MA S1534

Health care practices must be wholly owned and controlled by licensed clinicians with independent practice authority (physicians, nurse practitioners, nurse anesthetists, or psychiatric nurse mental health clinical specialists), or be organized as professional corporations, nonprofits, LLCs, or partnerships with all shares owned by such clinicians

Employers and health care facilities are prohibited from interfering with clinicians' professional judgment through discipline, threats, or coercion regarding time spent with patients, discharge timing, clinical status decisions, diagnostic codes, or available clinical orders

Management services organizations cannot control patient medical records, hire/fire clinicians based on clinical competency, set payer contract terms, make final coding/billing decisions, or approve medical equipment selection

Nondisclosure and non-disparagement agreements restricting clinicians from discussing prohibited employer interference are void and unenforceable, with courts required to award attorney's fees to successful plaintiffs

Health care practices must register biennially with the Board of Registration in Medicine or Nursing, designate a medical director if they have multiple clinicians, and develop continuity plans for practice closures