Feb. 1, 2019 – Leg 2019: Strong at the Start

Thomas J. Madejski, MD MSSNY President
Thomas J. Madejski, MD
MSSNY President

February 1, 2019
Volume 22  Number 5



Downhill Racer

Great news!  I finally was able to hit the slopes this season.  I spent the weekend in Lake Placid to meet with members from our 3rd and 4th districts at their Winter Meeting.  I’ve wanted to join them for many years, but circumstances conspired against us. Our MSSNY Vice Speaker Dr. Bill Latreille served as the congenial host and master of ceremonies.

Day One

Saturday morning began with reports by our 3rd and 4th District Counselors, Greg Pinto and Brian Murray.  They updated the assembly on county activities and the recent Council meeting.  We also had presentations from Moe Auster, our Government Affairs VP, and our MSSNYPAC Chair, Dr. Joe Sellers, on the changing political landscape, the many public health and professional issues under discussion and MSSNYs policies and perspectives. State Senator Betty Little discussed the significant changes in the State Capital, as well as key healthcare issues she is seeing in her district that covers the North Country. She affirmed my observations that we are in a very dynamic environment with regards to legislation and regulation.  She validated the observations of our Government Affairs staff and your leadership— that we are in a critical time of creating new relationships with our elected leaders and new regulators.

You have already seen rapid activity on a number of issues where the new legislature and Gov. Cuomo had consensus and campaigned to achieve.  It’s probably the ambience of Lake Placid, but I feel like we are in a slalom race to passage of the budget sometime around April 1. We need to keep our eyes and weight forward, lean into the gates, and watch for icy patches and cross the finish line on behalf of our citizens and our profession.  Make sure you are signed up as a PAL and join me in Albany for our Council meeting and State Legislative Day March 6. 

We had a number of other excellent presentations. Jim Dering, an attorney from Garfunkel Wild’s Albany office, gave a vitally relevant presentation on employment contracts. GW has great expertise in review and assistance with negotiations on behalf of physicians. They provide an excellent member benefit for contract review as part of their service to MSSNY members. Having negotiated a number of times on behalf of physician employees, GW provides a great value at a substantially lower cost than I have experienced in the past.


Michael Schoppman, President of MLMIC, updated the group on developments after the closing of the sale of MLMIC to Berkshire Hathaway. Over 95% of proceeds have been distributed. Remaining proceeds will be distributed after resolution of disputes. MLMIC has created an in house mediation system to assist policy holders who have had their distribution contested by other parties.  For more information, click here.

After an afternoon break, we met in the early evening to review potential resolutions for our MSSNY HOD April 11-13th. 

One area of concern is continued staffing and viability of small county medical societies.  We had a good discussion about potential opportunities for regionalization through our existing District model.  I related to the group that MSSNY is working on this through our Strategic Planning Committee and our Membership Committee and that MSSNY remains committed to assisting our county and District Societies as they work through these issues.

Covering All Bases

Our MSSNY President Elect, Dr. Art Fougner, and Vice President Bonnie Litvack and MSSNY legislative staff participated in the Legislative Breakfast hosted by New York County Psychiatric Society and the New York Council on Child and Adolescent Psychiatry. They met some of our new Senate members and visited with Senate Health Chair Gustavo Rivera and Assembly Health Committee Chair Richard Gottfried Sunday.

We have follow up meetings scheduled with a number of the new legislators.  We (MSSNY and you) need to engage all our legislators but particularly the new members in their districts and in Albany.  Please register and join me in Albany March 6th!

Medicinae membra movere!

Comments? comments@mssny.org; @mssnytweet; @TomMadejski

Thomas J. Madejski, MD
MSSNY President

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Capital Update

Physicians Urged To Oppose Further Dual Eligible Payment Cuts Proposed In State Budget
All physicians are urged to contact their state legislators to urge that they reject a proposal contained in the 2019-20 Executive Budget that would significantly cut the payments that Medicaid makes to physicians to cover the Medicare Part B deductibles of their “dually eligible” patients. You can send a letter in opposition here.

