The Alliance Voice - Medical Society of the State of New York
Transcription
The Alliance Voice - Medical Society of the State of New York
Network New York The Alliance Voice Published by The Alliance with the Medical Society of the State of New York April, 2014 News from the COPresidents - Page 1 Mission:“to support our physicians and promote health in our communities” 78th AMSSNY Annual Meeting-Page 2 MSSNY Advocacy Day Page 2-3 Legislation-Pages 4-5 News from the Co-Presidents We truly look forward to seeing Alliance members this month at our 78th Annual Meeting in Tarrytown on April 10th and 11th. This meeting is concurrent NYS Benefit Exchangewith the Medical Society House of Delegates meeting, again at the beautiful Page 5 Westchester Marriott in Tarrytown, New York. After a long and cold winter, our trip to Tarrytown in April usually greets us with warmer weather and a reminder of more MSSNYPAC -Page 5 sunny days to come. This is always a celebration of the continuance and the positive impact of our organization on the communities we serve. Please remember to bring Think, Don’t Drink your county raffle baskets and raffle items to benefit our Physicians Home, the Belle Pages 5-6 Tanenhaus Leadership Fund and the AMA New Physician's Honor Fund. We will be selling tickets through Saturday. We will announce the winners at the Saturday Health News-Page 6 evening Gala to honor the incoming MSSNY President. Our meeting commences Thursday at 2:30 pm. Betti Jabbour and Kathy Rohrer will be at the Registration table to greet you! We will conclude our meeting News from Around the State on Friday with our Key Note speaker Sarah Sanders, the AMA Alliance incoming Pages – 6-8 President and a luncheon honoring our Past State Presidents. We are hoping for a sunny day on Friday, April 11th, when the Alliance will Calendar –Page 8 continue the tradition of leading the Annual HOD Walk For Health at 4 pm on Friday. Please remember to pack your sneakers and join us! Many of us will be MALS – Page 8 staying Saturday to continue selling raffle tickets at our table in the exhibition hall and then joining the festivities and installation of the new MSSNY President on Saturday. This is our opportunity to gather, to rejoice in our strength of purpose and Category of Links our mission and to shine! Please make an effort to join us! http://www.mssny.org Spring infuses us with new energy to tackle our state initiatives "Think Don't click on About MSSNY then Drink" and Don't Text and Drive", the latter proposed by Governor Cuomo and member section link and initiated by Suffolk County legislators. Please volunteer in your counties to help then onto the Alliance achieve our goal to educate and raise awareness of the problem of underage drinking http://www.mssny.org/mssnyip. and now the dangers of texting while driving, cfm?c=i&nm=Alliance We would like to express our sincere thanks to all our members who faithfully made their voices heard to their legislators regarding the budget and the SGR. We Contact Us still need your help with phone calls to legislators regarding the Statue of [email protected] Limitations bill going to the Assembly Codes Committee April 7. The advocacy we do is so important to the practice of medicine and to our spouses. Thank you and please continue to send your emails, letters and to make those phone calls! Please read on to Legislation section for more information. With many thanks from your Co- Presidents! Bonnie Liebers and Lynn Pyke 78th Annual Meeting It is not too late to join the Alliance at their 78th Annual Meeting on April 10 and 11 at the Westchester Marriott Hotel, 670 White Plains Road in Tarrytown, NY. This meeting will be held in conjunction with MSSNY’s House of Delegates meeting. All Physicians spouses/significant others are invited to join us as we review the activities of the Alliance over the past year and plan for the future of the Alliance. Please come to network and learn about the issues facing our physician spouses. Please contact Kathleen Rohrer at [email protected] or 1-800-523-4405 ext. 396 for more details or to register. Our guest speaker is Sarah Sanders, 2013-2014 AMA Alliance President-Elect. In addition, Sarah currently represents the Alliance on the Board of Directors of the Alliance Health Education Initiative, and serves on the Board of Directors of the AMA Foundation. Sarah has previously served the National Alliance as Treasurer, Secretary, Director, Bylaws Committee Chair, Chair and member of