FSP Business Meeting Saturday, July 13, 2019 Ft. Lauderdale, - - PowerPoint PPT Presentation

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FSP Business Meeting

Saturday, July 13, 2019

• Ft. Lauderdale, Florida

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Adoption of Minutes

Oleksandr Kryvenko, MD

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Treasurer’s Report

Janice McCall, MD

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Financials as of July 9, 2019 Total Current Assets: $346,000 Total Liabilities and Equity: $346,000 Net Income*: $119,000

*Net income represents an amount before the remaining payments for the summer meeting,

which will amount to another $40,000 approximately.

As of July 9, 2019

LAST FISCAL YEAR: Year End: May 2018 – April 2019 Income: $456,000 Expenses: $404,000 Net Income: $52,000

The last fiscal year ended with a positive net income of $52,000.

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$380,000 $380,000 $381,000 $404,000 $295,000 $426,000 $417,000 $456,000 $0 $50,000 $100,000 $150,000 $200,000 $250,000 $300,000 $350,000 $400,000 $450,000 $500,000 April, 2016 April, 2017 April, 2018 April, 2019

Revenue and Expenses per Fiscal Year

Expenses Revenue

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$90,000 $63,000 $33,000

Total Income = $186,000

Membership Dues Summer: Exhibits, Grants, Sponsorships Summer: Registration As of July 9, 2019

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$44,000 $18,000 $500 $3,500

Total Expenditures = $66,000*

Professional Services Summer Meeting Expenses Membership General Adminstrative

* Does not represent approximately $40,000 in Summer meeting costs

As of July 9, 2019

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Membership Report

Jason Savell, MD

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107 138 6 20 30 89 13

Membership – 403 total members

Regular Regular Group New Practitioner Corresponding Retired Resident Honorary As of July 9, 2019

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FMA Report

Ronald Giffler, MD FMA President-Elect

Florida Medical Association

Ron Giffler, M.D. President-Elect, FMA Treasurer, FMA PAC

Florida Medical Association

Mission: Helping Physicians Practice Medicine Membership: 2018 was a record breaking year for the FMA with

• ver 25,000 physician and student members

FMA Educational Activities

Accredited to offer CME

• Directly provide live activities
• Directly provide online CME via website
• Jointly provide live activities (hospitals,

specialty societies, and foundations

Foundation for Healthy Floridians

Sponsor of the Karl M. Altenburger, M.D. FMA Leadership Academy which provides leadership training for young physicians, currently in it’s 9th year provided leadership training for 131 physicians

Secured over a million dollars of support to help physicians affected by Hurricane Michael, Irma and Maria reopen their practice through our Foundation

Foundation for Healthy Floridians

Sponsor of the Healthy Living Initiative to provide resources to physicians to reduce obesity

Foundation for Healthy Floridians

FMA & Advocacy – How we advocate for YOU

• Legislative advocacy – passing pro-medicine legislation and fending off bad bills for

physicians

• Council on Legislation – Council of physicians appointed by the President charged with
• verseeing legislative issues
• FMA PAC – a 51 member board comprised of physicians, alliance members, residents and
• students. The mission of the PAC is electing pro-medicine candidates in Florida.
• Key Contact Program – pairing physicians with legislators so that when important bills are

up for a vote, the legislator hears from a physician

Advocacy (continued)

• Federal Outreach

AMA Delegation Federal Lobbyist Big Four/Coalition of State Medical Societies

• Council on Medical Economics
• Collaboration and Outreach

County Medical Societies Specialty Societies Hospital Medical Staffs Healthcare Corporations Large Medical Groups Individual physicians

FMA Advocacy – Working for YOU in Tallahassee

2019 Legislative Session Summary

The 2019 Legislative Session concluded on Saturday, May 4th. The FMA tracked 260 bills that affected medicine either indirectly or directly.

What would your life look like without the FMA working for you?

The number of bills hostile to medicine filed during the 2019 legislative session was the most in a quarter century. The vast majority of these bills were defeated outright while the remainder were significantly amended. Had the FMA not expended a tremendous amount of time and resources fighting this legislative onslaught medicine could have been severely affected as follows:

• APRNs and physician assistants would be able

to practice independently without any physician supervision.

• Pharmacists could diagnose & treat “minor, nonchronic

conditions,” such as the flu, lice, etc. They also would be able to “collaboratively manage” chronic conditions, such as asthma, congestive heart failure, diabetes, emphysema, HIV, hypertension and renal disease.

• Consultant pharmacists would be able to

initiate, modify or discontinue medications.

• Physicians would have to refer patients to a

chiropractor, acupuncturist, physical therapist or massage therapist prior to prescribing a controlled substance.

• Coverage for hearing aids for children would be

mandatory, but only audiologists would get paid for the service.

• A “Health Innovation Commission” could grant

exemptions that would allow allied health providers to practice beyond their statutory scope of practice, or even practice medicine without a Florida license

• Any physician who performed any type of office

surgery would have to get an ambulatory surgical center license.

