments (CSG) and FSMB representatives and staff on a task force to further
explore the component principles that should guide a subcommittee tasked with creating the draft language for such a
compact document.
The eight consensus principles that were developed to guide deliberations included the following:
Participation in an interstate compact for medical licensure will be strictly voluntary for both physicians and state
boards of medicine or osteopathic medicine.
Generally, participation in an interstate compact creates another pathway for licensure, but does not otherwise
change a state's existing Medical Practice Act.
The practice of medicine occurs where the patient is located at the time of the physician-patient encounter, and
therefore, requires the physician to be under the jurisdiction of the state medical or osteopathic board where the
patient is located.
An interstate compact for medical licensure will establish a mechanism whereby any physician practicing in the
state will be known by, and under the jurisdiction of, the state medical or osteopathic board where the practice
occurs.
Regulatory authority will remain with the participating state medical and osteopathic boards, and will not be
delegated to any entity that would administer a compact.
A physician practicing under an interstate compact is bound to comply with the statutes, rules and regulations of
each compact state wherein he/she chooses to practice.
State boards participating in an interstate compact are required to share complaint/investigative information with
each other.
The license to practice can be revoked by any or all of the compact states.
1
I am now pleased to present, in the attached document, a copy of the draft language for an ~terstate Medical Licensure
Compact, as developed during the last several months by the drafting subcommittee and supported by the task force. Here
is an outline of what you will find as you open the document:
Section 1 states the purpose of the compact.
Section 2 is the definitional section and contains key terms that apply throughout the compact. The definitions address
physician eligibility requirements, terms related to designation of home state for licensure, and terms necessary for the
sections on the discipline sections of the compact.
Section 3 and Section 4 set fmth the process for a physician to use the compact to facilitate expedited licensure in
member states. A physician must first designate a home state and apply for licensure through a coordinated process
facilitated by a Compact Commission. The Compact Commission does not issue any licenses, however. All licenses are
issued by state boards.
Section 5 and Section 6 address renewal and termination of licenses obtained through the compact.
Section 7 calls for the establishment of a database of physicians licensed through the compact that will aid member boards
in the regulation of physicians practicing in their states.
Section 8 and Section 9 allow for coordinated professional discipline and investigation of physicians who receive
licenses through the compact. These two sections aid state boards in their mission to protect the public.
Sections 10-23 contain language on the administration of the Compact and the powers vested in a Compact Commission
to carry out the intent of the Compact. The drafting committee modeled these sections on existing interstate compacts. In
the draft, as in most compacts, each member state is provided with a single vote. The drafting committee recognizes that
in some states the regulation of osteopathic and allopathic medicine falls under the jurisdiction of separate state boards. As
we move forward with this draft, the members of the drafting committee and compact experts are continuing to explore
alternative structures of Compact Commission governance.
Next Steps
Please note that this draft document has been prepared to study the feasibility of an interstate medical licensure compact
and does not at this time necessarily reflect the views and opinions of the FSMB, the FSMB's Board of Directors, or any
state medical or osteopathic board or its members. We anticipate being able to provide an interim report about these
efforts (including presentation of a revised compact document following review of feedback from state boards and various
stakeholders, though it will likely still be in draft form) in April to our House of Delegates as an informational item, after
which it should be ready for consideration by interested states sometime in the Fall.
At this time, please feel free to provide any comments about the attached draft document to Eric Fish, JD, Senior
Director of Legal Services, by January 24, 2014. Comments can be directly sent to him at efish@fsmb.org. You may
copy me on your comments, if you wish.
Thank you in advance for your thoughtful consideration of an important step forward to advance medical licensure
portability while preserving state-based medical regulation and ensuring the protection of the public.
Merry Christmas, Happy Holidays and Happy New Year,
Hank
Humayun J. Chaudhry, D.O., M.S., MACP, FACOI
President and Chief Executive Officer
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DRAFT
FOR DISCUSSION ONLY
The ideas and conclusions setforth in this draft, including the proposed statutory language and any comments or
notes, have not been formally endorsed by the Federation of State Medical Boards or its Board ofDirectors. This
draft has been prepared to study the feasibility ofan interstate compact, and does not necessarily reflect the views
or opinions of the Federation ofState Medical Boards, the Board ofDirectors ofthe Federation ofState Medical
Boards, or any state medical board or its members or staff
1
2
In order to strengthen access to health care and in recognition of the advances in the delivery of
health care brought upon by telemedicine and other forms of connected health, the member states
of the Interstate Medical Licensure Compact have allied in common purpose to develop a
comprehensive process that complements the existing licensing and regulatory authority of state
medical and osteopathic boards, ensures the safety of patients, and provides physicians with
enhanced portability of their license to practice medicine outside their state of primary licensure.
This compact creates another pathway for licensure and does not otherwise change a state's
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(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to
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Section 10 for its governance, or for directing and controlling its actions and conduct.
(b) "Commissioner" means the voting representative appointed by each member board
pursuant to Section 10.
(c) "Conviction" means a finding by a court that an individual is guilty of a criminal
18
offense through adjudication, or entry of_a plea of guilt or no contest to the charge by the
19
offender. Evidence of an entry of a conviction of a criminal offense by the trial court shall be
20
21
(d) "Expedited License" means a full and unrestricted medical license granted by a
22
member state to a physician upon evaluation of eligibility performed by the home state of the
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(e) "Home State" means a member state that has granted a physician a license to practice
medicine and which has been designated by the physician as such for purposes of participation in
this Compact.
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5
6
7
interests of the state by protecting the public through licensure, regulation, and education of
IO
(i) "Member State" means a state that has enacted the Compact.
II
(j) "Practice of medicine" means the clinical prevention, diagnosis, or treatment of human
12
disease, injury, or condition requiring a physician to obtain and maintain a license in compliance
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(USMLE) or within three attempts, or any of its predecessor examinations accepted by a state
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(ii) Held a full and unrestricted license to practice medicine in any state
: ~
Association;
the American Board of Med ical Specialties or the American Osteopathic Association's Bureau of
Osteopathic Specialists;
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9
(4) Possesses an active, full and unrestricted license to engage in the practice of medicine
issued by a member board;
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jurisdiction;
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(6) Has never had a license authorizing the practice of medicine revoked or
suspended by any state licensing agency, excluding any action related to non-payment of fees ;
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(7) Has never had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration;
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requirement of the Commission, and has the force and effect of statutory law in a member state,
1
2
(a) A physician may designate a member state as a home state for purposes of the
Compact if the physician possesses an active, full and unrestricted license to practice medicine in
(2) the state where at least 25% ofthe physician's practice of medicine occurs, or
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13
(3) the location of the physician's employer, if no state qualifies as a home state
under subsection (1) and subsection (2).
(b) A physician may designate a new member state to serve as home state at any time, as
long as the state meets the requirements in subsection (a).
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(a) A physician seeking licensure through this Compact shall file an application for
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evaluate whether the physician is eligible for expedited licensure and issue a letter of
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results of any medical or licensing examination, and other qualifications as determined by the
23
Commission through rule, shall not be subject to additional primary source verification where
already primary source verified for home state licensure, for purposes of expedited licensure
3
4
(c) Physicians shall complete the registration process established by the Commission to
receive a license in a member state, including the payment of any applicable fees:
(1) charged by each member board for a license granted under the Compact, and
(d) After receiving verification of eligibility under subsection (b) and any fees under
subse.:tion (c), a member board shall issue a physician a license to practice medicine. This
license shall authorize the physician to practice medicine consistent with all appl icable laws and
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(a) A license obtained pursuant to Section 4 shall be valid for a period consistent with the
16
licensure periods in the member state and in the same manner as required for other licensed
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(b) A physician may seek renewal of a license granted by a member state if the physician:
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(c) Physicians may complete a renewal process with the Commission and shall pay any
applicable fees:
(1) charged by each member board for license renewal, and
previously been licensed through the Compact will result in the loss of the license in that state.
(f) Physician information collected by the Commission during the renewal process will
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(a) A license obtained though this Compact shall be terminated if a physician fails to
13
maintain a home state license for a non-disciplinary reason, without re-designation of a new
14
home state.
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other member states shall be terminated upon entry of the final order in the member state taking
18
the action.
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(b) Notwithstanding any other provision of law, member boards shall report to the
24
Interstate Commission any public action or allegations against a physician who has received or
confidential, filed under seal, and used only for investigatory or disciplinary matters.
(g) The Commission may create additional rules for mandated or discretionary sharing of
information by member boards.
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(b) In addition to the authority granted to a member board by its respective medical
16
practice act or other applicable state law, a member board may participate with other member
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(c) A subpoena issued by a member state shall be enforceable in other member states.
19
(d) Member boards may share any investigative, litigation, or compliance materials in
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(a) For any other disciplinary matter against a physician not specified under
Section 6, a member board may adopt or ratify the action of the disciplining member board, or
pursue any other disciplinary action allowed under its state law.
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(b) If a disciplinary action is brought by a member board, notice must be given in the
same manner as notice is required to be given in the member state.
(c) No other judicial or administrative remedies shaii be available in event of ratification
of a disciplinary action pursuant to subsection (a).
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(a) The member states hereby create the "Interstate Medical Licensure Compact
Commission".
(b) The purpose of the Commission is the administration of the fnterstate Medical
Licensure Compact, which is a discretionary state function.
(c) The Commission shall be a body corporate and joint agency of the member states and
17
shaii have all the responsibilities, powers, and duties set forth in the Compact, and such
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respective legislatures of the member states in accordance with the terms of the Compact.
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(d) The Commission shall consist of one voting representative appointed by each member
state who shaii serve as that state's Commissioner. A Commissioner shall be a(n):
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board, or
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3
meeting shall be a business meeting to address such matters as may properly come before the
Commission, including the election of officers. The chairperson may call additional meetings
and shall call for a meeting upon the request of a majority of the member states.
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9
(f) The bylaws may provide for meetings of the Commission to be conducted by
telecommunication or electronic communication.
(g) Each member state represented at a meeting of the Commission is entitled to one vote.
10
A majority of member states shall constitute a quorum for the transaction of business, unless a
11
larger quorum is required by the bylaws of the Commission. A Commissioner shall not delegate
12
a vote to another member state. In the absence of its Commissioner, a member state may delegate
13
voting authority for a specified meeting to another person from that state who shall meet the
14
requirements of 9(d).
15
(h) The Commission shall provide public notice of all meetings and all meetings shall be
16
open to the public. The Commission may close a meeting, in full or in portion, where it
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determines by a two-thirds vote of the member states present that an open meeting would be
18
likelyto:
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(1) Relate solely to the Commission's internal personnel practices and procedures;
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or confidential;
( 4) Involve accusing a person of a crime, or formally censuring a person;
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proceeding.
(i) The Commission shall keep minutes which shall fully describe all matters discussed in
a meeting and shall provide a full and accurate summary of actions taken, including record of
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(j) The Commission shall make its information and official records, to the extent not
otherwise designated in the Compact or by its rules, available to the public for inspection.
(k) The Commission shall establish an executive committee, which shall include officers,
12
members, and others as determined by the bylaws. The executive committee shall have the
13
power to act on behalf of the Commission, with the exception of rulemaking, during periods
14
when the Commission is not in session. The executive committee shall oversee the
15
administration of the Compact including enforcement and compliance with the provisions of the
16
Compact, its bylaws and rules, and other such duties as necessary.
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(1) The Commission may establish other committees for governance and administration
of the Compact.
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(b) Promulgate rules which shall be binding to the extent and in the manner provided for
24
in the Compact;
10
(c) Issue, upon the request of a member state or member board, advisory opinions
concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
(d) Enforce compliance with Compact provisions, the rules promulgated by the
Commission, and the bylaws, using all necessary and proper means, inc1uding but not limited to
(e) Establish and appoint committees including, but not limited to, an executive
committee as required by Section 10, which shall have the power to act on behalf of the
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(f) Pay, or provide for the payment of, the expenses related to the establishment,
organization, and ongoing activities of the Commission;
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(j) Employ an executive director who shall have such powers to employ, select or
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appoint employees, agents, or consultants, and to determine their qualifications, define their
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(k) Establish personnel policies and programs relating to conflicts of interest, rates of
compensation, and qualifications of personnel;
(l) Accept any and all donations and grants of money, equipment, supplies, materials and
11
(p) Adopt a seal and bylaws governing the management and operation of the
Commission;
(q) Report annually to the legislatures and governors of the member states concerning the
activities of the Commission during the preceding year. Such reports shall also include reports of
financial audits and any recommendations that may have been adopted by the Commission;
(r) Coordinate education, training, and public awareness regarding the Compact, its
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(u) Perfonn such functions as may be necessary or appropriate to achieve the purposes of
13
the Compact.
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(a) The Commission may levy on and collect an annual assessment from each member
17
state to cover the cost of the operations and activities of the Commission and its staff. The total
18
assessment must be sufficient to cover the annual budget approved each year for which revenue
19
is not provided by other sources. The aggregate annual assessment amount shall be allocated
20
upon a formula to be determined by the Commission, which shall promulgate a rule binding
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(b) The Commission shall not incur obligations of any kind prior to securing the funds
adequate to meet the same.
