NMMS Council and Legislative News...HB228, HB263 - Allow terminally-ill patients access to investigational treatments that have passed basic safety testing (Phase I) with the FDA,

Council News ...continued on page 3

January / February

2017Volume 33 • Number 1

At the January Council, NMMS PresidentWilliam Ritchie MD reported the ad hoc com-mittee on reorganization of the House ofDelegates continues to meet and work in tandemwith the Constitution and Bylaws Committee asthey finalize amendments to restructure theorganization. Subsequently, the committees haveconferred several times and, with unanimoussupport, offer the proposed amendments includ-ed as an insert in this issue. The amendments willalso be emailed via “Your Voice For Medicine”and posted to the Society websitehttp://nmms.org. [If you have not yet receiveda YVFM email and would like to, please senda request with your email address [email protected]]. Please send all questionsand feedback to Randy Marshall at [email protected] and to the councilors of yourcomponent society [listed at http://nmms.org].The amendments will be voted on at the Houseof Delegates meeting May 19-20.

The Council endorsed the election of bothBarbara McAneny MD for President of theAmerican Medical Association and AlbertKwan MD for the AMA Council on MedicalEducation. The election will be held at theannual meeting in Chicago, June 10-14.

In This Issue:Candidates for Election.....................2

New Members............5

Annual MeetingAgenda......................6

Annual MeetingRegistration ..............7

Question Corral ........9

Members in the News .................11

Insert:NMMS Constitution and By-Laws ProposedAmendments and Draft Policy

John Anderson reviewed the current eco-nomic shortfall of New Mexico and possibleinitiatives to increase revenues. He discussedthe legislative interest in repealing deductionsand credits on Gross Receipts Tax paid onmedical services and moving to a flat tax thatall health care providers would pay. Replacinga system that taxes some providers at varyingrates and shelters others from any tax at allwith a broad based tax of 2% on all licensedfacilities and medical providers would elimi-nate the disparity in GRT assessed to differentprovider types, simplify a physician's tax filing,and increase the Medicaid budget by leverag-ing 3 to 1 federal matching funds.

Some of the 2017 legislative issues for the 60-day session (January 17 - March 18) include:

1. SB145 - Scope of Practice Act wouldestablish an interim legislative committeeand deliberative process to study allexpanded practice initiatives prior to intro-duction of legislation.

2. SB90 - Prescribing psychologistswant to change supervision requirementsand expand privileges.

NMMS Council and Legislative News

Pretend doctors with patient Norma Jenkins and Becky and Peter Marshall film commerical for Quality Healthfor New Mexico at NM Orthopedics, work home of real doctor William Ritchie MD, NMMS President.

Election ...continued on page 3

PAGE 2 JANUARY/FEBRUARY 2017

Medical News is published by the New Mexico Medical Society, 316 Osuna Road NE, Suite 501, Albuquerque, New Mexico 87107 (505) 828–0237, (800) 748–1596 • http://nmms.org

President William L. Ritchie MDAlbuquerque

President Elect William Liakos Jr. MD Roswell

Vice-President Sandra Whisler MD Albuquerque

Immediate Past President James Martinez MD

AlbuquerqueSecretary-Treasurer Stephen Haynes MD

Clovis

Executive Director Randy Marshall

Associate Executive Director / Editor Annie Jung

Candidates for ElectionEach year the NMMS House of Delegates elects officers to lead the Society. The physicians below were selected by the NMMSNominating Committee to run for the 2017-2018 vacancies. Campaign speeches will be given at the first House of Delegateson Friday morning, May 19th, and voting will take place at the second House of Delgates on Saturday morning, May 20th.

Nancy Wright MDEmployed, Full time, Pediatrics

I am grateful to be considered for the office ofvice president by the nominating committeeof the New Mexico Medical Society. I havelived in New Mexico since moving to LasVegas in 2002, straight out of my pediatricsresidency at the Medical College of Georgia.I practice medicine full time, initially in pri-

vate practice, and am currently an employed physician. I havebeen the councilor to the medical society from San Miguelcounty since 2009 and also been active in multiple commit-tees in my community. Although the future of medicine mayappear unclear in our changing political and technological cli-mate, it is essential to continue to maintain the highest stan-dards of our profession to ensure the best for our patients. Ihope I will have your support.

