Learn More

What is Maintenance of Certification (MOC)?

After completing 9-14 years of education and training, physicians are eligible for board certification within their specialty.

Here’s the problem: after obtaining certification, various boards developed arbitrary and costly hoops through which physicians must jump to keep their certification. For example, the American Board of Internal Medicine devised a way to make huge profits through duplicative and unnecessary MOC.

Now, some health plans and insurance companies in Michigan are threatening to cut off patients’ access to their highly trained, highly qualified physicians unless those physicians jump through these bureaucratic hoops.

How does MOC hurt patients and physicians?

Physicians already maintain education requirements to keep their licenses to practice medicine and have the right to deliver high quality health care to their patients, but:

  • Maintenance of Certification is an out-of-state scheme that drives up the cost of health care while limiting physicians’ time with their patients. 

  • A new health insurance company plan may use MOC to force some patients to leave the physicians they’ve grown to know and trust.

Does eliminating MOC jeopardize the quality of care?

No. As physicians’ careers advance, they are already required to take 150 hours of continuing medical education every three years as a condition of relicensure that keep them current with advancements in medicine and patient care. The costs of this testing and training are paid by each physician, and are necessary to allow them to practice in Michigan.

The state of Michigan is a leader in quality improvement initiatives in which many physicians actively participate. These programs drive lifelong learning that translates to better patient outcomes.

Bill documents

 House Bill 4134 (2017)

House Bill 4135 (2017)





How does MOC hurt patients and physicians?