California Society of Anesthesiologists Bulletin 62-4 - (Page 13)
LEGISLATIVE AND PRACTICE AFFAIRS
On Your Behalf ...
LPAD Gears Up
for a New Year
By Mark I. Zakowski, MD, Chair, Legislation and Practice Affairs Division
T
he many bills affecting
physician-led protocols and collaborative agreements, the
health care and patient
CSA changed to a neutral position. Governor Brown signed
safety that were introduced
S.B. 493 into law.
during the 2013 legislative
session in Sacramento kept
* The CSA opposed S.B. 492, optometrist scope-of-
your LPAD team hopping.
practice expansion, which as originally written would
The forecast for 2014 is for
have changed "optometrist" to "optometric physician" and
more of the same, including
allowed prescribing authority for any disease with ocular
proposed legislation and
manifestations. Despite modifications, the bill continued
regulations pertaining to patient safety, hospital milieus, and
to encounter opposition and was sidelined in 2013 by the
our day-to-day anesthesia practices. As the Affordable Care
author, Senator Hernandez, himself an optometrist as well as
Act (ACA) kicks in, there will be even more - legislatively
Chair of the Senate Committee on Health.
and in the regulatory arena.
* S.B. 491, nurse practitioner scope-of-practice expansion,
Lobbying/Public Relations (PR)
After working with the KP Public Affairs team for six
months, I can testify to their quality work, which, with our
participation, has produced notable results. The CSA was
active in lobbying for patient safety and against scope-ofpractice expansion bills - S.B. 491, 492, and 493 (all Sen.
Ed Hernandez, D-West Covina) - as well as many others.
would have allowed independent practice without physician
input. Many groups in medicine opposed this fragmentation
of care, including the California Medical Association
(CMA), the CSA, and the American Academy of Family
Physicians. The bill passed out of the Senate and through the
Assembly Business, Professions and Consumer Protection
Committee, but it ultimately died in the Assembly
To summarize regarding these three bills:
Appropriations Committee.
* The CSA initially opposed S.B. 493, pharmacist scope-
The CSA this year sponsored legislation, S.B. 410 (Yee),
of-practice expansion, which would have authorized
pharmacists to change medications and order tests without
needing to inform the ordering physician. After the CMA
brokered a deal requiring pharmacists to work under
to authorize anesthesiologist assistants to practice in
California. It was classified as a "sunrise" bill - i.e.,
introducing a new category of licensee - and therefore
became a bill with a two-year track to enactment.
(continued)
Winter 2014 |
13
Table of Contents for the Digital Edition of California Society of Anesthesiologists Bulletin 62-4
Airliner Crashes and Patient Handoffs — Is There a Connection?
It Is a New Day
LPAD Gears Up for a New Year
Full House? Playing Political Poker ‘Under the Dome’
CSA FALL SEMINAR 2013: ANOTHER HAWAIIAN SUCCESS
The ASA Annual Meeting
UPCOMING CSA ANESTHESIA SEMINARS
Is ‘HAL’ Coming to a GI Suite Near You?
Bookending Propofol — A Technique to Avoid PONV
Process and Outcome: Lessons from Fountain Valley
An Educational Gift from the Internet
A Major Challenge to Your Practice from Sacramento
Propofol Dreams: Of Nightmares and Déjà Vu?
NEW MEMBERS
CALIFORNIA AND NATIONAL NEWS
Fall 2013
California Society of Anesthesiologists Bulletin 62-4
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