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New York State Academy of Family Physicians

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Title: New York State Academy of Family Physicians


1
New York State Academy of Family Physicians
  • Membership Packet

2
FROM THE PRESIDENT…….
  • I am pleased to provide you with this information
    packet designed to give you up-to-date
    information on Academy programs and activities.
    I hope you will read through the packet so that
    you will have an overview of what the NYSAFP has
    to offer and what it does on your behalf.
  • In order for any association to be successful, it
    must rely on its members. We need your ideas,
    input and support to meet our goal of addressing
    and serving your needs as a family physician.
    Through this packet, I hope you will take
    advantage of learning more about the NYSAFP and
    will participate according to your interests and
    the time you can commit.
  • We are faced with many challenges today, from
    scope of practice issues to reimbursement issues
    to how best to tell the public what we do. I
    believe the NYSAFP is doing a good job, but we
    can be better, and we want to do the best for you
    and our specialty.
  • Please contact the NYSAFP office if you have
    questions on programs or activities. We value
    your comments and suggestions.
  • Sincerely,
  • Marianne LaBarbera, MD
  • President

3
THE NEW YORK STATE ACADEMY OF FAMILY PHYSICANS…..
  • The New York State Academy of Family Physicians
    is a State association of doctors
  • who are engaged in family practice. The Academy
    with a membership of over 4,000 has
  • county chapters in most of the New York State
    Counties.
  • The NYSAFP was established in 1947 and is the
    second largest medical association in
  • this State and the largest medical specialty
    association.
  • Membership requirements in the Academy are listed
    in the Constitution Bylaws. A
  • copy of this booklet is available through the
    NYSAFP office.
  • The AAFP became the first medical association to
    require continuing medical education
  • of its Active members, 150 hours every three
    years, creating a pattern that is now being
  • emulated by various national and state
    organizations.
  • The Academy is a nonprofit association. Income
    is produced from members dues and
  • conferences held throughout the year. A
    newsletter is produced monthly, except for July
  • August, and is emailed or mailed to the
    membership.

4
NYSAFP Staff……
  • Vito Grasso, MFP, CAE
  • Executive Vice President
  • vito_at_nysafp.org
  • Patricia Poklemba
  • Director of Education Information
  • pat_at_nysafp.org
  • Bobbi Markowitz
  • Administrative Assistant
  • bobbi_at_nysafp.org
  • Ken Scallon
  • Director of Finance
  • ken_at_nysafp.org
  • Ronald Rouse
  • Consultant
  • 518674-8465
  • rrouse2272_at_aol.com
  • Bob Reid Steve Weingarten
  • Weingarten Reid
  • 1 Commerce Plaza, Suite 1103
  • Albany, NY 12210
  • BobR_at_lobbywr.com or SteveW_at_lobbywr.com

NYSAFP 260 Osborne Road Albany, NY
12211 518-489-8945 or 800-822-0700 Fax
518-489-8961
5
LOCAL COUNTY CHAPTERS…..
There are presently 33 local county chapters of
the New York State Academy of Family Physicians.
Because we believe involvement of members from
their local areas is imperative to our Academy,
NYSAFP officers will be happy to meet with
representatives of local chapters to assist those
chapters which have not been active in recent
years. Please contact the NYSAFP office to set
up a meeting. The following list notes the
county chapters throughout the state. If you
have questions on the level of activity of your
local chapter or what county chapter you should
be involved in please contact the NYSAFP office.
  • Nassau County Chapter
  • New York City County Chapter
  • Niagara County Chapter
  • Oneida County Chapter
  • Onondaga County Chapter
  • Ontario County Chapter
  • Oswego County Chapter
  • Queens County Chapter
  • Rensselaer County Chapter
  • Richmond County Chapter
  • Rochester County Chapter

Rockland County Chapter St. Lawrence County
Chapter Saratoga Springs County
Chapter Schenectady County Chapter Seneca County
Chapter Southern Tier County Chapter Suffolk
County Chapter Sullivan County Chapter Tompkins
County Chapter Warren-Washington County
Chapter Wayne County Chapter
  • Albany County Chapter
  • Bronx-Westchester Chapter
  • Central Mohawk Valley Chapter
  • Chautauqua Chapter
  • Clinton County Chapter
  • Columbia County Chapter
  • Dutchess County Chapter
  • Erie County Chapter
  • Fulton County Chapter
  • Kings County Chapter
  • Lewis County Chapter

6
NYSAFP MISSION STATEMENT…….
  • To advance the science and art of medicine for
    the betterment of the health and well being of
    our patients and to reserve the patients right
    of free choice of physicians.
  • To establish an organization of family physicians
    to advance and maintain high standards of the
    family practice of medicine and surgery.
  • To encourage and assist physicians and students
    to enter the specialty of family practice by
    supporting and training in the specialty of
    family practice.
  • To encourage and assist physicians in preparing,
    qualifying and establishing themselves in family
    practice.
  • To encourage and assist physicians in
    certification and recertification by the American
    Board of Family Practice.
  • To preserve the rights and privileges of Family
    Physicians and to encourage and assist them to
    engage in medical and surgical procedures for
    which they are qualified by training.
  • To assist in developing and promoting quality
    continuing medical education courses for family
    physicians and to encourage and assist family
    physicians in participating in such education.

