ASCO Resolutions on Step Therapy and QPP Adopted at AMA House of Delegates Interim Meeting

November 22, 2019

During the American Medical Association (AMA) House of Delegates (HOD) interim meeting this month, delegates approved several ASCO-backed resolutions and incorporated them into the AMA’s advocacy agenda. The resolutions approved by the HOD include:

  • Quality Payment Program (QPP) & Electronic Health Records (EHRs): This resolution commits AMA to advocate for guardrails around the “immediate” availability of laboratory, pathology, and radiology medical test results to patients to factor in time for physicians to review. AMA will also encourage EHR vendors to implement mechanisms that give physicians the option to publish notes to the chart, to the patient portal, or to both.
  • Step Therapy: The resolution strengthens AMA advocacy for patient protections against step therapy protocols in all health plans through support of state and federal legislation, so patients can better access the specific treatments they need.

The HOD also approved an ASCO-supported resolution committing the AMA to advocate for state and federal legislation that would require pharmacy benefit managers (PBMs) and state regulatory bodies to make rebate and discount reports and disclosures public so patients can make fully informed decisions. ASCO will continue to engage with AMA on challenges with PBM practices.

In addition, the HOD also approved another ASCO-supported resolution, committing AMA to develop model state legislation for co-pay accumulators for all pharmaceuticals, biologics, medical devices, and medical equipment.

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