As Reported by the House Commerce, Labor and Technology Committee

129th General Assembly
Regular Session
2011-2012
Sub. H. B. No. 417


Representative Grossman 

Cosponsors: Representatives Duffey, Thompson, Hall, Beck, Blair, Pelanda, Terhar, Patmon, Kozlowski, Reece, Hill, Hackett, Uecker, Yuko 



A BILL
To enact section 4731.228 of the Revised Code 1
regarding responsibility for notifying patients 2
that a physician's employment by a health care 3
entity has been terminated.4


BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

       Section 1. That section 4731.228 of the Revised Code be 5
enacted to read as follows:6

       Sec. 4731.228. (A) As used in this section:7

       (1) "Health care entity" means any of the following that 8
employs a physician to provide physician services:9

       (a) A hospital registered with the department of health under 10
section 3701.07 of the Revised Code;11

       (b) A corporation formed under division (B) of section 12
1701.03 of the Revised Code;13

       (c) A corporation formed under Chapter 1702. of the Revised 14
Code;15

       (d) A limited liability company formed under Chapter 1705. of 16
the Revised Code;17

       (e) A health insuring corporation holding a certificate of 18
authority under Chapter 1751. of the Revised Code;19

       (f) A partnership;20

       (g) A professional association formed under Chapter 1785. of 21
the Revised Code.22

       (2) "Physician" means an individual authorized under this 23
chapter to practice medicine and surgery, osteopathic medicine and 24
surgery, or podiatric medicine and surgery.25

       (3) "Physician services" means direct patient care services 26
provided by a physician pursuant to a certificate issued to the 27
physician by the state medical board.28

       (4) "Termination" means the end of a physician's employment 29
with a health care entity for any reason.30

       (B) This section applies when a physician's employment with a 31
health care entity to provide physician services is terminated for 32
any reason.33

        (C)(1) Except as provided in division (C)(2) of this section, 34
a health care entity shall send notice of the termination of a 35
physician's employment to each patient who received physician 36
services from the physician in the two-year period immediately 37
preceding the date of employment termination. Only patients of the 38
health care entity who received services from the physician are to 39
receive the notice.40

       (2) If the health care entity provides to the physician a 41
list of patients treated and patient contact information, the 42
health care entity may require the physician to send the notice 43
required by this section.44

        (D) The notice provided under division (C) of this section 45
shall be provided not later than ten business days after 46
termination of the physician's employment with the health care 47
entity and in accordance with rules adopted by the state medical 48
board under section 4731.05 of the Revised Code. The notice shall 49
include at least all of the following:50

        (1) A notice to the patient that the physician will no longer 51
be practicing medicine as an employee of the health care entity;52

        (2) The physician's name and any information provided by the 53
physician that the patient may use to contact the physician;54

        (3) The date on which the physician ceased or will cease to 55
practice as an employee of the health care entity;56

        (4) Contact information for an alternative physician employed 57
by the health care entity.58

       (E) If a health care entity has violated this section by 59
failing to comply with the requirements of this section, a 60
physician may bring an action in equity against that health care 61
entity in the court of common pleas of the county where the 62
alleged violation occurred.63

        (F) The requirements of this section do not apply to any of 64
the following:65

        (1) A physician rendering services to a patient on an 66
episodic basis or in an emergency department or urgent care 67
center, when the physician should not reasonably expect that 68
related medical services will be rendered by the physician to the 69
patient in the future;70

        (2) A medical director or other physician providing services 71
in a similar capacity to a medical director to patients through a 72
hospice care program licensed pursuant to section 3712.04 of the 73
Revised Code.74

       Section 2. Not later than six months after the effective date 75
of this section, the State Medical Board shall revise rule 76
4731-27-01 of the Administrative Code to require health care 77
entities, as defined in section 4731.228 of the Revised Code, to 78
provide notices in accordance with section 4731.228 of the Revised 79
Code.80