Maine Medicine Weekly Update - 02/19/2021  (Plain Text Version)

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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
•  Maine Legislature Week 6 Update
•  Upcoming Public Hearings & Work Sessions
UPCOMING EVENTS
•  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)
HEALTHCARE EMPLOYMENT OPPORTUNITIES
•  Physician (BC/BE in Family Medicine)
•  Nursing Director
•  Medical Director - Bucksport Regional Health Center
•  Rangeley Family Medicine seeks Physician

 

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.

 

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

Scarborough/Gorham

Senator Trey Stewart

Numerous towns in Aroostook County

Representative Denise Tepler

Topsham – Chair

Representative Poppy Arford

Brunswick

Representative Mark Blier

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

Representative Heidi Brooks

Lewiston

Representative Jon Connor

Lewiston

Representative Richard Evans

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

Representative Kristi Mathieson

Kittery

Representative Gina Melaragno

Auburn

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.