Journal of Urgent Care Medicine

Texas, Louisiana Mandate Nutrition CME For Clinicians

New laws in Louisiana and Texas will soon require clinicians to complete continuing medical education (CME) courses in nutrition. Under guidance of the state’s medical board, Louisiana physicians and physician assistants will be required to complete at least 1 hour of nutrition and metabolic health CME every 4 years. Physicians, nurses, dietitians, and allied health professionals in Texas who submit an application for licensure renewal will need to complete nutrition CME first. Professional boards responsible …

Two States Have Now Adopted ‘Physician Associate’ Title

Maine this month enacted legislation to change the professional title typically known as “physician assistant” (PA) to “physician associate.” It is the second state to do so; Oregon adopted the physician associate designation in April 2024. A 2-year advocacy campaign led by the Maine Academy of Physician Associates helped to influence the change, according to a press release. Nationally, the American Academy of Physician Associates (AAPA) voted in 2021 to adopt “physician associate” as the …

Mississippi’s Expanded Scope of Practice Bill Will Not Move Forward

In Mississippi, the House of Representatives passed a bill in February that would have allowed advanced practice nurses (APRNs) to treat patients without a collaboration agreement with a physician after accruing 8,000 hours of experience. However, the bill and another similar bill ultimately didn’t reach a vote before the legislative session ended earlier this month. The American Medical Association and the Mississippi State Medical Association lobbied against this expansion in scope of practice for APRNs …

Ohio X-Ray Regulations Shackle Urgent Care Growth

Most of the legislative issues that affect urgent care operations are governed at the state level, particularly provider scope-of-practice laws. A recent guest column in the Columbus Dispatch by Alan Ayers, MBA, MAcc, President of Urgent Care Consultants and Senior Editor of JUCM, makes the case for urgent care’s untapped potential in providing affordable access to care in rural areas. Kentucky and Indiana are witnessing growth in rural urgent care, but Ohio is lagging because …

Radiation Exposure Varies Widely in CT Scans, Medicare Wants Data

New regulations that began in January require hospitals and outpatient centers in certain Medicare quality payment programs to collect and report data summarizing the radiation doses resulting from the computed tomography (CT) scans they deliver. The rule is meant to improve patient safety by tracking the wide variation in radiation exposure—the doses can vary by an order of magnitude of tenfold or more. According to Kaiser Health News, providers must comply with data reporting rules …

Oregon Seeks to Edit Titles of AI ‘Nurses’

This month, the Oregon House of Representatives gave its blessing to House Bill 2748, which mandates that the title “nurse” can only be used exclusively for human beings who practice nursing—in other words, artificial intelligence (AI) systems cannot use the term “nurse.” Lawmakers introduced the bill after concerns that AI chatbot “nurses” could mislead patients. The bill now moves to the Oregon Senate. “As AI adoption grows in medical practice, there will be greater implications …

Ohio Law Calls For New Healthcare Workplace Violence Protection Plans

Ohio Gov. Mike DeWine recently signed a new bill into law, requiring hospitals to enhance protections against workplace violence. The law mandates hospitals to create comprehensive workplace violence prevention plans, including staff training, reporting systems for workplace incidents, and policies prohibiting retaliation against staff who report violent incidents. Plans must be developed with input from clinical staff. The law further provides civil immunity for healthcare workers who act in self-defense or defense of others during …

Oregon Bill Calls for UC Registration and Standards That Align With UCA Certification

Proposed regulatory changes in Oregon would require registration for urgent care (UC) centers operating in the states while also enforcing a number of operational standards. Like the newly minted Massachusetts law, Oregon’s proposal would give the Oregon Health Authority (OHA) discretion to create processes, define fees, and require certain capabilities among UC centers. For example, the proposed regulation includes a requirement that centers must provide clinical summaries and medical notes to patients after their visits. …

Urgent Care Centers Preparing For New Licensing Rules in Massachusetts

Massachusetts enacted a new law this month aimed at healthcare businesses, which includes stricter reporting standards and licensing requirements for urgent care centers. According to National Law Review, the Massachusetts Department of Public Health has been granted the authority to develop and enforce the specific licensing criteria for urgent care, which is expected by October 1. Licensed hospitals, hospital affiliates, community health centers, and limited service clinics are exempt from the new licensing requirement, making …

Removing Medical Debt From Credit Reports Could Create More Bad Debt for Providers

Now in its waning days, the Biden administration has finalized a regulation banning the inclusion of medical debt in American consumers’ credit reports. The rule would erase $49 billion in medical debts from the credit reports of about 15 million Americans, according to Reuters. The Consumer Data Industry Association and Cornerstone Credit Union League immediately filed a lawsuit against the Consumer Financial Protection Bureau (CFPB) to prevent the law from taking effect. While excluding medical …

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