State advocacy opportunities abound to preserve physician-led team

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By Bruce Brod, MD

Preserving the integrity of the specialty starts at the state level. Heading into the 2014 legislative session, nearly 50 state medical associations plan to advocate for a state legislative environment that fosters physician-led, team-based care. According to the AMA’s Advocacy Resource Center (ARC), 47 state medical societies identified scope of practice as a top priority. In 2013, over 750 scope of practice bills were introduced nationwide. 

Recently, the AMA developed model legislation and a campaign that would provide for a physician-led, team-based model of care. Similar legislation has been enacted in Virginia (2012) and Texas (2013). For information concerning the AMA’s campaign, please contact Lisa Albany, assistant director, state policy, at lalbany@aad.org

To date, legislation has been introduced in multiple states that would expand the scope of practice of nurses, optometrists, naturopaths, oral and maxillofacial surgeons, psychologists, midwives, and pharmacists. Two Missouri bills would expand the scope of practice of nurse practitioners and other advanced practice registered nurses (APRNs). House Bill (HB) 1481 would remove the Board of Registration for the Healing Art’s role in regulating collaborative practice, and Senate Bill (SB) 659 would expand APRN scope of practice. In Mississippi, HB 813 would no longer mandate a collaborative relationship between an APRN and physician or dentist. This would authorize independent practice for APRNs. In Arizona, an aesthetician using a laser for cosmetic purposes other than hair removal could be directly supervised by an oral and maxillofacial surgeon pursuant to HB 2529. Lastly, Maryland would authorize naturopaths to perform minor surgical procedures (SB 314/HB 402). 

The AADA is working with state dermatology and medical societies in each of these states to defeat the legislation above. More than ever, it’s important for dermatologists to get involved at the state level, as state medical societies are instrumental in preserving the physician-led team.

Welcome to AAD’s incoming State Policy Committee chair!

I’m excited to welcome Kelley Pagliai Redbord, MD, as incoming chair of the State Policy Committee, one of the most action-oriented committees in the Academy. I feel lucky to have had the opportunity to work closely with AAD staff and dermatology advocates in the states to advance the Academy’s key priorities, including indoor tanning regulation, truth in advertising laws, fair office-based surgery regulations, and safeguards on scope of practice.

Dr. Redbord is a board-certified dermatologist who specializes in Mohs micrographic surgery, skin cancer, dermatologic surgery, cosmetic surgery, hyperhidrosis, and laser medicine. Her four-year term begins at the conclusion of the Academy’s Annual Meeting, March 25. Dr. Redbord is in private practice in northern Virginia and Maryland and is an associate clinical professor of dermatology at The George Washington University. Dr. Redbord received her Bachelor of Science degree at Duke University, where she graduated cum laude, and her medical degree from Johns Hopkins School of Medicine. After completing her dermatology residency as chief resident at the University of Cincinnati, Dr. Redbord was accepted as a fellow in Mohs micrographic surgery and procedural dermatology at the Laser and Skin Surgery Center of Indiana under the mentorship of C. William Hanke, MD. 

Dr. Redbord has served on several Academy committees, including the State Policy Committee, Grassroots Advocacy Workgroup, Mentoring Workgroup, ACMS Ethics Committee, WDS Annual Meeting Committee, Patient Safety and Quality Ad Hoc Task Force, Adverse Event/Medical Error Reporting Workgroup of the Patient Safety and Quality Committee, Congressional Policy Committee, Women’s Health Initiative Task Force, and Residents and Fellows Committee.

Dr. Brod is the outgoing chair of the AADA’s State Policy Committee, and he also serves as advisor to the AADA's State Society Development Task Force. He is a clinical associate professor of dermatology at the University of Pennsylvania Perelman School of Medicine.