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alarm the patient who may not be able to understand and
properly react to the information. Many reported findings
may unduly alarm patients, resulting in severe stress, and may
drive them to actions that are inappropriate including demands
for unnecessary additional work-ups and studies. As a result,
physicians will practice more "defensive medicine," ordering
additional (expensive) tests and driving the cost of healthcare
higher and higher.
Pennsylvania is already considered to be a hostile
environment in which to practice medicine given the extremely
high cost of professional liability insurance and MCARE
coverage and the below national averages for reimbursement by
payors. Additional, unbudgeted expenses to medical practices
make our community even less attractive for young physicians
who are completing their training and looking for a great place
to live and practice.
Readers, please share your thoughts! The county medical
society leadership and staff are working with other stakeholders
to address the problems that are quite apparent in this law. We'll
need your support in the coming weeks and months to propose
some changes which will be acceptable to all parties.
Contact your state senator and representative - ask them
to repeal Act 112!
Use this link to determine who your elected officials are and
how to contact them:
Please let us know if you'd like to add your name to the
petition below, or if you wish to assist in getting more signatures.
Note - there are already over one hundred signatures of local
practicing physicians.
Petition to Pennsylvania State Legislature, the
Pennsylvania Medical Society, and Related Specialty Societies
to Take Action on Act 112.
Whereas; Pennsylvania Act 112 requires that institutions and
interpreting physicians take action to notify patients in writing of
any serious findings, and
Whereas; it is well recognized that the healthcare provider
who orders studies on their patients, and who knows the patient's
clinical situation, is the best person to interpret and relate
findings to a patient, and
Whereas; abnormal findings on studies should be interpreted
in the context of the patient's condition, and
Whereas; the individual reading said studies may have little
or no insight into the patient's clinical status or the relevance of
significant abnormal findings, and
Whereas; the individual reading said studies likely has
no doctor-patient relationship with the patient, makes it

Every child grows and learns
at his or her own pace.

If parents have concerns,
early intervention may help
Chester County Early Intervention Services
For birth to 3 years:
Chester County Department of Mental Health/
Intellectual & Developmental Disabilities
For 33 months to 5 years:
Chester County Intermediate Unit
Early Intervention in PA Statewide CONNECT
Line: 1-800-692-7288 *
inappropriate for him or her to properly communicate findings to
the patient, and
Whereas; many studies include findings that the interpreting
physician may or may not be able to be determined as to the
significance clinically to any given patient, and
Whereas; abnormal findings given to patients in writing
may inappropriately alarm a patient who may not be able to
appropriately understand and react to said information, and
Whereas; many reported findings may unduly alarm patients,
resulting in severe stress, and may drive them to actions that
are inappropriate and may drive them to demand unnecessary
additional work-ups and studies, and
Whereas; communication in writing with a patient triggered by
the physician interpreting a study may establish a defacto doctorpatient relationship resulting in inappropriate responsibilities and
liabilities, therefore
Be it resolved that the undersigned hereby request that our
Pennsylvania Legislature Repeal Act 112, and ask that they
collaborate with our Pennsylvania Medical Society and relevant
Specialty Societies to establish communication options that are
consistent with appropriate standards of care.

SPRING 2019 | CHESTER COUNT Y Medicine 19


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