Monday, March 28, 2011

New Primary Care Patient Special as of March 2011

New Primary Care Patient Special as of March 2011;
(now extended until October, 2011)

Frank H. Lucido, M.D. has been practicing Family Medicine for more than 30 years. His determination to offer patients that best care possible with options that work for them characterizes his Primary Care Practice and led to his becoming a pioneering cannabis-recommending clinician in 1995.

If you, family members or friends are looking for a Primary Care Physician, please refer to them to us! We are offering a special to our patients, their friends and family members: 50% off new Primary Care patient appointments with mention of this discount at time of booking the appointment.

For current Primary Care Patients, Dr. Lucido will be offering discounted renewals on their medical cannabis recommendation visits. The new fee for medical cannabis renewal appointments for Primary Care Patients will be $125.

Dr. Lucido has a small private practice in Berkeley. He works closely with Maria Mangini, PhD FNP, an experienced Family Nurse Practitioner who specializes in women’s health care. Both practitioners are dedicated to preventive health care and to taking the time to listen to patient concerns.

Frank H. Lucido, M.D. has been practicing in Berkeley since 1979. He graduated from University of Michigan Medical School, and completed his family practice training through UC Davis. He is on the steering committee of the San Francisco Bay Area chapter of Physicians for Social Responsibility, and is a committed anti-nuclear activist. Dr. Lucido also offers free health seminars in Berkeley regularly.

Maria Mangini, PhD FNP completed her doctorate in Nursing at UCSF, where her research centered on drug use and drug policy. A Family Nurse Practitioner since 1982, she received her MSN with distinction from Pace University’s Lienhard School of Nursing. Currently she is the director of the MSN/FNP and Clinical Faculty programs at Holy Names University in Oakland. Maria also writes a regular column for The Berkeley Times.

To schedule an appointment now or to get more details about our office please call us at 510.848.0958.

Wednesday, March 23, 2011

Medical Board of California confirms ban on the corporate practice of medicine

Medical Board of California confirms ban on the corporate practice of medicine

Physicians: Join the
Association of Independent Medical-Legal Consultants
see: AIMLegal Physician Locator:
http://www.drfranklucido.com/pages/aimlegal.org-cannabis-physician-locator.php


Medical Board of California:
I have a question about non-profits.
My understanding, is that, in California, it is illegal for a non-physician to hire physicians.

I wrote a piece for O'Shaughnessy's last year reporting on the MBC decision:
(To be published in the upcoming Winter 2008 issue of O’Shaughnessy’s; Prior issues online at:http://www.ccrmg.org/journal.html)

Board Makes Mikuriya Ruling "Precedential"


Entire article posted at end of this email.
In this article, I made the statement that, in California, it is illegal for a non-physician to hire physicians.
and got the following response (also below) from a lay-owner of a chain of clinics.

So what is the rule, and under what circumstances can this lay-ownership ban be ignored?
I am not out to get anyone in trouble, but want a level playing field.

Thanks!
Frank H. Lucido MD
Family Practice since 1979
Medical Cannabis Consultation
Expert Witness
2300 Durant Avenue
Berkeley Ca 94704
510.848.0958 (by appointment only)
www.DrFrankLucido.com
(formerly MedicalBoardWatch.com)
www.AIMLegal.org
www.DrFrankLucido.blogspot.com


State of California
DCA
Department of Consumer Affairs

Division of Legal Affairs
1625 N. Market Blvd. Ste. S-309
Sacramento, Ca, 95834
916-574-8220
Fax 916-574-8823


September 29, 2009

Frank Lucido MD
2300 Durant Avenue
Berkeley, CA 94704

RE: Corporate Practice of Medicine Inquiry

Dear Dr. Lucido:

I write on behalf of the Medical Board of California (Board) and in response to your electronic mail message to the Board regarding the corporate practice of medicine. Specifically, you inquired as to whether California's ban on the prohibition of the corporate practice of medicine ("the prohibition") extends to nonprofit corporations and clinics that may be operated by a nonprofit corporation.

As I am sure you are aware, section 2400 of the Business and Professions Code establishes California's prohibition against the corporate practice of medicine. Section 2401 of the Code sets forth certain exceptions from the prohibition. I have enclosed that section for your review.

We also note that the courts have held that a corporation is not exempt from the prohibition simply because it is organized under the nonprofit corporation law. (See California Physicians Service v. Aoki Diabetes Research Institute [ADRI] (2008) 78 Cal.Rptr,3d 646,653; See also 83 Ops.Cal.Atty.Gen. 170, fn 2 (2000).) The ADRI court noted that previous courts have recognized the danger of lay control, a danger that attends all types of corporations. (Ibid.)

Please be advised that your inquiry does not provide the Board with sufficient facts to offer additional guidance on a specific set of circumstances. Please contact me if you have any questions.