While the exact cut for each physician would depend on the physician’s patient mix and services provided, we estimate that the cut would be $80 per patient.  That is because the 2019 Medicare Part B deductible is $185, and studies show that on average Medicaid only pays 56% of the Medicare fee schedule in New York.

Given that there are hundreds of thousands of patients in New York who are “dually eligible”, for practices that see a large number of dual eligible patients, this will have a profound impact.  For example, if a physician’s patient mix includes 500 such dual eligible patients, which could certainly be the case for many types of specialty physicians. That amounts to a decrease of over $40,000 per year – funds that could go toward upgrading electronic health records, hiring additional staff to allow for more time with patients, upgrading facilities or other medical equipment.

In past years, physicians have had to absorb significant cuts from Medicaid for the care that they provide to their senior and disabled patients covered by both Medicare and Medicaid, making it much harder for these physicians to deliver community-based care.

Inexplicably, in a time where there is a greater emphasis on assuring patients receive care in the most appropriate care settings, including community physician practices, these cuts could force patients to receive care in more expensive care settings.

Please urge your legislators know how unfair this cut is.  Please urge them to oppose balancing the State Budget on the backs of dedicated community physicians seeking to deliver quality care to their patients.                       (AUSTER, AVELLA)

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Governor Proposes $175 Billion Budget For 2019-20; Many Items Of Impact To Medicine

As previously reported, Governor Andrew Cuomo has formally announced his proposed $175 Billion Budget for the FY 2019-20 Fiscal Year.

Some positive items in the Executive Budget include: 

  • Increase from 18-21 the legal age to purchase tobacco and e-cigarettes; Ban flavored liquids and sales in pharmacies (See MSSNY President Dr. Madejski’s statement of support here.
  • Regulate the practices of Pharmaceutical Benefit Managers (PBMs).
  • Assuring comprehensive health insurance coverage for those suffering from a mental health condition (MH, SUD or autism).
  • Prohibit pre-authorization for Medication-Assisted Treatment (MAT) to address opioid addiction.
  • Extension of the Excess Medical Malpractice Program for an additional policy year.
  • Reduce the current 9% interest rate on court judgments, which could have the effect of reducing liability premiums for physicians.
  • Create a statewide Maternal Mortality Board with necessary confidentiality protections. 

Some items of potentially significant concern include:

  • Cuts Medicaid payments for the deductibles of “dual eligible” patients, which could have a significant adverse impact for those physicians whose patient mix includes a substantial number of Medicare/Medicaid dual eligible patients. (see related article)
  • Legalize the sale of recreational marijuana to those 21 and over (see related article)
  • Expands the existing medical marijuana program to add additional health conditions which would be eligible for “Medical Cannabis”.
  • Permit Nurse Practitioners and licensed social workers to treat injured workers and be directly reimbursed under Workers Compensation without coordination with a physician.
  • Repeal “prescriber prevails” protections for prescriptions for Medicaid FFS patients that are not on the Medicaid formulary. 

Some items of Interest and Further Review Include:

  • Codify New York’s Health Insurance Exchange, and assure NY has continued coverage for pre-existing conditions, Essential Health Benefits and provide physician a clear method to appeal medications not included on insurers’ formulary
  • Expand health insurance coverage for IVF
  • Require ED physicians to check I-STOP database
  • Create a Commission on Universal Access to Health Care comprised of health policy and insurance experts to devise ways to achieve universal access to high quality, affordable health care.

