Hawaii’s Corporate Practice of Medicine (CPOM) regulations are an essential framework that ensures healthcare providers prioritize ethical, patient-focused care. These regulations restrict non-licensed entities from influencing medical decisions or employing physicians directly. As healthcare evolves with innovations like telemedicine and integrated care models, adhering to CPOM laws has become increasingly important. This compliance roadmap provides healthcare providers with the insights needed to navigate Hawaii’s CPOM regulations in 2025.

Navigating Hawaii’s Corporate Practice of Medicine (CPOM) laws in 2025 requires a clear understanding of compliance requirements. Access Plus Health offers a detailed roadmap to help healthcare providers structure their practices, manage collaborations, and meet state regulations. From ownership restrictions to physician oversight, we provide the expertise you need to avoid legal risks and ensure your practice operates smoothly within Hawaii’s regulatory framework.

What is the Corporate Practice of Medicine Doctrine?

The CPOM doctrine is a legal principle that prohibits corporations or non-licensed individuals from practicing medicine. In Hawaii, CPOM laws aim to:

• Preserve physician autonomy in clinical decision-making.
• Prevent undue corporate influence on patient care.
• Uphold the integrity of medical practice.

Key Compliance Requirements in Hawaii

1. Physician Ownership and Leadership
   Medical practices must be owned and led by licensed physicians. Non-clinical entities can provide administrative support but must not interfere with medical decisions.
2. Management Services Agreements (MSAs)
   Non-clinical services, such as billing and administrative support, can be provided through MSAs. These agreements must clearly delineate roles to ensure clinical independence.
3. Telemedicine Compliance
   Hawaii extends CPOM regulations to telemedicine, requiring that physicians delivering care to Hawaii residents hold valid state medical licenses and retain full control over clinical decisions.

Challenges in CPOM Compliance

1. Blurring of Roles
   Mismanagement of MSAs or ambiguous agreements can lead to CPOM violations, especially when non-clinical entities inadvertently influence clinical operations.
2. Cross-State Operations
   Multi-state practices must align Hawaii’s CPOM requirements with those of other states, creating additional complexity.
3. Emerging Technologies
   Telehealth, AI, and remote patient monitoring introduce compliance challenges regarding responsibility and oversight.

Compliance Roadmap for 2025

1. Engage Legal Expertise
   Work with healthcare attorneys to ensure ownership structures and MSAs align with Hawaii’s CPOM laws.
2. Establish Clear Policies
   Develop and implement protocols that separate clinical decision-making from administrative functions.
3. Regular Compliance Audits
   Periodically review contracts, workflows, and operational structures to identify and address compliance gaps.
4. Educate Stakeholders
   Train physicians, administrators, and non-clinical staff on CPOM regulations and the importance of maintaining compliance.

Hawaii’s CPOM laws are fundamental to preserving ethical and patient-centered healthcare delivery. By understanding these regulations and implementing proactive compliance strategies, healthcare providers can operate effectively while maintaining high standards of care.