the Membership Advisory Committee, as well as serving as a member of Strategic Advancement Advisory Committee and the nominating committee. Sarah has served the Indiana State Medical Association Alliance in several positions, including president in 2004-2005, and is currently active with the Ohio State Medical Association Alliance. Sarah has a Bachelor’s degree and a Doctor of Pharmacy degree from Purdue University as well as a Masters in Gerontology from Ball State University. She and her husband Charles, a rheumatologist, have two daughters. She will be installed as AMAA President in June. Our meeting hours are 2:30 -5:30 PM Thursday, and 9 am - noon on Friday. Friday activities also include a celebration luncheon at noon. The Alliance will again be offering the opportunity to purchase tickets for our Raffle Baskets with proceeds benefiting Physicians Home, the AMAA Grassroots Honor Fund and the Belle Tanenhaus Leadership Fund. MSSNY Advocacy Day Donna Fresatore at the Town Hall Forum discussing the NYS Health Benefit Exchange Dr. Cohen moderating questions for the Legislative Panel at the Town Hall Forum Dr. Sam Unterricht, MSSNY President and Bonnie Liebers, AMSSNY Co-President, at the Town Hall Forum MSSNY’s Legislative Day was held on March 10 and 11 with two components: an Open Forum the evening of March 10th at the Albany Hilton and a morning briefing and lobby visits with legislators on March 11. The Town Hall Forum on Health Care Policy began with welcome and introductions from MSSNY President Sam Unterricht, MD; Andrew Kleinman, MD, President-Elect; Paul A. Pipa, MD, Chair, Legislation & Physician Advocacy Committee; Charles Rothberg, MD, Commissioner, Commission on Governmental Relations and Elizabeth Dears, Esq., Senior VP and Chief Legislative Counsel. The live audience, at the Albany Hilton, along with physicians across New York State via live webcast, were educated on issues affecting physicians and their relationships with their patients. Panel speakers included: Donna Frescatore, Executive Director of the NYS Health Benefit Exchange, Troy Oechsner, Deputy Superintendent for Health, Department of Financial Services. They were asked to provide an overview of the out –of- network health insurance issues. The legislative panel included Senator Kemp Hannon and Assemblyman Richard Gottfried, the Chairs respectively of the Senate and Assembly Health Committees; and Assemblyman Kevin Cahill, Chair of the Assembly Insurance Committee. The speakers each gave a short introduction and then took questions from the audience. Physicians who couldn’t attend in person were able to call in their questions. The Forum can still be viewed as a webcast on the front of MSSNY’s webpage at www.mssny.org. On the morning of March 11, attendees were again greeted by MSSNY President, Sam Unterricht, MD, Andrew Kleinman, MD and President-Elect; Paul A. Pipa, MD, Chair, Legislation and Physician Advocacy Committee, and Liz Dears, Esq., Senior VP/Chief Legislative Counsel. Ms. Dears provided a fiscal year’s budget update while Morris Auster, Esq. provided the legislative update including medical liability and managed care. Barbara Ellman presented scope of practice issues and Pat Clancy presented on public health issues. To facilitate legislative meetings, MSSY staff provided participants with several tools including the “Know Your Doctor” wheel, a card listing the 5 most important State Legislative Objectives for 2014, a card with the 4 important Federal Legislative Objectives for 2014, and the Legislative Reference Guide listing members of NYS Senate, members of the Assembly, and members of the US Congress. The “Know Your Doctor” wheel shows different health care providers including physicians and the length of graduate-level education, years of residency/fellowship training and total patient hours required through training. The 5 most important State Legislative Objectives for 2014 include: 1. Assure Patients Can Access the physician of their choice by encouraging our legislators to vote for the Out of Network Bill and Collective Negotiation Bill. 2. Protect against increasing practice overhead costs. Vote yes for reducing malpractice premium costs, medical courts pilot/expert witness reform and cap on pain and suffering. 3. Assure patients know who is taking care of them by supporting the Healthcare Professional Transparency Act. 4. Assure physician led team-based health care system. Reject independent practice of NP’s. Prevent dentists from performing cosmetic surgery. Reject Retail Clinics. 