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Alley, Jamie S

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Federation of State Medical Boards, D.C. <lrobin@fsmb.org>


Friday, December 19, 2014 12:31 PM
Alley, Jamie S
FSMB Advocacy Network News

In This Issue
OF INTEREST

Dec. 19, 2014

Happy Holidays from the FSMB

Supreme Court to Hear


Case on Health-Care
Law Subsidies

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!

Video visits blocked


despite doctor
shortage

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

Best wishes for a wonderful holiday season!

2.5M enrolled in
Obamacare in a month

Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards

Doctor Shortage
Looming? Maybe Not

News from Washington, D.C.

Contact Us

The FSMB's advocacy team continues to track legislative and policy


developments impacting the work of state medical boards in their protection of
the public.

Lisa Robin
Chief Advocacy Officer
FSMB
1300 Connecticut Avenue
NW
Suite 500
Washington, D.C. 20036
Phone: (202) 463-4000

lrobin@fsmb.org

Among items of interest in recent weeks:


Interstate Medical Licensure Compact Update
20 state medical and osteopathic boards have formally supported their state's
participation in the Compact and several others are considering doing so in the
weeks and months ahead. Seven states must adopt the language to implement
the Compact so we believe we are well poised to move ahead. The American
Medical Association, the Council of Medical Specialty Societies, the Society of
Hospitalist Medicine and many other national organizations and state medical
societies have conveyed support for the Compact. More information on the
Compact can be found at FSMB's online Interstate Medical Licensure Compact
1

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.

Federal Legislative News


Special Note: All legislation not passed prior to Congress adjourning
last week must be re-introduced in the 114th Congress.
Rep. Kevin P. Brady (R-TX-08) and Rep. Jim McDermott (D-WA-07)
introduced H.R.5780, Protecting the Integrity of Medicare Act of 2014,
bipartisan legislation that combines previous Ways and Means Committee policy
proposals. The legislation would reform Medicare's anti-fraud programs.
Rep. Jim D. Matheson (D-UT-04) introduced H.R.5823, Incentivizing
Healthcare Quality Outcomes Act of 2014, which would amend title XVIII
of the Social Security Act to create incentives for healthcare providers to
promote quality healthcare outcomes.
Sen. Richard Blumenthal (D-CT) introduced S.3009, Advance Planning
and Compassionate Care Act of 2014, which would improve end-of-life care
through financial assistance and support for advanced planning.

State Legislative News


As the remaining state legislatures still in session wrap up their year, several
state legislatures began accepting pre-filed bills for the 2015 legislative session.
The FSMB continues to track legislation of interest to state medical boards.
Based on the 2014 legislative session and 2015 pre-file period, there is a
2

growing trend and an increase in the number of bills relating to scope of


practice in regards to the administration and prescribing of epinephrine autoinjectors, commonly known as EpiPens, to authorized entities. In 2014, several
states, including California, Illinois, and Pennsylvania, signed bills into law
that allow physicians to directly prescribe auto-injectors to schools. Missouri,
HB 96/SB 26, and Texas, SB 66, have already pre-filed bills to address this
issue for 2015.
With 49 states, the District of Columbia, and Guam already enacting
Prescription Drug Monitoring Programs, Missouri continues to look to become
the final state to establish a PDMP. Multiple bills -- HB 130, SB 63, and SB
611 -- have been pre-filed.
Finally, in the upcoming weeks and months, several states should see bills
introduced to enter their states into the Interstate Medical Licensure Compact.
For a full list of the bills we are tracking, please visit our tracking website. If
there is specific legislation you would like us to assist with, please contact Shiri
A. Hickman, J.D., State Legislative and Policy Manager, at
shickman@fsmb.org.

FSMB Advocacy Network


Working from offices in Texas and Washington, D.C., the FSMB provides
advocacy services ranging from monitoring of legislation to liaison with key
federal agencies. Contact us to learn more about our work on state and federal
legislative issues, administration initiatives and the legislative
process... lrobin@fsmb.org.
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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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Federation of State Medical Boards <dcarlson@fsmb.org>


Friday, December 19, 2014 3:27 PM
Alley, Jamie S
2015 FSMB Annual Meeting: Save the Date

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Mark your calendar for the


2015 FSMB Annual Meeting!
The Federation of State Medical Boards invites you to the 2015 Annual Meeting, to be held April
23-25 at the Omni Fort Worth Hotel in Fort Worth, Texas.
Our theme this year is Collaborating and Communicating: Tools for success in today's complex
regulatory environment. Join us for the most comprehensive medical regulatory meeting available
anywhere!
TO REGISTER, VISIT OUR ONLINE REGISTRATION PAGE.
Kelly Alfred | (817) 868-5000 | email: KAlfred@fsmb.org

The Federation of State Medical Boards is committed to protecting the public with high standards
for medical licensure and practice
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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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list-manager@fsmb.simplelists.com on behalf of Shiri A. Hickman


<shickman@fsmb.org>
Tuesday, January 27, 2015 4:18 PM
BoardAttorneys
Physician competency evaluation laws

Dear Board Attorneys:


The FSMB has received an inquiry into which states have a 3-strikes law (similar to FL and VA) requiring competence
assessments for physicians who meet a certain threshold on patient care lawsuits/settlements? We are trying to
determine if there is a trend to more states adopting similar legislation.
I would very much appreciate your insight into this issue.
Thank you in advance,
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

Alley, Jamie S
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list-manager@fsmb.simplelists.com on behalf of Kelly Alfred <KAlfred@fsmb.org>


Wednesday, February 11, 2015 5:30 PM
'boardattorneys@fsmb.simplelists.com'
Medical Marijuana Question

Dear ListServ Members,

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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Cc:
Subject:

Kevin Caldwell (FSMB) <KCaldwell@fsmb.org>


Thursday, February 12, 2015 3:56 PM
Thompson, Sheree J
Knittle, Robert C; Alley, Jamie S
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,
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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Federation of State Medical Boards, D.C. <lrobin@fsmb.org>


Wednesday, February 18, 2015 12:41 PM
Alley, Jamie S
FSMB Advocacy Network News

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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

Feb. 18, 2015

2015: Already a Busy Year


This year is off to a busy start as the 114th Congress has begun legislating and
the Interstate Medical Licensure Compact has been introduced in thirteen
states. The FSMB would like to recognize your commitment to protecting the
nation's patients and sincerely thank you for your efforts on behalf of the
Advocacy Network and state medical and osteopathic boards. We look forward
to working with you to meet the challenges and opportunities of 2015.
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

Putting the technology


into telehealth

News from Washington, D.C.

Contact Us

The FSMB's advocacy team continues to track legislative and policy


developments impacting the work of state medical boards in their protection of
the public. Among items of interest in recent weeks:

Lisa Robin
Chief Advocacy Officer
FSMB
1300 Connecticut Avenue
NW
Suite 500
Washington, D.C. 20036
Phone: (202) 463-4000

lrobin@fsmb.org

Interstate Medical Licensure Compact Update


27 state medical and osteopathic boards have formally endorsed or expressed
support for the Interstate Medical Licensure Compact and several others are
considering doing so in the weeks and months ahead. Seven states must adopt
the language to implement the Compact and since 13 states have introduced
legislation we believe we are well poised to move forward.
The American Medical Association, the Council of Medical Specialty Societies,
the Society of Hospital Medicine and many other national organizations and
state medical societies have also formally endorsed the Compact. More
information on the Interstate Compact can be found at
1

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.

Federal Legislative News


The House Committee on Energy and Commerce is looking to build on the
bipartisan success of the 113th Congress to move forward several bills and
policies that had previously received strong support.
The Committee released draft legislation of the 21st Century Cures Act, a
bipartisan effort to conduct a comprehensive look at what steps can be taken to
accelerate the pace of cures. The draft includes support for the Interstate
Medical Licensure Compact, stating that "it is the sense of Congress that States
should collaborate, through the use of State medical board compacts, to create
common licensure requirements for providing telehealth services in order to
facilitate multistate practices and allow for health care providers to provide such
services across State lines."
Reps. Adam D. Kinzinger (R-IL-16) and Lois Capps (D-CA-24) will
reintroduce The Veteran Emergency Medical Technician Support Act,
which would provide demonstration grants to states with a shortage of
emergency medical technicians (EMTs) to streamline state-licensing
requirements for military veteran EMTs to prevent unnecessary duplication in
training. This bill was passed by the House in 2013 but died in committee in the
Senate.
Rep. Ed Whitfield (R-KY-01) will reintroduce The National All Schedules
Prescription Electronic Reporting (NASPER) Reauthorization Act, which
2

would reauthorize the NASPER program to support state prescription drug


monitoring programs.
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 the Veterans Health
Administration. Both the House and the Senate passed the legislation sending
it to President Obama for his signature.
Rep. Doris O. 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.

State Legislative News


As the remaining state legislatures still in session wrap up their year, several
state legislatures began accepting pre-filed bills for the 2015 legislative session.
The FSMB continues to track legislation of interest to state medical boards.
With a new year comes new legislative sessions commencing across the
country. The month of January, as is often customary, is a month where a large
amount of new bills are introduced. This year is no exception.
Thirteen states began the new year by introducing legislation to adopt the
Interstate Medical Licensure Compact. Those states are: Illinois, Iowa,
Maryland, Minnesota, Montana Nebraska, Oklahoma, South Dakota,
Texas, Utah, Vermont, West Virginia, and Wyoming. Several other states
are expected to introduce this legislation within the coming weeks.
One major topic that is expected to be highly discussed across the country in
2015 is telemedicine. More than 70 legislative bills have already been
introduced addressing telemedicine in some form. For example, in Montana,
SB 77, has been introduced which provides the Board with rulemaking
authority for telemedicine guidelines and short-term licenses. In addition, the
bill repeals specialized, telemedicine, and temporary physician licenses, while
also creating a resident physician license in the state. In Connecticut, several
bills have been introduced to define and establish standards for the practice of
telemedicine, as well as to establish health insurance coverage for telemedicine
services. In Arkansas, SB 133 has been introduced to encourage the use of
telemedicine in order to reduce the geographic maldistribution of primary and
specialty care, and authorize reimbursement and define standards for
telemedicine services.
Some states are beginning the year by looking at ways to improve and expand
continuing medical education requirements. In Washington, SB 5151, was
introduced and would allow cultural competency continuing education courses
to be taken in addition to or, should they fulfill current requirements, in place of
other continuing education requirements required by the disciplining authority.
Legislation has been introduced in New Jersey, AB 3834, that would require
the Board of Medical Examiners to include educational programs or topics
related to suicide prevention in the core requirements for continuing medical
education for physicians who are pediatricians and physicians who regularly
provide pediatric care services. Additionally, in Hawaii, SB 807 has been
introduced that would establish a mandatory continuing medical education
program for prescribing practitioners who prescribe narcotic drugs, with
3

program topics and curriculum determined by the narcotics enforcement


division, in consultation with a narcotics advisory committee, created by the bill
as well.
The FSMB will continue to track legislation of interest to state medical boards.
For a full list of the bills we are tracking, please visit our tracking website. If
there is specific legislation you would like us to assist with, please contact Shiri
A. Hickman, J.D., State Legislative and Policy Manager, at
shickman@fsmb.org.
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DCgroup_sm

FSMB Advocacy Network


Working from offices in Texas and Washington, D.C., the FSMB provides
advocacy services ranging from monitoring of legislation to liaison with key
federal agencies. Contact us to learn more about our work on state and federal
legislative issues, administration initiatives and the legislative
process... lrobin@fsmb.org.
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Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039

Alley, Jamie S
From:
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Subject:

Federation of State Medical Boards <dcarlson@fsmb.org>


Thursday, February 19, 2015 9:42 AM
Alley, Jamie S
2015 FSMB Annual Meeting: Join Us!

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Will we see you in Fort Worth?


Plans are underway for the 2015 Annual Meeting of the Federation of State Medical Boards in
Fort Worth, Texas. Have you registered yet?
By registering before March 16 you will receive a substantial discount! You can register easily
online by visiting our Online Registration page.
This year's meeting, to be held April 23-25, is themed: "Collaborating and Communicating: Tools
for success in today's complex regulatory environment." We'll be offering many new sessions
intended to help regulators forge partnerships and work collaboratively with stakeholders and
peer organizations for more effectiveness.
Our meeting site will be the Omni Fort Worth Hotel -- it's an excellent hotel, centrally located and
near lots of dining and entertainment venues.
Join us again this year for the most comprehensive medical regulatory meeting available
anywhere!
You can learn more about the meeting by visiting our Annual Meeting website.

Opening session to examine shifts in the


medical regulatory environment
The opening session of the 2015 Annual Meeting, titled "We're in This Together: Navigating the
Changing Shape and Boundaries of Medical Regulation," will feature a panel discussion aimed at
a examining today's rapidly changing landscape for medical regulation.
Leading experts will discuss examples of significant new developments, including the newly
proposed Interstate Medical Licensure Compact, the recent FTC v. North Carolina Dental
Examiners case and the rise of education and CME co-sponsorship as core components of
medical regulation.
In these cases and others, factors are emerging that portend long-range changes in the way
medical regulation is approached -- including the way regulators work with other stakeholders.
New coalitions and alliances are forming...new ways of doing business together...What does it all
mean for our future?
Visit our Annual Meeting website today to learn more about this year's annual meeting!

CONTACT | (817) 868-4000 | email: KAlfred@fsmb.org


The FSMB and state medical boards are working together to protect the public through the
highest standards of licensure and regulation.
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Alley, Jamie S
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list-manager@fsmb.simplelists.com on behalf of Shiri A. Hickman


<shickman@fsmb.org>
Thursday, February 19, 2015 11:39 AM
BoardAttorneys
Automatic suspension upon criminal conviction of health care fraud?

Dear Board Attorneys:


The FSMB has received an inquiry into automatic suspension practices based on criminal convictions of health
care fraud. If your board has addressed this topic, do you mind letting me know?
Thanks for your assistance,
Shiri
Shiri Ahronovich Hickman, J.D.
Director, State Legislation and Policy
Federation of State Medical Boards
1300 Connecticut Avenue, NW | Suite 500 | Washington, DC 20036
202-463-4002 direct | shickman@fsmb.org | www.fsmb.org

Alley, Jamie S
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list-manager@fsmb.simplelists.com on behalf of Eric Fish <efish@fsmb.org>


Wednesday, February 25, 2015 2:54 PM
Meyers, Frank; BoardAttorneys
RE: North Carolina St. Board of Dental Examiners v. FTC

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

From: list-manager@fsmb.simplelists.com [mailto:list-manager@fsmb.simplelists.com] On Behalf Of Meyers, Frank


Sent: Wednesday, February 25, 2015 2:24 PM
To: BoardAttorneys
Subject: North Carolina St. Board of Dental Examiners v. FTC

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
are not the intended recipient, or a person responsible for delivering it to the intended recipient, you are hereby
notified that any disclosure, copying, distribution or use of any of the information contained in or attached to this
transmission is STRICTLY PROHIBITED. If you have received this transmission in error, please immediately notify us by
reply e-mail or by telephone at (573) 751-0117 and destroy the original transmission and its attachments without
reading or saving in any manner. Thank you.
PLEASE NOTE: The Missouri Bar Chief Disciplinary Counsel requires all Missouri lawyers to notify all recipients of e-mail
that (1) e-mail communication is not a secure method of communication; (2) any e-mail that is sent to you or by you may
be copied and held by various computers it passes through as it goes from me to you or vice versa; and (3) persons not
participating in our communication may intercept our communications by improperly accessing your computer or my
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you via e-mail because you have consented to receive communications via this medium. If you change your mind and
want future communications to be sent in a different fashion, please let us know AT ONCE.

Alley, Jamie S
From:
Sent:
To:
Subject:

Ruth Vinciguerra <RVinciguerra@fsmb.org>


Wednesday, February 25, 2015 5:10 PM
Ruth Vinciguerra
Save the Date/FSMB Roundtable/March 5, 2015

SAVE THE DATE

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!

From:
Sent:
To:
Subject:
Attachments:

Pamela Huffman (FSMB) <phuffman@fsmb.org> on behalf of Humayun Chaudhry


<hchaudhry@fsmb.org>
Monday, December 08, 2014 1:45 PM
Pamela Huffman (FSMB)
FINAL Call for Committee Appointment Recommendations
FINAL Call for Appointments 12-08-14 FINAL.pdf

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:

Active Fellows of the Federation and


Medical Board Executive Directors/Secretaries

FROM:

Humayun J. Chaudhry, DO, MACP


President and Chief Executive Officer

RE:

FINAL Call for Committee Appointment Recommendations


_____________________________________________________________________

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.

400 FULLER WISER ROAD | SUITE 300 | EULESS, TX 76039


(817) 868-4000 | FAX (817) 868-4097 | WWW.FSMB.ORG

FEDERATION OF STATE MEDICAL BOARDS


Responsibilities of Appointed Positions
Audit Committee
COMMITTEE CHARGE
The primary charge of the Audit Committee, as currently set forth in the FSMB Bylaws, Article
VIII, Section B, is to review the audit of the corporation and the accompanying financial statements.
Tasks of the Committee include:
1. Reviewing the auditors report with particular attention to material deficiencies and
recommendations.
2. Reviewing the annual Statement of Financial Position, Statement of Activities and Statement of
Cash Flows resulting from the audit process.
TIME COMMITMENT
Members of the Audit Committee serve one-year terms. Due to advances in technology and
common practice of audit committees within the U.S., the Audit Committee traditionally meets via
teleconference two to four times during the year, with the potential for one face-to-face meeting.
Bylaws Committee
COMMITTEE CHARGE
The charge of the Bylaws Committee, as currently set forth in the FSMB Bylaws, Article VIII,
Section C, is to continually assess the Articles of Incorporation and the Bylaws and receive all
proposals for amendments thereto. The Committee will, from time to time, make recommendations
to the House of Delegates for changes, deletions, modifications and interpretations to the Bylaws.
Tasks of the Committee include:
1. Receiving requests for amendments or revisions from the Board of Directors or from Member
Boards. Upon receiving requests, the Committee drafts Bylaws language that is appropriate in
style and placement. The Bylaws Committee members may also propose amendments or
revisions to the Bylaws, and draft language that is appropriate for inclusion.
2. Advising the House of Delegates with regard to each modification they have drafted, citing in
their report to the House their choice to support, oppose or remain neutral regarding the
language they have drafted. Members of the Committee may give testimony in support of their
position before a Reference Committee.
3. Interpreting the Bylaws upon request of the Board of Directors, Member Boards or others.
4. Reviewing the Bylaws and Articles of Incorporation on a continual basis.
TIME COMMITMENT
Members of the Bylaws Committee serve one-year terms. The Committee will meet once by
teleconference or as many times as is needed.
1

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.

Ethics and Professionalism Committee


COMMITTEE CHARGE
The charge of the Ethics and Professionalism Committee as currently set forth in the FSMB Bylaws,
Article VIII, Section F is to address ethical and professional issues pertinent to medical regulation.
Tasks of the Committee include:
1. Addressing ethical and/or professional concerns expressed by state medical boards.
2. Researching data pertinent to the issues and/or obtaining input from experts in the particular
subject areas being considered.
3. Developing model policies for use by state medical boards to be submitted for approval by the
FSMB House of Delegates.
TIME COMMITMENT
Members of the Ethics and Professionalism 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.
Finance Committee
COMMITTEE CHARGE
The charge of the Finance Committee as currently set forth in the FSMB Bylaws, Article VIII,
Section G is to review the financial condition of the FSMB, review and evaluate the costs of the
activities and/or programs to be undertaken in the forthcoming year, and recommend a budget to
the Board of Directors for its recommendation to the House of Delegates at the Annual Meeting,
and perform such other duties as are assigned to it by the Board of Directors.
Tasks of the Committee include:
1. Assessing prior financial performance in comparison to budget.
2. Reviewing the draft budget for alignment with organizational goals, programs and services.
3. Approving the budget for recommendation to the Board of Directors.
TIME COMMITMENT
Members of the Finance 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.
Special Committees
Special Committees are appointed by the Chair as necessary and are established for a specific
purpose. Special Committees usually meet three times per year, in person and via teleconference,
and continue their work for about two years. Special Committees for 2015-2016 are to be
determined.

From:
Sent:
To:
Subject:
Attachments:

Pamela Huffman (FSMB) <phuffman@fsmb.org> on behalf of Humayun Chaudhry


<hchaudhry@fsmb.org>
Monday, December 08, 2014 1:45 PM
Pamela Huffman (FSMB)
FINAL Call for Nominations of Candidates for Elected Office
FINAL Call for Nominations December 2014 packet (1).pdf

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:

Active Fellows of the Federation and


Medical Board Executive Directors/Secretaries

FROM:

Nominating Committee Chair Jon V. Thomas, MD, MBA


Nominating Committee Members Deeni Bassam, MD, Tariq H. Butt, MD,
Jeffrey D. Carter, MD, Greg M. Collins, Anna Z. Hayden, DO, and Barbara E. Walker, DO

RE:

FINAL Call for Nominations of Candidates for Elected Office

Nominations of Candidates for Elected Office


Jon V. Thomas, MD, MBA, Chair of the FSMBs Nominating Committee, requests that Member Boards and Fellows of
the FSMB submit names of individuals for the Nominating Committee to consider as candidates for elected office.
Elections will be held at the FSMBs April 25, 2015 House of Delegates annual business meeting. Nominees may include
physicians as well as non-physicians who are Fellows of the FSMB. The FSMB Bylaws state: 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. Instructions for nominating candidates, including
eligibility requirements, additional position-specific qualifications, and responsibilities of elected positions, are attached
for your information. Please refer to this information when submitting your letters of nomination for
consideration by the Nominating Committee.
Under the FSMB Bylaws, the Nominating Committee shall submit a slate of one or more candidates for each position.
Nomination by the Nominating Committee or Nomination by Petition shall be the sole methods of nomination to an
elected office of the FSMB. A candidate who runs for and is not elected to an elected office shall be ineligible to be
nominated for any other elected office during the same election cycle. Positions to be filled in 2015 are as follows:

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.

400 FULLER WISER ROAD | SUITE 300 | EULESS, TX 76039


(817) 868-4000 | FAX (817) 868-4097 | WWW.FSMB.ORG

INSTRUCTIONS FOR NOMINATIONS OF CANDIDATES FOR FSMB ELECTED OFFICE


Eligibility
Any person who is or will be a Fellow of the FSMB at the time of the election on April 25, 2015 is eligible for
nomination. The Bylaws of the FSMB define Fellows as: 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.
Core Competencies of Candidates
A candidate for elected office should:
Support the vision, mission, values and strategic goals of the FSMB;
Possess a positive outlook on the role and function of state medical boards in the medical regulatory field;
Bring a broad, national perspective to specific issues;
Have adequate time and commitment necessary to fulfill the responsibilities of the office (please see attached
Responsibilities of Elected Positions);
Demonstrate personal integrity.
Additional Qualifications for Chair-elect of the Board of Directors: Suggested but not mandatory: One or more
years experience on the FSMB Board of Directors and, if applicable, a commitment of time that may require reduction
by one-third or more of patient care duties in medical practice.
Additional Qualifications for Board of Directors: These are strongly suggested but not mandatory: One-and-a-half
or more years on a State Medical Board; Committee or Task Force participation with the FSMB. Significant experience
on a non-profit Board of Directors or Foundation may be considered an equivalent for one of the above.
Letter of Nomination - Contents
The letter of nomination must come from the candidates state medical board to the Nominating Committee and
should specify (1) the name of the candidate to be considered; (2) the office for which the candidate is being
recommended; (3) a description of the candidates ability to demonstrate the core competencies and/or additional
position-specific qualifications stated above; (4) the candidates agreement to the submission of his/her name for
potential nomination; (5) the candidates affirmation that he/she is aware of the time commitment required for the
position to which he/she may be elected; and (6) the candidates mailing address, daytime telephone number, fax
number and email address.
Attachments to State Medical Boards Letter of Nomination
The following materials should accompany the letter of nomination:
1.
Candidates General Information Questionnaire (attached). In the interest of uniformity and fairness to all
candidates, the Nominating Committee requests that the information contained on the Candidates General
Information Questionnaire be limited to the space provided, except where otherwise stated.
2.
Signatory Form (attached). The candidate must submit a signed confirmation that the candidate 1) will be a
Fellow as defined by the FSMB Bylaws at the time of the election on Saturday, April 25, 2015; 2) is aware of the time
commitment required for the position to which he/she may be elected; and 3) is disclosing any potential conflict(s) of
interest.
3.
Candidates photograph color (jpg preferred). Copies of the photo will be included in the Nominating
Committee meeting agenda book. If the candidate is selected, the photo will also be used in the Election Manual that is

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.

RESPONSIBILITIES OF ELECTED POSITIONS


Board of Directors
The FSMB Board of Directors is responsible for the control and administration of the FSMB and
reports to the House of Delegates; the Board provides leadership in the development and
implementation of the FSMBs Strategic Goals and the Boards Annual Action Plan; the Board is
responsible for governing and conducting the business of the corporation, including supervising the
President/CEO; and, under the leadership of the Chair and President/CEO, represents the FSMB
to other organizations and promotes recognition of the FSMB as the premier organization
concerned with medical licensure and discipline. The Board of Directors is the fiscal agent of the
corporation.
GENERAL RESPONSIBILITIES
The Board of Directors is responsible for the following:
1.
2.
3.
4.
5.
6.
7.
8.

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.

CANDIDATES GENERAL INFORMATION QUESTIONNAIRE

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: __________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

PROFESSIONAL AND/OR ORGANIZATIONAL ACTIVITIES


(National, State, or Local)

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

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.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

CANDIDATE SIGNATORY PAGE


STATE MEDICAL BOARD ACTIVITIES
On which state medical board are you currently serving?
_______________________________________________
If not serving, when did you leave the board?

Month ______ Day ______ Year ______

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:

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.

I am aware of the time commitment for the position I wish to be elected.

I am disclosing any potential conflict(s) of interest.

SIGNATURE:

________________________________________________________________

Potential Conflict(s) of Interest


_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

SAMPLE PERSONAL STATEMENT [500 words or less]

Please provide this document in WORD format

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:

Patricia McCarty (FSMB) <pmccarty@fsmb.org> on behalf of Humayun Chaudhry


<hchaudhry@fsmb.org>
Tuesday, December 09, 2014 6:18 PM
Patricia McCarty (FSMB)
FINAL Call for Award Nominations
FSMB Annual Awards 2014-2015.pdf; Past Award Recipients 1986-2014.pdf

Dear Member Board Presidents/Chairs and Executive Directors/Secretaries,


The FSMB is preparing to present its most prestigious awards during its 2015 Annual Meeting. Through these
awards, those who have made outstanding contributions to achieving the goals of the FSMB and its member
boards will be honored.
The awards were established in 1986 when Frederick T. Merchant, MD, longtime secretary of the FLEX Board,
was presented the Distinguished Service Award, and George E. Sullivan, MD, the perennial secretary of the
Maine Board of Registration in Medicine and a former member of the FSMB Board of Directors, was given the
John H. Clark, MD Leadership Award. Since then, the honorees have reflected the same high standard of
service and dedication.
Honorees will be selected by the FSMB Awards Committee and presented to the Board of Directors for final
consideration in February 2015. Specific information about each of the awards for 2014-2015 is contained in
the attached document. Also attached is a list of previous award recipients. Member boards wishing to submit
nominations should do so no later than Tuesday, January 6, 2015. All letters of nomination should support the
recommendation(s) and provide background information on the nominee(s). A curriculum vitae (a maximum
of five pages) should be included with each letter.
Nominations should be submitted via mail, fax or email to:
Jon V. Thomas, MD, Chair
Awards Committee
c/o Pat McCarty, Director of Leadership Services
The Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300
Euless, Texas 76039-3855
Fax: (817) 868-4167
Email: pmccarty@fsmb.org
Confirmation will be sent to you upon receipt of your nominations. If you do not receive confirmation within
one week, please contact Pat McCarty at (817) 868-4067 or by email as stated above.
Sincerely,
Humayun J. Chaudhry, DO, MACP
President and CEO
Secretary, Board of Directors
1

Federation of State Medical Boards


400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4044 direct | 817-868-4144 fax

ANNUAL AWARDS
2014-2015

FSMB ANNUAL AWARDS

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.

JOHN H. CLARK, MD LEADERSHIP AWARD


The John H. Clark, MD Leadership Award is presented to an individual in recognition of
outstanding and exemplary leadership, commitment, and contribution in advancing the
public good at the state medical board level. The Leadership Award may be presented
to any fellow or honorary fellow of the FSMB whose contributions to his or her board are
believed by the Awards Committee to be in keeping with these guidelines. No Chair or
former Chair of the FSMB is eligible, and no one who has served as an FSMB officer,
member of the Board of Directors, or full-time staff member or employee of the FSMB
within the previous two years is eligible. The award honors the memory of John H.
Clark, MD, a former Chair of the Utah Physicians Licensing Board, who served as
FSMB President in 1982-83 and was known for his leadership and integrity.


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.

LIFETIME ACHIEVEMENT AWARD


The Lifetime Achievement Award, on rare occasions, may be presented to an individual
who has demonstrated extraordinary and sustained service and commitment to the field
of medical licensure and discipline. Any individual, whether a physician, non-physician,
fellow, honorary fellow or individuals not directly associated with FSMB may be
considered. This unique award is bestowed infrequently as the Awards Committee may
deem appropriate and is not intended to be given on an annual basis.

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.

ABOUT THE AWARDS COMMITTEE


The members of the Awards Committee include the FSMB Immediate Past Chair as
Chair, up to four directors (including officers, directors-at-large and Associate
Members), and up to three fellows (non-FSMB directors) at the Chairs discretion. The
Awards Committee acts on behalf of the Board of Directors to fully consider the
qualifications of each individual nominated or selected for a particular award. The
Awards Committee will submit its selections to the Board of Directors prior to the winter
board meeting for final consideration.

John H. Clark, MD Leadership Award


1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001


2002

2003
2004

2005
2006
2007
2008

2009
2010
2011

2012

2013
2014

www.fsmb.org

George E. Sullivan, MD, Maine


George J. Carroll, MD, Virginia
John W. Rupel, MD, Wisconsin
Richard M. Nunnally, MD, Louisiana
Max C. Butler, MD, Texas
Thomas J. Scully, MD, Nevada
Stuart W. Russell, MD, New Hampshire
Frank J. Morgan Jr., MD, Mississippi
J. Lee Dockery, MD, Illinois
Rendel L. Levonian, MD, California
Clifford Burross, MD, Texas
Jo Ann N. Levitt, MD, New Mexico
Gilbert Hermann, MD, Colorado
James M. Garrison Jr., MD, Washington
L. Thompson Bowles, MD, PhD, Pennsylvania
Edward David, MD, JD, Maine
Thomas A. Joas, MD, California
Paul M. Steingard, DO, Arizona
Robert S. Heidt Sr., MD, Ohio
Marilyn Ward, Washington
Dinesh Patel, MD, Massachusetts
Raymond J. Albert, Ohio
Anand G. Garg, MD, Ohio
William H. Beeson, MD, Indiana
Ralph W. Stewart, MD, Indiana
Ansel R. Marks, MD, JD, New York
Hampton W. Irwin, MD, Washington
Clarence C. Reynolds, MD, Missouri
Randy T. Kohl, MD, Nebraska
William L. Harp, MD, Virginia
Thomas R. Pickard, DO, Oklahoma
Samuel Selinger, MD, Washington
Stan T. Ingram, Esq, Mississippi
C. William Schmidt, Kentucky
W. Eugene Musser, Jr., MD
Patricia A. King, MD, PhD, Vermont
Leslie M. Burger, MD, Washington

Promoting excellence in medical practice, licensure and regulation

17

Lifetime Achievement Award


2000
2008

2010

2011
2012
2014

www.fsmb.org

Harold E. Jervey Jr., MD, South Carolina


George C. Barrett, MD, North Carolina
Stanley Aronson, MD, Rhode Island
Milton Hamolsky, MD, Rhode Island
J. Lee Dockery, MD
Regina M. Benjamin, MD, MBA
Rev. O. Richard Bowyer, MDiv, ThM, West Virginia
Larry D. Dixon, Alabama

Promoting excellence in medical practice, licensure and regulation

19

From:
Sent:
To:
Cc:
Subject:

Jonathan Jagoda <jjagoda@fsmb.org>


Wednesday, December 10, 2014 2:46 PM
Lyle Kelsey; Knittle, Robert C; 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
Conference Call to Discuss Compact/ALEC

Importance:

High

Dear Members of the Advisory Council of Board Executives,


Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALECs legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 Eastern time.
Thank you in advance.
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:

Jonathan Jagoda <jjagoda@fsmb.org>


Wednesday, December 10, 2014 4:01 PM
Knittle, Robert C
RE: Conference Call to Discuss Compact/ALEC

Great find, Bob!


From: Robert Knittle
Sent: Wednesday, December 10, 2014 3:52 PM
To: Jonathan Jagoda; Lyle Kelsey; Kathleen Selzler Lippert; 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

Quite the website! http://www.alec.org/model-legislation/resolution-supporting-efforts-telehealth-working/ Would


appear to be an intentional misread of the Compact for political motive.
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 2:46 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); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: Conference Call to Discuss Compact/ALEC
Importance: High

Dear Members of the Advisory Council of Board Executives,


Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALECs legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 Eastern time.
Thank you in advance.
Sincerely,
1

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:

Jonathan Jagoda <jjagoda@fsmb.org>


Wednesday, December 10, 2014 4:59 PM
Kathleen Selzler Lippert; Lyle Kelsey; Knittle, Robert C; 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.

Kathleen Selzler Lippert


Executive Director
Kansas Board of Healing Arts
800 Jackson Lower Level Suite A
Topeka, Kansas 66612
klippert@ksbha.ks.gov
Direct Ext: 785-296-3680
Fax: 785-368-7102
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
1

Dear Members of the Advisory Council of Board Executives,


Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALECs legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 Eastern time.
Thank you in advance.
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:
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

Right now I am available in the afternoon on either day.


Bob
From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Wednesday, December 10, 2014 2:46 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); Natalie Weiner; Eric Fish; Shiri A. Hickman
Subject: Conference Call to Discuss Compact/ALEC
Importance: High

Dear Members of the Advisory Council of Board Executives,


Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALECs legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 Eastern time.
Thank you in advance.
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
1

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

Monday at 4 works for me.


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.

Kathleen Selzler Lippert


Executive Director
Kansas Board of Healing Arts
800 Jackson Lower Level Suite A
Topeka, Kansas 66612
klippert@ksbha.ks.gov
Direct Ext: 785-296-3680
Fax: 785-368-7102
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
1

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

Dear Members of the Advisory Council of Board Executives,


Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALECs legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 Eastern time.
Thank you in advance.
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:

Cc:
Subject:
Attachments:

Eric Fish <efish@fsmb.org>


Monday, December 15, 2014 5:18 PM
Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Knittle, Robert C; Mari Robinson;
Kevin Bohnenblust, JD; Kimberly Kirchmeyer; Margaret Hansen; Jacqueline Watson, DO,
MBA
Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
ALEC rebutal
ALEC rebuttal.doc; ALEC Resolution Opposing MD Licensure Compact (2).pdf

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

Dear Board Executive,


On December 5, 2014 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 and members of the Compact's Drafting Taskforce
believe are erroneous and misleading. A copy of the resolution is attached.
You will find below a point by point rebuttal of the claims made in the resolution that will aid in
your ability to respond if the resolution is brought up during your 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
serves to protect 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 has repeatedly pushed for national licensure, 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,
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:

Jonathan Jagoda <jjagoda@fsmb.org>


Tuesday, December 16, 2014 3:16 PM
Knittle, Robert C
RE: Conference Call to Discuss Compact/ALEC

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

From: Robert Knittle


Sent: Tuesday, December 16, 2014 3:12 PM
To: Jonathan Jagoda
Subject: RE: Conference Call to Discuss Compact/ALEC

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.

Kathleen Selzler Lippert


Executive Director
Kansas Board of Healing Arts
800 Jackson Lower Level Suite A
Topeka, Kansas 66612
klippert@ksbha.ks.gov
Direct Ext: 785-296-3680
Fax: 785-368-7102
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

Dear Members of the Advisory Council of Board Executives,


Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALECs legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 Eastern time.
Thank you in advance.
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:
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

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.

From:
Sent:
To:
Cc:
Subject:

Jonathan Jagoda <jjagoda@fsmb.org>


Tuesday, December 16, 2014 3:58 PM
Mari Robinson; Knittle, Robert C; Margaret Hansen; Lyle Kelsey
Kevin Bohnenblust, JD; Eric Fish; Kathleen Selzler Lippert; Kimberly Kirchmeyer;
Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
RE: ALEC rebutal

Just to help the group with the status of things:


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, etc.). The bill has already been pre-filed in Texas and Montana. We are working on
building a website that will notify folks as soon as bills are introduced.
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

From: Mari Robinson


Sent: Tuesday, December 16, 2014 3:58 PM
To: Robert Knittle; Margaret Hansen; Lyle Kelsey
Cc: Kevin Bohnenblust, JD; Eric Fish; Kathleen Selzler Lippert; Jonathan Jagoda; Kimberly Kirchmeyer; Jacqueline
Watson, DO, MBA; Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: RE: ALEC rebutal

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

From: Kevin Bohnenblust [mailto:kevin.bohnenblust@wyo.gov]


Sent: Monday, December 15, 2014 5:08 PM
To: Eric Fish
Cc: Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Robert Knittle; 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.
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.

Kathleen Selzler Lippert


Executive Director
Kansas Board of Healing Arts
800 Jackson Lower Level Suite A
Topeka, Kansas 66612
klippert@ksbha.ks.gov
Direct Ext: 785-296-3680
Fax: 785-368-7102
1

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

Dear Members of the Advisory Council of Board Executives,


Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALECs legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 Eastern time.
Thank you in advance.
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

H. B./ S. B.

2
3

(By)

[Introduced January ; referred to the

Committee on .]

6
7
8
9
10 A BILL to amend the Code of West Virginia, 1931, as amended, by
11

adding thereto a new article, designated 30-3F-1, 30-3F-2,

12

30-3F-3, 30-3F-4, 30-3F-5, 30-3F-6, 30-3F-7, 30-3F-8,

13

30-3F-9,

14

30-3F-14,

15

30-3F-19, 30-3F-20, 30-3F-21, 30-3F-22,

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

18 Be it enacted by the Legislature of West Virginia:


19

That the Code of West Virginia, 1931, as amended, be amended

20 by adding thereto a new article, designated 30-3F-1, 30-3F-2,


21 30-3F-3,

30-3F-4,

30-3F-5,

30-3F-6,

30-3F-7,

30-3F-8,

22 30-3F-9, 30-3F-10, 30-3F-11, 30-3F-12, 30-3F-13, 30-3F-14,


23 30-3F-15, 30-3F-16, 30-3F-17, 30-3F-18, 30-3F-19, 30-3F-20,
24 30-3F-21, 30-3F-22,

30-3F-23 and 30-3F-24, all to read as

25 follows:
26 ARTICLE 3F.

INTERSTATE MEDICAL LICENSURE COMPACT.


1

1 30-3F-1.
2

In

Purpose.

order

to

strengthen

access

to

health

care,

and

in

3 recognition of the advances in the delivery of health care, the


4 member states of the Interstate Medical Licensure Compact have
5 allied in common purpose to develop a comprehensive process that
6 complements the existing licensing and regulatory authority of
7 state medical boards, provides a streamlined process that allows
8 physicians to become licensed in multiple states, thereby enhancing
9 the portability of a medical license and ensuring the safety of
10 patients. The Compact creates another pathway for licensure and
11 does not otherwise change a state's existing Medical Practice Act.
12 The Compact also adopts the prevailing standard for licensure and
13 affirms that the practice of medicine occurs where the patient is
14 located

at

the

time

of

the

physician-patient

encounter,

and

15 therefore, requires the physician to be under the jurisdiction of


16 the state medical board where the patient is located.
17

State medical boards that participate in the Compact retain

18 the jurisdiction to impose an adverse action against a license to


19 practice medicine in that state issued to a physician through the
20 procedures in the Compact.
21 30-3F-2. Definitions.
22

In this compact:

23

(a) "Bylaws" means those bylaws established by the Interstate

24 Commission pursuant to section eleven for its governance, or for


25 directing and controlling its actions and conduct.
26

(b) "Commissioner" means the voting representative appointed


2

1 by each member board pursuant to section eleven.


2

(c) "Conviction" means a finding by a court that an individual

3 is guilty of a criminal offense through adjudication, or entry of


4 a plea of guilt or no contest to the charge by the offender.
5 Evidence of an entry of a conviction of a criminal offense by the
6 court shall be considered final for purposes of disciplinary action
7 by a member board.
8

(d) "Expedited License" means a full and unrestricted medical

9 license granted by a member state to an eligible physician through


10 the process set forth in the Compact.
11

(e) "Interstate Commission" means the interstate commission

12 created pursuant to section eleven.


13

(f) "License" means authorization by a state for a physician

14 to engage in the practice of medicine, which would be unlawful


15 without the authorization.
16

(g)

"Medical

Practice

Act"

means

laws

and

regulations

17 governing the practice of allopathic and osteopathic medicine


18 within a member state.
19

(h) "Member Board" means a state agency in a member state that

20 acts in the sovereign interests of the state by protecting the


21 public through licensure, regulation, and education of physicians
22 as directed by the state government.
23

(i) "Member State" means a state that has enacted the Compact.

24

(j) "Practice of Medicine" means the clinical prevention,

25 diagnosis, or treatment of human disease, injury, or condition


26 requiring

physician

to

obtain
3

and

maintain

license

in

1 compliance with the Medical Practice Act of a member state.


2

(k)

(1) Is a graduate of a medical school accredited by the

4 Liaison

"Physician" means any person who:

Committee

on

Medical

Education,

the

Commission

on

5 Osteopathic College Accreditation, or a medical school listed in


6 the International Medical Education Directory or its equivalent;
7

(2)

Passed

each

component

of

the

United

States

Medical

8 Licensing Examination (USMLE) or the Comprehensive Osteopathic


9 Medical Licensing Examination (COMLEX-USA) within three attempts,
10 or any of its predecessor examinations accepted by a state medical
11 board as an equivalent examination for licensure purposes;
12

(3) Successfully completed graduate medical education approved

13 by the Accreditation Council for Graduate Medical Education or the


14 American Osteopathic Association;
15

(4)

Holds

specialty

certification

or

time-unlimited

16 specialty certificate recognized by the American Board of Medical


17 Specialties or the American Osteopathic Association's Bureau of
18 Osteopathic Specialists;
19

(5) Possesses a full and unrestricted license to engage in the

20 practice of medicine issued by a member board;


21

(6) Has never been convicted, received adjudication, deferred

22 adjudication, community supervision, or deferred disposition for


23 any offense by a court of appropriate jurisdiction;
24

(7) Has never held a license authorizing the practice of

25 medicine subjected to discipline by a licensing agency in any


26 state, federal, or foreign jurisdiction, excluding any action
4

1 related to non-payment of fees related to a license;


2

(8) Has never had a controlled substance license or permit

3 suspended

or

revoked

by

state

or

the

United

States

Drug

4 Enforcement Administration; and


5

(9) Is not under active investigation by a licensing agency or

6 law

enforcement

authority

in

any

state,

federal,

or

foreign

7 jurisdiction.
8

(l) "Offense" means a felony, gross misdemeanor, or crime of

9 moral turpitude.
10

(m)

"Rule"

means

written

statement

by

the

Interstate

11 Commission promulgated pursuant to Section 12 of the Compact that


12 is of general applicability, implements, interprets, or prescribes
13 a

policy

or

provision of

the

Compact, or

an organizational,

14 procedural, or practice requirement of the Interstate Commission,


15 and has the force and effect of statutory law in a member state,
16 and includes the amendment, repeal, or suspension of an existing
17 rule.
18

(n)

"State"

means

any

state,

commonwealth,

district,

or

19 territory of the United States.


20

(o) "State of Principal License" means a member state where a

21 physician holds a license to practice medicine and which has been


22 designated as such by the physician for purposes of registration
23 and participation in the Compact.
24 30-3F-3. Eligibility.
25

(a) A physician must meet the eligibility requirements as

26 defined in Section 2(k) to receive an expedited license under the


5

1 terms and provisions of the Compact.


2

(b) A physician who does not meet the requirements of Section

3 2(k) may obtain a license to practice medicine in a member state if


4 the individual complies with all laws and requirements, other than
5 the Compact, relating to the issuance of a license to practice
6 medicine in that state.
7 30-3F-4. Designation of State of Principal License.
8

(a) A physician shall designate a member state as the state of

9 principal

license

for

purposes

of

registration

for

expedited

10 licensure through the Compact if the physician possesses a full and


11 unrestricted license to practice medicine in that state, and the
12 state is:
13

(1) the state of primary residence for the physician, or

14

the state where at least 25% of the practice of medicine occurs,

15 or
16

(2) the location of the physician's employer, or

17

(3) if no state qualifies under subsection (1), subsection

18 (2), or subsection (3), the state designated as state of residence


19 for purpose of federal income tax.
20

(b) A physician may redesignate a member state as state of

21 principal license at any time, as long as the state meets the


22 requirements in subsection (a).
23

(c) The Interstate Commission is authorized to develop rules

24 to facilitate redesignation of another member state as the state of


25 principal license.
26 30-3F-5. Application and Issuance of Expedited Licensure.
6

(a) A physician seeking licensure through the Compact shall

2 file an application for an expedited license with the member board


3 of the state selected by the physician as the state of principal
4 license.
5

(b) Upon receipt of an application for an expedited license,

6 the

member

board

within

the

state

selected

as

the

state

of

7 principal license shall evaluate whether the physician is eligible


8 for expedited licensure and issue a letter of qualification,
9 verifying or denying the physician's eligibility, to the Interstate
10 Commission.
11

(c)

Static

qualifications,

which

include

verification

of

12 medical education, graduate medical education, results of any


13 medical or licensing examination, and other qualifications as
14 determined by the Interstate Commission through rule, shall not be
15 subject to additional primary source verification where already
16 primary source verified by the state of principal license.
17

(d) The member board within the state selected as the state of

18 principal license shall, in the course of verifying eligibility,


19 perform a criminal background check of an applicant, including the
20 use of the results of fingerprint or other biometric data checks
21 compliant

with

the

requirements

of

the

Federal

Bureau

of

22 Investigation, with the exception of federal employees who have


23 suitability determination in accordance with U.S. C.F.R. 731.202.
24

Appeal on the determination of eligibility shall be made to the

25 member state where the application was filed and shall be subject
26 to the law of that state.
7

(e) Upon verification in subsection (b), physicians eligible

2 for an expedited license shall complete the registration process


3 established by the Interstate Commission to receive a license in a
4 member state selected pursuant to subsection (a), including the
5 payment of any applicable fees.
6

(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

An expedited license shall be valid for a period consistent with

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

(g) An expedited license obtained though the Compact shall be

17 terminated if a physician fails to maintain a license in the state


18 of principal licensure for a non-disciplinary reason, without
19 redesignation of a new state of principal licensure.
20

(h) The Interstate Commission is authorized to develop rules

21 regarding

the

application

process,

including

payment

of

any

22 applicable fees, and the issuance of an expedited license.


23 30-3F-6. Fees for Expedited Licensure.
24

(a) A member state issuing an expedited license authorizing

25 the practice of medicine in that state may impose a fee for a


26 license issued or renewed through the Compact.
8

(b)

The Interstate Commission is authorized to develop rules

2 regarding fees for expedited licenses.


3 30-3F-7. Renewal and Continued Participation.
4

(a) A physician seeking to renew an expedited license granted

5 in a member state shall complete a renewal process with the


6 Interstate Commission if the physician:
7

(1) Maintains a full and unrestricted license in a state of

8 principal license;
9

(2) Has not been convicted, received adjudication, deferred

10 adjudication, community supervision, or deferred disposition for


11 any offense by a court of appropriate jurisdiction;
12

(3) Has not had a license authorizing the practice of medicine

13 subject to discipline by a licensing agency in any state, federal,


14 or

foreign

jurisdiction,

excluding

any

action

related

to

15 non-payment of fees related to a license; and


16

(4) Has not had a controlled substance license or permit

17 suspended

or

revoked

by

state

or

the

United

States

Drug

18 Enforcement Administration.
19

(b) Physicians shall comply with all continuing professional

20 development

or

continuing

medical

education

requirements

for

21 renewal of a license issued by a member state.


22

(c) The Interstate Commission shall collect any renewal fees

23 charged for the renewal of a license and distribute the fees to the
24 applicable member board.
25

(d) Upon receipt of any renewal fees collected in subsection

26 (c), a member board shall renew the physician's license.


9

(e)

Physician

information

collected

by

the

Interstate

2 Commission during the renewal process will be distributed to all


3 member boards.
4

(f) The Interstate Commission is authorized to develop rules

5 to address renewal of licenses obtained through the Compact.


6 30-3F-8. Coordinated Information System.
7

(a) The Interstate Commission shall establish a database of

8 all physicians licensed, or who have applied for licensure, under


9 section five.
10

(b) Notwithstanding any other provision of law, member boards

11 shall report to the Interstate Commission any public action or


12 complaints against a licensed physician who has applied or received
13 an expedited license through the Compact.
14

(c) Member boards shall report disciplinary or investigatory

15 information determined as necessary and proper by rule of the


16 Interstate Commission.
17

(d)

Member

18 disciplinary,

or

boards

may

report

investigatory

any

non-public

information

not

complaint,

required

by

19 subsection (c) to the Interstate Commission.


20

(e)

Member

boards

shall

share

complaint

or

disciplinary

21 information about a physician upon request of another member board.


22

(f) All information provided to the Interstate Commission or

23 distributed by member boards shall be confidential, filed under


24 seal, and used only for investigatory or disciplinary matters.
25

(g) The Interstate Commission is authorized to develop rules

26 for mandated or discretionary sharing of information by member


10

1 boards.
2 30-3F-9. Joint Investigations.
3

(a) Licensure and disciplinary records of physicians are

4 deemed investigative.
5

(b) In addition to the authority granted to a member board by

6 its respective Medical Practice Act or other applicable state law,


7 a member board may participate with other member boards in joint
8 investigations of physicians licensed by the member boards.
9

(c) A subpoena issued by a member state shall be enforceable

10 in other member states.


11

(d) Member boards may share any investigative, litigation, or

12 compliance materials in furtherance of any joint or individual


13 investigation initiated under the Compact.
14

(e)

Any

member

state

may

investigate

actual

or

alleged

15 violations of the statutes authorizing the practice of medicine in


16 any other member state in which a physician holds a license to
17 practice medicine.
18 30-3F-10 Disciplinary Actions.
19
20 a

(a) Any disciplinary action taken by any member board against


physician

licensed

through

the

Compact

shall

be

deemed

21 unprofessional conduct which may be subject to discipline by other


22 member boards, in addition to any violation of the Medical Practice
23 Act or regulations in that state.
24

(b) If a license granted to a physician by the member board in

25 the

state

of

principal

license

is

revoked,

surrendered

or

26 relinquished in lieu of discipline, or suspended, then all licenses


11

1 issued to the physician by member boards shall automatically be


2 placed, without further action necessary by any member board, on
3 the same status. If the member board in the state of principal
4 license subsequently reinstates the physician's license, a licensed
5 issued to the physician by any other member board shall remain
6 encumbered until that respective member board takes action to
7 reinstate the license in a manner consistent with the Medical
8 Practice Act of that state.
9

(c) If disciplinary action is taken against a physician by a

10 member board not in the state of principal license, any other


11 member board may deem the action conclusive as to matter of law
12 and fact decided, and:
13

(1)

impose

the

same

or

lesser

sanction(s)

against

the

14 physician so long as such sanctions are consistent with the Medical


15 Practice Act of that state;
16

(2)

or

pursue

separate

disciplinary

action

against

the

17 physician under its respective Medical Practice Act, regardless of


18 the action taken in other member states.
19

(d) If a license granted to a physician by a member board is

20 revoked, surrendered or relinquished in lieu of discipline, or


21 suspended, then any licenses issued to the physician by any other
22 member boards shall be suspended, automatically and immediately
23 without further action necessary by the other member boards, for
24 ninety days upon entry of the order by the disciplining board, to
25 permit the member boards to investigate the basis for the action
26 under the Medical Practice Act of that state. A member board may
12

1 terminate the automatic suspension of the license it issued prior


2 to the completion of the ninety day suspension period in a manner
3 consistent with the Medical Practice Act of that state.
4 30-3F-11. Interstate Medical Licensure Compact Commission.
5

(a) The member states hereby create the "Interstate Medical

6 Licensure Compact Commission".


7

(b)

The

purpose

of

the

Interstate

Commission

is

the

8 administration of the Interstate Medical Licensure Compact, which


9 is a discretionary state function.
10

(c) The Interstate Commission shall be a body corporate and

11 joint

agency

of

the

member

states

and

shall

have

all

the

12 responsibilities, powers, and duties set forth in the Compact, and


13 such additional powers as may be conferred upon it by a subsequent
14 concurrent action of the respective legislatures of the member
15 states in accordance with the terms of the Compact.
16

(d) The Interstate Commission shall consist of two voting

17 representatives appointed by each member state who shall serve as


18 Commissioners.

In

states

where

allopathic

and

osteopathic

19 physicians are regulated by separate member boards, or if the


20 licensing and disciplinary authority is split between multiple
21 member boards within a member state, the member state shall appoint
22 one representative from each member board. A Commissioner shall be
23 an:
24

(1) Allopathic or osteopathic physician appointed to a member

25 board;
26

(2)

Executive

director,

executive
13

secretary,

or

similar

1 executive of a member board; or


2

(3) Member of the public appointed to a member board.

(e) The Interstate Commission shall meet at least once each

4 calendar year. A portion of this meeting shall be a business


5 meeting to address such matters as may properly come before the
6 Commission, including the election of officers. The chairperson may
7 call additional meetings and shall call for a meeting upon the
8 request of a majority of the member states.
9

(f) The bylaws may provide for meetings of the Interstate

10 Commission to be conducted by telecommunication or electronic


11 communication.
12

(g) Each Commissioner participating at a meeting of the

13 Interstate Commission is entitled to one vote. A majority of


14 Commissioners shall constitute a quorum for the transaction of
15 business, unless a larger quorum is required by the bylaws of the
16 Interstate Commission. A Commissioner shall not delegate a vote to
17 another Commissioner. In the absence of its Commissioner, a member
18 state may delegate voting authority for a specified meeting to
19 another person from that state who shall meet the requirements of
20 subsection (d).
21

(h) The Interstate Commission shall provide public notice of

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

(1) Relate solely to the internal personnel practices and


14

1 procedures of the Interstate Commission;


2

(2) Discuss matters specifically exempted from disclosure by

3 federal statute;
4

(3)

Discuss

trade

secrets,

commercial,

or

financial

5 information that is privileged or confidential;


6

(4)

Involve

accusing

person

of

crime,

or

formally

7 censuring a person;
8

(5) Discuss information of a personal nature where disclosure

9 would

constitute

clearly

unwarranted

invasion

of

personal

10 privacy;
11

(6) Discuss investigative records compiled for law enforcement

12 purposes; or
13

(7) Specifically relate to the participation in a civil action

14 or other legal proceeding.


15

(i) The Interstate Commission shall keep minutes which shall

16 fully describe all matters discussed in a meeting and shall provide


17 a full and accurate summary of actions taken, including record of
18 any roll call votes.
19

(j) The Interstate Commission shall make its information and

20 official records, to the extent not otherwise designated in the


21 Compact or by its rules, available to the public for inspection.
22

(k) The Interstate Commission shall establish an executive

23 committee, which shall include officers, members, and others as


24 determined by the bylaws. The executive committee shall have the
25 power to act on behalf of the Interstate Commission, with the
26 exception

of

rulemaking,

during
15

periods

when

the

Interstate

1 Commission

is

not

in

session.

When

acting

on

behalf

of

the

2 Interstate Commission, the executive committee shall oversee the


3 administration of the Compact including enforcement and compliance
4 with the provisions of the Compact, its bylaws and rules, and other
5 such duties as necessary.
6

(l) The Interstate Commission may establish other committees

7 for governance and administration of the Compact.


8 30-3F-12. Powers and Duties of the Interstate Commission.
9

The Interstate Commission shall have the duty and power to:

10

(1) Oversee and maintain the administration of the Compact;

11

(2) Promulgate rules which shall be binding to the extent and

12 in the manner provided for in the Compact;


13

(3) Issue, upon the request of a member state or member board,

14 advisory opinions concerning the meaning or interpretation of the


15 Compact, its bylaws, rules, and actions;
16

(4) Enforce compliance with Compact provisions, the rules

17 promulgated by the Interstate Commission, and the bylaws, using all


18 necessary and proper means, including but not limited to the use of
19 judicial process;
20

(5)

Establish

and

appoint

committees

including,

but

not

21 limited to, an executive committee as required by Section 11, which


22 shall have the power to act on behalf of the Interstate Commission
23 in carrying out its powers and duties;
24

(6) Pay, or provide for the payment of the expenses related to

25 the establishment, organization, and ongoing activities of the


26 Interstate Commission;
16

(7) Establish and maintain one or more offices;

(8)

Borrow,

accept,

hire,

or

contract

for

services

of

3 personnel;
4

(9) Purchase and maintain insurance and bonds;

(10) Employ an executive director who shall have such powers

6 to employ, select or appoint employees, agents, or consultants, and


7 to determine their qualifications, define their duties, and fix
8 their compensation;
9

(11) Establish personnel policies and programs relating to

10 conflicts of interest, rates of compensation, and qualifications of


11 personnel;
12

(12)

Accept

donations

and

grants

of

money,

equipment,

13 supplies, materials and services, and to receive, utilize, and


14 dispose of it in a manner consistent with the conflict of interest
15 policies established by the Interstate Commission;
16

(13) Lease, purchase, accept contributions or donations of, or

17 otherwise

to own,

hold,

improve

or

use,

any

property,

real,

18 personal, or mixed;
19

(14) Sell, convey, mortgage, pledge, lease, exchange, abandon,

20 or otherwise dispose of any property, real, personal, or mixed;


21

(15) Establish a budget and make expenditures;

22

(16) Adopt a seal and bylaws governing the management and

23 operation of the Interstate Commission;


24

(17) Report annually to the legislatures and governors of the

25 member

states

concerning

the

activities

of

the

Interstate

26 Commission during the preceding year. Such reports shall also


17

1 include reports of financial audits and any recommendations that


2 may have been adopted by the Interstate Commission;
3

(18) Coordinate education, training, and public awareness

4 regarding the Compact, its implementation, and its operation;


5

(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

8 to achieve the purposes of the Compact.


9 30-3F-13. Finance Powers.
10

(a) The Interstate Commission may levy on and collect an

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

17 Commission, which shall promulgate a rule binding upon all member


18 states.
19

(b) The Interstate Commission shall not incur obligations of

20 any kind prior to securing the funds adequate to meet the same.
21

(c) The Interstate Commission shall not pledge the credit of

22 any of the member states, except by, and with the authority of, the
23 member state.
24

(d) The Interstate Commission shall be subject to a yearly

25 financial

audit

conducted

by

certified

or

licensed

public

26 accountant and the report of the audit shall be included in the


18

1 annual report of the Interstate Commission.


2 30-3F-14. Organization and Operation of the Interstate Commission.
3

(a)

The

Interstate

Commission

shall,

by

majority

of

4 Commissioners present and voting, adopt bylaws to govern its


5 conduct as may be necessary or appropriate to carry out the
6 purposes

of

the

Compact

within

twelve

months

of

the

first

7 Interstate Commission meeting.


8

(b) The Interstate Commission shall elect or appoint annually

9 from among its Commissioners a chairperson, a vice-chairperson, and


10 a treasurer, each of whom shall have such authority and duties as
11 may

be

specified

in

the

bylaws.

The

chairperson,

or

in

the

12 chairperson's absence or disability, the vice-chairperson, shall


13 preside at all meetings of the Interstate Commission.
14

(c) Officers selected in subsection (b) shall serve without

15 remuneration from the Interstate Commission.


16

(d) The officers and employees of the Interstate Commission

17 shall be immune from suit and liability, either personally or in


18 their official capacity, for a claim for damage to or loss of
19 property or personal injury or other civil liability caused or
20 arising out of, or relating to, an actual or alleged act, error, or
21 omission that occurred, or that such person had a reasonable basis
22 for believing occurred, within the scope of Interstate Commission
23 employment, duties, or responsibilities; provided that such person
24 shall not be protected from suit or liability for damage, loss,
25 injury, or liability caused by the intentional or willful and
26 wanton misconduct of such person.
19

(e) The liability of the executive director and employees of

2 the Interstate Commission or representatives of the Interstate


3 Commission, acting within the scope of such person's employment or
4 duties

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

12 misconduct of such person.


13

(f) The Interstate Commission shall defend the executive

14 director,

its employees,

and

subject

to

the

approval

of

the

15 attorney general or other appropriate legal counsel of the member


16 state represented by an Interstate Commission representative, shall
17 defend such Interstate Commission representative in any civil
18 action seeking to impose liability arising out of an actual or
19 alleged act, error or omission that occurred within the scope of
20 Interstate Commission employment, duties or responsibilities, or
21 that the defendant had a reasonable basis for believing occurred
22 within the scope of Interstate Commission employment, duties, or
23 responsibilities, provided that the actual or alleged act, error,
24 or omission did not result from intentional or willful and wanton
25 misconduct on the part of such person.
26

(g) To the extent not covered by the state involved, member


20

1 state,

or

the

Interstate

Commission,

the

representatives

or

2 employees of the Interstate Commission shall be held harmless in


3 the amount of a settlement or judgment, including attorney's fees
4 and costs, obtained against such persons arising out of an actual
5 or alleged act, error, or omission that occurred within the scope
6 of Interstate Commission employment, duties, or responsibilities,
7 or that such persons had a reasonable basis for believing occurred
8 within the scope of Interstate Commission employment, duties, or
9 responsibilities, provided that the actual or alleged act, error,
10 or omission did not result from intentional or willful and wanton
11 misconduct on the part of such persons.
12 30-3F-15. Rulemaking Functions of the Interstate Commission.
13

(a) The Interstate Commission shall promulgate reasonable

14 rules in order to effectively and efficiently achieve the purposes


15 of the Compact. Notwithstanding the foregoing, in the event the
16 Interstate Commission exercises its rulemaking authority in a
17 manner that is beyond the scope of the purposes of the Compact, or
18 the powers granted hereunder, then such an action by the Interstate
19 Commission shall be invalid and have no force or effect.
20

(b)

Rules

deemed

appropriate

for

the

operations

of

the

21 Interstate Commission shall be made pursuant to a rulemaking


22 process

that

substantially

conforms

to

the

"Model

State

23 Administrative Procedure Act" of 2010, and subsequent amendments


24 thereto.
25

(c) Not later than thirty days after a rule is promulgated,

26 any person may file a petition for judicial review of the rule in
21

1 the United States District Court for the District of Columbia or


2 the federal district where the Interstate Commission has its
3 principal offices, provided that the filing of such a petition
4 shall

not

5 effective

stay
unless

or

otherwise

the

court

prevent

finds

the

that

rule

the

from

becoming

petitioner

has

6 substantial likelihood of success. The court shall give deference


7 to

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

(a) The executive, legislative, and judicial branches of state

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

20 the rules in any judicial or administrative proceeding in a member


21 state pertaining to the subject matter of the Compact which may
22 affect the powers, responsibilities or actions of the Interstate
23 Commission.
24

(c) The Interstate Commission shall be entitled to receive all

25 service of process in any such proceeding, and shall have standing


26 to intervene in the proceeding for all purposes. Failure to provide
22

1 service of process to the Interstate Commission shall render a


2 judgment or

order

void

as

to

the Interstate

Commission,

the

3 Compact, or promulgated rules.


4 30-3F-17. Enforcement of Interstate Compact.
5

(a) The Interstate Commission, in the reasonable exercise of

6 its discretion, shall enforce the provisions and rules of the


7 Compact.
8

(b) The Interstate Commission may, by majority vote of the

9 Commissioners, initiate legal action in the United States District


10 Court for the District of Columbia, or, at the discretion of the
11 Interstate Commission, in the federal district where the Interstate
12 Commission has its principal offices, to enforce compliance with
13 the provisions of the Compact, and its promulgated rules and
14 bylaws, against a member state in default. The relief sought may
15 include both injunctive relief and damages. In the event judicial
16 enforcement is necessary, the prevailing party shall be awarded all
17 costs of such litigation including reasonable attorney's fees.
18

(c) The remedies herein shall not be the exclusive remedies of

19 the Interstate Commission. The Interstate Commission may avail


20 itself of any other remedies available under state law or the
21 regulation of a profession.
22 30-3F-18. Default Procedures.
23

(a) The grounds for default include, but are not limited to,

24 failure

of

member

state

to

perform

such

obligations

or

25 responsibilities imposed upon it by the Compact, or the rules and


26 bylaws of the Interstate Commission promulgated under the Compact.
23

If the Interstate Commission determines that a member state has

2 defaulted in the performance of its obligations or responsibilities


3 under

the

Compact,

or

the

bylaws

or

promulgated

rules,

the

4 Interstate Commission shall:


5

(1) Provide written notice to the defaulting state and other

6 member states, of the nature of the default, the means of curing


7 the default, and any action taken by the Interstate Commission. The
8 Interstate Commission shall specify the conditions by which the
9 defaulting state must cure its default; and
10

(2)

Provide

remedial

training

and

specific

technical

11 assistance regarding the default.


