Letters to the Editor  |   May 2016
Interstate Medical Licensure Compact: Pernicious Myths and Inescapable Facts
Author Notes
  • Washington Osteopathic Medical Association 
Article Information
Practice Management
Letters to the Editor   |   May 2016
Interstate Medical Licensure Compact: Pernicious Myths and Inescapable Facts
The Journal of the American Osteopathic Association, May 2016, Vol. 116, 280. doi:10.7556/jaoa.2016.056
The Journal of the American Osteopathic Association, May 2016, Vol. 116, 280. doi:10.7556/jaoa.2016.056
To the Editor: 
In the October 2015 issue of The Journal of the American Osteopathic Association, Maresh1 commented on the Interstate Medical Licensure Compact (IMLC). As representatives of the osteopathic physicians and surgeons in Washington State, we do not support entering into the IMLC and offer counterpoints to a couple of Maresh’s “myth and fact” statements. 
First, concerning Section 13 of the IMLC, the actual costs of the Compact and its implementation needs are unknown. Utah’s Fiscal Note assumes a cost of $74,000 in fiscal year 2016.2 This is an estimate only; a positive fiscal impact on the state of Utah is predicted, not calculated or appropriated. Washington State’s initial legislation3 would place responsibility for IMLC cost overruns specifically on osteopathic and allopathic physicians through required license fees. Potential cost overruns include the following3: 
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