7
NYSAFP COMMISSION INFORMATION…
  • Commission on Family Practice Advocacy
  • Chaired by Philip Kaplan, MD, this commission is
    responsible for monitoring
  • governmental and legislative developments, and
    their impact on Family Medicine and
  • Family Physicians.  The commission advocates for
    Family Physicians on issues that
  • affect them in their professional lives.  In the
    past year, the commission has worked with
  • our lobbyists, coordinated the Health Policy
    Conference, and lobbied in Albany several
  • times, meeting with legislators and key
    legislative staff.
  •  Commission on Education
  • Chaired by Mark Josefski, MD, this commission is
    responsible for developing policy
  • recommendations and programs to support the
    education of the next generation of
  • Family Physicians.  In the past year, it has
    developed programs and mechanisms to
  • recruit and support volunteers to teach medical
    students and residents.  The
  • commission also supports student and resident
    member activities and participation in
  • the Academy, including programs at the Scientific
    Assembly, Winter Weekend and
  • National Congress of Resident and Student
    Members.  The commission also serves as
  • the selection committee for several awards,
    including research externships, high school
  • and college scholarships, resident awards and the
    Family Practice Educator of the Year.

8
NYSAFP COMMISSION INFORMATION…
  • Commission on Leadership Development
  • Chaired by Larry Novak, MD, this commission's
    mission is to
  • nurture and support leadership training of Family
    Physicians and to encourage
  • diversity in Academy leadership.  Its current
    goals are
  •  1. To ensure that officers and directors reflect
    the demographics of Academy membership
  • 2. To train leaders to run an efficient
    organization that is able to respond rapidly to
    member needs and interests.
  • 3. To communicate with all members of the Academy
    so they can easily understand Academy operations.
  • Commission on Membership and Member Services
  • Chaired by Wendy VanBellingham, MD this
    commission is responsible for
  • recruiting and retaining members making
    recommendations regarding new and
  • existing member services, and coordinating the
    annual Congress of Delegates.

9
NYSAFP COMMISSION INFORMATION…
  •  Commission on Operations
  • Chaired by Maggie Blackburn, MD this commission
    is responsible for finances,
  • personnel, headquarters operations and governance
    issues.  This commission
  • develops and monitors the budget, reviews leases
    and contracts and develops bylaws
  • amendments.
  •  Commission on Public Health
  • Chaired by Norm Wetterau, MD, this commission has
    three broad areas of action
  • Education of the public to ensure health.
  • Policy development to promulgate public health
    measures.
  • Widening access to care for special populations
    such as the aging, children, and those in
    underserved areas.
  • Specifically, the commission has worked on
    vehicular safety the Health Care Reform
  • Act tobacco and other substance use HIV and
    needle exchange pharmaceutical
  • company relationships and ethics in research. 
    Many of these are topics of ongoing
  • activities of the commission.  The commission
    will continue to pursue appropriate
  • measures as Academy members raise new topics
    relating to health care.

10
CME REQUIREMENTS …….
  • Benefits of Reporting Your CME
  • Review of your CME record is necessary to
    determine your eligibility for re-election to
    active
  • membership every three years. In addition,
    although CME requirements of the AAFP and many
  • other organizations are not equivalent, reporting
    your CME to AAFP in a timely manner will help
  • you in the following ways
  • Active members due for ABFP recertification need
    not report CME to the ABFP if they have been
    Active AAFP members for at least five years,
    re-election has occurred within the preceding
    three years and sufficient CME (as defined by the
    ABFP) has been reported to AAFP since the last
    re-election.
  • You will be assured of a timely computer record
    from AAFP which will assist you in reporting your
    CME to other organizations.
  • CME Requirements for Re-Election to AAFP
    Membership
  • Active members must accrue at least 150 hours of
    AAFP Prescribed Elective credit within each
  • three-year reporting period, of which
  • at least 75 must be AAFP Prescribed credit
  • at least 25 are from group learning activities
  • not more than 25 are from enrichment activities
  • not more than 30 are from presentation or
    publication of an original scientific or
    socioeconomic paper pertaining to medical care at
    AAFP, constituent chapter or other medical
    society level
  • not more that 45 are from publication in a state
    or national refereed journal of original
    scientific or socioeconomic research pertaining
    to patient care, public or community health
  • not more that 15 are from preparation and
    presentation at AAFP or constituent chapter level
    of a scientific medical exhibit.
  • Active members are due for re-election every
    three years on December 31st, based on your
    active
  • member enrollment date. Your current re-election
    period is noted on the AAFP CME printout below
  • your address.

