Resolution 18: Tying Licensure to Mandatory Participation in Government-Funded Insurance Programs

Introduced by:   Sandra M. Brown MD – Delegate, Cabarrus County Medical Society

Referred to:        Reference Committee No. 1 – Timothy M. Beittel, MD, Chair

WHEREAS, the regulatory scope of the Center for Medicare and Medicaid Services (CMMS) has been expanded under the Patient Protection and Affordable Care Act (PPACA); and

WHEREAS, the PPACA greatly increases Medicaid enrollment in participating states; and

WHEREAS, Medicaid and Medicare payments for professional services are often lower than the cost of delivering such services; and

WHEREAS, forced participation in Medicaid and Medicare could lead to practice insolvency; and

WHEREAS, government entities such as CMMS might consider linking state medical licensure to obligatory participation in such programs, which would intrude upon the sovereign authority of the North Carolina Medical Board; therefore be it

RESOLVED, That the North Carolina Medical Society opposes linking state licensure to obligatory participation in any private or government third party payer program.  (policy)

Fiscal Note:  No additional funding above current resources estimated.  Current resources will be allocated based on the priorities of the Society and the NCMS budget.

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  • We strongly support this resolution. We oppose tying licensure to acceptance of a certain health plan — public or private. We do recommend slight modification to the title to reflect the true intent of the resolution. These comments are on behalf of the delegation representing the N.C. Academy of Family Physicians — Dr. Brian Forrest, Dr. Shannon Dowler and Dr. Tom White.

  • Doug Sheets MD

    I support this resolution.

  • Tim Reeder


  • Joseph Inglefield

    Strongly agreed we need to oppose this linkage! Once we are forced to participate we will have no leverage to maintain our practices.