2020 delegate handbook TABLE OF CONTENTS
Information for Delegates Page 2
Timeline, Virtual House of Delegates Page 3
Elections Page 4
Members, House of Delegates Page 6
2019-2020 Annual Report to Membership Page 12 with Action Plan
welcome 1 2020 KMA ANNUAL MEETING Dear Delegate:
The 2020 Annual Meeting of the Kentucky Medical Association (KMA) is the first Annual Meeting to be held virtually. At the recommendation of your Speakers, with approval by the KMA Board of Trustees, the decision was made to move to an online platform out of concern for the safety of Kentucky’s physicians, who are on the frontlines of the COVID-19 pandemic, as well as out of respect for the time and schedules of members whose first priority remains caring for the patients of the Commonwealth.
Elections and the Annual Report to the Membership As part of the online meeting, a virtual House of Delegates will commence on August 15 and conclude on August 30 for the purpose of conducting elections and accepting or rejecting the 2019-2020 KMA Annual Report to the Membership. The following pages of this handbook provide an overview of the virtual House of Delegates process and a detailed timeline of important dates and deadlines.
Elections will be held via e-mail with the use of a web-based platform for balloting, if needed. All elections will be finalized, and delegates will be notified of the results by August 30. According to the KMA Bylaws, the Chairman of the KMA Board of Trustees is to make an annual report to the House of Delegates outlining the Association’s activities for the previous year. The 2019-2020 KMA Annual Report to the Membership is included beginning on page 12 of this document. Please take a moment to review this report which outlines the accomplishments of the Association’s Commissions and Committees over the past year. Delegates will be given the opportunity to register any objections to this report in whole or in part. If no objections are received by the deadline, the report will be considered approved. Any objections received will be sent to the delegates for a vote. Due to the limitations of virtual debate, there will be no resolutions accepted this year.
Important updates and reminders will be sent by e-mail throughout the virtual House of Delegates meeting, so please be sure to watch your Inbox during the last two weeks of August.
Meet the Mandates The virtual Annual Meeting also offers several opportunities for CME, including KMA’s popular “Meet the Mandates” program (pg. 11), which enables physicians to obtain all state-mandated CME before the end of the three-year cycle. The meeting also includes a number of new and exciting features and opportunities for member connection, engagement, and networking. Be sure to follow all the virtual events and engage online with other members and our corporate affiliates through the Whova web-based platform or by downloading the Whova app (pg. 10).
We are excited that the Annual Meeting has been moved to an online format to allow more members than ever before to participate, while also allowing physicians to remain in their home communities to continue to provide care to those who need it most.
Sincerely,
Danesh Mazloomdoost, M.D. Monalisa Tailor, M.D. Speaker, KMA House of Delegates Vice Speaker, KMA House of Delegates INFORMATION FOR DELEGATES 2
PLEASE NOTE: House business will be conducted by e-mail using an online platform called Simply Voting. E-mails regarding the virtual House of Delegates may come from [email protected] or [email protected]. You may also receive notifications and reminders from the virtual KMA Annual Meeting event platform, Whova. Please be sure to check your spam or junk folder and allow all e-mails from these senders.
Thank you for taking time to represent your colleagues during the 2020 virtual session of the KMA House of Delegates. At the recommendation of the Speakers of the House, with approval by the KMA Board of Trustees, a virtual House of Delegates will commence on August 15 and conclude on August 30 for the purpose of conducting elections and accepting or rejecting the 2019-2020 KMA Annual Report to the Membership. Delegates will be notified of all results on Sunday, August 30.
Please read the following pages carefully as this handbook contains pertinent information on the virtual House of Delegates process, including how to participate in House business, and a detailed timeline of important dates and deadlines.
ELECTIONS
KMA Officers, AMA Delegates, Trustees and Alternate Trustees for the 2020-2021 Association year will be elected virtually by the KMA House of Delegates. A listing of positions to be filled is available on page four of this handbook.
Additional Nominations - August 15-16 On Saturday, August 15, delegates will be notified of all nominations received for elections. Additional nominations are due by 6 pm EDT/ 5 pm CDT on Sunday, August 16.
Elections and Balloting (if needed) - August 17-21 All non-contested candidates will be considered elected by acclamation on Monday, August 17. In the event of a contested election, ballots will be e-mailed to delegates on Monday, August 17, and are due by 6 pm EDT/ 5 pm CDT on Tuesday, August 18. Any additional rounds of balloting needed will be conducted August 19-21.
Additional Nominations for Vacancies (if needed) – August 22-24 In the event of a vacancy due to the first round of elections, registered delegates will be notified of the vacancy on Saturday, August 22, and must submit any nominations for vacancies by 6 pm EDT/ 5 pm CDT on Monday, August 24.
Election and/or Balloting for Vacancy Election (if needed) – August 25-29 Non-contested candidates for the vacant position(s) will be considered elected by acclamation on Tuesday, August 25. If there is a contested election for the vacant position(s), ballots will be e-mailed on Tuesday, August 25, and are due by 6 pm EDT/ 5 pm CDT on Wednesday, August 26. Any additional rounds of balloting needed will take place August 27-29.
ANNUAL REPORT TO THE MEMBERSHIP
The 2019-2020 KMA Annual Report to the Membership is included beginning on page 12 of this document. Please take a moment to review this report which outlines the accomplishments of the Association’s Commissions and Committees over the past year. By accepting or rejecting this report, in whole or in part, the House may approve or disapprove the action of the Board of Trustees. Any objections to the report will be sent to delegates for an up or down vote. Due to the COVID-19 emergency, the KMA Board of Trustees recommends delaying action on resolutions scheduled to sunset in 2020 by one year. Accepting the Annual Report does not reaffirm these policies. Discussion is simply delayed until the House of Delegates meeting next year.
Objections to the Annual Report – August 15-16 On Saturday, August 15, delegates will be given an opportunity by e-mail to submit any objections to the Annual Report, in whole or in part. If you wish to submit an objection in part, please identify in your comments the specific part of the report to which you are objecting. All objections to the Annual Report are due by 6 pm EDT/ 5 pm CDT on Sunday, August 16.
Voting on Objections/Report Approval or Rejection – August 17-18 Any objections received by the deadline will be sent to the delegates for an up or down vote on Monday, August 17. Voting to accept an objection to the entire report will result in the rejection of the full report. Voting to accept an objection to part of the report will mean the section in question is no longer included in the Annual Report; however, the remaining sections of the report will be adopted as written. Ballots on any objections to the Annual report are due by 6 pm EDT/ 5 pm CDT on Tuesday, August 18.
