State Legislative Advocacy for Family Medicine
The PAFP advocates on state government matters of importance on behalf of its members and the patients they serve. For information and updates, please join our Governmental & Practice Advocacy Committee group on PAFP Connect, or advocate online on specific topics via SpeakOut (below).
COVID-19 UPDATE NEW!
PAFP monitoring state policy in response to coronavirus
The PAFP understands that family physicians are on the front lines of this growing public health emergency. We are monitoring state policy being enacted in response to COVID-19 and will continue to advocate for policies that are in the best interest of our members and their patients. PAFP President Tracey Conti, MD, along with our primary care physician counterparts, sent a letter calling on the Governor and Cabinet officials to mandate reimbursement for telehealth services by commercial insurers, following suit with updates adopted by the state Medicaid managed care and federal Medicare programs. Additionally, the PAFP has advocated for the allocation of life-saving PPE supplies to family medicine physicians to ensure that our members can continue treating their patients safely and effectively. Visit our COVID-19 Resource Center for more information on how the PAFP is working to help our members safely navigate this uncertain and challenging time.
Action Alert NEW!
Ensure family physicians have financial support in responding to COVID-19
The American Academy of Family Physicians is calling on United States House and Senate leadership to increase their support of family physicians, specifically for audio-only telehealth coverage and payments, dedicated financial support for practices to cover increased costs, and immediate steps to ensure needed PPE. Please consider taking a moment to support this effort and contact your federal representative and senators by clicking here.
Governmental & Practice Advocacy Committee
This committee guides our policy positions on health care legislation and regulations. For PAFP members interested in joining please visit our PAFP Leadership page.
SpeakOut
The PAFP uses SpeakOut, an advocacy tool developed by the American Academy of Family Physicians, to distribute Advocacy Alerts to members as needed. Click here for more information on how this advocacy tool works. Watch this page for future SpeakOut campaigns.
One of the ways primary care professionals can effect change is to personally engage those individuals who write and pass legislation on the state level. Physicians and medical students are well-respected members of the community and having their voices heard makes a difference. The PAFP has put together a brief primer to help you get involved.
PAFP 2019-20 State Legislative Agenda (Updated Nov. 15, 2019)
Prior Authorization Reform
Prior authorizations have become significantly burdensome to family physicians, and more importantly result in delays and jeopardized quality care to patients. The PAFP supports reforms that would maximize electronic communications for authorizations as well as adverse determinations, and define consistent response times for authorizations, rejections, appeals, and external utilization review. Rep. Steve Mentzer has introduced HB 1194, which has strong bipartisan support. The legislation has been referred to the House Insurance Committee.
Nurse Practitioner Independence
Nurse practitioners (NPs) are integral, valuable members of the health
care team, held in the highest regard by family physicians. However, patients
are best served when a physician-led, highly coordinated health care team
provides care. Therefore, the PAFP opposes
legislation that would expand their scope of practice and eliminate
collaborative agreements. The Senate passed Sen. Bartolotta’s SenateBill 25 on June 12. Rep.
Topper has introduced House Bill 100. Both bills now rest
in the House Professional Licensure Committee.
Health Insurer Credentialing Reform
Delays in credentialing of new physicians or existing physicians changing practices create undo hardships most notably on the communities they serve. The PAFP supports legislation that would standardize the credentialing form and set processing standards. Rep. Owlett has introduced House Bill 533 seeking to codify significant reforms. The bill has passed the House and awaits consideration in the Senate Banking and Insurance Committee.
Buprenorphine Medically Assisted Treatment Act
Access to care for
patients suffering from substance abuse disorder is critical, and state
regulation could significantly jeopardize access to office based opioid
treatment (OBOT). The PAFP opposes
legislation that would require prescribers of Buprenorphine to be licensed by
the state and pay any state licensing fee.
Sen. Brooks has introduced Senate Bill 675 which passed the Senate on June 17. The bill is in the House Human Services
Committee and the PAFP is working with the Committee and stakeholders in trying
to find a compromise.
Direct Primary Care Authorizing Legislation
DPC is a model of care outside the bounds of health
insurance and an emerging option for patients and physicians. The PAFP supports legislation that specifies
direct primary care agreements are not insurance and therefore not subject to
insurance laws or regulations. Sen.
Browne is circulating SCO 877 seeking cosponsors for the impending bill.
Restrictive Covenants
In this age of health system
consolidations, PAFP supports legislation limiting restrictive covenants in
health care practitioner employment agreements. Rep. Deluca has introduced House Bill 601 that rests in the House Health Committee.
POLST Legislation
Working with the Pennsylvania Medical Society, the PAFP supports updating and revising Pennsylvania law to include codification of Pennsylvania Orders for Life Sustaining Treatment (POLST) to be used by medical professionals across all health care settings for patients who voluntarily wish to execute a POLST order. Sen. Yaw has introduced SB 142 that has been assigned to the Senate Health and Human Services Committee.
Workplace Accommodations for Nursing Mothers
The PAFP supports legislation that
requires employers to provide employees time to express breast milk in a
sanitary environment for her nursing child. Rep. Mary Jo Daley has introduced House Bill 1177 that rests in the House Labor and Industry Committee.
Expanding Pharmacy Vaccinations to Minors
The PAFP opposes legislation that would amend the Pharmacy Practice Act and allow for pharmacist to administer all CDC recommended vaccinations to patients 9 years of age or older. As part of a compromise several years ago, pharmacists obtained the ability to provide influenza vaccine to those 9 and older. Sen. Judy Ward has introduced SB 274 that rests in the Senate Consumer Protection and Professional Licensure Committee,
while Rep. Grove has introduced House Bill 91 that rests in the House Health Committee.
Frivolous complaints to the state Board of Medicine
When complaints against physicians to the Pa. Department of State are found to be frivolous or lack merit by the Bureau of Investigation and Enforcement (BEI), physicians must continue to disclose them when asked if their license has ever been subject to an investigation or complaint. Because the details of BEI investigations are confidential, physicians are unable to explain the nature of the complaint. The PAFP supports legislation that would remove the requirement that physicians acknowledge a complaint if the case was closed without any formal action by BEI or the Board of Medicine. Rep. Curt Sonney has introduced HB 1743, which is awaiting consideration in the House Professional Licensure Committee.
> Download PDF - PAFP 2019-20 State Legislative Agenda
PAFP’s State Legislative Agenda is crafted through the Government and Practice Advocacy Committee with position decisions made by the Board of Directors.
Questions/Comments? Please contact Brent Ennis, PAFP Deputy EVP/COO and State-Registered Lobbyist at bennis@pafp.com.