MSSNY will be testifying at a Joint Senate-Assembly Budget Hearing examining these issues next Tuesday Feb. 5. (DIVISION OF GOVERNMENTAL AFFAIRS)

Assemblyman Gottfried Introduces Series of Health Insurance Reform Bills
This week Assembly Health Committee Chair Richard Gottfried reintroduced a number of important health insurance reform bills supported by MSSNY to better enable patients to receive the care they need and better enable physicians to be able to advocate on behalf of their patients to assure they receive the care they need.  These bills include:

  • A2393 – Gives independently practicing physicians the much-needed right to collectively negotiate with insurance companies on patient care issues in certain instances, under close state supervision.
  • A3038 (also carried by Senate Insurance Committee Chair Neil Breslin – S.2847) – Includes many provisions to improve the way that insurance companies operate by speeding up and improving prior authorization requirements and duration; ensuring that authorizations are being reviewed by qualified individuals, using evidence-based criteria; preventing harmful prescription drug formulary changes.
  • A3076 – Requires health insurer medical necessity decisions to be made by a NY licensed physician that is qualified to perform the procedure in question.
  • A2983 – Prohibits the inclusion of onerous clauses in contracts between physicians and HMOs, including those that reduce payment, impose inappropriate mandates on prescriptions and allow changes to prescriptions by those other than the prescribing physician or pharmacist with which they collaborate.
  • A2899 (also carried by Senate Health Chair Gustavo Rivera – S.873) – Prevents insurance companies from using extrapolation (except in certain circumstances) to unfairly assert and attempt to recoup purported overpayments.
  • A2799 – Ensures “prescriber prevails” protection for all prescriptions written for patients covered by Medicaid, giving physicians the final say in prescribing.      (AVELLA, AUSTER)

Senator Breslin Introduces Health Insurance Reform Bills
Senate Insurance Committee Chair Neil Breslin (D-Albany County) introduced this week two bills that are strongly supported by the physician-community to cut down on administrative hassles and to ensure that patients are able to receive the care that they need.

  • Senate Bill S2847, which is also carried by Assemblyman Gottfried (A.3038), would reduce prior authorization hassles by requiring health plan utilization review criteria to be evidence-based and peer reviewed; reducing the time frame for reviewing prior authorization requests from 3 business days to 48 hours (and to 24 hours for urgent situations); assuring that a prior authorization, once given, is enduring for the duration of the medication or treatment; prohibiting mid-year prescription formulary changes; and assuring that once a prior authorization is given, it cannot be withdrawn if eligibility is confirmed on the day of the service.
  • Senate Bill S2849, carried by Assembly Majority Leader Crystal People-Stokes (A.2969) would help to prevent harmful changes to drug formularies mid-year. Patients are not allowed to change insurance plans mid-year and often make selections with formularies in mind, so this bill would ensure that insurance companies are held to their end of the contract. (AVELLA, AUSTER)                    

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NYS Legislature Passes and Governor Signs In to Law the Reproductive Health Act
The New York State Legislature passed the Reproductive Health Act on January 22, 2019 and it was immediately signed into law by Governor Andrew Cuomo as Chapter 1, Laws of 2019.    Assembly Bill 21 and Senate Bill 240, sponsored by Assemblymember Deborah Glick and Senator Liz Krueger, amended the public health law by codifying the abortion procedure within New York State’s public health law and removing it from the penal law.  The bill passed the NYS Senate by a vote of 38-24 and the NYS Assembly by 95-49.  The law creates a statement of purpose and says that an abortion may be performed by a licensed, certified or authorized practitioner acting within their defined scope of practice under Title 8 of the Education Law. Under the new law, an abortion can be performed:

  1. a) within 24 weeks from the commencement of pregnancy;
  2. b) at any time, where there is an absence of fetal viability; or
  3. c) at any time, when necessary to protect the patient’s life or health.

MSSNY has a long standing policy that opposes the criminalization of the exercise of clinical judgement in the delivery of medical care.  Moving the abortion procedure from the State Penal law to the Public Health Law is consistent with this position.

The law does not expand the current scope of practices for health care providers.    It does, however, specify that health care practitioners can perform an abortion if it is otherwise enabled by their current scope of practice as defined under the NYS Education Law.  Nurse practitioners are allowed to perform a medicated abortion procedure already under their scope of practice.  However, Nurse Practitioners’ scope does not include “surgery” and cannot perform a surgical abortion.

