160th HOUSE OF

DELEGATES

PROCEEDINGS

A SUPPLEMENT TO THE

JOURNAL OF THE MEDICAL

ASSOCIATION OF GEORGIA

2014

PROCEEDINGS OF THE 160TH HOUSE OF DELEGATES OCTOBER 18-19, 2014 Callaway Gardens Pine Mountain, Georgia

(Attendance: The attendance list is recorded in JMAG, Vol. 103, Issue 4, 2014)

MINUTES FIRST SESSION Saturday, October 18 The first session of the House of Delegates was called to order at 8:35 a.m., in the Longleaf Ballroom at Callaway Gardens. John S. Harvey, M.D., Speaker of the House of Delegates presided. Joy Maxey, M.D., gave the innovation. Members of the Third Battalion of the First Brigade of the Georgia State Defense Force presented the colors, while Sgt. Brittnea Jones with the U.S. Army sang the National Anthem. Dr. Harvey led the assembly in the pledge of allegiance to the U.S. flag and the Georgia state flag. Dr. Harvey introduced the following people sitting on the dias: Manoj Shah, M.D., president-elect, Scott Bohlke, M.D. immediate past president, William Silver, M.D., president, Frank McDonald, M.D., vice speaker of the House of Delegates, Donald Palmisano, executive director/CEO, Matthews Gwynn, M.D., secretary and Donna Glass, executive assistant. Dr. Maxey served as parliamentarian. Dr. Harvey reported that the House of Delegates has three primary roles, including the election of officers, reviewing policy manual and creating new policy by way of reference committee hearings. He announced that Sturgis Rules of Order will be used and directed the members to the handbook for the order of business. Sponsors The following sponsors were recognized at this year’s House of Delegates: MAG Mutual Insurance Company, Amerigroup Community Care, the Atlanta Capital Group, Emory University School of Law, GAMPAC, the Georgia Drug Card, the Georgia Health Information Network, the Georgia State Defense Force, MAG Foundation, Medical College of Georgia at Georgia Regents University, Peach State Health Plan, SunTrust Banks, U.S. Army Medical Recruiting, and Veterans Evaluation Services. Guests Executives and staff from county medical and specialty societies were recognized. U.S. Rep. Tom Price, State Rep. Sharon Cooper, Tim Pierce, M.D., president, South Carolina Medical Association, Patrice Harris, M.D., secretary, AMA Board of Trustees, and Randy Easterling, member, AMPAC Board of Directors also were recognized. These dignitaries addressed members of the House during the weekend sessions. (Details of these speeches are highlighted in JMAG, 2014, Vol. 103, Issue 4)

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 2 Recognition The following members were recognized with certificates of appreciation: William E. Silver, M.D., Manoj H. Shah, M.D., W. Scott Bohlke, M.D., Andrew B. Reisman, M.D., Thomas E. Emerson, M.D., Robert D. Schreiner, M.D., Stanley W. Sherman, M.D., John S. Harvey, M.D., E. Frank McDonald Jr., M.D., Joseph P. Bailey Jr., M.D., Michael E. Greene, M.D., John D. Watson Jr., M.D., Christopher C. Smith, M.D. , Thomas B. Gore, M.D., Robert R. Byrne, M.D., Lisa C. Perry-Gilkes, M.D. , Timothy S. Trulock, M.D., Jeffrey L. Tharp, M.D., Puthugramam “P.K.” Natrajan, M.D., Carolyn Meltzer, M.D., Richard Duszak, M.D., James L. Smith Jr., M.D., James W. Scott, M.D., Justin Curtis Scott, M.D., Sid Moore Jr., M.D., Jeff C. Reinhardt, M.D., Karl D. Schultz Jr., M.D., Randy F. Rizor, M.D., Douglas W. Lundy, M.D., Robert P. Jones, M.D., Jules Toraya, M.D., Charles I. Wilmer, M.D., William R. Mayfield, M.D., Michael P. Madaio, M.D., Norman B. Thomson III, M.D., Charles D. Procter Sr., M.D., Hugo D. Ribot Jr., M.D., Christopher J. Walsh, M.D., Kurt E. Jacobson, M.D., David L. Parks, M.D., U.S. Rep. Paul C. Broun, M.D., and U.S. Rep. Phil Gingrey, M.D. The following Life Members were recognized: Oscar E. Aguero Sr., M.D. Alfredo Alarcon, M.D. Marshall Bonner Allen Jr., M.D. Joseph M. Almand Jr., M.D. Henry Marvin Althisar Sr., M.D. John H. Angell, M.D. Murray C. Arkin, M.D. Gerson Harvey Aronovitz, M.D. Cirilo A. Aseron Jr., M.D. Harold Asher, M.D. George Jeff Austin Jr., M.D. Henry Faver Ball, M.D. Crawford F. Barnett Jr., M.D. William Lawrence Barnwell, M.D. William Ward Baxley Jr., M.D. Ernest W. Beasley Jr., M.D. James Louis Becton, M.D. James A. Bedingfield, M.D. Fred M. Bell, M.D. William H. Benson Jr., M.D. William Henry Biggers, M.D. Linton Hines Bishop Jr., M.D. Jack K. Bleich, M.D. William F. Bloom, M.D.

