New York State Academy of Family Physicians

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New York State Academy of Family Physicians

• Membership Packet

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FROM THE PRESIDENT.

• I am pleased to provide you with this information
  packet designed to give you up-to-date
  information on Academy programs and activities.
  I hope you will read through the packet so that
  you will have an overview of what the NYSAFP has
  to offer and what it does on your behalf.
• In order for any association to be successful, it
  must rely on its members. We need your ideas,
  input and support to meet our goal of addressing
  and serving your needs as a family physician.
  Through this packet, I hope you will take
  advantage of learning more about the NYSAFP and
  will participate according to your interests and
  the time you can commit.
• We are faced with many challenges today, from
  scope of practice issues to reimbursement issues
  to how best to tell the public what we do. I
  believe the NYSAFP is doing a good job, but we
  can be better, and we want to do the best for you
  and our specialty.
• Please contact the NYSAFP office if you have
  questions on programs or activities. We value
  your comments and suggestions.
• Sincerely,
• Marianne LaBarbera, MD
• President

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THE NEW YORK STATE ACADEMY OF FAMILY PHYSICANS..

• The New York State Academy of Family Physicians
  is a State association of doctors
• who are engaged in family practice. The Academy
  with a membership of over 4,000 has
• county chapters in most of the New York State
  Counties.
• The NYSAFP was established in 1947 and is the
  second largest medical association in
• this State and the largest medical specialty
  association.
• Membership requirements in the Academy are listed
  in the Constitution Bylaws. A
• copy of this booklet is available through the
  NYSAFP office.
• The AAFP became the first medical association to
  require continuing medical education
• of its Active members, 150 hours every three
  years, creating a pattern that is now being
• emulated by various national and state
  organizations.
• The Academy is a nonprofit association. Income
  is produced from members dues and
• conferences held throughout the year. A
  newsletter is produced monthly, except for July
• August, and is emailed or mailed to the
  membership.

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NYSAFP Staff

• Vito Grasso, MFP, CAE
• Executive Vice President
• vito_at_nysafp.org
• Patricia Poklemba
• Director of Education Information
• pat_at_nysafp.org
• Bobbi Markowitz
• Administrative Assistant
• bobbi_at_nysafp.org
• Ken Scallon
• Director of Finance
• ken_at_nysafp.org

• Ronald Rouse
• Consultant
• 518674-8465
• rrouse2272_at_aol.com
• Bob Reid Steve Weingarten
• Weingarten Reid
• 1 Commerce Plaza, Suite 1103
• Albany, NY 12210
• BobR_at_lobbywr.com or SteveW_at_lobbywr.com

NYSAFP 260 Osborne Road Albany, NY
12211 518-489-8945 or 800-822-0700 Fax
518-489-8961
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LOCAL COUNTY CHAPTERS..
There are presently 33 local county chapters of
the New York State Academy of Family Physicians.
Because we believe involvement of members from
their local areas is imperative to our Academy,
NYSAFP officers will be happy to meet with
representatives of local chapters to assist those
chapters which have not been active in recent
years. Please contact the NYSAFP office to set
up a meeting. The following list notes the
county chapters throughout the state. If you
have questions on the level of activity of your
local chapter or what county chapter you should
be involved in please contact the NYSAFP office.

• Nassau County Chapter
• New York City County Chapter
• Niagara County Chapter
• Oneida County Chapter
• Onondaga County Chapter
• Ontario County Chapter
• Oswego County Chapter
• Queens County Chapter
• Rensselaer County Chapter
• Richmond County Chapter
• Rochester County Chapter

Rockland County Chapter St. Lawrence County
Chapter Saratoga Springs County
Chapter Schenectady County Chapter Seneca County
Chapter Southern Tier County Chapter Suffolk
County Chapter Sullivan County Chapter Tompkins
County Chapter Warren-Washington County
Chapter Wayne County Chapter

• Albany County Chapter
• Bronx-Westchester Chapter
• Central Mohawk Valley Chapter
• Chautauqua Chapter
• Clinton County Chapter
• Columbia County Chapter
• Dutchess County Chapter
• Erie County Chapter
• Fulton County Chapter
• Kings County Chapter
• Lewis County Chapter

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NYSAFP MISSION STATEMENT.

• To advance the science and art of medicine for
  the betterment of the health and well being of
  our patients and to reserve the patients right
  of free choice of physicians.
• To establish an organization of family physicians
  to advance and maintain high standards of the
  family practice of medicine and surgery.
• To encourage and assist physicians and students
  to enter the specialty of family practice by
  supporting and training in the specialty of
  family practice.
• To encourage and assist physicians in preparing,
  qualifying and establishing themselves in family
  practice.
• To encourage and assist physicians in
  certification and recertification by the American
  Board of Family Practice.
• To preserve the rights and privileges of Family
  Physicians and to encourage and assist them to
  engage in medical and surgical procedures for
  which they are qualified by training.
• To assist in developing and promoting quality
  continuing medical education courses for family
  physicians and to encourage and assist family
  physicians in participating in such education.

