Communications: Advocacy News

22 Resolutions Heard at 2018 House of Delegates

Friday, April 27, 2018   (0 Comments)
Posted by: Jami Burbidge, Advocacy and Engagement Director
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This year was another for the record books.

2018 Speaker of the House Renee Crichlow, MD, FAAFP

Twenty-two resolutions were submitted by members and local chapters and heard at the House of Delegates on April 11, 2018, at the Saint Paul RiverCentre in downtown St. Paul. (Last year, we also had 22 resolutions; the year before that, we had five.) We continue to be a healthy and highly-engaged Academy!

Under the guidance of Speaker of the House Renee Crichlow, MD, FAAFP, Vice Speaker Andrew Slattengren, DO and reference committee chairs Nicole Chaisson, MD and Pat Fontaine, MD, FAAFP, your 2018 House of Delegates took the following actions:

  1. The Unique Role of Family Physicians – The MAFP will work to educate policy makers and the public on the unique role of family physicians and that we are different and bring a unique value and cost savings to the healthcare system while achieving better patient outcomes.
  2. Crisis of Neglect and Abuse in the Assisted Living and Nursing Home Facilities in Minnesota – The MAFP board will develop a letter addressed to the involved state legislators and appropriate legislative committees to express our urgent concern about the issue of elder abuse and neglect in assisted living and nursing home facilities, recommending that an MAFP selected family physician with geriatric care skills serve on any state governmental workgroup addressing this issue. The MAFP will also sponsor forward a resolution to the MMA to review and support appropriate remedies to address elder abuse and neglect in the MMA’s policy development process and will identify resources to assist in educating and empowering family physicians to identify and address elder abuse and neglect in the ambulatory care setting.
  3. Petitioning – The Board of Directors was directed to file for information that the MAFP will no longer uses passive “opt out” membership lists on petitions.
  4. A resolution on free market pharmacy reform was not adopted.
  5. Health Care Payment Reform – This resolution was referred to the Board of Directors: The MAFP and the AAFP will ask the government to give a medical tax credit for U.S. citizens buying direct primary care to transform American medical care into a more efficient primary care based personal health care system. 
  6. Office-based Treatment of Opioid Use Disorder – The MAFP will provide a clinical education session at the 2018 Destination CME and the 2019 Spring Refresher that addresses office-based treatment of opioid use disorder and will provide members with information about the eight-hour buprenorphine waiver training courses that are required for physicians to prescribe buprenorphine.
  7. Prior Authorization Alternative Medication Ranking – The MAFP will join with other interested parties and bring forward a resolution to the AAFP Congress of Delegates to create legislation in Minnesota requiring insurance companies and pharmacy benefit managers (PBMs) to provide the following information that must accompany the notice that a requested medication is not covered by the patient’s insurance: 1. the exact reason that the medication is not covered or requires a prior authorization; 2. a list of medications of the same class or type that are covered or do not require a prior authorization, preferably ranked from least out of pocket expense to most out of pocket expense. 
  8. Protect the Future of Family Physicians and Our Patients – The MAFP will develop and bring forward to the AAFP a policy to promote the appropriate compensation of physicians for oversight of nurse practitioners and physician assistants. 
  9. Portions of the resolution to protect the future of family physicians and our patients that were related to lobbying the Minnesota legislature were not adopted.
  10. Protect the Future of Family Physicians and Our Patients – The MAFP will support and request that the AAFP support state legislation that ensures patients receive accurate healthcare information by prohibiting misleading and deceptive advertising or representation in the provision of health care services. 
  11. MAFP Support to Expand the Number of Refills Allowable in the State of Minnesota to Allow Synchronized Prescription Renewal as a Means to Improve Family Physician Efficiency and Resilience in Outpatient Practice – The MAFP will work with the Minnesota Board of Pharmacy to change the Administrative Rule that limits chronic, non-controlled prescriptions to 365 days and expand the Minnesota refill rules to 15 months.
  12. Insuring Access to Long Term Primary Care Physicians and Providers that Are Certified Health Care Homes – This resolution was referred to the Board of Directors: The MAFP will make it a priority to support legislation that will NOT ALLOW a health plan to deny a primary care provider/clinic the right to contract with the health plan company as an in-network provider (part of the narrow network) if the primary care provider/clinic is certified as a Health Care Home (HCH) by the Minnesota Department of Health (MDH) or in the process of certifying to become an HCH through the MDH.
  13. Incorporating Information on Physician Wellbeing in the MAFP Website – The MAFP will dedicate a section of its website to information about physician well-being, including but not limited to links to available state and national resources for promotion of physician wellbeing and prevention of burnout as well as recommendations of where to seek immediate help for physicians already struggling with burnout.
