Meeting:PUBLIC HEALTH COMMISSION

Date:3-08-15

Members Present: Heather Paladine, Maggie Carpenter, Margarita DeFedericis, Scott Hartman, Ray Harvey, Emily Holt, Mark Krotowski, Carrie Pierce, Linda Prine, Brian Ross, Wayne Strouse, Ron Rouse

Agenda Item / Discussion / Action (assigned to)
1 / Behavioral Health / Discussed development of an office visit protocol for screening and providing brief intervention to people who engage in risky behavior regarding alcohol and drugs. Reviewed results of a Member survey in which 128 responded. The State OASAS will offer free training on SBIRT (screening, brief intervention, and referral to treatment). How do we keep doctors interested in using an office visit protocol and our other office visit protocols (weight loss, tobacco cessation)? Consider working with Education Commission for CME, remind people in “Family Doctor,” have speakers at Winter Weekend, regional conferences.
Resolution – Methadone Medical Assistance. Clarify if the State or Federal government is the entity to determine the number of methadone slots. Also, add more evidence on the need for more slots.
Resolution - Teaching Addiction Medicine in Family Residencies. Some residency programs may not have faculty. Faculty feel they are overwhelmed now with teaching requirements. Perhaps encourage programs to offer, not mandate, addiction medicine track for residents. Could make the curriculum part of the STFM Core Curriculum, but we would have to develop it for them. Could simply expose Residents to addiction medicine. Strengthen the background of the resolution.
Resolution - Methadone as Preferred Drug. Prior authorization language should be clearer. Add more background. How do we advocate removal of methadone as a preferred drug on all state Medicaid formularies? Perhaps delete second resolve.
A huge problem exists with a lack of substance abuse services in jails and prisons. / Work on SBIRT office visit protocol and send information to doctors on becoming certified for billing for SBIRT services. (Rouse)
Refine resolution as requested by Commission (Harvey)
Refine resolution as requested by Commission (Harvey)
Refine resolution as requested by Commission (Harvey)
Work on a resolution (Harvey, Rouse)
2 / Single Payer Update / We need to advocate single payer more strongly in MSSNY. Could do this by joining MSSNY or becoming a delegate to its COD. Re-write last year’s resolution to make it more general and not focus on a specific bill.
AAFP has a single payer interest group, and NYSAFP members need to join it. / Determine if we could target certain counties for membership to MSSNY COD. (Strouse)
Send information on how to join to PHC members (Paladine)
3 / Draft Resolutions / Global Warming - Change title to “Climate Change.”
1st Whereas - change “costal” to “coastal.”
Add a Whereas – add more information on impact of climate change on public health.
5th Whereas – add comma after first “public.”
2nd Resolve - delete second sentence, which lists too many examples that may trigger distracting arguments; italso excludes certain examples, which also could trigger arguments.
3rd Resolve – do not need the separate resolution for AAFP.
Nuclear Disarmament – change Nuclear Warheads” to “Nuclear Disarmament.”
4th Whereas, last sentence, change “even is” to “even if.”
2nd resolve … should communicate to the NYS Chapter, and be clearer that we are communicating our support regarding nuclear disarmament.
Immunization Exemptions–in Resolved, add at the end “for NYSDOH core vaccines.” Doctors must support the concept of no exemptions because if they don’t, then who will?
2nd Whereas add “medical” before “exemption.”
3rd Whereas – change “other “ to “non-medical.”
Decrease the Adverse Impact of Baby Formula Marketing on Breastfeeding Rates – delete 2nd resolve.
Promote Transparency in Medical Education and Access to Training–add minor revisions, including a reference to the FREIDA data base.
Support Placement and Coverage of Long-Acting Reversible Contraceptives in the Early Postpartum Period –no edits or changes.
Oppose the Drug Testing of Pregnant Women–add “Mandatory” to the title. / Refine resolution as requested by Commission (Klepack)
Refine resolution as requested by Commission (Klepack)
Refine resolution as requested by Commission (Klepack)
Refine resolution as requested by Commission (Holt)
Refine resolution as requested by Commission (Prine)
No Refinements requested by Commission (Prine)
Refine resolution as requested by Commission (Prine)
3 / Resolutions (con’t) / Masks for TB – the State DoH should purchase them given their expense.
Legalization of Marijuana
1st Whereas - delete
Add a Whereas that substance abuse treatment is underfunded and requires additional funding.
3rd Resolve - insert a specific number regarding the percentage of tax funds, eg, 10%, that should be used for substance abuse treatment.
Add in minimum age. / Develop resolution as requested by Commission (DeFedericis)
Refine resolution as requested by Commission (Paladine)
Next meeting – Weekend of August 8-9, 2015