Council May 30, 2019

AGENDA
MSSNY Council Meeting
Thursday, May 30, 2019, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A. Call to Order and Roll Call

B. APPROVAL of the Council Minutes of Sunday, April 14, 2019 (HOD)

C. New Business (All Action & Informational Items)

1. President’s Report
a. 2019 HOD Resolutions referred to Council (For Council Approval)
b. Presidential Appointments to MSSNY’s Executive Committee of the Council:
 (For Council Approval)
Parag H. Mehta, MD (At-Large-Member)
Gregory L. Pinto, MD (At-Large-Member)

2. Board of Trustees Report –  Dr. Sam Unterricht will present the report                         (handout)

3. Secretary’s Report – Dr. Frank Dowling will present the report

4. MLMIC Update  – Mr. Michael Schoppmann, Esq. will present the report

5. AMA Report – Dr. John Kennedy will present the report

6. MSSNYPAC Report – Dr. Thomas Lee will present the report (handout)

7. MESF Update – Dr. Thomas Madejski will present the report (handout)

8. CME Update – Dr. Mark Adams will present the report

9. County Federation Report – Aaron Kumar, MD will present the report

10. Councilors’ Action Reports
   (No written reports submitted)

11. PresentationOverview of Stark and the Anti-Markup Rule
             Presented by Hayden Wool, Esq. Partner Director, Garfunkel Wild

D. Reports of Officers (Verbal Reports)   

  1. Office of the President – Arthur C. Fougner, MD
  2. Office of the President Elect – Bonnie L. Litvack, MD
  3. Office of the Vice President – Joseph R. Sellers, MD
  4. Office of the Treasurer – Mark J. Adams, MD
    Financial Statement for the period 1/1/19 – 4/30/19
  5. Office of the Speaker – William R. Latreille, Jr., MD

E. Reports of Councilors (Informational)

  1.   Kings & Richmond Report – Adolph B. Meyer, MD
  2.   Manhattan & Bronx Report – Joshua M. Cohen, MD
  3.   Nassau County Report – Paul A. Pipia, MD
  4.   Queens County Report – Saulius J. Skeivys, MD
  5.   Suffolk County Report – Linda S. Efferen, MD
  6.   Third District Branch Report – Brian P. Murray, MD
  7.   Fourth District Branch Report – Gregory Pinto, MD
    (no written report submitted)
  8.   Fifth District Branch Report –Howard H. Huang, MD
  9.   Sixth District Branch Report – Robert A. Hesson, MD
  10. Seventh District Branch Report – Janine L. Fogarty, MD
  11. Eighth District Branch Report – Edward Kelly Bartels, MD
  12. Ninth District Branch Report  – Thomas T. Lee, MD
  13. Medical Student Section Report – Peter Joo
    (no written report submitted)
  14. Organized Medical Staff Section – Stephen F. Coccaro, MD
  15. Resident & Fellow Section Report – Catherine E. Steger, DO
    (no written report submitted)
  16. Young Physician Section Report – L. Carlos Zapata, MD
    (no written report submitted)

F. Commissioners (Committee Informational Items)

  1. Commissioner of Communications, Maria A. Basile, MD, MBA
    a. Report from the Division of Communications
  2. Commissioner of Governmental Relations, Gregory Pinto, MD
    a. Collective Negotiation & Integration Minutes, May 17, 2019
             b. Governmental Affairs Report
  3. Commissioner of Membership, Parag H. Mehta, MD
        (No written report submitted)
  4. Commissioner of Science & Public Health, Joshua M. Cohen, MD
    a. Legislation Efforts on Medical Exemptions Due to the Measles Outbreak
    Presented by:
    Patricia Clancy, Vice President for Public Health & Education
    xx
    b. “ The Measles outbreaks in Orthodox Jewish Communities”
    Presented by:
    Dr. Awi Federgruen
    Charles E. Exley Professor of Management, Columbia University
    xx
    Dr. Daniel Berman
    Infectious Disease Specialist, Montefiore Medical Center & a member of          MSSNY
    xx

  5. Commissioner of Socio Medical Economics, Howard H. Huang, MD
    (No written report submitted)

G. Report of the Executive Vice President, Philip Schuh, CPA, MS

  1. Membership Dues Revenue Schedule
  2. Group Institutional Dues Comparison Report 

HReport of the General Counsel, Barry Cepelewicz, MD, Esq.
    Garfunkel Wild, P.C.
    (No written report submitted)

I. Report of the Alliance, Joan Cincotta, Co-President
 1. Alliance Report

JOther Information/Announcements

  1. MSSNY Executive Committee Minutes, April 11, 2019
  2. Sign On Letter – QPP Experience Report & Appendix
  3. PAI Letter – QPP Experience & Report
  4. AMA Letters – Concern about legalization of cannabis for recreational use

K. Adjournment

 

 

 

 

Council April 14, 2019

  AGENDA
Council Meeting – HOD
Sunday, April 14, 2019
                         Westchester Marriott, Tarrytown, NY                    

A. Call to Order and Roll Call

B. APPROVAL of the Council Minutes of March 5, 2019

C. New Business           

President’s Report:

Please welcome our MSSNY Officers, Councilors, Trustees, County Execs,
and MSSNY Staff
  1. APPROVAL – 2019/2020 Meeting Schedule
  2. APPROVAL – 2019/2020 Committee Appointments
     (Future changes only)

D.  Treasurer’s Report – Mark J. Adams, MD
Financial Statements
1/1/19 – 2/28/19 and 1/1/18 – 12/31/18

E. Report of the Executive Vice President, Philip Schuh, CPA, MS

1. Membership Dues Schedule
2. Group Institutional Dues Report

F. Report of the General Counsel, Garfunkel Wild, Barry Cepelewicz, MD, Esq.
APPROVAL Bylaws of the MSSNY Medical Student Section

G. Commissioner of Socio Medical Economics, Howard H. Huang, MD
Interspecialty Committee Minutes, February 28, 2019

H. Commissioner of Communications, Maria A. Basile, MD
 Social Media for Physicians

I.  Reports of Councilors
1. Seventh District Branch Report – Janine L. Fogarty, MD
2. Ninth District Branch Report – Thomas T. Lee, MD
3. Nassau County Report 
Paul A. Pipia, MD
4. Suffolk County Report – Linda S. Efferen, MD
5. Kings and Richmond Report Parag H. Mehta, MD
6. Manhattan and the Bronx Report – Joshua M. Cohen, MD