12
(c) The Commission shall not pledge the credit of any of the member states, except by
and with the authority of the member state.
(d) The Commission shall be subject to a yearly financial audit conducted by a certified
or licensed public accountant and the report of the audit shall be included in the annual report of
the Commission.
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govern its conduct as may be necessary or appropriate to cmTy out the purposes of the Compact
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(b) The Commission shall elect or appoint annually from among its members a
13
chairperson, a vice-chairperson, and a treasurer, each of whom shall have such authority and
14
duties as may be specified in the bylaws. The chairperson, or in the chairperson's absence or
15
disability, the vice-chairperson, shall preside at all meetings of the Commiss ion.
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(c) Officers selected in subsection (b) shall serve without compensation or remuneration
from the Commission.
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(d) The officers and employees of the Commission shall be immune from suit and
19
liability, either personally or in their official capacity, for a claim for damage to or loss of
20
property or personal injury or other civil liability caused or arising out of or relating to an actual
21
or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
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provided that such person shall not be protected from suit or liability for damage, loss, injury, or
13
liability caused by the intentional or willful and wanton misconduct of such person.
(1) The liability of the Commission's executive director and employees or
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3
Commission representatives, acting within the scope of such person's employment or duties for
acts, errors, or omissions occwTing within such person's state, may not exceed the limits of
liability set forth under the constitution and laws of that state for state officials, employees, and
agents. The Interstate Commission is considered to be an instrumentality of the states for the
purposes of any such action. Nothing in this subsection shall be construed to protect such person
from suit or liability for damage, loss, inj ury, or liability caused by the intentional or willful and
10
(2) The Commission shall defend the executive director, its employees, and
11
subject to the approval of the attorney general or other appropriate legal counsel of the member
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in any civil action seeking to impose liability arising out of an actual or alleged act, error or
14
omission that occurred within the scope of Corrunission employment, duties or responsibilities,
15
or that the defendant had a reasonable basis for believing occurred within the scope of
16
Commission employment, duties, or responsibilities, provided that the actual or alleged act,
17
error, or omission did not result from intentional or willful and wanton misconduct on the part of
18
such person.
19
(3) To the extent not covered by the state involved, member state, or the
20
Commission, the representatives or employees of the Commission shall be held harmless in the
21
amount of a settlement or j udgment, including attorney's fees and costs, obtained against such
22
persons arising out of an actual or alleged act, error, or omission that occurred within the scope
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14
basis for believing occurred within the scope of Commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not result from
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(a) The Commission shall promulgate reasonable rules in order to effectively and
efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, in the event the
Commission exercises its rulemaking authority in a manner that is beyond the scope of the
10
purposes of the Compact, or the powers granted hereunder, then such an action by the
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(b) Rules shall be made pursuant to a rulemaking process that substantially conforms to
13
the "Model State Administrative Procedure Act," of2010, and as subsequently amended, as may
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(c) Not later than thirty (30) days after a rule is promulgated, any person may file a
16
petition for judicial review of the rule in the United States District Court for the District of
17
Columbia or the federal district where the Commission has its principal offices; provided, that
18
the filing of such a petition shall not stay or otherwise prevent the rule from becoming effective
19
unless the court finds that the petitioner has a substantial likelihood of success. The court shall
20
give deference to the actions of the Commission consistent with applicable law and shall not find
21
the rule to be unlawful if the rule represents a reasonable exercise of the authority granted to the
22
Commission.
15
(a) The executive, legislative, and judicial branches of state government in each member
state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate
the Compact's purposes and intent. The provisions of the Compact and the rules promulgated
hereunder shall have standing as statutory law but shall not override existing state authority to
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(b) All courts shall take judicial notice of the Compact and the rules in any judicial or
administrative proceeding in a member state pertaining to the subject matter of the Compact
which may affect the powers, responsibilities or actions of the Commission.
(c) The Commission shall be entitled to receive all service of process in any such
12
proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure to
13
provide service of process to the Commission shall render a judgment or order void as to the
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(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce
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the United States District Court for the District of Columbia or, at the discretion of the Interstate
21
Commission, in the federal district where the Commission has its principal offices, to enforce
22
compliance with the provisions of the Compact, and its promulgated rules and bylaws, against a
23
member state in default. The relief sought may include both injunctive relief and damages. In the
24
event judicial enforcement is necessary the prevailing party shall be awarded all costs of such
16
(c) The remedies herein shall not be the exclusiv e remedies of the Commission. The
Commission may avail itself of any other remedies available under state law or the regulation of
a profession.
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6
(a) The grounds for default include, but are not limited to, failure of a member state to
perform such obligations or responsibilities imposed upon it by this Compact, or the rules and
10
(b) If the Commission determines that a member state has defaulted in the performance of
11
its obligations or responsibilities under the Compact, or the bylaws or promulgated rules, the
12
Commission shall:
13
(1) Provide written notice to the defaulting state and other member states, of the
14
nature of the default, the means of curing the default, and any action taken by the Commission.
15
The Commission shall specify the conditions by which the defaulting state must cure its default,
16
and
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(2) Provide remedial training and specific technical assistance regarding the
default.
(c) If the defaulting state fails to cure the default, the defaulting state shall be terminated
20
from the Compact upon an affirmative vote of a majority of the member states and all rights,
21
privileges, and benefits conferred by the Compact shall terminate on the effective date of
22
termination. A cure of the default does not relieve the offending state of obligations or liabilities
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17
(d) Termination of membership in the Compact shall be imposed only after all other
means of securing compliance have been exhausted. Notice of intent to terminate shall be given
by the Commission to the governor, the majority and minority leaders of the defaulting state's
(e) The Commission shall establish rules and procedures to address licenses and
physicians that are materially impacted by the termination of a member state, or the withdrawal
of a member state.
(f) The member state which has been terminated is responsible for all dues, obligations
8
9
10
and liabilities incurred through the effective date of termination including obligations, the
performance of which extends beyond the effective date of termination.
11
(g) The Commission shall not bear any costs relating to any state that has been found to
12
be in default or which has been terminated from the Compact, unless otherwise mutually agreed
13
14
(h) The defaulting state may appeal the action of the Interstate Commission by
15
petitioning the United States District Court for the District of Columbia or the federal district
16
where the Commission has its principal offices. The prevailing party shall be awarded all costs of
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(a) The Commission shall attempt, upon the request of a member state, to resolve
21
disputes which are subject to the Compact and which may arise among member states or member
22
boards.
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(b) The Commission shall promulgate rules providing for both mediation and binding
18
(b) The Compact shall become effective and binding upon legislative enactment of the
Compact into law by no less than seven (7) states. Thereafter, it shall become effective and
binding on a state upon enactment of the Compact into law by that state. The governors of non-
member states or their designees, shall be invited to participate in the activities of the
10
(c) The Commission may propose amendments to the Compact for enactment by the
11
member states. No amendment shall become effective and binding upon the Commission and
12
the member states unless and unti l it is enacted into law by unanimous consent of the member
13
states.
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15
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(a) Once effective, the Compact shall continue in force and remain binding upon each
17
and every member state; provided that a member state may withdraw from the Compact by
18
specifically repealing the statute which enacted the Compact into law.
19
(b) Withdrawal from the Compact shall be by the enactment of a statute repealing the
20
same, but shall not take effect until one (1) year after the effective date of such statute and until
21
written notice of the withdrawal has been given by the withdrawing state to the governor of each
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(c) The withdrawing state shall immediately notify the chairperson of the Commission in
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2
writing upon the introduction of legislation repealing this Compact in the withdrawing state.
(d) The Commission shall notify the other member states of the withdrawing state's
intent to withdraw within sixty (60) days of its receipt of notice provided under subsection (c).
(e) The withdrawing state is responsible for all dues, obligations and liabilities incurred
through the effective date ofwithdrawal, including obligations, the performance ofwhich
(f) Reinstatement following withdrawal of a member state shall occur upon the
withdrawing state reenacting the compact or upon such later date as determined by the
Commission.
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(a) The Compact shall dissolve effective upon the date of the withdrawal or default of the
13
14
member state which reduces the membership in the compact to one (I) member state.
(b) Upon the dissolution ofthe Compact, the Compact becomes null and void and shall
15
be of no further force or effect, and the business and affairs of the Commission shall be
16
concluded and surplus funds shall be distributed in accordance with the bylaws.
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(a) The provisions of this Compact shall be severable, and if any phrase, clause, sentence,
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enforceable.
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(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
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(c) Nothing in the Compact shall be construed to prohibit the applicability of other
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(a) Nothing herein prevents the enforcement of any other Jaw of a member state that is
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on the legis Jature of any member state, such provision shall be ineffective to the extent of the
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Knittle, Robert C
From:
Sent:
To:
Subject:
Attachments:
At the April 2013 Federation of State Medical Boards (FSMB) Annual Meeting, the House of Delegates unanimously
passed Resolution I 3-5: Development ofan Interstate Compact to Expedite Medical Licensure and Facilitate Multi-State
Practice, directing the FSMB to convene representatives from state medical boards and special experts to explore the
formation of an Interstate Compact to enhance license portability.
Following the Annual Meeting, FSMB staff worked in conjunction representatives of state medical boards and the
Council of State Governments (CSG) to convene a Interstate Medical Licensure Compact Planning Meeting, which was
hosted at the FSMB Texas Office on June 12-14, 2013. Building upon the guiding principles proposed by the Compact
Planning Workgroup, this expanded Interstate Compact Taskforce (ICT) met on September 10-11, 2013 in Crystal City,
VA. The ICT was charged with refming and finalizing a set of recommendations to guide a drafting subcommittee as it
developed an initial framework of an interstate medical licensure compact.
The eight consensus principles included:
Participation in an interstate compact for medical licensure will be strictly voluntary for both physicians and
state boards of medicine.
Generally, participation in an interstate compact creates another pathway for licensure, but does not otherwise
change a state's existing medical practice act.
The practice of medicine occurs where the patient is located at the time of the physician-patient encounter,
and therefore, requires the physician to be under the jurisdiction of the state medical board where the patient
is located.
An interstate compact for medical licensure will establish a mechanism whereby any physician practicing in
the state will be known by, and under the jurisdiction of, the state medical board where the practice occurs.
Regulatory authority will remain with the participating state medical boards, and will not be delegated to any
entity that would administer a compact.
A physician practicing under an interstate compact is bound to comply with the statutes, rules and regulations
of each compact state wherein he I she chooses to practice.
State boards participating in an interstate compact are required to share complaint I investigative information
with each other.
The license to practice can be revoked by any or all ofthe compact states.
1
I ask that you review the content of the draft and provide any comments to the drafting committee to aid in the further
study of a compact.
Please provide comments to Eric Fish, Senior Director of Legal Services, by January 24,2014. Comments can be sent to
efish@fsmb.org.
Eric M. Fish
Senior Director, Legal Services
Federation of State Medical Boards
1300 Connecticut Avenue, NW Suite 500
Washington, DC 20036
Phone: 202-463-4005
efish@fsmb.org I www .fsmb.org
i-~ul eration of
STATE
MEDICAL
BOARDS
. r.
'
. :_
. I.
, r
I.
'
DRAFT
FOR DISCUSSION ONLY
The ideas and conclusions set forth in this draft, including the proposed statutory language and any comments or
notes, have not been formally endorsed by the Federation ofState Medical Boards or its Board ofDirectors. This
draft has been prepared to study the feasibility ofan interstate compact, and does not necessarily reflect the views
or opinions ofthe Federation ofState Medical Boards, the Board of Directors of the Federation ofState Medical
Boards, or any state medical board or its members or stqff.
1
2
In order to strengthen access to health care and in recognition of the advances in the delivery of
health care brought upon by telemedicine and other forms of connected health, the member states
of the Interstate Medical Licensure Compact have allied in common purpose to develop a
comprehensive process that complements the existing licensing and regulatory authority of state
medical and osteopathic boards, ensures the safety of patients, and provides physicians with
enhanced portability of their license to practice medicine outside their state of primary licensure.
This compact creates another pathway for licensure and does not otherwise change a state's
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(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to
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Section 10 for its governance, or for directing and controlling its actions and conduct.
(b) "Commissioner" means the voting representative appointed by each member board
pursuant to Section 10.
(c) "Conviction" means a fmding by a court that an individual is guilty of a criminal
18
offense through adjudication, or entry of.a plea of guilt or no contest to the charge by the
19
offender. Evidence of an entry of a conviction of a criminal offense by the trial court shall be
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21
(d) "Expedited License" means a full and unrestricted medical license granted by a
22
member state to a physician upon evaluation of eligibility performed by the home state of the
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(e) "Home State" means a member state that has granted a physician a license to practice
1
medicine and which has been designated by the physician as such for purposes of participation in
this Compact.
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4
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6
7
interests of the state by protecting the public through licensure, regulation, and education of
10
(i) "Member State" means a state that has enacted the Compact.
