Medigram, the Wisconsin Medical Society’s electronic newsletter for physicians, features timely news, upcoming events, answers to frequently asked questions and the information you need to make your practice run more efficiently. Topics include legislative updates, legal information, practice management information, government regulations, and much more. Medigram is delivered via email on Thursdays.

If you have a Medigram story idea or would like to offer feedback, please email us or call 866.442.3800.

Spring election results could portend turbulent 2023-24 State Biennium
Wisconsin’s spring elections historically have been sleepy affairs, with usually non-partisan races involving judges, mayors and school board members.

New DEA training requirement: What physicians need to know about the 2023 MATE Act
Within the Consolidated Appropriations Act of 2023, section 1263 of the omnibus bill, also known as the Medication Access and Training Expansion (MATE) Act, requires all DEA-registered practitioners who prescribe schedule II, III, IV or V drugs to meet a one-time, eight-hour training requirement incorporating education on the treatment and management of patients with opioid or other substance use disorders.

Last call to attend Health & Harmony Foundation Event
You’ve hopefully heard about our upcoming Health & Harmony event taking place next week on Friday, April 14 at the Monona Terrace!

New WisMed member benefit!
Effective April 1, Wisconsin Medical Society (WisMed) members will benefit from a new partnership with Titus Talent Strategies.

Weigh in on proposed WisMed policies by Friday, April 7 to help guide advocacy!
Wisconsin Medical Society (WisMed) member policy proposals are now posted on PolicyLink and are open for members to register support, opposition and/or comments. The comment period for this round of policy proposals will be open through Friday, April 7, 2023.

Why residents need disability protection
For medical residents or fellows, their biggest asset is their future ability to earn an income. Until it’s sustainable to lose earning power without consequence, it’s important to fully protect it.

Leadership Academy – business-focused CME for physicians
Wisconsin Medical Society Members taking on new leadership roles or responsibilities within their practice or system or transitioning from a patient care role to an administrative role in leadership are invited to join the virtual leadership academy.

Déjà vu in the Capitol: independent nursing bill introduced – Physician advocacy needed

When Governor Tony Evers vetoed legislation in April 2022 that would have allowed broad independent nursing practices in the state, his veto message included his disappointment that the bill “[did] not address some of the issues raised by parties in the medical profession that went unremedied during the legislative process.”

March 9, 2023

Watch future issues of Medigram to stay up to date on this topic and other important issues.

Spring election results could portend turbulent 2023-24 State Biennium

Wisconsin’s spring elections historically have been sleepy affairs, with usually non-partisan races involving judges, mayors and school board members. Even state supreme court races haven’t been all that contentious until recently; indeed, the 2017 spring elections saw State Supreme Court Justice Annette Ziegler run unopposed for a 10-year term.

No longer. This year’s spring elections on April 4 had the feel of a fully partisan brawl, and the top of the ticket headlined Milwaukee County Circuit Court Judge Janet Protasiewicz cruising past former Supreme Court Justice Daniel Kelly by about 11 percentage points. The more than 36% voting-age turnout was the highest-ever for a Wisconsin spring election not coinciding with a presidential primary. And the more than $45 million spent on the supreme court race shattered the national record for the most expensive state supreme court campaign – about $15 million was spent in 2004 on an Illinois Supreme Court election.

Both new records reflected the potential impact of a race that would decide the state court’s ideological majority. With conservative Justice Patience Roggensack’s retirement creating the judicial opening, Judge Protasiewicz’s election could mean the court could eventually take up challenges to state abortion law, legislative and congressional districts, or perhaps the current cap on noneconomic damages in medical liability cases. Those cases would need to be heard by the state’s highest court after August 1, 2023, when then-Justice Protasiewicz will begin her 10-year term.

State Senate Race Also Has Significance – But Truly How Much?

One outcome on the April 4 undercard also raises significant questions about how the state legislature will function for the remainder of the 2023-24 biennium. Republican Dan Knodl defeated Democrat Jodi Habush Sinykin in a special election to fill Wisconsin’s 8th Senate District seat. That district encompasses much of Milwaukee’s northern suburbs and had been vacated by longtime Senator Alberta Darling (R-River Hills). Considered a “safe” GOP seat following redistricting, Knodl won by a little more than 1,200 votes on an 50.9% - 49.1% margin. Knodl will now vacate his current seat in the State Assembly to assume the role in the senate.

The win gives Republicans a 22-11 margin in the upper house, which is enough to override a Governor’s veto. (It takes a 2/3 vote in both legislative houses to override a veto, and while the Assembly GOP margin is a similarly gaudy 63-35 advantage, it is not enough to power a partisan veto override vote.) Besides the newly-attained veto margin, much attention has been given recently to the state legislature’s impeachment powers. Similar to the process in Congress, the State Assembly can initiate the removal of “civil officers” (an undefined term) by a majority vote, after which the State Senate can hold a trial and convict a civil officer by a 2/3 vote.

This impeachment power may be moot, however. While Rep. Knodl stated during the campaign that he “would consider” using the power to potentially convict Justice Protasiewicz, on April 5 Senate Majority Leader Devin LeMahieu (R-Oostburg) told a Milwaukee television reporter that the senate has no plans to “use impeachments to overturn elections or anything like that.”