Jerry Arvin Boatwright, M.D. H. William Bondurant, M.D. James Larry Boss, M.D. Franklyn P. Bousquet Jr., M.D. James Edward Boyett, M.D. Robert L. Brand III, M.D. Donald L. Branyon Jr., M.D. Farrell Hobbs Braziel, M.D. Carl H. Brennan, M.D. Spencer S. Brewer Jr., M.D. Larry Eugene Brightwell, M.D. Harry Harris Brill Jr., M.D. Avery B. Brinkley, M.D. John B. Brinson Jr., M.D. William P. Brooks, M.D. Juanita Annette Brooks-Warren, M.D. Leonard Brown, M.D. Nelson H. Brown, M.D. John Knox Burns III, M.D. Charles George Burton, M.D. Dwana Marie Bush, M.D. Leon Hays Bush, M.D. William H. Cabaniss Jr., M.D. Louis G. Cacchioli, M.D.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 3 Daniel Bennett Caplan, M.D. Gerald E. Caplan, M.D. George C. Cauble, M.D. Henry Rives Chalmers, M.D. Rives Coleman Chalmers, M.D. Arthur Bleakley Chandler Sr., M.D. Remer Y. Clark, II, M.D. Howard Malin Coe, M.D. Jay S. Coffsky, M.D. Marvyn Donald Cohen, M.D. Paul Gary Cohen, M.D. Richard William Cohen, M.D. Sheldon B Cohen, M.D. Rawser Paul Crank Jr., M.D. Harry J. Crider Jr., M.D. Laurence Tarver Crimmins, M.D. John M. Crymes, M.D. Barbara J. Dalrymple, M.D. Ernest F. Daniel Jr., M.D. Waverly Berkley Dashiell, M.D. John K. Davidson III, M.D. Alfred L. Davis Jr., M.D. Henry Gordon Davis Jr., M.D. John Lorraine Davis III, M.D. Marion Bedford Davis Jr., M.D. Gaston De Lemos, M.D. Robert Durley Dean, M.D. Jose Arturo Delgado, M.D. Pierce Kendal Dixon, M.D. Robert S. Donner, M.D. Roy Gordon Duncan, M.D. William Robert Dunn, M.D. Louis Dupont, M.D. Thomas Earl Dupree, M.D. Lawrence L. Durisch, M.D. Harmer Oran Eason Jr., M.D. Mariano Miguel Echemendia, M.D. Lois Taylor Ellison, M.D. Bruce A. Elrod, M.D. Eileen Frieda Elson, M.D.

Harold S. Engler, M.D. David Allan Epstein, M.D. William G. Erickson, M.D. Richard C. Estes, M.D. John G. Etheridge, M.D. James Patrick Evans, M.D. William B. Fackler Jr., M.D. Alva H. Faulkner, M.D. Elaine B. Feldman, M.D. Elliott Ronald Finger, M.D. Waldo Emerson Floyd Jr., M.D. Harry Robert Foster, M.D. Julia Graydon Wood Foster, M.D. Milton Frank III, M.D. Milton H. Freedman, M.D. Charles Freeman Jr., M.D. Thomas Rumph Freeman, M.D. William H. Galloway, M.D. Cyler D. Garner, M.D. Glen Earl Garrison, M.D. Brinton Bizzelle Gay Jr., M.D. William N. Gee Jr., M.D. Arthur Gelbart, M.D. Clyde Darrell Gilbert, M.D. Charles Braselton Gillespie, M.D. Joe I. Gillespie, M.D. Bruce M. Gillett, M.D. Martin Irving Goldstein, M.D. William J. Gower, M.D. David Howard Greenwald, M.D. Herbert S. Greenwald Jr., M.D. Joseph W. Griffin Jr., M.D. Albert Valdemar Gude, M.D. Jerold Alan Haber, M.D. Maxwell F. Hall Jr., M.D. Newell M. Hamilton, M.D. John H. Harbour, M.D. Billy Star Hardman, M.D. William J. Hardman, M.D. Wesley Wayne Harris Jr., M.D.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 4 John Robert Harrison, M.D. J. Rhodes Haverty, M.D. William Alton Hays Jr., M.D. John Phinazee Heard, M.D. William C. Helms, M.D. Edgar Randolph Hensley, M.D. Pascual Herrera, M.D. Eugene Van Landingham Herrin, M.D. Theodore Hersh, M.D. John Bunn Hill Jr., M.D. Joseph H. Hilsman, M.D. Jack Walter Hirsch, M.D. Frank Hoffman, M.D. Bernard C. Holland, M.D. Emory Willie Holloway Jr., M.D. Charles Milligan Holman, M.D. Noel Holtz, M.D. Henry Lee Howard Jr., M.D. Douglas Crawford Huber, M.D. John L. Hughes, M.D. Arthur Lee Humphries Jr., M.D. Marion W. Hurt, M.D. Dirk Erik Huttenbach, M.D. Menard C. Ihnen, M.D. Ervine P. Inglis Jr., M.D. John S. Inman Jr., M.D. Anthony Frank Isele, M.D. Sidney Isenberg, M.D. C. Emory Johnson Jr., M.D. Charles Garden Johnson, M.D. Jimpsey Burke Johnson, M.D. Milton I. Johnson Jr., M.D. Thomas Devann Johnson, M.D. George Richard Jones, M.D. Henry B. Jones Jr., M.D. William Ellis Josey, M.D. Julio Jove, M.D. Zeynep Karasu, M.D. Ferdinand Vogt Kay, M.D. James Lon King Jr., M.D.

William R. King Jr., M.D. James Leroy Kirkpatrick, M.D. Luella V. Klein, M.D. William Jay Klopstock, M.D. Milton Joseph Krainin, M.D. Robert Anthony Kral, M.D. Abraham J. Kravtin, M.D. Constantine Peter Lampros, M.D. Charles A. Lanford Sr., M.D. James Franklin Langford, M.D. Bob G. Lanier, M.D. Walter Edward Lee Jr., M.D. Ted Flournoy Leigh, M.D. Bernard Lerman, M.D. Jesse Clarence Lester, M.D. Michael K. Levine, M.D. Craig Stoddard Lichtenwalner, M.D. Paul Harvey Liebman, M.D. William D. Logan Jr., M.D. Kathryn S. Lovett, M.D. William Trent Lucas, M.D. Spencer Fleetwood Maddox Jr., M.D. Robert Mainor, M.D. David S. Mann, M.D. Frank Rambo Mann Jr., M.D. James Hunt Manning, M.D. Thomas Windrow Marks, M.D. Louie F. Woodward Marshall, M.D. Alberto Carlos Martinez, M.D. Jose Ramon Martinez, M.D. Charles Bush May, M.D. Stephen C. May Jr., M.D. Alva L. Mayes Jr., M.D. Milton Mazo, M.D. Ray Harold McCard, M.D. John Marshall McCoy, M.D. Joe Lewis McLendon, M.D. John W. McLeod, M.D. Noah D. Meadows Jr., M.D. Henry Getzen Mealing Jr., M.D.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 5 William Hugh Meeks Sr., M.D. Jack F. Menendez, M.D. Harvey Ernest Merlin, M.D. Roger Albert Meyer, M.D. Carey A. Mickel Jr., M.D. Jacqueline White Miller, M.D. Byron D. Minor, M.D. Victor Augustus Moore, M.D. Russell Ray Moores, M.D. Hugo A. Sanchez Moreno, M.D. Harvey Vaughan Morgan, M.D. Jacob Moshev, M.D. Benjamin F. Moss Jr., M.D. Steven A. Muller, M.D. William Bernard Mullins, M.D. Alexander T. Murphey, M.D. Darrell W. Murray, M.D. Hamil Murray, M.D. Dearing A. Nash, M.D. John Bruce Neeld Jr., M.D. Joe L. Nettles, M.D. Maury C. Newton Jr., M.D. William Lanier Nicholson, M.D. Benjamin Boyd Okel, M.D. James Lawton O'Quinn, M.D. William W. Orr Sr., M.D. William W. Osborne, M.D. John Anthony Page, M.D. Joseph L. Parker, M.D. Prentiss E. Parker Jr., M.D. Jesse Lyle Parrott, M.D. Thomas Corley Paschal, M.D. Robert Marion Patton, M.D. Peter Michael Payne, M.D. Jesse R. Peel, M.D. William Jefferson Pendergrast Sr., M.D. Henry Stone Pepin Jr., M.D. Edwin C. Pound Jr., M.D. Stuart Holmes Prather Jr., M.D. Carol Graham Pryor, M.D.

