For physicians and nurse practitioners, How does the proposed wording stating that doctors must “proactively maintain an effective referral plan for the frequently requested services they are unwilling to provide” reconcile with the Hippocratic oath to “do NO harm”? If a physician doesn’t believe their conscience will allow them to perform said “frequently requested services”, then to maintain an effective referral plan is morally just as reprehensible to them. What does timely mean anyway? Define the terms; then and only then should changes be made.