SB181 Going To Nevada Assembly

On May 18, 2015, in Uncategorized, by admin

Political contributions have taken priority over patient well-being and safety!  No cost savings for Nevadans just lining of the pockets of contributors, Crony Capitalism at the expense of patients.  SB181 was voted down 9 to 6 on Friday but some arm twisting happened by the Republican leadership who reopened it and did a re-vote resulting in passage 8 to 7.

You can observe the committee Work Session video at: http://nvleg.granicus.com/MediaPlayer.php?view_id=14&clip_id=4904
For SB181 footage play at the following times: 00:21:50 and again at 01:41:26

So this is not the end of SB181 which is still alive and must be voted down in the Assembly Floor now. To follow is the message to go to our members on how they can help us protect the most vulnerable poor, pregnant women, children and elderly.

We must reach out to the assembly and try to convince them to vote NO on SB181.  We need a communication tree:  reach out to ten people and then they need to reach out to ten people and so on, and so on…..

Dr. Teijeiro says the bill will go to the floor MondayTuesday or Wednesday….Please reach out to friends, family to voice their concerns to the Assembly on the lists below….WE HAVE NO TIME TO WASTE!!!

First email and call your own Assemblyman or Assemblywoman.  Identify them by clicking on this link and entering your street address and zip code and clicking on your “AD.”  It works best with a desktop computer:

http://mapserve1.leg.state.nv.us/whoru/

When you identify your legislator, find them on the list below and use the links to email them AND CALL THE NUMBER.  Talk to whoever answers or leave a voicemail after hours.  Identify yourself as a member of their district and tell them why this bill is bad:

1. MAINTAIN OUR QUALITY OF CARE:  You and your loved ones do not want to be left in the operating room with a 23 year old anesthesia assistant with only TWO years of training keeping you alive.
2. NO SHORTAGE:  If you identify yourself as an anesthesiologist, let them know NV has plenty of anesthesiologists available.  The so-called shortage and surplus of Medicaid patients is a smokescreen.  This bill is heavily funded and pushed by hospitals and others who intend to replace anesthesiologists and profit from this dangerous form of cheap labor. How often can doctors go spend days at the legislature? Rarely, but he doctors who stand to financially benefit have taken the time to personally go to Carson City to speak to the legislators and if there was such a shortage then how could they take so much time outside of the operating room.

AFTER YOU CALL YOUR OWN REPRESENTATIVE OR IF THEY ARE IN THE DON’T BOTHER GROUP BELOW, EMAIL/CALL AS MANY OF THE OTHERS AS YOU POSSIBLY CAN.

Here is the list of the ones that we need to THANK FOR VOTING AGAINST THIS BILL IN COMMITTEE AND STANDING FIRM TO PROTECT US.

[email protected]
401 South Carson Street
Room 3156
Carson CityNV 89701-4747
775-684-8803

[email protected]
401 South Carson Street
Room 3105
Carson CityNV 89701-4747
775-684-8597

[email protected]
401 South Carson Street
Room 4122
Carson CityNV 89701-4747
775-684-8553

[email protected]
401 South Carson Street
Room 4115
Carson CityNV 89701-4747
775-684-8831

[email protected]
401 South Carson Street
Room 4112
Carson CityNV 89701-4747
775-684-8829

[email protected]
401 South Carson Street
Room 4102
Carson CityNV 89701-4747
775-684-8587

[email protected]
401 South Carson Street
Room 3123
Carson CityNV 89701-4747
775-684-8847

THIS IS THE LIST OF MEMBERS WE NEED TO WORK ON.  Their position is unknown….

[email protected]
401 South Carson Street
Room 4110
Carson CityNV 89701-4747
775-684-8835

[email protected]
401 South Carson Street
Room 3129
Carson CityNV 89701-4747
775-684-8599

[email protected]
401 South Carson Street
Room 3105
Carson CityNV 89701-4747
775-684-8845

[email protected]
401 South Carson Street
Room 3130
Carson CityNV 89701-4747
775-684-8801

[email protected]
401 South Carson Street
Room 4111
Carson CityNV 89701-4747
775-684-8857

[email protected]
401 South Carson Street
Room 3124
Carson CityNV 89701-4747
775-684-8583

[email protected]
401 South Carson Street
Room 4121
Carson CityNV 89701-4747
775-684-8549

[email protected]
401 South Carson Street
Room 3131
Carson CityNV 89701-4747
775-684-8559

[email protected]
401 South Carson Street
Room 3134
Carson CityNV 89701-4747
775-684-8577

[email protected]
401 South Carson Street
Room 3125
Carson CityNV 89701-4747
775-684-8841

[email protected]
401 South Carson Street
Room 4105
Carson CityNV 89701-4747
775-684-8595

[email protected]
401 South Carson Street
Room 3159
Carson CityNV 89701-4747
775-684-8569

[email protected]
401 South Carson Street
Room 4104
Carson CityNV 89701-4747
775-684-8505

[email protected]
401 South Carson Street
Room 3119
Carson CityNV 89701-4747
775-684-8843

[email protected]
401 South Carson Street
Room 4114
Carson CityNV 89701-4747
775-684-8503

The following are the ones that we can convince or may vote AGAINST THE BILL, but we must reach out to them so they can voice our concerns with authoritative numbers.

