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THE LEGISLATIVE REPORT A Summary of the MCAAP’s 2014 Legislative and Regulatory Activity During the past year the chapter took an active role in monitoring and advocating for a number of issues relating to children and pediatricians. Highlights included: Legislation Childhood Vaccine Program. The chap- ter’s priority legislative initiative was passed by the Legislature and signed into law by Gov. Deval Patrick in February as Chapter 28 of the Acts of 2014. The Child- hood Vaccine Program will create a stable financing framework enabling Massachu- setts to guarantee that all children 0–18 years of age over time receive all the vac- cines recommended by the Advisory Committee on Immunization Practices, which sets national standards for immu- nizations. The law also funds the Massa- chusetts Immunization Registry, which assists providers in keeping immuniza- tions up-to-date by identifying those who are not vaccinated. Gun Safety. The chapter supported pas- sage of the gun safety law, Chapter 284 of the Acts of 2014. The law: • Adds Massachusetts to the National In- stant Background Check System. In ad- dition to criminal information the state must transmit information about sub- stance abuse and mental health commit- ments to the database. • Creates a Web-based portal within the Executive Office of Public Safety to allow real-time background checks in private gun sales. These checks are required for all sales. • Authorizes local police chiefs to go to court to deny a firearm ID card (FID) for a rifle or shotgun if they believe the ap- plicant is unsuitable. Suitability determi- nation was already applicable to handguns. • Increases penalties for violent acts using a firearm, for illegal possession and car- rying a firearm, and improper storage of a firearm, rifle, or shotgun. • Promotes school violence prevention. School districts will develop plans to ad- dress the mental health of students. Also, schools will provide suicide awareness and prevention training to school personnel. Massachusetts Child Psychiatry Access Project (MCPAP). This year’s state budget included a provision that would codify the MCPAP program within the Department of Mental Health. The MCPAP program is currently funded solely by state funds but 60 percent of the care it provides is to chil- dren covered by commercial insurers. The budget requires that health insurance companies contribute their fair share to the operation of the MCPAP program. Without the insurers contributing their share, the MCPAP program would face service cut backs. The chapter supported the budget language. Substance Addiction and Abuse. Responding to the growing epidemic of prescription drug abuse and heroin deaths, the legislature passed a bill to in- crease patients’ access to drug treatment services. The law would require public and private insurers to cover at least 14 days of inpatient detoxification and post-detox care, eliminate prior authorization require- ments, and prohibit utilization review pro- cedures from kicking in until seven days after entering treatment. It also encourages the use of abuse-deterrent opioids by re- quiring pharmacists to substitute abuse- deterrent medications unless directed otherwise by a physician (Chapter 258 of the Acts of 2014). continued on page 3 2 The Forum Winter 2015 Submissions for the next issue of The Forum should be sent to alight@mcaap.org by March 2, 2015 Massachusetts Chapter American Academy of Pediatrics P.O. Box 9132 Waltham, MA 02454-9132 EXECUTIVE DIRECTOR Cathleen Haggerty chaggerty@mcaap.org FORUM EDITOR Anne Light, MD, FAAP alight@mcaap.org PRESIDENT Michael McManus, MD, MPH, FAAP michael.mcmanus@childrens.harvard.edu IMMEDIATE PAST PRESIDENT John O’Reilly, MD, FAAP joreilly@mcaap.org VICE PRESIDENT DeWayne Pursley, MD, MPH, FAAP dpursley@mcaap.org SECRETARY Kathryn Brigham, MD, FAAP kbrigham@mcaap.org TREASURER Lloyd Fisher, MD, FAAP lfisher@mcaap.org LEGAL COUNSEL Edward Brennan, Esq., FAAP ebrennan@ebjlawoffice.com DISTRICT 1 Peter Kenny, MD, FAAP pkenny@mcaap.org DISTRICT 2 Safdar Medina, MD, FAAP smedina@mcaap.org DISTRICT 3 Fernando Catalina, MD, PhD, FAAP fcatalina@mcaap.org DISTRICT 4 Elizabeth Goodman, MD, FAAP egoodman@mcaap.org DISTRICT 5 Sheila Morehouse, MD, FAAP smorehouse@mcaap.org DISTRICT 6 Brittanny Boulanger, MD, FAAP bboulanger@mcaap.org DISTRICT 7 Umbereen Nehal, MD, MPH, FAAP unehal@mcaap.org DISTRICT 8 E. James Gruver, MD, FAAP jgruver@mcaap.org DISTRICT 9 Walter Rok, MD, FAAP wjrok@cox.net
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