Revolt against Maintenance of Certification Makes Legislative Gains

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A physician rebellion against maintenance of certification (MOC) is spreading nationwide, with legislation introduced in a dozen states and laws that limit the use of MOC in licensure, hospital privileges, and insurance reimbursement enacted in Texas and Georgia.

Bills similar to, or more limited than, the laws enacted in Texas and Georgia have been introduced in a dozen states, with varying levels of success. The process often starts with a resolution from the state medical society, and the legislation is often introduced by a legislator who is a physician. The movement has been spurred by doctors who say the MOC