12

(b) If the defaulting state fails to cure the default, the

13 defaulting state shall be terminated from the Compact upon an


14 affirmative vote of a majority of the Commissioners and all rights,
15 privileges, and benefits conferred by the Compact shall terminate
16 on the effective date of termination. A cure of the default does
17 not relieve the offending state of obligations or liabilities
18 incurred during the period of the default.
19

(c) Termination of membership in the Compact shall be imposed

20 only after

all

other

means

of

securing

compliance

have

been

21 exhausted. Notice of intent to terminate shall be given by the


22 Interstate Commission to the governor, the majority and minority
23 leaders of the defaulting state's legislature, and each of the
24 member states.
25

(d)

The

Interstate

Commission

shall

establish

rules

and

26 procedures to address licenses and physicians that are materially


24

1 impacted by the termination of a member state, or the withdrawal of


2 a member state.
3

(e) The member state which has been terminated is responsible

4 for all dues, obligations, and liabilities incurred through the


5 effective

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

9 relating to any state that has been found to be in default or which


10 has been terminated from the Compact, unless otherwise mutually
11 agreed upon in writing between the Interstate Commission and the
12 defaulting state.
13

(g)

The

defaulting

state

may

appeal

the

action

of

the

14 Interstate Commission by petitioning the United States District


15 Court for the District of Columbia or the federal district where
16 the Interstate Commission has its principal offices. The prevailing
17 party shall be awarded all costs of such litigation including
18 reasonable attorney's fees.
19 30-3F-19. Dispute Resolution.
20

(a) The Interstate Commission shall attempt, upon the request

21 of a member state, to resolve disputes which are subject to the


22 Compact and which may arise among member states or member boards.
23

(b) The Interstate Commission shall promulgate rules providing

24 for both mediation and binding dispute resolution as appropriate.


25 30-3F-20. Member States, Effective Date and Amendment
26

(a) Any state is eligible to become a member state of the


25

1 Compact.
2

(b) The Compact shall become effective and binding upon

3 legislative enactment of the Compact into law by no less than seven


4 states. Thereafter, it shall become effective and binding on a
5 state upon enactment of the Compact into law by that state.
6

(c) The governors of non-member states, or their designees,

7 shall be invited to participate in the activities of the Interstate


8 Commission on a non-voting basis prior to adoption of the Compact
9 by all states.
10

(d) The Interstate Commission may propose amendments to the

11 Compact for enactment by the member states. No amendment shall


12 become effective and binding upon the Interstate Commission and the
13 member states unless and until it is enacted into law by unanimous
14 consent of the member states.
15 30-3F-21. Withdrawal.
16

(a) Once effective, the Compact shall continue in force and

17 remain binding upon each and every member state; provided that a
18 member

state

may

withdraw

from

the

Compact

by

specifically

19 repealing the statute which enacted the Compact into law.


20

(b) Withdrawal from the Compact shall be by the enactment of

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

26 chairperson of the Interstate Commission in writing upon the


26

1 introduction

of

legislation

repealing

the

Compact

in

the

2 withdrawing state.
3

(d) The Interstate Commission shall notify the other member

4 states of the withdrawing state's intent to withdraw within sixty


5 (60) days of its receipt of notice provided under subsection (c).
6

The withdrawing state is responsible for all dues, obligations and

7 liabilities incurred through the effective date of withdrawal,


8 including obligations, the performance of which extend beyond the
9 effective date of withdrawal.
10

(e) Reinstatement following withdrawal of a member state shall

11 occur upon the withdrawing state reenacting the Compact or upon


12 such later date as determined by the Interstate Commission.
13

(f) The Interstate Commission is authorized to develop rules

14 to address the impact of the withdrawal of a member state on


15 licenses

granted

in

other

member

states

to

physicians

who

16 designated the withdrawing member state as the state of principal


17 license.
18 30-3F-22. Dissolution.
19

(a) The Compact shall dissolve effective upon the date of the

20 withdrawal

or

default

of the

member

state

which

reduces

the

21 membership in the Compact to one member state.


22

(b) Upon the dissolution of the Compact, the Compact becomes

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

25 concluded and surplus funds shall be distributed in accordance with


26 the bylaws.
27

1 30-3F-23. Severability and Construction.


2

(a) The provisions of the Compact shall be severable, and if

3 any phrase, clause, sentence, or provision is deemed unenforceable,


4 the remaining provisions of the Compact shall be enforceable.
5

(b) The provisions of the Compact shall be liberally construed

6 to effectuate its purposes.


7

(c) Nothing in the Compact shall be construed to prohibit the

8 applicability of other interstate compacts to which the states are


9 members.
10 30-3F-24. Binding Effect of Compact and other Laws.
11

(a) Nothing herein prevents the enforcement of any other law

12 of a member state that is not inconsistent with the Compact.


13

(b) All laws in a member state in conflict with the Compact

14 are superseded to the extent of the conflict.


15

(c) All lawful actions of the Interstate Commission, including

16 all rules and bylaws promulgated by the Commission, are binding


17 upon the member states.
18

(d) All agreements between the Interstate Commission and the

19 member states are binding in accordance with their terms.


20

(e) In the event any provision of the Compact exceeds the

21 constitutional limits imposed on the legislature of any member


22 state, such provision shall be ineffective to the extent of the
23 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.
28

This article
underscored.

is

new;

therefore,

29

it

has

been

completely

INTERSTATE MEDICAL LICENSURE COMPACT

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

INTERSTATE MEDICAL LICENSURE COMPACT


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

procedures in the Compact.

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

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.

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

physicians as directed by the state government.

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

16

human disease, injury, or condition requiring a physician to obtain and maintain a license in

17

compliance with the Medical Practice Act of a member state.

18
19

(k) "Physician" means any person who:


(1) Is a graduate of a medical school accredited by the Liaison Committee on

20

Medical Education, the Commission on Osteopathic College Accreditation, or a medical school

21

listed in the International Medical Education Directory or its equivalent;

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

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 Specialties or the American Osteopathic Association's

Bureau of Osteopathic Specialists;

9
10

(5) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;

11

(6) Has never been convicted, received adjudication, deferred adjudication,

12

community supervision, or deferred disposition for any offense by a court of appropriate

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

related to non-payment of fees related to a license;

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

(l) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.

22

(m) Rule means a written statement by the Interstate Commission promulgated

23

pursuant to Section 12 of the Compact that is of general applicability, implements, interprets, or

prescribes a policy or provision of the Compact, or an organizational, procedural, or practice

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

registration and participation in the Compact.

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

SECTION 4. DESIGNATION OF STATE OF PRINCIPAL LICENSE

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

(1) the state of primary residence for the physician, or

21

(2) the state where at least 25% of the practice of medicine occurs, or

22

(3) the location of the physician's employer, or

23

(4) if no state qualifies under subsection (1), subsection (2), or subsection (3), the

1
2
3
4
5

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.

6
7

SECTION 5. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

(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

eligibility, to the Interstate Commission.

15

(i) Static qualifications, which include verification of medical education, graduate

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

have suitability determination in accordance with U.S. C.F.R. 731.202.

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

unrestricted license within the member state.

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

redesignation of a new state of principal licensure.

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

SECTION 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.

2
3
4
5

SECTION 7. RENEWAL AND CONTINUED PARTICIPATION


(a) A physician seeking to renew an expedited license granted in a member state shall
complete a renewal process with the Interstate Commission if the physician:

(1) Maintains a full and unrestricted license in a state of principal license;

(2) Has not been convicted, received adjudication, deferred adjudication,

community supervision, or deferred disposition for any offense by a court of appropriate

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

non-payment of fees related to a license; and

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

licenses obtained through the Compact.

SECTION 8. COORDINATED INFORMATION SYSTEM


(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

applied or received an expedited license through the Compact.

10
11
12
13
14
15

(c) Member boards shall report disciplinary or investigatory information determined as


necessary and proper by rule of the Interstate Commission.
(d) Member boards may report any non-public complaint, disciplinary, or investigatory
information not required by subsection (c) to the Interstate Commission.
(e) Member boards shall share complaint or disciplinary information about a physician
upon request of another member board.

16

(f) All information provided to the Interstate Commission or distributed by member

17

boards shall be confidential, filed under seal, and used only for investigatory or disciplinary

18

matters.

19
20

(g) The Interstate Commission is authorized to develop rules for mandated or


discretionary sharing of information by member boards.

21
22

SECTION 9. JOINT INVESTIGATIONS

23

(a) Licensure and disciplinary records of physicians are deemed investigative.

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

boards in joint investigations of physicians licensed by the member boards.

(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

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

license to practice medicine.

8
9
10

SECTION 10. DISCIPLINARY ACTIONS


(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

license is revoked, surrendered or relinquished in lieu of discipline, or suspended, then all

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

and fact decided, and:

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.

(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 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

consistent with the Medical Practice Act of that state.

14
15
16
17
18
19
20
21

SECTION 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.
(c) The Interstate Commission shall be a body corporate and joint agency of the 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

one representative from each member board. A Commissioner shall be a(n):

(1) Allopathic or osteopathic physician appointed to a member board;

(2) Executive director, executive secretary, or similar executive of a member

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

meeting would be likely to:

4
5

(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;

10
11

(5) Discuss information of a personal nature where disclosure would constitute a


clearly unwarranted invasion of personal privacy;

12

(6) Discuss investigative records compiled for law enforcement purposes; or

13

(7) Specifically relate to the participation in a civil action or other legal

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

record of any roll call votes.

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

bylaws and rules, and other such duties as necessary.

5
6

(l) The Interstate Commission may establish other committees for governance and
administration of the Compact.

7
8

SECTION 12. POWERS AND DUTIES OF THE INTERSTATE COMMISSION

The Interstate Commission shall have the duty and power to:

10

(a) Oversee and maintain the administration of the Compact;

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

the use of judicial process;

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

Interstate Commission in carrying out its powers and duties;

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

(g) Establish and maintain one or more offices;

24

(h) Borrow, accept, hire, or contract for services of personnel;


13

(i) Purchase and maintain insurance and bonds;

(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

fix their compensation;

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

policies established by the Interstate Commission;

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

(o) Establish a budget and make expenditures;

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

(t) Seek and obtain trademarks, copyrights, and patents; and

(u) Perform such functions as may be necessary or appropriate to achieve the purposes of

the Compact.

4
5

SECTION 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 amount

10

shall be allocated upon a formula to be determined by the Interstate Commission, which shall

11

promulgate a rule binding upon all member states.

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

report of the Interstate Commission.

19
20
21

SECTION 14. ORGANIZATION AND OPERATION OF THE INTERSTATE


COMMISSION

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

believing occurred, within the scope of Interstate Commission employment, duties, or

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

state officials, employees, and agents. The Interstate Commission is considered to be an

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

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

10
11

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

12

Commission, the representatives or employees of the Interstate Commission shall be held

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

SECTION 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

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

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 (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

exercise of the authority granted to the Interstate Commission.

15
16

SECTION 16. OVERSIGHT OF INTERSTATE COMPACT

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

regulate the practice of medicine.

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

as to the Interstate Commission, the Compact, or promulgated rules.

5
6

SECTION 17. ENFORCEMENT OF INTERSTATE COMPACT

(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce

8
9

the provisions and rules of the Compact.


(b) The Interstate Commission may, by majority vote of the Commissioners, initiate legal

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

awarded all costs of such litigation including reasonable attorneys fees.

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

SECTION 18. DEFAULT PROCEDURES

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

bylaws of the Interstate Commission promulgated under the Compact.

19

(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

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

incurred during the period of the default.

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

state's legislature, and each of the member states.

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

performance of which extends beyond the effective date of termination.


(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 attorneys fees.

9
10

SECTION 19. DISPUTE RESOLUTION

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

SECTION 20. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT

18

(a) Any state is eligible to become a member state of the Compact.

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

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 enacted into law by unanimous consent

of the member states.

6
7

SECTION 21. WITHDRAWAL

(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

other member state.

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

beyond the effective date of withdrawal.

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

designated the withdrawing member state as the state of principal license.

7
8

SECTION 22. DISSOLUTION

(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

SECTION 23. SEVERABILITY AND CONSTRUCTION

16

(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence,

17

or provision is deemed unenforceable, the remaining provisions of the Compact shall be

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

interstate compacts to which the states are members.

22
23

SECTION 24. BINDING EFFECT OF COMPACT AND OTHER LAWS

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

conflict with the constitutional provision in question in that member state.

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

Agreed. Nice integration of feedback. Well done.


Bob
From: Kevin Bohnenblust [mailto:kevin.bohnenblust@wyo.gov]
Sent: Wednesday, December 17, 2014 11:35 AM
To: Eric Fish
Cc: Kimberly Kirchmeyer; Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Knittle, Robert C; Mari Robinson;
Margaret Hansen; Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Shiri A. Hickman
Subject: Re: ALEC rebutal

Looks great. Thanks, Eric!


Kevin

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

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

Great point, Kim.


1

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

From: Eric Fish [mailto:efish@fsmb.org]


Sent: Monday, December 15, 2014 2:18 PM
To: Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Kevin Bohnenblust, JD;
Kirchmeyer, Kimberly@MBC; Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: ALEC rebutal

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:

Eric Fish <efish@fsmb.org>


Wednesday, December 17, 2014 11:01 AM
Kevin Bohnenblust, JD; Kimberly Kirchmeyer
Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Knittle, Robert C; Mari Robinson;
Margaret Hansen; Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Shiri A. Hickman
RE: ALEC rebutal
ALEC rebuttal v.2.doc

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

Great point, Kim.

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

From: Eric Fish [mailto:efish@fsmb.org]


Sent: Monday, December 15, 2014 2:18 PM
To: Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari Robinson; Kevin Bohnenblust, JD;
Kirchmeyer, Kimberly@MBC; Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: ALEC rebutal

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.

Dear Board Executive,


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 and
members of the Compact's Drafting Committee believe are erroneous and misleading. Also of note,
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.
A copy of the Health and Human Services Taskforce resolution is attached.
You will find below a point by point rebuttal of the claims made in the resolution that will aid in
your ability to respond if the resolution is brought up during your 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
serves to protect 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 has repeatedly pushed for national licensure, 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,
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 A. Robin (FSMB) <LRobin@fsmb.org>


Wednesday, December 17, 2014 4:46 PM
Lisa A. Robin (FSMB)
Eric Fish; Jonathan Jagoda; Shiri A. Hickman; John Bremer; Natalie Weiner
Interstate Medical Licensure Compact
ALEC Resolutions.docx; Talking Points ALEC 12-14.doc

Dear Executive Director,


We are delighted that 17 state medical and osteopathic boards have formally endorsed the Interstate Medical
Licensure Compact and several others are considering doing so in the weeks and months ahead. Seven states must
adopt the language to implement the Compact so we believe we are well poised to move ahead. The American
Medical Association, the Council of Medical Specialty Societies, the Society of Hospitalist Medicine and many other
national organizations and state medical societies have also formally endorsed the Compact.
The Health and Human Services Task Force of the American Legislative Exchange Council (ALEC), we have
learned, recently voted to support a nonbinding resolution that opposes the Compact. The resolution contains
claims that we find to be both misleading and erroneous. In consultation with the Compacts Drafting Team and
the FSMBs Advisory Council of Board Executives, we have drafted talking points (attached) that may be useful to
you in the event that the resolution is referenced during your state boards consideration of the Compact. Both the
ALEC resolution and the rebuttal points are attached.
It should 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.
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 Compacts 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 | 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.

A win for physicians in battle


against FSMB
Posted on December 8, 2014 by freedominmedicine

Arizona State Senator Kelli Ward, DO reports:


Friday at ALEC (American Legislative Exchange Council), my model legislation [co-sponsored by
AAPS] opposing participation in the FSMBs Compact passed unanimously through the Health and
Human Services Task Force.
This resolution calls for all states to avoid any involvement with the Federation of State Medical
Boards Interstate Medical Licensure Compact. Tell your state legislators about this model
legislation! CLICK here for background and full text.
Resolution
WHEREAS, the Interstate Medical Licensure Compact will supersede a states 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 Medical
Licensure Compact,
WHEREAS, the cost of obtaining medical licenses will be dramatically increased, and states must
protect its citizens from regulatory excesses,
WHEREAS, the Interstate Medical Licensure Compacts 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 Licensures 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 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.

Approved by the ALEC Board of Directors January 9, 2014.

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:

Shiri A. Hickman <shickman@fsmb.org>


Thursday, December 18, 2014 2:55 PM
Knittle, Robert C
RE: Conference Call to Discuss Compact/ALEC

Great. At least we are on the same page


From: Robert Knittle
Sent: Thursday, December 18, 2014 2:53 PM
To: Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC

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

From: Jonathan Jagoda


Sent: Wednesday, December 17, 2014 12:01 PM
To: Shiri A. Hickman; John Bremer
Subject: FW: Conference Call to Discuss Compact/ALEC
1

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.

Kathleen Selzler Lippert


Executive Director
Kansas Board of Healing Arts
800 Jackson Lower Level Suite A
Topeka, Kansas 66612
klippert@ksbha.ks.gov
Direct Ext: 785-296-3680
Fax: 785-368-7102
Good choices and decisions today lead to great results tomorrow; make today count.
2

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

Dear Members of the Advisory Council of Board Executives,


Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALECs legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 Eastern time.
Thank you in advance.
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:

Laura Smallman <LSmallman@fsmb.org> on behalf of Debbie Reyna


<DReyna@fsmb.org>
Monday, January 05, 2015 4:02 PM
Knittle, Robert C
FSMB 2014 Preliminary Annual Board Action Statistical Report
West Virginia.pdf

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 <DDooley@fsmb.org>


Thursday, January 08, 2015 5:23 PM
Deanne Dooley
Kay Taylor (FSMB)
Second Notice - 2015 Scholarship Program Information - Fort Worth, Texas
2015 Letter to SMBs about Voting Delegates.pdf; 2015 Scholarship Letter.docx; 2015
Exec Dir - Reimbursement Policy.docx; 2015 Voting Delegate - Reimbursement
Policy.doc; 2015 Scholarship Response Form.docx

Dear Presidents/Chairs and Executive Directors,


Attached is the scholarship program information for the FSMBs 103rd Annual Meeting which will be held in
Fort, Worth, Texas. Please complete and return the Scholarship Response Form by Monday, February 2.
If you have any questions, please do not hesitate contact me. I look forward to seeing you again in Fort
Worth!

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

November 12, 2014


Dear Colleagues:
Preparations are underway for FSMBs 2015 Annual Meeting scheduled for April 23-25 in Fort Worth, Texas. The
FSMBs House of Delegates (HOD) business meeting is held on the last day of the Annual Meeting. FSMB
member board participation at the HOD meeting is extremely important because it is the boards unique
opportunity to gain greater insight into the FSMBs work and to contribute to the organizations policymaking
process. The role of the voting delegate in that process is especially important because the delegate represents
his/her state medical board on matters of significance to the board and elects FSMB Fellows to assist in carrying
out the FSMBs work.
In anticipation of the HOD business meeting, we ask that you consider which of your board members will be best
suited to serve as your voting delegate.
In order for the voting delegate to serve in a truly representative capacity, the delegate is asked to fulfill a number of
responsibilities.
Before the HOD meeting, the voting delegate is asked to:
Become familiar with the structure, purpose and history of the FSMB HOD as well as FSMBs policymaking
and election processes
Attend meetings of the state medical board the delegate represents to gain early information on statewide and
national issues to be addressed at the HOD meeting
Review all pre-meeting materials
Participate in a Voting Delegate Webinar on March 26, 2015 from 3:00-4:00 pm CDT
Attend the Candidates Forum and Reference Committee meeting at the Annual Meeting and
provide Reference Committee testimony as necessary
Network with colleagues at the Annual Meeting for additional information and perspectives on issues
During the meeting, the voting delegate is asked to:
Follow the meeting rules as outlined by the Rules Committee
Represent the position of the delegates board during discussions as necessary
Vote at the time requested
Following the meeting, the voting delegate is asked to:
Report the results of the HOD meeting to the delegates board
Remain current on statewide and national issues affecting medical regulation in preparation for the
next HOD meeting
As you can see, the role of the voting delegate should not be taken lightly. We therefore encourage you to give
careful consideration in the selection of the individual who will be your representative at our 2015 meeting.
Sincerely,

Donald H. Polk, DO
Chair

Humayun J. Chaudhry, DO, MACP


President and CEO

400 FULLER WISER ROAD | SUITE 300 | EULESS, TX 76039


(817) 868-4000 | FAX (817) 868-4098 | WWW.FSMB.ORG

TRAVEL REIMBURSEMENT GUIDELINES


FOR VOTING DELEGATES
ATTENDING THE FSMB ANNUAL MEETING
The Federation of State Medical Boards of the United States, Inc. (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.
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.
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.
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.

Page 2 of 2/Nov 2014

MEMORANDUM
DATE:

November 12, 2014

TO:

Presidents/Chairs and Executive Directors


Member Medical and Osteopathic Boards

FROM:

Deanne Dooley
Executive Administrative Assistant
Meeting and Travel Planning

RE:

Scholarship Program for the


FSMB 2015 House of Delegates and Annual Meeting

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

FEDERATION OF STATE MEDICAL BOARDS


2015 HOUSE OF DELEGATES AND ANNUAL MEETING
SCHOLARSHIP RECIPIENTS
RESPONSE FORM
Please indicate below the name of your voting delegate for the 2015 Annual House of Delegates Meeting, as
well as the name of the executive director or senior staff person who will be attending the Annual Meeting.
Please forward your response no later than February 2, 2015.
Name of Medical or Osteopathic Board: _______________________________________________________
Voting Delegate:

Executive Staff Representative:

_______________________________________

____________________________________

_________________________________

______________________________

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)

PLEASE RETURN TO:

FEDERATION OF STATE MEDICAL BOARDS


ATTENTION: DEANNE DOOLEY
400 FULLER WISER ROAD, SUITE 300
EULESS, TX 76039
DDOOLEY@FSMB.ORG
FAX: (817) 868-4183

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

TRAVEL REIMBURSEMENT GUIDELINES


FOR BOARD EXECUTIVE DIRECTORS
ATTENDING THE FSMB ANNUAL MEETING
The Federation of State Medical Boards of the United States, Inc. (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.
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. 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

Board Executive Directors


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 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.

Page 2 of 2/Nov 2014

From:
Sent:
To:
Subject:

Ruth Vinciguerra <RVinciguerra@fsmb.org>


Friday, January 09, 2015 3:04 PM
Knittle, Robert C
2015 FSMB Annual Meeting Confirmation

Robert C. Knittle, MS
Your Registration Is Confirmed!
FSMBs 103rd Annual Meeting
Fort Worth, Texas
April 23-25, 2015
Event Dates:

Please make your hotel reservations by calling:

April 23-25, 2015

Toll free: 1-800-THE-OMNI (843-6664)

View Agenda

Or clicking the web link below


and selecting Special Rate or Government Rate:
http://www.omnihotels.com/hotels/fort-worth/meetings/federation-of-statemedical-boards-annual-meeting

(coming soon)

Omni Fort Worth Hotel


1300 Houston Street
Fort Worth, Texas
Special Rate:

Special Rate: $209 (single or double)


Government Rate: $144 (single or double)
Requires government-issued photo ID at time of check-in

$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)

Hotel room cut-off date:


March 30, 2015
Participants are responsible for their hotel reservations, travel arrangements and
other expenses. Please make your reservations early, as only a limited number of hotel
rooms will be available until the cut-off date or until the group block is sold out,
whichever comes first. A limited number of government rate rooms will also be
available on a first-come, first-served basis. Be sure to reference FSMB Annual
Meeting to receive the discounted rate.
For information about the FSMB Foundation Luncheon on Friday, April 24, 2015, which
is not included with your registration, please click here.
Reservations must be received by April 10, 2015.
Attendees are encouraged to bring a fully-charged laptop computer or other electronic
devices with them to the meeting, as program materials and presentations for this
years event will be provided electronically. Attendees are also encouraged to
1

Hotel room cut-off date:


March 30, 2015

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

Jointly Sponsored by:

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?

Works for me. I will place it on my schedule.


Bob
-----Original Message----From: Shiri A. Hickman [mailto:shickman@fsmb.org]
Sent: Friday, January 09, 2015 4:07 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: Re: FSMB Advisory Council follow up call Jan 20?
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:
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?

Dear Members of the Advisory Council of Board Executives:


Thank you for the comments you submitted to us on the Essentials of a State Medical and Osteopathic Practice Act and
the Elements of a State Medical and Osteopathic Board. We would like to schedule a call to discuss a number of
particular comments and topic areas in order to determine how best to proceed.
Since we are a smaller group, I just wanted to ask via email what everyones availability is like on Tuesday, January 20 for
a 1 hour call? Please email me as soon as you can to let me know what works best for you.
In the meanwhile, I am attaching a marked-up copy of each policy document, that has everyones comments
incorporated. During our call, we would like to focus on the following areas:
-

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 A. Robin (FSMB) <LRobin@fsmb.org>


Monday, January 12, 2015 2:49 PM
Lisa A. Robin (FSMB)
Eric Fish; Jonathan Jagoda; John Bremer
Compact Update
Interstate Medical Licensure Compact (FINAL).pdf

Dear Executive Director,


As of today, 24 state medical and osteopathic boards have formally endorsed the Interstate Medical Licensure
Compact and others have indicated their intention to consider doing so in the coming weeks. Based on several
recent requests, we would like to let you know of a number of resources that may be helpful to you in moving
forward with the compact legislation, including 1) an up-to-date list of endorsements from member boards, national
and state medical associations, and health care systems 2) power point presentations and 3) talking points. We can
assist you in securing someone to provide testimony or give a presentation to your board, legislative committee or
other external audience. We are also available to review your draft legislation to ensure it meets the essential
requirements for state participation in the compact. A copy of the model compact legislation is attached.
Thank you for keeping us informed of the status of the compact in your state and any local/state endorsements you
are aware of and, if you have developed materials that you are willing to share with your colleagues, please forward
to me so they can be made available as well.
Best regards,
Lisa

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.

INTERSTATE MEDICAL LICENSURE COMPACT

1
2

INTERSTATE MEDICAL LICENSURE COMPACT


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

procedures in the Compact.

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

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.

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

physicians as directed by the state government.

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

16

human disease, injury, or condition requiring a physician to obtain and maintain a license in

17

compliance with the Medical Practice Act of a member state.

18
19

(k) "Physician" means any person who:


(1) Is a graduate of a medical school accredited by the Liaison Committee on

20

Medical Education, the Commission on Osteopathic College Accreditation, or a medical school

21

listed in the International Medical Education Directory or its equivalent;

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

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 Specialties or the American Osteopathic Association's

Bureau of Osteopathic Specialists;

9
10

(5) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;

11

(6) Has never been convicted, received adjudication, deferred adjudication,

12

community supervision, or deferred disposition for any offense by a court of appropriate

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

related to non-payment of fees related to a license;

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

(l) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.

22

(m) Rule means a written statement by the Interstate Commission promulgated

23

pursuant to Section 12 of the Compact that is of general applicability, implements, interprets, or

prescribes a policy or provision of the Compact, or an organizational, procedural, or practice

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

registration and participation in the Compact.

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

SECTION 4. DESIGNATION OF STATE OF PRINCIPAL LICENSE

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

(1) the state of primary residence for the physician, or

21

(2) the state where at least 25% of the practice of medicine occurs, or

22

(3) the location of the physician's employer, or

23

(4) if no state qualifies under subsection (1), subsection (2), or subsection (3), the

1
2
3
4
5

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.

6
7

SECTION 5. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

(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

eligibility, to the Interstate Commission.

15

(i) Static qualifications, which include verification of medical education, graduate

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

have suitability determination in accordance with U.S. C.F.R. 731.202.

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

unrestricted license within the member state.

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

redesignation of a new state of principal licensure.

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

SECTION 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.

2
3
4
5

SECTION 7. RENEWAL AND CONTINUED PARTICIPATION


(a) A physician seeking to renew an expedited license granted in a member state shall
complete a renewal process with the Interstate Commission if the physician:

(1) Maintains a full and unrestricted license in a state of principal license;

(2) Has not been convicted, received adjudication, deferred adjudication,

community supervision, or deferred disposition for any offense by a court of appropriate

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

non-payment of fees related to a license; and

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

licenses obtained through the Compact.

SECTION 8. COORDINATED INFORMATION SYSTEM


(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

applied or received an expedited license through the Compact.

10
11
12
13
14
15

(c) Member boards shall report disciplinary or investigatory information determined as


necessary and proper by rule of the Interstate Commission.
(d) Member boards may report any non-public complaint, disciplinary, or investigatory
information not required by subsection (c) to the Interstate Commission.
(e) Member boards shall share complaint or disciplinary information about a physician
upon request of another member board.

16

(f) All information provided to the Interstate Commission or distributed by member

17

boards shall be confidential, filed under seal, and used only for investigatory or disciplinary

18

matters.

19
20

(g) The Interstate Commission is authorized to develop rules for mandated or


discretionary sharing of information by member boards.

21
22

SECTION 9. JOINT INVESTIGATIONS

23

(a) Licensure and disciplinary records of physicians are deemed investigative.

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

boards in joint investigations of physicians licensed by the member boards.

(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

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

license to practice medicine.

8
9
10

SECTION 10. DISCIPLINARY ACTIONS


(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

license is revoked, surrendered or relinquished in lieu of discipline, or suspended, then all

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 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

and fact decided, and:

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.

(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 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

consistent with the Medical Practice Act of that state.

14
15
16
17
18
19
20
21

SECTION 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.
(c) The Interstate Commission shall be a body corporate and joint agency of the 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

one representative from each member board. A Commissioner shall be a(n):

(1) Allopathic or osteopathic physician appointed to a member board;

(2) Executive director, executive secretary, or similar executive of a member

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

meeting would be likely to:

4
5

(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;

10
11

(5) Discuss information of a personal nature where disclosure would constitute a


clearly unwarranted invasion of personal privacy;

12

(6) Discuss investigative records compiled for law enforcement purposes; or

13

(7) Specifically relate to the participation in a civil action or other legal

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

record of any roll call votes.

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

bylaws and rules, and other such duties as necessary.

5
6

(l) The Interstate Commission may establish other committees for governance and
administration of the Compact.

7
8

SECTION 12. POWERS AND DUTIES OF THE INTERSTATE COMMISSION

The Interstate Commission shall have the duty and power to:

10

(a) Oversee and maintain the administration of the Compact;

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

the use of judicial process;

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

Interstate Commission in carrying out its powers and duties;

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

(g) Establish and maintain one or more offices;

24

(h) Borrow, accept, hire, or contract for services of personnel;


13

(i) Purchase and maintain insurance and bonds;

(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

fix their compensation;

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

policies established by the Interstate Commission;

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

(o) Establish a budget and make expenditures;

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

(t) Seek and obtain trademarks, copyrights, and patents; and

(u) Perform such functions as may be necessary or appropriate to achieve the purposes of

the Compact.

4
5

SECTION 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 amount

10

shall be allocated upon a formula to be determined by the Interstate Commission, which shall

11

promulgate a rule binding upon all member states.

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

report of the Interstate Commission.

19
20
21

SECTION 14. ORGANIZATION AND OPERATION OF THE INTERSTATE


COMMISSION

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

believing occurred, within the scope of Interstate Commission employment, duties, or

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

state officials, employees, and agents. The Interstate Commission is considered to be an

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

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

10
11

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

12

Commission, the representatives or employees of the Interstate Commission shall be held

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

SECTION 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

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

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 (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

exercise of the authority granted to the Interstate Commission.

15
16

SECTION 16. OVERSIGHT OF INTERSTATE COMPACT

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

regulate the practice of medicine.

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

as to the Interstate Commission, the Compact, or promulgated rules.

5
6

SECTION 17. ENFORCEMENT OF INTERSTATE COMPACT

(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce

8
9

the provisions and rules of the Compact.


(b) The Interstate Commission may, by majority vote of the Commissioners, initiate legal

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

awarded all costs of such litigation including reasonable attorneys fees.

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

SECTION 18. DEFAULT PROCEDURES

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

bylaws of the Interstate Commission promulgated under the Compact.

19

(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

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

incurred during the period of the default.

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

state's legislature, and each of the member states.

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

performance of which extends beyond the effective date of termination.


(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 attorneys fees.

9
10

SECTION 19. DISPUTE RESOLUTION

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

SECTION 20. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT

18

(a) Any state is eligible to become a member state of the Compact.

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

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 enacted into law by unanimous consent

of the member states.

6
7

SECTION 21. WITHDRAWAL

(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

other member state.

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

beyond the effective date of withdrawal.

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

designated the withdrawing member state as the state of principal license.

7
8

SECTION 22. DISSOLUTION

(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

SECTION 23. SEVERABILITY AND CONSTRUCTION

16

(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence,

17

or provision is deemed unenforceable, the remaining provisions of the Compact shall be

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

interstate compacts to which the states are members.

22
23

SECTION 24. BINDING EFFECT OF COMPACT AND OTHER LAWS

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

conflict with the constitutional provision in question in that member state.

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

Dear Executive Director,


As of today, 24 state medical and osteopathic boards have formally endorsed the Interstate Medical Licensure
Compact and others have indicated their intention to consider doing so in the coming weeks. Based on several
recent requests, we would like to let you know of a number of resources that may be helpful to you in moving
forward with the compact legislation, including 1) an up-to-date list of endorsements from member boards, national
and state medical associations, and health care systems 2) power point presentations and 3) talking points. We can
assist you in securing someone to provide testimony or give a presentation to your board, legislative committee or
other external audience. We are also available to review your draft legislation to ensure it meets the essential
requirements for state participation in the compact. A copy of the model compact legislation is attached.
Thank you for keeping us informed of the status of the compact in your state and any local/state endorsements you
are aware of and, if you have developed materials that you are willing to share with your colleagues, please forward
to me so they can be made available as well.
Best regards,
Lisa

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.

Be it enacted by the Legislature of West Virginia:


That the Code of West Virginia, 1931, as amended, be 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-24, all to read as follows:
ARTICLE 3F.
30-3F-1.

INTERSTATE MEDICAL LICENSURE COMPACT.


Purpose.
1

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

physician through the process set forth in the Compact.


(e) "Interstate Commission" means the interstate commission created pursuant to section eleven.
(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 interests of the state by
protecting the public through licensure, regulation, and education of physicians as directed by the state government.
(i) "Member State" means a state that has enacted the Compact.
(j) "Practice of Medicine" means the clinical prevention, diagnosis, or treatment of human disease, injury, or condition
requiring a physician to obtain and maintain a license in compliance with the Medical Practice Act of a member state.
(k)

"Physician" means any person who:

(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

Specialties or the American Osteopathic Association's Bureau of Osteopathic Specialists;


(5) Possesses a full and unrestricted license to engage in the practice of medicine issued by a member board;
(6) Has never been convicted, received adjudication, deferred adjudication, community supervision, or deferred
disposition for any offense by a court of appropriate jurisdiction;
(7) Has never held a license authorizing the practice of medicine subjected to discipline by a licensing agency in any
state, federal, or foreign jurisdiction, excluding any action related to non-payment of fees related to a license;
(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.
(l) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.
(m) "Rule" means a written statement by the Interstate Commission promulgated pursuant to section twelve of the
Compact that is of general applicability, implements, interprets, or prescribes a policy or provision of the Compact, or an
organizational, procedural, or practice 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 registration and participation in the Compact.
30-3F-3. Eligibility.
(a) A physician must meet the eligibility requirements as defined in Section 2(k) to receive an expedited license under
4

the terms and provisions of the Compact.


(b) A physician who does not meet the requirements of Section 2(k) may obtain a license to practice medicine in a
member state if the individual complies with all laws and requirements, other than the Compact, relating to the issuance of a
license to practice medicine in that state.
30-3F-4. Designation of State of Principal License.
(a) A physician shall designate a member state as the state of principal license for purposes of registration for
expedited licensure through the Compact if the physician possesses a full and unrestricted license to practice medicine in that
state, and the state is:
(1) The state of primary residence for the physician,
(2) The state where at least 25% of the practice of medicine occurs, or
(3) the location of the physician's employer, or
(4) if no state qualifies under subdivision (1), subdivision (2), or subdivision (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.
30-3F-5. Application and Issuance of Expedited Licensure.
(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 principal license.
5

(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.

30-3F-7. Renewal and Continued Participation.


(a) A physician seeking to renew an expedited license granted in a member state shall complete a renewal process
with the Interstate Commission if the physician:
(1) Maintains a full and unrestricted license in a state of principal license;
(2) Has not been convicted, received adjudication, deferred adjudication, community supervision, or deferred
disposition for any offense by a court of appropriate 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 non-payment of fees related to a license; and
(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
7

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 licenses obtained through the
Compact.
30-3F-8. Coordinated Information System.
(a) The Interstate Commission shall establish a database of all physicians licensed, or who have applied for licensure,
under section five.
(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 applied or received an expedited license through the Compact.
(c) Member boards shall report disciplinary or investigatory information determined as necessary and proper by rule
of the Interstate Commission.
(d) Member boards may report any non-public complaint, disciplinary, or investigatory information not required by
subsection (c) to the Interstate Commission.
(e) Member boards shall share complaint or disciplinary information about a physician upon request of another
member board.
(f) All information provided to the Interstate Commission or distributed by member boards shall be confidential, filed
8

under seal, and used only for investigatory or disciplinary matters.


(g) The Interstate Commission is authorized to develop rules for mandated or discretionary sharing of information by
member boards.
30-3F-9. Joint Investigations.
(a) Licensure and disciplinary records of physicians are deemed investigative.
(b) In addition to the authority granted to a member board by its respective Medical Practice Act or other applicable
state law, a member board may participate with other member boards in joint investigations of physicians licensed by the
member boards.
(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 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 license to practice medicine.
30-3F-10 Disciplinary Actions.
(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 by other member boards, in addition to any violation of the
Medical Practice Act or regulations in that state.
(b) If a license granted to a physician by the member board in the state of principal license is revoked, surrendered or
relinquished in lieu of discipline, or suspended, then all licenses issued to the physician by member boards shall automatically
be placed, without further action necessary by any member board, on the same status. If the member board in the state of
9

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

authority to regulate the practice of medicine.


(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
Interstate Commission.
(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 as to the Interstate Commission, the Compact, or promulgated rules.
30-3F-17. Enforcement of Interstate Compact.
(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 of the 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 awarded all costs of such litigation including reasonable
attorney's fees.
(c) The remedies herein shall not be the exclusive remedies of the Interstate Commission. The Interstate Commission
may avail itself of any other remedies available under state law or the regulation of a profession.
30-3F-18. Default Procedures.
(a) The grounds for default include, but are not limited to, failure of a member state to perform such obligations or
18

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

enacted into law by unanimous consent of the member states.


30-3F-21. Withdrawal.
(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 other member state.
(c) The withdrawing state shall immediately notify the chairperson of the Interstate Commission in writing upon the
introduction of legislation repealing the Compact in the withdrawing state.
(d) The Interstate 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 extend beyond the effective date of withdrawal.
(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 designated the withdrawing member state as the state of
principal license.
30-3F-22. Dissolution.
21

(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

State of West Virginia

Board of Medicine

AHMED DAVER FAHEEM, MD


PRESIDENT
RAHUL GUPTA, MD, MPH
SECRETARY

101 Dee Drive, Suite 103


Charleston, WV 25311
Telephone 304.558.2921
Fax 304.558.2084
www.wvbom.wv.gov

R. CURTIS ARNOLD, DPM


VICE PRESIDENT
ROBERT C. KNITTLE
EXECUTIVE DIRECTOR

MEDICAL LICENSURE EXEMPTIONS AND TELEMEDICINE


The West Virginia Board of Medicine, which licenses and regulates the practice of
medical doctors, podiatrists and physician assistants to MDs has proposed a Bill to modify West
Virginia Code 30-3-13 to: (1) clarify and modify the circumstances under which a medical
doctor may practice medicine and surgery in this state without a license issued by the Board and
identify the penalties for the unauthorized practice of medicine and surgery; and (2) facilitate the
appropriate practice of medicine and surgery in West Virginia through the use of telemedicine
technologies.
As currently formulated, section 30-3-13 of the Medical Practice Act provides certain
exemptions to licensure. This section has been modified for clarity, and to incorporate an
exemption for physicians/podiatrists who travel to West Virginia with collegiate and/or
professional sports teams. W. Va. Code 30-3-13 also holds the only substantive reference to
telemedicine in the Act. The Board proposes additional statutory language regarding
telemedicine to encourage the growth of telemedicine technology implementation throughout the
state. Additional guidance and certainty regarding the standards for the use of telemedicine
technology will facilitate the appropriate incorporation of telemedicine technology into the
panoply healthcare tools utilized by licensees of the Board.
.
Highlights of the proposed bill include:

Definition of the unauthorized practice of medicine and penalties for practicing


medicine and surgery without a license. The Bill reformulates what constitutes the
unauthorized practice of medicine/podiatry and establishes penalties for unauthorized
practice.

Establishing clear exemptions to licensure. The Bill provides a detailed and


modified list of circumstances wherein a physician may engage in limited practice in
West Virginia without first obtaining a license from the Board. These exemptions
include:
o Medical/podiatric students and residents
o Federally employed physicians and podiatrists (as required by federal law)
o Visiting medical faculty engaged in teaching or research for up to six months
Page 1 of 2

Medical Licensure Exemptions and Telemedicine

o Physicians who are members of air ambulance treatment or organ


procurement organization teams
o Consulting with a West Virginia physician/podiatrist on a singular occasion
o A physician/podiatrist providing teaching assistance in a medical capacity for
up to seven days
o Serving as a non-compensated volunteer for a charitable function for up to
seven days
o Physicians/podiatrists traveling with a sports team for a specific sporting event
in this state
With the exception of medical/podiatric students and residents, in order to be eligible
practice under any of these exemptions, the practitioner must hold one or more
unrestricted licenses granted by another jurisdiction.

Providing guidance on the Appropriate Utilization of Telemedicine


Technologies. The Bill also incorporates a new section, designated as 30-3-13a,
which sets forth guidelines for the practice of telemedicine. This section:
o Defines telemedicine and telemedicine technologies
o Establishes that the practice of medicine occurs where the patient is located at
the time treatment occurs
o Sets forth criteria for the use of telemedicine technologies, including
requirements that the physician:
Verify the identity and location of the patient
Provide the patient with confirmation of the identity, location and
qualifications of the provider
Establish a provider/patient relationship which conforms to the
standard of care for the treatment provided
Determine whether the patient presentation is appropriate for the
utilization of telemedicine technologies
Obtain informed consent for the use of telemedicine technologies
Conduct all appropriate evaluations and patient histories consistent
with the standard of care for the patient presentation
Create medical records which verify compliance with these criteria
o Identifies how a physician/patient relationship may be established through
telemedicine technologies
o Confirms that medical services provided via telemedicine technologies are
subject to the same standard of care as traditional in-person encounters
o Prohibits the use of telemedicine technologies when the standard of care
requires an in-person, physical examination
o Requires that appropriate, accessible medical records be created in association
with any medical care provides via telemedicine
o Prohibits the prescribing of Schedule I or II Controlled Substances if the
patient encounter is solely through the use of telemedicine technologies
o Authorizes the Board to engage in rulemaking to develop further standards, if
needed in the future

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.

Be it enacted by the Legislature of West Virginia:


That 30-3-13 of the Code of West Virginia, 1931, as amended, be amended and reenacted; and that said code be
amended by adding thereto a new section, designated, 30-3-13a, all to read as follows:
30-3-13. Exceptions to Licensing Requirements; Unauthorized practice of medicine and surgery or podiatry; criminal
penalties.
(a) It is unlawful for any person who does not hold an active, unexpired license issued pursuant to this article, or who
is not practicing pursuant to the licensure exceptions set forth in this section, to:
(1) Engage in the practice of medicine and surgery or podiatry in this state;
(2) Represent that he or she is a physician, surgeon or podiatrist authorized to practice medicine and surgery or
1

podiatry in this state; or


(3)

Use any title, word or abbreviation to indicate to or induce others to believe that he or she is licensed to practice

medicine and surgery or podiatry in this state.


(b) It is not unlawful for a person:
(1) Who is a licensed health care provider under this code to act within his or her scope of practice;
(2) Who is not a licensed health care professional in this state to provide first-aid care in an emergency situation; or
(3) To engage in the bona fide religious tenets of any recognized church in the administration of assistance to the sick
or suffering by mental or spiritual means.
(c) The following persons are exempt from the licensure requirements under this article:
(1) A person enrolled in a school of medicine approved by the Liaison Committee on Medical Education or by the
board;
(2) A person enrolled in a school of podiatric medicine approved by the Council of Podiatry Education or by the board;
(3) A person engaged in graduate medical training in a program approved by the Accreditation Council for Graduate
Medical Education or the board;
(4) A person engaged in graduate podiatric training in a program approved by the Council on Podiatric Education or
by the board;
(5) A physician or podiatrist engaged in the performance of their official duties holding one or more licenses from
another state or foreign country and who is a commissioned medical officer of, a member of or employed by:
(A) The United States Military;
(B) The Department of Defense;
2

(C) The United States Public Health Service;


(D) The Department of Veterans' Affairs Division of the Veterans' Health Administration; or
(E) Any other federal agency;
(6) A physician or podiatrist holding one or more unrestricted licenses granted by another state or foreign country
serving as visiting medical faculty engaged in teaching or research duties at a medical school or institution recognized by the
board for up to six months if:
(A)

The physician does not engage in the practice of medicine and surgery or podiatry outside of the auspices of the

sponsoring school or institution; and


(B)

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

technologies are used.

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

podiatry to a patient shall:


(1) Verify the identity and location of the patient;
(2) Provide the patient with confirmation of the identity, location and qualifications of the physician, podiatrist or
physician assistant;
(3) Establish and/or maintain a physician, podiatrist or physician assistant patient relationship which conforms to the
standard of care;
(4) Determine whether telemedicine technologies are appropriate for the particular patient presentation for which the
practice medicine or surgery or podiatry are to be rendered;
(5) Obtain from the patient informed consent for the use of telemedicine technologies in the practice medicine or
surgery or podiatry to the patient;
(6) Conduct all appropriate evaluations and history of the patient consistent with traditional standards of care for the
particular patient presentation; and
(7) Create and maintain healthcare records for the patient which justify the course of treatment and which verify
compliance with the requirements of this section.
(d) The requirements of subdivisions (c)(2) and (c)(5) do not apply the practice of pathology and radiology medicine
through store and forward telemedicine.
(e) Where an existing physician, podiatrist or physician assistant patient relationship is not present prior to the
6

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

via telemedicine technologies.

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.

This section does not alter the scope of practice of any

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

State of West Virginia

Board of Medicine

AHMED DAVER FAHEEM, MD


PRESIDENT
RAHUL GUPTA, MD, MPH
SECRETARY

101 Dee Drive, Suite 103


Charleston, WV 25311
Telephone 304.558.2921
Fax 304.558.2084
www.wvbom.wv.gov

R. CURTIS ARNOLD, DPM


VICE PRESIDENT
ROBERT C. KNITTLE
EXECUTIVE DIRECTOR

INTERSTATE MEDICAL LICENSURE COMPACT


The West Virginia Board of Medicine, which licenses and regulates the practice of
medical doctors, podiatrists and physician assistants to MDs has proposed a Bill to enact an
interstate medical license compact. This compact, which was developed and made available
September, 2014, 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-state licensure for highly qualified applicants while preserving the
traditional modalities of state medical licensing for all physicians. The Compact enjoys the
support of the American Medical Association.
The practice of medicine occurs where the patient is located at the time they are treated
by a physician. With very limited exceptions, physicians must be licensed in each jurisdiction
where they practice medicine. As telemedicine services grow, and borders between states
become more porous, interest in multi-state licensure increases.
The purpose of the Interstate Medical Licensure Compact is to streamline the process of
applying for medical licenses in multiple states while keeping the responsibility for licensing and
disciplining physicians within individual state medical boards. A traditional medical license
application requires the submission of verified information from a number of primary sources,
including the applicants educational institution and residency programs. The submission of
information from third parties often slows down the completion of an application, and results in a
longer application process. Undergoing this process in multiple states can be a deterrent to multistate licensure
.
Highlights of the proposed bill include:

Enactment of the Compact. In order to become effective, the Compact must be


legislatively enacted by at least seven states. The terms of the compact apply to
member states only. As of January, 2015, 17 state boards have endorsed the Compact
with the intention of introducing legislation this year.

The Principal State Of Licensure Is Responsible for Verifying Compact License


Eligibility. When a physician who holds a full, unrestricted license in a compact state
seeks to obtain a compact license in another member state, the physicians principal
Page 1 of 3

Interstate Medical Licensure Compact

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.

Compact Licenses are Limited to Highly Qualified Physicians. The compact


would expedite multi-state licensure only for highly qualified applicants. The
eligibility criteria are more selective than the requirements for licensure in general.
Specifically, to be eligible for a compact license a physician must:
o Be a graduate of an accredited educational program or a medical school listed
in the International Medical Education Directory or its equivalent;
o pass each component of the national licensing exams in three attempts or
fewer;
o successfully completed graduate medical education in an approved program;
o be Board certified or holds a time-unlimited specialty certificate from ABMS
AOABOS;
o hold a full, unrestricted license in a compact member state;
o have no convictions or deferred dispositions for any criminal offense (i.e. a
clean criminal record);
o have never been disciplined by any medical board (with the exception of
discipline for non-payment of fees);
o have never had a controlled substance license or permit suspended or revoked
by the DEA; and
o not be currently under investigation by a licensing agency or law enforcement
in any jurisdiction

All Current Pathways to Obtaining Licensure Remain in Effect. The Interstate


Medical Licensure Complaint would not make any changes to the traditional medical
licensure process. Physicians who do not qualify for a compact license or who do not
want to practice in multiple jurisdictions may continue to apply for licensure as they
always have.

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

Interstate Medical Licensure Compact

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.

Compact States Can Collaborate on Disciplinary Matters. The Compact


authorizes member states to work together and share investigative material about
common licensees. Collaborative information sharing during investigations is not
currently permitted by many state medical practice acts. The Compact authorizes, but
does not require, states to work together and share investigative information as
appropriate. It also establishes a mechanism for state medical boards to assist one
another in effectuating service of subpoenas in other member states.

Establishment of Interstate Commission. The Compact creates an Interstate


Commission to facilitate compact licensure. Each member state will have two seats
on the Commission. It is anticipated that the Commission would be self-sustaining
through surcharges assessed on compact license applications. It would serve as a
clearinghouse for information on compact licensees, would facilitate the renewal of
compact licenses, and has rulemaking authority to implement the compact.

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:

Jonathan Jagoda <jjagoda@fsmb.org>


Tuesday, January 13, 2015 2:55 PM
Knittle, Robert C
Compact Talking Points
Compact Talking Points.1.13.15.doc

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

Interstate Medical Licensure Compact


Talking Points

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

To be eligible, the physician must:


* Possess a full and unrestricted license to practice medicine in a Compact state;
* Successfully complete a graduate medical education (GME) program;
* Possess specialty certification or be in possession of a time unlimited specialty certificate;

* Have passed the USMLE or COMLEX within 3 attempts;


* Have no discipline on any state medical license;
* Have no discipline related to controlled substances;
* Not be under investigation by any licensing agency or law enforcement;

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

Looking good Jonathon! Thank you.


From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Tuesday, January 13, 2015 3:06 PM
To: Knittle, Robert C
Subject: RE: Compact Talking Points

Sure do. See attached.


Good luck tomorrow!
From: Robert Knittle
Sent: Tuesday, January 13, 2015 3:05 PM
To: Jonathan Jagoda
Subject: 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:

Jonathan Jagoda <jjagoda@fsmb.org>


Tuesday, January 13, 2015 2:55 PM
Knittle, Robert C
Compact Talking Points
Compact Talking Points.1.13.15.doc

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

Interstate Medical Licensure Compact


Talking Points

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

To be eligible, the physician must:


* Possess a full and unrestricted license to practice medicine in a Compact state;
* Successfully complete a graduate medical education (GME) program;
* Possess specialty certification or be in possession of a time unlimited specialty certificate;

* Have passed the USMLE or COMLEX within 3 attempts;


* Have no discipline on any state medical license;
* Have no discipline related to controlled substances;
* Not be under investigation by any licensing agency or law enforcement;

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

Just finished #2 and Im ready!!


From: Shiri A. Hickman [mailto:shickman@fsmb.org]
Sent: Tuesday, January 20, 2015 11:53 AM
To: Knittle, Robert C
Subject: 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

Cc: Lisa A. Robin (FSMB); John Bremer; Natalie Weiner


Subject: FSMB Advisory Council Call Today

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:

Shiri A. Hickman <shickman@fsmb.org>


Tuesday, January 20, 2015 11:24 AM
Kathleen Selzler Lippert; Lyle Kelsey; Mari Robinson; Knittle, Robert C; Kevin
Bohnenblust, JD; Jacqueline Watson, DO, MBA; Kimberly Kirchmeyer; Margaret Hansen
Lisa A. Robin (FSMB); John Bremer; Natalie Weiner
FSMB Advisory Council Call Today

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:
Subject:

Federation of State Medical Boards <dhooper@fsmb.org>


Wednesday, January 21, 2015 4:03 PM
Knittle, Robert C
ABMS Data Now Available!

Now Offering ABMS Verification!


In response to requests from a number of our member boards, the Federation of State Medical
Boards is pleased to announce we will begin distributing American Board of Medical
Specialties (ABMS) certification data and National Provider Identification (NPI) numbers on all
queries provided by the Physician Data Center (PDC).
Beginning January 22, 2015, the ABMS certification data will be included on all PDC profiles as
a result of a recent data sharing agreement with ABMS. Member boards will not be required to
take any action to begin taking advantage of these report enhancements.
We hope the addition of these data elements will prove to be a valuable resource in your
regulatory operations. As always, these services are provided to our member boards at no cost.
For questions or feedback, please contact the Physician Data Center at (817) 868-4010 or via
email at pdccustomercare@fsmb.org.
Sincerely,
David Hooper
Senior Director of Marketing
For more information, contact:
Pnysician Data Center
(817) 868-4010

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

Forward this email

This email was sent to robert.c.knittle@wv.gov by dhooper@fsmb.org |


Update Profile/Email Address | Rapid removal with SafeUnsubscribe | Privacy Policy.

Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039

From:
Sent:
To:
Subject:

Ruth Vinciguerra <RVinciguerra@fsmb.org>


Monday, January 26, 2015 4:52 PM
Ruth Vinciguerra
FSMB Roundtable Webinar Call-In Information/January 28, 2015

FSMB ROUNDTABLE WEBINAR


WEDNESDAY, JANUARY 28, 2015
2:00 3:00 P.M. (CENTRAL TIME)

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:

1-866-861and reference the


conference ID:

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

Federation of State Medical Boards


400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4000 | 817-868-4117 fax | www.fsmb.org

From:
Sent:
To:
Subject:
Attachments:

Humayun Chaudhry <hchaudhry@fsmb.org>


Wednesday, January 28, 2015 6:12 PM
Humayun Chaudhry
Interstate Compact Update
MemoInterstateCompact,28Jan2015.pdf

DATE:

January 28, 2015

TO:

Member Medical Board Executive Directors


Interstate Medical Licensure Compact Supporters

FROM:

Humayun J. Chaudhry, DO, MACP


FSMB President and CEO

CC:

Don Polk, DO, FSMB Chair


FSMB Board of Directors

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:

January 28, 2015

TO:

Member Medical Board Executive Directors


Interstate Medical Licensure Compact Supporters

FROM:

Humayun J. Chaudhry, DO, MACP


FSMB President and CEO

CC:

Don Polk, DO, FSMB Chair


FSMB Board of Directors

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).

400 FULLER WISER ROAD | SUITE 300 | EULESS, TX 76039


(817) 868-4000 | FAX (817) 868-4098 | WWW.FSMB.ORG

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).

SIX MYTHS ABOUT


THE INTERSTATE MEDICAL LICENSURE COMPACT

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.

From:
Sent:
To:
Cc:
Subject:
Attachments:

Pamela Huffman (FSMB) <phuffman@fsmb.org>


Wednesday, January 28, 2015 4:38 PM
Ahmed Faheem, MD
Knittle, Robert C
Welcome FSMB Voting Delegate to the House of Delegates_April 2015
2015 Voting Delegate Welcome Letter_Faheem (WV-M).pdf; 2015 HOD Guidebook.pdf

Importance:

High

Good afternoon Dr. Faheem:


Thank you for your commitment to your state medical board and to the FSMB by serving as a voting delegate for the April
25th 2015 House of Delegates Business Meeting in Fort Worth.
Attached please find a letter of welcome from FSMB President and CEO Dr. Hank Chaudhry as well as a copy of the 2015
House of Delegates Meeting Guidebook. The Guidebook is provided to assist you in understanding the policy-making
process and will also be included with your HOD meeting materials.
While an official invitation with access instructions will be distributed separately next month, please mark your calendar
for the:
2015 Voting Delegate Webinar
Thursday, March 26, 2015
3:00-4:00 pm CT
The HOD meeting materials will be posted for your advance review on the FSMB website as they become available.
Access instructions to this FSMB website will be distributed separately. The meeting materials will also be made available
onsite at the Annual Meeting.
Please do not hesitate to contact me if you have any questions.
Warmest regards,
Pam
Pamela Huffman

Governance Support Coordinator


Leadership Services
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-4060 direct | 817-868-4258 fax
phuffman@fsmb.org| www.fsmb.org

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.

GUIDE TO FSMB HOUSE OF DELEGATES MEETINGS


TABLE OF CONTENTS

Preface

Chapter 1

Chapter 2

Chapter 3

FSMBs Governance Structure


Member Medical Boards
House of Delegates
Board of Directors
Executive Committee
Standing and Special Committees
Executive Office
FSMB Organizational Chart

1
1
1
2
2
3
4

The House of Delegates Policy Development Process


Reports and Proposals
Resolutions
Reference Committees
Setting Policy
Elections
House of Delegates Meeting Materials
Rules Committee

5
5
6
7
7
8
9

Designated Annual Meeting Attendees


(Scholarship Recipients)
Designation of Voting Delegates and Senior Staff
Representatives
Registration and Program Information
Voting Delegate Information
Travel Reimbursement Guidelines for Voting Delegates
Travel Reimbursement Guidelines for Board Executive
Directors

_______________________________________________

ii

12
12
12
12
15

Chapter 1:

FSMBs Governance Structure

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.

Member Medical Boards

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

A delegate is the president/chair of a Member Medical Board or his/her designated


alternate (a member of the Board or Associate Member). Each Member Medical Board
is entitled to one vote at the meetings of the House of Delegates, which is to be cast by
the delegate of the Member Board.

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.

Standing and Special Committees

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.

FSMB Organizational Chart

Member Medical Boards

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.

The House of Delegates Policy Development


Process

Reports and Proposals

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.

The House may adopt the recommendations of reports and resolves of


resolutions or not adopt if a majority of the House votes against them.
The House may amend and then adopt the amended recommendations of
reports and resolves of resolutions.
The House may propose amendments by substitution and then adopt the
substitute amendments to recommendations of reports and resolves of
resolutions.
The House may refer the items back to the Board (or through the Board to the
appropriate committee) for further review. If an item is referred for further study,
then all pending information (i.e., amendments) relating to that item is referred as
well. A specific time for reporting back to the House should be indicated.
The House may refer the items back to the Board for decision, which gives
the Board the authority and responsibility for making a determination on the
matter.
The House may file an informational report (acknowledging that a report has
been received and considered, but that no action has been necessary or taken).
The House may table a recommendation, which sets aside the recommendation
for the current meeting unless the House votes to resume its consideration. A
tabled recommendation is postponed to an undetermined time and may be
proposed again as a new recommendation at any future meeting; however, if a
recommendation is tabled as a means of closing debate indefinitely, it would
require a two-thirds majority vote.

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.

Directors-at-Large and Associate Members


In addition to the Officers and the Immediate Past Chair, the Board of Directors is
comprised of nine (9) Directors-at-Large who are elected by the House of
Delegates, and two Associate Members who are elected by the Board of
Directors. At least two members of the Board, who are not Associate Members,
are to be non-physicians, at least one of whom shall be a public/consumer
member. Directors-at-Large each serve for a term of three (3) years and are
eligible to be re-elected for one additional term. For this purpose, a partial term of
one-and-a-half years or more counts as a full term. At least three (3) of the
Directors-at-Large are to be elected each year at the Annual Meeting. Associate
Members of the Board each serve one two-year term. One Associate Member is
elected each year.

c.

Nominating and Other Standing Committee Members:


At least three Fellows are elected at each Annual Meeting to serve on the
Nominating Committee, each for a two-year term. With the exception of the
Immediate Past Chair, who chairs the Committee without vote, no two
Nominating Committee members are to be from the same Member Medical
Board.
With the exception of the Nominating Committee, members of all standing
committees are appointed by the FSMB Chair, with the approval of the Board of
Directors, for a term of one (1) year, unless otherwise provided for in the Bylaws.
Members of the Editorial Committee serve staggered three-year terms and are
limited to two full terms. The Chair appoints the chair of the Audit, Bylaws, and
Ethics and Professionalism Committees; the FSMB Treasurer serves as chair of
the Finance Committee, the FSMB Chair serves as the chair of the Education
Committee; and the Editorial Committee elects its own chair, who serves as the
Editor-in-Chief of the Journal of Medical Regulation.

VI.

House of Delegates Meeting Materials

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.

Privilege of the Floor:

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.

Procedures of the Annual Business Meeting:

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.

