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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 OHIO STATE MEDICAL ASSOCIATION 2017 HOUSE OF DELEGATES REPORT OF RESOLUTIONS COMMITTEE 2 Presented by Denise Bobovnyik, MD, Chair, 6th District Jeffrey Leipzig, MD James Bryant, MD Stephen Orr, MD Herbert Stockard, MD Brooke Wolf, MD Pennie Marchetti, MD William Cotton, MD Marsha Smith, MD William Sternfeld, MD Shawn Cuevas, DO Kara Richardson 1 District 2 District 3 District 4 District 5 District 6 District 7 District 8 District Ohio Chapter, American College of Surgeons Resident & Fellows Section Medical Student Section st nd rd th th th th th All recommendations of the committee are provided on the Consent Calendar to be considered by the House of Delegates as one action to approve the Consent Calendar. A delegate may ask that a resolution be extracted for individual consideration by the House of Delegates. Extracted resolutions will be considered in numerical order from lowest to highest resolution number. The Resolutions Committee can recommend the following actions: Reaffirm; Adopt; Reject; Refer; Amend; or Adopt In Lieu Of. Printed at the end of this report for information only are the resolutions in the form as recommended by the committee. If the committee recommends amending the original statement, the amendments are shown by striking through the original language and capitalizing the new language (example: one TWO). An Adopt In Lieu Of resolution will be identified in the title as Adopt In Lieu Of Resolution xx-yyyy and the new text will be in bold type. Resolutions that have been replaced by an Adopt In Lieu Of will be printed after the Adopt In Lieu Of with the original language stricken since the originals are no longer pending before the House. Should any committee recommendation be extracted and the recommendation not accepted, it is then in order for any delegate to propose consideration of the original resolution. Resolutions Committee 2, after giving careful consideration to the several items referred to it, moves that the Consent Calendar be adopted as presented. CONSENT CALENDAR The Consent Calendar includes the committee’s recommendations for adoption, referral, or rejection of those resolutions referred to the committee for consideration. A request may be made to remove any item from the Consent Calendar for individual debate or action without the need for a vote on permission to separate it from the other items. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 RECOMMENDED FOR REAFFIRMATION: None RECOMMENDED FOR ADOPTION: Resolution 21-2017 – Removal of Non-Medical Exemptions for Mandated Immunizations and Support of Immunization Registries Resolution 23-2017 – Advocating for Increased Awareness and Education of Human Trafficking Resolution 26-2017 – Opposition to Anti-Competitive Insurance Mergers Resolution 27-2017 – Ban Restrictive Covenants for Physicians Employed by Hospitals in Ohio RECOMMENDED FOR ADOPTION AS AMENDED OR ADOPT IN LIEU OF: Amended Resolution 17-2017 – Importance of OSMA Promoting Physician Well-Being by Addressing the Physician AND MEDICAL STUDENT Burnout Issue Amended Resolution 19-2017 – Opioid Harm Reduction in Undergraduate Medical Education Amended Resolution 22-2017 – Opposition to the Practice of LGBTQ “Conversion Therapy” or “Reparative Therapy” by Licensed Physicians and Other Medical and Mental Health Care Professionals Resolution 24-2017 – Advocating for Needle Exchange Programs Resolution 25-2017 – Longitudinal Approach to Cultural Competency Dialogue on Eliminating Health Care Disparities Resolution 28-2017 – OSMA to Lobby to Amend the Ohio Revised Code to Read that Pharmacists THE OHIO STATE BOARD OF PHARMACY Will Regulate the Compounding by Pharmacists of Dangerous Drugs, but Not Such Compounding by Licensed Physicians Resolution 30-2017 – OSMA Policy Sunset Report RECOMMENDED FOR REFERRAL TO COUNCIL FOR ACTION: None RECOMMENDED FOR REJECTION: Resolution 18-2017 – Prevention and Maintenance of Burnout in Medical