Health plan companies, public hospitals and the Board of Medical Practice requirement of physicians to maintain board certification prohibition
Impact
If enacted, SF240 would significantly alter existing state laws by removing the necessity for board certification, which has traditionally been viewed as a mark of professional competence. Its passage would mean that hospitals and health plans would need to revise their credentialing and employment policies, potentially leading to a broader pool of available physicians, including those who may not maintain certification but otherwise fulfill professional requirements.
Summary
Senate File 240 (SF240) aims to prohibit health plan companies, public hospitals, and the Board of Medical Practice from requiring physicians to maintain board certification as a condition for receiving payment, being credentialed, employed, or having admitting privileges. This legislative initiative is rooted in the belief that maintaining certification should not be an obligatory hurdle for practicing physicians, who may already possess extensive knowledge and skills acquired through medical education and experience.
Contention
The discussions surrounding SF240 highlight notable points of contention among various stakeholders. Proponents argue that the current certification system can be overly burdensome and does not necessarily correlate with the quality of care provided by a physician. They advocate for more flexible criteria that would allow experienced physicians to practice without the pressures of maintaining certification. Conversely, opponents express concerns regarding patient safety and the quality of healthcare, suggesting that board certification serves as a valuable assurance of a physician's ongoing competence and adherence to the standards of their specialty.
Practice of medicine and acupuncture licensure requirements modifications; temporary license requirements for respiratory care practitioners modification
Health plans development of a maternal mental health program requirement; certain health care professionals offering mothers screenings for maternal mental health conditions requirement
Health plan coverage of abortions and abortion-related services requirement; medical assistance coverage of abortions and abortion-related services requirement
Health plan companies establishment of an appeal process for providers to access if the provider's contract is terminated for cause requirement; health plan company termination of a provider's contract without cause prohibition
Prior authorization and coverage of health services requirements modification; ground for disciplinary action against physicians modification; commissioner of commerce and legislature report requirements; classifying data