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NYSAFP COMMISSION INFORMATION

• Commission on Family Practice Advocacy
• Chaired by Philip Kaplan, MD, this commission is
  responsible for monitoring
• governmental and legislative developments, and
  their impact on Family Medicine and
• Family Physicians.  The commission advocates for
  Family Physicians on issues that
• affect them in their professional lives.  In the
  past year, the commission has worked with
• our lobbyists, coordinated the Health Policy
  Conference, and lobbied in Albany several
• times, meeting with legislators and key
  legislative staff.
•  Commission on Education
• Chaired by Mark Josefski, MD, this commission is
  responsible for developing policy
• recommendations and programs to support the
  education of the next generation of
• Family Physicians.  In the past year, it has
  developed programs and mechanisms to
• recruit and support volunteers to teach medical
  students and residents.  The
• commission also supports student and resident
  member activities and participation in
• the Academy, including programs at the Scientific
  Assembly, Winter Weekend and
• National Congress of Resident and Student
  Members.  The commission also serves as
• the selection committee for several awards,
  including research externships, high school
• and college scholarships, resident awards and the
  Family Practice Educator of the Year.

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NYSAFP COMMISSION INFORMATION

• Commission on Leadership Development
• Chaired by Larry Novak, MD, this commission's
  mission is to
• nurture and support leadership training of Family
  Physicians and to encourage
• diversity in Academy leadership.  Its current
  goals are
•  1. To ensure that officers and directors reflect
  the demographics of Academy membership
• 2. To train leaders to run an efficient
  organization that is able to respond rapidly to
  member needs and interests.
• 3. To communicate with all members of the Academy
  so they can easily understand Academy operations.
• Commission on Membership and Member Services
• Chaired by Wendy VanBellingham, MD this
  commission is responsible for
• recruiting and retaining members making
  recommendations regarding new and
• existing member services, and coordinating the
  annual Congress of Delegates.

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NYSAFP COMMISSION INFORMATION

•  Commission on Operations
• Chaired by Maggie Blackburn, MD this commission
  is responsible for finances,
• personnel, headquarters operations and governance
  issues.  This commission
• develops and monitors the budget, reviews leases
  and contracts and develops bylaws
• amendments.
•  Commission on Public Health
• Chaired by Norm Wetterau, MD, this commission has
  three broad areas of action
• Education of the public to ensure health.
• Policy development to promulgate public health
  measures.
• Widening access to care for special populations
  such as the aging, children, and those in
  underserved areas.
• Specifically, the commission has worked on
  vehicular safety the Health Care Reform
• Act tobacco and other substance use HIV and
  needle exchange pharmaceutical
• company relationships and ethics in research. 
  Many of these are topics of ongoing
• activities of the commission.  The commission
  will continue to pursue appropriate
• measures as Academy members raise new topics
  relating to health care.

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CME REQUIREMENTS .

• Benefits of Reporting Your CME
• Review of your CME record is necessary to
  determine your eligibility for re-election to
  active
• membership every three years. In addition,
  although CME requirements of the AAFP and many
• other organizations are not equivalent, reporting
  your CME to AAFP in a timely manner will help
• you in the following ways
• Active members due for ABFP recertification need
  not report CME to the ABFP if they have been
  Active AAFP members for at least five years,
  re-election has occurred within the preceding
  three years and sufficient CME (as defined by the
  ABFP) has been reported to AAFP since the last
  re-election.
• You will be assured of a timely computer record
  from AAFP which will assist you in reporting your
  CME to other organizations.
• CME Requirements for Re-Election to AAFP
  Membership
• Active members must accrue at least 150 hours of
  AAFP Prescribed Elective credit within each
• three-year reporting period, of which
• at least 75 must be AAFP Prescribed credit
• at least 25 are from group learning activities
• not more than 25 are from enrichment activities
• not more than 30 are from presentation or
  publication of an original scientific or
  socioeconomic paper pertaining to medical care at
  AAFP, constituent chapter or other medical
  society level
• not more that 45 are from publication in a state
  or national refereed journal of original
  scientific or socioeconomic research pertaining
  to patient care, public or community health
• not more that 15 are from preparation and
  presentation at AAFP or constituent chapter level
  of a scientific medical exhibit.
• Active members are due for re-election every
  three years on December 31st, based on your
  active
• member enrollment date. Your current re-election
  period is noted on the AAFP CME printout below
• your address.

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CME REQUIREMENTS .

• Definitions of AAFP Prescribed and Elective
  Credit
• Prescribed credit indicates programs have
  received prior approval from the
• AAFP and have family physician input to ensure
  relevance to family practice.
• (The AMA accepts AAFP Prescribed credit as
  equivalent to AMA Category 1
• credit for the Physician Recognition Award).
  Programs approved by the AAFP
• but sponsored by an institution accredited by the
  ACCME for AMA Category 1
• credit are automatically acceptable as AAFP
  Elective credit.
• Programs not accredited by the AAFP or ACCME are
  enrichment activities, you
• are limited to 25 credits during the three years.
• Please Remember..
• It is your responsibility to report your CME to
  the AAFP.
• All but 25 of your required hours can be obtained
  from self-learning activities.
• Submitting the quiz cards from American Family
  Physicians and Family
• Practice Management each month will also fulfill
  your Prescribed credit
• requirements.

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ACTIONS OF THE CONGRESS OF DELEGATESNEW YORK
STATE ACADEMY OF FAMILY PHYSICIANS57th ANNUAL
CONGRESS OF DELEGATESJUNE 4 - 5, 2005DESMOND
HOTEL, ALBANY, NY

• ELECTION OF OFFICERS
• PRESIDENT MARIANNE LABARBERA,
  MD
• PRESIDENT-ELECT MAGGIE BLACKBURN, MD
• VICE PRESIDENT GEORGE DUNN, MD
  
• SECRETARY MARK KROTOWSKI , MD
• TREASURER S. RAMALINGAM, MD
  
• CHAIR OF BOARD MARK JOSEFSKI, MD
• DIRECTOR MICHAEL KERNAN, MD
• DIRECTOR STEPHEN OFFORD, MD
• DIRECTOR LINDA PRINE, MD
• DELEGATE TO AAFP MAGGIE BLACKBURN, MD
  
• ALTERNATE DELEGATE TO AAFP JOSE JUN DAVID,
  MD
• SPEAKER, CONGRESS OF DELEGATES WENDY
  VANBELLINGHAM, MD
• VICE SPEAKER, CONG. OF DELEGATES JAMES
  GREENWALD, MD
• DELEGATE TO MSSNY NEIL NEPOLA, MD
• RESIDENT REP. TO BOARD BINDU NINAN, MD
• ALT. RESIDENT REP. TO BOARD ELIZABETH NATAL,
  MD
• UPSTATE STUDENT REP. TO BOARD TBD
• DOWNSTATE STUDENT REP. TO BOARD TBD

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ACTIONS OF THE CONGRESS OF DELEGATES

• Dr. Larry Fields, President-Elect of the AAFP
  welcomed the members of the
• NYSAFP Congress and gave a brief update regarding
  what is going on at the
• AAFP regarding the Future of Family Medicine
  Project.
• He also advised the Congress regarding a
  Strategic Plan nationally that is aligned with
• the Future of Family Medicine Project and aligned
  with the AAFPs budget. He reported
• that the Practice Resource Center has been
  established as an independent national
• project, with its own Board of Directors and two
  functions
• validate the new model of family medicine
• provide to all members a turn key operation to
  institute part or all of the new model of Family
  Medicine in your practices at a reasonable cost.
• He said a Strike Force on Physician Payment,
  chaired by Dr. Mary Frank, has been
• created. This group is looking at solutions to
  problems of payment in order to get us
• from where we are today to where we must be in
  the future.
• A Strike Force on Medical Liability, which he
  is chairing will work towards achieving
• affordable quality accessible medical care
  provided by well trained, well paid Family
• Physicians who are free from the constraints of a
  tort system that causes us to practice
• unnecessarily expensive defensive medicine.

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ACTIONS OF THE CONGRESS OF DELEGATES

• REPORT OF THE REFERENCE COMMITTEE ON OPERATIONS
• The Committee wishes to place on the CONSENT
  CALENDAR the following items
• The Presidents Annual Report on pages 23-24 of
  the Delegates Handbook
• The Secretarys Annual Report on page 25 of the
  Delegates Handbook
• The Treasurers Annual Report on page 26 of the
  Delegates Handbook
• The Executive Vice Presidents Annual Report on
  pages 27-30 of the Delegates Handbook
• The Annual report of the Commission on Academy
  Operations on pages 33-34 of the
• Delegates Handbook
• The Annual Report of the Commission on Education
  on pages 37-39 of the Delegates
• Handbook
• The Annual Report of the Commission on Leadership
  Development Nominations on pages
• 40-41 of the Delegates Handbook
• The Annual Report of the Commission on Public
  Health on pages 44-48 of the Delegates
• Handbook
• The Annual Report of the Commission on Membership
  Member Services on pages 42-43
• of the Delegates Handbook
• The Annual Report of the NYSAFP Foundation, which
  can be found on pages 49-50 of the
• Delegates Handbook.
• There were questions regarding the Annual Report
  of the Commission on Education and the

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ACTIONS OF THE CONGRESS OF DELEGATES

• The Committee considered Resolution 05-9
  Empower AAFP to Advocate More Effectively for
  the Private
• Sector on pink paper and introduced by President
  Andrew Merritt.
• RESOLVED, that the New York State Academy of
  Family Physicians (NYSAFP) recommends that the
• AAFP Board of Directors implement the following
  actions
• Establish a confidential national clearinghouse
  for collection of information regarding
  undesirable practices by healthcare insurers, to
  identify trends and support the development of
  effective policy.
• 2. Establish a formal advocacy process to support
  any Family Physician who is threatened with
  restriction of his/her practice, reduction in
  compensation, termination, or exclusion from
  healthcare organizations.
• 3. Report regularly to its members and leadership
  concerning its activities, and make public
  reports and comments regarding its findings as
  deemed necessary by the Academy.
• 4. Cooperate with the American Medical
  Association and other state medical associations
  to promote practices by healthcare insurers and
  regulators to assure that quality-driven,
  efficient medicine can be practiced, with
  adequate reimbursement and without unnecessary
  office visits or procedures.
• All testimony supported this resolution. The
  Committee recommends adoption of Resolution 05-9
  with the addition of the further resolve as
  accepted by the maker of the resolution.
• BE IT FURTHER RESOLVED, that the NYSAFP present
  this resolution to the 2005 Congress of Delegates
  
• of the AAFP. (And the following deletion
  (recommends that the AAFP Board of Directors
  implement) with
• the substitute resolve reading RESOLVED, that
  the New York State Academy of Family Physicians

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ACTIONS OF THE CONGRESS OF DELEGATES

• Resolution 05-9 should read as follows
• RESOLVED, that the New York State Academy of
  Family Physicians (NYSAFP) supports the following
  
• actions
• 1. Establish a confidential national
  clearinghouse for collection of information
  regarding undesirable
• practices by healthcare insurers, to identify
  trends and support the development of effective
  policy.
• 2. Establish a formal advocacy process to support
  any Family Physician who is threatened with
  restriction
• of his/her practice, reduction in compensation,
  termination, or exclusion
• 3. Report regularly to its members and leadership
  concerning its activities, and make public
  reports and
• comments regarding its findings as deemed
  necessary by the Academy.
• 4. Cooperate with the American Medical
  Association and other state medical associations
  to promote
• practices by healthcare insurers and regulators
  to assure that quality-driven, efficient medicine
  can be
• practiced, with adequate reimbursement and
  without unnecessary office visits or procedures.
• AND BE IT FURTHER RESOLVED, that the NYSAFP
  present this resolution to the
• 2005 Congress of Delegates of the AAFP.

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ACTIONS OF THE CONGRESS OF DELEGATES

• The Committee considered Resolution 05-10
  Promotion of Residency Training in Full Spectrum
  
• Womens Health Care on pink paper and introduced
  by Linda Prine, MD, on behalf of the New York
• County Chapter.
• RESOLVED, that the New York State Academy of
  Family Physicians recommend that Family
• Medicine Residency Programs provide residents
  with annual up-to-date lectures in evidence-based
  
• contraception and pregnancy options counseling
  and be it further
• RESOLVED, that the New York State Academy of
  Family Physicians recommend that Family
• Medicine residencies adopt an opt out policy on
  abortion training. Training in medical
• and surgical abortion would be included in
  residency curriculum, but residents may choose
• not to participate if they are opposed to
  performing abortions.
• Testimony was divided regarding this resolution.
  The Committee recommends that the
• RESOLVED clauses be separated and acted upon
  individually, with the consent of the maker
• of the resolution.
• IT WAS AGREED TO VOTE ON EACH RESOLVE SEPARATELY

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ACTIONS OF THE CONGRESS OF DELEGATES

• There was extensive discussion regarding the
  second RESOLVED clause. It was acknowledged that
• abortion is a common procedure and that residents
  should have the opportunity, if they so desire,
  to
• receive training in this commonly performed
  procedure. Since the majority of testimony was
  opposed to
• an opt-out policy that would mandate that
  abortion training be part of the curriculum, we
  recommend a
• substitute resolution.
• RESOLVED, that the New York State Academy of
  Family Physicians recommends that Family Medicine
  
• residencies in New York State include abortion
  training. Training in medical and surgical
  abortion should
• be included in residency curriculum, but
  residents may individually choose not to
  participate.
• After further discussion the above substitute
  resolution was changed to read as follows
• RESOLVED, that the New York State Academy of
  Family Physicians recommends that Family Medicine
  
• residencies make available, when possible,
  abortion training for those residents desiring
  it.
• The Committee recommends the substitute
  resolution be adopted.
• THE AMENDED SUBSTITUTE SECOND RESOLVE WAS
  APPROVED.
• Resolution 05-10 was approved reading as follows
• RESOLVED, that the New York State Academy of
  Family Physicians recommend that Family Medicine

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ACTIONS OF THE CONGRESS OF DELEGATES

• The Committee considered Resolution 05-11
  Student Loan Interest Relief on pink paper
• and introduced by Erika Lambert, MD.
• RESOLVED, that the New York State Academy of
  Family Physicians (NYSAFP) advocate for
• deduction of all student loan interest on New
  York State income taxes, regardless of income
• level, and be it further
• RESOLVED, that the NYSAFP request that the
  American Academy of Family Physicians
• (AAFP) advocate for deduction of all student loan
  interest on federal income taxes,
• regardless of income level, and be it finally
• RESOLVED, that the NYSAFP request that the AAFP
  encourage legislation to support the
• refinancing of both federal and private student
  loans.
• Most of the testimony was in support of the
  resolution. There was discussion regarding an
• amendment that would establish a debt-to-income
  ratio to determine who would be eligible
• for the proposed tax benefit and that the
  proposed benefit should apply only to family
• physicians. In its deliberations regarding the
  best way to amend the resolution the
• Committee determined that the complexity of how
  to adequately define the class of potential
• beneficiaries and how to structure a ratio was
  beyond the scope of the Committees ability.
• The Committee determined that these issues could
  be addressed and resolved as the

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ACTIONS OF THE CONGRESS OF DELEGATES

• However, the committee recommends substitution of
  the 1st two resolves and addition of a 4th
  resolve.
• RESOLVED, that the NYSAFP advocate for
  deductibility of student loan interest, based on
  a fair and
• reasonable student loan debt/income ration, on
  NYS income taxes and be it further
• RESOLVED, that the NYSAFP request that the AAFP
  advocate for deductibility of student loan
  interest,
• based on a fair and reasonable student loan
  debt/income ratio, on federal income taxes. and
  be it further
• RESOLVED, that the NYSAFP request that the AAFP
  encourage legislation to support the refinancing
  of
• Both federal and private student loans, and be it
  finally
• RESOLVED, that this resolution be referred to the
  2005 AAFP Congress of Delegates.
• The Committee recommends adoption of the
  substitute resolution.
• SUBSTITUTE RESOLUTION 05-11 WAS APPROVED.
• Resolution 05-11 was approved to read as follows
• RESOLVED, that the NYSAFP advocate for
  deductibility of student loan interest, based on
  a fair and
• reasonable student loan debt/income ration, on
  NYS income taxes and be it further

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ACTIONS OF THE CONGRESS OF DELEGATES

• The Committee considered Resolution 05-2
  Preventing Restriction of Scope of Practice on
  pages 52-53
• of the Delegates Handbook and submitted by Linda
  Prine, MD, on behalf of the Commission on Public
• Health.
• RESOLVED, that the NYSAFP will work with all
  state chapters to work with local insurers and
  regulators
• to establish fair and equitable professional
  liability insurance rates and health insurance
  reimbursement
• rates for family practice physicians who provide
  a range of services within their scope of
  practice,
• including medication and early aspiration
  abortion, among other services often limited by
  prohibitive
• costs of liability coverage and inadequate
  reimbursement by health plans and be it further
• RESOLVED, that the AAFP will support state
  chapter efforts to resolve issues of insurers
  restricting
• scope of practice, and serve as a resource for
  advice and information sharing on solutions as
  they appear
• in individual states. This will affirm that it
  is the AAFP, and not insurers, that determines
  and will continue
• to determine the scope of practice for family
  physicians and definition of family practice.
  Scope of
• practice will continue to be determined by
  training and experience and not by providers of
  professional
• liability insurance or health insurance and be it
  further
• RESOLVED, that this resolution be referred to the
  2005 AAFP Congress of Delegates.

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ACTIONS OF THE CONGRESS OF DELEGATES

• RESOLVED, that the NYSAFP will ask the AAFP to
  support state chapter efforts to resolve issues
• restricting scope of practice, and serve as a
  resource for advice and information sharing on
  solutions as
• they appear in individual states. This will
  affirm that it is the community of Family
  Medicine that
• determines and will continue to determine the
  scope of practice for family physicians and the
  definition of
• family medicine. Scope of practice will be
  determined by training and experience, and not by
  providers of
• RESOLVED, that this resolution be referred to the
  2005 AAFP Congress of Delegates.
• SUBSTITUTE RESOLUTION 05-2 WAS APPROVED AS
  SUBMITTED
• The Committee considered Resolution 05-5
  Membership Directory, on page 57 of the
  Delegates
• Handbook and introduced by the Onondaga County
  Chapter.
• RESOLVED, that the NYSAFP request that the AAFP
  either publish and distribute a paper membership
• directory, or improve the membership section of
  the website to allow a more robust search and
  compare
• function.
• There was overwhelming support for this
  resolution therefore the committee recommends
  adoption of
• this resolution with the addition of a further
  resolve as accepted by the maker of the
  resolution.

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ACTIONS OF THE CONGRESS OF DELEGATES

• The Committee considered Resolution 05-14
  Commission on Health Care Coverage Reform on
  pink
• paper and introduced by Leon Zoghlin, MD, and
  Heidi Zinkand, MD, on behalf of the Rochester
  County
• Chapter.
• RESOLVED, that the New York State Academy of
  Family Physicians stands ready to participate in
  the
• deliberations of the commission and requests an
  appointment of our representative to each of the
• committees. This request to be submitted to the
  sponsor of the bill in the Assembly and its
  companion bill
• in the Senate.
• The committee heard testimony that the senate did
  not pass the above named bill. Additionally the
  bill
• was not available for review therefore the
  committee recommends referral of this resolution
  to the board
• of directors of the NYSAFP.
• RESOLUTION 05-14 WILL BE REFERRED TO THE NYSAFP
  BOARD OF DIRECTORS
• THIS PORTION OF THE COMMITTEES REPORT WAS
  ADOPTED
• THE COMMITTEES REPORT AS A WHOLE WAS ADOPTED

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ACTIONS OF THE CONGRESS OF DELEGATES

• REPORT OF THE REFERENCE COMMITTEE ON POLICY
• The Committee wished to place on the Consent
  Calendar the following items
• The Annual Report of the Commission on Family
  Practice Advocacy, which can be found on pages
  35-36
• of the Delegates Handbook.
• The Committee moves adoption of the Consent
  Calendar as listed.
• THE CONCENT CALENDAR WAS APPROVED
• The Committee considered Resolution 05-6
  Medical Orders for Life-Sustaining Treatments
  (MOLST),
• which is on pages 58-59 of the Delegates
  Handbook and was introduced by Pamela Horst,
  M.D.,
• Onondaga County.
• Resolves as submitted
• RESOLVED, that the NYSAFP encourage its
  membership, through its newsletter and other
  publications, to use MOLST in their offices and
  health care institutions, and be it further
• RESOLVED, that the appropriate NYSAFP commission
  be encouraged to investigate methods of funding
• the distribution of MOLST forms and instructions,
  and be it further
• RESOLVED, that the NYSAFP lobby for a change in
  Department of Health regulations to allow EMS to
• recognize MOLST as a valid DNR order, and be it
  finally

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ACTIONS OF THE CONGRESS OF DELEGATES

• Resolves as Amended
• RESOLVED, that the NYSAFP make its membership
  aware of MOLST, through its newsletter and other
• publications, being careful to explain the legal
  status of MOLST in New York State and be it
  further
• RESOLVED, that the appropriate NYSAFP commission
  be encouraged to investigate methods of funding
• the distribution of MOLST forms and instructions,
  and be it further
• RESOLVED, that the NYSAFP lobby for a change in
  Department of Health regulations to allow EMS to
• recognize MOLST as a valid DNR order, and be it
  finally
• RESOLVED, that the NYSAFP approach HANYS, MSSNY,
  NYS specialty societies, NYSHFA, NYAHSA,
• NYACP, and NYHPCA to jointly advocate for
  recognition of MOLST as a method for honoring the
  wishes
• of patients desiring enhanced end of life care.
• The Committee recommends that this amended
  Resolution 05-6 be adopted.
• AMENDED RESOLUTION 05-6 WAS ADOPTED
• The Committee considered Resolution 05-1,
  Medicaid Funding which is on page 51 of the
  Delegates

26
ACTIONS OF THE CONGRESS OF DELEGATES

• RESOLVED, that it is the position of the NYSAFP
  that the cost of funding Medicaid for the
  citizens of New
• York State should be borne equitably by the
  taxpayers of New York, regardless of the where in
  New York
• the beneficiaries or the taxpayers reside and be
  it finally
• RESOLVED, that the leadership and lobbyists of
  the NYSAFP will actively promote these positions
  at the
• annual Lobby Day and in other contacts with the
  Legislature, Governor and other appropriate state
  
• administrative agencies and departments.
• It is the recommendation of the Committee with
  the approval of the author that the resolves
• be combined to read as follows
• RESOLVED, that it is the position of the NYSAFP
  that the current funding mechanism for
• Medicaid is inherently unfair, and that the
  current funding mechanism for Medicaid
  inappropriately shields
• the elected officials in the State Legislature
  from the responsibility of providing funding for
  programs they
• enact and that the cost of funding Medicaid for
  the citizens of New York State should be borne
  equitably
• by the taxpayers of New York, regardless of the
  where in New York the beneficiaries or the
  taxpayers
• reside and that the leadership and lobbyists of
  the NYSAFP, in collaboration with MSSNY, will
  actively
• promote these positions at the annual Lobby Day
  and in other contacts with the Legislature,
• Governor and other appropriate state
  administrative agencies and departments.

27
ACTIONS OF THE CONGRESS OF DELEGATES

• The Committee considered Resolution 05-4,
  Notification of Physicians of Multiple Physician
  Narcotic
• Prescriptions, which is on page 56 of the
  Delegates Handbook and was introduced by Norman
  Wetterau,
• M.D.
• Resolve as originally submitted
• RESOLVED, that the New York State Academy of
  Family Physicians request that the health
  department
• notify physicians when their Medicaid patients
  are receiving narcotics from several physicians
• Resolve as amended
• RESOLVED, that the New York State Academy of
  Family Physicians request that the health
  department
• notify physicians when their Medicaid patients
  are receiving controlled substances from several
• physicians.
• The Committee recommends that Resolution 05-4 as
  amended be adopted.
• AMENDED RESOLUTION 05 4 WAS ADOPTED
• The Committee considered Resolution 05-7,
  Managed Care Reform, which is on page 60-61 of
  the
• Delegates Handbook and was introduced by Michael
  Fishkin, DO.

28
ACTIONS OF THE CONGRESS OF DELEGATES

• RESOLVED, that this resolution be forwarded to
  the American Academy of Family Physicians with
  the
• request that the AAFP pursue similar legislation
  in the Congress of the United States to require
  all
• federally funded health insurance programs to
  compensate family physicians for all work they
  perform
• for patients, including referrals to specialists,
  processing appeals for patients who have been
  declined
• coverage, preauthorization for pharmaceuticals
  and diagnostic tests and such other
  responsibilities
• as may be necessary to fully and effectively
  treat patients.
• Resolves as amended
• RESOLVED, that the New York State Academy of
  Family Physicians will partner with primary care
• societies and MSSNY to lobby for and advocate
  that the Legislative and Executive Branches of
• government encourage health insurance carriers to
  compensate family physicians for all work they
• perform for patients, including referrals to
  specialists, processing appeals for patients who
  have been
• declined coverage, preauthorization for
  pharmaceuticals and diagnostic tests and such
  other
• responsibilities as may be necessary to fully and
  effectively treat patients, and be it further
• RESOLVED, that this resolution be forwarded to
  the American Academy of Family Physicians with
  the
• request that the AAFP advocate at the federal
  level to require all federally funded health
  insurance
• programs to compensate family physicians for all
  work they perform for patients, including
  referrals to
• specialists, processing appeals for patients who
  have been declined coverage, preauthorization for
  pharmaceuticals and

29
ACTIONS OF THE CONGRESS OF DELEGATES

• The Committee considered Resolution 05-8,
  Impact of HIPAA, which is on pink paper and was
  
• introduced by Chisara Adonai, MD.
• RESOLVED, that the full impact of the Health
  Insurance Portability and Accountability Act
  (HIPAA) on the
• practice of high quality medical care and on the
  medical profession be investigated by the
  appropriate
• organizations and that this resolution be carried
  to the American Academy of Family Physicians
  (AAFP)
• Congress of Delegates for their consideration.
• Although the Resolution is worthwhile because it
  requires an evaluation of the effects of HIPAA,
  some of
• its wording is vague, e.g., investigated by the
  appropriate agencies. Despite the fact that
  testimony was
• expressed in favor of Resolution 05-8, the
  Committee concluded that it be referred to the
  Board for further
• consideration and clarification.
• RESOLUTION 05 8 WILL BE REFERRED TO THE NYSAFP
  BOARD FOR FURTHER CONSIDERATION AND
  CLARIFICATION.
• The Committee considered Resolution 05-3,
  Support Comprehensive Sexuality Education,
  which is on
• page 54-55 of the Delegates Handbook and was
  introduced by Linda Prine, MD.

30
ACTIONS OF THE CONGRESS OF DELEGATES

• FURTHER RESOLVED, that the NYSAFP Present this
  resolution to the 2005 Congress of Delegates of
  the American Academy of Family Physicians.
• Resolves as amended
• RESOLVED, the NYSAFP endorses the additions to
  existing AAFP recommendations for Adolescent
• Health Care, Sexuality and Contraception, that
  the AAFP defines effective sexuality education
  and
• pregnancy and sexuality transmitted disease
  prevention programs as those using a
  comprehensive
• approach to sexuality education that includes
  medically accurate information on contraception
  and
• abstinence. The NYSAFP believes that this
  approach to sexuality education has been proven
  effective in
• reducing unintended pregnancy and sexually
  transmitted diseases, and be it
• FURTHER RESOLVED, that the NYSAFP present this
  resolution to the 2005 Congress of Delegates of
  the
• American Academy of Family Physicians.
• The Committee recommends that this amended
  Resolution 05-3 be adopted.
• AMENDED RESOLUTION 05 3 WAS ADOPTED

31
ACTIONS OF THE CONGRESS OF DELEGATES

• RESOLVED, that the NYSAFP strongly object to the
  funding of erectile dysfunction
• medication in its Medicare benefits package
  except to those instances where Erectile
• Dysfunction drugs may be helpful in procreation
  or of use in those Medicare beneficiaries
• 65 years of age meeting appropriate criteria of
  need and be it finally
• RESOLVED, that if accepted by the NYSAFP in this
  or amended form, that the NYSAFP
• Congress instruct its delegates to the American
  Academy of Family Physicians (AAFP) to
• introduce this resolution at the AAFP Congress in
  San Francisco, CA in September, 2005.
• The Resolution attempts to address the larger
  issue of the high costs of drugs however,
• its approach would not comprehensively address
  it. Further, its wording could be
• perceived as offensive to older persons
  sensibilities regarding their sexual activity.
  Since
• testimony indicates that the Congress has a
  future interest in resolutions in the marketing,
• development, and excessive costs of drugs,
  perhaps a resolution should be crafted that
• will meet this purpose.
• The Committee recommends that Resolution 05-12
  not be adopted.
• RESOLUTION 05 12 WAS DEFEATED

32
ACTIONS OF THE CONGRESS OF DELEGATES

• The Committee considered Resolution 05-13,
  Preservation of Patients Access to Prescription
  
• Medications, which is on pink paper and was
  introduced by Dr. Emefre Udo.
• Resolves as originally presented
• RESOLVED, that the New York State Academy of
  Family Physicians go on record to oppose measures
  
• that interfere with prompt dispensing of
  prescription medications especially emergency
  contraception,
• which must be taken quickly to optimize efficacy,
  and be it further
• RESOLVED, that this resolution be referred for
  consideration at the 2005 AAFP Congress
• of Delegates
• We heard testimony cautioning against general
  statements referring to all medications and also
  that
• we should limit our statement to emergency
  contraception. The Committee offers the
  following
• amended resolution
• RESOLVED, that the New York State Academy of
  Family Physicians go on record to oppose measures
  
• that interfere with prompt dispensing of
  emergency contraception, which must be taken
  quickly to
• optimize efficacy and be it further

33
ACTIONS OF THE CONGRESS OF DELEGATES
I move the adoption of the Committees report as
a whole. THE REFERENCE COMMITTEE REPORT ON
POLICY WAS APPROVED AS A WHOLE The Chair would
like to thank the members of the Committee for
their participation in the deliberation process
as well as all of the many members who gave
testimony and contributed to the spirited
discussion that was held. In addition, I would
like to thank the Speaker and those who assisted
in the preparation of this report. NEW
BUSINESS RESIDENT REPORT Dr. Bindu Ninan
advised that they dont have an official report
but unofficially many items were discussed and
for the coming year they plan to have a
leadership skills workshop for incoming
residents. There will be an attempt to better
Resident participation and get the word out to
other Residents of what is available to Residents
through both the NYSAFP and the AAFP. STUDENT
REPORT Mr. Mark Baretto advised that they didnt
have an official report but appreciated the
opportunity to attend.
34
ACTIONS OF THE CONGRESS OF DELEGATES

• Announcements
• Dr. Ramalingam reminded the delegates of the
  availability of positions on the six
• (2) NYSAFP Commissions.
• Dr. David announced the Regional Family Medicine
  Conference at the Prime Hotel
• in Saratoga Springs on 9/10/05.
• Regarding Winter Weekend, final arrangements
  havent been made at this date
• with the hotel, but it will probably be
  2/26-29/06.
• Dr. Kaplan reported that there is legislation
  being introduced for the medical use of
• marijuana. He asked members to send their
  opinions to the Academy so that they can be
• forwarded to the Commission on FP Advocacy for
  their information.
• Mr. Grasso advised that we are working with
  several of our local county chapters in
• developing programs in 2006. We are working with
  the Catskill region members to produce
• our Congress of Delegates in May or June of 2006
  and we are working with the Erie County
• Chapter to produce our Fall Cluster in 2006.
  (During the Board meeting after the Congress,
• the Board decided to move the 2006 Congress to
  Albany and to hold a future cluster in the