Advocacy

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* Name of respondent

* Association

2010 Legislative priorities

Please rank your top 5 legislative and/or regulatory priorities for 2010, with #1 being the highest priority.

1

2

3

4

5

Are you planning a 2010 lobby day and if so, would you find it helpful to have an AMA Trustee and/or ARC staff available for such an event? Please discuss.

State health system reform and access to care

If your medical association is likely to consider measures to expand access to the uninsured, enact insurance reforms, promote quality or control health care spending, please indicate the nature of likely activity:

Comprehensive reform
Health insurance reforms
Medicaid/SCHIP expansion/contraction (please specify)

Medicaid reimbursement increases/cuts (please specify)

Quality initiatives
Prevention programs

What type (e.g., small group market, individual market reform, etc.):

Please indicate whether the medical association has adopted policy to support specific type of reform:

Managed care payment practice issues

If your medical association intends to work on managed care payment practice issues in 2010, please indicate which of the following will be priorities:

All Products Clauses
Assignment of Benefits
Balance Billing
Credentialing Payment Issues
Downcoding & Bundling
Fair Contracting

Additional Details:

Joint Negotiation/Collective Bargaining
Most Favored Nation Clauses
Network Adequacy
Prior Authorization Determinations
Physician Profiling
Prompt Payment of Claims

Additional Details:

Rental Network PPO Market (includes aggregators, silent PPOs, etc.)
Retroactive Audits/Retrospective Denials
Usual Customary and Reasonable Charges (definition thereof)

Others (please list)

Any additional details (re any of the above)

Scope of practice issues

If you anticipate that your state/medical association will face judicial, legislative or regulatory scope of practice challenges in 2010, please indicate which type, and which of the following will be priorities.

Psychologist Prescribing
Naturopath Licensure
Physician Employment of Physical Therapists
Pharmacist Medication/Collaborative Management
Physical Therapist Direct Access
Audiologist Direct Access
Physician Employment by Nonphysician Providers Chiropractors (state issue)

Optometrists (state issue)

Podiatrists (state issue)

Advanced practice nurses (state issue)

Lay midwifery (state issue)

Others (please list)

Truth in Advertising

If your medical association intends to work on issues concerning advertising by non-physicians, please indicate whether it will be a priority and/or whether it is something you might consider in a future legislative session?

Priority
Something you might consider

Please provide details

Pharmaceutical issues

If your medical association intends to work on pharmaceutical issues in 2010, please indicate which ones will be priorities.

Gift Registries/Bans
Prescriber Data
Academic detailing
Others (please list)

Medical liability reform

If your medical association intends to work on medical liability reform issues in 2010, please indicate which ones will be priorities.

Caps on Non-economic Damages
Expert Witness Reform
Health Courts
Safe Harbors for Evidence-based Medicine
Early Disclosure and Compensation Programs
Certificate of Merit
Defensive Legislative Efforts
Judicial Challenges to Current MLR Laws

Is your state medical association involved with any AHRQ grant proposal related to the MLR demonstration or planning grants?
Yes
No

Others (please list)

Patient safety

If your medical association intends to work on patient safety issues in 2010, please indicate which ones will be priorities.

Error reporting systems
Others (please list)

Public health issues

If your medical association intends to work on public health issues in 2010, please indicate which ones will priorities.

Obesity
Tobacco/Smoke Free
Disaster and Emergency Preparedness
Alcohol
Vaccines
Quality and wellness
Eliminate disparities
Others (please list)

Physician business issues

If your medical association intends to work on physician business issues in 2010, please indicate which ones will priorities.

Ambulatory Surgery Centers
Certificate of Need
Charity Care
Corporate Practice of Medicine
Diagnostic Imaging
Economic Credentialing
False Claims Act
Office-Based Act
Physician Self-Referral
Retail Clinics
Specialty Hospitals
Others (please list)

Health information technology (HIT)

If your medical association intends to work on HIT-related issues in 2010, please indicate which ones will be priorities.

E-prescribing
Electronic Medical Records
Health Information Exchanges
HITECH Implementation
Others (please list)

Other issues for 2010

Work Force issues (please specify)

Use of AMA guides to impairment in workers’ compensation program (please specify)

Others (please list)

2010 State legislative strategy conference

Please list any issues you would like discussed at the ARC January 2010 State Legislative Strategy Conference.