The American College of Obstetricians and Gynecologists (ACOG), District II and the NYS Academy of Family Physicians (NYAFP) supported this measure.  MSSNY will be closely monitoring the implementation of the new law to assure health care practitioners are acting within their scope. (CLANCY)

Mental Health Association Joins Lists of Organizations Urging NYS Legislature to Consider Implications of Legalizing Recreational Marijuana
The Mental Health Association of New York State has joined the growing lists of organizations that is urging state officials to proceed cautiously as they consider proposals to legalize recreational marijuana.  The association listed several serious concerns about legalization, such as addiction and the impact marijuana can have on the neurological development of young people.   While the Medical Society has expressed support for efforts to remove the threat of criminal sanction for marijuana possession, it has also expressed concerns with efforts to legalize recreational marijuana use.  Additionally, Assembly Speaker Carl Heastie commented this week that marijuana legalization may not occur as part of the State Budget, noting the significant complications associated with enacting such a change.  The Medical Society is asking for the NYS Legislature to remove this provision from the budget proposal and are urging physicians to send a letter to the NY Legislature and to the governor through its Grassroots Action Center (GAC):  https://cqrcengage.com/mssny/app/write-a-letter?7&engagementId=495697                                        (CLANCY) 

Firearm Safety Measures Pass NYS Legislature; Awaiting Action by Governor

The NYS Legislature this week passed a package of bills that would help combat firearm violence.

  • 2451/A. 2689, sponsored by Senator Brian Kavanagh and Assemblymember JoAnne Simon, allows law enforcement officials, family and household members, and certain school officials to seek a court order requiring a person likely to harm themselves or others to surrender any firearms in their possession.
  • 2374/A.2690, sponsored by Senator Michael Gianaris and Assemblymember Amy Paulin, would establish an extension background check waiting period of up to 30 days.
  • 2248/A.2448, sponsored by Senator Luis Sepulveda and Assemblymember Patricia Fahy, would prohibit the possession of a device (bump stock) that accelerates the rate of fire of a firearm.

Also passed by the Legislature were S.101A/A.1715, sponsored by Senator Todd Kaminsky and Assemblymember Judy Griffin that prevents k-12 schools from authorizing anyone other than a security officer, a school resource officer or a law enforcement officer from carrying a firearm on school grounds.  Senator Shelley Mayer and Assemblymember Linda Rosenthal sponsored legislation (A.2685/S.2449) that directs the state police to devise regulations for gun buyback programs to ensure that such programs are operated consistently throughout the state.  Senator Anna Kaplan and Assemblymember Pamela Hunter sponsored legislation (S.2438/A.1213) which would require out of state applicants for gun permits to allow NY permitting authorities to review out-of-state mental health records.

All of these measures are now before Governor Cuomo for his action.

In March 2018, the MSSNY House of Delegates took action to support legislation that requires a waiting period and background checks prior to the purchase of all firearms, including the person-to-person transfer, internet sales, and interstate transactions for all firearms.  The MSSNY HOD also adopted policy to support legislation that blocks the sale of any device or modification, including but not limited to bump stocks, which convert a firearm into a weapon that mimics fully-automatic operation.  MSSNY supports legislation that would ban the sale and/or ownership of high-capacity magazines or clips and high-speed, high-destruction rounds. (MSSNY Policy 260.898 and Policy 260.899).

Furthermore, MSSNY has adopted a policy statement that states that gun violence in the United States is a public health crisis and supports federal efforts to reverse the ban that prohibits the Center for Disease Control from researching gun-related injuries, deaths, and suicides related to this violence.  In January 2019, the MSSNY Task Force on Firearm Safety also recommended that the Medical Society support the concept of “red flag” provisions.

In a press statement released by the NYS Legislature following the passage of the legislation, it contained a quote from Dr. Thomas Madejski, president of the Medical Society, that “Today’s gun safety package contains a number of important measures supported by the medical community.  Establishing ‘red flag’ laws, prohibiting the sale of so-called ‘bump stocks’ and extending the waiting period to purchase firearms are all common sense reforms that have been supported by MSSNY as ways to reduce the risk of firearms coming into the hands of those who present a risk to themselves or others.  We thank the Senate and Assembly leadership, as well as Governor Cuomo, for advancing these important measures.”                                                       (CLANCY)

Federal Regulators Propose Controls To Reduce Prescription Drug Costs, Create More Transparency
This week, HHS Secretary Alex Azar announced proposals to help lower prescription drug prices, reduce out-of-pocket costs for patients and bring about greater transparency in the pharmaceutical industry. The proposed rule would encourage drug manufacturers to pass discounts directly on to patients.

