November 5, 2018

In This Issue
CMS Issues Final Medicare Physician Payment Rule
Signatures being Collected for Citizen Initiated Proposal on Physician Assisted Death
New Web-based Decision Support Tool Helps With Chronic Pain Treatment
Health Insurance Marketplace 2019 Open Enrollment Now Through December 15, 2018
AMA Urges FTC to Act on Insulin Prices
MaineGeneral to Offer X-waiver Course
Ten Takeaways from the Surgeon General's Opioid Report
"Great American Smokeout" November 15th; "Tar Wars" Anti-smoking Education
Webinar: The Changing Landscape of Retirement - Tuesday, November 13 5pm
MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available
MMA Legislative Committee's Organizational Meeting Scheduled for December 6
Upcoming Specialty Society Meetings
Next Steps in Addressing Maine's Opioid Crisis: 11/7 Presentation Scheduled
Introduction to Lean in Healthcare Full-Day Workshop on Friday, November 9
Division of Disease Surveillance Annual Infectious Disease Conference - November 14
MICIS 3-hour Opioid CME Presentation - November 26 in Portland
Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline for Enrollment at Discounted Price: November 30th
Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on Dec 8, Feb 2, Mar 2, Apr 6
Physician – Leeds
Psychiatric Mental Health NP - Leeds
Psychiatric Nurse Practitioner - Nasson Health Care
Primary Care Physician
PCHC wants to add more Family Physicians at Multiple Locations!
Outpatient Internal Medicine Physician – Bangor, Maine
OB/GYN Physician Opportunity
Franklin Health Behavioral Services is seeking a BC/BE Psychiatrist/Medical Director
Internal Medicine MD or DO (BE/BC)
Podiatrist (Non-Surgical)
Internal Medicine Outpatient Physician
Seeking Medical Director for Family Medical Practice in Waterville, ME
Internal Medicine Physician
Opportunities at the VA for Volunteer Physicians

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Signatures being Collected for Citizen Initiated Proposal on Physician Assisted Death

A political action committee has been established which has already gathered about 9,000 of the more than 60,000 signatures required to place a citizen initiated proposal on the ballot. The number of signatures required will be 10 percent of the gubernatorial vote on Tuesday. In an article published in the Portland Press Herald last week, it was reported that the proponents of the measure will have more than 130 volunteers at 100 polling places on Tuesday.
Proponents of the measure expressed frustration that the legislature has defeated similar proposals repeatedly, although in the past four years a physician assisted-death proposal has been enacted in the House and come within a vote of passing the Senate; however, these votes were seen as somewhat symbolic as Governor LePage had stated his strong opposition to the bill. Seven states and the District of Columbia authorize such action when a patient has less than six months to live with Vermont being the only state in New England with such a law.
The Oregon law was the first in the nation authorizing a terminally ill patient to ask their physician to write a lethal prescription. Since the law went into effect more than 20 years ago, nearly 2000 people received such a prescription with 1,275 patients having died from taking the medication, according to  February 2018 report by the Oregon Health Authority.
A survey of MMA members taking during the course of the 128th Legislature revealed that members were equally divided in their support and opposition to the proposal. Based largely upon that division, the Association withdrew its opposition and took a neutral position on the bill which was not enacted. In the year 2000, a previous publicly initiated referendum was defeated by voters and in that election Association took an active role in opposition to the proposal. The Association currently has a work group reviewing the issue. Charles Pattavina, M.D., immediate past president of MMA, chairs the working group.
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