If no objections are received by the deadline, the Annual Report will be considered approved by acclamation on Monday, August 17. 3 elections 4
The following positions will be filled as part of the virtual House of Delegates meeting, August 15 to August 30, 2020. Elections will be conducted via e-mail as described on page two. GENERAL KMA OFFICERS (incumbents noted)
Office Incumbent Term President R. Brent Wright, M.D., MMM One Year President-Elect Elected from State at Large One Year Vice President Dale E. Toney, M.D., Lexington One Year Secretary-Treasurer Frank R. Burns, M.D., Louisville Three Years
AMA DELEGATES & ALTERNATE DELEGATES
Office Incumbent Term Delegate Vacant One Year (partial term)
TRUSTEES & ALTERNATE TRUSTEES (incumbents noted)
Term District Trustee Alternate Trustee
*** 2 years 3 *** Vacant
*** 2 years 4 *** Vacant
3 years 5 * John L. Roberts, M.D., Louisville * Eric F. Lydon, M.D., Louisville
3 years 6 * William C. Thornbury, Jr., M.D. * David Ciochetty, M.D., Bowling Green
*** 1 year 7 *** Vacant
3 years 8 ** Neal J. Moser, M.D., Crestview Hills ** Mark A. Schroer, M.D., Cold Spring
*** 1 year 9 *** Vacant
3 years 11 * Michael K. Kuduk, M.D., Winchester * John M. Johnstone, M.D,. Richmond
3 years 15 ** Truman Perry, M.D., Corbin * Steven E. Morton, M.D., Corbin
* Has served one full term (and/or partial term vacated by another Trustee or Alternate) and is eligible for another full term. ** Has served two full terms and is not eligible for reelection. *** Elections in Districts 3, 4, 7, and 9 are for Alternate Trustees only and may serve partial terms. COUNTIES WITHIN DISTRICTS ELECTING TRUSTEES AND/OR ALTERNATE TRUSTEES 5 elections District 3: Caldwell Hopkins Todd The following positions will be filled as part of the virtual House of Delegates meeting, August 15 to August 30, 2020. Christian Lyon Trigg Elections will be conducted via e-mail as described on page two. Crittenden Muhlenberg GENERAL KMA OFFICERS (incumbents noted) District 4: Office Incumbent Term Breckinridge Hardin Meade President R. Brent Wright, M.D., MMM One Year Bullitt Hart Nelson President-Elect Elected from State at Large One Year Grayson Larue Taylor Vice President Dale E. Toney, M.D., Lexington One Year Green Marion Washington
Secretary-Treasurer Frank R. Burns, M.D., Louisville Three Years District 5: Jefferson AMA DELEGATES & ALTERNATE DELEGATES District 6: Office Incumbent Term Adair Cumberland Monroe Allen Edmonson Simpson Delegate Vacant One Year (partial term) Barren Logan Warren Butler Metcalfe TRUSTEES & ALTERNATE TRUSTEES (incumbents noted) District 7: Anderson Grant Shelby Term District Trustee Alternate Trustee Carroll Henry Spencer *** 2 years 3 *** Vacant Franklin Oldham Trimble Gallatin Owen *** 2 years 4 *** Vacant District 8: 3 years 5 * John L. Roberts, M.D., Louisville * Eric F. Lydon, M.D., Louisville Boone 3 years 6 * William C. Thornbury, Jr., M.D. * David Ciochetty, M.D., Bowling Green Campbell Kenton *** 1 year 7 *** Vacant
3 years 8 ** Neal J. Moser, M.D., Crestview Hills ** Mark A. Schroer, M.D., Cold Spring District 9: Bath Harrison Robertson *** 1 year 9 *** Vacant Bourbon Mason Scott Bracken Nicholas 3 years 11 * Michael K. Kuduk, M.D., Winchester * John M. Johnstone, M.D,. Richmond Fleming Pendleton 3 years 15 ** Truman Perry, M.D., Corbin * Steven E. Morton, M.D., Corbin District 11: Clark Madison Powell * Has served one full term (and/or partial term vacated by another Trustee or Alternate) and is eligible for Estill Menifee Wolfe another full term. Jackson Montgomery ** Has served two full terms and is not eligible for reelection. Lee Owsley *** Elections in Districts 3, 4, 7, and 9 are for Alternate Trustees only and may serve partial terms. District 15: Bell Knox Whitley Clay Laurel Harlan Leslie
MEMBERS OF THE 2020 HOUSE OF DELEGATES 6 Membership in the House includes Officers, Trustees, Alternate Trustees, Delegates and Alternates to the AMA, the five immediate Past Presidents, the Dean of the University of Kentucky College of Medicine, the Dean of the University of Louisville School of Medicine, the Dean of the University of Pikeville-Kentucky College of Osteopathic Medicine, a representative of the Resident and Fellow Section, one student representative from the University of Kentucky College of Medicine, and one student representative from the University of Louisville School of Medicine, in addition to Delegates elected by county medical societies.
Officers
President R. Brent Wright, M.D., MMM, Glasgow Secretary-Treasurer Frank R. Burns, M.D., Louisville President-Elect Vacant Speaker of the House Danesh Mazloomdoost, M.D., Lexington Vice President Dale E. Toney, M.D., Lexington Vice Speaker of the House Monalisa M. Tailor, M.D., Louisville
First District Delegates to the AMA Trustee Evelyn Montgomery Jones, M.D., Paducah David J. Bensema, M.D., MBA, Lexington Alternate Trustee Carolyn S. Watson, M.D., Paducah J. Gregory Cooper, M.D., Cynthiana Second District Bruce A. Scott, M.D., Louisville Trustee Shirishkumar N. Patel, M.D., Owensboro Donald J. Swikert, M.D., Edgewood Alternate Trustee Philip B. Hurley, M.D., Owensboro Vacant Third District Trustee James M. Donley, M.D., Madisonville Alternate Delegates to the AMA Alternate Trustee Vacant Shawn C. Jones, M.D., Paducah Fourth District Mamata G. Majmundar, M.D., CPE, Lexington Trustee K. John Yun, M.D., Elizabethtown Suzanne McGee, M.D., Louisville Alternate Trustee Vacant William B. Monnig, M.D., Covington Fifth District John L. Roberts, M.D., Louisville Trustee John L. Roberts, M.D., Louisville Alternate Trustee Eric F. Lydon, M.D., Louisville Sixth District Past Presidents Trustee William C. Thornbury, Jr., M.D., Glasgow Bruce A. Scott, M.D., Louisville Alternate Trustee David Ciochetty, M.D., Bowling Green Maurice J. Oakley, M.D., Ashland Seventh District Nancy C. Swikert, M.D., Union Trustee Ronald Waldridge II, M.D., Shelbyville Theodore H. Miller, M.D., PhD, Cincinnati Alternate Trustee Vacant David J. Bensema, M.D., MBA, Lexington Eighth District Trustee Neal J. Moser, M.D., Crestview Hills Alternate Trustee Mark Schroer, M.D., Cold Spring Medical School Deans Ninth District Dana C. Shaffer, D.O. Trustee Leslie Schwindel, M.D., Cynthiana University of Pikeville-Kentucky College of Osteopathic Medicine Alternate Trustee Vacant Tenth District Robert S. DiPaola, M.D. Trustee Tuyen T. Tran, M.D., Lexington University of Kentucky College of Medicine Alternate Trustee Mamata G. Majmundar, M.D., CPE, Lexington Eleventh District Toni M. Ganzel, M.D., MBA Trustee Michael K. Kuduk, M.D., Winchester University of Louisville School of Medicine Alternate Trustee John M. Johnstone, M.D., FACP, Richmond Twelfth District Medical Student Section Trustee David L. Brabon, M.D., Wilmore Alexander Thebert, University of Kentucky Alternate Trustee Rebecca P. Chatham, M.D., Danville Mike Onu Udoh, University of Louisville Thirteenth District Trustee Ishmael W. Stevens, Jr., M.D., Ashland Residents/Fellow Section Alternate Trustee J. Roger Potter, M.D., Ashland Ariel Carpenter, M.D., Louisville Fourteenth District Trustee Jyotin V. Chandarana, M.D., Hazard Organized Medical Staff Section Alternate Trustee H. Michael Oghia, M.D., Jackson Nancy C. Swikert, M.D., Union Fifteenth District Trustee Truman Perry, M.D., Corbin Alternate Trustee Steven E. Morton, M.D., Corbin DELEGATES 7
District 1 Timothy J. Beacham, M.D., FASA, Louisville Ballard County Thomas A. Becherer, M.D., Louisville Calloway County Susan M. Berberich, M.D., Louisville Carlisle County Susan G. Bornstein, M.D., Louisville Fulton County Brian A. Casey, M.D., Louisville Graves County Kelly J. Clark, M.D., MBA, Louisville Hickman County Mahoney England Cobb, M.D., Louisville Secretary-Treasurer Frank R. Burns, M.D., Louisville Livingston County Terry Cohen, M.D., Louisville Speaker of the House Danesh Mazloomdoost, M.D., Lexington Marshall County Dawn Lowe Courtenay, M.D., Louisville Vice Speaker of the House Monalisa M. Tailor, M.D., Louisville McCracken County David L. Doering, M.D., Louisville Patrick J. Withrow, M.D., Paducah Linda H. Gleis, M.D., Louisville Jeffrey M. Goldberg, M.D., Prospect District 2 Lewis Hargett, M.D., Louisville Daviess County Amanda Belle Hettinger, M.D., Louisville William C. Harrison, M.D., Owensboro Thomas Stephen Higgins Jr., M.D., Louisville Hancock County Lesley A.R. Kellie, D.O., Louisville Henderson County Rishi Verma Kumar, M.D., Louisville McLean County Paul B. McKee IV, M.D., Louisville Ohio County Susan Williams McKee, M.D., Louisville Union County Natalie B. Miller, M.D., Louisville Webster County Sean Matthew Miller, M.D., Louisville Margaret Spratt Moye, M.D., Louisville District 3 Vaughn W. Payne, M.D., MBA, Louisville Melissa Anne Platt, M.D., Louisville Caldwell, Christian, Lyon, Todd & Trigg Counties Patricia M. Purcell, M.D., Louisville (Pennyrile) Amy Riddell Quillo, M.D., Louisville Crittenden County James D. Railey, M.D., Louisville Hopkins County Cynthia R. Rigby, M.D., Prospect Muhlenberg County Michael L. Salamon, M.D., Louisville G. Randolph Schrodt Jr., M.D., Louisville District 4 Rajesh K. Sheth, M.D., Prospect Breckinridge County Naresh Kumar Solankhi, M.D., Louisville David M. Faber, M.D., Hardinsburg