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    CMA Policy Compendium

    To learn more about CMA policy, see the Policy Compendium, a searchable database of policies adopted by the CMA House of Delegates and Board of Trustees.

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    CMA’s online health law library contains over 4,500 pages of valuable information for physicians and their office staff.

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CMA's online health law library contains over 4,500 pages of CMA On-Call documents and valuable information for physicians and their staff. Access to the library is free to members. Nonmembers can purchase documents for $2 per page.

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ADA/Discrimination

  • 0814Disabled Patients Provision of Health Care Services
  • 0812Disabled Physicians and Employees
  • 0813Language Interpreters
  • 0811Patient Access to Physician Offices Facilities Barrier Removal and New Construction
  • 0802Sign Language Interpreters
  • 0806The ADA Rehabilitation Acts General Requirements and Defenses
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Adverse Events

  • 1530Medical Error and Adverse Event Reporting
  • 1540Medical Error and Adverse Events Mandatory Systems and Reporting
  • 1535Medical Error and Adverse Events: Transformation Through A Fair and Just Culture
  • 1507Vaccines, Drugs and Devices Reporting Adverse Events
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Advertising

  • 0206Accessing Patients: Marketing and Other Steps Physicians Can Take
  • 0203Advertising by Allied Health Professionals
  • 0240Medical Referral Services
  • 0205Physician Advertising
  • 1905Workers' Compensation Advertising
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AIDS/HIV

  • 1112Confidentiality of HIV AIDS Information
  • 0414Consent for HIV Test
  • 0817Discrimination HIV-Infected Patients
  • 0450Goals and Recommendations of State and Federal HIV/AIDS Programs
  • 1312HIV-Infected Physicians
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Allied Health Professionals

  • 0245Allied Health Professional Relationships Business Issues
  • 0801Allied Health Professional Relationships Liability Issues
  • 1630Alternative and Complementary Health Care Practitioners
  • 1605Medical Assistants
  • 1616Naturopathic Doctors
  • 1615Nurses
  • 1617Optometrists
  • 1620Physician Assistants
  • 1610Speech-Language Pathologists and Audiologists
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Ancillary Services

  • 0255Clinical Trials
  • 1625Cosmetic Procedures
  • 1352Liposuction
  • 0258Physicians Selling Vitamins, Dietary Supplements, and Other Items Not Requiring a Prescription
  • 1340Tissue Banks
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Antitrust

  • 0212Physicians and Unions
  • 0211The Antitrust Laws: Analysis of Physician Group Mergers
  • 0210The Antitrust Laws: What Physicians Can Do
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Business Prohibitions/Disclosure

  • 0280Corporate Practice of Medicine Bar
  • 0226Corporate Practice of Medicine Bar Decision-Making Authority for Integrated Entities Criteria
  • 0220Disclosure Requirements - State and Federal
  • 0215Physician Ownership, Employment, and Business Prohibitions
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Clinical Laboratories

  • 0310Clinical Laboratories Certification, Licensure
  • 0305Clinical Laboratories Disclosure, Payment, Billing, Record Retention, and Storage
  • 0315Clinical Laboratories Self-referral and fee-splitting prohibitions
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Consent

  • 0410Cancer Information Requirements
  • 0407Consent for Blood Transfusions
  • 0413Dimethyl Sulfoxide (DMSO)
  • 0432Exposed Health Care Workers Testing Patients Blood
  • 0420Format for Informed Consent Forms
  • 0418Incompetent Patients Determining Capacity to Give Consent and Who Consents if the Patient Lacks Capa
  • 0415Informed Consent
  • 0422Informed Consent Choosing Surrogates
  • 0417Informed Consent Exceptions Emergencies, Therapeutic Privilege and Patient Requests not to be Inform
  • 0430Informed Consent Inpatient Procedures
  • 0421Informed Consent Long Term Care Facilities
  • 0405Mental Health 5150 Holds 72-Hour Detention
  • 0425Minor Consent
  • 0419Use of Restraints and Seclusion
  • 0440Vaccine Administration Mandated Information
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Death/Organ Donation

  • 1301Autopsies
  • 1307Organ and Tissue Donations
  • 1305Pronouncement of Death and Death Certificates
  • 1302Pronouncement of Death Diagnosis of Death by Neurologic Criteria
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Decisions Regarding Life-Sustaining Treatment

