The American Board of Medical Specialties expressed sharp disapproval of the move, arguing that the decision undermines the state’s long-standing commitment to verifying physician expertise. While existing regulations require agencies to administer comprehensive initial and ongoing examinations, the Florida board carved out an exemption for the NBPAS. This regulatory shift effectively lowers the bar for how medical practitioners communicate their qualifications to the public.

Proponents of strict certification standards maintain that these rules serve as a vital safeguard for patient trust. By permitting the use of the term "specialist" without verified clinical assessment protocols, critics warn that the change creates a landscape where patients, hospitals, and insurers receive incomplete information. The ABMS contends that this erosion of transparency threatens the reliability of medical credentials within the healthcare system, potentially leaving the public unable to distinguish between varying levels of clinical oversight.