Despite helpful Senate amendment, licensure Compact still misses the mark

Update: Yesterday, the AZ Senate Committee of the Whole (COW) gave the Interstate Medical Licensure Compact bill, HB 2502, a “Do Pass as Amended” (DPA) recommendation.  We appreciate the efforts of Senators to fix problems in HB 2502 through an amendment approved during yesterday’s proceedings.

There are several good things in the amendment:

  • It prohibits board certification from being required for licensure through Arizona’s existing licensing process.
  • It directs.the Arizona Medical Board to develop its own expedited licensure process for physicians wishing to avoid Compact licensure.
  • It prevents Compact licensure from being required as a condition of employment.
  • Arizona courts would maintain some level of supervision over Compact-authorized subpoenas issues outside of the state

Despite these helpful changes, overall the Compact is still the wrong solution for improving Arizona’s licensing process:

  • Arizona laws are still subject to being superseded by Compact provisions and rule-making.
  • Board certification requirements for Compact participation remain and trump any Arizona laws to the contrary, perpetuating a broken, corrupt, and counterproductive MOC industry.
  • Physician due process rights are still weakened, potentially impacting physicians not participating in Compact licensure.
  • The Compact is still untested. No licenses have been issued through the Compact and no date has been announced for when licensing will commence.
  • There are unforeseen consequences resulting from the Compact beginning to surface. For instance we heard from a physician in a Compact state about complications related to renewing his malpractice insurance.
  • Adding the Compact Commission creates another layer of bureaucracy and costs, according to CATO scholar, Shirley Svorny Ph.D.

A full Senate vote on HB 2502 as amended may occur next week.  If passed then the House will have to reconsider the amended measure.

Please continue to educate Arizona legislators about these issues!

Email addresses for all Senators can be found here: and House members here:

Phone numbers for all legislators can be found here:

Action Alert: NO on HB 2502, Interstate Compact

The Interstate Medical Licensure Compact “may seem like a positive step to those who don’t have the time to look at it very closely,” explains CATO adjunct scholar Shirley Svorny, PhD.  She continues, “[t]he compact is being promoted, disingenuously, as addressing license portability and access to interstate telemedicine…. Adding the Compact Commission creates another layer of bureaucracy and costs.”

Last Wednesday, HB 2502, the bill to push Arizona into the Interstate Medical Licensure Compact, narrowly passed through the AZ Senate HHS Committee after a contentious hearing.

Now the bill will move on to the full Senate if it can make it through the Senate Rules Committee.

Please contact Senate President, Andy Biggs and his leadership team on the Senate Rules Committee to express your opposition to HB 2502.  Email addresses you can copy and paste into your message: [email protected], [email protected], [email protected], [email protected] Continue reading “Action Alert: NO on HB 2502, Interstate Compact”

Concerns about HB 2502, Interstate Medical Licensure Compact

To: President Andy Biggs, Sen. Sylvia Allen, Sen. Gail Griffin, Sen. Steve Yarbrough, Sen. Nancy Barto:

Re: concerns about HB 2502, Interstate Medical Licensure Compact (IMLC)

The Health and Human Services Committee heard lengthy testimony on HB 2502. While it narrowly (4:3) approved a do-pass recommendation, testimony on both sides provides serious reasons to reject the Interstate Medical Licensure Compact (IMLC) being aggressively promoted by theFederation of State Medical Boards (FSMB).

The hearing showed a stark division in the medical community: big multistate healthcare systems, also represented by the Arizona Medical Association (note that ArMA and Mayo have a common lobbyist), and independent physicians, represented by the Association of American Physicians and Surgeons (AAPS). Continue reading “Concerns about HB 2502, Interstate Medical Licensure Compact”

Expansive Disciplinary and Investigative Provisions in Interstate Medical Licensure Compact

Are certain investigative and disciplinary provisions in the Interstate Medical Licensure Compact applicable only to physicians licensed through the Compact?  The answer seems to be no. Read more in our letter to the Arizona Senate’s Health and Human Services Committee.

