Member Podiatric Medical Boards Newsletter — Q1 2021

PRESIDENT’S MESSAGE session for an increased opportunity for member Bruce R. Saferin, DPM participation and engagement. This will be an ex- Toledo, Ohio cellent opportunity to share what is going on in each state and to ask questions of other states, as Working Together: Annual Meeting - April 2021 has been requested in last year’s post-meeting survey. I warmly invite our Member Podiatric Medical Boards to join us for the FPMB’s Annual Meeting at (See page 7 for more Annual Meeting information.) 2 PM EDT on Friday, April 30, 2021. The past year has been one of disruption and change. The FPMB After the April 24, 2021 FPMB Board Meeting, Bar- has endeavored to support our Member Boards in bara Campbell, DPM will take on the mantle of addressing these challenges individually and collec- president. The FPMB will be in very capable and tively. The Annual Meeting is a unique and power- competent hands. ful opportunity to come together as a whole to review the past year and meet the challenges ahead. It has been a true honor and a privilege to lead the FPMB over the past year and serve you, our Mem- I am pleased to announce that this year’s Annual ber Boards. I thank you for your engagement as we Meeting will feature a Member Board Round Robin continue our shared mission to protect the public.

E.D.’S MESSAGE the impact of the COVID-19 pan- IN THIS ISSUE demic (CMEs and licensing exams) Russell J. Stoner President’s Message··························· 1 Germantown, Maryland on licensure: Executive Director’s Message ··············· 1 • Data-Based Decision Making COVID-19: Licensing & CME Member Board Benefits ······················· 2 • Limited License Requirements for Member Board Spotlight (Oregon) ········· 3 The need for data was growing Residents prior to the pandemic, and now it Council on Podiatric Medical Education ·· 4 is more critical than ever. Data • Continuing Education Received AACPM - 2021 Residency Placement ···· 5 Through Non-Live Methods collection, reporting, and analysis FPMB Data Initiative ··························· 6 is what enables the best possible • APMLE Part II CSPE & Residency NBPME - Future of APMLE Part II CSPE · 7 decision-making by Member Programs Boards and other key stakehold- FPMB Annual Meeting Announcement ··· 7 • APMLE Part II & Licensure ers. (Residencies & Unsupervised Member Boards Info / Compendium ······· 8 Practice) Primary Source Verification (Licensure) · 9 Over the past year, the FPMB has leveraged its collaboration and • Podiatric Licensure Renewal Re- Efficiency in Licensure························· 9 communication role to conduct six quirements Legislative News ·······························10 Requests for Information (RFI) News Clips ······································18 In addition to these RFIs, the from its Member Boards. Not sur- Board Newsletters & Announcements ···20 prisingly, five of these focused on FPMB requires updates via the (Continued on page 7) 2020-2021 Executive Board ················23

MISSION STATEMENT: To be a leader in improving the quality, safety, and integrity of podiatric medical health care by promot- ing high standards for podiatric physician licensure, regulation, and practice.

Federation of Podiatric Medical Boards MEMBER BOARD BENEFITS

Representation The FPMB provides representation to: • American Podiatric Medical Association (APMA)* • American Society of Podiatric Executives (ASPE) • Federation of State Medical Boards (FSMB) • National Board of Podiatric Medical Examiners (NBPME) • Professional Licensing Coalition (PLC)

*Continuing Education Committee (CEC) of the Council on Podiatric Medical Education

Public Policy & Advocacy The FPMB supports its Member Boards by: • Advocating for the restoration of antitrust immunity • Monitoring and reporting on the increased focus on occupational licensing reform • Increasing license portability (model law, licensure compact, etc.)

Primary Source Verification (Licensure) The FPMB provides primary source verification of: • APMLE Part I/II/III Score Reports • Disciplinary Action Reports

Under 1 Business Day: Median turnaround time from order placed to downloaded by Member Board

Collaboration & Communication The FPMB is a catalyst for its Member Boards by: • Collecting and disseminating information that results in changes to requirements, regulatory structure, etc. • Publishing key contact, general, licensure, and regulatory information to be viewed and compared • Publishing a quarterly newsletter

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Member Podiatric Medical Board Newsletter—Q1 2021 MEMBER BOARD SPOTLIGHT Oregon Medical Board The mission of the Oregon Medical Board is to protect To accomplish all its tasks, the Oregon Medical the health, safety, and wellbeing of Oregon citizens by Board meets quarterly (January, April, July, and Octo- regulating the practice of medicine in a manner that ber). At each of these two-day sessions, the Board promotes access to quality care. decides investigative, disciplinary, and policy matters; grants licenses; and reviews administrative Since its inception in 1889, the Oregon Medical rules and committee reports. Additionally, the Board (OMB or Board) has adhered to this simple yet Board has various committees whose members ex- profound purpose. amine license applications, make recommendations on investigations to the Board, and interview appli- The OMB is the regulatory agency and governing cants and licensees when needed. board for a large portion of the professional health care community in Oregon. The Board licenses all The Board is comprised of 14 members – seven Doc- physicians (medical, osteopathic, and podiatric), physi- tors of Medicine, two Doctors of Osteopathic Medi- cian assistants, and acupuncturists practicing in the cine, one Doctor of Podiatric Medicine, one Physi- state. There are currently 24,070 licensees, including cian Assistant, and three public members who rep- 232 podiatric physicians in Oregon. resent health consumers – who are appointed by the Governor and confirmed by the state Senate. Each Initially, Oregon podiatric physicians were regulat- member is selected for a three-year term, with the ed by a separate podiatry board, but the 1981 state opportunity to participate in a second term, for a legislature dissolved the 56-year-old State Board of total of six years. Board members must be Oregon Podiatry Examiners and placed its licensees under residents. the Oregon Medical Board's jurisdiction. By 1989, all statutory provisions governing podiatry had been The Board is also responsible for establishing the integrated into the Oregon Medical Practice Act. In scope of practice for emergency medical responders, 2006, the Oregon Legislature added a podiatric phy- emergency services providers and setting the quali- sician position to the Board as a 12th member. fications for supervising physicians of emergency medical services providers. The Board regulates the practice of medicine, podiatry, and acupuncture and investigates and disci- The OMB works closely on podiatric health care plines licensees when appropriate. In doing so, the matters with the Oregon Podiatric Medical Associa- OMB is governed by and enforces Oregon Revised tion, an organization dedicated to serving and pro- Statutes (ORS) Chapter 677, also known as the Med- tecting the public’s foot health. ical Practice Act. The OMB also follows and enforces Oregon Administrative Rules (OAR) Chapter 847. You can visit the Oregon Medical Board website at The Oregon regulations specific to podiatric medi- omb.oregon.gov. cine and surgery are found in ORS 677.805-677.840 and OAR 847-080. Significant changes to these regulations include the addition of ankle surgery to the Contact the FPMB now scope of practice for podiatry in 1999. In 2017, podiatric physicians were granted the authority to su- to be featured in the next pervise physician assistants in their practice of med- Member Board Spotlight! icine. www.fpmb.org | 3

Federation of Podiatric Medical Boards COUNCIL ON PODIATRIC MEDICAL EDUCATION Nancy Chouinard, Assistant Director / Sandy Saylor, Associate Director

The Role of CPME with Residencies and Continuing Residencies. Podiatric residency approval is based on Education and the Impact of the Pandemic on Resi- programmatic evaluation and periodic review by dencies and Continuing Education the Residency Review Committee (RRC) and the Council. The purpose of a residency is to further de- The Council on Podiatric Medical Education (CPME velop the competencies of graduates of colleges of or the Council) is a professional accrediting agency podiatric medicine through clinical and didactic ex- designated by the American Podiatric Medical As- periences. A residency program is based on the re- sociation to serve as the accrediting agency in the source-based, competency-driven, assessment- profession of podiatric medicine. The Council is em- validated model of training. powered to develop and adopt standards and policies as necessary for the implementation of all as- Following completion of a residency program, resi- pects of its accreditation, approval, and recognition dents are eligible to become certified by the Ameri- purview. The Council has final authority for the ac- can Board of Foot and Ankle Surgery (ABFAS) and creditation of colleges of podiatric medicine, the ap- the American Board of Podiatric Medicine (ABPM). proval of fellowships and residency programs, and The specialty boards are recognized by the Council providers of continuing education, and the recogni- on Podiatric Medical Education’s Joint Committee tion of specialty certifying boards for podiatric med- on the Recognition of Specialty Boards (JCRSB) to ical practice. certify in their respective areas of specialty.