5. Enhance public health by advocating for the use of immunizations in adults and children as a means of disease prevention; continue efforts to prepare NY residents for public health emergencies; monitor the implementation of I-STOP law and advocate for changes; and continue to oppose mandatory CME requirements related to pain management and palliative care. The 4 important Federal Legislative Objectives for 2014 include: 1. Assure fair payment for physician services by preventing physician Medicare cuts including repeal of the SGR and IPAB. 2. Assure physician, not government driven quality determinations. 3. Enhancing seniors’ access to care by securing Medicare Patient Empowerment Act. 4. Reduce physician overhead costs by repealing ICD-10. After the briefing, we were sent to meet with our county legislators. This year, AMSSNY Co-Presidents were invited by Liz Dears to specific leadership meetings. Bonnie Liebers and Stephanie Cospito (for Lynn Pyke) were able to attend scheduled meetings with Senate Co-President Dean G. Skelos in the Capitol and Senate Co-President Jeff Klein in the Legislative Office Building. Schenectady County Alliance members, Cheryl Stier, Helena Mirza, Bonnie Liebers and Stephanie Cospito attended the Albany briefing and joined Schenectady County Medical Society on visits with legislators. L to R: AMSSNY Co-President Bonnie Lieber, Barbara Ellman, MSSNY Staff and Alliance Member, Cheryl Stier, Helena Mirza and Stephanie Cospito at the morning briefing on March 11. Legislation Federal After a year of negotiations and tremendous advocacy efforts by the AMA and MSSNY, the proposed legislation HR 4015/S. 2000, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 will not pass Congress. While the House of Representatives passed the legislation, it added a controversial funding offset of delaying the ACA health insurance coverage mandate for five years which would not be approved by either the Senate or the President. The Senate bill would either have no budget offset or would use a controversial source of funding known as the Overseas Contingency Operations (OCO) which the House of Representatives will not support. Since Congress only has until March 31 to avert a 24 percent cut to physician Medicare payments, the House of Representatives passed H.R. 4302, Protecting Access to Medicare Act of 2014 which provides another temporary one year patch postponing the SGR cuts and also postpones implementation of ICD-10 until October, 2015. The Senate also approved this legislation providing the 17th temporary patch. New York State New York Legislature recently passed the 138 billion 2014-15 budget after negotiations to reconcile the policy differences between the executive budget proposal and the one house budget bills adopted by the Assembly and Senate. MSSSNY has been vigorously advocating their legislative position and the budget reflects several of their legislative priorities while some proposals that they opposed were dropped. The final budget includes • Continuation of the Excess Medical Liability Insurance program without programmatic change and would appropriate $127.4M to support its operation. • Provisions to provide greater transparency of a health insurer’s out-of-network (OON) coverage, broader availability of a patient’s right to go OON if the insurer’s existing network is insufficient, provisions to assure that OON benefits are more comprehensive, and provisions to address payments for emergency care and “surprise bills” by OON physicians. • Additional funding for the Doctors Across New York program that would provide for 35 new loan repayment slots and 35 new practice support slots. The budget removed some provisions that MSSNY strenuously opposed: • The imposition of burdensome and unnecessary regulations on Private Physician Urgent Care and Office Based Surgical Practices was removed. • The proposal which would allow NPs to practice independently from physicians was revised to still require a collaborative relationship with a physician with practice parameters defined in a form attested to by the NP and with resolution of disputes in patient care defined. In the event it does not specify, the physician prevails • Retail clinics will not be allowed. Legislation that has been introduced that MSSNY supports: A.1160 (Cahill)/S.981 (Libous) Eliminates the licensure requirement of citizenship or permanent residence immigration status for those