  • 0404CMA Model Policy: Responding to Requests for Non-Beneficial Treatment
  • 0412Decision Regarding Life-Sustaining Treatment the Patient Self-Determination Act and Joint Commission
  • 0445Decisions Regarding Life-Sustaining Treatment Advance Directives and POLST
  • 0408Decisions Regarding Life-Sustaining Treatment for Patients Without Advance Directive or POLST
  • 0409Decisions Regarding Resuscitative Measures DNR Requests and Orders and Cardiopulmonary Resuscitation
  • 0411Documenting Decisions Regarding Life-Sustaining Treatment
  • 1325Physician-Assisted Suicide
  • 0403Responding to Requests for Non-Beneficial Treatment
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Drug Prescribing/Dispensing

  • 0508Controlled Substances Dispensing
  • 0509Controlled Substances Prescribing
  • 0505Drug Dispensing (Not Schedule II-V Drugs)
  • 0507Drug Formularies, Prescription Drug Benefit Plans, and Pharmacy Benefit Managers
  • 0510Drug Prescribing (Not Schedule II-V Drugs)
  • 0511Drug Prescribing Drugs from Other Countries
  • 0515Drug Prescribing: Unauthorized
  • 0513Pain Management
  • 1315The Compassionate Use Act of 1996 the Medical Marijuana Initiative
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Drug Testing

  • 0523Employer Obligations Regarding Drug and Alcohol Use in the Workplace
  • 0522Medical Staff Drug and Alcohol Testing Programs
  • 0525Physician Obligations Regarding Drug or Alcohol Testing
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eMedicine

  • 1609Electronic Funds Transfer (EFT)
  • 1132Electronic Health Records
  • 1131Electronic Health Records (EHRs): Selecting the Right EHR System for Your Practice
  • 1133Electronic Health Records: Federal Incentive Program
  • 1138Electronic Signatures
  • 1134Federal Electronic Health Record (EHR) Incentives: Reassignment of Incentive Payments
  • 1136Meaningful Use of Electronic Health Records (EHRs)
  • 0822Online Consumer Review and Rating Sites
  • 0823Physician Websites, Internet Advice and Email
  • 1140Physicians and the Use of Social Media
  • 0435Telemedicine
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Emergency Transfer

  • 1215Emergency Transfer Laws
  • 1216Emergency Transfer Laws Medical Staff and On-Call Requirements
  • 1214Payment to Secure Availability of On-Call Coverage
  • 1217Reducing Restructuring On-Call Coverage Requirements
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Expert Witness Issues

  • 0909Expert Witness Guidelines
  • 0910Expert Witness Issues
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Fraud and Abuse

  • 0601Advice of Counsel Defense
  • 0605Criminal Convictions - Collateral Consequences
  • 0703Federal Criminal Investigations Prosecutions
  • 0610Fraud and Abuse (Federal and California Law)
  • 0710Medicare OIG Investigations
  • 0629The Medicare Recovery Audit Contractor Program
  • 0608Whos Got Your Number? How Physicians Become the Victims
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Fraud and Abuse: Referral Issues

  • 0648Federal Self-Referral Prohibitions Requirements Summary of CMS Stark II Phase I and II Regulations
  • 0612Gifts and Free Services (Including Promotional Items)
  • 0621Kickbacks and Fee-Splitting--Other Laws Used to Deter Payments for Referrals
  • 0661Physician-Hospital Compensation Arrangements and the Potential for Improper Referrals
  • 0242Practice Promotion through Third Party Coupons
  • 0624Professional Courtesy
  • 0620Prohibitions Against Kickbacks and Fee-Splitting
  • 0627Referring Patients If the Practice is not Prohibited Altogether, is it Safe from Antikickback Prosec
  • 0630Safe Harbors (Medicare)
  • 0636Self-Referral Prohibitions (Federal and California)
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Managed Care

  • 1010Adding New Doctors to Panel*
  • 1071Coverage Requirements Pre-Existing Condition Exclusions
  • 1020Disclosure by Managed Care Plans (and their Contracting Medical Groups IPAs)
  • 1023Managed Care Glossary
  • 1047Office Audits Managed Care
  • 1049Patient Complaints About Managed Care Plans
  • 1051Physician Complaints About Managed Care Plans
  • 1048Point-of-Service Plans
  • 1050Retaliation by Managed Care Plans or Others
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Managed Care: Contract Termination/Exclusion

  • 1075All Products Affiliates Clauses
  • 1705CMA Contract Analysis Service
  • 1055Contract Termination by Physicians and Continuity of Care Provisions
  • 1041Contract Termination Exclusion Legal Challenges (Non Antitrust)
  • 1099Contract Termination or Exclusion Action Plan for Physicians
  • 1035Exclusion or Termination of Physicians Antitrust Challenges
  • 1040Exclusivity Provisions and Membership Requirements in Contracts, Including Most-Favored-Nation Claus
  • 1053Failure to receive plan referrals
  • 1070Managed Care Contractual Protections
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Managed Care: Risk Arrangements

