[{"_1":2,"_120":-5,"_121":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,86,98,108],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},"mediaId",6228687,"mediaKeyId","3468781-5ca6515e0a4129fd2ff81c70a6aeb88d","parentId",3468781,"title","Board finds MD not guilty on diagnosis charge but guilty on assisting unlicensed practice, orders ethics course","audioSeconds",7530,"startMs",13500000,"endMs",21030000,"viewUrl","/Search/View?dp=1&key=3468781-5ca6515e0a4129fd2ff81c70a6aeb88d&start=13500&end=21030","thumbnailUrl","https://assets.pipeline.soar.com/3468781-5ca6515e0a4129fd2ff81c70a6aeb88d/thumbnail_13500000.jpg","articleUrl","/articles/6228687/Mississippi/Board-finds-MD-not-guilty-on-diagnosis-charge-but-guilty-on-assisting-unlicensed-practice-orders-ethics-course","mediaUrl","https://secure.pipeline.soar.com/6228687-46c3a38a9b9738095182ac56a2d7da5c/orig.mp4?Expires=1771158649&Signature=Pncq--QMsL3cM~lnZKztuoPH31~fHb5fod2aswZYt28MRQ4ii-X868EpoOCo7FI0FTxYk33aH3RXELWqOF4Bs2YBGznwmeQ~-Dy9xF-jK6TD1dllddpwT-XPhhqxf5CAQ6grrU3N8bMzShslLPcdcMH~~XvPnwfwg2FANLb1EOLFymzBzddqQEqxPw4UOFvAW4CpDWU3EuNtC8N2FJPPsjsoYuB~IS7~cEdUoA0n2-dD~-1St7fQ6lC1y-6bD5J~8aqi57MrgqwqbF02PnncR6pBdXDBGWdTcToYCUhYtTlG4AqBLFhBMkf2tdnP0I2Dk76OII~1efOK~BHr1rYNig__&Key-Pair-Id=KUT5TJCACFTXG","author","","date","2025-05-23T19:31:58.44Z","article","The State Board of Medical Licensure held a disciplinary hearing May 22 on allegations related to an IV hydration clinic where Dr. Richard E. Cook served as a contracted medical director. The case focused on three charges: failure to satisfy prescribing rules (charge 1), assisting the unlicensed practice of medicine (charge 2), and unprofessional conduct (charge 3).

Board counsel presented invoices showing supplies and compounded products ordered in Dr. Cook's name, standing order sets bearing his signature and date, and clinic medical records for multiple patients. Counsel argued that the model at issue (a nurse‑owned IV clinic using asynchronous intake plus standing orders) amounted to delegation that did not meet Mississippi requirements for a valid practitioner‑patient relationship and that the licensee's role improperly enabled non‑physicians to diagnose or prescribe.

Dr. Cook testified he served as a 1099 medical director under contract with a staffing/operations company and an RN‑owned clinic, that his role was primarily administrative and protocol development, and that he did not personally evaluate or treat the clinic's patients in the clinic setting. He said he terminated his relationship with the company when he learned the nurse practitioner had listed him as a collaborating physician without his agreement; he also provided continuing education documentation and a clean NPDB record.

After deliberation in executive session the board announced the following findings: not guilty on Count 1 (prescribing rule violation); guilty on Count 2 (assisting unlicensed practice) and Count 3 (unprofessional conduct). The board ordered Dr. Cook to complete a board‑approved medical ethics course within six months. The board instructed staff to coordinate details of the course and any follow‑up reporting requirements. The board made no separate monetary sanction public at the meeting.