professions (including medicine) that currently have that requirement. Passed the Assembly and in the Senate Higher Education Committee. A.5692 (Gottfried) Permits independently practicing physicians to negotiate collectively with health insurance companies. The bill has 61 sponsors and is now in the Assembly Health Committee. In previous years, it advanced from the Assembly Health Committee, but failed to advance further. Identical legislation (S.3690, Hannon) is back before the Senate Health Committee. In 2011, the Senate passed the bill. (D-Kenmore) has introduced A.8979 (Schimminger) Prohibits a hospital from requiring board certification as a condition of having staff privileges, and prohibits a health insurance company from requiring board certification as a condition of being a participating physician in such plan. MSSNY opposes this proposed legislation: S.2190-A (Young) Expands the Doctors Across New York program, which is currently for physicians only, to include dentists without increased funding, was reported to the Senate Finance Committee. (MSSNY opposed because the program is already seriously underfunded. MSSNY is asking for immediate advocacy on A.1056 (Weinstein). This legislation would change New York's Statute of Limitations to a "date of discovery" rule which could drive up New York physician medical malpractice premiums by 15%. It is set to go before the Assembly Codes Committee on April 7. Please contact any of your legislators that are on the codes committee. They include these representatives from the following counties: Joseph Lentol, Chair (Kings), Tom Abinati (Westchester), James Brennan (Kings), Vivian Cook (Queens), Steven Cymbrowitz (Kings), Joseph Giglio (Allegany, Cattaraugus, Steuben), Al Graf (Suffolk), Charles Lavine (Nassau), Tom McKevitt (Nassau), Michael Montesano (Nassau), Walter Mosley (Kings), Daniel O'Donnell (New York), Nick Perry (Kings), Gary Pretlow (Westchester), Edward Ra (Nassau), Robin Schimminger (Erie, Niagara), Claudia Tenney (Delaware, Herkimer, Oneida, Orange, Otsego, Sullivan and Ulster), Michele Titus (Queens), Helene Weinstein (Kings), David Weprin (Queens), Keith Wright (New York), and Kenneth Zebrowski, Rockland. You may call, e-mail or use this link to send a letter: http://capwiz.com/mssny/issues/alert/?alertid=62618431&type=ST&show_alert=1 This legislation was very close to passage last year, but ultimately the Assembly did not take it up for a full vote after extensive physician advocacy in opposition. It does not have a sponsor in the Senate, but it is expected to be introduced. Thank Your from MSSNY Legislative Team Here is an excerpt from the Capital Update: Dear MSSNY and Alliance Members: As you may know the State Budget was enacted last evening and signed into law by Governor Cuomo this morning. By all accounts, MSSNY was very successful in achieving its goals during these budget negotiations. As the expression goes, “victory has many fathers,” and we can all take great pride in what we have accomplished. Your lobby team would like to acknowledge each and every County and Specialty Medical Society, MSSNY leadership, and the many rank-and-file physicians who answered the call for grassroots action and met locally with their representatives or wrote a letter and/or took a day away from their practice to travel to Albany to personally meet with their elected representatives on issues of importance to all of medicine. Sustained physician interaction with legislators and key policymakers can make a difference. It has been a tough couple of months, but because of your efforts we list the many successes that together we have achieved. NYS Health Benefit Exchange 590,639 New Yorkers have signed up for insurance on the state exchange, with 51% enrolling in a private plan. More than 70% of those enrolled did not previously have insurance. MSSNY has been conducting physician surveys about problems with the NYS Health Exchange policies and reporting these to the exchange staff. Among problems identified are failure to communicate whether a physician is part of an exchange plan (often physicians were given a letter indicating that they had to opt-out), failure to provide information regarding reimbursement for providing needed patient care and, in many cases, offering fees that are significantly below existing commercial coverage and failure to offer consumers adequate out-of-network coverage options. It was recently announced that health insurance policies in 2015 must meet