Weekly Roundup: In Case You Missed It
August 20, 2021
COVID-19 Updates

The booster shot plan to start September 20 prioritizes health care workers, nursing home residents, and other older adults who got the Pfizer and Moderna vaccines. To learn about the CPT codes for third doses of the Pfizer and Moderna COVID-19 vaccines, click here.
 
The US Department of Health and Human Services released a statement on the Biden Administration’s plan for COVID-19 booster shots for all Americans 8 months after they received their second shot. According to HHS, third shots could begin to be offered as early as September 20, 2021. The new policy will depend on FDA authorization of additional shots.
 
The Centers for Disease Control and Prevention reported Tuesday the delta variant is now responsible for 98.8% of COVID cases in the US. The report, which compiles data up to August 14, was released as the US hit 37 million cases since the start of the pandemic, according to Johns Hopkins University data. August has been the third-worst month for coronavirus cases in 2021, behind only January and February.
 
California health officials said Wednesday they will expand the requirement for vaccination or a negative COVID-19 test for those attending indoor gatherings of 1,000 people or more. The previous requirement had applied to indoor gatherings of 5,000 people or more. Wednesday’s order, which takes effect September 20, also requires proof of full vaccination rather than the self-attestation previously allowed.
 
Not yet FDA approved, but one of the few effective therapies against the virus, monoclonal antibodies (mAbs), are available only for people age 12 and older who aren't hospitalized or severely ill. Tocilizumab, an anti-inflammatory used to treat severe cases, is in short supply globally and out of stock in the US, with a lower strength form likely to run out by the end of the week. In the face of a global shortage, the WHO and Unitaid called on Roche to ensure that Actemra is equally available to low and middle-income countries; the agencies want the company to transfer technology to increase the number of qualified manufacturers. Scientists at UC San Diego have developed a way to put remdesivir and other intravenous COVID-19 treatments into a capsule that patients could take orally at home before they are so severely ill that they have to go to a hospital.
 
The Napa County COVID Vaccine Task Force released posters and flyers from the Vaccine Outreach Collective to promote community immunity. These materials, which can be displayed in physicians’ offices, are available in English and Spanish.

Solano County reported on Wednesday that 73% of residents 16 years and older have received at least one COVID vaccine dose, and 60% are fully vaccinated.
 
Napa County reported on Tuesday that 81% of residents 16 years and older have received at least one COVID vaccine dose, and 76% are fully vaccinated.

Solano County reports that, as of August 19, it has given more than 483,000 vaccinations (first and second doses). As of August 12, ICU capacity in the county is at 8% with 18 confirmed COVID patients hospitalized.
 
Napa County reports that as of August 19, more than 185,000 vaccine doses have been administered by the county. As of August 12, ICU capacity was 18% with 4 COVID patients in ICU.

As of August 19, Statewide ICU capacity is 1,668 beds, a 1.7% decrease from the day before.
 
Medical Board Says Inappropriate Mask Exemptions Might Subject Physicians to Discipline
 
Faced with reports of rogue physicians selling bogus mask exemptions, the Medical Board of California has issued a statement informing licensees that physicians who grant a mask or other exemption without conducting an appropriate prior exam and without a finding of a legitimate medical reason supporting such an exemption within the standard of care might be subject to disciplinary action. For more information, click here.
 
CalVaxGrant Grant Application Deadline Is September 10
 
CalVaxGrant, a new state program to increase COVID-19 vaccination rates, has extended its application deadline to September 10. Physicians and medical practices can apply to receive up to $55,000 in reimbursement for related expenses incurred since November 2020 and through November 2021. Qualifying expenses include staffing and training (most common expenses), technology, infrastructure, supplies and equipment, and administrative overhead. Apply at calvaxgrant.org.
 
Governor Newsom Acts to Support State’s Health Care System During Delta Surge
 
Governor Gavin Newsom on Monday signed an executive order to ensure the state’s health care facilities continue to have the staffing and resources needed to prevent potential strain on the state’s health care delivery system and to provide staffing flexibility for schools to ensure continuity of in-person instruction for all students. To view the executive order, click here
Federal Infrastructure Bill and Budget Resolution to Have Major Health Care Impacts
 
On August 11, 2021, the US Senate passed a $1 trillion infrastructure bill. In a major win for medicine, Senators eliminated the proposal to use unspent COVID-19 Provider Relief Funds to pay for the infrastructure package. The CMA told leaders that many physician practices were still recovering and with the new Delta variant surge, more assistance was needed to sustain physicians for the long-term. Several other health care–related provisions were used to partially fund the infrastructure package: Medicare sequestration provider payment cuts are extended from 2030 to 2031; drug manufacturers are required to refund unused single-dose containers and single-use packs; and until January 1, 2025, there is a moratorium on the implementation of the prescription drug rebate rule, which originally eliminated the anti-kickback safe harbor protection for prescription drug rebates.
Dignity Health and Anthem Reach New Agreement
 
After initially failing to reach an agreement, Dignity Health California and Anthem Blue Cross have reached a new contract agreement that is retroactive to July 15, 2021. For more information, click here.
California Supreme Court Issues Ruling in Important Peer Review Case
 
The California Supreme Court recently issued an important decision that clarifies a physician's ability to challenge peer review hearing officers for impermissible bias. To read more, click here.
DHCS Announces January 1, 2022, Implementation Date for Medi-Cal Rx
 
