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Physician Regulations, Policies, and Guidelines

Here you will find the Regulations, Policies, and Guidelines of the Board of Registration in Medicine.
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New Policies and Guidelines

Open DOCX file, 21.89 KB,  Policy 23-03: Provisionally Issued Full Licenses for Qualified Applicants (Revised June 11, 2026) (English, DOCX 21.89 KB)
Open DOCX file, 49.12 KB,  Policy 25-03: Criteria for Participating Healthcare Facility Programs to Assess and Evaluate Internationally Trained Physicians (Revised February 26, 2026) (English, DOCX 49.12 KB)
Open DOCX file, 34.05 KB,  Policy 19-05: Policy on Approving Initial Full and Limited License Applications (Amended February 12, 2026) (English, DOCX 34.05 KB)
Open DOCX file, 24.2 KB,  Policy 24-04: Pilot Policy on Board Sponsorship for a Fifth Attempt at USMLE Step 3 (Reaffirmed November 6, 2025) (English, DOCX 24.2 KB)
Open DOCX file, 19.96 KB,  Policy 25-02: Categorical Approval of Information Requests by Boards and Programs Within the Department of Public Health (August 21, 2025) (English, DOCX 19.96 KB)

Board Regulations

A Note on the Board Regulations Website
243 CMR 1: Disciplinary Proceedings for Physicians
243 CMR 2: Licensing and the practice of medicine
243 CMR 3: The Establishment of and Participation in Qualified Patient Care Assessment Programs
243 CMR 4: Disciplinary proceedings for acupuncturists
243 CMR 5: The Practice of acupuncture