The proposed rule would exclude rebates on prescription drugs paid by manufacturers to PBMs and insurance companies from “safe harbor” protections under the Anti-Kickback Statute. Further, it would create a new “safe harbor” for discounts that are offered directly to patient, in addition to fixed fee service arrangements between manufacturers and PBMs.

According to HHS, rebates currently amount to an average of 26-30% of a drug’s list price and this proposed rule would require these rebates be passed directly to patients (reflected in what they pay at pharmacies). The proposal would likely provide the greatest savings to seniors with high drug costs and is intended to encourage drug companies to compete for the lowest price and out-of-pocket cost for patients.  For more details, visit https://www.hhs.gov/sites/default/files/20190131-fact-sheet.pdf                                                                (AVELLA, AUSTER)

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Measles Outbreak in New York State Continues to Spread
Webinar Available at MSSNY CME Website

The measles outbreak in New York State continues to spread with at least 186 confirmed cases.  There have been 124 in Rockland County and 62 cases in Brooklyn with one suspected case currently being monitored.  MSSNY conducted a just-in-time Medical Matters webinar entitled “The Continued Public Health Threat of Measles 2018” in December, 2018.  This webinar has now been posted to the MSSNY CME website. Please check it out and keep yourself informed about the ongoing measles outbreak throughout New York State.  You can also listen to MSSNY’s brief podcast on the Measles, Mumps and Rubella vaccine here.                                                                                                                            (HOFFMAN, CLANCY)

“What’s Your Diagnosis? Psychological First Aid” Interactive CME Webinar
February 20, 2019 @ 7:30am – Registration now open

Be sure to register for the next Medical Matters webinar, What’s Your Diagnosis? Psychological First Aid.  This program will involve more interaction from participants.  You will be asked to answer questions about a case and discussion will follow.  Find out if you’re fully prepared to include psychological first aid during an emergency on February 20th at 7:30am.  Registration is open for this program here.  Faculty will be Craig Katz, MD, co-vice chair of MSSNY’s Emergency Preparedness and Disaster/Terrorism Response Committee.

Educational Objectives:

  • Describe the basic tenets of psychological first aid (PFA)
  • Identify resources to assist patients during and after trauma
  • Describe a scenario and review questions and answers 

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Registration Now Open for New Veterans Matters CME Webinars:
The Medical Society of the State of New York is proud to announce two NEW Veterans Matters webinars scheduled for February and March 2019. These webinars are: The Special Mental Health Needs of Women Veterans on Thursday, February 28th at 7:30am and Military Culture: Everything Physicians Need to Know About Veterans as Patients on March 14th at 7:30am.

Register here for The Special Mental Health Needs of Women Veterans, and here for Military Culture: Everything Physicians Need to Know About Veterans as Patients.

Veterans Matters: The Special Mental Health Needs of Women Veterans

When:  Thursday February 28, 2019 at 7:30am

Faculty: Malene Ingram, MD (Col., US Army Reserves)

Educational Objectives:

Review how the increased role of women in the military has impacted their mental health.

Describe mental health concerns unique to women veterans and how to identify and treat them.

Identify the barriers that women veterans face in getting the specific care they need

Veterans Matters: Military Culture: Everything Physicians Need to Know About Veterans as Patients 

Military Culture: Everything Physicians Need to Know About Veterans as Patients

When: Thursday, March 14 2019 at 7:30am

Faculty: Lt. Col Lance Allen Wang, & Marcelle Leis, CM Sgt (Ret)

Educational Objectives:

Describe the unique aspects of military culture and how they impact patients who are veterans.

Explain the Dwyer Peer-to-Peer program as a resource to assist veteran patients re-acclimating from a group to an individual mentality.

