Bill introduced to fix security prescription law Flawed implementation of a new state law that requires all security prescription forms to have a uniquely serialized number law has left pharmacies unable to fill prescriptions and patients being refused necessary medications. The California Medical Association (CMA) is currently working on a legislative fix to address this issue immediately to ensure no patient goes without the essential medicine and care they need. This week, AB 149 (Assemblymembers Cooper, Arambula and Low) was introduced to correct the flawed implementation the new law, which was intended to improve the security of ... January 30, 2019 CMA, General Advocacy, Drug Prescribing/Dispensing 0 0 Comment Read More »
Golden Shore Medical Group to shut down following Molina contract termination The California Medical Association (CMA) has learned that Molina Healthcare has terminated its contract with Golden Shore Medical Group. The plan filed requests in late 2018 with the California Department of Managed Health Care (DMHC) to transfer its enrollees to other delegated groups and the request was approved by the Department on January 11, 2019. According to Molina’s block transfer filing with DMHC, the termination was the result of the parties’ inability to agree on contractual terms. As a result of the termination, Golden Shore has announced to its network ... January 24, 2019 General, Managed Care, Medi-Cal Payor Issues and Reimbrsement, Practice Management 0 0 Comment Read More »
CMA working to fix security prescription legislation The California Medical Association (CMA) has heard from dozens of physicians and patients across the state about prescriptions not being filled because the pads the prescriptions were written on were not compliant with a new state law. On January 1, 2019, a new California law took effect that requires all security prescription forms to have a uniquely serialized number. The legislation did not include any transition or grandfathering period to allow for continued use of old controlled substance security prescription forms on or after January 1. Unfortunately, with less than two ... January 24, 2019 CMA, General Drug Prescribing/Dispensing, Licensing & Regulatory Issues 0 0 Comment Read More »
Federal court halts expanded religious exemption from ACA contraceptive mandate On January 7, 2019, the California Medical Association (CMA), along with other health care provider organizations, filed an amicus brief in support of the State of California in its challenge to federal rules that would expand a group health plan or health insurer's ability to claim a religious or moral objection to opt out of the Affordable Care Act’s (ACA) contraceptive coverage mandate. On January 13, 2019, one day before the effective date, the federal court granted the state’s motion for a preliminary injunction, blocking the rules from going ... January 22, 2019 General Access to Care, Amicus Briefs, Health Care Reform 0 0 Comment Read More »
CMS hosting call for prescribers on new opioid policies on Feb. 14 The Centers for Medicare and Medicaid Services (CMS) implemented new opioid policies for Medicare drug plans effective January 1, 2019. The new policies include safety alerts when patients fill opioid prescriptions and drug management programs for patients at-risk for misuse or abuse of opioids or other drugs. CMS will be hosting a call on Thursday, February 14 from 10:30 a.m. to 12 p.m. Pacific time, to help physicians and other prescribers understand the new policies. During the call, CMS experts will discuss the new policies and answer questions. To ... January 22, 2019 General Drug Prescribing/Dispensing, Professional Development & Education 0 0 Comment Read More »
UnitedHealthcare delays outpatient advanced radiology policy until February 1 Citing the need for additional time for communication and optimal rollout, UnitedHealthcare (UHC) has delayed implementation of its outpatient advanced radiology policy until February 1, 2019. The new UHC policy—originally scheduled for implementation on Jan. 1—requires prior authorization for advanced imaging procedures, including certain magnetic resonance imaging, magnetic resonance angiography and computed tomography imaging procedures, when performed in the outpatient hospital setting. Under UHC’s Outpatient Radiology Notification/Prior Authorization Protocol, a site of care review will be required for these advanced imaging services when performed in the outpatient hospital. Site of care ... January 22, 2019 General, Managed Care Commercial Payors, Patient Care, Practice Management, Radiology 0 0 Comment Read More »
Joint Statement Regarding Security Prescription Forms As of January 1, 2019, California law requires prescription forms for controlled substances to be printed with a uniquely serialized number. Notices explaining the serial number format and reporting requirements have been released by the Department of Justice (DOJ). Additionally, notices to prescribers and pharmacists were issued by the California State Board of Pharmacy (Pharmacy Board), and by the Medical Board of California (Medical Board), yet questions remain about implementation. This joint statement by DOJ, the Pharmacy Board, and the Medical Board is therefore being issued to provide further ... January 14, 2019 General 0 0 Comment Read More »
Newsom's first budget puts health care access, costs front and center SACRAMENTO -- Gov. Gavin Newsom released his first state budget proposal on Thursday, including a number of new goals and programs aimed at making health care more affordable and accessible to all Californians. The governor is following through on a key campaign promise by investing more than $1 billion in Proposition 56 tobacco tax revenue to increase access for Medi-Cal patients. That investment will help make it easier for low-income patients throughout California to see a physician and make Medi-Cal coverage more meaningful and effective for patients. Much of Newsom’s health ... January 14, 2019 General Access to Care, Public Health 0 0 Comment Read More »
Gov. Newsom signs executive order expanding health care access Within hours of being sworn in as California’s 40th governor on Monday, Gavin Newsom signed an executive order that will help control health care costs and expand access to care for millions of Californians. Gov. Newsom announced the creation of the nation’s first state-run purchasing program for prescription drugs to help bring down costs via bulk purchasing. He also announced his intention to expand Medi-Cal coverage to undocumented Californians up to age 26. (California current allows anyone under age 19 to receive Medi-Cal benefits, regardless of immigration status.) The governor also ... January 14, 2019 General Access to Care, Public Health 0 0 Comment Read More »
CMA and AMA urge exemptions from Open Payments reporting The American Medical Association, the California Medical Association (CMA) and more than 80 other health care organizations recently submitted a joint letter in response to a request from the Centers for Medicare and Medicaid Services (CMS) for feedback on the Open Payments Program reporting requirements. Under the Open Payments program, drug and medical device manufacturers are required to report their financial interactions with licensed physicians – including consulting fees, travel reimbursements, research grants and other gifts. The joint letter urges CMS to exempt journal reprints and medical textbooks from “Open Payments” ... January 14, 2019 CMA, General Practice Management, Public Payors 0 0 Comment Read More »