Vice President:

Steve Kanig MDEmployed, Part time, Administrative, Non-Medical

It is an enormous privilege to represent NewMexico as one of your AMA Delegates.During my years at the AMA, I have devel-oped a reputation as a well informed andarticulate leader, respected for the dozens ofresolutions that I've authored and advocatedfor successfully, resulting in new policy, direc-

tives for action, and reports of national importance. As yourDelegation Chair, I am playing an important role in the merg-er of two western conferences that will give New Mexico an

Delegate to AMA:

Dion Gallant MDEmployed, Full time, Family Medicine

Thank you for the nomination for ViceSpeaker to the New Mexico MedicalSociety's House of Delegates. I am a familyphysician in practice with PresbyterianMedical Group. I have been in practice inAlbuquerque for 15 years since completingmedical school and residency at UNMH. I

currently split my time between clinical practice at KasemanFamily Healthcare and serving as the medical director for pri-mary care at Presbyterian Medical Group. I am a past presi-dent of GAMA as well as a past president of the NM chapterof the AAFP. I continue to serve the NMAAFP as a delegate tothe AAFP Congress of Delegates. It would be an honor toserve the NMMS as Vice Speaker for the House of Delegates.

Vice Speaker, House ofDelegates:

Angela Bratton MDPrivate Practice, Full time, Ophthalmology

Thank you for the nomination to continue asspeaker of the House of Delegates. It hasbeen an honor to serve in this position for thepast two terms. Previously, I have represent-ed Los Alamos and Rio Arriba Counties onthe Council and have served on variousNMMS committees. I have been in private

practice in New Mexico for 23 years. This year, the House ofDelegates will consider proposed changes to streamline ourannual meetings. If re-elected, it would be my privilege toassist with any transitions necessary to further the will of themembers of the New Mexico Medical Society.

Speaker, House of Delegates:

Election ...continued from page 2

JANUARY/FEBRUARY 2017 PAGE 3

Council News ...continued from page 1

3. HB364 - Optometrists want to prohibit eye examina-tions and lens prescribing through telemedicine.

4. HB215 - Physician Assistants want to change the def-inition of profession and move from supervision by physi-cians to a collaborative practice with the health care team.

5. SB150 - Chiropractic profession wants to changedefinition to chiropractic medicine and add two cate-gories of certified advanced practice chiropractic physi-cians which would be allowed to prescribe, administer,inject and dispense dangerous drugs other than Schedule1 of the Controlled Substance Act.

6. SB82 - Amend the Non-Compete Act to prohibitemployers from placing provisions in their employee con-tracts which allow out of state operations as the legally-binding venue. New Mexico would be the venue on allnon-compete contracts for health care providers.

7. SB152 - Amend the Medical Practice Act to allow theNMMB to establish a special licensure fee of $100 to beused for loan forgiveness for physicians practicing in ruralareas to help recruit and retain physicians to New Mexico.

8. HB11 - Mandate health insurance benefits to coverthe cost of coronary artery calcium scans for atherosclero-sis screening.

9. HB260, SB180 - Expand the definition of "biologicalproduct" to include biosimilars and enable pharmacists tosubstitute them for brand name biologic medicines.

10. HB228, HB263 - Allow terminally-ill patientsaccess to investigational treatments that have passedbasic safety testing (Phase I) with the FDA, but are not yetavailable on pharmacy shelves.

11. HB171 - Allow physician-assisted suicide. 12. SB319 - Prohibit sale of E-cigarettes to anyone

under the age of 21.13. HB313 - Allow provider and carrier to negotiate

reimbursement rate for "surprise bills" for healthcare services received out of network for non-emergencytreatment.

Legislative updates are sent weekly to membership via "YourVoice For Medicine" and are posted online at www.nmms.org.