The action reflects the board's interpretation that signing standing order sets and allowing orders and compounded supplies to be procured and used under the licensee's credentials can, in context, constitute assistance to non‑physicians practicing medicine beyond authorized delegation. Dr. Cook will work with the executive director on how to complete the ethics requirement.","mediaType","Video","parentTitle","May 2025 Board Meeting","oneSentenceSummary","After a contested hearing about an IV hydration clinic, the State Board of Medical Licensure cleared Dr. Richard E. Cook of one charge but found him guilty on two other counts related to assisting unlicensed practice and unprofessional conduct; the board ordered completion of a board‑approved medical ethics course.","taxTitle","State Board of Medical Licensure, Agencies, Organizations, Executive, Mississippi","taxId",31004,"location","Mississippi","headline","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":79,"_47":80,"_49":81,"_51":82,"_53":83,"_55":56,"_57":58,"_59":84,"_61":62,"_63":64,"_65":85,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},6228693,"Mississippi nephrologists urge guardrails for tele‑nephrology; board asks staff to review subspecialty telemedicine rules",0,4782000,"/Search/View?dp=1&key=3468781-5ca6515e0a4129fd2ff81c70a6aeb88d&start=4782&end=4782","https://assets.pipeline.soar.com/3468781-5ca6515e0a4129fd2ff81c70a6aeb88d/thumbnail_4782000.jpg","/articles/6228693/Mississippi/Mississippi-nephrologists-urge-guardrails-for-telenephrology-board-asks-staff-to-review-subspecialty-telemedicine-rules","https://secure.pipeline.soar.com/6228693-3dc3efceaa4c41417b3a9d3aa79f0bb6/orig.mp4?Expires=1771158649&Signature=VbET3lGdMpRBFB7E~LHJaWPsO4BHntFFH6XRXb-1Zm6SRhu0GN4uOVtB06SuP~N4qfR09ROw2cRsYlgwv6zb8-DfoujNRXwjO~8AIaoTAz-g5Znr5ipRE2~liYbWiW7mTBFRP3pMT7EXFHgu19EyC~IDjeRki8mgL875iTXn6ce9TDhPunSlAWMfOUukktPWreS1nzwYuXD6ILyDYnMcJWvy5ShqVTjAaEC~Zj7nFfEYvkAZl6E0ucygiR51FpDfXEScfpFW0jQVfOWqSiyxKitaIfGtMcst0IVA8SD1B7TzvbwT1n3oHTdi0bckkLm4mWIwCPFemxpA3HFEXfnXJw__&Key-Pair-Id=KUT5TJCACFTXG","A delegation from the Mississippi Kidney Council told the State Board of Medical Licensure May 22 that emerging telemedicine and value‑based care organizations are contracting with commercial payers to manage chronic kidney disease remotely and that states must guard against remote models that never see patients in person.

Mark Philippi and other nephrologists said the threat is that a for‑profit value organization could manage patients by telephone or asynchronous checklists and claim care management without providing in‑person evaluation or hospital coverage. They argued that some commercial tele‑nephrology models stop short of responsibilities that local nephrologists now assume, including unreferred inpatient hospital call and treatment of Medicare/Medicaid patients.

Council members recommended a simple standard — an in‑person visit at least once a year for subspecialty internal medicine patients (they suggested applying it first to nephrology and similar practices) — to protect continuity of care and preserve relationships that inform critical decisions, such as start‑of‑dialysis timing and transplant referral. Members cited Medicare rules that already require periodic in‑person encounters for patients on dialysis as a precedent for stronger minimum standards.

Board members and staff responded that the board could open a broader rule review to consider telemedicine and interstate practice risks and asked staff to prepare recommended regulatory language. Executive Director Ken Cleveland said staff can research internal medicine subspecialty options and draft language for the rules and regulations committee; the board agreed the subject warranted a longer regulatory review. No immediate rule was adopted at the meeting.","Representatives of the Mississippi Kidney Council told the board that out‑of‑state value‑based and telemedicine organizations are seeking to manage local patients remotely; the council urged requiring at least one in‑person visit per year for internal medicine subspecialties and the board asked staff to review regulations.",{"_33":87,"_35":36,"_37":38,"_39":88,"_41":89,"_43":90,"_45":91,"_47":92,"_49":93,"_51":94,"_53":95,"_55":56,"_57":58,"_59":96,"_61":62,"_63":64,"_65":97,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},6228698,"OB‑GYN asks board to revisit rules after clinic interest in low‑dose nitrous oxide; staff to review office‑based surgery regulations",304,3506000,3810000,"/Search/View?dp=1&key=3468781-5ca6515e0a4129fd2ff81c70a6aeb88d&start=3506&end=3810","https://assets.pipeline.soar.com/3468781-5ca6515e0a4129fd2ff81c70a6aeb88d/thumbnail_3506000.jpg","/articles/6228698/Mississippi/OBGYN-asks-board-to-revisit-rules-after-clinic-interest-in-lowdose-nitrous-oxide-staff-to-review-officebased-surgery-regulations","https://secure.pipeline.soar.com/6228698-b6815289c79dba60637db2bb8cc743b8/orig.mp4?Expires=1771158649&Signature=XKwxAE83Lqq0HkDvxoBERFzuQMM8ZRnIcev6lVLCtsKQeKfU-6Nn6iil3rvNv2aJNEKZ9HBjDtUwrPAZrZHNPmATbQ-ceU9NBHYhJ7LsHh8YBsaR5Gi0hSG7OOk9qv4plCgvhP3ocKj1DWagheiGP67Pd6adA9Qzy~3Yhrooc936Eu9jA1Y4z6KDO-8TZzkjrKR8m3MsA511QsN2OUL~Y8-dYnrB4MYyNfLg0iMuuCYG8TDMj-S4UoXUSZXCVbweYaD~UaUX9tUPA60hKztrTy4RAKgRr7OTqr7E5XOBxkNuklQ157DtrUihiL1rTqbVVZ1jnaLc1fJLGy1x7tPt7g__&Key-Pair-Id=KUT5TJCACFTXG","Dr. Lindsey Turner, an OBGYN from Flowood, told the State Board of Medical Licensure May 22 that low‑dose nitrous oxide — commonly called \"laughing gas\" — can alleviate anxiety and increase patient tolerance for uncomfortable clinic procedures such as endometrial biopsy, IUD placement and cervical biopsy. She said clinics in most states use patient‑driven low‑dose nitrous oxide systems (she mentioned ProNox as an example) and described the technology as having rapid onset and offset, which allows procedures without long‑acting benzodiazepines that require patients to arrange a driver.

