February 25, 2019

In This Issue
MMA Pursues Prior Authorization Reform in 129th Maine Legislature
HHS Releases Proposed Rule on Drug Rebates
Legislation to Address Gun Violence Advances in the House
Maine Seeks Federal Waiver to Assist Opioid Response
Medical Care a Bit Rough in 1860s Maine
HHS Final Rule Seeks to Curb Title X Funding
MMA Wants Your Feedback: Physician Wellness Survey
MMA Legislative Call Tuesday, February 26th
State House Highlights of the Week: A Packed House in HHS for Hearings on Banning Liquid Nicotine, Requiring Vitamin K Injections
Upcoming Specialty Society Meetings
MaineGeneral Offering X Waiver Training March 9th in Waterville
Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on March 2 and April 6
Maine Society of Orthopaedic Surgeons Annual Meeting March 23, 2019
NAMI Maine’s Beyond the Basics in Suicide Prevention Conference - Friday, April 12, 2019
Board Certified Family Physician
Internal Medicine Outpatient Physician
BC/BE Family Medicine Physician
Part-time Physician for Academic Year Contract Position
Psychiatric Mental Health NP - Leeds
PCHC in need of Pediatrician at Multiple Locations!
Outpatient Internal Medicine Physician – Bangor, Maine
Outpatient Family Medicine - Brunswick, Maine
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health

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MMA Legislative Call Tuesday, February 26th

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, February 26th, 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: 

February 12, 2019

LD 926:  An Act To Protect Hospital Employees from Assault. Adds “hospital employee” to “emergency medical care provider” to expand definition of the crime.

LD 931:  An Act Concerning the Department of Health and Human Services. Concept draft.

LD 934:  Resolve, To Review the Implementation of the Maine Background Check Center Act. Establishes study group to assess effects of the Act’s implementation.

*LD 942:  An Act To Require Reimbursement for Medical Marijuana. Requires health insurers, accidental injury and disability insurers, and workers’ comp insurers to cover marijuana for medical use.

*LD 943:  An Act To Allow Laser Spine Surgery in the State. Allows physicians (DO and MD) to use a laser during spine surgery if documented and diagnosis based on “knowledge obtained through medical history and physical examination.”

*LD 949:  An Act To Prevent Overdose Deaths. Safe injection sites.

LD 964:  Resolve, To Study Housing Options for Persons with Mental Health Challenges and Substance Use Disorder. Establishes a commission to assess housing needs and options.

*LD 966:  An Act To Ensure Safer Childhood Vaccines. Concept draft, to require patient intake forms to include a question regarding date of patient’s most recent vaccine, to be provided to US DHHS.

LD 968:  An Act Making Supplemental Appropriations and Allocations for the Expenditures of State Government and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2020 and June 30, 2021. Supplemental budget concept draft.

LD 969:  An Act Making Supplemental Appropriations and Allocations for the Expenditures of State Government and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Year Ending June 30, 2019. Supplemental budget concept draft.

LD 972:  Resolve, To Increase Access to Brain Injury Waiver Services. Rate increase for home support, care coordination, and telehealth for brain injury under MaineCare.

*LD 976:  An Act To Require Additional Lead Screening for Children. Adds additional test at age 6, removes primary care provider judgment exception.

LD 981:  An Act To Implement the State's Recently Approved Request for a Section 1115 Demonstration for MaineCare. Concept draft for waiver recently rejected by Mills administration.

*LD 984:  Resolve, To Increase Funding for Children's Behavioral Health Issues in Order To Return to the State Children Who Are Currently Housed in Residential Treatment Systems outside of the State and To Suspend Certain Contracts Related to Psychiatric Residential Treatment Facilities. As stated.

LD 986:  An Act To Expand Lead Inspections to Other Properties of the Owner of a Property Determined to Contain Lead. As stated for high density lead poisoning areas, requires detailed information about owner.

*LD 987:  An Act To Provide Autonomy for Health Care Providers To Practice Patient-centered Care by Amending the Laws Governing Medical Exemptions to Immunization Requirements. Expands to cover all providers authorized to immunize, expands definition of medical exemption to sole discretion of provider, limits authority of DoE or DHHS to make rules and of schools to make policies.

LD 993:  An Act To Expand Recovery Support Services Offered in Penobscot and Piscataquis Counties and the Greater Bangor Region To Improve Access, Treatment and Recovery for Those Affected by Substance Use Disorder by Designating a Regional Peer-supported Recovery Center. As stated.

LD 995:  An Act To Establish a Student Loan Bill of Rights To License and Regulate Student Loan Servicers. Lengthy bill to create various protections for student borrowers.

LD 997:  An Act To Promote Social and Emotional Learning and Development for Young Children. Requires DoE to establish consultation program to help families, teachers and care providers work with children “experiencing challenging behaviors.”

LD 998:  Resolve, Requiring the Collection of Data on the Marriage of Minors. As stated, with report to Judiciary Committee.

LD 999:  An Act To Allow Medical and Adult Use Marijuana Stores To Share a Common Space. OK if a different cash register is used.

LD 1000:  An Act To Make Supplemental Appropriations and Allocations for the Expenditures of State Government and To Change Certain Provisions of Law Necessary to the Proper Operations of State Government for the Fiscal Year Ending June 30, 2019. Supplemental budget for current fiscal year.

LD 1001:  An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds, and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2019, June 30, 2020 and June 30, 2021. Biennial budget, concept draft with link to Governor’s budget.

LD 1005:  Resolve, To Establish a Pilot Project To Save Lives and Support People with Substance Use Disorder in Washington County. As stated, requires DHHS to work with Healthy Acadia and include community coordinating council.

LD 1006:  Resolve, To Require the Development of Strategies for Reducing Health Disparities Based on Social Determinants. DHHS to create action plan to reduce health disparities.

LD 1007:  An Act To Expand and Enhance Maine's Behavioral Health Direct Care Workforce. Concept draft, to expand work force with mental health rehab techs, direct support professionals, and behavioral health professionals.

*LD 1009:  An Act To Provide Protections for Maine Patients Facing Step Therapy. Requires health insurers to have a process for prescription drug step therapy exceptions; detailed.

LD 1017:  An Act Regarding the Elimination of Highly Toxic and Hazardous Chemicals in the Workplace. Concept draft, will require substitution for or elimination of highly toxic & hazardous chemicals in a variety of industries, including shipbuilding, paper, automotive, and medical equipment.



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