Advancing the Scope of Practice for Pennsylvania Optometry

As optometrists, we have the privilege of being the first line of defense in protecting our patients' vision and eye health. However, as the demands of healthcare evolve, so too must our ability to provide comprehensive care. The need to advance the scope of practice for optometry in Pennsylvania has never been more critical. It’s not just about enhancing what we can do—it's about ensuring that our patients receive the best possible care and that our profession continues to thrive in the future.

Across the country, we’ve seen significant strides in scope expansion. States like Kentucky, Louisiana, and Oklahoma have successfully advanced their scope of practice, allowing optometrists to perform procedures such as laser surgeries, administer injections, and manage a broader range of ocular conditions. These advancements didn't happen overnight—they were the result of persistent advocacy, rigorous training, and a commitment to patient safety.

One of the most compelling arguments in favor of scope expansion comes from a study that evaluated the safety and effectiveness of advanced optometric procedures. This study found that doctors of optometry perform these procedures with a high degree of safety, comparable to other healthcare providers. The findings underscore what we have known all along: that with the right training and education, optometrists are more than capable of delivering advanced care safely and effectively.

So, why should Pennsylvania optometrists advocate for scope expansion? Here are the top five reasons:

1. Improved Access to Care: Expanding our scope allows patients to receive comprehensive care more quickly, without unnecessary referrals or delays.
2. Enhanced Patient Outcomes: With the ability to manage more complex cases, optometrists can provide more timely interventions, leading to better outcomes for our patients. 
3. Cost-Effective Care: By enabling optometrists to perform advanced procedures, we can reduce the overall cost of eye care by minimizing the need for multiple specialists.
4. Reduction in Healthcare Burden: As primary eye care providers, expanding our scope allows us to alleviate the burden on other healthcare providers, particularly in underserved areas.
5. Professional Growth and Satisfaction: Scope expansion opens new avenues for professional development, allowing us to grow and excel in our careers while meeting the evolving needs of our patients.

While many optometrists in Pennsylvania are content with their current practice, it is essential to recognize that scope expansion is not just about today—it’s about our future. It's about ensuring that the next generation of optometrists has the tools and authority to meet the challenges of tomorrow's healthcare landscape. 

If we are not advancing, we are moving backward, not just simply standing still. By resisting change, we risk being left behind, not only as a profession but in our ability to provide the highest standard of care to our patients. As we look to the future, let’s remember that the fight for scope expansion is not just for us—it’s for every optometrist who will follow in our footsteps, and for every patient whose vision and quality of life depend on our care.

Let’s work together to ensure that Pennsylvania remains at the forefront of optometric care, providing our patients with the best that our profession has to offer.

In Service and Progress,  

James Deom, O.D., M.P.H., F.A.A.O., F.S.L.S. 

President, Pennsylvania Optometric Association

A critical moment for children’s vision legislation

Dear colleagues,

As we reflect on the recent completion of the Pennsylvania state budget, we find ourselves at a critical juncture. While many important issues were addressed, our children's vision legislation, which aims to make comprehensive eye exams mandatory for children prior to entering school, was not passed or even voted out of committee. However, we have one final opportunity to change that—a chance akin to a hail Mary pass in football or a buzzer-beater shot in basketball. This fall, before we enter a new legislative session next year, we must rally together to advocate for this crucial legislation.

The Importance of Comprehensive Eye Exams for Children

Every day, we see firsthand the difference that early detection and treatment of vision problems can make in a child's life. Comprehensive eye exams are essential for diagnosing conditions that can significantly impact a child's learning and development. Issues such as amblyopia, strabismus, and significant refractive errors often go undetected without a thorough eye exam, leading to difficulties in school and beyond.

The future of the children of the Commonwealth depends on us. By making comprehensive eye exams a standard requirement before children enter school, we can ensure that every child has the visual foundation necessary to succeed academically and socially. This legislation is not just about eye health; it’s about giving our children the best possible start in life.

Rallying for Change: Engaging Hearts and Minds

To achieve this goal, we must appeal to the hearts and minds of our patients and legislators. Share your stories with your patients—stories of children whose lives have been transformed by timely eye care. Encourage them to contact their legislators and express their support for the children’s vision legislation. Personal testimonials can be incredibly powerful in demonstrating the real-world impact of this initiative.

Additionally, you must reach out to your local representatives. Explain the importance of early detection and treatment of vision problems and how this legislation can make a profound difference in the lives of countless children. Emphasize that investing in children’s vision now will pay dividends in their future success and well-being.

A Unified Effort

Our association is committed to supporting you in this advocacy effort. We will provide resources, talking points, and guidance on how to effectively communicate with patients and legislators. Together, we can create a groundswell of support that cannot be ignored.

In closing, I urge each of you to take action. The window of opportunity is narrow, but with a unified and determined effort, we can achieve our goal. The future of the children of the Commonwealth is in our hands. Let us seize this moment and ensure that every child has the chance to see clearly and succeed fully.

Thank you for your dedication and commitment to this vital cause.

Sincerely,

Dr. James Deom

POA President

Navigating life's path

Dear Colleagues,

As the Pennsylvania Optometric Association moves through another year, it's crucial to remind ourselves of the core mission that binds us together: advocating for our patients and tirelessly working to protect and expand the scope of practice for optometrists to the full extent of our education and training. Our dedication to this mission is exemplified through our extensive educational outreach and the ongoing efforts to ensure that every Pennsylvanian can experience the highest quality of life through optimal vision health.

This year has been particularly significant as we mark the culmination of over two decades of advocacy and public education focused on children's vision. Our efforts have always been fueled by the transformative stories of children who see the world clearly for the first time, thanks to the simple yet profound impact of a correct vision diagnosis followed by treatment with glasses or contact lenses. These stories inspire us and highlight the profound difference our profession can make.

However, today, I want to share a different kind of story—a reminder that our work impacts lives beyond the immediate scope of childhood vision care. Recently, a 68-year-old man visited my office. While waiting, he read a flyer about the POA's children’s vision initiatives. This gentleman was 20/50 best corrected in both eyes, a condition that went undiagnosed until his 30s when he first received glasses during a prison term. He shared with me how he felt that his undiagnosed vision problems contributed to his challenges in school and ultimately led him down a path that resulted in his incarceration. He wondered if his life might have been different had he received the vision care he needed as a child.

This encounter serves as a powerful reminder of the broader social implications of vision care. It underscores the importance of our commitment to ensuring comprehensive eye health and vision care for all ages. This man’s story is a testament to the critical need for universal access to optometric services—not only for children but for every individual at every stage of life.

As we continue to advocate for the access of optometric practice, let us also remember the profound societal impact that can result from our dedication to vision health. Our efforts have the power to change lives in ways that reach far beyond the exam room, influencing the educational, social, and even judicial trajectories of those we serve.

Let's carry forward our commitment to advocating for comprehensive eye care, reinforcing the notion that good vision is a cornerstone of overall health and well-being. Together, we can ensure that no one, irrespective of age or life circumstance, has to navigate life's path without the clear vision they deserve.

