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March 19, 2018

In This Issue
IN THE SPOTLIGHT
President Proposes Cutting Opioid Rx by 1/3, Death Penalty for Sellers, Other Measures
Congress Confronts Another Must-Pass Spending Bill Deadline: March 23rd
New AMA Survey: Patient Clinical Outcomes Shortchanged by Prior Authorization
RWJ Foundation Releases County Health Rankings & Roadmaps Report
Maine Quality Counts Publishes new "Choosing Wisely" Toolkit for Employers
Diabetes Alert Day - March 27: 3 Strategies that Change the Conversation You Have with Patients on Type 2 Diabetes Prevention
MMA Board Approves Climate Change Resolution
Bipartisan Group of Senators Propose Bill to Ban “Gag Clauses” on Prescription Savings
Do you hold a DEA X-waiver to prescribe buprenorphine?
128TH MAINE LEGISLATURE
Legislative Call This Tuesday, March 20th
Legislative Report: Female Genital Cutting, Medical Marijuana, and More
Med Student/MMA Board Member Knowland Testifies on Student Loan Bill
Governor Approves Meningococcal Vaccine Rule
UPCOMING EVENTS
QC2018: Building Communities of Practice through Innovation - Wednesday, April 4, 2018
MMA and Jackson Laboratory Seeking Volunteers to Assist with 2018 Maine Cancer Genomics Initiative Forum - April 6-8
FREE 8-Hr. MAT Waiver Training Being Offered in Dover, NH - Friday, April 27th
Introduction to Lean in Healthcare Full-Day Workshop on Tuesday, May 8
New Free CME on Alzheimer's Risk, Detection, and Management
Peer Navigation Program from Facing Our Risk of Cancer Empowered (FORCE)
Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
HEALTHCARE EMPLOYMENT OPPORTUNITIES
Medical Board Physician
Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
Family Practice Physician - Bucksport Regional Health Center
Hospice Physician – Lewiston, ME
Internal Medicine Outpatient Physician
Operations Director
Outpatient Internal Medicine Physician – Bangor, Maine
Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician
Clinical Cardiology Opportunity
Opportunities at the VA for Volunteer Physicians

 
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Legislative Report: Female Genital Cutting, Medical Marijuana, and More

  • Appropriations & Financial Affairs: MMA board member and medical student Nicholas Knowland was among many witnesses testifying in favor of a bill that would provide interest relief on student loans for persons who agree to spend 5 years living and working in Maine. (See article above in "Spotlight" section.)
  • Criminal Justice and Public Safety Committee: Two competing bills on female genital cutting, or mutilation, have been rejected by the Committee in favor of a third bill in which the Committee is attempting to achieve consensus. The MMA has consistently argued for a clear exclusion for any legitimate, non-cosmetic medical procedures, and many members of the committee clearly favor such an exclusion.
  • Health & Human Services Committee: The HHS Committee is wrapping up its work, and most of the activities this week were focused on amendment and language review.
  • Insurance & Financial Services Committee:  The IFS Committee continues to work on one last health insurance bill, L.D. 696 that would prohibit so-called "non-medical switching" of prescription drugs.  As previously reported, MMA testified in favor of the bill and has been involved in the drafting process.  As of last Thursday, there seems to be bipartisan support for proceeding with the bill as Rep. Bob Foley (R-Wells) has convened a stakeholder group to participate in the drafting process.  If you have experience with this patient problem and would like to share your experience with the IFS Committee members, you can find the Committee members and contact information here.  It will be most effective if you can contact them before the work session tomorrow at 1 p.m.  See also the article above on the AMA's recent prior authorization survey.  The Committee completed a final language review on MMA's prior authorization bill, L.D. 1032, last Thursday.  We will alert you when this bill will be debated through this newsletter.
  • Labor, Commerce, Research & Economic Development Committee: The LCRED Committee held a public hearing on a bill that would streamline the path for veterans from military service in medical positions to an LPN license in Maine. There were several witnesses testifying in favor of the bill, which is based on a report submitted by House Assistant Majority Leader Jared Golden. The Board of Nursing, testifying neither for nor against, pointed out that many aspects of LPN education, including those focusing on pediatrics and geriatrics, are not covered in military training.

Upcoming public hearings and work sessions this week:

CJPS Work Sessions: 
  • LD 1819 and 1822 Female genital cutting

    IFS Work Session:

    • LD 696 Non-medical switching of medications by insurers

    LCRED Work Session:

    • LD 1857 Streamlined LPN licensure for former military medics
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