Surgical Advocacy and State Legislative Issues Jon H. Sutton, MBA Manager, ACS State Affairs Kansas Chapter Annual Meeting September 12th, 2010

Surgical Advocacy and ACS State Legislative Priorities Trauma System Funding & Development UPPL Repeal Uniform Emergency Volunteer Health Practitioners Act Medical Liability Reform Scope of Practice

Other Issues Restrictions on Diagnostic Imaging Laser Surgery Rules – Medical Boards Office-based Surgery Trauma System Implementation Certificate of Need Reform Injury Prevention Bariatric Surgery/Obesity Patient Safety & Quality Medical Licensure/MOL Fair Contracting

CQ StateTrack State Legislation Tracking Site Available on ACS Web Portal eFACS.org Located under Advocacy tab 560 bills identified and monitored in 2010, out of 180,000

CQ StateTrack

CQ StateTrack

Kansas Highlights Supreme Court lawsuit – MLR in jeopardy CR 5036 – constitutional amendment; legislature right to limit recovery – no action taken HB 2447 – Nurse practitioners scope expansion; medical diagnoses, independent practice – no action taken HB 2619 – CRNA scope; coalition bill -- passed SB 83 -- Naturopathic licensure -- passed SB 374 – “I’m Sorry” – did not pass

UEVHPA Uniform Emergency Volunteer Health Practitioners Act (http://www.facs.org/ahp/uevhpa.html) Model developed by National Conference of Commissioners on Uniform State Laws Health care practitioners providing care during a declared emergency in states where not licensed to practice 2007: Colorado, Kentucky, Tennessee 2008: Indiana, New Mexico, Utah

UEVHPA 2009 Arkansas (signed by Governor) Connecticut (working with Dept of Public Health – should go next year) DC (introduced) Florida (died in committee) Louisiana (signed by Governor) Mississippi (died in committee) North Dakota (signed by Governor) New Hampshire (retained in committee) Oklahoma (signed by Governor) Oregon (signed by Governor) Texas (died in committee) Vermont (died in committee) Washington State (died in committee)

UEVHPA 2010 District of Columbia (effective date 7/1/10) Florida (died in committee) Georgia (passed Senate; failed House end of session) Illinois (signed by Governor July 31) Mississippi (died in committee) Washington State (carryover from 2009; no action taken)

UEVHPA What about 2011? Alabama Mississippi Connecticut? Ohio Delaware Florida Georgia Kansas Maryland Mississippi Ohio South Carolina South Dakota Texas Virginia

StAR Program State Advocacy Representative Program Goal: At least one StAR in each state Eyes and ears of the ACS, on the ground Valuable information-sharing role Kansas StAR: Susan Mosier, MD, FACS; Jody Neff, MD, FACS; Gary Caruthers, MBA

Regional Advocacy Program Hired Regional State Affairs Associate Focus on chapters geographic region Upper Midwest: Minnesota, Wisconsin, Michigan, Ohio, Indiana, Illinois, Iowa Advocacy training, strategic planning, lobby days

SSLAC

ACS State Legislation Web Page

ACS State Legislation Web Page

State Grassroots Advocacy Surgeons in excellent position to influence state elected officials Experts in the profession Great deal of respect Day at the Capitol and other interactions --Chapter grant program - http://www.facs.org/ahp/chaptergrant.html

ACS State Affairs Jon Sutton, Manager jsutton@facs.org Charlotte Grill, State Affairs Associate cgrill@facs.org Alexis Macias, Regional State Affairs Associate amacias@facs.org http://www.facs.org/ahp/statelegislation.html