  • 1016Capitation, Including Risk Adjustment
  • 0223Risk Bearing Medical Groups, Including IPAs Regulation of Solvency
  • 1036State and Federal Laws on Financial Incentive Arrangements
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Managed Care: Utilization Review & Management

  • 1005Access to Physicians
  • 0835Clinical Guidelines
  • 1025Denials of Necessary Medical Services
  • 1033Disease Management Organizations
  • 1060Formation and Use of Utilization Profiles
  • 1039Hospital Stay and Discharge Requirements
  • 1007Independent External Medical Review
  • 1045Medical Directors Utilization Review and the Practice of Medicine
  • 1027Pay for Performance
  • 1065Penalties for Failure to Follow Utilization Review Procedures
  • 0899Physician Specific Outcome Reporting
  • 1046Primary Care Physicians and Direct Access to OB-GYNs
  • 1080Second Opinions
  • 1085Telephone Medical Advice
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Medical Board: Discipline & Licensing

  • 0790Grounds for Medical Board Discipline
  • 0708MBC Enforcement Authority
  • 0717MBC Public Disclosure Program
  • 0705Medical Board Investigations
  • 0838Sexual Relations with Patients Sexual Misconduct
  • 0720U.S. Medical Licensing Agencies
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Medical Board: Reporting to

  • 1415MBC and NPDB Reporting Disciplinary Actions
  • 1414MBC and NPDB Reporting Malpractice Payments
  • 1406MBC and NPDB-HIPDB Reports Self-Query, Disputing and Correcting Information
  • 1408MBC Other Reporting Requirements (Not Malpractice or Discipline)
  • 1405NPDB & HIPDB Overview
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Medical Practice: Employment Issues

  • 0213CMA Model Employment Contract
  • 0107Covering Physicians (Locum Tenens)
  • 1308Employer Poster Requirements
  • 0224Ethical Guidelines for Employer and Employee Physicians
  • 0216Family and Medical Leave
  • 0225Independent contractors
  • 0232New-Hire Reporting Requirement
  • 0217Overview of Select Physician Practice Employment Issues
  • 0233Pre-Employment Inquiries
  • 0250Retirement Notice
  • 0235Wage and Hour Laws
  • 0229Whistleblower Protections for Employees
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Medical Practice: Groups, IPAs, MSOs

  • 0207ADR in Physician Contracts
  • 0208Applicability of Sales and Use Tax on Physicians
  • 0209Capital Resources for Physicians
  • 0204CMA Principles and Guidance Regarding ACOs
  • 0239Governance Issues for Physician Organizations
  • 0201Legal and Practical Considerations Concerning Accountable Care Organizations (ACOs)
  • 0218Legal and Practical Considerations Concerning Medical Foundations
  • 0231Management Services Organizations (MSOs) and Physician Practice Management Companies (PPMs)
  • 0254Medical Foundation: CMA Principles and Guidance
  • 0228Medical Group How to Form
  • 0230Medical Partnerships and Corporations
  • 0200Medical Practice Options Overview
  • 0219Physician Rights Medical Groups and IPAs
  • 0221Practice Consultant How to Hire
  • 0222Practice Consultant Sample Agreement & RFP
  • 0256Selling Your Practice to an Integrated Delivery System
  • 0227Specialty IPA How to Form
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Medical Records: HIPAA

  • 1602Business Associate Agreements
  • 1603HIPAA ACT SMART Introduction to the HIPAA Privacy Rules
  • 1606HIPAA Electronic Transaction Rule
  • 1600HIPAA Overview
  • 1607HIPAA Security Rule
  • 1608National Provider Identification Numbers
  • 1604Spanish Notice of Privacy Practices
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Medical Records: Management

  • 1122Accounting of Disclosures
  • 1135Contents of Medical Records
  • 1146Fax Machines and the Medical Office
  • 1125Medical Records Allowable Copying Charges
  • 1100Medical Records Most Commonly Asked Questions
  • 1160Retention of Medical Records
  • 1144Security Breach of Health Information
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Medical Records: Requests for Access