[email protected]
401 South Carson Street
Room 4123
Carson CityNV 89701-4747
775-684-8563

[email protected]
401 South Carson Street
Room 3160
Carson CityNV 89701-4747
775-684-8821

[email protected]
401 South Carson Street
Room 4107
Carson CityNV 89701-4747
775-684-8573

[email protected]
401 South Carson Street
Room 4113
Carson CityNV 89701-4747
775-684-8537

[email protected]
401 South Carson Street
Room 3140
Carson CityNV 89701-4747
775-684-8545

[email protected]
401 South Carson Street
Room 4118
Carson CityNV 89701-4747
775-684-8541

[email protected]
401 South Carson Street
Room 3158
Carson CityNV 89701-4747
775-684-8507

DON’T BOTHER with these.  They are in FAVOR and will not budge or flipped on Friday in the committee vote.
Paul Anderson
Derek Armstrong
John Hambrick
Ira Hansen
Pat Hickey
Marilyn Kirkpatrick
Randy Kirner
Erven Nelson-FLIPPER
Phillip O’Neill
James Ohrenschall

Stephen Silberkraus-FLIPPER
Lynn Stewart
James Oscarson

 

Guys & Gals,

We do not want to lower the safety of our most vulnerable surgery patients. Please see this important development, a letter from the Nevada Osteopathic Board, on SB181 not necessarily viewed or voiced to the Assembly Commerce & Labor at the hearing last Wednesday.  We must get this out to the public.  I would appreciate you spreading this far and wide.  Use it in your correspondence with the committee members listed below, they need to know there are huge wrinkles in passing this bill.

Attached are important exhibits submitted during the hearing which none of us were informed about.  ACI and the big group up north are the ones who want this bill for obvious reasons.

  • The behavior of crazy proceduralists will be able to browbeat Anesthesiologist Assistants (AAs) into endangering patients lives
  • Unfortunately for the rest of us, this proposed law will displace anesthesiologists 4 times more often than CRNAs.
  • In a state declared emergency, Anesthesiologist Assistants (AAs) can practice without ANY supervision on very challenging patients.
  • Board Certified and Board Eligible anesthesiologists can supervise 4 AAs in separate surgical rooms.

As you realize if SB181 passes the Assembly, Nevada will change it’s standard of quality care from the best to the worst and so will the entire western states.  These AAs have been trying for about 5 years to get into Utah but the surgeons and Utahans have effectively blocked them there.  Most surgeons I have spoken with have no idea this is even being considered, the proponents of this bill (the greedy anesthesiologists and corporate hospitals) have done this under the cloak of secrecy.  The surgeons can’t believe that after years of hearing us inform them how much safer it is to select your anesthesiologist instead of being stuck with hospital controlled anesthesia providers, that some rogue anesthesiologists would want to lower the standard of care to their patients by using lower trained assistant in their ORs!

They claim there is an anesthesiologists shortage (there isn’t), that no one wants to come to Nevada, but the job offers by these guys was below national average so of course they didn’t get any valid candidates. They say they are offering ACT model jobs to CRNAs up north but this is reported as false by CRNAs (one who’s husband testified last Wednesday) who have asked for possible positions and been told there are none available.  The American Society of Anesthesiologists (ASA) is unbelievable because they quote 52,000 members but don’t bother to differentiate between anesthesiologist members, residents, CRNAs, AAs, PhDs, or any other non-anesthesiologist members.  The endorsement of SB181 by the ASA is like the endorsement of Obamacare by the American Medical Association (AMA). 

The testimonies are very deceptive and we can clearly change the outcome if we expose the facts by our numerous outcries. The letter from the former NV Medicaid Administrator, Charles Duarte, who deceased reimbursement by 43% to anesthesiologists but only 5% to hospitals in 2010, and is now a bureaucrat somewhere else, is especially offensive since he helped create the problems he complains of today.

We had a very good showing in opposition at the hearing and you can still voice opposition by: 

  1. Going to the website at:http://www.leg.state.nv.us/ Please see attached screen shots of website Home & Share Your Opinion page so that you click on the link and select or type in SB181 (highlighted in yellow) to share your opinion “Against” this bill.  Tell everyone you know to log on and select “Against” and leave a comment if they wish. Type in their name, home street address (in red marked areas) so the assembly member knows his/her constituents are against this bill.  Entering your Email and other information is optional.
  2. You can also call or email the committee members by clicking on the imbedded links for each member below:
Randy Kirner Chairman
Victoria Seaman Vice-Chairman   
Paul Anderson 
John Ellison
Michele Fiore
Ira Hansen
Erven T. Nelson
P.K. O’Neill

Stephen H. Silberkraus
Irene Bustamante Adams
Maggie Carlton
Marilyn K. Kirkpatrick
Dina Neal
James Ohrenschall  

Note Red names are Republican, Blue names are Democrat and the two bold names are co-sponsors of the bill who may have been deceived by the proponents.  We can stop this if everyone speaks up and opposes this bill.  This is not a partisan issue, this is a Nevada issue! If we remain silent the legislators will not understand the serious problems this law will create and none of the legislators know anesthesia or medical issues!  The legislators know one thing, they wish to either do the right thing or get re-elected and public outcry is the thing that works stronger than any lobbyist or campaign contributions. 

“All it takes for evil to triumph is good men to do nothing.” – Edmund Burke

 

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