Dent W. Purcell, M.D. Norman B. Pursley, M.D. James Leroy Rabb, M.D. Harold Smith Ramos, M.D. Alfred Henry Randall Jr., M.D. William Rawlings, M.D. Otis Grey Rawls, M.D. Albert A. Rayle Jr., M.D. Charles Joseph Rey Jr., M.D. Donald Wallace Rhame, M.D. Sterling H. Richardson, M.D. Henry C. Ricks Jr., M.D. Wells Riley, M.D. Robert Arthur Robbins, M.D. Michael Frederick Roberts Jr., M.D. Ralph Donald Roberts, M.D. Harvey B. Roddenberry, M.D. Howard Stephen Rosing, M.D. Julius Thornton Rucker Jr., M.D. Edward Kinzel Russell, M.D. Ferrol Aubrey Sams Jr., M.D. Helen F. Sams, M.D. Gerald E. Sanders, M.D. John Keith Schellack, M.D. Philip Thomas Schley, M.D. Elbert William Schmitt Jr., M.D. Robert Ira Schwartz, M.D. George P. Sessions, M.D. Narendra K. Shah, M.D. Edwin C. Shepherd, M.D. Eloise Baim Sherman, M.D. Barry David Silverman, M.D. Charles M. Silverstein, M.D. Robert Webb Simmons, M.D. William Crawford Simmons, M.D. Howel William Slaughter Jr., M.D. Hugh F. Smisson Jr., M.D. Charles Walter Smith, M.D. Chester M. Smith Jr., M.D. Luther J. Smith, II, M.D.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 6 Patton Paul Smith, M.D. Samuel Raymond Smith, M.D. William Hill Somers, M.D. John Aziz Souma, M.D. Stephen Danny Spain, M.D. Jacob Aaron Spanier, M.D. Raymond F. Spanjer, M.D. Oscar Smith Spivey, M.D. Irving Teague Staley, M.D. Michael Stebler, M.D. John Edward Steinhaus, M.D. Dan Bryan Stephens, M.D. Elma Mera Steves, M.D. Joe Calvin Stubbs Jr., M.D. Robert L. Stump Jr., M.D. Yung-Fong Sung, M.D. Jonathan S. Swift, M.D. Panagiotis N. Symbas, M.D. David E. Tanner, M.D. Robert Pierpont Taylor, M.D. David C. Thibodeaux, M.D. Donald Ray Thomas, M.D. William Robert Thompson, M.D. William A. Threlkeld, M.D. John Nicholas Tiliacos, M.D. Ralph A. Tillman, M.D. William Clyde Tippins Jr., M.D. Robert P. Tucker, M.D. Mildred Virginia Tuggle, M.D. David Allen Turner, M.D. Carroll S. Tuten, M.D. Karl Henry Ullman, M.D.

Charles R. Underwood, M.D. Charles Bell Upshaw Jr., M.D. Herbert E. Valentine Jr., M.D. Edgar Allen Vaughan, M.D. Abraham S. Velkoff, M.D. Irving Victor, M.D. John Seth Wade, M.D. Edward Jones Waits, M.D. Charles Osborne Walker, M.D. Robert D. Waller, M.D. Richard Storer Ward, M.D. John D. Watson Jr., M.D. Paul Daniel Webster III, M.D. Claude M. Whiddon, M.D. Paul Austin Whitlock Jr., M.D. Stewart Earle Wiegand, M.D. Christopher James Wilke, M.D. Howard J. Williams Jr., M.D. William T. Williams, M.D. Frank A. Wilson III, M.D. Henry H. Wilson, M.D. John Page Wilson, M.D. Joseph Sealy Wilson Sr., M.D. Roy Witherington, M.D. Homer Patrick Wood, M.D. Robert Warner Wood, M.D. Thomas Earl Wyatt, M.D. Owen K. Youles Jr., M.D. Frank Yu, M.D. Alex Z. Klopman, M.D. Henry John Zielinski, M.D. Arnold Zweig, M.D.

The House of Delegates honored the following members who passed away this year in silent prayer: Benjamin Bashinski Jr., M.D., Jack E. Bell, M.D., James Thomas Cooper, M.D., James Boyd Dunaway, M.D., Don Leroy Eyler, M.D., James Harold Harrison, M.D., Edward Val Hastings, M.D. Floyd C. Jarrell Jr., M.D., Zebulon V. Morgan Jr., M.D., Claude L. Pennington, M.D., and Julian J. Sizemore Jr., M.D. A special remembrance was given to J. Rhodes Haverty, M.D., who served as president in 1974-75, and L. Newton Turk III, M.D., who served as president in 1981-82.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 7 The following members of the Georgia Physicians Leadership Academy were recognized: Eric Awad, M.D., Amanda Brown, M.D., Thomas Emerson, M.D., Rutledge Forney, M.D., Wayne Hoffman, M.D., Matt Lyon, M.D., Adrienne Mims, M.D., Walt Moore, M.D., Piyush Patel, M.D., Purnima Patel, M.D., Ali Rahimi, M.D., Jay Smith, M.D., Vijaya Vella, M.D., and Steve Walsh, M.D. Credentials Report Credential Chair Rutledge Forney, M.D., reported that 165 delegates and six alternate delegates are currently registered. These members represent 32 component medical societies and sections. A quorum was met. State of the Association MAG President William E. Silver, M.D., gave the State of the Association highlighting MAG’s successes in advocacy at the Capitol and the success of MAG’s Summer Legislative Meeting at which 20 state legislators attended and interacted with the members who attended. He reported that MAG continues to create tremendous value for its members by protecting and preserving the profession of medicine. He thanked members of the House of Delegate for their support during his tenure as president and commended former presidents. (Dr. Silver’s full state of the address is attached to these minutes.) State of Headquarters MAG Executive Director Donald Palmisano Jr., gave the State of MAG Headquarters highlighting the association’s increased membership for the fourth year in a row. He reported that MAG is at its highest level of membership since 1995. He stated that with more than 7,500 members, MAG is the leading voice for physicians in Georgia. MAG is the most diverse and represents physicians in every specialty and practice setting. (The detailed address is recorded in JMAG, 2014, Vol. 103, Issue 4) Elections Vice Speaker of the House of Delegates Frank McDonald Jr., M.D. took the gavel and called for elections of officers. On completion of the nominating process, the following members were elected by acclamation: President-elect: John S. Harvey, M.D. First Vice President: Thomas E. Emerson, M.D. Second Vice President: Madalyn N. Davidoff, M.D. Speaker of the House: Frank McDonald Jr., M.D. AMA Delegate: Michael E. Greene, M.D. AMA Delegate: Joy A. Maxey, M.D. AMA Alternate: John S. Antalis, M.D. Judicial Council: Thomas Shook, M.D. Members received for information the following Board election results from district and county medical societies:

