Mar. 1, 2004

Newsletter Archive


ACC Wins Grassroots Innovation Award
The Public Affairs Council’s Grassroots Innovation Award recognizes the nation's best grassroots programs and campaigns. The award is announced each year during the Council's National Grassroots Conference and is comprised of an overall winner and two outstanding achievement winners. The College was announced as the overall winner, receiving the Public Affairs Council's 2004 Grassroots Innovation Award for its Cardiologist-for-a-Day program. Adam Nelson, State Legislative Affairs, and Denise Garris, Payer Advocacy, coordinated the program with leadership from Kathleen Flood, Director, Payer Advocacy, and working with individual Chapters and physician practices. The program draws together state legislators and payers (private insurance company or Medicare regional reps) in a physician practice setting to essentially shadow an ACC member for a day, witness cardiovascular procedures, learn about billing practices, and discuss the challenges of modern health care delivery. You can find more about the program and watch a short video of ACC member Michael Mirro, MD, Indiana, who pilot tested the program for the ACC, online at http://www.acc.org/advocacy/state_center/state.htm.



Medical Liability Reform Fails Again in U.S. Senate
On Feb. 24, following two days of debate, the Senate blocked consideration of a bill that would provide medical liability protections to obstetricians and gynecologists by a vote of 48-45, well short of the 60 votes necessary. Every Democrat voted against S. 2061, the "Healthy Mothers and Healthy Babies Access to Care Act," with the exception of Sen. Robert Byrd, W.Va., and six Democrats who did not vote. Three Republicans voted against the bill, and one did not vote. S. 2061 included liability reforms similar to those contained in the House-passed medical liability reform bill, H.R. 5, including a $250,000 cap on noneconomic damages. The ACC, the American Medical Association and a number of physician specialty organizations supported S. 2061 as an incremental step toward medical liability reform for all patients and all physicians. Senate GOP leaders have indicated they will continue with their incremental strategy, despite the defeat of S. 2061. Work is already underway on a bill that would provide liability protections to trauma/emergency services.



ACC/Duke Examine Post Market Surveillance
Last week, ACC President Carl Pepine, MD, and Duke University's Robert Califf, MD, co-hosted a post-market surveillance summit with key representatives from government, industry, the ACC, and the research community, to focus on improving patient safety. Discussions centered on ways to encourage physicians to improve reporting of serious outcomes and adverse events associated with pharmaceutical or device use, as well as the need for better communication between government, industry and professional societies when critical situations occur. "When an announcement is made that a device is associated with an unexpected event, or recalled, our members have to deal with the patients who have the device or are about to receive similar devices," Dr. Pepine commented. "If we [ACC], as the professional society, were involved, we could facilitate the PMS [post market surveillance] process and improve the data quality. Pepine noted that as an independent observer, ACC could render unbiased opinions.



Drug Reimportation Issue May Hold Up McClellan Confirmation
FDA Commissioner Mark McClellan’s CMS nomination process may become a battleground for issues surrounding drug reimportation. Frustrated by McClellan’s refusal to support drug reimportation from Canada, Sens. John McCain (R-Ariz.) and Byron L. Dorgan (D-N.D.) have threatened to use McClellan’s nomination hearings to demand responses as to why reimportation of drugs from Canada is not allowed. McCain and Dorgan raised the issue Feb. 24 at the National Governors’ Association conference. None of the lawmakers express concerns about McClellan’s qualifications; however, using his nomination proceedings as a pulpit for raising this issue is just one of several parliamentary maneuvers planned by McCain, Dorgan and their allies in the cause. (Washington Post, Feb. 25) During the same conference, Wisconsin Gov. Jim Doyle (D) announced that his state would defy the FDA and launch an Internet site this week to steer residents to selected Canadian mail-order pharmacies. (Washington Post, Feb. 25)




Crawford Will Take Over Reorganized FDA
When FDA Commissioner Mark McClellan takes over the helm at CMS, FDA Deputy Commissioner Lester Crawford, PhD, will take over a reorganized FDA. To ensure a smooth transition, the FDA is implementing a three-deputy commissioner structure on an acting basis. The three deputy commissioners will be as follows:
  • Principal Associate Commissioner Murray Lumpkin, MD, will become deputy commissioner for special programs while continuing his work on international initiatives

  • Associate Commissioner for Legislation Amit Sachdev will take on an expanded role as deputy commissioner for policy, working more closely with HHS; and

  • Center for Drug Evaluation & Research Director Janet Woodcock will serve as deputy commissioner for operations, picking up more day-to-day responsibilities. She will continue her work on implementing the agency’s strategic plan and the agency guidance on biologics, also. (Health News Daily, Feb. 23)


Bristol-Myers Squibb (BMS) Corrects Pravachol Information
Bristol-Myers Squibb (BMS) has issued a "dear colleague" missive to ACC and others correcting use information about Pravachol that had been disseminated to physicians and consumers. BMS clarifies that Pravachol has not been proven to help prevent heart attacks and stroke in patients with diabetes, has not been proven to help prevent stroke in patients without coronary heart disease, and has not been proven to help prevent heart attack or stroke in borderline high cholesterol patients without coronary heart disease. Also, Pravachol is not appropriate for reducing cholesterol levels in borderline high patients who are not drug eligible according to NCEP guidelines.




ACC Guide to CPT 2004 Available Now
The ACC Guide to CPT 2004 is now available for purchase through the ACC Resource Center. This guide provides comprehensive information on coding for cardiovascular services. Please contact 1-800-253-4636, ext. 694 to order. Prices are $85 for members and $110 for nonmembers with discounts for multiple copies. New this year are full CPT code descriptors, a chapter on hospital billing, and updated payment policies.




ACC Annual Meeting Reminders!!!
Make sure you don’t miss these events in New Orleans:

ACC PAC Chair’s Leadership Dinner (by Invitation Only)
Date: Sunday, March 7, 2004
Time: 8:00pm-10:00pm
Place: Arnauds, 813 Rue Bienville, New Orleans
For More Information Contact Shana Myers at smyers@acc.org

Practice Management Consultant, Hobart Collins
Topic: Question & Answer Session
Date: Monday, March 8, 2004
Time: 9:00 am - 3:00 pm
Place: ACC Booth, Advocacy Station
For more information Contact Mia Thomas at mthomas@acc.org

Health Care and the 2004 Elections
Topic: Debate on the political elections
Date: Tuesday, March 9, 2004
Time: 7:00am – 8:15 am
Place: Room 342, Morial Convention Center
For More Information Contact Dana Langley Birdsong at dbirdson@acc.org

Health Policy Symposium
Topic: Off Label Use of Drugs and Devices
Date: Tuesday, March 9, 2004
Time: 10:30 am-12 noon
Place: Room 254, Morial Convention Center
For More Information Contact Carrie Kovar




Advocacy Weekly is a product of the Advocacy Division of the American College of Cardiology. Questions or comments regarding this publication should be directed to the Advocacy Division at 800-435-9203 or to advocacydiv@acc.org.
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