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Out of Bounds: Physician Licensing Board Disciplinary Cases related to Opioid Prescribing

Published online by Cambridge University Press:  16 December 2024

Carol L. Galletly
Affiliation:
MEDICAL COLLEGE OF WISCONSIN, MILWAUKEE, WISCONSIN, USA
Erika A. Christenson
Affiliation:
BOSTON MEDICAL CENTER, BOSTON, MASSACHUSETTS, USA
Jessica Ohlrich
Affiliation:
MEDICAL COLLEGE OF WISCONSIN, MILWAUKEE, WISCONSIN, USA
Julia Dickson-Gomez
Affiliation:
MEDICAL COLLEGE OF WISCONSIN, MILWAUKEE, WISCONSIN, USA

Abstract

Physician prescribing practices contributed to the US opioid epidemic, leading to increased regulation of opioid prescribing. In some instances, prescribers are unscrupulous or corrupt. They are criminally investigated and subject to prosecution. Less egregious opioid prescribing infractions are addressed through state medical licensing boards. At stake are physicians’ licenses to practice medicine.

Type
Independent Articles
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of American Society of Law, Medicine & Ethics

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References

Campbell, B.K., et al, “Facilitating Outpatient Treatment Entry Following Detoxification for Injection Drug Use: A Multisite Test of Three Interventions,” Psychology of Addictive Behaviors, 23, no. 2 (2009): 260270; T.L. Mark et al., “Factors Associated with the Receipt of Treatment Following Detoxification,” Journal of Substance Abuse Treatment, 24, no. 4 (2003): 299–304, doi: https://doi.org/10.1016/s0740-5472(03)00039-4; B.D. Stein et al., “Substance Abuse Detoxification and Residential Treatment Among Medicaid Enrolled Adults: Rates and Duration Of Subsequent Treatment,” Drug & Alcohol Dependence, 104, no. 1-2 (2009): 100–106, doi: https://doi.org/10.1016/j.drugalcdep.2009.04.008.CrossRefGoogle ScholarPubMed
Mark, T.L. et al., “Factors Affecting Detoxification Readmission: Analysis of Public Sector Data from Three States,” Journal of Substance Abuse Treatment, 31, no. 4 (2006): 439445, doi: https://doi.org/10.1016/j.jsat.2006.05.019.CrossRefGoogle ScholarPubMed
Morgan, J.R. et al., “Opioid Overdose and Inpatient Care for Substance Use Disorder Care in Massachusetts,” Journal of Substance Abuse Treatment, 112 (2020): 4248, doi: https://doi.org/10.1016/j.jsat.2020.01.017.CrossRefGoogle ScholarPubMed
Lindsey, E.D. et al., “A Recent History of Opioid Use in the US: Three Decades of Change,” Substance Use & Misuse 54, no. 2 (2018): 331339, doi: https://doi.org/10.1080/10826084.2018.1517175.Google Scholar
Opioid Regulations: State by State Guide, The American College of Emergency Physicians, available at <https://www.acep.org/siteassets/sites/acep/media/by-medical-focus/opioids/opioid-guide-state-by-state.pdf> (last visited September 9, 2024); Harm Reduction Legal Project, 50 State Survey, Laws Limiting the Prescribing or Dispensing of Opioids, The Network for Public Health Law, available at <https://www.networkforphl.org/wp-content/uploads/2021/05/50-State-Survey-Laws-Limiting-the-Prescribing-or-Dispensing-of-Opioidspf-CSD_FINAL.pdf> (last visited September 9, 2024)+(last+visited+September+9,+2024);+Harm+Reduction+Legal+Project,+50+State+Survey,+Laws+Limiting+the+Prescribing+or+Dispensing+of+Opioids,+The+Network+for+Public+Health+Law,+available+at++(last+visited+September+9,+2024)>Google Scholar
Reidenberg, M.M. et al., “Prosecution of Physicians for Prescribing Opioids to Patients,” Clinical Pharmacology & Therapeutics 81, no. 6 (2007): 903906.CrossRefGoogle ScholarPubMed
Gatchel, R.J., “Is Fear of Prescription Drug Abuse Resulting in Sufferers of Chronic Pain Being Undertreated?Expert Review of Neurotherapeutics 10, no. 5 (2010): 637639.CrossRefGoogle ScholarPubMed
Dineen, K.K. and DuBois, J.M.. “Between a Rock and a Hard Place: Can Physicians Prescribe Opioids to Treat Pain Adequately While Avoiding Legal Sanction? American Journal of Law & Medicine 42, no. 1 (2016): 752.CrossRefGoogle Scholar
See Dineen, id; See Reidenberg, supra note 7.Google Scholar
Davis, C.S. and Carr, D.H.. “Self-Regulating Profession? Administrative Discipline of “Pill Mill” Physicians In Florida,” Substance Abuse 38, no. 3 (2017): 265268.CrossRefGoogle ScholarPubMed
Federation of State Medical Boards of the United States (FSMB), US Medical Regulatory Trends and Actions 2018, available at <https://www.fsmb.org/siteassets/advocacy/publications/us-medical-regulatory-trends-actions.pdf> (last visited September 9, 2024).+(last+visited+September+9,+2024).>Google Scholar
