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e-Reports, May 29, 2012
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Resolutions passed 10 years ago by the 2002 ISMA House of Delegates will expire in November, unless you decide they should continue as ISMA policy. You can reintroduce any of these resolutions by submitting a 2012 resolution before the Monday, July 16, deadline.

Need help with the process? Contact the ISMA at (317) 261-2060 or (800) 257-4762.


RESOLUTION 02-05 SUPPORT OF LOCAL SOCIETY ADS RESOLVED, that the ISMA, upon request, assist any and all local ISMA districts or societies by providing copy-ready templates in recognition of Doctors’ Day.

RESOLUTION 02-06 DEEMED ORGAN DONOR RESOLVED, that the ISMA encourage all physicians and more Hoosiers to become organ donors; and be it further,

RESOLVED, that the ISMA encourage all Indiana physicians to participate in the Live and Then Give campaign; and be it further,

RESOLVED, that Indiana physicians encourage patients to also participate in the Live and Then Give campaign.

RESOLUTION 02-08 RAISING THE LEGAL AGE TO POSSESS AND USE TOBACCO RESOLVED, that the ISMA endorse the raising of the legal age to possess and use tobacco in Indiana; and be it further,

RESOLVED, that the ISMA inform its members and the citizens of Indiana of the health advantages of raising the legal age to possess and use tobacco; and be it further,

RESOLVED, that the ISMA collaborate with other agencies and organizations to investigate the feasibility of legislation in Indiana to raise the legal age to possess and use tobacco, and report the findings and offer recommendations to the next session of the ISMA House of Delegates.

RESOLUTION 02-09 TOBACCO RETAILERS’ LICENSURE RESOLVED, that the ISMA seek and support legislation that would require tobacco retailers in Indiana to be licensed, and seek and support legislation for harsher penalties for retailers who sell, or are willing to sell, tobacco products to minors.

RESOLUTION 02-10 PHYSICIAN GRANTS FOR NURSE-MANAGED CLINICS RESOLVED, that the ISMA encourage the state of Indiana to make available to eligible physicians any grants or awards that would be available to nurse-managed clinics to provide similar health care services; and be it further,

RESOLVED, that the Indiana AMA Delegation submit a resolution to the AMA to seek a change in federal rules that would allow physicians to apply for and receive grants or other awards to provide medical services now reserved for only nurse-managed clinics or other limited license providers.

RESOLUTION 02-11 RESTRICTING THE SALE OF EPHEDRINE, PSEUDOEPHEDRINE AND EPHEDRA RESOLVED, that the ISMA oppose the over-the-counter sale of ephedrine, pseudoephedrine and ephedra; and be it further,

RESOLVED, that the ISMA inform its members and the citizens of Indiana of the potential dangers of ephedrine, pseudoephedrine and ephedra; and be it further,

RESOLVED, that the ISMA collaborate with other agencies and organizations to ban the over-the-counter sales of ephedrine, pseudoephedrine and ephedra in Indiana. (Passed 2005, SB 444)

RESOLUTION 02-12 ALOPECIA AS VALID MEDICAL DIAGNOSIS RESOLVED, that the ISMA work with insurance companies to recognize that alopecia as a valid medical diagnosis for laboratory studies or physician visits.

RESOLUTION 02-14 THE TRANSFER OF PHARMACEUTICAL RECORDS RESOLVED, that the ISMA work with pharmaceutical vendors, insurance companies and/or the legislature to facilitate the transfer of preexisting pharmaceutical refills to new vendors to protect the patient from delays in receipt of regularly supplied medications.

RESOLUTION 02-15 HEALTH INSURANCE OPTION IN BANKRUPTCIES RESOLVED, that the ISMA support changes in the corporate bankruptcy process to include the corporate obligation of direct interaction with employees regarding health insurance options when the bankruptcy process begins, and coverage of preexisting medical claims before executive parachutes and compensations are paid.