Review and identify resources to improve physician’s ability to fully treat veterans who are transitioning back into civilian life.

Additional information or assistance with registration may be obtained by contacting Sarah Humes at   shumes@mssny.org or (518) 465-8085

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 creditsä.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


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For more information relating to any of the above articles, please contact the appropriate contributing staff member at the following email addresses:

pschuh@mssny.org mauster@mssny.org  pclancy@mssny.org  mavella@mssny.org





MSSNY Statement re ZocDoc’s Amended Pricing Proposal

Last August, we advised the membership that MSSNY, together with its General Counsel, Garfunkel Wild, P.C., had been engaged in lengthy discussions with ZocDoc to better understand ZocDoc’s planned changes to its program. As a result of those meetings, ZocDoc postponed implementation of those pricing changes. ZocDoc recently announced that it is moving forward with its amended pricing proposal effective April 1, 2019.

Under the new pricing, physicians will pay a reduced annual licensing fee and a booking fee based on the physician’s specialty for each new patient making an appointment.

MSSNY is continuing to address the concerns of our members with regard to the proposed pricing methodology and will know more after a meeting, which will be scheduled shortly with Garfunkel Wild and ZocDoc.

SAVE THE DATE: MSSNY’s Annual “Physician Advocacy Day” (3/6)!
With nearly 40 newly elected legislators in Albany, the need for physician advocacy and grassroots involvement is greater than ever. With so much new representation, it’s vital for physicians to forge new relationships, as well as strengthen existing relationships with this new Legislature to ensure the physician community’s message is well-represented.

One opportunity is to participate in MSSNY’s “Physician Advocacy Day” that will be held on Wednesday, March 6th in the Lewis Swyer Theatre in the Egg located at the Empire State Plaza, Albany NY. Click HERE to register!

Join your colleagues from all around New York State and come to MSSNY’s Physician Advocacy Day to speak with your legislators and key policymakers to ensure they’re making the right choices for New York’s physicians and their patients.

Join us to urge your legislators to:

  • Proceed very cautiously on paradigm shifting proposals such as legalization of recreational marijuana (proposed in the State Budget) and creating a single payor health insurance structure.
  • Reject unfair cuts to physicians treating patients covered by both Medicare and Medicaid;
  • Reject proposals that would add prior authorization burdens for care provided to Medicaid patients;
  • Support legislation to reduce excessive health insurer prior authorization hassles that delay patient care.
  • Reduce the high cost of medical liability insurance through comprehensive reforms.
  • Reject burdensome mandates that interfere with patient care delivery.
  • Preserve opportunities for medical students and residents to become New York’s future health care leaders.

A brief luncheon to which members of each House are invited to speak with their constituents will follow the morning program. County Medical Societies will be scheduling afternoon appointments for physicians to meet with their elected representatives.                                                                       (HARRING)

If you have any questions, please contact Carrie Harring: charring@mssny.org.

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Proposed VA Rules Allow More Vets to Seek Private Primary/Mental Healthcare
The New York Times (1/30) reports, “Veterans who live as little as a 30-minute drive from a Veterans Affairs health care facility will instead be able to choose private care, the most significant change in rules released Wednesday as part of the Trump administration’s effort to fix years-old problems with the health system.” This group of veterans “will be allowed to seek primary care and mental health services outside the department’s system.” At present, veterans are allowed to “use a private health care provider if they must travel 40 miles or more to a V.A. clinic.” The Times says using “commuting time rather than distance will greatly open the private sector to veterans in rural and high-traffic urban areas.”

CMS Unveils New Medicare Mobile App
CMS has unveiled a new Medicare information mobile app called “What’s Covered.” The objective is to “help beneficiaries understand what’s covered under Medicare, historically a source of much confusion.” CMS Administrator Seema Verma explained that the free app is part of the agency’s “‘eMedicare’ collection of tools, designed to help beneficiaries search and compare coverage and out-of-pocket costs online.”