11
CME REQUIREMENTS …….
  • Definitions of AAFP Prescribed and Elective
    Credit
  • Prescribed credit indicates programs have
    received prior approval from the
  • AAFP and have family physician input to ensure
    relevance to family practice.
  • (The AMA accepts AAFP Prescribed credit as
    equivalent to AMA Category 1
  • credit for the Physician Recognition Award).
    Programs approved by the AAFP
  • but sponsored by an institution accredited by the
    ACCME for AMA Category 1
  • credit are automatically acceptable as AAFP
    Elective credit.
  • Programs not accredited by the AAFP or ACCME are
    enrichment activities, you
  • are limited to 25 credits during the three years.
  • Please Remember…..
  • It is your responsibility to report your CME to
    the AAFP.
  • All but 25 of your required hours can be obtained
    from self-learning activities.
  • Submitting the quiz cards from American Family
    Physicians and Family
  • Practice Management each month will also fulfill
    your Prescribed credit
  • requirements.

12
ACTIONS OF THE CONGRESS OF DELEGATES NEW YORK
STATE ACADEMY OF FAMILY PHYSICIANS 57th ANNUAL
CONGRESS OF DELEGATES JUNE 4 - 5, 2005 DESMOND
HOTEL, ALBANY, NY
  • ELECTION OF OFFICERS
  • PRESIDENT MARIANNE LABARBERA,
    MD
  • PRESIDENT-ELECT MAGGIE BLACKBURN, MD
  • VICE PRESIDENT GEORGE DUNN, MD
  • SECRETARY MARK KROTOWSKI , MD
  • TREASURER S. RAMALINGAM, MD
  • CHAIR OF BOARD MARK JOSEFSKI, MD
  • DIRECTOR MICHAEL KERNAN, MD
  • DIRECTOR STEPHEN OFFORD, MD
  • DIRECTOR LINDA PRINE, MD
  • DELEGATE TO AAFP MAGGIE BLACKBURN, MD
  • ALTERNATE DELEGATE TO AAFP JOSE JUN DAVID,
    MD
  • SPEAKER, CONGRESS OF DELEGATES WENDY
    VANBELLINGHAM, MD
  • VICE SPEAKER, CONG. OF DELEGATES JAMES
    GREENWALD, MD
  • DELEGATE TO MSSNY NEIL NEPOLA, MD
  • RESIDENT REP. TO BOARD BINDU NINAN, MD
  • ALT. RESIDENT REP. TO BOARD ELIZABETH NATAL,
    MD
  • UPSTATE STUDENT REP. TO BOARD TBD
  • DOWNSTATE STUDENT REP. TO BOARD TBD

13
ACTIONS OF THE CONGRESS OF DELEGATES………
  • Dr. Larry Fields, President-Elect of the AAFP
    welcomed the members of the
  • NYSAFP Congress and gave a brief update regarding
    what is going on at the
  • AAFP regarding the Future of Family Medicine
    Project.
  • He also advised the Congress regarding a
    Strategic Plan nationally that is aligned with
  • the Future of Family Medicine Project and aligned
    with the AAFPs budget. He reported
  • that the Practice Resource Center has been
    established as an independent national
  • project, with its own Board of Directors and two
    functions
  • validate the new model of family medicine
  • provide to all members a turn key operation to
    institute part or all of the new model of Family
    Medicine in your practices at a reasonable cost.
  • He said a Strike Force on Physician Payment,
    chaired by Dr. Mary Frank, has been
  • created. This group is looking at solutions to
    problems of payment in order to get us
  • from where we are today to where we must be in
    the future.
  • A Strike Force on Medical Liability, which he
    is chairing will work towards achieving
  • affordable quality accessible medical care
    provided by well trained, well paid Family
  • Physicians who are free from the constraints of a
    tort system that causes us to practice
  • unnecessarily expensive defensive medicine.

14
ACTIONS OF THE CONGRESS OF DELEGATES………
  • REPORT OF THE REFERENCE COMMITTEE ON OPERATIONS
  • The Committee wishes to place on the CONSENT
    CALENDAR the following items
  • The Presidents Annual Report on pages 23-24 of
    the Delegates Handbook
  • The Secretarys Annual Report on page 25 of the
    Delegates Handbook
  • The Treasurers Annual Report on page 26 of the
    Delegates Handbook
  • The Executive Vice Presidents Annual Report on
    pages 27-30 of the Delegates Handbook
  • The Annual report of the Commission on Academy
    Operations on pages 33-34 of the
  • Delegates Handbook
  • The Annual Report of the Commission on Education
    on pages 37-39 of the Delegates
  • Handbook
  • The Annual Report of the Commission on Leadership
    Development Nominations on pages
  • 40-41 of the Delegates Handbook
  • The Annual Report of the Commission on Public
    Health on pages 44-48 of the Delegates
  • Handbook
  • The Annual Report of the Commission on Membership
    Member Services on pages 42-43
  • of the Delegates Handbook
  • The Annual Report of the NYSAFP Foundation, which
    can be found on pages 49-50 of the
  • Delegates Handbook.
  • There were questions regarding the Annual Report
    of the Commission on Education and the

