Your Immediate Action is Needed to Delay the E-Prescribing Deadline
Legislation to delay the e-prescribing requirement has already passed the NYS Senate and Assembly by a unanimous vote and is now on the desk of Governor Cuomo. The NYACP is urging all prescribers to e-mail the Governor using our easy "Legislative Action Center" to urge him to sign the bill prior to the implementation deadline of March 27, 2015. You can send an email in less than one minute. See the link below!
The legislation passed would push back the e-prescribing implementation date to March 27, 2016. We have asked for a delay because many EHR vendors, including several with significant market share in New York State, are not yet ready to provide certified and tested e-prescribing upgrades to allow prescribers to comply with the law.
You can urge Governor Cuomo to take action and sign the bill into effect by following the link below it will take you LESS than ONE MINUTE TO enter your nine digit zip code and get to an email template to your Governor.
Legislative Action Center
NYACP Health and Public Policy Meeting and Annual Legislative Day
On Monday March 2, 2015 the Chapter’s Health and Public Policy Committee met to discuss multiple issues impacting the practice of internal medicine and patient care including: Tobacco Control, Collaborative Drug Therapy, Death with Dignity and Immunizations as well as to discuss reports on Geriatrics, Obesity, GME, Hospital Medicine, and other committee reports. Staff Members of Assemblyman Richard Gottfried, Chair of the Assembly Health Committee, were present for a portion of the meeting to discuss Medicaid Parity, Doctors Across New York (DANY), ACO Regulations, Single Payer Legislation, and Convenient Care and Retail Clinics.
On Tuesday March 3, 2015 eleven members of the Committee participated in the Chapter’s Annual Legislative Day. The aim of Legislative Day is to allow physicians to discuss medical issues impacting patient care with their own elected officials. The main topics discussed throughout the day included Medicaid Parity, DANY, ACO Regulations, and Tobacco Control. The group also met with Senator Kemp Hannon, Chair of the Senate Health Committee and several high ranking officials from the Governor’s Office and the NYS Department of Health. Legislators acknowledged the importance of physicians visiting with them as a valued resource on healthcare issues. As evidenced by our physician representatives experience and feedback of the value of spending their time Albany...You can make a difference!
NYS Meningococcal Vaccine Bill
On January 30th the Chapter met with other interested stakeholders to review a legislative proposal that would add meningococcal immunizations to the list of other required immunizations a child would receive before entering the 6th grade and a booster dose before entering 11th grade in New York State. The legislation has been introduced by Assemblywoman Aileen Gunther and a Senate bill is expected soon. Planned activities include two advocacy days on February 25 and on April 21 to raise awareness and promote support for the legislation, timed to align with recognition of World Meningitis Day on April 24, 2015.
Governor Cuomo Presents State of the State and New York State Budget
On January 21st, Governor Andrew Cuomo presented his $141.6 Billion proposed state budget. In the health area, the Governor proposed to continue and advance new approaches to healthcare delivery to control spending growth and improve health results. Of interest to our members, healthcare transformation utilizing federal waiver monies, awarded through DSRIP grants, seeks to reduce avoidable hospital use by 25% over the next five years. In addition, the CMS $100 million grant to implement the State Health Innovation Plan over a four year period builds upon Medicaid reform efforts and extends them to achieve similar outcomes across the entire health care system, both public and private. The Chapter will be reviewing the entire 548 page budget booklet, looking for more specific detail on “increased payments to essential community providers”, “leveraging health homes”; some changes to “health insurance premiums for coverage both inside and outside of the Health Benefit exchange”; investments in caregiver supports, New York Connects, a statewide one stop access to free and objective assistance on accessing long term care services; discontinuing resident work hour audits (noting duplication of effort with federal oversight), discontinuation of the physician profile website and “ending the Aids Epidemic by 2020”.
Public hearings on the budget will be announced shortly, in anticipation of final budget action by March 31, 2015.
Nurse Practitioner (NP) Attestation Form
The Chapter submitted formal comments on the new nurse practitioner attestation form for those nps with more than 3600 hours of experience resulting from last year’s change in the nurse practice act. The Chapter also signed onto a joint letter submitted on behalf of NYACP, MSSNY, NYSSA, NYSAFP, ACOG District II, NYSSOS, AAP District II, NYSPA and the NYSRS We will continue to report on your role as a “collaborating physician” with both experienced nurse practitioners with more than 3600 hours and those with less than 3600 hours. Watch our website and upcoming issues of YCIA.
