Second Look—Advocacy

IPAB repeal moves forward
The Hill
reports that the U.S. Senate is under pressure to address the issue of the Independent Payment Advisory Board (IPAB). The Medicare Decisions Accountability Act—legislation to repeal the IPAB—has been sent to the full House and a vote is expected by the end of March. IPAB is called for under the Patient Protection and Affordable Care Act and tasked with recommending Medicare provider payment cuts if federal healthcare spending grows faster than a targeted rate, with Congress being given the power to overrule the panel’s decisions. Critics of the panel argue that such changes should not be left in the hands of an unelected body with minimal congressional oversight.

More states installing CME mandates
According to American Medical News, several states have imposed continuing medical education (CME) requirements on physicians. At least 16 states currently mandate specific CME subjects; eight states have imposed new course requirements during the last 5 years.

Several states are also working to implement “Maintenance of Licensure” (MOL) requirements through the Federation of State Medical Boards. MOL is envisioned as a system of continuous professional development for physicians, and participation would be a condition for license renewal. It is anticipated that physicians who are already engaged in Maintenance of Certification (MOC) would be recognized as being substantially in compliance with any state’s MOL program.

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