15
ACTIONS OF THE CONGRESS OF DELEGATES………
  • The Committee considered Resolution 05-9
    Empower AAFP to Advocate More Effectively for
    the Private
  • Sector on pink paper and introduced by President
    Andrew Merritt.
  • RESOLVED, that the New York State Academy of
    Family Physicians (NYSAFP) recommends that the
  • AAFP Board of Directors implement the following
    actions
  • Establish a confidential national clearinghouse
    for collection of information regarding
    undesirable practices by healthcare insurers, to
    identify trends and support the development of
    effective policy.
  • 2. Establish a formal advocacy process to support
    any Family Physician who is threatened with
    restriction of his/her practice, reduction in
    compensation, termination, or exclusion from
    healthcare organizations.
  • 3. Report regularly to its members and leadership
    concerning its activities, and make public
    reports and comments regarding its findings as
    deemed necessary by the Academy.
  • 4. Cooperate with the American Medical
    Association and other state medical associations
    to promote practices by healthcare insurers and
    regulators to assure that quality-driven,
    efficient medicine can be practiced, with
    adequate reimbursement and without unnecessary
    office visits or procedures.
  • All testimony supported this resolution. The
    Committee recommends adoption of Resolution 05-9
    with the addition of the further resolve as
    accepted by the maker of the resolution.
  • BE IT FURTHER RESOLVED, that the NYSAFP present
    this resolution to the 2005 Congress of Delegates
  • of the AAFP. (And the following deletion
    (recommends that the AAFP Board of Directors
    implement) with
  • the substitute resolve reading RESOLVED, that
    the New York State Academy of Family Physicians

16
ACTIONS OF THE CONGRESS OF DELEGATES………
  • Resolution 05-9 should read as follows
  • RESOLVED, that the New York State Academy of
    Family Physicians (NYSAFP) supports the following
  • actions
  • 1. Establish a confidential national
    clearinghouse for collection of information
    regarding undesirable
  • practices by healthcare insurers, to identify
    trends and support the development of effective
    policy.
  • 2. Establish a formal advocacy process to support
    any Family Physician who is threatened with
    restriction
  • of his/her practice, reduction in compensation,
    termination, or exclusion
  • 3. Report regularly to its members and leadership
    concerning its activities, and make public
    reports and
  • comments regarding its findings as deemed
    necessary by the Academy.
  • 4. Cooperate with the American Medical
    Association and other state medical associations
    to promote
  • practices by healthcare insurers and regulators
    to assure that quality-driven, efficient medicine
    can be
  • practiced, with adequate reimbursement and
    without unnecessary office visits or procedures.
  • AND BE IT FURTHER RESOLVED, that the NYSAFP
    present this resolution to the
  • 2005 Congress of Delegates of the AAFP.

17
ACTIONS OF THE CONGRESS OF DELEGATES………
  • The Committee considered Resolution 05-10
    Promotion of Residency Training in Full Spectrum
  • Womens Health Care on pink paper and introduced
    by Linda Prine, MD, on behalf of the New York
  • County Chapter.
  • RESOLVED, that the New York State Academy of
    Family Physicians recommend that Family
  • Medicine Residency Programs provide residents
    with annual up-to-date lectures in evidence-based
  • contraception and pregnancy options counseling
    and be it further
  • RESOLVED, that the New York State Academy of
    Family Physicians recommend that Family
  • Medicine residencies adopt an opt out policy on
    abortion training. Training in medical
  • and surgical abortion would be included in
    residency curriculum, but residents may choose
  • not to participate if they are opposed to
    performing abortions.
  • Testimony was divided regarding this resolution.
    The Committee recommends that the
  • RESOLVED clauses be separated and acted upon
    individually, with the consent of the maker
  • of the resolution.
  • IT WAS AGREED TO VOTE ON EACH RESOLVE SEPARATELY

18
ACTIONS OF THE CONGRESS OF DELEGATES………
  • There was extensive discussion regarding the
    second RESOLVED clause. It was acknowledged that
  • abortion is a common procedure and that residents
    should have the opportunity, if they so desire,
    to
  • receive training in this commonly performed
    procedure. Since the majority of testimony was
    opposed to
  • an opt-out policy that would mandate that
    abortion training be part of the curriculum, we
    recommend a
  • substitute resolution.
  • RESOLVED, that the New York State Academy of
    Family Physicians recommends that Family Medicine
  • residencies in New York State include abortion
    training. Training in medical and surgical
    abortion should
  • be included in residency curriculum, but
    residents may individually choose not to
    participate.
  • After further discussion the above substitute
    resolution was changed to read as follows
  • RESOLVED, that the New York State Academy of
    Family Physicians recommends that Family Medicine
  • residencies make available, when possible,
    abortion training for those residents desiring
    it.
  • The Committee recommends the substitute
    resolution be adopted.
  • THE AMENDED SUBSTITUTE SECOND RESOLVE WAS
    APPROVED.
  • Resolution 05-10 was approved reading as follows
  • RESOLVED, that the New York State Academy of
    Family Physicians recommend that Family Medicine