The mission of the Council is to promote the quality Continuing Education of graduate education, postgraduate education, certification, and continuing education. By confirming The Council on Podiatric Medical Education holds that these programs meet established standards and the position that continuous study is the fundamen- requirements, the Council serves to protect the pub- tal and lifelong responsibility of doctors of podiatric lic, podiatric medical students, and doctors of podi- medicine. Technological advances through research, atric medicine. new patterns of health-care delivery, and development of clinical procedures have accentuated the Residencies need for podiatric physicians to remain aware of professional developments through active participa- Following four years of professional education, tion in continuing education. Moreover, all state graduates of colleges or schools of podiatric medi- boards for examination and licensure require podia- cine enter postgraduate residency programs that are tric physicians to participate in continuing educa- conducted under the sponsorship of health-care in- tion in order to maintain professional licensure. stitutions. Residencies afford these individuals structured learning experiences in patient manage- The Council approves providers of continuing edu- ment along with training in the diagnosis and care cation that demonstrate and maintain compliance of podiatric pathology. The individuals involved in with established standards and requirements. Ap- these training programs are referred to as proval is based on programmatic evaluation and “residents” and are recognized as such by the insti- periodic review by the Council and its Continuing tutions sponsoring the programs. Education Committee.

The Council approves institutions that sponsor resi- The primary purpose of approval is to promote and dency programs that demonstrate and maintain ensure high-quality education and continuous im- compliance with CPME 320, Standards and Require- (Continued on page 5) ments for Approval of Podiatric Medicine and Surgery

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Member Podiatric Medical Board Newsletter—Q1 2021

(Council on Podiatric Medical Education continued from page 4) ed in 2020; similar modifications are being dis- provement in educational programs. Approval also cussed by the Council for residents who will com- ensures the quality of continuing education pro- plete training in 2021. grams to the public, the podiatric medical profession, and the state boards for examination and licen- Regarding continuing education and COVID-19, sure. many providers of continuing education have de- cided voluntarily, or in some cases involuntarily, to Modifications on Standards and Requirements Due cancel or postpone in person continuing education to the Pandemic activities. As a result of these changes, providers are offering activities via the internet as “internet live Due to the COVID-19 (coronavirus) pandemic, activities”. Continuing education activities in differ- CPME has issued many guidance statements to col- ent formats must still meet the requirements of leges of podiatric medicine, podiatric medicine and CPME. Because providers are having to alter many surgery residencies and fellowships, and continuing in person continuing education activities to internet education providers. These statements are available live activities, due to the pandemic, it is the continu- in their entirety on the CPME website ing education committee’s hope the state boards of (www.cpme.org). As alternatives to educational de- podiatric medicine allow extra time for podiatric livery are considered, CPME continues to be mind- physicians to obtain continuing education contact ful of potential consequences for students, residents, hours. However, the continuing education commit- and, learners in terms of finances, degree comple- tee advises providers to contact the state boards tion, certification, and licensure eligibility. where their learners/attendees are licensed for verification. Ultimately, it is up to the state licensing Recognizing the impact COVID-19 is having on resi- boards to determine continuing education require- dency training programs, including cancelled rota- ments and what contact hours are acceptable. tions, decreased office visits, postponed elective sur- geries, and temporary closures in affiliate surgery While these temporary modifications have been centers, CPME temporarily decreased the required made to some CPME requirements to allow for dis- MAVs (minimum activity volume) of procedures by ruptions in training due to the continuing pandem- 15% for all categories and allowed for program di- ic, CPME wants to ensure that the health and safety rectors to petition to provide alternate clinical expe- of our students, residents, fellows, faculty, staff, riences to residents in lieu of required rotations. learners, and patients are at the forefront of any de- These modifications affected residents who graduat- cisions made.

AMERICAN ASSOCIATION OF COLLEGES OF PODIATRIC MEDICINE 2021 Residency Placement - Match Week

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Federation of Podiatric Medical Boards FPMB DATA INITIATIVE / CALIFORNIA EXAMPLE The FPMB announced the formation of a Data Initi- Phase I: Data Categories & Items ative Committee (Committee) at its May 2020 Annual Phase I of the Data Initiative focuses on the data cat- Meeting to increase the data collected and reported egories and items listed in the two information box- to support its Member Boards, and other stakehold- es below. Any questions, comments, or feedback is ers, working independently and collectively to pro- welcomed and appreciated. mote and protect the public’s podiatric health, safety, and welfare. This data will create knowledge that will power well-informed decision making.

For the first phase of the initiative, the Committee • Requirements for Licensure of U.S. Podiatric School Grad- targeted expanding licensing requirements data, in- uates cluding other types of licensure beyond examina- • Accredited Subspecialties and Non-Accredited Fellow- tion, as well as adding scope of practice data. Due to ships That Satisfy Graduate Medical Education Require- the multitude of requests for information the FPMB ments (GME) for Licensure has performed over the past year due to the impact • Initial Licensure Fees and Requirements of the COVID-19 pandemic on CMEs, examinations, • Renewal Licensure Fees and Requirements and licensure, the Committee has held back on re- • Endorsement Policies for Currently Licensed Podiatric questing data for this initiative to moderate how fre- Physicians quently we request data from Member Boards. • Types of Licenses Issued (In Addition to Full, Unrestricted License) In February 2020, the Podiatric Medical Board of • License Types and Applications California (PMBC) reached out to the FPMB re- • Continuing Medical Education Requirements questing assistance in collecting license renewal information from our Member Boards. Serendipitous- ly, this data request aligned with the Data Initiative. Using the responses received from 45 Member SCOPE OF PRACTICE Boards, the FPMB presented the data results at • • PMBC’s public board meeting on March 12, 2021. Includes Ankle History and Physical (H&P) Based on this data, PMBC Board Members voted to • Includes Leg • Pre-Op revise their license renewal requirements. • Amputation • Admit • Allows Toe • Supervise Hyperbaric • Allows Partial Foot • Supervise Mid-Level Pro- The FPMB is an empowering leader, • Allows Foot viders helping Member Boards work • Allows Ankle/Leg • Vaccinations (ADDED) independently and collectively.