Yeon, H.B. et al., “Physician Discipline,” JBJS 88, no. 9 (2006): 20912096.Google ScholarPubMed
FSMB(b), 2018 Guidelines for Function and Structure of a State Medical or Osteopathic Board, adopted April 2018, available at <https://www.fsmb.org/siteassets/advocacy/policies/guidelines-for-the-structure-and-function-of-a-state-medical-and-osteopathic-board.pdf> (Last visited September 9, 2024).+(Last+visited+September+9,+2024).>Google Scholar
See Dineen, supra note 9; Landess, J., “State Medical Boards, Licensure, and Discipline in the United States,” Focus 17, no. 4 (2019): 337342; L. Barre et al., “Review of Rhode Island Physician Loss-of-Licensure Cases, 2009–2019,” Rhode Island Medical Journal 103, no. 4 (2020): 46–49.CrossRefGoogle ScholarPubMed
Rowthorn, V et al., “Not Above the Law: A Legal and Ethical Analysis of Short-Term Experiences in Global Health,” Annals of Global Health 85, no 1 (2019): 79, doi: https://doi.org/10.5334/aogh.2451.CrossRefGoogle Scholar
See FSMB(b), supra note 15.Google Scholar
See Dineen, supra note 9.Google Scholar
See Dineen, supra note 9; See Reidenberg, supra note 7; Goldenbaum, D.M. et al., “Physicians Charged with Opioid Analgesic-Prescribing Offenses,” Pain Medicine 9, no. 6 (2008): 737747; M. Barnes et al., “Opioid Prescribing and Physician Autonomy: A Quality of Care Perspective,” HSS Journal 15, no. 1 (2019): 20–26.CrossRefGoogle ScholarPubMed
See Reidenberg, supra note 7; Buchan, M.L. and Tolle, S.W., “Pain Relief for Dying Persons: Dealing with Physicians’ Fears and Concerns,” The Journal of Clinical Ethics 6, no. 1 (1995): 5361.CrossRefGoogle ScholarPubMed
See Dineen, supra note 9; Hoffmann, D.E. and Tarzian, A.J.. “Achieving the Right Balance in Oversight of Physician Opioid Prescribing for Pain: The Role of State Medical Boards,” Journal of Law, Medicine & Ethics 31, no. 1 (2003): 2140; See Barnes, supra note 20.CrossRefGoogle ScholarPubMed
Wesson, D.R. and Smith, D.E., “Prescription Drug Abuse: Patient, Physician, and Cultural Responsibilities,” Western Journal of Medicine 152, no. 5 (1990): 613.Google ScholarPubMed
Jung, B. and Reidenberg, M.M., “The Risk of Action by the Drug Enforcement Administration Against Physicians Prescribing Opioids for Pain,” Pain Medicine 7, no. 4 (2006): 353357.Google ScholarPubMed
See Dineen, supra note 9.Google Scholar
Richard, J., and Reidenberg, M. M., “The Risk of Disciplinary Action by State Medical Boards Against Physicians Prescribing Opioids,” Journal of Medical Regulation 91, no. 2 (2005): 1419; See Goldenbaum, supra note 20.CrossRefGoogle Scholar
See FSMB, supra note 12; Harris, J.A. and Byhoff, E., “Variations by State in Physician Disciplinary Actions by US Medical Licensure Boards,” BMJ Quality & Safety 26, no. 3 (2017): 200208.Google Scholar
See Barre, supra note 16; Arora, K.S. et al., “What Brings Physicians to Disciplinary Review? A Further Subcategorization,” AJOB Empirical Bioethics 5, no. 4 (2014): 5360; Landess, supra note 16.CrossRefGoogle Scholar
See Reidenberg, supra note 7; See Jung, supra note 24; See Goldenbaum, supra note 20; Davis, C.S. and Carr, D.H., “Self-Regulating Profession? Administrative Discipline of “Pill Mill” Physicians in Florida,” Substance Abuse 38, no. 3 (2017): 265268; J.M. DuBois et al., “A Mixed-Method Analysis of Reports on 100 Cases of Improper Prescribing of Controlled Substances,” Journal of Drug Issues 46, no. 4 (2016): 457–472.CrossRefGoogle ScholarPubMed
See Id.; See Goldenbaum, supra note 20; See Reidenberg, supra note 7.Google Scholar
See DuBois, supra note 29; Richard, J. and Reidenberg, M.M., “The Risk of Disciplinary Action by State Medical Boards Against Physicians Prescribing Opioids,” Journal of Medical Regulation 91, no. 2 (2005): 1419.CrossRefGoogle Scholar
See Arora, supra note 28.Google Scholar
See FSMB, supra note 12.Google Scholar
Clay, S.W. and Conatser, R.R., “Characteristics of Physicians Disciplined by the State Medical Board of Ohio.” Journal of Osteopathic Medicine 103, no. 2 (2003): 8188.Google ScholarPubMed
See Goldenbaum, supra note 20.Google Scholar
Harris, J.A. and Byhoff, E., “Variations by State in Physician Disciplinary Actions by US Medical Licensure Boards,” BMJ Quality & Safety 26, no. 3 (2017): 200208; See FSMB, supra note 12.CrossRefGoogle Scholar
See FSMB, supra note 12.Google Scholar
See Dineen, supra note 9.Google Scholar
See Lindsay, supra note 5; See Dineen, supra note 9; See Buchan supra note 21; See Reidenberg, supra note 7.Google Scholar