19
ACTIONS OF THE CONGRESS OF DELEGATES………
  • The Committee considered Resolution 05-11
    Student Loan Interest Relief on pink paper
  • and introduced by Erika Lambert, MD.
  • RESOLVED, that the New York State Academy of
    Family Physicians (NYSAFP) advocate for
  • deduction of all student loan interest on New
    York State income taxes, regardless of income
  • level, and be it further
  • RESOLVED, that the NYSAFP request that the
    American Academy of Family Physicians
  • (AAFP) advocate for deduction of all student loan
    interest on federal income taxes,
  • regardless of income level, and be it finally
  • RESOLVED, that the NYSAFP request that the AAFP
    encourage legislation to support the
  • refinancing of both federal and private student
    loans.
  • Most of the testimony was in support of the
    resolution. There was discussion regarding an
  • amendment that would establish a debt-to-income
    ratio to determine who would be eligible
  • for the proposed tax benefit and that the
    proposed benefit should apply only to family
  • physicians. In its deliberations regarding the
    best way to amend the resolution the
  • Committee determined that the complexity of how
    to adequately define the class of potential
  • beneficiaries and how to structure a ratio was
    beyond the scope of the Committees ability.
  • The Committee determined that these issues could
    be addressed and resolved as the

20
ACTIONS OF THE CONGRESS OF DELEGATES………
  • However, the committee recommends substitution of
    the 1st two resolves and addition of a 4th
    resolve.
  • RESOLVED, that the NYSAFP advocate for
    deductibility of student loan interest, based on
    a fair and
  • reasonable student loan debt/income ration, on
    NYS income taxes and be it further
  • RESOLVED, that the NYSAFP request that the AAFP
    advocate for deductibility of student loan
    interest,
  • based on a fair and reasonable student loan
    debt/income ratio, on federal income taxes. and
    be it further
  • RESOLVED, that the NYSAFP request that the AAFP
    encourage legislation to support the refinancing
    of
  • Both federal and private student loans, and be it
    finally
  • RESOLVED, that this resolution be referred to the
    2005 AAFP Congress of Delegates.
  • The Committee recommends adoption of the
    substitute resolution.
  • SUBSTITUTE RESOLUTION 05-11 WAS APPROVED.
  • Resolution 05-11 was approved to read as follows
  • RESOLVED, that the NYSAFP advocate for
    deductibility of student loan interest, based on
    a fair and
  • reasonable student loan debt/income ration, on
    NYS income taxes and be it further

21
ACTIONS OF THE CONGRESS OF DELEGATES………
  • The Committee considered Resolution 05-2
    Preventing Restriction of Scope of Practice on
    pages 52-53
  • of the Delegates Handbook and submitted by Linda
    Prine, MD, on behalf of the Commission on Public
  • Health.
  • RESOLVED, that the NYSAFP will work with all
    state chapters to work with local insurers and
    regulators
  • to establish fair and equitable professional
    liability insurance rates and health insurance
    reimbursement
  • rates for family practice physicians who provide
    a range of services within their scope of
    practice,
  • including medication and early aspiration
    abortion, among other services often limited by
    prohibitive
  • costs of liability coverage and inadequate
    reimbursement by health plans and be it further
  • RESOLVED, that the AAFP will support state
    chapter efforts to resolve issues of insurers
    restricting
  • scope of practice, and serve as a resource for
    advice and information sharing on solutions as
    they appear
  • in individual states. This will affirm that it
    is the AAFP, and not insurers, that determines
    and will continue
  • to determine the scope of practice for family
    physicians and definition of family practice.
    Scope of
  • practice will continue to be determined by
    training and experience and not by providers of
    professional
  • liability insurance or health insurance and be it
    further
  • RESOLVED, that this resolution be referred to the
    2005 AAFP Congress of Delegates.

22
ACTIONS OF THE CONGRESS OF DELEGATES………
  • RESOLVED, that the NYSAFP will ask the AAFP to
    support state chapter efforts to resolve issues
  • restricting scope of practice, and serve as a
    resource for advice and information sharing on
    solutions as
  • they appear in individual states. This will
    affirm that it is the community of Family
    Medicine that
  • determines and will continue to determine the
    scope of practice for family physicians and the
    definition of
  • family medicine. Scope of practice will be
    determined by training and experience, and not by
    providers of
  • RESOLVED, that this resolution be referred to the
    2005 AAFP Congress of Delegates.
  • SUBSTITUTE RESOLUTION 05-2 WAS APPROVED AS
    SUBMITTED
  • The Committee considered Resolution 05-5
    Membership Directory, on page 57 of the
    Delegates
  • Handbook and introduced by the Onondaga County
    Chapter.
  • RESOLVED, that the NYSAFP request that the AAFP
    either publish and distribute a paper membership
  • directory, or improve the membership section of
    the website to allow a more robust search and
    compare
  • function.
  • There was overwhelming support for this
    resolution therefore the committee recommends
    adoption of
  • this resolution with the addition of a further
    resolve as accepted by the maker of the
    resolution.

