The General Assembly Raised Bill No. 1452, effective October 1, 2025, introduces new regulations aimed at protecting hospital-affiliated physicians. Key provisions include a cap on patient assignments for attending physicians, limiting them to eighteen patients during a twelve-hour shift unless compensated at a higher rate, which can be either one and one-half times their hourly rate or based on the relative value unit payment methodology, whichever is greater. The bill also mandates that health systems consult with physician members of group practices before making staffing changes and submit these changes for review to the Commissioner of Health Strategy. If a health system fails to comply, an independent monitor will be appointed to oversee the group practice for one year. Additionally, health systems are prohibited from requiring physicians to join another group practice without their consent and must notify the Commissioner of Health Strategy of significant staffing changes.

Furthermore, the bill enhances employment protections for physicians by stipulating that no institution can terminate a licensed physician without just cause, which is strictly defined based on performance or conduct. Any employment contract allowing for at-will termination of a physician entered into after the effective date will be rendered void. The Commissioner of Health Strategy is also empowered to adopt regulations to implement these provisions, ensuring effective enforcement of the new protections. Overall, Raised Bill No. 1452 aims to create a more secure employment environment for physicians, potentially improving job satisfaction and retention within the healthcare system.