The resolutions presented here are set to expire this year unless an ISMA member proposes re-adoption by the 2011 House of Delegates, Sept. 16-18 in Indianapolis. You may re-introduce any one of these resolutions from 2001 by submitting a 2011 resolution before the deadline of Monday, July 18. Need help? Contact the ISMA at (317) 261-2060 or (800) 257-4762.
Your resolution is needed by July 18
ISMA policies and legislative efforts are determined by resolutions you and other members introduce.
Now is the time to put your ideas, issues and concerns into a resolution. Submit it to the ISMA no later than Monday, July 18, by 4:30 p.m. EST.
Email your resolution to Rhonda Bennett. Call or email for assistance.
PHYSICIAN ASSISTANCE PROGRAM
(Readopted from Resolution 91-21)
RESOLVED, that: (1) ISMA non-members who are participants of the ISMA Commission on Physician Assistance (COPA) program be assessed on a prorated basis a portion of the costs associated with and incurred by the COPA. This cost may be paid upon contracting or at such time as the impaired physician once again becomes a fully functional member of the medical community, to be determined by the Executive Committee, the Board of Trustees and COPA; and (2) that an exclusion from payment in the form of a hardship exception be incorporated into the policy and exercised at the discretion of the COPA.
SCHOOL VIOLENCE & DRIVERS LICENSE REVOCATION
RESOLVED, that the ISMA petition the Indiana General Assembly to enact legislation that would:
- Under age 15: Delay/suspend any and all driving privileges by one year from the onset of eligibility for any youth found guilty in a court of law of harboring a weapon at school or using a weapon to commit a violent act;
- Age 15 and over: Immediately suspend all current driving privileges or eligibility for one year by any youth found guilty in a court of law of harboring a weapon to commit a violent act;
- Delay/suspend all driving privileges to age 21 for any youth if a second offense/violation is committed.
GUN ACCESS TO CHILDREN
RESOLVED, that the ISMA petition the Indiana General Assembly to enact legislation charging an adult with a misdemeanor who:
- Knowingly, intentionally or recklessly stores or leaves a gun where a child can gain access to it, and if
- That child threatens or harms himself or herself or another person, the crime should be considered a felony if the events above result in serious bodily injury or death.
SUPPORT OF CURRENT GUN LAWS
RESOLVED, that the House of Delegates reaffirm its support of current ISMA Public Policy, which states:
- (RESOLUTION 00-30A)
RESOLVED, that the ISMA advocate educational programs for the responsible use and storage of firearms; advocate comprehensive health education as a means of addressing social issues such as violence and urge incorporation of such health education into our societal framework; support scientific research and objective discussion aimed at identifying causes and of finding solutions to the crime and violence problem; and support vigorous enforcement of existing gun laws and support free enjoyment of rights granted under the Constitution to law-abiding citizens.
ELECTRONIC TELECOMMUNICATION DEVICE USE WHILE DRIVING
RESOLVED, that the ISMA support public and physician education that addresses all aspects of driving safety, including but not limited to, driver distraction.
EXCISE TAX ON TOBACCO PRODUCTS
RESOLVED, that the ISMA encourage or seek a change in the law that implements a sufficient increase in the excise tax on tobacco products, no matter how the additional revenue is utilized by the state.
TOBACCO PREVENTION AND CESSATION EDUCATION
RESOLVED, that the ISMA submit a grant request to the Indiana Tobacco Prevention and Cessation Agency in order for the ISMA Tobacco Control Task Force to provide encouragement, information, guidelines, materials and techniques for physicians in Indiana to empower them in better use of effective tobacco prevention and cessation programs for their patients; and be it further,
RESOLVED, that the ISMA encourage the Indiana University School of Medicine to seek similar funds to provide a more comprehensive curriculum in tobacco control programs for medical students.
CURRENT PROCEDURAL TERMINOLOGY AND THIRD-PARTY PAYERS
RESOLVED, that the ISMA use all means possible, including legislation, to encourage and require all third-party payers to use the Current Procedural Terminology 4th Edition (CPT), including modifiers, or the most current edition; and be it further,
RESOLVED, that third-party payers provide guidelines to patients and providers in writing if they deviate from the current CPT guidelines, including use of modifiers. Information should be presented in such a manner that patients and providers may evaluate it prior to signing a contract with the third-party payer; and be it further,
RESOLVED, that the ISMA use all means possible, including legislation, to encourage and require all third-party payers to provide detailed explanations of any basis of limiting or restricting care (i.e., limitations and restrictions caused by the use of Milliman & Robertson/Milliman USA criteria). The information should be presented in such a manner that patients and providers may evaluate it prior to signing a contract with the third-party payer.
AUTHORIZATION OF EMTs TO ADMINISTER EPINEPHRINE
RESOLVED, that the ISMA seek and support legislation that requires all EMTs to be trained and authorized to appropriately administer epinephrine to patients under the age of 18 for all anaphylactic reactions.
RULES OF CONDUCT
RESOLVED, that the ISMA work with the attorney general to mutually agree upon rules of conduct by that office in the management of cases involving professionals who have received a consumer complaint. Specifically, this dialogue should accomplish the following:
- Consumer complaints should remain confidential until charges have been filed, except to acknowledge receipt.
