A Bloc of 20 State Attorneys General Highlight Board Certification Barriers in Reproductive and Gender-Affirming Care
By Sumaya M. Noush
Health Care Law,
October 2025
A coalition of 20 state attorneys general (AGs) submitted formal testimony to the American Medical Association (AMA) on May 22, 2025, urging the AMA to take a stance against the imposition of in-person medical board certification requirements in states that have enacted laws criminalizing reproductive and gender-affirming care. This request reflects growing concern over the intersection of state criminal statutes and interstate professional credentialing obligations. This brief article analyzes the implications of the AGs’ request, the challenges posed by divergent state laws, and the potential role of the AMA and other certifying bodies in safeguarding both providers and patients in a fractured legal environment. As of late August 2025, the question of where and how physicians must take board exams has not yet been resolved nationally.
A Foot in Each Canoe Is Getting Harder: Deploying Value-Based Care Models Amid Competing Demands
By Sumaya M. Noush
Health Care Law,
May 2025
Despite growing interest in value-based care (VBC), most U.S. hospitals and health systems have not fully transitioned from the traditional fee-for-service (FFS) model due to financial, operational, and competitive challenges. Some progress has been made, especially in primary care and specialties like nephrology, supported by successful CMS pilot programs. However, political shifts, particularly upcoming changes under the Trump Administration, may reshape federal priorities for VBC. While full adoption remains slow, hospitals can take meaningful steps now—like improving data analytics, care coordination, and evidence-based clinical practices—to prepare for and succeed in a value-based future.
Spot an error in your article? Contact Celeste Niemann at cniemann@isba.org. For information on obtaining a copy of an article, visit the ISBA Newsletters page.
Select a Different Author
