Advocacy - Iowa Academy of Family Physicians

Advocacy

2017 Legislative Priorities

The following is a list of the legislative priorities identified by IAFP for the 2017 Legislative Session.

 

  1. Workforce initiatives. IDPH is currently working on the rural loan repayment program. IAFP supports continuing this repayment program for family practice physicians.

 

  1. Scope of practice protection. IAFP is opposed to legislation that would erode physician’s ability to practice within their full scope. To this end, IAFP is aware of the following legislative initiatives that will be discussed during the 2017 session:

 

  1. Pharmacy Statewide protocols. IAFP will monitor the legislation put forth to ensure patients care and the physician-patient relationship is not compromised.
  2. Direct entry midwives. The IAFP opposes direct entry midwives due to their lack of educational and medical training, and the impact this gap in education has on caring for their patients.
  3. Naturopathic physicians. The IAFP opposes the licensure and recognition of naturopathic physicians because of the manner in which this group practices (i.e. do not follow evidence based practices).

 

  1. Prior Authorization. The Iowa Medical Society has proposed legislation to reform the current prior authorization process across the three managed care companies administering Iowa’s Medicaid program. Their proposal includes reform for a consistent timeline for prior authorizations, prohibition against retrospectively reviewing MCO-approved prior authorizations, as well as paying physicians for administrative time required to complete a prior authorization. The IAFP supports this prior authorization reformation.

 

  1. Medical Cannabis. The IAFP will work in collaboration with the Iowa Legislature to draft a workable cannabis program in Iowa.

 

  1. Behavioral Health. IAFP is aware and recognizes the mental health crisis that exists in Iowa. As providers, we see every day the need for more behavioral health providers and more points of access for inpatient and outpatient behavioral health care. IAFP supports any piece of legislation that helps increase the number of behavioral health providers, as well as increases access for behavioral health services across the state.

 

  1. Tort Reform. Many states across the United States have reformed their tort laws; IAFP supports tort reform that would create caps on damages, as well as changing who can be a party to a suit based on their percentage of liability. IAFP believes that tort reform in our state would allow physicians to practice in a less defensive manner, as well as making Iowa more attractive for physicians to practice medicine and serve Iowa’s patient population.

 

  1. Medicaid Managed Care. IAFP members continue to believe that value over volume is the answer to truly keeping patients well and bettering their health. With this in mind, IAFP supports Medicaid payment reform that pays physicians based on value rather than traditional fee-for-service payment methodology.
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