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                                                       PRINTER'S NO. 578

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 158 Session of 2003


        INTRODUCED BY MICOZZIE, DeLUCA, HENNESSEY, MANDERINO, PIPPY,
           SATHER, TANGRETTI, VANCE, WALKO, BISHOP, BROWNE, DAILEY,
           J. EVANS, FREEMAN, LEVDANSKY, MUNDY, STABACK, STEIL, SURRA,
           E. Z. TAYLOR, TIGUE, WASHINGTON AND YOUNGBLOOD,
           FEBRUARY 26, 2003

        REFERRED TO COMMITTEE ON INSURANCE, FEBRUARY 26, 2003

                                     AN ACT

     1  Amending the act of March 20, 2002 (P.L.154, No.13), entitled
     2     "An act reforming the law on medical professional liability;
     3     providing for patient safety and reporting; establishing the
     4     Patient Safety Authority and the Patient Safety Trust Fund;
     5     abrogating regulations; providing for medical professional
     6     liability informed consent, damages, expert qualifications,
     7     limitations of actions and medical records; establishing the
     8     Interbranch Commission on Venue; providing for medical
     9     professional liability insurance; establishing the Medical
    10     Care Availability and Reduction of Error Fund; providing for
    11     medical professional liability claims; establishing the Joint
    12     Underwriting Association; regulating medical professional
    13     liability insurance; providing for medical licensure
    14     regulation; providing for administration; imposing penalties;
    15     and making repeals," providing for public disclosure of
    16     information concerning physicians.

    17     The General Assembly of the Commonwealth of Pennsylvania
    18  hereby enacts as follows:
    19     Section 1.  The act of March 20, 2002 (P.L.154, No.13), known
    20  as the Medical Care Availability and Reduction of Error (Mcare)
    21  Act, is amended by adding a section to read:
    22  Section 911.  Public disclosure.
    23     (a)  Data repository established.--There shall be jointly


     1  established between the State Board of Medicine and the State
     2  Osteopathic Board of Medicine a data repository which shall
     3  annually collect information to create individual profiles on
     4  each physician licensed in the Commonwealth. The information
     5  shall be collected on a form prescribed by the licensing board
     6  and shall be made available to the general public on the
     7  Department of State's publicly accessible World Wide Web site.
     8     (b)  Required information.--By July 1, 2003, and every year
     9  thereafter, each physician shall submit to the licensing board
    10  on the prescribed form the following:
    11         (1)  Information regarding the sentencing of a physician
    12     for an offense as provided in section 15 of the act of
    13     October 5, 1978 (P.L.1109, No.261), known as the Osteopathic
    14     Medical Practice Act, or section 41 of the act of December
    15     20, 1985 (P.L.457, No.112), known as the Medical Practice Act
    16     of 1985.
    17         (2)  Information regarding the arrest of a physician for
    18     any of the following offenses in this Commonwealth or another
    19     state:
    20             (i)  18 Pa.C.S. Ch. 25 (relating to criminal
    21         homicide).
    22             (ii)  18 Pa.C.S. § 2702 (relating to aggravated
    23         assault).
    24             (iii)  18 Pa.C.S. Ch. 31 (relating to sexual
    25         offenses).
    26             (iv)  A violation of the act of April 14, 1972
    27         (P.L.233, No.64), known as The Controlled Substance,
    28         Drug, Device and Cosmetic Act.
    29         (3)  A description of any charges to which a physician
    30     pleads nolo contendre or where sufficient facts of guilt were
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     1     found and the matter was continued without a finding of a
     2     court of competent jurisdiction.
     3         (4)  A description of any final disciplinary actions
     4     taken against a physician by the licensing board in the
     5     Commonwealth or a health care licensing authority in another
     6     state within the ten most recent years.
     7         (5)  A description of any revocation or involuntary
     8     restriction of hospital privileges for reasons related to
     9     competency or character taken by a hospital's governing body
    10     or any other official of a hospital after procedural due
    11     process has been afforded, or the resignation from or
    12     nonrenewal of medical staff membership or the resignation of
    13     privileges at a hospital in lieu of or in settlement of a
    14     pending disciplinary case related to competence or character
    15     of the physician in that hospital in the ten most recent
    16     years.
    17         (6)  All medical malpractice judgments or settlements in
    18     which a payment is awarded to a complaining party within the
    19     ten most recent years. Disposition of paid claims shall be
    20     reported in a minimum of three graduated categories
    21     indicating the level of significance of the judgment or
    22     settlement. Information involving paid malpractice claims
    23     shall be put in context by the repository by showing a
    24     comparison between a physician's judgment awards and
    25     settlements to the experience of other physicians within the
    26     same specialty classification. Information concerning all
    27     settlements shall be accompanied by the following statement:
    28             Settlement of a malpractice claim may occur for a
    29         variety of reasons which do not necessarily reflect
    30         negatively on the professional competence or conduct of a
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     1         physician. A payment in settlement of a malpractice claim
     2         should not be construed as creating a presumption that
     3         medical malpractice has occurred.
     4     Nothing herein shall be construed to limit or prevent the
     5     licensing board from providing further information about the
     6     significance of categories in which settlements are reported.
     7         (7)  Names of medical schools attended, graduate medical
     8     education obtained and dates of graduation.
     9         (8)  Specialty board certification.
    10         (9)  Number of years in practice.
    11         (10)  Names of hospitals at which privileges are
    12     attained.
    13         (11)  Appointments to medical school faculties.
    14         (12)  Information on published articles in peer review
    15     literature.
    16         (13)  The location and telephone number of the
    17     physician's primary practice setting.
    18         (14)  An indication as to whether the physician
    19     participates in the Medicare or State medical assistance
    20     program.
    21     (c)  Explanation.--Physicians may provide an explanation of
    22  any information disclosed pursuant to subsection (b) which shall
    23  be included by the licensing board in the profile.
    24     (d)  Initial profile.--The licensing board shall provide
    25  physicians with a copy of their initial profile prior to its
    26  release to the general public. Physicians shall have no more
    27  than 30 days from the date of receipt of this profile to correct
    28  any factual inaccuracies that appear in the profile and return
    29  it to the licensing board at which time the initial profile
    30  shall be published.
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     1     (e)  Revision or correction.--The licensing board shall
     2  establish a process through which each physician may revise or
     3  correct any information contained in the profile, provided
     4  however, that revisions to information disclosed under
     5  subsection (b)(1), (2), (3), (4), (5) and (6) shall be made
     6  within 60 days of any arrest, sentencing or other final action
     7  taken against a physician.
     8     (f)  Penalties.--In addition to any other penalty provided
     9  for in this act, the licensing board shall impose a civil
    10  penalty for any violations of the provisions of this section in
    11  the following manner: $1,000 for a first offense, $2,500 for any
    12  second offense; and $5,000 for any third or subsequent offenses.
    13     Section 2.  This act shall take effect immediately.












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