Turner said Mississippi was one of only two states that still restricted nitrous oxide for office procedures as a result of a 2018 board decision that treated 50% nitrous use as elevating the procedure from a level‑1 to a level‑2 office surgery, triggering more stringent equipment and medication requirements. Board members and staff discussed technical and safety considerations; anesthesiologist members reminded the assembly that nitrous oxide cannot be used alone for general anesthesia and that environmental/occupational exposure and correct monitoring must be addressed.

Several board physicians recommended a rules‑level review rather than a one‑off fieldwide exception. Executive Director Ken Cleveland told members the staff could research how other states regulate nitrous oxide, examine competency/monitoring requirements, and bring proposed language to the rules and regulations committee. The board directed staff to undertake a comprehensive review of the office‑based surgery regulations and return recommendations to rules and regs.

The board did not change any rules at the meeting. Members emphasized patient monitoring, avoidance of co‑administration with other respiratory depressants, and a need for written clinic policies if the board later allows nitrous use by rule.","Dr. Lindsey Turner urged the State Board of Medical Licensure to allow low‑dose nitrous oxide (\"laughing gas\") for clinic‑based gynecologic procedures; members asked staff to conduct a comprehensive review of the board's office‑based surgery rules and present revisions to the rules-and-regs committee.",{"_33":99,"_35":36,"_37":38,"_39":100,"_41":78,"_43":101,"_45":101,"_47":102,"_49":103,"_51":104,"_53":105,"_55":56,"_57":58,"_59":106,"_61":62,"_63":64,"_65":107,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},6228702,"Board files amended patient-records regulations with OLRC after vote",3161000,"/Search/View?dp=1&key=3468781-5ca6515e0a4129fd2ff81c70a6aeb88d&start=3161&end=3161","https://assets.pipeline.soar.com/3468781-5ca6515e0a4129fd2ff81c70a6aeb88d/thumbnail_3161000.jpg","/articles/6228702/Mississippi/Board-files-amended-patient-records-regulations-with-OLRC-after-vote","https://secure.pipeline.soar.com/6228702-893933732c2d04ea4e7e0ad6e1cdc13a/orig.mp4?Expires=1771158649&Signature=H-zTlRIOkoXaNoWx4TjcmmD-hnoroFKQ1uqorA3WHWbBaScFm3rKHzEhMrf8lavQhLbvPCWI3luIogY-9vUHHRTVoH6lfTiAhB96g2xQIdN1eosMfRQRryAxA4hOLyKfQlHRLHDXPVPSKvM4FAr-l3kNadM1gzxBGeP623J8eF2WP2PpyGSRlsUhuuYkoA2tbTX5CcUILT3nnQG1uTwhh6-xkwxdhdOAbjzppvu7KvQ2fPi4XvQz~gBbFVdSlxPp4g3dSR0lNHgB992bE4SfuRc6HZTjnqWgRDj4Ba2dXx4Qa7m7nxdh6ljLDY9PLScE5tvi2OWinEc89rPLtTgPOw__&Key-Pair-Id=KUT5TJCACFTXG","The State Board of Medical Licensure voted May 22 to file proposed amendments to the board’s medical-record retention regulations with the Occupational Licensure Review Commission (OLRC), the next step in formal rulemaking.

Board counsel explained the rule changes had been approved by the board at its March meeting and posted for public comment; no public comments were received during the posting period. The proposed amendments implement requirements in state legislation (Senate Bill 2873 was cited during the discussion) and consolidate cross-references in different rules to a single retention standard. The board’s staff told members that the amended rules would set a minimum medical-record retention period consistent with statute (a minimum of 10 years) and that the only substantive change beyond the statutory minimum would be to increase the retention period for imaging studies from three years to five years.

The board’s attorney outlined the commission review process: if OLRC approves the changes they will be published and become final 30 days after publication. The board then voted to authorize staff to file the proposed rules with OLRC; the motion carried.

Board members asked whether electronic records could be preserved indefinitely and were told that retention can depend on systems but that the statutory minimum applies “regardless of form.” The vote to advance the rules was a filing decision, not an adoption of final, permanent regulations; the OLRC review is the next procedural step.

