Advocacy

Below is a list of the legislative issues AAN is monitoring across throughout the country. Click on each issue to see if there is anything in your state.

Legislative priorities are determined by the AAN Government Relations Committee. If you would like to get involved in any of these efforts or if you did not see something you believe we should be monitoring contact Tim Miller at tmiller@aan.com.

Drug Legislation

Drug legislation currently being monitored includes anti-epileptic drug (AED) substitution, prescription drug monitoring program bills, and biosimilar legislation. Biosimilar legislation would prohibit a pharmacist from substituting a prescription with a biosimilar unless specific requirements are met.

Health Insurance Exchanges

A product of the Affordable Care Act of 2010, health insurance exchanges were created to provide individuals and small businesses the opportunity to shop for coverage options. States have the option to develop their own marketplaces or leave it up to the federal government to run the exchange in their state. Exchanges must be up and running by 2014.

Medical Liability Reform

With medical liability insurance premiums continuing to soar, the AAN continues to call for MICRA-style reforms, including caps on non-economic damages for plantiffs of no more than $250,000, tighter standards for witness review, and reimbursement of defendant court costs when cases are over pursued.

Scope of Practice Legislation

The AAN continues to defend neurology by monitoring state legislation that might have an effect on our profession and our patients. This includes following legislation pertaining to EMG and intraoperative monitoring. The AAN opposes efforts by non-physicians to permit the performance of these procedures without proper training and/or supervision.

Sports Concussion Legislation

Concussion is a common consequence of trauma to the head in contact sports, estimated by the Centers for Disease Control and Prevention to occur three million times in the United States each year. Among people aged 15 to 24 years, sports are now second only to motor vehicle accidents as the leading cause of traumatic brain injury. Legislatures across the country have been implementing new sports concussion regulations as more information comes out.

Telemedicine and Stroke Care Legislation

The AAN supports several stroke care initiatives, including primary stroke center designation, implementing rural stroke care regulations, and telemedicine and reimbursement issues. Several states have also recently introduced bills that would require insurance to cover telemedicine services.



News

Capitol Hill Report: SGR Fire Sale?

I recently reported that the Congressional Budget Office (CBO) had lowered the projected cost of a complete repeal of the Medicare Sustainable Growth Rate (SGR) formula from nearly $300 billion over ten years to just $138 billion. (March 25, 2013)

MedPAC Releases 2013 Medicare Recommendations

The Medicare Payment Advisory Commission (MedPAC) has failed once again to recognize cognitive specialists in its recent report to the U.S. Congress. (March 15, 2013)

Capitol Hill Report: E/M Finally Makes It!

There was great news for neurology and other cognitive providers last week with the release of a report by the National Commission on Physician Payment Reform. (March 11, 2013)

Sequester Goes Into Effect—Implications for Neurologists

The automatic across-the-board spending cuts, known as sequestration, resulting from the Budget Control Act of 2011 have now officially gone into effect. (February 20, 2013)

Capitol Hill Report: Good News on SGR; Schwartz/Heck Bill Reintroduced

The physician community received great news from the Congressional Budget Office (CBO) last week when it released a report predicting that the 10-year cost to eliminate the Sustainable Growth Rate formula had fallen from $300 billion to $138 billion. (February 11, 2013)

Capitol Hill Report: SGR Crisis Averted…for One Year

Bowing to the deep concerns of neurologists and other physicians, Congress has again stepped in and prevented catastrophic cuts to Medicare physician payments for one year. (January 7, 2013)

Capitol Hill Report: AAN Meets with CMS, Delivers Congressional Letter on NCS/EMG

Last week, AAN President Bruce Sigsbee, MD, FAAN, hand delivered a letter to officials at the Centers for Medicare & Medicaid Services. (December 21, 2012)

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For More Information
AAN Advocacy

Tim Miller
Senior Program Manager,
Communications & State Advocacy
(612) 928-6016

tmiller@aan.com
Advocacy Highlights

House Majority Leader Cantor and Congressman Carnahan Address Neurology on the Hill Attendees

Watch the video from Majority Leader Cantor.

Watch the video from Congressman Carnahan.

Upcoming Events
April 2013

Massachusetts Neurological Association (4/27/2013 - 4/27/2013)

May 2013

California Neurology Society (5/4/2013 - 5/4/2013)

New York State Neurological Society (5/18/2013 - 5/19/2013)

June 2013

Indiana Neurological Society (6/7/2013 - 6/7/2013)

July 2013

Texas Neurological Society (7/19/2013 - 7/20/2013)

September 2013

Florida Society of Neurology (9/20/2013 - 9/22/2013)

October 2013

South Carolina Neurological Association (10/4/2013 - 10/5/2013)

California Neurology Society (10/4/2013 - 10/6/2013)

Washington State Neurological Society (10/5/2013 - 10/5/2013)

Wisconsin Neurological Society (10/26/2013 - 10/26/2013)