2018 -- H 7964

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LC005213

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2018

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A N   A C T

RELATING TO BUSINESSES AND PROFESSIONS -- BOARD OF MEDICAL LICENSURE

AND DISCIPLINE

     Introduced By: Representatives Winfield, and Chippendale

     Date Introduced: March 15, 2018

     Referred To: House Health, Education & Welfare

     It is enacted by the General Assembly as follows:

     SECTION 1. Chapter 5-37 of the General Laws entitled "Board of Medical Licensure and

Discipline" is hereby amended by adding thereto the following section:

     5-37-2.2. Right to treat.

     (a) Definitions:

     (1) "Maintenance of certification" is a continuous professional development program

through which physicians certified by one or more of the medical specialty boards of the

American Board of Medical Specialties maintain specialty certification.

     (2) "Osteopathic continuous certification" is a continuous professional development

program through which physicians certified by one or more of the medical specialty boards of the

American Osteopathic Association maintain specialty certification.

     (b) Relationship between licensure and maintenance of certification/osteopathic

continuous certification:

     Notwithstanding any provision of this chapter to the contrary, the board of medical

licensing and discipline shall, not by order, rule, or other method require a physician applicant or

physician licensee under its jurisdiction to maintain a national or regional certification that is not

otherwise specifically required in this chapter before it issues a license or license renewal to that

physician applicant or physician licensee under this chapter.

     SECTION 2. Chapter 23-17 of the General Laws entitled "Licensing of Health-Care

Facilities" is hereby amended by adding thereto the following section:

     23-17-53.1. Relationship between hospital staff or admitting privileges and

maintenance of certification/osteopathic continuous certification.

     (a) No facility licensed under this chapter shall deny a physician a hospital's staff or

admitting privileges based solely on the physician's decision not to participate in maintenance of

certification. This section does not prevent a facility's credentials committee from requiring

physicians licensed pursuant to chapter 37 of title 5, to meet continuing medical education

requirements, as outlined in the rules of the appropriate state licensing board.

     (b) A facility licensed under this chapter shall not deny physician hospital staff or

admitting privileges or employment based solely on the absence of maintenance of certification.

This section does not prohibit a facility from requiring a physician to undergo remedial or

corrective courses or training as required by a quality improvement committee.

     SECTION 3. Chapter 27-20.6 of the General Laws entitled "Health Care Insurers -

Coordination of Benefits" is hereby amended by adding thereto the following section:

     27-20.6-3.1. Relationship between insurance panel participation and maintenance of

certification osteopathic continuous certification.

     (a) A health care insurer shall not deny reimbursement to, or prevent a physician from,

participating in any of the insurer's provider networks based solely on a physician's decision not

to participate in maintenance of certification.

     (b) A health care insurer shall not discriminate with respect to reimbursement levels

based solely on a physician's decision not to participate in maintenance of certification.

     SECTION 4. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO BUSINESSES AND PROFESSIONS -- BOARD OF MEDICAL LICENSURE

AND DISCIPLINE

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     This act would prohibit the board of medical licensure and discipline, hospitals and health

care insurers from denying a license, hospital privileges and network provider/equal

reimbursement status to osteopathic physicians based on the absence of maintenance certification.

     This act would take effect upon passage.

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