 J. Adjournment

Council – January 24, 2019

AGENDA
MSSNY Council Meeting
Thursday, January 24, 2019 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A. Call to Order and Roll Call

B. APPROVAL of the Minutes of November 1, 2018

C. New Business (All Informational/Action Items)
1. President’s Report:

a. Letter to the United States Department of Justice regarding CVS-Aetna
b. Testimony of Charles Rothberg, MD regarding the Proposed CVS Acquisition of Aetna
c. Honoring Dr. Sheldon Putterman with a plaque for his many years of dedication to the CME Committees & Subcommittees
d. MSSNY Task Force on Firearm Safety Action Item (FOR COUNCIL APPROVAL)
To be presented by Dr. Latreille & Dr. Dowling
e. Medicinal & Recreational Marijuana Memorandum
f. MSSNY Committees Goals Document
g. Governor’s Budget Proposal
h. Dr. Madejski’s Letter – Maintenance of Certification (MOC) requirements for continuing board certification

ADJOURNMENT OF COUNCIL
Action Item – For Council Approval

Approval of the Empire State Medical, Scientific & Educational Foundation, Inc. Election of Directors

RECONVENE COUNCIL

 

  1. Board of Trustees Report – Dr. Robert Hughes will present the report (handout)
  1. Secretary’s Report – Dr. Frank Dowling will present the report
  1. MLMIC Update –  Donald Fager will present the report  (verbal)
  1. AMA Delegation Report – Dr. John Kennedy will present the report
  1. MSSNYPAC Report – Joseph Sellers will present the report (handout)
  1. MESF Update – Mr. Thomas Donoghue will present the report (handout)
  1. CME Update – Mark Adams will present the report & the following action item:
    CME Report and Action Item Resolution 2018-169 Partnership on Continuing Medical Education

D. Reports of Officers

  1. Office of the President – Thomas J. Madejski, MD
  2. Office of the President-Elect – Arthur C. Fougner, MD
  3. Office of the Vice President – Bonnie L. Litvack, MD
  4. Office of the Treasurer – Joseph R. Sellers, MD Financial Statement for the period 1/01/18 to 12/31/18
  5. Office of the Secretary – Frank G. Dowling, MD
  6. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

E. Reports of Councilors (Informational Items)

  1. Kings & Richmond Report – Parag H. Mehta, MD
  2. Manhattan & Bronx Report – Joshua M. Cohen, MD
  3. Nassau County Report – Paul A. Pipia, MD
  4. Queens County Report – Saulius J. Skeivys, MD
  5. Suffolk County Report – Maria A. Basile, MD
  6. Third District Branch Report – Brian P. Murray, MD
        No written report submitted
  7. Fourth District Branch Report – Gregory Pinto, MD
  8. Fifth District Branch Report –Howard H. Huang, MD
  9. Sixth District Branch Report – Robert A. Hesson, MD
        No written report submitted
  10. Seventh District Branch Report – Janine L. Fogarty, MD
  11. Eighth District Branch Report – Edward Kelly Bartels, MD
  12. Ninth District Branch Report –  Thomas T. Lee, MD
  13. Medical Student Section Report – Breyen Coffin
  14. Organized Medical Staff Section – Stephen F. Coccaro, MD
  15. Resident & Fellow Section Report – Justin Fuehrer, DO
  16. Young Physician Section Report – L. Carlos Zapata, MD
          No written report submitted

F. Commissioners (Informational Items)

  1. Commissioner of Communications, Maria A. Basile, MD, MBA
              a. Report from the Division of Communications
  2. Commissioner of Governmental Relations, Gregory Pinto, MD
       a. Report from the Division of Governmental Affairs
  1. Commissioner of Membership, Parag H. Mehta, MD
        a. Committee on Membership Action Items 

    Appendix 1:
    Resolution 2019-1 would establish that physicians who participate as members through agreements with their groups or institutions are active members.
    COMMITTEE RECOMMENDATION:
    The Membership Committee recommends that the Council approve Resolution 2019-1, Group and Institutional Membership, for submission to the House of Delegates by MSSNY President Thomas Madejski, MD.
    (FOR COUNCIL APPROVAL)
    Appendix 2:
    Resolution 2019-2 states that at the conclusion of a three-year term for any pilot project, the Council and Board of Trustees shall determine if a pilot should be ended, or continued as an approved alternative membership option for interested county medical societies, and report on its action to the House.
    COMMITTEE RECOMMENDATION:
    The Membership Committee recommends that the Council approve Resolution 2019-2, Pilot Membership Projects, for submission to the House of Delegates by MSSNY President Thomas Madejski, MD.
    (FOR COUNCIL APPROVAL)
    Sponsorship Agreements:
    COMMITTEE RECOMMENDATION:
    The Membership Committee recommends that the Council approve the creation of a Sponsorship Agreement initiative as outlined in the committee’s report.
    (FOR COUNCIL APPROVAL)
  1. Commissioner of Science & Public Health, Joshua M. Cohen, MD
    a. Addiction and Psychiatric Medicine Committee Minutes, 10/19/2018
    bBio Ethics Committee Minutes, 11/2/2018
    c.  Committee on Health Care Disparities Minutes10/26/18 and 10/30/18
        d. Heart, Lung Committee Minutes 10/17/18
        e. Infectious Diseases Committee Minutes, 10/25/18
         f. Preventive Medicine and Family Health Committee Minutes, 10/18/18

5. Commissioner of Socio Medical Economics, Howard H. Huang, MD
       a. Interspecialty Committee Minutes, November 8, 2018

G. Report of the Executive Vice President, Philip Schuh, CPA, MS
1. Membership Dues Revenue Schedule
2. Group Institutional Dues Comparison Report

H. Report of the General Counsel, Garfunkel Wild, P.C. , Barry Cepelewicz, MD
     No written report submitted

I. Report of the Alliance, Valerie Semeran, Co-President
     1. Alliance Report
         No written report submitted

J. Other Information/Announcements

  1. 2017-2018 ABMS Board Certification Report (handout)
  2. Maternal Mortality Letter
  3. PAI Scorecard 2019 Quality Payment Program (QPP) Finalized Policies
  4. PAI Key Changes 2019 QPP Participation