This PMBC example illustrates the power of the FPMB’s Data Initiative. Data gathered from the col- The success of the Data Initiative depends on the lective, our Member Boards, created knowledge that engagement of every Member Board. A 100% re- empowered PMBC to make a well-informed deci- sponse rate is necessary for a complete and accurate sion. data set. The FPMB will be persistent in its data collection efforts. The Committee looks forward to further progress NOTE: On average, FPMB request for information (RFI) over with the Data Initiative and looks forward to your the last five years receive responses from only 2/3 of Member active participation and benefit. Boards.

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Member Podiatric Medical Board Newsletter—Q1 2021 NATIONAL BOARD OF PODIATRIC MEDICAL EXAMINERS The Future of APMLE Part II Clinical Skills Patient Encounter (CSPE)

The National Board of Podiatric Medical Examiners no groups have abandoned this examination. (NBPME) has unanimously voted that the APMLE Boards have either continued to test or said they are Part II Clinical Skills Patient Encounter (CSPE) rep- suspending the current version of their examina- resents a unique, valid, reliable examination that tions while pursuing alternate designs. tests skills not being tested in the Parts I, II, and III written examinations. The decision was also made The CSPE examination is currently suspended. In- to start an investigation into alternatives to the sus- vestigation and evaluation of alternatives has only pended version of the clinical skills patient encoun- begun. Although it may be possible, it is unlikely ter examination. It was acknowledged that the first that a new design would be developed, piloted, and version of CSPE examination was unpopular among ready for administration for the Class of 2022. the student population mainly because of the ex- pense to candidates. NBPME is committed to the clinical skills program, and to providing routine updates to the stakehold- During the development, pilot process, and then ers of our profession, including the American Asso- with the actual administration of the first version of ciation of Colleges of Podiatric Medicine (AACPM), the examination, the board became convinced of the American Podiatric Medical Association (APMA), appropriateness of testing these unique skills that American Podiatric Medical Students’ Association are crucial to safe, effective, independent practice. (APMSA), Council on Podiatric Medical Education That perspective is also shared by other licensing (CPME), and Federation of Podiatric Medical examination boards, including National Board of Boards (FPMB) as we work alongside NBOME to Medical Examiners (NBME) and National Board of further our mission and to create an examination Osteopathic Medical Examiners (NBOME). To date, that is valid, reliable, and cost-effective.

(E.D.’s Message continued from page 1) Member Boards Update Form by the end of the FEDERATION OF PODIATRIC third quarter each year. This data is published on MEDICAL BOARDS the Member Boards Info page of the FPMB website. 2021 Annual Meeting Video Webinar Member Boards, and other stakeholders, Friday, April 30, 2021 depend on the data the FPMB collects 2:00 - 3:30 PM EDT and reports to make critical decisions.

The FPMB cordially invites: This growing body of data has real-world impacts. Board President For example, the Podiatric Medical Board of Califor- nia requested an RFI in February 2021. The data col- (or their designated alternate) lected and reported by the FPMB was factored into -and- their discussion as they voted to revise license re- One Executive Staff newal requirements at their March 2021 meeting.

Working together, you have made a difference. Invitation and agenda will be emailed to Member Another excellent opportunity for Member Boards Boards. Questions? Contact [email protected] to work together with the FPMB will be at the An- nual Meeting on Friday, April 30. We look forward *NOTE: Member Boards must be current with dues to participate. to your active participation and engagement. www.fpmb.org | 7

Federation of Podiatric Medical Boards MEMBER BOARDS INFORMATION / COMPENDIUM The FPMB’s data visualization page provides gen- YOUR Accurate, Complete, eral, contact, licensure, and regulatory information and Current Data is CRITICAL! about its Member Boards. The page contains the following sections: Member Board Update Forms were distributed on August 31, 2020 with a response due date of Septem- MEMBER BOARDS INFO ber 30, 2020. Blue states (see map below) have not re- sponded yet and should respond as soon as possible. Enables visitors to open an “information card” for an in-depth view of the contact, general, licensure, and The form can be submitted electronically [link] (user regulatory information for any Member Board. account required). To reduce the amount of data entry needed, the form is pre-filled and only requires edits DATA POINTS to information that has changed.

Enables visitors to compare 15+ general and licen- As part of the FPMB’s Data Initiative, the data sure data points across all Member Boards. The data the FPMB collects and reports will be expanding. can be viewed in both map and table format. The need and value of this initiative has only increased COMPENDIUM during the COVID-19 pandemic, as evidenced by the information requests the FPMB has received from Enables visitors to compare all 15+ general and li- Member Boards, podiatric organizations, podiatrists, censure data points across all, or a subset of, Member Boards. and other impacted stakeholders.

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PRIMARY SOURCE VERIFICATION (LICENSURE) — ❖Q4 2020❖

EFFICIENCY IN LICENSURE — ❖Q4 2020❖

The FPMB is committed to its role in efficient licen- The FPMB recognizes the following Member sure and has a median Part I/II/III and Discipli- Boards for their timely download of reports sent in nary report processing time of under one business Q4 2020: hour. Within 4 Hours New Mexico British Columbia Member Boards also have an opportunity to North Carolina Hawaii demonstrate efficiency via the timely download of Alabama Ohio Idaho California these reports: Oregon Maryland Connecticut South Carolina Oklahoma District of Columbia South Dakota Pennsylvania Florida Tennessee Utah Indiana Virginia Within 2 Days Kentucky Washington Louisiana West Virginia Colorado Missouri Georgia Within 1 Day New Hampshire Nevada New Jersey Arizona

NOTE: The 32 Member Boards listed above downloaded reports within 2 business days (median). 14 Member Boards were longer than 2 business days (median), and 4 of these were more than 1 business week (median).

Occupational licensure reform seeks efficiency in licensure, especially for military spouses. Timely downloads of reports enables the FPMB to demonstrate efficiency by its Member Boards.

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Federation of Podiatric Medical Boards LEGISLATIVE NEWS Advocacy Network News from the Federation of State Medical Boards (FSMB)

❖ FEDERAL LEGISLATIVE NEWS ❖ a comprehensive study on health care professional mental and behavioral health and burnout. The HHS PREP Act Declaration FSMB endorsed this legislation.

On December 3, the Department of Health and Hu- Legislation on Workforce Issues During COVID-19 man Services issued a fourth amendment to its declaration under the Public Readiness and Emergency The Strengthening America's Health Care Readiness Preparedness Act (PREP Act) that includes an au- Act (S. 4055), introduced by Sen. Dick Durbin (D- thorization for certain persons to provide "covered IL), would "address health workforce shortages and countermeasures" related to COVID-19 across state disparities highlighted by the COVID-19 pandemic lines via telehealth, pre-empting state licensing laws through additional funding for the National Health to the contrary. Covered countermeasures are de- Service Corps and the Nurse Corps, and to establish fined in statute and include: a qualified pandemic or a National Health Service Corps Emergency Service epidemic product; a security countermeasure; a demonstration project." drug, biological product, or device that is authorized for emergency use; or an approved respiratory The Health Equity and Accountability Act of 2020 protective device. The amendment states, (H.R. 6637) introduced by Rep. Jesus Garcia (D-IL) "Specifically, healthcare personnel who are permitted to would require HHS to "encourage and facilitate the order and administer a Covered Countermeasure through adoption of provisions allowing for multistate prac- telehealth in a state may do so for patients in another titioner practice across State lines" for Medicare ben- state so long as the healthcare personnel comply with the eficiaries. legal requirements of the state in which the healthcare personnel are permitted to order and administer the Cov- Additional proposals to create a streamlined ap- ered Countermeasure by means of telehealth." The an- proach to health care services, particularly for tele- nouncement from HHS is available here and the health, are likely to be introduced in the fall. FSMB will continue to monitor for additional updates. COVID-19 Pandemic Response