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12
disease, injury, or condition requiring a physician to obtain and maintain a license in compliance
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(1) Is a graduate of
(a) a United States medical school accredited by the Liaison Committee on
Medical Education or the Commission on Osteopathic College Accreditation; or
(b) an international medical school that is listed in the World Directory of
Medical Schools, and has:
(i) Passed each part of the United States Medical Licensing Examination
21
(USMLE) or within three attempts, or any of its predecessor examinations accepted by a state
22
23
(ii) Held a full and unrestricted license to practice medicine in any state
Association;
the American Board of Medical Specialties or the American Osteopathic Association's Bureau of
Osteopathic Specialists;
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9
(4) Possesses an active, full and unrestricted license to engage in the practice of medicine
issued by a member board;
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12
jurisdiction;
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14
(6) Has never had a license authorizing the practice of medicine revoked or
suspended by any state licensing agency, excluding any action related to non-payment of fees ;
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(7) Has never had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration;
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requirement of the Commission, and has the force and effect of statutory law in a member state,
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2
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4
(a) A physician may designate a member state as a home state for purposes of the
Compact if the physician possesses an active, full and unrestricted license to practice medicine in
(2) the state where at least 25% of the physician's practice of medicine occurs, or
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(3) the location ofthe physician's employer, ifno state qualifies as a home state
under subsection (1) and subsection (2).
(b) A physician may designate a new member state to serve as home state at any time, as
long as the state meets the requirements in subsection (a).
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(a) A physician seeking licensure through this Compact shall file an application for
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evaluate whether the physician is eligible for expedited licensure and issue a letter of
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results of any medical or licensing examination, and other qualifications as determined by the
23
Commission through rule, shall not be subject to additional primary source verification where
already primary source verified for home state licensure, for purposes of expedited licensure
3
4
(c) Physicians shall complete the registration process established by the Commission to
receive a license in a member state, including the payment of any applicable fees:
(1) charged by each member board for a license granted under the Compact, and
(d) After receiving verification of eligibility under subsection (b) and any fees under
subsection (c), a member board shall issue a physician a license to practice medicine. This
license shall authorize the physician to practice medicine consistent with all applicable laws and
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(a) A license obtained pursuant to Section 4 shall be valid for a period consistent with the
16
licensure periods in the member state and in the same manner as required for other licensed
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(b) A physician may seek renewal of a license granted by a member state if the physician:
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(c) Physicians may complete a renewal process with the Commission and shall pay any
applicable fees:
(1) charged by each member board for license renewal, and
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4
(d) Upon receipt of any renewal fees collected in subsection (c), a member board shall
renew the physician's license.
(e) Failure to pay renewal fees charged by a member state in which the physician had
previously been licensed through the Compact will result in the loss of the license in that state.
(f) Physician information collected by the Commission during the renewal process will
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(a) A license obtained though this Compact shall be terminated if a physician fails to
13
maintain a home state license for a non-disciplinary reason, without re-designation of a new
14
home state.
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other member states shall be terminated upon entry of the fmal order in the member state taking
18
the action.
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(a) The Interstate Commission shall establish a database of all physicians licensed, or
who have applied to be licensed, under Section 4.
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(b) Notwithstanding any other provision of law, member boards shall report to the
24
Interstate Commission any public action or allegations against a physician who has received or
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confidential, filed under seal, and used only for investigatory or disciplinary matters.
(g) The Commission may create additional rules for mandated or discretionary sharing of
information by member boards.
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(b) In addition to the authority granted to a member board by its respective medical
16
practice act or other applicable state law, a member board may participate with other member
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(c) A subpoena issued by a member state shall be enforceable in other member states.
19
(d) Member boards may share any investigative, litigation, or compliance materials in
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(a) For any other disciplinary matter against a physician not specified under
Section 6, a member board may adopt or ratify the action of the disciplining member board, or
pursue any other disciplinary action allowed under its state law.
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(b) If a disciplinary action is brought by a member board, notice must be given in the
same manner as notice is required to be given in the member state.
(c) No other judicial or administrative remedies shall be available in event of ratification
of a disciplinary action pursuant to subsection (a).
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(a) The member states hereby create the "Interstate Medical Licensure Compact
Commission".
(b) The purpose of the Commission is the administration of the Interstate Medical
Licensure Compact, which is a discretionary state function.
(c) The Commission shall be a body corporate and joint agency of the member states and
17
shall have all the responsibilities, powers, and duties set forth in the Compact, and such
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respective legislatures of the member states in accordance with the terms of the Compact.
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(d) The Commission shall consist of one voting representative appointed by each member
state who shall serve as that state's Commissioner. A Commissioner shall be a(n):
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board, or
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3
meeting shall be a business meeting to address such matters as may properly come before the
Commission, including the election of officers. The chairperson may call additional meetings
and shall call for a meeting upon the request of a majority of the member states.
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(f) The bylaws may provide for meetings of the Commission to be conducted by
10
A majority of member states shall constitute a quorum for the transaction of business, unJess a
11
larger quorum is required by the bylaws of the Commission. A Commissioner shall not delegate
12
a vote to another member state. In the absence of its Commissioner, a member state may delegate
13
voting authority for a specified meeting to another person from that state who shall meet the
14
requirements of 9( d).
15
(h) The Commission shall provide public notice of all meetings and all meetings shall be
16
open to the public. The Commission may close a meeting, in full or in portion, where it
17
determines by a two-thirds vote of the member states present that an open meeting would be
18
likely to:
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(1) Relate solely to the Commission's internal personnel practices and procedures;
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or confidential;
(4) Involve accusing a person of a crime, or formally censuring a person;
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6
proceeding.
(i) The Commission shall keep minutes which shall fully describe all matters discussed in
a meeting and shall provide a full and accurate summary of actions taken, including record of
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G) The Commission shall make its information and official records, to the extent not
otherwise designated in the Compact or by its rules, available to the public for inspection.
(k) The Commission shall establish an executive committee, which shall include officers,
12
members, and others as determined by the bylaws. The executive committee shall have the
13
power to act on behalf of the Commission, with the exception of rulemaking, during periods
14
when the Commission is not in session. The executive committee shall oversee the
15
administration of the Compact including enforcement and compliance with the provisions of the
16
Compact, its bylaws and rules, and other such duties as necessary.
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(I) The Commission may establish other committees for governance and administration
of the Compact.
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(b) Promulgate rules which shall be binding to the extent and in the manner provided for
24
in the Compact;
10
(c) Issue, upon the request of a member state or member board, advisory opinions
concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
(d) Enforce compliance with Compact provisions, the rules promulgated by the
Commission, and the bylaws, using all necessary and proper means, including but not limited to
(e) Establish and appoint committees including, but not limited to, an executive
committee as required by Section 10, which shall have the power to act on behalf of the
9
10
(f) Pay, or provide for the payment of, the expenses related to the establishment,
organization, and ongoing activities of the Commission;
11
12
13
14
G) Employ an executive director who shall have such powers to employ, select or
15
appoint employees, agents, or consultants, and to determine their qualifications, defme their
16
17
18
19
20
21
22
23
(k) Establish personnel policies and programs relating to conflicts of interest, rates of
compensation, and qualifications of personnel;
(l) Accept any and all donations and grants of money, equipment, supplies, materials and
services, and to receive, utilize, and dispose of it;
(m) Lease, purchase, accept contributions or donations of, or otherwise to own, hold,
improve or use, any property, real, personal, or mixed;
(n) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any
11
(p) Adopt a seal and bylaws governing the management and operation of the
Commission;
(q) Report annually to the legislatures and governors of the member states concerning the
activities of the Commission during the preceding year. Such reports shall also include reports of
fmancial audits and any recommendations that may have been adopted by the Commission;
(r) Coordinate education, training, and public awareness regarding the Compact, its
!0
ll
J2
(u) Perform such functions as may be necessary or appropriate to achieve the purposes of
l3
the Compact.
14
15
16
(a) The Commission may levy on and collect an annual assessment from each member
17
state to cover the cost of the operations and activities of the Commission and its staff The total
18
assessment must be sufficient to cover the annual budget approved each year for which revenue
19
is not provided by other sources. The aggregate annual assessment amount shall be allocated
20
upon a formula to be determined by the Commission, which shall promulgate a rule binding
21
22
23
(b) The Commission shall not incur obligations of any kind prior to securing the funds
adequate to meet the same.
12
1
2
3
(c) The Commission shall not pledge the credit of any of the member states, except by
and with the authority of the member state.
(d) The Commission shall be subject to a yearly financial audit conducted by a certified
or licensed public accountant and the report of the audit shall be included in the annual report of
the Commission.
7
8
(a) The Commission shall, by a majority of members present and voting, adopt bylaws to
10
govern its conduct as may be necessary or appropriate to carry out the purposes of the Compact
11
12
(b) The Commission shall elect or appoint annually from among its members a
13
chairperson, a vice-chairperson, and a treasurer, each of whom shall have such authority and
14
duties as may be specified in the bylaws. The chairperson, or in the chairperson's absence or
15
16
17
(c) Officers selected in subsection (b) shall serve without compensation or remuneration
from the Commission.
18
(d) The officers and employees of the Commission shall be immune from suit and
19
liability, either personally or in their official capacity, for a claim for damage to or loss of
20
property or personal injury or other civil liability caused or arising out of or relating to an actual
21
or alleged act, error, or omission that occurred, or that such person had a reasonable basis for
22
23
provided that such person shall not be protected from suit or liability for damage, loss, injury, or
13
liability caused by the intentional or willful and wanton misconduct of such person.
(1) The liability of the Commission's executive director and employees or
2
3
Commission representatives, acting within the scope of such person's employment or duties for
acts, errors,_or omissions occuning within such person's state, may not exceed the limits of
liability set forth under the constitution and laws of that state for state officials, employees, and
agents. The Interstate Commission is considered to be an instrumentality of the states for the
purposes of any such action. Nothing in this subsection shall be construed to protect such person
from suit or liability for damage, loss, injury, or liability caused by the intentional or willful and
10
(2) The Commission shall defend the executive director, its employees, and
11
subject to the approval of the attorney general or other appropriate legal counsel of the member
12
13
in any civil action seeking to impose liability arising out of an actual or alleged act, enor or
14
omission that occuned within the scope of Commission employment, duties or responsibilities,
15
or that the defendant had a reasonable basis for believing occurred \Vithin the scope of
16
Commission employment, duties, or responsibilities, provided that the actual or alleged act,
17
error, or omission did not result from intentional or willful and wanton misconduct on the part of
18
such person.
19
(3) To the extent not covered by the state involved, member state, or the
20
Commission, the representatives or employees of the Commission shall be held harmless in the
21
amount of a settlement or judgment, including attorney's fees and costs, obtained against such
22
persons arising out of an actual or alleged act, error, or omission that occurred within the scope
23
14
basis for believing occurred within the scope of Commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not result from
4
5
6
(a) The Commission shall promulgate reasonable rules in order to effectively and
efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, in the event the
Commission exercises its rulemaking authority in a manner that is beyond the scope of the
10
purposes of the Compact, or the powers granted hereunder, then such an action by the
11
12
(b) Rules shall be made pursuant to a rulemaking process that substantially conforms to
13
the "Model State Administrative Procedure Act," of2010, and as subsequently amended, as may
14
15
(c) Not later than thirty (30) days after a rule is promulgated, any person may file a
16
petition for judicial review of the rule in the United States District Court for the District of
17
Columbia or the federal district where the Commission has its principal offices; provided, that
18
the filing of such a petition shall not stay or otherwise prevent the rule from becoming effective
19
unless the court fmds that the petitioner has a substantial likelihood of success. The court shall
20
give deference to the actions of the Commission consistent with applicable law and shall not find
21
the rule to be unlawful ifthe rule represents a reasonable exercise of the authority granted to the
22
Commission.
15
(a) The executive, legislative, and judicial branches of state government in each member
state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate
the Compact's purposes and intent. The pr0visions of the Compact and the rules promulgated
hereunder shall have standing as statutory law but shall not override existing state authority to
8
9
10
11
(b) All courts shall take judicial notice of the Compact and the rules in any judicial or
administrative proceeding in a member state pertaining to the subject matter of the Compact
which may affect the powers, responsibilities or actions of the Commission.
(c) The Commission shall be entitled to receive all service of process in any such
12
proceeding, and shall have standing to intervene in the proceeding for all purposes. Failure to
13
provide service of process to the Commission shall render a judgment or order void as to the
14
15
16
17
(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce
18
19
20
the United States District Court for the District of Columbia or, at the discretion of the Interstate
21
Commission, in the federal district where the Commission has its principal offices, to enforce
22
compliance with the provisions of the Compact, and its promulgated rules and bylaws, against a
23
member state in default. The relief sought may include both injunctive relief and damages. In the
24
event judicial enforcement is necessary the prevailing party shall be awarded all costs of such
16
2
3
Commission may avail itself of any other remedies available under s~te law or the regulation of
a profession.