K. Adjournment

Council – November 1, 2018

AGENDA
MSSNY Council Meeting
Thursday, November 1, 2018 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A. Call to Order and Roll Call

C. New Business (All Informational/Action Items)

1. President’s Report
b. Dr. Madejski’s Letter to Assemblyman Gottfried regarding questions and concerns about single payor system in New York State. Assemblyman Gottfried’s response to MSSNY’s questions & comments. (For Council Information)
c. Letter to Governor Andrew Cuomo regarding legalization of regulated marijuana.(For Council Information)
d. MSSNY Strategic Planning Document (For Council Information)
e. Telemedicine Update – To be presented by Eunice Skelly (verbal)
    (For Council Information)

2. Board of Trustees Report –  Dr. Robert Hughes will present the report (handout)

3. Secretary’s Report – Dr. Frank Dowling will present the report for Nominations for Life Membership and Dues Remissions

4. MLMIC Update  –  Mr. Donald Fager will present a verbal report

5. AMA Delegation Report – Dr. John Kennedy will present the report

6. MSSNYPAC Report –  Dr. Joseph Sellers will present the report (handout)

7. MESF Update –   Dr. Charles Rothberg will present the report

8. CME Update – Dr. Mark Adams will present the report

9. Commissioners/Councilors Action Items
          Commissioner of Governmental Relations, Gregory Pinto, MD, Commissioner
1. Legislative & Physician Advocacy Committee, Paul A. Pipia, MD, Chair
 FOR COUNCIL APPROVAL
b. Resolution 66 – Life Threatening Complications with HIP Replacements
c. Resolution 115 – Chiropractor (D.C.) Scope of Practice

D. Reports of Officers
1. Office of the President  – Thomas J. Madejski, MD
2. Office of the President Elect – Arthur C. Fougner, MD
3. Office of the Vice President –  Bonnie L. Litvack, MD
4. Office of the Treasurer – Joseph R. Sellers, MD
    Financial Statement for the period 1/1/18 – 9/30/18
5. Office of the Secretary – Frank G. Dowling, MD,
AMA Letters expressing  concerns regarding the new Walmart corporate policy on Opioid prescriptions
6. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

E. Reports of Councilors  (Informational)
1.   Kings & Richmond Report – Parag H. Mehta, MD
2.   Manhattan & Bronx Report – Joshua M. Cohen, MD
3.   Nassau County Report – Paul A. Pipia, MD (no written report submitted)
4.   Queens County Report – Saulius J. Skeivys, MD
5.   Suffolk County Report – Maria A. Basile, MD
6.   Third District Branch Report – Brian P. Murray, MD
7.   Fourth District Branch Report – Gregory Pinto, MD
8.   Fifth District Branch Report –Howard H. Huang, MD
9.   Sixth District Branch Report – Robert A. Hesson, MD
10. Seventh District Branch Report – Janine L. Fogarty, MD
11. Eighth District Branch Report – Edward Kelly Bartels, MD (handout)
12. Ninth District Branch Report  –  Thomas T. Lee, MD
13. Medical Student Section Report –  Breyen Coffin
14. Organized Medical Staff Section – Stephen F. Coccaro, MD
      (no written report submitted)
15. Resident & Fellow Section Report – Justin Fuehrer, DO
16. Young Physician Section Report – L. Carlos Zapata, MD
      (no written report submitted)

F.  Commissioners (Committee Informational Items)
1. Commissioner of Communications, Maria A. Basile, MD, MBA
    a. Report from the Division of Communications

2. Commissioner of Governmental Relations, Gregory Pinto, MD
a. HIT Committee Minutes, October 12, 2018
b. Long-Term Care Committee Minutes, September 30, 2018

3.    Commissioner of Membership, Parag H. Mehta, MD
       (No written report submitted)

4.    Commissioner of Science & Public Health, Joshua M. Cohen, MD
        (No written report submitted)
5.    Commissioner of Socio-Medical Economics, Howard H. Huang, MD
       a. Workers Compensation & No-Fault Insurance Committee re: EMG & NCS

G. Report of the Executive Vice President, Philip Schuh, CPA, MS
    1. Membership Dues Revenue Schedule

H. Report of the General Counsel, Garfunkel Wild, P.C. , Donald R. Moy, Esq.
    (No written report submitted)

I.  Report of the Alliance, Valerie Semeran, Co-President
    1. Alliance Report

J.  Other Information/Announcements
1. Physicians Advocacy Institute Letter – RE: Medicare and State Health Care Programs: Fraud and Abuse; Request for Information (RFI) Regarding the Anti-Kickback Statute and Beneficiary Inducements CMP.
2. The Physicians Foundation 2018 Physician Survey (handout)
    the 2018 New York State Fair.
4. Blog Post Regarding MLMIC-Berkshire Hathaway
    https://www.mlmic.com/blog/physicians/mlmic-joins-berkshire-hathaway

K. Adjournment

Council – September 13, 2018

AGENDA
MSSNY Council Meeting
Thursday, September 13, 2018, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590


A. Call to Order and Roll Call
B. APPROVAL of Council Minutes of May 10, 2018
C. New Business (All Action & Informational Items)

1. President’s Report
a. Minutes of the MSSNY Executive Committee Teleconference, August 20, 2018
b. Talking Points on the Membership Agreement with Northwell Hospitals
c. DRAFT Summary – Meeting with Assemblyman Gottfried

d. Long Range Planning Committee Grid

2. Board of Trustees Report –   Dr. Robert Hughes will present the report (handout)

3. Secretary’s Report – Dr. Frank Dowling will present the report for Nominations for   Life Membership, Dues Remissions & Special Life Membership request

4. MLMIC Update  –  Donald Fager will present a verbal report

5. AMA Report – Dr. John Kennedy will present the report

6. MSSNYPAC Report – Dr. Joseph Sellers will present the report (handout) 
       MSSNYPAC Executive Committee Action Item
    Approval of the MSSNYPAC Endorsement recommendations for candidates
    running for  re-election to the New York State Legislature and to the US Congress
    (FOR COUNCIL APPROVAL)

7. MESF Report – Dr. Charles Rothberg will present the report

8. CME Report – On behalf of Dr. Mark Adams, Dr. Paul Pipia will present the report

9. Presentation – Elizabeth Amato, Vice President, SHIN-NY Programs New York     eHealth Collaborative (NYeC)
Update on the Data Exchange Incentive Program (DEIP). The program which provides   physicians with up to $13,000 to help connect to the SHIN-NY).