23
ACTIONS OF THE CONGRESS OF DELEGATES………
  • The Committee considered Resolution 05-14
    Commission on Health Care Coverage Reform on
    pink
  • paper and introduced by Leon Zoghlin, MD, and
    Heidi Zinkand, MD, on behalf of the Rochester
    County
  • Chapter.
  • RESOLVED, that the New York State Academy of
    Family Physicians stands ready to participate in
    the
  • deliberations of the commission and requests an
    appointment of our representative to each of the
  • committees. This request to be submitted to the
    sponsor of the bill in the Assembly and its
    companion bill
  • in the Senate.
  • The committee heard testimony that the senate did
    not pass the above named bill. Additionally the
    bill
  • was not available for review therefore the
    committee recommends referral of this resolution
    to the board
  • of directors of the NYSAFP.
  • RESOLUTION 05-14 WILL BE REFERRED TO THE NYSAFP
    BOARD OF DIRECTORS
  • THIS PORTION OF THE COMMITTEES REPORT WAS
    ADOPTED
  • THE COMMITTEES REPORT AS A WHOLE WAS ADOPTED

24
ACTIONS OF THE CONGRESS OF DELEGATES………
  • REPORT OF THE REFERENCE COMMITTEE ON POLICY
  • The Committee wished to place on the Consent
    Calendar the following items
  • The Annual Report of the Commission on Family
    Practice Advocacy, which can be found on pages
    35-36
  • of the Delegates Handbook.
  • The Committee moves adoption of the Consent
    Calendar as listed.
  • THE CONCENT CALENDAR WAS APPROVED
  • The Committee considered Resolution 05-6
    Medical Orders for Life-Sustaining Treatments
    (MOLST),
  • which is on pages 58-59 of the Delegates
    Handbook and was introduced by Pamela Horst,
    M.D.,
  • Onondaga County.
  • Resolves as submitted
  • RESOLVED, that the NYSAFP encourage its
    membership, through its newsletter and other
    publications, to use MOLST in their offices and
    health care institutions, and be it further
  • RESOLVED, that the appropriate NYSAFP commission
    be encouraged to investigate methods of funding
  • the distribution of MOLST forms and instructions,
    and be it further
  • RESOLVED, that the NYSAFP lobby for a change in
    Department of Health regulations to allow EMS to
  • recognize MOLST as a valid DNR order, and be it
    finally

25
ACTIONS OF THE CONGRESS OF DELEGATES………
  • Resolves as Amended
  • RESOLVED, that the NYSAFP make its membership
    aware of MOLST, through its newsletter and other
  • publications, being careful to explain the legal
    status of MOLST in New York State and be it
    further
  • RESOLVED, that the appropriate NYSAFP commission
    be encouraged to investigate methods of funding
  • the distribution of MOLST forms and instructions,
    and be it further
  • RESOLVED, that the NYSAFP lobby for a change in
    Department of Health regulations to allow EMS to
  • recognize MOLST as a valid DNR order, and be it
    finally
  • RESOLVED, that the NYSAFP approach HANYS, MSSNY,
    NYS specialty societies, NYSHFA, NYAHSA,
  • NYACP, and NYHPCA to jointly advocate for
    recognition of MOLST as a method for honoring the
    wishes
  • of patients desiring enhanced end of life care.
  • The Committee recommends that this amended
    Resolution 05-6 be adopted.
  • AMENDED RESOLUTION 05-6 WAS ADOPTED
  • The Committee considered Resolution 05-1,
    Medicaid Funding which is on page 51 of the
    Delegates

26
ACTIONS OF THE CONGRESS OF DELEGATES………
  • RESOLVED, that it is the position of the NYSAFP
    that the cost of funding Medicaid for the
    citizens of New
  • York State should be borne equitably by the
    taxpayers of New York, regardless of the where in
    New York
  • the beneficiaries or the taxpayers reside and be
    it finally
  • RESOLVED, that the leadership and lobbyists of
    the NYSAFP will actively promote these positions
    at the
  • annual Lobby Day and in other contacts with the
    Legislature, Governor and other appropriate state
  • administrative agencies and departments.
  • It is the recommendation of the Committee with
    the approval of the author that the resolves
  • be combined to read as follows
  • RESOLVED, that it is the position of the NYSAFP
    that the current funding mechanism for
  • Medicaid is inherently unfair, and that the
    current funding mechanism for Medicaid
    inappropriately shields
  • the elected officials in the State Legislature
    from the responsibility of providing funding for
    programs they
  • enact and that the cost of funding Medicaid for
    the citizens of New York State should be borne
    equitably
  • by the taxpayers of New York, regardless of the
    where in New York the beneficiaries or the
    taxpayers
  • reside and that the leadership and lobbyists of
    the NYSAFP, in collaboration with MSSNY, will
    actively
  • promote these positions at the annual Lobby Day
    and in other contacts with the Legislature,
  • Governor and other appropriate state
    administrative agencies and departments.