Students and Residents Resolution 20-2017 – Ohio Physicians and the Opioid Problem Resolution 29-2017 – FDA Regulations for Lecturers 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 P. Does anyone wish to extract an item from the Consent Calendar? P. All those in favor of adopting the Consent Calendar say aye. Opposed same sign. Resolution 17-2017 – AMEND Importance of OSMA Promoting Physician Well-Being by Addressing the Physician AND MEDICAL STUDENT Burnout Issue Comments: The committee supports raising awareness, identifying and treating burnout in all phases of a physician’s medical career. The OSMA should be supportive in addressing the issue of burnout but should not direct other groups on how to address the issue. RESOLVED, The OSMA shall work with the Ohio Hospital Association to promote physician well-being by promoting programming and committees in hospital systems MEDICAL SCHOOLS, HOSPITALS, RESIDENCY PROGRAMS, AND PHYSICIANS to address the issue of physician AND MEDICAL STUDENT burnout; and be it further RESOLVED, The OSMA work with the Ohio Hospital Association to promote physician well-being by addressing workplace environment problems associated with physician burnout; and be it further RESOLVED, The OSMA work with physician group practices and private practices to be aware of the symptoms of burnout and steps for prevention and intervention; and be it further RESOLVED, The OSMA work with physician group practices to promote physician wellbeing by addressing workplace environment problems associated with physician burnout; and be it further RESOLVED, The OSMA encourage physicians AND MEDICAL STUDNETS to utilize the AMA Steps Forward Program to learn more about preventing physician burnout; and be it further RESOLVED, The OSMA collaborate with Ohio medical schools to address burnout and depression in medical students; and be it further RESOLVED, The OSMA collaborate with the ACGME to address burnout in Ohio residency programs. Fiscal Note: $100,000 (Staff) Resolution 18-2017 – REJECT Prevention and Maintenance of Burnout in Medical Students and Residents Comments: The committee felt the sentiments of Resolution 18 are incorporated into Resolution 17, but did not support the resolution as a whole. The committee believed the monitoring of mental health status is a complex issue. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 RESOLVED, that our OSMA promotes monitoring the mental health status of medical students and residents to prevent burnout; and be it further RESOLVED, that our OSMA encourage physicians, residents, and medical students to engage in open discussion and develop novel solutions to reduce the prevalence of burnout among current and future physicians. Fiscal Note: $0 (Sponsor) $50,000 (Staff) Resolution 19-2017 – AMEND Opioid Harm Reduction in Undergraduate Medical Education Comments: The testimony provided was overwhelmingly in support of the resolution. The second resolved does not address undergraduate medical education. RESOLVED, That the OSMA shall support inclusion of harm reduction strategies in pain management, including but not limited to prescribing and discontinuation of opioid medications, in medical school curricula; and, be it further RESOLVED, That the Ohio State Medical Association support continued education for all current and future healthcare professionals on updated best practices in both prescribing opioid drugs and support for patients using these substances for prescribed purposes or otherwise. Fiscal Note: $500+ (Sponsor) Resolution 20-2017 – REJECT Ohio Physicians and the Opioid Problem Comments: The committee recommends rejecting this resolution because they did not feel this pertains to medical policy and recognizes that the opioid problem has many causes. RESOLVED, That it is the Official Policy of the OSMA that all physicians should prescribe all medications, including controlled substances, using the highest standards of care and professionalism, providing the best possible care to each patient. All