2017 ACS Advocacy Update and the ACSPA-Surgeons PAC. W. Scott Melvin, M.D., FACS Montefiore Medical Center
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1 2017 ACS Advocacy Update and the ACSPA-Surgeons PAC W. Scott Melvin, M.D., FACS Montefiore Medical Center
2 What is the DAHP? The Division of Advocacy and Health Policy works with federal and state decision makers to promote the interests of surgeons and surgical patients.
3 Issues of Importance to ACS Affordable Care Act MACRA/QPP MIPS APMs Global Surgical Payments Administrative Burdens and Regulations Performance Measurement Phases of Surgical Care PROs Interoperability State Surgical Resources Scorecards Trauma Cancer IPAB Appropriateness Medical Liability Reform Graduate Medical Education Medicaid Reform Accreditation/ Bariatric Out of Network Uniform Prior Authorization Forms Opioids Balance Billing Videotaping Operations Private Contracting Medicare Reform Physician Owned Hospitals Uniform Emergency Volunteer Telemedicine Health Practitioners Act (UEVHPA) Rural (96 Hour) Third Party Payor Pediatric ACE kids Stark CHIP HIT Prescription Drug pricing Data Protection Scope of Practice Veterans Affairs privatization Collective Bargaining Burnout Mergers Disparities Anesthesia Surgical Home CMMI Definition of Surgery Creation of Surgical HPSA Concurrent Surgery
4 MACRA Reimbursement/Payment Education and Advocacy What Fellows need to know How we are working to improve MACRA (APMs and flexibility)
5 Regulatory Reform
6 The Independent Payment Advisory Board (IPAB) IPAB Repeal Legislation H.R. 849: Roe, MD(R-TN) and Ruiz, MD (D-CA) S. 260: Cornyn(R-TX) /S. 251 Wyden (D-OH) The IPAB is a board of 15 unelected members who are required to make Medicare spending cuts in the event that the expected per capita growth rate in Medicare exceeds the target growth rate The IPAB repeal legislation would simply strike the language that created the IPAB, providing stability for physicians and the Medicare patients they treat Action in Congress: On November 2, 2017 the House passed H.R. 849 by a vote of Future steps: H. R. 849 is now awaiting consideration in the Senate
7 General Surgery Workforce Ensuring Access to General Surgery Act H.R. 2906: Bucshon, MD, FACS (R-IN) and Bera, MD (D-CA) S. 1351: Grassley (R-IA) Schatz (D-HI) Directs the Secretary of the HHS to conduct a national study to identify and define general surgery workforce shortage areas Provides the Secretary the authority to designate general surgery shortage areas based on the data collected
8 Opioids Bipartisan issue, high priority in Congress and states: Ø More than 65 bills in Congress Ø 400+ bills in 46 states ACS assessing support for action with appropriate treatment Some Proposed Solutions: Ø Limits on opioid prescriptions (dosage or days) Ø Enhancements to Prescription Drug Monitoring Programs (PDMPs) ACS Opioid Statement August 2017
9 Medical Liability Reform Saving Lives, Saving Costs Act (H.R. 1565) Access Act (H.R. 1215) Ø Passed the House in June 2017 by a vote of Good Samaritan Health Professionals Act (H.R /S. 781) Health Care Safety Net Enhancement Act (H.R. 548/S. 527)
10 ACS and Health Care Reform Health Care Reform Principles 1. Quality and Safety 2. Patient Access to Surgical Care 3. Reduction of Health Care Costs 4. Medical Liability Reform
11 ACSPA-SurgeonsPAC
12 Why ACSPA-SurgeonsPAC? Advocate Congress Support Participate Action
13 Your Contribution Matters
14 Fundraising Recap $1,246,807 total receipts $1,147,819 total hard dollars Most raised since PAC s inception 2,333 individual contributors 300 fundraisers, candidate meetings, and health care industry events attended
15 2017 Fundraising Highlights Supported 12 physician Members of Congress In line with Congressional party ratios, supported 41% Democrat 59% Republican Grew Advocacy Summit receipts : $61, : $54, : 179 contributors 2016: 150 contributors Increased monthly recurring contributions Attended more than 175+ fundraisers, candidate meetings, and health care industry events Hosted several physician community events for key members of Congress and political campaign committees
16 SurgeonsPAC s Standing Health Professionals PAC Contributions to Federal Candidates *Based on data released by the FEC on November 6, 2017 Source:
17 Compare surgeons to other professionals Most proliferative professional Association?? National Association of Realtors : 26 Million $!!! How do we compare to lawyers? Trial Lawyers: 7 MILLION $ American Bar Association: $852,500 (2017 ytd) Money talks, Donate today Surgeons: 1.15 million, ($182,150:, 2017ytd)
18 New York SurgeonsPAC 2017 Total Contributions - $25,323 Number of Contributors 69 Participation Percentage 1.38% 2016 Total Contributions - $35,289 Number of Contributors 120 Participation percentage 2.31% 2015 Total Contributions - $37,946 Number of Contributors 117 Participation Percentage 2.23% Fundraising Efforts Total Eligible 2017 Contributors: 4,996!!!