5
6
(a) The grounds for default include, but are not limited to, failure of a member state to
perform such obligations or responsibilities imposed upon it by this Compact, or the rules and
10
(b) If the Commission determines that a member state has defaulted in the performance of
11
its obligations or responsibilities under the Compact, or the bylaws or promulgated rules, the
12
Commission shall:
13
(1) Provide written notice to the defaulting state and other member states, of the
14
nature of the default, the means of curing the default, and any action taken by the Commission.
15
The Commission shall specify the conditions by which the defaulting state must cure its default,
16
and
17
18
19
(2) Provide remedial training and specific technical assistance regarding the
default.
(c) If the defaulting state fails to cure the default, the defaulting state shall be terminated
20
from the Compact upon an affirmative vote of a majority of the member states and all rights,
21
privileges, and benefits conferred by the Compact shall terminate on the effective date of
22
termination. A cure of the default does not relieve the offending state of obligations or liabilities
23
17
(d) Termination of membership in the Compact shall be imposed only after all other
means of securing compliance have been exhausted. Notice of intent to terminate shall be given
by the Commission to the governor, the majority and minority leaders of the defaulting state's
(e) The Commission shall establish rules and procedures to address licenses and
physicians that are materially impacted by the termination of a member state, or the withdrawal
of a member state.
(f) The member state which has been terminated is responsible for all dues, obligations
8
9
10
and liabilities incurred through the effective date of termination including obligations, the
performance of which extends beyond the effective date of tennination.
11
(g) The Commission shall not bear any costs relating to any state that has been found to
12
be in default or which has been terminated from the Compact, unless otherwise mutually agreed
13
14
(h) The defaulting state may appeal the action of the Interstate Commission by
15
petitioning the United States District Court for the District of Columbia or the federal district
16
where the Commission has its principal offices. The prevailing party shall be awarded all costs of
17
18
19
20
(a) The Commission shall attempt, upon the request of a member state, to resolve
21
disputes which are subject to the Compact and which may arise among member states or member
22
boards.
23
(b) The Commission shall promulgate rules providing for both mediation and binding
18
2
SECTION 19. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT
3
4
(b) The Compact shall become effective and binding upon legislative enactment of the
Compact into law by no less than seven (7) states. Thereafter, it shall become effective and
binding on
member states or their designees, shall be invited to participate in the activities of the
10
(c) The Commission may propose amendments to the Compact for enactment by the
11
member states. No amendment shall become effective and binding upon the Commission and
12
the member states unless and until it is enacted into law by unanimous consent of the member
13
states.
14
15
16
(a) Once effective, the Compact shall continue in force and remain binding upon each
17
and every member state; provided that a member state may withdraw from the Compact by
18
specifically repealing the statute which enacted the Compact into law.
19
(b) Withdrawal from the Compact shall be by the enactment of a statute repealing the
20
same, but shall not take effect until one (1) year after the effective date of such statute and until
21
written notice of the withdrawal has been given by the withdrawing state to the governor of each
22
23
(c) The withdrawing state shall immediately notify the chairperson of the Commission in
19
1
2
writing upon the introduction of legislation repealing this Compact in the withdrawing state.
(d) The Commission shall notify the other member states of the withdrawing state's
intent to withdraw within sixty (60) days of its receipt of notice provided under subsection (c).
(e) The withdrawing state is responsible for all dues, obligations and liabilities incurred
through the effective date of withdrawal, including obligations, the performance of which
(f) Reinstatement following withdrawal of a member state shall occm upon the
withdrawing state reenacting the compact or upon such later date as detennined by the
Commission.
10
11
12
(a) The Compact shall dissolve effective upon the date ofihe withdrawal or default of the
13
14
member state which reduces the membership in the compact to one (1) member state.
(b) Upon the dissolution of the Compact, the Compact becomes null and void and shall
15
be of no further force or effect, and the business and affairs ofthe Commission shall be
16
concluded and surplus funds shall be distributed in accordance with the bylaws.
17
18
19
(a) The provisions of this Compact shall be severable, and if any phrase, clause, sentence,
20
21
enforceable.
22
(b) The provisions of the Compact shall be liberally construed to effectuate its purposes.
23
(c) Nothing in the Compact shall be construed to prohibit the applicability of other
20
2
3
(a) Nothing herein prevents the enforcement of any other law of a member state that is
5
6
7
8
9
10
11
12
13
on the legislature of any member state, such provision shall be ineffective to the extent of the
14
21
Board of Medicine
AHMEDDAVERFAHEEM,MD
PRESIDENT
ROBERT C. KNITTLE
EXECUTIVE DIRECTOR
January 5, 2016
Andrew Schlafly, Esq.
939 Old Chester Rd.
Far Hills, New Jersey 07931
Dear Mr. Schlafly:
Yesterday afternoon, the West Virginia Board of Medicine received correspondence from
you enclosing payment of the Board's December 29, 2015 invoice associated with the production
of certain public documents which are, or may be, responsive to your December 21, 2015
Freedom of Information Act request to the Board. Thank you for your payment. Consistent with
the Board's correspondence to you of December 29, 2015, the Board hereby provides the
following documents.
With respect to your first numbered request, seeking "[e]mails by, to, and among
members and staff of the West Virginia Board of Medicine ("WVBOM") since Jan. 1, 2014,
concerning the Federation of State Medical Boards ("FSMB"), the Council of State Governments
("CSG"), and/or the Interstate Medical Licensure Compact ("IMLC"), including emails relating
to the Commission established under the IMLC," the Board continues to await clarification from
you regarding this request. The Board's request for clarification is more fully set forth in the
Board's December 29, 2015, correspondence to you.
In the interim, and consistent with the Board's prior communication to you, the Board is
providing two collections of e-mail communications which have previously been compiled by
Board staff. These productions are provided on the enclosed disk in the folder entitled Public
Documents Possibly Responsive to Request 1.
First, the Board is providing e-mail communications between the WVBOM and the
FSMB for the period of January 1, 2013 through September 23, 2015, which relate to the
development and/or passage of the IMLC. These documents include a number of e-newsletters
to the Board from the FSMB which may only make passing mention of the IMLC and/or its
legislative status in a particular state. Due to staff and technological constraints which were in
place at the time these emails were originally collected, electronic conversion and redaction of
e-mails was infeasible, and responsive e-mails were printed and subsequently scanned for
production as electronic files. These e-mails are provided in the subfolder entitled Subfolder 1.
Second, the Board is providing e-mail communications between the WVBOM and the
FSMB for the period of December 1, 2014 through February 28, 2015. As previously
mentioned, these e-mails may or may not be responsive to your request fore-mails "concerning"
the FSMB, ICG and/or IMLC. These e-mails, which are provided in Subfolder 2, are grouped in
the following categories:
1. FSMB eNews Multiple WVBOM staff members receive this publication; however,
one copy of each eNewletter is produced herewith from December 2014, January
2015, and February 2015.
2.
been redacted from the electronic copies which are being made available to you to protect the
confidentiality and privacy of that information. Please be advised that with one exception, 1
where e-mail attachments remain accessible to the Board, they have been provided immediately
following the e-mail to which they were originally attached.
In addition to the e-mail communications produced herewith, and during the referenced
time frame, the Board has identified certain e-mail exchanges between WVBOM licensure staff
1
In the e-mail correspondence produced between Ms. Walker and FSMB, the FSMB representative attaches a
confidential application document which was provided because the original was not susceptible to printing on 8.5 x
11 paper. This document is exempt from production pursuant toW. Va. Code 29B-1-4(a)(2).
and the FSMB regarding the contents of application documents regarding specific applicants.
Specifically, e-mail communications regarding eleven applicants have been identified. These
communications involve: the status of specific applicant documentation; requests and production
of verified application materials; applicant disciplinary information; applicant test score results;
modifications and/or updates of Federation Credentials Verification Service (FCVS)
documentation for specific applicants, and requests for clarification regarding absence of postgraduate training primary source verification for an applicant and responses thereto. Unlike
transcript or application notifications, these communications include substantive information
regarding specific applicants, and they do not "concern" the FSMB, the ICG or the IMLC. The
Board has determined that these pre-decisional communications regarding specific application
materials are not responsive to your request as understood by the Board, and are, in any event,
exempt from production pursuant toW. Va. Code 29B-1-4(a)(2) and 29B-1-4(a)(8).
With respect to your second numbered request, which seeks " [r]eceipts and
reimbursement data, files, and fonns for travel and expenses for all WVBOM members and staff
to participate in FSMB-related, CSG-related, and/or IMLC-related meetings, events, and
activities, since Jan. 1, 2014," enclosed please find four pages of paper documents? All other
responsive documents are provided on the enclosed disk in a folder entitled Public Documents
Responsive to Request 2. As you were previously advised, the home addresses of WVBOM
staff and Board members have been redacted to protect the confidentiality of this personally
identifiable information.
As previously indicated, the Board has no documents responsive to your third numbered
request.
With respect to your fourth numbered request, seeking "[r]eceipts and reimbursement
data, files, and forms for any payments made, including dues, to the FSMB, CSG, and/or IMLC
Commission since Jan. 1, 2013," enclosed please find one paper document. All other responsive
documents are provided on the enclosed disk in a folder entitled Public Documents Responsive
to Request 4.
Sincerely,
~.,~?j/'
,; //,
~~~~
Robert C. Knittle
Enclosures
Per your conversation with Board staff this afternoon, documents responsive to this request were actually collected
for the period of January 2013 through the present. You confirmed your preference to receive this broader
production of documents, rather than the more limited production contemplated by your original request.
EXPENSE REPORT
FEDERATION OF STATE MEDICAL BOARDS OF THE U.S.
400 Fuller WISer Road, Suife 300, Euless, TX 76039
Instructions:
Submission Deadline:
({ .2. f / ~0 13
Complete fonn.~and submit a copy with origmal receipts to fue FSMB. Retrin a copy for your records.
Traveler's Name
R6'b ~
c.
~Y\'~'k
lf
;1t,1 :t.ol)
I I
I I
to
to
to
to
Event l Purpose
City &State
Travel Dates
r~6~1-an
I
I
MalS.
'
Total Re;im.burseinent
*Please provide details of miscellaneouprepayment expenses:
;-~~
1'1
State
{\/
Tille
HamllriWV
Sla~ Car.
01\TE
W1
rravel
Boatc Membe<
vesr
TIME
No
"'fTIIATI:
"'2!1'3
JFrom Ham!., VN
.,,,m,"
Ito
>ersonat car
_ll _
Mll.ES
AYOUIIT
""'
2068
~AtJ
44060
ro Bostor1 MA
:.,,.,2[),
AIR
-.c>>;z&i.i
:1fll"'"''
N:r.>:
!Fr Boton MA
r o Cnarlestotl-W\1
~-c;;..,;;,-;,..,...
To HamhnWV
fAlS
""'
l!!S
4136
. 44060
i.tvnount Due To
I'UN!:
9070
No
. TOTAL
2068
5325
26209
4800
7100
48 00
s: 25
26209
5t000 1265 94
1900
26209
32909
33J 09
26209
)10 (lS
13 75
20.68
273 50
fes
M&l
:.048-35
5>2~
r::k>yee r-lState
'258 89
lj16~.
Bli
NC
N:;
0945
130
OBJ
025
IJ8
u fi1I:K t:::AH:Nl>t:~
01\TE-
flCMS
iAMOUt(
] !7 '?C1l
rstrabon
Cal>
"'S;;Ot3
Cab
47500
3500
t9 00
4-'~V2013
Cab
23 75
.t.. t ]'~~l
DAn<
r61U6l
m:M AHD veNDOR
IAMOUNl
_,
. ..
EXPENSE REPORT
FEDERATION OF STATE MEDICAL BOARDS OF TEE U.S.
400 Fuller WISer Road, Suite 300, Euless, TX 76039
Instructions:
Submission Deadline:._ _ _ __
Complete fotm and su,broi a copy with orig:ir.al receipts to the FSMB. Retain a ropy for your records.
Title/Role (e.cr Delee:ate. Board Member ~eaker.. Facultv Staff. etc.)
'Traveler's Name
Rob t~ c.
q
J{}1h 1H~
J<x~.
Travel Dates
Citv&State
/l{r' 'l:o} f,
to
I I
I I
I I
to
i AliJJJJ7,
to
I
I
to
F.u/~S$
!><
DH-.
(/f/J'IL}E_AdVIJfJY11 P'~-n~J
I
I
I
Saturday
/Y/r;c. -
B~g6~g'
~='eis
_ _ _ _ _ _ _ Dal:e - - - -
Cf!to I 13
Date
EXPENSE REPORT
Instructions:
Submission Deadline:
Complete form and submit a copy with receipts to the FS!v.ffi. Retain a copy for your records.
Traveler's Name
~O~v~ E.Y~:c.vhYf.
R~beYT C, Kn\~
A'J; J...b 14-
to
I
I
to
I
I
to
Sunday
J..7
Event I Pgmose
City& State
Travel Dates
lJ-
D~r.
..
0n~Y'
Pi>~~
C..,O.
