News & Media

Michigan Impacts National Policy at the AMA Annual Meeting

Wednesday, June 22, 2022

After two years of virtual meetings, the American Medical Association (AMA) held its Annual Meeting in person from June 10-15, 2022, in Chicago.  Members of the House of Delegates (HOD) were thoughtfully engaged in the event’s activities while following the defined health and safety protocol.  Twenty members of the Michigan Delegation to the AMA were in attendance and over 300 items of business were addressed.

The Annual Meeting is a combination of elections and policy making.  Each year, candidates for AMA officer and council positions campaign for their desired seats with elections held before Tuesday’s business session.  This year, Michigan had another outstanding candidate in Betty S. Chu, MD, MBA.  Doctor Chu successfully ran for re-election to the AMA Council on Medical Service.  Not only was she the top vote-getter in her race, but in all contested AMA elections.  Congratulations, Doctor Chu!

On the policy side, the Michigan Delegation was busy coordinating positions on and testimony for resolutions assigned to the eight reference committees.  Additionally, Michigan submitted 14 resolutions which overall were well-received.  Michigan’s resolutions are listed below.

David T. Walsworth, MD, served as Chair of Reference Committee C (Medical Education), Theodore B. Jones, MD, served as a member on Reference Committee on Constitution and Bylaws, Kaitlyn Dobesh, MD, JD, served as a member on Reference Committee G (Medical Practice), and Jann Caison-Sorey, MD, served on the AMA’s Committee on Conduct at AMA Meetings and Events (CCAM).  Doctor Caison-Sorey was chosen to chair the CCAM over the next year.  Finally, Pino D. Colone, MD, announced his candidacy for Vice Speaker of the AMA HOD in 2023.  As MSMS Delegation Chair Mark C. Komorowski, MD, stated, “the Michigan Delegation continues to be a respected force within the AMA HOD.”

For highlights from the AMA Special Meeting, visit https://www.ama-assn.org/house-delegates/annual-meeting/highlights-2022-ama-annual-meeting.  If you have questions regarding the Michigan Delegation to the AMA, please contact Stacey P. Hettiger at shettiger@msms.org.

Michigan’s 2022 Annual Meeting Resolutions

Res #

Title

Action

024 (A-22)

 

Pharmaceutical Equity for Pediatric Populations

Adopted.

 

Insufficient Testing of Pharmaceutical Agents in Children H-100.987

1. The AMA supports the FDA's efforts to encourage the development and testing of drugs in the pediatric age groups in which they are used.

2. The AMA supports collaboration between stakeholders, including but not limited to the FDA, the American Academy of Pediatrics, and nonprofit organizations such as the Institute for Advanced Clinical Trials for Children, to improve the efficiency and safety of pediatric pharmaceutical trials in pursuit of pharmaceutical equity for pediatric populations.

122 (A-22)

 

Medicaid Expansion

 

Adopted as amended and with a title change.

 

TITLE: Providing Educational Resources on Medicaid Expansion

 

RESOLVED, That our AMA continue to advocate strongly for expansion of the Medicaid program to all states and reaffirm existing policies D-290.979, H-290.965, and H-165.823; (Reaffirm HOD Policy) and be it further

 

RESOLVED, That our AMA work with interested state medical associations and national medical specialty societies to provide AMA resources on Medicaid expansion and covering the uninsured to health care professionals to inform the public of the importance of expanded health insurance coverage to all.

 

127 (A-22)

 

Continuity of Care Upon Release from Correctional Systems

Adopted as amended.

 

Item 10 in AMA policy H-430.986, “Health Care While Incarcerated,” will now read as follows:

 

10. Our AMA supports: (a) linkage of those incarcerated to community clinics upon release in order to accelerate access to comprehensive health care, including mental health and substance use disorder services, and improve health outcomes among this vulnerable patient population, as well as adequate funding; and (b) the collaboration of correctional health workers and community health care providers for those transitioning from a correctional institution to the community; and (c) the provision of longitudinal care from state supported social workers, to perform foundational check-ins that not only assess mental health but also develop lifestyle plans with newly released people; and (d) collaboration with community-based organizations and integrated models of care that support formerly incarcerated people with regard to their health care, safety, and social determinant of health needs, including employment, education, and housing

212 (A-22)

 

Medication for Opioid Use Disorder in Physician Health Programs

 

Adopted as amended.

