HCA 255 TOPIC 4 DQ 2
Currently, states regulate the licensing requirements of health care practitioners. If this duty were handled at the federal level in an effort to save money by having one licensing board instead of a board in every state, what would an advantage and a disadvantage be in this policy or law change?
Health care becomes more and more important for people, therefore states regulate the licensing requirements of health care practitioners. But if this duty were handled at the federal level it will be helpful in saving money by having one licensing board instead of a board in every state, though some conditions and requirements may vary.
Should the licensing and regulation of health care practitioners be handled at the Federal level, instead of the State level? A federal law allows for one central board to handle all licensing, as opposed to a board in every state. As an advantage, this saves money by not having separate boards for each state. This is a disadvantage for states who disagree with the federal law, but ultimately give in because it is easier than enacting a whole new licensing board in each state.
A law change that would make all health care practitioners regulated by a federal board, instead of individual state boards, would potentially save money for the states. With less licensing boards there would be less bureaucracy. One disadvantage of this idea is the least amount of government control.
If a health care practitioner is registered at the federal level, there would be no need to register in every state they are planning to practice their health care career. This saves time and money as well as eliminating confusion as to what board they should register with. An advantage of this set-up is that it simplifies the registration process so more people can practice at once.
Imagine one federal board for all health care practitioners who are licensed to practice in the United States. Because there would be fewer management layers, it would certainly cut back on the growth of Medicare and Medicaid costs as well as decrease the number of offices which need to be staffed and funded. Since each state currently has a different licensure classification, this would also help eliminate confusion among different states’ regulations.
The Professional and Technical Registration Act, also known as H.R. 2490, was introduced to the United States House of Representatives in 2016 and is currently under debate. Due to the passing of this legislation each state would only have one licensing board to issue licenses for people working in the health care industry while there are currently 7,386 different types of these license boards according to a study by McKinsey & Company. While the most obvious benefit would be to cut down on wasted time and money spent by traveling across states and paying multiple filing fees it could also potentially cause confusion among employees all licensed at the same level in one state but with different requirements depending if they were working in another state.
The advantage of this change is that the requirements to get a license would be the same across the country thereby making it easier for people to move. The disadvantage is there wouldn’t be enough regulation causing some states to not have licenses at all.
Health care licensure is a process by which the government grants permission to qualified health care workers to practice in their state. Nurses, pharmacists, physical therapists and other health care professionals must be licensed before they can work in that state. Currently, each state has its own licensing boards to approve new professionals and monitor their continuing competence. In contrast, the federal government licenses physicians for all states through the Federal Physician’s Certification Program.
This is a tough topic, but I am going to go with a great deal of caution, and not put the more controversial answer that would bring about great debate. I am going to base this off of my state and my field. Currently all health care professions in my state have one entity that regulates and sets standards for our licensure. Having to remember individual state requirements, salary scales, and work requirements become burdensome as we move from one state to another. With the Affordable Care Act (ACA), health care providers will be able to move freely throughout the nation without licensure concerns or insurance coverage problems because they will be covered under their home state’s license and insurance. The downside is that it may become difficult to manage professional development and continuing education across state lines with the different standards that exist, but this would be worked out easily between communication with each individual’s state government.