- No public announcements should be made regarding professionals (until full investigation has been completed).
- No hearings will be scheduled until after discussion with a defendant to allow adequate time to prepare the defense.
- Temporary suspensions cannot last indefinitely.
PHYSICIAN CONSULTATION TO STATE AGENCIES
RESOLVED, that the ISMA consult with the Attorney General’s Office to explore the possibility of providing volunteer physicians who can serve to render assistance to that office.
PATIENT’S RIGHT TO DETERMINATION OF MEDICAL NECESSITY AND PAYMENT APPROVAL FOR ELECTIVE PROCEDURES
RESOLVED, that the ISMA advocate to the legislature and insurance companies that the patient has the right to an advanced and binding determination of medical necessity and payment approval for elective procedures (such as reduction mammoplasty) with properly submitted medical evidence prior to the procedure and, if denied, have the reason for denial and the right to arbitration.
MANDATORY HIV TESTING FOR PREGNANT WOMEN AND NEWBORN INFANTS
RESOLVED, that the ISMA advocate to the Indiana General Assembly and the Indiana State Department of Health mandatory HIV testing for all pregnant women and a newborn infant if the mother is HIV positive. (Passed 2003, HB 1630)
WAIVER OF CONSENT FOR HIV TESTING FOR HEALTH CARE WORKERS
RESOLVED, that the ISMA support legislative change to exempt health care workers from having to obtain consent for HIV testing in situations where a health care worker is inadvertently exposed to blood or other biological contamination from patients in the course of medical care. All other statutes of the law must remain in effect.
REPORTING ADVERSE REACTIONS FOR HEALTH FOODS AND HERBAL PRODUCTS
RESOLVED, that the ISMA advocate to state or national agencies or organizations the creation of a mechanism for reporting, tracking and alerting physicians regarding adverse reactions experienced by patients using “health foods,” such as nutritional and dietary supplements and herbal products, and that ISMA be involved in a manner that facilitates the flow of useful information on this subject to and from Indiana physicians.
USE OF AUTOPSY IMAGES AND RECORDINGS
RESOLVED, that the ISMA support changes to Indiana law regarding the confidentiality of autopsy information to ensure that:
- The statute allows for reasonable efforts to remove identifiable information in cases where physicians in possession of autopsy images use them for the purposes allowed by the law.
- Violating this statute is not a felony under the law.
- The statute make allowances for other professional uses of autopsy information besides training and educational purposes, such as submission of articles for medical journals and other legitimate activities related to the medical profession.
- The statute specifically defines what identifying information cannot be in an image or recording when used for educational purposes.
EKGs FOR HIGH SCHOOL ATHLETES
RESOLVED, that the ISMA adopt a policy in opposition to mandatory pre-participation EKGs for all Indiana high school athletes.
ELIMINATING CPT CODING
RESOLVED, that the ISMA and the AMA be encouraged to continue to explore means to improve the CPT coding system and/or develop alternative systems.
SMOKE-FREE WORK PLACES
RESOLVED, that the ISMA seek legislation to provide smoke-free workplaces in Indiana by either banning indoor smoking or limiting it to separately ventilated areas.
RESOLVED, that the ISMA use every means at its disposal to assure that all third-party payers reimburse for vaccinations recommended by the CDC; and be it further,
RESOLVED, that the ISMA identify third-party payers that fail to fully reimburse the cost of vaccinating patients; and be it further,
RESOLVED, that the ISMA use every means at its disposal to assure that physicians are properly reimbursed for the cost of procuring and the cost of administering vaccinations; and be it further,
RESOLVED, that the ISMA use every means at its disposal to assure additional reimbursement for evaluations or treatments given on the same day as the vaccinations are administered.
SUPPORT TO CONTINUE AND ENHANCE THE IU SCHOOL OF MEDICINE REGIONAL CENTERS
RESOLVED, that the ISMA continue support for the regional medical campuses through continued personal participation, local legislative contact for adequate funding, and patient contact to improve community awareness of the need for adequate state funding to ensure high quality medical education and practitioners to care for Indiana citizens, now and into the future.
RESOLVED, that the ISMA pursue changes in the recently passed legislation in order to allow continuation of PCCM (primary care case management) Medicaid in the entire state of Indiana.
ENDORSEMENT FOR APPROPRIATE MEDICAL STUDENT TRAINING CONDITIONS
RESOLVED, that the ISMA encourage the development of professional guidelines addressing the issue of appropriate medical student training hours and training conditions during clinical clerkships.
MEDICAID PHARMACEUTICAL COSTS
RESOLVED the ISMA recognize and acknowledge that the Medicaid program faces serious funding problems in light of recent economic projections regarding the state budget; and be it further,
RESOLVED, that state legislation be initiated to assure state pharmaceutical rebate monies are returned to the Medicaid program and not the state’s general fund; and be it further,
RESOLVED, that the ISMA, through its Board of Trustees and Commission on Legislation, immediately study efforts by other states in solving this problem in the Medicaid program and move forward in the next state legislative session with any means feasible in Indiana; and be it further,
RESOLVED, that if cost containment for medications in Medicaid requires the use of a Medicaid formulary, the ISMA actively seek participation in construction of the formulary.