Chapters sent nearly 900 opposition letters to lawmakers via the SSLAC.
Medical licensure, ASCs, and cosmetic surgery
The Federation of State Medical Boards developed
the Interstate Medical Licensure Compact in response
to concerns regarding the long wait times for physicians to attain medical licenses in states outside of
their primary practice location, along with increased
demand for physician services due to the Affordable
Care Act and interest in the expansion of telemedicine
services. In 2015, a total of 11 states enacted legislation ensuring the compact would be created, making
it easier for physicians to obtain licenses to practice
in multiple states.
To be eligible for expedited licensure, physicians
must fulfill the following requirements:
•Possess a full and unrestricted license to practice medicine in a compact state
•Possess specialty certification or be in possession of a
time-unlimited specialty certificate
•Have no disciplinary actions related to controlled
•Have no disciplinary actions on any state medical license
• Must not be under investigation by any licensing or law
•Have passed the U.S. Medical Licensing Examination
or Comprehensive Osteopathic Medical Licensing
Examination within three attempts
•Have successfully completed a graduate medical edu-
Physicians who are ineligible for the expedited licen-
sure process could still seek licenses in those states
where they want to practice using traditional licensure
processes. The federation has created a website for phy-
sicians seeking further information about the compact.†
Connecticut legislators passed a budget in early
June that included a 6 percent tax on the gross receipts
of ASCs. However, when lawmakers reconvened for
a special session June 30, they amended the tax. The
new version of the bill excludes the first $1 million in
gross receipts from taxation, as well as any ASC revenue that is subject to the state’s hospital tax. The ACS
Connecticut Chapter engaged more than 90 Fellows to
take action against this legislation using the SSLAC.
The ACS joined a coalition of 12 other physician associations to oppose a proposed section of the Maine state
budget that would have established a tax on all cosmetic
surgery. The coalition argued this plan would have made
it extremely difficult to establish a legislative difference
between elective and medically necessary cosmetic surgery, thereby creating a discriminatory health policy.
The tax was removed from the final budget.
FIGURE 1. SAMPLE BILL TRACKING REPORT
†Interstate Medical Licensure Compact, Legislative Status website. Available at: www.licenseportability.org/. Accessed October 21, 2015.
SAMPLE CALL-TO-ACTION TWEET
V100 No 12 BULLETIN American College of Surgeons