Cap Scan 03-15 by Capital Medical Society

MARCH EDITION, VOLUME 2015, NO. 3

AL C. MCCULLY, M.D. â€“ RECIPIENT OF THE 2015 I.B. HARRISON, M.D. HUMANITARIAN AWARD

WHY AWARDS FOR OUR FELLOW PHYSICIANS?Â

By Shannon Boyle, CMS Communications

By John Bailey, D.O.

and Marketing Coordinator

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ARMAND B. COGNETTA, JR., M.D. â€“ RECIPIENT OF THE 2015 OUTSTANDING PHYSICIAN AWARD By Shannon Boyle, CMS Communications and Marketing Coordinator

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CAPITAL MEDICAL SOCIETY 2015 MEETINGS CALENDAR March 26, 2015 Celebration Awards Dinner 6:30 pm FSU University Center Club

April 21, 2015 May 19, 2015 CMS Membership & CME Meeting CMS Membership & CME Meeting 6:00 pm 6:00 pm Maguire Center for Lifelong Learning Maguire Center for Lifelong Learning at Westminster Oaks at Westminster Oaks CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS FAMILY FUN NIGHT

MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org

BOARD OF GOVERNORS Joshua Somerset, M.D., President J. Daniell Rackley, M.D., President-Elect Tracey Hellgren, M.D., Secretary/Treasurer Alfredo Paredes, M.D., Immediate Past-President Shelby Blank, M.D. Garrett Chumney, M.D. David Dixon, D.O. Shakra Junejo, M.D. Maribel Lockwood, M.D. Amy Pagano, CMS Alliance President Paresh Patel, M.D. Philip Sharp, M.D. Ernesto UmaĂąa, M.D. Kenneth Whithaus, M.D. Pam Wilson, Executive Director Family Medicine Residents William Carlson, M.D./Anna Hackenberg, M.D. Internal Medicine Residents Chris Rosadzinski, M.D./Prerna Satyanarayana, M.D.

IN THIS ISSUE:

2015 I.B. I.B. Harrison, Harrison, M.D. M.D. Humanitarian Humanitarian Award Award â€Ś â€Ś 2015 11 2015 Outstanding Physician Award â€Ś 2015 Outstanding Physician Award â€Ś 11 CMS Lunch & Learn â€Ś 3 CMS Lunch & Learn â€Ś 3 CMS New Members â€Ś 4 CMS New Members â€Ś 4 Celebration Awards Dinner â€Ś 5 Celebration Awards Dinner â€Ś 5 Reflections from the Editor â€Ś 13 Reflections from the Editor â€Ś 13 Viewpoint â€Ś 15 Viewpoint â€Ś 15 CMS Alliance Corner â€Ś 17 CMS 17 CMS Foundation Presidential â€ŚInstallation â€Ś 18 CMS Corner â€Ś 18 2015 Alliance Legislative Session â€Ś 23 Medical/Legal â€Ś 19 Know Your Legislators â€Ś 27 Medical/Legal 28 2015 Legislativeâ€ŚSession â€Ś 21 CMS Foundation â€Ś 30 Know Your Legislators â€Ś 25 CMS Presidential Foundation:Installation We Care Network â€Ś 31 CMS â€Ś 26 CMS Foundation: We Care Network â€Ś

HAPPY BIRTHDAY! {MARCH BIRTHDAYS}

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PUBLICATION

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EDITOR Charles E. Moore, M.D.,

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MANAGING EDITOR Shannon Boyle

GRAPHIC DESIGN Young Design

ARE YOU INTERESTED IN WRITING AN ARTICLE FOR &$3 6&$1? Please contact Dr. Charles Moore at cmoore5186@aol.com and Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing. &DS 6FDQ is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in &DS 6FDQ does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society.

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HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!

If you are a member of the Capital Medical Society and would like a copy of the Minutes from the Board of Governors meeting, please call the CMS office. Thank you. 2

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!

CMS LUNCH LUNCH AND AND LEARN LEARN CMS

CAPITAL MEDICAL MEDICAL SOCIETY SOCIETY CAPITAL LUNCH & & LEARN LEARN SEMINARS SEMINARS LUNCH SPRING 2015 2015 SPRING Capital Health Health Plan, Plan, 1491 1491 Governors Governors Square Square Boulevard Boulevard Capital

0DUFK March 18, 2015 5HSXWDWLRQ ,QWHOOLJHQFH +HDU :KDW <RXU 3DWLHQWV Reputation Intelligence: Hear What Your Patients $UH 6D\LQJ $ERXW <RX 2QOLQH Are Saying About You Online (TXLS \RXU SUDFWLFH ZLWK WKH NQRZOHGJH DQG WRROV IRU \RX WR Equip your practice with the knowledge and tools for you to RSHUDWH KLJKO\ LQ WKH GLJLWDO VXUJHU\ URRP RI VRFLDO PHGLD operate highly in the digital surgery room of social media. 6SHDNHUV 6FRWW 5 0DUVKDOO DQG -RVK 9DQGHUSRRO Speakers: Scott R. Marshall and Josh Vanderpool, %RDUGURRP $OOLDQFH Boardroom Alliance 6SRQVRU 7RQ\ 6KDK ([SUHVV 3ULQWLQJ Sponsor: Tony Shah, Express Printing

$SULO April 15, 2015 $IIRUGDEOH &DUH $FW 6WDWXV 2YHUYLHZ Affordable Care Act: Status/Overview DQG /HJLVODWLYH 8SGDWHV and Legislative Updates +HDU IURP WKH RQO\ LQVXUHU RIIHULQJ FRYHUDJH LQ )ORULGD WKURXJK Hear from the only insurer offering coverage in Florida through WKH IHGHUDO PDUNHWSODFH )ORULGD %OXH the federal marketplace-Florida Blue.

