Testimony in Support Of H.2446, An Act Relative to Maintenance of Certification, Before the Special Senate Committee on Public Health

The Massachusetts Medical Society (MMS) wishes to be recorded in support for H.2446, An Act Relative to the Maintenance of Certification. 

H.2446 would prohibit the use of maintenance of certification as a basis for physician licensure, hospital employment or credentialing, or health plan reimbursement and/or credentialing. Maintenance of Certification means a continuing education program measuring core competencies in the practice of medicine and surgery and approved by a nationally-recognized accrediting organization. This bill does not limit the use of initial board certification for licensure or credentialing, nor is it in any way a statement in support of less learning by physicians or reduced quality of care.  

Maintenance of Certification requirements on board certified physicians are called “MOC.” MOC is comprised of computer modules, formal testing, and other activities that have little or no perceived value with respect to quality improvement or competency among the provider community.  There are no independent medical studies or evidence demonstrating the value of MOC in terms of improved patient outcomes.  Instead, it is overly burdensome, costs physicians thousands of dollars, and ironically, requires significant time away from practicing medicine and taking care of patients. 

In conclusion, the MOC program generates considerable costs and puts unreasonable demands on a physician’s time -   with questionable value.  H.2446 will put a stop to the growing practice of insurers and hospitals requiring MOC as a basis for credentialing or employment until more studies are done to weigh its impact on clinical and economic outcomes against the high costs required by MOC.

The MMS urges the Committee on Public Health to support H.2446 and report the bill out of Committee favorably.
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