10.    Councilors’ Action Reports (No written reports submitted)

D. Reports of Officers (Verbal Reports)    

  1. Office of the President – Thomas J. Madejski, MD
  2. Office of the President-Elect – Arthur C. Fougner, MD
  3. Office of the Vice President – Bonnie L. Litvack, MD
  4. Office of the Treasurer – Joseph R. Sellers, MD Financial Statement for the period 1/1/18 to 7/31/18
  5. Office of the Speaker – Kira A. Geraci-Ciradullo, MD

E. Reports of Councilors (Informational)

  1.          Kings & Richmond Report – Parag H. Mehta, MD
  2.          Manhattan & Bronx Report – Joshua M. Cohen, MD
  3.          Nassau County Report – Paul A. Pipia, MD
  4.          Queens County Report – Saulius J. Skeivys, MD
  5.          Suffolk County Report – Maria A. Basile, MD 
  6.          Third District Branch Report – Brian P. Murray, MD
  7.          Fourth District Branch Report – Gregory Pinto, MD
                 (no written report submitted)
  8.          Fifth District Branch Report –Howard H. Huang, MD
  9.          Sixth District Branch Report – Robert A. Hesson, MD
  10.        Seventh District Branch Report – Janine L. Fogarty, MD
  11.        Eighth District Branch Report – Edward Kelly Bartels, MD
  12.        Ninth District Branch Report  –  Thomas T. Lee, MD
  13.        Medical Student Section Report –  Breyen Coffin
  14.        Organized Medical Staff Section – Stephen F. Coccaro, MD
                  (no written report submitted)
  15.        Resident & Fellow Section Report – Justin Fuehrer, DO
                  (no written report submitted)
  16.        Young Physician Section Report – L. Carlos Zapata, MD
                  (no written report submitted)

F.  Commissioners (Committee Informational Items)

    1. Commissioner of Communications, Maria A. Basile, MD, MBA
           Report from the Division of Communications

    2. Commissioner of Governmental Relations, Gregory Pinto, MD

        1. MSSNY’s 2018 Legislative Summary (handout)
2. HIT Committee Minutes, June 1, 2018

    3. Commissioner of Membership, Parag H. Mehta, MD
       (No written report submitted)

    4. Commissioner of Science & Public Health, Joshua M. Cohen, MD
     1. Bio Ethics Committee Minutes, May 11, 2018
     2. Eliminate Health Disparities Committee Minutes, April 27, 2018
     3. Preventive Medicine & Family Health Minutes, May 3, 2018
     4. Division of Public Health & Education Report

5.Commissioner of Socio Medical Economics, Howard H. Huang, MD 
      1. Interspecialty Committee Minutes, June 28, 2018
      2. Workers’ Compensation & No Fault Minutes, June 6, 2018

G. Report of the Executive Vice President, Philip Schuh, CPA, MS
        1. Membership Dues Revenue Schedule
        2. Group Institutional Dues Comparison Report

H. Report of the General Counsel, Garfunkel Wild, P.C.

1.   Amendment to the Bylaws of the Nassau County Medical Society
An amendment to the bylaws of the Nassau County Medical Society was reviewed. A review confirms that the amendment relates to the internal governance of the Nassau County Medical Society, and does not conflict with the bylaws of  MSSNY.  Accordingly, it is recommended that the Council approve the amendment to the bylaws of the Nassau County Medical Society. (FOR COUNCIL APPROVAL)

2.    Amendments to the Bylaws of the New York County Medical Society

       The amendments to the bylaws of the New York County Medical Society were presented for review.  A review shows that the amendments relate solely to internal matters of the county medical society, which do not conflict with the bylaws of MSSNY. Accordingly, it is recommended that the amendments be approved.
(FOR COUNCIL APPROVAL)

3.     Amendments to the Bylaws of the Richmond County Medical Society
The amendments to the bylaws of the Richmond County Medical Society were
presented for review. A review shows that the bylaws are not in conflict with the bylaws of MSSNY.  Accordingly, it is recommended that Council approve the amendments.
(FOR COUNCIL APPROVAL)

I. Report of the Alliance, Valerie Semeran, Co-President
    Alliance Report

J. Other Information/Announcements  (all attached

1. Continuing Board Certification: Vision for the Future Commission Summary of Testimony July, 2018

    2. Department of Health & Human Services Letter to the AMA regarding changes in reimbursement rates for laboratory services on the Medicare Clinical Laboratory Fee Schedule and CMS Clinical Laboratory Fee Schedule Sign-On Letter.

3. Dr. Madejski’s Letter to Department of Health & Human Services – E&M Services & Coalition of State Medical Societies Sign-On E&M Letter

4. Dr. Madejski’s Letter to Workers’ Comp Board – Increase in the Workers’ Comp Medical Fee Schedule

5.  National Council of State Boards of Nursing Sign-On Letter – A request to reconsider certain provisions of the Advanced Practice Registered Nurse(APRN) Compact that alter state laws related to the scope of practice of APRNs

6. AMA Letter to the CEO of Walmart – Walmart Opioid Policy

7. Physician Advocacy Institute Letter to CMS & PAI Statement – Physician Self-Referral Law 

K. Adjournment

 

 

 

 

Council March 25, 2018

 

 AGENDA
 MSSNY Council Meeting
Tuesday, March 25, 2018
Adam’s Mark Hotel
Buffalo, NY      

A. Call to Order and Roll Call

B. Approval of the Council Minutes of March 6, 2018 (pgs. 1-9)

C. New Business (All New Action & Informational Items) 

1.  President’s Report
Please welcome our MSSNY Officers, Councilors, Trustees, County Execs, Guests and MSSNY Staff and the following:

Bonnie L. Litvack, MD – New Vice-President
Gregory Pinto, MD – New Fourth District Councilor
Stephen F. Coccaro, MD – New OMSS Councilor
Breyen Coffin – New Medical Student Section Councilor

 a. APPROVAL of the 2018/2019 Meeting Schedule (pg. 10)
 b. APPROVAL of the 2018/2019 Committee Appointments (pgs. 11-17)

