2005 Legislative Compendium


Overview | Table of Contents

Overview

TMA’s theme for the 2005 Texas Legislature was “In Defense of Medicine.” This session was unlike most sessions before it. Instead of trying to get legislation passed, TMA was defending your practice against hundreds of potential landmines: taxation of health care services, broadening of allied health practitioners’ scope of practice, restrictions on physician ownership in health care facilities, more funding cuts for the state’s health care safety net, the imploding workers’ compensation system, the weakening public health infrastructure, and rollbacks of investments in medical education. Those are just a few of the issues that found TMA playing defense for Texas medicine. With the notable exception of the Medicaid Integrated Care Management legislation and Texas State Board of Medical Examiners (TSBME) sunset bill, TMA’s primary objective for 2005 was to kill bills, not pass them.

This compendium describes all the major subject issues that TMA tracked and the accomplishments – or close calls – of each. TMA partnered with specialty and county medical societies to defeat hundreds of dangerous bills and amendments. Additionally, the association worked to amend bills that had potential but contained provisions harmful to patient care or physician practice viability. Some bills came closer to passing than medicine preferred, those are the “close calls” described below by subject area. “Near misses” are bills TMA supported but did not cross the finish line.

By session’s end, medicine largely ended up unscathed – a remarkable accomplishment given the number of hazards traversed from January until May 30. However, many of the issues are likely to reemerge over the next 18 months, either as legislative studies during the interim or as refiled legislation for the 2007 Texas Legislature.

The TMA Board of Trustees, Council on Legislation, and policy components already are conducting a post-session analysis to better understand the issues medicine will face in 2007. The action plan will include:

  • Active engagement of grassroots physicians in local meetings and educational forums with legislators;
  • Participation in the election cycle through TEXPAC, TMA’s political action committee;
  • Assessment of nascent physician issues through member surveys; and
  • Participation in legislative interim studies, and formation of physician work groups to develop legislative recommendations on key issues facing patients and physicians.


Table of Contents

 bullet Overview
 bullet Tax Reform
 bullet Scope of Practice  
 bullet Physician Ownership
 bullet Inadequate Health Plan Networks (Balanced Billing)
 bullet Managed Care/Insurance Reform  
 bullet Texas State Board of Medical Examiners Sunset and Physician Licensure
 bullet Agency Sunset Review
 bullet Corporate Practice of Medicine  
 bullet Health Care Funding  
 bullet Medicaid and CHIP  
 bullet Indigent Care and the Uninsured  
 bullet Workers’ Compensation  
 bullet Professional Liability Reform  
 bullet Medical Education/Workforce  
 bullet Child Health, Safety, and Nutrition/Fitness  
 bullet Public Health  
 bullet Border Health  
 bullet Rural Health  
 bullet Mental Health  
 bullet Trauma/EMS 
 bullet Prescription Drugs  
 bullet Medical Science  
 bullet Long-Term Care  
 bullet Abortion
 bullet Transplantation/Organ Donation  

Last Published: 8/24/2005

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