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Important Information

from the State Medical Board of Ohio

December 2018 eNews

The December 2018 issue of the Medical Board's eNews is available. Here are the highlights:

  • New Rules for Chronic and Subacute Pain

  • Dietetics Jurisprudence Module Available

  • Respiratory Care Continuing Education on Laws and Ethics

  • New Email Address for Licensure, CME & Renewal Inquiries

  • 2019 Medical Board Officers

  • 2019 J-1 Waiver Program Application Cycle Now Open

  • Medical Marijuana - New Video for Patients and How-to Video for the Patient Registry

  • Upcoming Holiday Office Closure

Click here for all of the details.

 

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Holiday Office Closure 1/1/19

The Medical Board’s office will be closed on Tuesday, January 1, in observance of New Years Day. The office will reopen on Wednesday at 8 A.M.

Newly Adopted Rule for Chronic and Subacute Opioid Prescriptions Effective 12/23/18

Starting December 23, 2018, Ohio physicians and physician assistants will need to follow new regulations when prescribing opioids for the treatment of long-term pain (lasting 12 weeks or more) and subacute pain (lasting between six and 12 weeks).

The new rules establish the following check points, not limits, to ensure appropriate prescribing:

  • 50 MED: prescribers are required to re-evaluate the status of the patient’s underlying condition causing pain, assess functioning, look for signs of prescription misuse, consider consultation with a specialist and obtain written informed consent from the patient.

  • 80 MED: prescribers need to look for signs of opioid prescription misuse, consult with a specialist, obtain a written pain-management agreement and consider a prescription for naloxone, the lifesaving overdose antidote.

  • 120 MED: in order for prescribers to prescribe a dosage that exceeds 120 MED (unless the patient was already on a dosage of 120 MED or more prior to December 23, 2018) there must be a recommendation from a board certified pain medicine physician or board certified hospice and palliative care physician that is based upon a face-to-face visit and examination. There does not need to be a recommendation if the prescribing physician is himself/herself board certified in pain medicine or hospice and palliative care.

The rules do not apply to patients receiving medication for terminal conditions or those within a hospital or in-patient setting where they are closely monitored. They also take into consideration patients who are already being treated for chronic pain by not establishing a maximum dose or duration of treatment. For patients that are already being treated with opioids for chronic pain, medical standards of care still apply, however, these patients will not be required to consult with a pain management specialist unless dosages increase.

 

The specific requirements can be found in Ohio Administrative Code 4731-11.

4731-11-01 Definitions

4731-11-02 General provisions

4731-11-14 Prescribing for subacute and chronic pain

 

The old chronic pain rules in Chapter 4371-21 of the Ohio Administrative Code are rescinded as of December 23, 2018.

 

Opioid Prescriptions for Chronic and Sub-acute Pain (OAC 4731-11) -  effective December 23, 2018

Previous Chronic Pain Prescription Rules (OAC 4731-21) - rescinded December 23, 2018

Overview: Regulations for Chronic and Subacute Opioid Prescriptions

 

 

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Upcoming Office Closures

The Medical Board will be closed on the following dates in December and January:

  • December 25

  • January 1, 2019

  • January 21, 2019

Our office will reopen at 8 AM on the day following each of these closures.

 

November 2018 eNews

The November 2018 issue of the Medical Board's eNews is available. Here are the highlights:

  • License Expiring January 1? Renew Now

  • Communications to Prescribers Regarding OARRS and ICD-10 Code Compliance

  • New Rules Addressing PA Prescribing Practice

  • Ludy appointed to Dietetics Advisory Council

  • Medical Marijuana - New Videos, FAQs and CTR Applications

  • Upcoming Holiday Office Closures

Click here for all of the details.

Deadline Today to Apply for December 17th CT Exam

The date of the next Cosmetic Therapy exam is Monday, December 17, 2018. The application must be submitted before 5 p.m. today. Click here to submit an application.

 

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License Renewal Deadline 1/1/19

Licenses will expire on January 1st for physicians, massage therapists and cosmetic therapists with a last name beginning with E, F and G. If your license is not renewed by that date, your license expires and you are not allowed to practice with an expired license. Physicians with an expired license will be unable to log on to OARRS.

