IOP news & updates

June 3, 2022| Issue 9

Upcoming Events

Now Accepting Nominations!


Do you know a colleague that should be recognized for their exceptional patient care, contribution to their community, and Idaho optometry? How about an outstanding staff member who is your "go-to" when it comes to helping in the office with patients, doctors, and your team? Submit your nomination(s) before August 31.

* Complete the form(s) below OR simply send an email with the information to execdir@iopinc.org.  


2022 OD of the Year Application


2022 Paraoptometric of the Year Applications

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President's Comments

One of the more helpful things the IOP President does is attend the President's Council, where state optometric association presidents all convene together to share ideas. This is especially helpful as more states successfully pass scope expansion legislation and share resources and strategies. At President’s Council last month I spoke extensively with the team from Virginia as they ride the wave of their recent laser expansion. This is an exciting time in that as many as 20 states are working through the process of introducing legislation that updates optometric scope of practice. There is so much activity now that the AOA State Government Relations Center is holding regional meetings to build on recent victories, which we will attend in Salt Lake in July.


This year, the President's Council was held concurrently with the AOA on Capitol Hill event where we visited with our members of congress. Dr. Jared Birch and I met with staff of all four of Idaho’s legislators in Washington DC. We encouraged them to cosponsor the DOC Access legislation, which is finally getting some traction at the federal level. We asked them to permanently fix the recurring Medicare cuts that providers are threatened with every year. We strongly encouraged them to write letters to the Veterans Administration to make sure optometrists can practice to the full level of their training within the VA system, including providing laser surgical treatments, as the National Practice Standards for optometry are being updated. Both of our Senators requested sample language for these letters, which is encouraging. Finally, we asked them to support the Robocall bill which would close that annoying loophole online contact lens sellers use to skirt the system.


It continues to be a pleasure to serve and I’m excited about the months to come!


Dr. Todd Slusser

IOP President 2022

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Legislative Report - Spring 2022


Where did we leave off?

    We’re going for scope expansion in 2022-2023. We are removing the exclusion of therapeutic lasers from our law, allowing for YAG, SLT, and LPI for those that choose to offer these services to your patients.

    The State Board of Optometry (reminder - not the IOP) is undergoing a rules review by DOPL (Division of Occupational and Professional Licenses) under the zero-based regulation executive order. This means that the rules that clarify our statute are being reviewed to get rid of “costly, ineffective and outdated regulations.” The proposed changes so far have been administrative in nature. The IOP will continue to keep a close eye on any proposed changes and will weigh in if necessary.


What has happened since then?

    The legislative committee has been hard at work checking off the boxes on our legislative strategy plan for the upcoming legislative session.


We have completed the following since our last meeting:

  • Create a “one-pager” handout with information on the upcoming legislation
  • Created a timeline for our laser road show and secured optometric offices that will host
  • Created a business card for the roadshow to shoot the YAG laser at -Mailed out Key Person packets with all relevant handouts / information / assignments -Made primary campaign contributions and hand-delivered them to legislators when possible
  • Met with Senator Grow, our legislative champion to check in and deliver a contribution
  • Created a website to educate legislators with the facts about what our law will accomplish
  • Added on an additional lobbyist firm to help push the bill across the finish line


   Your legislative committee is continuing on down our checklist and will be hard at work this summer getting everything done so that all the pieces are in place by the fall.


What do I need to do now?

    There were quite a few surprises in the primaries this year. With a lot of new legislators joining us in the next session, now is the time to take a look at your local election results to see if the legislators in your area are friends, neighbors, patients, or someone you already have a relationship with. It would be awesome if you could send them a congratulatory letter / email / text and invite them to your office to see what it is that optometrists do. If they already know, please invite them to our laser roadshow this fall so they can get hands-on experience with a laser and learn even more about what we’re trying to accomplish. And then update the IOP! We want to make sure no legislators get lost in the shuffle, so whether it’s updating the KP dashboard, sending an email to myself or Lisa, or letting your regional director know - we need your help with keeping a headcount as we head into the next legislative session.


   Thank you for those of you working hard on cultivating those relationships with your legislators or sending them donations during the primaries / general election. Every little bit helps!   


Dr. Lauren Huber

IOP Legislative Committee Chair

Insurance Advisory Committee

The joint AOA on Capitol Hill and AOA Payer Advocacy Summit, convened in our nation’s capitol April 24-26 to discuss the Dental and Optometric Care Access Act (DOC Access Act), H.R. 3461/ S. 1793, and the Public Health Service Act (the PHS Act), commonly referred to as the Harkin law. This meeting brought together nearly 600 vocal advocates of optometry to voice their concerns about the increasing and outrageous burdens imposed by payers.