27
ACTIONS OF THE CONGRESS OF DELEGATES………
  • The Committee considered Resolution 05-4,
    Notification of Physicians of Multiple Physician
    Narcotic
  • Prescriptions, which is on page 56 of the
    Delegates Handbook and was introduced by Norman
    Wetterau,
  • M.D.
  • Resolve as originally submitted
  • RESOLVED, that the New York State Academy of
    Family Physicians request that the health
    department
  • notify physicians when their Medicaid patients
    are receiving narcotics from several physicians
  • Resolve as amended
  • RESOLVED, that the New York State Academy of
    Family Physicians request that the health
    department
  • notify physicians when their Medicaid patients
    are receiving controlled substances from several
  • physicians.
  • The Committee recommends that Resolution 05-4 as
    amended be adopted.
  • AMENDED RESOLUTION 05 4 WAS ADOPTED
  • The Committee considered Resolution 05-7,
    Managed Care Reform, which is on page 60-61 of
    the
  • Delegates Handbook and was introduced by Michael
    Fishkin, DO.

28
ACTIONS OF THE CONGRESS OF DELEGATES………
  • RESOLVED, that this resolution be forwarded to
    the American Academy of Family Physicians with
    the
  • request that the AAFP pursue similar legislation
    in the Congress of the United States to require
    all
  • federally funded health insurance programs to
    compensate family physicians for all work they
    perform
  • for patients, including referrals to specialists,
    processing appeals for patients who have been
    declined
  • coverage, preauthorization for pharmaceuticals
    and diagnostic tests and such other
    responsibilities
  • as may be necessary to fully and effectively
    treat patients.
  • Resolves as amended
  • RESOLVED, that the New York State Academy of
    Family Physicians will partner with primary care
  • societies and MSSNY to lobby for and advocate
    that the Legislative and Executive Branches of
  • government encourage health insurance carriers to
    compensate family physicians for all work they
  • perform for patients, including referrals to
    specialists, processing appeals for patients who
    have been
  • declined coverage, preauthorization for
    pharmaceuticals and diagnostic tests and such
    other
  • responsibilities as may be necessary to fully and
    effectively treat patients, and be it further
  • RESOLVED, that this resolution be forwarded to
    the American Academy of Family Physicians with
    the
  • request that the AAFP advocate at the federal
    level to require all federally funded health
    insurance
  • programs to compensate family physicians for all
    work they perform for patients, including
    referrals to
  • specialists, processing appeals for patients who
    have been declined coverage, preauthorization for
    pharmaceuticals and

29
ACTIONS OF THE CONGRESS OF DELEGATES………
  • The Committee considered Resolution 05-8,
    Impact of HIPAA, which is on pink paper and was
  • introduced by Chisara Adonai, MD.
  • RESOLVED, that the full impact of the Health
    Insurance Portability and Accountability Act
    (HIPAA) on the
  • practice of high quality medical care and on the
    medical profession be investigated by the
    appropriate
  • organizations and that this resolution be carried
    to the American Academy of Family Physicians
    (AAFP)
  • Congress of Delegates for their consideration.
  • Although the Resolution is worthwhile because it
    requires an evaluation of the effects of HIPAA,
    some of
  • its wording is vague, e.g., investigated by the
    appropriate agencies. Despite the fact that
    testimony was
  • expressed in favor of Resolution 05-8, the
    Committee concluded that it be referred to the
    Board for further
  • consideration and clarification.
  • RESOLUTION 05 8 WILL BE REFERRED TO THE NYSAFP
    BOARD FOR FURTHER CONSIDERATION AND
    CLARIFICATION.
  • The Committee considered Resolution 05-3,
    Support Comprehensive Sexuality Education,
    which is on
  • page 54-55 of the Delegates Handbook and was
    introduced by Linda Prine, MD.