2015 MEETINGS MEETINGS CALENDAR CALENDAR 2015 MAY 28, 28, 2015 2015 MAY CMS DOCTOR/DAUGHTER DOCTOR/DAUGHTER BANQUET BANQUET CMS 6:00 PM PM 6:00 GOLDEN EAGLE EAGLE COUNTRY COUNTRY CLUB CLUB GOLDEN

SEPTEMBER 15, 15, 2015 2015 SEPTEMBER CMS MEMBERSHIP MEMBERSHIP & & CME CME MEETING MEETING CMS 6:00 PM PM 6:00 MAGUIRE CENTER CENTER FOR FOR LIFELONG LIFELONG LEARNING LEARNING AT AT WESTMINSTER WESTMINSTER OAKS OAKS MAGUIRE

OCTOBER 20, 20, 2015 2015 OCTOBER CMS MEMBERSHIP MEMBERSHIP & & CME CME MEETING MEETING CMS 6:00 PM 6:00 PM MAGUIRE CENTER CENTER FOR FOR LIFELONG LIFELONG LEARNING LEARNING AT AT WESTMINSTER WESTMINSTER OAKS OAKS MAGUIRE

NOVEMBER 10, 10, 2015 2015 NOVEMBER CMS MEMBERSHIP MEMBERSHIP & & CME CME MEETING MEETING CMS 6:00 PM PM 6:00 MAGUIRE CENTER CENTER FOR FOR LIFELONG LIFELONG LEARNING LEARNING AT AT WESTMINSTER WESTMINSTER OAKS OAKS MAGUIRE

DECEMBER 3, 3, 2015 2015 DECEMBER CMS FOUNDATION FOUNDATION HOLIDAY HOLIDAY AUCTION AUCTION CMS 6:30 PM PM 6:30 LOCATION: TBA TBA LOCATION:

- 2YHUYLHZ RI WKH FKDQJLQJ KHDOWK LQVXUDQFH PDUNHW Overview of the changing health insurance market - ,PSOLFDWLRQV RI $&$ RQ WKH )ORULGD KHDOWK LQVXUDQFH PDUNHW Implications of ACA on the Florida health insurance market - ,PSDFWV RQ RSHUDWLRQV IRU LQVXUHUV DQG SURYLGHUV Impacts on operations for insurers and providers 6SHDNHUV *RUGRQ ) %DLOH\ ,, $VVW *HQHUDO &RXQVHO DQG Speakers: Gordon F. Bailey, II, Asst. General Counsel, and .HOO\ -DPHV 6HQLRU 0DQDJHU Â± *RYHUQPHQW $IIDLUV )ORULGD %OXH Kelly James, Senior Manager â€“ Government Affairs, Florida Blue 6SRQVRU 7HUU\ %XVK 2IÂ¿FH 'HSRW Sponsor: Terry Bush, Office Depot

0D\ May 20, 2015 3D\PHQW $GYRFDF\ Payment Advocacy +HDU D OHJLVODWLYH XSGDWH ZLWK DQ HPSKDVLV RQ LVVXHV WKDW Hear a legislative update with an emphasis on issues that LPSDFW SURYLGHU UHLPEXUVHPHQW DQG SUDFWLFH DGPLQLVWUDWLRQ impact provider reimbursement and practice administration. 6SHDNHU -DUURG )RZOHU )ORULGD 0HGLFDO $VVRFLDWLRQ Speaker: Jarrod Fowler, Florida Medical Association 6SRQVRU 'LDQD &XUHWRQ +DQFRFN %DQN Sponsor: Diana Cureton, Hancock Bank

TIME: TIME: PLACE: PLACE:

12 NOON NOON TO TO 1:30 1:30 PM PM (SEMINARS (SEMINARS START START AT AT 12:30 12:30 PM) PM) 12 CHP AUDITORIUM, 2ND FL., 1491 GOVERNORS SQ. BLVD. CHP AUDITORIUM, 2ND FL., 1491 GOVERNORS SQ. BLVD. COST: $10 PER PERSON, PER SEMINAR COST: $10 PER PERSON, PER SEMINAR FOR MORE MORE INFORMATION INFORMATION OR OR TO TO REGISTER, REGISTER, FOR CALL ROSALIE ROSALIE CARLIN CARLIN AT AT 877-9018. 877-9018. CALL

CAP SCAN SCAN -- A A CAPITAL CAPITAL MEDICAL MEDICAL SOCIETY SOCIETY PUBLICATION PUBLICATION 3 3 CAP

CMS NEW MEMBERS

CAPITAL MEDICAL SOCIETY IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS:

Less Shrestha, M.D. Medical School: Manipal College of Medical Sciences Internship/Residency: St. Barnabas Hospital Specialty: Rheumatology Practice: TMH Physician Partners, Southwood

Kit Kuss, M.D. Medical School: Louisiana State University Internship/Residency: US Air Force Regional Hospital, Eglin AFB Specialty: Family Medicine Practice: Capital Health Plan â€“ Governors Square

