Raised Bill No. 5463, introduced to the General Assembly, concerns the Maintenance of Certification (MOC) programs for health care providers. The bill defines a health care provider, maintenance of certification, professional liability insurance, and specialty certification. It stipulates that from January 1, 2025, insurers and other entities cannot deny reimbursement or network participation to health care providers based solely on their decision not to participate in MOC programs. Furthermore, it prohibits the requirement of MOC as a condition for obtaining professional liability insurance, provided the health care provider does not falsely claim to be a specialist.

The purpose of the bill is to prevent insurers from making MOC participation a prerequisite for health care providers to receive reimbursement, join provider networks, or secure professional liability insurance coverage. The bill introduces new legal language without underlining, as the entire text is new, and there are no deletions indicated in the provided text. The act is set to amend the relevant sections of the law, effective January 1, 2025.