I must admit, I was surprised when I read that Massachusetts's healthcare law, passed last summer, includes a provision that requires physicians to demonstrate a “proficiency” in the use of EHRs, electronic prescribing, computerized physician order entry and other forms of health IT as a condition of licensure. This law goes far beyond the federal HITECH Act and Meaningful Use program. HITECH will impose financial penalties on physicians who don't meaningfully use electronic health records by 2015. In Massachusetts, physicians who don't meaningful use their EHRs by then will lose their licenses to practice their livelihood.
That's a big difference.