â€œTHE FUTURE OF MEDICAL MALPRACTICE LAW IN FLORIDAâ€? 'U $OIUHGR 3DUHGHV SDUWLFLSDWHG LQ WKH SDQHO GLVFXVVLRQ DW WKH FRQIHUHQFH RQ Â´7KH )XWXUH RI 0HGLFDO 0DOSUDFWLFH /DZ LQ )ORULGD Âľ 7KH FRQIHUHQFH RQ )HEUXDU\ DW WKH )68 $OXPQL &HQWHU ZDV VSRQVRUHG E\ WKH 0HGLFDO (GXFDWLRQDO &RXQFLO RI 3HQVDFROD 0(&23 WKH &HQWHU IRU ,QQRYDWLYH &ROODERUDWLRQ LQ 0HGLFLQH DQG /DZ WKH )ORULGD %LRHWKLFV 1HWZRUN WKH 7DOODKDVVHH 0HPRULDO +HDOWK&DUH )RXQGDWLRQ DQG WKH )ORULGD %OXH )RXQGDWLRQ CMS

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CELEBRATION AWARDS DINNER

'RQÂśW 0LVV WKH &HOHEUDWLRQ $ZDUGV 'LQQHU Thursday, March 26, 2015 6:30 pm University Center Club at Florida State University

CMS Members and We Care Dentists - No Charge Spouse/Guest - $40.00 Invitations were e-mailed on March 3. Presenting the 2015 I.B. Harrison, M.D. Humanitarian Award

Advance reservations are required by March 19.

Presenting the 2015 Outstanding Physician Award to Armand B. Cognetta, Jr., M.D.

to Al C. McCully, M.D.

P l e a s e R SV P t o R o s a l i e C a r l i n a t 8 7 7- 9 0 1 8 o r r c a r l i n @ c a p m e d . o r g .

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CAP SCAN SCAN -- A A CAPITAL CAPITAL MEDICAL MEDICAL SOCIETY SOCIETY PUBLICATION PUBLICATION 77 CAP

FAMILY HEALTH DAY APRIL 11, 2015 Move Tallahassee Walk Story time by State Surgeon General and Secretary of Health with special guest SunnyBell the cow 9:30 a.m. Dance Party with Safari Man 10:20 a.m. Family Fitness and Food Demonstrations 8:00 a.m. 9:00 a.m.

For a complete schedule, please visit www.flhistoriccapitol.gov.

The Florida Historic Capitol Museum gratefully acknowledges the following sponsors and partners:

400 S. MONROE STREET | TALLAHASSEE, FL 32399-1100 | (850) 487-1902 |

WWW.FLHISTORICCAPITOL.GOV

• IN-TOWN LOCATION • SINGLE FAMILY HOMES • PrICEd FrOM $289,900

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Features include Lake, walking trails, community center w/ pool, tennis/ basketball courts, soccer/ baseball field. Convenient location off Route 90 East.

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Welcomes Saurabh Sheel, MD

Medical Education

Professional Experience

t Maulana Azad Medical College, New Delhi, India

t Pulmonary Critical Care Fellowship Medical College of Wisconsin, Froedert Hospital

Services Include:

Now Accepting Patients 850.402.0202 2626 Care Drive, Suite 105. Tallahassee, FL 32308

www.CapitalRegionalPA.com

t Allergies and Asthma t Chronic Obstructive Pulmonary Disease/ Emphysema t Lung Cancer t Bronchiectasis t Sarcoidosis t Chronic Bronchitis t Shortness of Breath t Vocal Chord Dysfunction

t Internist/Hospitalist Ogallala Community Hospital, Banner Health Facility, Ogallala, Nebraska

t Medical Director Garden County Health Services Oshkosh, Nebraska

Capital Regional Heart and Lung Surgical Associates accepts Capital Health Plan and most all other insurance carriers. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11

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WHO WAS I.B. “BUD” HARRISON, M.D.? By Orson Smith, M.D.

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12 CAP CAP SCAN SCAN -- A A CAPITAL CAPITAL MEDICAL MEDICAL SOCIETY SOCIETY PUBLICATION PUBLICATION 12

REFLECTIONS FROM THE EDITOR

“YES, LADIES, BUT…” By Charles Moore, M.D.

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS

VIEWPOINT

Editorâ€™s Note: Charlie Williams, the author of Simpler Times, needs no introduction to the readers of Cap Scan.Â You could tell the following was written by him even (almost) if you didnâ€™t read it.Â Talk about a style!Â No wonder he is in demand nationwide to lecture and comment about everything from life in a cottonpatch to Life.Â But never has he disclosed the secrets of why he chose Radiology as a specialty.Â It is, after all, such a long leap from Pedro chopping cotton to Roentgenology. Cap Scan is honored that we should be the first media outlet to which Charlie has revealed the intimate truth of why he is the Radiologist that he is.Â We thank him for sharing.Â

MY ROAD TO RADIOLOGY By Charles D. Williams, M.D., FACR, FAAP (â€œPedroâ€?)

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CMS FOUNDATION

Reasons to Give: Funds raised by generous donors benefit the We

Care Network. The We Care Network is a past

Blue Foundation Sapphire Award winner and its impact on the community was featured in the

Sept/Oct 2014 issue of the Tallahassee Magazine.