D. Report of the Executive Vice President, Philip Schuh, CPA, MS

  1. Membership Dues Revenue Schedule (pg. 18)
  2. Group Institutional Dues Schedule (pg. 19)

E. Reports of Councilors

1.  Nassau County Report – Paul A. Pipia, MD  (pg. 20)
2.  Suffolk County Report – Maria A. Basile, MD, MBA (pg. 21)
3.  Kings and Richmond Report – Parag H. Mehta, MD (pg. 22)

F. MESF Report  – To be presented by Dr. Malcolm Reid  (pg. 23-25)

 

Council November 2, 2017

AGENDA
MSSNY Council Meeting
Thursday, November 2, 2017
Courtyard Marriott
1800 Privado Road
Westbury, NY  11590

A.   Call to Order and Roll Call

B.   Approval of the Council Minutes of September 14, 2017

C.   New Business (All New Action & Informational Items)

1.  President’s Report:
a. Presidential Appointments to the 2018 Nominating
Committee (For Council Approval)
b. Physician Stress and Burnout Task Force
Survey Correlation Analysis Executive Summary
c. Hospital Medical Staff Initiative/Discussion

  1. Board of Trustees Report – Dr. Hamlin will present the report (handout)
  1. Secretary’s Report –  Dr. Dowling will present the report for Nominations for Life Membership & Dues Remissions
  1. MLMIC Update –  Mr. Donald Fager, Esq. will present a verbal report
  1. AMA Delegation Update – Dr. Kennedy will present a verbal report
  1.  MSSNYPAC Report –   Dr. Sellers will present the report  (handout)
  1. MESF Foundation ReportThomas Donoghue, Executive Director
  1.  Councilors/Commissioners  (All Action Items,
    For Council Approval
    )
    Joshua M. Cohen, MD, MPH, Councilor
    (a) New York County Medical Society submitted the following three Action Items:
  1. That the Medical Society of the State of New York (MSSNY) endorse the candidacy of MSSNY/New York County Medical Society Member Stuart Gitlow, MD for a seat on The Board of Trustees of the American Medical Association (AMA) in the upcoming AMA Election.
  2. That the Medical Society of the State of New York Form a Task Force to Study Increasing Membership among Employed and Young Physicians to Encourage Their Active Participation in Membership.
  3. That the Medical Society of the State of New York Benchmark Successful Membership Projects with Other State Societies and Investigate a More Streamlined Vision of Projects (Reducing the Number of Issues MSSNY Tries to Cover by Instead Looking for a Big Win).

Commissioner of Governmental Relations,
           Gregory Pinto, MD, Commissioner

(b)    Legislative and Physician Advocacy Committee,
Paul A. Pipia, MD, Chair

  1. MSSNY’s 2018 Legislative Program
  2. Resolution 62 and 63 2017, New York State Healthcare Delivery System , MSSNY Support Single Payer Health Insurance
  3. Resolution 111-2017, Any Willing Provider with Universal Credentialing

D.   Presentation Introduction to the QPP/MIPS 
    Presented by IPRO Corporate Representatives:
    Mr. Theodore Will, MPA – Chief Executive Officer
    Clare B. Bradley, MD, MPH
    Senior Vice President,  Chief Medical Officer
    Patricia Gagliano, MD – Vice President,
    Health Care Quality Improvement

E.  Reports of Officers
  1. Office of the President- Charles Rothberg, MD
 Meetings attended:

  • MSSNY CME Provider Conference
  • Kings County President’s Dinner
  • Connecticut Annual Meeting
  • Westchester Dinner
  • NYS County & Specialty Executive Director Conference
  • Meeting at Stony Brook Hospital w/Dr. Kaushansky
  • Brookhaven Hospital Gala
  • Legislative & Physician Advocacy Teleconference
  • MESF Leadership Conference
  • Bronx County Gala
  • NY/NJSIPP Meeting
  • Fifth & Sixth District Retreat
  • Queens County Gala – Honoring Dr. Penny Stern
  1. Office of the President-Elect – (Verbal Report)
    Thomas J. Madejski, MD
  2. Office of the Vice-President – (Verbal Report)
    Arthur C. Fougner, MD
  3. Office of the Treasurer – Joseph R. Sellers, MD, Financial Statement for the period 1/1/17 – 9/30/17
  4. Office of the Secretary – (Verbal Report)
    Frank G. Dowling, MD
  5.  Office of the Speaker
    Kira A. Geraci-Ciradullo, MD, MPH

F.   Reports of Councilors  (Informational)

      1.   Kings and Richmond Report – Parag H. Mehta, MD
      2.    Manhattan and Bronx Report
        Joshua M. Cohen, MD,  MPH
      3.   Nassau County Report – Paul A. Pipia, MD
      4.   Queens County Report – Saulius J. Skeivys, MD
      5.   Suffolk County Report – Maria A. Basile, MD, MBA
      6.  Third District Branch Report – Brian P. Murray, MD
      7.   Fourth District Branch Report
        John J. Kennedy, MD
      8.   Fifth District Branch Report –Howard H. Huang, MD
      9.   Sixth District Branch Report – Robert A. Hesson, MD
      10.  Seventh District Branch Report 
        Janine L. Fogarty, MD
      11. Eighth District Branch Report
        Edward Kelly Bartels, MD
      12.   Ninth District Branch Report  – Thomas T. Lee, MD
      13.  Medical Student Section Report – Pratistha Koirala
      14.  Organized Medical Staff Section Report
        Bonnie L.Litvack, MD
        (no written report submitted)
      15. Resident and Fellow Section Report
        Justin Fuehrer, DO
      16.  Young Physician Section Report –
        L. Carlos Zapata, MD  (no written report submitted)

      G. Commissioners (Committee Informational
                   Reports/Minutes
      )

      1.Commissioner of Communications,
      Maria A. Basile, MD, MBA
      a. Report of the Division of Communications

      2. Commissioner of Governmental Relations,
      Gregory Pinto, MD
      a. MSSNY-HCA Task Force Minutes
      b. MSSNY HIT Minutes (includes DOH Power Point)

      3. Commissioner of Medical Education,
           Mark J. Adams, MD
      a. CME Report

      4. Commissioner of Membership, Parag H. Mehta, MD
      (No written report submitted)
      5. Commissioner of Science and Public Health,
                 Frank G. Dowling, MD (No written report submitted)

