January 28, 2019

In This Issue
MMA's Gordon Smith Named Maine's Director of Opioid Response
AMA Outlines Policy Proposals to Combat Prescription Drug Price Increases
Researchers Say Outpatient Use of Benzodiazepines Increasing
AMA Survey of States: Top Issues Facing Organized Medicine this Year
New Moves by FDA Could Increase Naloxone Access
More Information About the Origins of the Opioid Problem
Medicare-for-all plans: How Do They Compare?
PCSS Offers Free On-line 8-hour X-waiver Course for MAT
MMA Legislative Call Tuesday, January 29th
Report from the State House
Upcoming Specialty Society Meetings
Webinar Presented by Baystate Financial - Sources of Retirement Income
Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline: January 30, 2019
Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on Feb 2, Mar 2, Apr 6
Psychiatric Mental Health NP - Leeds
Urgent Care Physician - South Portland, ME
PCHC in need of Pediatrician at Multiple Locations!
Outpatient Internal Medicine Physician – Bangor, Maine
Full-time Board Certified/Board Eligible MD/DO
Outpatient Family Medicine - Brunswick, Maine
Psychiatric Nurse Practitioner - Nasson Health Care
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health

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MMA Legislative Call Tuesday, January 29th

MMA Legislative Committee Chairs Jay Mullen, M.D. and Lindsey Tweed, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The last MMA Legislative Committee weekly conference call for the First Regular Session of the 129th Maine Legislature will take place Tuesday, January 29th, at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode. These will remain the same for every weekly call during the session.

Conference call number: 1-603-766-5646

Participant ID - 699139#

The purpose of the weekly conference calls is to discuss the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour.

The following are bills of interest to the physician community printed last week. (For those not familiar with the term, a "concept draft" is a bill that contains only a title and a brief description of what it is intended to do. It does not contain the actual bill text.) We will discuss the priority bills marked with an asterisk (*) first. This will be important when the list grows in the next few weeks.
Following are the bills of the week: 

*LD 320: An Act To Amend the Scope of Practice of Podiatric Medicine. Expands scope to include osseous and soft tissue of lower leg below the tibial tuberosity.

LD 325: An Act To Provide Emergency Funds for Clients of the Adult Protective Services System. $10,000. Emergency funding for APS caseworkers.

LD 326: An Act To Decriminalize Engaging in Prostitution. As stated. Changes “prostitute” to “prostituted person,” and provides for expungement of records of past offenses.

LD 329: An Act To Exempt from Criminal Liability Persons Reporting a Drug-related Medical Emergency. As stated, if evidence is obtained due to seeking assistance.

*LD 330: An Act To Define Licensed Massage Therapists as Health Care Practitioners. As stated, for purposes of the Health Security Act. Prohibits unlicensed persons from performing or claiming to provide various procedures.

LD 335: An Act To Require the State To Distribute 25 Percent of Adult Use Marijuana Retail Sales and Excise Tax Revenue to Generating Municipalities. 25% of gross sales & excise tax revenue goes to the municipality where the revenue was generated.

LD 336: An Act To Require That Notice of Lead Abatement Orders Be Filed with the Registry of Deeds. Notice of existence of lead hazard filed in registry, so available to property title search.

LD 340: An Act To Establish a Temporary Terminal Condition Medical Allowance for Lobster and Crab Fishing License Holders. Allows family to fish under license of person diagnosed with terminal condition for one year.

LD 342: An Act To Require a Person To Notify Law Enforcement Officers of the Possession of a Hypodermic Needle. Failure to report is Class D crime, report and item (& contents) not to be used in evidence.

LD 343: An Act To Promote Equity in Business Opportunity for Tobacco Specialty Stores. Cigar bar bill…again. Allows beverages to be served.

LD 347: An Act To Provide Sustainable Funding for Drinking Water and Wastewater Infrastructure. Concept draft, funding for improvements to infrastructure.

LD 349: An Act To Extend the Refundability of the Educational Opportunity Tax Credit to Students in the Behavioral Health Field. Income tax credit for costs of bachelor’s or associate degree programs.

LD 359: An Act To Address Student Hunger with a "Breakfast after the Bell" Program. Requires alternative breakfast program in schools where 50% of students qualify for subsidized lunch. Allows opt-out, requires health and academic outcome tracking.

LD 362: Resolve, To Require the Department of Health and Human Services To Submit a State Plan Amendment To Exempt Retirement and Educational Assets from Calculations for Medicaid Eligibility. As stated.

LD 363: An Act To Protect Residents of Assisted Living Facilities. Requires CPR or use of AED unless a DNR order is in place. Facilities must provide equipment and training.

*LD 364: An Act To Establish the Right To Practice Complementary and Alternative Health Care Act. Allows alternative/complementary health care by unlicensed persons (with certain disclosures), not to include surgery, radiation, prescriptions, chiropractic manipulation.

LD 367: An Act To Amend the Definition of "Insurer" under the Maine Guaranteed Access Reinsurance Association Act. Removes multiple employer welfare agreements from the definition.

LD 369: An Act To Support Healthy Workplaces and Healthy Families by Providing Earned Paid Sick Leave to Certain Employees. Paid sick leave for all employments with at least 5 employees, unpaid for fewer than 5.

