Save the Date!

Wednesday, May 3, 2023 is MACEP's Annual Meeting

Legislative

MACEP ADVOCACY REPORT 2021-2022

Click here for a printable report

November 2021 Legislative Update


It’s been a busy fall  for MACEP, including but not limited to the following:
 
Boarding Crisis
The College has been fully engaged in battling against the boarding crisis that hospitals and emergency departments are experiencing in Massachusetts.  Hospitals are operating at or above 100% capacity and have been for months.  Emergency departments are bursting and the ramifications of this problem are multiple, including delayed or missed care, dramatic waits for patients, and severe stress for providers of care. We are joined in our efforts to sound the alarm by the Mass Medical Society, the Mass Hospital Association, and the Mass Emergency Nurses Association.  We have also reached out to the state legislature and discussed the issue with Rep Jon Santiago (B, Boston), at our October MACEP Board meeting.  Rep Santiago is an emergency physician at the Boston Medical Center and state legislator for that area.  What has become clear is that there are no easy or immediate solutions.  While there is good news, like a significant influx of federal and state funds and widespread attention to the workforce shortage problem, many other potential solutions will take time to put in place.  We’ll keep working to draw attention – and resolution - to the boarding crisis and will keep you posted.
 
Out of Network
MACEP continues to closely monitor the implementation of the federal No Surprises Act.  To date, the regulations on several provisions of the bill have been released, some supported by ACEP, and others, like the definition of Qualifying Payment Amount, are opposed by the national association as being contrary to the intent of the law.  MACEP is also watching the Massachusetts legislature very closely for action on the issue at the state level.  In several written communications and in discussions, MACEP has urged the legislature to take no action at this time and to allow implementation of the federal law in January, 2022.  Noteworthy is the fact that the House of Representatives has indicated its intent to release a health care bill before the winter recess on Wednesday, November 17th. Although that bill is not expected to address OON, it could be brought up by a proposed amendment, thus, MACEP is staying vigilant and will report any action on the issue.

 

Testimony
  • H.2307 and S.1491, An Act Relative to Improving the Outcomes for Sudden Cardiac Arrest in the Commonwealth.  These identical bills would ensure that all 911 call dispatchers are trained and able to coach bystanders to perform CPR.
MACEP would like to thank Dr. Joseph Sabato for presenting oral testimony in support of these bills before the Committee on Public Health.
  • Stroke - MACEP) submitted testimony in support of the following legislation that would encourage the updating of stroke protocols:
    • HB 2307/SB 1491, An Act Relative to Timely Care and Saving Lives (Golden/Moore)
    • H.2253/S.1477, An Act to Create a Timely Stroke System of Care to Save Lives (Cusack/Montigny)
    • H.2345/S.1396, - An Act to Develop a Coordinated Stroke Care System (Lawn/Crighton)
MACEP testimony noted that under the current, but outdated stroke protocols, a patient must be brought to the nearest emergency department, regardless of whether that hospital can provide the most appropriate care. 
 
Mass and Cass
MACEP and our colleagues at the Massachusetts Society of Addiction Medicine, Massachusetts Medical Society, and Mass General Brigham all signed onto a letter to the Baker administration, the state legislature, and the City of Boston relative to the public health crises facing people living unsheltered in the area of Melnea Cass Boulevard and Massachusetts Avenue, “Mass and Cass.” The letter noted that “despite a widespread consensus that a solution cannot be achieved through prosecution, incarceration, and involuntary treatment, too many public proposals continue to focus on carceral and coercive approaches. Such plans increase the risk of harm and death, from overdose and illness, for people living unsheltered and those who use drugs.”  As with the boarding crisis, there’s no easy solution to this multi-faceted problem but we will keep monitoring and will weigh in when appropriate.


MACEP ADVOCACY REPORT 2020-2021

Click here for a printable report