      H.  Report of the Executive Vice President –
                    Philip A. Schuh, CPA, MS
      1. Membership Dues Revenue Schedule
      2. Group Institutional Dues Schedule

      I.   Report of the General Counsel,
        Barry Cepelewicz, MD, Esq. (Verbal Report)

      J.  Report of the Alliance  Helena Mirza, Co-President
      Alliance Report

      K. Other Information/Announcements
      1.  AMA Letter to President Trump re:
      Interim Opioid Crisis
      2.  Final Sign-on AMA MACRA Letter
      3.  Coalition of State Medical Societies Letter – Asking
      Congress to fully fund the Children’s Health Insurance
      Program (CHIP)

      4.  Final Sign-on PAMA Letter

      L.  Adjournment

Council September 14, 2017

AGENDA
Council Meeting
Thursday, September 14, 2017, 9:00 a.m.
Courtyard Marriott, Westbury Long Island
     1800 Privado Road
   Westbury, NY  11590

A.Call to Order and Roll Call

B.Approval of the Council Minutes of June 22, 2017

C.          New Business (All New Action & Informational Items)

  1. President’s Report
    a.  MSSNY Stress and Burnout Task Force Conference Call Minutes
  2. Board of Trustees Report Dr. Hamlin will present the report (handout)
  3. Secretary’s Report – Dr. Dowling will present the report Nominations for Life Membership and Dues Remissions
  4. MLMIC Update  – Mr. Donald Fager will present a verbal report
  5. AMA Delegation Update– Dr. Kennedy will provide a verbal report
  6.  MSSNYPAC Report –  Dr. Sellers will present the report
    (handout at Council)
  7. Commissioners (All Action Items)
    1. Commissioner of Socio-Medical Economics,
      Howard H. Huang,
      Committee on Interspecialty
      Resolution 2017-157, Development and Promotion of Evidence-based Ultrasound-First Radiation Mitigating Protocols  (For Council Approval)

     

    1. Councilors Reports  (Reports, if any)
      (No items submitted)

D. Reports of Officers (Verbal Reports)
  1. Office of the President – Charles Rothberg, MD
Meetings attended:

  • New York County Annual Meeting
  • NYS Academy of Family Physicians
  • NYSIPP Meeting
  • Integrated Care/NYS Stakeholder Meeting
  • MLMIC Executive Committee @ the Equinox
  • Anthem Provider Teleconference
  • MLMIC Executive Committee
  • Monday, September 11 – Quality Improvement & Innovation Group Roundtable WEBEX

2. Office of the President-Elect – Thomas J. Madejski, MD
3. Office of the Vice-President – Arthur C. Fougner, MD
4. Office of the Treasurer – Joseph R. Sellers, MD,
Financial  Statement for the period 1/1/17 – 7/31/17
5.   Office of the Secretary – Frank G. Dowling, MD
6.  Office of the Speaker –  Kira A. Geraci-Ciradullo, MD, MPH

E.  Reports of Councilors (Informational)
1.    Kings/Richmond Report  Parag H. Mehta, MD
2.    Manhattan/Bronx Report – Joshua M. Cohen, MD, MPH
3.    Nassau County Report – Paul A. Pipia, MD
4.    Queens County Report – Saulius J. Skeivys, MD
 5.   Suffolk County Report – Maria A. Basile, MD, MBA 
6.    Third District Branch Report – Brian P. Murray, MD
7.    Fourth District Branch Report – John J. Kennedy, MD
                     No written report submitted
8.    Fifth District Branch Report – Howard H. Huang, MD
9.    Sixth District Branch Report – Robert A. Hesson, MD
10. Seventh District Branch Report – Janine Fogarty, MD
11. Eighth District Branch Report
Edward Kelly Bartels, MD   
12. Ninth District Branch Report – Thomas T. Lee, MD
13. Medical Student Section Report
  Pratistha Koirala  
14. Organized Medical Staff Section Report –
   Bonnie L. Litvack, MD
             15. Resident and Fellow Section Report
   Justin Fuehrer, DO
16. Young Physician Section Report – L. Carlos Zapata, MD

F.   Commissioners (Committee Informational Reports/Minutes)
1.  Commissioner of Communications,
      Maria A. Basile, MD, MBA
     Report of the Division of Communications

2.   Commissioner of Governmental Relations,
               Gregory Pinto, MD
      2017 Legislative Summary

3.   Commissioner of Medical Education,
       Mark J. Adams, MD
      (No written report submitted)

 4.  Commissioner of Membership, Parag H. Mehta, MD
        (No written report submitted)

 5.  Commissioner of Science & Public Health,
       Frank G. Dowling, MD
      Public Health and Education Report

 6.  Commissioner of Socio-Medical Economics,
       Howard H. Huang, MD
       Committee on Interspecialty Minutes, June 29, 2017

GReport of the Executive Vice President –
              Philip A. Schuh, CPA, MS

  1.   Membership Dues Revenue Schedules
  2.   Group Institutional Dues Schedule
  3.   PAI Letter to Dr. Price and Recommendations for Regulatory Relief
  4.  Final MOC Sign-On Letter

H.  Report of the Alliance – Valerie Semeran, Co-President                            Alliance Report    

I.   MESF Foundation – Thomas Donoghue, Executive Director                     (No written report submitted)

J. Other Information/Announcements

1. Brookhaven Memorial Hospital Harvest Moon Gala honoring                 Charles Rothberg, MD>
2.  AMA Letter to Alphonso David, Counsel to the Governor re                    Veto of S.6800/A.8516
3.  Times-Union 7-26-17 Gruenthal
       4.   Syracuse P-S Iroquois 8-22-17
       5.   Syracuse PS 8-1-17
       6.   S.6800 letter to the Governor
7.    PoJo 8-21-17
8.    LRANY Letter to Cuomo RE S6800
       9.    Legislative Gazette – 7-27-17
       10.  GNYHA White Paper
       11.  Dunkirk-Oberver-Opinion-July-2017

K. Adjournment

Council Meeting – June 22, 2017

AGENDA
Council Meeting
Thursday, June 22, 2017, 9:00 a.m.
Long Island Marriott
   101 James Doolittle Blvd.
         Uniondale, NY  11553 

