Massachusetts Regulators Discover Fraud Issue Among State-Licensed Nurses

By Michael Klazema on 9/15/2015
Regulators in Massachusetts are looking to tighten background check screenings for individuals applying for nursing licenses in the state. The move to do so comes in the wake of an investigation that revealed 13 license fraud cases among Massachusetts nurses. According to a report from the Boston Globe, each fraud case involved the concept of "reciprocity," a system that waives exam requirements for nursing license applicants if they are already licensed in another state.

Massachusetts regulators began looking into the fraud issue a few months ago when a pair of nurses applying for licenses in Oregon attempted to claim reciprocity based on licenses they already held in Massachusetts. Both women did have licenses in Massachusetts but hadn't passed nursing examinations there, either. Instead, they'd used the reciprocity system to get Massachusetts licenses, both claiming that they already held licenses in Alabama. Oregon investigators dug into the women's stories and determined that neither one of them had held Alabama licenses or ever actually passed a national nursing licensure exam.

After being informed of the Oregon cases, Massachusetts officials suspended the licenses of those two nurses and dug into their system to look for similar cases. They found 11 similar instances from the past year alone, all involving individuals who had secured nursing licenses in Massachusetts by claiming previous licenses in other states. Regulators are in the process of going back over reciprocity records from previous years, to find out if the problem extends even further into the past.

So what went wrong? Did the Massachusetts nursing board just take people at their word and believe anyone who said they were licensed in another state? Not exactly. The state hires a background check firm to screen nursing applicants, and the background check company uses what is called the Nursys online database to verify previous licenses. The problem is, eight states don't "fully participate" in the Nursys database.

The background check firm still could have verified licenses in those states by calling their respective nursing boards and asking for paper records. However, the company didn't take that extra step. As a result, individuals were able to take advantage of the vulnerable system in order to con their way into nursing licenses in Massachusetts.

So far, officials have stated that no "quality of care" issues have arisen in connection with the nurses who were fraudulently practicing in Massachusetts. However, state regulators may have only just begun unearthing the problem. Not only could the issue with nursing background checks go back further than a year, but the state also uses similar background check methods to vet licenses from applicants in other healthcare fields as well. Some are questioning whether the state's healthcare background check standards might be compromised from top to bottom.

For now, the state is still employing the same background check firm but has asked that the company "tighten" their background check methods. That will mean more checking of paper records for the company, which will hopefully help to close loopholes with the reciprocity system. One of the big questions, though, is whether or not reciprocity is even a system that states can adequately control. Is it safe to give nurses a free pass in a new state if they claim to have been licensed elsewhere, especially if there isn't a comprehensive database of licenses for all 50 states? Or would Massachusetts and other states, as well, be smarter to do away with reciprocity altogether?


Tag Cloud
Recent Posts

Latest News

  • June 14 Ban the box laws aim to improve opportunities for employment. Could they have the opposite effect instead?
  • June 13 Jacobs Petroleum Products is a regional petroleum company that operates throughout Pennsylvania, West Virginia, Ohio, and Maryland. Apart from their employees carrying much responsibility and have frequent contact with customers, the company’s hiring also tends to be segmented since individual store managers are responsible for hiring talent for their own stores. In this employment landscape, Jacobs Petroleum Products needed a reliable and effective way to screen its new hires for criminal infractions and other red flags.
  • June 12

    The University of Wisconsin System may tweak its hiring and reference check processes. The potential changes come after one of UW’s assistant deans was accused of sexual harassment.

  • June 07 Stories of abuse by coaches in youth sports leagues continue to crop up around the country, but rules and guidelines remain patchy and enforcement is often lacking. The struggle to implement an effective system continues nationwide.
  • June 07 Financial background checks, usually referred to as credit history checks, can be an effective way to find out if a candidate is fit to handle accounts, financial data, and other assets at your business.
  • June 06 The Society for Human Resource Management and the Charles Koch Institute recently commissioned a survey to find out how willing employers were to hire people with criminal records. The study indicates that managers, HR professionals, and employees themselves are becoming more comfortable with the idea of hiring and working with ex-offenders.
  • June 04 Are fingerprint background checks the gold standard for employee screening, or are they overhyped? We look at some of the myths and misconceptions surrounding these checks.
  • June 04 The organization, The Family Resource Center of North Mississippi (FRCNMS) was founded on the belief that families are the heart of community and that promoting healthy families leads to healthy communities. Read more about how they carefully screen and vet new employees with the help of
  • June 01 Past mistakes can have lingering effects in criminal records that appear on background checks. People with minor convictions can erase those mistakes for help starting over. 
  • May 29 The city of Greenley, Colorado has added background checks and new affidavits to its process for screening candidates for city council. The new measures come after a candidate with a felony conviction for forgery got elected as city councilman.