While impeachments appear unlikely and vetoes too difficult to accomplish, the state legislature will certainly rewrite most if not all of Governor Tony Evers’ proposed 2023-25 state biennial budget over the next few months – it will be interesting to see how Gov. Evers uses his powerful veto pen on a budget document reaching his desk. And now that the spring elections are complete, most Capitol observers expect a flurry of legislative bill introductions. It remains to be seen if Gov. Evers will surpass a record he set during the 2021-22 legislative biennium: vetoing 126 bills.

Contact Wisconsin Medical Society Chief Policy & Advocacy Officer Mark Grapentine, JD with any questions.

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New DEA training requirement: What physicians need to know about the 2023 MATE Act

Within the Consolidated Appropriations Act of 2023, section 1263 of the omnibus bill, also known as the Medication Access and Training Expansion (MATE) Act, requires all DEA-registered practitioners who prescribe schedule II, III, IV or V drugs to meet a one-time, eight-hour training requirement incorporating education on the treatment and management of patients with opioid or other substance use disorders. This will not be a part of future registration renewals. 

Below are answers to some frequently asked questions about the new requirements.

Who needs to satisfy this new training requirement?

  • All DEA-registered practitioners, except for practitioners who are solely veterinarians.

How can practitioners meet this new requirement?

  • The following groups are deemed to have satisfied this requirement:
    • Group 1: All practitioners who are board certified in addiction medicine or addiction psychiatry from the American Board of Medical Specialties, the American Board of Addiction Medicine or the American Osteopathic Association.
    • Group 2: All practitioners who graduated in good standing from a medical (allopathic or osteopathic), dental, physician assistant or advanced practice nursing school in the United States within five years of June 27, 2023, and successfully completed a comprehensive curriculum that included at least eight hours of training on:
      • Treating and managing patients with opioid or other substance use disorders, including the appropriate clinical use of all drugs approved by the Food and Drug Administration for the treatment of a substance use disorder; or
      • Safe pharmacological management of dental pain and screening, brief intervention, and referral for appropriate treatment of patients with or at risk of developing opioid and other substance use disorders.

How does a DEA-registered practitioner report meeting the new requirement?

  • Starting June 27, 2023, practitioners will need to check a box affirming completion of the requirement on their online DEA registration form, regardless of completing an initial or renewal registration.

When is the deadline for meeting this new requirement?

  • The date of the prescriber’s next scheduled DEA registration submission (initial or renewal) on or after June 27, 2023.

Does the Wisconsin Medical Society (WisMed) have education that meets this new requirement?

  • YES! WisMed is an organization accredited by the Accreditation Council for Continuing Medical Education (ACCME). Click here to access one of our courses today, and continue to watch for future education to be rolled out to members that will count towards meeting this requirement.

Do previously taken Wisconsin Medical Society Medical Examining Board-approved CME education count towards meeting the 8 credit requirement?

  • YES! Click here to access one of our courses today, and watch for future education to be rolled out to members that will count towards meeting this requirement.

Contact [email protected] with questions.

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Last call to attend Health & Harmony Foundation Event

You’ve hopefully heard about our upcoming Health & Harmony event taking place next week on Friday, April 14 at the Monona Terrace!

Please get your tickets to attend by Monday, April 10. The Wisconsin Medical Society Foundation will raise awareness for health equity in Wisconsin and celebrate outstanding health professionals at their annual fundraising event. In addition to the award presentations, attendees will enjoy social time with colleagues, a lively raffle and wine pull and the fabulously fun and talented Piano Fondue, Dueling Pianos.

Students/Residents: If you are interested in volunteering and/or attending, please contact Jaime Craig. We have limited seats available for you to attend.

If you are unable to attend but would still like to help, donate here to our evening appeal benefiting our grants program. All proceeds will support our grant program. Our grants have an overarching goal to improve health in Wisconsin through projects that address health equity and access and support medical education. Learn more about one of our grant recipients in 2022 here.

Tag us on Facebook, Instagram, Twitter and LinkedIn and use our event hashtag #WisMedHealthAndHarmony to share your photos on social media!

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New WisMed member benefit!

Effective April 1, Wisconsin Medical Society (WisMed) members will benefit from a new partnership with Titus Talent Strategies.

This new member benefit will give your practice or health care organization discounted rates for talent strategy services from the experts at Titus Talent Strategies. Titus Talent Strategies can help health care facilities of any size looking to hire a physician – from large systems looking for multiple physicians to private practices searching for one physician.

In addition, this partnership also provides individual WisMed physician members seeking a position in Wisconsin free access to confidential job search services through Titus Talent Services.

Click here to see the Titus Talent Strategies benefit details for member physicians and here for details for employers seeking to hire. Click here to learn more about Titus Talent Services or here to get started!

If you have questions about this new partnership or any of the benefits of your Wisconsin Medical Society membership, please contact Jim Lorence.

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Weigh in on proposed WisMed policies by Friday, April 7 to help guide advocacy!

