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Having just returned from the 2018 Interim Meeting of the American Medical Association House of Delegates (HoD) in National Harbor, Maryland, I was struck by the congeniality of the attendees and expression of mutual respect, even when discussing very challenging ideas. pass gas in spanish The most controversial agenda item centered on whether to revise the Code of Medical Ethics to allow for a position of neutrality on Physician Aid in Dying, given several states allow physician-assisted suicide. electricity quiz 4th grade Ultimately, the Council on Ethical and Judicial Affairs recommended no change, but the House disagreed and sent the report back to the council to try again. gas 101 On the other hand, with little controversy, the HoD voted broadly in support of firearm safety measures, such as strengthening “red-flag” and Child Access Prevention laws. Recalling the days when the Second Amendment made discussion of gun safety at AMA a long and arduous process, it was impressive to see little discussion on the recommendations made through the committee hearing process before going to the House floor.

In addition to broad topics including opioid mitigation strategies, prior authorization and step therapy challenges, drug pricing, and tobacco/e-cigarette control efforts, the House of Delegates also discussed several other items across issues of legislation, public health, medical education, and medical service arenas. gas stoichiometry worksheet answers Some examples included reimportation of pharmaceuticals from Canada, stricter eligibility criteria for the 340B Drug Discount program, preserving physician credentialing data following hospital closure, need for data on physician and medical student suicide, protecting income-based loan repayment programs, and expanding telemedicine models to include long-term care.

Members of the AAN delegation testified on subjects such as GME funding in the VA, competency screening in older physicians, promotion of a registry for advanced directives, prior authorization, value-based care, Medicare Part B programs, and opposition to mandatory licensing for clinical data registries, such as the AAN’s Axon Registry®. static electricity definition science I was so proud of my fellow delegation members, Drs. gas tax rates by state Nick Johnson, Mark Milstein, Ann Murray, Skip Davison, and Jon Santoro, for the time and energy they gave to advocating policies to help both patients and AAN members. Thanks as well to Drs. Marc Nuwer, Jaime Lopez, and Enrica Arnaudo, who represented the ACNS and AANEM, for their counsel and additional testimony.

• Fortunately, funding for critical health care agencies, such as NIH, CDC, and CMS, have already been determined through October 2019, and are excluded from this fight. Other key issues that may come up during the lame duck are reauthorizing the Violence Against Women Act, which expires on December 7; passing the Farm Bill, which includes subsidies to farmers but also low-income food assistance benefits; minor changes to the 2017 tax law; and a variety of other small tax-extenders.

Providing regulatory relief to neurologists is a top priority for the AAN. electricity towers health risks To that end, the AAN engages in proactive regulatory advocacy with the Department of Health & Human Services and the Centers for Medicare & Medicaid Services to promote awareness of the regulatory and administrative burdens faced by neurologists. Recently, the AAN regulatory advocacy team submitted comments in response to a proposed rule aimed at reducing regulatory burdens on health care providers and suppliers. In response to the proposed rule, the AAN offered recommendations to alleviate the regulatory burden associated with a range of topics including prior authorization, step therapy, electronic health record (EHR) interoperability, data blocking, and the appropriate use criteria (AUC) program.