Natalie Graham Stephens, M.D., Louisville Bullitt County Jeffrey M. Stidam, M.D., Louisville Grayson County Rebecca L. Tamas, M.D., Louisville Green County Gordon R. Tobin, II, M.D., Louisville Hardin/Larue Counties Jeff A. Tuvlin, M.D., Louisville Syed R.P. Quadri M.D., Elizabethtown Regi Varghese, M.D., Louisville Hart County John J. Wernert III, M.D., Louisville Marion County Fred A. Williams Jr., M.D., FACP, Louisville Meade County Russell A. Williams, M.D., Louisville Nelson County Robert A. Zaring, M.D., MMM, Louisville Taylor County Eugene H. Shively, M.D., Campbellsville Washington County District 6 Adair County Allen County District 5 Barren County Jefferson County (GLMS) Butler County Kandis Adkins, M.D., Louisville Cumberland County Edmonson County District 8 8 Sanjay Kaul, M.D., Brownsville Boone, Campbell & Kenton Counties Logan County (NKMS) Metcalfe County Gordon W. Air, M.D., Crescent Springs Monroe County Stephen O. Bernardon, M.D., Edgewood Kimberly Y. Eakle, M.D., Gamaliel Mark A. Boyd, M.D., Erlanger Simpson County Thomas E. Bunnell, M.D., Edgewood Warren County James C. Conner, M.D., Ft. Mitchell James F. Beattie, Jr., M.D., Bowling Green John P. Eldridge, M.D., Ft. Wright Wayne Hendrix, M.D., Bowling Green Philip A. Hartman, M.D., Burlington Marie L. Michelson, M.D., Bowling Green Tushar G. Kothari, M.D., Crestview Hills Kevin D. Martin, M.D., Ft. Mitchell District 7 Eric W. Neils, M.D., Villa Hills Anderson County Richard E. Park, M.D., Crestview Hills Carroll County Michael G. Schafer, M.D., Alexandria Franklin County William L. Stafford, Jr., M.D., Edgewood Gallatin County Jackie S. Sweeney, M.D., Covington Grant County Mark J. Zalla, M.D., Florence Henry, Oldham, Shelby & Spencer Counties (HOSS) Owen County District 9 Trimble County Bath County Bourbon County
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Contribute Today www.kppac.org 8 Bracken County Owsley County 9 Fleming County Powell County Harrison County Wolfe County Mason County Nicholas County District 12 Pendleton County Boyle County Robertson County Casey County Scott County Housam I. Haddad, M.D., Liberty Clinton County District 10 Garrard County Fayette County (LMS) Lincoln County Nick N. Abedi, M.D., Lexington McCreary County Bruce M. Belin, M.D., Lexington Mercer County Marvin A. Bishop, M.D., MBA, Lexington Pulaski County James L. Borders, M.D., Lexington Rockcastle County Alexander DeVries Brown, M.D., Lexington Russell County Angela T. Dearinger, M.D., Lexington Wayne County Lisa T. DeGnore, M.D., Lexington Lee M. Dossett, M.D., Lexington District 13 Jamil Farooqui, M.D., Lexington Boyd County Thomas J. Goodenow, M.D., Lexington Carter County Robert P. Granacher, Jr., M.D., MBA, Lexington Elliot County Terrence R. Grimm, M.D., Lexington Greenup County Hollis R. Hilty, M.D., Lexington Sanjiv Gupta, M.D., Russell Kraig E. Humbaugh, M.D., Lexington Lawrence County Farhad Karim, M.D., Lexington Lewis County Michael E. Lally, M.D., Lexington Morgan County Michelle R. Lofwall, M.D., Lexington Rowan County Charles L. Papp, M.D., Lexington John A. Patterson, M.D., Lexington District 14 Khalil U. Rahman, M.D., Lexington Breathitt County John G. Roth, M.D., Lexington Sunshine Smoot, M.D., Jackson Sandra R. Shuffett, M.D., Lexington Floyd County Thomas H. Waid, M.D., Lexington Johnson County John Robert White, M.D., Lexington Knott County Emery A. Wilson, M.D., Lexington Letcher County Kathryn E. Woody, M.D., Lexington Magoffin County Jessamine County Martin County Woodford County Perry County Mahender Pampati, M.D., Hazard District 11 Pike County Clark County Kathryn B. Jones, M.D., Winchester District 15 Estill County Bell County Jackson County Ronald Dubin, M.D., Middlesboro Gina L. Bingham, M.D., Tyner Clay County Lee County Harlan County Madison County Knox County William H. Mitchell, M.D., Richmond Laurel County Menifee County Leslie County Montgomery County Whitley County
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How to Engage and Participate in the KMA Virtual Annual Meeting
REGISTER THROUGH WHOVA Register for the meeting and educational events using this link: https://whova.com/portal/registration/kmaan_202008/
Once you've registered, attendees will have the option of downloading the Whova app and/or accessing the event through our exclusive web link.
In order to gain access to either platform, attendees will use the same email address they used to register and will need to create a password.
ENGAGING WITH THE MEETING THROUGH WHOVA
Upon entering the platform, you will be able search the agenda by date and access information regarding each educational session including speaker information and links to view sessions.
Members will be able to visit our virtual exhibit hall and interact with our corporate affiliates. Those who visit and interact with our sponsors will be entered into drawings for an Amazon gift card! To be entered, check out their page, hit the like button and chat in your name and email! 11 Meet the Mandates Meet the Mandates, a KMA Educational Series that provides all mandated AMA PRA Category 1 Continuing Medical Education required for licensure is being offered for the current CME cycle through a partnership with the Kentucky Board of Medical Licensure (KBML) and supported by a grant from the Federation of State Medical Boards Foundation.
Sessions will occur Friday, August 28 through Sunday, August 30, 2020, via KMA’s Annual Meeting Event Platform, WHOVA. Attendees will be able to log in and participate directly through the event platform utilizing Zoom Webinar integration. For those that are unable to attend on the scheduled date, links to recorded sessions will be available through the end of the year on the KMA and KBML websites.
Pediatric Abusive Head Trauma – Friday, August 28 at 8:00 am EDT
(Pediatricians, radiologists, family practitioners, and emergency medicine and urgent care physicians must complete this one-time, one-hour requirement. This requirement became effective in 2014. If you completed the course since that time, you do NOT need to take it again.) This course will help physicians recognize specific indicators of abuse in children and follow through with reporting incidents of abuse. Of particular importance is providing physicians with techniques that can be shared with parents that addresses the stress and pressure when caring for a crying infant, which is most often a trigger for shaken baby syndrome of abusive head trauma.
Domestic Violence - Friday, August 28 at 9:00 am EDT
(Primary care physicians, who are granted licensure after July 1, 1996, are required to successfully complete a three-hour domestic violence training course within three years of the date of initial licensure. Primary care is defined as: Family/General Practice, General Pediatrics, General Internal Medicine, Emergency Medicine, General Obstetrics and Gynecology and Preventive Medicine/ Public Health. If you have completed this course previously, you do NOT need to take it again.) This session will provide physicians with tools and information to aid in the recognition and interpretation of behaviors associated with domestic violence. Attendees will learn how implement protocols for screening and recognition and learn about resources available for domestic violence victims.
House Bill 1 (HB1) - Saturday, August 29 10:00 am - 12:30 pm EDT; and Sunday, August 30 10:00 am - 12:00 pm EDT
(Any physician who is authorized to prescribe or dispense controlled substances in Kentucky are required to complete 4.5 hours CME. This requirement must be fulfilled every three-year (3) CME cycle period.) This session will feature a variety of topics related to proper prescribing and substance abuse, including how to screen and identify patients with substance abuse disorder and when to refer, the short and long term effects of benzodiazepine, the rise of prescribing during COVID-19, misuse of prescribing, and how to talk to patients about the potential for habit-forming effects. It will also cover the easement of MAT regulations during COVID-19, as well as buprenorphine regulations recently amended by the KBML. Advance registration is required. AdvancedRegister r Advanced at https://whova.com/portal/registration/kmaan_202008/ registratio 2019–2020 KMA Report to Membership 12 This report is issued annually by the Chair of the Board of Trustees outlining the good work of the Association’s Committees and Commissions, as well as other accomplishments. —Michael K. Kuduk, M.D. Chair, KMA Board of Trustees
Community Connector Leadership Program (CCLP)
KMA celebrated the sixth year of the Community Connector Leadership Program, which recognizes physicians who are leaders in medicine and in their communities. The program helps create a network of physician leaders who will work with local organizations and the KMA to improve the state’s health status.
KMA honored the 2019 Class of Community Connectors during the Annual Meeting. Sarah Moyer, M.D. of Louisville, Khalil Rahman, M.D. of Lexington, and Bruce Scott, M.D. of Louisville were recognized for their contributions in leadership to medicine and their communities. The Community Connector Program is funded by the Kentucky Foundation for Medical Care.