10
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.

Designated Annual Meeting Attendees


(Scholarship Recipients)

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.

Registration and Program Information

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.

Voting Delegate Information

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.

Travel Reimbursement Guidelines for Voting Delegates

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.

Travel Reimbursement Guidelines for Board Executive Directors

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

transferring powers to out-of-state private organizations and to other States. West


Virginia should not give up its authority and responsibility to entities that are
unaccountable to West Virginia voters.

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 Interstate Compact improperly delegates authority to private, out-of-state


specialty organizations that have no transparency or accountability to West
Virginia voters, by requiring the much-criticized "Maintenance of Certification
(MOC)."

Requirements mandated to comply with MOC are widely considered to be an


immense waste of time and money, with no proven connection to the quality of
patient care.

This Interstate Compact is being pushed by a private organization in West Virginia


(the FSMB) that has historically been an opponent of private medicine, and its
proposal has not been properly vetted or discussed with physicians in private
practice or genuine patient groups.

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:

Lisa A. Robin (FSMB) <LRobin@fsmb.org>


Tuesday, February 10, 2015 2:42 PM
Lisa A. Robin (FSMB)
Patricia McCarty (FSMB); Shiri A. Hickman
Revised policies for review

Dear Board Chairs/Presidents and Executive Directors,


The FSMB policy documents, Essentials of a State Medical and Osteopathic Act and Elements of a State Medical and
Osteopathic Board, are revised every three (3) years to ensure they remain current and aligned with other FSMB public
policy documents. Accordingly, the next (14th) editions of the documents will be presented to the House of Delegates at
the FSMB Annual Meeting in April. Over the past six (6) months, the Advisory Council of Board Executives has reviewed
and recommended revisions to the documents. Members of the Advisory Council include Kevin Bohnenblust, JD, CMBE;
Margaret Hansen, PA-C, CMBE; Lyle Kelsey, MBA, CMBE; Kimberly Kirchmeyer, Robert Knittle MS; Kathleen Selzler
Lippert, JD, CMBE, Mari Robinson, JD; and, Jacqueline Watson, DO, MBA.
We invite you to review the proposed revisions as highlighted in strikeout and underline and provide any comments by
March 13, 2015. The proposed policy documents will be discussed before the reference committee on Friday, April 24,
at 8:00 a.m. during the FSMB Annual Meeting. You may access the draft documents at

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

Proposed revisions to the Essentials include:

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).

Please let me know if you have any questions.


Best regards,
Lisa
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.

From:
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Kevin Caldwell (FSMB) <KCaldwell@fsmb.org>


Thursday, February 12, 2015 3:56 PM
Thompson, Sheree J
Knittle, Robert C; Alley, Jamie S
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,
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:

Federation of State Medical Boards, D.C. <lrobin@fsmb.org>


Wednesday, February 18, 2015 12:41 PM
Knittle, Robert C
FSMB Advocacy Network 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

Feb. 18, 2015

2015: Already a Busy Year


This year is off to a busy start as the 114th Congress has begun legislating and
the Interstate Medical Licensure Compact has been introduced in thirteen
states. The FSMB would like to recognize your commitment to protecting the
nation's patients and sincerely thank you for your efforts on behalf of the
Advocacy Network and state medical and osteopathic boards. We look forward
to working with you to meet the challenges and opportunities of 2015.
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

Putting the technology


into telehealth

News from Washington, D.C.

Contact Us

The FSMB's advocacy team continues to track legislative and policy


developments impacting the work of state medical boards in their protection of
the public. Among items of interest in recent weeks:

Lisa Robin
Chief Advocacy Officer
FSMB
1300 Connecticut Avenue
NW
Suite 500
Washington, D.C. 20036
Phone: (202) 463-4000

lrobin@fsmb.org

Interstate Medical Licensure Compact Update


27 state medical and osteopathic boards have formally endorsed or expressed
support for the Interstate Medical Licensure Compact and several others are
considering doing so in the weeks and months ahead. Seven states must adopt
the language to implement the Compact and since 13 states have introduced
legislation we believe we are well poised to move forward.
The American Medical Association, the Council of Medical Specialty Societies,
the Society of Hospital Medicine and many other national organizations and
state medical societies have also formally endorsed the Compact. More
information on the Interstate Compact can be found at
1

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.

Federal Legislative News


The House Committee on Energy and Commerce is looking to build on the
bipartisan success of the 113th Congress to move forward several bills and
policies that had previously received strong support.
The Committee released draft legislation of the 21st Century Cures Act, a
bipartisan effort to conduct a comprehensive look at what steps can be taken to
accelerate the pace of cures. The draft includes support for the Interstate
Medical Licensure Compact, stating that "it is the sense of Congress that States
should collaborate, through the use of State medical board compacts, to create
common licensure requirements for providing telehealth services in order to
facilitate multistate practices and allow for health care providers to provide such
services across State lines."
Reps. Adam D. Kinzinger (R-IL-16) and Lois Capps (D-CA-24) will
reintroduce The Veteran Emergency Medical Technician Support Act,
which would provide demonstration grants to states with a shortage of
emergency medical technicians (EMTs) to streamline state-licensing
requirements for military veteran EMTs to prevent unnecessary duplication in
training. This bill was passed by the House in 2013 but died in committee in the
Senate.
Rep. Ed Whitfield (R-KY-01) will reintroduce The National All Schedules
Prescription Electronic Reporting (NASPER) Reauthorization Act, which
2

would reauthorize the NASPER program to support state prescription drug


monitoring programs.
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 the Veterans Health
Administration. Both the House and the Senate passed the legislation sending it
to President Obama for his signature.
Rep. Doris O. 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.

State Legislative News


As the remaining state legislatures still in session wrap up their year, several
state legislatures began accepting pre-filed bills for the 2015 legislative session.
The FSMB continues to track legislation of interest to state medical boards.
With a new year comes new legislative sessions commencing across the
country. The month of January, as is often customary, is a month where a large
amount of new bills are introduced. This year is no exception.
Thirteen states began the new year by introducing legislation to adopt the
Interstate Medical Licensure Compact. Those states are: Illinois, Iowa,
Maryland, Minnesota, Montana Nebraska, Oklahoma, South Dakota,
Texas, Utah, Vermont, West Virginia, and Wyoming. Several other states
are expected to introduce this legislation within the coming weeks.
One major topic that is expected to be highly discussed across the country in
2015 is telemedicine. More than 70 legislative bills have already been
introduced addressing telemedicine in some form. For example, in Montana,
SB 77, has been introduced which provides the Board with rulemaking
authority for telemedicine guidelines and short-term licenses. In addition, the
bill repeals specialized, telemedicine, and temporary physician licenses, while
also creating a resident physician license in the state. In Connecticut, several
bills have been introduced to define and establish standards for the practice of
telemedicine, as well as to establish health insurance coverage for telemedicine
services. In Arkansas, SB 133 has been introduced to encourage the use of
telemedicine in order to reduce the geographic maldistribution of primary and
specialty care, and authorize reimbursement and define standards for
telemedicine services.
Some states are beginning the year by looking at ways to improve and expand
continuing medical education requirements. In Washington, SB 5151, was
introduced and would allow cultural competency continuing education courses
to be taken in addition to or, should they fulfill current requirements, in place of
other continuing education requirements required by the disciplining authority.
Legislation has been introduced in New Jersey, AB 3834, that would require
the Board of Medical Examiners to include educational programs or topics
related to suicide prevention in the core requirements for continuing medical
education for physicians who are pediatricians and physicians who regularly
provide pediatric care services. Additionally, in Hawaii, SB 807 has been
introduced that would establish a mandatory continuing medical education
program for prescribing practitioners who prescribe narcotic drugs, with
3

program topics and curriculum determined by the narcotics enforcement


division, in consultation with a narcotics advisory committee, created by the bill
as well.
The FSMB will continue to track legislation of interest to state medical boards.
For a full list of the bills we are tracking, please visit our tracking website. If
there is specific legislation you would like us to assist with, please contact Shiri
A. Hickman, J.D., State Legislative and Policy Manager, at
shickman@fsmb.org.

FSMB Advocacy Network


Working from offices in Texas and Washington, D.C., the FSMB provides
advocacy services ranging from monitoring of legislation to liaison with key
federal agencies. Contact us to learn more about our work on state and federal
legislative issues, administration initiatives and the legislative
process... lrobin@fsmb.org.
Forward email

This email was sent to robert.c.knittle@wv.gov by lrobin@fsmb.org |


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Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039

From:
Sent:
To:
Cc:
Subject:
Attachments:

Linda Becker <lbecker@fsmb.org>


Friday, February 20, 2015 3:30 PM
Thompson, Sheree J
Knittle, Robert C
UA instruction changes for review/approval
WV-M UA Instructions changes 2015.02.20.pdf; WV-M UA Instructions 2015.02.20.pdf;
WV-M UA Addenda 2014.08.01.pdf

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

State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Telephone (304) 558-2921
Fax (304) 558-2084
Dear Applicant:
We thank you for your interest in obtaining a medical license in the State of West Virginia. It is our goal
to see that you receive your license in the shortest time possible with as little inconvenience as
possible. If you follow the steps outlined below, you will assist in expediting the processing of your
application:
1. Complete the application as soon as possible. The application process will not begin until
the Board receives the portion of the application that is to be completed by you, which must be
accompanied by the correct fee. Be aware that completion of the licensure process generally
occurs within three to six months from the date your application is received in this office.
2. Be complete. We receive information from more than one source. As a result, it is crucial for
you to provide complete information. Omissions or discrepancies will delay the process. Send
all information and documentation requested. Initial and date each correction you make.
Information received in this office from third parties or from your answers to the questions may
require clarification or submission of additional materials.
3. Follow the directions. Do not substitute a different document for the one requested by the
Board. Read the application in its entirety before you begin completing it.
4. Request verifications from third parties immediately upon receipt of the application. You
should contact those agencies directly to inquire as to the procedure and fee for requesting the
information needed by the Board. Send a cover letter with the request form asking the party who
will complete the form to assure that all questions are answered and appropriate signatures and
seals are affixed. We suggest you follow your written requests within two weeks with a phone
call to the third party to ensure forms were sent to this office. We accept Physician Information
Profiles from the Federation Credentials Verification Service (FCVS).
5. Fees. The permanent license fee is $400, payable to the West Virginia Board of Medicine by
cashiers check, money order, personal check, or credit card (via phone call only). If the fee is
not submitted in the correct form, your application will not be processed and will be returned to
you in its entirety. Fees are not refundable under any circumstance.
6. Telephone queries about status of applications. Unnecessary calls to our office will delay
processing time as this takes time away from processing applications. We are required to
restrict our response about the status of an application to the applicant or the applicant's
attorney, unless you have completed and signed the Authorization for Release of Application
Status within the application. Within thirty days of receipt of your application in this office, you
should receive a letter notifying you of the status of your application. If you are concerned about
your application being received in this office, please mail it Certified Return Receipt or use
overnight mail.
West Virginia Board of Medicine
Revised February 2015

Uniform Application Instructions


Page 1 of 11

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.

Continuing Medical Education Requirements


The West Virginia Board of Medicine requires as a condition of re-licensure (renewal) that licensees be
able to document fifty (50) hours of continuing education satisfactory to the West Virginia Board of
Medicine during the preceding two-year period of which at least thirty (30) hours must be related to the
physicians area or areas of specialty.
The Legislative Rule explaining what type of continuing education is considered satisfactory to the West
Virginia Board of Medicine is available on our website at https://wvbom.wv.gov/Rules.asp. Read Series
1A Licensing and Disciplinary very carefully as the provisions are very important for licensees who
hold both active and inactive licenses.
Proof of your continuing medical education is to be available to be sent to the Board at the time of
licensure renewal. For those whose last names begin with A through L, the two-year period during which
continuing education must be obtained began July 1, 2014, and ends June 30, 2016. For those whose
last names begin with M through Z, the two-year period during which continuing education must be
obtained began July 1, 2013, and ends June 30, 2015. No matter when your initial license is issued, your
license will expire and must be renewed based on the schedule listed for the first letter of your last name.

Medical Licensure Requirements


All applicants for medical licensure in the State of West Virginia shall provide evidence of the following:
1. Graduation and receipt of the degree of doctor of medicine or its equivalent from a school of
medicine, which is approved by the Liaison Committee on Medical Education (LCME) or by the
Board; and
2. If an American, Canadian, or Puerto Rican graduate, successful completion of at least one
(1) year of postgraduate clinical training (internship or residency) in the United States or

West Virginia Board of Medicine


Revised February 2015

Uniform Application Instructions


Page 2 of 11

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:

West Virginia Board of Medicine


Revised February 2015

Uniform Application Instructions


Page 3 of 11

a) NBME Part I or USMLE Step 1 plus


NBME Part II or USMLE Step 2 plus
NBME Part III or USMLE Step 3; or
b) FLEX Component 1 plus USMLE Step 3; or
c) NBME Part I or USMLE Step 1 plus
NBME Part II or USMLE Step 2 plus
FLEX Component 2
In order to meet the examination requirement of this subsection for licensure, the examination
combinations set forth in subdivisions a., b., and c., of this subsection, must be successfully
completed within a period of ten (10) consecutive years.

The Federation Credentials Verification Service (FCVS)


The Federation of State Medical Boards (FSMB) is a national non-profit organization representing the
70 medical and osteopathic boards of the United States and its territories. Two of the services provided
by the FSMB are the Federation Credentials Verification Service (FCVS) and the Uniform Application
for Physician State Licensure (UA).
FCVS verifies primary source documents related to your identity, education, training, and more, and
creates an individualized profile that can be sent to any organization accepting FCVS. By eliminating
the re-verification of items that never change, physicians benefit from a shortened credentialing process
when applying to more than one state board.
We highly recommend using FCVS for credentials verification but it is not required. If you do not use
FCVS, you will need to provide your credentials directly to the Board for verification.
If you would like to use FCVS and havent used it before, you will need to complete an Initial FCVS
Application. If your credentials are already on file with FCVS, you will need to complete a Subsequent
Request to update your FCVS profile. All applicants must designate the board to receive the FCVS
profile as part of the FCVS application process. Information about FCVS fees can be found at
http://www.fsmb.org/licensure/fcvs/. These fees are separate from the Boards licensing fee and the UA
one-time service fee of $50.00.
To work on your FCVS application, visit http://www.fsmb.org/ and select FCVS in the Sign In menu,
then sign in as directed. For assistance with FCVS, use the messaging tool within FCVS or call 888275-3287 with your FCVS ID number between 8am and 5pm CT Monday through Friday.

The Uniform Application for Physician State Licensure (UA)


The Uniform Application is the boards licensure application and must be completed whether or
not you use FCVS for credentials verification. Similar to FCVS, the UA eliminates redundancy when
applying to multiple states accepting or requiring the UA. After completing the UA for the first time, your
application is securely stored and can be resubmitted to another participating state without reentering
the same information. You would only make updates as needed and ensure that you comply with statespecific instructions and requirements.
Should you be in the UA and decide to switch to FCVS before completing your UA, you will not
automatically be redirected to the UA after completing the FCVS application. When you have finished
the FCVS application for credentials verification, you must log back in to the UA to complete your
licensure application.
Please read the following information carefully before completing and submitting your UA. You will be
asked to provide your licensure and employment history, account for all time since medical school
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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.

Education & Certification Pages


Medical School, Fifth Pathway, Postgraduate Training

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

USMLE/FLEX/SPEX: If applying for licensure on the basis of USMLE, FLEX, SPEX, or a


combination of FLEX and USMLE, request your transcript at http://www.fsmb.org/ by
selecting USMLE Transcripts in the Sign In menu, then signing in as directed. The scores
must come directly to this office from the Federation. For assistance, email usmle@fsmb.org
or call 817.868.4041 between 8am and 5pm Central time Monday through Friday.

NBME: Request your scores at https://apps.nbme.org/ciw2/prod/jsp/login.jsp if applying for


licensure on the basis of the National Boards or a combination of National Boards and
USMLE. We will not accept any scores except those coming directly to this office from the
National Boards. For assistance, email scores@nbme.org or call 215.590.9700.

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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.

Educational Commission for Foreign Medical Graduates (ECFMG)

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.

Licensure & Employment History Pages


State or Professional Licensure

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.

Malpractice Liability Claims Information

List the name and the address of the insurance company in the Insurance carrier at time field.

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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.

Forms & Affidavit Section


Print and follow the instructions on each of these forms. Each completed form must be sent to the West
Virginia Board of Medicine, whether by you or by a third party.

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

An official English translation is one which is done by:


a government official in the U.S.,
an official translation service in the U.S. and is qualified to translate,
a professor of a language department in a college or university located in the U.S., or
an Official of the American Embassy in a foreign country. (This document must be
translated by the American Embassy, not just certified as a true copy, and must have the
Embassy seal placed on it.)

The translator must:


Certify that the document is a true translation to the best of his/her knowledge, and that
he/she is fluent in the language.
Sign the translation; his/her signature must be certified by a Notary Public.
Print his/her name and title under the signature.
Translate on an official letterhead.

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

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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.

State Addenda: Complete each applicable addendum as instructed.


o

Addendum 1 Additional Physician Information form. Provide all information requested. If


you answer YES to any of the Professional Practice Questions, please give details including
name, address, and telephone number of significant parties on a separate sheet of paper.

Addendum 2 Good Moral Character Statement. This form is to be completed by another


medical doctor (not a D.O.) who is licensed in the United States. The Affiant must have
known you for a minimum of two (2) years and must not be related to you by blood or
marriage. The form must be notarized. This is not to be completed by you.

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.

Review & Submit


Please review all of your entries before submitting. We strongly advise that you print a copy for
your records. Any formatting errors will be listed in a red-outlined box with a link to the page that
needs to be corrected. You will need to make the corrections before submitting your UA.
To submit your UA, read and accept the Terms and Conditions, then click on Submit Application or
Continue at the bottom of the screen. If this is your first time using the UA, you will be taken to a
payment page for a one-time service fee of $50. This is a separate fee collected by FSMB, not by state
boards, and is separate from FCVS fees.
Uniform Application Tips
To make changes to an already submitted application, click on the Start New/Edit in the yellow box at
the top of the screen. If the box is not there, click on Work on My Application. Reselect the Board from
the map, make changes as needed, and resubmit your UA.
For a copy of the UA receipt, go to the Navigation Options drop down list in the upper right corner and
select Itemized Receipt.

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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.

Other Licensure Requirements


1. American Medical Association (AMA) Biographical Profile. Even if you are not a member of
the American Medical Association, you must request the AMA Physician Profile Data Report at
https://profiles.ama-assn.org/amaprofiles/. There is a fee for this for non-members. Call
customer service at 800-665-2882 for assistance.
2. The Data Bank (National Practitioner / Healthcare Integrity and Protection) Self Query.
Request the Practitioner Request for Information Disclosure (Self Query) from the The Data
Bank by visiting http://www.npdb.hrsa.gov/pract/selfQueryBasics.jsp and clicking on Start a
Self-Query for an Individual. Follow the instructions to receive a self-query report. The Data
Bank will provide you with a pdf version which may be forwarded to the Licensure Analyst
processing your application, or you may request a mailed copy so that The Data Bank will mail
the Self Query report directly to you. You must then mail (do not fax) all of the original report
(not photocopies) directly to this office. For assistance, email help@npdb.hrsa.gov or call 800767-6732.
You MUST also submit the following to the Board:
3. American, Canadian, or Puerto Rican medical school graduates: Copy of your certificate* of
completion of at least one (1) year ACGME approved postgraduate clinical training (internship or
residency), in the United States or Canada;
OR
Foreign medical school graduates: Copy of your certificate* of completion of at least three (3)
years of ACGME approved postgraduate clinical training (internship, residency or fellowship), in
the United States or Canada, OR of at least one year of ACGME approved postgraduate training
plus proof of current certification by a member Board of the American Board of Medical
Specialties.
*If you have not yet received your certificate, proof of completion can be in the form of an official
letter (indicating beginning and ending dates of training) from the program director, with the
School or Hospital Seal affixed. You need to keep the original letter to take with you on your
interview. Submit a copy of the letter with your application. This is in addition to the Postgraduate
Training Verification form.
4. If you are a foreign medical school graduate, a valid copy of your ECFMG certificate (or
evidence of receipt of a passing score on the examination); or a completed Addendum 3 attesting
to at least five (5) years of full-time practice within the state or jurisdiction where you are fully
licensed. To rely on this option, your application must show that you are 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, and that you are not
the subject of any pending disciplinary action by a medical licensing board and have not been the
subject of professional discipline by a medical licensing board in any jurisdiction.

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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.

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Uniform Application for Physician State Licensure Checklist


Please use the checklist that applies to you. If you are using FCVS for initial credentials verification, you will be
responsible for providing or requesting the information for each item not provided by FCVS. If you are applying for
license reactivation, you do not need to use FCVS or provide certain materials included in your initial application.
Not
Using
FCVS

Using FCVS
or License
Reactivation

Submitted the online Uniform Application.


Sent the UA Addendum 1 to the West Virginia Board of Medicine.
Have affiant complete and send the UA Addendum 2 to the West Virginia Board
of Medicine.
Sent the UA Addendum 3 to the West Virginia Board of Medicine, if applicable.
Keep a copy for your interview. This addendum is for foreign medical graduates
who do not have ECFMG certification.
Sent the Notarized Affidavit and Authorization for Release of Information form to
the West Virginia Board of Medicine.
Completed licensure verification with each state board with which you have ever
held any healthcare license. Each verifying board will send verification to the
West Virginia Board of Medicine.
Requested the Physician Profile Data Report to be sent from the American
Medical Association (AMA) to the West Virginia Board of Medicine.
Sent the original Self Query Report received from The Data Bank (National
Practitioner Data Bank and Healthcare Integrity and Protection Data Bank) to
the West Virginia Board of Medicine.
Sent application fee of $400.00 by cashier's check, money order, or personal
check made payable to the WEST VIRGINIA BOARD OF MEDICINE, or by credit
card via phone call, to the West Virginia Board of Medicine. This permanent
license fee is non-refundable.
Sent any other required documentation (details for Professional Practice
Questions, evidence of CME for license reactivation per renewal requirements
on page 2, etc.) to the West Virginia Board of Medicine.
Sent notarized copy of birth certificate or current, valid passport to the West
Virginia Board of Medicine.

Provided by FCVS
or initial application

Sent supporting documentation of any legal name change (marriage certificate,


divorce decree, or court document) to the West Virginia Board of Medicine.

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

Sent UA Postgraduate Training Verification form (Form #3) to all training


programs attended.

Provided by FCVS
or initial application

Sent a copy of your postgraduate training certificate(s) to the West Virginia


Board of Medicine.

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

Sent all examination transcripts to the West Virginia Board of Medicine.

Provided by FCVS
or initial application

Sent ECFMG certificate to the West Virginia Board of Medicine, if applicable.


This is for foreign medical graduates only.

Provided by FCVS
or initial application

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State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Telephone (304) 558-2921
Fax (304) 558-2084
Dear Applicant:
We thank you for your interest in obtaining a medical license in the State of West Virginia. It is our goal
to see that you receive your license in the shortest time possible with as little inconvenience as
possible. If you follow the steps outlined below, you will assist in expediting the processing of your
application:
1. Complete the application as soon as possible. The application process will not begin until
the Board receives the portion of the application that is to be completed by you, which must be
accompanied by the correct fee. Be aware that completion of the licensure process generally
occurs within three to six months from the date your application is received in this office.
2. Be complete. We receive information from more than one source. As a result, it is crucial for
you to provide complete information. Omissions or discrepancies will delay the process. Send
all information and documentation requested. Initial and date each correction you make.
Information received in this office from third parties or from your answers to the questions may
require clarification or submission of additional materials.
3. Follow the directions. Do not substitute a different document for the one requested by the
Board. Read the application in its entirety before you begin completing it.
4. Request verifications from third parties immediately upon receipt of the application. You
should contact those agencies directly to inquire as to the procedure and fee for requesting the
information needed by the Board. Send a cover letter with the request form asking the party who
will complete the form to assure that all questions are answered and appropriate signatures and
seals are affixed. We suggest you follow your written requests within two weeks with a phone
call to the third party to ensure forms were sent to this office. We accept Physician Information
Profiles from the Federation Credentials Verification Service (FCVS).
5. Fees. The permanent license fee is $400, payable to the West Virginia Board of Medicine by
cashiers check, money order, personal check, or credit card (via phone call only). If the fee is
not submitted in the correct form, your application will not be processed and will be returned to
you in its entirety. Fees are not refundable under any circumstance.
6. Telephone queries about status of applications. Unnecessary calls to our office will delay
processing time as this takes time away from processing applications. We are required to
restrict our response about the status of an application to the applicant or the applicant's
attorney, unless you have completed and signed the Authorization for Release of Application
Status within the application. Within thirty days of receipt of your application in this office, you
should receive a letter notifying you of the status of your application. If you are concerned about
your application being received in this office, please mail it Certified Return Receipt or use
overnight mail.
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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.

Continuing Medical Education Requirements


The West Virginia Board of Medicine requires as a condition of re-licensure (renewal) that licensees be
able to document fifty (50) hours of continuing education satisfactory to the West Virginia Board of
Medicine during the preceding two-year period of which at least thirty (30) hours must be related to the
physicians area or areas of specialty.
The Legislative Rule explaining what type of continuing education is considered satisfactory to the West
Virginia Board of Medicine is available on our website at https://wvbom.wv.gov/Rules.asp. Read Series
1A Licensing and Disciplinary very carefully as the provisions are very important for licensees who
hold both active and inactive licenses.
Proof of your continuing medical education is to be available to be sent to the Board at the time of
licensure renewal. For those whose last names begin with A through L, the two-year period during which
continuing education must be obtained began July 1, 2014, and ends June 30, 2016. For those whose
last names begin with M through Z, the two-year period during which continuing education must be
obtained began July 1, 2013, and ends June 30, 2015. No matter when your initial license is issued, your
license will expire and must be renewed based on the schedule listed for the first letter of your last name.

Medical Licensure Requirements


All applicants for medical licensure in the State of West Virginia shall provide evidence of the following:
1. Graduation and receipt of the degree of doctor of medicine or its equivalent from a school of
medicine, which is approved by the Liaison Committee on Medical Education (LCME) or by the
Board; and
2. If an American, Canadian, or Puerto Rican graduate, successful completion of at least one
(1) year of postgraduate clinical training (internship or residency) in the United States or

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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:

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a) NBME Part I or USMLE Step 1 plus


NBME Part II or USMLE Step 2 plus
NBME Part III or USMLE Step 3; or
b) FLEX Component 1 plus USMLE Step 3; or
c) NBME Part I or USMLE Step 1 plus
NBME Part II or USMLE Step 2 plus
FLEX Component 2
In order to meet the examination requirement of this subsection for licensure, the examination
combinations set forth in subdivisions a., b., and c., of this subsection, must be successfully
completed within a period of ten (10) consecutive years.

The Federation Credentials Verification Service (FCVS)


The Federation of State Medical Boards (FSMB) is a national non-profit organization representing the
70 medical and osteopathic boards of the United States and its territories. Two of the services provided
by the FSMB are the Federation Credentials Verification Service (FCVS) and the Uniform Application
for Physician State Licensure (UA).
FCVS verifies primary source documents related to your identity, education, training, and more, and
creates an individualized profile that can be sent to any organization accepting FCVS. By eliminating
the re-verification of items that never change, physicians benefit from a shortened credentialing process
when applying to more than one state board.
We highly recommend using FCVS for credentials verification but it is not required. If you do not use
FCVS, you will need to provide your credentials directly to the Board for verification.
If you would like to use FCVS and havent used it before, you will need to complete an Initial FCVS
Application. If your credentials are already on file with FCVS, you will need to complete a Subsequent
Request to update your FCVS profile. All applicants must designate the board to receive the FCVS
profile as part of the FCVS application process. Information about FCVS fees can be found at
http://www.fsmb.org/licensure/fcvs/. These fees are separate from the Boards licensing fee and the UA
one-time service fee of $50.00.
To work on your FCVS application, visit http://www.fsmb.org/ and select FCVS in the Sign In menu,
then sign in as directed. For assistance with FCVS, use the messaging tool within FCVS or call 888275-3287 with your FCVS ID number between 8am and 5pm CT Monday through Friday.

The Uniform Application for Physician State Licensure (UA)


The Uniform Application is the boards licensure application and must be completed whether or
not you use FCVS for credentials verification. Similar to FCVS, the UA eliminates redundancy when
applying to multiple states accepting or requiring the UA. After completing the UA for the first time, your
application is securely stored and can be resubmitted to another participating state without reentering
the same information. You would only make updates as needed and ensure that you comply with statespecific instructions and requirements.
Should you be in the UA and decide to switch to FCVS before completing your UA, you will not
automatically be redirected to the UA after completing the FCVS application. When you have finished
the FCVS application for credentials verification, you must log back in to the UA to complete your
licensure application.
Please read the following information carefully before completing and submitting your UA. You will be
asked to provide your licensure and employment history, account for all time since medical school
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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.

Education & Certification Pages


Medical School, Fifth Pathway, Postgraduate Training

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

USMLE/FLEX/SPEX: If applying for licensure on the basis of USMLE, FLEX, SPEX, or a


combination of FLEX and USMLE, request your transcript at http://www.fsmb.org/ by
selecting USMLE Transcripts in the Sign In menu, then signing in as directed. The scores
must come directly to this office from the Federation. For assistance, email usmle@fsmb.org
or call 817.868.4041 between 8am and 5pm Central time Monday through Friday.

NBME: Request your scores at https://apps.nbme.org/ciw2/prod/jsp/login.jsp if applying for


licensure on the basis of the National Boards or a combination of National Boards and
USMLE. We will not accept any scores except those coming directly to this office from the
National Boards. For assistance, email scores@nbme.org or call 215.590.9700.

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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.

Educational Commission for Foreign Medical Graduates (ECFMG)

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.

Licensure & Employment History Pages


State or Professional Licensure

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.

Malpractice Liability Claims Information

List the name and the address of the insurance company in the Insurance carrier at time field.

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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.

Forms & Affidavit Section


Print and follow the instructions on each of these forms. Each completed form must be sent to the West
Virginia Board of Medicine, whether by you or by a third party.

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

An official English translation is one which is done by:


a government official in the U.S.,
an official translation service in the U.S. and is qualified to translate,
a professor of a language department in a college or university located in the U.S., or
an Official of the American Embassy in a foreign country. (This document must be
translated by the American Embassy, not just certified as a true copy, and must have the
Embassy seal placed on it.)

The translator must:


Certify that the document is a true translation to the best of his/her knowledge, and that
he/she is fluent in the language.
Sign the translation; his/her signature must be certified by a Notary Public.
Print his/her name and title under the signature.
Translate on an official letterhead.

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

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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.

State Addenda: Complete each applicable addendum as instructed.


o

Addendum 1 Additional Physician Information form. Provide all information requested. If


you answer YES to any of the Professional Practice Questions, please give details including
name, address, and telephone number of significant parties on a separate sheet of paper.

Addendum 2 Good Moral Character Statement. This form is to be completed by another


medical doctor (not a D.O.) who is licensed in the United States. The Affiant must have
known you for a minimum of two (2) years and must not be related to you by blood or
marriage. The form must be notarized. This is not to be completed by you.

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.

Review & Submit


Please review all of your entries before submitting. We strongly advise that you print a copy for
your records. Any formatting errors will be listed in a red-outlined box with a link to the page that
needs to be corrected. You will need to make the corrections before submitting your UA.
To submit your UA, read and accept the Terms and Conditions, then click on Submit Application or
Continue at the bottom of the screen. If this is your first time using the UA, you will be taken to a
payment page for a one-time service fee of $50. This is a separate fee collected by FSMB, not by state
boards, and is separate from FCVS fees.
Uniform Application Tips
To make changes to an already submitted application, click on the Start New/Edit in the yellow box at
the top of the screen. If the box is not there, click on Work on My Application. Reselect the Board from
the map, make changes as needed, and resubmit your UA.
For a copy of the UA receipt, go to the Navigation Options drop down list in the upper right corner and
select Itemized Receipt.

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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.

Other Licensure Requirements


1. American Medical Association (AMA) Biographical Profile. Even if you are not a member of
the American Medical Association, you must request the AMA Physician Profile Data Report at
https://profiles.ama-assn.org/amaprofiles/. There is a fee for this for non-members. Call
customer service at 800-665-2882 for assistance.
2. The Data Bank (National Practitioner / Healthcare Integrity and Protection) Self Query.
Request the Practitioner Request for Information Disclosure (Self Query) from the The Data
Bank by visiting http://www.npdb.hrsa.gov/pract/selfQueryBasics.jsp and clicking on Start a
Self-Query for an Individual. Follow the instructions to receive a self-query report. The Data
Bank will provide you with a pdf version which may be forwarded to the Licensure Analyst
processing your application, or you may request a mailed copy so that The Data Bank will mail
the Self Query report directly to you. You must then mail (do not fax) all of the original report
(not photocopies) directly to this office. For assistance, email help@npdb.hrsa.gov or call 800767-6732.
You MUST also submit the following to the Board:
3. American, Canadian, or Puerto Rican medical school graduates: Copy of your certificate* of
completion of at least one (1) year ACGME approved postgraduate clinical training (internship or
residency), in the United States or Canada;
OR
Foreign medical school graduates: Copy of your certificate* of completion of at least three (3)
years of ACGME approved postgraduate clinical training (internship, residency or fellowship), in
the United States or Canada, OR of at least one year of ACGME approved postgraduate training
plus proof of current certification by a member Board of the American Board of Medical
Specialties.
*If you have not yet received your certificate, proof of completion can be in the form of an official
letter (indicating beginning and ending dates of training) from the program director, with the
School or Hospital Seal affixed. You need to keep the original letter to take with you on your
interview. Submit a copy of the letter with your application. This is in addition to the Postgraduate
Training Verification form.
4. If you are a foreign medical school graduate, a valid copy of your ECFMG certificate (or
evidence of receipt of a passing score on the examination); or a completed Addendum 3 attesting
to at least five (5) years of full-time practice within the state or jurisdiction where you are fully
licensed. To rely on this option, your application must show that you are 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, and that you are not
the subject of any pending disciplinary action by a medical licensing board and have not been the
subject of professional discipline by a medical licensing board in any jurisdiction.

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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.

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Uniform Application for Physician State Licensure Checklist


Please use the checklist that applies to you. If you are using FCVS for initial credentials verification, you will be
responsible for providing or requesting the information for each item not provided by FCVS. If you are applying for
license reactivation, you do not need to use FCVS or provide certain materials included in your initial application.
Not
Using
FCVS

Using FCVS
or License
Reactivation

Submitted the online Uniform Application.


Sent the UA Addendum 1 to the West Virginia Board of Medicine.
Have affiant complete and send the UA Addendum 2 to the West Virginia Board
of Medicine.
Sent the UA Addendum 3 to the West Virginia Board of Medicine, if applicable.
Keep a copy for your interview. This addendum is for foreign medical graduates
who do not have ECFMG certification.
Sent the Notarized Affidavit and Authorization for Release of Information form to
the West Virginia Board of Medicine.
Completed licensure verification with each state board with which you have ever
held any healthcare license. Each verifying board will send verification to the
West Virginia Board of Medicine.
Requested the Physician Profile Data Report to be sent from the American
Medical Association (AMA) to the West Virginia Board of Medicine.
Sent the original Self Query Report received from The Data Bank (National
Practitioner Data Bank and Healthcare Integrity and Protection Data Bank) to
the West Virginia Board of Medicine.
Sent application fee of $400.00 by cashier's check, money order, or personal
check made payable to the WEST VIRGINIA BOARD OF MEDICINE, or by credit
card via phone call, to the West Virginia Board of Medicine. This permanent
license fee is non-refundable.
Sent any other required documentation (details for Professional Practice
Questions, evidence of CME for license reactivation per renewal requirements
on page 2, etc.) to the West Virginia Board of Medicine.
Sent notarized copy of birth certificate or current, valid passport to the West
Virginia Board of Medicine.

Provided by FCVS
or initial application

Sent supporting documentation of any legal name change (marriage certificate,


divorce decree, or court document) to the West Virginia Board of Medicine.

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

Sent UA Postgraduate Training Verification form (Form #3) to all training


programs attended.

Provided by FCVS
or initial application

Sent a copy of your postgraduate training certificate(s) to the West Virginia


Board of Medicine.

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

Sent all examination transcripts to the West Virginia Board of Medicine.

Provided by FCVS
or initial application

Sent ECFMG certificate to the West Virginia Board of Medicine, if applicable.


This is for foreign medical graduates only.

Provided by FCVS
or initial application

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State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Telephone (304) 558-2921
Fax (304) 558-2084

Addendum 1 Additional Physician Information


Affidavit and Practice Information
I certify that I am of good moral character and that I have not engaged in any of the acts prohibited by the
statutes of the State of West Virginia. I am applying for licensure by endorsement of examination of (check
only one):
NBME

USMLE

FLEX

LMCC

USMLE/FLEX

NBME/USMLE

State Board Exam (State of ___________________)

Practice specialty: ________________________

Proposed WV practice location: ________________

Board Certified in: ________________________

Date Board Certified: _______ /_______ /_________


mm

dd

yyyy

If not currently working as a medical doctor, check here.

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

Hair color: ____________

Height: ____ ft ____ in

Weight: ______ lbs

Eye color: ____________

Identifying marks: ________________

________________________________________________________________________________

Authorization for Release of Application Status


The person(s) listed below have my permission to check on the status of my application for a West
Virginia medical license. I understand that I may revoke this authorization, in writing, at any time during
the application process.
________________________________________

________________________________________

Type or print name clearly

Type or print name clearly

Physicians Signature: _______________________________________ Date: __________________


Physicians Printed Name: ___________________________________________________________
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Uniform Application Addendum1


Page 1 of 4

Professional Practice Questions


Please answer each of the following questions by marking the appropriate box. Some yes answers will
require you to provide additional information on a separate sheet of paper. False or fraudulent answers to
the following questions may result in licensure denial or revocation.
Have you ever, in any jurisdiction, for any reason:
1.

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.

been charged with or convicted of or pled nolo contendere to any felony or


misdemeanor?

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.

voluntarily surrendered or limited your license to practice medicine?

6.

had any hospital privileges, and/or postgraduate training, limited, restricted,


suspended, revoked, or subjected to any kind of disciplinary action, including censure,
reprimand or probation?

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.

been denied a license to practice medicine?

10.

had your DEA registration restricted or removed?

11.

been convicted of Medicare or Medicaid fraud, and or received any sanctions,


including restriction, suspension or removal from practice imposed by an agency of the
federal or state government?

12.

* had any judgments or settlements arising from medical professional liability rendered
or made against you, and if so, how many?

Have you in the last five (5) years, in any jurisdiction:


13.

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?

Physicians Signature: _______________________________________ Date: __________________


Physicians Printed Name: ___________________________________________________________
West Virginia Board of Medicine
Revised August 2014

Uniform Application Addendum1


Page 2 of 4

Have you in the last five (5) years, in any jurisdiction:

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.

had anything occur 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 the standards of conduct for the medical
profession?

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.

Child Support Declaration


Answers to the following questions now are required under the provisions of West Virginia Code 48-15303. Also, West Virginia Code 48-15-303 requires this application to state that making a false statement
may subject the license holder to disciplinary action including, but not limited to, immediate revocation or
suspension of the license.
I certify, under penalty of false swearing, that:
1.

I have a court ordered child support obligation.

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.

I am the subject of a child support related subpoena or warrant.

YES

NO

Physicians Signature: _______________________________________ Date: __________________


Physicians Printed Name: ___________________________________________________________
West Virginia Board of Medicine
Revised August 2014

Uniform Application Addendum1


Page 3 of 4

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.

Physicians Signature: _______________________________________ Date: __________________


Physicians Printed Name: ___________________________________________________________

Please return this form to the West Virginia Board of Medicine at the mailing address on page 1.

West Virginia Board of Medicine


Revised August 2014

Uniform Application Addendum1


Page 4 of 4

State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Telephone (304) 558-2921
Fax (304) 558-2084

Addendum 2 Good Moral Character Statement

I, ________________________________________, M.D., am currently licensed in the State of __________ and


Name of Affiant

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

Printed Name of Affiant

___________________________________________

_____________________________________________

Street Address of Affiant

City, State, Zip Code

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____.

Notary Public Signature: _________________________________________________


(NOTARY PUBLIC SEAL)

My Notary Commission Expires: ___________________________________________

Please return this form to the West Virginia Board of Medicine at the mailing address above.
West Virginia Board of Medicine
Revised August 2014

Uniform Application Addendum 2


Page 1 of 1

State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311

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

Printed Name of Affiant

___________________________________________

_____________________________________________

Street Address of Affiant

City, State, Zip Code

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

Uniform Application Addendum 3


Page 1 of 1

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

Delivery has failed to these recipients or distribution lists:


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An error occurred while trying to deliver this message to the recipient's e-mail address. Microsoft Exchange will not try to
redeliver this message for you. Please try resending this message, or provide the following diagnostic text to your system
administrator.

Diagnostic information for administrators:


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From: Ruth Vinciguerra <RVinciguerra@fsmb.org>
To: Ruth Vinciguerra <RVinciguerra@fsmb.org>
Date: Wed, 25 Feb 2015 16:09:39 -0600
Subject: Save the Date/FSMB Roundtable/March 5, 2015
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From:
Sent:
To:
Cc:
Subject:

Ingo Hagemann <ihagemann@fsmb.org>


Thursday, February 26, 2015 11:48 AM
'Derek Schaible'; Daniel Albertson
Brian Deaver; Doug Frazier; Knittle, Robert C
RE: UA Big Picture Software

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

The external ip of the website will be


The external ip of the private network will be
Im not 100% sure which ip their system will require. These ips will take effect on Monday 3/2.
From: Daniel Albertson
Sent: Thursday, February 26, 2015 10:26 AM
To: Derek Schaible
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

Good morning Dan,


The account is almost completely set up. We need your IP address and then we will send you the login information.
Sorry about the delay, we were all out of the office the beginning of the week due to an ice storm and are catching up
on deliverables.
Thank you,
Ingo

From: Daniel Albertson [mailto:dan@ebigpicture.com]


Sent: Wednesday, February 25, 2015 4:26 PM
To: Robert Knittle
Cc: Brian Deaver; Doug Frazier; Ingo Hagemann
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

Please send us credentials for the test Web Service API.

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

Yes, Troy. They check should be cut today.


Thank you,
Ingo
From: Troy Rauschenberger [mailto:troy@ebigpicture.com]
Sent: Thursday, December 04, 2014 10:45 AM
To: Ingo Hagemann
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

Please consider the environment before printing this e-mail.


This e-mail is intended for the named recipient only and may not be read, copied, discussed, o r distributed by anyone except
the named recipient or the agent or employee of the named recipient upon the named recipient's directions. The named
recipient is responsible for the confidentiality of the message. Please notify the sender should any part of the following
document(s) fail to transmit correctly. Please destroy incorrectly transmitted documents immediately

From:
Sent:
To:
Subject:

Patricia McCarty (FSMB) <pmccarty@fsmb.org>


Thursday, February 26, 2015 6:04 PM
Patricia McCarty (FSMB)
Resolutions

Dear Member Board Voting Delegates, Presidents/Chairs and Executive Leadership,


Attached for your review are the resolutions that will be presented to the 2015 House of Delegates for action.

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 <dhooper@fsmb.org>


Wednesday, December 10, 2014 3:05 PM
Thompson, Sheree J
Happy Holidays!

Forward this email

This email was sent to sheree.j.thompson@wv.gov by dhooper@fsmb.org |


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Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039

From:
Sent:
To:
Subject:

Federation of State Medical Boards <dcarlson@fsmb.org>


Friday, December 19, 2014 3:27 PM
Thompson, Sheree J
2015 FSMB Annual Meeting: Save the Date

Mark your calendar for the


2015 FSMB Annual Meeting!
The Federation of State Medical Boards invites you to the 2015 Annual Meeting, to be held April
23-25 at the Omni Fort Worth Hotel in Fort Worth, Texas.
Our theme this year is Collaborating and Communicating: Tools for success in today's complex
regulatory environment. Join us for the most comprehensive medical regulatory meeting available
anywhere!
TO REGISTER, VISIT OUR ONLINE REGISTRATION PAGE.
Kelly Alfred | (817) 868-5000 | email: KAlfred@fsmb.org

The Federation of State Medical Boards is committed to protecting the public with high standards
for medical licensure and practice

STAY CONNECTED

Forward this email

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Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039

From:
Sent:
To:
Subject:

Federation of State Medical Boards <dhooper@fsmb.org>


Wednesday, January 21, 2015 4:03 PM
Thompson, Sheree J
ABMS Data Now Available!

Now Offering ABMS Verification!


In response to requests from a number of our member boards, the Federation of State Medical
Boards is pleased to announce we will begin distributing American Board of Medical
Specialties (ABMS) certification data and National Provider Identification (NPI) numbers on all
queries provided by the Physician Data Center (PDC).
Beginning January 22, 2015, the ABMS certification data will be included on all PDC profiles as
a result of a recent data sharing agreement with ABMS. Member boards will not be required to
take any action to begin taking advantage of these report enhancements.
We hope the addition of these data elements will prove to be a valuable resource in your
regulatory operations. As always, these services are provided to our member boards at no cost.
For questions or feedback, please contact the Physician Data Center at (817) 868-4010 or via
email at pdccustomercare@fsmb.org.
Sincerely,
David Hooper
Senior Director of Marketing
For more information, contact:
Pnysician Data Center
(817) 868-4010

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

Forward this email

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Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039

From:
Sent:
To:
Subject:

The Federation of State Medical Boards <dhooper@fsmb.org>


Thursday, January 22, 2015 2:03 PM
Thompson, Sheree J
Save the Date: FSMB Webinar, Feb. 12

SAVE THE DATE


FSMB WEBINAR: FCVS, UA and PDC Updates
Dear Sheree,

WEBINAR DETAILS
February 12, 2015
2:00 - 3:00 CST

An agenda and login access


for the webinar will be
sent on February 5, 2015.
Please direct questions
to: Kevin Caldwell
State Board Liaison
at kcaldwell@fsmb.org.

The FSMB webinar will provide participants with up-to-date


information on the Federation Credentials Verification
Service (FCVS), FCVS 2020, enhancements to the Physician
Data Center (PDC), and FSMB's upcoming 2015 Annual
Meeting, among other topics.
The webinar will be led by Michael Dugan, MBA, Chief
Information Officer of the Federation of State Medical Boards.
If you have specific areas of interest or questions you would
like to see addressed in the webinar, we encourage you to
submit those to us by Friday, January 30, 2015 and we will
make every effort to incorporate those into our presentation.
Please submit questions to Kevin Caldwell, State Board
Liaison, at kcaldwell@fsmb.org.
Webinar access information will be provided prior to the
conference.
Sincerely,
David R. Hooper

Federation of State Medical Boards


400 Fuller Wiser Road, Suite 300| Euless, Texas 76039
1

(817) 868-4000 | www.fsmb.org

Copyright 2015. All Rights Reserved.

Forward this email

This email was sent to sheree.j.thompson@wv.gov by dhooper@fsmb.org |


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| 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039

From:
Sent:
To:
Subject:

Laura Smallman <LSmallman@fsmb.org>


Tuesday, January 27, 2015 12:10 PM
Thompson, Sheree J
Out of Office: PDC access

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:

Yellow copied, Red Category

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

Thank you, Paula.


Sheree
From: Paula Yingst [mailto:pyingst@fsmb.org]
Sent: Wednesday, January 28, 2015 9:08 AM
To: Thompson, Sheree J
Subject: Your FSMB PDC login instructions
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

and your password. Password had to be

at least seven characters including one special character.


a. If the password does not work, request a temporary one by clicking on Forgot
Password located on the left of the red Sign In box.
i. Once you receive the temporary password go back to the PDC login page,
enter in your username and copy and paste in the temporary password. Once
you are in your PDC account you can go to your account settings and change
your password. It will ask for your current password and again you will copy
and paste in the temporary one.
3. If you experience any issues please email pdccustomercare@fsmb.org or call 817-868-4010.
Paula Yingst
Coordinator, Customer Relations
Physician Data Center
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-5165 direct | 817-868-4099 fax
1

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:

Paula Yingst <pyingst@fsmb.org>


Wednesday, January 28, 2015 9:08 AM
Thompson, Sheree J
Your FSMB PDC login instructions

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

and your password. Password had to be

at least seven characters including one special character.


a. If the password does not work, request a temporary one by clicking on Forgot
Password located on the left of the red Sign In box.
i. Once you receive the temporary password go back to the PDC login page,
enter in your username and copy and paste in the temporary password. Once
you are in your PDC account you can go to your account settings and change
your password. It will ask for your current password and again you will copy
and paste in the temporary one.
3. If you experience any issues please email pdccustomercare@fsmb.org or call 817-868-4010.
Paula Yingst
Coordinator, Customer Relations
Physician Data Center
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-5165 direct | 817-868-4099 fax
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.
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 sign in again using this link:


Your new, temporary password is:

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:

The Federation of State Medical Boards <dhooper@fsmb.org>


Thursday, February 05, 2015 1:03 AM
Thompson, Sheree J
FSMB Webinar, Feb. 12 - Log In Information

FSMB WEBINAR: FCVS, UA and PDC Updates


February 12, 2015 | 2:00 - 3:00 PM CST
WEBINAR DETAILS
February 12, 2015
2:00 - 3:00 PM CST

ACCESS INFORMATION

To access the Web


presentation, please
click here, select
"
and then enter your name.
For the audio portion of
the event, please call toll
free
1-866-802and enter the following
passcode:
Please direct questions
to: Kevin Caldwell
State Board Liaison

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 #
.

and reference the conference

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 Road, Suite 300| Euless, Texas 76039
(817) 868-4000 | www.fsmb.org

Copyright 2015. All Rights Reserved.

Forward this email

This email was sent to sheree.j.thompson@wv.gov by dhooper@fsmb.org |


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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

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:

Kevin Caldwell (FSMB) <KCaldwell@fsmb.org>


Thursday, February 12, 2015 4:02 PM
Thompson, Sheree J
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
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

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

From:
Sent:
To:
Cc:
Subject:

Kevin Caldwell (FSMB) <KCaldwell@fsmb.org>


Thursday, February 12, 2015 3:56 PM
Thompson, Sheree J
Knittle, Robert C; Alley, Jamie S
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,
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:

Federation of State Medical Boards <dcarlson@fsmb.org>


Thursday, February 19, 2015 9:42 AM
Thompson, Sheree J
2015 FSMB Annual Meeting: Join Us!

Will we see you in Fort Worth?


Plans are underway for the 2015 Annual Meeting of the Federation of State Medical Boards in
Fort Worth, Texas. Have you registered yet?
By registering before March 16 you will receive a substantial discount! You can register easily
online by visiting our Online Registration page.
This year's meeting, to be held April 23-25, is themed: "Collaborating and Communicating: Tools
for success in today's complex regulatory environment." We'll be offering many new sessions
intended to help regulators forge partnerships and work collaboratively with stakeholders and
peer organizations for more effectiveness.
Our meeting site will be the Omni Fort Worth Hotel -- it's an excellent hotel, centrally located and
near lots of dining and entertainment venues.
Join us again this year for the most comprehensive medical regulatory meeting available
anywhere!
You can learn more about the meeting by visiting our Annual Meeting website.

Opening session to examine shifts in the


1

medical regulatory environment


The opening session of the 2015 Annual Meeting, titled "We're in This Together: Navigating the
Changing Shape and Boundaries of Medical Regulation," will feature a panel discussion aimed at
a examining today's rapidly changing landscape for medical regulation.
Leading experts will discuss examples of significant new developments, including the newly
proposed Interstate Medical Licensure Compact, the recent FTC v. North Carolina Dental
Examiners case and the rise of education and CME co-sponsorship as core components of
medical regulation.
In these cases and others, factors are emerging that portend long-range changes in the way
medical regulation is approached -- including the way regulators work with other stakeholders.
New coalitions and alliances are forming...new ways of doing business together...What does it all
mean for our future?
Visit our Annual Meeting website today to learn more about this year's annual meeting!
CONTACT | (817) 868-4000 | email: KAlfred@fsmb.org
The FSMB and state medical boards are working together to protect the public through the
highest standards of licensure and regulation.

STAY CONNECTED

Forward this email

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Federation of State Medical Boards | 400 Fuller Wiser Rd, Suite 300 | Euless | TX | 76039

From:
Sent:
To:
Cc:
Subject:
Attachments:

Linda Becker <lbecker@fsmb.org>


Friday, February 20, 2015 3:30 PM
Thompson, Sheree J
Knittle, Robert C
UA instruction changes for review/approval
WV-M UA Instructions changes 2015.02.20.pdf; WV-M UA Instructions 2015.02.20.pdf;
WV-M UA Addenda 2014.08.01.pdf

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

State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Telephone (304) 558-2921
Fax (304) 558-2084
Dear Applicant:
We thank you for your interest in obtaining a medical license in the State of West Virginia. It is our goal
to see that you receive your license in the shortest time possible with as little inconvenience as
possible. If you follow the steps outlined below, you will assist in expediting the processing of your
application:
1. Complete the application as soon as possible. The application process will not begin until
the Board receives the portion of the application that is to be completed by you, which must be
accompanied by the correct fee. Be aware that completion of the licensure process generally
occurs within three to six months from the date your application is received in this office.
2. Be complete. We receive information from more than one source. As a result, it is crucial for
you to provide complete information. Omissions or discrepancies will delay the process. Send
all information and documentation requested. Initial and date each correction you make.
Information received in this office from third parties or from your answers to the questions may
require clarification or submission of additional materials.
3. Follow the directions. Do not substitute a different document for the one requested by the
Board. Read the application in its entirety before you begin completing it.
4. Request verifications from third parties immediately upon receipt of the application. You
should contact those agencies directly to inquire as to the procedure and fee for requesting the
information needed by the Board. Send a cover letter with the request form asking the party who
will complete the form to assure that all questions are answered and appropriate signatures and
seals are affixed. We suggest you follow your written requests within two weeks with a phone
call to the third party to ensure forms were sent to this office. We accept Physician Information
Profiles from the Federation Credentials Verification Service (FCVS).
5. Fees. The permanent license fee is $400, payable to the West Virginia Board of Medicine by
cashiers check, money order, personal check, or credit card (via phone call only). If the fee is
not submitted in the correct form, your application will not be processed and will be returned to
you in its entirety. Fees are not refundable under any circumstance.
6. Telephone queries about status of applications. Unnecessary calls to our office will delay
processing time as this takes time away from processing applications. We are required to
restrict our response about the status of an application to the applicant or the applicant's
attorney, unless you have completed and signed the Authorization for Release of Application
Status within the application. Within thirty days of receipt of your application in this office, you
should receive a letter notifying you of the status of your application. If you are concerned about
your application being received in this office, please mail it Certified Return Receipt or use
overnight mail.
West Virginia Board of Medicine
Revised February 2015

Uniform Application Instructions


Page 1 of 11

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.

Continuing Medical Education Requirements


The West Virginia Board of Medicine requires as a condition of re-licensure (renewal) that licensees be
able to document fifty (50) hours of continuing education satisfactory to the West Virginia Board of
Medicine during the preceding two-year period of which at least thirty (30) hours must be related to the
physicians area or areas of specialty.
The Legislative Rule explaining what type of continuing education is considered satisfactory to the West
Virginia Board of Medicine is available on our website at https://wvbom.wv.gov/Rules.asp. Read Series
1A Licensing and Disciplinary very carefully as the provisions are very important for licensees who
hold both active and inactive licenses.
Proof of your continuing medical education is to be available to be sent to the Board at the time of
licensure renewal. For those whose last names begin with A through L, the two-year period during which
continuing education must be obtained began July 1, 2014, and ends June 30, 2016. For those whose
last names begin with M through Z, the two-year period during which continuing education must be
obtained began July 1, 2013, and ends June 30, 2015. No matter when your initial license is issued, your
license will expire and must be renewed based on the schedule listed for the first letter of your last name.

Medical Licensure Requirements


All applicants for medical licensure in the State of West Virginia shall provide evidence of the following:
1. Graduation and receipt of the degree of doctor of medicine or its equivalent from a school of
medicine, which is approved by the Liaison Committee on Medical Education (LCME) or by the
Board; and
2. If an American, Canadian, or Puerto Rican graduate, successful completion of at least one
(1) year of postgraduate clinical training (internship or residency) in the United States or

West Virginia Board of Medicine


Revised February 2015

Uniform Application Instructions


Page 2 of 11

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:

West Virginia Board of Medicine


Revised February 2015

Uniform Application Instructions


Page 3 of 11

a) NBME Part I or USMLE Step 1 plus


NBME Part II or USMLE Step 2 plus
NBME Part III or USMLE Step 3; or
b) FLEX Component 1 plus USMLE Step 3; or
c) NBME Part I or USMLE Step 1 plus
NBME Part II or USMLE Step 2 plus
FLEX Component 2
In order to meet the examination requirement of this subsection for licensure, the examination
combinations set forth in subdivisions a., b., and c., of this subsection, must be successfully
completed within a period of ten (10) consecutive years.

The Federation Credentials Verification Service (FCVS)


The Federation of State Medical Boards (FSMB) is a national non-profit organization representing the
70 medical and osteopathic boards of the United States and its territories. Two of the services provided
by the FSMB are the Federation Credentials Verification Service (FCVS) and the Uniform Application
for Physician State Licensure (UA).
FCVS verifies primary source documents related to your identity, education, training, and more, and
creates an individualized profile that can be sent to any organization accepting FCVS. By eliminating
the re-verification of items that never change, physicians benefit from a shortened credentialing process
when applying to more than one state board.
We highly recommend using FCVS for credentials verification but it is not required. If you do not use
FCVS, you will need to provide your credentials directly to the Board for verification.
If you would like to use FCVS and havent used it before, you will need to complete an Initial FCVS
Application. If your credentials are already on file with FCVS, you will need to complete a Subsequent
Request to update your FCVS profile. All applicants must designate the board to receive the FCVS
profile as part of the FCVS application process. Information about FCVS fees can be found at
http://www.fsmb.org/licensure/fcvs/. These fees are separate from the Boards licensing fee and the UA
one-time service fee of $50.00.
To work on your FCVS application, visit http://www.fsmb.org/ and select FCVS in the Sign In menu,
then sign in as directed. For assistance with FCVS, use the messaging tool within FCVS or call 888275-3287 with your FCVS ID number between 8am and 5pm CT Monday through Friday.

The Uniform Application for Physician State Licensure (UA)


The Uniform Application is the boards licensure application and must be completed whether or
not you use FCVS for credentials verification. Similar to FCVS, the UA eliminates redundancy when
applying to multiple states accepting or requiring the UA. After completing the UA for the first time, your
application is securely stored and can be resubmitted to another participating state without reentering
the same information. You would only make updates as needed and ensure that you comply with statespecific instructions and requirements.
Should you be in the UA and decide to switch to FCVS before completing your UA, you will not
automatically be redirected to the UA after completing the FCVS application. When you have finished
the FCVS application for credentials verification, you must log back in to the UA to complete your
licensure application.
Please read the following information carefully before completing and submitting your UA. You will be
asked to provide your licensure and employment history, account for all time since medical school
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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.

Education & Certification Pages


Medical School, Fifth Pathway, Postgraduate Training

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

USMLE/FLEX/SPEX: If applying for licensure on the basis of USMLE, FLEX, SPEX, or a


combination of FLEX and USMLE, request your transcript at http://www.fsmb.org/ by
selecting USMLE Transcripts in the Sign In menu, then signing in as directed. The scores
must come directly to this office from the Federation. For assistance, email usmle@fsmb.org
or call 817.868.4041 between 8am and 5pm Central time Monday through Friday.

NBME: Request your scores at https://apps.nbme.org/ciw2/prod/jsp/login.jsp if applying for


licensure on the basis of the National Boards or a combination of National Boards and
USMLE. We will not accept any scores except those coming directly to this office from the
National Boards. For assistance, email scores@nbme.org or call 215.590.9700.

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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.

Educational Commission for Foreign Medical Graduates (ECFMG)

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.

Licensure & Employment History Pages


State or Professional Licensure

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.

Malpractice Liability Claims Information

List the name and the address of the insurance company in the Insurance carrier at time field.

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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.

Forms & Affidavit Section


Print and follow the instructions on each of these forms. Each completed form must be sent to the West
Virginia Board of Medicine, whether by you or by a third party.

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

An official English translation is one which is done by:


a government official in the U.S.,
an official translation service in the U.S. and is qualified to translate,
a professor of a language department in a college or university located in the U.S., or
an Official of the American Embassy in a foreign country. (This document must be
translated by the American Embassy, not just certified as a true copy, and must have the
Embassy seal placed on it.)

The translator must:


Certify that the document is a true translation to the best of his/her knowledge, and that
he/she is fluent in the language.
Sign the translation; his/her signature must be certified by a Notary Public.
Print his/her name and title under the signature.
Translate on an official letterhead.

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

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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.

State Addenda: Complete each applicable addendum as instructed.


o

Addendum 1 Additional Physician Information form. Provide all information requested. If


you answer YES to any of the Professional Practice Questions, please give details including
name, address, and telephone number of significant parties on a separate sheet of paper.

Addendum 2 Good Moral Character Statement. This form is to be completed by another


medical doctor (not a D.O.) who is licensed in the United States. The Affiant must have
known you for a minimum of two (2) years and must not be related to you by blood or
marriage. The form must be notarized. This is not to be completed by you.

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.

Review & Submit


Please review all of your entries before submitting. We strongly advise that you print a copy for
your records. Any formatting errors will be listed in a red-outlined box with a link to the page that
needs to be corrected. You will need to make the corrections before submitting your UA.
To submit your UA, read and accept the Terms and Conditions, then click on Submit Application or
Continue at the bottom of the screen. If this is your first time using the UA, you will be taken to a
payment page for a one-time service fee of $50. This is a separate fee collected by FSMB, not by state
boards, and is separate from FCVS fees.
Uniform Application Tips
To make changes to an already submitted application, click on the Start New/Edit in the yellow box at
the top of the screen. If the box is not there, click on Work on My Application. Reselect the Board from
the map, make changes as needed, and resubmit your UA.
For a copy of the UA receipt, go to the Navigation Options drop down list in the upper right corner and
select Itemized Receipt.

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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.

Other Licensure Requirements


1. American Medical Association (AMA) Biographical Profile. Even if you are not a member of
the American Medical Association, you must request the AMA Physician Profile Data Report at
https://profiles.ama-assn.org/amaprofiles/. There is a fee for this for non-members. Call
customer service at 800-665-2882 for assistance.
2. The Data Bank (National Practitioner / Healthcare Integrity and Protection) Self Query.
Request the Practitioner Request for Information Disclosure (Self Query) from the The Data
Bank by visiting http://www.npdb.hrsa.gov/pract/selfQueryBasics.jsp and clicking on Start a
Self-Query for an Individual. Follow the instructions to receive a self-query report. The Data
Bank will provide you with a pdf version which may be forwarded to the Licensure Analyst
processing your application, or you may request a mailed copy so that The Data Bank will mail
the Self Query report directly to you. You must then mail (do not fax) all of the original report
(not photocopies) directly to this office. For assistance, email help@npdb.hrsa.gov or call 800767-6732.
You MUST also submit the following to the Board:
3. American, Canadian, or Puerto Rican medical school graduates: Copy of your certificate* of
completion of at least one (1) year ACGME approved postgraduate clinical training (internship or
residency), in the United States or Canada;
OR
Foreign medical school graduates: Copy of your certificate* of completion of at least three (3)
years of ACGME approved postgraduate clinical training (internship, residency or fellowship), in
the United States or Canada, OR of at least one year of ACGME approved postgraduate training
plus proof of current certification by a member Board of the American Board of Medical
Specialties.
*If you have not yet received your certificate, proof of completion can be in the form of an official
letter (indicating beginning and ending dates of training) from the program director, with the
School or Hospital Seal affixed. You need to keep the original letter to take with you on your
interview. Submit a copy of the letter with your application. This is in addition to the Postgraduate
Training Verification form.
4. If you are a foreign medical school graduate, a valid copy of your ECFMG certificate (or
evidence of receipt of a passing score on the examination); or a completed Addendum 3 attesting
to at least five (5) years of full-time practice within the state or jurisdiction where you are fully
licensed. To rely on this option, your application must show that you are 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, and that you are not
the subject of any pending disciplinary action by a medical licensing board and have not been the
subject of professional discipline by a medical licensing board in any jurisdiction.