The We Care Network provides over $6 million

in donated specialty medical and dental care to the communityâ€™s low-income uninsured annually. In addition, donations support medical school scholarships for medical students at FSU College of Medicine committed to returning to NW Florida

DONATE TO THE CMS FOUNDATION

after completion of their residencies. In 2014,

WE THANK OUR DONORS

$40,000 in scholarships were awarded to nine FSU

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Gifts to Honor and in Memoriam:

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in memory of someone who has passed away or

College of Medicine students.

You can make a donation to the CMS Foundation

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in honor of someone, such as a fellow physician

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you hold in high esteem or has taken care of you

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or your family. CMS will send an acknowledgement letter to those you memorialize and honor.

How to Give: Through the generosity of donors, three funds have

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been created in order to establish financial stability to meet our mission. You can donate any time to one of CMS Foundationâ€™s funds. 1) The CMSF Endowment 2) The We Care Network Endowment 3) The Scholarship Fund

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30 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Checks should be made payable to the CMS Foundation and indicate on the memo line of your check to which fund you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society ~ 1204 Miccosukee Road ~ Tallahassee, FLÂ 32308.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS ALLIANCE CORNER

Capital Medical Society Services, Inc. 2015 Board of Directors

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

Francis C. Skilling, Jr., M.D. 3UHVLGHQW Ophthalmology Eye Associates of Tallahassee Married to Karen Skilling University of Alabama Karl F. Hempel, M.D. 9LFH 3UHVLGHQW Family Medicine Tallahassee Primary Care Associates Married to Mackie Hempel University of Kentucky Terence N. Reisman, M.D. 6HFUHWDU\ 7UHDVXUHU Gastroenterology Retired Married to Marilyn Reisman Duke University Armand B. Cognetta, Jr., M.D. Dermatology Dermatology Associates of Tallahassee Married to Suzanne Cognetta University of Connecticut

Zan Batchelor, Immediate Past President; Sybil Holt, Secretary; Sarah Ho, Treasurer Elect; Melissa Inglese, Treasurer; Hien Guyer, President Elect; Amy Pagano, President; and Carol Winchester, FMAA Treasurer and CMSA Member. (Not pictured: Debra Placilla, VP Membership)

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Brian Wilson, M.D. Allergy, Asthma, Immunology Tallahassee Allergy, Asthma & Immunology Married to Meredith Wilson University of Florida

Joshua Somerset, M.D. &06 3UHVLGHQW Gastroenterology Digestive Disease Clinic Married to Wendy Somerset, M.D. University of Florida

J. Daniell Rackley, M.D. &06 3UHVLGHQW (OHFW Urology Southeastern Urological Center Married to Jennifer Rackley Medical College of Georgia Pam Wilson Executive Director, Capital Medical Society Married to Jim Guerry

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HIV/AIDS - WOMEN AND GIRLS By Tameka Funny, D.O., Southeastern Center for Infectious Diseases, www.MySCIDdoc.com

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2015 LEGISLATIVE SESSION

or herself as a physician (MD/DO), and include such activity under the definition of the unlicensed practice of medicine with felony-level penalties for such representation. LIMITS OF PROVIDER RESPONSIBILITY ZZZ ÀPHGLFDO RUJ

Legislative Concerns and Actions The 2015 Florida Legislative Session begins March 3rd and adjourns May 1st. The Florida Medical Association’s (FMA) Board of Governors approved the following 2015 Legislative Agenda which lists legislation to seek, support, and oppose. In this issue of Cap Scan you will also find a list of the Leon Legislative Delegation and Health Subcommittees. Be proactive and contact your legislator! /(*,6/$7,21 72 6((. BOARD OF MEDICINE GOVERNANCE OF NON-PHYSICIAN HEALTH PROFESSIONALS Seek legislation placing any rights or privileges of all nonphysician health care professionals engaged in the independent, unsupervised, or indirectly supervised delivery of health care under the governance of the Board of Medicine or the Board of Osteopathic Medicine (in the event legislation is introduced in Florida to allow for non-MD/DO health professionals to practice independently). DETERMINATION OF MEDICAL BENEFITS Seek legislation that would require managed care organizations to provide “real time” eligibility for their subscribers and reimburse physicians for any patient services rendered whereby subscriber eligibility has been confirmed prior to the delivery of care. HOSPITAL OBSTETRIC DEPARTMENT CLOSURE Seek legislation to require that when a hospital decides to close an obstetric department, that hospital must provide notice of 120 days to physicians with privileges at that facility to ensure patients are not left without needed medical care. NERVE CONDUCTION / EMG Seek legislation that would limit the performance of nerve conduction studies and needle EMGs in outpatient facilities to situations where the licensed allopathic or osteopathic physician who is interpreting the study is onsite at the time the study is performed. APPROPRIATE PAYMENTS FOR VACCINES/VACCINE ADMINISTRATION Seek legislation to ensure commercial insurance payment for all vaccines is not less than 25% above the vaccine cost on the CDC Vaccine Price List and that payment for each billed agespecific and non-age specific vaccine administration CPT code is not less than Medicare rates. TRUTH IN MEDICAL EDUCATION Seek legislation to make it unlawful for a nurse to represent him

