November 3, 2008

 

 
TOA President's Update: Legislative Survey (Key Contacts)
  

By Timothy L. Beck, MD
President, Texas Orthopaedic Association

It's almost that time again - so we need your assistance to prepare for the upcoming legislative session.  You may print out the below and fax it back to the TOA staff, click here to download and print out the PDF file and fax it back to the TOA staff or you may simply click here and fill out the Key Contact survey online. (Online password is kcsurvey-11-08)

 
Texas Orthopaedic Association Legislative Survey:
KEY CONTACTS

 

NAME:  _______________________________________________________
 
HOME ZIP+4:  ___________________

We need your voting address (home address) if you don't know your nine-digit zip code. If you will provide us your home address, we will update our database which will match you to your District and let you know your representatives after the elections.

Name of your State Senator _____________________________________ Dist# ____

Name of your Representative _____________________________________ Dist# ____

(You can find the above information on the TOA website under the "My Account" menu - then by clicking on TX District Finder.)  Please note - information that may not be up to date nor 100% accurate if we do not have your home address plus your ZIP+4 - which you may update with the link provided either there or under "My Account" then "Update Your Information".

A key contact program is a successful method of keeping legislators informed of important TOA political issues. Do you know any Texas legislators (on the state or national level) personally?  Yes____ No____

I know Senator ______________________________well enough to contact personally.

_________ I contributed to his/her campaign
_________ I worked actively in his/her campaign
_________ I am his/her personal physician
_________ Other reasons you know this legislator…please explain:

____________________________________________________
_________ I am willing to serve as a Key Contact for this legislator.

I know Representative _________________________well enough to contact personally.
_________ I contributed to his/her campaign
_________ I worked actively in his/her campaign
_________ I am his/her personal physician
_________ Other reasons you know this legislator…please explain:

____________________________________________________
_________ I am willing to serve as a Key Contact for this legislator.

I don't know any Texas legislators but I would be willing to cultivate a relationship (i.e. letters, phone calls, etc.) Y _____ N _____

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Update - TOA v. TSBPME
 
  

Many members of hospital credentialing committees are still sending in questions to TOA regarding the TSBPME promulgation of their rule that was declared invalid and unenforceable by the Third Court of Appeals. The Third Court of Appeals also declared that the lawful practice of podiatry in Texas is limited to treatment of the human foot, and does not extend to the bones of the ankle or other anatomical structures. The Texas Podiatric Medical Association has asked the Texas Supreme

Court to review the case, but the Court is not obligated to hear the case.

The TSBPME Rule: 22 TAC §375.1(2), a rule adopted by the Texas State Board of Podiatric Medical Examiners in 2001:

Foot - The foot is the tibia and fibula in their articulation with the talus, and all bones to the toes, inclusive of all soft tissues (muscles, nerves, vascular structures) that insert into the tibia and fibula in their articulation with the talus and all bones to the toes.


TOA Attorney Susan Henricks, Hull Henricks & MacRae, LLP has given us the current status of Texas Orthopaedic Association, Texas Medical Association and Andrew M. Kant, MD, Plaintiffs v. Texas State Board of Podiatric Medical Examiners, Defendant

This rule has been reviewed by AG Cornyn's Opinion Committee, a group of lawyers who focus on reviewing state statutes and agency actions, as well as two Third Court of Appeals justices, all of whom agree that the rule is invalid. Only a single district judge has yet found it to be within the agency's authority and the Third Court of Appeals reversed that opinion.

The latest authority on this issue is the Court of Appeals decision. It is extremely likely that this will be the final decision although the TPMA has Petitioned for Review. The Supreme Court's review is discretionary in this case and it has not been established that there is the "right of appeal." As of this date, the Supreme Court has not agreed to review this decision. A very small percentage of the Petitions for Review filed with the Supreme Court are accepted… approximately 11%.

Even if the Petition is granted, that does not mean the outcome will change. We expect a decision on the Petitions for Review at any time.

We have provided links to the Texas Attorney General's Opinion, the Third Court of Appeals Decision's Final Declaratory Judgment.

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN
ON MOTION FOR REHEARING

FINAL DECLARATORY JUDGMENT
Texas Orthopaedic Association, Texas Medical Asociation
and Andrew M. Kant, M.D. Plaintiffs
v.
Texas State Board of Podiatric Medical Examiners, Defendant

 

On this 15th day of August, 2005, came on to be considered for trial on the merits, the above-styled and numbered cause, all parties appeared in person or by designated representative by and through their attorney of record, announced ready and agreed to waive submission to a jury. The Court, having taken judicial notice of certain legislative and adjudication fact, and considered the evidence and the argument of counsel, finds and declares that 22 TAC §375.1(2), a rule adopted by the Defendant Texas State Board of Podiatric Medical Examiners, which provides as follows:

Foot - The foot is the tibia and fibula in their articulation with the talus, and all bones to the toes, inclusive of all soft tissues (muscles, nerves, vascular structures) that insert into the tibia and fibula in their articulation with the talus and all bones to the toes.

is invalid and unenforceable and that the lawful practice of podiatry in Texas is limited to treatment of the human foot, and does not extend to the bones of the ankle or other anatomical structures.

IT IS THEREORE ORDERED, ADJUDGED AND DECREED that 22 TAC §375.1(2), a rule adopted by the Defendant Texas State Board of Podiatric Medical Examiners, which provides as follows:

 

Foot - The foot is the tibia and fibula in their articulation with the talus, and all bones to the toes, inclusive of all soft tissues (muscles, nerves, vascular structures) that insert into the tibia and fibula in their articulation with the talus and all bones to the toes.

is invalid and unenforceable.

IT IS FURTHER DECLARED that the lawful practice of podiatry in Texas is limited to treatment of the human foot, and does not extend to the bones of the ankle, including the tibia and fibula in their articulation with the talus, or other anatomical structures.