physicians should work diligently to help find solutions to the problems of abuse of prescription medications, use and overdose of illegal substances, and opioid overdose. Physicians are not the root cause of abuse of prescription medications, use of illegal substances, and overdose of opioids. Any suggestion of that will be vigorously opposed by the OSMA. Fiscal Note: $50,000 (Staff) Resolution 21-2017 – ADOPT Removal of Non-Medical Exemptions for Mandated Immunizations and Support of Immunization Registries 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 Comments: The committee recommends adopting the resolution as written. RESOLVED, That the OSMA supports the use of immunizations to reduce the incidence of preventable diseases; and be it further RESOLVED, That the OSMA supports the removal of non-medical exemptions for required school immunizations; and be it further RESOLVED, That the OSMA encourage the use of immunization reporting systems for patients of all ages. Fiscal Note: $500 (Staff) Resolution 22-2017 – AMEND Opposition to the Practice of LGBTQ “Conversion Therapy” or “Reparative Therapy” by Licensed Physicians and Other Medical and Mental Health Care Professionals Comments: The committee supports the intent of the resolution and amended verbiage only to clarify the intent of the resolution. RESOLVED, That the OSMA affirms a position that individuals who identify as homosexual, bisexual, transgender, or are otherwise not heteronormative are not, per se, INHERENTLY suffering from a mental disorder; and opposes portrayals of sexual minority youths and adults as mentally ill due to their sexual orientation; and, be it further RESOLVED, That the OSMA strongly opposes the practice of “Conversion Therapy,” “Reparative Therapy” or other similarly aimed techniques AIMED AT CHANGING A PERSON’S SEXUAL ORIENTATION OR GENDER IDENTITY by licensed medical & AND mental health professionals, especially with minors because of the significant harm caused to youths as a result of the stigmatization, coercion, and inherent negativity of such techniques; and, be it further RESOLVED, That the OSMA encourages the legislature of the State of Ohio and other elected officials in Ohio to ban SUPPORTS THE BAN OF “CONVERSION” OR “REPARATIVE THERAPIES” through legislation, regulation, and policy, the use of so-called “conversion” or “reparative” therapies by licensed professionals for the purpose of sexual-orientation change in minors. Fiscal Note: $0 (Sponsor) $50,000 (Staff) Resolution 23-2017 – ADOPT Advocating for Increased Awareness and Education of Human Trafficking Comments: The committee recommends adopting the resolution as written. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 RESOLVED, That the OSMA shall advocate against human trafficking; and, be it further RESOLVED, That the OSMA will encourage the education of physicians on how to identify and assist victims of human trafficking. Fiscal Note: $50,000 (Sponsor) Resolution 24-2017 – AMEND Advocating for Needle Exchange Programs Comments: The committee recommends adopting the resolution. RESOLVED, That the OSMA shall advocate for the adoption of standardized and holistic needle exchange programs in Ohio, particularly in underserved areas; and, be it further RESOLVED, That the OSMA shall advocate for educational programs regarding the safe disposal of used needles or AND syringes; and, be it further RESOLVED, That the OSMA encourages physicians to refer their patients to Needle Exchange Programs. Fiscal Note: $50,000 (Sponsor) Resolution 25-2017 – AMEND Longitudinal Approach to Cultural Competency Dialogue on Eliminating Health Care Disparities Comments: The committee believes the OSMA should work to end all cultural health care disparities. RESOLVED, That the OSMA encourage all medical EDUCATION institutions in Ohio to engage in expert facilitated, evidence-based dialogue in cultural competency and the physician’s role in eliminating racial CULTURAL health care disparities in medical treatment as a first step approach to integration into a longitudinal curriculum throughout UME years 1-4. Fiscal Note: $0 (Sponsor) $25,000 (Staff) Resolution 26-2017 – ADOPT Opposition to Anti-Competitive Insurance Mergers Comments: The committee agreed that the OSMA should oppose anticompetitive mergers. The OSMA can take many different actions in opposition, such as making public statements referring this policy, or engaging in specific regulatory or legal advocacy. