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June 3, 2019

In This Issue
IN THE SPOTLIGHT
Maine AG Sues Purdue Pharma for Deceptive Opioid Marketing
Reported Measles Cases Continue to Rise
New HIPAA Guidelines for Business Associates
AMA Opioid Task Force Recommendations Offer Roadmap to Policymakers
This Week's Public Health Updates from the AMA
Governor Mills Announces Opioid Response Summit July 15th
MedHelp Maine Seeks Data on Unaffordable Medicines
129th MAINE LEGISLATURE
MMA Legislative Call Tuesday, June 4th
"Death With Dignity" Bill Passes House and Senate, and Other State House Highlights of the Week
UPCOMING EVENTS
Upcoming Specialty Society Meetings
Assessing and Managing Non-Suicidal Self-Injury and Suicide Risk in Healthcare Settings - 3 Hour CME Training for Healthcare Professionals at MMA on Friday, June 21, 2019
Quality Counts: Rapid Induction Starting in the ED (RISE) Training, Webinars, ECHO Program
MICIS 2019 Clinical and Legal Opioid Update - June 5 in Augusta
Maine Professionals Health Program 1-day wellness conference June 13, 2019 - Augusta Civic Center
2019 Jurisdiction K Listening Tour - June 18 - South Portland
The Maine Concussion Management Initiative Will Be Offering Training Programs June 21 and October 29
2019 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer
Maine Independent Clinical Information Service 2019 Presentations
HEALTHCARE EMPLOYMENT OPPORTUNITIES
Family Medicine Specialist or an Internist
Physician (BC/BE in Family Medicine)
BC/BE Family Medicine or Internal Medicine Physician
Family Medicine Opportunity in Beautiful Western Maine
PCHC in need of Pediatrician for Brand New Pediatric Center!
Outpatient Internal Medicine Physician Bangor, Maine
VOLUNTEER OPPORTUNITIES
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health

 
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AMA Opioid Task Force Recommendations Offer Roadmap to Policymakers

[from AMA Advocacy Update]

The AMA Opioid Task Force released recommendations calling on policymakers to eliminate barriers to treatment and to take additional steps to end the nation's opioid epidemic. The task force's new recommendations focus on barriers to treatment for substance use disorder (SUD) and pain and other policies that result in so few patients receiving care. These include prior authorization, step therapy and other administrative burdens as well as inadequate enforcement of state and federal laws that require insurance parity for mental health and SUDs.

"We need help from policymakers to ensure that more people have access to treatment. Physicians are responding to the epidemic and we are seeing results: a 33% reduction in opioid prescribing since 2013, increased use of prescription drug monitoring programs, enhanced education and greater co-prescribing of naloxone," said AMA President-elect Patrice A. Harris, MD, MA, who also is chair of the task force. "But we cannot enforce parity laws, or eliminate administrative barriers without the help of state and federal authorities, and that's what's limiting treatment now."

The new recommendations:

  • Remove prior authorization, step therapy and other inappropriate administrative burdens or barriers that delay or deny care for U.S. Food and Drug Administration (FDA)-approved medications used as part of medication-assisted treatment for opioid use disorder.
  • Support assessment, referral and treatment for co-occurring mental health disorders, as well as enforce state and federal laws that require insurance parity for mental health and substance use disorders.
  • Remove administrative and other barriers to comprehensive, multimodal, multidisciplinary pain care and rehabilitation programs.
  • Support maternal and child health by increasing access to evidence-based treatment, preserving families and ensuring that policies are nonpunitive.
  • Support reforms in the civil and criminal justice system that help ensure access to high quality, evidence-based care for opioid use disorder, including medication-assisted treatment.

"The original task force recommendations called on physicians to accept the responsibility to take a leadership role in ending the epidemic," Dr. Harris said. "Yet, more people are dying each year, emphasizing the need for policymakers to protect patients' access to evidence-based care for pain and for opioid use disorder."

The original task force recommendations, issued in 2015, focused on actions that physicians could take to help end the epidemic:

  • Register for and use state prescription drug monitoring program
  • Enhance education and training on effective, evidence-based treatment
  • Support comprehensive care for patients in pain and those with a substance use disorder
  • Remove stigma. Patients with pain and with a substance use disorder deserve comprehensive care and compassion, not judgment.
  • Expand access to naloxone in the community and through co-prescribing
  • Encourage safe storage and disposal of opioids and all medications

The AMA Opioid Task Force is comprised of the American Medical Association, American Osteopathic Association, and 25 specialty and state medical societies as well as the American Dental Association. Learn more about what the AMA is doing to end the opioid epidemic at end-opioid-epidemic.org.

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