Medical Licensing Compact

From transportation to health care and education, there is no shortage of issues confronting state governments across the nation. As states continue to shape priorities while still rebounding from the Great Recession, increasingly they are working--erasing the silos of state lines--to meet the needs of the American people, state by state.

The interstate compact is one of the few tools specifically granted...

A long sought-after pathway for medical doctors to treat patients across state lines moved one step closer to reality with the inaugural meeting of the Interstate Medical Licensure Compact Commission—or IMLC—held Oct. 27-28 in Chicago.

This Act enacts the Interstate Medical Licensure Compact. The compact: Becomes effective when adopted by seven states; Creates an interstate commission comprised of two representatives from each member state to oversee operation of the compact; Provides for physicians licensed in one compact state to obtain an expedited license in another compact state; Directs the commission to maintain a database of licensed physicians, and disciplinary records involving licensed physicians, from compact states; Provides for joint investigations and disciplinary actions; Authorizes the commission to levy and collect an assessment on member states to cover the cost of commission operations, and provides civil immunity for commission representatives and employees; Reserves member states’ rights to determine eligibility for physician licensure, license fees, grounds for discipline and continuing education requirements.

Crady deGolian, Director of CSG's National Center for Interstate Compacts, outlines the top 5 compacts to watch in 2015, including those dealing with medical, EMS, physical therapy, and telepsychology licensing, and the State Authorization Reciprocity Agreement, which seeks to achieve interstate reciprocity in the regulation of distance regulation.  

When it comes to solving problems, states increasingly are turning to a mechanism that dates back to America’s colonial past—the interstate compact. Compacts are one of the few tools specifically granted to states by the U.S. Constitution. They provide states a sophisticated administrative mechanism, allowing interstate collaboration to resolve complex policy challenges.

Compacts, which are governed by the tenets of contract law, provide states an enforceable, sustainable and durable tool capable of ensuring permanent change...

With state legislative sessions getting ready to gear back up in the New Year, the newly drafted Interstate Medical Licensure Compact continues to receive wide spread endorsement from both state boards and key stakeholder groups.  To date, 17 state medical and osteopathic boards have formally endorsed the Compact, including:

Delegates from the American Medical Association (AMA) formally endorsed the Interstate Medical Licensure Compact at this week’s 2014 AMA Interim Meeting.  The compact, which creates a process for expedited licensing for doctors wishing to practice in multiple states, was developed jointly by the Federation of State Medical Boards, CSG’s National Center for Interstate Compacts, and a drafting team comprised of state medical board officials. 

Crady deGolian, Director of CSG’s National Center for Interstate Compacts (NCIC), and Rick Masters, who serves as Special Counsel to NCIC will present on the Interstate Medical Licensure Compact at the annual Administrators in Medicine conference later this week.  The compact is intended to create an expedited licensing  process for physicians wishing to practice in multiple states.  It aims to increase access to health care services, facilitate licensure portability and telemedicine.   Participation in the compact is voluntary, both for states and physicians.

The Interstate Medical Licensure Compact, which has been developed by state medical boards, the Federation of State Medical Boards, experts from CSG's National Center for Interstate Compacts, and a number of interested stakeholder groups, is nearing completion.  The goal of the compact is to allow doctors to more efficiently obtain licenses in multiple states, while simultaneously protecting patient safety.  Such an agreement has the potential to to significantly increase access to care in rural and hard-to-serve areas, which in turn has the potential to reduce costs for patients, states and the federal government. The agreement also aims to allow providers to take advantage of improving technologies and offer more telehealth services.  Participation in the compact is voluntary for both states and doctors.

ANCHORAGE, ALASKA—For the past three years, states have been finding new ways to work together in the health care arena to help avoid the ever-dreaded 800-pound gorilla called federal pre-emption....

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