RESOLUTION 02-16 BOGUS HEALTH INSURANCE COMPANIES RESOLVED, that the ISMA work with the Indiana Hospital and Health Association, the Indiana Department of Insurance and, if necessary, the legislature to review current laws regarding the requirements to sell health insurance in this state and urge creation of adequate prohibitions to prevent further nonviable health insurance companies from entering the Indiana health insurance market.

RESOLUTION 02-17 INCOME-GAP INSURANCE FOR HEALTH PROFESSIONALS WITH INFECTIOUS DISEASES RESOLVED, that the ISMA communicate with other professional organizations (dental, podiatric, osteopathic, etc.) to encourage disability insurance companies to recognize the employment problems of infectious diseases on these professions and to offer income-gap clauses for professionals with infectious diseases that prevent their usual roles of employment.

RESOLUTION 02-18 BULLYING BEHAVIOR IN SCHOOLS RESOLVED, that the ISMA support legislation, such as the recent law created in Oklahoma, that would help school systems manage bullying behavior.

RESOLUTION 02-19 IMMUNIZATION REGISTRY RESOLVED, that the ISMA request the Indiana State Department of Health to establish rules and policies relating to CHIRP that promote physician protection from liability and assist patients, parents or guardians with a practical, simple method of consent for participation in CHIRP; and be it further,

RESOLVED, that the ISMA support changes in legislation that may be required for physician protection from liability for participation in CHIRP, and for the use of an appropriate uniform method of patient or parental consent. (Passed 2003, SB 457)

RESOLUTION 02-24 OPPOSITION TO CODE COLLAPSING RESOLVED, that the ISMA continue to confront unilateral code-collapsing and recoding practices by insurers; and be it further,

RESOLVED, that the ISMA request that Anthem no longer require physicians to sign a contract that permits Anthem to reassign and rebundle CPT codes.

RESOLUTION 02-25 SUPPORT OF SENATE BILL 282 RESOLVED, that the ISMA support efforts to require insurance companies and health maintenance organizations to provide for payment for intraoperative services provided by assistant surgeons.

RESOLUTION 02-26 PHYSICIAN REIMBURSEMENT RESOLVED, that the ISMA pursue actions to make it mandatory for all insurance companies to send payments to the physician once the patient assigns benefits, whether or not the doctor is a preferred provider in the insurance plan.

RESOLUTION 02-27 EVANSVILLE PSYCHIATRIC CHILDREN’S CENTER RESOLVED, that the ISMA endorse the General Assembly’s decision to keep the Evansville Psychiatric Children’s Center operational; and be it further,

RESOLVED, that if any state agency/official or private organization attempt to encourage closure of the facility in the future through an act of the General Assembly, the ISMA will use its resources to discourage this, so long as it sees a continued need for the facility in Indiana; and be it further,

RESOLVED, that the ISMA inform the membership and the media regarding this subject as expressed in the testimony presented during Reference Committee 4 and send a letter to the Indiana General Assembly thanking them for their previous support.

RESOLUTION 02-28 TRACKING SYSTEM FOR SCHEDULED DRUGS RESOLVED, that the ISMA investigate for physician use the development of a tracking system of scheduled drugs, including support by the AMA delegates on the national level.

RESOLUTION 02-30 EVALUATING AND IMPROVING ISMA’S STATE AND DISTRICT MEETINGS

RESOLVED, that the ISMA develop a standard format for annual district reports to contain at least the following information: Number of members, number of counties and county names, amount of district membership dues, uses of dues income, types of district meetings and activities, average attendance of district members at district meetings, and assessment of its effectiveness of membership recruitment; and be it further,

RESOLVED, that the reports generated by the districts be referred to the ISMA Board of Trustees.

RESOLUTION 02-31 NON-COVERED MEDICAL SERVICES BY HEALTH INSURERS RESOLVED, that the ISMA use whatever means possible to encourage and/or require third-party payers to notify physicians and insurees of services or diagnoses that will not be covered by their plans prior to membership or participation in said plans; and be it further,

RESOLVED, that third-party payers be required to make available to physicians and insurees a list of all services that will not be covered by their plans. This list should be available prior to membership or participation in said plans. Physicians and insurees should be notified immediately of any changes; and be it further,

RESOLVED, that physicians shall not be prohibited from collecting from patients for non-covered services.