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This Week In Texas: Mignon McGarry Memos

By Mignon McGarry
TOA Legislative Advocate
TOA Online Version: All Memos

 

October 29, 2008, Wednesday

Early voting ends this Friday, October 31st.  If you still need more information on the candidates for various races, go to the Texas

Secretary of State's website (by clicking here) for polling place locations as well as a list of candidates on the ballot in your county.

 

Next Wednesday, the Mignon Memo will be sent mid-morning in order to provide you with election results.  With heavy turnout expected, keep in mind that there may be several counties who don't report their totals until later in the day.  This results in some races being up in the air.  We will send the most up-to-date information we have and try to give you an overall picture of how both parties fared in national and local elections.

 

Last week, the Texas Taxpayers and Research Association held their annual meeting in Austin.  As usual, TTARA lined up high profile lawmakers and state office holders to speak to their membership.  Comptroller Susan Combs told attendees that she would release the state's revenue estimate on or around January 12th, the day before the 81st Legislature convenes.  With the economy tightening, that revenue estimate will be closely watched.  Current House Appropriations Chairman Warren Chisum (R-Pampa) listed a state employee pay raise and transportation funding as high priority issues for the upcoming session.  Various ideas to reform the state's property appraisal system were also discussed at the meeting, including bringing more uniformity to the system.

 

Texas Lottery Commission executive director Anthony Sadberry has died after a long illness at the age of 59.  Sadberry, an attorney who started his career in the Texas attorney general's office, was appointed by former Gov. Ann Richards to serve as a lottery commissioner in 1993. He became executive director in 2006, and guided the agency through several scandals.

 

On Tuesday, Gov. Rick Perry suspended the transfer of state records to an IBM data management program, saying serious glitches in Texas' privatized computer system had put state agencies in danger.  In 2006, the state signed a contract with IBM to save the state money through the consolidation of data centers.
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Workers' Comp Rulebook Supplement 2008-05 Available Online
 
  

The Texas Workers' Compensation Rulebook Supplement 2008-05 containing rules adopted by the Commissioner of Workers' Compensation is available online from the Texas Department of Insurance, Division of Workers' Compensation (TDI-DWC). The supplement can be printed from the TDI website by clicking here.

To purchase a hard copy of the rulebook supplement or a complete set

of the Texas Workers' Compensation Act and Division Rules, contact the TDI-DWC Publications Section at 512-804-4240.

Supplement 2008-05 contains new and amended rules, which were adopted in July, August and September:

 

CHAPTER 122 – Compensation Procedure – Claimants
Subchapter B Claims Procedure for Beneficiaries of Injured Employees
§122.100 Claim for Death Benefits (amended)

CHAPTER 132 – Death Benefits – Death and Burial Benefits
§132.6 Eligibility of Other Surviving Dependents and Eligible Parents to Receive Death Benefits (amended)
§132.9 Duration of Death Benefits for an Eligible Grandchild, Eligible Dependent, and Eligible Parent (amended)
§132.11 Distribution of Death Benefits (amended)

CHAPTER 134 – Benefits – Guidelines for Medical Services, Charges and Payments Subchapter E Health Facility Fees

§134.402 Ambulatory Surgical Center Fee Guideline (amended)

CHAPTER 140 – Dispute Resolution – General Provisions
§140.6 Subclaimant Status: Establishment, Right and Procedures (new)
§140.7 Health Care Insurer Reimbursement under Labor Code
§409.0091 (new)

§140.8 Procedures for Health Care Insurers to Pursue Reimbursement of Medical Benefits under Labor Code §409.0091 (new)


Fast Fasts Information Sheet: Complaints and Disputes in the Workers Comp System

Decisions or actions taken within the Texas workers' compensation system can result in parties being in disagreement or dissatisfied. The Texas Department of Insurance, Division of Workers' Compensation (TDI-DWC) handles these issues, disputes and complaints, through two distinct processes. The Fast Fasts information sheet, which can be found by clicking here, provides information concerning these processes.

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TOA 2009 Socioeconomic Summit: Save the Date!
  
2009 Socioeconomic Summit
Stephen F. Austin Hotel
Saturday, January 31 – 1:30 to 5:30 PM
 

The Business of Orthopaedics

TOA's Original Practice Management Course for Orthopaedic Residents
January 31 & February 1, 2009

Save the Date!  Please schedule to attend the 2009 Socioeconomic Summit of the Texas Orthopaedic Association, which will be held at the Stephen F. Austin Hotel in Austin on January 31st from 1:30pm to 5:30pm.  We will provide a shuttle to and from the TMA Winter Conference so TOA members can attend TMA Saturday morning meetings if they wish.  You and your family are also invited to join us during the Saturday evening reception for TOA members and their spouses!

Join us at the Socioeconomic Summit to discuss issues such as national health care reform, workers' compensation, physician ownership and scope of practice.  TOA is accredited by the TMA to provide continuing medical education for physicians. The Summit has been approved for 4 hours of CME credit!

The Legislature will convene for the 81st Regular Session on January 13, 2009.  We need to know which issues are important to you.  In Texas and around the country, many health care issues important to orthopaedics are either new on the scene or seem to be ongoing problems.  If you have not filled out our issues survey, please open, print and fax this form to answer these questions for us so we will know your concerns. Or you may simply fill it out online by clicking here - the password is: toa-03-25-08-is.

Also on Saturday, January 31st & Sunday, February 1st (8:30am-12:00pm), you won't want to miss The Business of Orthopaedics, our 6th annual practice management course for orthopaedic residents and fellows.

Download Early Registration Form
2009 Socioeconomic Registration Form (PDF)

Hope to see you in Austin!

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