REAFFIRM1. ACCESS TO APPROVED POLICIES OF THE AMERICAN OSTEOPATHIC ASSOCIATION RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates supports development of a process that will afford all members of the American Osteopathic Association opportunity for access to approved resolutions and policies; and, RESOLVED, that the American Osteopathic Association list and update approved resolutions on their website. 2. ADVANCED NURSE PRACTITIONER RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates goes on record opposing reimbursement of mid-level practitioners at a rate comparable to unrestricted licensed physicians when performing similar medical services in the State of Texas. 3. ANY WILLING PROVIDER RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates supports the American Osteopathic Association to work with the insurance industry so that physicians would be given the option of providing services at the same price that the insurance carrier has contracted with its other providers. 4. AMERICAN OSTEOPATHIC ASSOCIATION’S RE-ENTRY PROGRAM FOR ACGME TRAINED D.O.’S RESOLVED, that the Texas Osteopathic Medical Association (TOMA)'s House of Delegates calls upon the American Osteopathic Association to streamline and expedite the process of returning ACGME trained osteopathic physicians to the Osteopathic Family. 5. CRIMINAL LITIGATION FOR CLINICAL MISTAKES RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates goes on record opposing criminal prosecution of clinical decision - making and support model state legislation to prohibit such cases. 6. FLAME RETARDANT CLOTHING FOR CHILDREN RESOLVED, that the Texas Osteopathic Medical Association (TOMA)’s House of Delegates supports federal legislation that requires all children’s sleep and lounge clothing to be flame retardant. 7. GENERIC SUBSTITUTION OF TYPE B DRUGS RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates goes on record opposing generic substitution for brand name products with type "B" drug products. 8. HEALTH CARE FOR U.S. VETERANS RESOLVED, that the Texas Osteopathic Medical Association (TOMA)’s House of Delegates goes on record supporting adequate health care funding by the federal government to take care of all U.S. Veterans at veterans hospitals and clinics or alternate health care sites. 9. INCREASING OSTEOPATHIC GME TRAINING PROGRAMS WITH OSTEOPATHIC RECOGNITION OPPORTUNITIES IN THE STATE OF TEXAS RESOLVED, that TOMA work with the AOA to encourage legislative and non-legislative changes to increase funding for GME training programs with osteopathic recognition; and be it further,
RESOLVED, that the increased funding be directed toward increasing osteopathic residency positions at existing GME programs, the opening of new osteopathic GME programs including dual-accredited programs, and all other avenues.
RESOLUTION 2008-02; reaffirmed 13; 18 ACTION: Reaffirm with see friendly amendments 10. MEDICARE PROVIDER MANDATORY
RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates goes on record opposing any attempt to tie licensure in the State of Texas to mandatory participation in state or federally funded health care programs. 11. MANDATORY PROFICIENCY TESTING OF PHYSICIANS RESOLVED, that the Texas Osteopathic Medical Association (TOMA)’s House of Delegates opposes the concept of mandatory proficiency testing as a condition of licensure for any professional group unless it applies to all professional groups in the State of Texas. 12. MEDICAL STAFF BYLAWS RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates oppose any state regulation that would allow hospital governing boards to appoint a medical director who has authority over the medical staff; and,
RESOLVED, the TOMA House of Delegates oppose the concept that hospital and corporate bylaws can supersede legitimate functions of the medical staff as spelled out in medical staff bylaws; and,
RESOLVED, that the TOMA House of Delegates goes on record opposing unilateral changing of hospital medical staff bylaws or any attempt to destroy medical staff self-governance.
RESOLUTION 2003-30 revised and reaffirmed 08; 13; 18 ACTION: Reaffirm with friendly amendments 13. MEDICARE EVALUATION AND MANAGEMENT RULES RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates goes on record supporting the development of Medicare E&M documentation rules that will only require documentation which is directly related to the health care provided, and,
RESOLVED, that the TOMA House of Delegates goes on record opposing Medicare carriers from punishing physicians who have made honest coding mistakes for fraud and abuse.
RESOLUTION 2003-41 reaffirmed 08; 13; 18 ACTION: Reaffirm with friendly amendment 14. MEDICARE PRIVATE CONTRACTS RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates goes on record supporting private contracting between seniors and their physicians for Medicare covered services without the two year nonparticipation requirement. 15. MIDWIFE RESOLVED, that the Texas Osteopathic Medical Association (TOMA) advocates for proper training programs to prepare certified nurse midwives to provide integrated care with physician oversight and that these training programs are constantly monitored to assure the quality of training provided; and, be it further
RESOLVED, that TOMA supports the concept of patient and third-party payment for services of certified nurse midwives where services are provided in an integrated practice arrangement.