The California Department of Health Care Services (DHCS) recently announced a January 1, 2022, implementation date for the Medi-Cal Rx program. Earlier this year, DHCS delayed the planned go-live date of April 1, 2021, to give the agency time to review new conflict avoidance protocols submitted by Magellan Health, Inc., the project’s contracted vendor. On July 27, 2021, DHCS completed its review of Magellan’s Conflict Avoidance Plan (CAP) and announced the new implementation date. For more information, visit the Medi-Cal Rx website by clicking here.
Appeals Court Rules Texas Can Ban Common Abortion Method
 
A federal appeals court on Wednesday upheld a Texas law banning the most common form of second-trimester abortion, ruling that a lower court had erred in finding that the law imposed "an undue burden on a large fraction of women." At issue is a Texas law, Senate Bill 8, that was passed in 2017 but has not yet been in effect because of legal battles.
WEBINARS & EVENTS
Available on demand
Member $29.00 | Non-member $79.00

Now available! Current and new staff can receive on-demand training on HIPAA, OSHA, and customer service. Intended for all staff encountering patients in person or by telephone, this course covers customer service techniques, the Occupational Safety and Health Act (OSHA), and the Health Insurance Portability and Accountability Act (HIPAA). For questions, contact Jenn Mullins, Education and Event Associate, at jmullins@accma.org.
Click here to register.
Tuesdays through December 14
Free to attend | CME Available | Presented by CMA
 
The California Medical Association's (CMA) wellness program (CMA Wellness) is pleased to launch free, online wellness engagement groups for health care providers who conduct patient screenings for adverse childhood experiences (ACEs). Treating patients with multiple ACEs or toxic stress can potentially impact your personal wellness and increase feelings of burnout. CMA Wellness's engagement groups will support providers by offering subject matter experts, best practices, and an open forum to share experiences, facilitated by trained, volunteer physicians. Each monthly webinar is organized around a prevailing theme with a stakeholder co-host to provide a variety of perspectives with a general discussion and breakout rooms. Registration is required, and providers will be joining the Tuesday series for a 6‑month duration.
 
For more information and to register, click here.

This training for primary care, acute care and behavioral health providers will raise your capacity to advance trauma-informed communities in support of ACE screening and coordinated prevention and treatment to mitigate the toxic stress response.

Click here to learn more and to register.
Thursday, August 26 | 6:15–7:30 PM
FREE | CME Available
 
Using data and stories, together in conversation, we will focus on yourself, as well as your potential new directions and skills, and your “team,” whether at home or professionally.
 
Speaker: Linda Clever, MD, MACP
 
Click here to register. 
Tuesday, September 14 | 12:00 – 1:15 PM  
FREE | Presented by CMA  
  
Erica Pan, MD, MPH, from the California Department of Public Health will provide an update on COVID-19 in California, including efforts to keep the virus at bay, progress on vaccinations, and the hope for keeping schools open. We will also hear from The Nocturnists, a medical storytelling live show and podcast in which healthcare workers can pause and examine their inner landscapes. The Nocturnists helps us examine the forces that drive burnout and moral distress, and in doing so, provides hope that we can find ways to flourish in the face of the extreme stresses of medical practice, particularly in the setting of a pandemic. 
  
Register here.
September 21 – January 18
CME Available
 
Registration is now open for the 2021–2022 Physician Leadership Program, from the Alameda-Contra Costa Medical Association (ACCMA), is an innovative program developed in 2016 by physician leaders in collaboration with faculty from the UC Berkeley School of Public Health and Haas School of Business. Participants will enhance their leadership effectiveness, learn from nationally recognized experts, expand their network with local colleagues, and will gain practical skills and insights directly applicable to their practice opportunities and challenges. Participants can earn a Certificate of Completion and up to 24 hours of CME credit.
 
Discounts for medical society members and groups are available! Find out more and register here.
Thursday, September 23, 2021, 8:30 am – 4:30 pm
Hybrid meeting: In person (Los Angeles) and virtual
 
State of Reform, one of the most important statewide events in California health care, pulls together practitioners, thought leaders and policymakers — each working to improve our health care system in their own way — into a unified conversation in a single place. Choose to attend in person or virtually; registration fee varies. CMA members receive a 20% discount on registration with promo code CMA20.
 
For more information and to register, click here.
Friday, October 8 | 10:00 AM – 4:30 PM 
Discounts for Members; Free for Medical Resident and Student Members | Presented by CMA
 
The NEPO Summit is known for bringing together some of the most diverse voices in medicine and providing an opportunity to discuss critical topics in health care through the lens of multiculturalism and health equity. This year’s online event will be divided into morning and afternoon sessions. In the morning session, experts will discuss how an awareness of Cultural and Linguistic Competency (CLC) and Implicit Bias (IB) can benefit physicians and patients alike. The afternoon session will focus on issues of adverse childhood experiences (ACEs), health outcome disparities in the Asian American and Pacific Islander American communities, and physician wellness.
 
Learn more and register here.
Friday, October 15, 6:00 – 9:30 PM
Chardonnay Golf Club, American Canyon, CA
FREE FOR MEMBERS + ONE GUEST | $125 FOR NON-MEMBERS
 
Join us for an evening of entertainment and great food as we celebrate the following physicians for their achievements in medicine and recognize the Napa-Solano medical community for coming together during a historically challenging time. Physician of the Year: David Pratt, MD (Napa), Tessa Stecker (Solano). Lifetime Achievement: Lawrence Cooney, MD (Solano).
 
Register here (your NSMS username and password is the same as your CMA login). For questions, contact Griffin Rogers, NSMS Director, at grogers@napasolanodocs.org or (707) 255‑2544. 
NSMS's On-Demand Library

To access all on-demand programs, go to learning.accma.org.

QUESTIONS/CONCERNS?
Please contact NSMS at grogers@napasolanodocs.org or (707) 255-3622with any questions or concerns you have.