As reported in October, NMMS was awarded a grant fromthe AMA Scope of Practice Partnership which was used todevelop a media campaign that includes a website, broad-cast advertising, and targeted online digital advertising forScope of Practice issues at the legislature. The response tothe tv ads, digital marketing, and requests for action via"Your Voice For Medicine" has been phenomenal and reallymade an impact on legislators and improved their under-standing of the complexity and urgency surrounding billsimpacting Medicine in the state. Thank you for your on-going support and participation.

Full council Minutes are posted on line at www.nmms.organd by request from [email protected].

even stronger voice. I've chaired a Reference Committee, andthe AMA's very first committee on health information technol-ogy. I was honored by the Speaker of the House in beingappointed to the Committee to Select the Public Member ofthe AMA Board, which I currently chair. I was recently select-ed as an officer of the AMA Forum for Medical Affairs. I authorthe AMA Reports for NMMS, and strive to keep physiciansinformed. I'm especially proud of my work in supporting ourmedical students and encouraging their involvement. I wouldbe honored to continue as one of your Delegates.

Jose Avitia MDEmployed, Full time, Oncology

It has been an honor to serve as the YoungPhysician Delegate for the AMA for 2016. Itwould be a privilege to continue to be a voicefor the many issues that impact healthcare inour state and country. I have learned of theimportance of the role of physicians in shap-ing policy in the YPS/NMMS. As a practicing

oncologist in urban and rural communities I will continue toadvocate for the unique needs of patients and physicians inthese areas. In this ever-changing climate of policy changes inhealthcare, I want to contribute to the solutions for patientsand providers. It has been a humbling learning experience inmy first year in the YPS/NMMS and hope to continue mygrowth in organized medicine at the local and national levelfor years to come.

Young Physician Section, AMA:

New Mexico Medical SocietyCorporate Sponsors

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For information on how to become a sponsor of NMMSand marketing benefits, please contact Annie Jung at

[email protected] or (505) 796-3433.



CouncilMay 18, 2017

August 19, 2017October 14, 2017

Legislative SessionJanuary 17, 2017 - March 18, 2017

Annual Meeting and House of DelegatesMay 19-20, 2017

Save the Date!

WelcomeNew Members

Chaves CountyPeter Jewell MD

Doña Ana County Peter Seipel MD

Greater Albuquerque Medical Association

Paras Molhorta MD

Lea CountyMuhammad Khawaja MD

Los AlamosTimothy Rolle MD

McKinley CountyMital Patel MD

Santa FeJohn Bowden MDPhilip Meyers MD

SocorroSudha Pravinkumar MD

Members Out-of-StateCharity Hope MD, California

Ralph Paone MD, Texas

ClassifiedNMMS accepts classified advertising at no chargefor NMMS members. Non-members $25/25 words.

BEAUTIFUL TAOS, NM — Physician, physician assistant andnurse practitioner wanted. Join our busy, well-established, fullservice Family Practice group, outpatient/call (phone callsonly/no OB). Serious inquiries, call Tim at 575-758-3005 [email protected]

BEAUTIFUL LOS ALAMOS, NM — Medical Associates is abusy private physician's office. We are interested in adding aFamily Medicine/Primary Care provider to our growing practice.We currently have a staff of 17 Physicians and AdvancedPractitioners. Highlights of what our practice and communitycan offer you and your family includes: Live and play in themountains of New Mexico. We live where most people can onlyvacation. Incredible summer activities and world class skiresorts surround us. Best of both worlds- - Vibrant culturalactivities or laid back country living-Your choice. Feel secure byjoining one of the most established and reputable practices inour region schedule. Our practice offers: Family and InternalMedicine, Cardiology, Endocrinology and Nephrology services.We enjoy above average reimbursements with our income lev-els matching. Salary guarantee offered during the first 12months as you build your patient volume. We would like toshare more details about our new practice opportunity if youfeel you are interested in our location. Feel free to call us at(505) 661-8973 or email us at [email protected].

