Resolution #1 – Any Willing Provider in Federal Exchange Plans
Adopted amended Resolution #1- Resolved, MSMA support a requirement that any health care plan sold in Missouri through the federal exchange must allow any willing physician to participate in that plan.
Resolution #2 – Creation of “Medical Student” Category in Federal Direct Student Loan Program
Adopted amended Resolution #2 – Resolved, that the MSMA encourage the AMA to study the true rate of default in federal student loans among medical student borrowers, and be it further
Resolved, that the MSMA encourage the AMA to advocate for the creation of a separate “Medical Student” category in the Federal Direct Student Loan Program, such that interest rates on loans to medical students can be properly risk-adjusted.
Resolution #3 – Patient-Physician Continuity upon Health Plan Termination
Substitute Resolution #3 adopted – Resolved, that the Missouri State Medical Association support extension of the continuity of care window to nine (9) months or the end of the next enrollment period, whichever comes later, after patient and physician notification of the health plan’s termination of the physician contract.
Resolution #4 – Opposing the Interstate Medical Licensure Compact
Referred Resolution to the MSMA Council - Resolved, that the Missouri State Medical Association strongly opposes the Federation of State Medical Board’s Interstate Medical Licensure Compact; and further be it Resolved, that the Missouri State Medical Association requests that our American Medical Association likewise oppose the Interstate Medical Licensure Compact.
Resolution #5 – Truth in Advertising
Referred to MSMA Council for study and action - Resolved, that the Missouri State Medical Association (MSMA) work to have Missouri adopt Truth in Advertising legislation for all practitioners who provide health care in Missouri, and further be it
Resolved, that Trust in Advertising legislation require that any advertisement or solicitation for health care services which promotes a health care practitioner or health care company or entity (1) must identify the type of Missouri professional license or certificate held either by the advertising practitioner or the practitioner(s) providing health care under the advertising or the health care company, and (2) that such advertising or solicitation be free of any and all deceptive or misleading information, and further be it
Resolved, that when Truth in Advertising legislation applies to medical physicians, an allopathic or osteopathic physician may claim in any medium (print media, electronic media, or verbal communication) to be “board certified” only if the specialty board is (1) a specialty board recognized by the American Board of Medical Specialties or the American Osteopathic Association, or (2) a specialty board which is recognized and sanctioned by a Missouri licensing authority which issues a license to practice allopathic or osteopathic medicine in this State, and further be it
Resolved, that an allopathic or osteopathic physician of medicine may present him/herself as having mastered additional post graduate training only if that training (1) has been received from a specialty board which is a member board of the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) or (2) required successful completion of a postgraduate training program approved by the Accreditation Commission for Graduate Medical Education (ACGME) or by the AOA.
Resolution #6 – Qualifications for Usage of the Term “Board Certified” in Physician Marketing
Referred to MSMA Council for study and action - Resolved, that The Missouri State Medical Association (MSMA) seek legislation whereby the Missouri Board of Registration for the Healing Arts may refuse to issue, or may suspend or revoke any license or permit, or impose probationary or other restrictions on any license or permit issued under its jurisdiction for the following causes:
Holding oneself out to the public in any manner as being certified by a public or private board including but not limited to a multidisciplinary board or “board certified”, unless all of the following criteria are satisfied:
The full name of the certifying board from which the physician is certified and the full name of the specialty or subspecialty is included in any advertisement, promotion, marketing material, and practice products.
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The certifying board meets any of the following qualifications:
The certifying board is recognized by the American Board of Medical Specialties or the American Osteopathic Association.
The certifying board has been approved by the Missouri Board of Registration for the Healing Arts.
A board requiring an Accreditation Council for Graduate Medical Education or American Osteopathic Association approved postgraduate training program that provides complete training in that specialty or subspecialty, and be further
Resolved, that The Missouri State Medical Association (MSMA) seek to legislation to empower the Missouri Board of Registration for the Healing Arts; to provide detailed directives of the advertisement requirements and restrictions to be used by physicians; to provide for causes for which the board may refuse to issue, or may suspend or revoke, any license or permit, or impose probationary or other restrictions on the license of a physician.
Resolution #7 – Flexibility in Scheduling Pre- Authorized Events
Referred to MSMA Council - Resolved, that the Missouri State Medical Association (MSMA) seeks, through appropriate channels, to adopt a policy whereby the pre-authorization of a point of care event, at a particular facility, is good for a minimum span of twenty-eight (28) days in order to provide flexibility in scheduling that physicians need to accommodate their patients’ schedules and needs.
Resolution #8 – Reduced Payments for Subsequent Services with the Global Period
Referred to MSMA Council - Resolved, that the Missouri State Medical Association (MSMA) oppose the medical insurance company practice of reduced procedural fees for indicated, necessary, and appropriate medical services performed by physicians during the global period.
Resolution # 9 – Accurate and Update Listing(s) of Participating Physicians in Networks
Adopted - Resolved, that the Missouri State Medical Association (MSMA) work with regulating agencies to have Missouri insurance companies maintain accurate and up-to-date listings each month of participating physicians by specialty within their network(s).
Resolution #10 – Reclassification of Medications
Adopted amended substitute Resolution #10 – Resolved, that MSMA educate physicians and study the compliance of pharmacies regarding the federal and state regulations for emergency telephone prescriptions for Schedule II controlled substances.
Resolution #11 – Preparation of Inpatients for Discharge
Referred to MSMA Council - Resolved, the MSMA and AMA pursue legislation and regulation at the State and federal levels that assures the following:
At discharge, the patient’s regimen will be appropriately adjusted by the discharging physician, in collaboration with pharmacists, social workers, and those familiar with any formularies that impact the patient’s access to necessary medications, and
The patient’s physician providing ongoing care and the patient’s pharmacy of record will be informed of changes in the patient’s drug regimen, including deleted medications and changes to dose, frequency, route, duration, and other critical matters.
Resolution #12 – Missouri Medicaid Application during Pregnancy
Amended Substitute Resolution adopted – Resolved, the MSMA pursue remedies of delayed processing of Medicaid eligibility applications during pregnancy, and be it further
Resolved, the MSMA and MO HealthNet continue discussions regarding faster application approvals for women with high risk pregnancies, and be it further
Resolved, the MSMA support its members on provisional Medicaid eligibility for their patients.
Resolution #13 – Missouri Legislature declare Missouri a “Start by Believing” state to encourage victims of sexual assault to report incidents
Referred to MSMA Council - Resolved, the physicians of Missouri should support the “Start by Believing” campaign, and be it further
Resolved, that the Missouri State Medical Association send a message to the legislature that Missouri become a “Start by Believing” State, thus proclaiming that we will “start by believing victims of sexual assault.”
Resolution #14 – Member Participation in MSMA Governance
Adopted - Resolved, that the MSMA Council study and discuss the current structure, meeting length, and meeting frequency of the Council and the House of Delegates to determine if any changes might encourage more members to participate.
Resolution #15 – Increasing Consumer Awareness through Front-of-Package Labeling Systems
Adopted Substitute Resolution #15 – Resolved, the MSMA and AMA encourage evidence-based, standardized labeling systems that will provide consumers with easily accessible, unbiased nutritional facts and promote sustainable healthier eating patterns
Resolution #16 – Pricing of Generic Drugs
Adopted – Resolved, that the Missouri State Medical Association understand the market and regulatory changes that affect generic pricing in order to determine an advocacy position for our patients. One part of that advocacy will be to educate our legislators at the state and national level concerning the significant impact that the massive increase in the prices of generic drugs is having on the health of our patients, and be it further
Resolved, that we request that our AMA delegates pursue a similar resolution by the AMA.