SB 552 - This act outlines procedures for the co-management of patients by physicians.

A new Section 334.108 is created regarding "surgical co- management", which is defined as the collaboration between two eye care providers in which pre- and post-operative care is delegated by the operating surgeon to another eye care provider. Surgical co-management arrangements may be created when in the best interests of the patient or when a qualified surgeon is not available. The co-managing eye care provider may not receive a fee that exceeds the value of services provided. Co-management is not permitted for the purpose of indiscriminate co-management of patients or referrals, when the patient requests care from a specific surgeon or provider, or when the patient should be released.

The patient must give informed consent to co-management after receiving a detailed explanation of the arrangement. The surgeon and co-managing provider must also have a written protocol on the provision of care. A list of violations is given, including splitting fees, manipulating referrals, or failing to inform the patient. The Board of Registration for the Healing Arts has disciplinary power and rule power to enforce this section.
ERIN MOTLEY