RESOLUTION 02-32 BAN OF JUNK FOODS IN PUBLICLY FUNDED SCHOOLS RESOLVED, that the ISMA educate local school boards regarding the ill effects of products containing high sugar/high fat and encourage local school boards to make appropriate choices offered for meals and in vending machines in schools; and be it further,

RESOLVED, that the ISMA seek or support legislation or regulation to mandate standards for nutrition in schools.

RESOLUTION 02-33 ADMINISTRATIVE DENIALS RESOLVED, that the ISMA seek and support legislation that would prevent health insurance companies, health maintenance organizations and third-party administrators (payers) from denying reimbursement for services that are covered services eligible for reimbursement under the patient’s health benefit plan solely on the basis that administrative rules of the payer were not followed.

RESOLUTION 02-34 FAILURE OF PAYER TO RESPOND TO APPEALS RESOLVED, that the ISMA seek and support legislation that would specify that when health insurance companies and health maintenance organizations (payers) fail to adhere to the requirements of the Indiana Code governing the appeal rights of patients and/or physicians, such failure would constitute automatic approval by payer of the patient and/or physician request stated in such appeal.

RESOLUTION 02-35 REIMBURSEMENT FOR MULTIPLE SURGERIES IN A SINGLE OPERATIVE EPISODE RESOLVED, that the ISMA seek and support legislation that would prevent health insurance companies, health maintenance organizations and third-party administrators (payers) from refusing to contract with and include physician in the payer’s participating provider network on the basis that physician refuses to agree to a compensation model that reimburses for only one of multiple procedures performed in a single operative episode; and be it further,

RESOLVED, that the ISMA seek and support legislation that would require payers to recognize and compensate physicians for distinct, separately identifiable services or procedures performed on the same date of service utilizing AMA CPT coding and Medicare guidelines.

RESOLUTION 02-36A INSOLVENCY OF HEALTH PLANS RESOLVED, the ISMA actively support a legal or legislative remedy to eliminate gaps in coverage that may occur upon insurance plan insolvency including but not limited to those situations that occur during the 60-day period after the plan enters receivership.

RESOLUTION 02-37 DISCOUNT CARDS RESOLVED, that the ISMA seek and support legislation that would amend I.C. 24-5-21; 27-8-5.8 and 12-13-9.5 to require discount card vendors to obtain the expressed written consent of each individual physician before listing the physician as a discount card participating provider. (Passed 2006, HB 1097)

RESOLUTION 02-38 CLAIM FILING DEADLINE RESOLVED, that the ISMA research the effects of unrealistic claim filing deadlines imposed upon physicians by health insurance companies, health maintenance organizations and third-party administrators, through contracting or otherwise, that result in denial of payment for services that are otherwise covered services eligible for reimbursement under the patient’s benefit plan, and explore potential solutions that are fair and equitable to all parties, and take appropriate action.

RESOLUTION 02-39 ANTHEM ISSUES RESOLVED, that the ISMA pursue all avenues to achieve Anthem’s fair play in the marketplace, which may include, at the appropriate time, a lawsuit against Anthem on behalf of our patients and the 8,000 ISMA member physicians in the state of Indiana.

RESOLUTION 02-42 CROSSOVER CLAIMS RESOLVED, that the ISMA seek through any means available to have OMPP rescind the revised crossover claims methodology to more appropriately reimburse physicians for services provided.

RESOLUTION 02-44 ADMINASTAR FEDERAL’S DELAYED PAYMENT OF CLAIMS RESOLVED, that the ISMA seek every avenue available to cause AdminaStar Federal to promptly and correctly pay processed claims; and be it further,

RESOLVED, that the ISMA seek every avenue available to cause AdminaStar Federal to correct its systems problems that result in denial of correct claims prompt payment and need for resubmission, which results in delayed payments.

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