February 19, 2021

In This Issue
Urge Your State Legislators To Oppose The Elimination of Training for Nurse Practitioners
Maine DHHS Releases “Community Based Collaboration” Vaccine Request Form
Bangor Daily News: “Maine Docs Remind Parents to Catch Up Kids On Shots Amid Pandemic”
Maine PMP to Stay with Appriss System
Medscape: Volunteer Vaccinators Run into Hurdles
CMS Special Enrollment Period for Marketplace Coverage 2021
AMA: This Week’s Top Articles from JAMA Network
AMA: Which Factors Do Applicants Weigh Most When Picking Residency Programs?
York Hospital Announces Appointment of Patrick A. Taylor, MD, MBA, as President and CEO
Next MMA Legislative Call Will Be Wednesday, February 24th
Next Maine CDC COVID-19 Update for Clinicians with Stephen Sears, MD scheduled for Feb 25
FDA Health Equity and COVID-19 Webinar on 2/25 at 6:00 p.m. EST
Daniel Hanley Center for Health Leadership’s Renowned Physician Executive Leadership Institute – The Advanced Course Enrollment is OPEN
PPE Available Through the MMA & ActionPPE
A Message from Maine Responds: Volunteer Opportunity
Maine Legislature Week 6 Update
Upcoming Public Hearings & Work Sessions
Upcoming Specialty Society Meetings
Maine CDC Physicians To Host Regular Clinician COVID Vaccine Info Sessions
Suicide Prevention and Management in Healthcare Practice Settings: A Comprehensive Evidence-Based Approach
Maine CDC Annual Prevention Professionals Conference - March 2nd-3rd
AAP EQIPP Course: Immunizations - Strategies for Success (for RURAL Health Providers)
Physician (BC/BE in Family Medicine)
Nursing Director
Medical Director - Bucksport Regional Health Center
Rangeley Family Medicine seeks Physician

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Urge Your State Legislators To Oppose The Elimination of Training for Nurse Practitioners

The Maine Legislature’s Joint Committee On Health Coverage, Insurance and Financial Services held a public hearing this week on a bill that would remove from law any post-graduate supervision and training requirements for newly licensed advanced practice registered nurses (APRN) and would leave the development of scope and standards of practice entirely under the purview of the Maine State Board of Nursing and national organizations with no accountability to Maine.

If the bill becomes law there will be no requirement for newly graduated advanced practice registered nurses to have any post graduate training upon graduating from an accredited nurse practice educational program, while keeping in place residency requirements for physicians.

You may recall last year the Legislature passed, and Governor Mills signed that legislation into law allowing a pathway for physician assistants to eventually have independent practice authority in Maine. However, the bill did include a provision requiring physician assistants with less than 4,000 hours of practice must experience to work under a collaborative agreement.

If the bill becomes law, physicians will still be required to complete residency, PAs will still need 4,000 hours of training and collaboration, but nurse practitioners will be allowed by state law to practice independently from day one after graduation. Do not be fooled by the argument that the NP is practicing "nursing" and not "medicine." Under Maine law it is a distinction without a difference. The scope of practice for advanced practice nursing in statute is the functional equivalent to that of a physician  in the field despite the training and educational differences.

The Committee has scheduled discussion, debate, and a potential vote on LD 295, removing any post graduate training for APRNs for this upcoming Thursday morning. It is critically important for patient safety that as many MMA members as possible reach out to legislators on the committee to express your opposition to the bill.

Our testimony in opposition to the bill can be found here, as well as testimony against the bill from the Maine Osteopathic Association and Spectrum Healthcare Partners.

You can watch/listen to the full hearing on the bill from the start by clicking here.

Dr. Hymanson’s verbal testimony can be found here.

MMA Director of Communications & Government Affairs, Dan Morin’s verbal testimony - written testimony

Maine Osteopathic Association verbal testimonywritten testimony

Committee Members and communities they represent are listed below. Click on their names for contact Information:

Senator Heather Sanborn

Westbrook and part of Portland – Chair

Senator Stacy Brenner


Senator Trey Stewart

Numerous towns in Aroostook County

Representative Denise Tepler

Topsham – Chair

Representative Poppy Arford


Representative Mark Blier

Limington / Standish (Part) / Buxton (Part) / Limerick (Part)

Representative Heidi Brooks


Representative Jon Connor


Representative Richard Evans

Atkinson/ Brownville/ Dover-Foxcroft/ Lake View/ Medford/ Milo/ Orneville Township

Representative Kristi Mathieson


Representative Gina Melaragno


Representative Joshua Morris

Leeds/ Turner/ Livermore (Part)

Representative Tracy Quint

Amity/ Bancroft/ Benedicta Township/ Cary/ Glenwood/ Haynesville/ Hodgdon/ Houlton/ Macwahoc/ Orient/ Reed/ Weston/ Molunkus Township/ Silver Ridge Township/ South Aroostook

Please contact MMA Director of Communications and Government Affairs, Dan Morin at dmorin@mainemed.com or by phone at 207-480-4199 for more information or background on the bill or questions about contacting committee legislators in opposition of the bill.






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