30
ACTIONS OF THE CONGRESS OF DELEGATES………
  • FURTHER RESOLVED, that the NYSAFP Present this
    resolution to the 2005 Congress of Delegates of
    the American Academy of Family Physicians.
  • Resolves as amended
  • RESOLVED, the NYSAFP endorses the additions to
    existing AAFP recommendations for Adolescent
  • Health Care, Sexuality and Contraception, that
    the AAFP defines effective sexuality education
    and
  • pregnancy and sexuality transmitted disease
    prevention programs as those using a
    comprehensive
  • approach to sexuality education that includes
    medically accurate information on contraception
    and
  • abstinence. The NYSAFP believes that this
    approach to sexuality education has been proven
    effective in
  • reducing unintended pregnancy and sexually
    transmitted diseases, and be it
  • FURTHER RESOLVED, that the NYSAFP present this
    resolution to the 2005 Congress of Delegates of
    the
  • American Academy of Family Physicians.
  • The Committee recommends that this amended
    Resolution 05-3 be adopted.
  • AMENDED RESOLUTION 05 3 WAS ADOPTED

31
ACTIONS OF THE CONGRESS OF DELEGATES………
  • RESOLVED, that the NYSAFP strongly object to the
    funding of erectile dysfunction
  • medication in its Medicare benefits package
    except to those instances where Erectile
  • Dysfunction drugs may be helpful in procreation
    or of use in those Medicare beneficiaries
  • 65 years of age meeting appropriate criteria of
    need and be it finally
  • RESOLVED, that if accepted by the NYSAFP in this
    or amended form, that the NYSAFP
  • Congress instruct its delegates to the American
    Academy of Family Physicians (AAFP) to
  • introduce this resolution at the AAFP Congress in
    San Francisco, CA in September, 2005.
  • The Resolution attempts to address the larger
    issue of the high costs of drugs however,
  • its approach would not comprehensively address
    it. Further, its wording could be
  • perceived as offensive to older persons
    sensibilities regarding their sexual activity.
    Since
  • testimony indicates that the Congress has a
    future interest in resolutions in the marketing,
  • development, and excessive costs of drugs,
    perhaps a resolution should be crafted that
  • will meet this purpose.
  • The Committee recommends that Resolution 05-12
    not be adopted.
  • RESOLUTION 05 12 WAS DEFEATED

32
ACTIONS OF THE CONGRESS OF DELEGATES………
  • The Committee considered Resolution 05-13,
    Preservation of Patients Access to Prescription
  • Medications, which is on pink paper and was
    introduced by Dr. Emefre Udo.
  • Resolves as originally presented
  • RESOLVED, that the New York State Academy of
    Family Physicians go on record to oppose measures
  • that interfere with prompt dispensing of
    prescription medications especially emergency
    contraception,
  • which must be taken quickly to optimize efficacy,
    and be it further
  • RESOLVED, that this resolution be referred for
    consideration at the 2005 AAFP Congress
  • of Delegates
  • We heard testimony cautioning against general
    statements referring to all medications and also
    that
  • we should limit our statement to emergency
    contraception. The Committee offers the
    following
  • amended resolution
  • RESOLVED, that the New York State Academy of
    Family Physicians go on record to oppose measures
  • that interfere with prompt dispensing of
    emergency contraception, which must be taken
    quickly to
  • optimize efficacy and be it further

33
ACTIONS OF THE CONGRESS OF DELEGATES………
I move the adoption of the Committees report as
a whole. THE REFERENCE COMMITTEE REPORT ON
POLICY WAS APPROVED AS A WHOLE The Chair would
like to thank the members of the Committee for
their participation in the deliberation process
as well as all of the many members who gave
testimony and contributed to the spirited
discussion that was held. In addition, I would
like to thank the Speaker and those who assisted
in the preparation of this report. NEW
BUSINESS RESIDENT REPORT Dr. Bindu Ninan
advised that they dont have an official report
but unofficially many items were discussed and
for the coming year they plan to have a
leadership skills workshop for incoming
residents. There will be an attempt to better
Resident participation and get the word out to
other Residents of what is available to Residents
through both the NYSAFP and the AAFP. STUDENT
REPORT Mr. Mark Baretto advised that they didnt
have an official report but appreciated the
opportunity to attend.
34
ACTIONS OF THE CONGRESS OF DELEGATES………
  • Announcements
  • Dr. Ramalingam reminded the delegates of the
    availability of positions on the six
  • (2) NYSAFP Commissions.
  • Dr. David announced the Regional Family Medicine
    Conference at the Prime Hotel
  • in Saratoga Springs on 9/10/05.
  • Regarding Winter Weekend, final arrangements
    havent been made at this date
  • with the hotel, but it will probably be
    2/26-29/06.
  • Dr. Kaplan reported that there is legislation
    being introduced for the medical use of
  • marijuana. He asked members to send their
    opinions to the Academy so that they can be
  • forwarded to the Commission on FP Advocacy for
    their information.
  • Mr. Grasso advised that we are working with
    several of our local county chapters in
  • developing programs in 2006. We are working with
    the Catskill region members to produce
  • our Congress of Delegates in May or June of 2006
    and we are working with the Erie County
  • Chapter to produce our Fall Cluster in 2006.
    (During the Board meeting after the Congress,
  • the Board decided to move the 2006 Congress to
    Albany and to hold a future cluster in the
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