 

Use the self-serve portal to renew your license at elicense.ohio.gov. Contact the renewal department at license@med.ohio.gov if you need help with your renewal.

 

Please keep in mind that the Medical Board’s office will be closed on Tuesday, December 25 and Tuesday, January 1st. Renewal assistance will not be available those days.

 

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Holiday Closure in Observance of Thanksgiving Day

The Medical Board’s office will be closed tomorrow, Thursday, November 22, in observance of Thanksgiving Day. The office will reopen on Friday at 8 A.M.

Notice of 12/17/18 Public Hearing

Notice of December 17, 2018 Public Hearing (2 notices)

1st notice

2nd notice

A public hearing on proposed rules will be conducted on December 17, 2108, at 1:30 p.m. in the Lobby Hearing Room, Rhodes State Office Tower, 30 E. Broad Street, 1st Floor, Columbus, OH 43215. Oral and written testimony may be presented by any person affected by the proposed rules.

 

Click here for the Respiratory Care rules proposed to be rescinded as either duplicative of Medical Board rules and/or the statutory provisions were changed as part of the board consolidation:

4761-1-01 Public hearings on adoption, amendment, or rescission of rules: methods of public notice.

4761-1-02 Notice of board meetings.

4761-2-01 Board organization.                 

4761-2-02 Personnel.      

4761-2-05 Personal information systems.

4761-4-02 Monitoring of Ohio respiratory care educational programs by the education committee of the Ohio respiratory care board.

4761-5-05 Non-resident practice of respiratory care.

4761-5-07 Criminal records check.

4761-8-02 Licensees not in active practice.

4761-11-01 Filing of complaints.

4761-11-02 Administrative procedure for refusal to issue or renew a license or permit, deny, suspend, or revoke a certificate or license.

4761-11-04 Representation; appearance; communication; applicability.

4761-11-05 Authority and duties of the board or hearing examiner.

4761-11-06 Continuance of hearing.

4761-11-07 Filing.  

4761-11-08 Service.

4761-11-09 Computation and extension of time.

4761-11-10 Motions.          

4761-11-11 Transcripts.

4761-11-12 Subpoenas for purposes of hearing.

4761-11-13 Mileage reimbursement and witness fees.

4761-11-14 Reports and recommendations.

4761-11-15 Exchange of documents and witness lists.      

4761-11-16 Depositions and transcripts of prior testimony.

4761-11-17 Witnesses.

4761-11-18 Expert testimony.

4761-11-19 Exhibits.

4761-12-02 Renewal fees.

4761-12-03 Replacement of license or certificate.

4761-13-01 Definitions for accessing confidential personal information.

4761-13-02 Procedures for accessing confidential personal information.

4761-13-03 Valid reasons for accessing confidential personal information.

4761-13-04 Confidentiality statutes.           

4761-13-05 Restricting and logging access to confidential personal information in computerized information systems.

4761-14-01 Accepting and storing hyperbaric technologist certifications.

 

Click here for the Respiratory Care rules proposed to be amended:

4761-2-03 Board records.            

4761-3-01 Definitions of terms.                

4761-4-01 Approval of educational programs.        

4761-6-01 Limited permit application procedure. 

4761-7-01 Original license or permit, identification card or electronic license verification.            

4761-9-01 Definition of respiratory care continuing education.     

4761-9-03 Activities which do not meet the Ohio RCCE requirements.    

4761-9-04 Ohio respiratory care law and professional ethics course criteria.       

4761-9-05 Approved sources of RCCE.   

4761-10-01 Ethical and professional conduct. 

   

Click here for the Respiratory Care rules proposed as new rules:

4761-4-02 Monitoring of Ohio respiratory care educational programs.

4761-15-01 Miscellaneous provisions

 

Newly Adopted Rules Effective 11/30/18

Newly Adopted Rules for Physician Assistants

The Medical Board adopted new rules at its last meeting that are effective on November 30, 2018: