LSC Resolution Testimony January 7th, 2021

 



LONE STAR CAUCUS RESOLUTIONS FOR 2021 – WRITTEN TESTIMONY

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RESOLUTION 1

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: Agree

Dr. Mary Dale Peterson
Nueces County Medical Society
Testimony: YES

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RESOLUTION 2

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: I would not support resolutions 2;3;4;and 5 as those are administrative issues that need to be dealt by local health care systems and can’t be regulated as circumstances are so different in our quilt of systems within Texas

Dr. Mary Dale Peterson
Nueces County Medical Society
Testimony: Not sure- this does not happen in our hospital

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RESOLUTION 3

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: I would not support resolutions 2;3;4;and 5 as those are administrative issues that need to be dealt by local health care systems and can’t be regulated as circumstances are so different in our quilt of systems within Texas

Dr. Mary Dale Peterson
Nueces County Medical Society
Testimony: YES

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RESOLUTION 4

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: I would not support resolutions 2;3;4;and 5 as those are administrative issues that need to be dealt by local health care systems and can’t be regulated as circumstances are so different in our quilt of systems within Texas

Dr. Mary Dale Peterson
Nueces County Medical Society
Testimony: YES

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RESOLUTION 5

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: I would not support resolutions 2;3;4;and 5 as those are administrative issues that need to be dealt by local health care systems and can’t be regulated as circumstances are so different in our quilt of systems within Texas

Dr. Mary Dale Peterson
Nueces County Medical Society
Testimony: YES

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RESOLUTION 6

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: I also disagree with the res 6 as tis is an issue that is beyond resolution and =being addressed by many agencies and the statement by TMA and AMA is clear enough and we do not need another resolution in this regard

Dr. Mary Dale Peterson
Nueces County Medical Society
Testimony: Not sure. This is a federal issue and the DEA has adjusted allocations during the pandemic. Drug shortages are widespread, not just limited to fentanyl.  These shortages require a national response- it is a national strategic risk laid bare by the pandemic (80% of raw drugs come from China).  So, I agree there is a problem, just not sure TMA is the place to solve it.

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RESOLUTION 7

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: Agree

Dr. Mary Dale Peterson
Nueces County Medical Society
Testimony: Not sure.  All insurers, especially those who are contractors for Medicaid and Medicare, are already required to report transparently. Any profits for Texas Medicaid plans above 3% are sent back to the State in a tiered fashion.  Perhaps some of this “experience rebate” could be sent to the physicians to keep it in the community rather than a windfall for the State.  It may need to be reworded to incorporate some of these ideas.

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RESOLUTION 8

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: Agree

Dr. Mary Dale Peterson
Nueces County Medical Society
Testimony: YES

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RESOLUTION 9

Dr. Gilbert Handal  
El Paso County Medical Society
Testimony: Agree. Nevertheless I feel that the justification for the telehealth resolution ought to strengthen something we are doing to ourselves, by allowing the use of commercial and now insurance sponsored telehealth  *(CIGNA and UNITED to start with ) they are undervaluing and undermining the practice of medicine and we need to address this issues , We need to improve on the statements enhancing the value of in person medical care and the essential aspect of care provided by physicians as most of these TH programs are manned by NP
I believe , as I have always have, that care provided by telehealth should be provided by the primary physician or service relating to the primary physician and something I argued but to no avail that should be provided after a relationship has been stablished by the physician and the patient and not as is now where you can provide telehealth care to anybody regardless if the service is done anywhere else. I am sorry, it seems the cat is off the bag already but we need to do something for what I anticipated, long before we had TELEDOC this was going and continue to happen. I strongly believe that the resolution ought to be more intensely looked at as well as  look at more circumstances than those mentioned in the resolution and provide more alternatives (we really have to get paranoid in this regard, for example require PI; QI.; HEDIS standard measurements, appropriately reporting and referrals, compliance and regulation that will decrease at least some of the players)