Scope of Practice

hearing-aid-1490115_1280

MSDC has long advocated that a physician is the most qualified professional at the head of a care team. Physicians have the most health education and pre-practice experience of any health professional, and thus must be involved in all but the most mundane health care decisions.

Certain professional decisions critical to high quality patient care should always be the ultimate responsibility of the physician practicing in a health plan...

MSDC Policy Manual, 285.008 Physician Decision-Making

Recently we have seen pushes in other states to reduce the roles of physicians in health care or to try and extract health system "savings" by cutting physician reimbursement. MSDC has long advocated for fair reimbursement practices, the importance of physicians in health policy, and stopping the push to equate other health professionals' skills with physicians.

MSDC Statements and Testimony on Scope of Practice Issues

 

 

Sample of Scope of Practice Legislation MSDC is Tracking

(See the whole list of bills here)

Hearing Aid Sales Amendment Act (B23-565)

What does the bill do? It allows an adult seeking a hearing aid to receive medical clearance from any licensed physician, not just an otolaryngologis.

MSDC position: MSDC supports the legislation.

Current status: The bill received a hearing at the end of January and will likely be marked-up this spring.

Health Care Reporting Act (B23-269)

What does the bill do? The bill imposes tighter reporting requirements on health practitioners and health facilities, requiring more reporting and imposing large fines for noncompliance.

MSDC position: MSDC opposed the original language, as it was ambiguous as to whether impaired physicians seeking treatment would need to be reported even if they were not a danger to others. Clarifying amendments to the legislation now requires only physicians with no hope of passing treatment to be reported.

Current status: The Committee on Health had a hearing in June 2019. The bill was marked up in January with the technical changes.

Certified Professional Midwife Act (B23-202)

What does the bill do? The bill establishes a licensing process for midwives and allows certified professional midwives to supervise services at a maternity center.

MSDC position: MSDC did not take a formal position on this bill.

Current status: The bill had its first reading and passage in the entire Council in January. Its passage from the Council is expected at some point this Council session.