Medical Student Outreach and Leadership Program (MSOL)
The Medical Student Outreach and Leadership Program (MSOL) was designed to engage students early in organized medicine and create future physician leaders through educational sessions and community involvement. During the program’s fifth year, MSOL expanded to include the University of Kentucky College of Medicine campus in Bowling Green and the Kentucky College of Osteopathic Medicine at the University of Pikeville. This year’s class of 131 graduates is the largest in the program’s history, bringing the total number of MSOL graduates to 338. The MSOL program is funded by the Kentucky Foundation for Medical Care. 2019 Medical Student Outreach and Leadership Program graduates. Commission on Long Range Planning LaTonia R. Sweet, M.D., Chair
The Commission on Long Range Planning camaraderie with colleagues and a chance to hear from KMA acted on Resolution 2019-3 passed by the about its activities. Unfortunately, like so many other things, the KMA House of Delegates, which called for COVID-19 pandemic impacted the feasibility of this program for KMA to create networking opportunities the foreseeable future. Thanks, however, to some of the work for physicians, especially in the rural areas done by the Commission over the years, KMA was strategically of the state. The Commission developed positioned to not only operate, but add value for members a program aimed at assisting KMA throughout the pandemic. The Commission will meet during leaders and members in having small the coming year to look at other ways KMA might enhance social gatherings that allows for both its operations and structure, using lessons learned from the pandemic and the future needs of members. 12 Commission on Legislative and Political Advocacy (COLPA) 13 Donald J. Swikert, M.D., Chair
The Commission to address the issue, KMA expects this item coronavirus pandemic. Senate Bill 150 also on Legislative and to be revisited in 2021. KMA will continue included a provision that for any health care Political Advocacy advocating for further research prior to the provider who, in good faith, renders care (COLPA) coordinated enactment of any cannabis legislation. or treatment of a COVID-19 patient during with the KMA the state of emergency, that health care Legislative Quick Other Issues of Interest provider shall have a defense to civil liability Action Committee to House Bill 153, sponsored by Rep. Kim for ordinary negligence for any personal organize and oversee Moser, was enacted by the General injury resulting from that care or treatment the state and federal Assembly. HB153 establishes a statewide or failure to provide or arrange further advocacy activities Mental Health First Aid Training Program medical treatment. of the Association. COLPA and LQAC were that offers the public, including educators, very active during 2019-2020. Specifically, health care practitioners, law enforcement, House Concurrent Resolution 5 supports the two groups developed a robust agenda and faith leaders, evidence-based the notion that marijuana should be for the 2020 session that included items mental health training to use when they thoroughly studied prior to its widespread such as prior authorization for medication- encounter someone with a mental health dissemination and use. Specifically, the assisted treatment, co-pay accumulator or substance use disorder or someone resolution urges federal policymakers programs, deceptive advertising, and insulin experiencing a mental health or substance to “expedite research on the safety and co-pay caps. Despite the shortened session, use crisis. Trainees would also learn how effectiveness of the use of marijuana for KMA was able to either secure passage or to refer individuals requiring assistance to certain health purposes.” This resolution, significantly advance many of its legislative appropriate professional help. which is consistent with KMA’s policy priorities. The Association also was on cannabis, was passed by the General House Bill 135, which pertains to the successful in defending against measures Assembly and signed by the governor. prescriptive authority of physician that run counter to public safety and access assistants, passed both chambers of the Physicians’ Day at the Capitol to quality care. General Assembly. While KMA continues More than 100 physicians and medical KMA Priorities That Passed students descended upon Frankfort on Feb. Senate Bill 56 will ensure Kentucky 6 for KMA’s annual Physicians’ Day at the complies with the recently enacted federal Capitol. Attendees engaged in important minimum legal sale age for all tobacco advocacy discussions and spent time products and eliminate purchase, use, and cultivating relationships with legislators. possession penalties for youth up to age 21. A highlight of the day’s events was the reading of Senate Resolution 11, filed by House Bill 35, the state revenue bill, will tax Sen. Ralph Alvarado, M.D., which honored e-cigarette products at $1.50 per pod on the contributions and advocacy of late KMA closed systems (e.g. Juul reusable devices or President-Elect Robert Couch, M.D., who Puff Bar disposable devices) and 15 percent passed away in November. of the wholesale price on open systems, Federal Update which allow users to refill the device with During 2020, KMA was active on the bottled liquid. Kentucky will join 24 states KMA President R. Brent Wright, M.D., testifies in opposition federal stage as well. In February, KMA and the District of Columbia in taxing of HB286 that would have expanded the prescriptive representatives once again took part in e-cigarettes when the tax goes into effect authority of Advanced Practice Registered Nurses. the AMA National Advocacy Conference in August 1. to have concerns regarding the expansion Washington D.C. They met with members Successfully Defeated This Session of prescriptive authority for controlled of the Kentucky federal delegation, many of House Bill 286 would have expanded the substances among non-physician groups, which hold key committee positions. Topics prescriptive authority of Advanced Practice the Association’s advocacy efforts were of discussion included surprise billing, Registered Nurses. KMA members were able to produce a much-improved bill that Medicare prior authorization, telehealth, instrumental in contacting their legislators includes many additional requirements, and J-1 visa reform. to express concerns about the bill. The restrictions, and oversight by supervising The Commission would like to thank the legislation cleared the House Licensing and physicians and the Kentucky Board of KMA membership for contributing to this Occupations Committee late in the session Medical Licensure. year’s advocacy efforts. Many members but did not receive a floor vote. Senate Bill 150, initially a surprise billing signed up for KMA’s new legislative texting House Bill 136, legislation pertaining to measure introduced by Senator Ralph service, which allowed them to stay up the legalization of cannabis for therapeutic Alvarado, was stripped of the original to date and engaged with happenings in purposes, was also successfully defeated. language and revised to become an Frankfort and Washington, D.C. Members However, the measure received a vote in the emergency COVID-19 relief bill that took the information and spoke loudly and House of Representatives and passed by a provides Kentuckians, including the effectively during the legislative session vote of 65 to 30. While the Senate chose not state’s health care providers, financial and through phone calls, emails, text messages, regulatory assistance surrounding the novel and in-person meetings. Resident and Fellow Section 14 Ariel Carpenter, M.D., Chair
Resident participation at the KMA and the AMA level has increased over the past year. Ariel Carpenter, M.D., (University of Louisville) served as the 2019-2020 Resident and Fellows Section (RFS) representative on the KMA Board of Trustees as well as the KMA delegate to the 2019 AMA-RFS Interim Meeting in San Diego. The RFS was also well represented at KMA events throughout the year including the 2019 KMA Annual Meeting and Physicians’ Day at the Capitol in February.
KMA continues to offer education to residents on issues related to business, finance, and advocacy. KMA staff presented to the pediatric residency program at the University of Kentucky on personal finance considerations for physicians. The Resident and Fellow Section was well represented at the KMA Physicians’ Day at the KMA once again participated in the new resident orientations, Capitol which were held virtually this year due to the ongoing COVID-19 during the current pandemic and encouraged residents to become emergency. KMA President R. Brent Wright, M.D., MMM, welcomed active in their professional societies. KMA also participated in a live, the first-year residents at University of Kentucky via a recorded online vendor fair at the University of Louisville on June 30. message that highlighted KMA’s commitment to serving members
Commission on Physician Licensure and Workforce Mamata Majmundar, M.D., CPE, Chair
The Commission on Physician Licensure payment parity for all diagnoses, not just telehealth services and Workforce continues to follow the related to COVID-19. Medicare and other major insurers are implementation of the Interstate Medical currently covering telephone or audio only E/M services at the Licensure Compact in Kentucky and same level as in-person visits for new and established patients. monitor developments related to telehealth, The HHS Office for Civil Rights has also temporarily relaxed including the temporary relaxation of enforcement of some HIPAA rules during the emergency, thus certain rules and regulations during the allowing physicians to provide telehealth services using popular COVID-19 public health emergency. applications, such Apple FaceTime, Facebook Messenger, Google Hangouts, and Skype. KMA advocated for many of these changes During the 2019 session, the General early in the pandemic and created a series of handouts to assist Assembly passed legislation entering members with the various telehealth polices and regulations Kentucky into the Interstate Medical Licensure Compact (IMLC). of government and commercial insurers. These changes have The IMLC provides an expedited pathway to licensure for benefited both patients and physicians and have increased access qualified physicians who wish to practice in multiple states. to care. The Commission will continue to advocate for policies This process is available to board certified physicians with no that allow for greater use of telehealth after the expiration of the derogatory information on their license history. It is anticipated public health emergency. that Kentucky will become a full participant in the compact by late July or early August of this year. More details on the The Commission also reviewed the Kentucky Board of Medical application process will be made available to members once Licensure renewal statistics for 2020, noting that a total of 18,006 the compact is fully implemented. physicians hold a medical license in Kentucky with 11,531 of those physicians having a practice address in the state. Like many other The Commission also closely monitored recent developments states, Kentucky issued a waiver to allow out of state physicians related to the relaxation of certain telehealth rules and to register to provide services in Kentucky during the COVID-19 regulations during the COVID-19 pandemic. Since the emergency resulting in 4,295 registrations. beginning of the public health emergency, state and federal governments, along with insurers, have reduced a number of regulatory hurdles by removing geographic restrictions and allowing patients in all settings, including in their homes, to receive telehealth services. Many insurers have also provided Commission on Public Health 15 John Johnstone, M.D., FACP, Chair
The Commission continues to use the AIM the state with education on colonoscopy screening coverage, for Better Care: Administrative Improvements Kentucky laws that impact screening, and appropriate billing and in Medicine initiative as a tool to identify coding procedures to help offset this barrier. The commission also numerous administrative burdens and used social media posts during National Colon Cancer Awareness barriers to care. The onset of the COVID-19 month to provide additional outreach to the public. pandemic highlighted significant barriers in the area of telehealth. KMA advocated early in the pandemic for the relaxation of various telehealth rules and regulations and created a series of one-page handouts for members on the various policies of insurers and the government. KMA also created several public service announcements aimed at educating patients on several issues related to COVID-19, including a message encouraging the use of telehealth.