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 8 Sixth District Medical Society: Leiv M. Takle Jr., Griffin, Director 2015 Seventh District Medical Society John S. Antalis, Dalton, Director, 2017 Hugo D. Ribot Jr., Cartersville, Alternate Director 2017 Eighth District Medical Society S. William Clark III, Waycross, Director 2017 James W. Barber, Douglas, Alternate Director 2017 Ninth District Medical Society Richard A. Wherry, Dahlonega, Director, 2017 Stephen Jarrard, Clayton, Alternate Director, 2017 Cobb County Medical Society Jeffrey L. Tharp, Hiram, Director 2015 Steven M. Huffman, Marietta, Director, 2017 Anthony Musarra II, Marietta, Alternate Director, 2017 Despina D. Dalton, Austell, Alternate Director, 2015 Crawford W. Long Medical Society Andrew H. Herrin, Athens, Director, 2017 Ryan M. Katz, Athens, Alternate Director, 2017 Dougherty County Medical Society Timothy S. Trulock, Albany, Director, 2015 Michael D. Daugherty, Albany, Alternate Director 2015 Georgia Medical Society Jules Toraya, Savannah, Director, 2016 Edmund R. Donoghue, Savannah, Alternate Director, 2016 Hall County Medical Society Andrew B. Reisman, Oakwood, Director 2017 Karl D. Schultz Jr., Gainesville, Alternate Director, 2017 Medical Association of Atlanta Lisa Perry-Gilkes, Atlanta, Director, 2015 Quentin R. Pirkle, Atlanta, Director, 2017 Thomas E. Bat, Alpharetta, Alternate Director 2017 Sara Caceres, Kennesaw, Alternate Director, 2015 Charles Wilmer, Atlanta, Alternate Director, 2017 The remainder of the elected offices were contested and voting was held on Sunday, October 19. Candidates for secretary were Matthews W. Gwynn, M.D., of Atlanta, and Andrew B. Reisman, M.D., of Oakwood. Candidates for vice speaker were Edmund R. Donoghue, M.D., of Savannah,

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 9 and Stanley W. Sherman, M.D., of Decatur. Candidates for AMA Alternate Delegate were Jack M. Chapman Jr., M.D., of Gainesville, and John A. Goldman, M.D., of Atlanta. The following members were elected to office: Secretary: Andrew B. Reisman, M.D. Vice Speaker of the House: Edmund R. Donoghue, M.D. AMA Alternate Delegate: Jack M. Chapman Jr., M.D. Section Elections MAG International Medical Graduates (IMG) Section convened a meeting during the weekend of the annual session and elections were held in accordance with the Section Bylaws. Santanu Das, M.D., was elected chairman of the IMG Section. MAG Medical Student Section (MSS) convened a meeting during the weekend of the annual session and elections were held in accordance with the Section Bylaws. Margaret Cinderella, of MCG, was elected chairman, and will serve as a director on the MAG Board of Directors. Kevin Lindsey, of MCG, was elected vice chairman and will serve as an alternate director on the MAG Board of Directors. Special Elections Chairman of the AMA Delegates Joseph P. Bailey Jr., M.D., reported that because he stepped down as chairman of the AMA Delegation, the AMA Delegation met and held elections for chairman and vice chairman during the meeting. The delegation elected S. William Clark III, M.D., as chairman and Sandra B. Reed, M.D., as vice chairman. The House of Delegates accepted this report for information. Consent Calendar On the annual consent calendar, policies five years or older were presented to the House of Delegates for retention and reaffirmation, rescission and sunset or sunset with replacement by a new revised policy. Dr. Harvey called for extractions from Special Report 4, Appendix I (reaffirmation recommendations) and having no extractions, Special Report 4, Appendix I was adopted. Dr. Harvey called for extraction from Special Report 4, Appendix II (sunset recommendations) and having no extractions, Special Report 4, Appendix II was adopted. Dr. Harvey called for extraction from Special Report 4, Appendix III (sunset with new policy) and Policy 265.999 -- Treatment of Minors and Policy 290.974 -- Federal Poverty Level were extracted. The remainder of Special Report 4, Appendix III was adopted. Dr. Harvey announced that policy 265.999 shall be heard in Reference Committee A. Policy 290.974 shall be heard in Reference Committee HC and directed staff to prepare these extractions for the two reference committees.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 10 Announcements Dr. Harvey thanked MagMutual and the Atlanta Capital Group for sponsoring the reception starting at 7 p.m., in the Lobolly Ballroom. He stated that the installation of Manoj Shah, M.D., will begin at 6 p.m. in the Cypress Room. Dr. Harvey announced that Reference Committee A will meet in Cypress A, Reference Committee C will meet in Bayberry 1 and 2, Reference Committee F will meet in Sourwood 2 & 3 and Reference Committee HC will meet in the ballroom. A special panel discussion on Certificate of Need issues will begin immediately after this session. New Business The House of Delegates commended Joseph P. Bailey Jr., M.D., of Augusta for his years of service. Dr. Bailey thanked members of the House of Delegates for their support of him over the many years that he has served the association in various capacities. Dr. Harvey encouraged members of the House of Delegates to visit MAG’s Medical Student Abstract Showcase in Bayberry 3 and 4. Recess The Speaker of the House John S. Harvey, M.D., recessed the House of Delegates at 10:55 a.m. and announced that the Second Session will begin at 6 p.m.

