VOS Newsletter
THE OFFICIAL NEWS PUBLICATION OF THE VIRGINIA ORTHOPAEDIC SOCIETY

CONTENTS OF THIS ISSUE
Summer 2018 Issue

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Infuse
Meeting Recap

Infuse 2018 took place on May 5-6 in Richmond, VA and provided an intentional moment for physicians to focus on themselves and enjoy presentations on resilience, joy of practice, and innovation along with the opportunity to connect with their fellow physicians. Infuse also featured powerful interactive sessions that included music, meditation, artfulness, panel and group discussions! Look for speaker videos to be shared soon, as well as exciting new offerings from MSV on physician wellness!

 

MSV Specialty Advisory Council Update

The Medical Society of Virginia’s (MSV) Specialty Advisory Council met on May 16 to receive a legislative update and review fourteen proposals from MSV’s Advocacy Summit.

MSV staff began the meeting with a legislative update, including the state budget impasse over Medicaid expansion. Legislation highlights included bills or actions that protect physician bottom lines and increase patient access to care, such as HB 139 allowing physicians who are under review to be credentialed by a health plan to see patients and retroactively receive payments if they are ultimately credentialed. MSV helped defeat certain bills, including HB 323/SB 380, which would have created unlimited liability for damages to families of individuals who have been victims of personal injury; and SB 895, which would have raised the punitive damages cap – including the medical malpractice cap – from $350,000 to $500,000.

MSV defeated several other pieces of threatening legislation. Defeated bills legislating the practice of medicine included those on opioid limitations in statute and PMP checks prior to every issuance of an opioid, mandatory patient notification by a physician to the risk of cobalt poisoning associated with joint replacements, extension of the Lyme disease test notification, and mandatory physician usage of the Electronic Death Registry System. Defeated bills pertaining to scope of practice included one that would have created a new Doctor of Medical Science (DMS) license establishing an advanced level of physician assistants, and an optometry scope bill that would have allowed optometrists to perform surgical procedures.

A bill allowing nurse practitioners (NPs) to practice independently was amended to ensure NPs gain appropriate clinical training and standards to maintain patient safety and quality: five full-time clinical years of experience attested to only by a physician.

After the legislative update, the Specialty Advisory Council reviewed and discussed fourteen proposals submitted to the MSV Advocacy Summit:

The council discussed the option of providing basic medical response training for school teachers and staff.

Council members expressed support or no official position. This is a politically sensitive and controversial topic area that would represent legislative difficulties.

Council members debated the scope and messaging of any proposed legislation, and the problematic definition of “assault weapon.”

The council expressed friendliness to this concept.

The council supported this idea and recommended sending it to MSV’s House of Delegates.

The council expressed support for this concept for various reasons.

The council agrees that there is a need for more insurance carriers to participate in the marketplace and lower premiums.

The council agrees that reform of prior authorization, step therapy protocols (and PBMs) is necessary.

The council supports this concept.

The council discussed market- and population-based challenges and the need to clearly define “underserved area.”

The Council is generally supportive of this concept but would like more information about how the proposed tax would be designed and levied, and how similar taxes work in other states.

The council is generally supportive. There was discussion about rates for self-paying vs. insured patients, and assignment of benefits. Members asked about current MSV policy and whether it needs to be revised accordingly.

Council members were divided on this issue. They generally agree that the MOC process is burdensome and in need of some reform.

The purpose of the Specialty Advisory Council is to give input to MSV as it develops its annual policy and legislative positions. MSV will continue its advocacy policy process before any final decisions are made on policy positions by MSV’s Board of Directors in the fall.

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