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2013 legislative session brings new faces, familiar concerns
e-Reports, Jan. 7, 2013
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Member resolutions to the 2012 House of Delegates made priorities clear for the ISMA. Now physician leaders and staff are prepared to take your issues to the 2013 General Assembly.

Resolutions told us you want continued funding of the Indiana Scheduled Prescription Electronic Collection and Tracking program (INSPECT) and passage of POST, a process to expedite a physician order for scope of treatment, presented in a resolution last year. Resolutions also conveyed your concerns about state expansion of Medicaid, responsible opioid prescribing and the health of school children.

New faces, key chairman
As the General Assembly opens, our state has a new Republican governor as well as 25 new legislators in the House and four in the Senate. When combined with last year’s first-timers, lawmakers in their first or second terms at the Statehouse represent almost a third of the two chambers.

Tim Brown, M.D.
Tim Brown, M.D.

ISMA member Rep. Tim Brown, M.D., R-Crawfordsville, was named to chair the House Ways and Means Committee. His previous experience on public health and education committees made him a strong candidate for the position, despite never having served on the Ways and Means Committee. Rep. Brown and his committee must pass a two-year state budget; nearly 93 percent of that budget will fund Medicaid and education.

“Medicaid is similar to the family problem that you do not want to talk about,” said Rep. Brown. “Without expansion, growth is projected at 7 percent the first year and around 11 percent the second year. Thus, if there is not any restraint or reform, education will see little to no additional dollars.”

Rep. Brown suggested it may be time for significant discussion of reform, and Medicaid expansion will be debated. “Medical practices and hospital services are the largest employers in many small communities in Indiana. The economic impact will be examined. On the House side, no path has yet been staked out,” he said.

House of Representatives Public Health Committee
  • Ed Clere (CHAIR), R-New Albany
  • Steve Davisson, R-Salem
  • Charlie Brown, D-Gary
  • Ron Bacon, R-Chandler
  • B. Patrick Bauer, D-South Bend
  • Robert Behning, R-Indianapolis
  • Suzanne Crouch, R-Evansville
  • David Frizzell, R-Indianapolis
  • Don Lehe, R-Brookston
  • Gregory Porter, D-Indianapolis
  • Robin Shackleford, D-Indianapolis
  • P. Eric Turner, R-Cicero
  • Dennis Zent, R-Angola
Senate Health & Provider Services Committee
  • Patricia Miller (CHAIR), 
  • Jean Breaux, D-Indianapolis
  • Ed Charbonneau, R-Valparaiso
  • Vaneta Becker, R-Evansville
  • Rod Bray, R-Martinsville
  • Ron Grooms, R-Jeffersonville
  • Jean Leising,R-Oldenburg
  • Pete Miller, R-Avon
  • Ryan Mishler, R-Bremen
  • Frank Mrvan Jr., D-Hammond
  • Mark Stoops, D-Bloomington
  • Greg Taylor, D-Indianapolis

ISMA’s 2013 priorities
The ISMA will again work to establish POST, an order form signed by patient and physician to document patient treatment preferences in medical language health care providers understand. The idea started as ISMA Resolution 11-53 that was adopted by our 2011 House of Delegates but failed to become law last year.

A summer study committee continued work on POST with all stakeholders. A consensus bill to be introduced has improved on the original bill, and Rep. Brown remains the author. All expectations are it will be debated and passed, although few know what to expect in the 2013 session.

Several legislators have expressed interest in securing adequate funding for INSPECT. One suggestion is to use a higher percentage of the $60 fee paid for a controlled substance registration (CSR) to fund INSPECT. Now, 16 percent of the CSR fees support the program. One bill proposes raising that level to 75 percent to reach the $500,000 needed to continue INSPECT.

In addition, Rinebold said legislators will discuss responsible opioid prescribing, pain management or pill mill legislation. “We know Sen. Grooms will introduce a bill. Indiana Attorney General Greg Zoeller, who was re-elected, will seek an author for a bill that has different language, since he has several ideas about how to slow down the epidemic of prescription drug abuse in our state.”

School health resolutions, approved at the ISMA convention, seek legislation to mandate 30 minutes of physical activity a day for students, to establish collection of height and weight at various times, and to make changes in school vision screenings.

You can support ISMA’s legislative efforts by becoming a Key Contact. You will receive information and be asked to contact your legislator at critical times in the coming months.

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