ChesterCountyMedicine Spring 2018 - 35
PAMED's legal and government relations team have been
working with the Hospital and Healthsystem Association
of Pennsylvania (HAP) to draft legislation that aims to
address physician concerns with this ruling. Stay up to date
and get member-only resources at www.pamedsoc.org/
Team-Based Care and Scope of Practice
On April 26, 2017, passage of SB 25 occurred in the Senate.
As of the writing of this update, SB 25 is awaiting consideration
by the House Professional Licensure Committee, as is HB 100.
Both SB 25 and HB 100 would grant independent practice
to certified registered nurse practitioners (CRNPs). PAMED
strongly opposes any legislation that does not keep physicians as
the leader of the health care team. It's a matter of patient safety!
Learn more at www.pamedsoc.org/TeamBasedCare.
A roundtable discussion was held on Jan. 24, 2018, at
the State Capitol and featured a panel of physicians and
CRNPs. The focus of the discussion was to educate House
Professional Licensure Committee members about the nature of
On the national level, a day-long meeting to develop a
consistent strategy regarding scope of practice issues was held
on March 20. The meeting at American Medical Association
(AMA) headquarters in Chicago included representatives from
state and specialty societies nationwide.
The AMA and others in attendance, including PAMED
staff, shared resources and ideas that are available to societies as
we continue to develop successful, consistent strategies.
Opioid Abuse Crisis
More than 25 pieces of legislation regarding opioids have
been introduced. Legislation ranges from Prescription Drug
Monitoring Program (PDMP) requirements to prescribing
limits. PAMED is committed to ensuring legislation preserves
the physician/patient relatonship as well as allowing for the
physician to treat their patient appropriately.
Though there are quite a few pieces of legislation regarding
opioids, PAMED is highlighting HB 353, which has the
potential to affect many members. The bill has seen final
passage in the House and is in the Senate Health and Human
Services Committee as of the writing of this update. This
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legislation seeks an e-prescribing mandate for Schedule II-IV
controlled substances, unless an exception applies. Emergency
situations, temporary technological malfunctions, lack of access
to the Internet/EHR system, and direct administration by a
practitioner are listed as exceptions. Due to the exceptions for
physicians without EHR systems, PAMED is neutral on this
Maintenance of Certification (MOC)
As a result of House of Delegates policy established in the
fall of 2017, PAMED is drafting legislation that would prohibit
health insurers and hospitals from using MOC as part of their
credentialing criteria. The language will also prohibit the physician
licensing boards from using MOC as a condition of licensure.
On Feb. 5, 2018, PAMED Past President Charles Cutler,
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SPRING 2018 | CHESTER COUNT Y Medicine 35