The Fair Contracting for
Health Care Practitioners Act took effect on January 1, 2025. The Act generally
bans the use of noncompete agreements with certain health care practitioners
but with some notable exceptions.
Who
The Act
defines “health care practitioner” as a medical doctor, doctor of osteopathy,
certified registered nurse anesthetist, registered nurse practitioner, or
physician assistant.”
What
“Noncompete
covenant” is broadly defined as “An agreement that is entered into between an
employer and a health care practitioner in this Commonwealth which has the
effect of impeding the ability of the health care practitioner to continue
treating patients or accepting new patients, either practicing independently or
in the employment of a competing employer after the term of employment.” 35 Pa.
Stat. Ann. § 10323.
When
The Act took effect
on January 1, 2025.
The
General Rule
Any noncompete
entered into with a health care practitioner after January 1, 2025 is “deemed
contrary to the public policy and is void and unenforceable by an employer.” 35
Pa. Stat. Ann. § 10324(a).
The
Exceptions
1. Less than one year, not dismissed. The
general prohibition does not apply to noncompetes where (1) the duration of the
restrictive covenant is less than one year; and (2) the health care
practitioner was not dismissed by the employer. 35 Pa. Stat. Ann. § 10324(b).
2. Recovery of reasonable expenses. An
employer may still contract with a health care practitioner to recover reasonable
expenses, if the expenses are: (1) Directly attributable to the health care
practitioner and accrued within the three years prior to separation, unless
separation is caused by dismissal of the health care practitioner; (2) related
to relocation, training and establishment of a patient base; and (3) amortized
over a period of up to five years from the date of separation by the health
care practitioner. 35 Pa. Stat. Ann. § 10324(c)(1).
3. Ownership
transfers. Noncompetes remain permissible for: (1) the sale of an ownership
interest or all or substantially all of the assets of the business entity; (2)
a transaction resulting in the sale, transfer or other disposition of the
control of the business entity, including by merger or consolidation; and (3) the
health care practitioner’s receipt, by purchase, grant, award, issuance or
otherwise, of an ownership interest in the business entity. 35 Pa. Stat. Ann. §
10324(c)(2).
Patient
Notification
The Act also requires employers to notify the health care
practitioner’s patients of: (1) the health care practitioner’s departure; (2) if
the patient chooses to receive care from the departed health care practitioner
or another health care practitioner, how the patient may transfer the patient’s
health records to a health care practitioner other than with the employer; and
(3) that the patient may be assigned to a new health care practitioner within
the existing employer if the patient chooses to continue receiving care from
the employer. 35 Pa. Stat. Ann. § 10325. The notice must be sent within 90 days
of the employee’s departure and only to patients the employee saw within the
past year and had an ongoing outpatient relationship with for two or more
years.