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State Component Open Forum: Federal and State Affairs Update - Shared screen with speaker view
Kevin Kruse
35:13
Should we, as states, submit a comment letter and if so, do you have talking points that we can use?
Sydney Moulton
36:38
From Indiana - we have a state law but it's indeterminate if there's a specified payment method or rate. Will the federal rule determine if a state has a specified law or not?
Leopoldo Rodriguez MD MBA FASA
37:18
Leo Rodriguez MD (President FSA) sorry for being late.
Kraig de Lanzac
39:07
What is AMA doing about the issue and I assume they are working with us? I know the ortho’s are quite upset as well.
Randall Clark
40:01
This article has some of the thinking behind those who support the unacceptable interim final rule, including comments from our old friend Loren Adler. https://khn.org/news/article/surprise-billing-rule-puts-a-thumb-on-the-scale-to-keep-arbitrated-costs-in-check/
Kraig de Lanzac
40:27
Exactly what I was alluding to as I heard AMA was considering litigation
Kraig de Lanzac
46:46
Thank you to all of the state components and members who jumped into action on this latest VA challenge. Please keep it up.
Adamina Podraza
51:22
ROctober 14, 2021Ms. Adamina Podraza6121 Glenbrook LnLa Grange, WA 60525Dear Ms. Podraza:Thank you for contacting me about anesthesia care at the Department of Veterans Affairs (VA) medical centers. I appreciate hearing from you and share your support for ensuring our veterans receive the best possible care.In April of 2020, the office of then-VA Under Secretary of Health Richard Stone released a memo that granted full practice authority for Certified Registered Nurse Anesthetists (CRNAs). CRNAs are responsible for providing anesthesia in a wide range of surgical situations and are frequently the sole anesthesia providers in rural hospitals. Overwhelming evidence shows that CRNA full practice authority is not only safe but incredibly cost-effective. Fully utilizing CRNAs allows the VA to be leaner, more effective, and more accountable while saving taxpayers and eliminating overly burdensome regulations.As someone dedicated to improving veterans' access to care, I
Adamina Podraza
52:05
As someone dedicated to improving veterans' access to care, I believe granting CRNAs full practice authority will improve patient outcomes while lessening the administrative burden to the VA. Full practice authority for CRNAs has been recommended by numerous groups, including the Bipartisan Commission on Care, the VA's 2015 Independent Assessment, and several Veterans Service Organizations. As the Independent Assessment noted, access to care has been delayed due to a lack of anesthesia care. This has caused increased wait times for critical health services for veterans, such as cardiovascular surgery. Granting CRNAs full practice authority is a step toward providing the best possible care for our veterans.Ensuring our veterans have access to safe and timely care is one of my highest priorities. I will keep your concerns in mind should the Senate consider anesthesia care at the VA. Thank you again for contacting me. Please feel free to keep in touch.Sincerely,
Brooke Trainer, MD, FASA
52:05
can asa help with the template for the state component societies, or should they be more personalized?
Adamina Podraza
52:26
This sent to il by our senator
Brooke Trainer, MD, FASA
55:12
De Podraza, asa needs to have a conversation with your senator.. who is your senator? she is absolutely ill informed. Even VAs own administration data and reporting does not report any access to care issues
Adamina Podraza
55:57
Durbin
Nora Matus (Anesthesiologists)
57:20
Dr. Podraza, we are aware of Senator Durbin's response and are working to re-engage him on this issue.
Kraig de Lanzac
58:13
Agree with Brooke. Obviously the Senator is getting bad info and is ill-informed by their staff. Thank you for reaching out to your Senator in the first place. Let’s keep working
Nora Matus (Anesthesiologists)
01:06:13
Would also flag the physician candidate school that ASA is co-convening on November 5th. https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/10/save-the-date-12th-annual-specialty-physician-and-dentist-candidate-workshop
Kevin Kruse
01:06:24
Any action on the state level for CRNAs to change to Anesthesiologists?
Randall Clark
01:09:39
We intend to respond vigorously to any misuse of medical titles in the states, especially after the AANA name change. If you learn of a planned action in statute or regulation in your state, please immediately let Jason Hansen, Manuel Bonilla, or me know.