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 RESOLVED, That the OSMA opposes any merger in the health insurance industry that results in anticompetitive markets and/or limits patient access to quality healthcare. Fiscal Note: $50,000 (Sponsor) $500 (Staff) Resolution 27-2017 – ADOPT Ban Restrictive Covenants for Physicians Employed by Hospitals in Ohio Comments: The committee recommends adopting the resolution as written because it only deals with hospitals and hospital systems. RESOLVED, That our OSMA lobby for state legislation to ban restrictive covenants in contracts between hospitals or hospital systems and their employed physicians in Ohio. Fiscal Note: $1,000 (Sponsor) $50,000+ (Staff) Resolution 28-2017 – AMEND OSMA to Lobby to Amend the Ohio Revised Code to Read that Pharmacists THE OHIO STATE BOARD OF PHARMACY Will Regulate the Compounding by Pharmacists of Dangerous Drugs, but Not Such Compounding by Licensed Physicians Comments: The committee supports the resolution and made slight amendments to clarify the meaning of the resolution. RESOLVED, That the OSMA will lobby to amend the Ohio Revised Code to read that pharmacists will regulate the compounding by pharmacists of dangerous drugs but not such compounding by licensed physicians THE OHIO STATE BOARD OF PHARMACY MAY REGULATE COMPOUNDING OF DANGEROUS DRUGS BY PHARMACISTS BUT NOT SUCH COMPOUNDING BY LICENSED PHYSICIANS. Fiscal Note: $50,000 (Sponsor) $50,000+ (Staff) Resolution 29-2017 – REJECT FDA Regulations for Lecturers Comments: The committee recommends rejecting the resolution because the OSMA should not oppose existing FDA regulations regarding lectures sponsored by pharmaceutical companies. RESOLVED, That our OSMA work with the Ohio Congressional Delegation to change the current FDA regulations that hamper free discussion about uses of new and established medications among physicians attending presentations about the medications sponsored by a drug company; and be it further 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 RESOLVED, That our OSMA Delegation to the AMA take this issue to the AMA annual meeting in Chicago. Fiscal Note: $1,000 (Sponsor) $50,000+ (Staff) Resolution 30-2017 – AMEND OSMA Policy Sunset Report Comments: Although testimony was given in support of retaining policy 17-2013, the committee recommends not retaining policy 17-2013 because the Ohio Revised Code refers to the AMA Medical Code of Ethics which states physicians should only treat family members during an emergency. Because the value-based payment model is not yet fully implemented, the committee recommends retaining policy 33-2013. RESOLVED, That the following recommendations of OSMA Council be adopted, amended or rejected by the OSMA House of Delegates concerning OSMA policy from 1932 through 2013: 24 25 Ohio State Medical Association Policy Compendium Review – 2017 26 2017 OSMA Policy Sunset Report 27 OSMA policy from years 1932 through 2013 and Policy 26 – 2016 28 29 30 31 (This is a list of Policy numbers and titles only. To read the full text, click on 2017 OSMA Policy Sunset Report with Full Text at http://www.osma.org/about-osma/annualmeeting/2017-annual-meeting-program-handbook.) 