Warm regards,

James Deom, O.D. MPH F.A.A.O. FSLS 

President

Pennsylvania Optometric Association

Accessible, comprehensive eye care

 As this summer comes to an end, the POA stands proudly at the forefront of a transformative season filled with dedication, outreach, and innovation. Guided by a shared commitment to create access to high‐quality eye health and vision care for all citizens of Pennsylvania, we reflect on the journey that has brought us to this moment and look ahead with optimism and determination.

The POA has exemplified the true essence of its mission—providing education, advocacy, and support for Doctors of Optometry to be licensed and equipped to practice to the fullest extent of their training. Our tireless efforts in raising awareness, advancing education, and advocating for accessible eye care services for all Pennsylvanians have resonated.

One of our cornerstones this summer has been our unwavering commitment to children’s access to our care. We recognize that a well-informed community is an empowered one, capable of making informed decisions about their children’s ocular health. From informative public outreach to engaging social media campaigns, the POA has harnessed every platform to disseminate critical information about the importance of regular eye examinations for our children. The detection of eye conditions, and the benefits of adopting a proactive approach to eye care early on could change the life of a child. Here’s an interview with POA Past President Dr. Tracy Sepich where she explains the benefits and importance of consistent and preparatory eye exams in children. 

Moreover, this summer has been marked by our dedication to outreach. We continue to volunteer our care for underserved communities, partnering with POA Business Partner VSP Vision to provide free comprehensive eye exams and eyewear to those who need it most at the Salvation Army Harrisburg Capital City Region. By dismantling barriers to access, we've opened doors to a brighter future for those we help, ensuring that poor vision will no longer be a hindrance to their aspirations. Volunteers are always welcome to join us at the free eye exam event. You can register here. 

As President of the POA, I am profoundly grateful for the dedication and passion demonstrated by each member of our association. Your commitment to our shared vision and mission has been the driving force behind our collective success. Let us move forward with renewed vigor, embracing the challenges and opportunities that await us in the coming months.

In conclusion, let the spirit of this summer serve as a reminder that our objectives are attainable when we work together toward a common goal. Check out the POA's Strategic Plan here.

The POA will continue to champion accessible, comprehensive eye care, fostering a healthier and brighter future for our Commonwealth.

Please enjoy the last few days of summer. I hope to see you all in Bedford this November.

Most sincerely,

Jesse

Jesse Jones, O.D.

POA President

Looking back...and ahead

The first quarter is now in the rearview mirror and we are well into spring. Let's take a few moments to look back at what we have accomplished over the last couple of months at the POA and what we have set our sights on for this coming summer and fall. 

In late March, there was a substantial showing of POA optometrists at Senator Chris Gebhard’s fundraiser. The Senator, currently sponsoring the children’s vision bill, and his staff were impressed by the number of ODs present at the event and appreciative of the tremendous support shown. Leading into April, our annual Spring Congress in Gettysburg was a massive success! There was an array of quality continuing education with high attendance, robust engagement between industry supporters and doctors in the exhibit hall, roaming Welcoming Ambassadors, the second POA Board meeting of 2023, our House of Delegates, the annual POA Awards Ceremony, and plenty of social events for friends and families to mingle and have some fun. It was a memorable weekend for sure!

In March and April, the POA and the Pennsylvania Academy of Ophthalmology (PAO) continued a dialogue on several different initiatives where Optometry and Ophthalmology are confident we can work together. Some of these efforts will include low vision, scleral and medically necessary contact lenses, third party center mutual challenges, and medicaid.

From June 21 to 24, Optometry’s Meeting and AOA on Capitol Hill will be held  in Washington, D.C. Please contact me, or the POA office, if you would like to act as a Pennsylvania delegate at the AOA House of Delegates. Please also consider advocating with us for our patients and our profession on the Hill in Washington that same weekend. 

Keep alert for more details on another course on Ophthalmic Laser Procedures for the Anterior Segment presented by Salus University and supported by the POA. It will be on the road in Western Pennsylvania sometime this fall. 

Additionally, you should save the dates of September 29 and 30 to volunteer in Harrisburg by performing eye exams in an underserved area. 

And lastly, please join us November 1 to 3 for our final 2023 POA Board of Directors meeting and Fall Educational Conference with an exhibit hall in luxurious Bedford Springs!

I am immensely proud of what our POA Board, committees, and staff have accomplished so far this year. Let the hard work and collaboration continue! I look forward to seeing you again soon and, of course, meeting new people too.

Appreciatively,

Jesse

Access Low Vision in Pennsylvania

I am so proud of what we at the POA have achieved this year. The POA has provided leadership development for over 40 members and established a new Diversity, Equity and Inclusion (DEI) Committee. Additionally, we have developed a new POPAC Proactive Optometry Initiative. After advocacy efforts this year, we've seen the successful passage of the Early Eye Drop legislation. We have even supported Salus University’s Ophthalmic Lasers Procedures for Anterior Segment certification course. You can register here. 

In addition to our established initiatives with the Pennsylvania Diabetic Eye Health Alliance (PDEHA)  and Children’s Vision Care Alliance (CVCA), the POA has now formed a Low Vision Awareness Committee. The overall purpose of the Low Vision Awareness Committee is to promote Low Vision awareness to Optometrists, Ophthalmologists, other health care providers, and the general public.

We are reminding our members that the standard of care for a patient with low vision is to refer to one of the many Optometrists in Pennsylvania who provide Low Vision rehabilitation.

So, what constitutes a referral for Low Vision services? No longer is the trigger for a referral to Low Vision a certain visual acuity, visual field or diagnosis. The standard of care now is to refer any patient who is struggling with at least one activity of daily living due to their vision loss. Examples could be: difficulty reading mail or pill bottles; trouble keeping up in school (at any age); concerns about driving; difficulty performing work-related tasks; difficulty traveling through unfamiliar environments; trouble reading books, magazines, or computers; inability to see favorites hobbies or past-times; difficulty seeing to provide self-care such as shaving; or difficulty seeing to perform housekeeping such as cooking and laundry. 

If you have provided the best optical correction, but your patient is still struggling, please refer to a Low Vision Optometrist. They can tackle the problem, not only by traditional glasses or contact lenses, but also by use of lighting, contrast, prisms, modified working distances, eccentric fixation, various forms of optical and electronic magnification, training with these devices and techniques, and referrals as needed to other supportive professionals. The earlier the Low Vision Optometrist can become involved, the more successful your patients are likely to be.

Of course, at no time should Low Vision care replace proper medical or surgical intervention. But do remember, Low Vision is an essential treatment modality to those with visual impairments. Also, please do not prejudge a patient’s ability to adapt to Low Vision care or pay for the services. Low Vision consultations are generally covered under a patient’s medical insurance. If not, other funding sources are available such as the Pennsylvania Bureau of Blindness and Visual Services. Get to know your local Low Vision Optometrists. They can guide you. Consider the Low Vision Optometrist a part of your team. They do the rehabilitation and you continue to be the patient’s primary eye care Optometrist.

If you are a POA member who provides Low Vision Rehabilitation, please make sure your AOA profile indicates you have a special emphasis in Low Vision Rehabilitation. Also, join the AOA Vision Rehabilitation Advocacy Network by signing up on the AOA website under practice > specialties > Vision Rehabilitation. By identifying yourself as a Low Vision Provider with your professional association, your colleagues and the general public will be able to find you on the AOA and POA “doctor finder” under Low Vision Emphasis. If you are not a Low Vision provider, search on the AOA or POA websites for a Low Vision Optometrist in your area.