Kentucky has the highest incidence of colorectal cancer (CRC) in the nation and the second-highest occurrence of CRC under age 50. Through AIM, the commission found that confusion by insurers and healthcare providers about colonoscopy screening coverage and appropriate coding may be one reason a patient could incur additional costs which might prevent the patient from receiving necessary and potentially life-saving screening services. The commission partnered with Whitney Jones, M.D., and the Kentucky Cancer Network to provide members across
Committee on Physical Education and Medical
Aspects of Sports Philip B. Hurley, M.D., Chair
The Committee on Physical Education and The Committee also was very active on the advocacy front. During Medical Aspects of Sports continued its the 2020 legislative session, legislation (Senate Bill 125) was mission to improve the overall health of the introduced seeking to revise the Athletic Trainer Practice Act. The school-age child by building stronger bodies, Committee took a leading role by advising KMA Leadership about both mentally and physically, and seeking the risks and benefits associated with the legislation as well as to eliminate and correct matters that might what revisions should be requested within the bill’s language. The be detrimental to the health of the student measure passed the General Assembly with many of the changes athlete. recommended by KMA.
During the 2019-2020 year, the Committee The Committee received regular updates regarding recent activity was particularly involved in sports-related issues. Through a series of the National Federation of State High School Associations of in-person, virtual, and telephonic meetings, the Committee (NFHS) from Philip Hurley, M.D., who is a member of NFHS Sports was able to offer clinical guidance and other assistance to Medicine Advisory Committee. stakeholders, such as the Kentucky High School Athletic Association (KHSAA), who oversee the state’s student-athletes. Finally, the Committee, in cooperation with the KSHAA, finalized the update to the online sports safety course. This course is The following list is a sampling of the issues addressed by the mandatory for all high school and middle school coaches in the Committee: Commonwealth and is a valuable resource that helps ensure the safety of student-athletes. • COVID-19 return-to-play guidelines; • exertional heat illness and core temperature measurement; • middle school athlete size limitations; and • pre-participation evaluations. 16 CME Committee and CME Council opportunity was provided to three new CME coordinators in John L. Roberts, M.D., Chair 2019-2020. James L. Borders, M.D., Chair Joint providership programming continues to grow, and new The CME Committee and strategic partners are continually being identified. These Council continued its efforts relationships create non-dues revenue for the organization to support KMA accredited and opportunities for collaboration on a wide range of clinical Continuing Medical topics. This service allows non-accredited organizations to Education (CME) providers provide CME to local audiences. In 2019, Caldwell County from across the state in a Medical Center contracted with KMA to provide CME variety of ways. accreditation for four events with locally focused education for physicians in the area. One-on-one consultations have been added as a service to aid in the development of CME providers who may require focused KMA continues to expand and promote its meeting services to training and intervention to improve compliance within their specialty societies and government agencies. These services programs. These consultations also serve to promote strong are all encompassing and feature event planning, registration, relationships with our providers and their leadership and to offer implementation of events, onsite support, and outcomes KMA services such as speakers, advocacy information, member measurement. KMA has provided services for the Department benefits, and more. Documents and forms related to CME of Medicaid and in 2020 has been contracted to provide accreditation continue to be improved and modified to aid in meeting services for the Kentucky Board of Medical Licensure the submission of reaccreditation materials. (KBML)’s CME event.
The annual KMA CME Coordinator Conference originally The 2020 KMA Annual Meeting will be provided in an scheduled as a live event will move to a virtual format in the fall. entirely virtual format this year. Member engagement will Staff is currently working to finalize speakers and content and be promoted through an event platform and will feature more than 50 CME providers are expected to attend. educational components, virtual exhibit halls, and member- to-member networking and interaction. In partnership with The KMA Professional Development for CME Professionals the KBML, members will have the opportunity to complete program has active participation in over 90% of CME providers. all mandated education required for licensure through an This program is designed to allow providers to participate enduring format available to members through the end of remotely and at their own pace. Content includes time 2020. management, compliance criteria, trends in adult education delivery, and leadership.
New provider training, “Roadmap to CME” offers an introduction to the CME process and requirements and has been very successful in training and engaging new CME staff. This
Medicaid Physician Technical Advisory Committee William C. Thornbury Jr., M.D., Chair
The Technical Advisory Committee on The TAC carefully monitored and reported to members numerous Physician Services for Medicaid, known as changes in the Medicaid program including the withdrawal of the the TAC, continued its important work in 1115 Kentucky HEALTH waiver which would have required able- the area of telehealth implementation by bodied adults between the ages of 19 and 64 to meet certain work using subcommittees to develop standards, or community engagement requirements in order to be eligible guidance, resources, and education to help for Medicaid. promote access to healthcare services in Kentucky. As a member of the Kentucky The TAC worked directly with staff from Provider Enrollment to Telehealth Steering Committee, William reduce enrollment times and has partnered with the state to Thornbury, M.D., worked to address issues that impede physicians educate members on the use of the new online enrollment portal from successfully implementing telehealth in their practices. As to further increase timeliness and efficiency. a result of these efforts, many policies have been streamlined reducing administrative burden and coverage and reimbursement has improved. Kentucky Physicians Leadership Institute 17 Fred A. Williams Jr., M.D., FACP, Chair
The Kentucky Physicians Leadership Institute customized leadership training for physicians. Recognizing that (KPLI) continues to be the premier program leadership can take place from any position, the sessions focus in the state for the development of physician on the development of catalytic leaders—inspiring and driving leaders. Graduates have been asked to serve change while working internally and externally to encourage in leadership roles, participate in media events communication and engagement. The sessions are led by faculty and interviews, and provide a respected and from Butler University and feature fireside chats with leaders from knowledgeable voice in Frankfort through various organizations. Participants engage in training on personal, meetings and testimony in the legislature. business, and advocacy aspects of leadership. The third class of the KPLI included physicians from across the state, representative of many The continued success of this program is evident by the multiple specialties and demographics. Graduates requests KMA has received from other organizations to learn more Mark Brockman, Jr., M.D., Lee Dossett, M.D., Lara Fakunle, M.D., about the program and how to implement similar offerings of Franklin Fannin, M.D., Michael Fletcher, M.D., Heidi Koenig, M.D., their own. Rishi Kumar, M.D., Charles Papp, M.D., Khalil Rahman, M.D., Mark Schroer, M.D., and Brian Sosnin, D.O., were recognized during the The 2020 KPLI program was finalized with 13 physicians accepted 2019 KMA Annual Meeting for their completion of the program. into the program; however, because of ongoing COVID-19 concerns, the decision was made to suspend the program for The program is made possible through the generous support of 2020. It is anticipated that the award-winning program will KMA’s charitable arm, the Kentucky Foundation for Medical Care, resume in 2021. and is a multi-weekend in-depth program designed to provide
UofL President Neeli Bendapudi spoke to members of the the KPLI Class of 2019 program. KPLI participants Rishi Kumar, M.D., and Brian Sosnin, D.O.
Mark Schroer, M.D., participated in the KPLI Class of 2019 program. 2019 KPLI participants toured the Kentucky State Capitol as part of the From Leadership to Advocacy session Delegation to the American Medical Association 18 J. Gregory Cooper, M.D., Senior Delegate
The KMA Delegation to the American Medical The delegation continues to support the important work of the Association (AMA) attended the 2019 AMA medical students and young physicians from Kentucky who are Interim Meeting and participated in the very active and engaged in policy making at the AMA level. Their 2020 AMA Special Virtual Meeting in June. leadership and commitment to organized medicine has led to Kentucky is well represented at the national the development of resolutions that have been considered by level with representation in key leadership the AMA House of Delegates and provides the delegation an positions in the AMA. Bruce A. Scott, M.D., important perspective on resolutions being considered. a member of the Kentucky Delegation and KMA Immediate Past President was re-elected to the position of Speaker of the House of Delegates of the AMA. Delegation member David J. Bensema, M.D., continued his service as a member of Reference Committee F, which deals with financial considerations of the organization.
