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									ORDER OF BUSINESS SECOND SESSION Sunday, June 15, 2008 8:00 AM 1. 2. 3. 4. 5. Report of the Committee on Rules and Credentials - Mark S. Wurzel, MD, Chair Presentation, Correction and Adoption of Minutes of 2007 Interim Meeting Remarks of the Speaker - Jeremy A. Lazarus, MD Announcement of Changes in Reference Committees Reports of the Board of Trustees - Edward L. Langston, MD, Chair 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Communication Between Hospitals and Primary Care Referring Physicians (REFERRAL CHANGE) (G) Pharmacists’ Refusal to Fill Legally Valid Prescriptions (Amendments to Constitution and Bylaws) Prescription Drug Monitoring to Prevent Abuse of Controlled Substances (B) Increasing Minority Participation in Clinical Research (E) Council on Legislation Sunset Review of 1998 House Policies (B) Health Care for Veterans and Their Families (D) Direct-to-Consumer Advertising and Provision of Genetic Testing (E) Curing the Addiction to Tobacco Products (D) Surrogate Requirement for Nursing Home Residents (B) Council of Medical Specialty Societies - Official Observer Status in the House of Delegates (F) Tiering System for Third-Party Payers (G) Work of the Task Force on the Release of Physician Data (G) Ethical Procurement of Organs for Transplantation (Amendments to Constitution and Bylaws) The RUC: Recent Activities to Improve the Valuation of Primary Care Services (A) Personal Medication Supply in Times of Disaster (D) Designation of Specialty Societies for Representation in the House of Delegates (F) Centers for Medicare and Medicaid Services Policy on Hospital Acquired Conditions - Present on Admission (REVISED) (B) Legal Protections for Medical Peer Review (B) Gender Disparities in Physician Income and Advancement (C) Protection of Medical Staff Members’ Personal Proprietary Financial Information (Amendments to Constitution and Bylaws) Update on the American Medical Association Women Physicians Congress (Informational) REVISED National Provider Identification (NPI) Implementation (Informational) Annual Update on Activities and Progress in Tobacco Control (Informational) Inappropriate Peer Review (Informational) Auditor’s Report (F) 2007 Grants and Donations (Informational)

Reports of the Board of Trustees (cont.d) 27 28 29 30 31 32 33 34 35 36 37 Leadership for Patient Safety: Reducing the Hospital Registered Nurse Shortage at the Bedside (G) Reauthorization of the Indian Health Care Improvement Act (Informational) AMA Performance, Activities, and Status in 2007 (Informational) Update on Corporate Relationships (Informational) AMA Dues - 2009 (F) Support for Appropriate Billing and Payment Procedures by Physicians (B) Specialty Society Representation in the House of Delegates – Five Year Review (Amendments to Constitution and Bylaws) Sustainable Growth Rate and Medicare (Informational) Equal Opportunity in Professional Societies for Physicians (F) Balance Billing for All Physicians (Informational) Nominations for Election to AMA Councils (Amendments to Constitution and Bylaws)


Reports of the Councils of the AMA Council on Constitution and Bylaws 1 K. Barton Farris, MD, Chair

Editorial Corrections to AMA Bylaws (Amendments to Constitution and Bylaws) Mark A. Levine, MD, Chair

Council on Ethical and Judicial Affairs Reports of the Council on Ethical and Judicial Affairs 1 2

3 4 5 6 7 8 9 10 11

Industry Support of Professional Education in Medicine (Amendments to Constitution and Bylaws) Legal and Ethical Guidelines for Leasing Arrangements in Medical Imaging AND Misuse of Ancillary Office Exemption by a Referring Physician or Physician Group of a Different Specialty for the Purpose of Remuneration for Patient Referral (Informational) Secret Shopper “Patients” (Amendments to Constitution and Bylaws) Peers as Patients (Amendments to Constitution and Bylaws) Sedation to Unconsciousness in End-of-Life Care (Amendments to Constitution and Bylaws) Expedited Partner Therapy (Amendments to Constitution and Bylaws) Protection of Medical Staff Members’ Personal Proprietary Financial Information (Informational) Surgeons’ Attendance During Surgery (Informational) Deadlines for HOD Resolutions (Informational) Judicial Function of the Council on Ethical and Judicial Affairs - Annual Report (Informational) CEJA’s Sunset Review of House Policies (Amendments to Constitution and Bylaws)