 

AMA policy H-95.913, “Discrimination Against Physicians in Treatment with Medication for Opioid Use Disorders” is reaffirmed and AMA policy D-405.990, “Educating Physicians About Physician Health Programs and Advocating for Standards,” is amended to read as follows:

 

Our AMA will:

(1) work closely with the Federation of State Medical Boards (FSMB) and Federation of State Physician Health Programs (FSPHP) to educate our members as to the availability and services of state physician health programs to continue to create opportunities to help ensure physicians and medical students are fully knowledgeable about the purpose of physician health programs and the relationship that exists between the physician health program and the licensing authority in their state or territory;

(2) continue to collaborate with relevant organizations on activities that address physician health and wellness;

(3) in conjunction with the FSMB and FSPHP, develop model state legislation and/or legislative guidelines addressing the design and implementation of physician health programs including, but not limited to, the allowance for safe-haven or non-reporting of physicians to a licensing board, and/or acceptance of Physician Health Program compliance as an alternative to disciplinary action when public safety is not at risk, and especially for any physicians who voluntarily self-report their physical, mental, and substance use disorders and engage with a Physician Health Program and who successfully complete the terms of participation;

(4) work with FSMB and FSPHP to develop messaging for all Federation members to consider regarding elimination of stigmatization of mental illness and illness in general in physicians and physicians in training;

(5) continue to work with and support FSMB and FSPHP efforts already underway to design and implement the physician health program review process, Performance Enhancement and Effectiveness Review (PEER™), to improve accountability, consistency and excellence among its state member PHPs. The AMA will partner with the FSPHP to help advocate for additional national sponsors for this project; and

(6) continue to work with the FSMB and FSPHP and other appropriate stakeholders on issues of affordability, cost effectiveness, and diversity of treatment options.

 

213 (A-22)

 

Resentencing for Individuals Convicted of Marijuana-Based Offenses

Board of Trustees Report 17, “Expungement, Destruction, and Sealing of Criminal Records for Legal Offenses Related to Cannabis Use or Possession,” was adopted in lieu of Resolution 213.

228 (A-22)

 

Expanded Child Tax Credit

 

Resolution 247 was adopted as amended in lieu of Resolution 228.

 

RESOLVED, That our AMA recognize child poverty as a public health issue and a crucial social determinant of health across the life course; and be it further

 

RESOLVED, That our AMA recognize that the disproportionate concentration of child poverty and generational wealth gaps experienced by Black, American Indian or Alaska Native, and Hispanic families are a consequence of structural racism and a barrier to achieving racial health equity; and be it further

 

RESOLVED, That our AMA advocate for fully refundable, expanded child tax credit and other evidence-based cash assistance programs to alleviate child poverty, ameliorate the racial wealth gap, and advance health equity for families in need.

 

229 (A-22)

 

Expedited immigrant Green Card for J-1 Visa Waiver Physicians Serving in Underserved Areas

 

Resolution 218 was adopted as amended in lieu of Resolution 229.

 

RESOLVED, That our American Medical Association advocate physicians who are on J-1 visas be granted a waiver and H-1B status for serving in underserved areas, be given highest priority in visa conversion to green cards upon completion of their service commitment, and be exempted from the per country limitation of H-1B visa to green card visa conversion.

 

320 (A-22)

 

Tuition Cost Transparency

 

 

Reaffirmation Calendar - The following AMA policies were reaffirmed:

 

· Principles of and Actions to Address Medical Education Costs and Student Debt, H-305.925

· Cost and Financing of Medical Education and Availability of First Year Residency Positions, H305.988

321 (A-22)

 

Improving and Standardizing Pregnancy and Lactation Accommodations for Medical Board Examinations

Adopted as amended.

 

RESOLVED, That our AMA support and advocate for the implementation of a minimum of 60 minutes of additional, scheduled break time for all test takers who are pregnant and/or lactating during all medical licensure and certification examinations; and be it further

 

RESOLVED, That our AMA support and advocate for the addition of pregnancy comfort aids, including but not limited to, ginger teas, saltines, wastebaskets, and antiemetics, to any medical licensure and certification examination’s pre-approved list of Personal Item Exemptions (PIEs) permitted in the secure testing area for all test takers who are pregnant and/or lactating.

322 (A-22)

 

Standards in Cultural Humility Training within Medical Education

 

Adopted.

 

RESOLVED, That our AMA to supports the development of national standards for cultural humility training in the medical school curricula and incorporate cultural humility training into its current policy.

