You must read the next slide regarding CME conflict of interest before continuing with the presentation. OBJECTIVES At the end of live activity, participants should be able to: (1) List the 2014 legislation in Indiana that affects the practice of medicine, patient care and/or public health; (2) Describe the affect each bill will have on the practice of medicine, patient care and/or public health; (3) Apply deadlines, dates and/or new requirements of this legislation to their practice of medicine; (4) Prepare a resolution to the ISMA House of Delegates on issues affecting the practice of medicine, patient care and/or public health and what the applicable deadlines and requirements are for doing so. CME CREDIT INFORMATION Credit Designation Information: The Indiana State Medical Association (ISMA) designates this live seminar for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Accreditation Information: The ISMA is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Disclosure Information: To comply with ACCME accreditation requirements, the ISMA is including the Speaker and Committee Financial Relationship Disclosure Grid for this program (see following pages for grid). In accordance with the ACCME Standards for Commercial Support, educational programs sponsored by the ISMA must demonstrate balance, independence, objectivity and scientific rigor. Financial disclosure or relationships with a commercial product or manufacturer of commercial services that might be discussed or referred to in the educational activity must be made to the audience prior to the activity. To receive CME credit, you must complete the evaluation at the close of this seminar, providing name and attestation of hours. The CME certificate will be e-mailed. FINANCIAL DISCLOSURE CONFLICT OF INTEREST GRID The ISMA has implemented a process where everyone who is in a position to control the content of an education activity has disclosed to us all relevant financial relationships with any commercial interest. In addition, should it be determined that a conflict of interest exists as a result of a financial relationship this will need to be resolved prior to the activity. Name Commercial Interest What I received My Role Conflict/Resolved Mike Brady I do not have any relevant financial relationships with any commercial interests. N/A N/A None SPEAKER Name Commercial Interest What I received My Role Conflict/Resolved Jill Bruce I do not have any relevant financial relationships with any commercial interests. N/A N/A None CMTE. Sandy Miller I do not have any relevant financial relationships with any commercial interests. N/A N/A None Mike Rinebold I do not have any relevant financial relationships with any commercial interests. N/A N/A None PLANNING Mike Brady I do not have any relevant financial relationships with any commercial interests. N/A N/A None 2014 Legislative Wrap-up Mike Brady Legislative Coordinator Indiana State Medical Association 2014 INDIANA GENERAL ASSEMBLY • “[Governor] Pence summed up the session this way: ‘Because of the leadership in the House and Senate and, frankly, because of a strong bipartisan effort of members of both chambers, I believe we've made measurable progress on jobs and schools and infrastructure.’” (Indianapolis Star) • “[House Minority] Leader Scott Pelath from Michigan City issued the following statement on the 2014 session of the Indiana General Assembly: ‘To adequately describe the worthlessness of the latest legislative session, one must look at what was said by Ed Ziegner of the Indianapolis News after the first legislative short session back in 1972: It has been a bad session in about every way a session can be bad, which is a good many.’” (Howey Politics Indiana) 2014 INDIANA GENERAL ASSEMBLY Senate: 37 Republicans (Super Majority) 13 Democrats House: 69 Republicans (Super Majority) 31 Democrats 2014 INDIANA GENERAL ASSEMBLY New Members: House: – Rep. Greg Beumer, R-Farmland Dist. 33 • (Rep. Bill Davis) – Rep. Casey Cox, R-Fort Wayne Dist. 85 • (Rep. Phyllis Pond) – Rep. Holli Sullivan, R-Evansville Dist. 76 • (Rep. Suzanne Crouch) 2014 INDIANA GENERAL ASSEMBLY 1st Chamber 2nd Chamber Bill # Bill Title 9 10 1 2 3 4 5 6 7 8 ISMA SUPPORTED BILLS AUTHOR VOTE SPONSOR VOTE HB 1051 HEPATITIS C TESTING & STUDY OF NEEDLE EXCHANGES ERRINGTON 80 - 10 Patricia Miller HB 1097 IMMUNITY FOR PROVIDING HEALTH CARE FRIZZELL 86 - 4 Patricia Miller 48 - 0 HB 1139 SELLING HEARING AIDS BAUER 87 - 8 Patricia Miller 43 - 5 HB 1218 DRUG TREATING AND REPORTING (INSULIN SALES) DAVISSON 95 - 0 GROOMS 48 - 0 HB 1258 DISTANCE TREATMENT BY PHYSICIANS SHACKLEFORD 95 - 1 Patricia Miller 47 - 0 HB 1360 ADDICTION TREATMENT AND SERVICES C. BROWN 