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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.

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Uniform Application for Physician State Licensure Checklist


Please use the checklist that applies to you. If you are using FCVS for initial credentials verification, you will be
responsible for providing or requesting the information for each item not provided by FCVS. If you are applying for
license reactivation, you do not need to use FCVS or provide certain materials included in your initial application.
Not
Using
FCVS

Using FCVS
or License
Reactivation

Submitted the online Uniform Application.


Sent the UA Addendum 1 to the West Virginia Board of Medicine.
Have affiant complete and send the UA Addendum 2 to the West Virginia Board
of Medicine.
Sent the UA Addendum 3 to the West Virginia Board of Medicine, if applicable.
Keep a copy for your interview. This addendum is for foreign medical graduates
who do not have ECFMG certification.
Sent the Notarized Affidavit and Authorization for Release of Information form to
the West Virginia Board of Medicine.
Completed licensure verification with each state board with which you have ever
held any healthcare license. Each verifying board will send verification to the
West Virginia Board of Medicine.
Requested the Physician Profile Data Report to be sent from the American
Medical Association (AMA) to the West Virginia Board of Medicine.
Sent the original Self Query Report received from The Data Bank (National
Practitioner Data Bank and Healthcare Integrity and Protection Data Bank) to
the West Virginia Board of Medicine.
Sent application fee of $400.00 by cashier's check, money order, or personal
check made payable to the WEST VIRGINIA BOARD OF MEDICINE, or by credit
card via phone call, to the West Virginia Board of Medicine. This permanent
license fee is non-refundable.
Sent any other required documentation (details for Professional Practice
Questions, evidence of CME for license reactivation per renewal requirements
on page 2, etc.) to the West Virginia Board of Medicine.
Sent notarized copy of birth certificate or current, valid passport to the West
Virginia Board of Medicine.

Provided by FCVS
or initial application

Sent supporting documentation of any legal name change (marriage certificate,


divorce decree, or court document) to the West Virginia Board of Medicine.

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

Sent UA Postgraduate Training Verification form (Form #3) to all training


programs attended.

Provided by FCVS
or initial application

Sent a copy of your postgraduate training certificate(s) to the West Virginia


Board of Medicine.

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

Sent all examination transcripts to the West Virginia Board of Medicine.

Provided by FCVS
or initial application

Sent ECFMG certificate to the West Virginia Board of Medicine, if applicable.


This is for foreign medical graduates only.

Provided by FCVS
or initial application

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State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Telephone (304) 558-2921
Fax (304) 558-2084
Dear Applicant:
We thank you for your interest in obtaining a medical license in the State of West Virginia. It is our goal
to see that you receive your license in the shortest time possible with as little inconvenience as
possible. If you follow the steps outlined below, you will assist in expediting the processing of your
application:
1. Complete the application as soon as possible. The application process will not begin until
the Board receives the portion of the application that is to be completed by you, which must be
accompanied by the correct fee. Be aware that completion of the licensure process generally
occurs within three to six months from the date your application is received in this office.
2. Be complete. We receive information from more than one source. As a result, it is crucial for
you to provide complete information. Omissions or discrepancies will delay the process. Send
all information and documentation requested. Initial and date each correction you make.
Information received in this office from third parties or from your answers to the questions may
require clarification or submission of additional materials.
3. Follow the directions. Do not substitute a different document for the one requested by the
Board. Read the application in its entirety before you begin completing it.
4. Request verifications from third parties immediately upon receipt of the application. You
should contact those agencies directly to inquire as to the procedure and fee for requesting the
information needed by the Board. Send a cover letter with the request form asking the party who
will complete the form to assure that all questions are answered and appropriate signatures and
seals are affixed. We suggest you follow your written requests within two weeks with a phone
call to the third party to ensure forms were sent to this office. We accept Physician Information
Profiles from the Federation Credentials Verification Service (FCVS).
5. Fees. The permanent license fee is $400, payable to the West Virginia Board of Medicine by
cashiers check, money order, personal check, or credit card (via phone call only). If the fee is
not submitted in the correct form, your application will not be processed and will be returned to
you in its entirety. Fees are not refundable under any circumstance.
6. Telephone queries about status of applications. Unnecessary calls to our office will delay
processing time as this takes time away from processing applications. We are required to
restrict our response about the status of an application to the applicant or the applicant's
attorney, unless you have completed and signed the Authorization for Release of Application
Status within the application. Within thirty days of receipt of your application in this office, you
should receive a letter notifying you of the status of your application. If you are concerned about
your application being received in this office, please mail it Certified Return Receipt or use
overnight mail.
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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.

Continuing Medical Education Requirements


The West Virginia Board of Medicine requires as a condition of re-licensure (renewal) that licensees be
able to document fifty (50) hours of continuing education satisfactory to the West Virginia Board of
Medicine during the preceding two-year period of which at least thirty (30) hours must be related to the
physicians area or areas of specialty.
The Legislative Rule explaining what type of continuing education is considered satisfactory to the West
Virginia Board of Medicine is available on our website at https://wvbom.wv.gov/Rules.asp. Read Series
1A Licensing and Disciplinary very carefully as the provisions are very important for licensees who
hold both active and inactive licenses.
Proof of your continuing medical education is to be available to be sent to the Board at the time of
licensure renewal. For those whose last names begin with A through L, the two-year period during which
continuing education must be obtained began July 1, 2014, and ends June 30, 2016. For those whose
last names begin with M through Z, the two-year period during which continuing education must be
obtained began July 1, 2013, and ends June 30, 2015. No matter when your initial license is issued, your
license will expire and must be renewed based on the schedule listed for the first letter of your last name.

Medical Licensure Requirements


All applicants for medical licensure in the State of West Virginia shall provide evidence of the following:
1. Graduation and receipt of the degree of doctor of medicine or its equivalent from a school of
medicine, which is approved by the Liaison Committee on Medical Education (LCME) or by the
Board; and
2. If an American, Canadian, or Puerto Rican graduate, successful completion of at least one
(1) year of postgraduate clinical training (internship or residency) in the United States or

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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:

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a) NBME Part I or USMLE Step 1 plus


NBME Part II or USMLE Step 2 plus
NBME Part III or USMLE Step 3; or
b) FLEX Component 1 plus USMLE Step 3; or
c) NBME Part I or USMLE Step 1 plus
NBME Part II or USMLE Step 2 plus
FLEX Component 2
In order to meet the examination requirement of this subsection for licensure, the examination
combinations set forth in subdivisions a., b., and c., of this subsection, must be successfully
completed within a period of ten (10) consecutive years.

The Federation Credentials Verification Service (FCVS)


The Federation of State Medical Boards (FSMB) is a national non-profit organization representing the
70 medical and osteopathic boards of the United States and its territories. Two of the services provided
by the FSMB are the Federation Credentials Verification Service (FCVS) and the Uniform Application
for Physician State Licensure (UA).
FCVS verifies primary source documents related to your identity, education, training, and more, and
creates an individualized profile that can be sent to any organization accepting FCVS. By eliminating
the re-verification of items that never change, physicians benefit from a shortened credentialing process
when applying to more than one state board.
We highly recommend using FCVS for credentials verification but it is not required. If you do not use
FCVS, you will need to provide your credentials directly to the Board for verification.
If you would like to use FCVS and havent used it before, you will need to complete an Initial FCVS
Application. If your credentials are already on file with FCVS, you will need to complete a Subsequent
Request to update your FCVS profile. All applicants must designate the board to receive the FCVS
profile as part of the FCVS application process. Information about FCVS fees can be found at
http://www.fsmb.org/licensure/fcvs/. These fees are separate from the Boards licensing fee and the UA
one-time service fee of $50.00.
To work on your FCVS application, visit http://www.fsmb.org/ and select FCVS in the Sign In menu,
then sign in as directed. For assistance with FCVS, use the messaging tool within FCVS or call 888275-3287 with your FCVS ID number between 8am and 5pm CT Monday through Friday.

The Uniform Application for Physician State Licensure (UA)


The Uniform Application is the boards licensure application and must be completed whether or
not you use FCVS for credentials verification. Similar to FCVS, the UA eliminates redundancy when
applying to multiple states accepting or requiring the UA. After completing the UA for the first time, your
application is securely stored and can be resubmitted to another participating state without reentering
the same information. You would only make updates as needed and ensure that you comply with statespecific instructions and requirements.
Should you be in the UA and decide to switch to FCVS before completing your UA, you will not
automatically be redirected to the UA after completing the FCVS application. When you have finished
the FCVS application for credentials verification, you must log back in to the UA to complete your
licensure application.
Please read the following information carefully before completing and submitting your UA. You will be
asked to provide your licensure and employment history, account for all time since medical school
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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.

Education & Certification Pages


Medical School, Fifth Pathway, Postgraduate Training

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

USMLE/FLEX/SPEX: If applying for licensure on the basis of USMLE, FLEX, SPEX, or a


combination of FLEX and USMLE, request your transcript at http://www.fsmb.org/ by
selecting USMLE Transcripts in the Sign In menu, then signing in as directed. The scores
must come directly to this office from the Federation. For assistance, email usmle@fsmb.org
or call 817.868.4041 between 8am and 5pm Central time Monday through Friday.

NBME: Request your scores at https://apps.nbme.org/ciw2/prod/jsp/login.jsp if applying for


licensure on the basis of the National Boards or a combination of National Boards and
USMLE. We will not accept any scores except those coming directly to this office from the
National Boards. For assistance, email scores@nbme.org or call 215.590.9700.

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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.

Educational Commission for Foreign Medical Graduates (ECFMG)

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.

Licensure & Employment History Pages


State or Professional Licensure

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.

Malpractice Liability Claims Information

List the name and the address of the insurance company in the Insurance carrier at time field.

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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.

Forms & Affidavit Section


Print and follow the instructions on each of these forms. Each completed form must be sent to the West
Virginia Board of Medicine, whether by you or by a third party.

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

An official English translation is one which is done by:


a government official in the U.S.,
an official translation service in the U.S. and is qualified to translate,
a professor of a language department in a college or university located in the U.S., or
an Official of the American Embassy in a foreign country. (This document must be
translated by the American Embassy, not just certified as a true copy, and must have the
Embassy seal placed on it.)

The translator must:


Certify that the document is a true translation to the best of his/her knowledge, and that
he/she is fluent in the language.
Sign the translation; his/her signature must be certified by a Notary Public.
Print his/her name and title under the signature.
Translate on an official letterhead.

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

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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.

State Addenda: Complete each applicable addendum as instructed.


o

Addendum 1 Additional Physician Information form. Provide all information requested. If


you answer YES to any of the Professional Practice Questions, please give details including
name, address, and telephone number of significant parties on a separate sheet of paper.

Addendum 2 Good Moral Character Statement. This form is to be completed by another


medical doctor (not a D.O.) who is licensed in the United States. The Affiant must have
known you for a minimum of two (2) years and must not be related to you by blood or
marriage. The form must be notarized. This is not to be completed by you.

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.

Review & Submit


Please review all of your entries before submitting. We strongly advise that you print a copy for
your records. Any formatting errors will be listed in a red-outlined box with a link to the page that
needs to be corrected. You will need to make the corrections before submitting your UA.
To submit your UA, read and accept the Terms and Conditions, then click on Submit Application or
Continue at the bottom of the screen. If this is your first time using the UA, you will be taken to a
payment page for a one-time service fee of $50. This is a separate fee collected by FSMB, not by state
boards, and is separate from FCVS fees.
Uniform Application Tips
To make changes to an already submitted application, click on the Start New/Edit in the yellow box at
the top of the screen. If the box is not there, click on Work on My Application. Reselect the Board from
the map, make changes as needed, and resubmit your UA.
For a copy of the UA receipt, go to the Navigation Options drop down list in the upper right corner and
select Itemized Receipt.

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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.

Other Licensure Requirements


1. American Medical Association (AMA) Biographical Profile. Even if you are not a member of
the American Medical Association, you must request the AMA Physician Profile Data Report at
https://profiles.ama-assn.org/amaprofiles/. There is a fee for this for non-members. Call
customer service at 800-665-2882 for assistance.
2. The Data Bank (National Practitioner / Healthcare Integrity and Protection) Self Query.
Request the Practitioner Request for Information Disclosure (Self Query) from the The Data
Bank by visiting http://www.npdb.hrsa.gov/pract/selfQueryBasics.jsp and clicking on Start a
Self-Query for an Individual. Follow the instructions to receive a self-query report. The Data
Bank will provide you with a pdf version which may be forwarded to the Licensure Analyst
processing your application, or you may request a mailed copy so that The Data Bank will mail
the Self Query report directly to you. You must then mail (do not fax) all of the original report
(not photocopies) directly to this office. For assistance, email help@npdb.hrsa.gov or call 800767-6732.
You MUST also submit the following to the Board:
3. American, Canadian, or Puerto Rican medical school graduates: Copy of your certificate* of
completion of at least one (1) year ACGME approved postgraduate clinical training (internship or
residency), in the United States or Canada;
OR
Foreign medical school graduates: Copy of your certificate* of completion of at least three (3)
years of ACGME approved postgraduate clinical training (internship, residency or fellowship), in
the United States or Canada, OR of at least one year of ACGME approved postgraduate training
plus proof of current certification by a member Board of the American Board of Medical
Specialties.
*If you have not yet received your certificate, proof of completion can be in the form of an official
letter (indicating beginning and ending dates of training) from the program director, with the
School or Hospital Seal affixed. You need to keep the original letter to take with you on your
interview. Submit a copy of the letter with your application. This is in addition to the Postgraduate
Training Verification form.
4. If you are a foreign medical school graduate, a valid copy of your ECFMG certificate (or
evidence of receipt of a passing score on the examination); or a completed Addendum 3 attesting
to at least five (5) years of full-time practice within the state or jurisdiction where you are fully
licensed. To rely on this option, your application must show that you are 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, and that you are not
the subject of any pending disciplinary action by a medical licensing board and have not been the
subject of professional discipline by a medical licensing board in any jurisdiction.

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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.

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Uniform Application for Physician State Licensure Checklist


Please use the checklist that applies to you. If you are using FCVS for initial credentials verification, you will be
responsible for providing or requesting the information for each item not provided by FCVS. If you are applying for
license reactivation, you do not need to use FCVS or provide certain materials included in your initial application.
Not
Using
FCVS

Using FCVS
or License
Reactivation

Submitted the online Uniform Application.


Sent the UA Addendum 1 to the West Virginia Board of Medicine.
Have affiant complete and send the UA Addendum 2 to the West Virginia Board
of Medicine.
Sent the UA Addendum 3 to the West Virginia Board of Medicine, if applicable.
Keep a copy for your interview. This addendum is for foreign medical graduates
who do not have ECFMG certification.
Sent the Notarized Affidavit and Authorization for Release of Information form to
the West Virginia Board of Medicine.
Completed licensure verification with each state board with which you have ever
held any healthcare license. Each verifying board will send verification to the
West Virginia Board of Medicine.
Requested the Physician Profile Data Report to be sent from the American
Medical Association (AMA) to the West Virginia Board of Medicine.
Sent the original Self Query Report received from The Data Bank (National
Practitioner Data Bank and Healthcare Integrity and Protection Data Bank) to
the West Virginia Board of Medicine.
Sent application fee of $400.00 by cashier's check, money order, or personal
check made payable to the WEST VIRGINIA BOARD OF MEDICINE, or by credit
card via phone call, to the West Virginia Board of Medicine. This permanent
license fee is non-refundable.
Sent any other required documentation (details for Professional Practice
Questions, evidence of CME for license reactivation per renewal requirements
on page 2, etc.) to the West Virginia Board of Medicine.
Sent notarized copy of birth certificate or current, valid passport to the West
Virginia Board of Medicine.

Provided by FCVS
or initial application

Sent supporting documentation of any legal name change (marriage certificate,


divorce decree, or court document) to the West Virginia Board of Medicine.

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

Sent UA Postgraduate Training Verification form (Form #3) to all training


programs attended.

Provided by FCVS
or initial application

Sent a copy of your postgraduate training certificate(s) to the West Virginia


Board of Medicine.

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

Sent all examination transcripts to the West Virginia Board of Medicine.

Provided by FCVS
or initial application

Sent ECFMG certificate to the West Virginia Board of Medicine, if applicable.


This is for foreign medical graduates only.

Provided by FCVS
or initial application

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State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Telephone (304) 558-2921
Fax (304) 558-2084

Addendum 1 Additional Physician Information


Affidavit and Practice Information
I certify that I am of good moral character and that I have not engaged in any of the acts prohibited by the
statutes of the State of West Virginia. I am applying for licensure by endorsement of examination of (check
only one):
NBME

USMLE

FLEX

LMCC

USMLE/FLEX

NBME/USMLE

State Board Exam (State of ___________________)

Practice specialty: ________________________

Proposed WV practice location: ________________

Board Certified in: ________________________

Date Board Certified: _______ /_______ /_________


mm

dd

yyyy

If not currently working as a medical doctor, check here.

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

Hair color: ____________

Height: ____ ft ____ in

Weight: ______ lbs

Eye color: ____________

Identifying marks: ________________

________________________________________________________________________________

Authorization for Release of Application Status


The person(s) listed below have my permission to check on the status of my application for a West
Virginia medical license. I understand that I may revoke this authorization, in writing, at any time during
the application process.
________________________________________

________________________________________

Type or print name clearly

Type or print name clearly

Physicians Signature: _______________________________________ Date: __________________


Physicians Printed Name: ___________________________________________________________
West Virginia Board of Medicine
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Uniform Application Addendum1


Page 1 of 4

Professional Practice Questions


Please answer each of the following questions by marking the appropriate box. Some yes answers will
require you to provide additional information on a separate sheet of paper. False or fraudulent answers to
the following questions may result in licensure denial or revocation.
Have you ever, in any jurisdiction, for any reason:
1.

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.

been charged with or convicted of or pled nolo contendere to any felony or


misdemeanor?

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.

voluntarily surrendered or limited your license to practice medicine?

6.

had any hospital privileges, and/or postgraduate training, limited, restricted,


suspended, revoked, or subjected to any kind of disciplinary action, including censure,
reprimand or probation?

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.

been denied a license to practice medicine?

10.

had your DEA registration restricted or removed?

11.

been convicted of Medicare or Medicaid fraud, and or received any sanctions,


including restriction, suspension or removal from practice imposed by an agency of the
federal or state government?

12.

* had any judgments or settlements arising from medical professional liability rendered
or made against you, and if so, how many?

Have you in the last five (5) years, in any jurisdiction:


13.

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?

Physicians Signature: _______________________________________ Date: __________________


Physicians Printed Name: ___________________________________________________________
West Virginia Board of Medicine
Revised August 2014

Uniform Application Addendum1


Page 2 of 4

Have you in the last five (5) years, in any jurisdiction:

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.

had anything occur 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 the standards of conduct for the medical
profession?

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.

Child Support Declaration


Answers to the following questions now are required under the provisions of West Virginia Code 48-15303. Also, West Virginia Code 48-15-303 requires this application to state that making a false statement
may subject the license holder to disciplinary action including, but not limited to, immediate revocation or
suspension of the license.
I certify, under penalty of false swearing, that:
1.

I have a court ordered child support obligation.

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.

I am the subject of a child support related subpoena or warrant.

YES

NO

Physicians Signature: _______________________________________ Date: __________________


Physicians Printed Name: ___________________________________________________________
West Virginia Board of Medicine
Revised August 2014

Uniform Application Addendum1


Page 3 of 4

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.

Physicians Signature: _______________________________________ Date: __________________


Physicians Printed Name: ___________________________________________________________

Please return this form to the West Virginia Board of Medicine at the mailing address on page 1.

West Virginia Board of Medicine


Revised August 2014

Uniform Application Addendum1


Page 4 of 4

State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311
Telephone (304) 558-2921
Fax (304) 558-2084

Addendum 2 Good Moral Character Statement

I, ________________________________________, M.D., am currently licensed in the State of __________ and


Name of Affiant

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

Printed Name of Affiant

___________________________________________

_____________________________________________

Street Address of Affiant

City, State, Zip Code

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____.

Notary Public Signature: _________________________________________________


(NOTARY PUBLIC SEAL)

My Notary Commission Expires: ___________________________________________

Please return this form to the West Virginia Board of Medicine at the mailing address above.
West Virginia Board of Medicine
Revised August 2014

Uniform Application Addendum 2


Page 1 of 1

State of West Virginia


West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25311

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

Printed Name of Affiant

___________________________________________

_____________________________________________

Street Address of Affiant

City, State, Zip Code

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

Uniform Application Addendum 3


Page 1 of 1

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

Will get back to you no later than tomorrow.


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: Linda Becker [mailto:lbecker@fsmb.org]


Sent: Thursday, February 26, 2015 10:43 AM
To: Thompson, Sheree J
Cc: Knittle, Robert C; Ingo Hagemann
Subject: 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

From: Linda Becker


Sent: Friday, February 20, 2015 2:30 PM
To: Thompson, Sheree J
Cc: Robert Knittle
Subject: UA instruction changes for review/approval
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

From:
Sent:
To:
Cc:
Subject:

Linda Becker <lbecker@fsmb.org>


Thursday, February 26, 2015 10:43 AM
Thompson, Sheree J
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

From: Linda Becker


Sent: Friday, February 20, 2015 2:30 PM
To: Thompson, Sheree J
Cc: Robert Knittle
Subject: UA instruction changes for review/approval
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

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

From: Linda Becker [mailto:lbecker@fsmb.org]


Sent: Friday, February 20, 2015 3:30 PM
To: Thompson, Sheree J
Cc: Knittle, Robert C
Subject: UA instruction changes for review/approval
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.
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:

Drew Carlson (FSMB) <DCarlson@fsmb.org>


Friday, February 27, 2015 2:08 PM
Thompson, Sheree J
Out of Office: FSMB eNews 2-27-2015

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

Ive attached the

to this email.

Please let me know if you need anything further.


Sincerely,
Michelle Dill
From: Walker, Carmella L [mailto:Carmella.L.Walker@wv.gov]
Sent: Monday, December 01, 2014 10:48 AM
To: Michelle Dill (FSMB)
Subject: FCVS downloads

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,

Bradley Dunn, Manager


Physician Data Center, Research and Data Integration

Federation of State Medical Boards


400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-5015 direct | 817-868-4215 fax
bdunn@fsmb.org | www.fsmb.org

From: Wilkinson, Scott A [mailto:Scott.A.Wilkinson@wv.gov]


Sent: Wednesday, February 25, 2015 11:47 AM
To: Bradley Dunn
Subject: RE: WVBOM Files

No Problem. Let me know when I should up load them.

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

From: Bradley Dunn [mailto:BDunn@fsmb.org]


Sent: Wednesday, February 25, 2015 12:38 PM
To: Wilkinson, Scott A
Subject: RE: WVBOM Files

Thank you.

Bradley Dunn, Manager


Physician Data Center, Research and Data Integration
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-5015 direct | 817-868-4215 fax
bdunn@fsmb.org | www.fsmb.org

From: Wilkinson, Scott A [mailto:Scott.A.Wilkinson@wv.gov]


Sent: Wednesday, February 25, 2015 11:26 AM
To: Bradley Dunn
Subject: RE: WVBOM Files

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.

Hope this helps. Any questions let me know.

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

From: Bradley Dunn [mailto:BDunn@fsmb.org]


Sent: Wednesday, February 25, 2015 12:23 PM
To: Wilkinson, Scott A
Subject: RE: WVBOM Files

Scott,

Has there been a change in the licensure numbers?

In prior files the license number was listed as PDP00217, now coming in as 217.

Thanks,

Bradley Dunn, Manager


Physician Data Center, Research and Data Integration

Federation of State Medical Boards


400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-5015 direct | 817-868-4215 fax
bdunn@fsmb.org | www.fsmb.org

From: Wilkinson, Scott A [mailto:Scott.A.Wilkinson@wv.gov]


Sent: Monday, February 23, 2015 10:33 AM
To: Bradley Dunn
Subject: RE: WVBOM Files

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

From: Bradley Dunn [mailto:BDunn@fsmb.org]


Sent: Monday, February 23, 2015 11:01 AM
To: Wilkinson, Scott A
Subject: RE: WVBOM Files

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 Dunn, Manager


Physician Data Center, Research and Data Integration
Federation of State Medical Boards
400 Fuller Wiser Road | Suite 300 | Euless, TX 76039
817-868-5015 direct | 817-868-4215 fax
bdunn@fsmb.org | www.fsmb.org

From: Wilkinson, Scott A [mailto:Scott.A.Wilkinson@wv.gov]


Sent: Monday, February 23, 2015 7:42 AM
To: Bradley Dunn
Subject: WVBOM Files

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.

Any questions let me know.

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)

MESSAGE FROM THE GEO


At the World Congress on mHealth and Telehealth meeting in
Boston on Wednesday, I had an opportunity to provide an
update on state efforts to support physician licensure
portability, including the Interstate Medical Licensure
Compact that has been adopted by 11 states and is voluntary
for both physicians and state medical and osteopathic
boards. Yesterday, I met in Washington, D.C., with
representatives of the Federation of Associations of
Regulatory Boards, whose Executive Director is Dale
Atkinson, following a summit on professional state-based
regulation to talk about the impact of the U.S. Supreme
Court's decision in North Carolina Board of Dental Examiners
v. the Federal Trade Commission.

Humayun J. Chaudhry, DO, MACP E..i~

Board News and Newsletters

General Medical CounCil launches


GMCNews

FSMB Board Attorneys Workshop scheduled for Nov. 12-13 in Las


Vegas
State medical board attorneys and legal staff are encouraged to make plans
now to attend FSMB's 2015 Board Attorneys Workshop on Nov. 12-13 in
Las Vegas. The two-day conference will be held at the Mandalay Bay Resort
and Casino. The registration fee is waived for medical board legal counsel
and staff. To register for this event, please c lick here. For more information,
please contact Kelly Alfred, Senior Director of Education Services, at
kalfred@fsmb.org.

Federation of State Medical Boards


FSMB's overview chart of state
continuing medical education
requirements provides informat ion
on the number of CME hours and
content required in each state.

July 30, 2015: f'SMB Roundtable


Conference Call

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

April 28-30, 2016: FSMB 104th

Annual Meeting, San Diego, Calif.

(202) 463-4000

Sept. 20-23, 2016: IAMRA 2016


Biennial Conference, Melbourne,
Australia

United States Medical Licensing Examination


(817) 868-4041 ; usmle@fsmb.org

More meetings and events

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

[l=;l: Follow @theFSMB for info


~about

our products and


=- services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Forward email

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Federation of State Medical Boards

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TX

76039

Knittle, Robert C
From:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >


Tuesday, July 21, 2015 2:46 PM
Knittle, Robert C
FSMB eNews 7-21 -2015

Sent:
To:

Subject:

PRO TeC TIN G T ilT f> ll !:lUC WlTH -il iG:il

STAN D A R D ~

f O R M[ DIC.M LI C [NS!Jf\L AND l' RAC T;CC . ,..

NEWS CLIPS
U.S. News releases 'Best
Hospitals 2015-16' report (U.S .
News & World Report; July 20,
2015)

Advanc ing Continuing Medical


Education (JAMA, July 21, 2015)
Expanding, not shrinking, saves a
sma ll rural hospital (NPR, July 21,
2015)
Dropout docs: Bay Area doctors
quit medicine to work for digital
health startups (KQED, July 17,
2015)

Board News and Newsletters

With Governor Bruce Rauner's signature yesterday, Illinois


became the 11th state to formally adopt the Interstate
Medical Licensure Compact, joining 10 other states that have
begun to appoint commissioners to enable its
implementation. Meanwhile, FS MB Chair Dan Gifford , MD ,
Chair-elect Art Hengerer, MD, and Immediate Past Chair Don
Polk, DO, are in Kingston, Jamaica, for a brief visit with the
Caribbean Authority for Education in Medicine and Other
Health Professions (CAAM-HP), headed by Executive
Director Lorna Parkins; the Caribbean Association of Medical
Councils (CAMC), whose Registrar is Howard Spencer,
MBBS; and the Medical Council of Jamaica, whose Chair is
John Hall, MB. They will also meet with Jamaica's Minister of
Education, the Honourable Reverend Ronald Thwaites. The
meetings seek to better understand on behalf of state medical
boards what is happening in the region as medical school
graduates from the region increasingly get licensed in the
United States.
Humayun J. Chaudhry, DO, MACP

';:;.;=

Federal grant awarded to support


infrastructure for Interstate
Medical Licensure Compact
FSMB book chronicles history of U.S. medical
regulation
Published in conjunction with the FSMB's
centennial in 2012, "Medical Licensing and
Discipline in America" relates the history of the
FSMB and the evolution over several centuries of
America's state-based system for medical
licensure and discipline. Authored by FSMB Senior
Vice President David Johnson, MA, and FSMB
CEO Humayun Chaudhry, DO, the book is
available in hard and soft cover as well as ebook
format. Learn more.

Three newly accredited medical


schools announced
Nevada State Board of Medical
Examiners Newsletter

FSMB's state-by-state overview


chart on medical marijuana details
wh ich states allow the practice,
statutory authority and additional
information.

Federation of State Medical Boards

July 30, 2015: FSMB Roundtable


Conference Call

Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

April28-30, 2016: FSMB 104th


Annual Meeting, San Diego, Calif.
Sept. 20-23, 2016: IAMRA 2016
Biennial Conference, Melbourne,
Australia

Washington, D.C. Office


1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000

More meetings and events

United States Medical Licensing Exam ination


(817) 868-4041 ; usmle@fsmb.org
Follow @theFSMB for info
about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.org I


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c.oostantCotmid
Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

National Office

! Euless 1 TX 76039

Knittle, Robert C
From:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >


Friday, July 17, 2015 4:01 PM
Knittle, Robert C
FSMB eNews 7-17-2015

Sent:
To:

Subject:

IG --------------NEWS CLIPS

ME~ SAG~

.Federal grant awarded to support


infrastructure for Interstate
Medical Licensure Compact
(FSMB news release, July 17, 2015)

FROP:'i THE CEO

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.

The app will see you now, but


may not get the diagnosis right
(WBUR, July 9, 2015)
States tighten data security laws
(HealthLeaders Media, July 15,
2015)
There's an infection hospitals can
nearly always prevent. Why don't
they? (Vox, July 9, 2015)

Sick kids, desperate parents, and


the battle for experimen tal drugs
(Boston Globe, July 15, 2015)

Humayun J. Chaudhry, DO, MACP ~


'

: _::-::-~--:j
:--~-=-:

Board News and Newsletters

'

~==~--- --------

Journal of Medical Regulation seeks


manuscripts from state medical boards
The Journal of Medical Regulation (JMR), the
FSMB's peer-reviewed quarterly publication, is
seeking manuscripts from members and/or staff
at state medical boards. Your board's
experiences and policy expertise can be
invaluable to your colleagues. If you have an idea
for or wish to discuss a manuscript, please
contact editor@fsmb.org.

Changesto USMLE, 2015-16


Iowa-court of Appeals affirms
dismissal of claim for drugscreening expenses
Three newly accredited medical
schools announced

============------------
-------------------- - - - -- - --
The FSMB's board-by-board
overview of state telemedicine
policies provides updated
information on licensure
requirements, reimbursement
parity, arid rules and

April 28-30, 2016: FSMB 104th

Federation of State Medical Boards


Texas Office
400 Fuller W iser Road
Suite 300
Eu less, Texas 76039
(817) 868-4000
www.fsmb.org
Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036

Annual Meeting, San Diego, Calif.

(202) 463-4000

Sept. 20-23, 2016: IAMRA 2016


Biennial Conference, Melbourne,
Australia

United States Medical Licensing Examination


(817) 868-4041; usmle@fsmb.org

More meetings and events

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

~Follow @theFSMB for info


~ abouiour products and
:.. services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Forward email

E_J:
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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:

Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org >


Tuesday, July 14, 2015 1:55 PM
Knittle, Robert C
FSMB eNews 7-14-2015

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)

Iowa Court of Appeals affirms


dismissa l of claim for drug-

Three newly accredited medical


schools announced
Video: Policymakers ,
stakeholders underscore benefits
of Interstate Compact at National
Press Club event .

/iF .r~AGE FR0fv1 THE CEO


FSMB Immediate Past Chair Don Polk, DO, and Chief
Advocacy Officer Lisa Robin, MLA, are in Chicago for a
presentation at the Association of Osteopathic State
Executive Directors' (AOSED) Education Meeting about the
Interstate Medical Licensure Compact. They wi ll then join
FSMB Chair Dan Gifford, MD, for the 95th Annual House of
Delegates meeting of the American Osteopathic Association,
led by President Robert Juhasz, DO, and Executive Director
Adrienne White-Faines. The AOA will review issues such as
lowering opioid abuse, addressing vaccine shortages,
assuring gender identity non-discrimination, addressing
hospice and palliative medicine workforce shortages, and a
form of physician lifelong learning called "continuous learning
nodes."

Humayun J. Chaudhry, DO, MACP ~

FSMB, ASOP offer free continuing


education for physicians, pharmacists
The FSMB and the Alliance for Safe
Online Pharmacies (ASOP) are
sponsoring a free online continuing
education program (CME/CPE) for
physicians and pharmacists focused on
the growing problem of illegal online drug
sales. The program, "Internet Drug
Sellers: What Providers Need To
L __ _ _ _ _ _ _ _ _ __ . Know," is designed to educate providers
about the dangers of purchasing
pharmaceuticals online from an unverified source, and offers tools to help
keep patients safe. To take the free CME/CPE, please click here.

Federation of State Medical Boards


Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Apri l 28-30, 2016: FSMB 104th
Annual Meeting, San Diego, Calif.

Washington, D.C. Office


1300 Connecticut Ave NW

Sept. 20-23, 2016: IAMRA 2016


Biennial Conference, Melbourne,
Australia

Suite 500
Washington DC 20036
(202) 463-4000

More meetings and events

United States Medical Licensing Examination


(817) 868-4041; usmle@fsmb.org
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physicia n State Licensure
(800) 793-7939; ua@fsmb.org

rr:;:]1:Follow @theFSMB for info


~about our products and
=-.services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Forward e mail

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Update Profile/Email Address ! Rapid remova l with SafeUnsubscribe'M 1 Privacy Policy.

Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

National Office

Euless

TX

76039

Knittle, Robert C
From:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org>


Friday, July 10, 2015 12:41 PM
Knittle, Robert C
FSMB eNews 7-10-2015

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)

Board News and Newsletters


Video: Policymakers.
stakeholders underscore benefits
of Interstate Compact at National
Press Club event
Iowa becomes 1Oth state to enact
Interstate Medical Licensure
Compact
Rhode Island adopts rules an d
regulations for pain management,
opioid use
World Di reCtory of Medical
Sch ools replaces IMED for
determining ECFMG Certification,
USMLE eligibility

ESS~ GF

FQQfV! THE CEO

The FSMB's Board of Directors, chaired by Dan Gifford, MD ,


completed its board meeting this morning in Middleburg,
Virginia, and will be meeting with the boards of the National
Board of Medical Examiners and the Educational
Commission for Foreign Medical Graduates this afternoon
and tomorrow. Discussions at FSMB's board meeting
included such topics as the meaning of the Supreme Court's
decision in North Carolina v. FTC, the Interstate Medical
Licensure Compact (now adopted by ten states), the misuse,
abuse and diversion of prescription opioids, plans for the
Federation Credentials Verification Service (FCVS), the
USMLE exam, and a small group breakout session focused
on generative thinking related to FSMB's services and
activities on behalf of its member boards. We also applauded
the FSMB's receipt of an American Heart Association Gold
Fit-Friendly Award for promoting a culture of health and
wellness among its employees and staff.

Humayun J. Chaudhry, DO, MACP ~L.:::._j

New reentry to practice resources available for state medical boards


The FSMB has worked in recent years to develop policies and tools to help
medical boards develop processes that assist physicians and physician
assistants who are attempting to reenter the workforce after a prolonged
absence from clinical practice.
In collaboration with the American Academy of Pediatrics and The Physician
Reentry into the Workforce Project, the FSMB is pleased to announce two
new resources for medical boards and their licensees:
"Reentry i nto Cl inical Practice: Tips for Han dl ing Inquiries from
Physicians"; and,
"Are You Preparing to Leave, or A nticipating Going Back to , Clinical
Practice? 6 Reasons Why it's a Good Idea to Talk with Your State
Med ical Board"
For more information, please contact Frances Cain, Assistant Vice President
of Assessment Services, at fcain@fsmb.org.

------..

---~-------IT-~fib~:;-;;;~20

Federati on of State Medical Boards


July 30, 2015: FSMB Roundtable
Conference Call

Texas Office

400 Fuller Wiser Road


Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

April 28-30, 2016: FSMB 104th


Annual Meeting, San Diego, Calif.
Sept. 20-23, 2016: IAMRA 2016
Biennial Conference, Melbourne,
Australia

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


(817) 868-4041; usmle@fsmb.org
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org

r-;:;1: Follow @theFSMB for info


~about

our products and


services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.
:=..

Uniform Application for Physician State Licensure


(800) 793-7939; ua@fsmb.org

Forward emai l

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Update Profile/Email Address I Rapid removal with SafeUnsubscriben" I Privacy Policy.

Federation of State Medical Boards

! 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~~

Iowa becomes 1Oth state to enact


Interstate Medical Licensure
Compact (FSMB, July 6, 2015)

THE CEO

FSMB Chair Dan Gifford , MD, is heading to Middleburg,


Virginia, this afternoon to lead a meeting of the FSMB Board
of Directors and senior staff, wh ich begins tonight Later in
the week, we will join the Board of Directors of the National
Board of Medical Examiners , led by Chair Suzanne Anderson
and CEO Donald Melnick, MD, for a bilateral board meeting
to discuss updates to the USMLE program and mutual
matters. Finally, leaders from both organizations will meet the
Board of Directors of the Educational Commission for Foreign
Medical Graduates, led by Chair Ram Krishna, MD, and CEO
Emmanuel Cassimatis, MD, for a trilateral board meeting to
discuss common issues. Board governance and senior staff
from the three organizations meet for such discussions every
three years.

Aging doctors: Time for


mandatory competency testing?
(Health Leaders Media, July 1, 2015)
U.S. doctors, hospitals reap $6.5
bill ion from drug and device
makers (Reuters, June 30, 2015)
Doctors and hospitals need to
talk more. This app can help
(Wired, June 26, 2015)
A dose of culinary medicine
sends m ed students to the
kitchen (NPR, July 1, 2015)

HumayunJ.Chaudh~,DO,MACP

Rhode Island adopts rules and


regulations for pain management,
opioid use
REMS activity on ERILA opioids available
A free, online CME Risk Evaluation and
Mitigation Strategy (REMS) activity, "ExtendedRelease and Long-Acting Opioids:
Assessing Risks, Safe Prescribing", educates
health care professionals on the safe and
responsible prescribing of ERILA opioid
analgesics for patients with chronic pain. To
take the free CME, visit
.-it:l'Rii:'C..0"f:Fi!G7;:::~ www.fsmb.org/safeprescribing. For more
information, please contact Kelly A lfred at
kalfred@fsmb.org.

World Directory of Medical


Schools replaces IMED for
determining ECFMG Certification,
USMLE eligibility
National Counci l of State Boards
of Nursing names new CEO
Florida Board of Medicine
Newsletter

r"W ~~-~:uflli
~~:;;iM
filA . -~~
The FSMB Physician-Patient
Communicat ions Resource
Center provides resources for

Federation of State Medical Boards

!
1

medical boards to use in educating


their licensees about the kinds of
communication issues that can lead
to complaints from patients.

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

July 30, 2015: FSMB Roundtable


Conference Call
April 28-30, 2016: FSMB 104th
Annual Meeting, San Diego, Calif.

United States Medical Licensing Examination


(817) 868-4041; usmle@fsmb.org

Sept. 20-23, 2016: !AMRA 2016


Biennial Conference, Melbourne,
Australia

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org

More meetings and events

Uniform Application for Physician State Licensure


(800) 793-7939; ua@fsmb.org

Follow @theFSMB for info


about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Forward email

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Federation of State Medical Boards

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)

r;;1E-SSAGE FRCJfVl THE CECi


FSMB Chair Dan Gifford, MD, will chair a conference call this
evening of the FSMB Investment Committee, joining
Treasurer Ralph Loomis, MD, Chair-elect Art Hengerer, MD,
Immediate Past Chair Don Polk, DO, and Board members
Pat King, MD, PhD, and Michael Zanolli, MD. Tomorrow,
FSMB Board member Greg Snyder, MD, will chair a
conference call of the new Workgroup on Marijuana and
Medical Regulation, joining Drs. Gifford and Hengerer, and
representatives of several state medical and osteopathic
boards. To one and all, have a very pleasant and safe Fourth
of July weekend!

Humayun J. Chaudhry, DO, MACP ~

Readmission location linked to


post-surgical mortality rates
(HealthLeaders Media, June 30,
2015)
Expanded and revised 'Responsible Opioid
Prescribing: A C linician's Guide' available
The FSMB Foundation's "Responsible Opioid
Prescribing: A C linician's Guide" offers
clinicians a clear safety orientation with steps
for prescribers that are expected by state and
federal regulators for vigilant practice around
using, discontinuing or avoiding opioids for their
patients in pain. The new edition, which is
accredited for up to 7.25 AMA PRA Category 1
Creditsn, includes new information on the
FSMB's model guidelines, FDA labeling and
previously unavailable information on the
prevention of opioid overdose. Learn more.

Board News and Newsletters


Interstate Medical Licensure
Compact briefing held in
Washington, D.C.
National Council of State Boards
of Nursing n ames new CEO

Federation of State Medical Boards

. Use of Opioid Analgesics in the


Treatment of Chronic Pain is a
resource for state medical boards in
educating their licensees.about
responsible prescribing of controlled

Texas Office
400 Fuller Wiser Road
Su ite 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

substances.

July 30, 2015: FSMB Roundtable


Conference Call

United States Medical Licensing Examination


(817) 868-4041; usmle@fsmb.org

April 28-30, 2016: FSMB 104th


A nnual Meeting, San Diego, Calif.
Sept. 20-23, 2016: IAMRA 2016
Biennial Conference, Melbourne,
Australia

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsrnb.org

More meetings a nd events

rr.;]:Follow @theFSMB for info

E! about our products and

:.o.. services, news that impacts


medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Forward emai l

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Federation of State Medical Boards

400 Fuller W iser Road, Suite 300

I Privacy

Policy .

National Office

Euless

TX

76039

Knittle. Robert C
From:
To:

Federation of State Medical Boards, D.C. <jjagoda@fsmb.org >


Monday, June 29, 2015 5:43 PM
Knittle, Robert C

Subject:

FSMB Advocacy Network News

Sent:

June 29, 2015

FSMB Hosts Briefing on Interstate Medical Licensure


Compact
On June 24, a briefing to celebrate the Interstate Medical Licensure Compact
was held at the National Press Club in Washington, D.C. The FSMB hosted the
briefing, Expanding Access to Health Care through the Interstate Medical
Licensure Compact, and welcomed more than 50 guests, including members
and executive staff of state medical boards, federal and state policymakers, and
health care leaders. Expert panelists outlined the current legislative landscape in
the states and discussed the Compact's beneficial impacts on the delivery of
and access to medical care.

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

News From Washington, D.C.


The FSMB's advocacy team continues to track legislative and policy
developments impacting the work of state medical boards. Among items of
interest in recent weeks:

Supreme Court Upholds Affordable Care Act Tax Subsidies


On June 25, the Supreme Court of the United States voted 6-3 in favor of
President Obama's signature health care law in the case of King v. Burwell. The
Court ruled that the Affordable Care Act allows tax credits in all 50 states, not
just the 16 that have established their own online insurance exchanges. The
decision will allow nearly 6.4 million people to continue receiving tax subsidies
to afford health care, a major victory for the Obama Administration.

FSMB Submits Comments to Senate Finance Committee Chronic Care


Working Group
On June 22, the FSMB submitted comments to the U.S. Senate Finance
Committee Chronic Care Working Group on the Interstate Medical Licensure
Compact and the FSMB Model Policy for the Appropriate Use of Telemedicine
Technologies in the Pradice of Medicine, as the Committee seeks ideas to
effectively use or improve the use of telehealth and remote monitoring
technology.

Federal Legislative News


New Telehealth l egislation
Rep. Charlie Rangel (D-NY- 13) introduced
H.R.2516, Vet erans E-Health & Telemedicine Support Act of 2015,
which would allow a covered health care professional (including contractors) of
the Department of Veterans Affairs to practice from any location in any State,
the District of Columbia, or a Commonwealth, territory, or possession of the
United States, regardless of where such health care professional or the patient
is located, if the health care professional is using telemedicine to provide
treatment to an individual. Rep. Rangel previously introduced this legislation in
2012.
Rep. Scott Peters {D-CA-52) introduced
H.R.2725, 21st Century Care for Military & Veterans Act, which would
expand coverage of telehealth services to service members, veterans, retirees
and dependents by creating parity in coverage, for such beneficiaries covered
by TRI-CARE and the Department of Veterans Affairs, between telehealth and
in-person services while allowing physicians to provide services across multiple
states with a single state medical license. For purposes of reimbursement,
licensure, and professional liability, with respect to the provision of telehealth
services, health care practitioners, suppliers, and providers would be considered
to be furnishing such services at their location and not at the originating site.
Rep. Peters previously introduced this legislation in 2013.
Sen. Mark Kirk {R-Il) introduced S.1465, Furthering Access to Stroke
2

Telemedicine (FAST) Act, which would expand access to stroke telehealth


services under Medicare. The bill defines "originating site" as any site at which
the eligible teiE:health individual is located at the time the service is furnished
via a telecommunications system, regardless of where the site is located.
New Pain Management/Controlled Substances Legislation
Rep. Ami Bera (D-CA- 07) introduced H.R.2463, Dispose Responsibly of
Your Pills Act of 2015, which would establish grant s for eligible entities to
expand or make available disposal sites for unwanted prescription medications.
Rep. Susan Brooks (R-IN-05) introduced H.R.2805, Heroin and
Prescription Opioid Abuse Prevention, Education, and Enforcement Act
of 2015, which would establish a Pain Management Best Practices InterAgency Task Force to develop "best prescribing practices" for opioids. The bill
requires the Task Force to disseminate information about the best practices to
State Medical Boards.
Sen. Ed Markey (D-MA) introduced S.1392, Safer Prescribing of
Controlled Substances Act, which would require certain practit ioners
authorized to prescribe controlled substances to complete continuing education.
Sen. Joe Manchin (D-WV) introduced S.1431, Prescription Drug Abuse
Prevention and Treatment Act of 2015, which would award grants to
states and nonprofit entities for the purpose of conducting culturally sensitive
consumer education about opioid abuse. The bill would add additional training
requirements to prescribe or dispense opioids.
Sen. Ed Markey (D-MA) introduced S.1455, Recovery Enhancement for
Addiction Treatment Act, which would increase t he number of patients who
have access to treat ment by increasing the number of patients doctors can
prescribe t reatment for, and for the first time, allow certain nurse practitioners
and physician assistants to treat addicted patients by providing access to
medication assisted treatments. The bill recognizes the Model Policy on DATA
2000 and Treatment of OpiOJd Addiction in the Medical Office issued by the
FSMB as a standard for qualified practice settings.
Additional New Healt h Care Federal Legislation
The Senate Committee on Veterans Affairs held a hearing on S.297,
Frontlines to Lifelines Act of 2015, which was introduced by
Sen. Mark Kirk (R- IL). The bill would revive the Veterans Affairs' (VA)
Intermediate Care Technician Pilot Program and requires the VA to : (1) expand
the pilot program to include at least 250 intermediate care technicians, and (2)
give priority in assigning those technicians to VA facilities at which veterans
have the longest wait tim es. The bill would require the Department of Defense
(DoD) to transfer credentialing data regarding DoD health care providers that
are hired by the VA to the VA. The bill would authorize the VA to allow a
covered nurse to practice independently, without the supervision or direction of
others, under a set of VA-approved privileges, regardless of the state in which
the VA employs the covered nurse.

Rep. Larry Bucshon (R-IN-08) introduced H.R.2366, Field EMS


Modernization and Innovation Act, which would improve field of
emergency medical services through aligning ambulance reimbursement with
value-based and high-quality field EMS, integrating EMS into the National Health
Information Infrastructure, and enhancing evidence-based care in field of EMS.
Rep. Lucille Roybal-Allard (D- CA-40) introduced H.R.2709,
Professional's Access To Health Workforce Integration Act of 2015,
which wou ld provide career support for skilled, internationally educated health
professionals.

Sen. Mike Enzi (R-WY) introduced S.1354, Medicare Patient Access to


Hospice Act of 2015, which would recognize attending physician assistants as
attending physicians to serve hospice patients.
Sen. John Barrasso (R-WY) introduced 5.1475, Saving Lives, Saving
Costs Act, which would provide for the creation of a safe harbor for
defendants in medical malpractice actions who demonstrate adherence to
clinical practice guidelines.
Sen. Mark Warner (D-VA) introduced 5.1549, Care Planning Act of 2015,
which would provide for advanced illness care coordination services for
Medicare beneficiaries. The bill would reimburse a team of healthcare
professionals for providing a voluntary, structured discussion about the patient's
goals, illness, and t reatment options.

State Legislative News


By the end of this month, 39 state legislatures will have adjourned for the year,
while 11 states and the District of Columbia will remain in full session through
the late summer and fall . The FSMB's state legislative and policy staff is actively
tracking and monitoring legislation of interest to boards around the country as it
is addressed by state governments and enacted. In the coming months, stay
tuned for summaries of the legislative trends from the 2015 sessions that
impact state medical boards.
For a full list of the bills we are tracking, please visit our tracking website. If
there is specific legislation you would like us to assist with, please contact Shiri
A. Hickman, J.D., Director, State Legislation and Policy, at
shickman@fsmb.org.

FSM B Advocacy Network


Working from offices in Texas and Washington, D.C., the FSMB provides
advocacy services ranging from monitoring of legislation to liaison with key
federal agencies. Contact us to learn more about our work on state and federal
legislative issues, administration initiatives and the legislative
process. .. lrobin@fsmb.org .

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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:

Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org>


Friday, June 26, 2015 2:36 PM
Knittle, Robert C
FSMB eNews 6-26-2015

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

MESSAGE FROM THE CEO

This coming Monday and Tuesday, I wi ll be in Washington,


D.C., to attend a National Pain Strategy Collaborators
Meeting convened by the Pain Action Alliance to Implement a
National Strategy (PAINS), whose Director is Myra
Christopher, who also serves as a public member of the
Coalition for Physician Accountability. Monday's keynote
address will be given by Walter Koroshetz, MD, Director of
the National Institute of Neurological Disorders and Stroke
(N INDS). Facilitators at the meeting include Dave Davis, MD,
of the Association of American Medical Colleges, and
Georges Benjamin, MD, Executive Director of the American
Public Health Association .

The evolution .of alternative


medicine (The Atlantic, June 25,
2015)
Doctors go online for medica l
information, too (Wall Street
Journal, June 22, 2015}
FDA seizes counterfeit drugs,
devices sold online (HealthDay,
June 18, 2015}

Never eventfreguency 'troubling,'


standards lacking (HealthLeaders
Media, June 17, 2015}
Breaking the silence of the switch
- Increasing transparency about
trainee participation in surgery
(New England Journal of Medicine,
June 25, 2015}
t.~:~: . i-::~;1;;:;:j~:_:)-f :?2--~~::t::;;: ;;~---:-,: :::':-: : ::::~ :<: =~--"--"' ::.:.:;.: ::,j

; ~::~:News an:<~~=~l:tters

........

Humayun J. Chaudhry, DO, MACP


!

consider compensation
arrangements carefully
GMC approves development of
UK medical licensing assessment
West Virginia Board of Medicine
Newsletter

Regulatory Trends and Actions

INTERSTATE MEDICAL LICENSURE COMPACT BRIEFING IN


WASHINGTON, D.C.
Leading federal and state
policymakers and key
stakeholders gathered in the
nation's capital to examine the
success of the recently
established Interstate Medical
Licensure Compact on
Wednesday, June 24. Among
participants were (pictured in
photo, left to right}: FSMB CEO
Humayun Chaudhry, DO, Chair
Dan Gifford, MD, U.S. Senator John Barrasso, MD, of Wyoming, and Kevin
Bohnenblust, JD, Executive Director of the Wyom ing Board of Medicine.
Hosted by the FSMB at the National Press Club, the event highlighted the
Compact's beneficial impacts on the delivery of and access to high-quality
medical care for patients across the country. Senator Barrasso, whose state

Report provides information to the


public about the work of state
medical boards, including national
data on physician licensure and
discipline, details about the structure
of each board, and special
resou rces for consumers.

r-w-asit1e firsTinthe.natic)r1"ioado pit "iieco"mpact, 9"ave opening remarks at the


:vent. Utah State Representative Raymond Ward, MD, also participated, as
a panelist. Other panelists 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. Learn more.

,
!I
1

July 30, 2015: FSMB Roundtable


Conference Call

Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

April 28-30, 2016: FSMB 104th


Annual Meeting; San Diego, Calif.
Sept. 20-23, 2016: !AMRA 2016
Biennial Conference, Melbourne,
Australia

Washington, D.C. Office


1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000

More meetings and events

United States Medical Licensing Exam ination


(817) 868-4041; usmle@fsmb.org

Follow @theFSMB for info


about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward emai l

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Federation of State Medical Boards

I 400

Fuller Wiser Road, Suite 300

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

I!1ESSAGE FROl.t THE CEO


FSMB Chair Dan Gifford, MD, and I will be in Washington,
D.C., tomorrow to host a morning briefing and panel
discussion about the Interstate Medical Licensure Compact
After opening remarks from U.S. Senator John Barrasso (RWY), the briefing will include panelists representing state
medical boards (Kevin Bohnenblust, JD, Margaret Hansen,
PA-C, and FSMB Past Chair Jon Thomas, MD, MBA), Utah
State Representative Raymond Ward, MD, PhD, and senior
leaders from the National Patient Safety Foundation (Terry
Fairbanks, MD), American Medical Association (Jack
Resnick, MD), Council of Medical Specialty Societies
(Norman Kahn, MD), and Gundersen Health System (Marilu
Bintz, MD). Both panel discussions will be moderated by Paul
Larson. Nine states have formally adopted the Interstate
Compact with two additional states poised to do so in the
days ahead.

Humayun J. Chaudhry, DO, MACP ~

OIG cautions physicians to


consider compensation
arrangements carefully
5 questions with FSMB CEO
Humayun Chaudhry on
the Interstate Compact

FSMB's "Medical Licensing and


Discipline i n America" traces the
evolution of the U.S. medical
licensing system frorn its historical
antecedents in the 18th and 19th
century to its modern structure.

July 30, 2015: FSMB Roundtable


Conference Call
Apri128-30, 2016: FSMB 104th
Annual Meeting, San Diego, Calif.

r;zJ
LJ

= -------------------

FSMB, ASOP offer f ree con tinuin g


education for ph ysicians, phamnacists
The FSMB and the Alliance for Safe Online
Pharmacies (ASOP) are sponsoring a free
online continuing education program
(CME/CPE) for physicians and pharmacists
focused on the growing problem of illegal
online drug sales. The program , " Internet
Drug Sellers: What Providers Need To
' - - - - - - - - - - - - - ' K n o w , " is designed to educate providers
about the dangers of purchasing pharmaceuticals online from an unverified
source, and offers tools to help keep patients safe. To take the free
CME/CPE, please click here.

Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039

(817) 868-4000
www.fsmb.org

More meetings and events

Washington, D.C. Office


1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000

rr::;1: Follow @theFSMB for info


~about

our products and


=..services, news that impacts
medical regu lation and health care,
upcom ing meetings and the 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

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Federation of State Medical Boards

400 Fuller Wiser Road, Su ite 300

National Office j Euless

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
. !

5 questions with FSMB CEO


Humayun Chaudhry on
the Interstate Compact (H/Stalk
Practice, June 16, 2015)

/
:

High-tech monitors, cool gadgets


help spark a health care
revolution (USA Today, June 11,
2015)
What can patients do in the face
of physician conflict of interest?
(Health Affairs Blog, April 10, 2015)
Prescription drug price battles
show no sign of letting up (St.
Louis Post-Dispatch, June 15, 2015)
50 hospitals With extreme
markups revealed (HealthLeaders
Media, June 9, 2015)
;.

FSMB Chair Dan Gifford, MD, Chair-Elect Art Hengerer, MD,


several members of staff and I will be at FSMB's Euless,
Texas offices this Sunday and Monday to participate in a New
Directors and New Executive Directors Orientation, to be
attended by senior executive staff from 10 state medical and
osteopathic boards and four newly elected FSMB board
members. The meeting, now held twice a year, includes a
tour of FSMB's facilities and provides a valuable opportunity
for state board representatives to discuss matters of mutual
importance, including services to meet their needs, and to
better understand the history and role of state-based medical
licensure and discipline. This afternoon, FSMB's Chief
Advocacy Officer Lisa Robin, MLA, is attending a meeting in
Washington, DC of The Council of State Governments, which
manages a National Center for Interstate Compacts.

~f01

' ,.

Humayun J. Chaudhry, DO, MACP E.![~

Board News and Newsletters


NBME releases latest issue of
Examiner Newsletter

For doctors who take a break


from practice, coming back can
be tough
North Carolina Medical Board
releases 2014 Annual Report
New rule in Iowa sets standards
of practice for physicians using
telemedicine

~=~~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.

=-----------------

State medical board representatives

participate in USMLE Composite


Committee meeting
The USMLE Composite Committee met
Monday at the offices of the National Board
of Medical Examiners in Philadelphia. The
committee sets policy for the United States
Medical Licensing Examination program and
L . . . . - - - - - - - - - - - ' covers a wide array of subjects at its
meetings. Participating committee members
with experience on state medical boards included Steve Altchuler, MD, PhD
(Minnesota), Cynthia Cooper, MD (New Hampshire), Patricia King, MD,
PhD (Vermont), Janelle Rhyne, MD (North Carolina), and Jon Thomas, MD
(Minnesota). For more information about the USMLE, please contact FSMB
Senior Vice President for Assessment Services David Johnson, MA, at
djohnson@fsmb.org.

Federation of State Medical Boards


Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039

(817) 868-4000
www.fsmb.org

July 30, 2015: FSMB Roundtable


Conference Call

Washington, D.C. Office


1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000

April 28-30, 2016: FSMB 104th


Annual Meeting, Sari Diego, Calif.
More meetings and events

United States Medical Licensing Examination


(8 17) 868-4041 ; usm le@fsmb.org
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb .org
rr:;l:Follow @theFSMB for info
l...':::::_! about our products and
=- services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Uniform Appli cation for Phys ic ian State Licensure


(800) 793-7939; ua@fsmb.org

Forward email

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Fedcr.:Jtion of State Medical Boards

I 400

Full er Wiser Road, Suite 300

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:

f.c'dt' ,.,, ( JtJ t1

(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)

plws icians' bo undary v iolations


(AMA Journal of Ethics, May 2015)

A top medical school revamps


r qt tire t: 1ts To I r Enwish
(Kaiser Health News, May
27, 2015)
How d~e in your state die?
(The Atlantic, May 19, 2015)
Th .. pHhl

h :.tth imr r ttive

curriculum (AAMC Reporter, May


2015)

Board News and Newsletters

FSMB Chair Dan Gifford, MD, Chief Advocacy Officer Lisa


Robin, MLA, and Director of Federal Government Relations
Jonathan Jagoda, MPA, will be in Chicago this week for the
American Medical Association's House of Delegates meeting,
providing clarity and testimony on a variety of issues relevant
to state and territorial medical and osteopathic boards. Also in
attendance will be FSMB Board Member Claudette Dalton,
MD. Dr. Gifford will speak at a stakeholders forum of the
AMA's Council on Medical Education, led by William McDade,
MD, PhD, and at a session of the Organization of State
Medical Association Presidents, led by President Boyce
Tollison, MD, and Executive Director Brian Foy. At the AMA
meeting, Steven Stack, MD, will be inaugurated as the AMA's
next President. Meanwhile, FSMB Director of Continuing
Professional Education Mark Staz, MA, and I will be in New
Brunswick, Canada, attending the annual meeting of the
Federation of Medical Regulatory Authorities of Canada
(FMRAC), led by President Trevor Theman, MD, and
Executive Director and CEO Fleur-Ange Lefebvre, PhD.

Humayun J. Chaudhry, DO, MACP

Interstate licensure agreement


adds twc more states
Nevada becoon"'"' ninth s tate to

South Dakota Senator Thune


~xpres.,.es "upport for lntPr~t<'lte
Compact

V i rgin ~ !!!!.!!"!!

Newsletter

'C!

U.S. Medical Regulatory Trends Report provides national licensure,


disciplinary data
The
~.~ ~.-! ; e: ~ .-;; ' :~,::r.. ......~,.. ~= ~~ ~:-.t; ::>r:~ Rmort, compiled by the
FSMB, provides information to the public about the work of the nation's state
medical boards and their mission of public protection. The report includes:

u.c-.

*National data on physician licensure and discipline

*Demographic trends and information about licensed physicians

*Details about the structure and operations of each of the nation's


70 state and territorial medical boards

~a.l"t icine

*Information about the role and function of state medical boards

*Special resources for consumers- ranging from how to access


information about a physician's disciplinary record to how and when

FSMB's state-by-state overview


chart on medical marl!uana details
which states allow the practice,
statutory authority and additional
information.

June 25, 2015: FSMB Roundtable


Conference Call

More meetmqs and events

Follow @theFSMB for info


about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

to file a medical complaint.


To download the report, please click here.

Federation of State Medical Boards


Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
. ..... ,. Jf"' ........ r. ..........
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
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

This email was sent to robert.c.knittle@wv .gov by cjc_arlson(Q.f:;,,;, u l,


Rapid removal with --"-- '-- TM

Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

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:

Sent:
To:
Subject:

10- -------------Interstate licensure agreement


adds two more states
(HealthLeaders Media, May 29,
2015)
'Less is more': The next big thing
for medicine (HealthLeaders
Media, May 2B, 2015)
New push tie8 cost of drugs to
how well they .Nork (Wa ll Street
Journal, May 26, 2015)
Precisiohmed1cine: Paving the
way for a new era (AAMC Reporter,
May 2015)
A new conceptual framework for
academic health centers
(Academic Medicine, May 2015)

The FSMB is delighted to learn that it has just been


designated by the American Heart Association (AHA) as a
"Gold Fit-Friendly Worksite." In a letter announcing the
recognition, AHA CEO Nancy Brown noted that the FSMB is
now "among an elite group of awardees for this important
initiative" and has "demonstrated a strong commitment to
providing a healthy workplace for employees." The FSMB's
Wellness Committee, chaired by FSMB Director of Human
Resources Starr Stelivan, MBA, and a number of healthminded employees helped establish a renewed culture of
wellness and health improvement at our Euless, Texas, and
Washington, D.C. , offices, and are to be commended for the
year-long effort that went into achieving this recognition,
which is noted on AHA's website.
Humayun J. Chaudhry, DO, MACP

1 110~

Nevada becomes ninth state to


enact Interstate Compact
ECFMG President and CEO
Emmanuel G. Cassimatis, MD,
announces retirement
Free online CME/CPE: Internet
Drug Sellers-- What Providers
Need to Know

The FSMB's board-by-board


overview of state telemedicine
policies provides updated
information on licensure
requirements, reimbursement parity,
and rules and regulations.