  • 1127Attorney Pre-Litigation Request for Medical Information
  • 1145Employer Access to Medical Records Employment Physicals
  • 1170Health Plan Access to Medical Records
  • 1148Medi-Cal and Medicare Investigators' Access to Medical Records
  • 1150Patient Access to Medical Records
  • 1155QIO Access to Physician Office Charts
  • 1101Request by Other Third Parties CMIA, IIPPA, and the HIPAA Privacy Rules
  • 1147Requests by Law Enforcement Search Warrants
  • 1180Subpoenas Guide for Responding
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Medical Records: Special Confidentiality Requirements

  • 1110Confidentiality of Sensitive Medical Information
  • 1187Disclosure of Immunization Information
  • 1175Special Confidentiality Requests
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Medical Staffs

  • 1201Allied Health Practitioners (AHPs) in the Hospital
  • 1241Disruptive Behavior Involving Members of the Medical Staff
  • 1212Economic Credentialing and Exclusive Contracts
  • 1211Exclusive Contracts
  • 1240Guidelines for Physician Well-Being Committees Policies and Procedures
  • 1248Hospital Accreditation Organization Standards Concerning Medical Staff Self-Governance
  • 1219Hospital Medical Staff Incorporation
  • 1281Legal Counsel for the Medical Staff Consistent or Conflicting Interests
  • 1206Medical Staff Bylaws a Binding Agreement to Protect Patient Care
  • 1703Medical Staff Bylaws Analysis Service
  • 1207Medical Staff Membership for Physician Excluded from any Federally Funded Health Care Program
  • 1279Medical Staff Relationship with Hospital Board (Governing Body)
  • 1280Medical Staff Self-Governance Policy and Law
  • 0837Sexual Harrassment in the Medical Staff Context
  • 1250Ten Strategies to Protect Quality Through Medical Staff Self-Governance
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Medicare and Medi-Cal

  • 1026Denials Under Medicare Managed Care
  • 0626Medi-Cal Audits
  • 0625Medicare Audits
  • 0516Medicare Drug Benefit (Medicare (Rx))
  • 0152Medicare Managed Care Medicare Advantage
  • 0151Medicare Participation (and Non-Participation) Options
  • 0147Medicare Reassignment Rules
  • 0640Reasonable and Necessary Services Under the Medicare Program
  • 0600Resource Guide for Medicare Medi-Cal
  • 0150Side Agreements with Medi-Cal Patients
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Miscellaneous Issues

  • 1701Asking for CMA legal assistance*
  • 0810Disability Parking Certification
  • 1350Driving Laws Emergency Exemptions
  • 1318False or Misleading Health Product Advertising How to Report
  • 1707IMQ Continuing Medical Education-Certification Program for Physicians
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Office Safety

  • 1841Accidents Investigating and Documenting
  • 1842Aerosol Transmissible Diseases
  • 1805Bloodborne Pathogens
  • 1810Cal-OSHA Compliance and Inspections
  • 1827Ergonomics
  • 1815Hazardous Substances Communication in the Workplace
  • 1820Hazardous Waste
  • 1825Injury and Illness Prevention Programs
  • 1830Medical Waste
  • 1828Occupational Injury and Illness Records Log 300
  • 1807Sharps & Safety Needles
  • 1835Tuberculosis Transmission
  • 1840Workplace Violence
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Outpatient Facilities

  • 1326Ambulatory Care Accreditation Program
  • 0214Hospital Outpatient Clinics - Legal Considerations Impacting Physicians
  • 1335Mammography Facilities and X-rays
  • 0202Surgicenters & Other Outpatient Facilities
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Peer Review

  • 1420Administrator and Board Access to Peer Review Files
  • 1403Assisting Physicians with Substance Abuse or Mental Health Problems
  • 1205Board Certification as a Requirement for Medical Staff Privileges
  • 1430Credentialing - Liability Releases, Indemnification
  • 1431Credentialing - Malpractice Claims and History
  • 1407Documentation of Peer Review Activities
  • 1417External Peer Review
  • 1411Guide to Physician Peer Review Hearings
  • 1498Ongoing Professional Practice Evaluation
  • 1410Peer Review - Fair Hearing Requirements
  • 1425Peer Review Protections - Executive Summary
  • 1429Privileging Low Volume Practitioners
  • 1422Proctoring
  • 1435Reporting Incompetent, Impaired, or Unethical Colleagues
  • 1440Sharing of Peer Review Information
  • 1443State Agency Requests for Peer Review Information
  • 1445Summary Suspensions
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Physician-Patient Relationship

  • 0818Establishment of the Physician-Patient Relationship
  • 0275Patient Retention Restrictive Covenants
  • 0819Physician-Patient Communication
  • 0805Termination of the Physician-Patient Relationship
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Professional Liability

