MA H2486

Health care practices must be wholly owned and controlled by licensed clinicians with independent practice authority (physicians, nurse practitioners, nurse anesthetists, psychiatric nurse mental health clinical specialists), or non-clinician ownership constitutes unauthorized practice of medicine

Employers cannot interfere with clinicians' professional judgment on patient time, discharge timing, clinical status decisions, diagnoses, or medical record entries through discipline, threats, coercion, or adverse employment actions

Management services organizations are prohibited from controlling medical records content, hiring/firing clinicians based on clinical competency, setting care delivery contract parameters, making final coding/billing decisions, or approving medical equipment selection

Health care practices must register with the Board of Registration in Medicine or Nursing, provide biennial certification of compliance, and designate a medical director responsible for regulatory compliance

Nondisclosure agreements restricting clinicians from discussing clinical interference are void and unenforceable, with courts required to award attorney's fees to plaintiffs who successfully challenge such provisions