• Physicians would have to provide a “non-opioid directive

form” every time they prescribed an opioid. Physicians who failed to follow a patient’s non-opioid directive would be subject to disciplinary action.

• Physician fees would be capped at 200% of

Medicare for all services, in all instances. Insurance companies would be able to pay less than that amount.

• Physicians would have to prescribe

electronically in all situations, regardless of whether they were able to. Paper scripts would not be allowed.

• Personal injury protection would disappear.

Physicians would have to wait years to get paid, and if the patient had no insurance & didn’t win his lawsuit, would not get paid at all.

• Health insurance companies would receive a $30

million tax credit for providing telehealth, but would not have to cover all services and could pay physicians less for telehealth than for providing care in-person.

• Physicians would face increased medical

malpractice liability as patients would be allowed to sue for pain & suffering. Medical liability insurance rates would increase.

• The maximum that physicians would receive for treating

patients injured due to the fault of a third party would be the Medicare rate. If the patient was on Medicaid, the physician would be limited to the Medicaid rate, regardless of whether he or she participated in Medicaid.

• Physicians would be prohibited from providing any

healthcare services to a minor without parental

• consent. Physicians who did

so could be sent to prison for up to a year.

• Allied health professionals would be able to practice

telemedicine in Florida without having a Florida license, and without being subject to disciplinary action for violating any provision of their practice.

• Physicians referring a patient would be required to tell the

patient in writing and document that the provider referred to is out-of-network, and that it could result in additional cost. Physicians would be responsible for determining the status of healthcare providers. Physicians who didn’t would be subject to discipline.

Health Insurance Legislation

• For several years, the FMA has fought for insurance legislation that

prevents retroactive denials, allows physicians to override fail first protocols and providers for simpler prior authorization procedures. The bills have moved through the Senate but failed to pass in the House with STRONG opposition from the insurance industry. We will continue working these issues in 2019.

What is the FMA PAC and how does it fit into all

• f this?

The FMA PAC is the political arm of the FMA.

• MISSION: elect pro-medicine candidates into the

Florida Legislature.

• Contributing to the FMA PAC is the single most

powerful thing you can do for the medical profession in Florida.

• 100% of your contributions to the FMA PAC are spent on

pro-medicine candidates running for office.

• f FMA PAC endorsed

candidates won their elections in 2018.

• f FMA PAC endorsed

candidates won their elections in 2016.

92% 94%

The cost of elections in Florida

• Ron DeSantis raised $58,847,417 and spent $52,372,778
• Andrew Gillum raised $55,062,506 and spent $46,866,059
• State Senate races range from $500,000 ‐$1,500,000+
• State House races range on average from $300,000‐$500,000

*This includes party money, soft money (Political Committees), and hard money (the individual donor contributions).

2018 Election Highlights

92% of FMA PAC endorsed candidates in the General Election WON their races including 100% of cabinet races; Governor DeSantis, CFO Jimmy Patronis & Attorney General Ashley Moody. Long time friend, Gayle Harrell, won her hard fought seat for the Florida Senate (district 25).This was a key race for the FMA PAC. She has just been appointed Chair of the Healthcare Committee in the Florida Senate.

Why was the 2018 Governor’s race critical to medicine? Appointment of Supreme Court Justices

The Supreme Courts greatest hits, the 80s, 90s and today:

1986: 1987: 2003: 2014: 2017:

Legislature passes noneconomic damage cap. Supreme Court rules the cap UNCONSTITUTIONAL, but provides road map for legislature on how to institute a cap properly Following Supreme Court directions from 1987, legislature again passed a cap on noneconomic damages based on findings that demonstrated a medical malpractice insurance crisis. Supreme Court rules cap in wrongful death actions UNCONSTITUTIONAL. Supreme Court INVALIDATES the cap for all other causes of ti di di th l i l t ’ fi di f l ti

The Supreme Courts greatest hits, the 80s, 90s and today:

2004: 2013: 2004: 2017: 2011: 2017:

FMA develops pretreatment binding arbitration form, distributes to FMA members. Supreme Court INVALIDATES the arbitration agreement in a poorly reasoned decision that ignored federal law supporting arbitration. FMA passes legislation implementing Amendment 7, “The Patients Right to Know Act” so as to preserve some semblance of peer review. Supreme Court interprets Amendment 7 in a way that allows requesting party to access any records relating to any adverse medical incident, whether protected under federal law or not. All peer review reports are now fair game. After 20+ years of effort, FMA passes legislation that levels the playing field for defendant physicians in a medical malpractice case by providing them equal access to treating physician witnesses.

To SUMMARIZE:

Newly elected Governor DeSantis just appointed three Supreme Court Justices; Robert Luck, Barbara Lagoa and Carlos Muniz. And if re‐elected in 2022, he will appoint SIX of SEVEN justices. The previous Supreme Court has struck down a majority of FMA tort legislation.

Thank you!

Without broad physician support across the state through counties, specialties, large groups and medical staffs, we couldn’t do what we do.

Please visit www.flmedical.org for more information

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Closing Remarks

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