New reentry to practice resources available for state medical boards


The FSMB has worked in recent years to develop policies and tools to help
medical boards develop processes that assist physicians and physician
assistants who are attempting to reenter the workforce after a prolonged
absence from clinical practice.
In collaboration with the American Academy of Pediatrics and the Physician
Reentry into the Workforce Project, the FSMB is pleased to announce two
new resources for medical boards and their licensees:

"Reentry into Clinical Practice: Tips for Handling Inquiries from


Physicians"

"Are You Preparing to Leave, or Anticipatin g Going Back to,


Clinical Practice? 6 Reasons Why It's a Good Idea to Talk with
Your State Medical Board"
For more information, please contact Frances Cain, MPA, Assistant Vice
President for Assessment Services, at fcain@fsmb.org.

Federation of State Medical Boards


May 28-29, 2015: Coalition for
Physician Enhancement Spring

Texas Office
400 Fuller Wiser Road

Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb .org

Meeting, Montreal, Canada


June 25, 2015: FSMB Roundtable
Conference Call

Washington, D.C. Office


1300 Connecticut Ave NW
Su ite 500
Washington DC 20036
(202) 463-4000
United States Medical Licensing Examination
(817) 868-4041; usmle@fsmb.org

~Fo llow @theFSMB for info


~about

our products and


"---services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.org


Update Profile/Email Address 1 Rapid removal with SafeUnsubscribe'M

Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

Privacy Policy.

National Office

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:

10- ------------ NEWS CLIPS

MESSAGE

Second opinions are often


sought, but their value isn't clear
(NPR, May 26, 2015)

Welcome back, volume - The


original quality measure
(HealthLeaders Media, May 21,
2015)
New MCAT exam launched to help
medical schools identify
applicants with broader skills
(AAMC Reporter, May 2015)

~f1

Beyond moral outrage - Weighing


the trade-offs of COl regulation
(New England Journal of Medicine,
May 21 , 2015)

Humayun J. Chaudhry, DO, MACP EJ~

Board News and Newsletters


Kentucky legislation will allow
physicians to supervise up to four
PAs
Suzanne Anderson elected chair
of NBME
;

Compact established with


seventh state enactment

.'!:_

North Carolina Medical Board


Newsletter

THE C EO

Committees and Working Groups appointed by FSMB Chair


Dan Gifford, MD, will soon begin meeting to discuss a variety
of subjects and topics of relevance and importance to
physicians, physician assistants, and state medical and
osteopathic boards. FSMB Director of Continuing
Professional Development Mark Staz, MA, and I will be
participating on a conference call later today of the
International Academy for Continuing Pmfessional
Development Accreditation, which met in London last year
before the biennial meeting of the International Association of
Medical Regulatory Authorities (!AMRA) . This Thursday, I will
be in Washington, D.C ., at a meeting of an Institute of
Medicine committee about the nation's nursing workforce.

Hospitals find new ways to


monitor patients 24/7 (Wall Street
Journal, May 25, 2015)

Interstate Medical Licensure

FRO f~.>~

MliMIi13UWn ~ 42n:~I ~~~~

Free CME activities on FSMB opioid


prescribing policies
In collaboration with the Substance Abuse
and Mental Health Services Administration
(SAMHSA), the FSMB has created learning
activities to educate state medical boards
and the physicians and other health care
providers they license on the FSMB's
updated responsible opioid prescribing and
office-based opioid treatment policies.
' - - - - - - - - - - - - - - ' These free CME activities are a valuable
resource for physicians seeking education related to opioid addiction as well
as the appropriate use of opioid analgesics in the treatment of pain. To take
the free CME, please click here. For more information, contact Kelly Alfred at
kalfred@fsmb.org.

The revised and expanded second


edition of the FSMB Foundation's
"Responsible Opioid Prescribing:
A Clinician's Guide" is certified for
up to 7.25 AMA PRA Category 1
CreditsTM.

Federation of State Medical Boards


i!

Texas Office

! 400 Fuller Wiser Road


! Suite 300
i Euless, Texas 76039

(817) 868-4000

May 28-29, 2015: Coalition for


Physician Enhancement Spring
Meeting, Montreal, Canada
June 25,2015: FSMB Roundtable
Conference Call

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
(817) 868-404 1; usmle@fsmb.org
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb .org
rr;-tFollow @theFSMB for info
~about our products and
"--services, news that impacts
medical regulation and hea lth care,
upcoming meetings and the Journal
of Medical Regulation.

Uniform Application for Physician State Licensure


(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.o rg 1


Update Profile/Email Address 1 Rapid remova l with SafeUnsubscribe''" 1 Privacy Policy.

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:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >


Friday, May 22, 2015 1:43 PM
Knittle, Robert C
FSMB eNews 5-22-2015

Sent:
To:
Subject:

10 ----- --------NEWS CLIPS


DEA arrests nearly 300 in deep
South prescription drug raids
(Associated Press, May 20, 2015)
When Googling a patient raises
ethical questions (AAMC Reporler,
May 2015)
Limits :.~rged on surgeries by low
volume providers (He althLeaders
Media, May 20, 2015)
The agony of medical bills (The
Atlantic. May 21,2015}
Thesf:)_Ne.!_IJ.e healthiest (and
unhea_fl)1est) cities in America
(Time, ,llfay 19, 2015)

Minnesota becomes eighth state


to enact Interstate Compact
Interstate Medical Licensure
Compact established with
seventh state enactment
NPDB 2015 Guidebook available
North Carolina Medical Board
Newsletter

An archive containing articles


from the last 50 years of the
Journal of Medical Regulation is
available on the FSMB website.

May 28-29, 2015: Coalition for


Physician Enhancement Spring
Meeting, Montreal, Canada
June 25, 2015: FSMB Roundtable
Conference Call

MESSAGE FRCfi;[ THE CEO


With Alabama signing the Interstate Medical Licensure
Compact into law this week as the seventh state to do so,
and Minnesota following shortly thereafter as the eighth state,
an important milestone has now been reached. Work on
this additional pathway for expedited state medical licensure
by state medical and osteopathic boards-- to support .
physicians interested in licensure portability, help address
access to care for patients, and preserve states' rights --will
soon begin, as participating states (a few more may join
shortly) begin plans later this summer to set up the
mechanisms to put it into place. Many thanks to one and all
involved in this achievement!

rr;l111

Humayun J. Chaudhry, DO, MACP Ejt....:=.j

r:::1

=-------------

State medical board members invited to


attend USMLE workshop
State medical and osteopathic board
members interested in learning more about
participating in the United States Medical
Licensing Examination (USMLE} program
are invited to attend the annual workshop
for members on Oct. 14, 2015, in
' - - - - - - - - - - - - ' Philadelphia. State board members and
senior staff interested in participating with
USMLE will spend the day learning about the program, engaging in handson small group exercises (e.g., editing flawed test items) and touring the Step
2 Clinical Skills Center. For more information, contact David Johnson, FSMB
Senior Vice President for Assessment Services, at djohnson@fsmb.org.

Federation of State Medical Boards


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

More meetings and events

United States Medical Licensing Examination


(817) 868-404 i ; usmle@fsmb.org
rr;l;Follow @theFSMB for info
~about our products and
;,.. services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medica l Boards

! 400

Full er Wiser Road, Suite 300

I Privacy

Pol icy.

National Office

I Euless I TX I 76039

Knittle, Robert C
From:

Drew Carlson- Federation of State Medical Boards <dcarlson@fsmb.org>


Tuesday, May 19, 2015 4:56 PM
Knittle, Robert C
FSMB eNews 5-19-2015

Sent:
To:
Subject:

10 -------------NEWS CUPS

~!1ESSAGE FRO~il

When does helpinga patient


violate professional boundaries?
(AMA Wire, May 8, 2015)
How doctors deliver bad news
(Wall Street Journal, May 18, 2015)
New AAMC report forecasts
'significant' physician shortage in
next decade (AAMC Reporter, April
201~

!
..:!:

I
i

New machine could one day


replace anesthes iologists
(Washington Post. May 11, 2015)

The status of medical errors


among health IT systems (EHR
Intelligence, April22. 2015)
. ' . - 'i
i

Board News and Newsletters

'

Interstate Medicallicensure
Compact established with
seventh state enactment

:'

NPDB 2015 Guidebook available

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

Illegal online drug sellers targeted


in new consumer education
campaign

The FSMB policy Addressing


Sexual Boundaries: Guidelines
for State Medical Boards defines
physician sexual misconduct aild
provides recommendations to assist
boards with the investigation
process. preparation for formal
hearings, crafting an appropriate
disciplinary response, physician
monitoring and education.

Interstate Medical Licensure Compact established with seventh state


enactment; fonnation of Compact Commission triggered
Alabama became the seventh state to enact the Interstate Medical
Licensure Compact after Governor Robert Bentley signed the legislation into
law today, triggering the formation of the Interstate Medical Licensure
Compact Commission. The Commission will administer a new streamlined
process for qualified physicians seeking to obtain licensure in multiple states
and jurisdictions participating in the Compact. Learn more.

Federation of State Medical Boards

May 28-29, 2015: Coalition for

Texas Office
400 Fuller Wiser Road

Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

Physician Enhancement Spring


Meeting, Montreal, Canada
June 25, 2015: FSMB Roundtable
Conference Call

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


(817) 868-4041; usmle@fsmb.org

rr;l:Follow @theFSMB for info


~about our products and
::o...services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb .org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

National Office

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~

ESSA.GE FRQr.,, THE CEO

FSMB Chair Dan Gifford, MD , participated on a conference


call yesterday with representatives of the American Medical
Association's Council on Medical Education, which is led by
William McDade, MD , ahead of a panel discussion on June 5,
2015, in Chicago on the subject of competency-based
medical education. Joining him on the call were FSMB
Assistant Vice President for Assessment Services Frances
Cain, MPA, and Director of Continuing Professional
Development Mark Staz, MA. In an informational report to
FSMB's House of Delegates last month, the FSMB observed,
"State medical and osteopathic boards are poised to accept
competency-based assessment models and many will not
have to amend their respective statutes, rules and regulations
to accommodate such innovations."
Humayun J. Chaudhry, DO, MACP

Board News and News letters


Chan ges to USMLE, 2015-16
Harold Rogers PMP g rants
available
Michigan becomes 18th state t o
introduce Interstate Compact
legislation

New reentry to practice resources available for state medical boards


The FSMB has worked in recent years to develop policies and tools to help
medical boards develop processes that assist physicians and physician
assistants who are attempting to reenter the workforce after a prolonged
absence from clinical practice . In collaboration with the American Academy of
Pediatrics and the Physician Reentry int o the Workforce Project, the FSMB
is pleased to announce two new resources for state boards and
their licensees:
"Reentry in to Clin ical Practice: Ti ps for Handling lnguiries f r om
Physicians"

The FSMB Report of t he Special


Committee on Reentry for the Ill
Physician addresses the return to
practice for physicians w ho have a

"Are You Prepa ring t o Leave, or Anticipati ng Going Back t o , Clinica l


Practice? 6 Reason s Why It's a Good Idea t o Talk w ith Your State
Med ical Board "
For more information, please contact Frances Cain, Assistant Vice President
for Assessment Services, at fcain@fsmb .org.

licensure restriction due to


physical or psychiatric illness,
including addictive disease.

Federation of State Medical Boards


Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

May 21, 2015: FSMB Roundtable


Conference Call, 2-3 p.m. CST
May 28-29, 2015: Coalition for
Physician Enhancement Spring
. Meeting, Montreal, Canada

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


(817) 868-4041; usmle@fsmb.org
Follow @theFSMB for info
about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards

i
1

Privacy Pol icy .

I 400 Fuller Wiser Road, Suite 300 I National Office I Euless I TX i 76039

Knittle, Robert C
From:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >


Friday, April 10, 2015 1:52 PM
Knittle, Robert C
FSMB eNews 4-10-2015

Sent:
To:
Subject:

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.

Humayun J. Chaudhry, DO, MACP .

' ~:tl'j

Montana becomes sixth state to


enact Interstate Compact
NPDB releases 2015 Guidebook
National Board of Medical
Examiners launches centennial
website
Wisconsin is latest state to
implement Uniform Application
Washington Medical Quality
Assurance .Commission
Newsletter

State medical board representatives


participate in CTel Summit
At the CTel Executive Telehealth Spring
Summit held this week in Washington,
D.C., attendees heard presentations from
several state medical boards about
regulatory issues related to telemedicine
practice in their states. Medical board
representatives included Nancy Kerr, RN, MEd, of the Idaho State Board of
Medicine; Cecilia Mouton, MD, of the Louisiana State Board of Medical
Examiners; and Jean Sumner, MD, of the Georgia Composite Medical
Board.

Register for live webcast of FSMB Annual Meeting!


The FSMB will once again host an online live webcast of the opening session
of its Annual Meeting in Fort Worth on April 23 from 8 a.m. to 11 :30 a.m.

open
can
view the webcast on computers, tablets and mobile devices. To register for
the webcast, please visit our online webcast registration page today.

chart on medical marijuana details


which states allow the practice,
statutory authority and additional
information.

A highlight of the morning's programming will be a special panel discussion


titled 'We're in This Together: Navigating the Changing Shape and
Boundaries of Medical Regulation." The session will explore some fastmoving trends and topics in medical regulation - ranging from the Interstate
Medical Licensure Compact and the recent FTC v. North Carolina State
Board of Dental Examiners case to the rise of education and CME cosponsorship by state medical boards.

April 23-25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas
May 21,2015: FSMB Roundtable
Conference Call, 2-3 p.m. CST
More meetings and events

Follow @theFSMB for info


about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

FSMB Foundation Luncheon registration extended to April15


Attendees of the upcoming FSMB Annual Meeting are invited to attend the
FSMB Fou ndation Luncheon on Friday, April 24 to hear keynote
speaker Dr. Kent Brantly, a U.S. medical missionary who contracted
Ebola while working as a doctor in Liberia. Dr. Brantly was subsequently
named one of Time Magazine's 2014 People of the Year. The registration
deadline for the event has been extended to Wednesday, April15. To
purchase your ticket, please click here to register online.
Federation of State Medical Boards
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
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

I
I
2

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Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Euless

1 TX 1

76039

Knittle, Robert C
From:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org>


Friday, April 03, 2015 3:40 PM
Knittle, Robert C
FSMB eNews 4-3-2015

Se nt:
To:

Subject:

10 ------ -----------NEWS CLIPS

23 indicted in Medicaid scam,


including 9 physicians (Capital
New York, March 31 , 2015)
Pharmacist arrested for operating
rogue Internet pharmacy; doctor
also charged (U.S. Department of
Justice, March 30, 2015}
How severe is the shortage of
substance abuse specialists?
(Stateline, April1 , 2015)
The 25 best medical schools in
America (Business Insider, April 1,
2015)
Doctors' unconscious bias may
not influence their decisions
(Reuters, March 18, 2015)

MESSt GE FROM THE CEO


As many people now know, the Interstate Medical Licensure
Compact is an approach to licensure portability that
preserves the role of state medical and osteopathic boards
and which was formally proposed for consideration by state
boards in September 2014, following 18 months of
discussion, study and feedback. We are pleased to report
that it has been formally adopted by five states -Wyoming,
South Dakota, Idaho, Utah and West Virginia - and legislation
to adopt the Compact is now pending in 12 additional states,
where it is making its way through various legislative
committees and chambers. Seven states are needed to
formally implement the Compact. Additional updates and
details will be provided at FSMB's Annual Meeting later this
month in Fort Worth, Texas.

l~lJ~1

HumayunJ. Chaudhry, DO, MACP~

West Virginia is 5th state to enact


Interstate Compact

FSMB announces 2015 awa rd


recipients
Register now to watch FSMB
Annual Meeting live Webcast

Wisconsin is latest state to implement Uniform Application for


Physician State Licensure
The Wisconsin Medical Examining Board is the most recent state board to
implement the FSMB's Uniform Application for Physician State-Licensure
(UA). The board is the 23rd FSMB member to use this tool , which makes it
easier for physicians to become licensed in multiple states by providing a
"core" application used by medical boards using the UA --eliminating the
need for physicians to re-enter data multiple times. Learn more.

10-------------FSMB Foundation Luncheon features Time Magazine Person of t he


Year Dr. Kent Brantly
Attendees of FSMB's 2015 Annual Meeting are invited to attend the FSMB
Foundation Luncheon , Friday, April 24, from noon to 2 p.m. The keynote
speaker will be Dr. Kent Brantly, a U.S. medical missionary who contracted
Ebola while working as a doctor in Liberia and survived the deadly disease.
Dr. Brantly was named one of Time Magazi ne's 2014 People of the
Year. Tickets are available for purchase online and must be purchased by
April10. Click to register onl ine.
Federation of State Medical Boards

April 23-25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas

Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

May 21, 2015: FSMB Roundtable


Conference Call, 2-3 p.m. CST
More meetings and events

Washington, D.C. Office


1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000

fa Follow @theFSMB for info


~about

our products and


~..services, news that impacts
medical regulation and health care,
upcoming meetings and the 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

This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.org I


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Federation of State Medical Boards

1400 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>
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)

FSMB Chair Don Polk, DO, Chair-elect Dan Gifford, MD,


Immediate Past Chair Jon Thomas, MD, MBA, Board
member linda Gage-White, MD, PhD, MBA, Director of
Leadership Services Pat McCarty and Chief Information
Officer Michael Dugan, MBA, and I were participants on a
Voting Delegate Webinar on Thursday. Unfortunately, due to
a technical error, many were not able to call in. The recording
and slides will be made available online next week, however,
and an add itional 30 minutes of talk time is being planned to
address any questions. Earlier this week, Lisa Robin, MLA,
and Jonathan Jagoda, MPP, attended the annual meeting of
the National Quality Forum in Washington, D.C. In other
news, four states have now signed the Interstate Medical
Licensure Compact into law (Wyoming, South Dakota, Utah
and Idaho), with two more poised to do so in the days ahead.

Board News and Newsletters

Humayun J. Chaudhry, DO, MACP~

FSMB Annual Meeting hotel


reservation deadline extended to
April6
Congress considering legislation
to reschedule marijuana

FSMB member boards submit variety of resol utions for House of


Delegates action in April
FSMB member boards have submitted resolutions on a variety of issues of
importance to state medical boards and the FSMB for consideration by the
House of Delegates at its upcoming annual business meeting on April 25.
Testimony on the resolutions will be heard during reference committees on
April 24. Resolutions submitted include:

Consistency in the Format of EMR to Enhance Readability and


Usability

FSMB's state-by-state overview


chart on medical marijuana details
which states allow the practice,
statutory authority and additional
information.

April 23~25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas
May 21, 2015: FSMB Roundtable
Conference Call , 2-3 p.m. CST

Revision of FSMB Model Policy on the Use of Opioid


Analgesics in the Treatment of Chronic Pain

Developing Model Language in Board Actions and


Coordinating with ABMS on the Effects of Board Actions on
Specialty Board Certification

Task Force to Study Access by Regulatory Boards to


Electronic Medical Records

Best Practices in the Use of Social Media by Medical and


Osteopathic Boards
For more information , please contact Pat McCarty at pmccarty@fsmb.org .

10 --------------1

More meetings and events

rr;l_:Follow @theFSMB for info


~about our products and
"'-- services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

FSMB Foundation Luncheon features Time Magazine Person of the


Year Dr. Kent Brantly
Attendees of FSMB's 2015 Annual Meeting are invited to attend the FSMB
Foundation Luncheon, Friday, April 24, from noon to 2 p.m. The keynote
speaker will be Dr. Kent Brantly, a U.S. medical missionary who contracted
Ebola while working as a doctor in Liberia and survived the deadly disease.
Dr. Brantly was named one of Time Magazine's 2014 People of the
Year. Tickets are available for purchase online and must be purchased by
April 10. Click to register online.

Federation of State Medical Boards


Texas Office
400 Fuller W iser 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
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This emai l was sent to robert.c.knitt le@wv.gov by dcarlson@fsmb.org 1


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Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

National Office

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

FSMB Chair Don Polk, DO, led a conference call of the


FSMB Executive Committee yesterday, which included a
discussion of the Interstate Medical Licensure Compact and
some of the policy documents and board recommendations
that will be presented to the House of Delegates at our
Annual Meeting next month in Fort Worth, Texas. Momentum
for the Interstate Compact has been growing since January,
with 27 state boards formally supporting it, 17 states that
have introduced legislation to adopt it, two states that
have already signed it into law (Wyoming and South Dakota)
and three other states that are simply awaiting their
Governor's signature after having it passed by both houses of
their legislature.

Medical marijuana's public health


lessons - Implications for retail
marijuana In Colorado (New
England Journal of Medicine, March
12, 2015)
DEA: Deaths from fentanyl-laced
heroin surging (USA Today, March
18, 2015)
Competition for NPs heats up as
retail clinics grow (HealthLeaders
Media, March 16, 2015)

~@

SGR permanent fix bill filed in


Congress (HealthLeaders Media,
March 20, 2015)

Humayun J. Chaudhry, DO, MACPE{Ej

Board News and Newsletters

FSMB Foundation Luncheon features Time Magazine Person of the


Year Dr. Kent Brantly
Attendees of FSMB's 2015 Annual Meeting are invited to attend the FSMB
Foundation Luncheon, Friday, April 24, from noon-2 p.m. The keynote
speaker will be Dr. Kent Brantly, a U.S. medical missionary who contracted
Ebola while working as a doctor in liberia and survived the deadly disease.
Dr. Brantly was named one of Time Magazine's 2014 People of the
Year. Tickets are available for purchase online and must be purchased by
April10. Click to register online.

New physician workforce


projections show doctor shortage
remains significant
FSMB Annual Meeting hotel
reservation deadline is March 30
Free CME activities on FSMB
opioid prescribing policies
available

The FSMB Model Policy on DATA


2000 and Treatment of Opioid
Addiction in the Medical Office is
designed to help educate the
regulatory and physician
communities about the potential of
new treatment modalities for opioid
addiction.

R M f fE

ii!ESS

How to beat burnout: Seven signs


physicians should know (AMA
Wire, March 4, 2015)

Federation of State Medical Boards


I

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

April 23-25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas

Washington DC 20036
(202) 463-4000

May 21 , 2015: FSMB Roundtable


Conference Call, 2-3 p.m. CST

United States Medical Licensing Examination


(817) 868-4041; usmle@fsmb.org

More meetings and events

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

r;:;;:]l Follow @theFSMB for info


~about

our products and


=.. services, news that impacts
medical regulation and health care.
upcoming meetings and the Journal

of Medical Regulation.

Forward email

This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.org


Update Profile/Email Address Rapid removal with SafeUnsubscribeTM

Privacy Policy.

Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Euless

TX

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)

Board News and Newsletters


FSMB Annual Meeting hotel
reservation deadline is March 30
FSMB Foundation Luncheon
features Ebola fighter Dr. Kent
Brantly
South Dakota enacts Interstate
Compact; Nevada becomes 17th
state to introduce legislation
New Mexico Medical Board seeks
Executive Director

The FSMB Model Policy


Guidelines for the Appropriate
Use of Social Media and Social
Networking in Medical Practice
provide recommendations for state
medical boards to consider in
educating their licensees on the
proper use of social media and
social networking websites.

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.

Nominations for FSMB representative to ACCME Accreditation Review


Committee due Friday, March 20
The FSMB is seeking individuals interested in serving as FSMB's
representative to the Accreditation Review Committee (ARC) of the
Accreditation Council for Continuing Medical Education (ACCME). The
deadline for submitting nominations is this Friday, March 20.
The ARC synthesizes data to formulate recommendations on the
accreditation status of providers applying for ACCME accreditation. The
ACCME develops and promotes standards for CME used by physicians
through a voluntary, self-regulated system for accrediting CME
providers. Please click here for more information or contact Kelly Alfred at
kalfred@fsmb.org.

CDC Injury Center reports Oregon's success in reducing prescription


drug overdose
As a Core Violence and Injury Prevention Program funded grantee, the
Oregon Health Authority (OHA) reports the rate of poisoning due
to prescription opioid overdose in Oregon declined 38 percent between 2006
and 2013. Oregon's rate of death associated with methadone poisoning
decreased 58 percent in the same time period. Key initiatives to address the
problem included:
Establishing a prescription drug monitoring program (POMP) to track
prescriptions of controlled substances;
Designating methadone as a non-preferred drug for pain care under
Medicaid;

Educating and providing naloxone access to lay persons to administer to


persons suspected of overdose; and
April 23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
May 21, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CST
More meetings and events

~Follow @theFSMB for info


~about our products and
';,.. services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

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.

Federation of State Medical Boards


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
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

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Federation of State Medical Boards

400 Fuller Wise r Road, Suite 300

National Office

Euless

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

I am in Huntsville, Alabama, today for a meeting with FSMB


Chair-elect Dan Gifford, MD, to discuss committee and
workgroup assignments beginning May 1, and areas of focus
in the months ahead. Also today, Dr. Gifford and I will join
FSMB Chair Don Polk, DO, for a conference call of the FCVS
Advisory Council , whose state medical and osteopathic board
representatives provide advice about how FCVS can best
serve the needs of member boards, physicians and physician
assistants. Earlier this week, FSMB Immediate Past Chair
Jon Thomas, MD, MBA, led a conference call of the
Nominating Committee, which reviewed its plans for the
Annual Meeting next month in Fort Worth, Texas. And Spring
is finally here!

CMS creates new ACO model with


more reward, more risk (AAFP
News, March 12, 2015)

Humayun J. Chaudhry, DO, MACP

Board News and Newsletters

FSMB member boards submit variety of resolutions for House of


Delegates action in April
FSMB member boards have submitted resolutions on a variety of issues of
importance to state medical boards and the FSMB for consideration by the
House of Delegates at its annual business meeting on April 25, 2015.
Testimony on the resolutions will be heard during reference committees on
April 24. Resolutions submitted include:

South Dakota enacts Interstate


Compact; Nevada becomes 17th
state to introduce legislation
New Mexico Medical Board seeks
Executive Director
Oregon medical, pharmacy
boards issue joint statement on
electronic prescriptions for
controlled substances
ABMS 2015 National Policy Forum
focuses on transformation to
patient-centered systems

Consistency in the Format of EMR to Enhance Readability and Usability


Revision of FSMB Model Policy on the Use of Opioid Analgesics in the
Treatment of Chronic Pain
Developing Model Language in Board Actions and Coordinating with
ABMS on the Effects of Board Actions on Specialty Board Certification
Task Force to Study Access by Regulatory Boards to Electronic Medical
Records
Best Practices in the Use of Social Media by Medical and Osteopathic
1

For more information, please contact Pat McCarty at pmccarty@fsmb.org

FSMB's state-bv-state overview


chart on medical marijuana details
wh ich states allow the practice,
statutory authority and additional
information.

April 23-25, 2015: FSMB 103rd


Annual Meeting , Fort Worth, Texas
May 21, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CST
More meetings and events

Follow @theFSMB for info


about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

FSMB Foundation Luncheon features Ebola fighter, Time Person of the


Year Dr. Kent Brantly
Attendees of FSMB's 2015 Annual Meeting are invited to attend the FSMB
Foundation Luncheon, Friday April 24, from noon-2 p.m. The keynote speaker
will be Dr. Kent Brantly, a U.S. medical missionary who contracted
Ebola while working as a doctor in Liberia and survived the deadly disease.
Dr. Brantly was named one of Time Magazine's 2014 People of the
Year. Tickets are available for purchase online and must be purchased by
April 10, 2015. Click to register online.

Federation of State Medical Boards


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
' Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org

Uniform Application for Physician State Licensure


, (800) 793-7939; ua@fsmb.org

Forward email

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Feder ation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Euless

TX

76039

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)

Board News and Newsletters

ME.= SA E FR
1

FSMB Chair-elect Dan Gifford, MD, is in Euless, Texas, today


and tomorrow for visits with FSMB staff as he prepares to
take the helm next month. He will be join ing FSMB Chair Don
Polk, DO, and Board members Lyle Kelsey, MBA, and Ralph
Loomis, MD, on a conference call later this evening chaired
by Board member Steve Heretick, J.D., that will review
expressions of interest in response to a Request for
Proposals (RFP) for services the FSMB is exploring.
Yesterday, I joined the CEOs and senior staff of several
dozen health care organizations in a meeting sponsored by
the Healthcare Leadership Council in Washington, D.C.,
focused on exploring innovation and value in health care. The
meeting provided an excellent opportunity to share many
examples across the country of state medical and osteopathic
boards innovating to, for example, enhance licensure
portability (e.g., the Interstate Medical Licensure Compact,
which was adopted Friday by Wyoming) and protect the
public.

Humayun J. Chaudhry, DO, MACP~

Maine Board of Licensure in


Medicine announces new
executive director
Rhode Island is 15th state to
introduce Interstate Compact
legislation
ONC releases interoperability
roadmap for comment
Medical Board of California
Newsletter

FSMB member boards submit variety of resolutions for House of


Delegates action in April
FSMB member boards have submitted resolutions on a variety of issues of
importance to state medical boards and the FSMB for consideration by the
House of Delegates at its annual business meeting on April 25, 2015.
Testimony on the resolutions will be heard during reference committees on
April 24. Resolutions submitted include:

The FSMB's board-by-board


overview of state telemedicine
policies provides updated
information on licensure
requirements, reimbursement parity,
and rules and regulations.

Consistency in the Format of EMR to Enhance Readability and


Usability
Revision of FSMB Model Policy on the Use of Opioid
Analgesics in the Treatment of Chronic Pain
Developing Model Language in Board Actions and
Coordinating with ABMS on the Effects of Board Actions on
Specialty Board Certification
Task Force to Study Access by Regulatory Boards to
Electronic Medical Records
Best Practices in the Use of Social Media by Medical and
Osteopathic Boards

March 5, 2015: FSMB Roundtable

Conference Call, 2-3 p.m. CST

For more infonnation, please contact Pat McCarty, Director of Leadership


Services, at pmccarty@fsmb .org.

April 23-25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas
Federation of State Medical Boards
More meetings and events
Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org
Fv!1Follow @theFSMB for info
about our products and
=.. services, news that impacts
medical regulation and health care,
upcom ing meetings and the Journal
of Medical Regulation.

L.:::::.l

Washington, D.C. Office


1300 Connecticut Ave NW
Su ite 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

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Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Euless

TX

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

The FSMB hosted the CEOs of several organizations


representing state regulatory boards at our Washington, DC,
office today. Topics included the Supreme Court's interesting
decision this week (which didn't question the value of state
boards but outlined means by which they can avoid antitrust
claims), advocacy on behalf of state-based regulation across
various health professions, progress on interstate compacts,
and organizational updates. Attendees included William
Hatherill of the Federation of State Boards of Physical
Therapy, Stephen DeMers, EdD, of the Association of State
and Provincial Psychology Boards, Mary Jo Monahan,
LCSW, of the Association of Social Work Boards, Carmen
Catizone, RPh, DPh , of the National Association of Boards of
Pharmacy (by phone), and Paul Grace of the National Board
of Certification in Occupational Therapy. FSMB's Chief
Advocacy Officer Lisa Robin, MLA, and Senior Director of
Legal Services Eric Fish, JD, gave presentations to the group
this morning.

~.~

Board News and Newsletters

Humayun J. Chaudhry, DO, MACP~~

ONC releases interoperability


roadmap for comment
FSMB. ASOP release free
continuing education for
pharmacists. physicians
New guide from Iowa board helps
consumers understand
investigations
Florida Board of Medicine
Newsletter

In collaboration with the American


Academy of Pediatrics and the
Physician Reentry into the
Workforce Project, the FSMB has
released two new resources for
medical boards and physicians:
Reentry into Clinical Practice:
Tips for Handling Inquiries from
Physicians; and Are You
Preparing to Leave. or
Anticipating Going Back to,
Clinical Practice? Why It's a Good

=-----------

Free CME activities on FSMB opioid


prescribing policies available
In collaboration with the Substance Abuse and
Mental Health Services Administration
(SAMHSA}, the FSMB has created
learning activities to educate state medical
boards and the physicians and other health
care providers they license on the
L - - - - - - - - - - ' FSMB's responsible opioid prescribing and
office-based opioid treatment policies.
These free CME activities are a valuable resource for physicians seeking
education related to opioid addiction as well as the appropriate use of opioid
analgesics in the treatment of pain. For more information, please contact
Kelly Alfred at kalfred@fsmb.org.
Ebola fighter to keynote FSMB Foundation luncheon
The FSMB Foundation has announced that the keynote speaker at its 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.

Idea to Talk with Your State


Medical Board.

during the FSMB's 2015 Annual Meeting at the Omni Fort Worth Hotel in Fort
Worth, Texas. To register, click here.

Federation of State Medical Boards


March 5, 2015: FSMB Roundtable

Conference Call, 2-3 p.m. CST


April 23-25, 201 5: FSMB 103rd

Annual Meeting, Fort Worth, Texas


More meetings and events

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
~Follow @theFSMB for info

United States Medical Licensing Examination

~about

(817) 868-4041; usmle@fsmb.org

our products and


;,. services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service

(888) 275-3287; fcvs@fsmb.org


Uniform Application for Physician State Licensure

(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

National Office

Euless

TX

76039

Knittle, Robert C
From:
Sent:
To:
Subject:

Federation of State Medical Boards, D.C. < lrobin@fsmb.org>


Wednesday, February 18, 2015 12:41 PM
Knittle, Robert C
FSM B Advocacy Network News

r:l

l2.J

=-e-=----------------

Feb. 18, 2015

2015: Already a Busy Year


This year is off to a busy start as the 114th Congress has begun legislating and
the Interstate Medical Licensure Compact has been introduced in thirteen
states. The FSMB would like to recognize your commitment to protecting the
nation's patients and sincerely thank you for your efforts on behalf of the
Advocacy Network and state medical and osteopathic boards. We look forward
to working with you to meet the challenges and opportunities of 2015 .

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

News from Washington, D.C.


The FSMB's advocacy team continues to track legislative and policy
developments impacting the work of state medical boards in their protection of
the public. Among items of interest in recent weeks:

I nterstate Medical Licensure Compact Update


27 state medical and osteopathic boards have formally endorsed or expressed
support for the Interstate Medical Licensure Compact and several others are
considering doing so in the weeks and months ahead. Seven states must adopt
the language to implement the Compact and since 13 states have introduced
legislation we believe we are well poised to move forward.
The American Medical Associat ion, t he Council of Medical Specialty Societies,
the Society of Hospital Medicine and many other national organizations and
state medical societies have also formally endorsed the Compact. More
information on the Interstate Compact can be found at

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.
Add itionally, 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.

Federal Legislative News


The House Committee on Energy and Commerce is looking to build on the
bipartisan success of the 113th Congress to move forward several bills and
policies that had previously received strong support.
The Committee released draft legislation of the 21st Century Cures Act, a
bipartisan effort to conduct a comprehensive look at what steps can be taken to
accelerate the pace of cures. The draft includes support for the Interstate
Medical Licensure Compact, stating that "it is the sense of Congress that States
should collaborate, through the use of State medical board compacts, to create
common licensure requirements for providing telehealth services in order to
facilitate multistate practices and allow for health care providers to provide such
services across State lines."

Reps. Adam D. Kinzinger (R-IL-16) and Lois Capps (D-CA-24) will


reintroduce The Veteran Emergency Medical Technician Support Act,
which would provide demonstration grants to states with a shortage of
emergency medical technicians (EMTs) to streamline state-licensing
requirements for military veteran EMTs to prevent unnecessary duplication in
train ing. This bill was passed by the House in 2013 but died in committee in the
Senate.

Rep. Ed Whitfield (R-KY- 01) will reintroduce The National All Schedules
Prescription Electronic Reporting (NASPER) Reauthorization Act, which
2

would reauthorize the NASPER program to support state prescription drug


monitoring programs.

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.

State Legislative News


As the remaining state legislatures still in session wrap up their year, several
state legislatures began accepting pre-filed bills for the 2015 legislative session.
The FSMB continues to track legislation of interest to state medical boards.
With a new year comes new legislative sessions commencing across the
country. The month of January, as is often customary, is a month where a large
amount of new bills are introduced. This year is no exception.
Thirteen states began the new year by introducing legislation to adopt the
Interstate Medical Licensure Compact. Those states are: Illinois, Iowa,

Maryland, Minnesota, Montana Nebraska, Oklahoma, South Dakota,


Texas, Utah, Vermont, West Virginia, and Wyoming. Severa l other states
are expected to introduce t his legislation within the coming weeks.
One major topic that is expected to be highly discussed across the country in
2015 is telemedicine. More than 70 legislative bills have already been
introduced addressing telemedicine in some form . For example, in Montana,
SB 77, has been introduced which provides the Board with rulemaking
authority for telemedicine guidelines and short-term licenses. In addition, the
bill repeals specialized, telemedicine, and temporary physician licenses, while
also creating a resident physician license in the state. In Connecticut, several
bills have been introduced to define and establish standards for the practice of
telemedicine, as well as to establish health insurance coverage for telemedicine
services. In Arkansas, SB 133 has been introduced to encourage the use of
telemedicine in order to reduce the geographic maldistribution of primary and
specialty care, and authorize reimbursement and define standards for
telemedicine services.
Some states are beginning the year by looking at ways to improve and expand
continuing medical education requirements. In Washington, SB 5151, was
introduced and would allow cultural competency continuing education courses
to be taken in addition to or, should they fulfill current requirements, in place of
other continuing education requirements required by the disciplining authority.
Legislation has been introduced in New Jersey, AB 3834, that would require
the Board of Medical Examiners to include educational programs or topics
related to suicide prevention in the core requirements for continuing medical
education for physicians who are pediatricians and physicians who regularly
provide pediatric care services. Additionally, in Hawaii, SB 807 has been
introduced that would establish a mandatory continuing medical education
program for prescribing practitioners who prescribe narcotic drugs, with

program topics and curriculum determined by the narcotics enforcement


division, in consultation with a narcotics advisory committee, created by the bill
as well.
The FSMB will continue to track legislation of interest to state medical boards.
For a full list of the bills we are tracking, please visit our tracking website. If
there is specific legislation you would like us to assist with, please contact Shiri
A. Hickman, J.D., Stat e Legislative and Policy Manager, at
shickman@fsmb.org.

FSMB Advocacy Network


Working from offices in Texas and Washington, D.C., the FSMB provides
advocacy services ranging from monitoring of legislation to liaison with key
federal agencies. Contact us to learn more about our work on state and federal
legislative issues, administration initiatives and the legislative
process.. . lrobin@f smb.org.
Forward email

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400 Fuller Wiser Rd, Suite 300

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..

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 Preceptorsh ip 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 h sician health.

Board News and Newsletters

Humayun J. Chaudhry, DO, MACP

0~-0:
;~
_:

Eight states formally introduce


legislation to speed physician
licensing across state lines
New Center for Health Workforce
Analysis brief: 'Sex. Race, and
Ethnic Diversity of U.S. Health
Occupations 12010-2012)'
Latest NBME Examiner newsletter
released
Maryland Board of Physicians
Newsletter
I II

A list of state-specific
requirements for initial medical
licensure is available on the FSMB
website.

0 =----------------

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.

Federation of State Medical Boards


Jan. 28, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. COT

Texas Office
400 Fuller Wiser Road

April 23-25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas

Suite 300
Euless. Texas 76039
(817) 868-4000
www.fsmb.org

More meetings and events


Washington, D.C. Office
1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000

r-r;1:Follow @theFSMB for info


~about our products and
; : services, news that impacts
medical regulation and health care,
upcoming meetings and the 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

Forwa rd email

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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:

18--------------- NEWS CLIPS


Doctors engulfed in spine
surgeon saga (USA Today, Jan.
11' 2015)
Imagining a future when the
doctor's office is in your home
(NPR, Jan. 12, 2015)
Medical clinics take over malls'
emptv spaces (Bloomberg
Businessweek, Jan. 8, 2015)
Physicians, patients pessimistic
about health care's future
(HealthLeaders Media, Jan. 8, 2015)
Job offers abundant for new
doctors (HealthLeaders Media, Jan.
12, 2015)

MES AG

~ROM

-HE

..
-

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
pre-briefing 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
leg islation to implement it. Several other state boards have
the topic listed on their agenda for upcomin meetings.

Humayun J. Chaudhry, DO, MACP

0 ;:~.

:_

Board News and Newsletters


Free online CME activity on
ER/LA opioids available
Iowa Board of Medicine seeks
legislation to expedite multiplestate licensure
California workgroup seeks to
curb prescription-drug deaths
Nevada State Board of Medical
Examiners Newsletter

~-----------

USMLE Composite Committee meets

The USMLE Composite Committee, which sets


policy and provides guidance to the United
States Medical Licensing Examination program,
met yesterday in New Orleans. In attendance
were current and former members from the
Minnesota, New Hampshire, North Carolina
L __ _ _ _ _ _ ____..~ and Ohio medical boards. For more information
on the USMLE, including how state board
members can become involved, please contact David Johnson, FSMB Senior
Vice President for Assessment Services, at djohnson@fsmb.org.

Federation of State Medical Boards


An archive containing articles
from the last 50 years of the
Journal of Medical Regulation is
available free of charge on the
FSMB website.

Jan. 28, 2015: FSMB Roundtable


Conference Call, 2-3 p.m. CDT

, 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

April 23-25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas

(202) 463-4000
More meetings and events
United States Medical Licensing Examination

(817) 868-4041; usmle@fsmb.org


Federation Credentials Verification Service

(888) 275-3287; fcvs@fsmb.org


rr:;:)l:Follow @theFSMB for info
~about our products and
,Z services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Uniform Application for Physician State Licensu re

(800) 793-7939; ua@fsmb.org

Forward email

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National Office

400 Fu ller Wiser Road, Su ite 300

Euless

TX

76039

Knittle, Robert C
From:
Sent :
To:
Subject:

Federation of State Medical Boards, D.C. < lrobin@fsmb.org>


Friday, December 19, 2014 12:31 PM
Knittle, Robert C
FSMB Advocacy Network News

Happy Holidays from the FSMB


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!

Best wishes for a wonderful holiday season !

Lisa Robin
Chief Advocacy Officer
Federation of State Medical Boards

News from Washington, D.C.


The FSMB's advocacy team continues to track legislative and policy
developments impacting the work of state medical boards in t heir protection of
the public.
Among items of interest in recent weeks:

Interstate Medical Licensure Compact Update


20 state medical and osteopat hic boards have formally supported their state's
participation in the Compact and several others are considering doing so in the
weeks and months ahead . Seven states must adopt the language to implement
the Compact so we believe we are well poised to move ahead. The American
Medical Association, the Council of Medical Specialty Societies, the Society of
Hospitalist Medicine and many other national organizations and state medical
societies have conveyed support for the Compact. More information on the
Compact can be found at FSMB's online Interstate Medical Licensure Compact

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.

Federal Legislative News


Special Note: All legislation not passed prior to Congress adjourning
last week must be re-introduced in the 114th Congress.
Rep. Kevin P. Brady (RTX-08) and Rep. lim McDermott (D-WA-07)
introduced H.R.S780, Protecting the Integrity of Medicare Act of 2014,
bipartisan legislation that combines previous Ways and Means Committee policy
proposals. The legislation would reform Medicare's anti-fraud programs.

Rep. Jim D. Matheson (D-UT-04) introduced H.R.S823, Incentivizing


Healthcare Quality Outcomes Act of 2014, which would amend t itle XVIII
of the Social Security Act to create incentives for healthcare providers to
promote quality healthcare outcomes.

Sen. Richard Blumenthal (D-CT) introduced S.3009, Advance Planning


and Compassionate Care Act of 2014, which would improve end-of-life care
through financial assistance and support for advanced planning .

State Legislative News


As the remaining state legislatures still in session wrap up their year, several
state legislatures began accepting pre-filed bills for the 2015 legislative session.
The FSMB continues to track legislation of interest to state medical boards.
Based on the 2014 legislative session and 2015 pre-file period, there is a
2

growing trend and an increase in the number of bills relating to scope of


practice in regards to the administration and prescribing of epinephrine autoinjectors, commonly known as EpiPens, to authorized entities. In 2014, several
states, including California, Illinois, and Pennsylvania, signed bills into law
that allow physicians to directly prescribe auto-injectors to schools. Missouri,
HB 96/SB 26, and Texas, SB 66, have already pre-filed bills to address this
issue for 2015.
With 49 states, the District of Columbia, and Guam already enacting
Prescription Drug Monitoring Programs, Missouri continues to look to become
the final state to establish a PDMP. Multiple bills-- HB 130, SB 63, and SB
611 -- have been pre-filed.
Finally, in the upcoming weeks and months, several states should see bills
introduced to enter their states into the Interstate Medical Licensure Compact.
For a full list of the bills we are tracking, please visit our tracking website. If
there is specific legislation you would like us to assist with, please contact Shiri
A. Hickman, J.D., State Legislative and Policy Manager, at

shjckman@fsmb.org.

FSMB Advocacy Network


Working from offices in Texas and Washington, D.C., the FSMB provides
advocacy services ranging from monitoring of legislation to liaison with key
federal agencies. Contact us to learn more about our work on state and federal
legislative issues, administration initiatives and the legislative
lrobin@fsmb.o rg.
Forward em ail

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400 Fuller Wiser Rd, Suite 300

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

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.

~ki1

Board News and New sletters


'Didn't read agreement' is no
excuse in appeal bv revoked
licensee
NCCPA releases 'Statistical
Profile of Recently Certified
Physician Assistants' report
Mai ne Board of Licensure in
Medicine seeks executive director
Washington State Quality
Assurance Commission
Newsletter

The FSMB policy Elements of a


State Medical and Osteopathic
Board encourages state medical
boards and other stakeholders to
reexamine existing medical practice
acts as they relate to the structure,
functions, responsibilities, powers
and funding of medical boards.

Humayun J. Chaudhry, DO, MACP~

~~-'-- Nominations for FSMB awards recognizing outstanding


service due Jan. 6
State medical boards are invited to nominate individuals for
FSMB's annual awards recognizing remarkable ach ievements
and outstanding service in medical regulation. Nominations
should be submitted by Jan. 6, 2015. The awards will be
presented at the FSMB Annual Meeting in Fort Worth in April
2015.
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.

, Federation of State Medical Boards


Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
' www.fsmb.org

Jan. 28, 2015: FSMB Roundtable


Conference Call, 2-3 p.m. COT

Washington, D.C. Office


1300 Connecticut Ave NW
Suite 500
Washington DC 20036
(202) 463-4000

April 23-25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas

United States Medical Licensing Examination


(817) 868-4041; usmle@fsmb.org

More meetings and events

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org

Jan. 13, 2015: Nominating


Committee Meeting

Uniform Application for Physician State Licensure


(800) 793-7939; ua@fsmb.org

~: Follow @theFSMB for info


~about our products and
:;,: services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Forward email

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Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Euless

TX

76039

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)

Board News and Newsletters


Colorado board adopts new
quad-Regulator Joint Policy for
Prescribing Opioids
National Environmental Health
Association seeks executive
director

MES A E FRO

FSMB Foundation President Jan Rhyne, MD, led a meeting


of the Foundation's Board of Directors yesterday in a
conference cal l that included FSMB Chair Don Polk, DO, and
FSMB Board members Art Hengerer, MD, and Ralph Loomis,
MD. Topics of discussion included support of responsible
opioid prescribing educational programs by state medical and
osteopathic boards and progress with the Interstate Medical
Licensure Compact. Also yesterday, FSMB Chair-elect Dan
Gifford, MD, led a conference call of the FSMB Planning
Committee, which includes Dr. Polk and is charged with
putting together a FY2016 Board Action Plan. Today, Dr.
Loomis and Chief Advocacy Officer Lisa Robin, MLA, are in
Henderson for a site visit with the Nevada State Board of
Osteopathic Medicine, which is led by Chair Ronald Hedger,
DO, and Executive Director Barbara ll oni
~

Humayun J. Chaudhry, DO, MACP

[j ===-==~~-

State Medical Board of Ohio


names new executive director
Tennessee Board of Medical
Examiners Newsletter

The FSMB Directory of Physician


Assessment and Remedial
Education Programs identifies
resources for physician mental
health, substance abuse, ethics
and boundaries, prescribing
issues and behavioral concerns.

Jan. 13, 2015: Nominating


Committee Meeting

He

0"0
:~
-~

FSMB seeks nominations for awards recognizing


outstanding service to medical regulation
State medical boards are invited to nominate individuals for
FSMB's annual awards recognizing remarkable
achievements and outstanding service to medical
regulation. The awards will be presented at the FSMB
Annual Meeting in Fort Worth in April 2015.
Nominations should be submitted by Jan. 6, 2015. For a list
of past award recipients, please click here. For more
information, please contact Pat McCarty at
pmccarty@fsmb.org.

Federation of State Medical Boards


Texas Office
400 Fuller Wiser Road
' Su ite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

April 23-25, 2015: FSMB 103rd


Annual Meeting, Fort Worth, Texas
More meetings and events

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

rr;l: Follow @theFSMB for info


~about our products and
;_~ services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Euless

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:

10- -----------NEWS CLIPS

Rural hospitals in critical


condition (USA Today, Nov. 13,
2014)
Seven reasons why primary care
is about to be swallowed whole
by retailers (Becker's Hospital
Review, Nov. 12, 2014)
Survey: One third of physicians
use telemedicine, one fifth are
reimbursed (MobiHealthNews, Nov.
13, 2014)
Hospitals are finally starting to
put real-time data to use (Harvard
Business Review, Nov. 12, 2014)
Patients should not have to
advocate for their own safety
(KevinMD, Nov. 14, 2014)
lol'.

~m

Humayun J. Chaudhry, DO, MACP~

1)(1

L.:J

=-==--------------

State Medical Board of Ohio


names new executive director
Rhode Island deploys NABP PMP
InterConnect; 27 states now
sharing PMP data
AMA backs interstate compact to
streamline medical licensure
Maryland Board of Physicians
Newsletter

FSMB's " Medical Licensing and


Discipline in America" chronicles
the history of the FSMB and the
evolution over several centuries
of America's state-based system
for medical licensure and
discipline.

Chief Advocacy Officer Lisa Robin, MLA, and I are at the


CTel Executive Telehealth Roundtable Summit 3.0 in
Washington, D.C., joined by state medical board
representatives Mari Robinson, JD, Executive Director of the
Texas Medical Board; Duane Houdek, JD, Executive
Secretary of the North Dakota State Board of Medical
Examiners; Jacqueline Watson, DO, MBA, Executive Director
of the District of Columbia Board of Medicine; and Jean
Sumner, MD, Medical Director of the Georgia Composite
Medical Board. Topics include telemedicine policies,
telemedicine consultations, and an update on the Interstate
Medical Licensure Compact.

4 I

Board News and Newsletters

ROM H

. _ __ _ _ _ _ _ _...J

FSMB seeks resolutions for House of


Delegates consideration in 2015
FSMB member boards are encouraged to submit
resolutions on issues of importance to state
medical boards and the FSMB for consideration
by the House of Delegates in April 2015. Issues
identified by medical boards in recent years have
led to the development of new policies and
programs beneficial to medical regulation. 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. For more infonmation, please contact Pat
McCarty at pmccarty@fsmb.org.

Federation of State Medical Boards


Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

Jan. 13, 2015: Nominating

Committee Meeting

Washington, D.C. Office


1300 Connecticut Ave NW

April 23-25, 2015: FSMB 103rd

Suite 500
Washington DC 20036
(202) 463-4000

Annual Meeting, Fort Worth, Texas


More meetings and events

United States Medical Licensing Examination

(817) 868-4041; usmle@fsmb.org


Federation Credentials Verification Service

(888) 275-3287; fcvs@fsmb.org


[ f ; l : Follow @theFSMB for info
~about our products and
;',., services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal

Uniform Application for Physician State Licensure

(800) 793-7939; ua@fsmb.org

of Medical Regulation.

Forward email

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Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Eul ess

TX

76039

Knittle, Robert C
From:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org>


Tuesday, November 11, 2014 2:11 PM
Knittle, Robert C
FSMB eNews 11-11-2014

Sent:
To:
Subject:

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)

5 examples of great health care


management (Harvard Businesss
Review, Nov. 6, 2014)

Board News and Newsletters


FSMB webinar video: Interstate
Medical Licensure Compact
Update
VA issues interim final rule to
allow veterans to seek care from
non-VA providers
IAMRA seeks executive director
Maryland Board of Physicians
Newsletter

The revised and expanded


second edition of the FSMB
Foundation's " Responsible
Opiold Prescribing: A Clinician's
Guide" is certified for up
to 7.25 AMA PRA Category 1
CreditsTM.

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.

~~

Humayun J. Chaudhry, DO, MACP~

FSMB seeks nominations for leadership positions


The FSMB is seeking nominations and recommendations for a variety of
elected and appointed leadership positions within the organization. Service in
an FSMB leadership position brings many benefits, particularly the
opportunity to impact the direction and policy of a national organization with a
vital role in health care. Opportunities include:
Elected Leadership Positions: Jon Thomas, MD, Chair of the FSMB
Nominating Committee, is requesting nominations for FSMB elected
positions, including Chair-elect, Treasurer, the Board of Directors and the
Nominating Committee.
Standing and Special Committee Appointments: After the FSMB Annual
Meeting in April 2015, 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).
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.
All nominations and recommendations for elected and appointed leadership
positions should be submitted by Jan. 6, 2015. For more information, please
contact Pat McCarty at pmccarty@fsmb.org.

Federation of State Medical Boards


Texas Office
Nov. 13, 2014: FSMB Roundtable

400 Fuller Wiser Road


Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb .org

Conference Call, 2-3 p.m. CST


Nov. 13, 2014: FSMB Bylaws

Committee Meeting
Jan. 13, 2015: Nominating
Committee Meeting
April 23-25, 2015: FSMB 103rd

Annual Meeting, Fort Worth, Texas

Washington, D.C. Office

1300 Connecticut Ave NW


Suite 500
Washington DC 20036
(202) 463-4000

More meetings and events


1

United States Medical Licensing Examination

(817) 868-4041; usmle@fsmb.org


Federation Credentials Verification Service

(888) 275-3287; fcvs@fsmb.org


~Follow @theFSMB for info

l_g about our products and

Uniform Application for Physician State Licensure

(800) 793-7939; ua@fsmb.org

~- services, news that impacts


medical regulation and health care.
upcoming meetings and the Journal

of Medical Regulation.

Forward email

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Uodate Profile/Ema il Address Rapid removal with SafeUnsubscribe'M Privacy Policy .

Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

National Office

Euless

TX

76039

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

The Interstate Medical Licensure Compact, the Supreme


Court and Opioid Prescribing are among the topics du jour at
the FSMB Board Attorney Workshop this week in Savannah,
Georgia, for more than 70 registrants. Meanwhile, FSMB
Chair-elect Dan Gifford, MD, was in Dubai, United
Arab Emirates, this week and gave a talk on "Handling
Medical Complaints Fairly and Transparently" at the 1st
Regional Health Regulation Conference sponsored by the
Dubai Health Authority. Other speakers included Niall
Dickson, Chair of the International Association of Medical
Regulatory Authorities (IAMRA), and Fleur-Ange Lefebvre,
Past IAMRA Chair. Earlier this week, FSMB board member
Linda Gage-White, MD, PhD, MBA, was in Toronto, Canada,
at the International Medical Education Leaders Forum of the
Royal College of Physicians and Surgeons of Canada. The
theme for the meeting was, "lnvestin in Innovation."
Humayun J. Chaudhry, DO, MACP

0~ :
;;_

EJ :"
~

Board News and Newsletters


Changes to USMLE begin Nov. 3
Updated 2014 edition of 'Respons ible
Opioid Prescribing' released
The FSMB Foundation recently released an
expanded edition of "Responsible Opioid
Prescribing: A Clinician's Guide," which
offers clinicians a clear safety orientation
with steps for prescribers that are expected
by state and federal regulators for vigilant
practice around using, discontinuing or
avoiding opioids for their patients in pain.
The 2014 edition, which is accredited for up
to 7.25 AMA PRA Category 1 Credits,
includes new information on the model
guidelines adopted by the FSMB in 2013,
FDA labeling and previously unavailable
information on the prevention of opioid
overdose. Learn more.

U.S. Supreme Court posts audio


of FTC vs. NC Dental oral
arguments
Medical board's right to discipline
silicosis doctor upheld
Nevada State Board Of Medical
Examiners Newsletter

FSMB's most recent Census of


Actively Licensed Physicians in
the United States includes
information about the number of
licensed physicians, their
demographic make-up, and where
they practice.

Federation of State Medical Boards

Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

Nov. 13, 2014: FSMB Roundtable


Conference Call, 2-3 p.m. CST
Nov. 13, 2014: FSMB Bylaws
Committee Meeting
April 23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
More meetings and events

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
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org

rr.;::J1 Follow @theFSMB for info

t..::::i about our products and

;_~ services, news that impacts

Uniform Application for Physician State Licensure


(800) 793-7939; ua@fsmb.org

medical regulation and health care,


upcoming meetings and the Journal
of Medical Regulation.

Forward email

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Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Euless

TX

76039

Knittle, Robert C
From:
Sent:

Federation of State Medical Boards, D.C. <lrobin@fsmb.org>


Friday, October 24, 2014 11:28 AM

To:

Knittle, Robert C
FSMB Advocacy Network News

Subject:

"'=~-------------

In This Issue

Oct. 24, 2014

'

News From Washington, D.C.


The FSMB's advocacy team continues to track legislative and policy
developments impacting the work of state medical boards in their protection of
the public. Among items of interest in recent weeks:

Interstate Medical Licensure Compact ready for consideration by


States
In September, the FSMB announced t he completion of the drafting process for
model legislation to create an I nterstate Medical Licensure Compact to support
' medical license portability. State legislatures and medical boards will now begin
to consider the adoption and enactment of the Compact legislation, which will
streamline the licensure process for physicians who wish to practice in multiple
states. More information on the Interstate Compact can be found at the FSMB's
online Interstate Medical Licensure Compact Information Center.

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.

U.S. Congress Adjourns until after the midterm election


Congress has adjourned until November 12, and will enter into a lame-duck
session upon their return .

FSMB Endorses The PrimaiY Care Physician ReentiY Act

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

Federal Legislative News


Rep. Jim McDermott (D-WA-07) introduced H.R. 5224, RDOCS-VA Act,
which would establish a scholarship program to increase the availability of
physicians who provide primary health care services at medical facilities of the
Department of Veterans Affairs.
Rep. John Lewis (D-GA-05) introduced H.R. 5353, Medicaid Parity Act,
which would extend through 2019: (1) Medicaid payment parity with Medicare
for primary care services furnished under the Medicaid program, and (2) the
increased (to 100%) federal medical assistance percentage for additional
payments for primary care services.
Rep. Diane Black (R-TN-06) and Rep. Peter Welch (D-VT-AL) introduced
H.R. 5558, ACO Improvement Act, which would broaden the scope of
Medicare Accountable Care Organizations {ACOs) and would expand the use of
telemedicine services through ACOs by allowing the use of "store-and-forward"
technologies.

Rep. Bill Foster (D-IL-11) introduced H.R. 5587, Opioid Abuse


Prevention and Treatment Act of 2014, which would award grants to
states to review prescription drug monitoring programs (PDMP) and make
information from the PDMP available to state regulators and licensing boards.

Sen. Patty Murray (D-WA) introduced S. 2728, Community-Based


Medical Education Act, which would provide community-based medical
education payments to primary care teaching centers, provide a Medicare
indirect medical education performance adjustment, and increase Medicare
graduate medical education transparency.

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

epidemic of prescription opioid abuse and heroin use.

Sen. Orrin Hatch (R-UT) and Sen. Sheldon Whitehouse (D-RI)


introduced S.2862, Regulatory Transparency, Patient Access, and
Effective Drug Enforcement Act, which would streamline and increase
transparency in the approval process for drugs that fall under the Controlled
Substances Act (CSA) by creating a specific timeline for the Drug Enforcement
Administration (DEA) to schedule certain controlled substances.

State Legislative News


Several state legislatures remain in session and the FSMB continues to t rack
legislation of interest to state medical boards.
Among the developments around the country the FSMB is tracking :
Several states have passed or introduced bills to give first responders authority
to administer naloxone in emergency opioid overdose cases. Naloxone is a
prescription drug which can counteract the effects of the overdose. Delaware
enacted HB 388, which allows peace officers who have completed an approved
training course to carry and administer drug naloxone. Immunity from civil
liability is provided to officers who administer the drug in good faith. Similar bills
have been introduced in Michigan, HB 5830, and New Jersey, SB 2378.
In New Jersey, multiple bills were introduced to address telemedicine
reimbursement. AB 3674 and AB 3675 provide that an in-person relationship
between a health care provider and a patient is not required for services
delivered by telemedicine as a condition of provider reimbursement if that
service would have been eligible for reimbursement otherwise through an inperson consultation. AB 3718 establishes a remote medical consultation
assistance grant program for federally qualified health centers to enable and
encourage their primary health care providers to employ technology to consult
with medical specialists.
Telehealth remains an active issue in additional state legislatures. California
passed AB 809 which requires a health care provider initiating the use of
telehealth at the originating site to obtain consent from the patient and to
document the consent in the patient's medical record . SB 5011 was introduced
in Virginia and would establish a three-year telemedicine pilot program
between the Department of Health and a hospital licensed in Virginia designed
to reduce patient use of emergency department facilities for the treatment of
low-acuity conditions.
The Michigan legislature introduced several bills to clarify rules of discipline for
physicians. HB 5839 defines "permanent revocation" as the permanent
cancellation or withdrawal of a license, registration, or authorization to engage
in the practice of a health profession. HR 5842 clarifies that an individual
whose license is permanently revoked is ineligible for reinstatement.
For a full list of the bills we are tracking, please visit our tracking website. If
there is specific legislation you would like us to assist with, please contact
Shiri A. Hickman, J.D., State Legislative and Policy Manager, at

shickman@fsmb.org .

0 """"______________

FSMB Advocacy Network


Working from offices in Texas and Washington, D.C., the FSMB provides
advocacy services ranging from monitoring of legislation to liaison with key
federal agencies. Contact us to learn more about our work on state and federal
legislative issues, administration initiatives and the legislative
process... lrobin@fsmb.org.
Forward email

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Federation of State Medical Boards

400 Fuller Wiser Rd, Suite 300

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)

Board News and Newsletters


Oregon Medical Board celebrates
12Sth anniversary
Medical Association of Alabama
seeks Medical Director for
Physician Health Program
FDA warns of growing network of
rogue wholesale drug
distributors
Texas Medical Board Newsletter

MESSA E FRO

TH

Yesterday, I had the opportunity to speak in Baltimore,


Maryland, at the annual meeting of the American College of
Osteopathic Internists (ACOI) about the role of state medical
and osteopathic boards, sharing updates about continuing
medical education, continuing professional development and
Maintenance of Licensure. This morning, FSMB Chief
Advocacy Officer Lisa Robin, MLA, and I were at a State
Health Issues Conference sponsored by America's Health
Insurance Programs (AHIP) in Washington, D.C., where I
participated in a featured panel discussion with the American
Telemedicine Association's chief executive officer about
telemedicine, patient safety, licensu re portability, and the
Interstate Medical Licensure Compact that is being
considered by several state medical and osteopathic
boards.

