American Society of Interventional Pain Physicians | June 27, 2018
Legislation Reversing Payment Cuts Moves Forward in Congress 

HR 5804, the Post-Surgical Injections as an Opioid Alternative Act, introduced Rep. John Shimkus and Rep. Raja Krishnamoorthi was included in the House Opioid package that passed the House of Representatives by a vote of 396 to 14.
The legislation will now go to the Senate for consideration.
This legislation reverses CMS payment cuts to 6 interventional pain management techniques taking ASCs back to 2016 levels (cuts were 16%-25%).
The important players in the Senate are as follows:
Orrin G. Hatch
Ranking Member 
Ron Wyden
Chuck Grassley (R-IA)
Mike Crapo (R-ID)
Pat Roberts (R-KS)
Michael B. Enzi (R - WY)
John Cornyn (R - TX)
John Thune (R - SD)
Richard Burr (R - NC)
Johnny Isakson (R - GA)
Rob Portman (R - OH)
Patrick J. Toomey (R - PA)
Dean Heller (R - NV)
Tim Scott (R - SC)
Bill Cassidy (R - LA)
Debbie Stabenow (D - MI)
Maria Cantwell (D - WA)
Bill Nelson (D - FL)
Robert Menendez (D - NJ)
Thomas R. Carper (D - DE)
Benjamin L. Cardin (D - MD)
Sherrod Brown (D - OH)
Michael F. Bennet (D - CO)
Robert P. Casey, Jr. (D - PA)
Mark R. Warner (D - VA)
Claire McCaskill (D - MO)
Sheldon Whitehouse (D - RI)
As you all know, to achieve these things it requires significant amounts of funding. The PAC money and SIPMS budget are exhausted. Please contribute as much as you can to SIPMS and ASIPP PAC so that we can continue working on all our behalves.
To pique your curiosity, we are including a link to a portion of H.R. 5804 from the Energy and Commerce Committee.
You can also watch the Energy and Commerce Committee debating the bill if you click on the link below and fast forward to 4:55:30 in the video. 

The Trump Appointee Who’s an Addiction Specialist

Dr. Elinore McCance-Katz, the Trump administration’s director of the Substance Abuse and Mental Health Services Administration, helped pioneer opioid addiction treatment with buprenorphine in clinical trials in the 1990s. She also helped create the training for doctors who want to prescribe it. What follows is a condensed interview with her.
How much of your time is spent addressing the opioid epidemic?
I probably spend half of my time on it. I also, of course, spend time on serious mental illness issues, and on planning; keeping the organization running; making sure all the various components of what is a large and complicated organization are continuing and getting worked on.

Interventional Pain Management Reports is an Open Access online journal, a peer-reviews journal dedicated to the publication of case reports, brief commentaries and reviews and letters to the editor. It is a peer-reviewed journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. 

Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician . Interventional Pain Management Reports Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.  

The benefits of publishing in an open access journal that has a corresponding
print edition journal are:  
  • Your article will have the potential to obtain more citations.
  • Your article will be peer-reviewed and published faster than other journals.
  • Your article can be read by a potentially much larger audience compared with traditional subscription-only journals.  
  • Open Access journals are FREE to view, download and to print.

So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Short Perspectives

Essentials of Interventional Techniques in Managing Chronic Pain Available for Order!
  • Comprehensive textbook of interventional techniques in managing chronic pain
  • Covers spinal interventional techniques, peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections and implantables
  • Step-by-step guidance backed up by the latest evidence

This comprehensive review covers the full and latest array of interventional techniques for managing chronic pain. Chapters are grouped by specific treatment modalities that include spinal interventional techniques, nonspinal and peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections, and implantables. Practical step-by-step and evidence-based guidance is given to each approach in order to improve the clinician's understanding. Innovative and timely, Essentials of Interventional Techniques in Managing Chronic Pain is a critical resource for anesthesiologists, neurologists, and rehabilitation and pain physicians.

Another Oxycodone Drug Set to Go Before FDA Advisors
Remoxy intended to deter abuse by smoking, snorting or injecting

FDA advisory committees will hold a joint session Tuesday to evaluate the safety and efficacy of extended-release oxycodone capsules (Remoxy ER), with the drug formulated as a thick gel that the developer says will resist certain common forms of abuse.
Pain Therapeutics of Austin, Texas, seeks an indication for "pain severe enough to require daily, around-the-clock, long-term treatment and for which alternative treatment options are inadequate."