Madam Chair and Members of the Committee:

Thank you for allowing a lengthy discussion about HB 2502 at the March 16th hearing. I appreciate your hard work on this and other bills before the Committee.

It was stated at the hearing that provisions in the Compact only apply to physicians voluntarily licensed through the Compact. However, I’ve heard concerns from physicians about several sections that appear to apply more broadly, that may impact physicians who chose the traditional licensure pathway and are licensed in multiple Compact-participating states. Continue reading “Expansive Disciplinary and Investigative Provisions in Interstate Medical Licensure Compact”

AZ Chapter Dinner 3/9/2016 Featuring Twila Brase

Is a “free trade zone” for medical care possible in the U.S.? Join us on March 9, 2016 for dinner and a presentation by Twila Brase, founder of the Citizens’ Council for Health Freedom (CCHF).  She will review CCHF’s Wedge of Health Freedom, an innovative free-market health care solution that will defuse Obamacare.

In addition, special guest Senator Nancy Barto, Chair of the AZ Senate HHS Committee, will give an update on healthcare related bills under consideration this session at the Arizona Capitol.

CLICK HERE to RSVP today. Seats are limited; you will not want to miss out on this important event.

What: AAPS Arizona Chapter Dinner Meeting

When: Wednesday, March 9, 2016

  • 6 pm – Networking and Drinks
  • 6:30 pm – Dinner
  • 7 pm – Presentations

Where: Old Spaghetti Factory,
1418 N Central Ave, Phoenix, AZ 85004

Cost: No Charge; free will contributions welcome


Questions: Call AAPS Business Manager, Jeremy Snavely, 520-270-0761 or email [email protected]

AAPS Supports SB 1443, SB 1444, and SB 1445

The Arizona Chapter of AAPS provided the following testimony to the AZ Senate HHS Committee:

Feb 10, 2016

To: Senate Health and Human Services Committee

The Association of American Physicians and Surgeons (AAPS) and its Arizona state chapter support SB 1443, SB 1444, and SB 1445.

AAPS was founded in 1943 to preserve and promote the practice of private medicine and the sanctity of the patient-physician relationship. It is a national organization representing thousands of physicians in all specialties, including hundreds in Arizona, and the thousands of patients they serve.

The ethical standard of AAPS is the Oath of Hippocrates, which states: “I will prescribe regimen for the good of my patients according to my ability and my judgment and never do harm to anyone.”

The best regimen for an individual patient may not be found in the drop-down menu of “expert guidelines.” Innovative treatments may take years or decades to become accepted, and “standard-of-care” treatments may be prescribed long after they should have been discarded. The mutilating Halstead radical mastectomy of my medical school days comes to mind.

Resistance to change is a human characteristic—especially if enormous profits are being made by continuing the current regime. If we are to see breakthroughs in medical treatment, we must encourage pioneers, not suppress them or even drive them out of the profession by turning “guidelines” into rigid mandates. An “evidence base” can never develop for a treatment that cannot be tried. A large number of beneficial, widely used treatments would have to be outlawed if we applied the same standard to them as to new or off-label uses of, for example, hyperbaric oxygenation for neurological conditions, long-term antibiotics for chronic Lyme disease, or adult stem cells. Patients and their physicians need freedom to pursue options that in their judgment are best for the individual patient. For every possible medical intervention there is “potential harm” in using it—or in withholding it.

If regulatory boards are to serve the interests of the public, their actions must be transparent, they need to follow fair rules that assure due process, and members need to be held accountable.

Respectfully submitted,

Jane M. Orient, M.D., Executive Director, AAPS

Anti-MOC & Physician Bill of Rights Resolutions at ArMA meeting

The Pima County Medical Society is bringing several important resolutions to the Arizona Medical Association Annual Meeting this Friday and Saturday, May 29 and 30, 2015.

Details about the meeting are here:

If you are eligible to attend and participate your help is needed to speak in support of these resolutions. Please drop us a quick note by replying to this email if you are attending.