Opinions of the Council on Ethical and Judicial Affairs 1 2 3 E-9.03, Civil Rights and Professional Responsibility, Amendment (Informational) E-10.05, Potential Patients, Amendment (Informational) E-9.12, Patient-Physician Relationship: Respect for Law and Human Rights, Amendment (Informational)

Opinions of the Council on Ethical and Judicial Affairs (cont.d) 4 5 6 7 8 E-9.095, The Use of Patents and Other Means to Limit Availability of Medical Procedures, Amendment (Informational) E-2.23, HIV Testing, Amendment (Informational) E-2.02, Physicians’ Obligations in Preventing, Identifying, and Treating Violence and Abuse, Amendment (Informational) Pediatric Decision-Making (Informational) E-2.165, Umbilical Cord Blood Banking, Amendment (Informational) Carolyn A. Evans, MD, Chair

Council on Long Range Planning and Development 1 2

CLRPD’s Sunset Review of 1998 House Directives and Policies (F) Representation of the International Medical Graduates (IMG) Section (F) Richard J. D. Pan, MD, MPH, Chair

Council on Medical Education 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Annual Report on AMA Medical Education Activities: 2007 (Informational) Council on Medical Education Sunset Review of 1998 House of Delegates Policies and Directives (C) Physician Lifelong Learning (C) Educational Implications of the Medical Home Model (C) Enforcement of Duty Hours Standards and Improving Resident, Fellow and Patient Safety (C) Physician Reentry (C) Diversity in the Physician Workforce and Access to Care (C) One-Year Public Health Training Options for All Specialties (C) Initiative to Transform Medical Education: Update on Implementation Plans (Informational) Independent Regulation of Physician Licensing Exams (C) Improving Parental Leave Policies for Residents and Fellows (C) Observerships for International Medical Graduates (C) Financial Conflicts in CME (C) Employment Benefits for Residents and Fellows (C) 40th Anniversary of the AMA Physician’s Recognition Award and Credit System (Informational) Georgia A. Tuttle, MD, Chair

Council on Medical Service 1 2 3 4 5 6 7 8

Medical Care Outside the United States (G) Access to Psychiatric Beds and Impact on Emergency Medicine (G) The Role of Cash Payments in All Physician Practices (G) Policy Sunset Report for 1998 AMA Socioeconomic Policies (G) Tax Implications of Eliminating the Employee Income Tax Exclusion for Employer-Sponsored Insurance (A) The Medicare Trust Funds (Informational) Value-Based Decision Making in the Health Care System (G) Standardizing AMA Policy on the Tax Treatment of Health Insurance (A)

Council on Science and Public Health 1 2 3 4 5 6 7 8 9 7.

Mary Anne McCaffree, MD, Chair

The Clinical Utility of Measuring Body Mass Index and Waist Circumference in the Diagnosis and Management of Adult Overweight and Obesity (D) CSAPH’s Sunset Review of 1998 House Directives and Policies (D) The Health Effects of High Fructose Syrup (D) Ensuring the Best In-School Care for Children with Diabetes (D) Revision of the Lifetime Deferral for Blood Donation of the Men Who Have Sex with Men (MSM) Population (E) Portable Listening Devices and Noise-Induced Hearing Loss (D) Elder Mistreatment (D) Substance Use and Substance Use Disorders (D) Optimizing Care for Gay Men and Lesbians (E)

Report of the House of Delegates Committee on Compensation of the Officers

Jack Evjy, MD, Chair

Report of the House of Delegates Committee on Compensation of the Officers (F) 8. 9. Unfinished Business New Business (Introduction of Resolutions) Memorial Resolutions Clarence S. Avery, Jr., MD John A. Dawson, Jr., MD Albert M. Fields, MD Charles B. McElwee, MD Edward Press, MD Resolutions Reference Committee on Amendments to Constitution and Bylaws 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Pharmaceutical Grants and Gifts to Physicians Promoting Representative Equality at the MSS Business Meeting Studying the Ethical Implications of Creating Cytoplasmic Human-Animal Hybrids Futile Care Employment Relations End of Life and “Allow Natural Death” Enhancing the Voice of the Minority Affairs Consortium WITHDRAWN Security Breaches in Electronic Medical Records Pilot Studies on Financial Incentives for Organ Donation AMA President’s Medallion Medical Ethical Guidelines for Informed Consent in Investigational Trials Physician Employment by a Physician Extender Support for Industry Sponsored Continuing Medical Education Revision of Bylaws for the Section on Medical Schools National Medical Student Organization Representation at Medical Student Section

