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Rules

Council on Medical Service Rules

I. Functions

The Bylaws of the American Medical Association (AMA) state that the functions of the Council on Medical Service shall be:

(a) to study and evaluate the social and economic aspects of medical care; and, on behalf of the public and the profession, to suggest means for the timely development of services in a changing socioeconomic environment;

(b) to investigate social and economic factors influencing the practice of medicine;

(c) to confer with state medical associations, component societies of the AMA, and national medical specialty societies regarding changing conditions and anticipated proposals that would affect medical care;

(d) to assist medical service committees established by state medical associations, component societies of the AMA, and the national medical specialty societies.

II. Membership

The Council on Medical Service shall consist of voting members elected by the House of Delegates, one of whom shall be a resident. In addition, a medical student member of AMA shall serve on the Council, upon appointment by the Governing Council of the AMA Medical Student Section with the concurrence of the Board of Trustees. The elected members of the Council, other than the resident member, shall be elected by the House of Delegates for terms of four years. The resident member of the Council shall be elected by the House of Delegates for a term of three years. If the resident member ceases to be in an approved training program at any time prior to the expiration of the term for which he or she was elected, the service of such resident member on the Council shall thereupon terminate and the position shall be declared vacant. Any vacancy occurring on the Council shall be filled at the next Annual Meeting of the House of Delegates. The new member shall be elected by the House of Delegates for a full term.

III. Officers

Executive Committee - The Executive Committee of the Council shall consist of the Chair-Elect and two At-Large Members (i.e., At-Large Member #1 and At-Large Member #2). The Chair of the Council shall serve as Chair of the Executive Committee.

Elections - The Council shall elect a Chair-Elect and two At-Large Members to the Executive Committee (i.e., At-Large Member #1 and At-Large Member #2) annually from among its members at a reorganization meeting. The reorganization meeting shall be the first Council meeting following elections by the House of Delegates at the Annual Meeting. The Chair-Elect and two At-Large Members shall be elected separately by secret ballot, and the vote of a majority of the members present shall be necessary to elect in each case. The Chair-Elect shall accede to Chair at the reorganization meeting following the next Annual Meeting. Absentee or proxy votes shall not be allowed at first or subsequent ballots for election of Council officers. If necessary, balloting shall be repeated until a member is elected to each office. Should the office of Chair become vacant between reorganization meetings of the Council, Chair-Elect shall automatically accede to that office, At-Large Member #1 shall automatically accede to the office of Chair-Elect, and At-Large Member #2 shall accede to the office of At-Large Member #1, until the next such reorganization meeting, and a new At-Large member #2 shall be elected immediately from among Council members. Should the office of Chair-Elect become vacant between reorganization meetings of the Council, At-Large Member #1 shall automatically accede to that office, and At-Large Member #2 shall automatically accede to the office of At-Large Member #1, until the next such reorganization meeting, and a new At-Large Member #2 shall be elected immediately from among Council members. Should the office of At-Large Member #1 become vacant between reorganization meetings of the Council, At-Large Member #2 shall automatically accede to that Office until the next such reorganization meeting, and a new At-Large Member #2 shall be elected immediately from among Council members. Should the office of At-Large Member #2 become vacant between reorganization meetings of the Council, a new At-Large Member #2 shall be elected immediately from among Council members.

Tenure of Chair, Chair-Elect, and At-Large Members to the Executive Committee - No member of the Council may serve as Chair for more than one year*; no member may serve as Chair-Elect for more than one year*; no member of the Council may serve as At-Large Member #1 to the Executive Committee for more than one year*; and no member of the Council may serve as At-Large Member #2 to the Executive Committee for more than one year.*

IV. Council Meetings

Quorum - A quorum for any meeting of the Council shall consist of a majority of the voting members.

Presiding Officer - The Chair of the Council on Medical Service or, in his/her absence, the Chair-Elect shall be the presiding officer of the Council. If both the chair and Chair-Elect are absent, At-Large Member #1 to the Executive Committee shall be the presiding officer. If the Chair, Chair-Elect, and At-Large Member #1 to the Executive Committee are absent, At-Large Member #2 to the Executive Committee shall be the presiding officer.

Schedule of Meetings - The Council shall meet immediately prior to and immediately after the Annual Meeting of the AMA House of Delegates; immediately prior to the Interim Meeting of the AMA House of Delegates; and at such other times as are agreed upon by the members or as deemed necessary by the Chair.

Nonmembers Attending Council Meetings - The Secretary of the Council and appropriate members of the staff of the AMA shall attend meetings of the Council except those held in executive session. Other members of the AMA or other guests whose presence is necessary for the consideration of agenda items or whose presence will contribute to the work of the Council may be invited to attend meetings of the Council.

Attendance at Executive Sessions - Attendance at executive sessions shall be limited to members of the Council unless the Council specifically invites other attendees.

 Mail, E-mail or Telephone Votes - Administrative and policy decisions that require immediate action may be decided by mail, e-mail or telephone votes and shall be ratified at the next meeting of the Council.

Executive Committee Meetings - Meetings of the Executive Committee may be held at the call of the Chair. Any member of the Council may attend and participate in the discussions at meetings of the Executive Committee, but only members of the Executive Committee shall be entitled to vote. Expenses shall be reimbursed only for those persons specifically invited by the Executive Committee to attend. All actions of the Executive Committee shall be recorded and reported at the next meeting of the Council for approval or further action.

V. Reference Committee Hearings

The Chair of the Council shall designate members of the Council to attend reference committee hearings of the House of Delegates where matters within the scope of the Council's interest and expertise are being considered and to be available for consultation with members of the reference committees.

VI. Council Ad-Hoc Committees

The Council may propose the creation of an ad-hoc committee of the Council by submitting to the Board of Trustees a proposed charter that includes the following:

(a) specific purpose;

(b) specific program (set of tasks);

(c) specific expected result;

(d) specific time horizon (no ad-hoc committee should be given a time horizon in excess of two years, although a shorter time horizon may be set' At the end of the specified time, the ad-hoc committee will be automatically discharged unless specific action is taken to renew its character.);

(e) specific cost estimate; and

(f) specific size.

The Board of Trustees shall review the proposed character of the ad-hoc committee and approve or disapprove the request for the establishment of the ad-hoc committee. If the Board approves the establishment of the ad-hoc committee, the Board of Trustees, in conjunction with the Speaker of the House of Delegates, shall appoint the ad-hoc committee. The Council may submit recommendations to the Board if it wishes. Reappointments or appointments of new members to such ad-hoc committees shall be recommended by the Council to the Board of Trustees as necessary. Members of the ad-hoc committees need not be members of the Council, although Council members shall be eligible for membership.

VII. Expense Reimbursement for Council and Council Ad-Hoc Committee Members

Members of the council and ad-hoc committees of the Council will be reimbursed by the Association for expenses incurred for travel, hotel, meals, and similar items when attending Council or ad-hoc committee meetings. Other expenditures incurred in connection with the work of the Council or its ad-hoc committees will be reimbursed only when authorized by the Council or its Chair in advance.

Expense Vouchers - Council and ad-hoc committee members will be supplied vouchers for reporting expenses incurred on official business. These vouchers should be completed and returned with required receipts to the Secretary of the Council or appropriate ad-hoc committee, preferably within thirty days after the expenses have been incurred.

*Council members acceding to these offices between reorganization meetings shall not be regarded as serving one year unless he/she has served at least eight months in that office.

(April 2013 Revision)