Board Policies

Open DOCX file, 49.12 KB,  Policy 25-03: Criteria for Participating Healthcare Facility Programs to Assess and Evaluate Internationally Trained Physicians (Revised February 26, 2026) (English, DOCX 49.12 KB)
Open DOCX file, 19.96 KB,  Policy 25-02: Categorical Approval of Information Requests by Boards and Programs Within the Department of Public Health (August 21, 2025) (English, DOCX 19.96 KB)
Open DOCX file, 16.2 KB,  Policy 25-01: Resignations and Voluntary Agreements Not to Practice (Approved May 1, 2025) (English, DOCX 16.2 KB)
Open DOCX file, 25.5 KB,  Policy 24-05: Physician Re-credentialing (November 21, 2024) (English, DOCX 25.5 KB)
Open DOCX file, 24.2 KB,  Policy 24-04: Pilot Policy on Board Sponsorship for a Fifth Attempt at USMLE Step 3 (Reaffirmed November 6, 2025) (English, DOCX 24.2 KB)
Open DOCX file, 35.36 KB,  Policy 24-03: Expedited Processing of Change of Program Requests arising from the Closure or Discontinuance of a Graduate Medical Education Program (June 13, 2024) (English, DOCX 35.36 KB)
Open DOCX file, 37.1 KB,  Policy 24-02: Physician Reentry Plan (Amended March 27, 2025) (English, DOCX 37.1 KB)
Open DOCX file, 27.12 KB,  Policy 24-01: Modification of Requirements for Temporary Appointments or Privileges in Exigent Circumstances (Amended May 29, 2025) (English, DOCX 27.12 KB)
Open DOCX file, 21.89 KB,  Policy 23-03: Provisionally Issued Full Licenses for Qualified Applicants (Revised June 11, 2026) (English, DOCX 21.89 KB)
Open DOCX file, 34.02 KB,  Policy 23-02: Deadlines For Post-Recommended Decision Filings (Revised November 21, 2024) (English, DOCX 34.02 KB)
Open DOCX file, 22.83 KB,  Policy 23-01: DRU Referrals of Certain Reports (May 11, 2023) (English, DOCX 22.83 KB)
Open DOCX file, 18.67 KB,  Policy 22-06: Policy Implementing Chapter 127, an Act Expanding Protections for Reproductive and Gender Affirming Care (September 22, 2022) (English, DOCX 18.67 KB)
Open DOCX file, 20.29 KB,  Policy 22-05: Interim Policy on Post-Graduate Training Requirement for International Medical Graduates (September 22, 2022) (English, DOCX 20.29 KB)
Open DOCX file, 17.33 KB,  Policy 22-04: Acceptance of Accredited Oral and Maxillofacial Surgery Postgraduate Training (March 10, 2022) (English, DOCX 17.33 KB)
Open DOCX file, 18.06 KB,  Policy 22-03: Preliminary Denials of License Applications (January 20, 2022) (English, DOCX 18.06 KB)
Open DOCX file, 17.45 KB,  Policy 22-02: Deceased Physicians (Approved January 20, 2022) (English, DOCX 17.45 KB)
Open DOCX file, 17.02 KB,  Policy 22-01: Interim Policy on Practice by Limited Licensees During Public Health Emergency (Amended June 29, 2023) (English, DOCX 17.02 KB)
Open DOCX file, 21.1 KB,  Policy 21-05: Guidance on Statutory Physician Responsibilities When Making an Initial Diagnosis of Alzheimer's Disease (November 18, 2021) (English, DOCX 21.1 KB)
Open DOCX file, 15.38 KB,  Policy 21-04: Policy on Continuing Medical Education on Implicit Bias in Healthcare (November 18, 2021) (English, DOCX 15.38 KB)
Open DOCX file, 15.54 KB,  Policy 21-03: Policy on Provisionally Issued Limited Licenses for Qualified Applicants (Amended October 6, 2022) (English, DOCX 15.54 KB)
Open DOCX file, 12.56 KB,  Policy 21-02: Confirmation of Medical School Graduation (June 3, 2021) (English, DOCX 12.56 KB)
Open DOCX file, 16.74 KB,  Policy 21-01: Interim Policy on Emergency Temporary Licenses to Work at Vaccination Sites for Recently Retired Physicians and Lapsed Licenses (Amended February 3, 2022) (English, DOCX 16.74 KB)
Open DOCX file, 19.17 KB,  Policy 20-01: Policy on Telemedicine (Amended October 6, 2022) (English, DOCX 19.17 KB)
Open DOCX file, 23.14 KB,  Policy 19-06: Risk Management CME Credits and Physician Burnout (Amended December 19, 2019) (English, DOCX 23.14 KB)
Open DOCX file, 34.05 KB,  Policy 19-05: Policy on Approving Initial Full and Limited License Applications (Amended February 12, 2026) (English, DOCX 34.05 KB)
Open DOCX file, 26.93 KB,  Policy 19-04: Policy Relating to Malpractice (Revised June 12, 2025) (English, DOCX 26.93 KB)
Open DOCX file, 13.3 KB,  Policy 19-03: Policy Relating to Board Committees and Subcommittees (July 17, 2019) (English, DOCX 13.3 KB)
Open DOCX file, 14.98 KB,  Policy 19-02: Data Repository Procedures (Amended February 20, 2020) (English, DOCX 14.98 KB)
Open DOCX file, 18.83 KB,  Policy 19-01: Policy on Request for Waiver of 243 CMR 2.03(1)(d) (Amended December 19, 2019) (English, DOCX 18.83 KB)
Open DOCX file, 18.02 KB,  Policy 18-02: Interim Policy on Temporary Waiver of the Alzheimer’s and Related Dementias Training Requirement (Amended December 19, 2019) (English, DOCX 18.02 KB)
Open DOCX file, 21.02 KB,  Policy 17-05: Continuing Medical Education (CME) Pilot Program (Amended April 11, 2024) (English, DOCX 21.02 KB)
Open DOCX file, 16.27 KB,  Policy 17-04: Policy on Withdrawing License Applications (Amended January 14, 2021) (English, DOCX 16.27 KB)
Open DOCX file, 15.83 KB,  Policy 17-03: Policy on Supervisor Evaluations (Amended January 14, 2021) (English, DOCX 15.83 KB)
Open DOCX file, 19.01 KB,  Policy 17-01: Conflicts of Interest (January 26, 2017) (English, DOCX 19.01 KB)
Open DOCX file, 13.11 KB,  Policy 16-01: Policy on Gender Identity and the Physician Profile Program (May 5, 2016) (English, DOCX 13.11 KB)
Open DOCX file, 17.21 KB,  Policy 15-07: Interim Policy on Compliance with the Domestic Violence and Sexual Violence Training Requirement (December 3, 2015) (English, DOCX 17.21 KB)
Open DOCX file, 14.1 KB,  Policy 15-06: Policy on Physician Health Services Reports of Non-Compliance and Physician Self-Reports of Impairment (November 19, 2015) (English, DOCX 14.1 KB)
Open DOCX file, 199.43 KB,  Policy 15-05: Prescribing Practices Policy and Guidelines (Amended June 15, 2023) (English, DOCX 199.43 KB)
Open DOCX file, 14.4 KB,  Appendix A Contact Information (English, DOCX 14.4 KB)
Open DOCX file, 10.67 KB,  Appendix B Policy 03-06: Internet Prescribing (English, DOCX 10.67 KB)
Open DOCX file, 13.7 KB,  Appendix C 2007-01 Joint Policy Regarding Issuance of Multiple Prescriptions for Schedule II Controlled Substances (English, DOCX 13.7 KB)
Open DOCX file, 28.92 KB,  Appendix D DPH Labeling Guidelines for Sample Prescription Drugs (English, DOCX 28.92 KB)
Open DOCX file, 57.28 KB,  Appendix E 2015-01 Joint Policy Pharmacist and Pharmacy Intern Administration of Vaccines and FAQs (English, DOCX 57.28 KB)
Open DOCX file, 16.43 KB,  Appendix G MMS Opioid Therapy and Physician Communication Guidelines (English, DOCX 16.43 KB)
Open RTF file, 1.28 MB,  Appendix H Policy 15-03: Guidance for Filling Expedited Partner Therapy Prescriptions (English, RTF 1.28 MB)
Open DOCX file, 16.47 KB,  Policy 15-04: Interim Policy on Compliance with the Domestic Violence and Sexual Violence Training Requirement (July 2, 2015) (English, DOCX 16.47 KB)
Open DOCX file, 12.36 KB,  Policy 15-02: Policy on Pending Criminal Charges, Indictments and Convictions (June 18, 2015) (English, DOCX 12.36 KB)
Open DOCX file, 17.2 KB,  Policy 15-01: Committee on Acupuncture Member Appointment Process (January 22, 2015) (English, DOCX 17.2 KB)
Open DOCX file, 15.25 KB,  Policy 14-01: CORI Policy for Licensing Purposes (June 25, 2014) (English, DOCX 15.25 KB)
Open DOCX file, 12.39 KB,  Policy 05-02: Voluntary Agreements Not to Practice Medicine (Reaffirmed May 1, 2025) (English, DOCX 12.39 KB)
Open DOC file, 22 KB,  Policy 05-01: Policy on Sale of Goods from Physician Offices (July 20, 2005) (English, DOC 22 KB)
Open DOC file, 20.5 KB,  Policy 03-06: Policy on Internet Prescribing (December 17, 2003) (English, DOC 20.5 KB)
Open DOC file, 21.5 KB,  Policy 03-05: Policy on Keepsake Fetal Videos (December 17, 2003) (English, DOC 21.5 KB)
Open DOCX file, 15.47 KB,  Policy 03-03: Policy on Lapsed License Applications (Adopted November 12, 2003, amended June 28, 2018) (English, DOCX 15.47 KB)
Open DOC file, 25 KB,  Policy 01-02: Student Loan Defaulters (June 13, 2001) (English, DOC 25 KB)
Open DOC file, 36.5 KB,  Policy 01-01: Disruptive Physician Behavior (June 13, 2001) (English, DOC 36.5 KB)
Open DOCX file, 13.64 KB,  Policy 98-02: Policy on Release of Physician Addresses (Amended September 21, 2023) (English, DOCX 13.64 KB)
Open DOCX file, 14.9 KB,  Policy 95-01: Certain Requests Relating to Probation Agreements (Revised March 13, 2025) (English, DOCX 14.9 KB)
Open DOC file, 37.5 KB,  Policy 94-05: CME Credit for Specialty Board Certification and Re-certification, Medical Examiner and Board Volunteer Activities (Amended March 28, 2024) (English, DOC 37.5 KB)
Open DOC file, 36.5 KB,  Policy 93-01: Applicants for Temporary Licensure; Visiting Short-Term Faculty (Revised March 14, 2024) (English, DOC 36.5 KB)
Open DOCX file, 16.83 KB,  Policy 92-01: Issuance of Press Releases on Final Disciplinary Actions (Amended February 27, 2025) (English, DOCX 16.83 KB)
Open DOC file, 27.5 KB,  Policy 91-03: Board Procedure Regarding Request for Waiver of 243 CMR 2.03(1)(b)- Limited Licensure (Amended June 29. 2023) (English, DOC 27.5 KB)
Open DOC file, 40.5 KB,  Policy 91-01: Board Procedure Regarding Request for Waiver of 243 CMR 2.03(1)(b)- Full Licensure (Amended June 29, 2023) (English, DOC 40.5 KB)
Board Policies Under Review
Board Policies Rescinded or Replaced

