Lancaster Physician Winter 2018 - 35

winter 2018

Medical Society Updates

LANCASTER
CITY & COUNTY
MEDICAL SOCIETY

L

2017 Fall Legislative Breakfast

CCMS welcomed Representatives Mindy
Fee and Keith Greiner as guests for the
Fall Legislative Breakfast held at the Cork
Factory Hotel on Thursday, October 19th.
Registration quickly reached capacity for this
roundtable discussion with members representing
a diverse cross-section of the Lancaster medical
community.
The agenda highlights included current legislative issues in both the House and Senate as well as
recognition of the support of past positions that
have affected the physician-patient relationship.
In addition to the Physician Assistant Practices
Act, Direct Primary Care Model legislation, and
a variety of bills relating to the opioid crisis, the
dialogue was focused on the following areas:
CRNP Independent Practice Challenging legislation that would call for the elimination of
the requirement for CRNPs to collaborate with
physicians in order to diagnose, treat, and prescribe medications to patients in Pennsylvania.
Prior Authorization Reforms Supporting legislation to improve transparency, accessibility, and
the consistent application of prior authorization
by including a standard definition. These efforts

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PHYSICIAN

would also significantly streamline the process,
requiring insurers to make available an electronic
communications network. Representative Fee has
supported this effort as a co-sponsor.
POLST (Pennsylvania Orders for Life Sustaining
Treatment) Supporting legislation that would
turn patient goals and preferences for end-of-life
care into medical orders, allowing ambulance
crews to follow POLST, which they currently
cannot, and giving legal immunity to providers
who follow the patients' established requests.
Representative Greiner has supported this legislation as a co-sponsor.
Credentialing Supporting legislation that would
provide for a uniform credentialing process in
Pennsylvania. This would eliminate the need
for a physician to navigate different processes
to get credentialed by each insurer and prevent
spending more time on credentialing than on
patient care. 
Telemedicine Supporting legislation that maintains the physician-patient relationship and
enables telemedicine services to be reimbursed
the same as in-person patient encounters. 



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