  14. Increase Percentage of Women’s Reproductive Health Topics at MAFP Conferences, AAFP FMX and at the National Conference for Residents and Students – The MAFP will seek to increase the number of women’s reproductive health topics at future MAFP conferences. The MAFP will also advocate through the AAFP to the Family Medicine Experience (FMX) Curriculum Advisory Panel (CAP) to increase the percentage of women’s reproductive health topics at future FMX events and, via its delegation, submit a resolution to the AAFP calling on the AAFP to increase the representation of women’s reproductive health topics among future AAFP CME events. 
  15. Preventing Gun Violence in Minnesota – The MAFP will support proposed legislation in Minnesota that requires the following: 1. Universal background checks and licensing restrictions for all gun sales, not just those purchased from a federally licensed gun dealer but including those sold at gun shows, at flea markets or purchased online; 2. Allows law enforcement and family members to keep guns out of the hands of individuals who are under protective orders and who are considered a danger to others, or themselves; 3. Renewing and strengthening bans on the sale of military-style assault firearms and high-capacity magazines; 4. Renewing and strengthening bans on the manufacture and sale of bump stocks, or other mechanisms that allow a semi-automatic firearm to fire like an automatic firearm. In addition, the MAFP delegation to the AAFP Congress of Delegates will continue to support the AAFP leadership’s efforts to champion the federal re-authorization of research on the causes and impact of gun violence on the health and well-being of children and adults in this country. 
  16. Gun Violence – The MAFP will continue to work with the Minnesota Medical Association on its Call to Action on Gun Violence (March 2018) and join other professional and community organizations in educating and advocating to implement the Call to Action. The MAFP will also continue to speak out and advocate on this important public effort to protect our citizens.
  17. Gun Violence Safety – This resolution was referred to the Board of Directors: The MAFP will commit to saving lives by supporting common sense gun violence prevention measures, including but not limited to: passing Universal Criminal Background Check and Gun Violence Protection Order bills; making state funds available for trauma-informed gun violence prevention programs; and supporting full epidemiologic research of gun-related data within the state of Minnesota for public health purposes. The MAFP will also commit to blocking attempts to weaken Minnesota’s gun laws and stand opposed to gun bills, including but not limited to Stand Your Ground, Permitless Carry, Lifetime Permit to Carry, Campus Carry, and the repeal of gun-free school zones.
  18. MAFP Bylaws Update – The MAFP Bylaws were amended to reflect some administrative changes and an updated board governance structure.
  19. Access to Dental Care for All – The MAFP will work together with the state legislature and state dental associations to make dental care more universally available to the uninsured and underinsured as for those with insurance and the ability to pay for service. The MAFP will also assist the legislature and dental organizations with policy reform to improve access to dental providers by identifying barriers and subsequently proposing solutions.
  20. Support Legislation in Minnesota that Protects Access to Contraception – The MAFP will support legislative action in Minnesota to require all insurers that cover prescription drugs to also provide coverage of FDA-approved prescription contraceptive drugs and devices. The MAFP will also advocate for and support access to no-cost birth control coverage in Minnesota.
  21. Health Equity – The MAFP will establish a Minnesota Health Equity Task Force to work with our national colleagues and to collaborate with our local professional and community organizations to advance health equity in primary care and in our communities and that the MAFP will engage students, residents, practicing and retired Family Physicians to do the ongoing work of this task force for health equity. The MAFP will also offer Health Equity & Advocacy learning opportunities at our educational forums such as the Spring Refresher.
  22. MAFP Support of Opiate Stewardship Program Established, Report Required and Money Appropriated – The MAFP will work to identify funding streams to support family physicians in addressing the opioid crisis.
  23. MAFP to Join in Support of an Organization Working on Establishing Minnesota’s First Breast Milk Bank – The MAFP will provide a letter of support to the organization Breast Milk for Babies (soon to be Minnesota Milk Bank for Babies), which is working on establishing a human breast milk bank in Minnesota.
  24. Resolution to Fortify Immunization Administration in Minnesota – The MAFP will, in partnership with our primary care colleagues, work vigorously with our government officials in the executive and legislative branches in the state to fortify and strengthen the universality of childhood immunizations, including stricter state law and limitations on ability of parents and care-givers to decline childhood immunizations.

 Will graduate to national level, heard at AAFP Congress of Delegates in September

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