Health Care Provider Mental Health The most recent Coronavirus stimulus bill, the Consolidated Appropriations Act of 2021 (H.R. The Dr. Lorna Breen Health Care Provider Protec- 133, 116th), introduced by Rep. Henry Cuellar (D- tion Act (S. 4349/H.R. 8094) was introduced TX), which became law December 27, 2020, includ- by Senators Kaine (D-VA), Cassidy (R-LA), Reed ed changes to telehealth policy by adding rural (D-RI) and Young (R-IN) and 12 cosponsors in the emergency hospitals to the list of originating sites Senate and Representatives Rose (D-NY), McKin- eligible for reimbursement, and allowing patients' ley (R-WV), Brindisi (D-NY), Riggleman (R-VA), homes to be eligible sites for receiving telehealth Cisneros (D-CA), Griffith (R-VA), Upton (R- services after the conclusion of the public health MI) and 22 cosponsors in the House, in response to emergency, as long as the practitioner furnished in- the high levels of mental and physical stress and person services to the individual within the six burnout in the healthcare workforce. The bill would months prior to the first time they furnish the tele- provide grants for training healthcare professionals health service, and at least once every six months in evidence-informed strategies to reduce and pre- thereafter. It also replenishes the FCC's COVID-19 vent suicide, burnout, mental health conditions, and Telehealth Program, created by the CARES Act, substance use disorders, and encourage those at risk with $250 million, which helps health care providers to seek support and treatment. The bill also requires (Continued on page 11)

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(Legislative News continued from page 10) of Licensure Requirements for Health Care Professionals respond to the COVID-19 crisis by funding broad- Providing Treatment Via Telemedicine, which expands band expansion, creating wireless access points for the definition of a "covered health care profession- patients, tablets, and remote monitoring devices. al" to include postgraduate health care employees and health professions trainees working under clin- Antitrust Legislation ical supervision, allowing both to provide treatment via telemedicine in the Department of Veter- The Occupational Licensing Board Antitrust Dam- ans Affairs. It also includes Section 2881 - Military ages Relief Act of 2020 (H.R. 8680) was introduced Family Readiness Considerations in Basing Deci- by Representatives Raskin (D-MD), Cicilline (D- sions, which requires consideration of "interstate RI), and Conaway (R-TX) and would provide dam- portability of professional licensure and certifica- ages relief to state boards, their members and staff tion credentials" when making basing decisions. if the board meets certain requirements, including: operating under a state law that requires an occu- The Military Spouse Licensing Relief Act of 2020 (S. pational license for the occupation regulated by the 4608) was introduced by Sen. Mike Lee (R- board, specifies the qualifications for the license, UT) and would give military spouses with valid and requires that professional and ethical standards professional licenses in one state reciprocity in the be met; has all members of the board appointed by state where their spouse is currently serving on the state's chief executive officer, the legislature, or military orders. other designated elected state officer; includes members of the public who are not market partici- The Reinvigorating the Economy, Creating Oppor- pants in the regulated profession; and provides tunity for every Vocation, Employer, Retiree & mechanisms allowing people aggrieved by the Youth (RECOVERY) Act (S. 4537) was introduced board to contest its actions including judicial re- by Sen. Ted Cruz (R-TX) and includes view. The FSMB and FPMB have been advocating the legislative language from his Equal Access to on this issue and have endorsed this legislation. Care Act, which would allow providers licensed in one jurisdiction to provide telemedicine to patients Interstate Medical Licensure Compact in another without a license during the COVID-19 public health emergency and for 180 days after its H.R. 8723 was introduced by Reps. Yoho (R-FL), conclusion. Thompson (D-MS), Tiffany (R-WI), Hagedorn (R- MN) and two cosponsors and would prevent states The Johnny Isakson and David P. Roe, M.D. Veter- who are not members of the IMLC from receiving ans Health Care and Benefits Improvement Act of funding from the Bureau of Health Workforce, a 2020 (H.R.7105) was amended and passed out of branch of the Health Resources and Services Ad- the Senate under Unanimous Consent on December ministration, allowing states three years to join 9, 2020. Section 2002 of the bill includes a "Temporary IMLC before going into effect. The bill would also Clarification Of Licensure Requirements For Contractor prevent state licensing boards from receiving cer- Medical Professionals To Perform Medical Disability tain federal grants unless they have a public aware- Examinations For The Department Of Veterans Affairs ness campaign to encourage specialty physicians to Under Pilot Program For Use Of Contract Physicians practice telemedicine. For Disability Examinations." Section 2002 allows physicians, physician assistants, nurse practition- Licensing ers, audiologists, and psychologists with a current, unrestricted license in any state to contract with the The National Defense Authorization Act for Fiscal VA and perform medical disability examinations Year 2021 (NDAA - H.R. 6395), the annual defense for three years under the pilot program to supple- appropriations bill that has been in negotiations for ment VA capacity in conducting such exams. several months, includes Section 1089 - Modification (Continued on page 12)

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Federation of Podiatric Medical Boards

(Legislative News continued from page 11) the same amount for telehealth services delivered during a public health emergency as they would Telehealth pay in-person.

Congress has introduced several additional tele- The Accelerating Connected Care and Education health bills as the COVID-19 pandemic continues Support Services on the Internet Act ("ACCESS the into the fall. Internet Act", S. 4515) was introduced by Sen. Joe Manchin (D-WV) and Sen. John Cornyn (R- The Health Equity and Accountability Act of 2020 TX) and would provide $400 million for the FCC's (S. 4819), was introduced by Senator Mazie Hirono COVID-19 Telehealth Program, including 20% set (D-HI) includes a section to facilitate telehealth aside for small, rural providers left out of the pro- across state lines by requiring HHS, "in consulta- gram's first round of funding, and $100 million for tion with States, physicians, health care practition- the VA's Telehealth and Connected Care Services, ers, and patient advocates" to "encourage and facili- to deliver Internet-connected devices and services tate the adoption of provisions allowing for multi- for veterans in rural, unserved areas. state practitioner practice across State lines." The Telehealth Act (H.R. 7992) was introduced The Ensuring Telehealth Expansion Act (H.R. 8528), by Rep. Ann Wagner (R-MO) and combines nine was introduced by Rep. Roger Williams (R- previously introduced bills into one: TX) and would extend key portions of the CARES Act until 2025, including the Health Savings Ac- • The Advancing Telehealth Beyond COVID-19 count exemption for telehealth, Medicare telehealth Act (H.R. 7338), introduced by Rep. Liz Cheney flexibilities during emergencies, enhancing tele- (R-WY) continues telehealth measures put in health services for Federally Qualified Health Cen- place by the CARES Act, emphasizing access to ters and Rural Health Clinics, waiving face-to-face technology for seniors in rural areas. requirements for home dialysis patients and physi- • The EASE Behavioral Health Services Act (H.R. cians, allowing telehealth to recertify eligibility for 5473), introduced by Rep. Gus Bilirakis (R- hospice care and encouraging telehealth for home FL) aims to expand access to telemental health health services. services by expanding Medicare and Medicaid coverage and bypassing Medicare's geographic The Telehealth Modernization Act (S. 4375) was in- restrictions on telehealth services. troduced by Sen. Lamar Alexander (R-TN) and would make permanent a host of reforms intro- • The Telemedicine Everywhere Lifting Every- duced to facilitate telemedicine during the pandem- one's Healthcare Experience and Long Term ic, including removing Medicare's "geographic and Health ("TELEHEALTH") HSA Act (S. 4039), originating site" restrictions, which require both introduced by Sen. Kelly Loeffler (R- that the patient live in a rural area and use tele- GA) would make permanent the preferred health at a doctor's office or clinic; allowing patients treatment of telehealth and other remote care to continue to access telehealth from physical thera- services in health savings accounts. pists, speech language pathologists, and other health care providers; continue Medicare reim- • The VA Mission Telehealth Clarification Act bursements for a wide variety of services, and al- (H.R. 3228), introduced by Rep. Earl Carter (R- lowing Medicare hospice and home dialysis pa- GA) would amend the 2018 VA Mission Act to tients to receive virtual care. allow post-graduate healthcare employees and VA healthcare trainees to use connected health The Ensuring Parity in MA for Audio Only Tele- platforms, under the supervision of VA- health Act of 2020 (S. 4840/H.R. 7659) was intro- sanctioned care providers, to treat veterans (a duced by Sen. Pat Roberts (R-KS) in the Senate companion bill was filed by Sens. Jeanne Sha- and Rep. Terri Sewell (D-AL) in the House and heen (D-NH) and Martha McSally (R-AZ). would include audio-only for qualified diagnosis (Continued on page 13) made via telehealth and require Medicare to pay

