Lancaster Physician Summer 2017 - 31

SUMMER 2017

under their scope of practice. SB 25 was
voted out of the Senate Consumer Protection
and Professional Licensure Committee on
April 18, 2017. It was subsequently passed
in the Senate on April 26, 2017 (39-10).
In addition to government relations staff
working with legislators from both the
House and Senate to impress upon them the
importance of physician-led teams working
with patients, PAMED also generated a call
to action targeted at physicians from the
Senate committee members' districts in the
days leading up to the vote.
Despite the final vote count, consideration
of the bill, and more specifically, internal
caucus discussions, generated a robust
exchange between senators who vehemently
oppose the measure and those who favor its
passage. While a number of senators voiced
serious concern about scheduling the bill for
consideration, Senator Kim Ward's was the
loudest as she made a significant attempt
to amend the legislation to more narrowly
define those specialty areas in which CNPs
could practice. Ultimately, her amendment
was not offered, but her efforts generated productive conversations. Unfortunately, those

discussions did not significantly move the
needle but did positively affect some votes.
The legislation will now move to the
House Professional Licensure Committee
chaired by Rep. Mark Mustio (R-Allegheny). Although the measure was moved
swiftly through the senate, we anticipate
its progress will slow considerably in the
House of Representatives.
Prior Authorization Legislation -
Introduced by Rep. Marguerite Quinn
(R-Bucks)
Representative Marguerite Quinn, along
with 38 bi-partisan co-sponsors, introduced
HB 1293. This legislation will improve
transparency, accessibility, and consistent
application of prior authorization by
including a standard definition. It will
also significantly streamline the process
by requiring insurers to make available an
electronic communications network that
permits prior authorization requests to be
submitted electronically, and authorizations
and adverse determinations to likewise be
returned electronically.

Over the past several months, government
relations staff has been working closely with
Rep. Quinn in developing this legislation
and making improvements over last session's
version. Prior to its introduction, staff met
with house members to explain the need
for the legislation and to secure an adequate
number of legislative sponsors.
As a PAMED priority, staff is in the process of finalizing the physician and patient
grassroots initiative in an effort to generate
a considerable volume of constituent/
patient contacts with legislators. In addition,
PAMED staff has reached out to our network
of practice administrators to learn more
about the need for prior authorization reform
and to collect examples of patients whose
care has either been delayed by this process
or potentially put at risk. Staff's intention
is to share these patient vignettes with the
legislature. Other grassroots activities focused
on key legislators is also underway.
At this juncture, the House Bill 1293 has
not been referred to committee. Once that
process has taken place, PAMED will engage
in direct physician contacts with committee
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