FROM THE FOUNDATION

All Over the Map

Newly updated to include breast cancer, prostate cancer, and spine procedures, this CHCF-sponsored research shows that practice patterns vary dramatically from place to place.

Medi-Cal Transforms

Medi-Cal is the main source of health insurance for one in five Californians. An updated report gives an overview of the program's key features, describes how the program is evolving, and examines the challenges ahead.

Obama Care in the Second Term

CHCF is a long-time sponsor of the UC Irvine Forecast Conference. A webcast of this year's conference on health policy in President Obama's second term is now available.

Doctors and Nurses

Thursday, January 13, 2011

Calif. Medical Groups File Lawsuit Over New Glaucoma Regulations

On Tuesday, the California Medical Association and the California Academy of Eye Physicians and Surgeons filed a lawsuit seeking to block the implementation of new state rules allowing optometrists to treat patients with glaucoma, the Orange County Register reports (Joseph, Orange County Register, 1/12).

The groups filed the suit in San Francisco Superior Court against the California Board of Optometry.

Background

The new rules, which took effect Jan. 8, allow optometrists to treat and manage glaucoma after undergoing a certification process that does not involve treating patients with glaucoma (Clark, HealthLeaders Media, 1/13).

The new certification process applies to individuals who graduated from accredited optometry schools prior to May 1, 2008 (Board of Optometry rule, 12/10/10).

Previous state regulations required optometrists to treat 50 patients with glaucoma over a two-year period under ophthalmologist supervision before receiving authorization to treat the condition.

Plaintiffs' Argument

According to CMA and CAEPS, the new state rules were established under a faulty process because a consultant hired to advise a key committee was not certified to treat glaucoma.

CMA President James Hinsdale said the regulations "jeopardize the quality of eye care Californians deserve."

The plaintiffs also highlighted a recent case in which several patients with glaucoma experienced significant vision loss after receiving treatment from optometrists at a Department of Veterans Affairs medical facility in Palo Alto.

Optometrists' Stance

The California Optometric Association could not be reached for comment on the lawsuit, according to HealthLeaders Media.

In a previous statement on its website, COA praised an administrative law judge's decision to approve the Board of Optometry's new regulations. The association said the new rules would help to address shortages of eye physicians in rural and underserved areas (HealthLeaders Media, 1/13).



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