Advocating for You: CSRO, Specialists Laud CMS for Prior Authorization Proposals, Urge Additional Protections
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In a letter to the Centers for Medicare and Medicaid Services (CMS), rheumatologists and other specialists lauded proposed policies that would advance interoperability and improve prior authorization (PA) processes across health plans, including Medicare Advantage.
CSRO and the Alliance of Specialty Medicine called on CMS to ensure medications, particularly those administered in the office setting, are included in the final policies. The groups also asked CMS to implement the policies more quickly so that practices and patients would see reduced burden and care delays and to improve enforcement so that plans are held accountable for complying with the requirements, once finalized.
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That's a Wrap: 2023 Fellows Conference
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CSRO was in San Francisco last weekend with rheumatology fellows from around the country for our annual Fellows Conference, providing the next generation of rheumatologists with practical career tips and insights not typically taught in academic training.
Thank you to all of our speakers for sharing your insights and expertise, and special thanks to Fellow-at-Large Dr. Christopher Sonntag for his many contributions over the course of his term!
Check out all of the photos from our event, and keep an eye on our Education Library because recordings from this year's event will be available soon.
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Fellow-at-Large: Professional Development Opportunity for Rheumatology Fellows
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CSRO is recruiting for a Fellow-at-Large to serve as a non-voting member of our Board of Directors for a one-year term beginning May 1.
This position provides a unique experience for a Fellow to engage with CSRO's Board members, who are rheumatologists from across the United States with years of varied career experiences, and to be a liaison to other fellows about the importance of advocacy in rheumatology.
The application deadline is March 30. Interested or know someone who might be? Check out our website for more information and details on how to apply.
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Registration Now Open: 2023 Advocacy Conference
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Cheers to 20 years! Advocating for patient access to care has been the cornerstone of CSRO’s mission since we were founded in 2003, and 2023 marks CSRO’s 20th anniversary!
Join us this August in celebrating our two decades of serving as a voice for rheumatology at our 2023 Advocacy Conference featuring keynote speaker Dr. Alex Oshmyansky, Founder and CEO of the Mark Cuban Cost Plus Drug Company.
Don't miss this renowned physician, speaker, and founder as he shares the inception story of his unprecedented company – register now to be a part of CSRO's anniversary celebration.
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Legislation Around the Country | |
ICYMI: Opportunity For Action in Your State
The following states have active legislation that needs your support – make your voice heard today:
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Georgia
Biomarker Testing Coverage
Illinois
Rebate Pass Through
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Maryland
Biomarker Testing Coverage
Oregon
Accumulator Programs
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What's Happening in the States
CSRO tracks legislative activity relevant to the rheumatology community and their patients. Check out the list below to see the status of CSRO priority bills from the past two weeks, and click here to view a full status report.
Be sure to check out our interactive legislative map tool for additional details.
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ARKANSAS
Gold Card
- HB 1271: Approved by House, referred to Senate Insurance and Commerce committee
CONNECTICUT
Biomarker Testing Coverage
- SB 976: Public hearing held 2/14
- HB 6628: Re-referred to committee on Appropriations
GEORGIA
Biomarker Testing
- HB 85: Approved by the Senate
Rebate Pass Through
- HB 343: Approved by House, transmitted to the Senate
- SB 286: Introduced, read and referred
White Bagging
- HB 417: Reported do pass by committee
FLORIDA
Biomarker Testing
- HB 805: Referred to Health and Human Services committee, and Healthcare Regulation and Appropriations subcommittees
- SB 1218: Introduced
White Bagging
- HB 203: Referred to Healthcare Regulation subcommittee
- SB 1638: Introduced and referred to Banking and Insurance, Health Policy, Rules committees
ILLINOIS
Rebate Pass Through
- HB 1054: Re-referred to Rules committee
White Bagging
- SB 1255: Re-assigned to Assignments committee
- HB 2814: Re-referred to Rules committee
IOWA
Non-medical Switching
- HF 626: Passed House and referred to Health and Human Services committee
MAINE
Gold Card
- HB 485: Referred to committee on Health Coverage, Insurance and Financial Services
MASSACHUSETTS
Rebate Pass Through
- HB 978: Referred to committee on Financial Services
Non-medical Switching