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(Legislative News continued from page 12) MN) and Sen. Mike Rounds (R-SD) and would • The Telehealth Across State Lines Act (H.R. provide an additional $200 million for the Federal 4900), introduced by Rep. David Roe (R- Communications Commission's (FCC) COVID-19 TN) would create a uniform standard of nation- Telehealth Program, which ran out of funding in wide best practices for multi-state telehealth July. The program helps health care providers re- programs, incentivize telehealth expansion and spond to the COVID-19 crisis by providing tele- establish a five-year grant program to expand health platforms, wireless access points for patients, telehealth in rural areas. tablets, and remote monitoring devices.

• The Telehealth Response for E-prescribing Ad- The Telehealth Improvement for Kids' Essential diction Therapy Services (TREATS) Act (S. Services (TIKES) Act of 2020 (H.R. 8476) was intro- 4103), introduced by Sens. Rob Portman (R- duced by Rep. Lisa Blunt Rochester (D-DE) and OH) and Sheldon Whitehouse (D-RI) would would require the Department of Health and Hu- make permanent emergency actions passed dur- man Services to issue guidance to states about how ing the coronavirus pandemic, including sub- to increase access to telehealth under Medicaid and stance use disorder (SUD) treatment and medi- the Children's Health Insurance Program (CHIP), cation assisted therapy (MAT) treatment via tel- including technical assistance and best practices re- emedicine. garding delivery of covered services, recommended voluntary billing codes, and simplification or align- • The KEEP Telehealth Options Act (H.R. ment of provider licensing and other protocols, 7233), introduced by Reps. Troy Balderson (R- among other things. OH) and Cindy Axne (D-IA) calls on HHS and GAO to conduct separate studies of telehealth The Safe Testing at Residence Telehealth (START) use and outcomes during the coronavirus emer- Act (H.R. 8642) was introduced by Rep. David gency. Schweikert (R-AZ) and would cover the cost of Medicare beneficiaries receiving FDA-approved at- • The Enhancing Preparedness Through Tele- home COVID-19 tests in conjunction with a telehealth Act (S. 3988), introduced by Sen. Bill health consultation. Cassidy (R-LA) would direct HHS to inventory The Home Health Emergency Access to Telehealth telehealth programs across the country every (HEAT) Act (S. 4854/H.R. 8677) was introduced five years to learn how telehealth is being used by Sen. Susan Collins (R-ME) in the Senate and how it can be used more effectively. and Rep. Roger Marshall (R-KS) in the House, and • The HEALTH Act (H.R. 7187), introduced would authorize Medicare reimbursement for by Rep. Glenn Thompson (R-PA) would make home health services provided through telehealth, permanent Medicare coverage for telehealth ser- with beneficiary consent, during a public health vices provided at federally qualified health cen- emergency. ters (FQHCs) and Rural Health Clinics (RHC). The Connected Maternal Online Mothering Ser- vices (MOM) Act (S.4859) was introduced by Sen. The Telehealth Coverage and Payment Parity Act Bill Cassidy (R-LA) and would establish coverage (H.R. 8308) was introduced by Rep. Dean Phillips for remote patient monitoring programs for preg- (D-MN) and would prohibit restrictions on which nant women that track blood pressure, blood glu- conditions can be managed remotely, establish pay- cose and pulse rates through connected health de- ment parity between telehealth and in-person vis- vices, such as blood pressure cuffs and at-home its, guarantee all medically necessary benefits in urine protein test kits, and establishes a telehealth ERISA plans are covered via telehealth and remove platform so that they can collect and transmit data location-based regulations for providers. through a smartphone to providers. The data is in- The COVID-19 Telehealth Program Extension Act tegrated with the patient's electronic health record (S. 4794) was introduced by Sen. Tina Smith (D- and then reviewed on a daily basis by a care team. (Continued on page 14)

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(Legislative News continued from page 13) bill will require the Department of Veterans Affairs The Expanded Telehealth Access Act (H.R. to report on the policies and procedures relating to 8755) was introduced by Rep. Mikie Sherrill (D- patient safety and quality of at VA medical centers NJ) and would permanently expand the list of the It also requires a report on the events at the Clarks- providers eligible for Medicare reimbursement for burg, West Virginia VA facility that resulted in fatal providing care via telehealth to include physical insulin overdoes in 2017 and 2018, including "a de- therapists, audiologists, occupational therapists, scription of the system-wide reporting process that and speech language pathologists, among others. the Department will or has implemented to ensure CMS has temporarily allowed these providers to be that relevant employees are properly reported, reimbursed, however it is time-limited to the dura- when applicable, to the National Practitioner Data tion of the public health emergency. Bank of the Department of Health and Human Ser- vices, the applicable State licensing boards, the The Permanency for Audio-Only Telehealth Act Drug Enforcement Administration, and other rele- (H.R. 9035) was introduced by Reps. Jason Smith vant entities." (R-MO) and Tony Cardenas (D-CA) and would The Veterans COMPACT Act of 2020 (H.R. require the Centers for Medicare and Medicaid Ser- 8247) was introduced by Rep. Mark Takano (D- vice (CMS) to continue reimbursing Medicare pro- CA) and passed the House and Senate in Septem- viders for certain audio-only telehealth evaluation ber and November, respectively, and would imple- and management services, and mental and behav- ment programs, policies, and reports related to the ioral health services, which it had started during VA's transition assistance, suicide care, mental the pandemic. Additionally, the bill would remove health education and treatment, health care, and geographic restrictions to allow Medicare benefi- women veteran care. The battery of requirements ciaries' homes to be included as telehealth originat- include a pilot program on more effectively sharing ing sites. information about the benefits available to veterans; paying for emergent suicide care, including Opioids transportation costs, for certain veterans in acute suicidal crisis; a program for the education and The Easy MAT for Opioid Addiction Act (H.R. training of caregivers and family members of veter- 2281) was introduced by Rep. Raul Ruiz (D- ans with mental health disorders; and an analysis CA) and revises regulations allowing a practitioner and report on its programs that provide assistance to administer up to a three-day supply of narcotic to women veterans who are homeless or precari- drugs, up from one day, to an individual at one ously housed, among other initiatives. This bill time for acute withdrawal symptoms. This bill passed both Houses of Congress and was sent to the passed the House on November 17, 2020. President on November 24, 2020.