“The AOA is educating and informing lawmakers about efforts by certain plans and insurance executives to gain control of our practices and interfere with doctor-patient decision-making. By supporting bipartisan legislation that is gaining momentum and working closely with groups like the American Dental Association and leading national, pro-patient advocates, we’re mobilizing to change a rigged system. This year, we’re almost singularly focused on building support for legislation fighting back against vision plan abuses … and we’re proud to have more than a half-dozen new national groups—from both the left and right sides of the political aisle—fighting alongside us, backing our call for Congress to pass the DOC Access Act now,” said AOA President Robert C. Layman, O.D.


Nearly one-third of patients in any given state have a federally regulated vision and/or dental plan that is not subject to state rules. The DOC Access Act would ban plans from limiting patients' and doctors' choice of labs, as well as price fixing for noncovered services and materials. Federal agencies are working on regulations to implement the Harkin law's nondiscrimination standards, which are found in section 2706(a) of the Public Health Service Act (the PHS Act). The AOA Payer Advocacy Summit devoted clear attention to addressing provider nondiscrimination, education about billing medical plans before vision plans, as well as information on compliance with key federal laws.


The criteria for physicians of optometry to be credentialed with vision plans in order to secure a position on the medical plan panel are of particular interest to AOA; other provider types are often not required to meet this condition. Information about health and vision plan practices from you is vital to AOA's advocacy to end payer practices that make it difficult for patients to see you and for you to practice to the fullest extent of your scope.


The American Optometric Association has long fought for parity in reimbursement for optometrists, as well as an end to health insurers' and vision programs' abusive practices. We now have a chance to impact major regulations addressing discrimination in health and vision plans, and your open comment is critical.


Here’s what you can do.

The AOA needs to be apprised of the experiences of doctors and their patients and is encouraging all optometrists to email Rodney Peele, Director AOA Third Party Center, RPeele@aoa.org

 

Best Regards,

Dr. Terri L. Haley

IAC Chair

insuranceadvisory.iop@gmail.com 

Communication Committee

The communications committee is proud to announce that our “Laser Roadshow” has been scheduled. Everyone we speak to about this event is excited as we are. This roadshow is going to give us an opportunity to build relationships with our legislators and dispel myths and fears regarding in-office laser procedures. Our legislators will get to see hands on how these lasers work and even fire them at a business card. We will make at least ten stops throughout the state, with a location near you. We will be communicating those details with you shortly; including dates and locations. Once you receive that information, please mark your calendars. Your attendance and support are critical in making this event a success. We want to thank all of the doctors who have volunteered their offices as locations for this event as well as PCLI and Dr. Dan Schrempp for providing the laser.  


We also wanted to let the membership know that our hard-working executive director, Lisa White, is putting the final touches on our new legislative website called Access Eyedaho (www.accesseyedaho.com). I encourage you to visit and explore the site. It is very informative. This website is intended to be shared with our legislators and the public to educate them on Optometry and our scope. It will be a great resource we can use during next year’s legislative session. 


I just wanted to mention that as many of you may know there are now 11 states who have passed scope laws including laser privileges. The most recent being Colorado. It’s an exciting time for Optometry, especially here in Idaho as we hope to join that list.  


Respectfully,

Dr. Cody Jones

IOP President Elect

Membership Committee

To promote growth and camaraderie throughout our IOP community, we will begin highlighting some of the dedicated members throughout our state! Every month, we will feature an IOP member on our social media pages. Then every quarter, we will highlight a practice in this newsletter. We can’t wait to learn more about you and all the amazing things you do!


We also want to celebrate with you! If you have a major life event, an accomplishment, or other exciting news you want to share with the IOP community, please email Dr. Jeff Ness at iopmemcomm@gmail.com.


Be on the lookout for an invite to join a new Facebook group, exclusive for our IOP members. We hope this will provide another great way to connect with each other.


Continue to look for text messages, emails, and social media posts regarding legislative updates, meeting announcements, and other IOP news. We thank you for your membership and the value it brings to your career and your patients. With so many big steps coming for optometry in our state, there is no better time to make your voice heard through your involvement!


Please contact Dr. Jeff Ness with any membership questions or contact information updates at iopmemcomm@gmail.com.


