Maine Medicine Weekly Update - 05/07/2018  (Plain Text Version)

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In this issue:
•  MMA Listening Session in Presque Isle on Tuesday, May 15 6-8pm
•  Jeffrey Barkin, MD, DFAPA Receives MAPP Lifetime Achievement Award
•  Update Will Change Buprenorphine MME Display in Most State PMPs
•  New Scrutiny for an Old Drug
•  New Interactive Online Course Ups Physicians’ Nutrition Knowledge, Supports Patients in Diabetes Prevention
•  Consumer and Healthcare Groups File Suit for Medicaid Expansion Implementation
•  Maine Physicians Participate in Regional State Medical Society Meeting in Connecticut Last Weekend
•  APM Set Forth for Opioid-use Disorder Treatment
•  The Honorable George J. Mitchell to Keynote MMA's 165th Annual Session
•  Legislative Report: Is This a Wrap-up?
•  Introduction to LEAN in Healthcare: Full-Day Workshop on Tuesday, May 8
•  MaineHealth MORE Conference - Managing the Opioid Response Effort - May 17th
•  Maine Chapter, American College of Surgeons Annual Meeting in Kennebunkport, ME - May 18-20
•  Monday, May 21 in Brewer: Next Steps in Addressing Maine's Opioid Crisis
•  Inspiring Hope: How to Support Recovery Ready Communities - May 24 Conference
•  One River, One Ocean: June 2-14, 2018
•  MCMI Training Programs - Level 1 and Level 2 - June 22
•  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
•  Northern New England Society of Addiction Medicine 2018 Annual Conference & Meeting - Nov 2-3
•  Internal Medicine Outpatient Physician Opportunity
•  Ob/Gyn Physician Opportunity
•  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: Is This a Wrap-up?

Veto day was held on Wednesday, May 2nd. Click through to find out which health-related vetoes were overridden and which sustained, along with a report on the day and the future of the 128th Legislature. Where do we go from here?



It was an interesting day at the Maine Legislature. Overall, out of 20 vetoes 11 were overridden and 9 sustained. Bills related to health care made up 8 of the 11 overrides and 3 of the 9 votes to sustain. It should be noted that when one chamber votes to override, the bill must go to the other chamber for a vote, whereas if one chamber votes to sustain a veto the other chamber need not vote, since a vote of 2/3 of each body is required to override. (See the list of bills and votes at the end of this article.)

The reader may remember that when the Legislature last met, on April 18-19, controversy surrounded the issue of whether the session should be extended. That controversy continued on Veto Day, and after the veto votes were completed the House moved to the matter of extension. 

Speaker Sara Gideon passed the gavel to Majority Leader Erin Herbig so that she could assume a position as a rank-and-file member and move to extend the session for 4 days. She proposed a format whereby there would be a specific set of tasks for each day, with the Appropriations and Tax Committees meeting on the first day to vote on tax conformity, rate increases for home- and community-based services for children and people with developmental and intellectual disabilities, and "all remaining calendar items." The proposal for Day 2 would have required the Appropriations Committee to put together a package of bills from the Special Appropriations Table, while the Tax Committee would compromise on a tax conformity bill. Those matters would then be voted on by the House and Senate. Day 3 would be reserved for actions on line item vetoes by the governor regarding the financial bills, and Day 4 would be a second veto day for substantive bills. The "800 pound gorilla" in the chamber, the undiscussed issue upon which the controversy is based in large part, was the staffing and money necessary for Medicaid expansion.

Minority Leader Fredette stated, "While I appreciate the words...I can't agree with the proposal." He pointed out that the State is not currently in a fiscal crisis and said that his party had proposed a list of bills to pass. Then he stated that the path forward is through a special session, not an extension of the session, and he said that a special session would happen.

After some discussion, an amendment was proposed to extend the session by one day. That failed passage. Another amendment was offered to extend for 3 days. That amendment, which required only a majority vote, passed, setting the stage for a vote on the main motion (technically an "order") to extend the session by 3 days. The final vote was 82-66 in favor of extension, 19 votes less than the 2/3 needed to pass. The 128th Legislature then finally adjourned, "sine die", at 6:30 p.m.

There is still a chance that the Legislature will return for a special session before election day. That would require an action by the Governor or a call by Legislative leadership, with consent of a majority of each political party. In Maine that would mean a majority of the Republicans, a majority of the Democrats, and the consent of the one member of the Green party. If no special session is held, all pending bills including any on the special appropriations table will be dead.

For further discussion of the day's events and the chances of a special session, part reporting and part editorializing, see this article in the Bangor Daily News.

Vetoes Overridden (Requires 101 votes in House and 23 votes in Senate):

LD 166: An Act to Increase Reimbursement for Child Care Services (31-3, 119-29)

LD 1187: An Act to Amend the Child Protective Services Statutes (34-0, 144-3)

LD 1388: An Act to Prohibit the Falsification of Medical Records (34-0, 148-0)

LD 1719: An Act to Implement a Regulatory Structure for Adult Use Marijuana (28-6, 109-39)

LD 1740: An Act Regarding Criminal Forced Labor, Aggravated Criminal Forced Labor, Sex Trafficking and Human Trafficking (34-0, 136-12)

LD 1771: An Act to Stabilize Vulnerable Families (34-0, 148-0)

LD 1874: Resolve, to Ensure the Continued Provision of Services to Maine Children and Families (34-0, 141-7)

LD 1892: An Act to Clarify the Prescribing and Dispensing of Naloxone Hydrochloride by Pharmacists (34-0, 132-16)

Vetoes Sustained:

LD 1063: Resolve, to Reduce the Number of Substance-exposed Infants (80-68)

LD 1587: Resolve, to Study the Feasibility of the Establishment of Paid Family Leave in the State (80-68)

LD 1866: An Act to Increase Youth Mental Health Awareness in Schools (82-66)