Humayun J . Chaudhry, DO, MACPt...=.J.L..:::::.l

0 ---------------

REMS activity on ERILA opioids available for


medical board licensees
The FSMB announced that a free, online CME
Risk Evaluation and Mitigation Strategy (REMS)
activity for extended-release (ER) and longacting (LA) opioid medications is available for
the licensees of state medical boards. The
online "Extended-Release and Long-Acting
Opioids: Assessing Risks, Safe Prescribing"
L __ _ _ _ _ _ _ _ activity is part of a multi-state effort by medical
boards to educate health care professionals on
the safe and responsible prescribing of ERILA opioid analgesics for patients
with chronic pain. For more information, please email Kelly Alfred at
kalfred@fsmb .org. To take the free CME, visit www.fsmb.org/safeprescribinq.

Federation of State Medical Boards


A list of state-specific
requirements for initial medical
licensure is available on the
FSMB website.

Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
1

Oct. 23-24, 2014: Board Attorneys


Workshop, Savannah, Ga.
Nov, 13, 2014: FSMB Roundtable
Conference Call, 2-3 p.m. CST
Nov. 13, 2014: FSMB Bylaws
Committee Meeting
April 23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
More meetings and events

(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
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

~Follow @theFSMB for info

E j about our products and

;;: services, news that impacts


med ical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Forward email

This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.org


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Privacy Policy .

Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

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

Representatives from more than 29 state medical and


osteopathic boards participated in the FSMB Roundtable
Webinar this past Wednesday to learn more about the
Interstate Medical Licensure Compact. The webinar, which
will be available on FSMB's website soon, enabled state
regulators to ask questions and learn more about the logistics
and legal aspects of the Compact. Yesterday, FSMB Chief
Advocacy Officer Lisa Robin, MLA, Senior Director of
Education Services Kelly Alfred, MS, Education Coordinator
Ruth Vinciguerra and I participated in a conference call with
surveyors from the Accreditation Council for Contin uing
Medical Education to become an accredited provider of
Category 1 CME, a pursuit that began with an FSMB House
of Delegates resolution offered by the Texas Medical Board in
2012.

fillf1

Board News and Newsletters


Iowa board votes to establish
standards for physicians who use
telemedicine
Dr. Gary Counselman, long-time
Kansas board member. passes
away
Changes to USMLE begin Nov. 3
Washington State Medical
Commission Newsletter

An archive containing articles


from the last 50 years of the
Journal of Medical Regulation is
available free of charge on the
FSMB website.

Oct. 23-24, 2014: Board Attorneys


Workshop, Savannah, Ga.
Nov. 13, 2014: FSMB Roundtable
Conference Call, 2-3 p .m. CST

Humayun J . Chaudhry, DO, MACPL:::.i_t..::._t

10---------------State Board Advisory Panel to USMLE meets


The State Board Advisory Panel to USMLE convened recently at the FSMB
offices in Euless, Texas, to provide feedback and guidance to the United
States Medical Licensing Examination (USMLE} program on a number of
issues, including score reporting, programmatic research, security and
examination structure. The panel also approved final edits to the 2014 USMLE
Annual Report to Medical Licensing Authorities that will be released soon.
Participants on the panel included (left to right}: Kevin Bohnenblust, JD
(Wyoming}; Suzanne McEIIhenney (NBME staff}; Kristin Spanjian, MD
(Montana); Jean Sumner, MD (Georgia); Robert Knittle (West Virginia
Medical}; Frances Cain (FSMB staff}; Ken Simons, MD (Wisconsin); Lynette
Daniels (Nevada Medical}; Patricia King, MD, PhD (Vermont Medical};
Wayne Reynolds, DO (Virginia}; Jacqueline Watson, DO (District of
Columbia}; David J ohnson (FSMB staff}; and Gerry Dillon, PhD (NBME
staff}. For more information, please contact FSMB Senior Vice President for
Assessment Services David Johnson at djohnson@fsmb.org .

Federation of State Medical Boards


Texas Office
400 Fuller Wiser Road

Nov. 13, 2014: FSMB Bylaws


Committee Meeting
April 23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
More meetings and events

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

~Follow @theFSMB for info


~about our products and
;.: services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

National Office

Euless

TX

76039

Knittle, Robert C
From:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org>


Friday/ October 03, 2014 2:22 PM
Knittle, Robert C
FSMB eNews 10-3-2014

Sent:
To:
Subject:

F~daatzor~

of

HUHAVUN

STATE-

J.

CHAU D HRY, DO . 11ACP


1-'M t \IIH~
1\NIJ C I'"()

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)

MESSA E FROM THE

FSMB Board Chair Don Polk, DO, and FSMB Foundation


President Janelle Rhyne, MD, led a joint meeting this morning
of the FSMB and FSMB Foundation boards of directors,
discussing survey opportunities, medical education, the
interstate compact, and opportunities to raise awareness
among medical students and physicians about responsible
opioid prescribing. Yesterday, the FSMB's Washington, D.C.,
office hosted a reception for both groups, demonstrating our
commitment to advocacy and education on behalf of the state
medical and osteopathic boards.

Humayun J. Chaudhry, DO, MACP

Rethinking the social history (New


England Journal of Medicine, Oct. 2,
2014)

Board News and Newsletters


Register for upcoming FSMB
Board Attorneys Workshop
Board has 'compelling interest' in
using Rx database for
investigations
Nevada State Board of Medical
Examiners names new Executive
Director

FSMB seeks nominations for leadership positions


The FSMB is seeking nominations and recommendations for a variety of
elected and appointed leadership positions within the organization. Service in
an FSMB leadership position brings many benefits, particularly the
opportunity to impact the direction and policy of a national organization with a
vital role in health care. Opportun ities include:
Elected Leadership Positions: Jon Thomas, MD, Chair of the FSMB
Nominating Committee, is requesting nominations for FSMB elected
positions, including Chair-elect, Treasurer, the Board of Directors and the
Nominating Committee.

State Medical Board of Ohio


Newsletter

Standing and Special Committee Appointments: After the FSMB Annual


Meeting in April 2015, 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).

The FSMB Model Policy


Guidelines for the Appropriate

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.

Use of Social Media and Social


Networking in Medical Practice
provide recommendations for state
medical boards to consider in
educating their licensees on the
proper use of social media and
social networking websites.

Oct. 8, 2014: FSMB Roundtable


Conference Call, 2-3 p.m. CST
Oct. 23-24, 2014: Board Attorneys
Workshop, Savannah, Ga.
April 23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

All nominations and recommendations for elected and appointed leadership


positions should be submitted by Jan. 6, 2015. For more information, please
contact Pat McCarty, Director of Leadership Services, at pmccarty@fsmb.org
or (817) 868-4067.

Federation of State Medical Boards


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

More meetings and events


United States Medical Licensing Examination
(817) 868-4041; usmle@fsmb.org
Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org
Follow @theFSMB for info
about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Uniform Application for Physician State Licensure


(800) 793-7939; ua@fsmb.org

Forwa rd email

This email was sent to robert.c.knittle@wv.gov by dcarlson@fsmb.org


Update Profile/Email Address Rapid removal with SafeUnsubscriberM

Privacy Policy.

. , , ,, ._. tut.c~ 1' f ,, , .

CmstlmCmb:t"
Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

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.

CHAUOHIIY . 00, HACP


PM .. "ill)~fl.i

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

FSMB Board Chair Don Polk, DO, is in Washington, D.C., this


morning to lead a meeting this week of the FSMB Board of
Directors, which will be discussing progress with the
Interstate Medical Licensure Compact, our Telemedicine
Consultations Workgroup and topics such as Data Commons
and collaboration with international medical regulatory
authorities. Yesterday morning, FSMB Foundation President
Jan Rhyne, MD, who is also a past Chair of the FSMB,
chaired a meeting in Philadelphia of the USMLE Composite
Committee, which included representatives of the i=SMB,
NBME and ECFMG.

The rise of the MD/MBA degree


(The Atlantic, Sept. 29, 2014)

Humayun J. Chaudhry, DO, MACP

Board News and Newsletters

FSMB seeks nominations for leadership positions


The FSMB is seeking nominations and recommendations for a variety of
elected and appointed leadership positions within the organization. Service in
an FSMB leadership position brings many benefits, particularly the
opportunity to impact the direction and policy of a national organization with a
vital role in health care. Opportunities include:

Board has 'compelling interest' in


using Rx database for
investigations
Nevada State Board of Medical
Examiners names new Executive
Director
FDA 'Know Your Source' initiative
aims to protect patients from
unsafe drugs
State Medical Board of Ohio
Newsletter

The FSMB Model Policy


Guidelines for the Appropriate

Elected Leadership Positions: Jon Thomas, MD, Chair of the FSMB


Nominating Committee, is requesting nominations for FSMB elected
positions, including Chair-elect, Treasurer, the Board of Directors and the
Nominating Committee.
Standing and Special Committee Appointments: After the FSMB Annual
Meeting in April 2015, 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).
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

---

Use of Social Media and Social


Networking in Medical Practice
provide recommendations for state
medical boards to consider in
educating their licensees on the
proper use of social media and
social networking websites.

will be elected at the Board of Directors' February 2015 meeting.


All nominations and recommendations for elected and appointed leadership
positions should be submitted by Jan. 6, 2015. For more information, please
contact Pat McCarty, Director of Leadership Services, at pmccarty@fsmb.org
or (817) 868-4067.

Federation of State Medical Boards


Oct. 8, 2014: FSMB Roundtable
Conference Call, 2-3 p.m. CST
Oct. 23-24, 2014: Board Attorneys
Workshop, Savannah, Ga.
April 23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
More meetings and events

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

Follow @theFSMB for info


about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
, (800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards

National Office

400 Fuller Wiser Road, Suite 300

Euless

TX

76039

Knittle, Robert C
From:

Drew Carlson - Federation of State Medical Boards <dcarlson@fsmb.org >


Friday, September 19, 2014 1:20 PM
Knittle, Robert C
FSMB eNews 9-19-2014

Sent:
To:

Subject:

Frdalltior; of

HUHAYUN j . CHAUDHRY , DO , H ACP


t-1~ 1- \I I H- N
/\N il ( t-0

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:

The FSMB is achieving and communicating our goals in


support of state medical boards. FSMB Chair-elect Dan
Gifford, MD , is leading a conference call this afternoon for a
pre-briefing of the FSMB Planning Committee, charged with
shepherding the Board of Directors' strategic planning
process. FSMB board member Art Hengerer, MD, is meeting
with the Medical Society of the State of New York today to
discuss Data Commons, Continuing Medical Education, and
Continuing Professional Development. And FSMB Immediate
Past Chair Jon Thomas, MD , MBA, is giving a presentation in
St. Paul to the Minnesota Hospital Association's Physician
Leadership Council about the Interstate Medical Licensure
Compact.

Humayun J. Chaudhry, DO, MACP


Board News and Newsletters
Mississippi medical board s ues
VA for radiology records
ECFMG issues cautionary
advisory to IMGs regarding
certification requirements
Senator Thune: Doctors without
borders. U.S. style
Pennsylvania State Board of
Medicine Newsletter

The Federation Credentials


Verification Service (FCVS)
provides a centralized, uniform
process for state medical boards to

FSMB CEO Dr. Humayun Chaudhry


elected Chair-elect of IAMRA
FSMB CEO Humayun Chaudhry, DO,
was elected Chair-elect of the
International Association of Medical
Regulatory Authorities (!AMRA)
during the organization's biennial
meeting in London last week. Dr.
Chaudhry will serve a two-year term
as Chair-elect followed by a two-year
term as Chair beginning in 2016. IAMRA provides an international forum for
medical regulators to share best practices in achieving their mandate to
protect, promote and maintain the health and safety of the public by ensuring
proper standards for the profession of medicine. The organization has 77
members in 37 countries. Learn more.

Federation of State Medical Boards

obtain a verified, primary-source


record of a physician's core medical
credentials.

Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

Oct. 23-24, 2014: Board Attorneys


Workshop, Savannah, Ga.
April 23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas
More meetings and events

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

Follow @theFSMB for info


about our products and
services, news that impacts
medical regulation and health care,
upcoming meetings and the Journal

Federation Credentials Verification Service


(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

of Medical Regulation.

Forward email

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CaastmtContrxt"
Federation of State Medical Boards

400 Fuller Wiser Road, Suite 300

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

Medical boards draft plan to ease


path to out-of-state and online
treatment (New York Times, June
29, 2014)

Yesterday, the New York Times featured a detailed article


about the effort by state medical boards to put in place an
Interstate Medical Licensure Compact to improve patient
access to medical services while maintaining standards for
the quality of care. The proposal would preserve the system
of state oversight and the ability of the state medical boards
to share information and properly vet physicians. Ultimately,
the compact would streamline the ability of doctors to obtain a
license from each state participating in the compact. While
many of the details of the compact are yet to be finalized, as
the FSMB collates feedback and advice from state medical
boards and stakeholders across the country, the idea of a
compact has been endorsed by several state medical boards
already and is gaining momentum.

Supply won't meet growing


demand for primary care (USA
Today, June 29, 2014)
LCME puts Baylor College of
Medicine on probation (Associated
Press, June 29, 2014)
Should doctors work for
hospitals? (The Atlantic, May 27,
2014)
Humanities programs help
medical students see life through
patienrs eves (AAMC Reporter,
May 2014)

lrxl1~

Humayun J. Chaudhry, DO, MACP~

Board News and Newsletters

B ----------

FSMB Board Attorneys Workshop


scheduled for October in Savannah
State medical board attorneys and legal
staff are encouraged to make plans to
attend the FSMB 2014 Board Attorneys
Workshop on Oct. 23-24 in Savannah.
Georgia. The two-day conference will be
held at the Embassy Suites Savannah,
located in the heart of downtown. The
.___ _ _ _ _ _ _ _ _____. registration fee is waived for medical
board legal counsel and staff. Workshop registration and information are now
available. Learn more.

NASPER reauthorization bill


Introduced
New Senate report on VA released
Nevada State Board of Medical
Examiners seeks applicants for
Executive Director position
Idaho State Board of Medicine
Newsletter

FSMB eNews can be easily


shared or integrated within social
networks such as Facebook,
Linkedin , Twitter, blogs and many
other communication applications by
clicking the appropriate link in the
share bar located in the top-left
corner of your screen.

Federation of State Medical Boards

Texas Office
400 Fuller Wiser Road
Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb .org
Washington, D.C. Office

Sept. 9-1 2, 2014: IAMRA 11th


International Conference on Medical
Regulation , London
Oct. 23-24, 2014: Board Attorneys
Workshop, Savannah. Ga.

1300 Connecticut Ave NW


Suite 500
Washington DC 20036
(202) 463-4000
United States Medical Licensing Examination
(817) 868-4041 ; usmle@fsmb.org

More meetings and events


Federation Credentials Verification Service
(888) 275-3287; fcvs@fsmb.org
Uniform Application for Physician State Licensure
(800) 793-7939; ua@fsmb.org

rr=il:Follow @theFSMB for info


~about our products and
- services. news that impacts
medical regulation and health care,
upcoming meetings and the Journal
of Medical Regulation.

Forward email

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400 Fuller Wiser Road, Suite 300

Privacy Policy.

National Office

Euless

TX

76039

Knittle, Robert C
From:

Sent:
To:

Subject:

Jonathan Jagoda <jjagoda@fsmb.org >


Thursday, June 25, 2015 11:23 AM
Knittle, Robert C
Politico

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:

Humayun J. Chaudhry, DO, MACP <jjagoda@fsmb.org>


Friday, June 12, 2015 2:39 PM
Knittle, Robert C
Invitation: Interstate Medical Licensure Compact Briefing

" Expanding Access to Health


Care through the Interstate
Medical Licensure Compact"

REGISTER HERE

State legislatures across the nation have begun introducing


and adopting the Interstate Medical Licensure Compact, a
new pathway for expedited medical licensure expected to
facilitate telemedicine and expand access to health care for
the underserved. You are Invited to join members of state

medical boards, pollcymakers and health care leaders for


panel discussions about the Compact's Implementation
and Its beneficial Impact on the health care system.
This FREE event begins with continental breakfast at 8 a.m.
Speakers will begin at 8:30 a .m. For more information.
please call202 463 4003. The National Press Club is located
at 529 14th Street, NW, Washington, DC.

Hosted by the Federation ofState Medical Boards


Jonathan Jagoda

(202) 463-4003 I email: jjagoda@fsmb org

The Federation of State Medical Boards is committed to protecting the public with high standards
for medical licensure and practice

STAY CONNECTED

Forward this email


1

. ..

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Federation of State Medical Boards

400 Fuller Wiser Rd, Suite 300

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:

"Expanding Access to Health Care Through the


Interstate Medical Licensure Compact" - June 24,
2015
You are invited to join representatives of state medical boards, policymakers and health care
leaders for a special briefing about the new Interstate Medical Licensure Compact and its impact on
the U.S. health care system.
Wednesday June 24, 2015 from 8:00AM to 11:00 AM EDT
The National Press Club
529 14th Street NW
Washington, DC 20045
Thank you again for registering for our event. This email is confirmation of your successful
registration. If any of the information displayed below is incorrect, please contact us as soon as
possible.

Personal Information
First Name:
Last Name:

Robert C.
Knittle
robert.c. kn ittle@wv.gov

Email Address:
Business Information
Company:

West Virginia Board of Medicine

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:

Lisa A. Robin (FSMB) <LRobin@fsmb.org>


Friday, April 03, 2015 12:14 PM
Lisa A. Robin (FSMB); Margaret Hansen; Kevin Bohnenblust, JD; Nancy Kerr; April Ellis,
JD; Knittle, Robert C; Shepard, Diana K
RE: Montana enacted - hooray

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

[cid :image001.png@01D06D66. 7E034660]


1

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

From: Robert Knittle

Sent: Tuesday, March 31, 2015 3:57 PM


To: Jonathan Jagoda

Subject: RE: Congrats!


Thanks Jonathon. Five is a lucky number. Do you guys have any boilerplate for a Compact Press release handy?

From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]


Sent: Tuesday, March 31, 2015 3:08 PM
To: Knittle, Robert C; Shepard, Diana K
Subject: Congrats!
Just heard the Governor signed the Compact!
Jonathan Jagoda
Director, Federal Government Relations
Federation of State Medical Boards
1300 Connecticut Avenue NW I Suite 500
202-463-4003 direct
jjagoda@fsmb.org

1-"erler,ltion

STATE

I Washington, DC 20036

f1/

MEDiCAL

BOARDS

, ""II
,

"
f

l'

J..l

t' r

. ,
1

f '

...

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:

Just heard the Governor signed the Compact!


Jonathan Jagoda
Director, Federal Government Relations
Federation of State Medical Boards
1300 Connecticut Avenue NW I Suite 500
202-463-4003 direct
jjagoda@fsmb.org

I Washington, DC 20036

Ful t'rll t ion of

STATE

MEDICAL

BOARDS

it

...

. \.

I.IL , " 1

\
:

,.,. ..

r ..,.

' .
i

Knittle, Robert C
From:

Sent:
To:

Subject:

Shiri A. Hickman <shickman@fsmb.org>


Tuesday, March 31, 2015 3:05 PM
Knittle, Robert C
RE: West Virginia Enacts Compact

I w ill, she' ll be glad to hear it too

From: Robert Knittle

Sent: Tuesday, March 31, 2015 3:04 PM


To: Shiri A. Hickman

Subject: RE: West Virginia Enacts Compact


Five is out lucky number! ! Tell Lisa I w ill work on our letter of support for her now.
Bob

From: Shiri A. Hickman [mailto:shickman@fsmb.org]

Sent: Tuesday, March 31, 2015 3:02 PM


To: Knittle, Robert C
Subject: FW: West Virginia Enacts Compact
We're happy to hear this!

From: John Bremer

Sent: Tuesday, March 31, 2015 2:55 PM


To: #DC Office; Drew Carlson (FSMB); Blue Engine Media
Subject: West Virginia Enacts Compact
West Virginia Governor Earl Ray Tomblin has officially signed HB 2496, the Compact, into law this afternoon. West
Virginia becomes the 51h state to enact the Compact.
http://www .gave rnor.wv .gov/med ia/Biii%20Status/Pages/default.aspx

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 :

Shiri A. Hickman <shickman@fsmb.org>


Tuesday, March 31, 2015 3:02 PM
Knittle, Robert C
FW: West Virginia Enacts Compact

We're happy to hear this!

From: John Bremer


Sent: Tuesday, March 31, 2015 2:55 PM
To: #DC Office; Drew Carlson {FSMB); Blue Engine Media
Subject: West Virginia Enacts Compact
West Virginia Governor Earl Ray Tomblin has officially signed HB 2496, the Compact, into law this afternoo n. West
Virginia becomes the 5th state to enact the Compact.
http://www.governor.wv.gov/media/Biii%20Status/Pages/default.aspx

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:

Jonathan Jagoda <jjagoda@fsmb.org >


Friday, March 13, 2015 3:21 PM
Knittle, Robert C; Shepard, Diana K
Lisa A. Robin (FSMB)
RE: Congratulations on Compact!

Gotcha. Duly noted .


Have a great weekend.
Jonathan
-----Original Message----From: Robert Knittle
Sent: Friday, March 13, 2015 3:05 PM
To: Jonathan Jagoda; Diana Shepard
Cc: Lisa A. Robin (FSMB)
Subject: RE: Congratulations on Compact!
Diana and I haven't discussed it yet. We're just trying to catch our beath! If we did I would urge waiting until we get the
Governor's signature. I hesitate a little since we had a few very vocal anti-compact, anti- MOC, anti-Federation, anti
everything docs in state medical who proposed resolutions (which didn 't happen) for the state medical association to
oppose it. They also contacted a number of legislators which we countered with a myths document based on the
Federations material. Don't want to get these boys stirred up again and deal with letters to the editor until were rolling.
Bob
-----Original Message----From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Thursday, March 12, 2015 7:02 PM
To: Knittle, Robert C; Shepard, Diana K
Cc: Lisa A. Robin (FSMB)
Subject: Congratulations on Compact!
Hi Bob and Diana,
Congratulations on the great news that the Compact has passed West Virginia and is heading to the Governor's desk!
We are hopeful he will sign soon.
I am writing to ask if you are planning any sort of press release or public announcement (as a board, or in conjunction
with the Governor's office). The FSMB would also be happy to assist with preparing a press release (we have a model I
can share) or we can work with you on a FSMB press release with appropriate quotes from the Boards, sponsors, or
Governor.
Please let me know of any plans you may have and how we may be of assistance, if this is something you are interested
in pursuing. Thanks and congrats!
Jonathan

Knittle, Robert C
From:

Sent:
To:

Cc:
Subject:

Jonathan Jagoda <jjagoda@fsmb.org >


Thursday, March 12, 2015 7:02 PM
Knittle, Robert C; Shepard, Diana K
Lisa A. Robin (FSMB)
Congratulations on Compact!

Hi Bob and Diana,


Congratulations on the great news that the Compact has passed West Virginia and is heading to the Governor's desk!
We are hopeful he will sign soon.
I am writing to ask if you are planning any sort of press release or public announcement (as a board, or in conjunction
with the Governor's office). The FSMB would also be happy to assist with preparing a press release (we have a model I
can share) or we can work with you on a FSMB press release with appropriate quotes from the Boards, sponsors, or
Governor.
Please let me know of any plans you may have and how we may be of assistance, if this is something you are interested
in pursuing. Thanks and congrats!
Jonathan

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:

January 28, 2015

TO:

Member Medical Board Executive Directors Interstate Medical Licensure Compact Supporters

FROM:

Humayun J. Chaudhry, DO, MACP


FSMB President and CEO

CC:

Don Polk, DO, FSMB Chair


FSMB Board of Directors

RE:

Interstate Medical Licensure Compact Misinformation

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:

HumayunJ. Chaudhry, DO, MACP


FSMB President and CEO

CC:

Don Polk, DO, FSMB Chair


FSMB Board of Directors

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 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).

400 FU LLER WISER ROAD I SUITE 300 I EULESS, TX 76039


(817) 868-4000 I FAX (817) 868-4098 I WWW.FSM B.ORG

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).

SIX MYTHS ABOUT


THE INTERSTATE MEDICAL LICENSURE COMPACT

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.

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 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:

Sure do. See attached.


Good luck tomorrow!

From: Robert Knittle


Sent: Tuesday, January 13, 2015 3:05 PM
To: Jonathan Jagoda
Subject: 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. It's 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 I Suite 500
202-463-4003 direct
jjagoda @fsmb.org

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Interstate Medical Licensure Compact


In September 2014, the completed model legislation of the Interstate Medical Licensure
Compact was released to state medical boards and state legislatures for their formal
consideration. Following the culmination of an 18 month drafting process, the Compact has
received strong support from state medical boards, policymakers, provider organizations, and
other key stakeholders.
The Interstate Medical Licensure Compact is formally supported by:
State Medical Boards
Alabama Board of Medical Examiners
Arizona Board of Osteopathic Examiners in Medicine and Surgery
District of Columbia Board ofMedicine
Idaho Board of Medicine
Iowa Board of Medicine
Kansas State Board of Healing Arts
Maine Board of Licensure in Medicine
Minnesota Board of Medical Practice
Montana Board of Medical Examiners
Nevada State Board of Medical Examiners
Oklahoma Board of Medical Licensure and Supervision
Oklahoma State Board of Osteopathic Examiners
South Dakota Board of Medical and Osteopathic Examiners
Texas Medical Board
Utah Physicians and Surgeons Licensing Board
Utah Osteopathic Physicians and Surgeons Licensing Board
Vermont Board of Medical Practice
Virginia Board of Medicine
Washington Medical Quality Assurance Commission
Washington Board of Osteopathic Medicine and Surgery
West Virginia Board of Medicine
West Virginia Board of Osteopathic Medicine
Wisconsin Medical Examining Board
Wyoming Board ofMedicine
National Medical Provider Organization
American Medical Association (AMA) - 2014 House of Delegates Interim Meeting
State Medical Associations
Iowa
Minnesota
Mississippi
Nevada
North Dakota

State Hospital Associations


Iowa
Minnesota
Wisconsin

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:

Lisa A. Robin (FSMB) < LRobin@fsmb.org >


Monday, January 12, 2015 2:49 PM
Lisa A. Robin (FSMB)
Eric Fish; Jonathan Jagoda; John Bremer
Compact Update
Interstate Medical Licensure Compact (FINAL).pdf

Dear Executive Director,


As of today, 24 state medical and osteopathic b oards have formally endorsed the Interstate Medical Licensure
Compact and others have indicated their intention to consider doing so in the coming weeks. Based on sev eral
recent requests, we would like to let you know of a number of resources that may be helpful to you in m oving
forward with the compact legislation, including 1) an up-to-date list of endorsements from member boards, national
and state medical associations, and health care systems 2) pow er point presentations and 3) talking points. We can
assist you in securing someone to provide testimony or give a presentation to your board, legislative committee or
other external audience. We are also available to review your draft legislation to ensure it meets the essential
requirements for state participation in the compact. A copy of d1e model compact legislation is attach ed.
T hank you for keeping us informed of the status of d1e compact in your state and an y local/ state endorsem ents you
are aware of and, if you h ave developed material:> that you arc willing to sh are with your colleagues, please forward
to me so they can b e made available as well.
Best regards,
Lisa
Lisa Robin

Chief Advocacy Officer


Federation of State Medical Boards
1300 Connecticu t Avenue NW 1 Suite 500
202-463 -4006 direct I

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.

INTERSTATE MEDICAL LICENSURE COMPACT

INTERSTATE MEDICAL LICENSURE COMPACT


2

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

procedures in the Compact.

16
17

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20
21
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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
1

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

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

physicians as directed by the state government.

14

(i) "Member State" means a state that has enacted the Compact.

15

G) "Practice ofMedicine" means the clinical prevention, diagnosis, or treatment of

16

human disease, injury, or condition requiring a physician to obtain and maintain a license in

17

compliance with the Medical Practice Act of a member state.

18
19

(k) "Physician" means any person who:


( 1) Is a graduate of a medical school accredited by the Liaison Committee on

20

Medical Education, the Commission on Osteopathic College Accreditation, or a medical school

21

listed in the International Medical Education Directory or its equivalent;

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

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 Specialties or the American Osteopathic Association's

Bureau of Osteopathic Specialists;

9
10

(5) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;

11

(6) Has never been convicted, received adjudication, deferred adjudication,

12

community supervision, or deferred disposition for any offense by a court of appropriate

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

related to non-payment of fees related to a license;

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

(I) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.

22

(m) "Rule" means a written statement by the Interstate Commission promulgated

23

pursuant to Section 12 of the Compact that is of general applicability, implements, interprets, or

prescribes a policy or provision of the Compact, or an organizational, procedural, or practice

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

registration and participation in the Compact.

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

SECTION 4. DESIGNATION OF STATE OF PRINCIPAL LICENSE

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

( 1) the state of primary residence for the physician, or

21

(2) the state where at least 25% of the practice of medicine occurs, or

22

(3) the location of the physician's employer, or

23

(4) if no state qualifies under subsection (1), subsection (2), or subsection (3), the

2
3
4
5

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.

SECTION 5. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

(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

eligibility, to the Interstate Commission.

I5

(i) Static qualifications, which include verification of medical education, graduate

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

have suitability determination in accordance with U.S. C.P.R. 731.202.

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

unrestricted license within the member state.

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

redesignation of a new state of principal licensure .

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
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SECTION 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 Commi.ssion is authorized to develop rules regarding fees for expedited

licenses.
2
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4
5

SECTION 7. RENEWAL AND CONTINUED PARTICIPATION


(a) A physician seeking to renew an expedited license granted in a member state shall
complete a renewal process with the Interstate Commission if the physician:

(1) Maintains a full and unrestricted license in a state of principal license;

(2) Has not been convicted, received adjudication, deferred adjudication,

community supervision, or deferred disposition for any offense by a court of appropriate

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

non-payment of fees related to a license; and

13
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21
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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

licenses obtained through the Compact.

2
3

SECTION 8. COORDINATED INFORMATION SYSTEM

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

applied or received an expedited license through the Compact.

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(c) Member boards shall report disciplinary or investigatory information determined as


necessary and proper by rule of the Interstate Commission.
(d) Member boards may report any non-public complaint, disciplinary, or investigatory
information not required by subsection (c) to the Interstate Commission.
(e) Member boards shall share complaint or disciplinary information about a physician
upon request of another member board.

16

(f) All information provided to the Interstate Commission or distributed by member

17

boards shall be confidential, filed under seal, and used only for investigatory or d isciplinary

18

matters.

19
20

(g) The Interstate Commission is authorized to develop rules for mandated or


discretionary sharing of information by member boards.

21
22

SECTION 9. JOINT INVESTIGATIONS

23

(a) Licensure and disciplinary records of physicians are deemed investigative.

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

boards in joint investigations of physicians licensed by the member boards.

(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

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

license to practice medicine.

8
9

10

SECTION 10. DISCIPLINARY ACTIONS

(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

license is revoked, surrendered or relinquished in lieu of discipline, or suspended, then all

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
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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

and fact decided, and:


(i) impose the same or lesser sanction(s) against the physician so long as such

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.

(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 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

consistent with the Medical Practice Act of that state.

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SECTION 11. INTERSTATE MEDICAL LICENSURE COMPACT


COMMISSION
(a) The member states hereby create the "Interstate Medical Licensure Compact
Commission".
(b) The purpose ofthe Interstate Commission is the administration ofthe 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

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 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

one representative from each member board. A Commissioner shall be a(n):

(1) Allopathic or osteopathic physician appointed to a member board;

(2) Executive director, executive secretary, or similar executive of a member

9
10
II

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.

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
2

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

4
5

Interstate Commission;

(2) Discuss matters specifically exempted from disclosure by federal statute;

(3) Discuss trade secrets, commercial, or financial info1mation 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

10

11

clearly unwarranted invasion of personal privacy;

12

(6) Discuss investigative records compiled for law enforcement purposes; or

13

(7) Specifically relate to the participation in a civil action or other legal

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

record of any roll call votes.

18

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.

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

bylaws and rules, and other such duties as necessary.

5
6

(I) The Interstate Commission may establish other committees for governance and
administration of the Compact.

SECTI ON 12. POWERS AND DUTIES OF THE INTERSTATE COMMISSION

The Interstate Commission shall have the duty and power to:

10

(a) Oversee and maintain the administration of the Compact;

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 lim ited to

17

the use of judicial process;

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

Interstate Commission in carrying out its powers and duties;

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

(g) Establish and maintain one or more offices;

24

(h) Borrow, accept, hire, or contract for services of personnel;


13

(i) Purchase and maintain insurance and bonds;

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

fix their compensation;

5
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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

policies established by the Interstate Commission;

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

(o) Establish a budget and make expenditures;

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;

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

(t) Seek and obtain trademarks, copyrights, and patents; and

(u) Perform such functions as may be necessary or appropriate to achieve the purposes of

the Compact.

4
5

SECTION 13. FINANCE POWERS

(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

11

promu lgate a rule binding upon all member states.

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 Comm ission 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 Iicensed public accountant and the report of the audit shall be included in the annual

18

report of the Interstate Commiss ion.

19
20
21

SECTION 14. ORGANIZATION AND OPERATION OF THE INTERSTATE


COMMISSION

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

believing occurred, within the scope oflnterstate Commission employment, duties, or

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

state officials, employees, and agents. The Interstate Commission is considered to be an

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

caused by the intentional or willful and wanton misconduct of such person.


2

(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

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 oflnterstate Commission employment, duties, or

responsibilities, provided that the actual or alleged act, error, or omission did not result from

10
11

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

12

Commission, the representatives or employees of the Interstate Commission shall be held

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

SECTION 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

17

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

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 (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

exercise of the authority granted to the Interstate Commission.

15
16

SECTION 16. OVERSIGHT OF INTERSTATE COMPACT

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 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

21

regulate the practice of medicine.

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

as to the Interstate Commission, the Compact, or promulgated rules.

5
6

SECTION 17. ENFORCEMENT OF INTERSTATE COMPACT

(a) The Interstate Commission, in the reasonable exercise of its di scretion, shall enforce

8
9

the provisions and rules of the Compact.


(b) The Interstate Commission may, by majority vote ofthe Commissioners, initiate legal

10

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

awarded all costs of such litigation including reasonable attorney's fees.

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

SECTION 18. DEFAULT PROCEDURES

21

(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

bylaws of the [nterstate Commission promulgated under the Compact.

19

(b) If the Interstate Commission determines that a member state has defaulted in the
2

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

8
9
10

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

incurred during the period of the default.

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

state's legislature, and each of the member states.

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

perfonnance of which extends beyond the effective date of termination.


2

(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

all costs of such litigation including reasonable attorney' s fees.

9
10

SECTION 19. DISPUTE RESOLUTION

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

1:?,.

member boards.

14
15

(b) The Interstate Commission shall promulgate rules providing for both mediation and
binding dispute resolution as appropriate.

16
17

SECTION 20. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT

18

(a) Any state is eligible to become a member state of the Compact.

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

Compact by all states.


(d) The Interstate Commission may propose amendments to the Compact for enactment

2
3

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

of the member states.

6
7

SECTION 21. WITHDRAWAL

(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

other member state.

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

beyond the effective date of withdrawal.

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

designated the withdrawing member state as the state of principal license.

SECTION 22. DISSOLUTION

(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.

14

15

SECTION 23. SEVERABILITY AND CONSTRUCTION

16

(a) The provisions ofthe Compact shall be severable, and if any phrase, clause, sentence,

17

or provision is deemed unenforceable, the remaining provisions of the Compact shall be

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

interstate compacts to which the states are members.

22
23

SECTION 24. BINDING EFFECT OF COMPACT AND OTHER LAWS

23

(a) Nothing herein prevents the enforcement of any other law of a member state that is
2
3
4
5
6
7
8
9

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) [n the event any provision of the Compact exceeds the constitutional limits imposed

I0

on the legislature of any member state, such provision shall be ineffective to the extent of the

11

conflict with the constitutional provision in question in that member state.

24

Knittle. Robert C
From:
Sent:
To:

Subject:

Shiri A. Hickman <shickman@fsmb.org>


Thursday, December 18, 2014 2:55 PM
Knittle, Robert C
RE: Conference Call to Discuss Compact/ALEC

Great. At least we are on the same page ...

From: Robert Knittle


Sent: Thursday, December 18, 2014 2:53PM
To: Shiri A. Hickman
Subject: RE: Conference Call to Discuss Compact/ALEC
Hi Shiri, It's a bit of a head scratcher. We picked up on the same thing. Not sure why the changes in section 4&5 were
made. We've 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 2:35PM
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 I'd 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 . I' m happy to discuss further with you if it' s 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 1 Suite 500
202-463-4002 direct 1 shickman@fsmb.org

1
I

Washington, DC 20036
www.fsmb.org

s'f A.

MEDICAL

BOARDS

From: Jonathan Jagoda


Sent: Wednesday, December 17, 2014 12:01 PM
To: Shiri A. Hickman; John Bremer
Subject: FW: Conference Call to Discuss Compact/ALEC
1

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
t racked.
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. I've attached the finallangauge and the draft of the
proposed bill for your consideration.
Bob
From: Jonathan Jagoda [mailto:j jagoda@fsmb.org]

Sent: Wednesday, December 10, 2014 4:59PM


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
I've 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 4:14PM
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- 2:30PM 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.

Kathleen Selzler Lippert


Executive Director
Kansas Board of Healing Arts
800 Jackson Lower Level- Suite A
Topeka, Kansas 66612
klippert@ksbha .ks.gov
Direct Ext: 785-296-3680
Fax: 785-368-7102
Good choices and decisions today lead to great results tomorrow; make today count.
2

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 1:46PM


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
Dear Members of the Advisory Council of Board Executives,
Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https:ljip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALEC's legislation on t he
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 - Eastern time.
Thank you in advance.
Sincerely,

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:

Lisa A. Robin (FSMB) < LRobin @fsmb.org >


Wednesday, December 17, 2014 4:46 PM
Lisa A. Robin (FSMB)
Eric Fish; Jonathan Jagoda; Shiri A. Hickman; John Bremer; Natalie Weiner
Interstate Medical Licensure Compact
ALEC Resolutions.docx; Talking Points ALEC 12-14.doc

Dear Executive Director,


We arc delighted that 17 state medical and osteopathic boards have fonnally endorsed the Interstate Medical
Licensure Compact and several others arc considering doing so in the weeks and months ahead. Seven states must
adopt the language to implement the Compact so we believe we are well poised to move ahead. The American
Medical Association, the Council of Medical Specialty Societies, the Society of Hospitalist Medicine and many other
national organizations and state medical societies have also formally endorsed the Compact.
The Health and Human Services Task Force of the American Legislative Exchange Council (ALEC), we have
learned, recently voted to support a nonbinding resolution that opposes the Compact. The resolution contains
claims that we find to be both misleading and erroneous. In consultation witl1 the Compact's Drafting Team and
the FSMB's Advisory Council of Board Executives. we have drafted talking points (attached) tl1at may be useful to
you in the event that the resolution is referenced during your state board's consideration of the Compact. Both the
ALEC resolution and the rebuttal points are attached.
It should be noted that in 2014 the ALEC Board of Directors voted to support creation of a new interstate compact
agreement dc:;igned tc improve accesc to health ca:::c in rural areas by facilitating the interstate licensing of docto.::s
and reforming the existing reimbursement system.

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

:-;:,:rUB_ .c i.t:t:; ~-i !:iM ~:=T.r.


~ tJ tt !7i r: t ,. ~-- ,F:. :.. :._ ~: =::. :~ :: t..1 =~ ~ ~~ ,-r. .r s-- i\~~ ~ ~ :.: E

:-~~{~T:--;:: '" ---= .:.;

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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.

A win for physicians in battle


against FSMB
Posted on December 8, 2014 by freedominmedicine

Arizona State Senator Kelli Ward, DO reports:


Friday at ALEC (American Legislative Exchange Council), my model legislation [co-sponsored by
AAPS] opposing participation in the FSMB's Compact passed unanimously through the Health and
Human Services Task Force.
This reso lution calls for all states to avoid any involvement with the Federation of State Medical
Board' s Interstate Medical Licensure Compact. Tell your state legislators about this model
legislation! CLICK here for background and full text.

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.

Approved by the ALEC Board of Directors January 9, 2014.

Dear Board Executive,


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 FS:MB and
members of the Compact's Drafting Committee believe are erroneous and misleading. Also of note,
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.
A copy of the Health and Human Services Taskforce resolution is attached.
You will find below a point by point rebuttal of the claims made in the resolution that will aid in
your ability to respond if the resolution is brought up during your consideration of the Compact.

WHEREAS, the Interstate Medical Licensure Compact will supersede a state's


autonomy and control over the practice of medicine,
Facilitating expedited medical licensure through the Interstate Medical Licensure Compact
serves to protect 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 has repeatedly pushed for national licensure, most recendy
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,
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.

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 Medical Licensure Compact will supersede a state's


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 recendy 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 &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.

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 vat-y 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 Compact's definition of a physician is


at variance with all other State Medical Boards,
The definition of physician in the Interstate Compact relates onfy to the eligibili(J 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 AIL 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.

Knittle, Robert C
From:

Sent:
To:
Cc:
Subject:
Attachments:

Eric Fish <efish@fsmb.org>


Wednesday, December 17, 2014 11:01 AM
Kevin Bohnenblust, JD; Kimberly Kirchmeyer
Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Knittle, Robert C; Mari Robinson;
Margaret Hansen; Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Shiri A. Hickman
RE: ALEC rebutal
ALEC rebuttal v.2.doc

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

Great point, Kim.

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

From: Eric Fish [mailto:efish@fsmb.org]

Sent: Monday, December 15, 2014 2:18PM


To: Kathleen Selzler Lippert; Jonathan Jagoda; lyle Kelsey; Robert Knittle; Mari Robinson; Kevin Bohnenblust, JD;
Kirchmeyer, Kimberly@MBC; Margaret Hansen; Jacqueline Watson, DO, MBA
Cc: lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: ALEC rebutal

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.

Please let me know if you have any questions.


Thank you.
Eric
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Act and may be disclosed to third parties.

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 Compact's definition of a physician is


at variance with all other State Medical Boards,
The definition of physician in the Interstate Compact relates onfy 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

Knittle, Robert C
From:

Sent:
To:
Cc:

Subject:

Jonathan Jagoda <jjagoda@fsmb.org >


Tuesday, December 16, 2014 3:58 PM
Mari Robinson; Knittle, Robert C; Margaret Hansen; Lyle Kelsey
Kevin Bohnenblust, JD; Eric Fish; Kathleen Selzler Lippert; Kimberly Kirchmeyer;
Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
RE: ALEC rebutal

Just to help the group with the status of things:


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 w ill have legislation in early 2015 (i.e. Oklahoma, Texas, South Dakota,
Utah, Wyoming, West Virginia, etc.). The bill has already been pre-filed in Texas and Montana. We are working on
building a website that w ill notify folks as soon as bills are introduced.
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

From: Mari Robinson


Sent: Tuesday, December 16, 2014 3:58PM
To: Robert Knittle; Margaret Hansen; Lyle Kelsey
Cc: Kevin Bohnenblust, JD; Eric Fish; Kathleen Selzler Lippert; Jonathan Jagoda; Kimberly Kirchmeyer; Jacqueline
Watson, DO, MBA; Lisa A. Robin (FSMB) ; Natalie Weiner; Shiri A. Hickman
Subject: RE: ALEC rebutal
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 this-use the AIM list serve?
We are pre-filed in Te xas, and session wi ll begin in the second half of Jan with committee meetings to start in Feb.
Mari Robinson, J.D.
Executive Director
Texas Medical Board
1

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.

From: Knittle, Robert C [mailto:Robert.C.Knittle@wv.gov]


Sent: Tuesday, December 16, 2014 2:29 PM
To: Hansen, Margaret; Lyle Kelsey
Cc: Mari Robinson; Kevin Bohnenblust; Eric Fish; Kathleen Selzler Lippert; Jonathan Jagoda; Kimberly Kirchmeyer;
Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: RE: ALEC rebutal
We'll be doing the same in WV and have written it into bill format.
Bob

From: Hansen, Margaret [mailto:Margaret.Hansen@state.sd.us]


Sent: Tuesday, December 16, 2014 3:24 PM
To: Lyle Kelsey
Cc: Mari Robinson; Kevin Bohnenblust; Eric Fish; Kathleen Selzler Lippert; Jonathan Jagoda; Knittle, Robert C; Kimberly
Kirchmeyer; Jacqueline Watson, DO, MBA; Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: Re : ALEC rebutal

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.

From: Kevin Bohnenblust [mailto :kevin.bohnenblust@wyo.gov]


Sent: Monday, December 15, 2014 5:08PM
To: Eric Fish
Cc: Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Robert Knittle; Mari
Robinson; Kimberly Kirchmeyer; Margaret Hansen; Jacqueline Watson, DO, MBA; Lisa A.
Robin (FSMB); Natalie Weiner; Shiri A. Hickman
Subject: Re: ALEC rebutal

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:

Jonathan Jagoda <jjagoda@fsmb.org >


Tuesday, December 16, 2014 2:19 PM
Knittle, Robert C
Eric Fish
RE: Conference Call to Discuss Compact/A LEC

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

Sent: Tuesday, December 16, 2014 1: 24PM


To: Jonathan Jagoda

Sd>ject: RE: Conference Call to Discuss Compact/ALEC


Jonathon, Sorry I missed the meeting yesterday. I was searching for a conferen ce cal l number and got complete ly side
tr<1r:ked.
Comp letely un rel ated question: In moving the Interstate Compact language to a bil l format t he 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. I've attached the finall angauge and the draft of the
proposed bi ll for your consideration.
Bob
From: Jonathan Jagoda [mailto:jjagoda@fsmb .org]
Se nt: 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
I've heard back from most folks. Would 4PM East ern on Monday, Decem be r 15 1h w ork for the group? Can repl y Yes or
No
From: Kathleen Selzler Lippert
Sent: Wednesday, December 10, 2014 4:14PM
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.

Kathleen Selzler Lippert


Executive Director
Kansas Board of Healing Arts
800 Jackson Lower Level- Suite A
Topeka, Kansas66612
klippert@ksbha.ks.gov
Direct Ext: 785-296-3680
Fax: 785-368-7102

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
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From: Jonathan Jagoda [mailto:jjaqoda@fsmb.org]


Sent: Wednesday, December 10, 2014 1:46PM
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
Dear Members of the Advisory Council of Board Executives,
Last week, the American Legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical Licensure Compact. This resolution calls for all
states to avoid any invo lveme nt with the Federation of State Medical Boards Interstate Medical Licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27 /ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (ful l resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immed iate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALEC's legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16 - Eastern time.
Thankyo uinadvance.
2

Sincerely,
Jonathan Jagoda

Director, Federal Government Relations


Federation of State Medical Boards

1300 Connecticut Avenue NW


202-463-4003 direct
jjagoda @fsmb.org

I Suite 500 I Washington,

DC 20036

Knittle, Robert C
From:

Sent:
To:

Cc:
Subject:
Attachments:

Eric Fish <efish@fsmb.org >


Monday, December 15, 2014 5:18 PM
Kathleen Selzler Lippert; Jonathan Jagoda; Lyle Kelsey; Knittle, Robert C; Mari Robinson;
Kevin Bohnenblust, JD; Kimberly Kirchmeyer; Margaret Hansen; Jacqueline Watson, DO,
MBA
Lisa A. Robin (FSMB); Natalie Weiner; Shiri A. Hickman
ALEC rebutal
ALEC rebuttal.doc; ALEC Resolution Opposing MD Licensure Compact (2).pdf

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

Dear Board Executive,


On December 5, 2014 the American Legislative E xchange Council (ALEC) voted to support a
resolution that opposes the Interstate Medical Licensure Compact. The resolution makes several
claims about the Compact that the FSJ\ffi and members of the Compact's Drafting Taskforce
believe are erroneous and misleading. A copy of the resolution is attached.
You will find below a point by point rebuttal of the claims made in the resolution that will aid in
your ability to respond if the resolution is brought up during your consideration of the Compact.

WHEREAS, the Interstate Medical Licensure Compact will supersede a state's


autonomy and control over the practice of medicine,
Facilitating expedited medical licensure through the Interstate Medical Licensure Compact
serves to protect state sovereignty. The ability of the states to enter into compacts that
would stave off federal legislation is enshrined in d1e U.S. Constitution. Unlike preemption
from Federal law or regulation, the Compact would allow the states and the state medical
~)Oards to continue to exercise their authority to protect patient welfare and regulate
physicians.
The telemedicine industry has repeatedly pushed for national licensure, most recently
t hi (:ugh 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.
T he 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."
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.

WHEREAS, the cost of obtaining medicallic~nses 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 Compact's definition of a physician is


at variance with all other State Medical Boards,
The definition of physician in the Interstate Compact relates onfy 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 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

12/11/2014 15:43 FAX

703 706 3246

APTA

141002/002

Resolution Opposing the Federation of State Medical Honnls'


Interstate Medical Licensing Compact

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

WHEREAS, the Interstate Medico! Licensure Compact will

supcr~cdc

n stntc's nutonomy and

comrol over the practice of medicine; and

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

Mcciical Licensure Compact; and


WHEREAS, the cost of obtaining medicnlliccnses wllJ .bc:dramatlCnlly increased, nnd a slutc
must protect its citizens from regulatory excesses~ and

2G
27

WllnRE/\S, the lntcrst<IteMcdical Licensure Cori1pact's definition of a physician is at variance

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:

Jonathan Jagoda <jjagoda@fsmb.org>


Wednesday, December 10, 2014 4:59 PM
Kathleen Selzler Lippert; Lyle Kelsey; Knittle, Robert C; Mari Robinson; Kevin
Bohnenblust, JD; Kimberly Kirchmeyer; Margaret Hansen; Jacqueline Watsan, DO, MBA
Lisa A. Robin (FSMB); Natalie Weiner; Eric Fish; Shiri A. Hickman
RE: Conference Call to Discuss Compact/ALEC

I've 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 4:14PM
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 ofthe day.
Tuesday, December 16
o I am available any time for a call.

Kathleen Selzler Lippert


Executive Director
Kansas Board of Healing Arts
800 Jackson Lower Level- Suite A
Topeka, Kansas66612
klippert@ksbha.ks.gov
Direct Ext: 785-296-3680
Fax: 785-368-7102
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 1:46PM
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
1

Dear Members of the Advisory Council of Board Executives,


last week, the American legislative Exchange Council (ALEC) Health and Human Services Task Force unanimously
adopted model state legislation that opposes the Interstate Medical licensure Compact. This resolution calls for all
states to avoid any involvement with the Federation of State Medical Boards Interstate Medical licensure
Compact. Additional information can be found here: https://ip4pi.wordpress.com/2014/10/27/ask-your-statelegislature-to-oppose-the-fsmb-interstate-medical-licensing-compact/#more-1022 (full resolution text) and
https://ip4pi.wordpress.com/2014/12/08/a-win-for-physicians-in-battle-against-fsmb/.
As you will see from the language of the resolution, it purports entirely false information about the Compact and its
function. Accordingly, we would like to convene a conference call of the Advisory Council to discuss this matter, and
seek input from you on how best to proceed in terms of an immediate response (if necessary) and how we will
communicate moving forward with state boards and legislators about ALEC. We want to ensure that ALEC does not
derail adoption of the Compact in the states through misinformation. Given your experience with state legislatures, we
believe that the Advisory Council is best equipped to gauge how the legislatures may react to ALEC's legislation on the
Compact.
Please let me know your availability for a 30-45 minute conference call in the afternoon of either Monday, December 15
or Tuesday, December 16- Eastern time.
Thank you in advance.
Sincerely,
Jonathan Jagoda

Director, Federal Government Relations


Federation of State Medical Boards

1300 Connecticut Avenue NW


202-463-4003 direct
jjagoda@fsmb.org

I Suite 500 I Washington, DC 20036

Frdrrtltinrl of

STATE

MEDiCAL

BOARDS

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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.

Ask your state legislature to oppose


the FSMB Interstate Medical
Licensing Compact
Posted on Octo ber 27, 20U

~y

freedomin med ici ne

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.

This Interstate Medical Licensure Compact calls for establishing an Interstate


Commission whose governance wi ll be composed of representatives from each membeo Follow
state. Fees will be charged for those licensed through this Compact. Furthermore,

Follow

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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

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Ask your state legislature to oppose the FSMB Interstate Medical Licensing Compact I IP... Page 3 of 4

WHEREAS, the Interstate Medical Licensure 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 Medical Licensure Compact,
WHEREAS, the cost of obtaining 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.

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LICENSING COMPACT"

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Knittle, Robert C
From:

Sent:
To:

Subject:

Jonathan Jagoda <jjagoda@fsmb.org>


Thursday, November 13, 2014 11:00 AM
Knittle, Robert C
RE: Compact

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

-----Original Message----From: Robert Knittle


Sent: Thursday, November 13, 2014 10:08 AM
To: Jonathan Jagoda
Subject: RE: Compact
Good morning Jonathon,
I agree we did have a positive discussion at the September Board meeting and thanks again for your
presentation and Q&A on this topic. I understand that you did the same for the Osteo Board last week. At our November
meeting our Board did endorse the Interstate Medical Licensure Compact and unanimously voted t o move it forward
for consideration for the 2105 legislation session. That being said the elections results this year put the Republicans in
control of the House and Senate. This is the first time they have had control in either chamber for over 80 years.
This will result in a new House Speaker, Senate President as well as all new committee chairs. It will mean an entirely
new legislative landscape which lends itself to a degree of political uncertainty. Our Board remains optimistic in the
success of our legislative goals this year with a certain degree of caution. Bottom line is we are moving forward in our
efforts to enact the Compact this year.
Bob
-----Original Message----From: Jonathan Jagoda [mailto:jjagoda@fsmb.org]
Sent: Thursday, November 13, 2014 9:35AM
To: Knittle, Robert C
Subject : Compact
Hi Bob,

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:

Lisa A. Robin (FSMB) <LRobin@fsmb.org>


Monday, September 29, 2014 3:49 PM
#Board Executives
Jonathan Jagoda; Shiri A. Hickman; Eric Fish
Interstate Medical Licensure Compact

Sent:
To:
Cc:
Subject:

Dear Executive Directors,


Recognizing the increasing activity around the Interstate Medical Licensure Compact, the FSMB is dedicating
its October FSMB Roundtable Webinar to a presentation and discussion about the Compact. Executive
Directors Mari Robinson (Texas) and Kevin Bohnenblust (Wyoming), will discuss the Compact and answer any
questions and concerns you or your board may have.
The webinar will be held on October 8, 2014 at 2:00p.m. Central Time. Instructions on accessing the
webinar are being sent to you by separate e-mail.
Additionally, FSMB legislative and policy staff are seeking your cooperation in helping us track activities
related to the Compact and other board policy initiatives. In preparation for the 2015 legislative sessions, we are
committed to serving the boards as a source for up-to-date, comprehensive state-by-state information. In
particular, please let us know whether your board has considered or will be considering the Compact this year,
including formal endorsement, and if you anticipate pursuing legislation during the 2015 session.
We will maintain a webpage specific to the Compact. We are also interested in whether your board will be
discussing other policy initiatives related to telemedicine, social media, opioid prescribing, addiction treatment,
and physician re-entry.
Thank you in advance for your participation in the FSMB and continued support.
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
lrobin@fsmb .org

Washington, DC 20036

Fr.:nati.. n "f'

STATE.

MEDICAL

BOARDS

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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:

Pamela Huffman (FSMB) <phuffman@fsmb.org > on behalf of Humayun Chaudhry


< hchaud hry@fsmb.org >
Wednesday, September 03, 2014 2:10 PM
Pamela Huffman (FSMB)
Donald Polk, DO
FOR YOUR REVIEW_Interstate Medical Licensure Compact
Interstate Compact to SMB Leadership_09-03-14.pdf; Interstate Medical Licensure
Compact (FINAL) September 2014.pdf

Dear Member Board Executive Directors/Secretaries:


Attached please find a letter from FSMB President and CEO Dr. Hank Chaudhry accompanied by a copy of the Interstate
Medical Licensure Compact.
Warmest regards,
Pam
Pamela Huffman

Governance Support Coordinator


Leadership Services
Federation of State Medical Boards

400 Full er Wiser Road I Suite 300 1 Eul ess, TX 76039


817-868-4060 direct I 817-868-4258 fax
phuffman@fsmb.org 1 www.fsm b.org

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.

400 FU LLER WISER ROAD I SUITE 300 I EULESS, TX 76039


(817) 868 - 4000 I FAX (817) 868 -4097 I WWW.FSMB.ORG

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,

Humayun J. Chaudhry, D.O., M.S., MACP, FACOI


President and Chief Executive Officer
CC: Donald H. Polk, DO
FSM B Board Chair

INTERSTATE MEDICAL LICENSURE COMPACT

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.

INTERSTATE MEDICAL LICENSURE COMPACT


2

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

procedures in the Compact.

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

offender. Evidence of an entry of a conviction of a criminal offense by the court shall be

considered final for purposes of discipl inary action by a member board.


(d) "Expedited License" means a full and unrestricted medical license granted by a

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

physicians as directed by the state government.

14

(i) "Member State" means a state that has enacted the Compact.

15

G) "Practice of Medicine" means the clinical prevention, diagnosis, or treatment of

16

human disease, injury, or condition requiring a physician to obtain and maintain a license in

17

compliance with the Medical Practice Act of a member state.

18
19

(k) "Physician" means any person who:


(I) Is a graduate of a medical school accredited by the Liaison Committee on

20

Medical Education, the Commission on Osteopathic College Accreditation, or a medical school

21

listed in the International Medical Education Directory or its equivalent;

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

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 Specialties or the American Osteopathic Association's

Bureau of Osteopathic Specialists;

9
10

(5) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;

11

(6) Has never been convicted, received adjudication, deferred adjudication,

12

community supervision, or deferred disposition for any offense by a court of appropriate

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

related to non-payment of fees related to a license;

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

authority in any state, federal, or foreign jurisdiction.

21

(1) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.

22

(m) "Rule" means a written statement by the Interstate Commission promulgated

23

pursuant to Section 12 of the Compact that is of general applicability, implements, interprets, or

prescribes a policy or provision of the Compact, or an organizational, procedural, or practice

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

registration and participation in the Compact.

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

SECTION 4. DESIGNATION OF STATE OF PRINCIPAL LICENSE

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

(1) the state of primary residence for the physician, or

21

(2) the state where at least 25% of the practice of medicine occurs, or

22

(3) the location of the physician's employer, or

23

(4) if no state qualifies under subsection (I), subsection (2), or subsection (3), the

state designated as state of residence for purpose of federal income tax.


2
3
4
5

(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

SECTION 5. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

(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

eligibility, to the Interstate Commission.

15

(i) Static qualifications, which include verification of medical education, graduate

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

have suitability determination in accordance with U.S. C.F.R. 731.202.

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

unrestricted license within the member state.

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

redesignation of a new state of principal licensure.

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

SECTION 6. FEES FOR EXPEDITED LICENSURE


(a) A member state issuing an expedited license a uthorizing 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.

3
4
5

SECTION 7. RENEWAL AND CONTINUED PARTICIPATION


(a) A physician seeking to renew an expedited license granted in a member state shall
complete a renewal process with the Interstate Commission if the physician:

(1) Maintains a full and Wlfestricted license in a state of principal license;

(2) Has not been convicted, received adjudication, deferred adjudication,

community supervision, or deferred disposition for any offense by a court of appropriate

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

non-payment of fees related to a license; and

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

licenses obtained through the Compact.

2
3

SECTION 8. COORDINATED INFORMATION SYSTEM

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

applied or received an expedited license through the Compact.

10
11
12
13
14
15

(c) Member boards shall report disciplinary or investigatory inf01mation determined as


ilecessary and proper by rule of the Interstate Commission.
(d) Member boards may report any non-public complaint, disciplinary, or investigatory
infonnation not required by subsection (c) to the Interstate Commission.
(e) Member boards shall share complaint or disciplinary information about a physician
upon request of another member board.

16

(t) All information provided to the Interstate Commission or distributed by member

17

boards shall be confidential, filed under seal, and used only for investigatory or disciplinary

18

matters.

19
20

(g) The Interstate Commission is authorized to develop rules for mandated or


discretionary sharing of information by member boards.

21
22

SECTION 9. JOINT INVESTIGATIONS

23

(a) Licensure and disciplinary records of physicians are deemed investigative.

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

boards in joint investigations of physicians licensed by the member boards .

(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

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

license to practice medicine.

9
10

SECTION 10. DISCIPLINARY ACTIONS


(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

license is revoked, surrendered or relinquished in lieu of discipline, or suspended, then all

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

and fact decided, and:


(i) impose the same or lesser sanction(s) against the physician so long as such

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.

(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 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

consistent with th;; Medical Practice Act of that state.

14

15
16
17
18
19
20
21

SECTION 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.
(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

one representative from each member board. A Commissioner shall be a(n):

(1) Allopathic or osteopathic physician appointed to a member board;

(2) Executive director, executive secretary, or similar executive of a member

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
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 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

meeting would be likely to:


(1) Relate solely to the internal personnel practices and procedures of the

4
5

Interstate Commission;

(2) Discuss matters specifically exempted from disclosure by federal statute;

(3) Discuss trade secrets, commercial, or financial infonnation that is privileged

or confidential;
(4) Involve accusing a person of a crime, or formally censuring a person;

9
10
11

(5) Discuss information of a personal nature where disclosure would constitute a


clearly unwarranted invasion of personal privacy;

12

(6) Discuss investigative records compiled for law enforcement purposes; or

13

(7) Specifically relate to the participation in a civil action or other legal

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

record of any roll call votes.

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

bylaws and rules, and other such duties as necessary.

5
6

(1) The Interstate Commission may establish other committees for governance and
administration ofthe Compact.

SECTION 12. POWERS AND DUTIES OF THE INTERSTATE COMMISSION

The Interstate Commission shall have the duty and power to:

10

(a) Oversee and maintain the administration of the Compact;

11

(b) Promulgate rules which shall be binding to the extent and in the manner provided for

12
13
14
15

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

the use of judicial process;

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

Interstate Commission in carrying out its powers and duties;

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

(g) Establish and maintain one or more offices;

24

(h) Borrow, accept, hire, or contract for services of personnel;


13

(i) Purchase and maintain insurance and bonds;


2

(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

fix their compensation;

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

policies established by the Interstate Commission;

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

(o) Establish a budget and make expenditures;

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

(t) Seek and obtain trademarks, copyrights, and patents; and


2
3

(u) Perform such functions as may be necessary or appropriate to achieve the purposes of
the Compact.

SECTION 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 amount

I0

shall be allocated upon a formula to be determined by the Interstate Commission, which shall

11

promulgate a rule binding upon all member states.

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

report of the Interstate Commission.

19
20

21

SECTION 14. ORGANIZATION AND OPERATION OF THE INTERSTATE


COMMISSION

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

Comm ission.

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

lJ

believing occmTed, within the scope of Interstate Commission employment, duties, or

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

state officials, employees, and agents. The Interstate Commission is considered to be an

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

caused by the intentional or willful and wanton misconduct of such person.


