Communications: Advocacy News

22 Resolutions Heard at 2017 House of Delegates

Saturday, July 1, 2017   (0 Comments)
Posted by: Tara Owens
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2017 was one for the record books with 22 resolutions submitted by members and local chapters and heard at the House of Delegates on April 19, 2017, in Minneapolis.

(Last year we had five resolutions, and the year before that, eight.) Eight resolutions were crafted by resident and medical student members as a result of an Advocacy 101 training held in January. All signs of a healthy and highly engaged Academy!

Under the guidance of Speaker of the House Glenn Nemec, MD, Vice Speaker Renee Crichlow, MD, FAAFP, and reference committee chairs (and past MAFP presidents) Randy Rice, MD, FAAFP and Julie Anderson, MD, FAAFP, your 2017 House of Delegates took the following actions:

  1. Military Tobacco 21 – The MAFP will ask the AAFP to adopt a policy position and lobby the United States congress to pass a law that makes it illegal for military commissaries to sell tobacco products to those under 21.
  2. Support employed physicians involvement in the MAFP and AAFP – The MAFP work with the AAFP to create tools that employed member physicians can use to demonstrate the return on investment that MAFP/AAFP dues provide. The MAFP will also work with the AAFP to create documents that members can use to demonstrate the value of involvement in leadership roles at the MAFP and AAFP. 
  3. Replace the Foundation’s dues allocation with an annual gift and matching grant – The MAFP will discontinue allocating $20 of active members’ dues starting in fiscal year 2017, and provide the Foundation with an up to $20,000 Annual Matching Grant to encourage individual giving in 2017 with the amount to be adjusted annually during the budgeting process; the MAFP will also provide an additional $25,000 Annual Gift to the Foundation with the amount to be adjusted annually during the budgeting process. 
  4. A resolution to update the bylaws with language that would give the board of directors the power to adopt, amend or repeal provisions in the Bylaws or Articles of Incorporation (as opposed to the House of Delegates as it is now) was not adopted.
  5. Request for strengthening Minnesota environmental regulations to require the completion of a Health Impact Assessment (HIA) for all projects requiring an environmental assessment worksheet (EAW) or Environmental Impact Statement (EIS) – The MAFP will support the completion of a Health Impact Assessment (HIA) for all projects proposed in Minnesota which require the completion of an environmental assessment worksheet (EAW) or an environmental impact statement (EIS) and will propose this to the MN (Environmental Quality Board) EQB or appropriate Minnesota State Authority. The MAFP will also support the requirement that all federal environmental impact statements be required to include a comprehensive and independently produced Health Impact Assessment. The MAFP will also submit this to the AAFP for its consideration. 
  6. Support placement and coverage of Long-Acting Reversible Contraceptives (LARC) in the early postpartum period – The MAFP will support a policy that LARC methods be a recommended option for postpartum women prior to hospital discharge, and a policy assuring coverage of LARC device and placement prior to hospital discharge, separate from the global fee, for all women who select these methods. The MAFP will also advocate for Minnesota State Medicaid reform to allow for coverage and reimbursement of LARC device and placement prior to hospital discharge, separate from the global fee, for women who select these methods.
  7. Advocating for healthy communities – The MAFP will perpetuate our current Medicaid and MNSure coverage levels for our communities and support the continued expansion of Medicaid and MNSure coverage levels for our communities. 
  8. Support community health workers to improve refugee/immigrant health – The MAFP will explore ways to increase sustainable funding avenues to support and expand community health care workers in underserved communities. The MAFP will also write a letter to Minnesota colleges to advocate for expanding community health worker training programs and to encourage increasing diversity among enrollees in the programs, and develop educational materials/resource guide to assist with the integration of community health workers into healthcare homes. 
  9. Climate change – The MAFP will facilitate efforts to educate family physicians about climate change’s health effects and to provide guidance on the reduction or mitigation of such effects. The MAFP will support efforts to communicate with local, state and national legislators about the need to take action to adapt to and mitigate the adverse health effects of climate change. The MAFP will encourage health care institutions to review, report and improve their carbon footprint and that of their supply chain and also encourage them to prepare for climate impacts.