A.Call to Order and Roll Call

B.Approval of the Council Minutes of April 23, 2017

C.          New Business (All New Action & Informational Items)

  1. President’s Report
    a.  Presidential Appointments to the Executive
    Committee of the Council are:
    Joshua M. Cohen, MD, MPH
    Parag H. Mehta, MD
    (For Council Approval)
  2. Board of Trustees Report Dr. Hamlin will present the report (handout)
  3. Secretary’s Report – Dr. Dowling will present the report Nominations for Life Membership and Dues Remissions
  4. MLMIC Update  – Mr. Donald Fager will present a verbal report
  5. AMA Delegation Update – Dr. Kennedy will present the report (handout)
  6. MSSNYPAC Report – Dr. Sellers will present the report
    (handout)
  7. Commissioners  (All Action Items)
  1. Commissioner of Socio-Medical Economics,
    Howard H. Huang, MD
    Committee on Health Insurance:
    a. Resolution 2017-59, MSSNY Statement on  Increased Health Insurance Deductibles
    (For Council Approval)

 Committee on Interspecialty
       b. Resolution 2017-157,
              Development and Promotion of Evidence-based                                             Ultrasound-First Radiation Mitigating Protocols 
                          (For Council Approval)

    1. Commissioner of Medical Education,
      Mark J. Adams, MD  
      Committee on Medical Education
      CME Mission Statement with Proposed Revisions
       (For Council Approval)
    2.  Commissioner of Membership, Parag Mehta, MD
      Committee on Membership
      a. Resolution 2017-212, MSSNY Representation for Nonaffiliated Groups of Physicians
      (For Council Consideration)
  1. MSSNY Task Force on Physician Stress & Burnout
                 Recommendations
        To be presented by Dr. Michael Privitera
                 (For Council Approval)

8 .Councilors (All Action Items from County Societies and District Branches)
(No action items submitted)

D. Reports of Officers (Informational/Verbal)
  1. Office of the President – Charles Rothberg, MD
Meetings attended:

    a. NYS Chapter/NYS Psychiatric Assoc. Meeting
    b. Monroe County Annual Meeting
    c. Suffolk County Legislative Breakfast
    d. New Jersey State Society Annual
    e. Queens County Annual Meeting
    f. New York County Board Meeting
    g. Westchester County Annual Meeting
    h. Richmond County Annual Meeting
    i. NY Podiatric Society,HOD
    j. LI Ophthalmological Society Dinner
    k. IPRO Annual Meeting
    l. MLMIC Executive Committee Meeting
    m. AMA Annual Meeting
    n. Mt. Vernon homeowners conference on drug pricing
    o. Nassau County Annual Meeting

2. Office of the President-Elect – Thomas J. Madejski, MD
3. Office of the Vice-President – Arthur C. Fougner, MD
4. Office of the Treasurer – Joseph R. Sellers, MD,
             Financial Statement for the period 1/1/17 – 5/31/17

5. Office of the Secretary – Frank G. Dowling, MD
6. Office of the Speaker –  Kira A. Geraci-Ciradullo, MD, MPH

E. Telemedicine
Peter M. Caplan, Managing Consultant, eHealth Systems and
Solutions

F. Reports of Councilors (Informational)
1.    Kings/Richmond Report Parag H. Mehta, MD
2.    Manhattan/Bronx Report – Joshua M. Cohen, MD, MPH
3.    Nassau County Report – Paul A. Pipia, MD
4.    Queens County Report – Saulius J. Skeivys, MD
 5.   Suffolk County Report – Maria A. Basile, MD, MBA 
6.    Third District Branch Report  Brian P. Murray, MD
7.    Fourth District Branch Report – John J. Kennedy, MD
8.    Fifth District Branch Report –Howard H. Huang, MD
9.    Sixth District Branch Report – Robert A. Hesson, MD
10. Seventh District Branch Report – Janine Fogarty, MD
11. Eighth District Branch Report
Edward Kelly Bartels, MD   
12. Ninth District Branch Report – Thomas T. Lee, MD
13. Medical Student Section Report
  Pratistha Koirala  
14. Organized Medical Staff Section Report –
   Bonnie L. Litvack, MD
                         (no written report submitted)
             15. Resident & Fellow Section Report
   Justin Fuehrer, DO
16. Young Physician Section Report – L. Carlos Zapata, MD
                       (no written report submitted) 

G. Commissioners (Committee Informational Reports/Minutes)
1.  Commissioner of Governmental Relations,
                   Gregory Pinto, MD

a.     Long Term Care Subcommittee Minutes, May 10, 2017
b.    Quality Improvement and Patient Safety Committee                                  Minutes, May 10, 2017

2.  Commissioner of Membership, Parag H. Mehta, MD
a.   MSSNY Primary Care Caucus Minutes, May 17, 2017

3.   Commissioner of Science & Public Health,
Frank G. Dowling, MD
a.   Addiction and Psychiatric Medicine Committee Minutes,                        May 5, 2017
b.  Bio Ethics Committee Minutes, February 3, 2017
c.   Eliminate Health Care Disparities Minutes, April 7, 2017
d.   Heart, Lung & Cancer Committee Minutes, April 26, 2017
e.   Infectious Diseases Committee Minutes, May 4, 2017
f.    Preventive Medicine and Family Health Committee                                       Minutes, May 11, 2017
g.   Public Health and Education Report

4.   Commissioner of Communications, Maria A. Basile, MD, MBA
a.   Report of the Division of Communications

5.      Commissioner of Governmental Relations, Gregory Pinto, MD
a.    HIT Committee Minutes, June 2, 2017

6.      Commissioner of Medical Education, Mark J. Adams, MD
a.    Report from the Office of Continuing Medical Education

H. Report of the Executive Vice President, Philip Schuh, CPA, MS     

  1.   Membership Dues Revenue Schedules for May   and June,         2017 
  2.    Group/Institution Dues Schedule
  3.    Physician Advocacy Institute Board of Directors Meeting
  4.    Meeting of the Coalition of State Medical Societies

IReport of the General Counsel,
      Donald Moy Esq.
       Verbal Report

J. Report of the Alliance, Valerie Semeran, Co-President
         1.      Alliance Report

K. Other Information/Announcements
       

1.    Final Sign On of the Social Security Number Removal                                 Initiative Letter
2.   AMA Statement on House Passage of American Health Care                Act
3.   AMA Health System Reform Letter
4.   Final Draft AHCA Letter
5.   Thank you letter to Regina McNally from Dr. Jose Serruya
6.  Letter to Senator Majority Leader Mitch McConnell re All
      Senators meeting on Health Care Reform