The State Opioid Response Grant Authorization Regulatory News Act of 2020 (H.R. 2466) was introduced by Rep. Da- vid Trone (D-MD) to reauthorize SAMHSA's State On September 9, 2020, the Department of Health Opioid Response Grants through 2024. This bill and Human Services (HHS) announced that state- passed the House on November 17, 2020. licensed pharmacists, or registered pharmacy in- terns under supervision, will be allowed to order Veteran’s Affairs and administer FDA-authorized COVID-19 vaccinations to persons ages 3 or older, so long as they The Improving Safety and Security for Veterans Act have Accreditation Council for Pharmacy Educa- of 2019 (S. 3147) was introduced by Sen. Joe tion practical training, a CPR certificate and up-to- Manchin (D-WV) in December 2019 and was sent date CME credits, among other prerequisites. to the President's desk on November 24, 2020. The (Continued on page 15)

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(Legislative News continued from page 14) ❖ STATE LEGISLATION OF INTEREST ❖ On October 2, 2020, the Department of Health and Human Services (HHS) renewed the COVID-19 Interstate Medical Licensure Compact national public health emergency declaration, which allows critical resources to fight the pandem- In October 2020, Louisiana became the 32nd Mem- ic, such as the rollback of telehealth restrictions that ber State (30 states, DC, and Guam) of the Interstate have eased access to virtual visits, expansion of the Medical Licensure Compact. types of health care professionals that can furnish Legislation to enact the IMLC has been introduced telehealth services and the waiving of in-state licen- in 2021 in Missouri (HB 516) and Oregon (HB 2335). sure requirements for Medicare practitioners. The In addition, a joint resolution in Virginia (HJ 531) renewal is effective October 23 and lasts 90 days, so was introduced that directs a study of the advisa- the extension will remain in effect until January 21, bility of the Commonwealth joining the IMLC. Oth- 2021. er states are expected to introduce IMLC in the coming weeks and months. On December 1, 2020, Center for Medicare and Medicaid Services (CMS) released the finalized The model Compact legislation and other resources Physician Fee Schedule for 2021. The rule makes can be found on the Interstate Medical Licensure payment for certain services approved during the Compact Commission's website at www.imlcc.org. COVID-19 pandemic to continue being reimbursed through the PHE, notes updates related to certain Background Checks scope of practice requirements, and updated payment guidelines for resident physician moonlight- Michigan HB 4488 - Signed into law on December ing. Click here to view the fact sheet and final rule. 31, specifies that a judgment of guilt in a criminal prosecution or a judgment in a civil action may not On January 8, 2021, the Department of Health and be used, in and of itself, by a licensing board or Human Services (HHS) announced that they agency as proof of an individual's lack of good would extend the public health emergency (PHE) moral character. for the fourth time, this time through April 21, 2021. The most recent extension was due to expire Janu- Physician Assistants ary 21. The PHE declaration has allowed a series of waivers concerning the provision of telemedicine, Washington Chapter 246-918 WAC - Effective July including allowing more providers to bill Medicare 1, 2021, combines the physician assistant licensing for telehealth services, and reimbursing for audio- under the Washington Medical Commission and only telehealth as well as waiving select oversight eliminates the profession of Osteopathic Physician and reporting requirements. Assistant. The rule also changes nomenclature from "delegation" to "practice" agreement and from On January 11, the FSMB submitted a comment on "supervising physician" to "participating physician" the Department of Veterans Affairs Interim Final agreement. Rule - Authority of VA Professionals to Practice Health Care (RIN 2009-AQ94). The comment high- Telemedicine lighted the importance of ensuring that veterans Massachusetts S 2984 - Signed into law on January receive the same level of quality care and appropri- 1, redefines telemedicine to include audio-only tele- ate regulatory oversight as the general public, phone calls and online adaptive interviews, for the through robust reporting standards and appropri- purpose of evaluating, diagnosing, consulting, pre- ate training. The FSMB also asked for clarification scribing, treating, or monitoring of a patient's phys- regarding the process that will be used to develop ical health. and "National Standards of Practice" for practitioners within the VA. (Continued on page 16)

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(Legislative News continued from page 15) New Jersey S 3267 - Authorizes licensed podiatrists, dentists, perfusionists, and bio-analytical laborato- Assistant Physicians ry directors to administer immunizations authorized by the FDA to prevent Covid-19. Missouri HB 550 - Allows an assistant physician with a license in good standing to eligibility to be- License Reciprocity come a licensed general practitioner if they com- pleted Step 3 of the USMLE in fewer than three at- Virginia HB 1769 - Requires the Board to issue a li- tempts and within a seven-year period of complet- cense to an applicant with a valid, unrestricted li- ing Steps 1 and 2 of the USMLE; and a total of 60 cense from another jurisdiction that the state has months of cumulative, postgraduate, hands-on, full not established a reciprocal relationship with, as -time, active collaborative practice. long as the applicant's credentials are satisfactory to the Board. Background Checks Medical Marijuana Mississippi SB 2019 and South Carolina H 3334 - "Ban the Box" legislation, prohibits public employ- Indiana HB 1026 - Permits the use of medical mari- ers from asking an applicant to disclose infor- juana by persons with serious medical conditions mation concerning their criminal record or history, as determined by their physician and establishes a including any inquiry on any employment applica- medical marijuana program to permit the cultiva- tion, until the applicant signs a waiver authorizing tion, processing, testing, transportation, and dis- release, is being considered for a specific position pensing of medical marijuana by holders of a valid and has received an interview. permit.

Board Structure and Function South Carolina H 3361 and H 3174 - Legalizes can- nabis to treat chronic, debilitating, and terminal Delaware HB 33 - Decreases the number of public medical conditions, such as cachexia, severe pain, members on the state medical board from seven to severe nausea, seizures, persistent muscle spasms, five and adds two PAs (as recommended by the among many others. Regulatory Council for Physician Assistants). Texas HB 809 - Legalizes medical marijuana, creates Maryland SB 34 - Defines "Genetic Counselors," a registry for prescribing physicians and patients, their rights and requirements, and mandates the and creates rules for dispensaries. Board of Physicians to regulate genetic counseling. Military Licensure/Reciprocity Virginia HB 1040 - Requires the Board of Medicine to license and regulate naturopathic doctors. Michigan SB 1223 - Makes active-duty military personnel, veterans, their spouses, and their children e-Prescribe under the age of 26 eligible for physician license reciprocity, if they hold a valid license in another New Jersey A 5141 - Requires that every prescrip- state, are in good standing with no pending disci- tion for a controlled dangerous substance, prescrip- plinary action and demonstrate competency tion legend drug, or other prescription item be through education, training, or relevant work expe- transmitted electronically. rience.