Sincerely,


DOROTHEA JOHNSON
Deputy Director, Legal Affairs



By KURT HEPPLER
Senior Staff Counsel

Enclosure

Cc: Renee Threadgill, Enforcement Chief, Medical Board of California




http://law.onecle.com/california/business/2400.html
California Business and Professions Code Section 2400

Corporations and other artificial legal entities shall have
no professional rights, privileges, or powers. However, the Division
of Licensing may in its discretion, after such investigation and
review of such documentary evidence as it may require, and under
regulations adopted by it, grant approval of the employment of
licensees on a salary basis by licensed charitable institutions,
foundations, or clinics, if no charge for professional services
rendered patients is made by any such institution, foundation, or
clinic.



http://law.onecle.com/california/business/2401.html
California Business and Professions Code Section 2401

(a) Notwithstanding Section 2400, a clinic operated primarily
for the purpose of medical education by a public or private
nonprofit university medical school, which is approved by the
Division of Licensing or the Osteopathic Medical Board of California,
may charge for professional services rendered to teaching patients
by licensees who hold academic appointments on the faculty of the
university, if the charges are approved by the physician and surgeon
in whose name the charges are made.
(b) Notwithstanding Section 2400, a clinic operated under
subdivision (p) of Section 1206 of the Health and Safety Code may
employ licensees and charge for professional services rendered by
those licensees. However, the clinic shall not interfere with,
control, or otherwise direct the professional judgment of a physician
and surgeon in a manner prohibited by Section 2400 or any other
provision of law.
(c) Notwithstanding Section 2400, a narcotic treatment program
operated under Section 11876 of the Health and Safety Code and
regulated by the State Department of Alcohol and Drug Programs, may
employ licensees and charge for professional services rendered by
those licensees. However, the narcotic treatment program shall not
interfere with, control, or otherwise direct the professional
judgment of a physician and surgeon in a manner prohibited by Section
2400 or any other provision of law.
(d) Notwithstanding Section 2400, a hospital owned and operated by
a health care district pursuant to Division 23 (commencing with
Section 32000) of the Health and Safety Code may employ a licensee
pursuant to Section 2401.1, and may charge for professional services
rendered by the licensee, if the physician and surgeon in whose name
the charges are made approves the charges. However, the hospital
shall not interfere with, control, or otherwise direct the physician
and surgeon's professional judgment in a manner prohibited by Section
2400 or any other provision of law.

Thursday, March 17, 2011

Frank Lucido MD: Medical-Legal Consulting Services and Fees

Frank Lucido MD: Lucido Medical-Legal Consulting Services and Fees
for physician, attorneys, patients
March 2011

Safe and Appropriate Recommendations For Safe and Effective Medicine

Dr. Frank Lucido, M.D. is nationally known as a medical cannabis clinical specialist of high standards, who has been constructively critical of low-standard practices. Also, widely known to be a thorough, caring, and trusted physician, Dr. Lucido takes the time and effort to establish that the patient is appropriate in their use of medical cannabis, and has defensible medical records demonstrating it.

Lucido Medical-Legal Consulting provides the following services for medical cannabis-recommending physicians, their attorneys, and patients.

Services for PHYSICIANS AND THEIR ATTORNEYS:

Preventive Practice Standards Review and Consultation On Practice Standards
• Preventive or “Pre-event” Consultation; i.e., for doctors who do not have a pending or anticipated case or action by the MBC.

• For existing medical cannabis practices, and for the physician who wishes to add Medical Cannabis Consultation to his/her practice.

$3,250.00 fee includes:
• Reviewing the written questionnaire on Medical cannabis practice standards

• Follow-up in-person or phone interview with the physician and/or his/her attorney

• Confidential written recommended plan for improvement.

“Post-Event” Consultations
(For example: After a Medical Board investigation has begun, or after the MBC has initiated action against the physician.)

$6,500.00 fee includes:
• Practice Standards Review and Consultation (similar to above)

• Review of Med Board complaint and any actions or proposed actions

• Availability to the doctor’s attorney for assessment of strengths and weaknesses of the physician’s case

• Review of patient records up to five (5) hours maximum, then $650.00 per hour after initial five hours

Additional Services

Lucido Medical-Legal Consulting can provide:
• Reviews of specific patient records for which a physician is being investigated and give confidential opinion to the physician and attorney.

• When doctor has acted appropriately (in the opinion of Lucido Medical-Legal Consulting testimony can be provided at depositions, in court or at Medical Board hearings.

Rates:
• Deposition testimony: $650.00/hour, minimum two (2) hours if scheduled in the offices of Lucido Medical-Legal Consulting OR minimum five (5) or ten (10) hours, plus travel and expenses, if scheduled elsewhere.

• Trial or hearing testimony: $6,500/day (plus travel and expenses). Half-day rate available if testimony is in the East Bay (Berkeley/Oakland area).

• Non-refundable payment of $3,250 payable at time of scheduling OR at least one (1) week prior to trial or hearing.




Services for MEDICAL CANNABIS PATIENTS

Medical Cannabis Evaluations for Patients

• Initial consultation is $250.00, and yearly re-evaluations are $225.00 at this time. (My requirement listed below under “General info”)

Second Opinions for Patients (when legitimacy of use is in question)

• Consultation is $250.00 (My requirement listed below under “General info”)


I schedule 45 minutes for initial evaluation, and 30 minutes for annual re-evaluations. This includes review of records, and relevant history and physical.