32 33 Policies to be Retained: 34 35 Policy D – 1932 Medical Legislation 36 Policy 21 – 1968 Physician Members on Hospital Governing Boards 37 Policy 8 – 1973 Compulsory Formal Postgraduate Education 38 Policy 13 – 1973 Abortion as a Medical Procedure 39 Policy 16 – 1976 Official Representative of Organized Medicine 1 Policy 34 – 1977 Contingency Fees 2 Policy 79 – 1977 Insurance Coverage for Alcoholism Treatment 3 Policy 24 – 1978 Collateral Source 4 Policy 25 – 1978 Tort Reform 5 Policy 44 – 1978 Medical Staff Self-Governance 6 Policy 17 – 1979 Consent Calendar 7 Policy 21 – 1979 Reduction of Dues for Physicians in Their First Year of Practice 8 Policy 42 – 1979 Retrospective Review 9 Policy 45 – 1979 Federal Discrimination against Teaching Hospitals 10 Policy 37 – 1980 Participation in Organized Medicine 11 Policy 45 – 1980 The Physician’s Role in Returning Patients to Their Jobs 12 Policy 50 – 1980 Outpatient Physicians’ Service Reimbursement 13 Policy 51 – 1980 Reaffirmation of Existing Policy 14 Policy 56 – 1980 Confidentiality of Physician-Patient Communication 15 Policy 59 – 1980 Qualifying Expert Witnesses 16 17 Policy 29 – 1981 The Right of a Hospitalized Patient to Choose His/Her Attending or Consulting Physician 18 Policy 52 – 1981 Comprehensive Health Education in Ohio Schools 19 Policy 9 – 1982 Parliamentarian 20 Policy 21 – 1982 Assignment of Insurance Benefits 21 22 Policy 24 – 1982 Medical Staff Representation on the Board of Trustees of a Tax Supported Hospital 23 Policy 25 – 1982 The American Student in Foreign Medical Schools 24 25 Policy 27 – 1982 To Develop Within the MSS Programs Which Would Assist in Improving the Public Health 26 27 Policy 35 – 1982 Education Regarding Suicide Recognition, Prevention and Treatment 28 Policy 6 – 1983 Workmen’s Compensation Disability Determinations 29 Policy 18 – 1983 Prescription Abuse 30 Policy 31 – 1983 Drug Availability 31 Policy 39 – 1983 Corporal Punishment in Schools 1 Policy 41 – 1983 Boxing as a Health Hazard 2 Policy 43 – 1983 Sexual Harassment 3 Policy 13 – 1984 Third Party Reimbursement Problems 4 Policy 16 – 1984 Cognitive Reimbursement 5 Policy 21 – 1984 Payment to Physicians’ Services 6 Policy 36 – 1984 Physician Criticism of Colleagues 7 Policy 37 – 1984 Hospital Ethics Committees 8 Policy 38 – 1984 Free Choice of Physicians 9 Policy 43 – 1984 Financial Support – Homeless and Chronically Mentally Ill 10 Policy 49 – 1984 Preference for Hospital Delivery Over Home Delivery 11 Policy 55 – 1984 ACLS and ATLS Courses for Physicians 12 Policy 8 – 1985 Unethical Aspects of Certain Medical Care Plans 13 Policy 36 – 1985 Abortion Clinic Violence 14 15 Policy 42 – 1985 Eye Prophylaxis in Newborns for Gonorrhea as Well as Mandatory Gonorrhea Cultures in Pregnancy 16 Policy 45 – 1985 Generic Drugs 17 Policy 56 – 1985 Alcohol Impaired Driving 18 Policy 6 – 1986 Standardization of Preadmission Certificate Criteria 19 Policy 8 – 1986 Physician Reimbursement for Home Health Care 20 Policy 9 – 1986 Quality Assurance 21 22 Policy 11 – 1986 Support of Free Choice of Personal Physicians by Participants in Governmental Programs 23 Policy 22 – 1986 Pediatric Emergency Care 24 Policy 32 – 1986 Foreign Medical Graduates 25 Policy 45 – 1986 Eye Safety 26 Policy 10 – 1987 Second Opinion Plans 27 Policy 35 – 1987 OSMA Policy on Advertising 28 Policy 32 – 1988 Young Physicians as Delegates and Alternate Delegates 29 Policy 35 – 1988 Oppose Voluntary Active Euthanasia (Mercy Killing) 30 Policy 37 – 1988 Infertility Insurance Coverage 31 Policy 44 – 1988 Awareness of Participating Providers 1 Policy 62 – 1988 Donation of Professional Time to Poor 2 Policy 68 – 1988 Public Education on Hazards of Tanning Parlors 3 Policy 7 – 1989 Physician Liability for Managed Health-Care Plans 4 Policy 8 – 1989 Medicare Terminology 5 Policy 9 – 1989 Third-Party Payment, Intrusion Private Practice of Medicine 6 Policy 16 – 1989 Medicaid Physician Reimbursement 7 8 Policy 18 – 1989 Simplified Correction for Medicare Carrier Secondary Responsibility 9 Policy 20 – 1989 Encouragement of OSMAPAC Membership 10 Policy 23 – 1989 Medical Staff Bylaws and Peer Review 11 Policy 24 – 1989 Patient Advocate 12 Policy 52 – 1989 Education Regarding Prescribing Controlled Substances 13 Policy 54 – 1989 Waiting Period before Gun Purchase 14 Policy 60 – 1989 Anabolic Steroids 15 Policy 62 – 1989 Care of the Chronically, Mentally Ill 16 Policy 63 – 1989 Mandatory Random