Reference Committee A 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 The AMA’s Health Based Plan to Reform Health Care (REVISED) Higher Co-Pays for Infusions AMA Progress on Removing Patient Translation Costs from Physician Responsibility Fair Treatment of Physicians When Pre-Existing Conditions are Discovered Male Mammography Health Care Premiums and Medical Care Spending Study of Universal Health Care Systems Inconsistent Insurance Coverage for Children, Habilitative Services for Children Billing for Electronic Physician-Patient Medical Encounters MedPACs Recommendations Concerning Bundled Payments Components of Health Insurance AMA Support of Free Clinics for the Uninsured Reexamining Market Based Health Care Reform Removing Barriers to Care for Transgender Patients Removing Insurance Barriers to Care for Transgender Patients Re-evaluate Medicare’s Geography-Based Fee Schedule Legislation to Require Insurance Companies to Cover Full Immunization Costs Legislation to Promote Full Disclosure of Coverage in Medicare Advantage Programs Hearing Aids Medicare Outpatient Mental Health Disparity Gain-Sharing Removing Financial Barriers to Care for Transgender Patients Health Savings Account Penalty Increase for Non-Health Care

Reference Committee B 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 Intraoperative Neurophysiologic Monitoring Fitness and Athletics Equity for Students with Disabilities Office for Human Research Protections Interpretation of 45 CFR Part 46 Midwifery Scope of Practice and Licensure Home Deliveries Uniform Emergency Volunteer Health Practitioners Act Ambulatory Surgical Centers Fairness in Medical Imaging Interpretation (REVISED) Blood Transfusion and Medical Liability Surgical Sterilization and Family PACT Eligibility Advance Directive Elimination of Physician’s “Appointment for Representative” Requirement in Medicare Prescription Drug Program Appeals Payment Neutrality Between Medicare Advantage and Traditional Fee-forService Medicare Doctor of Nursing Practice Shadegg Bill (Health Care Choice Act) Anti-Trust Law Appropriate Oversight of Physicians’ Practices Support the Removal of Limiting Charges for Physicians’ Services Under Medicare Michigan Patient Compensation as Tort Reform Alternative Bill of Rights for J-1 Visa Holding Physicians New Strategies to Achieve Antitrust Reform

Reference Committee B (cont.d) 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 Legislation to Improve Readability of Hearing Loss Warning on Cotton Swab Packages Support the “Sorry Works” Program Medicare Private Contracting Opt-Out Renewal Requirement HHS and Hospital Acquired Conditions Member Education on Medicare Recovery Audit Contactors Establishing a “National Standard of Care” in the US Payment and Coverage Decisions and the Standard of Care for Medical Practice Medicare Denial of Reimbursement for Certain Unavoidable Complications Federal Roadblocks to E-Prescribing WITHDRAWN Protection of the Titles “Doctor,” “Resident” and “Residency” (was Resolution 303) Replacing “Surrogate Requirement for Nursing Home Residents” (was Resolution 709) Private Contracting and Balance Billing Physician Seeking Regulation of Physicians Medicare Advantage Program Budget Reduction E-Prescribing Uniform Standard of Evidence for Medical License Complaints Midwifery Scope of Practice and Licensure Herpes Zoster Vaccine and Medicare Payment for the Vaccine and for Physician Administration of the Vaccine

Reference Committee C 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 Support for the Epidemic Intelligence Service (EIS) Program and Preventive Medicine Residency Expansion Recognition of Osteopathic Education and Training Moved to Reference Committee B (now Resolution 232) Medical Student Debt Crisis Oppose Discrimination in Residency Selection Based on Location of Medical School Waiver of US Medical Licensing Examination Step 2-CS Requirements Student Loan Empowerment Encouragement of Interprofessional Education Among Health Care Professions Students Increasing Medical School Class Sizes Solutions to Tackling the Increasing Cost of Medical Education Credentialing Materials: Timely Submission by Residency and Fellowship Programs Study of the Impact of Medical Education on Patient Safety Alternative Approaches to Dealing with Medical School Tuition Costs and Student Indebtedness Physician Scientist Benefit Equity Evaluation of Increasing Resident Review Committee Requirements Loss of Status Following Family Medical Leave Act Qualified Leave During Residency Training Telemedicine and Medical Licensure Protecting Patients and Residents by Reducing Extended Work Shifts Medical Education in Disaster Response Tax Deductibility of Medical Education Promotion of Better Pain Care (REVISED)