Facebook: @IdahoOptometricPhysicians │ Instagram: @Idaho_Optometric_Physicians


Dr. Jeff Ness

IOP Membership Committee Chair

2022 Primary Election

Recap & Analysis


Statewide Elections Wrap-Up

On Tuesday, May 17, 2022, Idahoans cast their votes to determine what candidates will face off in this November’s General Election. At the top of the ticket (statewide offices), the establishment Republicans, or what some might refer to as traditional Republicans, won just about every race except for Idaho Attorney General. There were no contested races in the Democratic Primary. Currently, all statewide offices are held by Republicans, and I do not expect a realistic challenge in any of the statewide races in November, except for possibly the Superintendent of Public Instruction. Below are the results the key contested races.


Sitting Governor Brad Little easily defeated far-right challenger Janice McGeachin (the current Lieutenant Governor). Scott Bedke (the current Speaker of the House), defeated far-right challenger, Priscilla Giddings (a current member of the Idaho House of Representatives). Former State Board of Education Chair Debbie Critchfield defeated incumbent Sherri Ybarra for Superintendent of Public Instruction, Phil McGrane (current Ada County Clerk) defeated far right challenger Dorothy Moon (a current member of the House of Representatives) and finally, Raul Labrador (a far-right former U.S. Congressman), defeated incumbent Lawrence Wasden for Attorney General.


Legislative Wrap-Up

To put it bluntly, Tuesday’s Primary was a bloodbath for Republicans. 19 incumbent Republicans lost. These losses were primarily due to redistricting and the influx of new out-of-state voters who have relocated to Idaho. If I had to sum the primary up in a nutshell, it appears that the House of Representatives has become more moderate and the Senate has become more conservative. How far those chambers change will depend on who is Speaker in the House and Pro Tempore in the Senate. At this time, it is unclear who will win those top posts. Again, there were few contested races on the Democratic side of the legislative ticket. Below is a list of the 19 Republican incumbents who lost.


Sen. Jim Woodward             Rep. Scott Syme                    Rep. Karey Hanks

Rep. Jim Addis                      Rep. Greg Chaney                 Rep. Ron Nate

Rep. Paul Amador                 Sen. Jeff Agenbroad              Rep. Chad Christensen

Sen. Peter Riggs                    Sen. Steven Thayn

Sen. Carl Crabtree                 Rep. Gayann Demordaunt

Rep. Terry Gestrin                 Sen. Fred Martin

Sen. Jim Rice                         Rep. Greg Ferch

Rep. Ryan Kerby                   Sen. Jim Patrick


What Does it All Mean in the House

As I mentioned earlier, it appears the House has lost a significant number of far-right conservatives due to losses in the primary, retirement, or choosing to run for a statewide office or Senate seat. At this point, I think Representatives Mike Moyle (Current House Majority Leader) and Representative Jason Monks (Current House Assistant Majority Leader) are the front runners for Speaker. Both are very similar in their viewpoints, so whoever wins will probably appoint similar Committee Chairs, but you never know.


There will also be big changes at the Committee level. Seven of the 15 House Standing Committee Chairs will not be returning to the House. Even the returning Committee Chairs might not be chairing the same committees or any committee at all depending on who wins the Speaker race. In addition, the membership of the different committees will be dramatically reshuffled. It is important to note that House Health and Welfare Chairman Fred Wood retired and that at least four other members of the House Health and Welfare Committee will not return including, Representatives Marc Gibbs, Chad Christensen, Laurie Lickley, and Greg Ferch.


Both Minority Leader Ilana Rubel and Assistant Minority Leader Lauren Necochea of the Democratic leadership were reelected, so I do not much expect much change at the top of the House Democratic Caucus.


What Does it All Mean in the Senate

The Senate will be even more chaotic and will shift to the political right. While all four members of the Republican Leadership Team were reelected, more than half (19) of the Senate is gone due to retirement, choosing to run for statewide office, or losing in the Primary. I fully expect Senate Pro Tempore Chuck Winder to be challenged from the right. There is a strong possibility that the Republicans could have a completely different leadership team. There will be major changes with the Democrats as well because both the Minority Leader and Assistant Minority Leader retired.


Only three of the ten Committee Chairs will be returning. As such, there will be lots of reshuffling at both the Committee Chair and Committee Member levels. It is way too early to predict who will end up on what committee at this point in time. It is important to note that Senate Health and Welfare Chairman Fred Martin lost in the Primary and that at least four other members of the Senate Health and Welfare Committee will not return, including Senators Peter Riggs, Lee Heider, Christy Zito and Michelle Stennett.