Other medical-legal physician services:
The recommendations should stand of it’s own merit under California law, and therefore no patient with a valid recommendation should be bothered by law enforcement for safe and appropriate use of their medication. However, there is still a misguided “drug war” going on. My standards are designed to be the most protective of patients and physician. Although lower standards than mine are “arguable”, the place to argue that is often in a court of law, and can be very expensive.

My practice standards are designed to avoid legal problems. Unfortunately, some physicians have taken my standards and stripped them of their safety, in the name of efficiency, leaving legitimate patients vulnerable to legal harm.


I believe that patients who have fulfilled my requirements prior to their encounter with law enforcement are less likely to have a problem.

Nevertheless, there are times when a patient has an issue with an employer, or law enforcement that can be more easily resolved with an authoritative letter from a credible physician.

Often, an authoritative letter of support (after any needed phone discussion with your attorney prior to writing letter) will resolve many issues, and often avoids court. $200.00


“Post-Event” Consultations for Patients
• Consultation is $250.00 (My requirement listed below under “General info”)

• For patients with serious charges requiring a possible trial:
$6,500.00 fee includes:
• Review of patient records up to five (5) hours maximum, (then $650.00 per hour after initial five hours) plus 1 day’s testimony.
• $3225.00 for my consultation through entire case if no need court testimony needed
• $3225.00 for one days court testimony, due on scheduling court date; refundable if cancelled 1 full week prior

Sliding scale will be considered, depending on financial need, and in cases involving a public defender’s office.

Again, often, an authoritative letter of support (after any needed phone discussion with your attorney prior to writing letter) will resolve many issues, and often avoids court. $250.00




DISCLOSURE of Possible Conflict of Interest:

Practice Standards Review and Consultation, done by Lucido Medical-Legal Consulting, does not guarantee a willingness or ability to give testimony in support of the client’s (doctor) standards or actions. Ability to testify will depend on the honest professional opinion of Dr. Frank Lucido, but included will be a confidential evaluation of areas of weakness and strength in the doctor’s practice standards.

Adherence to the recommended standards does not guarantee that the doctor will be free from action by the MBC. Should Dr. Lucido feel ethically able to take on the role of medical expert, in depositions, court or hearing testimony, etc., charges are additional, as noted.

If Dr. Lucido decides he cannot defend, under oath, the doctor’s actions or practice standards, he will give his honest and confidential opinion in that regard. In that case, he may be available, in some circumstances, to consult with the doctor’s attorney and any other expert witness chosen for that purpose, at the hourly rates noted.


Dr. Lucido is very concerned about limiting the time and attention paid to patients in the interests of economy. This type of abuse has been surfacing in the care of medical cannabis patients. The usefulness of a recommendation from some cannabis clinics not following adequate medical standards is like a “fig leaf” – it gives the appearance of propriety, but doesn’t cover anything.

If Dr. Lucido feels the doctor’s practice standards should be improved, he will include that opinion in his confidential report, along with suggestions for improvement.

All information related to consultation will be kept confidential to the full extent of the law.








General info about my medical cannabis evaluations:

Initial consultation is $250.00, and yearly re-evaluations are $225.00 at this time.

Certrain serious illnesses or symptoms can be an appropriate use for medical cannabis under California Health and Safety Code 11362.5 (California Compassionate Use Act of 1996 or Prop 215), if it is truly helping you.


This law is quite specific in applying to "seriously ill Californians".
I require that you have ongoing care with your physician for your condition, and bring in records from the past 12 months documenting this.
You will also have to have a valid California ID or driver's license,
and you must be 21 years of age. I require anyone under 21 to have written parental consent.
(Any exceptions to these requirements above must be discussed with the doctor before making appointment.)

Call 510-848-0958 for an appointment, and tell my staff it's for a medical
cannabis evaluation.

I believe that my practice standards are among the best and most protective of any physician's.
They are published at:
http://www.medboardwatch.com/implementation-of-7-year-plan.htm
and have been acknowledged favorably by the Medical Board of California:
(See: http://www.medboardwatch.com/mbc-May-6-05-Frank-statement.htm )

I look forward to seeing you!

peace and health,
Frank H. Lucido MD
Family Practice since 1979
Medical Cannabis Consultation
Expert Witness
2300 Durant Avenue
Berkeley Ca 94704
510.848.0958 (by appointment only)
www.DrLucido.com
www.AIMLegal.org
www.DrFrankLucido.blogspot.com
Michigan office: 877-787-6900
(24 hr message line)




PS: NOTE: we don't accept insurance for medical cannabis evaluations.
Also NOTE: A medical cannabis evaluation does not constitute primary care.
It is assumed that you already have a primary care practitioner. If not, I am advising you to obtain one.

PPS: No one may give or obtain a "prescription" for marijuana/cannabis.
Under California's Compassionate Use Act, it may be appropriate for a physician to "recommend" or "approve" cannabis use by a patient. This involves giving a medical opinion as to whether cannabis might be helpful in a specific case. We cannot "prescribe" cannabis in the sense of directing you to use it, nor will we help you to obtain cannabis or direct you to sources of cannabis.