A-.. v "I
'A
c;;.,.~
I
I
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Ij- ld.~
l.J I .1..3
lf I :J.l.f
1f I ..,Z_E
It 11{11
EXPENSES
Airfare /'Rail
Baggage Fees
~(} .l\ h
Lodging
ll. l. d-.
Meals
Taxi
t}-{pj_ S"&
I J., 6 . (J'(J
lJ-/; J. So
lsD. 'l10
.
l/-0. 0{)
TOTAL
)/lf.ol
SI.~D
nq.al
;1_~.
nq.ol
b5
J..~.~o
\lq,Ol
iD3.Lt.3
71~ Olf
J ~ 7. J.-6
uo.ao
Telephone I Internet
:[ips
A.uto l<er.tal
Parking/ Tolls
3q.oo
3Cf. CJtJ
Mileage 56 cents/mile
Miscellaneous..*
SUBTOTAL
l \ 0 -:1.;1.
S.fDT. $0
:Lst;. lP 1
J.._o 5 -~7;
:J..O/.
31 )_lfJ. lflJ
l5lo 3 }If
Total Reimbursement
I.J.iD I. ~ o
II o:J. :JJ-f
DEDUCTIONS
:FS:tvfB Advances)
Airline Prepayments)
4-ul. so
Other Prepayments*")
SUBTOTAL
lf-laL SD
'raveler's Signature
late Submitted
Approved By
_ _ _ _ _ _ _ Date
Date
INVOICE
sfXEii
MEDICAL
BOARDS
Date
10/412013
1nv01ce~
435
1 of 1
Page
Bill To:
Robert C. Knittle, MS
Remit To:
IhnbJGIIIJIIIIe.lems
1isted
IIIMI8CIIved
..._.11M
..................,....
J/~
~
;oj.:?IB
Name
Date; / ..
MBOARD
$2,400.00
$2,400.00
EXPENSE REPORT
FEDERATION OF STATE l\1EDICAL BOARDS OF THE U.S.
400 Fuller Wl.Se1' Road, Suite 300, Euless, TX 76039
Submission Deadline:._ _ _ __
Instru.ct:i,ons:
Complete foiin and submit a copy wilh origir.al receipts ID the FSMB. Retain a copy for your records.
Trn.veler's Name
City &State
Travel Dates
(, II~ J~
I I
. I 'I
. I I
to
ID
to
ID
8 d. flf Pled.
Event [Puroose
"/'X
igj))B_ -r,.,f~.d...+~
G""itPAd" n~-..-
Saturday
Total R~bUl:Sement
""'Please provide details of miscellimeowifprepayment expenses:
*"' /Yl:se.
13n!!"' oEfC.
raveler's S'J.gnllhlre
Date StWmitted
- - --
&en
c.hArf,tl
~~
m
~-
tf&/17/J3
DatE
A=ovf"cilW
T"'!. ..
I ~
EXPENSE REPORT
FEDERATION OF STATE MEDICAL BOARDS OF 1RE U.S.
400 Fuller WISer Road, Suite 300, Euless, TX 76039
Submission Deadline:
Instructions:
Complete form and submit a copy with original receipts to the FSMB. Relain a copy for Y01JI r~--ords.
Traveler's Name
Robl{yt t.
)(r. \ H-lt
loqt ~13
I I
I I
I I
to
to
to
to
Event LPuroose
Citv& State
Travel Dates
~ 1 11 lao g
I
I
I
I
I
yll'.-t'-t..
Saturdav
Total RE:imbursei:nent
bah.l
~_L~:.L.'_.;J._=o...t...l.3_ _ __
- - ---
Date Suhmith:d
--------------~
Approved By
- - - -- - - - - - - - Date
-------
F('(/rration of
EXPENSE REPORT
FEDERATION OF STATE MEDICAL BOARDS OF THE U.S.
400 Fuller Wiser Road, Suite 300
Euless, TX 76039
STATE
MEDICAL
BOARDS
Instructions:
Submission Deadline:_ _ __ _
Complete form and submit a copy with receipts to the FSMB. Retain a copy for your records.
Traveler's Name
I(1'\\1!k
q ;J..S;
~D JI.J.
I I
I I
to
to
to
Event LP!!!l!ose
City &State
Travel Dates
C< vl. c. (.
bf\'\&
.,... 'L
Sunday
Monday
Tuesday
Wednesday
Thursday
'} !2~
\JSJ'nl . ~
Friday
;;.~
A. d"tc;.
2no-\.
Saturday
.p0. .,...t..l
TOTAL
EXPENSES
~ J>lJ~
377. r6
Airfare/ Rail
$0.00
Baggage Fees
Lodging
IfYIA ~ +r,.
$0.00
Meals
l.t:d'~
~PJ7
Taxi
$0.00
Telephone f Internet
$0.00
Tips
$0.00
Auto Rental
$0.00
J4.oo
Parking/ Tolls
~QCO
$0.00
Mileage 56 cents/mile
Miscellaneous
SUBTOTAL
$0.00
$0.00
$0.00
$0.00
$0.00
~~.rG 7
$0.00
/fO ~.OS 7
DEDUCTIONS
(FSMB Advances)
Pins fer
(Airline Prepayments)
3 7 7 00
$0.00
37)!1-G!b
(Other Prepayments**)
SUBTOTAL
$0.00
$0.00
$0.00
$0.00
$0.00
<j"7
,.~
$0.00
Total Reimbursement
**Please provide details of miscellaneous/ prepayment expenses:
Approved By
_ _ _ _ _ _ _ _ Date
Date Submitted
Approved By
Date
~l.o$' ?
~ .Jq.rs 7
EXPENSE REPORT
FEDERATION OF STATE MEDICAL BOARDS OF THE U.S.
400 Fuller Wiser Road, Suite 300
Euless, TX 76039
MEDICAL
BOARDS
Instructions:
Submission Deadline:
Complete form and submit a copy with receipts to the FSMB. Retain a copy for your records.
Traveler's Name
~ 1) ....-~
I
I
to
I
I
to
to
Sunday
ll
EXPENSES
Airfare I Rail
Baggage Fees
I 1..~
Taxi
Telephone/ Internet
Tips
-- -
Auto Rent<_;
Parking I Tolls
Monday
Tuesday
'I
I ~~
Event{. PurQOSe
~SM g
P-~t~\J ~)
(o......_-f,
Wednesda:t:
Thursday
Jf I l:J..
lf i :J.3
Friday
Satw:da!
Lf i J..lf
lf 1:J.S
'1-?,'1,)./
loD.
l\1\
(, D,
lfl\
3-J. ,I 5
1o .l'f
3 '#-. 0 0
JZ,~.b()
lY..
~It
li15..uo
.l.tf. 14-lf
Jl.t~.,()
SC\.~;)..
TOTAL
'~slf 2.1
I,}. 0. ci'O
lll/6~- ~~
J'l-~
J..S
lo'f. 7
..
11; . oo
f'..l
I
I
Lod~ng
Meals
0\'r,
Travel Dates
4- l lll '2.t:IIS
Ex~wrw~
;l.o ~. qq
5J..~ .
J.l
n ~- (,o
;qo
~+lf
l'ff.Olf
J..J..~.
<>
DEDUCTIONS
' FSMB Advances)
{Airline Prepayments)
'1- j tl :J. J
(Other Prepayments"'~)
SUBTOTAL
IJ-31.}, ~/
Total Reimbursement
Approved By
_ _ _ _ _ _ __ Date
Date
EXPENSE REPORT
FEDERATION OF STATE MEDICAL BOARDS OF THE U.S.
400 Fuller Wiser Road, Suite 300
STATF
M ED I CA L
BOARDS
lnstrudions:
Submission Deadline:_ _ _ __
Complete form and submit a copy with receipts to the FSMB. Retain a copy for your records.
Traveler's Name
Robert C. Knittle
I
I
I
I
to
to
to
I
I
Event l Purpose
Washinf.';ton D.C.
I
I
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
9/24/15
9/25115
TOTAL
EXPENSES
Airfare I Rail
$306.20
$306.20
$0.00
$0.00
Baggage Fees
Lodging
$67.20
$18.00
Meals
Taxi
$36.30
$103.50
$25.00
$43.00
so.oo
so.oo
so.oo
Telephone/ Internet
Tips
Auto Rental
Parking/ Tolls
$14.00
$14.00
$75.30
$0.00
$0.00
$466.70
$0.00
$0.00
$0.00
$0.00
$391.40
$0.00
DEDUCTIONS
$0.00
(FSMB Advances)
$306.20
(Airline Prepayments)
(Other Prepayments"')
SUBTOTAL
$0.00
$0.00
$0.00
$0.00
$306.20
$0.00
$0.00
Total Reimbursement
nplease provide details of miscellaneous f prepayment expenses:
Approved By
Traveler's Signature
10/ 5/J5
Approved B
_ _ __ _ __ _ Date
Date
$306.20
$0.00
$306.20
$160.50
I certify that I have personally examined and approved the Travel Expense
--~~~~~~~~~--~--~~Y---~~~~
A~pupr~ovra~IA~g~-~n %y~H~e~
ad~/D~e~s ig-ne_e
_,;;~2~o~~~~~~-
________
99.00
I certify that I have personally examined and approved the Travel Expense
the assigned duties of the traveler. The terms of expense further meet all State
of West Virgin' T ravel Regulations and are within the budget of this spending unit.
@}.
<
'
~ I
Name.
State:
:;-:
wv
Citv:
Deparu11t:uL WBOM
Travel
To~ FSMB annual
State Car:
Yesl
l
No
X
TIME
CITY/ STATE
DATE
41221201! !8:00am !From: FainnontV iN
To:
= A AAiroor
!From:
oPA
To: F01 lWorthTX
412312015
Board
Title:
rear:
IR~Al
Yes
l""t" :>VII<:!
MILE$
AMOUN1
98
46.06
AIR
183.10
,,.,.,.,,.
I OTHER
M&l
.24(1.3 5
612.00 11.123-:-51
4 3.00
240.35
240.35
240.35
283.35
land
283.35
35.95
TOTAL
42.00
9.00
43.00
IU>e-cO&iitlcln fm F'iWclaait
No
rMoetings
1 eovered by them
15123115 ILuncll~
15124115
r prov""'"
98
46.06
183.10
OTHER EXPENSES
DATE
ITEMS
412212015 ReQistration
412212()15 Shuttle
4126/2015 Parking
0:00
IVY
T3"7.oo
- uv '10#:
X --.
961.40
647.95 11.975.51
IState
11,975.51
IIVN
nR
l.to.Mf1111\11
AMOUNT
595.00
17.00
35.95
1oertly that I ha~~e personally examined and approved the Travel Expense
Account Settlement The lerms af expenses are reasoru~ble and ~ to
the assigned dulles of the tra-.elef. The Ierma oleJq>et\M M1her moot all Slate
of West Vl~inia Travel Reg<Jations and am within tho budget of this spending unh
~JrvSOr\ 09 ; 24 AM NAY
07 2015
--
lame:
Board Attorney
Title:
Jam1e Alley
PO Box 3
;ity/State/Zip:
GlasgowWV
WV Board of Medicine
>epartment:
406259
~ddress :
T1me
Date
From :
To:
11/06/13
Headquarters :
Division
City/State
Charleston, WV
Portland OR
Miles
Amount
Charleston
Air
Rental
Meals
591 .60
11 /07/13
11/08/13
From: Portland OR
To: Charleston , WV
11 /09/13
8:30
4:30
Other
Total
49.50
144.27
34.00
144.27
178.27
34.00
144.27
178.27
37.00
49.50
25.00
822.37
74.50
0.00
0.00
0.00
0.00
0.00
0.00
Total
Fund
9070
FY
2014
0.00
Project
591 .60
0.00
167.00
432.81
62.00
1,253.41
1,253.41
..
Other Expenses
)ate
Items
11/06/13 Excess baggage
11 /06/13 Shuttle from airport to hotel (receipt not given)
11/09/ 13 Excess baggage
Amount
25.00
12.00
25.00
Date
cert1fy that these costs 1ncurred were 1n connect1on w1th my ass1gned dut1es. are true,
ccurate, and actual, and do not reflect any costs or expenses re1mbursed or to be reimbursed
om any other source
''"' /, 3
Date
ce 1 hat I have personally examtned and approved th1s Travel Expense Account
;e~ ment The terms of expnses are reasonable and correspond to the ass1gned dut1es of
'1e tra veler The terms of expenses further meet all State of West Virg1ma Travel regulations
1nd are w1th1n the budget of th1s spending untt
Date
~~~ ~ 't
Date
~LJ
-=
~
~,~l--~/~~~~~--- 1~/~
J]
Approval Agency ead/Des1gnee
Date
A
Jamie~
fName'
I Atitiro.,.,
ritle:
TFiMS VVIIUVI~
iCityf::Jtateu.lp:
IDepartment:
"'"'"ucu
Date
Time
7:00AM !From:
04/22/14 I11 :05AM ITo:
40R25Q
8:30
4:30
Other
Total
542.00
1.282.54
04/23/14
50.00
179.01
229.01
Q4/24/ 1 A
66.00
179.01
245.01
04/25/14
32.00
179.01
211.01
50.00
179.01
229.01
jM/26/14
04/27/14
97.00
49.50
146.50
0.00
0.00
4/23/2014 [Lunch
.4/?l;/?1')14 I Dinner paid by PHP
14/26/2014 I Lunch provided
0.00
0.00
()
Total
Fund
9070
FY
2014
0.00
512.03
297.00
895.05
? ~4~ OR
639.00
LessCaShA
WVFIMS I Number
"'"'v'
Grant
0.00
Project
A.., ....,.,;.-
Due Emolovee
Due State
2,343.08
Date
04/22/14
04/22/14
04/22/14
04/27114
04/27/14
Other Expenses
Items
Registration
Shuttle from airport to hotel (receipt not signed}
Excess baggage
Taxi fare - $30.00
Long term parking
Amount
495.00
22.00
25.00
55.00
42.00
Date
I certify that these costs ino.Jrred were in connection with my assigned duties, are true,
accurate, and actual, and do not reflect any costs oc expenses reimbursed or to be reimbursed
from any other source.