SECOND SESSION Speaker of the House of Delegates John S. Harvey called the Second Session of the House to order at 6 p.m. in the Cypress Room. G.V. Raghu with the Chinmaya Mission of Atlanta gave the invocation. Dr. Harvey called on MAG President William E. Silver, M.D., who asked incoming president Manoj H. Shah, M.D., to the podium to recite the oath of office. Installation/Awards Ceremony Dr. Silver presented to Dr. Shah the president's pin that will be worn while carrying out the duties of the office, the president’s medallion which will be worn on all special occasions, and the official gavel that symbolized the transfer of leadership. Dr. Shah presented to Dr. Silver the past president medallion, pin and plaque. Inaugural Speech – Manoj H. Shah, M.D. Dr. Shah stated that becoming president of the Medical Association of Georgia was one of the greatest honors of his life. He stated how proud he was to be the first physician of Indian origin to serve as president and pledged that he will listen to members as individuals and to try to make the best decisions for MAG, its members and patients. (The detailed address is recorded in JMAG, Vol. 103, Issue 4, 2014) Special Awards

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 11 Congressman Phil Gingrey, M.D., and Congressman Paul Broun, M.D., were presented with special awards for their physician/patient advocacy during their tenure in the U.S. House of Representatives. Dr. Harvey presented Joseph P. Bailey Jr., M.D., with a ceremonial walking stick. Members of the AMA Delegation honored Dr. Bailey with a ceremonial ring bearing the delegation’s buccaneer theme, which was related to the skull and crossbones that appears on the rings of Medical College of Georgia graduates, and he was presented with the first-ever Legacy Award. Awards Ceremony (Details are recorded in JMAG, Vol. 103, Issue 4, 2014) Lamartine Hardman Cup The Lamartine Hardman Cup was established by Dr. Lamartine Hardman, Governor of the State of Georgia . This award is presented for the achievement of anyone who, “in the judgment of the Association has solved any outstanding problem in public health or made any discovery in surgery or medicine or such contribution to the science of medicine, including but not limited to excellence in the field of medical education.” Richard W. Cohen, M.D., nominated by the Cobb County Medical Society, received the Lamartine Hardman Cup for his leadership in the health care community. Joseph P. Bailey Jr., M.D. Physician Distinguished Service Award This award is presented for distinguished and meritorious service that reflects credit and honor on the association. Nominations of this award are made by component county medical societies, which are to supply supporting data. The award in the past has been given annually, but is given only when merited. John A .Goldman, M.D., nominated by the Medical Association of Atlanta, received the Joseph P. Bailey Jr., M.D., Physician Distinguished Service Award. The award is presented to a physician for distinguished and meritorious service that reflects credit and honor on MAG. Community Service Award This award recognized physicians for many and varied services above and beyond the call of duty that they render to their respective communities. Wyeth-Ayerst makes the award available. David N. Westfall, M.D., nominated by the Georgia Academy of Family Physicians, received the Community Service Award which recognizes a physician who demonstrates a love for the community outside the regular scope of practice. Jack A. Raines, M.D., Humanitarian Award Formerly presented as the Civic Endeavor Award, the Jack A. Raines Humanitarian Award is given in recognition of that physician who has made an outstanding humanitarian contribution to his or her fellow man, community, country or world community beyond the normal practice of medicine.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 12 Deborah A. Martin M.D., received the Jack A. Raines, M.D., Humanitarian Award on nomination of the Medical Association of Atlanta (MAA). In nominating her for the award, MAA cited her strong sense of service to the community, becoming a founder of the Yonkofa Project to build clinics in remote areas of Ghana. Donna Glass Non-Physician Distinguished Service Award This award honors a non-physician in Georgia who has distinguished herself or himself in regards to contributions made to the advancement and support of medicine. The award is given at the Annual Meeting when merited. Nominations of this award are made by individual physicians or component county medical societies. The J.C. Lewis Jr., family, nominated by the Georgia Medical Society, received the award for their contributions to the advancement and support of medicine. J.C. Lewis Jr., was the mayor of Savannah from 1966 to 1970. Since Mr. Lewis’s death in 2005, the family has continued to play an active role in improving health care in the region including the Nancy B. and J.C. Lewis Cancer Pavilion at St. Joseph’s/Candler Hospital and major benefactors for Memorial Health University Medical Center’s philanthropic efforts. At the conclusion of the awards ceremony and dinner, Dr. Harvey recessed this session of the meeting and announced that the House of Delegates will reconvene at 8 a.m. Sunday.

FINAL SESSION Speaker of the House of Delegates John S. Harvey, M.D., called the final session of the House of Delegates to order at 8:10 a.m. Report on GAMPAC The House of Delegates received for information an annual report found in the House of Delegates Handbook. GAMPAC Chairman James Barber, M.D., gave a Power Point presentation and reported on the value of becoming a GAMPAC member. He asked that all members of the House who are members of GAMPAC to stand and be recognized. Report on MAG Foundation MAG Foundation President Jack M. Chapman Jr., M.D., encouraged members of the House to read the annual report providing a status report on the several programs under the auspices of the foundation including the “Think About It” Campaign, Georgia Physicians Leadership Academy, W.R. Dancy Student Loan Fund, Distressed Physician Fund, and the Charitable Gift Annuity Plan. Dr. Chapman recognized William Clark, M.D., founder of the academy during his year as president. An annual report on the activities of the Georgia Physicians Leadership Academy was published in the House of Delegates Handbook. Report on MAG Alliance Mrs. Eve Tidwell gave a MAG Alliance report to members of the House of Delegates. She reported MAG and MAG Alliance have a 90-year relationship. She stated that to show its

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 13 support for physicians in the state, she and others of the Alliance distributed gift baskets to every delegate during the House of Delegates meeting. Credential Report Credentials Chairman Rutledge Forney, M.D., reported that 190 delegates, nine alternate delegates, representing 38 component societies and sections registered. A quorum was met. A detailed report is attached to these minutes. Reference Committee Reports The speakers called for reference committee reports. These reports were taken in the following order: Reference Committee F, Reference Committee HC, Reference Committee C, and Reference Committee A. These reports were placed on a consent calendar and items for further action were extracted. The following are final actions taken by the 2014 House of Delegates:

Reference Committee F Officer 04.14 (Treasurer)

Filed the report of the Treasurer (Officer 04.14) Resolution 401F.14 (Creation of the AMA Super PAC

Adopted, that the Medical Association of Georgia (MAG) delegation to the American Medical Association (AMA) House of Delegates submit a resolution asking that:

1) The AMA create and provide significant initial funding for a new subsidiary, the AMA Super PAC, to participate in independent expenditures for or against candidates for federal office.

