Lancaster Physician Fall 2019 - 41

FA L L 2 0 1 9

W

ith summer drawn to a
close, lawmakers across the
Commonwealth are "back
in the saddle" and picking
up where they left off when they broke for
their summer recess at the end of June.
The fall legislative schedule is lighter than
usual with only 24 session days scheduled
for the House of Representatives and a few
less in the State Senate. Despite the limited
number of "legislative days," the agenda is
robust. Among the many issues that will
be debated this fall, health care is sure to
be front and center as proposals addressing CRNP independent practice, opioids,
medication assisted treatment (MAT) for
opioid use disorder, prior authorization,
and health insurance credentialing are all
on the potential short list.

CRNP INDEPENDENT
PRACTICE

CRNPs continue to push legislators to
grant them the same autonomous clinical
authority as physicians. Senate Bill 25,
having passed the Senate for the second
straight session, currently awaits consideration by the House Professional Licensure
Committee. House Bill 100, a companion
bill to Senate Bill 25, is on the same docket.
PAMED has, over the past several months,
urged physicians to voice their concerns to
lawmakers...especially those who sit on this
key committee. While PAMED recognizes
the valuable contributions CRNPs provide
to health care teams, our policy remains
firm-CRNPs are not equipped to practice
without the benefit of a physician's immediate availability through a collaborative
agreement. CRNPs are aggressively lobbying legislators, and physicians must do the
same if we are to preserve a collaborative

LANCASTER

41

PHYSICIAN

system that is the model in 28 other states
across the country.

PRIOR AUTHORIZATION

PAMED, along with a number of other
stakeholders (including patient advocacy
organizations), is seeking to reform the
current prior authorization process. House
Bill 1194-which, at the time of this writing, is expected to be introduced in the
coming weeks by Representative Steven
Mentzer of Lancaster County-seeks to
improve patient care and relieve physicians
of the many frustrating hurdles that health
insurers require physicians to navigate.
As one could expect, health insurers are
pushing back hard, even before the legislation is formally introduced. This issue
has also attracted the interest of freshman
Continued on page 42



Lancaster Physician Fall 2019

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