I rti
at I have personally examined and approve
1s Travel Expense Account
Setuemenl. The terms of expnses are reasonable and correspond to the assigned duties of
tho traveler. The terms of expenses further meet all State of West Virginia Travel regulations
and are Within the budget of this spending unit
Date
Date
Buxl~ f-/tt~//So
,Approval Agency HeadJDesignee
Dad!
L..
10/23/14
34.00
191.97
225.97
10/24/14
29.00
191 .97
220.97
42.00
89.00
131.00
0.00
0.00
0.00
0.00
0.00
Total
-
Fund
9070
FY
2_()14
0.00
~!,1<:11..
Org
10945
Object
Activity
130
Grant
Project
026
643.44
"==----' :=
Amvuolt
0.00
~7.0()
75.91
129.00
Less Cash Advance
~MS I Nllrnber
Due Ei"t"'vycc
Due State
0.00
1,495.35
1,495.35
.___ ___.__ _ _ _..L.-_ _ __,__ _ __.__ _ __.__ ___.__ _ _--L.._ _ __. ie.,
---- ----- -
...
Date
10/22/14
10/22/14
10/25/14
10/25/14
10/25/14
..
OtherE~enses :
Items
Excess baggage
Taxi fare(1/3 of cost)
Taxi fare
Excess baggage
Long term parking
;:::~=
Amount
25.00
15.00
35.00
25.00
29.00
Date
I certify that these costs incurred were in connection with my assigned duties, are true, accurate,
and actual, and do not reflect any costs or expenses reimbursed or to be reimbursed from any
The e
Date
signee
Date
Jamie Alley
!Name:
!Address:
'"'
ITiUe:
Dat~
04/21115
'"''--,1
ip:
.. ..........
,...........
400?!'\!l
Board Muuo::v
Chc::nlt::>tv
Work Hours:
I Section
I Division
Am::uuo::u the 2015 Annual AIM and FSMB no::euuy:; in Fort Worth,TX. April 22 25. 2015
A............~
Miles
Air
Rental Meals ~ ......t...;..,.
Tim~
(
IIC:U
lt::>\UI
WV
4:07PM I From
5:47PM ITo:
42.00
165.60
Fort Worth, TX
402.20
~IVIt:UII.olllt
8:30
4:30
Other
Total
<;?n nn
1,129.80
04/22/15
4.00
165.60
169.6()
04/23/15
46.00
165.60
211 .9
04/24115
17.00
165.60
46.00
165.60
04/25/15
04/26/15
42.00
12.00
194.60
211 .60
68.00
110.00
0.00
0.00
0.00
0.00
402.20
0:00
197.00
600.00
0.00
2,027.20
~UW
A
Fund
.9()7'Q_
FY
:2_Q!5
Org
0945
nlfvundtiuu
Object
Grant
3211
TNulliiier
iYYVI"IM:.;
10uuy
Activity
,13000
Project
Aluuunt
Due Employee
2,027.20
ouestate
I' raveJer must attach copies of direct billed receipts or invoices,
. .
Other Expenses
Items
Registration Fee
Baggage Charge
Taxi fare
Baggage Charge
Long term parking
Amount
495.00
25.00
12.00
25.00
43.00
Date
I certify that these costs incurred were in connection with my assigned duties, are true, accurate,
and actual, and do not reflect any oosts or xpenses reimbursed or to be reimbursed from any
other source.
i hall have personally examined and app ved this Travel Expense Account Settlement.
terms of exposes are reasonable and oorrespond to the assigned duties of the traveler.
The terms of expenses further meet all State of West Vll'glllca Travel regulatioos and are within
!he budget of this spending unit
Date
865.00
0.00
262.60
229.60
196.00
72.73
0.00
0.00
0.00
I''
Date
11/1 1/15
11/11/15
11/11/15
11/14/15
11/14/15
:;:'c'."-':'~'-0
Items
Registration Fee for CLEs
Excess Baggage Charge
Airiine shuttle
Excess Baggage Charge
Cab $14.73/Charleston airpot parking $33.00
..
.,,.,..., ,.....,......
Amount
15.00
25.00
9.00
25.00
47.73
Date
I certify ltlat these costs incurred were In connection with my assigned duties, are true, accurate,
and actual, and do not reflect any costs ore
nses reimbursed o r to be reimbursed from any
other source.
11/Lzfrs
Date
I certify that I have persona itt examined and approved this Travel
Expense Account Settlement The terms of expense are reasonable
and correspond to the assigned duties of the travele r. The terms of
expense further meet all Sta:e of West Virginia Travel Regulations
and are within the budget of this spending unit
itJ&.q/~
Date
//-17-/f;
Date
Federation
of
STATEHI
MEDICAL
BOARDS
;2
13
/
13
?
6
Sheree J. Thompson
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25301
Name/ Session
Fee
J/4r///f//3
Fees:
Registration Fee
CME
% 475.00
Payment(s):
Date
Method
Check/Card Number
Amount Paid
I
Balance Due:
$ 475.00
Please make checks payable to the 'Tederation of State Medical Boards" and note "2013 Annual Meeting"
on the memo line. Or call (817) 868-4007 with Visa or MasterCard account information.
Please direct payments and inquiries to the address below:
Education Coordinator
Federation of State Medical Boards, Inc.
400 Fuller Wiser Road, Suite 300
Euless,TX 76039
(817) 868-4007
Please note: In order to receive Continuing Medical Education credit, daily sign in at the
conference, submission of the completed and signed Attendance Verification Form (available in
the on-site registration packet) and full payment before May 3, 2013 are required.
NATIONAL OFUCE
ADVOCACY OFFICE
Federation
of
STATEM
MEDICAL
BOARDS
INVOICE
Date
invoice #
Due Date
10/1/2015
579
1/1/2016
Bill To:
Robert C. Knittle, MS
West Virginia Board of Medicine
101 Dee DrSte 103
Charleston, WV 25301
Remit To:
Attn: Denise Bransford
FSMB
j
'"-'A; l - ^ Z - j y ' A j 4 i y s s
H$SI1S
Name
Purchase Order ID
Customer ID
Qty
Description
Itenti
MBOARD
Date
Salesperson ID
Payment Tenns
Unit Price
$2,400.00
Extended Price
$2,400.00
Subtotal
Credits
$2,400.00
sn nn
Total
$2,400.00
From:
Sent:
To:
Subject:
usmle@fsmb.org
Wednesday, December 03, 2014 4:10 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Thursday, December 04, 2014 4:14 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Wednesday, December 10, 2014 4:08 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Friday, December 12, 2014 4:08 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Monday, December 15, 2014 4:08 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Wednesday, December 17, 2014 4:08 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Monday, December 22, 2014 4:07 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Tuesday, December 30, 2014 4:08 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Wednesday, December 31, 2014 4:09 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Friday, January 02, 2015 4:11 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Thursday, January 08, 2015 4:10 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Friday, January 09, 2015 4:09 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Tuesday, January 13, 2015 4:13 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Friday, January 16, 2015 4:08 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Wednesday, January 21, 2015 4:10 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Friday, January 23, 2015 4:09 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Friday, January 30, 2015 4:06 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Monday, February 02, 2015 4:11 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Tuesday, February 03, 2015 4:13 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Thursday, February 05, 2015 4:08 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Friday, February 13, 2015 4:08 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Tuesday, February 17, 2015 4:09 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Thursday, February 19, 2015 4:10 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Wednesday, February 25, 2015 4:10 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Thursday, February 26, 2015 4:09 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
usmle@fsmb.org
Friday, February 27, 2015 4:10 PM
Thompson, Sheree J
Transcript Ready Notice
From:
Sent:
To:
Subject:
NOTE: The Federation of State Medical Boards offices will be closed on Wednesday and Thursday, December 24-25,
2014, in observance of the Christimas Holiday.
Federation offices will reopen for regular business hours on Friday, December 26, 2014 from 8 am to 5 pm Central Time.
From:
Sent:
To:
Subject:
NOTE: The Federation of State Medical Boards offices will be closed on Thursday, January 1, 2015 in observance of the
New Year Holiday.
Federation offices will reopen for regular business hours on Friday, January 2, 2015, from 8 am to 5 pm Central Time.
From:
Sent:
To:
Subject:
NOTE: The Federation of State Medical Boards offices will be closed on Monday, February 16, 2015 in observance of the
President's day holiday.
Federation offices will reopen for regular business hours on Tuesday, February 17, 2015, from 8 am to 5 pm Central
Time.
From:
Sent:
To:
Subject:
UA@fsmb.org
Monday, December 01, 2014 2:58 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Tuesday, December 02, 2014 11:04 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Wednesday, December 03, 2014 7:57 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Wednesday, December 03, 2014 9:15 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Wednesday, December 03, 2014 3:50 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Wednesday, December 03, 2014 4:29 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Wednesday, December 03, 2014 7:17 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Friday, December 05, 2014 9:39 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Friday, December 05, 2014 10:18 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Friday, December 05, 2014 11:31 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Friday, December 05, 2014 2:46 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Friday, December 05, 2014 5:46 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Friday, December 05, 2014 5:53 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Sunday, December 07, 2014 11:46 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Monday, December 08, 2014 12:51 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Monday, December 08, 2014 12:56 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Monday, December 08, 2014 2:53 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Tuesday, December 09, 2014 10:44 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
From:
Sent:
To:
Subject:
UA@fsmb.org
Tuesday, December 09, 2014 10:46 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Tuesday, December 09, 2014 3:47 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Tuesday, December 09, 2014 7:50 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thursday, December 11, 2014 7:37 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Friday, December 12, 2014 3:36 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Sunday, December 14, 2014 10:41 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, December 15, 2014 7:36 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, December 17, 2014 11:56 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thursday, December 18, 2014 11:58 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
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Thompson, Sheree J
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Friday, December 19, 2014 11:48 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
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Tuesday, December 23, 2014 8:38 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Tuesday, December 23, 2014 10:36 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Categories:
Yellow copied
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Thompson, Sheree J
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Sunday, December 28, 2014 10:18 AM
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Thompson, Sheree J
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Tuesday, December 30, 2014 10:45 AM
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Tuesday, December 30, 2014 11:43 AM
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UA Notification Report - New Uniform Application
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Tuesday, December 30, 2014 11:43 AM
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UA Notification Report - New Uniform Application
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Tuesday, December 30, 2014 11:43 AM
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UA Notification Report - New Uniform Application
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Tuesday, December 30, 2014 11:44 AM
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UA Notification Report - New Uniform Application
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Tuesday, December 30, 2014 11:56 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Tuesday, December 30, 2014 12:00 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Tuesday, December 30, 2014 12:05 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Tuesday, December 30, 2014 9:05 PM
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UA Notification Report - New Uniform Application
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Wednesday, December 31, 2014 3:56 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Friday, January 02, 2015 8:50 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Saturday, January 03, 2015 12:49 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 05, 2015 9:31 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 05, 2015 2:24 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 05, 2015 5:56 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 05, 2015 10:00 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Tuesday, January 06, 2015 10:46 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, January 07, 2015 10:14 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, January 07, 2015 10:19 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, January 07, 2015 10:51 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, January 07, 2015 1:14 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, January 07, 2015 2:21 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, January 07, 2015 3:16 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, January 07, 2015 3:29 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Wednesday, January 07, 2015 8:44 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thursday, January 08, 2015 8:02 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thursday, January 08, 2015 8:46 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thursday, January 08, 2015 9:27 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thursday, January 08, 2015 10:27 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Thompson, Sheree J
UA Notification Report - New Uniform Application
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Friday, January 09, 2015 4:28 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Friday, January 09, 2015 10:43 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 12, 2015 9:39 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 12, 2015 11:17 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 12, 2015 11:17 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 12, 2015 12:42 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 12, 2015 2:44 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 12, 2015 2:45 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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Monday, January 12, 2015 3:14 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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UA@fsmb.org
Monday, January 12, 2015 8:27 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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UA@fsmb.org
Monday, January 12, 2015 9:43 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application
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fcvs@fsmb.org
Monday, December 01, 2014 9:26 PM
Thompson, Sheree J
FCVS Informational Notice
NEWS CLIPS
Patient safety journal
adjusts
after an eye-opening scandal
(ProPublica, Nov.
