Central PA Medicine Spring 2018 - 33

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* Administering a blood transfusion
* Inserting a surgical device or appliance
* Administering an experimental
medication
PAMED's legal and government relations team has 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/InformedConsent.

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
collaborative agreements.
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 his
or her patient appropriately.

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 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 legislation.
Continued on page 34

Though there are quite a few pieces of
legislation regarding opioids, PAMED
is highlighting HB 353, which has the
Central PA Medicine Spring 2018 33
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Table of Contents for the Digital Edition of Central PA Medicine Spring 2018