L. MESF Foundation – Thomas Donoghue, Executive Director
1. MESF Report

M.  Adjournment

 

Council Meeting – January 19, 2017

AGENDA
Council Meeting
January 19, 2017 9:00 am
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A.Call to Order and Roll Call

B.Approval of the Council Minutes of November 3, 2016

C.          New Business (All New Action & Informational Items)

    1. President’s Report
      a.  Physician Burnout Update presented by
      Michael R. Privitera, MD, Chair,  MSSNY Physician Burnout  Task Force (VIA Telephone) (handout)
      b. Update on DSRIP/PPS Initiatives presented by
      Joseph R. Maldonado, Jr., MD
    2. Board of Trustees Report  – Dr. Leah McCormack will present the report (handout)
    3. Secretary’s Report – Dr. Arthur Fougner will present the report for Nominations for Life Membership, Dues Remissions and Special Life Membership request from Albany County Medical Society
    4. MLMIC Update  – Mr. Donald Fager will present a verbal report
    5.  AMA Delegation Update – Dr. John Kennedy will present the report
    6.  MSSNYPAC Report – Dr. Charles Rothberg will present the report
    7. MESF Update – Mr. Thomas Donoghue  will present the report
    8.  CME Update Dr. Mark Adams will present the report
    9. Update/Discussion on Coalition of State Medical Societies (handout)

      ADJOURNMENT OF COUNCIL 

      Approval of the Empire State Medical, Scientific and Educational Foundation, Inc. Election of Directors

      RECONVENE COUNCIL

    10.  Commissioners (Action Items – For Council Approval)
              1. Commissioner of Socio Medical Economics,
                   Howard H. Huang, MD 
      Committee on Interspecialty
                   (For Council Approval)
                     a.   Resolution 2016-268, Mobility
      Impairment Increases Risk of Illness

  2. Commissioner of Science & Public Health
Frank G. Dowling, MD
                                       Committee to Eliminate Health Care Disparities
                                       (For Council Approval)
                             a .   Revised Mission Statement

                11. Councilors (All Action Items from County Societies
 and District Branches)
                              No reports submitted

D. Reports of Officers (Informational)
1. Office of the President – Meetings attended:

  • Fifth and Sixth District Retreat
  • AMA Interim Meeting
  • Lecture given by Andrew Gurman, MD, AMA President @ Albert Einstein School of Medicine
  • MAMES Gala
  • Andrew Cuomo Fundraiser, Bronx Tale on Broadway
  • MLMIC Executive Committee Meeting
  • NYSPM&R Society Legislative Lecture, at NYU Langone Medical Center
  • Annual Meeting of the New York State Society of Anesthesiologists  at the New York Marriott Marquis
  • MLMIC Board of Directors Meeting
  • State Leg Conference
  1. Office of the President Elect – Charles Rothberg, MD
  2. Office of the Vice President – Thomas J. Madejski, MD
  3. Office of the Treasurer – Joseph R. Sellers, MD,
    Financial Statement for the period 1/1/16 – 11/30/16
  4. Office of the Speaker  –  Kira A. Geraci-Ciradullo, MD, MPH

E. Reports of Councilors (Informational)
1.    Kings/Richmond Report Parag H. Mehta, MD
2.    Manhattan/Bronx Report – Joshua M. Cohen, MD, MPH
3.    Nassau County Report – Paul A. Pipia, MD
4.    Queens County Report – Saulius J. Skeivys, MD
 5.   Suffolk County Report – Maria A. Basile, MD, MBA 
6.    Third District Branch Report – Brian P. Murray, MD
7.    Fourth District Branch Report – John J. Kennedy, MD
8.    Fifth District Branch Report –Howard H. Huang, MD
9.    Sixth District Branch Report – Robert A. Hesson, MD
10. Seventh District Branch Report – Mark J. Adams, MD
11. Eighth District Branch Report
Edward Kelly Bartels, MD   
12. Ninth District Branch Report – Thomas T. Lee, MD
13. Medical Student Section Report
  Christina Kratschmer  (no written report submitted)
14. Organized Medical Staff Section Report –
   Richard A. Ritter, MD (no written report submitted)
             15. Resident & Fellow Section Report
  Robert A. Viviano, DO
16. Young Physician Section Report – L. Carlos Zapata, MD
                     (no written report submitted) 

F. Commissioners (Committee Informational Reports/Minutes)
1. Commissioner of Communications
                  Joshua M. Cohen, MD, MPH
a.  Report of the Division of Communications
             2 .Commissioner of Science & Public Health,
                  Frank G. Dowling, MD
                  a.   Bio Ethics Minutes, October 28, 2016
                  b.   Preventive Medicine and Family Health Minutes,
 October 21, 2016
 c. Public Health and Education Informational Report
    3. Commissioner of Socio Medical Economics,
Howard H. Huang, MD
                   a. Committee on Interspecialty Minutes, October 27, 2016
              4. Commissioner of Governmental Relations,
                   Gregory Pinto, MD
                  a.   MSSNY-HCA Task Force Minutes, November 18, 2016
  b.   MSSNY HIT Committee Minutes, December 16, 2016
  c.   Report from the Division of Governmental Affairs

G. Report of the Executive Vice President, Philip Schuh, CPA, MS     

              1.    Membership Dues Revenue Schedule
              2.    Group/Institution Membership Revenue
                Schedule
              3.    Empire State Foundation Update

HReport of the General Counsel,
      Donald Moy Esq. & David Vozza, Esq.
             No written report submitted 

I. Report of the Alliance, Barbara Ellman, President
               Alliance Report

J. Other Information/Announcements

  1.   Letter dated January 5, 2017 to Representative Chris Collins     re Affordable Care Act
  2.   Letter dated December 9, 2016 to Commissioner Zucker re
    Medical Marijuana
  3.   MSSNY Five-Step MACRA Checklist
  4.   Dr. Duane & Joyce Cady Honor Fund (2016 Activity Report)
  5.   Sign-on letter dated January 9, 2017 to Leishia Smallwood,
    Director, NYS Area Health Education Center (NYS AHEC)  re    continued funding for the NYS AHEC

K.  Adjournment

 

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