 


Sine Die Report


2022 Legislative Session Overview

The 2022 Legislative Session began on January 10, 2022. As it is an election year, the Idaho Legislature completed its business in a more traditional timeframe – They adjourned Sine Die (Latin for without a day) on Thursday, March 31. As you may recall, the Legislature did not adjourn Sine Die in 2021 until mid-November – The longest session in Idaho history.


The 2002 Idaho Legislature spent the majority of the session debating on how to spend the state’s nearly $2 billion surplus. The Legislature also spent a significant portion of its time introducing and debating many culture war issues ranging from abortion, mask and vaccine mandates, transgender issues, and even locking up librarians.


Ultimately after much back and forth, the Governor and the Idaho Legislature settled on how to spend Idaho’s significant surplus. The majority of the money was spent on tax cuts, teacher pay increases, mental health, and many one-time infrastructure projects that included investments in roads, bridges, broadband, and filling up the state’s rainy-day funds to prepare for the next economic downturn.


General Health Care Wrap-Up

As always, there are many bills that are introduced and considered that deal with healthcare. Two of those bills indirectly impact the profession of Optometry.


House Bill 756, the Crisis Standards of Care Act, is a direct response to COVID-19 and basically guarantees Idaho patients certain rights while they are in the hospital during a crisis event. A crisis event can be anything from a pandemic, a plane crash, earthquake, etc. It charges the Department of Health and Welfare with the responsibility of limiting the duration and scope of operating in crisis standards of care and developing long-term capacity strategies to reasonably prepare for future surges in healthcare demand. HB 756 asserts that all existing patient rights shall be honored under crisis standards of care. It requires both the facility requesting crisis standards of care and the Department to make reports that include mitigation plans for limiting the scope and duration of crisis standards of care.


House Bill 778 makes some modifications to the Idaho Patient Act. In general, this bill further limits the actions that can be taken by healthcare providers to collect on medical bills from their patients. Specifically, HB 778 clarifies that the pursuit of overdrawn checks for the amount of the overdrawn check is not an extraordinary collection action, provides a faster timeline for adverse credit reporting in exchange for giving up the ability to pursue other extraordinary collection action, adjusts the timing and content of certain necessary patient communications as well as the burden of proof, before engaging in an extraordinary collection action against a patient. The legislation also provides intent language to further clarify that the limits on costs, fees, and attorney’s fees began with any extraordinary collection action commenced on or after January 1, 2021, regardless of when the goods or services were delivered to the patient.


Optometry Wrap-Up

For the most part, it was relatively quiet on the Optometry front. There were no bills introduced that specifically addressed the profession of Optometry. However, administrative rules for the profession of Optometry are in the middle of being reviewed and updated as part of Governor Little’s Zero Based Rules (ZBR) review process. As you may know, ZBR is process where the Idaho Division of Occupational and Professional Licenses reviews administrative rules for each of the licensing boards under its management. The Idaho Optometric Physicians (IOP) via myself and IOP Executive Director Lisa White have been engaged throughout this process, and we are closely working with IDOPL staff to ensure that the rules protect the public and make it easier for Idaho’s Optometrists to carry out their profession.


As always, it has been my pleasure to represent you at the Idaho Legislature. If you have any questions, or need additional information, please don’t hesitate to contact me.


Lance Giles,

The Giles Group

lance.giles@thegilesgroup.net

Final Comments...


2022 Congress registration is open!  Click here for more information. 


One goal for 2023 (besides passing our legislation) is to increase your membership benefits.  

We are looking for companies to partner with that offer organization discounts or reduce dues. If you have any suggestions, please send them to Misty @ iopmeetings@gmail.com


We are exploring opportunities to source benefits, including medical, vision, and dental insurance. But WE NEED YOUR HELP. Please complete this five-minute survey, https://www.surveymonkey.com/r/BNXBXL6It will help us determine the possibility of offering our members a group health insurance benefits program. If you respond before June 15th, you will be entered to win a $20 gift card. Learn more here.


I realize you've read plenty about legislation in this issue, so I'll sign off with one last tidbit, our VOTE EYE cards. Legislators, including those currently not in an office but running in the November general election, will have the opportunity to shoot the laser and remove the red dot in the exclamation point (!) of the card! The dot will be removed but, the card won't be penetrated; a great learning experience for them.  

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As always, contact me with your comments, questions, or concerns.


Enjoy the summer and see you in September!

Lisa White

IOP Executive Director