RESOLUTION 2018-05 ACTION: Reaffirm 16. PAYMENT FOR INFLUENZA VACCINE RESOLVED, that the Texas Osteopathic Medical Association (TOMA)’s House of Delegates calls upon the CMS to increase the current payments by 150% to physicians who supply the influenza vaccine to Medicare beneficiaries. 17. PEER REVIEW FOR THE TEXAS MEDICAL BOARD RESOLVED, that the Texas Osteopathic Medical Association (TOMA) strongly encourage members to volunteer to work with the Texas Medical Board to provide the names of Osteopathic physicians who are qualified and willing to perform Peer Review for the Texas Medical Board. 18. PHYSICIAN DIRECTED PEER REVIEW RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates goes on record as supporting physician directed medical peer review that guarantees confidentiality of medical records, due process for all potentially sanctioned health care providers, and educational rather than punitive methods to correct inappropriate patterns of medical care when an imminent danger to patients does not exist. 19. POLICY STATEMENTS RESOLVED, that the policy statements be posted online printed in their entirety, when adopted, as a standard feature in the TOMA Annual Directory, members only section of the TOMA website and,
RESOLVED, that the policy statements relating to health care, health planning and health delivery be reviewed by the TOMA Membership House of Delegates every five years or as often as deemed necessary by the Resolutions Committee for affirmation, revision or deletion.
RESOLUTION 2003-34 reaffirmed 08; 13; 18 ACTION: Reaffirm with friendly amendments 20. REDUCING STRESS IN CHILDREN AND ADOLESCENTS RESOLVED, that the Texas Osteopathic Medical Association (TOMA)’s House of Delegates goes on record supporting activities that prevent family stress and promote health and well-being such as, but not limited to: family reading, home cooking, gardening as a family, participating in the youth organizations; participation in community activities to help provide a safe place after school for children and adolescents; and, participation in family-centered indoor and outdoor games and activities. 21. REGARDING THE FULL, COMPLETE, UNRESTRICTED, AND INDEPENDENT PRACTICE OF MEDICINE BY NURSE PRACTITIONERS RESOLVED, that the Texas Osteopathic Medical Association (TOMA) stands opposed to the full, complete, unrestricted and independent practice of medicine by Nurse Practitioners and the regulation of this practice by the state Boards of Nursing; and, be it further
RESOLVED, that the TOMA will work with the state and national organizations American Academy of Family Physicians, American Osteopathic Association and American Medical Association – to educate and inform State and Federal Legislators regarding the (dangers in the) unsupervised full, complete, unrestricted and independent practice of medicine by Nurse Practitioners; and, be it further RESOLVED, that regulation and licensing for all providers of the full, complete, unrestricted and independent practice of medicine should be under only one regulatory body to insure safe quality medical care for all.
RESOLUTION 2018-04 ACTION: Reaffirm 22. REGARDING THE FULL, COMPLETE, UNRESTRICTED AND INDEPENDENT PRACTICE OF MEDICINE BY PHYSICIAN ASSISTANTS
RESOLVED, that the Texas Osteopathic Medical Association (TOMA) stands opposed to the full, complete, unrestricted and independent practice of medicine by Physician Assistant’s (PA’s); and, be it further
RESOLVED, that TOMA opposes efforts to establish autonomous regulatory boards meant to license, regulate, and discipline physician assistants outside of the existing medical license board in the State of Texas or any other State in the United States. 23. REIMBURSEMENT FOR COLORECTAL CANCER SCREENING RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates recommends that it be mandated by law that all private payers should join Medicare in reimbursing for CRC screening. 24. SCHOOL COUNSELING FOR “AT RISK” STUDENTS RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates calls upon the State of Texas to increase the funding for school counseling programs designed to identify “at-risk” Texas students to help prevent development of criminal behavior. 25. TAX INCENTIVES FOR LONG TERM CARE COVERAGE RESOLVED, that the Texas Osteopathic Medical Association (TOMA) House of Delegates supports the concept of giving tax breaks to consumers who buy long term care insurance. |
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