I want to thank the POA for all its support. I ask members to stay involved, join PDEHA, join CVCA, and join or refer to POA Low Vision Optometrists. Become a keyperson. Join the Proactive Optometry Initiative. We all know that Optometry is the premier eye care profession in Pennsylvania. Let’s keep it that way. Great things are being planned for 2023, and I look forward to continued success for Optometry in Pennsylvania. 

Tracy Carpenter Sepich, O.D., M.S.

Doctor of Optometry

Masters of Science in Low Vision Rehabilitation

A strong POA is a diverse and inclusive POA

The Pennsylvania Optometric Association has a long history of providing member benefits ranging from advocacy to education. The Association provides a voice for optometry in Harrisburg and Washington, D.C., offers problem-solving and maintains ongoing relationships with third-party payers on behalf of our members. POA membership opens the door to premium opportunities with buying groups, investment strategies with Fischer Financial, insurance, discounts with Element Risk Management, HIPAA compliance solutions with Abyde, and consultative services with POA legal counsel. Additionally, the POA Electronic Claims Service helps you submit claims to third-party payers while also generating income to reduce membership dues.

When the COVID shutdown hit, we devised quality online education, which has continued as an option in addition to our revived in-person educational offerings, and we will continue to provide cutting-edge education as we explore scope expansion.

Through the Children’s Vision Care Alliance, we form relationships with school nurses statewide, and provide members with no-cost posters, brochures, and presentations to educate local schools and families on the importance of eye examinations. We have similar materials available to promote the need and accessibility of diabetic eye examinations by optometrists through the Pennsylvania Diabetic Eye Health Alliance. These programs keep our member optometrists involved and relevant in these essential areas of vision and eye care. 

We partner with the Pennsylvania Paraoptometric Association which provides education as well as networking and professional development opportunities for your staff. The AOA Paraoptometric Resource Center also provides staff training and certification.

We support our fourteen local optometric societies so members can attend meetings, obtain CE, network, and advocate locally. We work closely with the Pennsylvania Student Optometric Association to recruit new members and keep our initiatives current and relevant.

We update our members through email and this bi-monthly newsletter, which includes a classified section to assist members with practice and equipment sales and job searches.

A new addition to our association structure is a Diversity, Equity, and Inclusion (DEI) task force. As a result of responses to our 2021 membership survey, our new strategic plan calls for the creation of this DEI task force. This initiative is important in making sure all optometrists in Pennsylvania have a home in the POA. We need to make sure all optometrists know they are valued and welcomed. We want optometrists with a variety of backgrounds to contribute to the volunteer structure of the POA. We will be stronger as an association if we have a diverse community of members involved.

In an effort to recognize the AOA’s dedication to all people, at the 2021 AOA House of Delegates, the following statements were added to the Optometric Oath: “I WILL provide professional care for the diverse populations who seek my services, with concern, with compassion and with due regard for their human rights and dignity.  I WILL work to expand access to quality care and improve health equity for all communities.”

Please recognize we all have biases. Please educate yourself. Please attend local conversations about diversity in your community. Simply saying we are welcoming is not enough. When you are at a conference, sit next to someone who does not look like you. Stop into local optometry practices in various settings and invite them to your local society meetings.

I hope to foster a POA in which optometrists of all backgrounds, lifestyles, and practice styles know they belong, are safe and valued, and work together for our common goals. My hope is by nurturing a diverse and inclusive association, we will become better providers and serve a greater community with more acceptance and positive results.

Little things matter. Respect, even in small ways, matters.

If you have an interest in strengthening the POA by participating in the new POA DEI task force, contact me at tsepich@restoreeyecare.com or the POA office at mail@poaeyes.org. Thank you.

Tracy Carpenter Sepich, O.D., MS

POA President

Why do children need the POA?

Did you know there are approximately 1,745,000 students enrolled in Pennsylvania schools? Studies estimate 33% of these students are at risk for vision problems. That is approximately 576,000 students. Did you know 40% of students with learning disabilities have vision issues that affect learning? Did you know Pennsylvania schools spend 9K-15K per student on an IEP (Individualized Education Program), which is required for all special education students? Recent studies have found that children who are spending increasing time on electronic devices have a higher incidence of vision deficits that impact learning. The negative impact of children’s vision problems is likely to get worse if nothing changes. 

Children need the POA because we can uniquely provide the vision and eye care children need to succeed.  The POA's Children’s Vision Care Alliance (CVCA) has been busy educating optometrists, school nurses, and legislators on the importance of proper eye care for our children’s success in and out of the classroom.

Representative David Zimmerman has introduced HB 1343, which would require children in Pennsylvania to have a comprehensive eye health exam when entering school, in 4th grade, in 8th grade, and before qualifying for special education services. This bill currently has 40 co-sponsors with bipartisan support. It is currently in the Education Committee. We feel confident this bill can pass once it is out of committee. 

So, how can you help?  Please attend our Optometry at the Capitol Day in Harrisburg on Monday, March 28, where we will be lobbying for important issues. You are all invited to this investment in the future of Optometry. Please register here: https://pennsylvania.aoa.org/education-and-events/poa-lobby-day. Learn more about POA's legislative efforts and send a letter to your legislator by visiting the Advocacy page here: https://pennsylvania.aoa.org/advocacy.

In addition to contacting your legislators, please consider joining the POA Keyperson Committee or POPAC Fundraising Committee. You don’t need experience. You only need a passion for Optometry and helping our patients.

Finally, keep your eyes open for the new POA Proactive Optometry Initiative to help advance current and future Optometry-friendly legislation, like HB 1343. More information will be available soon!

Let's get back to the children, though. One study showed that when students who were identified with visual deficiencies received proper treatment, their grades significantly improved, whereas without proper treatment, these students continued to underperform, leading to a 12% reduction in wages.  Don’t you want to be part of the solution? Educate yourself. Educate your patients. Educate your local schools. Educate your legislators. Join the CVCA. Become a Keyperson. Support POPAC. If you don’t know where to start, call the POA and we will help you. Your children, and your children’s children, will thank you. I thank you. 

(Citations for the facts included in this editorial can be found on the POA Advocacy webpage.)

Tracy Carpenter Sepich, O.D.
POA President

Why are you a member of the POA?

The beginning of a new year is a perfect time for introspection. What is important to me? Why do I volunteer? Why is the POA important to me? What is important to the POA and its members? 

I know why I volunteer. I want, in my own way and in my own capacity, to make the world a better place. This year, as POA president, I hope I can use my talents to lead the POA to a better place for its members, volunteers, staff, and, most importantly, our patients. 

The POA has just completed its 2022-2026 Strategic Plan, which you can find on the POA website here: https://pennsylvania.aoa.org/about/2022-2026-poa-strategic-plan. Please take the time to read it. This reflects our members’ priorities and provides our road map to achieve success as an association.

In our strategic plan, you will see four strategic priorities that will be addressed by our volunteers and committee structure. These four priorities include: legislative efforts, children’s vision promotions, third party relationships, and finally, building a strong and engaged membership. So, now I start at the end. Today, I want to concentrate on strategic priority number four: “Leverage unused talents among optometrists in Pennsylvania to support the POA’s vision and mission.” We plan to drive membership and engagement for all Pennsylvania optometrists to contribute their unique talents to the POA by: creating a Diversity, Equity, and Inclusion (DEI) task force; increasing the membership numbers of corporate and private equity optometrists; increasing the membership numbers of newly licensed optometrists; and increasing member participation in POA committees.

