Protect Physician Supervision of Nurse Practitioners in the ED!

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Thank you for your hard work advocating against AB 890; unfortunately, it continues to move. The legislative session is nearing a close and there is only one more opportunity to amend the bill.

Please contact your state Senator and Senate Pro Tem Toni Atkins and urge them both to exempt emergency care from AB 890. 

AB 890 would allow a nurse practitioner to practice medicine independently without supervision or oversight by a physician. While we have all pointed out the vast disparity in training between NPs and physicians, the Legislature appears poised to allow NPs to practice independently.  Most of the discussion has been about primary care.  Nevertheless, the bill is not limited to primary care and applies everywhere, including in the ED.  Because it allows NPs to practice independently, the bill could allow EDs to be entirely staffed by NPs.  Our efforts are now focused on limiting the bill so that it does not apply to the ED.

These are the main points to make in your email, call or tweet: 

  • AB 890 is particularly problematic in the emergency department where the bill could allow a nurse practitioner to practice without a physician present. While it has become common for patients to have office visits where they only see an NP, no Californian expects to go to an emergency department and have there be no doctor.
  • Nurse practitioners do not have sufficient education and training to examine and diagnose emergency department patients completely independent of physicians. Physician supervision and a team approach is essential to high quality emergency care. 
  • Time and experience matter in the ED.  The risk to patient safety is too high not to have a physician present.
  • Urge your Senator to vote no unless the ED is exempted. 

Senators are only accepting emails from their constituents at this time. Our system will only allow you to send an email if you are a constituent. Please contact your Senator and Senate President pro Tem Toni Atkins. If you are not a constituent of Senator Atkins, you can still take advantage of the phone and tweet campaigns to let her know that you want the ED exempted from AB 890.  Find your senator here: http://findyourrep.legislature.ca.gov/

Contact Senator Atkins here:

Senator Toni Atkins

Phone: 916-651-4039

Twitter: @SenToniAtkins

Help us to protect physician supervision of nurse practitioners by participating in and sharing our phone and tweet campaign!

Update Your IEPC Member Profile

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We use this information to get in touch with our members and to send important information such as renewal notices.

If your information is incorrect, if you have any questions, or if you have any difficulties getting logged in, please contact the IEPC Administrative office by email at admin@iepc.org.

Speak Out to Congress Against Medicare Cuts!

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Sign the petition today!
The Centers for Medicare & Medicaid Services (CMS) recently issued its proposed 2021 Medicare physician fee schedule (PFS), which proposes Medicare payment rates beginning January 1, 2021. The fee schedule often serves as the basis for which many private payors set their reimbursement rates as well.

Prior to the release of the PFS, ACEP was successful in advocating for increases for the ED E/M codes, providing data and a solid policy argument directly to CMS and the White House. CMS is now proposing to adopt these specific code values for the ED E/M codes, which increases emergency medicine reimbursement by approximately 3% for CY 2021.

Unfortunately, because of the existing budget neutrality requirement under the Medicare PFS, any increases in the value of one code means a corresponding decrease in the value of all other codes. Because of budget neutrality rules, the increase would be eliminated.

What can you do?

Urge your member of Congress to waive the budget neutrality requirement for calendar years 2021 and 2022 by signing on to a bipartisan “Dear Colleague” letter led by Rep. Bobby Rush.

Click here to send a message to your member of Congress today!

Take Immediate Action Against AB-890!

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AB 890 would allow a nurse practitioner to practice medicine without supervision or oversight by a physician. IEPC is deeply concerned about the impact of this proposed change on patient safety in and around emergency departments.

  • Nurse practitioners do not have sufficient education and training to examine and diagnose emergency department patients completely independent of physicians. Physician supervision and a team approach are essential to high-quality emergency care. 
  • Emergency departments should be exempted from this bill to protect patients with critical conditions 

Find your senator here to speak out against AB 890 today or join the phone and tweet campaign of ACEP.

Call for Member Announcements – Due August 19

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The next issue of the IEPC membership newsletter will be published in September. The purpose of this newsletter is to connect the IEPC membership with information, opportunities, resources, and each other.

We are very pleased to dedicate one section of this newsletter to recognize the professional accomplishments of our members but we need your help! Have you received awards or promotions, landed a great new job, or published an article or research in the last year? We would like to know about it and celebrate your accomplishments in our newsletter!

Deadline: August 19, 2020

Please submit your news online here for inclusion in the next edition.
Thank you,

Julie Hewett, CMP CAE
IEPC Independent Emergency Physicians Consortium

Surprise Billing Legislation

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Click here to read the article IEPC Signs ACEP Letter to Protect Emergency Physicians From Unintended Damages in Surprise Billing Legislation