In MemoriamJohn H. Walker MD

August 23, 1923 - November 10, 2016General Practice, Pathology

Albuquerque, NM

John Senyszyn MDOctober 12, 1939 - December, 31, 2016

Radiation OncologyLas Cruces, NM

Jerry Dewayne McLaughlin II MDNovember 22, 1964 - January 20, 2017

Obstetrics & GynecologyLongview, TX

NMMS President 2009-2010

John M. Casebolt MDOctober 11, 1929 - February 2, 2017

Pediatrics, Family and Allergy MedicineLincoln, NE





Question CorralMember phone calls to the office provide insight to the hot issues affecting medical practices in New Mexico. This venue will be used to air the answers (or at least the latest news) on memberquestions. If you have your own question you'd like addressed, please email Annie Jung at [email protected] give her a call at the office (505) 796-3433.

Q: Can pharmacists prescribe in NM? If so, what?

A: Pharmacists in NM can prescribe under Pharmacy Boardprotocols that have been allowed by law and specific rules.In New Mexico, pharmacists can become certified to:• Administer vaccinations to individuals of all ages.• Perform tuberculin skin testing.• Prescribe medications for emergency contraception and

tobacco cessation as well as naloxone to treat opiateoverdoses.

• Prescribe hormonal contraceptives (approved byMedical Board in November 2016. Pharmacy board willadopt the final rule. NMMS took a neutral position, hav-ing received comments pro and con equally on theexpanded ability to prescribe.)

Each year, UNM has a "Certification Day" in which fourth-year PharmD students can participate in training programsto become certified in any of the above activities.

Pharmacist Clinicians: New Mexico is one of only four statesin which pharmacists with advanced training have prescrip-tive authority under collaborative drug management proto-cols. Since 1993, the state of New Mexico has recognizedadvanced pharmacist providers, known as pharmacist clini-cians. Based on state statute and regulations, pharmacistsseeking to become pharmacists clinicians in New Mexicomust provide proof of completion of 60 hours of boardapproved physical assessment course work followed by a150-hour, 300-patient-contact preceptorship supervised bya physician or other practitioner with prescriptive authority.

The scope of practice for the Clinical pharmacist setsforth:"Pharmacist clinician" means a pharmacist with addi-tional training required by regulations adopted by the boardin consultation with the New Mexico medical board and theNew Mexico academy of physician assistants, who exercis-es prescriptive authority in accordance with guidelines orprotocol.

Rules for pharmacist prescribing: http://164.64.110.239/nmac/parts/title16/16.019.0026.htm

???

The Medical Board has adopted rules regarding the super-vising physician's role: http://www.nmmb.state.nm.us/docs/rules/NMAC16.10.11_PharmacistClinicians.pdf

Q: Why are Medicaid payers in NM no longer will-ing to pay for nurse advice calls to the Nurse AdviceLine? The different centennial programs andstraight Medicaid had paid for this service in thepast, but will no longer be paying for the serviceafter 12/31/2016. Because of NM Medicaid payersno longer supporting this service, the NM Nurseadvice line can no longer pay for itself and will nolonger be available to the Medicaid patients in ourstate. This puts the burden of taking all after hourcalls on the physicians to either take the calls them-selves or pay for another nurse advice service.

A: Two of 4 the Medicaid MCOs participated with the NMNAL prior to Centennial Care. Centennial Care requiredeach MCO to have a NAL but did not mandate contractingwith the NM NAL since some of the MCOs leverage theirnational NALs. It makes better sense for the MCOs to haveinternal NALs since they are able to immediately accesspatient records while on the phone and better coordinatecare and referrals. The MCOs continue to pay NM NAL permember when members call the NM NAL instead of theirinternal NALs, but that isn't going to sustain them. NMHSDhas encouraged the NM NAL to diversify and seek otherfunding streams such as hospitals, after hour physicians,etc. HSD will not mandate that the MCOs contract with NMNAL. Medicaid financing must be tied back to a member-soMedicaid has been contributing its fair share for calls whenattributed to a Medicaid member.

