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

https://www.nxtbook.com/allen/csab/63-1
https://www.nxtbook.com/allen/csab/62-4
https://www.nxtbook.com/allen/csab/62-3
https://www.nxtbook.com/allen/csab/62-2
https://www.nxtbook.com/allen/csab/62-1
https://www.nxtbook.com/allen/csab/61-4
https://www.nxtbookmedia.com