To that end, we are offering a free leadership development program. It starts with a live meeting on Saturday, February 12 from 1:00 p.m. - 4:00 p.m. at the Hyatt Place in State College and wraps up on Sunday, October 9 from 8:00 a.m. - noon at Seven Springs Mountain Resort in Champion. All intervening events will be via Zoom. We have invited Renee Brauns, a long-time executive at the American Optometric Association, to lead our in-person events and guide us through the year. There is no cost to you for the program and no obligation, but space is limited. You can apply online here: https://pennsylvania.aoa.org/education-and-events/poa-2022-leadership-development. 

The live meetings will include presentations, interactive discussions, and networking opportunities. We will help you understand your leadership style to apply it within your practice, the POA, and everyday life. Our goal is for you to gain leadership skills and a better understanding of the POA, our leadership structure, and volunteer opportunities. If you want to make a difference in your profession or if you want to learn how to become a more effective leader, please apply.

Now, I ask you to please take a moment to consider what is important to you. What are your priorities? What is your vision for 2022? If you would like to see the POA achieve its strategic goals and reach its vision of “creating access to high-quality eye health and vision care for all citizens of Pennsylvania,” please apply to our leadership program. Please volunteer to serve on a POA committee. If you don’t know how to do that, contact me or the POA office. 

I have a vision for the POA. I know we can achieve our goals. That vision includes you. Please help your association by taking a risk and volunteering. The beautiful thing is by helping the POA, you will help yourself and your patients. I will always take that type of risk; everyone wins. Happy New Year.

Tracy C. Sepich, O.D., M.S. (she/her)

POA President

tsepich@restoreeyecare.com

A fond adieu

Have you ever noticed that once you finally figure something out, something changes and you have to adjust? It feels like the last year flew by so quickly. As an association, we started the year virtually, with the pandemic halting yet another Spring Congress. Questions of “will there be a vaccine” lapsed into “which one did you get?” And then there’s the mask thing. One would have thought that someone would have at least mentioned that people had to wear masks in healthcare facilities. Through it all, the POA moved forward. The Children’s Vision bill gained traction and now has 40 co-sponsors thanks to the hard work of our legislative team. The Keyperson Committee and Legislative Affairs Committee collaborated to make “How To” educational videos for legislator meetings. The Children’s Vision Care Alliance (CVCA) also grew, developed talking points, a pediatric near point card, and reached out to school nurses. We began working with ophthalmology on public health issues. The Early Drop Legislation will allow our patients to renew their drop prescription if they run out of drops before the end of the month. I hope that this blossoms into an ongoing collaboration between the eye care professions on matters of public health. 

Just as the strategic plan was set to begin implementation, the unthinkable occurred. We lost our executive director, Joe Ricci, to COVID-19. This virus is a cold, unfeeling malady that has left many to pass quietly on a ventilator without the comfort of family. It was a terrible blow to the POA and to me, personally. However, the Board of Directors are the guardians of the organization, and the Personnel Committee met immediately to develop a plan to maintain the integrity of the POA. With the full support of the Board, past presidents, and many others, we moved mountains: message triage, emergency meetings, and the formation of an executive director search committee—none of which would have happened so smoothly without the POA staff. I called the POA office so often that Deb and Ilene became Debilene. It was a rough few weeks, but we all pulled together to make it work. Our immediate past executive director, Dr. Charlie Stuckey, has stepped up and will be the interim director for the next six months. Over the years, he has been an ED, friend, and mentor for many of us and lends some calm to an otherwise high stress and tragic event. The search committee is actively moving forward to attempt to fill the shoes left behind by Joe. 

I have the unique perspective of not only moving the POA through a pandemic, but also losing our executive director to the virus. If there is one thing I learned about the POA during this time, it’s that it is a family and everyone is essential. Countless calls offering condolences, help, and guidance. It was an all hands on deck situation and the POA structure, once in place, moved forward like clockwork.

I want to thank the POA Board for all of their support and effort, the POA staff… well, for all that you do, and all of the members that offer their time and talents to this great organization. It’s time for me to say a fond adieu to my time at the helm. Expect big things next year. The foundations have been set and you are in some of the most capable, hard-working hands as we move into 2022.

Until soon,

Ed

Essential

Everything looked like we were moving out of the pandemic. Cases were lower, hospitalizations were down, and then variant began to take its toll on the vaccinated and unvaccinated alike. I wondered how optometry fit into all of this and the word ‘essential’ kept coming to my mind. 

Optometry is an essential component of the health care system, but what is essential to optometry? A healthy staff, a sound supply chain, and a professional organization to guide the profession through this unprecedented time. On the surface, the POA has delivered numerous updates regarding the practice of optometry during the pandemic. CDC guidelines, PA Department of Health and OSHA mandates were all brought to the forefront and shared with members to better keep ourselves, our staff, and our patients safe. 

But, as POA Executive Director Joe Ricci would say, “all of the action is under the duck.” In addition to what you see happening, there is even more happening behind the scenes. POA President-Elect Dr. Tracy Sepich is well into our strategic planning for the next three years. By this time, you have already received—and hopefully completed—a survey regarding the strategic initiatives of the POA for the next three years. We are a member-driven organization and rely on your input.

Through the efforts of the Third Party Center, Versant Health has become a business partner with the POA and will be at the fall meeting in October to answer your questions and listen to your concerns. From October 28 to 30, please join the POA and our exhibitors, business partners, and lecturers in making the most of our meeting. Registration and details can be found at https://pennsylvania.aoa.org/education-and-events/poa-fall-educational-conference. 

In other good news, the Children’s Vision Bill is garnering a lot of attention. Drs. Rich Christoph, Lori Gray, and the POA lobbyists have opened the eyes of legislators regarding the importance and value of this initiative. We expect that the legislature will come to the aid of the more than 30,000 children that are marginalized annually because they have an undetected vision disability. 

Although the Covid variant is looming and this year may end up being as strange and new as the last, I hope you’ll trust the POA to run an incredible educational conference this fall in Hershey. See you there!

Ed

A summary of summer so far

 Well, here we are…mid-summer and the pandemic emergency has finally been declared over. Though the mask mandate has been lifted, it’s still enforced at healthcare facilities. So, at least for us, the mask saga continues—with the addition of a few more requirements from OSHA. Mask or no mask, the POA continues to move forward and make itself heard. The most recent way? The AOA’s 2021 Optometry’s Meeting that was held in Denver.

The Meeting was all about Pennsylvania! Dr. Michael Mittleman and Dr. Satya Verma were inducted into the Optometry Hall of Fame; Tyler Lesko, a fourth-year PCO student, won the National Quiz Bowl; and the POA Board of Directors’ own Dr. Erick Henderson received the Young Optometrist of the Year award. It doesn’t get any better than that!

The Presidents Council and the Eastern States, through the NEO Forum, brought to light the legislative goals of each state and how they had succeeded so far. The POA led the conversation amongst both groups regarding Bioptic Driving and Children’s Vision. 