93 - 0 Patricia Miller 48 - 0 SB 50 MINORS AND TANNING DEVICES Patricia Miller 30 - 17 ZENT 69 - 23 SB 222 STUDENT ATHLETE CONCUSSIONS HOLDMAN 45 - 1 ARNOLD 95 - 3 SB 233 PHARMACY TRCHNICIANS AND AA LICENSURE GROOMS 47 - 1 DAVISSON 93 - 0 SB 245 SCHOOLS AND AUTO-INJECTABLE EPINEPHRINE Patricia Miller 49 -0 ZENT 74 - 0 SB 262 BIOSIMILAR DRUGS HERSHMAN 38 - 11 CLERE 92 - 5 SB 285 TRAMADOL GROOMS 49 - 0 DAVISSON 1st Chamber 2nd Chamber Bill # Bill Title 9 10 1 2 3 4 5 6 7 8 ISMA OPPOSED BILLS AUTHOR VOTE SPONSOR VOTE HB 1060 CERTIFIED REGISTERED NURSE ANESTHETIST FRIZZELL HB 1106 EPHEDRINE AND PSEUDOEPHEDRINE KUBACKI HB 1114 LEGEND DRUG PRESCRIPTIONS BY OPTOMETRISTS DAVISSON 85 - 8 GROOMS HB 1248 METHAMPHETAMINE SMALTZ SB 145 PHYSICAL EXAMINATION BY NURSE PRACTITIONERS CRIDER SB 219 PHYSICIAN ORDER FOR SCOPE OF TREATMENT HOLDMAN SB 290 MEDICAL DEBT COLLECTION PROCEDURES TALLIAN 47 - 1 DELANEY SB 294 WORKER'S COMPENSATION BOOTS 48 - 0 OBER 95 - 1 SB 346 MEDICATION THERAPY MANAGEMENT AND MEDICAD GROOMS KEY LEGISLATIVE PROCESS COLOR INDICATOR First Reading-First 1 6 Committee Passed Chamber 2 Committee 7 Second Reading Died AMENDED- 3 Second Reading 8 Third Reading LANGUAGE MOVED Conference 4 Third Reading 9 Committee First Reading-Second 5 10 Governors Office Chamber 118th Indiana General Assembly-Second Session SCOPE OF PRACTICE 2014 INDIANA GENERAL ASSEMBLY • Scope of Practice – Enacted • SB 233 – Pharmacy Technicians and Anesthesiologist Assistants – Dead • HB 1060 – Certified Registered Nurse Anesthetists • HB 1114 – Legend Drug Prescriptions by Optometrists • SB 145 – Physical Examinations by Nurse Practitioners 2014 INDIANA GENERAL ASSEMBLY • SB 233 – Pharmacy Technicians and Anesthesiologist Assistants – Author: Sen. Ron Grooms, R-Jeffersonville – Sponsor: Rep. Steve Davisson, R-Salem – ISMA Supported • Originally just dealt with changes to Pharmacy Technicians • Amended to provide for the licensure of Anesthesiologist Assistants (AA) – Class B misdemeanor for professing to be an AA without a license LEGAL 2014 INDIANA GENERAL ASSEMBLY • Legal – Enacted • HB 1139 – Selling Hearing Aids* • HB 1258 – Distance Treatment by Physicians • HB 1323 – Epinephrine in Institutions of Higher Education • SB 50 – Minors and Tanning Devices* • SB 56 – Medical Malpractice Patient’s Compensation Fund • SB 139 – Health Matters *Designates an ISMA Resolution 2014 INDIANA GENERAL ASSEMBLY • Legal (Continued) • SB 222 – High School Student Athlete Concussions • SB 245 – Schools and Auto-Injectable Epinephrine* • SB 294 – Worker’s Compensation – Dead • HB 1097 – Immunity for Providing Volunteer Health Care Services • SB 244 – Health Care Professional Registry • SB 290 – Medical Debt Collection Procedures • SB 346 – Medication Therapy Management and Medicaid *Designates an ISMA Resolution 2014 INDIANA GENERAL ASSEMBLY • HB 1139 – Selling Hearing Aids* – Author: Rep. Patrick Bauer, D-South Bend – Sponsor: Sen. Patricia Miller, R-Indianapolis – ISMA Initiative, Supported – Provides that a person may not sell, lease or rent a hearing aid in Indiana unless the hearing aid has been fitted by a hearing aid dealer or an audiologist – Also calls for a study by the ISDH to: » Determine the number of Indiana residents who are less than 19 and are hearing impaired » Calls for a study to determine cost of a state program and health insurance requirement » Deadline of September 1, 2014 *Designates an ISMA Resolution 2014 INDIANA GENERAL ASSEMBLY • HB 1258 – Distance Treatment by Physicians – Author: Rep. Robin Shackleford, D-Indianapolis – Sponsor: Sen. Patricia Miller, R-Indianapolis – ISMA Supported • Requires the Medical Licensing Board to establish: – A pilot program to allow treatment, including issuing a prescription, without the establishment of an in-person patient/physician relationship – Standards and procedures for the physician in the pilot program 2014 INDIANA GENERAL ASSEMBLY • SB 245 – Schools and Auto-Injectable Epinephrine* – Author: Sen. Pat Miller, R-Indianapolis – Sponsor: Rep. Dennis Zent, R-Angola – ISMA Initiative, Supported • Allows a health care provider with prescriptive authority to prescribe auto-injectable epinephrine to a school or school district • Sets requirements for certain individuals employed by a school or school district to fill, store and administer auto- injectable epinephrine *Designates an ISMA Resolution 2014 INDIANA GENERAL ASSEMBLY • SB 245 (Continued) – Provides civil immunity for: • Certain school employees in the administration of auto-injectable epinephrine • Health care providers in the prescribing of epinephrine and the training of school personnel in the administration of auto- injectable epinephrine