Seek legislation which automatically terminates the active provider-patient relationship 3 years from the date of the last provision of care; and further stating that the provider is not responsible for the provision of services to any patient that no longer has an active relationship with their provider. LEGALIZING SYRINGE EXCHANGE PROGRAMS IN FLORIDA Seek legislation to amend Chapter 893, Florida Statutes, to legalize Syringe Exchange Programs in the state of Florida. PAIN CLINICS Seek legislation that allows state law regarding the standards of practice and registration of pain clinics to supersede any local ordinances and explicitly prohibits counties and municipalities from passing such laws. BENEFITS MANAGEMENT Seek legislation that would require the following: any physician who makes health insurance coverage recommendations regarding approval or disapproval of any patient care decisions be licensed in the state of Florida and be a member of the same specialty as the ordering physician; all benefits managers to be considered as “practicing medicine” when taking action to approve or disapprove a benefit for a patient; benefits managers to disclose, upon request, the guidelines used to make a negative recommendation; and that ordering physicians be compensated for their time at market value when interacting with benefits managers hired or engaged by any third party. APPROPRIATE PAYMENTS BY AHCA FOR VACCINES / ADMINISTRATION Work with the Agency for Healthcare Administration (AHCA) or seek legislation to increase vaccine payments to at least 25% above the vaccine cost, as listed on the CDC Vaccine Price List, for patients with MediKids or Healthy Kids insurance; encourage AHCA to update its vaccine fee schedule for MediKids and Healthy Kids patients on the first day of every quarter on their website; and work with AHCA or seek legislation to increase vaccine administration payments for all patients covered by Florida KidCare (Medicaid, MediKids, Healthy Kids, Children’s Medical Services) to the Maximum Regional Charges for Florida ($24.01) as established by the US Department of Health and Human Services. REFUSAL OF PHARMACY CHAINS TO FILL LEGITIMATE PRESCRIPTIONS Seek legislation or administrative rule to prevent interference in the practice of medicine by pharmacy benefit managers and pharmacists through their information requests on prescriptions and other actions that allow third party interference in the practice of medicine. ELECTRONIC MEDICAL RECORDS / ELECTRONIC HEALTH RECORDS Seek legislation that would require all electronic medical record (EMR) vendors that sell products to Florida physicians to &217,18(' 21 1(;7 3$*(

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2015 LEGISLATIVE SESSION

maintain and provide access to all patient medical records and abide by the same legal requirements of Florida physicians.

TRANSPARENCY IN HEALTH INSURANCE CPT REIMBURSEMENT SCHEDULES

Seek legislation to prohibit electronic health record (EHR) companies from charging fees to physicians for the transferring of health records between EHR companies.

Support legislation that would require all health insurance companies licensed in Florida to give all physicians access, on the company’s website, to the participating physician’s current complete fee schedule.

HEALTH INSURANCE REFORM Seek legislation to reform Florida’s health insurance laws and improve upon four major hassle factors physicians face on a daily basis: prior authorization; fail first protocols; retroactive denials; bait and switch. MEDICAID PAYMENT INCREASE TO MEDICARE RATES Seek legislation that mandates a fine, beginning in 2016, on Medicaid HMOs that do not pay at least Medicare rates to physicians after two years of continuous operation. The fine shall equal at least 10% of the payment (Medicare rates or above) due to the physician; be levied and accrue on a monthly basis beginning 30 days after the initial infraction if appropriate payment (Medicare rate or above) is not received by the physician; and that the physician be paid the sum of the payment owed (Medicare rate or above) and all fines levied against the Medicaid HMO. MEDICAL SCHOOL LOAN FORGIVENESS Seek legislation to fund a medical student loan forgiveness program such as the Medical Education Reimbursement and Loan Repayment Program established in F.S. 1009.65 for physicians practicing in underserved specialties or geographic locations in Florida. USE OF THE TERM “PHYSICIAN” Seek legislation that would prohibit the use of the term “physician” by any person other than an M.D. or D.O. Seek legislation mandating that all persons other than M.D.s, D.O.s, dentists and chiropractors holding themselves out as “doctors” wear a conspicuous name tag or signage which has letters no smaller than 4mm per letter and which fully spells out the exact name of their formal degree (Doctor of Nursing Practice, etc.) and that they further be required to orally state that they are not physicians with each and every encounter. /(*,6/$7,21 72 6833257 ,QVXUDQFH +02 5HIRUP PREAUTHORIZATION FOR MEDICAL TESTING Support legislation making it unlawful for an insurance company or other third party payer to interfere with a licensed MD/DO’s valid order for a medical test or procedure, provide for the mandatory use of a standardized form by all insurance companies and managed care plans that require any type of prior authorization, and place strict limitations on the use of fail first protocols. HMO’S BAIT AND SWITCH Support legislation that would require HMOs to allow any policyholder to continue to utilize the services of any physician who was on the list of preferred providers as of the date of the policyholder’s enrollment for no less than one year from the date of enrollment.