Help shape WisMed Advocacy - share your policy proposals

Wisconsin Medical Society (WisMed) member policy proposals are now posted on PolicyLink and are open for members to register support, opposition and/or comments. The comment period for this round of policy proposals will be open through Friday, April 7, 2023.

The proposals now available for member input:

  • Gender Transition in Children
  • Expanding Comprehensive Age-Appropriate Reproductive Health Education in Wisconsin
  • Medical Students Deserve Access to Full-Scope Reproductive Healthcare Training
  • Expanding Access to Health Coverage in Wisconsin
  • Expanding Protections for Incarcerated Pregnant People with Substance Use Disorder
  • Expanding Community Safety Measures

To participate in WisMed policymaking:

  1. Visit policylink.wismed.org
  2. Login with your WisMed username and password*
  3. Click “Comment on Proposal” from the menu at the top of the page
  4. Select “Comment Period 1”
  5. Click on a blue proposal title
  6. When ready, click on support, oppose or suggest amendments and submit any comments in the text box below
  7. Click “Submit Comment” button at the bottom of the page

After the close of this comment period, proposed policies will move to the Policy Review Committee (PRC) which will review each proposal and member comments to help inform their recommendation to the WisMed Board of Directors (BOD). The BOD will decide whether to adopt, not adopt or make changes to the proposal.

Have a policy that you want to submit for consideration?
While in PolicyLink click on “Submit Proposal” (in the menu bar at the top of the page) and enter your proposed policy. Policies submitted during this period will fall into the next submission funnel to be posted on July 15, 2022.

For questions about PolicyLink or WisMed’s policymaking process, contact Mark Grapentine.

*PolicyLink requires your WisMed username and password. Click here to retrieve your username or password, or call 866.442.3800 or email [email protected] for assistance.

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WisMed Financial - Meet your advisor

Why residents need disability protection

For medical residents and fellows, their biggest asset is their future ability to earn an income. Until it’s sustainable to lose earning power without consequence, it’s important to fully protect it. James Dahle, MD, of The White Coat Investor states, “Early in residency, buy as large of a high-quality, specialty-specific, own occupation, individual disability insurance policy as an agent is willing to sell you.” But why do this as a resident or fellow, before the dramatic income increase of becoming an attending physician? Why not wait for an employer benefits group plan if applicable, and purchase supplemental personal disability insurance then? There are several reasons why waiting may not be the best financial plan.

Residents and fellows are entitled to a base amount of coverage without being required to provide proof of financial qualification. In addition, WisMed Assure works with insurers that provide discounts to many of the residency programs. Members of the Wisconsin Medical Society are eligible for even more discounts. These savings can add up to a monumental amount of money throughout one’s career.

Disability insurance protection increases in cost with age. It will become more expensive each year, and putting it in place early on locks in the price while it’s the most affordable. Also, purchasing a future increase option at this time allows the policyholder to increase their protection as their income increases, without the imposition of any additional medical underwriting.

Group disability insurance coverage is a wonderful benefit, and it’s almost always advisable to enroll for as much as allowed. However, there are often limitations. It may be capped at an amount insufficient to replace one’s total income if disabled. Portability is also a concern, since should one change employers or deviate career paths, the coverage will be lost. Almost always, group coverage contains offsets, where any benefits attained from other sources will decrease the benefits paid out by group coverage. A solid personal disability policy specially designed for physicians and health care professionals addresses these inherent risks.

So where should one obtain this vitally important coverage at the most affordable price? Only purchase personal disability insurance coverage through an independent agent who can offer plans from multiple companies and customize coverage for the policyholder. Avoid representatives who offer only one plan, and thereby have a conflict of interestWisMed Assure has agents who specialize in disability insurance protection for physicians and will work with multiple companies on your behalf.

WisMed Assure

WisMed Assure exists for your benefit and offers plans from the Big 5 insurance companies – with plans specifically designed for physicians. Reach out to us at 608.442.3810 or [email protected] and let us customize a plan for you. Take care of this urgent financial chore today.

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Leadership Academy – business-focused CME for physicians

Leadership Academy

Wisconsin Medical Society Members taking on new leadership roles or responsibilities within their practice or system or transitioning from a patient care role to an administrative role in leadership are invited to join the virtual leadership academy. Courses focusing on Emotional Intelligence and Impression Management cover cornerstones of emotional intelligence, provide tools to assess and improve EQ skills and will help you evaluate aspects of emotional intelligence and executive presence as it applies to leadership roles.

The Wisconsin Medical Society has partnered with Pennsylvania Medical Society to offer this program to help members achieve the foundational leadership skills you need to succeed in your new role. Enroll in these completely virtual mini courses focused on critical business acumen to set yourself up to be an effective leader and earn up to 14 credits of CME.

Courses include Ethical Decision Making, Health Care Finance 101, Project Management for Physicians, Strategic Thinking, and more.

This exclusive, member-only program has limited space available. Register today by emailing [email protected] or calling 866.442.3800.

*The Pennsylvania Medical Society (PAMED) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. PAMED designates these enduring materials for a maximum of 14 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in these activities.

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