Drug Testing in Competitive Sports 17 Policy 66 – 1989 Warning Label on Personal Listening Devices 18 Policy 6 – 1990 Tanning Parlors 19 Policy 10 – 1990 Policy on Abortion 20 Policy 23 – 1990 Hospital Boards of Trustees 21 Policy 43 – 1990 Prohibiting Therapeutic Substitution in Ohio 22 Policy 54 – 1990 Raise Revenue for Health-Care Needs 23 Policy 57 – 1990 Health Promotion and Disease Prevention Education 24 Policy 67 – 1990 Substance Abuse as a Public Health Hazard 25 26 Policy 74 – 1990 Physician Representation on Health-Care Boards and Committees of the State of Ohio 27 Policy 81 – 1990 Accountability of Third-Party Reviewers 28 Policy 82 – 1990 Third-Party Payers and Patient Care Standards 29 Policy 83 – 1990 Selection of Medical Staff Officers 30 Policy 1 – 1991 Third-Party Reimbursement for Telephone Time 31 Policy 10 – 1991 Standardized Explanation of Benefits to Patients 1 Policy 19 – 1991 Quality of Life Issues Considered in Life Prolonging Therapy 2 Policy 34 – 1991 Child Care in Hospitals 3 Policy 39 – 1991 Expert Witness Testimony 4 Policy 44 – 1991 Women in Medicine 5 6 Policy 53 – 1991 Prevention of Sexually Transmitted Human Papilloma Virus (HPV) Infections 7 Policy 61 – 1991 Infectious Disease Precautions for Cadaver Transport 8 Policy 62 – 1991 Mandatory Use of Protective Helmets 9 Policy 64 – 1991 Permanent Cosmetic Make-Up 10 Policy 75 – 1991 Economic Credentialing 11 Emergency Policy 3 – 1991 State Medical Board Investigations 12 Policy 11 – 1992 Recommended Standards for Private (For-Profit) Quality Review 13 Policy 12 – 1992 Peer Review Process 14 Policy 19 – 1992 Third-Party Payor Denials 15 Policy 26 – 1992 Long-Term Prescriptions 16 Policy 52 – 1992 Organized Medicine’s Role in Health Care Policy 17 Policy 28 – 1993 Testing for Treatable Inborn Errors of Metabolism 18 Policy 31 – 1993 Expert Witness Testimony 19 Policy 34 – 1993 Health-Care Reform II 20 21 Policy 57 – 1993 Preservation of Patient/Physician Relationship and Role of Physician as Patient Advocate 22 Policy 59 – 1993 Tanning Parlor Education and Regulation Initiative 23 Policy 75 – 1993 Biomedical Research 24 Policy 14 – 1994 Hospice Care 25 Policy 21 – 1994 Uniform Recognition of CPT Codes by All Carriers 26 Policy 30 – 1994 Increase in Number of Primary Care Physicians 27 Policy 41 – 1994 Ohio State Medical Association Reporting Practices 28 Policy 43 – 1994 Ohio State Medical Board 29 Policy 48 – 1994 Preservation of the Physician’s Role as Patient Advocate 30 Policy 71 – 1994 Right to Balance Bill 1 2 Policy 73 – 1994 Changes in Taxation of Health-Care Premiums So That All Citizens Are Treated Equally 3 4 Policy 74 – 1994 Application of Health Plans to Elected Officials/ Government Employees 5 Policy 76 – 1994 Status of OMSS Representative of the Organized Medical Staff 6 Policy 7 – 1995 Right to Contract 7 Policy 13 – 1995 Privatizing Medicare 8 Policy 14 – 1995 Privatize Medicaid 9 Policy 18 – 1995 Elimination of Contingency Fee 10 Policy 24 – 1995 Motorcycle Helmets 11 Policy 26 – 1995 HIV Testing of Pregnant Women 12 Policy 28 – 1995 Physician Office Review by Third-Party Payers 13 14 Policy 39 – 1995 Preservation of Association Historical Records, Artifacts and Memorabilia 15 Policy 28 – 1996 Breast Reconstruction Availability 16 Policy 41 – 1996 More Routine HIV Testing 17 Policy 11 – 1997 Osteopathic and Allopathic Relations 18 Policy 13 – 1997 OSMA Conflict of Interest Policy 19 Policy 26 – 1997 Needle Electromyography 20 Policy 28 – 1997 Mandatory Topic-Specific Continuing Medical Education (CME) 21 Policy 38 – 1997 Opposition to “Gag Rules” 22 Policy 48 – 1997 Support Efforts to Encourage Medical Savings Accounts 23 Policy 54 – 1997 Youth Leadership Programs 24 Policy 9 – 1998 Access and Parity of Mental Health Coverage 25 Policy 11 – 1998 Prescription Equity for Contraceptives 26 Policy 12 – 1998 Transmittal of OSMA Policies to the AMA 27 Policy 13 – 1998 Sponsorship of AMA Policies 28 Policy 34 – 1998 Educating Students about the Hazards of Tanning 29 30 Policy 19 – 