Collective Negotiations Legislation
The Chapter is monitoring (through a statewide collaboration with many other stakeholders) Collective Negotiation legislation (A.355(Gottfried)/S.1157(Hannon) that would enable independently practicing physicians to jointly negotiate patient care payment terms with health insurance companies under close supervision by the State.
NYS Abuse Deterrent Formulation Legislation
The Chapter's Health and Public Policy committee continues to monitor and participate in discussions related to legislation focusing on abuse deterrent formulation (ADF) to reduce abuse and diversion of opioid drugs.
Current legislation has two components which deal with pharmacy switching: (1) the bill prohibits the substitution of an ADF with a non-ADF without the MD’s written consent and (2) the bill prohibits non ADF opioid prescriptions to be filled unless an ADF is not available. The Chapter continues to solicit input from members on how these concepts impact practice, following last year’s focus group that yielded interesting results. The Chapter remains interested, active and committed to the goal of reducing drug abuse in NYS.
Hudson Valley Chapter Governor-Elect Designee
Congratulations to Louis S. Snitkoff, MD, FACP; our new Governor-elect Designee to ACP National! He will serve a year of orientation as a Governor-elect and then will start his four-year term as Governor in the Spring of 2016. As Governor, Dr. Snitkoff is the official representative of the College for the New York Hudson Valley Region, providing a link between members at the local level and leadership at the national level.
Join the Effort to Ensure Medicaid Fee Parity for Primary Care Physician Visits
Please take action today and urge Senators Schumer and Gillibrand to support the "Ensuring Access to Primary Care for Women & Children Act" (S. 2694). To ensure parity for Medicaid patients, this bill would continue payment of Medicaid fees at Medicare levels beyond 12/31/14.
It takes less than a minute! A sample message is provided for you to personalize. Be sure to add an opening and closing and we urge you to edit the suggested text to reflect your own practice situation.
The two-year Medicaid Primary Care Pay Parity program was enacted as part of the Affordable Care Act (ACA), and was effective Jan. 1, 2013 through Dec. 31, 2014.
Before this program went into effect, many New York State Primary Care Physician practices were unable to accept more Medicaid patients because Medicaid reimbursement rates in New York were much lower than Medicare and other payers, an astonishing 42% of Medicare, well below the actual cost of care. Please show your support of S. 2694 and tell your senators that Medicaid fee parity is important to the overall health of New York State!
Click the link below to log in and send your message:
CMS Launches Road to 10 Webcast Series
The Centers for Medicare & Medicaid Services (CMS) has released a new webcast introducing the "Road to 10" tool. Accessible through the "Road to 10" link on the CMS website, the webcast covers the history of the International Classification of Diseases (ICD) and the benefits of ICD-10. This is the first in the new "Road to 10" webcast series. Five more webcasts will follow-all aimed at helping small practices get ready for ICD-10 by the October 1, 2015, compliance date.
Also available now is a brief video introduction to the "Road to 10" tool. Developed in collaboration with physicians, the "Road to 10" tool offers:
- Clinical documentation tips
- Coding concepts
- Clinical scenarios
- Training calendar
Go to the CMS ICD-10 website to get started on the "Road to 10" today.
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare.
"Doctors Across New York" - Vital Program for our Future
NYACP sponsored visits at the State Capital along with representatives from several other state healthcare organizations as part of the WAG (Physician Workforce Advisory Group) to inspire support for continued and expanded funding of DANY (Doctors Across New York). DANY award recipients were present to tell their real life story of how they settled into a community and began their medical career with the assistance with this vital state funded program. DANY was established to promote recruitment and retention of physicians providing care to underserved populations in New York. We met with State Senators and Assemblymen to discuss the benefits of a strong primary care foundation in the State and the dialogue was very productive. Legislators were actively engaged about the looming physician shortage, especially in primary care, the increase in insured patients due to the New York's Health Benefit Exchange and the need for a solid primary care workforce to keep New Yorkers healthy. In addition to DANY, the WAG also promoted the continued funding of the PCSC (Primary Care Service Corps) to support the growth of allied health providers to increase effective care teams.
The DANY program has allocated more than 34.2 million dollars to more than 100 award recipients. Continuation and expansion of this program is a priority legislative goal.
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