Maine Medicine Weekly Update - 04/23/2018  (Plain Text Version)

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In this issue:
•  Opioid Prescribing for Pain Continues to Decline in Maine
•  MMA is 165 Years Old on Saturday, April 28, 2018
•  MMA Listening Session in Presque Isle on Tuesday, May 15 6-8pm
•  MMA Board Meets on Wednesday, April 25, 2018
•  Hanley Center Health Leadership Development Class XI Graduates Twenty-nine Healthcare Leaders
•  MICIS: Next Steps in Addressing Maine's Opioid Crisis
•  AMA, Specialty Societies Ask CMS to Reduce 2018 MIPS Reporting Period
•  Consumers for Affordable Health Care to Honor MMA EVP Gordon Smith at 30th Anniversary Celebration on June 7th
•  Maine Education Department Announces School Immunization Changes
•  24 Maine Hospitals Report Sentinel Events
•  Doctors Without Borders Coming to Maine May 1st
•  Looking for Help in Paying for Medical School?
•  Take Control of Debt - April 24 Webinar Presented by Baystate Financial
•  Final Legislative Call of the Session This Tuesday, April 24th
•  Legislative Report: Adjournment?
•  FREE 8-Hr. MAT Waiver Training Being Offered in Dover, NH - Friday, April 27th
•  Maine Society of Eye Physicians and Surgeons Spring Educational & Business Meeting - Friday, May 4th
•  Introduction to Lean in Healthcare Full-Day Workshop on Tuesday, May 8
•  Maine Chapter, American College of Surgeons Annual Meeting in Kennebunkport, ME - May 18-20
•  One River, One Ocean: June 2-14, 2018
•  New Free CME on Alzheimer's Risk, Detection, and Management
•  Peer Navigation Program from Facing Our Risk of Cancer Empowered (FORCE)
•  Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
•  Outpatient Internal Medicine Physician Bangor, Maine
•  Family Practice Physician - Bucksport Regional Health Center
•  Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician
•  Psychiatry Faculty, Division of Child & Adolescent Psychiatry
•  Psychiatric Medical Director
•  Maine's Largest FQHC in need of Physician for Geriatric Program
•  Multiple Family Med Opportunities in Beloved Community Health Centers
•  Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
•  Internal Medicine Outpatient Physician
•  Clinical Cardiology Opportunity
•  Opportunities at the VA for Volunteer Physicians


Legislative Report: Adjournment?

Last Wednesday, or rather Thursday at 01:30 a.m., the Maine House of Representatives adjourned "until the call of the President of the Senate and the Speaker of the House." There were fireworks just after midnight!


In normal years, if the House and Senate have not finished their work by the statutory adjournment date (3rd Wednesday of April in even-numbered years), they vote (2/3 required) to extend the session for five days. In such cases they are not paid salary for those five days. This year the Senate voted unanimously to extend, but in the House a party line vote with 2 defections from the Republican side of the aisle did not reach a 2/3 majority, thus preventing extension.

Or so people thought at the time.

As midnight approached, a question was being debated and a Republican Representative was speaking. As he continued to speak the second hand swept past 12. When the representative finished speaking, Minority Leader Kenneth Fredette stated to the Speaker that they could no longer conduct any business. House Speaker Sara Gideon, citing Mason's Rules of parliamentary procedure which govern proceedings in the Maine Legislature, announced that the session had been "extended by implication" due to the fact that the party opposing extension had participated in proceedings into the next day.

Chagrin ensued. 

The Speaker, with the support of Rep. John Martin who has been a member of the Maine Legislature for all but 6 years since 1964 and served as Speaker from 1975 to 1994, explained how Mason's Rules allowed such an extension. Minority Leader Fredette argued that the move was unconstitutional.

Finally the House was adjourned, as the Senate had been earlier in the evening, "to the call of the President of the Senate and the Speaker of the House." In addition, the necessary majority (not 2/3) voted to carry over all pending bills to any special session that may be called.

Regardless of all the above, both the House and the Senate are expected to return for one day to deal with any vetoes the Governor may have issued since April 19th.

The House's actions leave many bills pending "on the Special Appropriations Table," where they will die if the Legislature does not return to session. Look for a discussion of those bills and what they mean for Maine's efforts to deal with the opioid crisis, healthcare funding, and other matters of interest to physicians in an upcoming edition of the MMA's Weekly Update.