1999 Enforce Protection of Physicians Rights to Corrective Action Provided in the Physician Health Plan Partnership Act 31 Policy 30 – 1999 Educating Students about the Hazards of Tanning 1 Policy 6 – 2000 Strengthening of OSMAPAC 2 Policy 15 – 2000 Emergency On-Call Payments to Physicians 3 Policy 16 – 2000 Opposition to Mandatory Pill Splitting 4 Policy 25 – 2000 Promote and Expand Medical Savings Accounts 5 Policy 27 – 2000 Improving Transfer of Patient Care 6 7 Policy 40 – 2000 Payment of All Procedures Performed During a Single Patient Session 8 Policy 52 – 2000 Tax Relief for Health Insurance 9 Policy 7 – 2001 Support of Four Principles of Hand Awareness 10 Policy 12 – 2001 Forced Exclusive Physician Contracting 11 Policy 22 – 2001 Neutrality Regarding Emergency Contraceptive Pill 12 Policy 12 – 2002 Emergency Contraception 13 Policy 13 – 2002 Maintain Privacy of Unfiled Lawsuits 14 15 Policy 17 – 2002 Insurance Cards to Clearly Identify Co-Pays and Yearly Deductibles 16 Policy 30 – 2004 Physician-Owned Health Care Facilities 17 Policy 31 – 2004 Oppose Economic Credentialing 18 Policy 2 – 2005 Federal Medical Liability and Patient Safety Reform 19 Policy 3 – 2005 Health Care Costs 20 Policy 4 – 2005 Quality of Care Criteria and Its Measurement by Physicians 21 Policy 8 – 2005 Minor Statute of Repose 22 Policy 1 – 2006 Practice Economics 23 Policy 2 – 2006 Quality Improvement and Pay-For-Performance 24 25 Policy 14 – 2006 OSMA Support for Legislation to Improve Ohio’s Homestead Exemption Provision 26 Policy 15 – 2006 Health Insurer Interference with Practice Advisors 27 Policy 16 – 2006 Professional Liability Carrier Anti-Competitive Practices 28 29 Policy 1 – 2007 Collaborating on Health Information Technology Adoption and Exchange 30 Policy 5 – 2007 Patient Choice of Physician 31 32 Policy 7 – 2007 Health Insurer Collection and Dissemination of Information about Physicians 1 2 Policy 8 – 2007 Health Insurer Interference with Physicians’ Independent Medical Judgment 3 Policy 11 – 2007 Compounding Pharmacies and “Bioidentical” Hormone Therapy 4 5 Policy 17 – 2007 Physician and Medical Student Involvement in Public Health Preparedness and Disaster Response 6 Policy 19 – 2007 State Medical Board Oversight 7 Policy 20 – 2007 Stem Cell Research 8 Policy 29 – 2007 Medicare Reimbursement for Ambulatory Surgery Centers 9 Policy 5 – 2008 Health Insurance Coverage for All Ohioans 10 Policy 8 – 2008 Making Third-Party Payer-Driven Treatment Changes Illegal 11 Policy 17 – 2008 OARRS (Ohio Automated Rx Reporting System) 12 Policy 36 – 2008 Third-Party Coding Audits 13 Policy 41 – 2008 Childhood Obesity and Nutrition in the Schools 14 Policy 42 – 2008 Reform of Medicaid Managed Care 15 Emergency Policy 1 – 2008 Ohio Tobacco Use Prevention 16 Policy 3 – 2009 Medicaid Managed Care as a Secondary Payer 17 Policy 7 – 2009 Medicaid Reform 18 19 Policy 12 – 2009 Organized Medical Staff Section and Ohio State Medical Association Annual Meeting Educational Programs 20 Policy 21 – 2009 Medical Expense Tax Deduction 21 Policy 11 – 2010 Promoting Free Market-Based Solutions to Health Care Reform 22 Policy 12 – 2010 Response to Patient Protection and Affordable Care Act 23 24 Policy 13 – 2010 Federal Health Care Coverage to Include Members of Congress and Their Families 25 26 Policy 15 – 2010 Support for Physicians to Submit Claims and Prescribe by Any Medium 27 Policy 17 – 2010 Universal Real-Time Insurance Coverage Verification for Ohio 28 Policy 21 – 2010 Legislation to Change 40-Hour Rule 29 Policy 24 – 2010 Updating of the Safe Drinking Water Act 30 Policy 25 – 2010 Preparing Students for Medical Practice 1 2 3 Policy 3 – 2011 Legislation to Compel Health Insurance Companies to Approve Dispensing Medically Appropriate Quantities of Formulary Mediations 4 5 6 Policy 4 – 2011 Evaluation of the Expanding Scope of Pharmacists’ Practice and Interference of Pharmacy Benefit Managers in the Practice of Medicine 7 Policy 5 – 2011 Universal Health Insurance Coverage 8 Policy 10 – 2011 Standardize Insurance