Knowledge Library

Dobbs v. Jackson Women’s Health: Abortion Laws and How Physicians Can Protect Themselves

The recent decision on Dobbs v. Jackson Women’s Health by the U.S. Supreme Court has pushed the issue of reproductive health back to state legislators. As each state grapples with how it will deal with this issue, it has created tremendous uncertainty for the physicians who serve those communities. Physicians are caught in an impossible situation of trying to care for their patients while operating within the law – with boundaries that are less clear and well-defined as they have been for the past 50 years. As we have for the past 47 years, MIEC will continue to stand with...

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Review of Bohn v. Providence Health Services Lawsuit

The Alaska Supreme Court recently interpreted a portion of the Alaska Healthcare Decision Act under Bohn v. Providence Health Services – Washington. While this is the first time the Court has interpreted the HCDA, its decision focused on a single provision of the statute, AS 13.52.080(a)(3). This provision grants immunity to health care providers declining to comply with a person’s health care decision so long as the provider “acts in good faith and in accordance with generally accepted health care standards” and so long as the refusal to comply is “based on a good faith belief that the person then...

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Alaska: Advanced Practice Provider Laws and Regulations

Physician Assistants Qualifications [12 AAC 40.400]: Graduate accredited PA program; current NCCPA certificate. MD Supervision of Physician Assistant: Collaborative Plan as defined in 12 AAC 40.410(a)-(j), in part: PA may not practice without at least one collaborative relationship that is documented by a plan on a form provided by the medical board. Must include: Name, license number and specialty of primary supervising physician, at least one alternate collaborative physician, beginning date of employment, physical location of practice, compliance with 12 AAC 40.415 as it pertains to a remote location, and prescriptive authority granted by collaborating physician under the collaborative plan....

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Alaska Informed Consent Supplement

This supplement to our "Informed Consent Revisited" article contains excerpts from Alaska laws related to informed consent, consent by minors and special consents. Alaska physicians who have questions about a specific patient or who require legal advice may call MIEC’s Claims Office in Anchorage, AK at 907-868-2500. For general liability questions, physicians and their staff can call MIEC’s Patient Safety & Risk Management (PSRM) Office in Anchorage, AK at 907-252-4015 or the PSRM Department in Oakland, CA at 800-227-4527. Informed Consent In Alaska, the law on informed consent is derived largely from common law and statutes. Court decisions modify and...

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New Alaska Supreme Court Ruling Regarding Ex Parte

New ruling in Alaska restricts disclosure of patient information related to litigation. For decades, Alaska has allowed informal methods of “discovery” (sharing of information) during litigation, including private discussions between defense attorneys and the plaintiff’s treating physicians.  These “ex parte” communications were encouraged by the Alaska Supreme Court, as they facilitated early evaluation and settlement of cases, with a resulting decrease in litigation costs. However, a new ruling by the Court on June 22, 2018, determined that a cultural shift in views on medical privacy warranted overruling this practice. In Harrold-Jones vs. Drury, et al., the Court held that “absent...

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