Reference Committee C (cont.d) 322 323 324 325 326 327 WITHDRAWN Improvements to the Maintenance of Certification Process Competition for Clinical Training Sites Licensing for Qualified Physicians on Case by Case Basis IMGs on State Medical Licensing Boards Eliminating Disparities in Licensure for IMG Physicians

Reference Committee D 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 Tasers Active Support for “Screen Out” Public Health Hazards Associated with Landscaping Services Modern Chemicals Policies Sustainable Food Mandatory Drug Screening Reporting Rating System for Processed Foods Air Pollution and Public Health Abstinence-Only Education Internet Marketing to Children on Health Reclassification of Alcopops Minors and Sexually Transmitted Infections Modern Chemicals Policy Sunscreen Labeling Toy Safety Toxic Disposable Consumer Products Noise Pollution A Modern Chemicals Policy Restrictions on Promotion and Advertising of Alcohol Products Drug Abuse and Relapse Reduction Through Patient Identifiers Implementation of Automated External Defibrillators in High School and College Sports Programs Ban Sale of Tobacco Products and / or Byproducts Ban the Giving of Samples of Tobacco Products Reduction of Underage Drinking Appropriate Supplementation of Vitamin D Pediatric Suspected Intentional Trauma Encouraging Safer Chemicals Policies and Regulatory Reform of Industrial Chemicals to Protect and Improve Human Health Reintroducing DDT in the US and Worldwide Building the Health Care Workforce for an Aging America Global Climate Change and Human Health Health Care Costs of Violence and Abuse Across Lifespan Protective NAAQS Standard for Airborne Lead Prevention of Firearm Violence: A Public Health Crisis Restoring the Independence of the Office of the US Surgeon General Opposition to Addition of Flavors to Cigarettes Opposition to Exempting the Addition of Menthol to Cigarettes Risk of Violence in the Emergency Department Global HIV / AIDS Prevention Global HIV / AIDS Prevention

Reference Committee E 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 Anti-Aging Medications National Commission on Digestive Diseases Elimination of the 48-Hour Signature Rule HIV and Public Health Prevention Services FDA Drug Safety Policies Internet Prescriptions Pharmaceutical Advertising Pharmaceutical Quality Control for Foreign Medications Cancer and Health Care Disparities Among Minority Women Systemic Lupus Erythemotosus and Its Impact on Minority Health Racial and Ethnic Disparities in Maternal Mortality E-Prescribing of Controlled Substances Oppose “Behind the Counter” Drug Proposal by the US Food and Drug Administration Adopting a Definition for Metabolic Syndrome Essential Medicines for the Developing World Doctor-Patient Right to Procure Pharmaceuticals in Life Threatening Situations Expiration Dates Immunization Access to Parents of High-Risk Infants Younger Than Six Months of Age Extend Phase-out Period for Proven CFC Inhalers “Pay for Delay” Arrangements by Pharmaceutical Companies Early Recognition and Intervention in Chronic Kidney Disease Benefits of Marriage MRI Safety and Standardization Phase I Pediatric Vaccine Trials Neurobiology of Neuropathic Pain Appropriate Aspirin Use for Prevention of Heart Disease and Stroke Generic Medications Quality Control of Generic Medications and Active Pharmaceutical Ingredients Eliminating the Barriers to Surviving Acute Myocardial Infarction Restriction of Non-Veterinary Antimicrobials in Commercial Livestock to Reduce Antibiotic Resistance

Reference Committee F 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 Compilation of the AMA President and Board Chair’s Written Materials Global Warming / Green Initiatives Improved Medicaid Payment to Physicians (REVISED) Disclosure of Sources of Income of Candidates for AMA Offices Encouraging “Green” Initiatives Specialty Societies and the American Medical Association Toward Environmental Responsibility AMA Dues Waived for All Physicians (REVISED) Physician Health and Wellness Limiting Excessive Reimbursement to Health Care Executives Assessing the Role of the AMA and the Implementation of the Patient Safety and Quality Improvement Act of 2005 Accuracy of Internet Physician Profiles Council Nominations Five Year Review Membership Requirement for National Medical Specialty Societies AMA Council Members Floor Privileges at our AMA House of Delegates Smoke-Free Meeting Facilities