1) Resolution 5-15, Protecting Patients and Physicians from harmful effects of MOC:

2) Resolution 7-15, Protecting physician autonomy in medical decision making / Physician Bill of Rights:

3) Resolution 6-15, Compensation for Non-Face-to-Face Work:

Thank you! ~AAPS

Testimony of AAPS for SB 1257 and SCR 1003 (Anti-MOC, Anti-Compact)

Arizona Senate Committee on Health and Human Services, Feb 11, 2015

Senator Barto, Members of Committee:

The Association of American Physicians and Surgeons and its Arizona State Chapter thank you for the opportunity to testify in support of SB 1257 and SCR 1003. We urge Arizona to protect its sovereignty and to reject the influence of out-of-state private corporations seeking to control the practice of medicine.

AAPS is a national organization of physicians in all specialties founded in 1943 to protect private medicine and the patient-physician relationship. I am Jane Orient, M.D., executive director of AAPS. I was certified by the American Board of Internal Medicine (ABIM) in 1977.

SB 1257 and SCR 1003 are important because of a national campaign by the Federation of State Medical Boards (FSMB) to persuade legislatures to require current specialty certification by a board approved by the American Board of Medical Specialties (ABMS) for a basic medical license (Maintenance of Licensure or MOL). Continue reading “Testimony of AAPS for SB 1257 and SCR 1003 (Anti-MOC, Anti-Compact)”

AZ Senate Hearings on MOC, Feb 11, 2015

The Arizona State Senate will be holding a hearing at 2pm, Wednesday, February 11 on bills to protect the rights of Arizona physicians and patients!

Your input is crucial; we need your presence at this hearing!

2pm, Feburary 11, 2015

Arizona State Senate
Senate Hearing Room 1 – Health and Human Services Committee
1700 W. Washington, Phoenix, AZ

(Note: Also plan to join us at 6pm for dinner after the hearing. This will serve as the first AZ AAPS chapter meeting of the year. Details coming soon.)

Thanks to Senator Kelli Ward, DO, two bills have been introduced to curb the intrusion of mandatory, time-wasting, Maintenance of Certification requirements that detract from patient care.

This is a significant opportunity to take a stand against MOC and for protecting patient access to the physicians of their choice.  

Help kick bureaucrats out of the exam room by coming to support these important pieces of legislation!

Please reply to this email if you will plan to come.  All that is needed is for you to briefly explain how MOC impacts your practice.

P.S. Following the hearing the Arizona Chapter of AAPS will be holding its first dinner meeting of 2015.  Plan to join your colleagues at 6pm for food, discussion, and presentations by special guests to be announced soon.  More details coming soon.

AZ Chapter Meeting, July 2, 2014

Senators Kelli Ward, D.O. and Judy Burges as well as State Senate candidate Ralph Heap, MD have confirmed that they will attend our AAPS Arizona Chapter Meeting on July 2, joining Senator Nancy Barto and Gubernatorial Candidate Frank Riggs.

Space is limited. RSVP today so you don’t miss this chance to meet with your colleagues and hear the latest on upcoming health care policy in our state.

Arizona AAPS Chapter Meeting – July 2, 2014, 6 pm to 8:30 pm

Come join your colleagues for dinner and discussion with current and future AZ elected officials about protecting patient care in Arizona from failed federal and state policy.

You don’t want to miss out on this opportunity to network with fellow AZ AAPS members and friends.

When: Wednesday, July 2, 2014, 6 pm to 8:30 pm

6 pm – Networking and cocktail hour

6:30 pm – Dinner

7 pm – Presentations

Where: Macayo’s, 4001 N. Central Ave. Phoenix, AZ 85012,

Aztec room, ground floor. Parking to north and east of restaurant.

Cost: No Charge

Special Guests: Senator Kelli Ward, D.O., Senator Judy Burgess, Senator Nancy Barto, Senate candidate Ralph Heap, MD, & Gubernatorial Candidate and former United States Congressman Frank Riggs.

RSVP:  Email [email protected] call/text 520-270-0761

Hope to see you there!