University of Kentucky medical student Ms. Anita Shanker continued her service as the Medical Student Section Alternate Delegate to the AMA House of Delegates. Ariel Carpenter, M.D., of Louisville, was elected to the position of alternate delegate for the Residents & Fellows Section.
In 2019, the delegation also welcomed new members Mamata Majmundar, M.D., of Lexington, John Roberts, M.D., of Louisville, The KMA Delegation gets down to business under the leadership of Greg Cooper, M.D., and Suzanne McGee, M.D., of Louisville. Saturday morning at the AMA Interim Meeting.
Budget Committee David J. Bensema, M.D., MBA, Chair
The Budget Committee dealt with issues Committee is prepared to suggest financial changes should the concerning KMA’s finances and administrative need arise. operations, which was challenging given the COVID-19 pandemic’s impact on the medical Despite the ongoing challenges of the pandemic, KMA was community. Normal operations of the Associ- well-positioned to continue its work throughout the spring and ation, however, continued unabated thanks to summer. This was due in part from another solid membership year, technology and efficiencies built into the ad- as well as the closure of the KMA defined-benefit employee pen- ministration of the organization that allowed sion plan. While other organizations—private and government— much of the day-to-day work to be done continue to struggle with funding such pension plans, KMA no remotely. KMA also went outside budgeted longer has these concerns thanks to the closure of the plan earlier expenditures, with the permission of KMA leadership, to assist in the year. Closure of such plans is not a simple matter as there is a members on a variety of issues including educational webinars myriad of laws and regulations concerning them. The Chair thanks and Public Service Announcements aimed at the expansion of the KMA Board and the Budget Committee members for taking telemedicine, personal COVID-19 safeguards for the public, and the necessary steps to make that happen and help preserve the reopening the health care system. financial future of the organization.
The Committee also reviewed the fiscal year 2020 financial audit and proposed expenditures and income for KMA’s coming fiscal year (2021), which the KMA Board approved. The approved budget anticipated no substantial changes to KMA’s operations, but it was anticipated there would be such changes because of the cancellation of the Kentucky Physician Leadership Institute class of 2020, as well as moving the 2020 Annual Meeting to a virtual platform due to the COVID-19 pandemic. Further changes impacting the approved budget will no doubt take place, and the 19 18 Kentucky Foundation for Medical Care Shawn C. Jones, M.D., President physicians to speak directly to patients about barriers to good The Kentucky Foundation for Medical Care health on issues including smoking, diabetes, and addiction. The (KFMC) continues to focus its mission of production says a great deal about the desire by the public and promoting public health and educating the media to hear directly from physicians on such topics, and physicians and medical students on aspects it is hopeful that the KPLI, MSOL, and other programs can assist of modern leadership. On the public health individual physicians with taking advantage of such opportunities front, KFMC partnered with the KMA and outside their regular clinical setting. the Foundation for a Healthy Kentucky on a very successful initiative to place permanent signs in schools across the state that made the decision to go smoke-free. The campaign kicked off with a press conference in Frankfort that received widespread media coverage, and KMA President Brent Wright, M.D., along with other KMA member physicians, attended local press conferences and gatherings in various school districts around the state to announce placement of the signs. This initiative helped 166 of the 172 school districts across the state institute smoke-free campuses and delivered 2,566 signs, 7,213 stickers, and 16,423 policy change cards to the school districts. This turned out to be one of the most successful public health campaigns ever conducted by the KMA and KFMC. This success will hopefully have a significant impact on young people avoiding tobacco products now and in the future.
KFMC also funded the Kentucky Physicians Leadership Institute KMA President R. Brent Wright, M.D., right, is pictured with Foundation for a Healthy (KPLI) in 2019, which was once again a great success. While the Kentucky president and CEO Ben Chandler. Both organizations partnered to place training provided as part of this program is invaluable, it also permanent signs in high schools across the state that made the decision to go smoke-free. provides an opportunity for physicians to familiarize themselves with potential leadership opportunities that come about through the KMA and move into positions of authority. Graduates have gone on to not only serve in medical society leadership roles (both current presidents of GLMS and LMS are KPLI graduates) but have also filled community and other medical leadership positions. The 2019 class also had the unique opportunity to meet with University of Louisville President Neeli Bendapudi, who took the time to have dinner with the class and answer questions. Unfortunately, the 2020 KPLI class, which filled up quickly in the early part of the year, had to be canceled due to the COVID-19 pandemic.
The Medical Student Outreach and Leadership Program (MSOL) continues to grow and be a very effective way for students to engage with KMA. During the year, MSOL expanded to the UK campus in Bowling Green, as well as the Osteopathic program in Pikeville for the first time. KMA President Brent Wright, M.D., attended one of the MSOL programs in Pikeville and had the opportunity to interact with and answer questions from the students. With the addition of those campuses, the MSOL program graduated 131 students this year. In addition, presentations on the basics of financial planning were given to the UK pediatric residency program, as well as UL students who requested the program.
Finally, the KFMC was honored to participate in the 2019 KMA Annual Meeting, which included a first-of-its-kind town hall discussion with physicians that was recorded by and aired on Kentucky Educational Television (KET). This forum allowed 20
2019 HOUSE OF DELEGATES ‑ ACTION PLAN 07: 2019-7 INCREASING STANDARDS FOR CHILDHOOD NUTRITION IN SCHOOLS (GLMS) – Adopted KMA supports measures that encourage all food items, especially those provided by schools, but also including food brought by 01: REPORT ON SUNSETTING POLICY – All Policies Reaffirmed families for celebration and extracurricular activities to meet the USDA Nutrition standards for foods that compete with healthy • Report filed. school lunches, as well as provide families with evidence-based nutritional education, and encourage its members to promote healthy nutritional choices based on the USDA Dietary Guidelines for America. 02: 2019-1 JUDICIAL COUNCIL DISCONTINUATION (KMA Board of Trustees) – Adopted KMA Judicial Council be discontinued and the KMA by-laws be amended. • Added to Policy Manual • Bylaws amended • Childhood nutrition will be considered for the KMA public health campaign Be Well Stay Well
03: 2019-2 NETWORKING OPPORTUNITIES FOR YOUNG PHYSICIANS (GLMS) – Adopted as Amended 08: 2019-8 PROMOTION OF VACCINE EDUCATION AND THE ELIMINATION OF THE NON-MEDICAL EXEMPTION (GLMS) – KMA and the Kentucky Medical Association Alliance utilize the Lexington Medical Society Physician Wellness Program events Adopted as Amended as an example and explore more family friendly networking opportunities to encourage better membership and involvement for young physicians. A: KMA holds that nonmedical exemptions from immunizations endanger the health of the unvaccinated individual and the health of all people • Added to Policy Manual • Long Range Planning Commission Developed proposal for KMA Board of Trustees • Added to Policy Manual
04: 2019-3 PHYSICIAN OWNED HOSPITALS (GLMS) – Adopted B: KMA (1) supports the immunization recommendations of the Advisory Committee on Immunization Practices (ACIP) for all individuals without medical contraindications; (2) supports legislation eliminating nonmedical exemptions and; (3) supports public KMA study available data and educate physicians about the benefits and consequences of legislation which would allow a education efforts to address vaccine hesitancy and refusal. pathway to physician owned hospitals. • Added to Policy Manual • Added to Policy Manual • Monitored legislation during the 2020 Legislative Session – no legislation filed • Monitored legislation during the 2020 Legislative Session – no legislation filed • Tweeted about Immunization Awareness Month (August) • Immunizations will be considered for the KMA public health campaign Be Well Stay Well
05: 2019-4 CONFIDENTIAL PHYSICIAN REPORTING VIA KENTUCKY BOARD OF MEDICAL LICENSURE (GLMS) – Referred to 09: 2019-9 REQUIREMENT OF HELMET USAGE AMONGST THE YOUTH OF KENTUCKY WHILE ON A BICYCLE OR POWERED the BOT for Decision CYCLE (GLMS) – Adopted as Amended A: KMA encourage the Kentucky Board of Medical Licensure to acknowledge a pathway for anonymous reporting for physicians KMA support and encourage the development of public education campaigns for helmet usage by children. if substantiated by sufficient evidence. • Added to Policy Manual B: KMA discourage licensees from contacting or taking action against a complainant, provided the grievance is filed in good faith. 10: 2019-11 EDUCATE FAMILIES ABOUT GUN SAFETY (LMS) – Adopted as Amended • Referred to Workforce Commission which recommended to not adopt KMA encourages and endorses the development and presentation of safety education programs that will engender more 06: 2019-6 SUPPORT FOR THE STOP THE BLEED CAMPAIGN AND INCREASED AVAILABILITY OF BLEEDING CONTROL responsible use and storage of firearms. SUPPLIES (UK and UL Medical Schools) – Adopted • Added to Policy Manual A: KMA promote the national public health educational campaign Stop the Bleed within the Commonwealth of Kentucky. • Attended and promoted Gun Violence Prevention Week at the University of Louisville • Added to Policy Manual 11: 2019-12 EDUCATION ON THE PREVENTION OF FIREARM-RELATED INJURIES AND DEATHS (UL Medical School and Suzanne • Promoted Stop the Bleed campaign through various media platforms during Gun Violence Prevention Week at the McGee, MD) – Adopted as Amended University of Louisville A: KMA work with the Kentucky medical schools and residency programs to support evidence-based training for medical students, B: KMA support the increased availability of hemorrhage control supplies (including pressure bandages, hemostatic dressings, resident physicians, and teaching physicians to reduce firearm-related morbidity and mortality. tourniquets and gloves) in schools, places of employment, and public buildings. B: KMA encourage physicians, when appropriate, to counsel patients on firearm safety. • Added to Policy Manual • Attended and promoted Gun Violence Prevention Week at the University of Louisville • Added to Policy Manual • Promoted Gun Violence Prevention Week at the University of Louisville through various media platforms
12: 2019-14 CLIMATE CHANGE (GLMS) – Adopted as Amended
KMA educate members and the public on the possible medical and health care aspects of climate change. • Added to Policy Manual 21
07: 2019-7 INCREASING STANDARDS FOR CHILDHOOD NUTRITION IN SCHOOLS (GLMS) – Adopted KMA supports measures that encourage all food items, especially those provided by schools, but also including food brought by families for celebration and extracurricular activities to meet the USDA Nutrition standards for foods that compete with healthy school lunches, as well as provide families with evidence-based nutritional education, and encourage its members to promote healthy nutritional choices based on the USDA Dietary Guidelines for America.