There were no surprises at the AOA House of Delegates—the open Board positions were filled by an equal number of candidates. The most controversial motion was to incorporate a diversity statement within the optometric oath. It ultimately passed with strong support of the delegates.

While every state had their own initiatives, they also had common challenges like growing and maintaining membership, adding member benefits, and association income. Here at the POA, we hold the line on dues increases by providing member benefits that produce non-dues income for the association. We have endorsed two new programs for our members over the last few months. The first, Digital on Demand, advises clients on how to most effectively market their business online at the lowest cost. The second is a HIPAA compliance authority, Abyde. HIPAA Compliance violation fines are ridiculously high and Abyde helps to avoid violations. I use them in my own practice and am now confident that we will pass any compliance audit. Bring it on!

Enjoy the rest of the summer, and know that the POA has never stopped working for you…

Edward Savarno, O.D.

POA President

How quickly things can change...

Do you ever notice how things evolve? Take COVID-19, for example. In January, it was all about the vaccine and then March brought us: “Which vaccine did you get? Did you have any side effects?” Now in May, it’s: “I got my vaccination, but I still don’t go anywhere and why do I have to wear this mask?”

The level of sophistication concerning COVID-19 has tripled over the last few months, but Pennsylvania is behind in vaccinating according to the goal set by President Biden. It is now an “all hands on deck” situation to catch up. As I write this message, legislation that would allow optometrists to administer the vaccine has passed the Pennsylvania House of Representatives and we are waiting for the Senate to return so that they may take up this issue. The Pennsylvania College of Optometry at Salus University stands ready to deliver any education necessary should the bill, HB 63, become law. This is an opportunity for optometry to, once again, be on the front lines and make a difference during this public health emergency. Your participation is vital in moving toward the resolution of this pandemic.

On another front, Representative Zimmerman’s Children’s Vision Bill continues to move forward thanks to the quick action of the Legislative Affairs Committee, Children’s Vision Care Alliance, Clinical Practice Committee, and POA Executive Director Joe Ricci. The language was modified, reviewed, vetted, and resubmitted within hours of the original language coming into question. The teamwork on this bill has been exemplary and is telling of the commitment we have to the children of Pennsylvania. There are an estimated 28,000 children, kindergarten through sixth grade, with an undiagnosed visual disability that are marginalized annually. Their disability will likely be missed in vision screening as the data, in some studies, purports that they miss at least 50% of the maladies. Next, they are labeled for life as learning disabled and provided special education, IEP’s, and reading intervention without ever evaluating for a potential root cause. Optometry is the tip of the spear in attacking this issue. There is no other profession that has the education and training to define and potentially remediate a visual disability in the way that Optometry can. The opportunity to be successful in academics is life-changing for these children. As a doctor and a parent, I bear personal witness to the success of optometric intervention. I am pleased to report that my daughter, who experienced and remediated a vision disability will be graduating with a degree in biochemistry. She will be going for a Master’s in biochemistry/molecular biology this fall. This legislation is all about the children, their academic success, and, ultimately, their future. I am asking for your support by letting your legislator know that you support children’s vision by clicking on this link to send the message: https://pennsylvania.aoa.org/advocacy/poas-legislative-priorities (you will be asked to log in). 

Currently, there are 31 co-sponsors for the Children’s Vision Bill, a remarkably high number. If you have already sent a message and your legislator is still not on the co-sponsor list, please do it again. They need to hear from you.

Co-sponsor list as of April 20, 2021

Zimmerman (Prime Sponsor); Diamond; Mackenzie; Miller, D; Kulik; Kauffman; Gillen; Irvin; Toohill; Guenst; Rozzi; Sturla; Brooks; Hershey; Freeman; Millard; Smith, B; Pickett; Ciresi; Ryan; Howard; Saylor; Webster; James; Pashinski; Stephens; Pennycuick; Boback; McNeill; Hamm; Cook

The 28,000 children, as well as many others, will benefit from a vision evaluation by the best, most qualified professionals in vision, optometrists. 

Until soon,
Ed

COVID's still the word

Well, here we are again… COVID is still the word of the day but now it’s paired with a more positive word: vaccine. Healthcare providers all over the state have been or are in the process of being vaccinated. Like when the pandemic began, unanswered questions have crossed everyone’s minds. Who is eligible? Where do you get it? Are doses available? Why can’t I schedule for it? Pfizer or Moderna? Do I have a choice? Then there is the question of complications that continue to evolve. The POA continues to advocate for and provide information to members in hopes of answering these questions. Members will know when the POA staff knows. Check out the latest information on the COVID-19 Updates webpage at https://pennsylvania.aoa.org/doctors/poa-member-resources/covid-19. Everything from vaccination locations to SBA PPP COVID relief loans are covered on this resource page. 

One thing to know for certain is that the vaccine is highly effective and limits the serious complications of SARS CoV-19. We all know that the pandemic has had a huge effect on the delivery of healthcare, but it is not the only issue that faces Optometry in 2021. The POA is like a duck on a pond, looking tranquil on the surface, but the feet are moving 100 MPH below the surface. The new ground created by the “Modernization of Optometry Act,” Bioptic driving, and the pending Children’s Vision legislation have many committees in high gear. We are aiding in the development of regulations and standards that will carry these initiatives far into the future. Also, other committees are developing public service messages that highlight Optometry and aids to help school nurses better define children with covert binocular vision anomalies. All of this activity is being performed by volunteers with the outstanding support of the POA staff. 

We are the POA: multiple generations of optometrists working together, giving their time, unique skills, and effort to move Pennsylvania Optometry forward! I am asking you to join us in our effort by participating on a committee and use your unique skills to advance optometry. You will find that the rewards are unlimited. After 35 years, that’s exactly my experience.  

Until soon,

Ed 

Edward Savarno, O.D.
POA President

Goodbye 2020, Hello 2021!

What a year! We just started and the pandemic hit. Businesses closed, restaurants were take-out only, and good luck getting a haircut or toilet paper. Slowly, the country re-opened with mask requirements, maximum capacities, and short supplies of PPE. Optometry was not immune to this new normal, but we continued to remain on the front-line serving our patients. To add to the mix, later in the year, the FTC imposed mandatory contact lens documentation. Despite these adversities, the POA forged ahead and was successful in passing a modernization of the Optometric Practice Act. The amended Act removes the Secretary of Health from the pharmaceutical approval process and places the management of the profession where it needs to be: the Pennsylvania State Board of Optometry. Additionally, the new Act allows for Epi-Pen use and removes the 6-week restriction for all forms of glaucoma, dry eye, and allergic conjunctivitis. Who would have ever imagined that 2020, The Year of the Eye Examination, would be so “exciting”?

Despite that excitement and  the challenges it resulted in, the POA has adapted well to these COVID times. The executive director and staff were proactive and prepared well in advance for the work-from-home environment. Committees worked non-stop to modify meetings, offer virtual education, and retain business partners. Zoom meetings and remote access became the norm. Meetings changed from live to remote, and live meetings became sensitive to social distancing. Details, too many to count, have all been handled flawlessly. Thank all of you for your extraordinary effort in keeping the organization moving forward.