Reference Committee F (cont.d) 617 618 619 620 621 622 623 624 625 626 627 628 Webcast Communication to the Public About Medical Issues WITHDRAWN Specialty Society Representatives Support for Taiwan’s Entry into the World Health Organization HOD Delegate Status 250 Minimum Membership Rule Greening our AMA Guam Board of Medical Examiners Community-Based Private Practice Physicians Paperless Meetings Greening our AMA IMG Representation in the AMA House of Delegates

Reference Committee G 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 729 10. Emergency Department Boarding Recognizing Transitions of Care for Performance Improvement Inclusion of Observation Bed Status and Emergency Room Observation Time as Part of the Mandatory Three-Day In-Patient Hospital Stay Requirement to Receive the Medicare Skilled Nursing Facility Benefit Health Care Quality Improvement Act Amendment Evaluating the Physician Quality Reporting Initiative Appropriate Hospital Charges Opposition to Pre-authorization for Prescriptions Unreasonable Payer Requirements for Physician Orders for Imaging and Other Diagnostic Studies Moved to Reference Committee B (now Resolution 233) Safeguard National Provider Identifier and Physician Privacy Seek Guidelines for Handling Prejudiced Patients History and Physical Examination 24 Hours Before Surgery Real-Time Claims Processing Skilled Nursing Facility Admissions Optional Use of Social Security Numbers During the Council for Affordable Quality Healthcare Credentialing Process AMA Model Agreement with Advanced Practice Nurse Clinicians, Nurse Practitioners and / or Clinical Nurse Specialists Contract and Fee Schedule Disclosure Home Infusion of Antibiotics Universal Bill Consumer Rights for Durable Medical Equipment Denial of Use of Evaluation and Management Codes Studying and Supporting Health Information Exchange Increasing Transparency of Hospital Contracts for Ancillary Services Privileging Physicians with Low Hospital Activity Anthem Coding Audit Electronic Medical Records Legislation to Reduce Administrative Waste in Health Insurance by Accurate Reporting of Medical Expense Ratios Joint Commission Standard MS.1.20 Tiering of Physicians by Health Plans

Supplementary Report of the Committee on Rules and Credentials re: Late Resolutions and Reaffirmation Consent Calendar Mark S. Wurzel, MD, Chair

ORDER OF BUSINESS THIRD SESSION Monday, June 16, 2008 2:00 PM

1. 2. 3.

Call to Order by the Speaker - Jeremy A. Lazarus, MD Report of the Committee on Rules and Credentials - Mark S. Wurzel, MD, Chair New Business (a) (b) (c) Presented by the Board of Trustees Presented by a Council or Committee of the AMA Or Special Committee of the House of Delegates Presentation of Resolutions

4. 5. 6.

Reports of Reference Committees of the House of Delegates Unfinished Business Announcements

ORDER OF BUSINESS FOURTH SESSION Tuesday, June 17, 2008 9:00 AM

1. 2. 3.

Call to Order by the Speaker - Jeremy A. Lazarus, MD Report of the Committee on Rules and Credentials - Mark S. Wurzel, MD, Chair New Business (a) Presented by the Board of Trustees (b) Presented by a Council or Committee of the AMA or Special Committee of the House of Delegates (c) Presentation of Resolutions

4. 5. 6. 7.

Announcement and Confirmation of Election Results Reports of Reference Committees of the House of Delegates Unfinished Business Announcements

The Inauguration of Nancy H. Nielsen, MD, PhD, as the 163rd President of the American Medical Association, will be held at 5:00 PM in the Crystal Ballroom of the Hyatt Regency Chicago.

ORDER OF BUSINESS FIFTH SESSION Wednesday, June 18, 2008 9:00 AM

1. 2. 3.

Call to Order by the Speaker - Jeremy A. Lazarus, MD Report of the Committee on Rules and Credentials - Mark S. Wurzel, MD, Chair New Business (a) (b) Resolutions of an Emergency Nature (requires 3/4 affirmative vote to pass) Reports from the Board of Trustees (requires 3/4 affirmative vote to pass)

4. 5. 6. 7.

Reports of Reference Committees of the House of Delegates Unfinished Business Report of the Committee on Rules and Credentials - Mark S. Wurzel, MD, Chair Adjournment

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