2

(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, prov ided that the actual or alleged act, error, or omission did not result from

10
11

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

12

Commission, the representatives or employees of the Lnterstate Commission shall be held

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

SECTION 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

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

the Interstate Commission shall be invalid and have no force or effect.

(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

Administrative Procedure Act" of 2010, and subsequent amendments thereto.

(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

exercise of the authority granted to the Interstate Commission.

15
16

SECTION 16. OVERSIGHT OF INTERSTATE COMPACT

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 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

regulate the practice of medicine.

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

as to the Interstate Commission, the Compact, or promulgated rules.

SECTION 17. ENFORCEMENT OF INTERSTATE COMPACT

(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce

8
9

the provisions and rules of the Compact.


(b) The Interstate Commission may, by majority vote of the Commissioners, initiate legal

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

awarded all costs of such litigation including reasonable attorney' s fees.

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

SECTION 18. DEFAULT PROCEDURES

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

bylaws of the Interstate Commission promulgated under the Compact.

19

(b) Ifthe 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

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

state must cure its default; and

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

incurred during the period of the default.

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

state's legislature, and each of the member states.

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

performance of which extends beyond the effective date of termination.


(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.

9
10

SECTION 19. DISPUTE RESOLUTION

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

SECTION 20. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT

18

(a) Any state is eligible to become a member state ofthe Compact.

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

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 enacted into law by unanimous consent

of the member states.

SECTION 21. WITHDRAWAL

(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

other member state.

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

beyond the effective date of withdrawal.

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

designated the withdrawing member state as the state of principal license.

7
8

SECTION 22. DISSOLUTION

(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

funds shall be distributed in accordance with the bylaws.

14

15

SECTION 23. SEVERABILITY AND CONSTRUCTION

16

(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence,

17

or provision is deemed unenforceable, the remaining provisions of the Compact shall be

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

interstate compacts to which the states are members.

22
23

SECTION 24. BINDING EFFECT OF COMPACT AND OTHER LAWS

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

conflict with the constitutional provision in question in that member state.

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:

To: State Medical Board Executive Directors and Presidents/Chairs


From: Humayun Chaudhry, DO, MACP
Subject: Today's NY Times Article about the Interstate Medical Licensure Compact
Date: June 30, 2014
I am pleased to report that the ongoing development of the Interstate Medical Licensure Compact
is featured in the New York Times today, in an article by Robert Pear, available here. The article
covers a great deal of detail about the Compact and highlights the role of state medical boards
and the FSMB in the development and future implementation of the Compact, bringing the issue
into the national spotlight in a significant way.
It is our hope that this piece, and the coverage that follows, will assist interested member boards
in moving the idea of the Compact forward very positively, quickly and broadly.

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

Humayun J. Chaudhry, D.O., M.S., MACP, FACOI


President and CEO
Federation of State Medical Boards
1300 Connecticut Avenue NW I Suite 500
202-463-4007 direct 1 817-868-8888 fax

I Washington,

DC 20036

400 Fuller Wiser Road 1 Suite 300 I Euless, TX 76039


817-868-4044 direct I 817-868-4144 fax
hchaudhry@fsmb.org

Fer/ ua t; o 11

www .fsmb .org

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

Humayun J. Chaudhry, D.O., M.S., MACP, FACOI


President and CEO
Federation of State Medical Boards
1300 Connecticut Avenue NW I Suite 500
202-463-4007 direct I 817-868-8888 fax

I Washington,

DC 20036

400 Fuller Wiser Road I Suite 300 I Euless, TX 76039


817-868-4044 direct 1 817-868-4144 fax
hchaudhry@fsmb.org

www.fsmb.org

Pul t r r1 t ion o (

STATE MEDICAL

BOARDS

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DRAFT I FOR DISCUSSION ONLY

DRAFT
FOR DISCUSSION ONLY

INTERSTATE MEDICAL LICENSURE COMPACT


(May 5, 2014)

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.

DRAFf I FOR DISCUSSION ONLY


1

INTERSTATE MEDICAL LICENSURE COMPACT


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, ensures the safety of patients, and enhances the

portability of a medical license, providing a streamlined process that allows physicians to

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.

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

DRAFT/ FOR DISCUSSION ONLY


1

offender. Evidence of an entry of a conviction of a criminal offense by the trial 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

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

physicians as directed by the state government.

14

(i) "Member State" means a state that has enacted the Compact.

15

G) "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

with the Medical Practice Act of a member state.

18
19
20
21
22
23

(k) "Physician" means any person who:


(1) Is a graduate of

(a) a medical school accredited by the Liaison Committee on Medical Education


or the Commission on Osteopathic College Accreditation; or
(b) a medical school listed in the International Medical Education Directory or
equivalent, and has

DRAFf/ FOR DISCUSSION ONLY


1

(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

medical board as an equivalent examination for licensure purposes, and

4
5

(ii) Held a full and unrestricted license to practice medicine in any state
for at least the past 5 years;

(2) Successfully completed graduate medical education approved by the

Accreditation Council for Graduate Medical Education or the American Osteopathic

Association;

9
10

(3) Holds specialty certification recognized by the American Board ofMedical


Specialties or the American Osteopathic Association's Bureau of Osteopathic Specialists;

11
12

(4) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;

13

(5) Has never been convicted, received adjudication, deferred adjudication,

14

community supervision, or deferred disposition for any offense by a court of appropriate

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

18

related to non-payment of fees related to a license;

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.

(I) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.

DRAFT/ FOR DISCUSSION ONLY


1

(m) "Rule" means a written statement by the Interstate Commission promulgated

pursuant to Section 12 of the Compact that is of general applicability, implements, interprets, or

prescribes a policy or provision of the Compact, or an organizational, procedural, or practice

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

registration and participation in the Compact.

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

SECTION 4. DESIGNATION OF STATE OF PRINCIPAL LICENSE

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

(1) the state of primary residence for the physician, or

23

(2) the state where at least 25% of the practice of medicine occurs, or

DRAFT/ FOR DISCUSSION ONLY


1

(3) the location of the physician's employer, or

(4) if no state qualifies under subsection (1 ), subsection (2), or subsection (3), the

3
4
5
6
7

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

SECTION 5. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

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

eligibility, to the Interstate Commission. Static qualifications, which include verification of

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

DRAFT/ FOR DISCUSSION ONLY


1

payment of any applicable fees .


(d) After receiving verification of eligibility under subsection (b)' and any fees under

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

within the member state.

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

redesignation of a new state of principal licensure.

13
14

(g) The Interstate Commission is authorized to develop rules regarding the application
process and the issuance of an expedited license.

15

16
17
18
19
20

SECTION 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.

21
22
23

SECTION 7. RENEWAL AND CONTINUED PARTICIPATION


(a) A physician seeking to renew an expedited license granted in a member state shall

DRAFT/ FOR DISCUSSION ONLY

complete a renewal process with the Interstate Commission if the physician:

(1) Maintains a full and unrestricted license in a state of principal license,

(2) Has not been convicted, received adjudication, deferred adjudication,

community supervision, or deferred disposition for any offense by a court of appropriate

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

non-payment of fees related to a license,

9
10
11
12
13
14
15
16
17
18
19
20
21

(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

licenses obtained through the Compact.

23
24

SECTION 8. COORDINATED INFORMATION SYSTEM


7

DRAFT/ FOR DISCUSSION ONLY


1

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

applied or received an expedited license through the Compact.

7
8
9
10
11
12

(c) Member boards shall report disciplinary or investigatory information determined as


necessary and proper by rule of the Interstate Commission.
(d) Member boards may report any non-public complaint, disciplinary, or investigatory
information not required by subsection (c) to the Interstate Commission.
(e) Member boards shall share complaint or disciplinary information about a physician
upon request of another member board.

13

(f) All information provided to the Interstate Commission or distributed by member

14

boards shall be confidential, filed under seal, and used only for investigatory or disciplinary

15

matters.

16
17

(g) The Interstate Commission is authorized to develop rules for mandated .or
discretionary sharing of information by member boards.

18
19

SECTION 9. JOINT INVESTIGATIONS

20

(a) Licensure and disciplinary records of physicians are deemed investigative.

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

boards in joint investigations of physicians licensed by the member boards.

24

(c) A subpoena issued by a member state shall be enforceable in other member states.
8

DRAFT/ FOR DISCUSSION ONLY

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

license to practice medicine.

6
7

SECTION 10. DISCIPLINARY ACTIONS

(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

license is revoked, surrendered or relinquished in lieu of discipline, or suspended for an

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

and fact decided, and:

22

(i) impose the same or lesser sanction(s) against the physician;

23

(ii) or pursue separate disciplinary action against the physician under its

DRAFT/ FOR DISCUSSION ONLY


1

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.

9
10
11

12
13
14
15
16

SECTION 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.
(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

DRAFT/ FOR DISCUSSION ONLY

one representative from each member board. A Commissioner shall be a(n):

(I) Allopathic or osteopathic physician appointed to a member board,

(2) Executive director, executive secretary, or similar executive of a member

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

meeting would be likely to:

22
23

(1) Relate solely to the internal personnel practices and procedures of the
Interstate Commission;

11

DRAFf/ FOR DISCUSSION ONLY


1

(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

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

record of any roll call votes.

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

DRAFT/ FOR DISCUSSION ONLY


1

administration of the Compact.

SECTION 12. POWERS AND DUTIES OF THE INTERSTATE COMMISSION

The Interstate Commission shall have the duty and power to

(a) Oversee and maintain the administration of the Compact;

(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

the use of judicial process;

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

Interstate Commission in carrying out its powers and duties;

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

(g) Establish and maintain one or more offices;

19

(h) Borrow, accept, hire, or contract for services of personnel;

20

(i) Purchase and maintain insurance and bonds;

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

fix their compensation;

24

(k) Establish personnel policies and programs relating to conflicts of interest, rates of
13

DRAFT/ FOR DISCUSSION ONLY


1
2

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

policies established by the Interstate Commission;

5
6
7
8
9
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;

16
17

(r) Coordinate education, training, and public awareness regarding the Compact, its
implementation, and its operation;

18

(s) Maintain records in accordance with the bylaws;

19

(t) Seek and obtain trademarks, copyrights, and patents; and

20

(u) Perform such functions as may be necessary or appropriate to achieve the purposes of

21

the Compact.

22
23

SECTION 13. FINANCE POWERS

14

DRAFT/ FOR DISCUSSION ONLY


1

(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

promulgate a rule binding upon all member states.

7
8
9
10
11

(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

of the Interstate Commission.

14

15
16

SECTION 14. ORGANIZATION AND OPERATION OF THE INTERSTATE


COMMISSION

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

DRAFT/ FOR DISCUSSION ONLY

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

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

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

state officials, employees, and agents. The Interstate Commission is considered to be an

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

caused by the intentional or willful and wanton misconduct of such person.

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

member state represented by an Interstate Commission representative, shall defend such

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

DRAFT/ FOR DISCUSSION ONLY


1

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

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

SECTION 15. RULEMAKING FUNCTIONS OF THE INTERSTATE


COMMISSION
(a) The Interstate Commission shall promulgate reasonable rules in order to effectively

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

the Interstate Commission shall be invalid and have no force or effect.

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

be appropriate to the operations of the Interstate Commission.

17

DRAFT/ FOR DISCUSSION ONLY


1

(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

exercise of the authority granted to the Interstate Commission.

9
10

SECTION 16. OVERSIGHT OF INTERSTATE COMPACT

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

regulate the practice of medicine.

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

as to the Interstate Commission, the Compact, or promulgated rules.

23
24

SECTION 17. ENFORCEMENT OF INTERSTATE COMPACT


18

DRAFT/ FOR DISCUSSION ONLY


1
2
3

(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

awarded all costs of such litigation including reasonable attorney's fees.

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

SECTION 18. DEFAULT PROCEDURES

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

bylaws of the Interstate Commission promulgated under the Compact.

18

(b) Ifthe Interstate Commission determines that a member state has defaulted in the

19

performance of its obligations or responsibilities under the Compact, or the bylaws or

20

promulgated rules, the Interstate Commission shall:

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

DRAFT/ FOR DISCUSSION ONLY


1

state must cure its default, and

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

incurred during the period of the default.

(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

state's legislature, and each of the member states.

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

performance of which extends beyond the effective date oftermination.

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

DRAFT/ FOR DISCUSSION ONLY


1

where the Interstate Commission has its principal offices. The prevailing party shall be awarded

all costs of such litigation including reasonable attorney's fees.

SECTION 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.

8
9

(b) The Interstate Commission shall promulgate rules providing for both mediation and

binding dispute resolution as appropriate.

10
11

SECTION 20. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT

12

(a) Any state is eligible to become a member state of the Compact.

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

Compact by all states.

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

of the member states.

23

21

DRAFT/ FOR DISCUSSION ONLY


SECTION 21. WITHDRAWAL
2

(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

other member state.

(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

extend beyond the effective date of withdrawal.

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

designated the withdrawing member state as the state of principal license.

22

DRAFT/ FOR DISCUSSION ONLY


1

SECTION 22. DISSOLUTION

(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

SECTION 23. SEVERABILITY AND CONSTRUCTION


(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence,

11

or provision is deemed unenforceable, the remaining provisions of the Compact shall be

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

interstate compacts to which the states are members.

16
17

SECTION 24. BINDING EFFECT OF COMPACT AND OTHER LAWS

18

(a) Nothing herein prevents the enforcement of any other law of a member state that is

19
20
21
22
23

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.

23

DRAFT/ FOR DISCUSSION ONLY


(d) All agreements between the Interstate Commission and the member states are binding
2
3

in accordance with their terms.


(e) In the event any provision of the Compact exceeds the constitutional limits imposed

on the legislature of any member state, such provision shall be ineffective to the extent of the

conflict with the constitutional provision in question in that member state.

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

Ful ~ r tlt inn "

STATE

MEDICAl

BOARDS

1
I L

.' l

DRAFT I FOR DISCUSSION ONLY

DRAFT
FOR DISCUSSION ONLY

INTERSTATE MEDICAL LICENSURE COMPACT


(May 5, 2014)

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.

DRAFT I FOR DISCUSSION ONLY


1
2

INTERSTATE MEDICAL LICENSURE COMPACT


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, ensures the safety of patients, and enhances the

portability of a medical license, providing a streamlined process that allows physicians to

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.

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

DRAFf/ FOR DISCUSSION ONLY


1

offender. Evidence of an entry of a conviction of a criminal offense by the trial court shall be

considered fmal for purposes of disciplinary action by a member board.


(d) "Expedited License" means a full and unrestricted medical license granted by a

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

physicians as directed by the state government.

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

with the Medical Practice Act of a member state.

18
19
20
21
22
23

(k) "Physician" means any person who:


(1) Is a graduate of
(a) a medical school accredited by the Liaison Committee on Medical Education
or the Commission on Osteopathic College Accreditation; or
(b) a medical school listed in the International Medical Education Directory or
equivalent, and has

DRAFT/ FOR DISCUSSION ONLY


1

(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

medical board as an equivalent examination for licensure purposes, and


(ii) Held a full and unrestricted license to practice medicine in any state

4
5

for at least the past 5 years;

(2) Successfully completed graduate medical education approved by the

Accreditation Council for Graduate Medical Education or the American Osteopathic

Association;

9
10

(3) Holds specialty certification recognized by the American Board of Medical


Specialties or the American Osteopathic Association's Bureau of Osteopathic Specialists;

11
12

(4) Possesses a full and unrestricted license to engage in the practice of medicine
issued by a member board;

13

(5) Has never been convicted, received adjudication, deferred adjudication,

14

community supervision, or deferred disposition for any offense by a court of appropriate

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

18

related to non-payment of fees related to a license;

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.

DRAFT/ FOR DISCUSSION ONLY


1

(m) "Rule" means a written statement by the Interstate Commission promulgated

pursuant to Section 12 of the Compact that is of general applicability, implements, interprets, or

prescribes a policy or provision of the Compact, or an organizational, procedural, or practice

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

registration and participation in the Compact.

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

SECTION 4. DESIGNATION OF STATE OF PRINCIPAL LICENSE

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

(1) the state of primary residence for the physician, or

23

(2) the state where at least 25% of the practice of medicine occurs, or

DRAFT/ FOR DISCUSSION ONLY


(3) the location of the physician's employer, or
2
3
4
5
6
7

(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

SECTION 5. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

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

eligibility, to the Interstate Commission. Static qualifications, which include verification of

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

DRAFT/ FOR DISCUSSION ONLY


payment of any applicable fees.
2

(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

within the member state.

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

redesignation of a new state of principal licensure.

13
14

(g) The Interstate Commission is authorized to develop rules regarding the application
process and the issuance of an expedited license.

15

16
17
18
19
20

SECTION 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.

21
22
23

SECTION 7. RENEWAL AND CONTINUED PARTICIPATION


(a) A physician seeking to renew an expedited license granted in a member state shall

DRAFT/ FOR DISCUSSION ONLY


1

complete a renewal process with the Interstate Commission if the physician:

( 1) Maintains a full and unrestricted license in a state of principal license,

(2) Has not been convicted, received adjudication, deferred adjudication,

community supervision, or deferred disposition for any offense by a court of appropriate

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

non-payment of fees related to a license,

9
10
11
12
I3

14
15
16
17
18
19
20
21

(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

licenses obtained through the Compact.

23
24

SECTION 8. COORDINATED INFORMATION SYSTEM


7

DRAFf/ FOR DISCUSSION ONLY


l
2

(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

applied or received an expedited license through the Compact.

7
8
9
10
11

12

(c) Member boards shall report disciplinary or investigatory information determined as


necessary and proper by rule of the Interstate Commission.
(d) Member boards may report any non-public complaint, disciplinary, or investigatory
information not required by subsection (c) to the Interstate Commission.
(e) Member boards shall share complaint or disciplinary information about a physician
upon request of another member board.

13

(f) All information provided to the Interstate Commission or distributed by member

14

boards shall be confidential, filed under seal, and used only for investigatory or disciplinary

15

matters.

16
17

(g) The Interstate Commission is authorized to develop rules for mandated or


discretionary sharing of information by member boards.

18

19

SECTION 9. JOINT INVESTIGATIONS

20

(a) Licensure and disciplinary records of physicians are deemed investigative.

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

boards in joint investigations of physicians licensed by the member boards.

24

(c) A subpoena issued by a member state shall be enforceable in other member states.
8

DRAFT/ FOR DISCUSSION ONLY

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

license to practice medicine.

6
7

SECTION 10. DISCIPLINARY ACTIONS

(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

license is revoked, surrendered or relinquished in lieu of discipline, or suspended for an

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

and fact decided, and:

22

(i) impose the same or lesser sanction(s) against the physician;

23

(ii) or pursue separate disciplinary action against the physician under its

DRAFf/ FOR DISCUSSION ONLY


1
2

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.

9
10
11
12
13
14
15
16

SECTION 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 ofthe 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

DRAFT/ FOR DISCUSSION ONLY


1

one representative from each member board. A Commissioner shall be a(n):

(1) Allopathic or osteopathic physician appointed to a member board,

(2) Executive director, executive secretary, or similar executive of a member

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

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

21

meeting would be likely to:

22
23

(1) Relate solely to the internal personnel practices and procedures of the

Interstate Commission;

11

DRAFTI FOR DISCUSSION ONLY


(2) Discuss matters specifically exempted from disclosure by federal statute;
(3) Discuss trade secrets, commercial, or financial information that is privileged

2
3

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

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

record of any rolJ call votes.

13

(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.

23

(I) The Interstate Commission may establish other committees for governance and

12

DRAFT/ FOR DISCUSSION ONLY


1

administration of the Compact.

2
3

SECTION 12. POWERS AND DUTIES OF THE INTERSTATE COMMISSION

The Interstate Commission shall have the duty and power to

(a) Oversee and maintain the administration of the Compact;

(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

the use of judicial process;

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

Interstate Commission in carrying out its powers and duties;

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

(g) Establish and maintain one or more offices;

19

(h) Borrow, accept, hire, or contract for services of personnel;

20

(i) Purchase and maintain insurance and bonds;

21

(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

23

fix their compensation;

24

(k) Establish personnel policies and programs relating to conflicts of interest, rates of
13

DRAFT/ FOR DISCUSSION ONLY


1

compensation, and qualifications of personnel;


(1) 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;

5
6
7
8
9
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 financial audits and any recommendations that may have been adopted by the

15

Interstate Commission;

16
17

(r) Coordinate education, training, and public awareness regarding the Compact, its
implementation, and its operation;

18

(s) Maintain records in accordance with the bylaws;

19

(t) Seek and obtain trademarks, copyrights, and patents; and

20

(u) Perform such functions as may be necessary or appropriate to achieve the purposes of

21

the Compact.

22
23

SECTION 13. FINANCE POWERS

14

DRAFT/ FOR DISCUSSION ONLY

(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

promulgate a rule binding upon a11 member states.

7
8
9
10
11

(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

13

of the Interstate Commission.

14
15

16

SECTION 14. ORGANIZATION AND OPERATION OF THE INTERSTATE


COMMISSION

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 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

DRAFf/ FOR DISCUSSION ONLY


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

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

10
11

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

15

state officials, employees, and agents. The Interstate Commission is considered to be an

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

caused by the intentional or willful and wanton misconduct of such person.

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

member state represented by an Interstate Commission representative, shall defend such

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

DRAFT/ FOR DISCUSSION ONLY


1

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

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

SECTION 15. RULEMAKING FUNCTIONS OF THE INTERSTATE


COMMISSION
(a) The Interstate Commission shall promulgate reasonable rules in order to effectively

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

the Interstate Commission shall be invalid and have no force or effect.

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

be appropriate to the operations of the Interstate Commission.

17

DRAFTI FOR DISCUSSION ONLY


(c) Not later than thirty (30) days after a rule is promulgated, any person may file a
2

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.

10

SECTION 16. OVERSIGHT OF INTERSTATE COMPACT

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 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

15

regulate the practice of medicine.

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

as to the Interstate Commission, the Compact, or promulgated rules.

23

24

SECTION 17. ENFORCEMENT OF INTERSTATE COMPACT


18

DRAFT/ FOR DISCUSSION ONLY


(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce
2
3

the provisions and rules of the Compact.


(b) The Interstate Commission may, by majority vote ofthe Commissioners, initiate legal

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

awarded all costs of such litigation including reasonable attorney's fees .

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.

13

14

SECTION 18. DEFAULT PROCEDURES

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

bylaws of the Interstate Commission promulgated under the Compact.

18

(b) If the Interstate Commission determines that a member state has defaulted in the

19

performance of its obligations or responsibilities under the Compact, or the bylaws or

20

promulgated rules, the Interstate Commission shall:

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

DRAFT/ FOR DISCUSSION ONLY

state must cure its default, and

2
3
4

(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

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

state's legislature, and each of the member states.

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 oftermination including obligations, the

18

performance of which extends beyond the effective date oftermination.

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

DRAFf/ FOR DISCUSSION ONLY


where the Interstate Commission has its principal offices. The prevailing party shall be awarded
2

all costs of such litigation including reasonable attorney's fees.

SECTION 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.

8
9

(b) The Interstate Commission shall promulgate rules providing for both mediation and.
binding dispute resolution as appropriate.

10
11

SECTION 20. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT

12

(a) Any state is eligible to become a member state of the Compact.

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

Compact by all states.

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

of the member states.

23

21

DRAFf/ FOR DISCUSSION ONLY


SECTION 21. WITHDRAWAL
2

(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

other member state.

(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

17

extend beyond the effective date of withdrawal.

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 ofthe

22

withdrawal of a member state on licenses granted in other member states to physicians who

23

designated the withdrawing member state as the state of principal license.

22

DRAFT/ FOR DISCUSSION ONLY


1

SECTION 22. DISSOLUTION

(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.

8
9

10

SECTION 23. SEVERABILITY AND CONSTRUCTION


(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence,

11

or provision is deemed unenforceable, the remaining provisions of the Compact shall be

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

interstate compacts to which the states are members.

16
17

SECTION 24. BINDING EFFECT OF COMPACT AND OTHER LAWS

18

(a) Nothing herein prevents the enforcement of any other law of a member state that is

19
20
21

22
23

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.

23

DRAFf/ FOR DISCUSSION ONLY


1

2
3

(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 member state, such provision shall be ineffective to the extent of the

conflict with the constitutional provision in question in that member state.

24

Knittle, Robert C
From:
Sent:
Subject:
Attachments:

Jonathan Jagoda <jjagoda@fsmb.org >


Thursday, January 09, 2014 8:24 PM
Jonathan Jagoda
Letter of Encouragement for Interstate Compact from U.S. Senate
US Senate Letter, 9Jan2014.pdf

Importance:

High

To:

Members of the Interstate Compact Taskforce,


I am pleased to share with you the attached letter from 16 bi-partisan U.S. Senators to t he FSMB, encouraging our
development of an Interstate Medical Licensure Compact.
Sen. John Thune (South Dakota) and Sen. Mike Enzi (Wyoming) also issued a press release, which is available at :
http://www.enzi .senate.gov/pu blic/i ndex.cfm/news-releases ?ContentReco rd id=6c3a 7600-6d 1a-4eed-b2004d7eb252flf3
Tha nk you for all of your work on this important init iative - it surely has been noticed by the United States Senate.
Sincerely,
Jonathan Jagoda
Director, Federal Government Relations
Federation of State Medical Boards
1300 Connecticut Ave NW, Suite 500
Washington, DC 20036
202-463-4003

United ~tatcs ~cnatc


WASHINGTON, DC 20510

January 9, 2014

Hurnayun Chaudhry, DO, FACP


President and CEO
Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300
Euless, TX 76039

Jon Thomas, MD, MBA


Chainnan of the Board of Directors
Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300
Euless, TX 76039

Dear Dr. Chaudhry and Dr. Thomas,


We write to congratulate you on the efforts the Federation of State Medical Boards (FSMB) and
its member medical boards have made o n advancing solutions towards mu ltistate practice
through more efficient sharing of medical licensure information. The advancement of tclehealth
technology as a tool to fac ilitate access to care is contingent upon streamlining the licensing
process for highly qualified physicians seeking to practice in multiple jurisdictions.
FSMB and the Interstate Medical Licensure Com pact Taskforce have made important progress.
We support changes to improve the process for physicians to submit the necessary information
and obtain the required credentials to practice via telehealth in multiple states. The
representatives from state medical boards and experts in compact formation on the Interstate
Medical Licensure Compact Taskforce have expended many ho urs of effmt to form a solution
that wi ll provide an avenue tor the advancement oftelehealth.
FSMB 's appointment of a drafti ng team to use eight key consensus principles to shape a
voluntary licensure compact is welcome progress to ensure timely decisions. As you continue
this development process, we would like to express our support fo r an interstate compact to
provide a solution to expedite the process whereby physicians can be licensed in multiple states
and practice telemedicine in a safe a nd accountable manner.
Like you, we are comm itted to the advancement of telehealth techno logy in a way that preserves
states' ability to regulate medicine within their borders and protect their patients. We agree that
allowing states to share information while allowing each state to retain jurisdiction over
physicians who choose to practice in the state is in the best interest of both physicians and
patients.

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

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United States Senator

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MARKR. WARNER
United States Senator
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CHAR

United States Senator

United States Senator

Knittle, Robert C
From:

Sent:
To:

Subject:
Attachments:

Humayun Chaudhry < hchaudhry@fsmb.org >


Thursday, December 19, 2013 3:25 PM
Humayun Chaud hry
Interstate Medical Licensure Compact DRAFT
Interstate Medical Licensure Compact (December 2013 Draft).pdf.pdf.pdf

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

Federation of State Medical Boards


400 Fuller Wiser Road I Suite 300 I Euless, Texas 76039
817-868-4044 direct 1 817-868-4144 fax
hchaudhry@fsmb .org I www.fsmb.org

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DRAFT I FOR DISCUSSION ONLY

DRAFT
FOR DISCUSSION ONLY

INTERSTATE MEDICAL LICENSURE COMPACT

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

DRAFT I FOR DISCUSSION ONLY

1
2

INTERSTATE MEDICAL LICENSURE COMPACT


SECTION 1. PURPOSE.

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

10

existing medical practice act.

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12

SECTION 2. DEFINITIONS. In this compact:

13

(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to

14
15
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17

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

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offender. Evidence of an entry of a conviction of a criminal offense by the trial court shall be

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considered final for purposes of disciplinary action by a member board.

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(d) "Expedited License" means a full and unrestricted medical license granted by a

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member state to a physician upon evaluation of eligibility performed by the home state of the

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physician and through the process set forth in the Compact.

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(e) "Home State" means a member state that has granted a physician a license to practice

DRAFT/ FOR DISCUSSION ONLY


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medicine and which has been designated by the physician as such for purposes of participation in

this Compact.

3
4
5
6
7

(f) "Interstate Commission" or "Commission" means the interstate commission created


pursuant to Section 10.
(g) "License" means authorization by a state to engage in the practice of medicine, which
would be unlawful without the authorization.
(h) "Member Board" means a state agency in a member state that acts in the sovereign

interests of the state by protecting the public through licensure, regulation, and education of

allopathic and osteopathic physicians as directed by the state government.

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

13

with the medical practice act of a member state.

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15
16
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(k) "Physician" means any person who:


(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 W orld 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

medical board as an equivalent examination for licensure purposes, and

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(ii) Held a full and unrestricted license to practice medicine in any state

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DRAFT/ FOR DISCUSSION ONLY


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for at least 5 years.

(2) Successfully completed graduate medical education approved by the

Accreditation Council for Graduate Medical Education or the American Osteopathic

Association;

(3) Currently holds, or has previously obtained specialty certification recognized by

the American Board of Med ical Specialties or the American Osteopathic Association's Bureau of

Osteopathic Specialists;

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(4) Possesses an active, full and unrestricted license to engage in the practice of medicine
issued by a member board;

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(5) Has never been convicted, received adjudication, deferred adjudication,

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community supervision, or deferred disposition for any offense by a court of appropriate

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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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(8) Is not under active investigation by a licensing agency or law enforcement


authority.

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(1) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.

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(m) "Rule" means a written statement by the Interstate Commission promulgated

21

pursuant to Section 11 of the Compact that is of general applicability, implements, interprets, or

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prescribes a policy or provision of the Compact, or an organizational , procedural, or practice

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requirement of the Commission, and has the force and effect of statutory law in a member state,

DRAFT/ FOR DISCUSSION ONLY

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and includes the amendment, repeal, or suspension of an existing rule.


(n) "State" means any state, commonwealth, district, or territory of the United States.

SECTION 3. DESIGNATION OF HOME STATE

(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

that state, and the state is:

(1) the state of primary residence for the physician, or

(2) the state where at least 25% ofthe physician's practice of medicine occurs, or

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(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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SECTION 4. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

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(a) A physician seeking licensure through this Compact shall file an application for

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expedited licensure with a member board of the home state.


(b) Upon receipt of an application for an expedited license, the member board shall

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evaluate whether the physician is eligible for expedited licensure and issue a letter of

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qualification, verifying or denying the applicant's eligibility, to the Commission. Static

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qualifications, which include verification of medical education, graduate medical education,

22

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

DRAFT/ FOR DISCUSSION ONLY


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already primary source verified for home state licensure, for purposes of expedited licensure

under the Compact.

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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

(2) any other fees established by rule of the Commission.

(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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regulations of the member board and member state.


(e) The Commission is authorized to develop additional rules regarding the application
process and the issuance of an expedited license.

13

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SECTION 5. RENEWAL AND CONTINUED PARTICIPATION

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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

17

physicians within the member state.

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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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(1) maintains eligibility for expedited licensure, and

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(2) maintains an active, full and unrestricted license in a home state.

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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

DRAFT/ FOR DISCUSSION ONLY


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(2) any other fees established by rule of the Commission.


(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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be distributed to all member boards.


(g) The Commission is authorized to develop additional rules to address renewal of
expedited licenses.

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11

SECTION 6. TERMINATION OF LICENSE GRANTED THROUGH COMPACT

12

(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.

15

(b) If a license granted by a member board is revoked, surrendered in lieu of discipline, or

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suspended following an investigation authorized in Section 8, all expedited licenses issued in

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other member states shall be terminated upon entry of the final order in the member state taking

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the action.

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21
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SECTION 7. COORDINATED INFORMATION SYSTEM


(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

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Interstate Commission any public action or allegations against a physician who has received or

DRAFT/ FOR DISCUSSION ONLY


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applied for licensure through the Compact.


(c) Member boards shall report disciplinary or investigatory information determined as
necessary and proper by rule of the Commission.
(d) Member boards may report any non-publ ic complaint, disciplinary, or investigatory
information not required by subsection (c) to the Commission.
(e) Member boards shall share complaint or disciplinary information about a physician
upon request of another member board.
(f) All information provided to the Commission or distributed by member boards shall be

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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SECTION 8. JOINT INVESTIGATIONS

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(a) Licensure and disciplinary records of physicians are deemed investigative.

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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

17

boards in joint investigations of physicians licensed by the member boards.

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(c) A subpoena issued by a member state shall be enforceable in other member states.

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(d) Member boards may share any investigative, litigation, or compliance materials in

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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.

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DRAFT/ FOR DISCUSSION ONLY


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SECTION 9. DISCIPLINARY ACTIONS

(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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10

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SECTION 10. INTERSTATE MEDICAL LICENSURE COMPACT


COMMISSION

(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

18

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
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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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(1) AIIopathic or osteopathic physician appointed to a member board,

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(2) Executive director, executive secretary, or similar executive of a member

DRAFT/ FOR DISCUSSION ONLY


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board, or

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3

(3) Member of the public appointed to a member board.


(e) The 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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(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

17

determines by a two-thirds vote of the member states present that an open meeting would be

18

likelyto:

19

(1) Relate solely to the Commission's internal personnel practices and procedures;

20

(2) Discuss matters specifically exempted from disclosure by federal statute;

21

(3) Discuss trade secrets, commercial, or fmancial information that is privileged

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or confidential;
( 4) Involve accusing a person of a crime, or formally censuring a person;

DRAFT/ FOR DISCUSSION ONLY


(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

5
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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

any roll call votes.

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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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SECTION 11. POWERS AND DUTIES OF THE INTERSTATE COMMISSION

21

The Commission shall have the following powers and duties:

22

(a) Oversee and maintain the 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;
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DRAFT/ FOR DISCUSSION ONLY


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(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

the use of judicial process;

(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

Commission in carrying out its powers and duties;

9
10

(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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(g) Establish and maintain one or more offices;

12

(h) Borrow, accept, hire, or contract for services of personnel;

13

(i) Purchase and maintain insurance and bonds;

14

(j) Employ an executive director who shall have such powers to employ, select or

15

appoint employees, agents, or consultants, and to determine their qualifications, define their

16

duties, and fix their compensation;

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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

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

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DRAFT/ FOR DISCUSSION ONLY


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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

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

implementation, and its operation;

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(s) Maintain records in accordance with the bylaws;

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(t) Seek and obtain trademarks, copyrights, and patents; and

12

(u) Perfonn such functions as may be necessary or appropriate to achieve the purposes of

13

the Compact.

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SECTION 12. FINANCE POWERS

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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

21

upon all member states.

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(b) The Commission shall not incur obligations of any kind prior to securing the funds
adequate to meet the same.

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DRAFT/ FOR DISCUSSION ONLY


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(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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SECTION 13. ORGANIZATION AND OPERATION OF THE INTERSTATE


COMMISSION.
(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 cmTy out the purposes of the Compact

11

within twelve (12) months ofthe first Commission meeting.

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

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.

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

believing occurred, within the scope of Commission employment, duties, or responsibilities ;

23

provided that such person shall not be protected from suit or liability for damage, loss, injury, or

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DRAFT/ FOR DISCUSSION ONLY


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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
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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

wanton misconduct of such person.

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

state represented by a Commission representative, shall defend such Commission representative

13

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

23

of Commission employment, duties, or responsibilities, or that such persons had a reasonable

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DRAFT/ FOR DISCUSSION ONLY


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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

intentional or willful and wanton misconduct on the part of such persons.

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SECTION 14. RULEMAKING FUNCTIONS OF THE INTERSTATE


COMMISSION.

(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

Commission shall be invalid and have no force or effect.

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

be appropriate to the operations of the Commission.

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 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

DRAFT/ FOR DISCUSSION ONLY


1
2

SECTION 15. 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 authority to

regulate the practice of medicine.

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

Commission, the Compact, or promulgated rules.

15
16

SECTION 16. ENFORCEMENT OF INTERSTATE COMPACT

17

(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce

18
19

the provisions and rules of the Compact.


(b) The Commission may, by majority vote of the member states, initiate legal action in

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

DRAFT/ FOR DISCUSSION ONLY


litigation including reasonable attorney's fees .
2

(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.

5
6

SECTION 17. DEFAULT PROCEDURES

(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

bylaws of the Interstate Commiss ion promulgated under this Compact.

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

incurred during the period of the default.

17

DRAFT/ FOR DISCUSSION ONLY


1

(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

legislature, and each of the member states.

(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

upon in writing between the Commission and the defaulting state.

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

such litigation including reasonable attorney's fees.

18
19

SECTION 18. DISPUTE RESOLUTION

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

DRAFT/ FOR DISCUSSION ONLY


1

dispute resolution as appropriate.

SECTION 19. 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 (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

Commission on a non-voting basis prior to adoption of the Compact by all states.

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.

14
15

SECTION 20. WITHDRAWAL

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

other member state.

23

(c) The withdrawing state shall immediately notify the chairperson of the Commission in

19

DRAFT/ FOR DISCUSSION ONLY

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 ofwithdrawal, including obligations, the performance ofwhich

extend beyond the effective date of withdrawal.

(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.

10
11

SECTION 21. DISSOLUTION

12

(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.

17

18

SECTION 22. SEVERABILITY AND CONSTRUCTION

19

(a) The provisions of this Compact shall be severable, and if any phrase, clause, sentence,

20

or provision is deemed unenforceable, the remaining provisions of the Compact shall be

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

DRAFT/ FOR DISCUSSION ONLY


1

interstate compacts to which the states are members.

SECTION 23. BINDING EFFECT OF COMPACT AND OTHER LAWS

(a) Nothing herein prevents the enforcement of any other Jaw of a member state that is

5
6
7
8
9
I0

11
12

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) Al l lawful actions of the Commission, including all rules and bylaws promulgated by
the Commission, are binding upon the member states.
(d) All agreements between the Commission and the member states are binding in
accordance with their terms.
(e) In the

~vent any provision

of the Compact exceeds the constitutional limits imposed

13

on the legis Jature of any member state, such provision shall be ineffective to the extent of the

14

conflict with the constitutional provision in question in that member state.

21

Knittle, Robert C
From:
Sent:
To:

Subject:
Attachments:

Eric Fish <efish @fsmb.org>


Wednesday, December 18, 2013 5:15 PM
Eric Fish
Interstate Compact Taskforce -Interstate Medical Licensure Compact DRAFT
Interstate Medical Licensure Compact (December 2013 Draft).pdf

Members of the Interstate Compact Taskforce,


On behalf of Dr. Chaudhry and the drafting subcommittee, I attach for your consideration a draft of the Interstate Medical
Licensure Compact.
Background

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

Outline of the Draft Compact


Section 2 is the defmitional section and contains key terms that apply throughout the compact. The defmitions 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 forth the process for a physician to use the compact to facilitate expedited licensure by
member states. A physician must frrst designate a home state and apply for licensure through a coordinated process
facilitated by the Compact Commission. The Compact Commission does not issue any licenses. 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 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 an Interstate
Commission to cany 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 a vote at meetings ofthe compact commission.
The drafting committee recognizes that in some states the regulation of osteopathic and allopathic medicine falls under the
jurisdiction of separate state boards. The committee and compact experts are continuing to explore alternative structures
of Commission governance.
Next Steps
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 of State Medical Boards or its Board of Directors. This draft has been
prepared to study the feasibility of an interstate compact, and 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.

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 I FOR DISCUSSION ONLY

DRAFT
FOR DISCUSSION ONLY

INTERSTATE MEDICAL LICENSURE COMPACT

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.

DRAFT I FOR DISCUSSION ONLY

1
2

INTERSTATE MEDICAL LICENSURE COMPACT


SECTION 1. PURPOSE.

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

10

existing medical practice act.

11
12

SECTION 2. DEFINITIONS. In this compact:

13

(a) "Bylaws" means those bylaws established by the Interstate Commission pursuant to

14
15
16
17

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

20

considered final for purposes of disciplinary action by a member board.

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

23

physician and through the process set forth in the Compact.

24

(e) "Home State" means a member state that has granted a physician a license to practice
1

DRAFT/ FOR DISCUSSION ONLY


1

medicine and which has been designated by the physician as such for purposes of participation in

this Compact.

3
4
5
6
7

(f) "Interstate Commission" or "Commission" means the interstate commission created

pursuant to Section 10.


(g) "License" means authorization by a state to engage in the practice of medicine, which
would be unlawful without the authorization.
(h) "Member Board" means a state agency in a member state that acts in the sovereign

interests of the state by protecting the public through licensure, regulation, and education of

allopathic and osteopathic physicians as directed by the state government.

10

(i) "Member State" means a state that has enacted the Compact.

11

G) "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

13

with the medical practice act of a member state.

14
15
16
17
18
19
20

(k) "Physician" means any person who:

(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

medical board as an equivalent examination for licensure purposes, and

23

(ii) Held a full and unrestricted license to practice medicine in any state

DRAFT/ FOR DISCUSSION ONLY


1

for at least 5 years.

(2) Successfully completed graduate medical education approved by the

Accreditation Council for Graduate Medical Education or the American Osteopathic

Association;

(3) Currently holds, or has previously obtained specialty certification recognized by

the American Board of Medical Specialties or the American Osteopathic Association's Bureau of

Osteopathic Specialists;

8
9

(4) Possesses an active, full and unrestricted license to engage in the practice of medicine
issued by a member board;

10

(5) Has never been convicted, received adjudication, deferred adjudication,

11

community supervision, or deferred disposition for any offense by a court of appropriate

12

jurisdiction;

13
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 ;

15
16

(7) Has never had a controlled substance license or permit suspended or revoked by
a state or the United States Drug Enforcement Administration;

17
18

(8) Is not under active investigation by a licensing agency or Jaw enforcement


authority.

19

(I) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.

20

(m) "Rule" means a written statement by the Interstate Commission promulgated

21

pursuant to Section 11 of the Compact that is of general applicability, implements, interprets, or

22

prescribes a policy or provision of the Compact, or an organizational, procedural, or practice

23

requirement of the Commission, and has the force and effect of statutory law in a member state,

DRAFT/ FOR DISCUSSION ONLY

1
2

and includes the amendment, repeal, or suspension of an existing rule.


(n) "State" means any state, commonwealth, district, or territory of the United States.

3
4

SECTION 3. DESIGNATION OF HOME STATE

(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

that state, and the state is:

( 1) the state of primary residence for the physician, or

(2) the state where at least 25% of the physician's practice of medicine occurs, or

10

11
12
13

(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).

14
15

SECTION 4. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

16

(a) A physician seeking licensure through this Compact shall file an application for

17
18

expedited licensure with a member board of the home state.


(b) Upon receipt of an application for an expedited license, the member board shall

19

evaluate whether the physician is eligible for expedited licensure and issue a letter of

20

qualification, verifying or denying the applicant's eligibility, to the Commission. Static

21

qualifications, which include verification of medical education, graduate medical education,

22

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

DRAFT/ FOR DISCUSSION ONLY

already primary source verified for home state licensure, for purposes of expedited licensure

under the Compact.

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

(2) any other fees established by rule of the Commission.

(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

10
11
12

regulations of the member board and member state.


(e) The Commission is authorized to develop additional rules regarding the application
process and the issuance of an expedited license.

13
14

SECTION 5. RENEWAL AND CONTINUED PARTICIPATION

15

(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

17

physicians within the member state.

18

(b) A physician may seek renewal of a license granted by a member state if the physician:

19

(I) maintains eligibility for expedited licensure, and

20

(2) maintains an active, full and unrestricted license in a home state.

21
22
23

(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

DRAFT/ FOR DISCUSSION ONLY


(2) any other fees established by rule of the Commission.

2
3
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

7
8
9

be distributed to all member boards.


(g) The Commission is authorized to develop additional rules to address renewal of
expedited licenses.

10

11

SECTION 6. TERMINATION OF LICENSE GRANTED THROUGH COMPACT

12

(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.

15

(b) If a license granted by a member board is revoked, surrendered in lieu of discipline, or

16

suspended following an investigation authorized in Section 8, all expedited licenses issued in

17

other member states shall be terminated upon entry of the fmal order in the member state taking

18

the action.

19

SECTION 7. COORDINATED INFORMATION SYSTEM

20
21
22

(a) The Interstate Commission shall establish a database of all physicians licensed, or
who have applied to be licensed, under Section 4.

23

(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

DRAFT/ FOR DISCUSSION ONLY

1
2
3
4
5
6
7
8
9
10
11

applied for licensure through the Compact.


(c) Member boards shall report disciplinary or investigatory information determined as
necessary and proper by rule of the Commission.
(d) Member boards may report any non-public complaint, disciplinary, or investigatory
information not required by subsection (c) to the Commission.
(e) Member boards shall share complaint or disciplinary information about a physician
upon request of another member board.
(f) All information provided to the Commission or distributed by member boards shall be

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.

12
13

SECTION 8. JOINT INVESTIGATIONS

14

(a) Licensure and disciplinary records of physicians are deemed investigative.

15

(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

17

boards in joint investigations of physicians licensed by the member boards.

18

(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

20
21
22

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.

23

DRAFT/ FOR DISCUSSION ONLY


1

SECTION 9. DISCIPLINARY ACTIONS

(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.

5
6
7
8

(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).

9
10
11

12
13
14
15
16

SECTION 10. INTERSTATE MEDICAL LICENSURE COMPACT


COMMISSION

(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

18

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
21

(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):

22

(1) Allopathic or osteopathic physician appointed to a member board,

23

(2) Executive director, executive secretary, or similar executive of a member

DRAFT/ FOR DISCUSSION ONLY

board, or

2
3

(3) Member of the public appointed to a member board.


(e) The 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.

7
8
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, 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:

19

(1) Relate solely to the Commission's internal personnel practices and procedures;

20

(2) Discuss matters specifically exempted from disclosure by federal statute;

21

(3) Discuss trade secrets, commercial, or financial information that is privileged

22
23

or confidential;
(4) Involve accusing a person of a crime, or formally censuring a person;

DRAFT/ FOR DISCUSSION ONLY


1
2

(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

(?) Specifically relate to the participation in a civil action or other legal

5
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

any roll call votes.

9
10
11

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.

17
18

(I) The Commission may establish other committees for governance and administration
of the Compact.

19
20

SECTION 11. POWERS AND DUTIES OF THE INTERSTATE COMMISSION

21

The Commission shall have the following powers and duties:

22

(a) Oversee and maintain the administration of the Compact;

23

(b) Promulgate rules which shall be binding to the extent and in the manner provided for

24

in the Compact;
10

DRAFT/ FOR DISCUSSION ONLY


1
2
3

(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

the use of judicial process;

(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

Commission in carrying out its powers and duties;

9
10

(f) Pay, or provide for the payment of, the expenses related to the establishment,
organization, and ongoing activities of the Commission;

11

(g) Establish and maintain one or more offices;

12

(h) Borrow, accept, hire, or contract for services of personnel;

13

(i) Purchase and maintain insurance and bonds;

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

duties, and fix their compensation;

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

DRAFT/ FOR DISCUSSION ONLY


1

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

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

implementation, and its operation;

!0

(s) Maintain records in accordance with the bylaws;

ll

(t) Seek and obtain trademarks, copyrights, and patents; and

J2

(u) Perform such functions as may be necessary or appropriate to achieve the purposes of

l3

the Compact.

14
15

SECTION 12. FINANCE POWERS

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

upon all member states.

22
23

(b) The Commission shall not incur obligations of any kind prior to securing the funds
adequate to meet the same.

12

DRAFT/ FOR DISCUSSION ONLY

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

SECTION 13. ORGANIZATION AND OPERATION OF THE INTERSTATE


COMMISSION.

(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

within twelve (12) months of the first Commission meeting.

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

disability, the vice-chairperson, shall preside at all meetings of the Commission.

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

believing occurred, within the scope of Commission employment, duties, or responsibilities;

23

provided that such person shall not be protected from suit or liability for damage, loss, injury, or

13

DRAFT/ FOR DISCUSSION ONLY

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

wanton misconduct of such person.

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

state represented by a Commission representative, shall defend such Commission representative

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

of Commission employment, duties, or responsibilities, or that such persons had a reasonable

14

DRAFT/ FOR DISCUSSION ONLY


1

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

intentional or willful and wanton misconduct on the part of such persons.

4
5
6

SECTION 14. RULEMAKING FUNCTIONS OF THE INTERSTATE


COMMISSION.

(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

Commission shall be invalid and have no force or effect.

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

be appropriate to the operations of the Commission.

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

DRAFT/ FOR DISCUSSION ONLY

SECTION 15. 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 pr0visions of the Compact and the rules promulgated

hereunder shall have standing as statutory law but shall not override existing state authority to

regulate the practice of medicine.

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

Commission, the Compact, or promulgated rules.

15

16

SECTION 16. ENFORCEMENT OF INTERSTATE COMPACT

17

(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce

18
19

the provisions and rules of the Compact.


(b) The Commission may, by majority vote of the member states, initiate legal action in

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

DRAFT/ FOR DISCUSSION ONLY

litigation including reasonable attorney' s fees.


(c) The remedies herein shall not be the exclusive remedies of the Commission. The

2
3

Commission may avail itself of any other remedies available under s~te law or the regulation of

a profession.

5
6

SECTION 17. DEFAULT PROCEDURES

(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

bylaws of the Interstate Commission promulgated under this Compact.

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

incurred during the period of the default.

17

DRAFT/ FORD ISCUSSION ONLY

(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

legislature, and each of the member states.

(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

upon in writing between the Commission and the defaulting state.

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

such litigation including reasonable attorney's fees.

18
19

SECTION 18. DISPUTE RESOLUTION

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

DRAFT/ FOR DISCUSSION ONLY


1

dispute resolution as appropriate.

2
SECTION 19. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT

3
4

(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 (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

Commission on a non-voting basis prior to adoption of the Compact by all states.

10

astate upon enactment of the Compact into law by that state.

The governors of non-

(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

SECTION 20. WITHDRAWAL

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

other member state.

23

(c) The withdrawing state shall immediately notify the chairperson of the Commission in

19

DRAFT/ FOR DISCUSSION ONLY

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

extend beyond the effective date of withdrawal.

(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

SECTION 21. DISSOLUTION

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

SECTION 22. SEVERABILITY AND CONSTRUCTION

19

(a) The provisions of this Compact shall be severable, and if any phrase, clause, sentence,

20

or provision is deemed unenforceable, the remaining provisions of the Compact shall be

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

DRAFT/ FOR DISCUSSION ONLY


1

interstate compacts to which the states are members.

2
3

SECTION 23. BINDING EFFECT OF COMPACT AND OTHER LAWS

(a) Nothing herein prevents the enforcement of any other law of a member state that is

5
6
7
8
9
10
11
12

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 Commission, including all rules and bylaws promulgated by
the Commission, are binding upon the member states.
(d) All agreements between the Commission and the member states are binding in
accordance with their terms.
(e) In the Vent any provision of the Compact exceeds the constitutional limits imposed

13

on the legislature of any member state, such provision shall be ineffective to the extent of the

14

conflict with the constitutional provision in question in that member state.

21

State of West Virginia

Board of Medicine
AHMEDDAVERFAHEEM,MD
PRESIDENT

101 Dee Drive, Suite 103


Charleston, WV 25311
Telephone 304.558.2921
Fax 304.558.2084
www.wvbom.wv.gov

R. CURTIS ARNOLD, DPM


VICE PRESIDENT

ROBERT C. KNITTLE
EXECUTIVE DIRECTOR

RAHUL GUPTA, MD, MPH


SECRETARY

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.

Letter to Mr. Schlafly


January 5, 2016
Page 2 of3

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.

General E-mail Correspondence This folder contains e-mail correspondence


between WVBOM and the FSMB sorted by the WVBOM correspondent. A separate
.PDF file is provided for each WVBOM correspondent with responsive
communications during the period of from December 2014, January 2015, and
February 2015.

3. Transcript and UA Notifications This folder contains notifications of transcript or


Uniform Application availability received by the Board during the period of from
These are routine
December 2014, January 2015, and February 2015.
communications, and do not involve a substantive discussion of an applicant or
potential applicant's application documentation or qualifications for licensure.
Additionally, one copy of an automated e-mail from "fcvs@fsmb.org" with the
subject line "FCVS Informational Notice" is produced in this folder. This exact email was erroneously automatically generated to the Board every day during the
requested time period. Because each e-mail contains the exact same substance, with
the only difference being the date and time of delivery, one copy of this automated
correspondence is provided.
To the extent that the e-mail communications referenced hereinabove include confidential
information, such as dates of birth, protected health information, passcodes, passwords,
usemames, FSMB URLs for member-use only, potential licensure applicant names and e-mail
addresses, and/or FSMBIUA applicant/physician identification numbers, that information has

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).

Letter to Mr. Schlafly


January 5, 2016
Page 3 of3

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.

Title/Role (e.,. Deleeate. Board Member Speaker FacnlJv, Staff. etc.I

Traveler's Name

R6'b ~

c.

~Y\'~'k

Ex-t tvhw. D ~~J'by.

lf

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to
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to

to

Event l Purpose

City &State

Travel Dates

r~6~1-an

'1- /J..J ().'0 li


I
I
I

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I

MalS.

f -;~. A.'J\.... v- ~' t.n..k.

'

Total Re;im.burseinent
*Please provide details of miscellaneouprepayment expenses:

FOR OFFICE USE ONLY


_ _ _ _ _ _ _ Date - - - Date SUbmitied

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETTLEMENT

;-~~
1'1

State

{\/

Tille

HamllriWV

rpose To attend Reaular and ;omr>lalnl Commiltee Meungs of !he Boat!


1

Sla~ Car.

01\TE

Normal Work Hours


Sec1oon

Ort<Soon -Public Hsal!l\

W1

rravel

FtMS lfendoi-NO 140685

Boatc Membe<

vesr

TIME

No

"'fTIIATI:

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JFrom Ham!., VN

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!From Charleston W\1

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_ll _

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r o Cnarlestotl-W\1
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To HamhnWV

fAlS

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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

!Less -C ash Advance ~


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'258 89

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NC
N:;

0945

130

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025

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Tt2Voloor mual attach cap- of dom:t billed recolpll or mvotcts,


I.e., irtine. l'eaiatratlon. lodging, - .

u fi1I:K t:::AH:Nl>t:~

01\TE-

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. ..

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

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I I

to

i AliJJJJ7,

to

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I

to

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- rJ5fl1L A_dvfJ,>"r1 ~lTt.l m~~etEvent [Purpose

(/f/J'IL}E_AdVIJfJY11 P'~-n~J

I
I
I
Saturday

-Please provide details of miscellaneous/prepayment expenses:

/Y/r;c. -

B~g6~g'

~='eis

FOR OFFICE USE ONLY


Traveler's S:tgna!=e

_ _ _ _ _ _ _ Dal:e - - - -

Cf!to I 13

Date

EXPENSE REPORT

FEDERATION OF STATE MEDICAL BOARDS OF THE U.S.


400 Fuller Wiser Road, Suite 300
Euless, TX 76039-

June 30, 2014

Instructions:

Submission Deadline:

Complete form and submit a copy with receipts to the FS!v.ffi. Retain a copy for your records.

Due within 60 days of travel completion.

Title/Role {e.g., Delegate, Board Member, SI:>eaker, Facultv, Staff, etc.)

Traveler's Name

~O~v~ E.Y~:c.vhYf.

R~beYT C, Kn\~
A'J; J...b 14-

to

I
I

to

I
I

't ;l.11 J.Oif


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

"Please provide-details of miscellaneous f prepayment expenses:

FOR OFFICE USE ONLY

'raveler's Signature
late Submitted

Approved By

_ _ _ _ _ _ _ Date

Date

INVOICE

sfXEii
MEDICAL

BOARDS

Date

10/412013

1nv01ce~

435
1 of 1

Page

Federation of State Medical Boards of the United States. Inc

Bill To:
Robert C. Knittle, MS

Remit To:

West Virginia Board of Medicine

101 Dee Dr Ste 103


Charleston, YN 25301

IhnbJGIIIJIIIIe.lems
1isted
IIIMI8CIIved

..._.11M

..................,....

Attn: Denise Bransford


FSMB
400 Fuller Wiser Rd Ste 300
Euless, TX 76039-3856
817-868-5178

J/~
~
;oj.:?IB
Name
Date; / ..

MBOARD

FSMB Member Board Annual Dues

$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

Title/Role (e.!!.. Delee:ate. Board Member SP_eaket. Facultv. Staff. etc..)

Exe.~. [>,.,.., - tv't'.s-f liA.

Reb ext C.. l<'n' ~t/e,

City &State

Travel Dates

(, II~ J~
I I
. I 'I
. I I

to
ID

to
ID

(, I} 'fl J3 I041 1}"-.;Uuit!!U


I I
I I
I I

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

FOR OFFICE USE ONLY


~vedBy

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.

Title/Role (e."". Delee:ate. Board Member Soeaker Facultv. Staff. etc.\

Traveler's Name

Robl{yt t.

)(r. \ H-lt

l:... h . . . ~-T-.Jr-(. '-.-,~ 1\.C}r \i, ~k._ rvt~:_.,_ C'O.t.....,\:Ht"r

loqt ~13
I I
I I
I I

to

to
to

to

Event LPuroose

Citv& State

Travel Dates

Ocf; l/1 :J/)13

~ 1 11 lao g

I
I
I

I
I

'N "~"'to... o.r~ o .t.

~h.,\\ ..~._c ... -. .do 'T~ ~ k

yll'.-t'-t..

Saturdav

Total RE:imbursei:nent

Please provide details of miscellane~payment expenses:

La{~..,..~ <:.QN\"!cl b;r ..:nH}rr hsJ ~At

bah.l

FOR OFFICE USE ONLY


In:veler's Signatare

~_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.

Due within 30 days of travel completion.

Traveler's Name

Title/Role {e.g., Delegate, Board Member, S11eaker, Faculty, Staff, etc.}

Kobl 1rt C'

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

" I'J.k/J. oI'I


I I
I I

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:

FOR OFFICE USE ONLY


Traveler's Signature

Approved By

_ _ _ _ _ _ _ _ Date

Date Submitted

Approved By

Date

~l.o$' ?
~ .Jq.rs 7

J:-;;t:t e-;.;; r; o~~ -- oI


STATE~

EXPENSE REPORT
FEDERATION OF STATE MEDICAL BOARDS OF THE U.S.
400 Fuller Wiser Road, Suite 300
Euless, TX 76039

MEDICAL

BOARDS

May 27, 2015

Instructions:

Submission Deadline:

Complete form and submit a copy with receipts to the FSMB. Retain a copy for your records.

Due within 30 days of travel completion.

Traveler's Name

Title/Role (e.e:. D ele!!ate Board Member Sueaker Faculnr, Staff etc.)

Rob t.,..t C.. I<Y\',r\ie

~ 1) ....-~

I
I

to

I
I

to
to

Sunday

ll
EXPENSES
Airfare I Rail
Baggage Fees

I 1..~

4- ll.W' l.o\5 Pr.W~


I
I

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

I ftJ > /,()

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

Mileage 57.5 cents/mile


Miscellaneous
SUBTOTAL

jfe /l't!r jG~n. ~~lrl~

I
I

Lod~ng

Meals

0\'r,

Cill: & State

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..~.

<>

'1-J.. 15'/o. l,o

DEDUCTIONS
' FSMB Advances)
{Airline Prepayments)

'1- j tl :J. J

(Other Prepayments"'~)
SUBTOTAL

IJ-31.}, ~/
Total Reimbursement

'*Pleas e provide details of miscellaneous I prepayment expenses:

FOR OFFICE USE ONLY


Traveler's Signature
Date Su bmitted

Approved By

_ _ _ _ _ _ __ Date
Date

'1- J IJ-. J./


/, () 71J Jq

Frdrr .11iu11 11{

EXPENSE REPORT
FEDERATION OF STATE MEDICAL BOARDS OF THE U.S.
400 Fuller Wiser Road, Suite 300

STATF

M ED I CA L

BOARDS

Euless, 1)( 76039

lnstrudions:

Submission Deadline:_ _ _ __

Complete form and submit a copy with receipts to the FSMB. Retain a copy for your records.

Due within 30 days of travel completion.

Traveler's Name

Title/Role (e.g., Delegate, Board Member, Spealcer, Faculty, Staff, etc.)

Robert C. Knittle

Executive DirectorfUSMI.E Panel Member


Travel Dates

Sept. 24, 2015

I
I

I
I

to

to
to

Sept. 25, 2015

I
I

City & State

Event l Purpose

Washinf.';ton D.C.

USMLE Advisorv Panel

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

Mileage 57.5 centll/mile


Miscellaneousn
SUBTOTAL

$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:

FOR OFFICE USE ONLY

Approved By

Traveler's Signature

10/ 5/J5

Approved B

_ _ __ _ __ _ Date

Date

$306.20
$0.00
$306.20
$160.50

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETILEMENT

Traveler must attach copies of direct billed receipts or invoices,


.a uruna. n~oiAbatilon IO<IQIIAQ, etc.

I certify that these costs incurred were in connection with

I certify that I have personally examined and approved the Travel Expense

my assigned duties. are true, accurate and actual, and do


not reflect any costs or expenses reimbursed or to be

Account Settlement. The terms of expenses are reasonable and correspond to


the assigned duties of the traveler. The terms of expense further meet all State
of West Virgin ia Travel Regu lations and are within the budget of this spending unit.

--~~~~~~~~~--~--~~Y---~~~~
A~pupr~ovra~IA~g~-~n %y~H~e~
ad~/D~e~s ig-ne_e

_,;;~2~o~~~~~~-

________

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETTLEMENT

99.00

Traveler must attach copies of direct billed receipts or invoices,


I.e., airline,
etc.

I certify that these costs incurred were in connection with

I certify that I have personally examined and approved the Travel Expense

my assigned duties, are true, accurate and actual, and do

Account Settlement. The terms of expenses are reasonable and correspond to

not reflect any costs or expenses reimbursed or to be

the assigned duties of the traveler. The terms of expense further meet all State

reimbursed from any other source.

of West Virgin' T ravel Regulations and are within the budget of this spending unit.

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETTLEMENT

@}.
<

'

~ I

Name.
State:

:;-:

wv

FI MSVeridoi No: 008028

Citv:

Normal Wori< Hours:


Section:
,.,~~ in Fort Worth TX.~22- 25, 2015

I DMsion. Public Health

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

I Saw.er is nol claimlna return trawl as hewer

iFrom Fort Worth Tx to Chicaao to attend

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

!Less Cash ~"' o..-..o


!Amount Due To:
AG ENCYAC nu 11 rTNG
FUND
ORG AGT I OBJ ISUB
9070
0946
~~

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

I certify that l:l>ese costs incuiTed were in conneelioo wfth

my assigned duties. are true. accurate and actual, and do


not reflect any costs or eJqlenses ..mtlutsOd or to be
reimbursed from any oCher source.