The board’s action reflects a statutory directive and clarifies the board’s record-retention policy and its expectation for licensees to keep imaging records longer than the prior three-year benchmark.","The Mississippi State Board of Medical Licensure voted to forward amended regulations on medical record retention to the Occupational Licensure Review Commission (OLRC) for review and finalization; the changes implement a 10-year minimum retention requirement set by statute and increase imaging retention from three to five years.",{"_33":109,"_35":36,"_37":38,"_39":110,"_41":111,"_43":112,"_45":113,"_47":114,"_49":115,"_51":116,"_53":117,"_55":56,"_57":58,"_59":118,"_61":62,"_63":64,"_65":119,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},6228707,"State medical board cites low CME compliance, refers registration requirement to rules committee",496,894000,1390000,"/Search/View?dp=1&key=3468781-5ca6515e0a4129fd2ff81c70a6aeb88d&start=894&end=1390","https://assets.pipeline.soar.com/3468781-5ca6515e0a4129fd2ff81c70a6aeb88d/thumbnail_894000.jpg","/articles/6228707/Mississippi/State-medical-board-cites-low-CME-compliance-refers-registration-requirement-to-rules-committee","https://secure.pipeline.soar.com/6228707-832d3baa5123094f533a874e3ec3037b/orig.mp4?Expires=1771158649&Signature=LlyjR7D~hNHkjDyg4jUO7wR7hqyKeUqlyAZK7q1rzKWSxfXRAiZUbfUEkLHJk3umooHX~JPzcnhAAUbx207dRhZaOpPPAOXwslrUYQm5XxZXlxj24eYUJzfnlgKp6hepv5vgbt3RCuKJpzhPs0nIp1vDrH5zhGsZvMmEOcEdGmN19qmfZIM0iVx8ZZFckR0HPGFk-~eA4h6S-xpzutAMGJNzNGkvDpcSaOWJ2JAvq94GiwOnTQmnoBxg6ej8JK-jz~K4IoT-BFyaG15j9cmQjWUKcPg1fl2IOHC5VGdnaQC1kgF7DWHn37LwJqD1u~SjphyMo~EENj0ceGjJBKO-Og__&Key-Pair-Id=KUT5TJCACFTXG","The State Board of Medical Licensure heard an executive director’s report May 22 showing recent licensing activity, complaint caseloads and a problematic result from a Continuing Medical Education (CME) audit, then voted to refer proposed regulatory language requiring use of a CME reporting/audit service to the rules and regulations committee.

Executive Director Ken Cleveland told the board that between March and April the board issued about 140 MD/DO licenses (a seasonal rise over an earlier 72) and licensed roughly 90 physicians through the Interstate Medical Licensure Compact. He said investigations opened and closed during the period, and that staff closed 29 cases while receiving 95 new complaints in March–April. Cleveland said his office had begun random CME audits and that an outside firm’s review found only 44 percent of licensees in compliance with CME requirements as stated by regulation.

The audit results prompted Cleveland to recommend that the board require licensees to register with a recognized CME reporting or audit vendor (he cited CE Broker and ACCME as examples) so the board could perform consistent audits when renewals are due. “It’s going to be my recommendation to the board … that we require the use of a CME audit company to do our CMEs moving forward,” Cleveland told members.

Board members debated the scope of any change and whether the committee should receive background and vendor comparisons rather than immediate regulatory text. Consumer member Shoba Games and several board physicians urged that the rules-and-regs committee review cost, implementation and whether to specify a single vendor. The board ultimately voted to refer the matter to the rules and regulations committee for drafting and recommendation; the motion to refer carried.

Cleveland used his report to flag personnel updates and other items: licensing supervisor Brian Nelson was promoted to help the licensing director; staff attended the Federation of State Medical Boards meeting; and long-time contractor Mike Lucius announced retirement effective June 30. He reminded the board that renewal season runs through June 30 and that about half of licensees had renewed at the time of his report.

The board did not adopt a final regulatory change at the meeting. The committee referral means members will receive recommended regulatory language and cost/implementation analysis before any final vote or filing with the state’s regulatory review office.","The State Board of Medical Licensure heard an executive director’s report showing licensing and complaint counts and a continuing problem with continuing medical education compliance; the board voted to send recommended regulatory language requiring a CME reporting/audit service to the rules and regulations committee.","actionData","errors"]

Article not found

Board finds MD not guilty on diagnosis charge but guilty on assisting unlicensed practice, orders ethics course

Mississippi nephrologists urge guardrails for tele‑nephrology; board asks staff to review subspecialty telemedicine rules

OB‑GYN asks board to revisit rules after clinic interest in low‑dose nitrous oxide; staff to review office‑based surgery regulations

Board files amended patient-records regulations with OLRC after vote

State medical board cites low CME compliance, refers registration requirement to rules committee