these requirements: • Require health insurers to offer out of network products in the Exchange as a condition of offering coverage through the Exchange. Currently, a health insurer is only required to offer out of network coverage on the Exchange if it offers a similar product outside the Exchange. As a result, no insurer offered any products offering out of network coverage in the individual Exchange market in downstate New York. • Require health insurers offering coverage on the Exchange to increase the frequency of reporting of provider network changes as soon as they occur, but at least monthly. Currently, health insurers are only required to report these changes every 90 days. The purpose of this reporting is to assure plan networks continue to be adequate to meet the needs of their enrollees. • Require health insurers to clearly identify on their websites the networks specific to the Exchange. Currently, New York State’s Exchange website links to each health insurance website, but many of these insurer websites do not provide sufficient clarity regarding the physicians that are actually participating in its Exchange products, thus creating unnecessary confusion among those shopping for coverage and trying to access this coverage. MSSNYPAC If you are not a member, please considering joining along with your spouse to elect pro-medicine candidates. MSSNYPAC is a separate segregated fund established by MSSNY to engage in campaign activities in New York State. It accepts contributions from New York physicians, residents, students and Alliance members to achieve political recognition for physicians. It targets support for elected state and federal officials and candidates who advance physicians’ goals and strengthens physicians’ voice in governmental affairs. The New York Public Interest Research Group published a list of donors and the amount of contributions each made last year. For example, trial lawyers were listed as #7 and contributed 578,710 while MSSNY was listed as #40 with contributions of $213,024. MSSNYPAC needs our support! The PAC’s structure is an Executive Committee and subcommittees for federal and state elections. Please consider joining MSSNY PAC to support advocacy efforts. The Alliance contribution is $100. Contact Kathy Rohrer ([email protected]) for an application. Think, Don’t Drink YOUR MEDICAL ALLIANCE SEEKS VOLUNTEERS FOR "THINK, DON"T DRINK" STATEWIDE PROJECT It is not too late to request Think Don’t Drink cards from the state to distribute in your county! Each organized county distributes cards to their local florists, high schools and tuxedo rental shops. We would welcome volunteers across the state to get our message and cards to other local florists, prom gown shops, tuxedo rental shops or through prom invitations. The response of the merchants has been tremendously positive. The state continues to partner with the Golub Corporation's Price Chopper Supermarket Floral Departments to add a card to each corsage. If you would like to join our efforts please contact our Executive Director Kathleen Rohrer at [email protected] or 1-800-523-4405 ext. 396. Our membership is open to all spouses and domestic partners of physicians. Health News Tobacco purchase age raised. Suffolk County raised the age for tobacco sales from 19 to 21, passing a bill with some of the tightest restrictions over cigarette sales in the country. "This will save lives," MSSNY member, Dr. William Spencer, the bill's sponsor and a pediatric surgeon, said after the 10-8 vote. The bill restricts stores in Suffolk County from selling cigarettes, cigars, chewing tobacco, herbal cigarettes, rolling papers, pipes, as well as e-cigarettes, to those over 21. The law goes into effect Jan. 1 and could cost the county $412,000 lost in sales tax from tobacco sales, but provide long-term health savings of $2.9 billion. The law would impose fines of up to $1,000 for businesses that sell tobacco to customers younger than 21 on a first offense and up to $1,500 for second offenses. The local law follows action by New York City Council members to increase the legal age to purchase tobacco products from 18 to 21, the strictest limit currently in any major United States municipality. DEA’s National Prescription Take Back Day is April 26 from 10AM-2PM. JAMA Internal Medicine. published a CDC study that found that prescription drug use had remained relatively static over the past few years, at about one in 20 people ages 12 or older. However, previous CDC