Remoxy ER is a product "that can be expected to meaningfully deter the injection, snorting and smoking routes of abuse," the company noted in its  briefing documents , stressing that it had not requested a label claim related to oral abuse.

Kids' exposure to addiction drug rose 215% in three years, study says

More than 11,200 calls concerning children's exposure to buprenorphine, an opioid medication used to treat opioid use disorder, were made to US poison control centers from 2007 to 2016, a new study found. Eighty-six percent of the exposures were in children below the age of 6; 89% of the exposures were unintentional.
"This is never prescribed for children under 6. It is a significant risk to them," said Henry Spiller, director of the Central Ohio Poison Center and an author of the study, published Monday in the  journal Pediatrics . "We're not quite sure why it stands out so much. Perhaps the parents who have this may not think it's as risky as their other opiates because it doesn't have the big effect that the other opiates do for them," he said, in reference to the medication being left out or within reach of children who then try it.
Experts view these numbers as an unintended consequence of medical therapy being provided to those who need it, said Dr. Jason Kane, an associate professor of pediatrics and critical care at University of Chicago Medicine Comer Children's Hospital.

May/June 2018 Issue Features

Systematic Reviews
  • Role of Unilateral Balloon Kyphoplasty for OVCSF
Comprehensive Review
  • Patters, Changes, and Trends in Prescription Opioid Dispensing in Canada
  • Stem Cells for the Treatment of Knee Osteoarthritis
Randomized Trials
  • Effect of Different Volumes on Pain Relief in Patients Receiving Fluoroscopic Guided Interlaminar Lumbar Epidural Steroid Injections
  • Noninferiority Trial Comparing Upper and Lower One-Third Joint Approaches for SI Join Injections
  • Efficacy and Safety of Bone-filling Mesh Container and Simple Percutaneous Balloon Kyphoplasty

Are You Perfect? Then Don't Expect Patients to Be

We've all heard the excuse or explanation that "it's society's fault" to explain someone's failure. We hear expressions like this often when an individual has committed a crime or simply failed to succeed. If we are told that this person came from an imperfect home, had no role models, or ample education, personal accountability is diluted.
These arguments are often wielded by those who have been favored with society's blessings and advantages.

DOJ News

Texas Physician and Two Texas Nurses Convicted for Roles in Home Health Care Fraud Scheme
A federal jury found one physician and two nurses guilty today of health care fraud, and one physician and one nurse guilty of conspiracy to commit health care fraud, all for their roles in a home health fraud scheme.
Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, U.S. Attorney Erin Nealy Cox of the Northern District of Texas, Special Agent in Charge C.J. Porter of the U.S. Department of Health and Human Services Office of Inspector General’s (HHS-OIG) Dallas Region, Special Agent in Charge Eric Jackson of the FBI’s Dallas Field Office and Director of Law Enforcement David Maxwell of the Texas Attorney General’s Medicaid Fraud Control Unit (MFCU) made the announcement. 
After a five-day trial, Kelly Robinett, M.D., 70, of Denton County, Texas; and Kingsley Nwanguma, 47, of Dallas County, Texas were each convicted of one count of conspiracy to commit health care fraud. In addition, Robinett and Nwanguma were each convicted of three counts of health care fraud, and Joy Ogwuegbu, 42, of Collin County, Texas was convicted of four counts of health care fraud. Sentencing before U.S. District Judge Reed O’Connor of the Northern District of Texas, who presided over the trial, has not yet been scheduled. 


State Society News 

July 19-22, 2018
FSIPP 2018 Annual Meeting, Conference, and Trade Show
Florida Society of Interventional Pain Physicians
One South County Road, Palm Beach, FL 33480
Click Here for more information

July 14, 2018
WVSIPP launches Regional Conference Series, WV PainCare
The West Virginia Society of Interventional Pain Physicians has created an educational series titled WV PainCare.
Huntington, WV - July 14, 2018
Lewisburg/Beckley, WV - October 20, 2018
Morgantown, WV - December 1, 2018
Click HERE for more information

Aug 17-19, 2018
Ohio and Kentucky SIPP Meeting
Click HERE for more information

July 12-14, 2019
GSIPP 2019 - 15th Annual Meeting & Pain Summit
The Cloister Hotel at Sea Island
Sea Island, GA
For more information, contact Karrie Kirwan at or Tara Morrison at or 770-613-0932.

Send in your state society meeting news to Holly Long,
ASIPP | Pain Physician Journal | Phone | Fax | Email