24 22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

ENSURING PAYMENT FOR NEWBORN CARE Support legislation that would require all health insurance companies, including all Florida licensed Medicaid HMOs, to cover the medical care of any newborn child under the mother’s policy with no additional out-of-pocket costs for the policyholder during the first 30 days following the birth of the child, and provide that all physicians providing services to a newborn child of a Medicaid enrollee during this 30 day period are paid for their services regardless of the physician’s contracting status with the Medicaid HMO. PAYMENT FOR PREVENTATIVE SERVICES Seek or support legislation so that comprehensive preventive medicine CPT codes (99381-99387, 99391-99397) are paid at least at “Medicare” rates, as calculated by using RVU’s obtained from the Centers of Medicare and Medicaid Services (CMS); and also seek or support legislation so that vision screening, hearing screening, VEP (visual evoked potential), and recommended age-appropriate laboratory procedures and tests are required to be paid independently when performed along with a comprehensive preventive medicine CPT code (99381-99387, 99391-99397). APPROPRIATE PAYMENT FOR VACCINE PRICE INCREASES Seek or support legislation so that health insurance companies increase vaccine payments by an amount at least equal to the manufacturer vaccine price increase(s) beginning on the day the price increase(s) goes into effect. TIMELY AND APPROPRIATE PAYMENTS FOR NEW CPT CODES Seek or support legislation to ensure that, beginning January 1st of each year, health insurance companies recognize and pay physicians for all current-year CPT codes billed. PROHIBIT ARTIFICIAL PRICE CONTROLS OF NON-COVERED SERVICES Support legislation that would prohibit Florida insurance companies from forcing contract provisions on health care providers for services not covered by the plan. PHYSICIAN REPRESENTATION IN EXCHANGES Support legislation which ensures that the governing body of any Health Insurance Exchange contains adequate physician representation and which prohibits restrictions on the ability of a physician to bill patients directly for the costs of care not fully covered by their insurance policy, and which does not weaken any existing physician protections in chapters 641 or 627, F.S. ENSURING AVAILABILITY OF MEDICAL PROFESSIONAL SERVICES AND SAFETY OF OFFICE-BASED SURGERY Support legislation requiring all insurance companies to recognize that higher costs exist for professional medical services performed in an office and further to negotiate in good faith with any provider of office based services to contract

2015 LEGISLATIVE SESSION

higher levels of payment to provide those services in the office. BEERS LIST Support legislation/administrative rules that prevent insurance companies from denying medications or coverage of medications on the “Beers List” when prescribed by physicians for their patients and that prevents physicians from being penalized through HEDIS MEASURES or Five Star Performance Ratings for prescribing such medications based on the physician’s best clinical judgment. 0HGLFDLG ,VVXHV MEDICAID TO MEDICARE Increase the reimbursement rate for Medicaid to that of Medicare. At the very least seek to ensure that physicians have the opportunity to control the disbursement of Medicaid funds in any type of capitated system. IMPLEMENTATION OF PPACA MEDICAID REIMBURSEMENT

GRADUATED DRIVER LICENSING SYSTEMS – TEEN SAFE DRIVING Support legislation to strengthen Florida’s existing graduated driver licensing systems to meet current recommendations by the National Highway Traffic Safety Administration, Insurance Institute for Highway Safety, and the American Academy of Pediatrics. TANNING BEDS Support legislation that would prohibit minors from using tanning beds. NATURAL GAS FRACKING Support legislation that requires full disclosure of specific chemicals released into the environment during oil and gas extraction; that requires the state to monitor this data and share information with physicians and the public; and that supports research into the health impacts of oil and gas exploration and extraction in Florida.

Support state implementation of a rate increase to Medicaid primary care providers pursuant to the Affordable Care Act in a manner that implements the increase uniformly and which ensures that primary care physicians receive the full increase, and continue to support an increase for all physicians.

MOTORCYCLE RIDERS

ENSURING MEDICAID PAYMENT RATE INCREASE

Support legislation that reinstates the motorcycle helmet law for all riders, regardless of age.

Support legislation and help guide discussions in the 2014 legislative session between the Governor, the Senate, and the House to ensure that Medicaid payment rates, including Title XIX, Title XXI (MediKids and Healthy Kids),and Children’s Medical Services, are increased to not less than Medicare levels in 2015 and beyond for all Florida physicians. MEDICAID EXPANSION Support the statewide expansion of Medicaid only if this expansion safeguards patient access to care while increasing Medicaid payment rates to Medicare levels for all physicians. 3XEOLF +HDOWK 6DIHW\ PROHIBITING THE SALE OF TOBACCO PRODUCTS IN RETAIL PHARMACIES

Support legislation that requires unhelmeted motorcyclists to procure at least $40,000 of personal injury protection (PIP) insurance.

2WKHU ,VVXHV WR 6XSSRUW GRADUATE MEDICAL EDUCATION Increase state funding for graduate medical education programs in order to preserve access to care in Florida. TORT REFORM Support legislation that will increase the burden of proof for negligence in cases involving supplemental diagnostic testing in order to reduce costly and unnecessary testing for defensive purposes. IDENTIFY INTERVENTIONAL PAIN MEDICINE AS THE PRACTICE OF MEDICINE

Support legislation amending current Pharmacy laws to prohibit the sale of tobacco products (including, but not limited to, cigarettes, cigars, pipe tobacco, hookah tobacco, snuff, chewing tobacco, dipping tobacco, bidis, or any other preparation), in establishments housing licensed pharmacies.

Support legislation that identifies interventional pain medicine as the practice of medicine by medical and osteopathic physicians and specifies that only physicians licensed under Chapter 458 or Chapter 459 may perform interventional pain medicine techniques.

RAISING CIGARETTE TAXES IN THE STATE OF FLORIDA

GUARDIANSHIP REFORM

Support legislation to further raise the excise tax on cigarettes to at or above $2/pack in order to further tobacco control efforts within the State of Florida.

Support legislation to effectively improve protections of incapacitated persons in Florida’s guardianship statutes and processes.

PENALTIES FOR CARETAKERS WHO WITHHOLD INFORMATION

CPR TRAINING IN SCHOOL

Support legislation that would make it a crime for caretakers to purposely withhold information and/or provide false or misleading information to treating physicians/health care professionals regarding the true nature of a child’s injury or condition.