LD 373: An Act To Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or Autism Spectrum Disorder. As stated.

LD 376: An Act To Expand Health Insurance Options for Town Academies. Extends state employee coverage to employees of town academies.

*LD 379: An Act To Protect Children by Requiring the Safe Storage of Loaded Firearms. Criminalizes unsafe storage if child access and misuse, 7 affirmative defenses. Requires dealers to post warnings recommending training and safe storage.

LD 382: An Act To Fund Services for Blind and Visually Impaired Persons at the Maine State Library. $40,000 for this purpose.

LD 392: An Act To Fund Maine's School-based Health Centers. $600,000 for this purpose.

LD 396: An Act To Support Justice for Victims of Sexual Assault by Increasing the Time Sexual Assault Forensic Examination Kits Must Be Stored. Extends required storage time to statute of limitations.

LD 399: An Act To Align Wages for Direct Care Workers for Persons with Intellectual Disabilities or Autism with the Minimum Wage. Requires 125% of minimum wage for these workers.

LD 407: An Act To Promote Universal Health Care, Including Dental, Vision and Hearing Care. Establishes single-payer health care system effective in 2022.

*LD 408: Resolve, To Improve Access to Neurobehavioral Services. Requires DHHS to provide 16 new, short-term neurobehavioral beds for patients with significant behavioral challenges and complex medical needs.

LD 413: An Act To Ensure the Rights of Citizens to Groundwater in the State. Concept draft, to recognize state ownership of groundwater and ensure availability.

LD 414: An Act To Provide Intensive Case Managers to Counties That Do Not Have County Jails or Regional Jails. Would add 3 (there are 13 county jails) to oversee detained persons who have intellectual disabilities or mental health conditions or substance use disorder.

LD 415: An Act to Enhance the Retired County and Municipal Law Enforcement Officers and Municipal Firefighters Health Insurance Program. Expands eligibility and coverage, increases state subsidy, and requires full coverage of these employees.

*LD 416: An Act To Allow Eating Establishments To Permit Smoking Tobacco in Designated Outdoor Eating Areas. As stated, if under 21 excluded.

LD 421: Resolve, To Amend the State Plan Regarding the Processing of Vouchers under the Special Supplemental Nutrition Program for Women, Infants and Children by Farmers' Markets. Allows farmers’ markets to take SNAP coupons.

LD 428: An Act To Establish Wage and Employment Parity between Adult and Child Protective Services Caseworkers in the Department of Health and Human Services.Requires training for adult protective workers, equalizes number of child and adult protective workers, gives adult workers $5 per hour increase.

LD 429: An Act To Improve the Ability of Mental Health Professionals To Assess the Risk of Suicide. Requires suicide prevention training (6 hours per 10 years) for psychologists, social workers, and licensed clinical professional counselors.

LD 433: RESOLUTION, Proposing an Amendment to the Constitution of Maine To Explicitly Prohibit Discrimination Based on the Sex of an Individual. As stated.

LD 434: An Act To Price Carbon Pollution in Maine. Requires an assessment on carbon content of fuels sold in state.

LD 436: Resolve, Directing the Secretary of State To Review Standards for Vision Tests. As stated, for drivers’ licenses.

LD 437: An Act To Improve Access to and Affordability of Health Care in Maine.Concept draft sponsored by Senate Republicans.

*LD 439: Resolve, Directing the Commissioner of Health and Human Services To Convene a Task Force To Study the Need for Long-term Acute Care Hospital. Task force to evaluate need for long-term acute care beds.

LD 440: An Act To Continue the Doctors for Maine's Future Scholarship Program.Appropriates $800,000.

*LD 441: An Act To Reduce Childhood Exposure to Harmful Ultraviolet Radiation by Allowing Students To Use Sunscreen in Schools. Allows possession and use of topical sunscreen without prior parent authorization.

*LD 443: An Act To Prevent Vitamin K Deficiency Bleeding and Eye Damage in Infants. Removes religious objection to Vitamin K administration (eye drops and IM) at birth, requires IM injections by midwives, etc.

LD 447: An Act Regarding the Substance Use Disorder Continuum of Care. Concept draft to include prevention, treatment, law enforcement diversion, harm reduction, and recovery. Includes programs to reduce marijuana use and vaping, funds detox, recovery coaches, recovery support, evidence-based prevention and treatment in rural areas.

LD 455: An Act To Authorize a General Fund Bond Issue To Expand Maine's Research, Development, Commercialization and Clinical Infrastructure Assets To Improve Outcomes for Maine Families with Members Suffering from Alzheimer's, Dementia and Other Diseases of Aging. Funding ($65 million) for R & D, commercialization and clinical infrastructure for Alzheimer’s, dementia, and other diseases of aging.

LD 462: An Act To Provide Paid Family Leave to Public School Employees. As stated.

LD 463: An Act To Reduce Obesity Rates in Maine. Establishes comprehensive state plan, appropriates $1.5 million.

LD 465: An Act To Eliminate the Service Provider Tax on Services Covered by Medicaid. As stated, repeals those laws.

LD 470: An Act To Provide Traffic Safety Education in Schools. Instruction for pedestrians, bicyclists, motorists in grades 2-12.

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