Immunizations New Jersey A 5158 - Changes terms of military license reciprocity to allow two years' experience in New Jersey S 3292 - Authorizes all pharmacists in (Continued on page 17) the State to administer any available vaccine against a communicable disease outbreak. 16 | www.fpmb.org

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(Legislative News continued from page 16) PDMPs the past seven years, instead of five. Additionally, any courtesy license granted to a nonresident mili- Illinois HB 163 - Requires PDMP data be transmit- tary spouse is valid until the next renewal period, ted by the end of the business day on which a con- after which, the nonresident military spouse is al- trolled substance is dispensed. lowed to apply for licensure renewal. Telemedicine Wyoming SF 18 - Expedites licensure to allow a military spouse the ability to practice in the state so Arkansas HB 1063 / HB 1068 - Allows physicians long as they are licensed and in good standing in licensed in-state to establish a patient-physician re- another. License is valid for three years, then appli- lationship via telehealth, including audio-only tele- cants must meet any additional outstanding re- phone, and mandates the Medical Board to promul- quirements. gate rules for that purpose. The bill also allows a patient's home to be an origination site for receiv- Naturopathic Physicians ing telemedicine and allows for group therapy via telemedicine. Washington SB 5088 - Seeks to address shortage of primary care services by increasing the scope of Kentucky BR 163 - Redefines telemedicine to in- practice of naturopathic physicians. It allows natur- clude audio-only telephone calls. opaths to register with PDMPs and prescribe schedule III-V controlled substances and conduct minor Maryland HB 123 / S 3 - Adds synchronous inter- office procedures such as the treatment of superfi- actions, audio-only telecommunications tech cial lacerations, lesions, and minor injuries. (explicitly not audio-only telephone, email, or fax), and remote patient monitoring to the definition of Opioids telehealth. The bill also allows telehealth regardless of the location of the recipient and reimburses tele- New Jersey A 5157 - Requires practitioners pre- health at the same rate as in-person. scribing opioids to student athletes to limit the prescription to a seven-day, non-refillable supply, and Missouri HB 495 / SB 284 - Allows for physician- provide the prescription to a parent or guardian, as patient relationships to be established through opposed to providing it directly to the student ath- online adaptive questionnaires, while static ques- lete. tionnaires for the same purpose are prohibited.

Oklahoma SB 234 - Prohibits practitioners from pre- Montana HB 43 - Expands the definition of tele- scribing greater than a seven-day supply of an opi- health to include audio-only communication, email, oid drug for the treatment of acute pain. and fax, in real-time or store and forward. Howev- er, physicians cannot certify a debilitating medical Physician Assistant Supervision condition by audio-only telemedicine unless they have preexisting relationship with the patient. Delaware HB 33 - Redefines PA functions in terms of "collaboration" instead of "supervision," meaning New Jersey S 2559 - Requires that reimbursement the collaborating physician is not required to be on for telemedicine and telehealth services be equal to site. the reimbursement rate for the same services when they are provided in person. Wyoming SF 33 - Amends PA definition from "practice under the supervision of a physician" to "a Texas SB 284 - Mandates the Board to conduct a physician assistant is qualified by the individual's study regarding out-of-state physicians who prac- education, training and experience." Bill also grants ticed medicine in the state during the COVID-19 PAs prescribing privileges for Schedule II-V drugs. pandemic.

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Federation of Podiatric Medical Boards NEWS CLIPS

COVID-19 Review of Disciplinary Actions Re- Public health programs see surge in garding Controlled Substances, Rhode students amid pandemic FPMB: COVID-19 Information and Island 2012–2017 Kaiser Health News Resources JMR Podcast November 2020 November 2020 March 2021 ‘The Fauci Effect': Applications are FPMB: COVID-19 - State-by-State Drugmakers warned about speaking up 18% at osteopathic medical schools Updates deal kickbacks to physicians The DO Becker's Hospital Review December 2020 March 2021 November 2020 More students are entering medical Court rules medical board may use NBPME Cancels Part II CSPE for the school licensee’s sealed criminal record to Class of 2021 AAMC News impose discipline December 2020 Professional Licensing Report February 2021 December 2020 Workforce

FSMB: COVID-19 Webpage Patient Safety New California law gives nurse prac- March 2021 Even some doctors won’t wear titioners more authority masks in a pandemic, patients com- Sacramento Bee FSMB: COVID-19 Resource Directory plain September 2020 Atlanta Journal Constitution March 2021 October 2020 10 specialties with high percentages of female physicians Tracking COVID-19-related legisla- New AMA policy recognizes racism Sacramento Bee tion impacting medical regulation as a public health threat September 2020 AMA News March 2021 November 2020 How IMGs have changed the face of American medicine FSMB Statement on Wearing Face Moderate sleep loss boosts risk of AMA Coverings During Patient Care medical errors 53%, study finds October 2020 Becker's Hospital Review October 2020 December 2020 Physician shortage could hit 139,000 by 2033, AAMC projects VA clinicians can practice across Education state lines, interim rule affirms Fierce Health Five ways COVID-19 may transform October 2020 October 2020 medical education AMA Emergency physicians reluctant to Discipline & Misconduct October 2020 seek mental health help, citing stigma DOJ charges hundreds in connection and job security Pandemic confirmed medical school with $6 billion in health care fraud in Becker's Hospital Review largest takedown ever was right choice, student survey finds October 2020 Fierce Healthcare Becker’s Hospital Review September 2020 October 2020 FBI: Scammers in disguise target health care providers with threats and Applications to medical school are Web of 'wellness' doctors promote phony investigations at an all-time high. What does this injections of unproven coronavirus National Law Review mean for applicants and schools? treatment October 2020 NPR AAMC News October 2020 October 2020 (Continued on page 19) 18 | www.fpmb.org

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(News Clips continued from page 18) 10 emerging trends in health IT for Telehealth AMA coronavirus survey: Physician 2021 practice revenue down 32% Becker’s Hospital Review Patients like telehealth, but barriers HealthLeaders December 2020 persist October 2020 Medical Economics Opioids / Pain Management October 2020 Even small drop in task load can cut Best Practices, Research Gaps, and odds of physician burnout Maryland regulators tell lawmakers Future Priorities to Support Tapering AMA News of telehealth growth, benefits, pitfalls Patients on Long-Term Opioid Therapy November 2020 Maryland Patch for Chronic Non-Cancer Pain in Outpa- October 2020 tient Settings What the pandemic could mean for NAM physician compensation Six best practices to sharpen physi- August 2020 The DO cians’ use of telehealth November 2020 AMA

Sharp rise in drug overdose deaths October 2020 seen during first few months of pan- Medical professionals suffering demic mental pressures of COVID-19 treat- Nine barriers for patients accessing NPR telehealth ment October 2020 Fox 23-Tulsa Becker's Hospital Review November 2020 November 2020 Pharmaceutical payments to physicians associated with increased pre- Hospitals in half the states facing scribing massive staffing shortage as Covid-19 HealthLeaders NOTICE surges November 2020 STAT The news stories we choose to high- November 2020 CDC interactive training: Apply- light do not necessarily represent the ing CDC’s Guideline for Prescribing Opi- views or opinions of the FPMB or Thousands of doctors’ offices buckle oids under financial stress of COVID CDC the state podiatric medical boards. Kaiser Health News December 2020 They are presented for informational November 2020 purposes and, though thoughtfully Rural Health California law releases nurse practi- selected, do not imply endorsement, tioners from physician oversight Pandemic steamrolls health care validation, or support of the facts, Oncology Nursing News access for rural Americans statements, or views contained with- December 2020 HealthLeaders October 2020 in them. Innovations / Technology Getting health care was already Interest in hospital-at-home pro- tough in rural areas. The pandemic has grams explodes during COVID-19 made it worse AAMC News NPR Find an interesting September 2020 October 2020 article that would To free doctors from computers, far- Rural areas send sickest patients to flung scribes now take notes for them the cities, straining hospital capacity be of interest to Kaiser Health News Review NPR October 2020 November 2020 other Member Boards?