411 (A-22)

 

Anonymous Prescribing Option for Expedited Partner Therapy

 

Adopted as amended and with a title change.

 

TITLE: Prescribing Option for Expedited Partner Therapy

 

RESOLVED, That our American Medical Association work with electronic medical record vendors to create a prescribing option for the purpose of expedited partner therapy.

426 (A-22)

 

Mental Health First Aid Training

 

Reaffirmation Calendar – The following AMA policies were reaffirmed:

 

· Awareness, Diagnosis and Treatment of Depression and other Mental Illnesses H-345.984

· Increasing Detection of Mental Illness and Encouraging Education D-345.994

427 (A-22)

 

Pictorial Health Warnings on Alcoholic Beverages

 

Adoption.

 

RESOLVED, That our AMA amend Policy H-30.940, “,” by addition and deletion as follows:

 

Alcoholic Beverages H-30.940

(1.) (a) Supports accurate and appropriate labeling disclosing the alcohol content of all beverages, including so-called "nonalcoholic" beer and other substances as well, including over-the-counter and prescription medications, with removal of "nonalcoholic" from the label of any substance containing any alcohol; (b) supports efforts to educate the public and consumers about the alcohol content of so-called "nonalcoholic" beverages and other substances, including medications, especially as related to consumption by minors; (c) urges the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) and other appropriate federal regulatory agencies to continue to reject proposals by the alcoholic beverage industry for authorization to place beneficial health claims for its products on container labels; and (d) urges the development of federal legislation to require nutritional labels on alcoholic beverages in accordance with the Nutritional Labeling and Education Act.

(2.) (a) Expresses its strong disapproval of any consumption of "nonalcoholic beer" by persons under 21 years of age, which creates an image of drinking alcoholic beverages and thereby may encourage the illegal underaged use of alcohol; (b) recommends that health education labels be used on all alcoholic beverage containers and in all alcoholic beverage advertising (with the messages focusing on the hazards of alcohol consumption by specific population groups especially at risk, such as pregnant women, as well as the dangers of irresponsible use to all sectors of the populace); and (c) recommends that the alcohol beverage industry be encouraged to accurately label all product containers as to ingredients, preservatives, and ethanol content (by percent, rather than by proof); and (d) advocates that the alcohol beverage industry be required to include pictorial health warnings on alcoholic beverages.

(3.) Actively supports and will work for a total statutory prohibition of advertising of all alcoholic beverages except for inside retail or wholesale outlets. Pursuant to that goal, our AMA (a) supports continued research, educational, and promotional activities dealing with issues of alcohol advertising and health education to provide more definitive evidence on whether, and in what manner, advertising contributes to alcohol abuse; (b) opposes the use of the radio and television to promote drinking; (c) will work with state and local medical societies to support the elimination of advertising of alcoholic beverages from all mass transit systems; (d) urges college and university authorities to bar alcoholic beverage companies from sponsoring athletic events, music concerts, cultural events, and parties on school campuses, and from advertising their products or their logo in school publications; and (e) urges its constituent state associations to support state legislation to bar the promotion of alcoholic beverage consumption on school campuses and in advertising in school publications.

(4.) (a) Urges producers and distributors of alcoholic beverages to discontinue advertising directed toward youth, such as promotions on high school and college campuses; (b) urges advertisers and broadcasters to cooperate in eliminating television program content that depicts the irresponsible use of alcohol without showing its adverse consequences (examples of such use include driving after drinking, drinking while pregnant, or drinking to enhance performance or win social acceptance); (c) supports continued warnings against the irresponsible use of alcohol and challenges the liquor, beer, and wine trade groups to include in their advertising specific warnings against driving after drinking; and (d) commends those automobile and alcoholic beverage companies that have advertised against driving while under the influence of alcohol. (Modify Current HOD Policy); and be it further

 

RESOLVED, That our AMA advocate for the implementation of pictorial health warnings on alcoholic beverages. (Directive to Take Action)

606 (A-22)

 

Financial Impact and Fiscal Transparency of the American Medical Association Current Procedural Terminology® System

Referred for decision.

 

RESOLVED, That our American Medical Association survey physicians about and study the impact of the 2021 CPT® Evaluation and Management coding reform on physicians, among all specialties, in private and employed practices and report the findings and any recommendations at the November 2022 meeting of the House of Delegates. (Directive to Take Action)