  10. Increasing Minnesota immunization rates through physician education and routine reassessment of patient vaccination status – The MAFP will recommend that members utilize the MIIC reporting system to document all vaccinations administered and verify new patient immunization status. The MAFP will also implement an immunization curriculum regarding best practices for discussing vaccines with hesitant patients at the MAFP 2018 Spring Refresher. The MAFP will also recommend that our MAFP members utilize best practices to repeatedly engage vaccine hesitant patients and guardians for the health of our patients and the wider health of the community. 
  11. Point of Care Physician Input on Governmental Health Care Committees – This resolution was referred to the Board of Directors: The MAFP will adopt the legislative policy of continuously using any available opportunity to advise the State Government on the wisdom and efficiency of having a Point of Care (preferably Family Physician) Provider on the committee roster for any governmental committees making decisions affecting health care delivery. The MAFP will also forward a companion resolution to the AAFP for application on the national level. 
  12. A resolution to exclude first degree family members from HIPAA requirements was not adopted.
  13. Meatless Mondays – The MAFP will educate family physicians statewide about the health benefits of a plant based diet (such as the Meatless Mondays program developed in conjunction with Johns Hopkins School of Public Health, and encourage physicians to recommend a plant-based diet to patients to improve patients’ overall health and help manage chronic disease.
  14. Transfer of jurisdiction over required clinical skills examinations to U.S. medical schools – The MAFP Board of Directors was directed to file the following resolution for information: The MAFP will advocate for the Minnesota Board of Medical Practice to eliminate the Step 2 CS Exam requirement for U.S. medical graduates who have passed a school­administrated clinical skills examination. 
  15. Prior authorization – The MAFP will work through non-legislative means toward moving insurance companies and PBM’s to always include in their “non-coverage notices” the specific reason a drug is not approved, AND list formulary medications in the same class.
  16. Request for increasing emphasis on end of life care planning – The MAFP will become a non-profit partner of the Twin Cities Medical Society – Honoring Choices campaign (as listed on the Honoring Choices website), which is a no-cost action that emphasizes the importance the MAFP realizes in end of life care planning. The MAFP will incorporate end of life care planning into topics at the Spring Refresher or other appropriate MAFP-sponsored continued medical educational activities. 
  17. Minor consent for HPV vaccination – The MAFP will support legislation giving minors the ability to consent for the human papillomavirus vaccination.
  18. Support for the Direct Primary Care (DPC) bill – The Board of Directors was directed to file for information that the MAFP will support state and national legislation that would ensure that DPC options are available to consumers buying coverage in health care exchanges, that DPC’s be defined as a healthcare service outside the scope of state insurance regulations, that payments to DPC physicians be allowed as a “qualified medical expense” by the IRS that would allow HSA’s monies to be used for DPC’s, and that would allow Medicare and Medicaid beneficiaries to participate in DPC’s with their government benefits. 
  19. Pregnant women civil commitment – The Board of Directors was directed to file for information that the MAFP will study the risks of opioid withdrawal on maternal health and fetal health in the context of civil commitment procedures and accompanying wait times in the local jail system for “chemically dependent” pregnant girls and women. 
  20. Oppose legislative restrictions on health centers receiving Title X and Medicaid funding – The MAFP will lobby the State Congress to oppose legislation that diminishes funding and/or access to preventive and reproductive health services for women and men, and, as a matter of policy, the MAFP will support maintaining Medicaid and Title X funding of all providers or clinics that otherwise meet usual standards for eligibility.
  21. Make birth control Pills an over-the-counter drug – The MAFP will ask the AAFP to appeal to the FDA to approve oral contraceptives for over-the-counter use. 
  22. Request for policy supporting access for all women to scientifically based reproductive care – The MAFP will develop a policy statement supporting all women’s access to facilities that provide scientifically based information about contraception, reproductive health and safety regardless of a woman’s insurance or ability to pay.

More about the House of Delegates

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