Cleveland Clinic: Top 10 medical in- State-by-state breakdown of 134 novations for 2021 rural hospital closures Submit the link to: Becker’s Hospital Review Becker's Hospital Review [email protected] October 2020 November 2020 www.fpmb.org | 19

Federation of Podiatric Medical Boards BOARD NEWSLETTERS, NEWS, & ANNOUNCEMENTS ➢ ALABAMA ➢ GEORGIA Alabama State Board of Podiatry Georgia State Board of Podiatry Examiners Alabama Board of Medical Examiners Georgia Composite Medical Board ❖ Winter 2021 ➢ HAWAII ➢ ALASKA Hawaii Medical Board [includes podiatry] Alaska State Medical Board [includes podiatry] ➢ ARIZONA ➢ IDAHO Arizona State Board of Podiatry Examiners Idaho Board of Podiatry ➢ ARKANSAS Idaho Board of Medicine Arkansas Board of Podiatric Medicine ❖ Winter 2021 Arkansas State Medical Board ➢ ILLINOIS ➢ CALIFORNIA Department of Financial & Professional Podiatric Medical Board of California Regulation [includes podiatry] ❖ Spring/Summer 2019 Medical Board of California ➢ INDIANA ❖ Winter 2021 Indiana Board of Podiatric Medicine

➢ COLORADO Indiana Professional Licensing Agency Colorado Podiatry Board ➢ IOWA Colorado Medical Board Iowa Board of Podiatry Examiners ➢ CONNECTICUT Iowa Board of Medicine Connecticut Board of Examiners in Podiatry ➢ KANSAS Connecticut Medical Examining Board Kansas State Board of Healing Arts [includes podia- ➢ DELAWARE try] Delaware Board of Podiatry ➢ KENTUCKY Delaware Board of Medical Licensure and Discipline Kentucky Board of Podiatry ➢ DISTRICT OF COLUMBIA Kentucky Board of Medical Licensure District of Columbia Board of Podiatry ❖ Winter 2021 District of Columbia Board of Medicine Newsletter ➢ LOUISIANA ❖ December 2019 Louisiana State Board of Medical Examiners FLORIDA [includes podiatry] Florida Board of Podiatric Medicine ❖ January 2021 Florida Board of Medicine (Continued on page 21) 20 | www.fpmb.org

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➢ NEVADA (Board Newsletters, News, & Announcements continued from page 20) Nevada State Board of Podiatry ➢ MAINE Nevada State Board of Medical Examiners Maine Board of Licensure of Podiatric Medicine ❖ February 2021 Maine Board of Licensure in Medicine ❖ Winter 2020 ➢ NEW HAMPSHIRE ➢ MARYLAND New Hampshire Board of Podiatry Maryland Board of Podiatric Medical Examiners New Hampshire Board of Medicine Maryland Board of Physicians ➢ NEW JERSEY ➢ MASSACHUSETTS New Jersey State Board of Medical Examiners [includes podiatry] Massachusetts Board of Registration in Podiatry Massachusetts Board of Registration in Medicine ➢ NEW MEXICO New Mexico Board of Podiatry ➢ MICHIGAN New Mexico Medical Board Michigan State Board of Podiatric Medicine and Surgery Michigan Board of Medicine ➢ NEW YORK New York State Education Department [includes ➢ MINNESOTA podiatry] Minnesota Board of Podiatric Medicine ➢ NORTH CAROLINA Minnesota Board of Medical Practice North Carolina Board of Podiatry Examiners ➢ MISSISSIPPI North Carolina Medical Board Mississippi State Board of Medical Licensure ❖ January-February 2021 [includes podiatry] ❖ March 2021 ➢ NORTH DAKOTA North Dakota Board of Podiatric Medicine ➢ MISSOURI North Dakota Board of Medicine Missouri State Board of Podiatric Medicine ❖ March 2021 Missouri Board of Registration for the Healing Arts ➢ OHIO State Medical Board of Ohio [includes podiatry] ➢ MONTANA ❖ February 2021 Montana Board of Medical Examiners [includes podiatry] ➢ OKLAHOMA ❖ August 2019 Oklahoma Board of Podiatric Medical Examiners

➢ NEBRASKA ❖ May 2020 Nebraska Board of Podiatry Licensing Unit (Continued on page 22) Nebraska State Board of Health

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➢ VERMONT (Board Newsletters, News, & Announcements continued from page 21) Vermont State Board of Medical Practice [includes ➢ OREGON podiatry] Oregon Medical Board [includes podiatry] ➢ VIRGINIA ❖ Winter 2021 Virginia Board of Medicine [includes podiatry] ➢ PENNSYLVANIA ❖ November 2020 Pennsylvania State Board of Podiatry ➢ WASHINGTON Pennsylvania State Board of Medicine Washington Podiatric Medical Board ➢ PUERTO RICO ❖ September 2019 Puerto Rico Board of Examiners in Podiatry Washington Medical Commission Puerto Rico Board of Medical Licensure and Discipline ❖ Winter 2020

➢ RHODE ISLAND ➢ WEST VIRGINIA Rhode Island Board of Examiners in Podiatry West Virginia Board of Medicine [includes podiatry] ❖ Rhode Island Board of Medical Licensure November 2020 ➢ SOUTH CAROLINA WISCONSIN Wisconsin Podiatry Affiliated Credentialing Board South Carolina Board of Podiatry Examiners Wisconsin Medical Examining Board South Carolina Board of Medical Examiners ❖ February 2021 ➢ SOUTH DAKOTA ➢ WYOMING South Dakota Board of Podiatry Examiners Wyoming Board of Registration in Podiatry Wyoming Board of Medicine ➢ TENNESSEE

Tennessee Board of Podiatric Medical Examiners ➢ CPME Tennessee Board of Medical Examiners Council on Podiatric Medical Education ➢ TEXAS ❖ October 2020 Texas Podiatric Medical Examiners Advisory Board ➢ IMLCC Texas Medical Board Interstate Medical Licensure Compact Commission ❖ January 2021 ❖ December 2020

➢ UTAH ➢ NBPME Utah Podiatric Physician Licensing Board National Board of Podiatric Medical Examiners Utah Physicians Licensing Board ❖ Fall 2020 22 | www.fpmb.org

Member Podiatric Medical Board Newsletter—Q1 2021 2020-2021 FPMB EXECUTIVE BOARD

President Vice-President Secretary-Treasurer

Bruce R. Saferin, DPM Barbara A. Campbell, DPM Leonard R. La Russa, DPM Toledo, Ohio Cave Creek, Arizona Americus, Georgia

Director Director Director Emeritus

Judith A. Manzi, DPM Marlene Reid, DPM Jay S. LeBow, DPM Santa Clara, California Chicago, Illinois Baltimore, Maryland

VISION STATEMENT Executive Director The FPMB is an empowering leader, Russell J. Stoner Germantown, Maryland helping Member Boards work independently and collectively FEDERATION OF PODIATRIC to promote and protect the public’s MEDICAL BOARDS podiatric health, safety, and welfare. 12116 Flag Harbor Drive Germantown, Maryland 20874

Office: 202-810-3762 This is your Federation. Fax: 202-318-0091 This is your newsletter. Email: [email protected] Your feedback is always welcomed! Website: www.fpmb.org