2) The AMA Super PAC only supports candidates that have already been endorsed by

AMPAC at the recommendation of state medical society PACs. 3) The AMA Board of Trustees determines the structure, organizing principles, name,

membership and terms of office of the Organizing Board of Directors of the AMA Super PAC.

4) The AMA Board of Trustees determines the amount of funds to be dedicated annually

to the AMA Super PAC. 5) The AMA Super PAC Board of Directors be responsible for determining the

allocation of monies for independent expenditures, actively participate in all operational decisions regarding the independent expenditures and develop a plan to encourage contributions from other entities eligible to contribute to the Super PAC for the purposes of advancing the AMA’s agenda for our patients and our profession.

6) The AMA Board of Trustees report back at A-15 with recommendations for the new AMA Super PAC.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 14

Reference Committee HC Special Committee on Certificate of Need

Officer 01.14, Recommendation 1 (President’s Report)

DID NOT ADOPT recommendation 1 calling for MAG to support a pilot/demonstration project lasting five years allowing multispecialty clinics the ability to purchase a single specialty practice with a LNR ASC without having to go through the certificate of need process. Those practices participating in the pilot are allowed to keep functioning as the practices under a permanent exemption did under the pilot if the study results show the pilot/demonstration pilot was detrimental to the community.

Officer 01.14, Recommendation 2 (President’s Report)

Adopted by substitution recommendation 2, that the Medical Association of Georgia continue to promote and advance the goals of maintaining physician autonomy in their choice of practice environment and maintain patient access to affordable and quality care by seeking significant reformation or repeal of current Certificate of Need (CON) laws by: 1) acquiring and analyzing data on CON laws which restrict physicians in their practices, including single and multi-specialty ambulatory surgical procedure and imaging centers, laboratories, and ancillary services; 2) obtain specific case examples how current laws have negatively affected physicians, their practices and their patients from a lack of access to affordable care and regulatory restrictions; 3) actively develop alliances and align the support of similarly situated stakeholders to build consensus; and 4) develop a strategic plan to report to the 2015 House of Delegates on the analysis performed.

Resolution 701HC.14 (Establishment of an Assistant Physician as a Provider of Primary Care)

Referred to the Board of Director for a decision, that the Medical Association of Georgia (MAG) facilitate legislation that would allow MDs, MBBSs, and DOs with ECFMG certification to work under the supervision of a physician as an Assistant Physician (not to be confused with a Physician Assistant) delivering primary care for a stipend until such candidate is able to find an acceptable residency opportunity.

Policy 290.974 (Federal Poverty Level)

Reaffirmed Policy 290.974, that MAG supports expansion of Medicaid for low-income families up to 185 percent of the federal poverty level (current level as of July 2009 is about 50 percent of the federal poverty level. (HD 10/17/2009, Special Report: Appendix III)

Reference Committee C

Resolution 301C.14 (Interstate Medical License Compact)

Referred to the Board of Directors for a decision, that the Medical Association of Georgia (MAG) supports the Federation of State Medical Boards (FSMB) Interstate Compact allowing for expedited physician licensure if its amended to ensure complete state autonomy and address the many concerning clauses including, but not limited to, the state of principle license clause; the broad executive meetings clause; the commission’s ability

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 15

to promulgate rules that are binding on all member states; the state withdrawal requirements; and the judicial review clause.

Resolution 302C.14 (Stabilized Patients on Biologic Medications)

Adopted that the Medical Association of Georgia (MAG) oppose any insurance program that requires patients stabilized on biologic therapy to be required to switch to another biologic medication.

Resolution 303C.14 (Support for Georgia Drug Monitoring Program)

Adopted by substitution as amended from the floor that: 1) the Medical Association of Georgia actively support the legislature, securing funding by fiscal year 2015, to continue the Georgia Prescription Drug Monitoring Program (GA PDMP); 2) that the Medical Association of Georgia work in conjunction with the Georgia Composite Medical Board and Georgia Drug and Narcotics to secure additional funding outside of the legislature to ensure the viability of the GA PDMP after September 15, 2015; 3) that the Medical Association of Georgia Foundation as part of the “Think About It” campaign, market the benefit of the GA PDMP to all Georgia physicians; 4) that MAG work to allow delegate authority for accessing the GA PDMP; and 5) that MAG work to allow information indentified in the GA PDMP about a patient to be incorporated into that patient’s medical record.

Resolution 304C.14 (Biosimilar Medications)

Adopted as amended, that the Medical Association of Georgia (MAG) promote legislation or regulation addressing prescribing issues for biologics, including: 1) a requirement ensuring that if a brand biologic medication is prescribed to a patient, that patient receives the specific brand medication; 2) notification of both the physician and patient before any biosimilar medication, either interchangeable or non interchangeable, is substituted for a biologic medication; 3) a non-interchangeable biosimilar is not allowed, a substitution must be done with an interchangeable biosimilar and not a non interchangeable biosimilar; and 4) a requirement that pharmacists and prescribers retain records of patients who receive biosimilars for a set period of time.

Resolution 305C.14 (E-Prescribing)

Adopted resolve 1, that the Medical Association of Georgia (MAG) advocate to the Georgia Board of Pharmacy to amend Georgia Rule 480-27-.02 so that the language is consistent with the language found in O.C.G.A. § 26-4-80 and § 26-4-80.1. Adopted resolve 2, that MAG will work with the Legislature and Georgia Board of Pharmacy to allow and streamline the e-prescribing process for physicians.

Resolution 306C.14 (Extending the Medicaid Primary Care Pay Parity)

Adopted resolve 1, that the Medical Association of Georgia (MAG) support legislation that extends the Medicaid Primary Care Pay Parity Program.

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Adopted resolve 2, that MAG support obstetrician/gynecologists being included in the Medicaid Primary Care Pay Parity Program.