Patient Care Assessment Committee (PCAC) Policies

Open PDF file, 130.24 KB,  QPSD Policy 23-PCA01: Patient Care Assessment Regulatory Reporting (English, PDF 130.24 KB)

Data Repository Committee (DRC) Policies

Data Repository Committee (DRC) Policies Under Review
Data Repository Committee (DRC) Policies Rescinded or Replaced

Board Guidelines

Open DOCX file, 1.42 MB,  Guidelines for Requesting Board Approval of CME/CPD Activities (May 9, 2024) (English, DOCX 1.42 MB)
Open DOCX file, 18.11 KB,  Final Amended Guidelines for Fulfilling the CME and Educational Trainings Requirements (Adopted July 19, 2018, Amended April 11, 2024) (English, DOCX 18.11 KB)
Open DOC file, 21 KB,  Guidelines for Reactivation from Retirement (March 18, 2009) (English, DOC 21 KB)
Open DOC file, 23 KB,  Procedures for Violation of Probation Agreement (June 9, 1993) (English, DOC 23 KB)
Open DOC file, 391.5 KB,  Board Endorsed Office-Based Surgery Guidelines (English, DOC 391.5 KB)

Board Statements

Open DOCX file, 19.14 KB,  FAQs on Self-Prescribing (May 2, 2019) (English, DOCX 19.14 KB)
Open DOCX file, 10.84 KB,  Board Statement on Prescribing Naloxone (September 10, 2014) (English, DOCX 10.84 KB)

Standing Orders

Open DOC file, 22 KB,  No. 91-1: Interlocutory Appeals (Adopted November 6, 1991, SUPERCEDING Standing Order No. 1988-1) (English, DOC 22 KB)

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