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GRANDROUNDS 2020
7
Red or Blue
or Something in Between:
A Legislative Update for Ob/Gyns
Julia Cron, MD
Would you vote...
Start With
A Vote
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Results
Pelvic Exam
Under Anesthesia
Pelvic Exam
Under Anesthesia
Dr. Daisy Leon-Martinez
Testimony by ACOG
representatives
Elle Magazine
June 2019
Elle Magazine
New Haven Register
January 2020
February 2020
U.S. News
and
World Report
Objectives
Objectives
- Introduce the concept of physician as advocate
- Understand important legislative initiatives on the federal level
- Understand important legislative initiatives on the state level
Disclosures
No financial disclosures
Registered Democrat
Disclosures
Personal
Story
Literature
Review
Literature Review
Historical Perspective
Historical
Perspective
Current Literature
Current
Literature
Data
Previous Success
Previous
Successes
Maternal Mortality Review
in Connecticut
Maternal Mortality
Review in
Connecticut
- 1995: Single physician contracted and presented a report for the years 1980-1990
- 2008-2009: Single physician contracted and presented a report for the 1991-2000
- 2009-2014: Vacant
- 2014-2016: Single physician contracted to review
- 2017: Single physician contracted to review; Legislation drafted
- 2018: Legislation signed
ACOG
Involvement
Maternal Mortality
Review in Connecticut
Current
Law
DPH Commissioner’s Designee, Co-Chair
CT State Medical Society Representative, Co-Chair
Licensed OB-GYN
Licensed Pediatrician
Community Health Worker
Licensed Nurse Midwife
Licensed Clinical Social Worker
Licensed Psychiatrist
Licensed Psychologist
Chief Medical Examiner, or designee
Member of the CT Hospital Association
Representative from Community Psychiatric Facility
Member of UConn Health Disparities Institute
Federal Legislation
Federal Legislative
Update
Help hospitals and maternity care providers implement clinically proven best practices
Best
Practices
Incentivize states to continue Medicaid/CHIP coverage for one year after delivery
Postpartum
Care
Rural and Underserved
Care
Increase access to maternity care in rural and underserved areas
Racial
and Ethic
Disparities
Work to eliminate racial and ethnic disparities in maternal health
Perinatal
Quality
Collaborations
Provide support for perinatal quality collaboratives
State
Legislative
Update
State
Legislative
Update
High Deductible
Health Plans
Proposed Bill No. 388
An Act Concerning A Person’s Intersex Status or Characteristics
Intersex
Legislation
Preventing Predatory Pricing and Encouraging Transparency of Pharmaceuticals
Predatory
Pharmaceuticals
House Bill 7267
Public Option for Health Care in CT
Public
Insurance
Option
House Bill 7199
An Act Concerning Immunization Against HPV
HPV
Immunization
Pelvic Exam Under Anesthesia
Pelvic Exam Under Anesthesia
March 8-10, 2020
What Can
You Do?
What You
Can Do
Important Dates
Presidential Primary
April 28, 2020
State and District Office Primary
August 11, 2020
Election Day
November 3, 2020
Summary
Conclusions
Conclusion
Physician advocacy and political involvement is important
We have been involved in legislative successes, but there is still much work to be done
Women's health issues are not exclusively red or blue issues - they are often somewhere in between
Thank You
Chelsea Gomez
Abigail Cutler
Amanda Kallen
Daisy Leon-Martinez
Audrey Merriam
Shefali Pathy
Steve Fleischman
Kristen Song
Ken Ferrucci
Yale Ob/Gyn Residents
James, Hayden and Nola Lai