I fully agree with the majority of the commentary on this forum that a repeating jurisprudence examination is not only unnecessary, but unnecessarily cumbersome to providers as well. Providers must take some responsibility in keeping apprised of what is going on in our profession. There is no need to bog down those of us who have taken the necessary steps to stay current with an examination.  If there are concerns over providers getting into trouble regarding certain rules and regulations, perhaps only those who have gotten into trouble should have to prove their knowledge of policy updates. For the majority of us, the time spent on such an examination would be better spent keeping apprised of current treatment modalities and recommendations for our patients. The idea of quarterly updates to providers in the form of a newsletter is a good one that would allow practitioners to stay up to date with reduced time commitment.