Traveler must attach copM!S of direct btlled recetpta or invoices,


i.e., airline, registration, lodging, etc.
EXPENSES DIRI:CT BILLED TO THE STATE
DATE
A MOU NT
ITEM AND VENDOR

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

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETTLEMENT

--

lame:

Board Attorney

Title:

Jam1e Alley
PO Box 3
;ity/State/Zip:
GlasgowWV
WV Board of Medicine
>epartment:

FIMS Vendor No.

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

Normal Work Hours:


Section:
Lodging

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

11 /7/2013 Coni Breakfast &Lunch provtded


11 /8/2013 Cont. Breakfast &Lunch provided

0.00
0.00

Total

Fund

9070

FY
2014

Agency Accounting Information


Org
Activity
Object
Grant
0945
130
026

0.00

Project

591 .60

0.00

167.00

432.81

62.00

Less Cash Advance


WVFIMS I Number
Amount
Due Employee
Due State

1,253.41

1,253.41

Traveler must attach copies of direct billed receipts or invoices,


1e., a1rltne, regestrat1on, lodgtng,etc.

..

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

Expenses Direct billed to the State


Item and Vendor

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

Approval Supervisor/Department Head

Date

I cert1fy that I have personally exam1ned and approved thiS Travel


Expense Account Settlement The terms of expense are reasonable
and correspond to the assigned duties of the traveler The terms of
expense further meet all State of West Virgtn1a Travel Regulat1ons
and are w1th1n the budget of th1s spend1ng un1t

Approval Agency Head/Designee

~~~ ~ 't

Date

~LJ
-=
~
~,~l--~/~~~~~--- 1~/~
J]
Approval Agency ead/Des1gnee
Date
A

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETTLEMENT

Jamie~

fName'

I Atitiro.,.,

ritle:

TFiMS VVIIUVI~

Board "''.v ,,_

,,.u 11cs Work Hours


vrac;;tor
ine
IDiviSnJr
the 2014 Annual AIM and FSMB ""'"''"'~,in Denver CO. 4/22/14 4/27/14
-Rental Meals Lodgi n~
Air
CI'LY/i;)LillV
Miles Amount
Charleston, WV
512.03
49.50
179.01
Denver. CO
l w .. ,.ttn~rters.

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

8:00 AMI From: Denver, CO.


To: Charleston WV

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

(!.gene] Accounti ng h;f;,,


A.-tlu!t.,
Org
Object
130
1026
10945

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

Traveler must attach c:opies of direc:t billed rec:eipts or Invoices,


. .
e., a1rhne, regestraton, lodgng,etc.

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

Excess Baggage $25.00

Amount
495.00
22.00
25.00
55.00
42.00

Date

Expenses Direct billed to the State


Item and Vendor

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

Approval Supervisor/Department Head

Date

I certify that I have personally exam1ned and approved th1s i ravol


Expense Account Settlement. The terms of expense are reasonable
and correspond to the assigned duties of the traveler. The terms of
expense further meet all State of West Virginia Travel Regulations
and are withm the budget of this spending unit.

Approval Agency Head/Designee

Date

Buxl~ f-/tt~//So
,Approval Agency HeadJDesignee

Dad!

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETTLEMENT
I Name:
Jamie Alle~_ _ _ _____._IT~itle:;...___B::....:....:.;.oard"'-'-1A=.:......ttorn--"--'--ey_ _ __,_I;...:..;FIIIM.:..:...:......S
V=.:
endo'-'rN
;_;_;:_;_o
. _ _ _ _...;.;:..:.;:4
062~59
IA(idress:
~
ICi\.y,.,lCil~,.dp:
I HP::arinu:trters:
'"" 'CI""'"'v'
I Normal Work Hours:
8:30
4 :30
1u.eparum:m.
VI/\/ Board of~e
I Divisi,.,n
l"t:o..uuu.
~"'" ''u"u the 2014 Annual AIM and FSMB meetings in Savannah GA,October 23-24, 2014
I Date
Time . : ". .. .. "'"Y'~ ...
Miles Amount ~ Air . Rental
Meals
Lodging
Other I ~Total +
2 :00 PM I From:
Charleston, VI/\/
10/22/14
5 :45PM ITo:
Savannah GA
643.44
42.00
191 .97
40.00
917.41

L..

10/23/14

34.00

191.97

225.97

10/24/14

29.00

191 .97

220.97

3:31 PM From: SavCI'"'"'' GA


10/25/14 6::00 PM To: Charleston\1\f\J

42.00

89.00

131.00
0.00
0.00
0.00
0.00

10/23/2014 1Breakfast & L unch proided


10/24/20141 Breakfast & Lunch proided

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

Traveler must attach copies of direct billed receipts or invoices,


airline, regestration, lodging,etc.

.___ ___.__ _ _ _..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

. Expenses Direct billed to the State~::,:;;;

Date

Item and Vendor

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

have personally examined and approved th Tra el Expense Account Settlement


of expnses are reasonable and correspond to the assigned duties of the traveler.
ms of expenses further meet all State of West Virginia Travel regulations and are within
the budget of this spending unit.

The e

Approval Supervisor/Department Head

Date

I certify that I have personally examined and approved this Travel


Expense Account Settlement The terms of expense are reasonable
and correspond to the assigned duties of the traveler. The terms of
expense further meet all State of West Virginia Travel Regulations
and are within the budget of this spending unit

r val Agency Headl

signee

Date

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETILEMENT

Jamie Alley
!Name:
!Address:

'"'

ITiUe:

Dat~

04/21115

'"''--,1

11-!.....t .......rt ......

ip:

.. ..........

,...........

400?!'\!l

IFIMS vomuur" No.

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

12:05 PM I From Fort Worth TX


3:33 PM ro: ~,.;r,a"'"'"'" WV

42.00

12.00

194.60
211 .60

68.00

110.00
0.00

A/??/?()15 !Lunch & dinner 11,uvuo::u


A/?.A/?()15 !Dinner 11vvid~d

0.00

IMs. Alley only wants the $4.00 she


Ispent for

0.00

t and not the


l$9.00 rate for April 23 25
Total

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,
. .

le., au1me, regestratlon, lodgmg,etc.


Date
04/21/15
04/21/15
04/24/15
04/26/15
04/26/15

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

Expenses Direct billed to the State


Item and Vendor

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

Approval Supervisor/Department Head

Date

I certify that I have personally examined and approved this Travel


Expense Account Settlement. The terms of expense are reasonable
and oorrespond to the assigned duties of the traveler. The terms of
expense further meet all State of West Virgin ~a Travel Regulations
and are within the budget of this spending unil
Approval Agency Head/Designee
Date

STATE OF WEST VIRGINIA


TRAVEL EXPENSE ACCOUNT SETTLEMENT

865.00
0.00
262.60

229.60
196.00
72.73

0.00

0.00
0.00

must attach copies of direct billed receipts or invoices,


airline, regestration, lodging,etc.

'''!!',;;:::::___ ,_;: ,,:::.:...:: :: Othe~ Exp~A$es ..

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

Item and Vendor

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

I ce~that I have personally examined a nd approved this


vel Expense Account Settlement
The ferms of exposes are reasonable and correspond to the assigned duties of the traveler.
The terms of expenses further meet all State of West Virginia Travel regulations and are within
the budget of th is spending unit

Approval Supervisor/Department Head

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

Approval Agency Head/Designee

itJ&.q/~

Approval Agency HeadfDesignee

Date

//-17-/f;
Date

Federation

of

STATEHI

Federation of State Medical Boards


2013 Annual Meeting
Invoice

MEDICAL

BOARDS
;2
13

/
13

?
6

Sheree J. Thompson
West Virginia Board of Medicine
101 Dee Drive, Suite 103
Charleston, WV 25301
Name/ Session

February 13, 2013

I hereby certify that the Items


listed hereon have been received
and approved for payment

Fee

Ms. Sheree J. Thompson

J/4r///f//3

Fees:
Registration Fee
CME

Thursday Luncheon Program (guest)


Saturday Awards Luncheon (guest)
Saturday Bierring Dinner (guest)
Total Fees

% 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

400 FULLER WISER ROAD | SUITE 300 | E U L E S S . T X 76039


(817)860 4000 | FAX (817)868-4098 | WWW.FSMB.ORG

I I 10 VERMONT A V E , NW | SUITE 1000 | W A S H I N G T O N . D C 20005


(201)S30.4872 | FAX (202)530-4800

Federation

of

STATEM
MEDICAL
BOARDS

INVOICE
Date
invoice #
Due Date

10/1/2015
579
1/1/2016

Federation of State Medical Boards of the United States, Inc

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

400 Fuller Wiser Rd Ste 300


Euless, TX 76039-3856

listed hmm\e ne b received 817-868-5178


aud Sipfitmm for payment

Name
Purchase Order ID

Customer ID

Qty

Description

Itenti
MBOARD

Date
Salesperson ID

Payment Tenns
Unit Price

FSMB Member Board Annual Dues


1/1/2016 througti 12/31/2016

$2,400.00

Extended Price
$2,400.00

*Due Date 1/1/2016

Subtotal
Credits

$2,400.00
sn nn

Total

$2,400.00

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Date: 12/2/2014 10:03:49 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 03, 2014 7:57 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/3/2014 6:56:38 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 03, 2014 9:15 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/3/2014 8:14:57 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 03, 2014 3:50 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/3/2014 2:49:43 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 03, 2014 4:29 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/3/2014 3:28:31 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 03, 2014 7:17 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/3/2014 6:16:58 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 05, 2014 9:39 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/5/2014 8:39:20 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 05, 2014 10:18 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/5/2014 9:17:30 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 05, 2014 11:31 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/5/2014 10:31:05 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 05, 2014 2:46 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/5/2014 1:45:36 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 05, 2014 5:46 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/5/2014 4:46:21 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 05, 2014 5:53 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/5/2014 4:52:34 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Sunday, December 07, 2014 11:46 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/7/2014 10:45:59 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 08, 2014 12:51 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/8/2014 11:50:45 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 08, 2014 12:56 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/8/2014 11:56:12 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 08, 2014 2:53 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/8/2014 1:53:14 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 09, 2014 10:44 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/9/2014 9:44:26 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 09, 2014 10:46 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/9/2014 9:45:34 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 09, 2014 3:47 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/9/2014 2:47:15 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 09, 2014 7:50 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/9/2014 6:49:50 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 10, 2014 6:06 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/10/2014 5:05:52 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, December 11, 2014 7:37 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/11/2014 6:36:47 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 12, 2014 2:54 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/12/2014 1:54:05 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 12, 2014 3:36 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/12/2014 2:35:39 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Sunday, December 14, 2014 10:41 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/14/2014 9:40:53 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 15, 2014 7:36 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/15/2014 6:35:51 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 15, 2014 2:19 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/15/2014 1:18:32 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 15, 2014 2:47 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/15/2014 1:46:45 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 16, 2014 3:02 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/16/2014 2:02:06 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 17, 2014 11:56 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/17/2014 10:55:27 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 17, 2014 4:23 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/17/2014 3:22:49 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 17, 2014 6:29 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/17/2014 5:28:39 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 17, 2014 6:56 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/17/2014 5:56:25 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 17, 2014 9:12 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/17/2014 8:12:27 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, December 18, 2014 11:36 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/18/2014 10:36:20 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, December 18, 2014 11:55 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/18/2014 10:54:52 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, December 18, 2014 11:58 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/18/2014 10:58:11 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, December 18, 2014 6:12 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/18/2014 5:11:30 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, December 18, 2014 7:11 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/18/2014 6:10:33 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 19, 2014 11:48 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/19/2014 10:47:45 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 19, 2014 12:37 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/19/2014 11:36:57 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, December 19, 2014 9:19 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/19/2014 8:18:56 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 22, 2014 2:25 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/22/2014 1:25:20 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 22, 2014 4:10 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/22/2014 3:09:35 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 23, 2014 8:38 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/23/2014 7:37:53 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 23, 2014 10:36 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/23/2014 9:36:08 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 23, 2014 12:53 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/23/2014 11:53:18 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 23, 2014 3:59 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

Categories:

Yellow copied

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/23/2014 2:58:53 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, December 25, 2014 4:28 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/25/2014 3:27:58 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Sunday, December 28, 2014 10:18 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/28/2014 9:17:32 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 29, 2014 2:38 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/29/2014 1:37:32 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, December 29, 2014 5:48 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/29/2014 4:48:15 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 10:45 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 9:44:56 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 11:43 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 10:42:50 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 11:43 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 10:42:54 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 11:43 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 10:42:58 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 11:44 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 10:44:12 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 11:56 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 10:56:09 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 12:00 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 11:00:09 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 12:00 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 11:00:12 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 12:00 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 11:00:16 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 12:00 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 11:00:19 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 12:01 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 11:00:24 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 12:05 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 11:04:35 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, December 30, 2014 9:05 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/30/2014 8:04:55 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, December 31, 2014 3:56 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 12/31/2014 2:55:45 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, January 02, 2015 8:50 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/2/2015 7:50:00 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Saturday, January 03, 2015 12:49 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/2/2015 11:49:04 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, January 05, 2015 9:31 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/5/2015 8:31:19 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, January 05, 2015 12:45 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/5/2015 11:44:29 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, January 05, 2015 2:24 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/5/2015 1:24:21 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, January 05, 2015 5:56 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/5/2015 4:55:43 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Monday, January 05, 2015 10:00 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/5/2015 8:59:51 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Tuesday, January 06, 2015 10:46 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/6/2015 9:45:41 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, January 07, 2015 10:14 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/7/2015 9:13:48 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, January 07, 2015 10:19 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/7/2015 9:18:31 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, January 07, 2015 10:51 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/7/2015 9:50:39 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, January 07, 2015 1:14 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/7/2015 12:14:23 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, January 07, 2015 2:21 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/7/2015 1:21:15 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, January 07, 2015 3:16 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/7/2015 2:15:29 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, January 07, 2015 3:29 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/7/2015 2:28:38 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Wednesday, January 07, 2015 8:44 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/7/2015 7:43:55 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, January 08, 2015 6:56 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/8/2015 5:55:54 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, January 08, 2015 8:02 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/8/2015 7:02:14 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, January 08, 2015 8:46 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/8/2015 7:46:14 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, January 08, 2015 9:16 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/8/2015 8:16:13 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, January 08, 2015 9:27 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/8/2015 8:26:25 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, January 08, 2015 10:00 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/8/2015 8:59:34 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, January 08, 2015 10:27 AM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/8/2015 9:26:55 AM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Thursday, January 08, 2015 3:11 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/8/2015 2:10:28 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
the eCLAR pickup site to get your documents.
If you have any further questions, please contact our support group via email:
UA@fsmb.org
Sincerely,
UA Staff
Federation of State Medical Boards

From:
Sent:
To:
Subject:

UA@fsmb.org
Friday, January 09, 2015 4:28 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

UA Notification Report - New Uniform Application


User Full Name:
User Login Name:
User Email Address:
Date: 1/9/2015 3:28:24 PM
Submit ID:
This notice is to inform you that UA(s) have been posted to your account. Please log in to
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UA Staff
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Friday, January 09, 2015 10:43 PM
Thompson, Sheree J
UA Notification Report - New Uniform Application

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

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

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

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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From:
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fcvs@fsmb.org
Monday, December 01, 2014 9:26 PM
Thompson, Sheree J
FCVS Informational Notice

THIS IS AN AUTOMATICALLY GENERATED EMAIL.


Any replies or questions must be routed through the following email address: fcvs@fsmb.org or by
calling Michelle Dill at 817-868-5003.
State Board: West Virginia Board of Medicine
This notice is to let you know that 3 packets have been posted to your account. Please log in to the iPickup site
to get your packets.

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, December 02, 2014 2:31 PM
To: Thompson, Sheree J
Subject: FSMB eNews 12-2-2014

NEWS CLIPS
Patient safety journal
adjusts
after an eye-opening scandal
(ProPublica, Nov.
26, 2014)

HHS: Hospital errors,


readmissions drop under
ObamaCare (The Hill, Dec. 2,
2014)

Specialists find appeal


in
hospitalist roles (HealthLeaders
Media,
Dec. 1, 2014)

Training residents for a


new
system of primary care
(Academic Medicine,
November
2014)

Can the design of


hospitals help
patients recover faster?
(Gizmodo, Nov. 25, 2014)

MEMBERS'
CORNER
Board News and Newsletters

JMR features New Jersey


programs
combating
prescription medication abuse

AACOM: Will climbing


U.S.
osteopathic medical college
enrollment effect delivery of
patient
care?

AAMC names District of


Columbia Board of Medicine
Chair new Chief Health Care
Officer

Medical Board of
California
Newsletter

DID YOU KNOW?

MESSAGE FROM THE CEO

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

NEWS FROM THE FSMB

2015
Annual Meeting scholarship reimbursement forms reminder

The FSMB's 103rd Annual Meeting will take


place April 23-25, 2015, in
Fort Worth, Texas. Expense reimbursement
will be available for all
member board voting delegates to attend the
meeting and participate in
the annual business meeting of the House of
Delegates on April 25.
Executive directors or their designees are also
eligible for reimbursement
of expenses related to their Annual Meeting
attendance. Scholarship
Response Forms, which were emailed to board
executive directors and
presidents in November, should be returned to
Deanne Dooley at
ddooley@fsmb.orgby Feb. 2, 2015.

Federation of State Medical Boards


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

CONTACT US

The FSMB Report of the Special


Committee on Reentry for the Ill
Physician addresses
the return to
practice for physicians who have a
licensure restriction
due to
physical or psychiatric illness,
including addictive disease.

MEETINGS
& EVENTS
Jan.
13, 2015: Nominating
Committee Meeting

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort
Worth, Texas

More meetings and


events

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

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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, December 05, 2014 1:54 PM
To: Thompson, Sheree J
Subject: FSMB eNews 12-5-2014

NEWS CLIPS
Connecticut joins states
requiring more 'medical' in medspa staffing (Connecticut Health ITeam,
Dec. 1, 2014)

Ohio bill would shield


doctors
who say 'my fault' for medical
mistakes (Associated Press,
Dec.
2, 2014)

The best healthcare jobs


in 2015
(Forbes,
Dec. 4, 2014)

Implementation of the
Physician
Payment Sunshine Act (JAMA,
Dec. 4,
2014)

New guidelines for


medical
education aim for better LGBT
healthcare (Associations Now,
Nov. 20, 2014)

MEMBERS'
CORNER
Board News and Newsletters

FSMB receives
certification from
NCQA

Washington introduces
Medical
Marijuana Authorization
Practice Guidelines

JMR features New Jersey


programs
combating
prescription medication abuse

Medical Board of
California
Newsletter

MESSAGE FROM THE CEO

FSMB Board member Ralph Loomis, MD, chaired a conference

call Wednesday of the FSMB Audit Committee, joined by


FSMB Chair Don
Polk, DO, Chair-electDan Gifford, MD,
Treasurer Galicano Inguito,
MD, MBA, and Board members
Datta Wagle, MD, and Linda Gage-White, MD,
PhD, MBA, as
well as additionalcommittee members and staff. On
Monday,
Dr. Gifford will chair a conference call of the Special
Committee on Strategic Positioning, joined by Dr. Polk,to
discuss
the next stages in the development of the FSMB's
five-year strategic
plan for consideration by the FSMB House
of Delegates in April 2015.
Also on Monday, Dr. Gage-White
will be in New Orleans for a meeting
with the Louisiana State
Board of Medical Examiners to discuss items of
interest.
Humayun J. Chaudhry, DO, MACP

NEWS FROM THE FSMB

Nominations
for FSMB awards recognizing
outstanding service due Jan. 6

State medical boards are invited to nominate


individuals
for FSMB's annual awards recognizing remarkable
achievements and outstanding service in medical
regulation. Nominations
should be submitted by Jan.
6,
2015. The awards will be presented at the FSMB
Annual
Meeting in Fort Worth in April 2015.

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.

Federation of State Medical Boards

DID YOU KNOW?


The FSMB Report of the Special
Committee on
Reentry to
Practice encourages state

Texas Office

400 Fuller Wiser Road

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

Washington, D.C. Office


1300
Connecticut Ave NW

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

More meetings and


events

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

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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, December 09, 2014 2:07 PM
To: Thompson, Sheree J
Subject: FSMB eNews 12-9-2014

NEWS CLIPS
Online consumer ratings
of
physicians 'completely random'
(HealthLeaders Media,
Dec. 8,
2014)

Feds: Doctor purposely


botched
back surgeries (WDIV-4, Dec. 4,
2014)

What the newest medical


class
looks like (AMA Wire, Dec. 1,
2014)

Retail clinics solidify


their
market niche (HealthLeaders
Media,
Dec. 9, 2014)

The clothes make the


doctor
(The
Atlantic, Dec. 1, 2014)

MEMBERS'
CORNER
Board News and Newsletters

Free CME activities on FSMB


opioid
prescribing policies

Lies about drug arrest


and exam
result are grounds for
suspension

Washington introduces
Medical
Marijuana Authorization
Practice Guidelines

Wisconsin Medical
Examining
Board Newsletter

DID YOU KNOW?


The FSMB Policy on Physician
Impairment provides guidance to
state medical
boards for including
physician health programs in their
efforts to
protectthe public.

MESSAGE FROM THE CEO

The Idaho State Board of Medicine became the 15th state


medical or osteopathic board this month to formally endorse
the
Interstate Medical Licensure Compact. The board's vote in
support of
the fast-moving, state-based initiative follows a visit
to Boise last
Friday by FSMB Board member Pat King, MD,
PhD, and FSMB Chief Advocacy
Officer Lisa Robin, MLA.
Yesterday, FSMB Chair Don Polk, DO, was in
Washington,
D.C., for a meeting of the Special Committee on Strategic
Positioning, chaired by FSMB Chair-elect Dan Gifford, MD.
The meeting,
facilitated by Paul Larson, was also attended by
FSMB Board members
Stephen Heretick, JD, Jacqueline
Watson, DO, MBA, Michael Zanolli, MD,
FSMB Immediate
Past Chair Jon Thomas, MD, MBA, and representatives of a
number of organizations who serve on the committee. The
committee's
draft report will be shared with state medical and
osteopathic boards
shortly for their feedback and suggestions
as the FSMB begins to
outline its goals and plans for the next
five
years.
Humayun J. Chaudhry, DO, MACP

NEWS FROM THE FSMB

CME
REMS activity on ER/LA opioids
available for medical board licensees

A free, online CME Risk Evaluation and


Mitigation Strategy (REMS)
activity for
extended-release (ER) and long-acting (LA)
opioid
medications is available for the
licensees of state medical boards. The
online "Extended-Release and
Long-Acting
Opioids: Assessing Risks, Safe Prescribing"

activity is part of a multi-state effort by


medical boards to educate
health care professionals on the safe and
responsible prescribing of
ER/LA opioid analgesics for patients with
chronic pain. For more
information, please contact Kelly Alfred at
kalfred@fsmb.org. To
take the free CME, please visit
www.fsmb.org/safeprescribing.

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

More meetings and


events

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.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, December 12, 2014 4:11 PM
To: Thompson, Sheree J
Subject: FSMB eNews 12-12-2014

NEWS CLIPS
The 10 healthiest and 10
leasthealthy states in 2014 (ABC
News, Dec. 10,
2014)

No rest for battle-weary


doctors
(HealthLeaders
Media, Dec. 11,
2014)

Feds release strategic


health IT
plan (HealthLeaders Media,
Dec.
9, 2014)

What factors influence


physician
EHR adoption? (AAFP 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

Maine Board of Licensure


in
Medicine seeks executive
director

Latest issue of NBME


Examiner
released

Lies about drug arrest


and exam
result are grounds for
suspension

Wisconsin Medical Examining


Board Newsletter

MESSAGE FROM THE CEO

FSMB Chair Don Polk, DO, is in Euless, Texas, today for


the
FSMB's annual staff party. During the event, we presented the
FSMB
Dale Austin Award, the organization's highest employee
recognition, to
Julie Briscoe. Yesterday, I led a conference call
of the International
Association of Medical Regulatory
Authorities' Physician Information
Exchange Working Group,
facilitating a discussion about the value of
global information
sharing about physicians.
Humayun J. Chaudhry, DO, MACP

NEWS FROM THE FSMB

Medical
board members participate in
USMLE Management Committee
meeting

The USMLE Management Committee,


which provides design and operational
oversight for the United States Medical
Licensing Examination (USMLE) Step
examination sequence, met Dec.
8-9 at
the offices of the National Board of
Medical Examiners in
Philadelphia. Topics discussed at the meeting
included recent
enhancements to Step 3 content; new content
development; and content
weighting around physician
tasks/competencies.

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.

DID YOU KNOW?


The FSMB Model Policyon the
Use of Opioid
Analgesics in the
Treatment of Chronic Pain is a

Federation of State Medical Boards


Texas Office

CONTACT US

resource for medical boards in


educating licensees about the
responsible prescribing of
controlled substances, while
providing
guidelines to help avoid
the overtreatment or
undertreatment
ofpatients with
pain.

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

More meetings and


events

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.

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, December 16, 2014 2:04 PM
To: Thompson, Sheree J
Subject: FSMB eNews 12-16-2014

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)

Congress quietly ends


federal
government's ban on medical
marijuana (Los Angeles Times,
Dec. 16, 2014)

The rise of the medical


scribe
industry: Implications for EHRs
(JAMA, Dec. 15,
2014)

Is it okay to cry in
front of
patients? (British Medical Journal,

Dec. 15, 2014)

MEMBERS'
CORNER
Board News and Newsletters

NCCPA releases
'Statistical
Profile of Recently Certified
Physician Assistants' report

Maine Board of Licensure


in
Medicine seeks executive
director

Latest issue of NBME


Examiner
released

Washington State Quality


Assurance Commission
Newsletter

DID YOU KNOW?


The FSMB policy Essentials of a
State Medical and
Osteopathic

MESSAGE FROM THE CEO

FSMB Chair Don Polk, DO and Chair-elect Dan Gifford, MD,


are in Washington, D.C., today for a meeting of the FSMB
Ethics and
Professionalism Committee, chaired by FSMB
board member Art Hengerer,
MD. Topics of preliminary
discussion at the meeting included disruptive
physician
behavior, physician burnout, medical jurisprudence, the duty
to
report, and the value of providing physician education about
professionalism and discipline prevention.
Humayun J. Chaudhry, DO, MACP

NEWS FROM THE FSMB

Nominations
for FSMBleadership positions due Jan. 6

The FSMB is seeking nominations and recommendations for a variety of


elected and appointed leadership positions within the organization.
Service
in an FSMB leadership position brings many benefits,
particularly the
opportunity to impact the direction and policy of a
national organization
with a vital role in health care. Opportunities
include:

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.

Standing and Special


Committee Appointments: After the FSMB Annual

Meeting in April 2015, 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).

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.

All nominations and


recommendations for elected and appointed leadership
positions should
be submitted by Jan.
6, 2015. For more information,
please contact Pat
McCarty, Director of Leadership Services, at

Practice Act is intended to guide


states that may adopt new medical
practiceacts or amend existing
laws; and encourage the
development of consistent
standards, language,
definitions
and tools by state 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

More meetings and


events

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.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, December 19, 2014 3:26 PM
To: Thompson, Sheree J
Subject: FSMB eNews 12-19-2014

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)

MEMBERS'
CORNER
Board News and Newsletters

'Didn't read agreement'


is no
excuse in appeal by revoked
licensee

NCCPA releases
'Statistical
Profile of Recently Certified
Physician Assistants' report

Maine Board of Licensure


in
Medicine seeks executive
director

Washington State Quality


Assurance Commission
Newsletter

DID YOU KNOW?


The FSMB policy Elements of a
State
Medical and Osteopathic

MESSAGE FROM THE CEO

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

NEWS FROM THE FSMB

Nominations
for FSMB awards recognizing outstanding
service due Jan. 6

State medical boards are invited to nominate


individuals for
FSMB's annual awards recognizing remarkable
achievements and outstanding service in medical
regulation. Nominations
should be submitted by Jan.
6,
2015. The awards will be presented at the FSMB
Annual
Meeting in Fort Worth in April 2015.

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.

Federation of State Medical Boards


Texas Office

400 Fuller Wiser Road

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

More meetings and


events

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

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, December 23, 2014 1:23 PM
To: Thompson, Sheree J
Subject: FSMB eNews 12-23-2014

NEWS CLIPS
Top five health care
stories of
the year (The Hill, Dec. 20,
2014)

Teaching hospitals hit


hardest
by Medicare fines for patient
safety (NPR, Dec. 19,
2014)

Are patient reviews


valuable to
physicians? (MHealthNews, Dec.
2, 2014)

12 hires to keep your


hospital
out of trouble (HealthLeaders
Media,
Dec. 18, 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

Free CME activities on FSMB


opioid
prescribing policies
available

'Didn't read agreement'


is no
excuse in appeal by revoked
licensee

Oregon Medical Board


Newsletter

DID YOU KNOW?


FSMB's "Medical Licensing and
Discipline in America" traces the
evolution of
the U.S. medical

MESSAGE FROM THE CEO

The FSMB wishes one and all a happyand safe holiday


season!
Humayun J. Chaudhry, DO, MACP

NEWS FROM THE FSMB

New
requirements for health
care providers under the Drug
Supply Chain
Security Act

The Drug Supply Chain Security


Act (DSCSA, or Title II of the
Drug
Quality and Security Act)
was enacted on Nov. 27, 2013,
to build an
interoperable system
to identify and trace the
distribution of
prescription drugs in the United States. This new system will
strengthen the security of the U.S. drug supply chain, and improve
detection and removal of potentially dangerous drugs from the drug
supply
chain to protect U.S. consumers.

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.

Federation of State Medical Boards


Texas Office

400 Fuller Wiser Road

Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

CONTACT US

licensing system from its historical

antecedents in the 18th and 19th


century to its modern structure,
providing an organizational history
of the FSMB within the
broader

context of the development of


America's state-based system.

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

More meetings and


events

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

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

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, January 06, 2015 2:09 PM
To: Thompson, Sheree J
Subject: FSMB eNews 1-6-2015

NEWS CLIPS
Top health care quality
issues
for 2015, Part 1 (HealthLeaders
Media,
Jan. 6, 2015)

Americans rate nurses


highest
on honesty, ethical standards
(Gallup Poll, Dec.
18, 2014)

Medical marijuana a
challenge
for legal pot states (Associated
Press,
Jan. 2, 2015)

High noon for federal


health
records program? (Politico, Dec.
28,
2014)

Self-tracking gadgets
that play
doctor abound at CES (NPR,
Jan. 5,
2015)

MEMBERS'
CORNER
Board News and Newsletters

New York nurse


practitioners
free to practice without
physician's supervision

NABP 'Red Flags' video


helps
pharmacists detect prescription
drug abuse and diversion

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

DID YOU KNOW?


The FSMB Model Policy
Guidelines
for the Appropriate

MESSAGE FROM THE CEO

FSMB Chair Don


Polk, DO, and Chief Advocacy Officer Lisa
Robin, MLA, are in Los Angeles
later this week to attend the
AnnualSummit of the American
Association of Osteopathic
Examiners, which is led by Geraldine O'Shea,
DO. The
meeting is being held in conjunctionwith the American
Osteopathic Association's Osteopathic Medical Education
(OMED)
Leadership Conference. Also this week, FSMB ChairelectDan
Gifford, MD, and Director of Federal Government
Relations Jonathan
Jagoda, MPA, are in New Orleans to
attend a meeting of the
AmericanMedical Association's
Conference on State Legislative
Strategy. Both meetings will
feature an update on the Interstate
Medical
LicensureCompact.
Humayun J. Chaudhry, DO, MACP

NEWS FROM THE FSMB

2015
Annual Meeting scholarship reimbursement forms due Feb. 2

The FSMB's 103rd Annual Meeting will


take place April 23-25, 2015, in
Fort Worth, Texas. Expense
reimbursement will be available for all
member board voting delegates
to attend the meeting and participate in
the annual business meeting of
the House of Delegates on April 25.
Executive directors or their
designees are also eligible for reimbursement
of expenses related to
their Annual Meeting attendance. Scholarship
Response Forms, which were
emailed to board executive directors and
presidents in November, should
be returned to Deanne Dooley at
ddooley@fsmb.orgby Feb. 2, 2015.

Federation of State Medical Boards


Texas Office

400 Fuller Wiser Road

Suite 300
Euless, Texas 76039
(817) 868-4000
www.fsmb.org

CONTACT US

Use of Social Media and Social


Networking in
Medical Practice
provide recommendations for state

medical boards to consider in


educating their licensees on the
proper
use of social media and
social networking websites.

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

More meetings and


events

CONNECT
WITH THE FSMB

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

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

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, January 09, 2015 2:17 PM
To: Thompson, Sheree J
Subject: FSMB eNews 1-9-2015

NEWS CLIPS
Top health care quality
issues
for 2015, Part 2 (HealthLeaders
Media,
Jan. 7, 2015)

721 hospitals penalized


for
patient safety (Kaiser Health
News,
Dec. 19, 2014)

Patients clueless about


treatment risks (HealthLeaders
Media,
Jan. 8, 2015)

Online doctor ratings


may not
match other quality measures
(Reuters, Dec. 3,
2014)

MD degree may not teach


doctors how to tweet (Reuters
Health,
Dec. 31, 2014)

MESSAGE FROM THE CEO

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

NEWS FROM THE FSMB

Board News and Newsletters

Iowa Board of Medicine


seeks
legislation to expedite multiplestate licensure

California workgroup
seeks to
curb prescription-drug deaths

New York nurse


practitioners
free to practice without
physician's supervision

Georgia Composite
Medical
Board Newsletter and FY 2014
Annual Report

FSMB
seeks medical board resolutions
for House of Delegates consideration

FSMB member boards are encouraged to


submit resolutions on issues of
importance
to state medical boards and the FSMB for
consideration by
the House of Delegates in
April 2015. Issues identified by medical
boards in recent years have led to the
development of new policies and
programs
beneficial to medical regulation.

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.

DID YOU KNOW?


The FSMB U.S. Medical
Regulatory
Trends and Actions
Report provides
informationabout
the work ofstate medical boards,

Federation of State Medical Boards


Texas Office

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

More meetings and


events

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.

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, January 13, 2015 1:19 PM
To: Thompson, Sheree J
Subject: FSMB eNews 1-13-2015

NEWS CLIPS
Doctors engulfed in
spine
surgeon saga (USA Today, Jan.
11, 2015)

Imagining a future when


the
doctor's office is in your home
(NPR, Jan. 12,
2015)

Medical clinics take


over malls'
empty spaces (Bloomberg
Businessweek,
Jan. 8, 2015)

Physicians, patients
pessimistic
about health care's future
(HealthLeaders Media,
Jan. 8,
2015)

Job offers abundant for


new
doctors (HealthLeaders Media,
Jan. 12, 2015)

MEMBERS'
CORNER
Board News and Newsletters

Free onlineCME activity on


ER/LA opioids
available

Iowa Board of Medicine


seeks
legislation to expedite multiplestate licensure

California workgroup
seeks to
curb prescription-drug deaths

Nevada State Board of


Medical
Examiners Newsletter

MESSAGE FROM THE CEO

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

NEWS FROM THE FSMB

USMLE
Composite Committee meets

The USMLE Composite Committee, which


sets policy and provides guidance
to the
United States Medical
Licensing
Examination program, met yesterday in New
Orleans. In
attendance were current and
former members from the Minnesota, New
Hampshire, North Carolina and Ohio
medical boards. For more information
on the USMLE, including how state
board members can become involved,
please contact David Johnson,
FSMB Senior Vice President for Assessment
Services, at
djohnson@fsmb.org.

DID YOU KNOW?

Federation of State Medical Boards

An archive containing articles


from the last 50
years of the
Journal
of Medical Regulation is
available free of charge on the
FSMB website.

Texas Office

400 Fuller Wiser Road

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

More meetings and


events

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

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


|
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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, January 16, 2015 2:46 PM
To: Thompson, Sheree J
Subject: FSMB eNews 1-16-2015

NEWS CLIPS
Putting the technology
into
telehealth (The Hill, Jan. 14,
2015)

No easy fix to opioid


abuserelated problems (HealthLeaders
Media, Jan. 15, 2015)

CMS' doctor payments


database
wins good reviews
(HealthLeaders Media,
Jan. 15,
2015)

Ever wondered who's


behind
those Viagra emails? (Politico,
Dec. 16,
2014)

Guiding choice -
Ethically
influencing referrals in ACOs
(New England Journal of
Medicine,
Jan. 15, 2015)

MEMBERS'
CORNER
Board News and Newsletters

AOA, AACOM join ACGME as


member organizations in major
move on single GME transition

Oregon Medical Board


seeks
Investigator 3

Iowa Board of Medicine


seeks
legislation to expedite multiplestate licensure

Nevada State Board of


Medical
Examiners Newsletter

MESSAGE FROM THE CEO

FSMB Chair Don


Polk, DO, Chair-elect Dan Gifford, MD, and
board members Linda Gage-White,
MD, PhD, MBA, Lyle
Kelsey, MBA, and Michael Zanolli, MD, participated
last night
on a conference call of the FSMB Planning Committee,
chaired
by Dr. Gifford, to further draft a Board Action Plan that
will be
considered during the board's meeting next month in
Fort Worth, Texas.
FSMB Chief Advocacy Officer Lisa Robin,
MLA, was in Tucson, Arizona,
yesterday to deliver a
presentation to the National Association of
Medical Staff
Services (NAMSS) about the Interstate Medical Licensure
Compact.
Humayun J. Chaudhry, DO, MACP

NEWS FROM THE FSMB

FSMB
seeks nominations forrepresentativeto ACCME Board

The FSMB is seeking individuals willing to serve as FSMB's


representativeon the Board of Directors of the Accreditation Council
for
Continuing Medical Education (ACCME). The deadline for
submitting
nominations is Feb.
13, 2015. The ACCME develops and promotes
standards for
CME used by physicians through a voluntary, self-regulated
system for
accrediting CME providers.

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.

DID YOU KNOW?

Federation of State Medical Boards

The FSMB Directory of Physician

Assessment and Remedial


Education Programs identifies

Texas Office

400 Fuller Wiser Road

Suite 300

CONTACT US

resources for physician


assessment and remediation,
including clinical
competence,
mental health, substance abuse,
ethics and boundaries,
prescribing
and behavioral concerns.

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

More meetings and


events

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.

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


|
Update Profile/Email Address |
Rapid removal with SafeUnsubscribe |
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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, January 20, 2015 1:36 PM
To: Thompson, Sheree J
Subject: FSMB eNews 1-20-2015

NEWS CLIPS
Sure you can track your
health
data, but can your doctor use it?
(NPR, Jan. 19,
2015)

Why cultural competency


matters in hospitals
(HealthLeaders Media,
Jan. 20,
2015)

What's so great about


retail
health clinics? (HealthLeaders
Media,
Jan. 13, 2015)

Physician self-referral:
Regulation by exceptions
(JAMA, Jan. 12,
2015)

Top 10 healthcare tech


hazards
for 2015 (HealthLeaders Media,
Dec. 3, 2014)

MESSAGE FROM THE CEO

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

FSMB board members Pat King, MD, PhD, Jean Rexford,


Datta Wagle, MD,
and Jacqueline Watson, DO, MBA, for a
meeting by conference call of the
Awards Committee, chaired
by Immediate Past Chair Jon Thomas, MD, MBA.
FSMB
Director of Federal Government Relations Jonathan Jagoda,
MPP, and
I will meet in Washington, D.C., with Karen
DeSalvo, MD, MPH, the
Acting Assistant Secretary for Health
and National Coordinator for
Health Information Technology.
And Mr. Jagoda and I will have a courtesy
meeting with
representatives of the Embassy of India to discuss issues
of
mutual interest, such as international medical graduates.

MEMBERS'
CORNER
Board News and Newsletters

FSMB op-ed: Putting the


technology into telehealth

Latest NBME Examiner


newsletter released

AOA, AACOM join ACGME as


member organizations in major
move on single GME transition

Maryland Board of
Physicians
Newsletter

DID YOU KNOW?


The Federation Credentials
Verification
Service (FCVS)
provides a centralized, uniform
process for state medical boards
to obtain a verified, primary-source

Humayun J. Chaudhry, DO, MACP

NEWS FROM THE FSMB

2015
Annual Meeting scholarship reimbursement forms due Feb. 2

The FSMB's 103rd Annual Meeting will


take place April 23-25, 2015, in
Fort Worth, Texas. Expense
reimbursement will be available for all
member board voting delegates
to attend the meeting and participate in
the annual business meeting of
the House of Delegates on April 25.
Executive directors or their
designees are also eligible for reimbursement
of expenses related to
their Annual Meeting attendance. Scholarship
Response Forms, which were
emailed to board executive directors and
presidents in November, should
be returned to Deanne Dooley at
ddooley@fsmb.orgby Feb. 2, 2015.

Federation of State Medical Boards

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

More meetings and


events

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

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, January 23, 2015 2:02 PM
To: Thompson, Sheree J
Subject: FSMB eNews 1-23-2015

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)

Texas prisons try


telemedicine
to curb spending (Dallas Morning
News,
Jan. 20, 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)

MESSAGE FROM THE CEO

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

Humayun J. Chaudhry, DO, MACP


Board News and Newsletters

Eight states formally


introduce
legislation to speed physician
licensing across state lines

New Center for Health


Workforce
Analysis brief: 'Sex, Race, and
Ethnic Diversity of U.S.
Health
Occupations (2010-2012)'

Latest NBME Examiner


newsletter released

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.

requirements for initial medical


licensure is
available on the
FSMB website.

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

More meetings and


events

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.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, January 27, 2015 2:14 PM
To: Thompson, Sheree J
Subject: FSMB eNews 1-27-2015

NEWS CLIPS
Mandatory use of
Prescription
Drug Monitoring Programs
(JAMA, Jan. 26,
2015)

This 'magic pill' can


make patient
care safer (HealthLeaders Media,
Jan. 22, 2015)

Can your boss make you


get
vaccinated? (Bloomberg
BusinessWeek,
Jan. 22, 2015)

Medical tourism: Health


care
disrupter or fringe service?
(DOTmed Daily News,
Jan. 21,
2015)

Six questions every


doctor
should be asking patients
(HealthLeaders Media,
Jan. 22,
2015)

MEMBERS' CORNER

Board News and Newsletters

Nine states formally


introduce
legislation to speed physician
licensing across state lines

NCSBN CEO Kathy Apple to


retire

ASOP and FSMB release


free
continuing education for
pharmacists, physicians

Texas Medical Board


Newsletter

DID
YOU KNOW?
The revised and
expanded second
edition of the FSMB Foundation's
"Responsible Opioid
Prescribing: A Clinician's

MESSAGE FROM THE CEO

FSMB Chair Don


Polk, DO, and board member Art Hengerer,
MD, were on a conference call
yesterday with the leadership
of the Federation of State Physician
Health Programs
(FSPHP) to discuss the FSMB's upcoming annual meeting in
Fort Worth, Texas, where the two organizations have a joint
educational
session, and to explore additional collaborative
opportunities, such as
participating in a study of physician
burnout and stress. Tomorrow, I
will be meeting with the
leadership of the Department of Medicine at
the University of
Texas Southwestern Medical School to discuss issues
of
relevance to medical students and faculty, including changes
to the
USMLE. Also tomorrow, I will be chatting by phone with
Meg Hansen,
PA-C, MPAS, the President of Administrators in
Medicine (AIM) and the
Executive Director of the South
Dakota Board of Medical and Osteopathic
Examiners.
Humayun J. Chaudhry, DO, MACP

NEWS
FROM THE FSMB

FSMB
seeks nominations for representative to ACCME Board

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
Feb.
13, 2015. The ACCME develops and promotes standards for
CME
used by physicians through a voluntary, self-regulated system for
accrediting CME providers.

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.

Guide"
is certified for up to 7.25
AMA PRACategory 1 Credits.

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

More meetings and


events

Federation of State Medical Boards

CONTACT US

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

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

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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, January 30, 2015 3:17 PM
To: Thompson, Sheree J
Subject: FSMB eNews 1-30-2015

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)

Oklahoma medical board


refuses
to reinstate PA's license in
prescription drug deaths case
(The Daily Oklahoman,
Jan. 16,
2015)

Wearable devices as
facilitators,
not drivers, of health behavior
change (JAMA, Jan. 8,
2015)

What doctors make:


Variations
in salary are drastic and opaque
(The Atlantic, Jan.
27, 2015)

MEMBERS' CORNER

Board News and Newsletters

FSMB responds to false


and
misleading attacks on Interstate
Medical Licensure Compact

South Dakota Senate


passes
Interstate Compact

ASOP and FSMB release


free
continuing education for
pharmacists, physicians

Texas Medical Board


Newsletter

DID
YOU KNOW?
The FSMB Model Policy on DATA

2000 and Treatment of Opioid


Addiction in the Medical Office

MESSAGE FROM THE CEO

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

FSMB member boards are encouraged to


submit resolutions on issues of
importance to state medical boards and
the FSMB for consideration by
the House
of Delegates in April 2015. Issues
identified by medical
boards in recent
years have led to the development of new
policies and
programs beneficial to medical regulation.

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.

Federation of State Medical Boards


Texas Office

400 Fuller Wiser Road

Suite 300
Euless, Texas 76039
(817) 868-4000

CONTACT US

is designed to educate the


regulatory and physician
communities about
the potential of
new treatment modalities for opioid
addiction.

MEETINGS & EVENTS


Feb.
19, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

More meetings and


events

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

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, February 03, 2015 3:47 PM
To: Thompson, Sheree J
Subject: FSMB eNews 2-3-2015

NEWS CLIPS
New Lucian Leape
Institute
report urges transparency to
improve patient safety (National
Patient Safety
Foundation, Jan.
20, 2015)

Re-entry for physicians:


Nonprofit helps physicians get
back into the game (Denver
Business Journal,
Jan. 16, 2015)

Professionalism and
appropriate
expression of empathy when
breaking bad news (AMA Journal
of Ethics,
February 2015)

ONC unveils HIT


Interoperability
Roadmap (HealthLeaders Media,
Feb. 2, 2015)

Refocusing medical
education
reform: Beyond the how
(Academic Medicine,
February
2015)

MEMBERS' CORNER

Board News and Newsletters

Oklahoma deploys NABP


PMP
InterConnect; 28 states now
sharing PMP data

FSMB responds to false


and
misleading attacks on Interstate
Medical Licensure Compact

Salary report from NCCPA

Maine Board of Licensure


in
Medicine Newsletter

DID
YOU KNOW?
The FSMB Report of the Special

MESSAGE FROM THE CEO

FSMB Chair Don


Polk, DO, is in Euless, Texas, today for
another New Executives Orientation,
which brings together
new staff appointees at the nation's state
medical boards to
share best practices and discuss current topics of
relevance.
Attendees included Anthony Groeber, MBA (Ohio), Melanie de

Leon, JD (Washington Medical), Ruth Martinez, MA


(Minnesota), Natalie
Sipes (Iowa), and Tim Terranova (Maine
Medical). Also this week, FSMB
board members start arriving
in Fort Worth for a quarterly board
meeting.
Humayun J. Chaudhry, DO, MACP

NEWS
FROM THE FSMB

Proposed
2016 budget includes funding
for enhancing Prescription Drug
Monitoring
Programs

President Obama's proposed 2016


budget, which was released Monday,
includes new investments across the
Department of Health and Human
Services to reduce abuse of prescription opioids and heroin. The new
resources will increase funding for every state to expand existing
Prescription Drug Monitoring Programs; expand and improve the treatment

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.

Federation of State Medical Boards


Texas Office

400 Fuller Wiser Road

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.

MEETINGS & EVENTS


Feb.
19, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

More meetings and


events

CONNECT
WITH THE FSMB

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

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

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, February 06, 2015 2:52 PM
To: Thompson, Sheree J
Subject: FSMB eNews 2-6-2015

NEWS CLIPS
The changing face of
heroin
(Stateline,
Feb. 4, 2015)

Pediatricians pressured
to drop
parents who won't vaccinate
(NPR, Feb. 5, 2015)

Anthem data breach a


potential
game changer for healthcare
(HealthLeaders Media,
Feb. 6,
2015)

The hospital is no place


for a
heart attack (Wall Street Journal,
Feb. 2, 2015)

Apple's health tech


takes early
lead among top hospitals
(Reuters, Feb. 5,
2015)

MEMBERS' CORNER

Board News and Newsletters

FSMB, ASOP release free


continuing education for
pharmacists, physicians

AAMC publishes
comprehensive
data report on residents

Salary report from NCCPA

Maine Board of Licensure


in
Medicine Newsletter

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,

MESSAGE FROM THE CEO

The FSMB board,


led by Chair Don Polk, DO, is meeting this
week in Fort Worth, Texas.
This morning, the board met with
Adrienne White-Faines, the Executive
Director and CEO of the
American Osteopathic Association, who shared
some of the
AOA's activities on behalf of the osteopathic profession,
including the single accreditation pathway for graduate
medical
education accreditation under the ACGME. Yesterday,
the board discussed
the Interstate Medical Licensure Compact
and issues related to
telemedicine, advocacy on behalf of
state medical and osteopathic
boards, and organizational
operations.
Humayun J. Chaudhry, DO, MACP

NEWS
FROM THE FSMB
Nominations for
FSMB representative 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
next
Friday, Feb. 13. The ACCME develops and promotes
standards for
CME used by physicians through a voluntary,
self-regulated system for
accrediting CME providers.

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.

Federation of State Medical Boards


Texas Office

400 Fuller Wiser Road

Suite 300

CONTACT US

details
about the structure of each
board, and special resources for
consumers.

MEETINGS & EVENTS


Feb.
19, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

More meetings and


events

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.

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


|
Update Profile/Email Address |
Rapid removal with SafeUnsubscribe |
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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, February 10, 2015 1:57 PM
To: Thompson, Sheree J
Subject: FSMB eNews 2-10-2015

NEWS CLIPS
35 defendants, including
24
doctors, plead guilty in testreferral scheme (Federal Bureau
of
Investigation, Feb. 4, 2015)

Study finds decreasing


number
of pill mills and drug overdose
deaths in Florida (Pain Medicine
News,
January 2015)

Unapproved, but used in


surgery
(ProPublica,
Feb. 6, 2015)

Drug making breaks away


from
its old ways (Wall Street Journal,
Feb. 8, 2015)

The role of the hidden


curriculum in 'on
doctoring'courses (AMA Journal
of Ethics,
February 2015)

MEMBERS' CORNER

Board News and Newsletters

Montana becomes 12th


state to
introduce InterstateCompact
legislation

FSMB, ASOP release free


continuing education for
pharmacists, physicians

AAMC publishes
comprehensive
data report on residents

Idaho State Board of


Medicine
Newsletter

DID
YOU KNOW?
The FSMB has
developed a
Physician-Patient

MESSAGE FROM THE CEO

FSMB Chair Don


Polk, DO, joined FSMB board members Art
Hengerer, MD, Ralph Loomis, MD,
and Steve Heretick, JD, on
Saturday in Fort Worth, Texas, for a meeting
of the FSMB
Foundation Board of Directors, which is led by Jan Rhyne,
MD, and includes Leslie Burger, MD, Hedy Chang, Larry Dixon
and Randal
Manning. The group spent the day discussing
activities in support of
state medical and osteopathic boards,
including education activities
related to teaching clinicians
about responsible opioid prescribing,
grant opportunities for
state boards in the coming year, and the FSMB
Annual
Meeting in April, also in Fort Worth, which will include a
fundraising luncheon from the FSMB Foundation that will
feature Dr. Kent Brantly, a
noted physician who survived the
Ebola infection last year and who
will be talking about the
value of service.
Humayun J. Chaudhry, DO, MACP

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.

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.

Resolutions
for House of Delegates consideration due Feb. 24

FSMB member boards are encouraged to submit resolutions on issues of

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.

MEETINGS & EVENTS


Feb.
19, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

More meetings and


events

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.

importance to state medical boards and the FSMB for consideration by


the
House of Delegates in April 2015. Issues identified by medical
boards in
recent years have led to the development of new policies and
programs
beneficial to medical regulation. 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. To
submit a resolution, please contact Pat McCarty at pmccarty@fsmb.org.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, February 13, 2015 3:59 PM
To: Thompson, Sheree J
Subject: FSMB eNews 2-13-2015

NEWS CLIPS
Prescribing and
telemedicine:
The 'physical' exam (National
Law Review,
Feb. 12, 2015)

Concierge medicine firm


found
liable for doctor's negligence
(Kaiser Health News, Feb. 12,
2015)

EHR use by physicians


lagging
(HealthLeaders
Media, Feb. 5,
2015)

Choosing Wisely lists


too meek?
(HealthLeaders
Media, Feb. 12,
2015)

Physicians' attire
linked to
patient satisfaction rates
(HealthLeaders Media,
Feb. 12,
2015)

MEMBERS' CORNER

Board News and Newsletters

State chambers move


Compact
legislation steps closer to
enactment

Process for recognition


of
medical school accrediting
agencies now available

NBOME releases latest


issue of
Osteopathic Examiner

Idaho State Board of


Medicine
Newsletter

DID
YOU KNOW?
The revised and
expanded second
edition of the FSMB Foundation's
"Responsible Opioid

MESSAGE FROM THE CEO

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

State board members and staff


contributing to the USMLE

The United States Medical


Licensing
Examination (USMLE) relies upon the
contributions of
numerous volunteers from
the academic, licensing and practice
communities. One of the committees
drawing up volunteers from the state
board community is the USMLE Committee on Individualized Review.
The
committee convened this week to review multiple
casesinvolving
allegations of examinee misconduct during or as a
part of the examination
process.

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.

MEETINGS & EVENTS


Feb.
19, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

More meetings and


events

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.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, February 17, 2015 3:05 PM
To: Thompson, Sheree J
Subject: FSMB eNews 2-17-2015

NEWS CLIPS
Is it OK for doctors to
'Google'
patients? (Reuters, Feb. 13,
2015)

Most surgical readmissions


caused by common
complications (HealthLeaders
Media,
Feb. 5, 2015)

Doctors learn to talk


vaccines
(Wall
Street Journal, Feb. 16,
2015)

Study: Physicians report


few
requests by patients for
'unnecessary' treatments (Kaiser
Health News,
Feb. 12, 2015)

Professional
socialization in
medicine (AMA Journal of Ethics,
February 2015)

MEMBERS' CORNER

Board News and Newsletters

FSMB, ASOP release free


continuing education for
pharmacists, physicians

State chambers move


Compact
legislation steps closer to
enactment

Process for recognition


of
medical school accrediting
agencies now available
Kentucky Board of
Medical
Licensure Newsletter

DID
YOU KNOW?
The FSMB's board-by-board
overview
of state telemedicine

MESSAGE FROM THE CEO

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

The FSMB has worked in recent years to


develop policies and tools to
help medical
boards develop processes that assist
physicians and
physician assistants who are
attempting to reenter the workforce after
a
prolonged absence from clinical practice. In
collaboration with the
American Academy of Pediatrics and the Physician
Reentry into the
Workforce Project,the FSMB ispleased to announce two
new
resources forstate medical boards and physicians:

"Reentry into Clinical


Practice: Tips for Handling Inquiries from Physicians"

"Are You Preparing to


Leave, or Anticipating Going Back to, Clinical
Practice? 6 Reasons Why
It's a Good Idea to Talk with Your State Medical
Board"

These resources can


also be downloaded from the FSMB website at
www.fsmb.org/policy/publications-media/publications.
For more
information, please contact Frances Cain, Assistant Vice
President of
Assessment Services, at fcain@fsmb.org.

policies provides updated


information on licensure
requirements, reimbursement
parity, and rules
and regulations.

MEETINGS & EVENTS


Feb.
19, 2015: FSMB Roundtable
Conference Call, 2-3 p.m. CDT

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

More meetings and


events

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.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, February 20, 2015 1:33 PM
To: Thompson, Sheree J
Subject: FSMB eNews 2-20-2015

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)

Should doctors write


about
patients? (The Atlantic, Feb.
18,
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

Board News and Newsletters

New guide from Iowa


board
helps consumers understand
investigations

Changes to USMLE,
2015-16

State chambers move


Compact
legislation steps closer to
enactment
Kentucky Board of Medical
Licensure Newsletter

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

MESSAGE FROM THE CEO

FSMB Chair Don


Polk, DO (meeting by telephone), Chair-elect
Dan Gifford, MD, and I
were at the offices of the National
Council of State Boards of Nursing
(NCSBN) in bitterly cold
Chicago yesterday for a meeting of the
Tri-Regulator
Collaborative that includes the National Association of
Boards
of Pharmacy (NABP). The NCSBN was represented by
President
Shirley Bekken, RN, President-elect Kathy Thomas,
RN, Treasurer Julia
George, RN, and CEO Kathy Apple, who
is retiring later this year after
14 years as CEO. The NABP
was represented by President Joseph Adams,
RPh, Presidentelect Ed McGinley, MBA, RPh, and Executive Director
Carmen
Catizone, RPh, DPh. Among the topics we discussed was the
upcoming 2nd Tri-Regulator Symposium in Washington, D.C.,
from October
6-7, 2015, for members of the nation's state
boards of medicine,
nursing and pharmacy. The first such
meeting,
in 2012, was attended by 140 state board
representatives and we have
expanded capacity this time to
200 attendees. Stay tuned for
programmatic details as they
become available!
Humayun J. Chaudhry, DO, MACP

NEWS
FROM THE FSMB

Resolutions
for House of Delegates
consideration due Feb. 24

FSMB member boards are encouraged to


submit resolutions on issues of
importance to
state medical boards and the FSMB for
consideration by
the House of Delegates in
April 2015.

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

century to its modern structure.

MEETINGS & EVENTS

March 12, 2015: FSMB


Roundtable Conference Call, 2-3
p.m. CST

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

More meetings and


events

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.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


|
Update Profile/Email Address |
Rapid removal with SafeUnsubscribe |
Privacy Policy.

Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Tuesday, February 24, 2015 4:57 PM
To: Thompson, Sheree J
Subject: FSMB eNews 2-24-2015

NEWS CLIPS
Physician organizations
call for
new policies to reduce injuries
from firearms (Annals of Internal
Medicine,
Feb. 24, 2015)

What too many hospitals


are
overlooking (Gallup, Feb. 23,
2015)

Quality improvement
wars:
Them's fightin' words
(HealthLeaders Media,
Feb. 6,
2015)

Real-time images for


surgeons
(Wall
Street Journal, Feb. 16,
2015)

Fancy flourishes at
hospitals
don't impress patients, study
finds (Kaiser Health News,
Feb.
24, 2015)

MEMBERS' CORNER

Board News and Newsletters

New guide from Iowa board


helps consumers understand
investigations

Changes to USMLE, 2015-16


Florida Board of Medicine
Newsletter

DID
YOU KNOW?
A directory of all 70 U.S. state
medical
and osteopathic boards
is available on the FSMB
website.

MEETINGS & EVENTS

MESSAGE FROM THE CEO

FSMB Chair Don


Polk, DO, who also serves as the Chair of the
FSMB Education Committee,
met by conference call last night
with the leadership of the Federation
of State Physician Health
Programs (FSPHP), including President Doris
Gundersen,
MD, President-elect P. Bradley Hall, MD, Immediate Past
President Warren Pendergast, MD, and Interim Executive
Director Linda
Bresnahan, MS. The FSMB and the FSPHP will
host a joint educational
session on the morning of April 25,
2015, during FSMB's Annual Meeting
in Fort Worth, Texas.
The topic will be physician burnout, including a
panel
discussion of the scope of the issue and potential approaches
to
address the concern by state medical and osteopathic
boards, both after
the fact and in prevention. FSMB
Foundation President Jan Rhyne, MD,
will also address a
separate meeting of the FSPHP later that afternoon,
providing
an update on FSMB activities and taking questions from
attendees. In other news, the FSMB's Euless, Texas, office
remains
closed for a second day due to an ice storm and an
impending winter
snow storm. The FSMB's Washington, D.C.,
office remains open, at least
for now.
Humayun J. Chaudhry, DO, MACP

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

More meetings and


events

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.

The Utah House of


Representatives and Senate passed the Interstate
Medical Licensure
Compact by votes of 67-0 and 24-0, respectively, and
the legislation
now heads to the Governor for his approval.

The final model


Interstate Medical Licensure Compact legislation was
released in
September 2014. Since then, 14 states have formally
introduced the
legislation in their legislative chambers and more than 25
state
medical and osteopathic boards have publicly expressed support for
the
Compact.

For more
information about the Interstate Medical Licensure Compact, visit:
http://licenseportability.org.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


|
Update Profile/Email Address |
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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

From: Drew Carlson - Federation of State Medical Boards


<dcarlson@fsmb.org>
Sent: Friday, February 27, 2015 2:07 PM
To: Thompson, Sheree J
Subject: FSMB eNews 2-27-2015

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)

MEMBERS' CORNER

MESSAGE FROM THE CEO

The FSMB hosted


the CEOs of several organizations
representing state regulatory boards
at our Washington, DC,
office today. Topics included the Supreme
Court's interesting
decision this week (which didn't question the value
of state
boards but outlined means by which they can avoid antitrust
claims), advocacy on behalf of state-based regulation across
various
health professions, progress on interstate compacts,
and organizational
updates. Attendees included William
Hatherill of the Federation of
State Boards of Physical
Therapy, Stephen DeMers, EdD, of the
Association of State
and Provincial Psychology Boards, Mary Jo Monahan,
LCSW,
of the Association of Social Work Boards, Carmen Catizone,
RPh,
DPh, of the National Association of Boards of Pharmacy
(by phone), and
Paul Grace of the National Board of
Certification in Occupational
Therapy. FSMB's Chief Advocacy
Officer Lisa Robin, MLA, and Senior
Director of Legal Services
Eric Fish, JD, gave presentations to the
group this morning.
Humayun J. Chaudhry, DO, MACP

Board News and Newsletters

ONC releases
interoperability
roadmap for comment

FSMB, ASOP release free


continuing education for
pharmacists, physicians

New guide from Iowa board


helps consumers understand
investigations

Florida Board of Medicine


Newsletter

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

In collaboration with the Substance Abuse


and Mental Health Services
Administration
(SAMHSA), the FSMB has created
learning activitiesto
educate state medical
boards and the physicians and other health
care
providers they license on the FSMB's
responsible opioid prescribing
and officebased opioid treatment policies.

These free CME


activities are a valuable resource for physicians seeking
education
related to opioid addiction as well as the appropriate use of
opioid
analgesics in the treatment of pain. For more information, please
contact Kelly Alfred at kalfred@fsmb.org.

Ebola
fighter to keynote FSMB Foundation luncheon

The FSMB Foundation has announced that the keynote speaker at its

released two new resources for


medical boards and physicians:
Reentry into Clinical
Practice:
Tips for Handling Inquiries from
Physicians;
and Are You
Preparing to
Leave, or
Anticipating Going Back to,
Clinical Practice? Why It's a
Good Idea to Talk with Your
State Medical Board.

MEETINGS & EVENTS


March 5, 2015: FSMB
Roundtable
Conference Call, 2-3 p.m. CST

April
23-25, 2015: FSMB 103rd
Annual Meeting, Fort Worth, Texas

More meetings and


events

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.

Federation of State Medical Boards

CONTACT US

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

Federation
Credentials Verification Service
(888) 275-3287;fcvs@fsmb.org

Uniform
Application for Physician State
Licensure
(800) 793-7939; ua@fsmb.org

Forward email

This email was sent to sheree.j.thompson@wv.gov by dcarlson@fsmb.org


|
Update Profile/Email Address |
Rapid removal with SafeUnsubscribe |
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Federation of State Medical Boards | 400


Fuller Wiser Road, Suite 300 | National
Office | Euless | TX
| 76039

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