Health Affairs May 2, 2024
Hayden Rooke-Ley, Erin C. Fuse Brown

To combat growing corporate control over physician practices, there is renewed interest in prohibitions against the corporate practice of medicine (CPOM). While CPOM laws exist in many states, they have not stopped corporate investors from exploiting legal loopholes and contractual workarounds to acquire control over physician practices. Bills this legislative session in Oregon, California, Minnesota, and Florida aimed to strengthen CPOM laws and close these loopholes. The Federal Trade Commission and state medical societies are urging state regulators to enforce existing CPOM laws.

During Oregon’s 35-day short session, the legislature nearly passed HB 4130, which was the most comprehensive legislative attempt to date to regulate physician practice ownership by private equity investors and national health care conglomerates. The chief sponsor...

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