- HB 982: Referred to committee on Financial Services
MARYLAND
Biomarker Testing
- SB 805: Public hearing held
- HB 1217: Public hearing held
MINNESOTA
Biomarker Testing
- SF 1948: Reported do pass and re-referred to Health and Human Services committee
- HF 1978: Introduced and referred to Commerce, Finance, and Policy committee
Non-medical Switching
- SF 328: Reported do pass and re-referred to Commerce and Consumer Protection committee
Rebate Pass Through
- SF 2889: Referred to Health and Human Services committee
- HF 1711: Reported do pass and re-referred to Commerce, Finance, and Policy
White Bagging
- SF 482: Reported do pass as amended
- HF 544: Reported do pass as amended and re-referred to Commerce Finance and Policy
MISSOURI
Gold Card
- HB 1045: Referred to General Laws committee
White Bagging
- HB 198: Referred to Health and Mental Health Policy committee
- SB 26: Hearing conducted
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MONTANA
White Bagging
- SB 223: Died, missed deadline for crossover
Gold Card
- SB 380: Approved by Senate, transmitted to House
NEW HAMPSHIRE
White Bagging
- HB 513: Retained in committee
NEW MEXICO
Accumulators
- SB 51: Passed the Senate, referred to House Health committee
- SB 14: Reported do pass by Tax, Business and Transportation and Judiciary committees
Rebate Pass Through
- SB 14: Reported do pass by Tax, Business and Transportation and Judiciary committees
Biomarker Testing
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HB 73: Reported do pass by Senate Finance committee
NORTH DAKOTA
Accumulators
- HB 1413: Passed the House, Referred to Senate Human Services committee
Non-medical Switching & Prior Authorization
OKLAHOMA
Biomarker Testing
- SB 513: Approved by Senate, transmitted to the House
Step Therapy
- HB 1736: Approved by the House, transmitted to the Senate
OREGON
Accumulators
- SB 565: Public hearing held, work session scheduled for 3/29
RHODE ISLAND
Gold Card
- S290: Introduced and referred to Senate Health and Human Services
Utilization Management and PBM Rebate Reform
- H5078: Committee recommends measure be held for further study
White Bagging
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H5680: Scheduled for hearing, 3/15
TEXAS
Accumulators
- HB 999: Referred to Health Care Reform committee
- SB 1576: Filed
Rebate Pass Through
- HB 2180: Referred to Health Care Reform Committee
White Bagging
- HB 1647: Referred to Insurance committee
- SB 1138: Referred to Health and Human Services committee
VERMONT
Accumulators
- H233: Introduced and referred to Health Care committee
Rebate Pass Through
- H233: Introduced and referred to Health Care committee
WISCONSIN
Accumulators
- SB 100: Introduced and referred to committee on Insurance and Small Business
- AB: 103: Introduced and referred to committee on Health, Aging and Long-term Care
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Other Ways CSRO is Taking Action in the States
2023 marked the beginning of a new two-year legislative cycle for most state governments. The CSRO Board of Directors chose to kick-off this new cycle by focusing on strengthening relationships with their state legislators.
Meetings are well underway as Board Members work to educate their state officials about current issues impacting their patients and practice. Join us in taking action by inviting legislators to visit your office to help raise awareness about issues impacting the rheumatology community! Using CSRO's Action Center, you can easily send our pre-populated template message to your elected officials with an invitation to connect. If you receive a response, email us at info@csro.info and we will help you prepare for the visit.
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Mark Your Calendar: CSRO's 2023 Events
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Business of Rheumatology: March 23, 2023
Learn about the realities of in-office dispensing at CSRO's new virtual seminar series to help support rheumatology practices in building and strengthening their business.
Regional Town Halls: Mondays in April & May
Hear advocacy updates specific to your area and network with your community members.
CSRO's Advocacy Conference: August 25-27, 2023
Join us in Austin for our Advocacy Conference and celebration of our 20th Anniversary!
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Action Center
Use CSRO's Voter-Voice engagement platform to easily communicate and engage directly with your elected officials.
Career Center
Locate the perfect fit whether you're looking for new career opportunities or trying to find the right candidate.
Legislative Map Tool
Find your state on our interactive map tool to learn about current or proposed policy and ways you can take action to make an impact.
Payer Issues Reporting Form
Request assistance with any payer relation issues that may be impacting your patients or office.
Policy Correspondence
Easily access all of CSRO’s policy letters submitted to payers, state, and federal governments as an informational resource.
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Questions?
Please visit the CSRO website for other news and updates, and do not hesitate to contact us with any questions at info@csro.info.
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