• Added to Policy Manual • Childhood nutrition will be considered for the KMA public health campaign Be Well Stay Well
08: 2019-8 PROMOTION OF VACCINE EDUCATION AND THE ELIMINATION OF THE NON-MEDICAL EXEMPTION (GLMS) – Adopted as Amended A: KMA holds that nonmedical exemptions from immunizations endanger the health of the unvaccinated individual and the health of all people • Added to Policy Manual B: KMA (1) supports the immunization recommendations of the Advisory Committee on Immunization Practices (ACIP) for all individuals without medical contraindications; (2) supports legislation eliminating nonmedical exemptions and; (3) supports public education efforts to address vaccine hesitancy and refusal. • Added to Policy Manual • Monitored legislation during the 2020 Legislative Session – no legislation filed • Tweeted about Immunization Awareness Month (August) • Immunizations will be considered for the KMA public health campaign Be Well Stay Well 09: 2019-9 REQUIREMENT OF HELMET USAGE AMONGST THE YOUTH OF KENTUCKY WHILE ON A BICYCLE OR POWERED CYCLE (GLMS) – Adopted as Amended KMA support and encourage the development of public education campaigns for helmet usage by children. • Added to Policy Manual
10: 2019-11 EDUCATE FAMILIES ABOUT GUN SAFETY (LMS) – Adopted as Amended
KMA encourages and endorses the development and presentation of safety education programs that will engender more responsible use and storage of firearms.
• Added to Policy Manual • Attended and promoted Gun Violence Prevention Week at the University of Louisville
11: 2019-12 EDUCATION ON THE PREVENTION OF FIREARM-RELATED INJURIES AND DEATHS (UL Medical School and Suzanne McGee, MD) – Adopted as Amended A: KMA work with the Kentucky medical schools and residency programs to support evidence-based training for medical students, resident physicians, and teaching physicians to reduce firearm-related morbidity and mortality. B: KMA encourage physicians, when appropriate, to counsel patients on firearm safety. • Added to Policy Manual • Promoted Gun Violence Prevention Week at the University of Louisville through various media platforms
12: 2019-14 CLIMATE CHANGE (GLMS) – Adopted as Amended
KMA educate members and the public on the possible medical and health care aspects of climate change. • Added to Policy Manual 22
13: 2019-15 REGULATION OF THE MARKETING, PACKAGING, AND SALE OF ELECTRONIC NICOTINE DELIVERY SYSTEMS 15: 2019-19 AFFIRMING THE MENTAL HEALTH PARITY AND ADDICTION EQUITY ACT IS FEDERAL LAW AND INSURERS IN KENTUCKY (UL and UK Medical Schools) – Adopted as Amended AND PROVIDERS MUST ABIDE BY THE LAW WITH ENFORCEMENT FROM THE STATE (GLMS) - Adopted A: KMA supports regulation of marketing and packaging of electronic nicotine delivery systems, in a way that mirrors the regulation A: KMA requests the state Department of Insurance and Commissioner to take action to determine if insurers are in compliance of traditional cigarettes. with the federal parity law through primary enforcement authority including establishing reporting requirements for insurers to demonstrate how they design and apply their managed care tactics. • Added to Policy Manual • Added to Policy Manual B: KMA supports a ban on electronic nicotine delivery systems use in locations where tobacco use is prohibited. B: KMA request the state Department of Insurance and Commissioner perform market conduct examinations of insurers and use • Added to Policy Manual of nonquantitative treatment limitations when addressing the matters of pre-existing conditions, length of treatment, insurance C: KMA supports the extension of laws prohibiting tobacco advertising to electronic nicotine delivery systems. coverage, dosage limitations, network adequacy, and requirements for counseling frequency based on patient history and need. • Added to Policy Manual • Added to Policy Manual D: KMA supports federal and state bans on flavoring for electronic nicotine delivery systems. C: KMA support federal efforts to achieve mental health parity compliance through federal legislation and regulation. • Added to Policy Manual • Added to Policy Manual • Supported Representative Kim Moser’s House Bill 543, legislation that prohibits limitations on mental health services E: KMA support legislation to tax electronic nicotine delivery systems and associated products at a minimum at rates similar to that do not equally apply to medical/surgical benefits. Legislation also requires insurers to submit annual report to the conventional, combustible cigarettes. Department of Insurance showing that insurers are in compliance with state and federal law.
• Added to Policy Manual 16: 2019-20 SUBSTANCE USE DISORDER TREATMENT IN CORRECTIONAL FACILITIES (GLMS) – Adopted as Amended • E-cigarette tax was a KMA advocacy priority during the 2020 legislative session - legislation passed that included tax rates similar-to conventional tobacco A: KMA advocate that Kentucky correctional facilities provide all inmates screening for substance use disorders and co-morbid psychiatric conditions to identify inmates who would be candidates for treatment. F: KMA educate the public, especially youth, of the dangers of using electronic nicotine delivery systems, and so discourage the • Added to Policy Manual use of them. B: KMA advocate that Kentucky correctional facilities provide inmates evidence-based treatment for substance use disorders and • Added to Policy Manual co-morbid psychiatric conditions, including evidence-based pharmacotherapy for opioid use disorder. • Shared educational materials on social media • Educated the public on the dangers of e-cigarettes usage through KMA’s 2020 public health campaign, Tobacco Free • Added to Policy Manual Schools C: KMA support the inclusion of all FDA approved pharmacotherapeutic modalities as treatment options for substance use • Continued to work with the Kentucky Cancer Consortium in updating online resources disorders in correctional facilities. 14: 2019-16 SUPPORT FOR THE ESTABLISHMENT OF A PROGRAM FOR WHOLESALE IMPORTATION OF PRESCRIPTION • Added to Policy Manual DRUGS (UK Medical School) – Adopted as Amended • Monitored legislation during the 2020 Legislative Session – no legislation filed KMA support the legalized importation of prescription drug products by wholesalers and pharmacies only if: (a) all drug products • Continue support for existing state-sponsored programs permitting Substance Use Disorder treatment while incarcerated are Food and Drug Administration (FDA)-approved and meet all other FDA regulatory requirements, pursuant to United States 17: 2019-21 MITIGATE CRIMINAL LEGAL BARRIERS WHICH ARE PREVENTING KENTUCKIANS WHO ARE STRUGGLING laws and regulations; (b) the drug distribution chain is “closed,” and all drug products are subject to reliable, “electronic” track and WITH SUBSTANCE USE DISORDER (SUD) FROM ACQUIRING GAINFUL EMPLOYMENT (LMS) – Adopted as Amended trace technology; and (c) the Congress grants necessary additional authority and resources to the FDA to ensure the authenticity and integrity of prescription drugs that are imported. KMA supports efforts to mitigate criminal legal barriers which are preventing Kentuckians who are struggling with substance use disorder (SUD) from acquiring gainful employment. • Added to Policy Manual • Added to Policy Manual • Supported Senator Julie Raque Adams’ Senate Bill 191 legislation on employee retention for employees with Substance Use Disorder 22 23
15: 2019-19 AFFIRMING THE MENTAL HEALTH PARITY AND ADDICTION EQUITY ACT IS FEDERAL LAW AND INSURERS AND PROVIDERS MUST ABIDE BY THE LAW WITH ENFORCEMENT FROM THE STATE (GLMS) - Adopted A: KMA requests the state Department of Insurance and Commissioner to take action to determine if insurers are in compliance with the federal parity law through primary enforcement authority including establishing reporting requirements for insurers to demonstrate how they design and apply their managed care tactics. • Added to Policy Manual B: KMA request the state Department of Insurance and Commissioner perform market conduct examinations of insurers and use of nonquantitative treatment limitations when addressing the matters of pre-existing conditions, length of treatment, insurance coverage, dosage limitations, network adequacy, and requirements for counseling frequency based on patient history and need. • Added to Policy Manual C: KMA support federal efforts to achieve mental health parity compliance through federal legislation and regulation. • Added to Policy Manual • Supported Representative Kim Moser’s House Bill 543, legislation that prohibits limitations on mental health services that do not equally apply to medical/surgical benefits. Legislation also requires insurers to submit annual report to the Department of Insurance showing that insurers are in compliance with state and federal law.