19 To Contribute Today Visit (login required using facs.org username and password) or Text ACSPA to Contributions to ACSPA-SurgeonsPAC are not deductible as charitable contributions for federal income tax purposes. Contributions are voluntary, and all members of ACSPA have the right to refuse to contribute without reprisal. Federal law prohibits ACSPA-SurgeonsPAC from accepting contributions from foreign nations. By law, if your contributions are made using a personal check or credit card, ACSPA-SurgeonsPAC may use your contribution only to support candidates in federal elections. All corporate contributions to ACSPA-SurgeonsPAC will be used for educational and administrative fees of ACSPA and other activities permissible under federal law. Federal law requires ACSPA-SurgeonsPAC to use its best efforts to collect and report the name, mailing address, occupation, and the name of the employer of individuals whose contributions exceed $200 in a calendar year. ACSPA-SurgeonsPAC is a program of the ACSPA, which is exempt from federal income tax under section 501c(6) of the Internal Revenue Code.
20 ACSPA-SurgeonsVoice
21 What is ACSPA-SurgeonsVoice? An on-going, organized program to communicate, educate, and provide the tools necessary to build a strong network of surgeon advocates willing to take action on important health policy matters.
22 SurgeonsVoice: Cutting Edge Advocacy Purpose: Demonstrating strength in numbers to help elevate surgery s voice and advance the College s health policy priorities Goals: Advocate, Communicate, Educate, Motivate Participants: Leadership, Fellows, Residents, Committees and Councils of the ACS Benefits: Broad-based, diversified, trusted, established advocates
23 Advocacy in Action Example Ensuring Access to General Surgery Act Goal: Educate members of Congress on importance of the Ensuring Access to General Surgery Act and to promote passage into law Staff outreach: More than 200 meetings with members of Congress and their staffs to increase cosponsors Grassroots efforts: Promoted in various ACS communications and urged College members to take action online via SurgeonsVoice.org Results: More than 480 messages have been circulated to 160+ lawmakers/offices urging timely consideration of legislation Future Efforts Identify surgeon advocates to encourage additional cosponsors
24 Advocacy in Action In-District Trainings Summer 2017 Stop the Bleed (STB) In-Districts Background: Pilot tested a new grassroots initiative to partner Fellows who are STB trainers with their MoC to offer in-district trainings to MoC and staff Results: 13 congressional offices/fellows expressed interest in trainings, 3 of which occurred in August Future Efforts Additional in-district meetings and trauma facility tours State Chapter Lobby Day activities & STB
25 Advocacy in Action Cancer Programs Virtual Hill Day September 8, 2017 Purpose Engage surgeon advocates to promote, and take action, on ACSsupported cancer legislation Raise SurgeonsVoice profile to stimulate future engagement ACSled legislative priorities Platforms Social media Hashtag: #cancerprogramsday) SurgeonsVoice.org Results More than 60 messages sent regarding Support Access to Colorectal Cancer Screening Act, the Palliative Care Hospice Education and Training Act, and FY 2018 cancer funding
26 How Can You Get Involved? Visit Make a contribution to SurgeonsPAC. Become a PAC Captain. Host a fundraiser, facility tour, RAS PAC event or PAC check delivery in your state. Become an Advocacy Councilor. Participate in Grassroots Calls to Action. Recruit other surgeon advocates.
27 Questions? Questions about ACS advocacy priorities? Contact: Kristin McDonald Questions about SurgeonsPAC fundraising and Grassroots? Contact: Katie Oehmen Questions about SurgeonsVoice? Contact: Michael Carmody
28 To Contribute Today Visit (login required using facs.org username and password) or Text ACSPA to Contributions to ACSPA-SurgeonsPAC are not deductible as charitable contributions for federal income tax purposes. Contributions are voluntary, and all members of ACSPA have the right to refuse to contribute without reprisal. Federal law prohibits ACSPA-SurgeonsPAC from accepting contributions from foreign nations. By law, if your contributions are made using a personal check or credit card, ACSPA-SurgeonsPAC may use your contribution only to support candidates in federal elections. All corporate contributions to ACSPA-SurgeonsPAC will be used for educational and administrative fees of ACSPA and other activities permissible under federal law. Federal law requires ACSPA-SurgeonsPAC to use its best efforts to collect and report the name, mailing address, occupation, and the name of the employer of individuals whose contributions exceed $200 in a calendar year. ACSPA-SurgeonsPAC is a program of the ACSPA, which is exempt from federal income tax under section 501c(6) of the Internal Revenue Code.
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