26, 2014)
MEMBERS'
CORNER
Board News and Newsletters
Medical Board of
California
Newsletter
FSMB Board member Pat King, MD, PhD, and Chief Advocacy
Officer Lisa Robin, MLA, are heading to Boise later this week
for a
site visit with the Idaho Board of Medicine, led by Chair
Barry
Bennett, MD, and Executive Director Nancy Kerr, RN,
MEd. Today, I am in
Washington, D.C., attending the annual
meeting ofthe Association
of Military Surgeons of the United
States (AMSUS), also known as the
Society of Federal Health
Professionals. One of the keynote speakers is
RADM Boris
Lushniak, MD, MPH, the Acting Surgeon General of the United
States.
Humayun J. Chaudhry, DO, MACP
2015
Annual Meeting scholarship reimbursement forms reminder
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
CONTACT US
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort
Worth, Texas
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Forward email
NEWS CLIPS
Connecticut joins states
requiring more 'medical' in medspa staffing (Connecticut Health ITeam,
Dec. 1, 2014)
Implementation of the
Physician
Payment Sunshine Act (JAMA,
Dec. 4,
2014)
MEMBERS'
CORNER
Board News and Newsletters
FSMB receives
certification from
NCQA
Washington introduces
Medical
Marijuana Authorization
Practice Guidelines
Medical Board of
California
Newsletter
Nominations
for FSMB awards recognizing
outstanding service due Jan. 6
For more
information or to submit nomination letters,
please contact Pat McCarty
at pmccarty@fsmb.org.
For
a list of past award recipients, please click here.
Texas Office
Suite 300
Euless, Texas 76039
CONTACT US
medical boards
to develop a
standardized process for
physicians and physician
assistants to demonstrate their
competence prior to reentering
practice
after an extended
absence from clinical practice.
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort
Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Online consumer ratings
of
physicians 'completely random'
(HealthLeaders Media,
Dec. 8,
2014)
MEMBERS'
CORNER
Board News and Newsletters
Washington introduces
Medical
Marijuana Authorization
Practice Guidelines
Wisconsin Medical
Examining
Board Newsletter
CME
REMS activity on ER/LA opioids
available for medical board licensees
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort
Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
The 10 healthiest and 10
leasthealthy states in 2014 (ABC
News, Dec. 10,
2014)
International survey
finds
Americans are sickest, but have
quickest access to specialists
(Health Affairs Blog,
Nov. 20,
2014)
MEMBERS'
CORNER
Board News and Newsletters
Medical
board members participate in
USMLE Management Committee
meeting
Individuals serving
on the Management Committee with current or former
service on state
medical boards include Laurie
Davies (Florida); Danny
Takanishi (Hawaii); Yasyn Lee
(Iowa); Peter
Madras (Massachusetts);
Pamela Blizzard (North Carolina);
and Sujatha
Kailas (Wisconsin). For
more information on the USMLE,
contact David Johnson, MA, FSMB
Senior Vice President for Assessment
Services, at djohnson@fsmb.org.
CONTACT US
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort
Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Senate confirms Vivek
Murthy as
U.S. Surgeon General (Wall
Street Journal,
Dec. 16, 2014)
Popularity of outpatient
surgery
centers leads to questions
about safety (Kaiser Health
News,
Dec. 16, 2014)
Is it okay to cry in
front of
patients? (British Medical Journal,
MEMBERS'
CORNER
Board News and Newsletters
NCCPA releases
'Statistical
Profile of Recently Certified
Physician Assistants' report
Nominations
for FSMBleadership positions due Jan. 6
Elected Leadership
Positions: Jon Thomas, MD, Chair of the FSMB's
Nominating Committee, is requesting nominations for FSMB elected
positions, including Chair-elect, Treasurer, the Board of Directors and
the
Nominating Committee.
Associate Member to
Board of Directors: Nominations for an
Associate
Member are being accepted from FSMB member boards, the FSMB
Board
of Directors and Administrators in Medicine (AIM). The new
Associate
Member will be elected at the Board of Directors' February
2015 meeting
and will serve a two-year term.
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort
Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
pmccarty@fsmb.org.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Meningitis outbreak that
killed 64
draws murder charges (USA
Today, Dec.
17, 2014)
Lessons from an
outbreak: How
Ebola shaped 2014 (The Atlantic,
Dec.
17, 2014)
Do patients mind if
their
healthcare data is shared? It
depends (Reuters, Dec. 15,
2014)
Ratcheting up patient
experience
has a downside (HealthLeaders
Media,
Dec. 17, 2014)
MEMBERS'
CORNER
Board News and Newsletters
NCCPA releases
'Statistical
Profile of Recently Certified
Physician Assistants' report
FSMB Chair Don Polk, DO, led a conference call of the FSMB
Education Committee last night, helping finalize the agenda,
speakers
and topics for the FSMB Annual Meeting in April
2015 in Fort Worth,
Texas. Also last night, Dr. Polk
participated in a conference call of
the FSMB Governance
Committee, which is chaired by board member Greg
Snyder,
MD, and included board members Art Hengerer, MD, Stephen
Heretick, JD, and Ralph Loomis, MD, and Immediate Past
Chair Jon
Thomas, MD, MBA. The group discussed plans for
public member
scholarships to support participation in FSMB's
upcoming Annual Meeting
and reviewed results from a board
self-assessment exercise that will be
presented to the full
FSMB board in February. Meanwhile, 20 state
medical and
osteopathic boards now support their state's formal
participation in the Interstate Medical Licensure Compact.
Humayun J. Chaudhry, DO, MACP
Nominations
for FSMB awards recognizing outstanding
service due Jan. 6
For more
information or to submit nomination letters,
pleasecontact Pat
McCarty at pmccarty@fsmb.org. For a
list of past award recipients,
please click here.
CONTACT US
Board encouragesstate
medical
boards and otherstakeholders to
reexamine existing
medical
practice acts as they relate to the
structure, functions,
responsibilities, powers and
funding of medical boards.
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Top five health care
stories of
the year (The Hill, Dec. 20,
2014)
Physicians trained in
high-cost
regions spend more
(HealthLeaders Media,
Dec. 15,
2014)
MEMBERS'
CORNER
Board News and Newsletters
World Directory of
Medical
Schools to replace IMED in 2015
for purposes of determining
ECFMG Certification eligibility
New
requirements for health
care providers under the Drug
Supply Chain
Security Act
Under DSCSA, as of
Jan. 1, 2015, all health care providers who dispense
or administer
prescription drugs to patients will be required to purchase
their
prescription drug products only from authorized trading partners
licensed by the state or federal government or registered with FDA, as
required by law. This will help minimize the exposure to patients and
protect patients from being harmed by potentially dangerous and illegal
drug products.
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
CONTACT US
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Forward email
NEWS CLIPS
Top health care quality
issues
for 2015, Part 1 (HealthLeaders
Media,
Jan. 6, 2015)
Medical marijuana a
challenge
for legal pot states (Associated
Press,
Jan. 2, 2015)
Self-tracking gadgets
that play
doctor abound at CES (NPR,
Jan. 5,
2015)
MEMBERS'
CORNER
Board News and Newsletters
World Directory of
Medical
Schools to replace IMED in 2015
for purposes of determining
ECFMG Certification eligibility
Georgia Composite
Medical
Board Newsletter and FY 2014
Annual Report
2015
Annual Meeting scholarship reimbursement forms due Feb. 2
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
CONTACT US
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Forward email
NEWS CLIPS
Top health care quality
issues
for 2015, Part 2 (HealthLeaders
Media,
Jan. 7, 2015)
On Monday, FSMB
Chair Don Polk, DO, will be in Euless,
Texas, alongside Chair-elect Dan
Gifford, MD, and board
member Jean Rexford for a meeting of the FSMB
Finance
Committee, chaired by FSMB Treasurer Galicano Inguito, MD,
MBA.
Also on Monday, FSMB Past Chairs Jon Thomas, MD,
MBA, and Lance
Talmage, MD, will be in New Orleans for a
meeting of the USMLE Composite
Committee, which is led by
FSMB Past Chair Jan Rhyne, MD, who is also
President of the
FSMB Foundation. An update on the changes made to Step
3
of the USMLE examination will be among the items on the
agenda for
representatives for the FSMB, NBME and ECFMG
to review.
Humayun J. Chaudhry, DO, MACP
MEMBERS'
CORNER
California workgroup
seeks to
curb prescription-drug deaths
Georgia Composite
Medical
Board Newsletter and FY 2014
Annual Report
FSMB
seeks medical board resolutions
for House of Delegates consideration
For more
information, please see a sample
resolution
and an overview of the
House of
Delegates policy development process.
Resolutions should be
submitted by Feb.
24,
2015. To submit a resolution, please contact Pat
McCarty at
pmccarty@fsmb.org.
CONTACT US
including
national data on
physician licensure and discipline,
details about the
structure of each
board, and special resources for
consumers.
MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Doctors engulfed in
spine
surgeon saga (USA Today, Jan.
11, 2015)
Physicians, patients
pessimistic
about health care's future
(HealthLeaders Media,
Jan. 8,
2015)
MEMBERS'
CORNER
Board News and Newsletters
California workgroup
seeks to
curb prescription-drug deaths
FSMB Immediate
Past Chair Jon Thomas, MD, MBA, is in
Euless, Texas, today for a
meeting of the Nominating
Committee, which he chairs and which also met
for dinner last
night. Later today, FSMB Chair Don Polk, DO, will lead
a prebriefing conference call to discuss planning and propose
agenda
items for next month's meeting of the FSMB Board of
Directors, which
will be held in Fort Worth, Texas. The biggest
news of the new year
thus far is that 24 state medical and
osteopathic boards have expressed
support for the Interstate
Medical Licensure Compact and several states
where those
boards are located have begun to plan for state legislation
to
implement it. Several other state boards have the topic listed
on
their agenda for upcoming meetings.
Humayun J. Chaudhry, DO, MACP
USMLE
Composite Committee meets
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
CONTACT US
MEETINGS
& EVENTS
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Putting the technology
into
telehealth (The Hill, Jan. 14,
2015)
Guiding choice -
Ethically
influencing referrals in ACOs
(New England Journal of
Medicine,
Jan. 15, 2015)
MEMBERS'
CORNER
Board News and Newsletters
FSMB
seeks nominations forrepresentativeto ACCME Board
Interested
individuals must be (a) knowledgeable, experienced and active
in the
leadership, management or governance of a health care or health
education organization; (b) not an employee of an ACCME member
organization; and (c) not an employee, or member, of an organization
ineligible for accreditation within the ACCME system. The ACCME Board
of Directors will elect directors during its annual meeting for a term
of three
years. For more information or to submit a letter of interest
along with a
current CV, please contact Ms. Kelly Alfred at kalfred@fsmb.org.
Texas Office
Suite 300
CONTACT US
MEETINGS
& EVENTS
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Sure you can track your
health
data, but can your doctor use it?
(NPR, Jan. 19,
2015)
Physician self-referral:
Regulation by exceptions
(JAMA, Jan. 12,
2015)
Thursday is a busy
day for the FSMB. FSMB Chair Don Polk,
DO, and FSMB Foundation
President Jan Rhyne, MD, will
confer by conference call to discuss
topics for an upcoming
meeting between both boards of directors. Dr.
Polk will confer
with Chair-elect Dan Gifford, MD, to discuss the work
of the
Strategic Positioning Committee. Drs. Polk and Gifford will join
MEMBERS'
CORNER
Board News and Newsletters
Maryland Board of
Physicians
Newsletter
2015
Annual Meeting scholarship reimbursement forms due Feb. 2
CONTACT US
record of a physician's and
physician assistant'score medical
credentials.
MEETINGS
& EVENTS
Jan.
28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
America's new healthcare
economy: Three trends to watch
(Fortune, Jan. 21,
2015)
Analysis: Nurse
practitioners
doubled in 10 years (The Hill,
Jan. 21, 2015)
Bridging the
hospitalist-primary
care divide through
collaborative care (New England
Journal of
Medicine, Jan. 22,
2015)
Situational judgment
tests gain
traction in medical school
admissions (AAMC Reporter,
January 2015)
This morning in
Washington, I spoke to an audience of leaders
and staff of osteopathic
state societies, specialty colleges,
medical colleges, state
osteopathic medical boards (including
Geraldine O'Shea, DO, President
of the American Association
of Osteopathic Examiners) and health policy
leaders about the
Interstate Medical Licensure Compact at a meeting of
the
American Osteopathic Association's Health Policy Forum. The
meeting
was led by AOA President Robert Juhasz, DO, AOA
Executive Director
Adrienne White-Faines, and AOA Past
President George Thomas, DO.
