FSP Business Meeting Saturday, July 13, 2019 Ft. Lauderdale, Florida WWW.FLPATH.ORG 1
Adoption of Minutes Oleksandr Kryvenko, MD WWW.FLPATH.ORG 2
Treasurer’s Report Janice McCall, MD WWW.FLPATH.ORG 3
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. 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. WWW.FLPATH.ORG 4
Revenue and Expenses per Fiscal Year $500,000 $456,000 $426,000 $450,000 $417,000 $404,000 $380,000 $380,000 $381,000 $400,000 $350,000 $295,000 $300,000 $250,000 $200,000 $150,000 $100,000 $50,000 $0 April, 2016 April, 2017 April, 2018 April, 2019 Expenses Revenue WWW.FLPATH.ORG 5
As of July 9, 2019 Total Income = $186,000 $33,000 Membership Dues $90,000 Summer: Exhibits, Grants, $63,000 Sponsorships Summer: Registration WWW.FLPATH.ORG 6
As of July 9, 2019 Total Expenditures = $66,000* $3,500 $500 $18,000 Professional Services Summer Meeting Expenses $44,000 Membership General Adminstrative * Does not represent approximately $40,000 in Summer meeting costs WWW.FLPATH.ORG 7
Membership Report Jason Savell, MD WWW.FLPATH.ORG 8
As of July 9, 2019 Membership – 403 total members 13 107 89 30 20 138 6 Regular Regular Group New Practitioner Corresponding Retired Resident Honorary WWW.FLPATH.ORG 9
FMA Report Ronald Giffler, MD FMA President-Elect WWW.FLPATH.ORG 10
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 over 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 9 th year provided leadership training for 131 physicians
Foundation for Healthy Floridians 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
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 overseeing 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 4 th . 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 of 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.
92% of FMA PAC endorsed candidates won their elections in 2018. of FMA PAC endorsed 94% candidates won their elections in 2016.
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).
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