Tennessee Legislature Approves MOC Bill

Thursday, March 22, 2018

Physician members of the Tennessee Medical Association are praising a new law that will ease the mandatory requirements for doctors to maintain specialty board certification. The Tennessee General Assembly unanimously approved the measure after a two-year effort by TMA to persuade state lawmakers to take action on what has become a hot button issue for physicians across the U.S., said officials.

The Tennessee Senate on Monday passed the bill (SB1824) by a vote of 33-0 after the House unanimously passed the companion bill (HB1927) last week. The bill is en route to Governor Bill Haslam to sign to become law. 

Senator Richard Briggs, MD (R-Knoxville) sponsored the Senate bill while House Republican Caucus Chairman Ryan Williams (R-Cookeville) led the effort in the larger chamber. 

Senator Briggs and Rep. Williams worked with TMA in 2017 to pass another law that prevents MOC from being required for state licensure. That same bill created a task force to study MOC as it relates to hospital hiring practices, admitting privileges and insurance networks. Legislators who served on the task force returned to session in 2018 ready to give Tennessee physicians some relief and ensure the arbitrary MOC process no longer interferes with Tennesseans’ access to care. 

“TMA’s goal, after years of complaints from our member physicians about MOC testing requirements, was simply to give doctors options for maintaining and improving their professional competency," said Nita W. Shumaker, MD, TMA president 2017-2018. "Doctors should not be forced by hospitals or insurance companies to participate in an arbitrary certification process that has not been shown to improve quality of care. This bill gives much-needed relief for doctors who may choose Continuing Medical Education or other forms of ongoing learning. Thanks to Senator Briggs, Rep. Williams and the other members of our state legislature, Tennessee is now one of few states developing real solutions to this national issue.”

The new law carries two provisions for doctors who have asked for relief from the MOC requirements levied by the American Board of Medical Specialties, insurance companies, hospitals and health systems. 

It prohibits health insurance companies from excluding physicians from health plan networks based solely on a physician’s MOC status. 

It allows the medical staff at each hospital to determine whether to require MOC or accept other forms of competency measures (such as Continuing Medical Education) for credentialing and/or admitting privileges. Hospitals requiring MOC must adopt bylaws making it a stipulation for work or network participation. 

TMA expects the state’s new MOC laws, coupled with a favorable medical liability climate and other qualities that help Tennessee rank among the best states in which to practice medicine, will improve the state’s efforts to recruit and retain the best physicians, said officials. 


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