Support legislation to request high school students be properly trained in CPR.

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2015 LEGISLATIVE SESSION

/(*,6/$7,21 72 23326( 6FRSH RI 3UDFWLFH SCOPE OF PRACTICE EXPANSIONS

Oppose legislation which seeks to limit physicians’ ability to contract for services with patients, or which coerces a physician to be a party to a contract which the physician has not agreed to.

Continue to oppose all scope of practice expansions including naturopaths, ARNPs, pharmacists, optometrists, psychologists, podiatrists, direct access to physical therapists, audiologists and speech language pathologists.

Oppose any legislation that imposes additional costs on physicians or their practices without remuneration or other mechanisms to offset the additional costs.

PHYSICIAN SUPERVISION ISSUES Protect advances we have made relating to physician supervision of nurses and PAs. AUTONOMY IN MEDICAL DECISION MAKING Oppose any legislation that would infringe on physician practice autonomy and the doctor/patient relationship. /LFHQVXUH 5HJXODWRU\ ,VVXHV TELEMEDICINE Oppose any legislative proposals that would allow a health care provider without a Florida medical license to provide telemedicine and telehealth services to Floridians. PRESCRIPTION DRUG MONITORING DATABASE Oppose mandates on physicians to check Florida’s prescription drug monitoring database before issuing a prescription. MANDATORY PARTICIPATION IN HEALTH NETWORKS Oppose legislation that requires the linkage of physician licensure to the acceptance of any government or private insurance, public health care system, forced public service initiatives or mandatory ER coverage. Oppose legislation that would tie physician licensure to mandated participation in any health care network, insurance plan or public health care system, forced public service initiatives, mandated emergency room coverage, or affiliation with any public or private third party payor organization. FSMB MAINTENANCE OF LICENSURE (MOL) PROGRAM ADOPTION Oppose any efforts by the Florida Board of Medicine and the Florida Board of Osteopathic Medicine to require the Federation of State Medical Boards, Inc., (FSMB) “maintenance of licensure (MOL)” program, “maintenance of certification (MOC)”, or ecertification by a specialty medical board as a condition of licensure in the State of Florida. MEDICAID REFORM Oppose any effort to mandate Medicaid participation as a condition of physician licensure. ,QVXUDQFH 3D\PHQW PROTECTION OF FEE-FOR-SERVICE AS AN APPROPRIATE METHOD OF PHYSICIAN REIMBURSEMENT

26 24 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

UNFUNDED MANDATES

CMS VERBAL ORDER AUTHENTICATION REQUIREMENT Collaborate with the Florida Hospital Association and the Florida Society of Hospital Physician Executives to effect legislative change to FS 395.3025(12) as follows, “Verbal or telephone orders for hospital services must be authenticated within 30 days from the date of patient discharge. The hospital must maintain the written authentication or documentation of the efforts made to obtain such authentication as part of the medical record.” BALANCED BILLING Oppose the imposition of any new restrictions on the ability of a physician to bill patients directly for the costs of care not fully covered by their insurance policy. 0HGLFDO /LDELOLW\ PROTECT ABILITY TO SELF INSURE Oppose legislation that will take away a physician’s ability to self insure or that will make it more difficult for a physician to meet the financial responsibility requirements for licensure. ARBITRATION Oppose any changes to the statutes/rules governing arbitration that would jeopardize the effectiveness of the FMA created physician-patient arbitration form. WRONGFUL DEATH Oppose any expansion of Florida’s Wrongful Death Act. FABRE CHANGES Oppose any legislation changing current law relating to the Fabre doctrine. 2WKHU ,VVXHV WR 2SSRVH VACCINATIONS Oppose any vaccine legislation that would deviate from evidence-based recommendations and guidelines of the Centers for Disease Control and Prevention, the Advisory Committee on Immunization Practices, the American Academy of Family Physicians, and the American Academy of Pediatrics. LIMITS ON PHYSICIAN/PATIENT CONVERSATIONS Oppose any legislation that would seek to interfere with the scope of conversations a physician can have with their patients or patient’s guardian.

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19 27

CMS PRESIDENTIAL INSTALLATION

Supporting Sponsor, SunTrust: (l-r) Tom Pennekamp, Leigh Graham, Connie Stevenson, and Brett Allen.

Dr. Joshua Somerset making his acceptance speech (to read it in its entirety, go to page 30).

Dr. Alan Pillersdorf administering the Oath of Office to new CMS President, Dr. Joshua Somerset.Â

(L-r) Dr. Alfredo Paredes, CMS Immediate Past President; Dr. Joshua Somerset, CMS President; and our Keynote Speaker, Dr. Alan Pillersdorf, President, Florida Medical Association. 20 28 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS PRESIDENTIAL INSTALLATION

Supporting Sponsor, Florida Medical Association: (l-r) Shari Hickey, Lauren Byrd, Rhona Pillersdorf, and Dr. Alan Pillersdorf, also our keynote speaker for the evening.

Supporting Sponsor, Tallahassee Memorial HealthCare: Mark Oâ€™Bryant and Stephanie Derzypolski.

Supporting Sponsor, Tallahassee State Bank: (l-r) Mary Colonese, Linda Bergman, Sharon Weeden, and Bill Moore.