Twenty twenty-one may well be the year remembered as, “The Year of the Vaccine.” The POA and AOA continue to advocate for optometrists, as front-line healthcare providers, to be some of the first to be vaccinated. The response from the Secretary of Health is positive as the definition for those initially eligible will be broad and inclusive. We stepped up and have been recognized for the excellent primary care services that we provide to the people of Pennsylvania.

My hope for 2021 is that it is remembered as the year that all of the children of Pennsylvania have the opportunity to be on an even playing field upon entering the realm of academia. Pennsylvania has an estimated 400,000 children in pre-school through the sixth grade. According to public health statistics, 3% to 7% (28,000) of those children will have a visual disability. These vision disorders are the fourth most common disability in the United States and the most prevalent handicapping condition in children. Since vision screenings miss at least half of these maladies, we can no longer ignore this pressing public health issue. Pennsylvania State Representative Zimmerman, with the strong support of the POA, has proffered legislation that will address this inequity by mandating vision examinations for all children entering school and at significant developmental milestones thereafter. 

Additionally, members of the POA’s Children’s Vision Care Alliance (CVCA) are committed to elevating the visual well-being of children by adhering to set standards, intervening at refractive and functional levels when necessary. More details can be found at https://pennsylvania.aoa.org/doctors/poa-member-resources/childrens-vision-care-alliance. The entire POA Board has been charged with working to make this a reality and we are asking for your support. 

Together, let’s make this a year to remember, for the kids and Pennsylvania Optometry.

Edward Savarno, O.D.
POA President

What a year!

 As I write my final President’s editorial, House Bill 2561, the Scope of Practice bill, sits on the Governor’s desk. By the time you read this column, he will have passed it or rejected it. All indications are that he will sign and pass this Modernization of the Optometric Practice Act. Through the incredible work by our Legislative Affairs Committee (LAC), lobby staff, executive director, and keypersons, we have finally passed both the House and the Senate and reached the Governor’s desk for his signature. I would be remiss to not recognize our LAC Chair, Dr. Bob Bittel. Bob and I joined the Committee close to 20 years ago. We worked with many dedicated committee members over those years whose goal was to play offense and pass legislation to advance our profession. Unfortunately, we often found ourselves playing defense and protecting our profession from harmful legislation like the “definition of ophthalmic surgery” our opponents have repeatedly introduced. We learned a lot through those years, cultivated relationships with legislators and gained respect as an organization. With Dr. Bittel’s leadership, countless hours of strategizing, difficult compromises and a pandemic that threatened to derail our efforts, we were successful in getting through both houses with one day to spare. Now we wait for the Governor.

I’d like to thank and recognize all the other committees that make up the POA. The word “unprecedented” is getting kind of old by now but they all faced challenges they never expected. All the committees adapted to the new “normal” and continued to function albeit in a totally different manner. We are a much stronger organization as a result of this pandemic.

The POA Board of Directors had many tough decisions to make this year: providing a forgiveness of two months dues, cancelling the in-person Spring Congress and House of Delegates, approving funds to purchase a platform to provide online CE for our members, planning and then having to cancel the fall meeting at Seven Springs, and modifying our bylaws to allow for a fall House of Delegates to elect our 2021 Board of Directors and approve the 2021 budget. 

The POA staff has been incredible through all of this. Their dedication to our profession is unparalleled. They participated in countless Zoom calls, many in the evening and often on a weekend when they should have been off duty. They found new ways to support the Board and the membership. I can’t thank them enough for their support this year.

Finally, I’d like to thank all of you for the opportunity to serve as President of the POA. It’s certainly not the year I expected. It’s been challenging and frustrating. I’ve had to make decisions to issues that had no clear answers. When I began my professional career, I couldn’t prescribe an antibiotic or bill Medicare. I owned a visual field instrument but couldn’t treat glaucoma. We are now the primary providers of eyecare due to the hard work of the leaders before me. I joined the Board of Directors because I felt the need to “give back” to a profession that had given so much to me over the years. I hope I have accomplished this and challenge all of you to do the same.

God bless and stay safe,

David Evans, O.D.

POA President

Going with the flow

Who is the Pennsylvania Optometric Association? We are a group of optometrists representing and protecting the interests of our profession for our members in Pennsylvania. We are a member-run organization supported by a staff and executive director in our office in Harrisburg. Our Board of Directors is elected by the membership and is responsible for providing leadership to the many committees that make up the POA and for making the decisions necessary to protect and promote our profession in Pennsylvania 

The POA welcomes all optometrists in the state to belong to our association. All modes of optometric practice are welcome and represented in the POA. You are reading this editorial because you are member of the POA. Imagine what we could accomplish if every optometrist in Pennsylvania was a member. Imagine what we could accomplish if every member was actively involved in the POA. 

The many committees within the POA are staffed by volunteer optometrists who contribute their time and skills to support their profession. Many members, who cannot dedicate time, provide support through POPAC donations and/or act as keypersons with their legislators. Many are available as individuals who are called upon for specific issues that the POA must address. 

We need strength in numbers and involvement by members, especially in these unprecedented times. Please consider getting involved and encourage your non-member peers to join us. Call the POA office and speak to our executive director, Joe Ricci, Esq., to discuss a committee you would like to participate in or a skillset you have that could benefit our efforts. We need members from all demographics to help address the needs of all optometrists in Pennsylvania.

As POA president, I’ve experienced more firsts than I ever imagined. On July 18th, we held the first POA Board of Directors meeting via Zoom. Every effort to replicate a face-to-face meeting was taken and I feel the meeting went well. The Board, local society presidents (or their representatives), POA staff, our executive director, our lobbyists, and our POA attorney were in attendance. At every Board meeting, the actions that the Board has taken since the last official Board meeting are voted on. Each Board member is a DEO (division executive officer) of one or more committees within the POA and is responsible for delivering a written report prior to the meeting for distribution to all parties in attendance. At the meeting, Board members present a verbal report highlighting each committee’s activities and questions from those in attendance are answered. Local society presidents are expected to relay the information in these reports to their respective membership so that our members are well informed. Copies of these reports are available through the POA office by emailing Ilene@poaeyes.org. 

Another first during my presidency will be a Virtual House of Delegates this fall. The Board rescheduled this event from our cancelled Spring Congress to the Fall Educational Conference at Seven Springs this fall. We recently were informed that Seven Springs will be unable to host our event due to COVID-19 limitations imposed on them with regard to group size. The House of Delegates can be attended by any member and I encourage you to join albeit virtually. Information with regard to date and time will be forthcoming.

The continuing education that was scheduled at Seven Springs will now be available via webinars. The schedule and registration are located on the POA website. If you still need the required Act 31 credits, this webinar is being held on September 13th from 7:00 to 9:00 p.m.

Stay well and stay safe! Stay informed. Things are constantly changing both locally and nationally. Get involved if you can. Help the POA and AOA protect your profession. If this pandemic has taught us anything, it’s that we need to be prepared for unexpected threats to our profession and livelihood.

Sincerely,

David Evans, O.D.

