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January 29, 2020

In This Issue
IN THE SPOTLIGHT
U.S. Now Has Five Confirmed Cases of Wuhan Coronavirus with More Suspected Cases Under Investigation
Maine CDC Resources on Coronavirus
Vaccine Referendum Update
Maine's Weekly Influenza Report
U.S. Surgeon General Calls for Greater Use of Smoking Cessation Tools That Have Been Proven Effective
10 Terms Every Doctor Should Know About BP
Opioid Related Webinars Offer CME Credit
129th MAINE LEGISLATURE, SECOND REGULAR SESSION
Next MMA Legislative Call Will Be Tuesday, February 4th
State House Highlights of the Week
UPCOMING EVENTS
Upcoming Specialty Society Meetings
MMA partners with the Maine Suicide Prevention Program and the Maine CDC/Sweetser to offer training for clinicians.
Understanding Social Security - Webinar on Thursday, February 13 at 6pm
10th Annual Maine Patient Safety Academy - March 30, 2020
HEALTHCARE EMPLOYMENT OPPORTUNITIES
Medical Director, Primary Care Physician
Physician - Nasson Health Care
Nurse Practitioner - Nasson Health Care
Psychiatric Nurse Practitioner - Nasson Health Care
BC/BE Family Medicine or Internal Medicine Physician
Family Medicine Opportunity in Beautiful Western Maine
Orthopedic Surgeon Opportunity in Beautiful New England
VOLUNTEER OPPORTUNITIES
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health - Portland, ME

 
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State House Highlights of the Week

MMA member, Dr. Jay Naliboff and new MMA Director of Communications and Government Affairs, Dan Morin testified in support of LD 1948, An Act To Prohibit, Except in Emergency Situations, the Performance Without Consent of Pelvic Examinations on Unconscious or Anesthetized Patients. The bill would explicitly state in law that informed consent is required prior to administering or supervising a pelvic examination on an anesthetized or unconscious patient. Starting in 2004, states began passing laws mandating certain standards for pelvic examination under anesthesia, similar to the bill before you today. A snapshot in time from 2019 showed seven states (California, Hawaii, Illinois, Iowa, Oregon, Utah, and Virginia) with such laws, and others are considering them. Maryland is another that has recently adopted a similar law. Maryland’s law prohibits, “any health care practitioner or medical student from performing a pelvic, prostate, or rectal examination on a patient who is under anesthesia or unconscious, unless informed consent was obtained . . .” Committee members did raise that option and it surely will be considered at a future work session.

MMA government affairs staff discussed the bill in detail on our weekly legislative calls, and worked closely with various stakeholders, including the bill sponsor, in the days leading up to hearing to come up with alternatives to statutory additions, including existing BOL and/or BOM rules that seemingly would cover instances of deviation from standard of care and prompt inquiry, investigation and potential discipline. In the end, however, a deliberate decision was made to support the bill.

MMA also testified in support of the following bills:

LD 1934—An Act Regarding Prior Authorization for Medication-assisted Treatment for Opioid Use Disorder under the MaineCare Program. The bill mirrors the law that was passed for commercial insurers last year prohibiting prior authorization for medication-assisted treatment for opioid use disorder except it also adds the prohibition for the MaineCare program. (MMA testimony)

LD 1957—An Act To Provide Women Access to Affordable Postpartum Care

Extends MaineCare from 60 days to 12 months following delivery of a baby. (MMA testimony from Dr. Connie Adler). You can watch Dr. Adler”s testimony on the Maine Medical Association’s Facebook page.

LD 2025—Act To Authorize Emergency Medical Services Personnel To Provide Treatment within Their Scope of Practice in a Hospital Setting with the Permission of the Hospital

Authorize an EMS provider to treat a patient of the hospital in a hospital setting that is within their scope of practice. MMA offered verbal testimony in support the potential options for hospitals to direct this process after consultation with a number of MMA ACEP members, including Legislative Committee Co-Chair, Jay Mullen, M.D.

MMA offered testimony Neither for Nor Against:

LD 1961—An Act To Establish the Trust for a Healthy Maine

Establishes the Trust for a Healthy Maine from tobacco settlement & other sources governed by a board of trustees appointed by the Governor and legislative leaders. (MMA Testimony)

A significant focus of MMA in the coming week will be the hearing on Governor Mills’ health care reform bill. Although a complex bill, LD 2007 in a nutshell deals with various aspects of coverage, including cost sharing, plan design transparency, merger of the individual & small group markets, extension of a reinsurance option into the small group market, & a plan to move Maine from https://www.healthcare.gov/  to a state-based ACA marketplace exchange. (LD 2007 Fact Sheet). Board member, Dr. Karen Sayler is scheduled to testify on behalf of the MMA.

As always, please do not hesitate to contact Dan Morin at dmorin@mainemed.com or (207) 480-4199 with any questions, comments or concerns about these bills or any piece of legislation. We’d love your feedback and willingness to be involved in physician advocacy. Don’t let other make decisions for you on how, where, and what you can practice. We need your help, and your stories. 

 

 

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