Resolution 307C.14 (Georgia License for Expert Witnesses)

Adopted as amended, that the Medical Association of Georgia strongly support any proposed legislation that all medical experts maintain a full or modified license in Georgia.

Resolution 308C.14 (New Medical Education Requirements for State Licensure)

Referred to the Board of Directors that: 1) the Medical Association of Georgia (MAG) support FSMB Resolution 13-2 requiring applicants for licensure to have completed 36 months of progressive graduate medical education; and 2) that MAG does not support FSMB Resolution that recommends shortening the duration of undergraduate medical education from four years to three years.

Resolution 309C.14 (Ordering a Prescription Drug Under Protocol)

Referred as amended to the Board of Directors that: 1) the Medical Association of Georgia (MAG) adopt a policy that APRNs cannot prescribe drugs for treatment of an unconfirmed medical diagnosis and that this policy will supersede all other MAG policy; 2) that MAG support correction of present statute to clarify the distinction between prescribing and issuing a drug order or ordering a drug for the treatment of a previously established medical diagnosis; 3) that MAG adopt a policy that APRNs are trained to enter a nursing diagnosis for a patient and cannot enter an un-established medical diagnosis for a patient; this policy will supersede all other MAG policy; and 4) that MAG supports for APRNs to be governed by the Georgia Composite Medical Board.

Resolution 310C.14 (Retention of Family Medicine Physicians in Georgia)

Adopted by substitution that the Medical Association of Georgia (MAG) will work closely with Georgia’s primary care physicians including academic program directors to create economic incentives that will attract and retain primary care physicians in sufficient numbers in the state of Georgia by or before 2019.

Resolution 311C.14 (Network Adequacy)

Adopted resolve 1, that the Medical Association of Georgia (MAG) support a requirement that all health insurance plans are regulated to ensure network adequacy by requiring insurers to provide transparency regarding the methodology for physician selection in health insurance networks and sufficient quality patient access to all physician specialties. Adopted resolve 2, that MAG will work with the Georgia Insurance Commissioner and insurers on developing a plan to make certain that health insurance networks are regulated properly to govern the adequacy of the networks – ensuring that the networks are vast enough to address the growing patient volume and provide sufficient quality patient access to all physician specialties, and requiring insurers to provide transparency regarding the methodology for physician selection in health insurance networks.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 17 Resolution 312C.14 (Expansion of Vaccination Protocol by Pharmacies)

Adopted resolve 1, that the Medical Association of Georgia (MAG) not support expansion of prescriptive authority to prescribe and administer vaccines by blanket protocol beyond the current administration of the annual influenza vaccine. Adopted resolve 2, that MAG endorses vaccine education by all members of the medical team including pharmacists. Adopted resolve 3, that MAG endorses appropriate reimbursement for vaccine costs and administration.

Resolution 313C.14 (Hydrocodone Combination product Prescribing Authority for Emergency Department advanced Practice Providers)

DID NOT ADOPT Resolution 313C calling for MAG, in conjunction with the Georgia College of Emergency Physicians (GCEP), support legislation or regulation that would give emergency department based advanced practice registered nurses and physician assistants the authority to prescribe limited amounts of Hydrocodone combination products within schedule II in compliance with O.C.G.A. § 43-34-103.

Resolution 314C.14 (Rescheduling of Hydrocodone Combination Products to Schedule II)

DID NOT ADOPT Resolution 314C calling for MAG's delegation to the AMA House of Delegates strongly encourage the AMA to vigorously object to the rescheduling of Hydrocodone combination products (HCPs) from Schedule III to Schedule II.

Reference Committee A Resolution 101A.14 (Transparency and Labeling of Generic Medications)

Adopted as amended, that the Medical Association of Georgia (MAG) delegation to the American Medical Association (AMA) House of Delegates present a resolution requesting the AMA to pursue the transparency of prescribing generic drugs by ensuring that generic drugs are adequately labeled according to FDA requirements, including FDA bioequivalence data in the package insert.

Resolution 102A.14 (Cancellation of MOC Program for Physicians Certified before 1990)

Adopted by floor substitution that due to the overwhelming consensus of physicians that the current Maintenance of Certification (MOC) is ineffective, time-consuming, and economically burdensome, it is recommended that the Medical Association of Georgia (MAG) delegation to the American Medical Association (AMA) House of Delegates strongly encourage the AMA to support cancelling the current MOC program for physicians and utilize CME as currently required. TITLE CHANGE: Cancellation of MOC Program

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 18 Resolution 103A.14 (Choosing Wisely Initiative)

Adopted as amended, that the Medical Association of Georgia (MAG) agrees with the AMA in supporting the concepts of the American Board of Internal Medicine Foundation’s “Choosing Wisely” program.

Resolution 104A.14 (Cost of Meaningful Use Passed Onto Patients)

Adopted as amended, that the Medical Association of Georgia (MAG) encourages the American Medical Association (AMA) to pursue legislation allowing all physicians to charge administrative surcharges outside of their contracts with insurance companies that can be used to cover the additional costs of regulatory requirements.

Resolution 105A.14 (Expansion of Practice)

DID NOT ADOPT, that the Medical Association of Georgia (MAG) educate members that OCGA 43-34-25(f) does not require a physician or APRN to be party to a nurse protocol agreement in order to receive reimbursement for medical treatment; and that MAG will oppose expansion of scope of practice for APRN performance of medical acts outside of physician requested acts that may be delegated. (Editorial Note: Retained current policies 360.999, 120.983, 360.986 and 360.996)

Resolution 106A.14 (Electronic Medical Records Waiver Policy)

DID NOT ADOPT, that Medical Association of Georgia (MAG) supports that physicians who are not comfortable with the use of electronic medical records (EMR) be granted a waiver allowing them to not use EMR with no financial consequences punishment or fine. (Editorial Note: Addressed in 110.A adopted as amended)

Resolution 107A.14 (Maintenance of Certification)

DID NOT ADOPT, that the Medical Association of Georgia (MAG) opposes the continuation of the American Board of Medical Specialties Maintenance of Certification and the American Osteopathic Association Osteopathic Continuous Certification programs. (Editorial Note: Addressed in 102.A adopted by HOD substitution)

Resolution 108A.14 (Maintenance of Licensure) Adopted original resolve, that the Medical Association of Georgia (MAG) opposes any effort by the Georgia Composite Medical Board to adopt, use or require the Federation of State Medical Boards Maintenance of Licensure (MOL) program as a condition of licensure on this basis.

