04/09/2021 MSSNY Report:
MSSNY Council: 04/15/2021 9am Zoom
MSSNY HOD 2021: Will be held in person at the Saratoga Conference Center with virtual attendance option, Saturday, September 18. The HOD will convene in Main Hall D at 8 AM on Saturday and discussion of reference committee reports will be completed by 6 PM at the latest. Reports will be posted to the MSSNY website by September 3 for delegations to read and discuss at their caucuses.
In conjunction with MLMIC and MSSNY’s Division of Public Health, continuing medical education courses are planned for Friday, September 17 and will take place at the Saratoga City Center. CME will begin at 10 AM on Friday and continue through the day.
Overnight rooms are being held for MSSNY attendees at the Saratoga Hilton Hotel.
Please book your room as soon as possible but NOT later than August 16. Availability of hotel rooms at the Hilton after that date cannot be guaranteed.
As part of the annual HOD, your Speakers want to recognize those members of our physician community who fell victim to the Covid pandemic. Please provide names of those who died as a result of contracting Covid or any physician who died as a result Covid related circumstances. Memorial resolutions are also welcome for these heroic physicians. Please send that information to email@example.com no later than September 10. Click the following links to download a memorial resolution guideline instructions and memorial resolutions template.
Those urgent and critical resolutions that you wish AMA to consider at the Special Meeting are due in FIVE DAYS! Ensure that your resolution follows the proper formatting (info on the HOD webpages) and is researched for existing policy by utilizing the following links:
MSSNY COMMITTEES: Thank you to all that have volunteered to join a MSSNY committee. Your involvement benefits both the house of medicine as a whole and radiology’s place with in the house of medicine. If you have not yet volunteered or are interested in joining an additional committee please let us know. MSSNY committees and their descriptions can be found at:
Covid-19 Vaccination:: NY Residents at Least 16 Years Old are Now Eligible for COVID-19 Vaccines
New York residents who are at least 16 years old are now eligible for COVID-19 vaccines. Teenagers who are 16 or 17 years old will receive the Pfizer vaccine, because it is currently the only one authorized for use in that population.
SUNY announced plans to offer vaccines to tens of thousands of college students before they head home for the summer. The state’s public university system is moving to vaccinate students who are living on campus before they leave for summer break. The program launched days after private universities, such as Cornell University in Ithaca and Rutgers University in New Jersey, announced they would require vaccines for students returning to campus in the fall, with medical and religious exemptions.
SUNY has not announced a system-wide requirement to get vaccinated. The program will launch by distributing more than 18,000 Johnson & Johnson vaccines to 34 campuses, with distribution to more campuses in the coming weeks.
Budget Wrap-up: State Budget Finalized
This week the Legislature was completing passage of a $212 billion Budget package that produced several “victories” for organized medicine following months of extensive advocacy by MSSNY working together with county and specialty medical societies. These issues include:
Excess Malpractice Insurance Program Extended
The final State Budget provides full funding for an additional year for the Excess Medical Malpractice Insurance program, which provides 17,000 physicians with a bonus $1 million/$3 million layer of liability insurance above the primary layer purchased by a physician. The State Budget restores the proposed $51 million cut in program funding and deleted an Executive Budget proposal strongly opposed by MSSNY to impose a 50% physician cost share requirement, which would have resulted in the imposition of thousands to tens of thousands of dollars of new costs on these 17,000 enrolled physicians.
Physician Due Process Protected
The final State Budget deleted several provisions proposed in the Executive Budget and opposed by MSSNY to substantially curtail physician due process rights when a complaint has been filed against them with the OPMC. The adverse provisions that were deleted included permitting the Commissioner to publicly disclose information regarding a complaint filed against a physician and creating a nebulous standard for imposing a summary suspension prior to the conclusion of disciplinary proceedings.
Pharmacy Scope Changes Rejected
The final State Budget deleted several provisions opposed by MSSNY that would have expanded the scope of pharmacists, including proposals to greatly expand the physician-pharmacy Collaborative Drug Therapy program, permitted pharmacist self-ordering of lab tests, and significantly expanded the number of the immunizations that can be performed by pharmacists.
Essential Plan Enhancements
The final Budget contains provisions supported by MSSNY to eliminate the premium requirements for the over 800,000 New Yorkers enrolled in the State’s Essential Plan, as well as providing bonus pool funding for physicians and other care providers participating with these plans.
Protect Ability to Apply for E-Prescribing Waivers
The final State Budget deletes the Executive Budget proposal opposed by MSSNY to eliminate the ability for physicians and other prescribers to apply for a year-to-year waiver of e-prescribing requirements (availed by over 2,000 prescribers across the State of New York).
Protect Medicaid “Prescriber Prevails”
The final Budget deletes the Executive Budget proposal opposed by MSSNY to remove the statutory protection for the prescriber’s determination (not State Medicaid’s) to prevail for a medication prescribed to a patient covered by Medicaid.
No-Fault De-credentialing Rejected
The final Budget deletes the Executive Budget proposal MSSNY had raised concerns with to expand the power of the Superintendent of Financial Services to prohibit certain physicians from submitting claims for No-Fault services.
Addressing Cuts to MSSNY’s Committee for Physicians Health
The final Budget restored the proposed $198,000 cut to MSSNY’s Committee for Physicians Health.
The final State Budget includes an expansion of site locations where telehealth services can both provided and received. Importantly, it deletes a provision opposed by MSSNY advocacy that would have established an “interstate compact” of out of state health professionals to provide health care services to New York patients. Unfortunately, the final Budget also did not include “parity” for the payment of telehealth services.
Ensure Collaborative Practice by Nurse Practitioners with Physicians
The final Budget includes a provision to extend for an additional year – until June 30, 2022 – the existing law permitting certain nurse practitioners to practice without a written collaborative agreement with a physician provided they have proof of “collaborative arrangements” with physicians in the same specialty practiced by the NP. MSSNY has advocated for much stronger collaboration requirements for nurse practitioners in order to protect patients, however, with the sunset of the existing law coming up in two months, legislation (A.1535/S.3056) has also been introduced and strongly opposed by MSSNY that would repeal the requirements to even maintain proof of these collaborative arrangements
MSSNY PEER TO PEER:
MSSNY P2P program update: MSSNY has finished training its second class of peer supporters. We all need someone to talk during times of stress. If you are feeling stressed, call 1-844-P2P-PEER or email firstname.lastname@example.org 24/7 and you will be put in touch with a peer supporter for a confidential non-judgmental conversation to gain perspective and point you in the right direction.
Most of our physician stressors are system issues. With this is mind, the AMA and MSSNY have launched the Practice Transformation Initiative in New York with a goal to make physician burnout a thing of the past. Several hospitals/hospital systems around the state have joined the initiative and are currently collaborating with MSSNY to effect positive change. Hospitals currently participating in this process are: Bassett Hospital, Ellis Hospital, Northwell Health, NY Presbyterian Hospital, Brooklyn, and St. Peter’s Health Partners.
Governor Announces Committee to Help Build Monument to Essential Workers:
Gov. Andrew Cuomo announced “the creation of the Essential Workers Advisory Committee to provide design input and recommendations for a monument in New York City honoring the service and sacrifice of New York’s essential workers throughout the COVID-19 pandemic.” The committee “will advise on design, location, and installation of the new monument,” which will honor physicians, nurses, hospital staff, EMTs, and other groups of essential workers.
Bonnie Litvack, MD FACR