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Medical Practice Act – Physician Disciplinary Grounds

Published: Apr 03, 2026 by Jeffrey Fortkamp

Prepared by Jeffrey Fortkamp, Esq., Attorney at Graff & McGovern, LPA

States are authorized under the United States Constitution to establish laws and regulations protecting the health, safety, and general welfare of their citizens.[1] To protect the public from the unprofessional, improper, unlawful, or incompetent practice of medicine, each of the states and territories making up the United States has formally adopted a Medical Practice Act (MPA), which defines the requirements for the practice of medicine within their borders and gives authority to a medical board to enforce the act’s provisions.[2]

The duty of the medical board includes not only the licensing and re-registration of physicians, but also includes the responsibility of evaluating whether a physician’s professional conduct or ability to practice medicine warrants modification, suspension, or revocation of the license to practice.[3] The MPA defines unprofessional conduct in each state.[4] Although laws vary by jurisdiction some examples of unprofessional conduct include:

  • failing to meet applicable standards of care,
  • abuse of a patient,
  • inadequate record keeping,
  • not recognizing or acting on common symptoms,
  • prescribing drugs in excessive amounts without legitimate reason,
  • impaired ability to practice due to addiction,
  • failing to meet continuing medical education requirements,
  • performing duties beyond the scope of a license,
  • dishonesty,
  • conviction of a felony or specific misdemeanors, and
  • inappropriately delegating the practice of medicine to an unlicensed individual.[5]

The following table, prepared by the staff at the law firm Graff & McGovern, LPA in the course of its representation of a client practicing medicine in multiple states, links to the various state laws listing the grounds for disciplinary action for physicians.[6]

Continue to monitor the  Graff & McGovern, LPA website for future articles on the Medical Practice Act.

If you are a physician facing an investigation and/or a potential sanction against your medical license in one or more states, please contact the law firm Graff & McGovern, LPA to learn how we can help you defend your license in each state you are licensed to practice.

StateCite
AlabamaAlabama 34-24-360 Rule 545-X-4-.06 
AlaskaAlaska 08.64.326
ArizonaArizona 32-1451
ArkansasArkansas 17-95-409
CaliforniaCalifornia 12-2234
ColoradoColorado 12-240-121 (Lexis)
ConnecticutConnecticut 20-13c.
DelawareDelaware 24-17-1731
District of ColumbiaDistrict of Columbia 3-1205.14
FloridaFlorida XXXII-458.331
GeorgiaGeorgia 43-34-8 GA Rule 360-3-.02
GuamGuam 10-12-12209
HawaiiHawaii 453-8
IdahoIdaho 54-1814
IllinoisIllinois 225 ILCS 60/22
IndianaIndiana 25-1-9-4 844 IAC 5-1-3
IowaIowa 148.6
KansasKansas 65-2836
KentuckyKentucky 311-909
LouisianaLouisiana 37:1285
MaineMaine 3282-A.
MarylandMaryland 14–404.
MassachusettsMassachusetts 112-5 243 CMR 1.00
MichiganMichigan 333.16221
MinnesotaMinnesota 147.091
MississippiMississippi 73-25-29 (Lexis)
Missouri Missouri 334.100
MontanaMontana 37-3-323
NebraskaNebraska 38-178
NevadaNevada 630 (.301, .304, .305, .306, .3062, .3065, .3066)
New HampshireNew Hampshire 329_17
New JerseyNew Jersey 45:1-21 (Justia)
New MexicoNew Mexico § 61-6-15
New YorkNew York 16-8-131A-6530
North CarolinaNorth Carolina 90-14
North DakotaNorth Dakota 36-4-30
OhioOhio 4731.22
OklahomaOklahoma 59-11-509
OregonOregon 677.190
PennsylvaniaPennsylvania 16.61
Puerto RicoPuerto Rico 20-134
Rhode IslandRhode Island 5-37-5.1
South CarolinaSouth Carolina 40-47-110
South DakotaSouth Dakota 36-4-29 and South Dakota 36-4-30
TennesseeTennessee 63-6-214 (Lexis)
TexasTexas 164.051 to .053
UtahUtah 58-1-401 and 58- 501 and 502
VermontVermont 26-23-002-1534
Virgin IslandsVirgin Islands 27-39 (Justia Law)
VirginiaVirginia 54.1-2915
WashingtonWashington 18.130.180
West VirginiaWest Virginia 30-3-14.
WisconsinWisconsin 10.03

[1] Federation of State Medical Boards, Guide to Medical Regulation in the United States (https://www.fsmb.org/).

[2] Id.

[3] Virtual Mentor. 2005;7(4):311-314.

[4] Id.

[5] Id.

[6] Some states’ MPA distinguish between allopathic and osteopathic physicians, this summary is specific to allopathic physicians only if there is a distinction within the state; as with every state law, there may be an administrative rule that amplifies the statute, such instances are noted below; and, access to the revised code varies by state, so when possible, the links below go to the state’s official repository for laws, alternatively to the state’s medical board, and then to a third-party, such as Justia Law or Lexis.