POA President

Unprecedented Times

I’ve got to be honest: when I figured out during the early years of my Board service that I would be president of the Pennsylvania Optometric Association in the year 2020, I thought “wow, how many ODs get to say that?” Both the POA and the AOA prepared for this unique year with big plans to promote our profession. None of us ever expected what we currently face both in our personal and professional lives. Like you, I am unsure of how long things will take to get back to normal and what the new normal will look like. The POA faces many of the same concerns and challenges as we wait to see what the future holds. However, as members of the POA, we are fortunate to have a strong professional organization that employs dedicated staff who truly care about us as individuals and as an organization. They are working from home to support and protect the POA in ways they never anticipated. As members of the POA, we are also fortunate to have a committee structure with volunteer ODs that are passionate about our profession.

Since the onset of COVID-19, the following optometry-centered events have been cancelled:

• Vision Expo East
• POA’s Lobby Day in Harrisburg
• POA/VSP eye exam clinic in Harrisburg
• POA’s Spring Congress in Gettysburg
• AOA’s Optometry’s meeting in Washington, D.C.
• POA’s CE in Italy trip

Keeping members updated during this time is the POA’s topmost priority. Here is an update on several of the committees and their current strategies:

THIRD PARTY COMMITTEE
This committee continues to work with the insurances we deal with every day. Their in-person meetings have been replaced with conference calls and Zoom events. They continue to advocate for us and work to resolve the ongoing issues between the insurance industry and optometrists as providers. Of utmost importance is their efforts to ensure that optometry is included in telehealth delivery of care to our patients.

LEGISLATIVE AFFAIRS COMMITTEE
The way the Pennsylvania Legislature functions during this pandemic has changed dramatically. There are no in-person meetings between our elected officials and constituents or lobbyists. Communication happens via email or phone calls. The LAC is working to update and modernize the optometric practice act as this pandemic has proven we are the primary eyecare profession and our diversity geographically increases patient access to urgent and emergency care.

Governor Tom Wolf has designated optometrists as life-sustaining providers. The Federal Government has recognized us similarly. We are on the frontline of urgent and emergency eye care statewide. The time is now to make your legislators aware of optometry’s expanded role during the pandemic and how we can continue to be a vital resource as we move out of this crisis.

CLINICAL EDUCATION COMMITTEE
The Clinical Education Committee has been working overtime to develop educational programs to assist members in renewing their licenses in 2020. The governor has allowed optometrists to obtain 100% of their credits for license renewal online for this renewal period only. The Committee sent out a survey to the membership and based on the responses have developed a series of webinars to include the core requirements for renewal and beyond. By now, you have hopefully participated in one or more of our web-based offerings. With the unexpected cancellation of our Spring Congress, the POA sustained a substantial loss of income. The Committee is doing what it can to give the membership what they need. Please support this endeavor when choosing the source of your online credits. Your financial support enables your professional organization to better support you!

As of now we are moving full steam ahead on our Fall Education Conference from October 23 to 24 at Seven Springs Mountain Resort. A few weeks ago, the POA emailed the membership a survey regarding continuing education this year and were encouraged by the number of members who still want to attend an in-person meeting this fall. Topics covering glaucoma, therapeutics, Act 31, and opioids for doctors still needing to meet the core requirements will be offered as well as additional educational topics.

I hope that you can appreciate all that the POA continues to do to support its membership. It is so very important to every Pennsylvania optometrist that the organization remains strong to support us in the coming weeks, months, and years. Your continued support of the POA and its programs is vital.

David Evans, O.D.

POA President

Legislative Update ~ October 2018

The House and Senate held what is believed to be the final voting session days of the 2017-18 session in October, passing a flurry of bills on a variety of subjects, seeing the Governor sign most but veto a few, and leaving a number of other issues unaddressed before departing for their districts and re-election campaigns.

In terms of legislation that the POA had been working hard to accomplish this session, one, the “Quality Eye Care for Insured Pennsylvanians Act,” earned the Governor’s signature on October 24. The bill, HB 1013, was amended to include the language the POA had negotiated with the insurers in SB 257. The Senate passed the House bill, sponsored by Rep. Steve Barrar (R-Delaware), and the House agreed with the addition of the vision plan language, and the Governor approved it. POA members are to be commended for their efforts over the past several years to get this bill done.

Unfortunately, the optometry scope bill didn’t fare as well. Despite overwhelmingly passing the Senate in September, SB 668 was not considered by the House Professional Licensure Committee. That clock will start over in January, as will the efforts by the POA to see the act updated for the first time in over 16 years. With the impending retirement of House Professional Licensure Committee Chairman Mark Mustio (R-Allegheny), along with dozens of his House and Senate colleagues, POA Keypersons will be counted on heavily, again, to education the new legislators about optometry, and to counter the misinformation spread this session by organized ophthalmology. A comprehensive post-election report will be distributed in mid-November.

The House and Senate will convene for perhaps one day each in November, for what is traditionally non-voting sessions, other than to elect temporary leaders to preside between the constitutional end of session on November 30 and the convening of the 2019-20 session in January, and to hold closed-door caucus elections for their respective leaders for next session. It is anticipated that no more votes on bills will be held after the November 6 election. POA members are reminded to VOTE on Election Day!

Last month, we reported that the General Assembly came close to passing legislation to create rules for PA to allow for the use of “telehealth” in the Commonwealth. Unfortunately, SB 780, sponsored by Sen. Elder Vogel (R-Beaver), got sidetracked by a host of amendments being offered, most lethal of which was a proposal by Rep. Kathy Rapp (R-Warren) to include language in the bill prohibiting the performance of “abortions” via telemedicine. Most of the other amendments were withdrawn, but Rapp held fast, and the vote on her amendment, and the bill itself, never was called. Although it appears to be dead for this session, Vogel and many in the provider community are committed to bringing the issue back in a new bill in 2019.

The Medical Assistance Advisory Committee (MAAC) held its regular monthly meeting on October 25. Some highlights of interest follow:

Patricia Allan, DHS CHIP director, provided an update on the Children’s Health Insurance Program (CHIP) and the State Health official letter, “Extending Federal Funding for Chip.” Congress reauthorized the program for 10 years. The letter outlines key impacts of the reauthorization legislation and was sent October 5, 2018. There are no direct impacts on optometric care. Any members wishing to know the details are encouraged to contact Dr. Rich Christoph.

Joseph Glinka of Gateway Health pointed to a declining enrollment in Medical Assistance (MA) and asked if the department is looking see where those people are going. Allan stated CHIP enrollment was climbing to almost 182,000 early this year, but then it dropped to 178,000 in May. She found that the drop was due in part to fears of the expiration of the program. Regarding the overall MA program, Kozak confirmed there have been some decreases in recent months, but she could not say if that is a trend yet. She said it is being monitored.

Managed Care Delivery System Subcommittee: The committee will prepare information to reduce confusion due to changes in the law that haven't been implemented by regulations. The also discussed Medicaid expansion numbers and quality measures. Questions were raised about how to keep individuals enrolled in Medicaid so they are not unnecessarily dis-enrolled. Glinka reported the new credentialing notice will be for all providers, not just dental providers. 

