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Public Policy

AOA partners with state affiliates on key state advocacy priorities

By AOA Staff

02.13.26

The AOA continues to work closely with state osteopathic affiliates to advance legislation that protects physician practice, strengthens the workforce and safeguards patient access to care. Below are highlights of the states and issues where the AOA has actively advocated on behalf of osteopathic physicians and their patients during this legislative session.

Michigan

Michigan’s participation in the Interstate Medical Licensure Compact (IMLC) has lapsed, putting physician practice authority and continuity of care at risk. Legislation pending in the state legislature, SB 303 and HB 5455, would restore Michigan’s participation and prevent disruption for thousands of physicians and patients. The AOA and Michigan Osteopathic Association (MOA) will continue to educate lawmakers on the importance of the IMLC.

Virginia

In Virginia, the AOA and the Virginia Osteopathic Medical Association (VOMA) are supporting two bills aimed at strengthening the physician workforce and protecting patient access. SB 625 would create a Medical Education Loan-for-Service Program to address shortages in rural and underserved areas, while HB 627 would prohibit non-compete agreements for healthcare providers, helping preserve physician mobility and continuity of care.

New Jersey

 The AOA and the New Jersey Association of Osteopathic Physicians and Surgeons (NJAOPS) are opposing S.2996, which would significantly expand scope of practice for advanced practice nurses. The legislation raises concerns related to patient safety, care quality and long-term healthcare costs by allowing independent practice without physician-level education and training.

Iowa

In Iowa, the AOA and the Iowa Osteopathic Medical Association (IOMA) are opposing SSB 3059, which would change the title “physician assistant” to “physician associate.” The organizations have raised concerns that the proposal could increase patient confusion about provider credentials and undermine transparency in care delivery.

West Virginia

The AOA is also opposing H.B. 4715 in West Virginia, which would expand independent practice authority for non-physician providers. The bill raises significant patient safety and cost concerns by allowing independent practice without physician supervision or collaboration.

The AOA remains actively engaged alongside its state affiliates to ensure state policies reflect the realities of medical practice and prioritize patient safety, physician-led care and access to high-quality healthcare.