November 20, 2017

In This Issue
Current News Moves MMA to Remind Physicians of Guidance on Boundaries in Physician-Patient Relationships
Webinars on Improving Opioid Prescribing and Patient Safety: 12/5 & 12/13
Health Insurance Marketplace 2018: 3 weeks left for Open Enrollment
MMA Leadership Listening Session in Portland on Tuesday, December 5
Improving Opioid Prescribing and Patient Safety: Wednesday, 12/6 in Portland
House Passes CHIP Reauthorization
2018 Another Transition Year for Quality Payment Program
News from the 2017 AMA Interim Meeting
2018 Medicare Physician Fee Schedule Provides Regulatory Relief for Physicians
Legislative Calls to Resume When Legislature Returns
SAVE THE DATE: MMA Legislative Committee Meets December 11th to Prepare for Next Legislative Session
Highlights of Recently Enacted Legislation: L.D. 479 Requiring a Opioid Prescribing Policy
Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
New Free CME on Alzheimer's Risk, Detection, and Management
Chief Executive Officer
Clinical Cardiology Opportunity
Family Medicine Physician/Clinician Leader
BC/BE Physician - C.A. Dean Memorial Hospital
VA Psychiatrist
BE/BC Family Practitioner - Lewiston, ME
Primary Care Physician - Eastern Maine Medical Center
Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician
Outstanding full-time opportunity for an experienced Physician Assistant or Nurse Practitioner with Central Maine Heart Associates in Auburn, Maine
Palliative Care Provider
Gastroenterologist - Brunswick, ME
Hospitalist - Brunswick, ME
DO or MD Physician - Augusta, ME
Family Medicine Physician - Pittsfield, ME
Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
Anesthesiologist - Augusta/Waterville
Physiatrist - Brunswick, Maine
Opportunities at the VA for Volunteer Physicians

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Highlights of Recently Enacted Legislation: L.D. 479 Requiring a Opioid Prescribing Policy

 The MMA staff has posted the Annual Report of the Legislative Committee, a summary PowerPoint presentation, and other advocacy resources on the MMA web site here.

This week, we'll highlight a bill that has generated several calls to MMA's attorneys for interpretive guidance.  It is L.D. 479, An Act to Inform Patients of the Dangers of Addicting Opioids (P.L. 2017, Chapter 186).  This bill requires health care entities employing prescribers of opioid medications to develop an opioid prescribing policy that includes risk assessment, informed consent, and counseling on the risk of opioid use by January 1, 2018.  This bill originally would have required a practitioner to follow specific steps to obtain informed consent for each patient encounter, something MMA regularly opposes at the legislature. We object to these well-intended proposals because of the compliance challenges presented by many different legislative requirements for informed consent for different procedures or conditions.

If you have questions about compliance with this or other laws recently enacted by the Maine legislature, please contact Andrew MacLean, Deputy EVP & General Counsel (amaclean@mainemed.com) or Peter Michaud, Associate General Counsel (pmichaud@mainemed.com).


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