“What’s Covered?” released on iOS and Android on January 28, aims to quickly bring such information to users’ mobile devices. The app now provides another solution—users can look up medical devices or services to find out how much Medicare covers and what they’ll have to pay. It also lets users browse preventative health services for which they are already eligible. 

Presentation in Social Media Ad2019 MSSNY Young Physicians Section Annual Meeting and Educational Symposium
Young Physicians, Residents/Fellows, Medical Students: Join us for two top CME* Programs by National Leaders in Medical Toxicology and Social Media in Medicine.

When: Saturday, February 9, 2019 at the Marriott Courtyard in Westbury and MSSNY HQ.


Leaders in medical toxicology and social media in medicine. CME* credits provided. We look forward to seeing you! Webex available (Contact sbennett@mssny.org)

*For each CME session

The Medical Society of the State of New York (MSSNY) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Electric Scooters Cause Rash of Visits to Hospital EDs, Study Indicates

study published online in JAMA Network Open revealed that “more electric scooter riders showed up with injuries in the emergency” departments “of two hospitals on Los Angeles’ scooter-heavy Westside than either bicyclists or pedestrians.” Among the patients admitted “some 40.2 percent” had “head injuries,” and 31.7 percent had fractures. The Washington Post (1/25) reported, “Although California law required helmet use while operating electric scooters during the entire study period, only 4.4% of injured scooter riders were documented to be wearing a helmet” at the time of their accidents.

CDC: Nearly Two Percent of US High School Students Identify as Transgender

Nearly two percent of high school students in the United States identify as transgender, according to data published January 31 by the US Centers for Disease Control and Prevention” in the CDC’s Morbidity and Mortality Weekly Report. The data were derived from the “2017 Youth Risk Behavior Survey in 10 states and nine large urban school districts.” Reuters (1/24) reports that the CDC found that 35 percent of transgender students “said they had attempted suicide in the previous year, compared with about 7 percent of those who did not see themselves as transgender.”


Educational Sessions for Practitioners Interested Learning about Marijuana for Medical Purposes

In service educational programs are being offered by Curaleaf on cannabis use.  Both registered and un-registered practitioners are invited to these educational events. Light refreshments will be provided. Note: These programs have not been accredited by MSSNY.

To RSVP, contact Curaleaf Practitioner Liaison: Stacia Woodcock PharmD swoodcock@curaleaf.com

Practitioner In-Service: Medical Cannabis and Cancer

Date: February 13, 2019

Time: 6-8pm

Leaders: Curaleaf Pharmacists

Description: To help educate practitioners regarding how medical cannabis could benefit cancer patients.

Practitioner In-Service: CBD, Medical Cannabis, and the Illicit Market

Date: March 13, 2019

Time: 6-8pm

Leaders: Curaleaf Pharmacists

Description: To help educate practitioners on the difference between CBD, medical cannabis, and the cannabis obtained on the illicit market.

Practitioner In-Service: Medical Cannabis Journal Club

Date: April 17, 2019

Time: 6-8pm

Leaders: Curaleaf Pharmacists

Description: Reviewing and discussing several recent medical cannabis research papers, and discussing the potential influence on medical cannabis practice they represent.

Practitioner In-Service: Medical Cannabis and Women’s Health

Date: May 15, 2019

Time: 6-8pm

Led by Curaleaf Pharmacists

Description: To help educate practitioners on the use of medical cannabis as it applies to women’s health.

Practitioner In-Service: Medical Cannabis and the Opioid Crisis

Date: June 12, 2019

Time: 6-8pm

Led by Curaleaf Pharmacists

Description: To help educate practitioners on how medical cannabis can be used to reduce opioid usage and to treat opioid addiction.