Payment Policies 9 10 Policy 16 – 2011 Sexually Transmitted Infections (STI) Education and Prevention Initiative 11 Policy 5 – 2012 AMA’s Truth in Advertising Campaign 12 Policy 7 – 2012 Limiting Medical Liability Hedge Funds 13 Policy 12 – 2012 Pharmacy Scope of Practice 14 Policy 13 – 2012 48-Hour Rule after Consent to Withhold or Withdraw Life 15 Sustaining Treatment from Patient 16 Policy 14 – 2012 Addressing Safety and Regulation in Medical Spas 17 Policy 16 – 2012 Maintenance of Board Certification and Maintenance of 18 Licensure Requirements 19 Policy 18 – 2012 Criminalization of Medical Care 20 Policy 20 – 2012 Physician Reimbursement for Coordination of Care in 21 Medical Home 22 Policy 23 – 2012 Mandatory competency Exams of Older Physicians 23 Policy 27 – 2012 Transparency in Insurance Coverage Information 24 Policy 29 – 2012 Denial of Care by Medicaid Managed Care Program 25 Policy 31 – 2012 Third Party Carriers Should Include Incentives for 26 Patient Accountability 27 Policy 32 – 2012 Personal Health Care Record 28 Policy 06 – 2013 Crafting Innovative Ways of Funding Graduate Medical Education 29 Policy 07 – 2013 Support for Physician Led Patient-Centered Medical Home 30 Policy 08 – 2013 Support for More Primary Care Physicians 31 Policy 09 – 2013 Abolishing Loss of Chance 32 Policy 11 – 2013 Oppose the Criminalization of Medical Statements 1 Policy 12 – 2013 2 Advocating for Public Education for the Use of Appropriate Health Care Resources 3 Policy 13 – 2013 Adolescent Pregnancies 4 Policy 16 – 2013 Maintenance of Certification and Licensure vs. Board Certification, 5 Continuing Medical Education and Lifelong Commitment to 6 Learning 7 POLICY 33 – 2013 PATIENT STEERAGE BY QUALITY MEASURES 8 Policy 36 – 2013 Peer Review by Specialists with Knowledge of the Situation under 9 Review 10 Policy 39 – 2013 Audit Overpayments 11 Policy 41 – 2013 Identifying Chemicals Used by the Oil and Gas Industry as 12 13 Part of Hydraulic Fracturing Policy 47 – 2013 Protection of Employed Physicians’ Rights 14 15 Policies to be Retained as Edited: 16 17 18 Policy – 1962 That a Doctor of Medicine Be Present at All Ohio High School Athletic Body-Contact Contests 19 Policy 36 – 1978 Contraceptive and Prenatal Services for Minors/ 20 Contraceptive Services for Minors 21 Policy 56 – 1978 Physicians Responding to Emergencies in Hospitals 22 Policy 51 – 1981 Policy to Teach Bio-ethics in Ohio Medical Schools 23 Policy 43 – 1993 Fee for Service 24 Policy 63 – 1994 Health-System Reform 25 Policy 55 – 1987 Early Detection 26 27 Policy 29 – 2000 Education to Prevent Teenage Pregnancy and Sexually Transmissible Diseases 28 Policy 5 – 2006 Health Care Technology 29 30 Policy 1 – 2008 OSMA Strategy for Unfair Reimbursement Tactics by Health Insurers 31 Policy 19 – 2008 Opposing State of Ohio Restrictions of Physician Investment 1 Policy 19 – 2010 Lifting the Restrictions on Balance Billing 2 3 Policy 17 – 2011 Creation of a Legislative and Advocacy Program for Medical Students 4 Policy 34 – 2013 Patient Satisfaction Surveys Not Valid as Reimbursement Criteria 5 6 Policies to be Not Retained: 7 8 Policy 32 – 1983 Support of Ohio Medical Education and Research Foundation 9 Policy 46 – 1990 AIDS Continuing Medical Education 10 Policy 19 – 2009 Guidelines for HIV Screening in Ohio 11 12 Policy 22 – 2010 Expedited Partner Therapy (EPT) for the Sexually Transmitted Diseases (STDs) Chlamydia and Gonorrhea 13 Policy 01 – 2013 Council Restructuring 14 Policy 17 – 2013 Physician Caring for Family Members 15 Policy 22 – 2013 Maintain Access to Continuing Medical Education 16 Policy 32 – 2013 Mandate Creation of Oversight Panel for Health Insurance 17 Carriers 18 Policy 33 – 2013 Patient Steerage by Quality Measures 19 Policy 42 – 2013 Electronic Health Records Surveillance 20 Policy 43 – 2013 Webcam Patient Encounters 21 Policy 44 – 2013 Guidelines for Personal Electronic Device Medical Applications 22 Policy 46 – 2013 Medicare Conditions of Participation 23 24 25 26 Fiscal Note: $0 (Sponsor) $0 (Staff)