Dr. Thomas Noel introduced his friend and colleague, Dr. Joshua Somerset, to the attendees.

The Somerset Family: Dr. Wendy Somerset and Dr. Joshua Somerset with their children, Norah (5), Naomi (11), and Andrew (9).

Past and current physicians from our Supporting Sponsor, Digestive Disease Clinic: (l-r) Dr. Jim Stockwell, Dr. Andres Rodriguez, Dr. Joshua Somerset, Dr. Terence Reisman, Dr. C. Raymond Cottrell, and Dr. Hardeep Singh. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

21 29

CMS PRESIDENTIAL INSTALLATION

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22 CAP CAP SCAN SCAN -- A A CAPITAL CAPITAL MEDICAL MEDICAL SOCIETY SOCIETY PUBLICATION PUBLICATION 30

CMS FOUNDATION: WE CARE NETWORK

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7R RXU &06 PHPEHUV DQG :H &DUH SDUWQHUV ZKR VDZ QHZ SDWLHQWV IRU WKH :H &DUH 1HWZRUN LQ -DQXDU\ <RXU JHQHURVLW\ DQG VXSSRUW RI WKH :H &DUH 1HWZRUN PDNHV D GLIIHUHQFH PHYSICIANS Greg Albright, D.O. Marie Becker, M.D. Dhananjay Bendre, M.D. Viet Bui, M.D. Joseph Camps, M.D. Jeffrey Crooms, M.D. Ray Dolly, M.D. Akash Ghai, M.D. Spencer Gilleon, M.D. Sergio Ginaldi, M.D. Joseph Gray, M.D. Celeste Hart, M.D. David Huang, M.D. Okanta Jackson, M.D. Simha Jagadeesh, M.D. Amit Jain, M.D. Ben Kirbo, M.D. Hari Kolli, M.D. Stephanie Lee, M.D. David Oberste, M.D. Steven Ostrov, M.D. Rodolfo Oviedo, M.D. Praful Patel, M.D. Adrian Roberts, M.D. David Smith, M.D. Joseph Soto, M.D. Robert Steinmetz, M.D. Scott Tetreault, M.D. John Thabes, M.D.

Jean Paul Tran, M.D. Tony Weaver, M.D. Anthony Wright, M.D. William Yaakob, M.D. Daniel Yang, M.D. DENTISTS Eric Amundson, D.D.S. Jean-Pierre Bastien, D.M.D. Susan Byrne, D.M.D. Walter Colรณn, D.M.D. Ben Grooters, D.D.S. Michael Hartley, D.M.D. William McFatter, D.D.S. E. Lynn McLarty, D.D.S. Jim McSoley, D.M.D. Lawrence Pijut, D.M.D. Frank Swerdzewski, D.D.S. James Sykes, D.M.D. Jay Walton, D.D.S. Lawrence Weaver, D.D.S. Ed Zapert, D.M.D.

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We thank our referring providers from January 2015: John Agens, M.D.

Amit Jain, M.D.

Eboni Allen, ARNP

Marta Klisinska, M.D.

Aaron Appiah, M.D.

Esaias Lee, M.D.

Ricardo Ayala, M.D.

Stephanie Lee, M.D.

Dhananjay Bendre, M.D.

Ovidiu Marina, M.D.

PODIATRISTS Russell Rowan, D.P.M. Bryan Spooner, D.P.M.

Viralkumar Bhanderi, M.D.

Damon McMillan, M.D.

Shelby Blank, M.D.

William Necaise, ARNP

Jonna Bradley, ARNP

John Ness, M.D.

FACILITIES Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Dermatology Associates Desloge Home Oxygen Leon County Dental Clinic Pathology Associates Radiology Associates Seven Hills Surgery Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Health Imaging Tallahassee Memorial HealthCare Tallahassee Orthopedic and Sports Physical Therapy Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Womenโ s Imaging Center

Sherry Bramblett, ARNP

T. Adam Oliver, M.D.

Daniel Breivogel, ARNP

Rose Origa, ARNP

Kendall Campbell, M.D.

Lisa Perkins, ARNP

David Cardman, D.M.D.

Laura Preston, M.D.

Walt Colรณn, D.M.D.

Jose Rodriguez, M.D.

Marilyn Cox, M.D.

Tamara Sealy, M.D.

Jeffrey Crooms, M.D.

William Shaner, D.D.S.

Lysmar Dinguis, M.D.

Eliot Sieloff, M.D.

Ray Dolly, M.D.

Jeannine Silberman, M.D.

Julia Drude, M.D.

Alanna Steaple, ARNP

Shirley English, ARNP

Tallahassee VA Clinic

Cynthia Evans, ARNP

Scott Tetreault, M.D.

Alberto Fernandez, M.D.

Faye Tinson, ARNP

Anneka Gaffney, ARNP

Marianne Towler, ARNP

Lynn Garner, M.D.

Jeffrey Wasserman, D.O.

Hantz Hercule, M.D.

Scottie Whiddon, M.D.

Gina Hope, M.D.

Ronald Willis, D.M.D.

Susan Horton, ARNP

Richard Zorn, M.D.

'85,1* 7+( 0217+ 2) -$18$5< 7+( :( &$5( 1(7:25. RECEIVED 105 REFERRALS, WITH 68 PATIENTS NEW TO THE PROGRAM

SCHEDULED 82 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS

$210,170 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Prsrt. Std. U.S. Postage

PAID

Tallahassee, FL Permit 801

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