Centennial Care MCO Nurse Advise Line numbers are:BCBS 800-973-6329Molina 800-275-8750Pres 888-730-2300United 877-488-7038

[Thank you to Nancy Smith-Leslie, Director, MedicalAssistance Division/HSD, (505) 827-7704 ,[email protected]]



Members inthe NewsCordelia Sever MD, FCAP has received the CAPPathology Advancement Award from the College ofAmerican Pathologists. Dr. Sever received the award inrecognition of her ability to adapt to new changes in pathol-ogy and the challenges that come with them. She is the vicepresident and director of clinical pathology at PathologyAssociates of Albuquerque, the medical director of thePresbyterian Hospital Laboratory and Presbyterian BranchLabs, and the co-medical director of the clinical laboratory atTricore Reference Labs. Dr. Sever is past president ofGreater Albuquerque Medical Association and a member ofthe NMMS CME committee. She has been a member ofNMMS since 1993.

Albert Kwan MD, FACS will become President of theOrganization of State Medical Association Presidents inJune at the American Medical Association annual meeting inChicago for a one year term. Dr. Kwan is a past - Presidentof NMMS (2007-2008) and has been a member since 1994.

The New Mexico Medical Society has accreditedthe following organizations/ associations to

present continuing medical education programs.

Christus St. Vincent Medical CenterSanta Fe, NMKaren Ebler • 505-913-5597

Gila Regional Medical CenterSilver City, NMBrianna Romo • 575-538-4075

Greater Albuquerque Medical AssociationAlbuquerque, NMJennifer Valenti • 505-821-4583

HealthInsight New MexicoAlbuquerque, NMEdy Taylor • 505-998-9760

Lea Regional Medical CenterHobbs, NMLisa Thompson • 575-492-5639

Lovelace Health SystemsAlbuquerque NMEva Riggs • 505-727-8288

Memorial Medical CenterLas Cruces, NMJoy Tibbs • 575-521-5348

Presbyterian Healthcare ServicesAlbuquerque, NMDeborah Ladmirault • 505-841-1943

Rehoboth McKinley Christian HealthCare ServicesGallup, NMNiles McCall • 505-863-7333

PRESORTED STD

U.S. POSTAGE

P A I DALBUQUERQUE, NM

PERMIT NO. 1888

316 Osuna Rd NE, Suite 501Albuquerque, New Mexico 87107(505) 828-0237 • (800) 748-1596www.nmms.org

Continuing Medical Educationcme

AMA Therapeutic Insights – On-Line CME Courseshttp://www.ama-assn.org/ama/pub/education-careers/continuing-medical-education/cme-credit-offerings/therapeutic-insights.page

• Painful Diabetic Neuropathy

March 16-17, 2017"Breathing Better Together" Asthma Educator Institute 2017Presbyterian Rev. Hugh Cooper Administrative Center, 9521 San Mateo Boulevard NE,Albuquerque, NM 87113Register on-line: http://action.lung.org/Albuquerque-AEIFor more information contact: Kathleen Moseley, 505-265-0732, or [email protected]

March 16-18, 20173rd Annual Spring Cactus Cancer Conference: Update on Melanoma,Integrative Oncology and Lung CancerJW Marriott Scottsdale Camelback Inn Resort & Spa in Scottsdale, AZFor more information, please visit www.cceinc.org or email Nancy Robinson [email protected]

March 17 - March 19, 2017Mayo Clinic Headache Symposium 2017The Fairmont Scottsdale Princess, Scottsdale, AZRegister: https://ce.mayo.edu/neurology-and-neurologic-surgery

April 6 - April 8, 20174th Annual Southwest Laryngology Conference: Focus on Complex CasesMayo Clinic Education Center, Phoenix, AZRegister: https://ce.mayo.edu/otorhinolaryngologyor call (480) 301-8000

April 6 - April 9, 20172017 Multidisciplinary Update in Pulmonary & Critical Care MedicineJW Marriott at Desert Ridge Resort & Spa, Phoenix, AZRegister: https://ce.mayo.edu/pulmonary-medicine

May 19, 2017Bio-Tech Technology Update for the PractitionerNew Mexico Medical Society 131st Annual Meeting316 Osuna Road NE, Suite 501, Albuquerque, NMContact: [email protected], [email protected], or call (505) 828-0237

Documents

NMMS Council and Legislative News...HB228, HB263 - Allow terminally-ill patients access to investigational treatments that have passed basic safety testing (Phase I) with the FDA,