data showed that overdose deaths from prescription drugs had more than tripled between 1999 and 2010, from about 6,500 such deaths annually to about 16,000. The researchers decided to further parse their analysis by dividing people who misused drugs into several categories ranging from "occasional" to "chronic." People were defined as occasional drug misusers if they used prescription drugs for non-medical purposes no more than 30 days over the course of a year, while people were categorized as chronic misusers if they misused prescription drugs at least 200 days of the year. Overall, about two-thirds of people who misused drugs said they did so infrequently. The researchers found that the majority of people who misused prescription drugs obtained the drugs at no cost from friends or family. However, among chronic prescription drug misusers: 27.3% obtained the drugs through physicians; 26.4% obtained them through family members and friends at no cost; 23.2% purchased the drugs through friends and relatives; and 15.2% purchased them from drug dealers. Comparatively, about 62% of infrequent drug misusers obtained the drugs through friends and family members. News from Around the State Onondaga L to R: Joan Cincotta with Dr. Michael and Regina Sheehan Joan Cincotta and AMMSNY Co-President, Lynn Pyke, at the UNO fundraiser On March 26, 42 physicians and spouses gathered at a downtown restaurant for a wonderful evening of fun and camaraderie. The room was decorated with Doctors' Day mylar balloons, posters, tent cards, and printed napkins with the same motif. Each physician was presented with a red carnation as he/she arrived. Hot and cold hors d'oeuvres were served along with complementary wine and followed by a delicious meal served at stations which featured carved filet of beef and filet of pork, a choice of pastas and Caesar salad. Coffee and desserts were served after dinner. An engraved plaque was presented to a local physician who has been especially supportive of his wife's involvement and who has been an outspoken advocate of our Alliance. Dr. Michael Sheehan was totally surprised when his name was called as the recipient of this year's award. To continue the celebration, a three-day fundraiser was held at UNO Chicago Grill on the 28, 29 and 30 of March. A percentage of sales for the three days will be given to the Alliance for its Health Careers Scholarship Fund. All of the decorations were brought from the party and placed around the restaurant. Many people inquired about Doctors' Day. Tent cards with the story of Doctors' Day were handed out to customers along with some greeting cards that can be sent to one's physician in thanks for his/her dedication to the practice of medicine. (All of the items for Doctors' Day were purchased from the Southern Medical Society Alliance.) Our Think! Don't Drink! Campaign was executed again this year by Donna Lo Dolce. Texting and driving was addressed, as well drinking and driving, on the business cards sent to 50 local florists. One of our local physicians, Dr. Robert Dracker, annually backs this project financially. We are very grateful for his support. Our Spring Luncheon will be held on Wednesday, May 14. Our keynote speaker will be one of our Alliance members who has been involved with mission work in Haiti through her church. Scholarship winners will be announced and our Governing Board will be re-installed. We hope to give $7,000-$8,000 in scholarships this year. Money from our Holiday Ad and from our Raffle Basket will make up some of that amount along with contributions in excess of $3,000. Richmond On March 4, 2014, our Alliance presented two AEDs at the State Island Chef Extravaganza hosted by the Staten Island Heart Society. An AED was presented to Ms. Julie Gotteman from GRACE, Getting Resources for Autistic Children’s Equality. The other AED was presented to Melissa Costa from administration at the Francis School, a private non- sectarian equal opportunity college prep school. Left to Right: Alliance member, Donna L’Insalata, Julie Gottesman from GRACE, Melissa Costa from Francis School and Alliance member, Corrie Verde. Schenectady Schenectady Co-President, Helena Mirza with speaker Ray Gillian and Stephanie Cospito, Schenectady Co-President L to R: Helena Mirza, Schenectady Co-President, Karen D'Ascoli, Schenectady Alliance member and President of Schenectady Day Nursery, Karen McGann from Joan Nicole Prince Home, Mike Saccocio, City Mission, Elizabeth Chanberlain, City