16: 2019-20 SUBSTANCE USE DISORDER TREATMENT IN CORRECTIONAL FACILITIES (GLMS) – Adopted as Amended A: KMA advocate that Kentucky correctional facilities provide all inmates screening for substance use disorders and co-morbid psychiatric conditions to identify inmates who would be candidates for treatment. • Added to Policy Manual B: KMA advocate that Kentucky correctional facilities provide inmates evidence-based treatment for substance use disorders and co-morbid psychiatric conditions, including evidence-based pharmacotherapy for opioid use disorder. • Added to Policy Manual C: KMA support the inclusion of all FDA approved pharmacotherapeutic modalities as treatment options for substance use disorders in correctional facilities. • Added to Policy Manual • Monitored legislation during the 2020 Legislative Session – no legislation filed • Continue support for existing state-sponsored programs permitting Substance Use Disorder treatment while incarcerated 17: 2019-21 MITIGATE CRIMINAL LEGAL BARRIERS WHICH ARE PREVENTING KENTUCKIANS WHO ARE STRUGGLING WITH SUBSTANCE USE DISORDER (SUD) FROM ACQUIRING GAINFUL EMPLOYMENT (LMS) – Adopted as Amended KMA supports efforts to mitigate criminal legal barriers which are preventing Kentuckians who are struggling with substance use disorder (SUD) from acquiring gainful employment. • Added to Policy Manual • Supported Senator Julie Raque Adams’ Senate Bill 191 legislation on employee retention for employees with Substance Use Disorder 24
18: 2019-23 NATIONAL TORT REFORM (LMS) – Adopted as Amended KMA formally advocate for a national cap on non-economic damages stemming from medical liability claims and solicit congressional support for such improvement in the medical practice environment. • Added to Policy Manual • Topic of discussion during the AMA National Advocacy Conference • Supported the American Medical Association position on federal legislation related to liability protections during the COVID-19 pandemic
19: 2019-25 ASSOCIATION HEALTH PLANS (Frank Burns, MD) - Adopted as Amended KMA explore options for their independent small business members to offer health insurance, including Association Health Plans as long as the plan is comprehensive (45 CFR 156 compliant) and prohibits discrimination based on pre-existing conditions and health status. • Added to Policy Manual
20: 2019-26 PATIENT, PHYSICIAN AND MARKET PROTECTION FROM ASSOCIATION HEALTH PLAN EFFECTS (GLMS) – Adopted as Amended
KMA request the AMA to develop and legislatively advance programs that allow small businesses to provide their employees with health insurance that is both comprehensive (45 CFR 156 compliant) and affordable, including options for Exchange Policies that receive graduated tax credits or increased deductions scaled according to resources and profitability of the small business. • Added to Policy Manual
21: 2019-27 REQUIRING WORKERS COMPENSATION COMPANIES TO DEVELOP PROCESSES FOR ELECTRONIC PRIOR AUTHORIZATION (Bell County Medical Society) – Adopted as Amended
KMA support applying the requirements of 2019 Senate Bill 54 to workers’ compensation plans. • Added to Policy Manual 22: 2019-28 STATUS OF PHYSICIAN PROVIDER TAX PROPOSAL (GLMS) – Adopted KMA determine the status of the hospital executive organization (Balanced Health Kentucky) proposal to enact a physician provider tax for funding Kentucky Expanded Medicaid, or any similar provider tax proposal, and report the findings to the KMA House of Delegates. • Added to Policy Manual • Report posted to website prior to 2019 Annual Meeting • Monitored legislation during the 2020 Legislative Session – no legislation filed
23: 2019-29 SUPPORT FOR THE EQUALITY ACT (GLMS) – Adopted as Amended KMA oppose discrimination on the basis of race, color, religion, national origin, disability, sex, sexual orientation, and gender identity. • Added to Policy Manual
24: 2019-30 J-1 VISA WAIVER PROGRAM (NKMS, GLMS, and Ralph Alvarado, MD) – Adopted KMA support federal and state legislation to support a revision of immigration policy to expedite the immigration process for international medical graduate physicians. • Added to Policy Manual • Submitted a letter to Senators Mitch McConnell and Rand Paul requesting support for J-1 Visa reforms
24 25 25: 2019-31 PEDIATRIC CANCER RESEARCH FUNDING (McCracken County Medical Society) – Adopted A: KMA supports the utilization of state budget appropriations to increase funding of childhood cancer research. • Added to Policy Manual • Worked with legislators during the 2020 session budgeting process to keep state funding for pediatric cancer research level B: In an effort to raise awareness and expand knowledge during the 2020 legislative session, the Kentucky Medical Association, through its communication vehicles, educate physician members and the public regarding the prevalence of childhood cancer in Kentucky and the current lack of necessary funding for childhood cancer research. • Added to Policy Manual • Included in the Focus on Health winter 2020 Issue
26: 2019-32 MATERNAL MORTALITY RATES (Monalisa Tailor, MD) – Adopted as Amended KMA collaborate with relevant stakeholders to advocate for ways to reduce maternal mortality rates in the state of Kentucky in the context of state and federal laws. • Added to Policy Manual • Monitored House Bill 138, legislation that would establish a maternal fatality review team and track data on maternal death and serve morbidity. Also monitored House Resolution 73, which designated January 23 as Maternal Health Awareness Day in Kentucky. Resolution highlighted maternal mortality as an issue in Kentucky. • Discussed at the July 2020 Public Health Commission Meeting 27: 2019-33 SUPPORT LEGISLATION REQUIRING EXPLICIT CONSENT BEFORE PELVIC EXAMINATIONS PERFORMED UNDER ANESTHESIA (UK Medical School) – Referred to the BOT for Further Study KMA support legislation that would require explicit patient consent before pelvic examinations performed under anesthesia.
28: 2019-34 RIGHTS OF MINORS TO CONSENT FOR PRE-EXPOSURE PROPHYLAXIS FOR HIV (UL Medical School) – Adopted as Amended KMA support legislation permitting minors to consent for Pre-Exposure Prophylaxis under the supervision of a qualified medical professional.
• Added to Policy Manual • Monitored legislation during the 2020 Legislative Session – no legislation filed 29: 2019-35 HEALTH CARE DECISION-MAKING FOR THE UNBEFRIENDED. TWO PHYSICIANS RULE FOR WITHDRAWAL OF NON-BENEFICIAL TREATMENT OF THE INCAPACITATED AND ALONE (Aneeta Bhatia, MD) – Referred to the BOT for Further Study A: KMA requests Kentucky state legislative authority to authorize two attending physicians or a hospital ethics committee to withdraw non beneficial treatment when it has been determined that there is no discernable medical benefit, andthatany intervention only postpones the imminent moment of death without serving the integral good. B: That a process be in place that provides the important safeguards of expertise, neutrality, and careful deliberation
SUNSET PROVISION OF THE KMA POLICY MANUAL Due to the COVID-19 emergency, the KMA Board of Trustees recommends delaying action on resolutions scheduled to sunset in 2020 by one year. KMA Corporate Affiliates KMA would like to thank its Corporate Affiliates for their support
Through partnership like these, KMA is able to offer its members a directory of services and products from reputable and trusted organizations all across the country. View the most up-to-date list of KMA Corporate Affiliates in the “Our Affiliates” section of the KMA website at www.kyma.org.
Fifth Third Insurance- Epic Insurance Solutions (855) 611-3742 www.epicinsurancesolutions.com
MagMutual (800) 282-4882 (470) 631-0812 www.magmutual.com
Kentucky Disability Determination Service (502) 564-7941 https://chfs.ky.gov/agencies/dis/Pages/ddds.aspx
For more information on becoming a KMA Corporate Affiliate, visit the KMA website, www.kyma.org, or contact Emily Schott at (502) 814-1388 or [email protected]