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CMA part of national effort to urge House leadership to act on Medicare SGR payment overhaul before the year ends

The California Medical Association (CMA) is part of a national multi-state, multi-specialty effort headed by the American Medical Association to keep bipartisan momentum going to address Medicare fee-for-service sustainable growth rate (SGR) reform. CMA has asked the California congressional delegation to sign a letter to House Speaker John Boehner and House Minority Leader Nancy Pelosi urging them to make it a priority to reform the Medicare physician payment system before the end of the year. The joint letter is being circulated in Congress by Rep. Bill Flores (R-TX) and ...

House of Delegates Highlights

House of Delegates acts on hospital care The California Medical Association (CMA) House of Delegates has voted to take action on the Centers for Medicare and Medicaid Services' (CMS) "outpatient patient observation" status, finding it to be a practice that places undue financial burden on patients, complicates the practice of medicine and often results in physicians receiving reduced payments for services provided.   ​Resolution 211-13, which received strong support on the floor of the House, was submitted as an emergency resolution and asked that CMA request that CMS eliminate its "outpatient patient ...

Bill that clarifies physician employment of PTs signed into law by the governor

Gov. Brown has signed into law AB 1000, a bill that clarifies an ambiguity in existing law, so that physical therapists can continue to work within the legal boundaries of medical corporations as they have for decades. The bill also gives health care consumers the ability to seek treatment from a physical therapist without a physicians’ consent for a limited period of time.   In 2010, the regulatory rules that allow physicians with professional corporations to hire physical therapists were reinterpreted by the physical therapy board, making it unclear as to ...

Gov. Brown signs Maddy bill to extend ER funding for the uninsured

California Governor Jerry Brown signed SB 191, a bill that extends funding for Maddy Emergency Medical Services (EMS). This fund is used to offset the costs incurred for care provided to uninsured patients in hospital emergency rooms. The California Medical Association (CMA) and the American College of Emergency Physicians cosponsored the bill.   The law that authorizes the Maddy Fund was set to expire on January 1, 2014. Without this bill providers of emergency medical care throughout the state would have lost $50 million per year that is currently used to ...

Vaccine refusal tied to pertussis outbreak

Parents refusing to vaccinate their children against pertussis (also known as whooping cough) might have played a role in the deadly 2010 outbreak in California – this according to a new study published in the October issue of Pediatrics.   In 2010, 9,120 cases of pertussis were reported in California, the most since 1947. This new study examines the role of clusters of individuals who refused the vaccine.   The study, “Nonmedical Vaccine Exemptions and Pertussis in California, 2010," analyzes non-medical exemptions for children entering kindergarten from 2005 through 2010, and pertussis cases ...

Governor Brown signs CURES bill

On Friday, Gov. Brown signed into law a bill that will provide funding for ongoing maintenance and staffing of the Controlled Substances and Utilization Review and Evaluation System (CURES). CURES is an online database that allows authorized users, including physicians, pharmacists, law enforcement and regulatory boards, to access information about a patient’s controlled substance prescription history. The new law will provide $9 million annually to maintain the database. The bill builds on funding provided through the 2013 budget to upgrade the system.   The mission of CURES is to prevent pharmaceuticals ...

Governor signs bill for Steve M. Thompson loan repayment program

Governor Jerry Brown has signed a California Medical Association (CMA)-sponsored bill that will refine the eligibility criteria for a successful physician retention program, the Steven M. Thompson Physician Corps Loan Repayment Program. The program provides grants of up to $105,000 to physicians who agree to practice in medically-underserved areas of the state for at least three years.   The program was created in 2002 under a bill sponsored by CMA. Since its inception, the program has awarded more than $17 million to over 220 individuals. Unfortunately, high demand for this program ...

Legislative update: Year of challenges, victories

This year turned out to be a challenging year for the California Medical Association (CMA). We knew would be a historic year with the implementation of federal health care reform (ACA) and the wave of legislative freshman. We anticipated that many issues would arise as we helped to educate new legislators not only about the ACA, but about the many issues important to the physician community in California.   CMA faced an unprecedented number of scope of practice expansion bills introduced in the Legislature. These scope of practice bills were painted ...

CMA files a petition with the Supreme Court to block the 10 percent physician reimbursement cut

The California Medical Association (CMA) filed a petition today asking the United States Supreme Court to review the Ninth Circuit Court of Appeals ruling that cleared the way for the State of California to implement a 10 percent cut to Medi-Cal provider reimbursement rates.   Federal law requires that Medi-Cal patients have the same access to physicians and other health care providers as the general insured public. Despite this law, a three judge panel of the Ninth Circuit ruled that the state could move forward with the rate cuts, passed by ...

MICRA Update: Victory in the Capitol but the fight goes on

California’s legislative session officially wrapped up last week, and because of aggressive advocacy by the California Medical Association (CMA) and action taken by thousands of California physicians, a bill to scuttle the state’s Medical Injury Compensation Reform Act (MICRA) was never introduced.   Despite weeks of pandering to members of the Legislature, California’s trial lawyers, along with their front group Consumer Watchdog, were unable to find enough legislators to vote for their greedy and misguided effort at lifting MICRA’s historic protections for their own financial gain. A majority of the Legislature ...