Mission and Stephanie Cospito, Schenectady Co-President. In December, our new fund raising event, the fashion show luncheon was a huge success. We raised close to $9000! We also adopted a family in need for the holidays. At our January general membership meeting we invited our 3 philanthropic recipients: The City Mission, the Joan Nicole Prince Home, and the Schenectady Day Nursery to send a representative and presented each a check for $2500. Each organization was thrilled and gave a 5 minute presentation. Our guest speaker was Ray Gillan, Executive Director of Metroplex Development Corporation, Chair/Commissioner of Economic Development and Planning of Schenectady County. He updated us on the revitalization going on in downtown Schenectady and neighboring towns. We met at the Clinton’s Ditch Pub Restaurant in Downtown Schenectady. Also in January, Lois Gullott, our scholarship chair, presented each of our two scholarship recipients fro, Ellis Hospital School of Nursing with an additional check for $3,000. The annual Ellis Hospital’s Winter Gala honored Alliance member, Louise Sattar and her husband, Medical Society member, Dr. Fouad Sattar. In March, we encouraged our members and their physician spouses to attend MSSNY’s Physician Lobby Day and Capitol Forum. We had a number of members attending both days including visits with our legislators. Our state CoPresident, Bonnie Liebers and Stephanie Cospito attended both days. Helena Mirza and Cheryl Stier attended Lobby Day. We also were in full swing with the AMSSNY Think, Don’t Drink annual project. State cards were counted, sorted, packaged and labeled for distribution with Golub’s Price Chopper Supermarket Stores’ Floral Departments. Cheryl Stier, Katie Singh along with Helena and Stephanie worked on this project. Mary Rose Parisi and Lois Gullott coordinated our county’s role in this project and contacted local florists. Cheryl and Stephanie are contacting the high schools. We are planning a general membership Spring/Gardening theme for April. We will be participating in the Annual Niska Day. We have ongoing projects throughout the year: Literacy Baskets (we provide children’s book for ages infant to toddler ages along with a hand knit baby hat quarterly to first time young moms who register and take the Before your Baby Basic’s Class at the Ellis Hospital Family Health Center). When needed, our county Alliance members help to make the heart shape pillows for cardiac surgical patients at Ellis Hospital. Planning Calendar AMSSNY Annual Meeting, Westchester Marriott, Tarrytown, NY AMAA Annual Meeting and Leadership Development, Chicago, IL April 10-11, 2014 June 6-10, 2014 Member-At-Large Membership The Alliance is doing important works within our state and across our country, taking an active voice in medical legislation and a meaningful role in health issues. The Alliance needs YOUR support in order to continue with these efforts. Though you may not have the time or inclination to become involved presently, payment of your dues will help those who are already actively engaged. If you desire to become involved, members-at-large have the opportunity to serve on the board and can be delegates to our convention. Alliance members continue to work on projects concerned with violence, internet safety, bullying, peaceful conflict resolution, awareness for the need of organ and tissue donation, health literacy, smoking cessation, the growing problem of obesityespecially in children, and many other health and legislative issues. JOIN US NOW If you are already a member… THANK YOU… Don’t forget to renew. Please Print Information Name: ________________________________ Spouse’s Name: ________________________________ Address: __________________________________________________ County: _________________ City: _______________________________ State: ________________ Zip Code: _______________ Phone: _________________ Work Phone: _________________ E-Mail: ______________________ Payments of dues for county, state and national should be made directly to your county alliance (if unsure if your county Alliance is active, call 1-800-523-4405). If your County does not have an active Alliance, you may become a Member-At-Large (MAL) by sending your State ($25) and National ($50) dues (Total of $75). Senior/Widows (65+ and 20 years active service) State dues are$12.50. ($62.50 if State and National) Please make checks payable to AMSSNY-MALs and submit to: AMSSNY-MAL 865 Merrick Avenue Westbury, NY 11590-9007