The following bills of interest to the POA were introduced or acted upon in the past month:

HB 353 RE: Electronic Prescription Requirements for Controlled Substances
(by Rep. Tedd Nesbit, et al)

Amends the Controlled Substance, Drug, Device and Cosmetic Act further providing for definitions and for professional prescription, administration, and dispensing by requiring electronic prescriptions for Schedule II, III, and IV controlled substances, except in situations as prescribed by regulation. The bill allows exceptions for veterinarians, circumstances when an electronic prescription is not available due to temporary technological or electrical failure by providing a practitioner shall within 72 hours correct any cause for the failure, when dispensed by a pharmacy outside Pennsylvania, lack of internet access or an electronic health record system, where an electronic prescription would cause an untimely delay in an emergency department, patients enrolled in a hospice program or residing in a nursing home or residential health care facility, controlled substance compounded prescriptions and prescriptions containing certain elements required by the food and drug administration not able to be accomplished with electronic prescribing, a prescription issued pursuant to an established and valid collaborative practice agreement between a practitioner and a pharmacist, a standing order or a drug research protocol, a prescription issued in an emergency situation, circumstances where the pharmacy that receives the prescription is not set up to process electronic prescriptions, or controlled substances that are not required to be reported to the prescription drug monitoring program system. Establishes pharmacist responsibility if there is belief that a patient may be seeking a monitored prescription drug for a purpose other than the treatment of an existing medical condition.
Signed in the House and in the Senate, 10/17/2018

Approved by the Governor, 10/24/2018 G (Act No. 96 of 2018)

HB 1951 RE: Access to Dextromethorphan
(by Rep. Tarah Toohil, et al)

Amends Title 18 (Crimes and Offenses), in minors, establishing the offense of access of minors to dextromethorphan (known as DM or DXM) and imposing a penalty. A person commits a summary offense if he knowingly sells or purchases with the intent to sell a finished drug product containing any quantity of dextromethorphan to a person who is less than 18 years of age. Similarly, a person commits a summary offense if he falsely represents himself to be 18 years of age or older to another for the purpose of procuring a finished drug product containing any quantity of dextromethorphan.

Read third time, and passed Senate, 10-17-18 (49-0)

Approved by the Governor, 10/24/2018 (Act No. 116 of 2018)

SB 668 RE: Optometry Scope Modification
(by Sen. John Gordner, et al)

Amends the Optometric Practice and Licensure Act amending the definition of "practice of optometry" to include health care services related to the eye and vision care services including the supply and preparation of eyeglasses. Further provides the practice of optometry includes the administration and prescription of drugs approved by the Food and Drug Administration for the treatment of diseases and conditions of the eye. Allows an optometrist to order an imaging test appropriate for diagnosis and treatment of a disease or condition of the human visual system. Clarifies that optometrists may not perform surgery and that any insurance procedure and billing code may not be used to define surgery.

Received in the House and referred to House Professional Licensure Committee, 10/2/2018

HB 1884 RE: Patient Test Result Information Act
(by Rep. Marguerite Quinn, et al)

Provides for summaries or copies of patient test results to be sent directly to a patient or the patient's designee when there is a finding of a significant abnormality; and provides for duties of the Department of Health.

Signed in the House and in the Senate, 10/17/2018

Approved by the Governor, 10/24/2018 G (Act No. 112 of 2018)

HB 126 RE: Epinephrine Auto-injectors
(by Rep. Ryan Warner, et al)

Amends Title 35 (Health and Safety) providing for reimbursement of patient expenses associated with participation in cancer clinical trials and for duties of the Department of Health to define and establish a clear difference between what is considered inducement for a patient to participate in a clinical trial and direct reimbursement of patient-incurred expenses for participating in a cancer clinical trial, and establish all sponsors of cancer clinical trials shall inform potential patient-subjects at the time of the informed consent process; imposing a penalty; providing for the use of epinephrine auto-injectors by certain entities and organizations by establishing a health care practitioner with prescriptive authority may prescribe epinephrine autoinjectors in the name of an authorized entity for use; and conferring powers and imposing duties on the Department of Health.

Signed in the House, 10/9/2018 Signed in the Senate, 10/15/2018
Approved by the Governor, 10/24/2018 (Act No. 93 of 2018)

HB 1013 RE: Quality Eye Care for Insured Pennsylvanians Act
(by Rep. Stephen Barrar, et al)

Amends the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in quality health care accountability and protection, further providing for emergency services and providing for quality eye care for insured Pennsylvanians. As amended in the Senate, this bill now contained the agreed-to language that was in SB 257, before the House amended that bill.

Signed in the House and in the Senate, 10/17/2018

Approved by the Governor, 10/24/2018 (Act No. 103 of 2018)

SB 780 RE: Telemedicine Act
(by Sen. Elder Vogel, et al)

Provides for telemedicine; authorizes the regulation of telemedicine by professional licensing boards; and provides for insurance coverage of telemedicine. The bill authorizes the practice of telemedicine by health care providers. Requires each licensure board to promulgate regulations within 24 months of the effective date and provides for the publishing temporary regulations within 120 days. Further provides for evaluation and treatment; insurance coverage; and Medicaid program reimbursement. The provisions regarding insurance coverage and Medicaid program reimbursement shall take effect in 90 days and the remainder shall take effect immediately.

Amended on House floor, 10/11/2018

HB 1532 RE: Access to Prescription Information
(by Rep. Kristin Phillips Hill, et al)

Amends the Achieving Better Care by Monitoring All Prescriptions Program (ABC-MAP) Act further providing for access to prescription information adding that authorized users include a Medicaid managed care organization that is a party to a Medicaid managed care contract with the Department of Human Services. The Medicaid managed care organization may query the system to review the requested dispensing or prescribing of a controlled substance to an individual to whom the organization provides services under the State's plan for medical assistance under Title XIX of the Social Security Act. The Medicaid managed care organization shall notify the Department of Human Services and the Office of Attorney General if the organization has reason to believe that a controlled substance prescribed or dispensed to an enrollee under the State's plan for medical assistance under Title XIX of the Social Security Act is fraudulent.

Read second time, and rereferred to Senate Appropriations Committee, 10/1/2018

HB 1840 RE: Physical Examination or Expert Interview
(by Rep. Rob Kauffman, et al)

Amends the Workers' Compensation Act, in liability and compensation, further providing for schedule of compensation, for computation of benefits and for physical examination or expert interview. Allows employers to request an Impairment Rating Evaluation after an employee has received total disability compensation for a period of 104 weeks. Requires the employee to submit to a medical evaluation which shall be requested by the insurer within 60 days upon the expiration of the 104 weeks to determine the degree of impairment due to compensable injury. If such determination results in an impairment rating that meets a threshold impairment rating that is equal to or greater than 35 per centum impairment, the employee shall be presumed to be totally disabled and shall continue to receive total disability compensation benefits. If the determination is less than 35 percent, the employe shall then receive partial disability benefits provided that no reduction shall be made until sixty days' notice of modification is given. Further provides for physical examination or expert interview.

Signed in the House and Senate, 10/17/2018

Approved by the Governor, 10/24/2018 (Act No. 111 of 2018)

State Board of Optometry Board Meeting Schedule 

2019 meeting dates have not been announced yet

DHS Medical Assistance Advisory Committee (MAAC)

Remaining 2018 Meeting Dates: December 13

2019 dates have not yet been announced. For more information check the DHS MAAC website.

Copies of bills described above can be obtained online at:http://www.legis.state.pa.us/cfdocs/legis/home/session.cfm

Respectfully submitted,
Richard Christoph, O.D.
Chair, POA State and National Education Committee
doctorc@verizon.net

Special thanks to Ted Mowatt, POA Lobbyist, for preparing the content.

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