  1. Curaleaf Carle Place

255 Glen Cove Road

Carle Place NY 11514

CarlePlace@curaleaf.com1 (516) 534-2872

  1. Curaleaf Newburgh

8 North Plank Road

Newburgh NY 12550


  • (845) 762-0110
  1. Curaleaf Plattsburgh

345 Cornelia Street

Plattsburgh NY 12901


  • (518) 930-4340
  1. Curaleaf Queens

107-18 70th Road

Forest Hills NY 11375


1 (646) 968-2872


Joint Commission Pioneers in Quality eCQM Expert to Expert Webinar Series: ED-1 and ED-2 eCQMs

February 12, 2019 – 11 AM – 12 PM CT

Click here to register

If you cannot get the registration page to launch, please cut and paste this Event URL into your browser to register: https://goto.webcasts.com/starthere.jsp?ei=1228586&tp_key=5a5670b731

The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) are committed to supporting hospitals on their journey towards electronic clinical quality measure (eCQM) adoption and transition to the new Clinical Quality Language (CQL) expression language for the 2019 eCQM reporting period. This series, offered in cooperation with and incorporating expert content from The Joint Commission, Centers for Medicare & Medicaid Services’ subcontractors Mathematica, Lantana, and ESAC, provides in-depth CQL coverage.

The February 12 session will address ED-1 and ED-2 eCQMs and will include a review of measure logic, common issues, and a question and answer session. At the end of this session, participants will be able to:

  • Apply concepts learned about the new Clinical Quality Language (CQL) expression language for the ED-1 and ED-2 eCQMs,
  • Identify common issues and questions regarding ED-1 and ED-2 eCQMs, and
  • Prepare to implement the CQL expression language for the 2019 eCQM reporting year (2020 data submission).

Space for each session is limited to 3000 lines; when all lines have been used, no additional participants can join. If your organization or colleagues use a meeting room and single conference line for this session, please read below about CE requirements. To claim continuing education credits, staff must register individually.

This webinar is approved for 1.0 Continuing Education Credit from: ACCME, ANCC, ACHE, California Board of Registered Nursing, IACET, and CJCP. CE/CME/CEU Credits available for live audio only; credits not offered for webinar replays. To claim credit, you must have:

  1. Individually registered for the webinar.
  2. Listened to the live webinar in its entirety. Only those listening live during the session will be eligible to receive credit.
  3. Completed a post-program evaluation/attestation. The program evaluation/attestation link will be sent to your registered email after the webinar.

Printable certificates will be sent via email 2 weeks after the session; all participant CE certificates will be sent at the same time.

A webinar recording and slides will be posted on the Expert to Expert Series landing page and the CMS’ eCQI Resource Center website within several weeks of each session.

Click here to register







5th Ave Medical Office for Share
Facing Central Park in exclusive building, ground floor, separate entrance.
Perfect for psychiatrist, physiatrist, osteopath, or other.
880 5th Avenue (between 69th and 70th Sts.), New York, N.Y.
Please call 917-715-2464

Rare Find — Great Office Share
Wonderful office share in terrific location at great price. Available Monday, Wednesday, Friday and weekends. Choice of smaller windowed consultation room with adjoining exam room or big windowed consultation room with one or two exam rooms. Beautiful bright rooms, lovely reception area and front . First-rate building on 58th Street between Park and Lexington. Rent by day (about $180). Front desk and office management available if needed, along with many other amenities, including internet, ultrasound, EMG Kitchen, optional C Arm. Willing to make changes for new tenant. Call 646-642-0700.

Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up


Pediatrician BC, P/T
Seeking motivated, enthusiastic pediatrician for P/T position in solo practice in Long Island. Coverage will increase over time. Great opportunity for those seeking part time hours in an established practice.   Fax resume to 516-858-2389.

Physician Wanted to Help Shape the Future of Primary Care
98point6 is a healthcare technology company committed to delivering more affordable, accessible, high-quality primary care. To support our mission, the insights of forward-thinking physicians like you are invaluable. Members of our exclusive Primary Care Council have no clinical responsibilities and are generally compensated for participation, which requires only a few hours per year. Interested? Learn more and apply today at www.98point6.com/pcc

Avoid nuisance lawsuits!! Make sure your website is compliant with the Americans with Disabilities Act! We can do a free audit of your website and let you know if corrections are needed. Call 516-830-1973 or visit tinyurl.com/ADAWebsiteHelp for more information.