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• Ensure boards have more than one pathway to assess competency of practicing physicians;


• Oppose the use of MOC exams for economic credentialing;


• Prevent ABMS-member boards from trying to restrict the legiti- mate scope of practice of board- certified physicians;


“I’ve taken three courses in ICD-10, and I still don’t get it.”


• Ensure that physicians are clearly informed of MOC timelines and due dates;


• Ask the Interstate Medical Licen- sure Compact commission to clar- ify that the intent of the compact’s model legislation requiring that a physician “holds” specialty certifi- cation refers only to initial certifi- cation and not to MOC.


On the related, and equally con-


troversial, issue of maintenance of licensure (MOL), the delegates set strict guidelines for any state MOL program, saying it must be physician- led, evidence-based, specialty-specific, simple, and flexible.


TEXANS, TEXAS IDEAS TRIUMPH With an uncontested race, the out- come was all but certain, but the cel- ebration was real. After a four-year stint in the No. 2


spot, Fort Worth allergist Sue Bai- ley, MD, won election as speaker of the AMA House of Delegates. She moved up one notch after the previ- ous speaker — Andrew Gurman, MD, of Pennsylvania — was chosen AMA president-elect. “I love this house, and I love this


organization,” Dr. Bailey, a former TMA president, said after the del- egates elected her by acclamation. “I look forward to continuing our robust work to improve the health of our na- tion together.” David Henkes, MD, of San Anto- nio, chair of the Texas Delegation to


+ 16 TEXAS MEDICINE August 2015


the AMA, placed Dr. Bailey’s name in nomination. “Sue Bailey is a good person, a nice person, a wise person, and a wonderful mentor,” Dr. Henkes said. “I guarantee you, the physicians of Texas would follow wherever she leads — and this house would be well- advised to do the same.” Meanwhile, three of the four pol-


icy proposals the Texas delegation brought to Chicago won approval from the house. They are:


• A statement that residents and fel- lows should not be financially re- sponsible for their training;


• A call for AMA to advocate real- time notification to physicians when patients on COBRA plans are within their 30- or 45-day grace periods; and


• A TMA Medical Student Section proposal that AMA back plans to promote “safe exits” from prostitu- tion rather than criminalization.


A fourth Texas resolution that


called for the elimination of penalties for noncompliance with Medicare’s meaningful use criteria for electronic health records (EHRs) was referred for further study, along with several other proposals to reduce EHR has- sles for physicians.


OTHER ISSUES MERIT ACTION Delegates addressed various other economic, legislative, and organiza- tional topics. The house:


• Welcomed Steven Stack, MD, a 43-year-old emergency medicine physician from Kentucky, as the association’s 170th — and youngest — president.


• Directed AMA to advocate to elim- inate the “three-day rule” — the three-day hospital inpatient re- quirement for Medicare coverage


Renew your controlled substances registration permit: www.tmb.state.tx.us/page/licensing.


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