The FSMB is an elite, highly influential, secretive private organization. We also believe that it is thoroughly corrupt.
Each of the fifty states, as well as the District of Columbia and the US territories, has laws that define the practice of medicine; each one delegates the authority to enforce those laws to a state medical board. State medical boards also adopt policies and create guidelines related to the practice of medicine. They have the power to revoke physician licenses for violating the state’s laws of the practice of medicine—subject to the boards’ interpretation of the law, which can be highly arbitrary.
The Federation of State Medical Boards (FSMB) is a private 501(c)(6) trade association  that purports to represent the seventy state medical and osteopathic boards of the US and its territories, and cosponsors the United States Medical Licensing Examination . It is tremendously powerful: whatever it suggests in terms of medical care policies are often adopted by the state medical boards. A private trade association with no public funding, transparency, or accountability arguably has the power to interpret state medical law and grant or revoke medical licenses! Ever wonder why it’s so hard to find a doctor who will prescribe bioidentical hormones or administer chelation therapy? We believe it’s because the FSMB has made it such a career risk for the doctor to use his own independent judgment.