Tomorrow, I am in Chicago for
a meeting of the American College of
Surgeons Committee on
Preceptorship for Practicing Surgeons. On Monday,
FSMB
Chair Don Polk, DO, and board member Art Hengerer, MD,
will join
me in a conference call with representatives of the
Federation of State
Physician Health Programs and the
Committee for Physician Health of the
Medical Society of the
State of New York to explore collaborative
opportunities to
support physician health.
MEMBERS' CORNER
Maryland Board of
Physicians
Newsletter
DID
YOU KNOW?
A list of state-specific
NEWS
FROM THE FSMB
ASOP
and FSMB release free
continuing education for
pharmacists, physicians
The Alliance for
Safe Online
Pharmacies (ASOP) and the FSMB
announced the availability
of a free
online continuing education program
(CME/CPE), entitled
"Internet Drug
Sellers: What Providers Need To
Know," for
pharmacists and physicians
focused on the growing problem of
illegal
online drug sales. Recent studies found that nearly 97% of online
drug
sellers are operating illegally, and one in two websites selling
medicine online peddle counterfeit drugs. Learn more.
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Mandatory use of
Prescription
Drug Monitoring Programs
(JAMA, Jan. 26,
2015)
MEMBERS' CORNER
DID
YOU KNOW?
The revised and
expanded second
edition of the FSMB Foundation's
"Responsible Opioid
Prescribing: A Clinician's
NEWS
FROM THE FSMB
FSMB
seeks nominations for representative to ACCME Board
Interested individuals
must be (a) knowledgeable, experienced and active
in the leadership,
management or governance of a health care or health
education
organization; (b) not an employee of an ACCME member
organization; and
(c) not an employee, or member, of an organization
ineligible for
accreditation within the ACCME system. The ACCME Board
of Directors
will elect directors during its annual meeting for a term of three
Guide"
is certified for up to 7.25
AMA PRACategory 1 Credits.
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Opioid studies mark
slowdown
in abuse, but work remains
(AAFP News, Jan.
28, 2015)
Physician burnout
program
targets effects of Sentinel
Events (HealthLeaders Media,
Jan. 29, 2015)
Wearable devices as
facilitators,
not drivers, of health behavior
change (JAMA, Jan. 8,
2015)
MEMBERS' CORNER
DID
YOU KNOW?
The FSMB Model Policy on DATA
I am in Sacramento
this morning for a quarterly meeting of the
Medical Board of
California, which oversees the medical
regulation of more than 130,000
physicians and is led by
President David Serrano Sewell, JD, Vice
President Dev
GnanaDev, MD, MBA,and Executive Director Kimberly
Kirchmeyer. Items on the agenda today include a presentation
on
telehealth by Patricia Connolly, MD, of Kaiser Permanente,
a
consideration of recommendations from the board's
Midwifery Advisory
Council, and a discussion led by Ms.
Kirchmeyer about the Interstate
Medical Licensure Compact.
Humayun J. Chaudhry, DO, MACP
NEWS
FROM THE FSMB
FSMB
seeks medical board resolutions
for House of Delegates consideration
For more
information, please see a sample resolution
and an overview of
the House of Delegates
policy development process. Resolutions should
be submitted by Feb. 24, 2015.
To submit a resolution, please contact Pat
McCarty at pmccarty@fsmb.org.
Suite 300
Euless, Texas 76039
(817) 868-4000
CONTACT US
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
New Lucian Leape
Institute
report urges transparency to
improve patient safety (National
Patient Safety
Foundation, Jan.
20, 2015)
Professionalism and
appropriate
expression of empathy when
breaking bad news (AMA Journal
of Ethics,
February 2015)
Refocusing medical
education
reform: Beyond the how
(Academic Medicine,
February
2015)
MEMBERS' CORNER
DID
YOU KNOW?
The FSMB Report of the Special
NEWS
FROM THE FSMB
Proposed
2016 budget includes funding
for enhancing Prescription Drug
Monitoring
Programs
for people who abuse heroin and prescription opioids; and support
dissemination of naloxone, an opioid antagonist that reverses the
effects of
opioid overdose, by first responders in an effort to prevent
overdose
deaths in high-risk communities. Learn more.
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
CONTACT US
Committee on
Reentry to
Practice encourages state
medical boards
to develop a
standardized process for
physicians and
physician assistants
to demonstrate their competence
prior to
reentering practice after an
extended absence from clinical
practice.
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Forward email
NEWS CLIPS
The changing face of
heroin
(Stateline,
Feb. 4, 2015)
Pediatricians pressured
to drop
parents who won't vaccinate
(NPR, Feb. 5, 2015)
MEMBERS' CORNER
AAMC publishes
comprehensive
data report on residents
DID
YOU KNOW?
The FSMB's U.S. Medical
Regulatory
Trends and Actions
Report provides information to
the
public about the work of the
nation's state medical boards,
including national data on
physician licensure and discipline,
NEWS
FROM THE FSMB
Nominations for
FSMB representative to ACCME board due Feb. 13
Interested
individuals must be (a) knowledgeable, experienced and active
in the
leadership, management or governance of a health care or health
education organization; (b) not an employee of an ACCME member
organization; and (c) not an employee, or member, of an organization
ineligible for accreditation within the ACCME system. The ACCME Board
of Directors will elect directors during its annual meeting for a term
of three
years. For more information or to submit a letter of interest
along with a
current CV, please contact Ms. Kelly Alfred at kalfred@fsmb.org.
Suite 300
CONTACT US
details
about the structure of each
board, and special resources for
consumers.
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
35 defendants, including
24
doctors, plead guilty in testreferral scheme (Federal Bureau
of
Investigation, Feb. 4, 2015)
MEMBERS' CORNER
AAMC publishes
comprehensive
data report on residents
DID
YOU KNOW?
The FSMB has
developed a
Physician-Patient
NEWS
FROM THE FSMB
Nominations
for FSMBrepresentative to ACCME board due Feb. 13
The FSMB is seeking
individuals willing to serve as FSMB's representative
on the Board of
Directors of the Accreditation Council
for Continuing
Medical Education (ACCME). The deadline for
submitting nominations is
this Friday,
Feb. 13. The ACCME develops and promotes standards for
CME used by physicians through a voluntary, self-regulated system for
accrediting CME providers.
Resolutions
for House of Delegates consideration due Feb. 24
Communications
Resource
Center for medical boards to use
in
educating physicians about the
kinds of communication issues that
can
lead to complaints from their
patients.
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Prescribing and
telemedicine:
The 'physical' exam (National
Law Review,
Feb. 12, 2015)
Physicians' attire
linked to
patient satisfaction rates
(HealthLeaders Media,
Feb. 12,
2015)
MEMBERS' CORNER
DID
YOU KNOW?
The revised and
expanded second
edition of the FSMB Foundation's
"Responsible Opioid
The Management
Committee of the International Association of
Medical Regulatory
Authorities (IAMRA), chaired by Niall
Dickson of the United
Kingdom's General Medical Council,
met by conference call this week.
Agenda items ordiscussion
included a review of site proposals for
the 2018 biennial
meeting, an update on plans for a new
andimproved website,
a membership update, and progress on
contractual
arrangements for an Executive Director. We
alsodiscussed
proposals for agenda items for next month's strategic
planning
meeting, which will include exploring waysto enhance the
inclusivity and participation of all its members as the
organization
seeks ways to better serve itsmembership
overall.
Humayun J. Chaudhry, DO, MACP
NEWS
FROM THE FSMB
Participating
committeemembers for this meeting included current and
former
board members and staff from the North Carolina Medical
Board(Janelle Rhyne, MD;
R. David
Henderson, JD), the Virginia Board
of Medicine (Catherine Casey, MD;
Steven
Heretick,JD) and the
Minnesota Board of Medical
Practice (Steve
Altchuler, MD, PhD). For
more information about the
USMLE,contact FSMB Senior Vice President
for Assessment Services
David Johnson at djohnson@fsmb.org.
Prescribing: A Clinician's
Guide"
is certified for up to 7.25
AMA PRA Category 1 Credits.
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Is it OK for doctors to
'Google'
patients? (Reuters, Feb. 13,
2015)
Professional
socialization in
medicine (AMA Journal of Ethics,
February 2015)
MEMBERS' CORNER
DID
YOU KNOW?
The FSMB's board-by-board
overview
of state telemedicine
As in several
other parts of the United States, snow
accumulations, icy roads and
subfreezing temperatures shut
down Washington, D.C., today. Our Euless,
Texas, office
remains open, however, despite persistently cold
temperatures. Later today, there will be a conference call of
the
Coalition for Physician Accountability. Tomorrow, there is a
conference
call with our Canadian colleagues about an
upcoming invitational
international Revalidation meeting. And
Thursday, FSMB Chair Don Polk,
DO, Chair-elect Dan Gifford,
MD, and I are planning to meet in Chicago
with the senior
leadership of the National Council of State Boards of
Nursing
and the National Association of Boards of Pharmacy for a
regularly scheduled discussion of matters of mutual interest.
Humayun J. Chaudhry, DO, MACP
NEWS
FROM THE FSMB
New
reentry to practice resources released
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Many states mulling
medical
marijuana bills (WebMD, Feb. 12,
2015)
Innovation is sweeping
through
U.S. medical schools (Wall Street
Journal, Feb. 16, 2015)
Remote patient
monitoring lets
doctors spot trouble early (Wall
Street Journal,
Feb. 16, 2015)
Sharing individual
patient data
from clinical trials (New England
Journal of
Medicine, Jan. 15,
2015)
MEMBERS' CORNER
Changes to USMLE,
2015-16
DID
YOU KNOW?
FSMB's "Medical Licensing and
Discipline in America" traces the
evolution of
the U.S. medical
licensing system from its historical
antecedents in the
18th and 19th
NEWS
FROM THE FSMB
Resolutions
for House of Delegates
consideration due Feb. 24
For more
information, please see a sample
resolution
and an overview of the House of
Delegates
policy development process.
Resolutions should be submitted by next
Tuesday, Feb. 24.
To submit a resolution,
please contact Pat McCarty at
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
pmccarty@fsmb.org.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Physician organizations
call for
new policies to reduce injuries
from firearms (Annals of Internal
Medicine,
Feb. 24, 2015)
Quality improvement
wars:
Them's fightin' words
(HealthLeaders Media,
Feb. 6,
2015)
Fancy flourishes at
hospitals
don't impress patients, study
finds (Kaiser Health News,
Feb.
24, 2015)
MEMBERS' CORNER
DID
YOU KNOW?
A directory of all 70 U.S. state
medical
and osteopathic boards
is available on the FSMB
website.
NEWS
FROM THE FSMB
Utah
Legislature sends Interstate Compact to Governor
The Interstate
Medical Licensure Compact has been approved by both
chambers of the
Utah Legislature, making Utah the first state to send the
legislation
to its Governor to be signed into law.
"We're pleased
to see Utah's state legislature be the first in the country to
advance
this important legislation, which will expand access to healthcare
for
so many Americans," said Humayun J. Chaudhry, DO,president
and
CEO of the FSMB. "It is very encouraging to see the swift
action being
taken by Utah lawmakers as well as recent introductions
and committee
hearings on the Compact in many other states."
March 12, 2015: FSMB
Roundtable Conference Call, 2-3
p.m. CST
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
For more
information about the Interstate Medical Licensure Compact, visit:
http://licenseportability.org.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email
NEWS CLIPS
Mapping the country's
most
infectious hospitals (Reuters,
Feb. 24,
2015)
Defining 'faculty' in
academic
medicine: Responding to the
challenges of a changing
environment (Academic
Medicine, March 2015)
MEMBERS' CORNER
ONC releases
interoperability
roadmap for comment
DID
YOU KNOW?
In collaboration
with the American
Academy of Pediatrics and the
Physician Reentry into
the
Workforce Project, the FSMB has
NEWS
FROM THE FSMB
Free
CME activities on FSMB opioid
prescribing policies available
Ebola
fighter to keynote FSMB Foundation luncheon
The FSMB Foundation has announced that the keynote speaker at its
April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
CONNECT
WITH THE FSMB
Follow @theFSMBforinfo
about our products
and
services, news that
impacts medical regulation and
health care,
upcoming meetings
andthe Journal
of Medical
Regulation.
2015
FSMB Foundation Luncheon in April will be Dr. Kent Brantly, one of
the
"Ebola fighters" Time magazine recently highlighted in its
2014 Person
of the Year issue. Dr. Brantly, who has been widely
recognized for his
courageous work in caring for Ebola patients in Liberia,
will speak on the
value of service. He contracted and survived the
deadly Ebola virus while
providing care to those in need. The luncheon
will be held Friday, April 24
from noon to 2 p.m. during the FSMB's
2015 Annual Meeting at the Omni
Fort Worth Hotel in Fort Worth, Texas.
To register, click here.
CONTACT US
Texas Office
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Suite 500
Washington DC 20036
(202) 463-4000
United
States Medical Licensing Examination
(817) 868-4041;usmle@fsmb.org
Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org
Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org
Forward email