  • 0807Arbitration of Medical Injury Claims
  • 0800Commonly Asked Questions About Professional Liability
  • 0808Countersuits (Malicious Prosecution)
  • 0895Elder and Dependent Adult Abuse Liability
  • 0820Good Samaritan and Other Immunities
  • 0804Malpractice Insurance Issues
  • 0809Malpractice, Manslaughter or Murder
  • 0830Managed Care - Health Plan Liability
  • 1043Managed Care - Physician Malpractice Liability
  • 0825MICRA Information
  • 0836Punitive Damages
  • 0832Resolution of Claims with Medicare-Eligible Claimants
  • 0824Responding to Unanticipated Outcomes in Patient Care
  • 0870Sexual Harrassment of Patients or Employees
  • 0803What Happens When You're Sued
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Reimbursement: From HMOs & Other Private Payors

  • 0105Assignment of Benefits
  • 0121Authorization and Payment for Emergency Services
  • 0106Bankruptcy of IPAs or Health Plans
  • 0114Coordination of Benefits
  • 0116Coordination of Benefits Payment Below Medicare Allowable
  • 0122ERISA Plans
  • 0129Fee Schedules
  • 0180Health Plan Special Claims Review
  • 0131Insolvency of Health Plan, IPA or Other Entities that Contract with Health Plans (Pre-Bankruptcy or
  • 0124Late Payment
  • 0130Non-Contracting Physicians Implied Contracts
  • 0145Payment Denial after Treatment Authorization or Verification of Eligibility
  • 0146Payment Denials by Managed Care Plans and IPAs
  • 0135Plan Requests for Refunds from Physicians
  • 0185Reimbursement for Immunizations and Other Injections*
  • 0108RICO Settlements
  • 1907Silent PPO Action Guide
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Reimbursement: From Patients

  • 0110Billing patients
  • 0120Collecting from deceased patient's estate
  • 0112Collecting from patients extending credit
  • 0117Concierge (Boutique) Practices
  • 0118Health Savings Accounts
  • 1119Red Flags Rule
  • 0115Waiver of copayment
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Reimbursement: Other Issues

  • 0113Charging for Form Completion
  • 0111Hiring a Billing Company
  • 0125Medical Liens
  • 0123Physician Access to Hospital, Laboratory and Pharmacy Charges
  • 0155Small Claims Action to Recover Payment
  • 0119The Emergency Medical Services Fund and Federal Funds for Undocumented Alien Emergency Care
  • 0160Treatment of Relatives (or Oneself)
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Reporting Abuse/Violence

  • 1505Child Abuse or Neglect
  • 1510Reporting Dependent Adult and Elder Abuse
  • 1511Reporting Domestic Violence
  • 1520Reporting Injuries by a Deadly Weapon, Criminal Act, Health Facility Neglect, or Emergency Departmen
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Reporting Diseases, Conditions, & Events

  • 1525DMV Reports Epilepsy Lapses of Consciousness
  • 1528Occupational Illness and Injury
  • 0845Pandemic and Emergency Health Preparedness Act
  • 1515Psychiatric Inpatients Reporting Firearms Prohibition
  • 1506Reporting Communicable Diseases, Including Tuberculosis & Diseases Related to Bioterrorism
  • 1527Reporting neonatal & pediatric disorders
  • 1501Requirements for Reporting Cancer and Parkinson's Disease Cases
  • 1503Vital Statistic Reporting Birth and Marriage
Expand

Reproductive Issues

  • 0401Abortion Issues
  • 0406Infertility Treatment Consent Requirements
  • 1313Infertility Treatment Licensing and Disease Screening Requirements
  • 0416Informed Consent for Sterilization (and Hysterectomies)
  • 1303Tests of Pregnant Women, Newborns and Young Children
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Warning Obligations

  • 0815Physician's Duty to Warn
  • 0816Proposition 65 Warnings
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Workers' Compensation

  • 1911Basics of the Workers' Compensation System
  • 1915Health Care Organizations (HCOs)
  • 1932Medical Provider Networks
  • 1925Medical-Legal Evaluations, Reports, and Payment
  • 1955MPN Independent Medical Review
  • 1945Qualified Medical Evaluators (QMEs) Requirements and Responsibilities
  • 1951Spinal Surgery Second Opinion Process
  • 1930Treating Physicians Obligations & Reports
  • 1929Treating Physicians Payment for Treatment
  • 1950Utilization Review
  • 1922Workers' Compensation Fraud Identifying, Reporting and Responding to Suspected Fraud
  • 1940Workers' Compensation Subpoenas

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