Resolution 109A.14, (Normal Saline Limitations)

Adopted as amended, that the Medical Association of Georgia (MAG) educate physicians and the public about the drug and intravenous fluids shortages and the impact they are having on patient care delivery.

Resolution 110A.14 (Preservation of Small Practices)

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 19

Adopted as amended Resolve 1, that the Medical Association of Georgia (MAG) takes positive action to retain private practices in Georgia and across the country. Adopted as amended Resolve 2, that the MAG Delegation to the American Medical Association (AMA) submit a resolution to the AMA House of Delegates that includes language: (1) encouraging physicians to maintain their private practices; (2) advocating for waivers for private practices to continue to use non-electronic medical records with no financial penalty; and (3) eliminating non-compete clauses for physicians who join hospital groups.

Resolution 111A.14 (Country of Origin for Prescription Medications)

DID NOT ADOPT resolution 111A calling for MAG to urge AMA to support labeling of all prescription medication by country of origin. (Editorial Note: Addressed in 101.A adopted as amended)

Resolution 112A.14 (Prior Approval Requirements of Insurance Companies)

Adopted by substitution, that the Medical Association of Georgia advocates for a standardized prior approval process and that physicians may charge an administrative surcharge for prior approval outside of their contracts.

Resolution 113A.14 (Maintenance of Certification)

Adopted original Resolve 1, that the Medical Association of Georgia (MAG) opposes any efforts to require Maintenance of Certification (MOC) as a condition of medical licensure, or as a pre-requisite for hospital/staff privileges, employment in State of Georgia medical facilities, reimbursement from third parties, or issuance of malpractice insurance. Adopted original Resolve 2, that MAG advocates that the lack of specialty board recertification should not restrict the ability of the physician to practice medicine in Georgia.

Policy 265.999, (Treatment of Minors)

Reaffirmed policy 265.999, that MAG believes physicians should be allowed to treat minors for venereal disease or drug abuse, or suspected venereal disease or drug abuse, without being required to have prior parental consent for such treatment. The physician may elect to advise the parents of the treatment given, but should not be required to do so. MAG supports the position that any individual 18 years of age or over may give consent for medical or surgical treatment, and that any female may give such consent regardless of age or marital status when in connection with pregnancy or childbirth. (Reaffirmed 5/1/2000; 10/17/2009)

Survey Results During the course of the meeting, members were polled on a number of important issues, including MAG, the practice environment in the state, the Medicare and Medicaid programs, and

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 20 trends in the medical profession. Results of the poll will provide feedback that will help MAG's advocacy efforts in 2015 and beyond. The following is a summary of the survey results:

67% said that they expect to see Medicare patients five years from now – up one point from 2013. 47% said that they expect to see Medicaid patients five years from now – down two points from 2013. 57% said that they do not believe that the Medicaid program in Georgia is sustainable – down from 68% in 2013. 64% said they had contacted a congressional leader to urge them to repeal the Medicare SGR. 67% said that they do not believe that the medical profession in Georgia is united in its advocacy efforts. 77% see state legislative advocacy as MAG’s most valuable program – up two points from 2013. That was followed by third party payer advocacy at 11%, practice tools at 4.6%, and legal and federal legislative advocacy at 3.9% each. 41% said that caps should be MAG’s top priority when it comes to its advocacy efforts in the tort reform arena. That was followed by prescreen medical review panels at 22%, the early resolution of claims at 18%, health courts at 12%, and collateral sources at about 7%. 67% said the practice environment in Georgia is worse than it was in 2013. 72% do not believe that pharmacists should be allowed to administer all vaccines under a local physician protocol. 75% said MAG’s brand/reputation is getting stronger, while 24% said that it is holding steady. 96% said they knew that MAG had paid off its building and is now debt free. 70% said they have supported MAG’s legislative advocacy efforts in the last year. 17% said that they have used MAG’s mag.org website to find CME. 75% said they believe MAG is becoming more diverse.

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 21

35% said that the e-News from MAG newsletter is MAG’s most valuable communications resource. That was followed by the mag.org website at 22%, the Journal at 11%, and the e-News from the Capitol newsletter, the Georgia Pulse news briefs report, and the CEO’s Board Update at between 7% and 8% each. 35% view themselves as “employed.” Of those, 19% said that they are employed by a hospital, while 13% are employed by a multispecialty practice, and 5% are employed by a private company. 93% said they would still become a physician if they could turn back the clock. 61% see the federal government as the biggest threat to the medical profession – up six points from 2013. Other threats included the erosion of private practice at 15%, medical malpractice liability at 8%, erosion of scope of practice at 7%, and other third party payers at 5%. 63% said that they have taken steps to prepare for the ICD-10 medical billing codes that will go into effect in October 2015. 61% do not believe that electronic health records (EHR) has resulted in better patient care, while 19% said it has, and 17% said it will in time. 18% said that their practice is connected to a regional or state health information exchange (HIE), while 29% said that it’s “in the works.” 34% said they didn’t have plans to get connected to an HIE, while 18% said they aren’t familiar with an HIE. 66% said they would be either be “much” or “somewhat” more willing to use an HIE that was led by physicians. 30% said the single biggest health insurance payer concern or problem is pre-authorization. That was followed by narrow networks at 18%, lack of transparency at 15%, EHR adoption at 13%, all products clauses at 11%, and poor communication at 4%. 55% said that they would spend equal amounts of their contribution to the MAG Foundation on the ‘Think About It’ campaign to reduce prescription drug abuse and the Georgia Physicians Leadership Academy (GPLA). 18% said they would spend 100% on the GPLA, while 8% said they would spend 100% on the ‘Think About It’ campaign.

Announcements MAG’s Medical Student Section (MSS) hosted its inaugural “Medical Student Research Symposium” (i.e., poster showcase) during the course of the meeting. There were 35 posters submitted by medical students from across the state. (Details on the Research Symposium and highlights of the MAG Medical Student Session held during the annual session is recorded in JMAG, Vol. 103, Issue 4, 2014)

Proceeding of the 2014 House of Delegates October 18-19, 2014 Page 22 Speaker of the House of Delegates Dr. Harvey addressed the House of Delegate reminding members that anyone interested in participating in the MAG Medical Reserve Corps (MRC) may sign up today. He said this new program came about from a resolution that passed the House of Delegates in 2014. The program should be operational in mid-2015. Conclusion The next House of Delegates will be held on Saturday-Sunday, October 17-18, 2015 at the Hyatt Regency Savannah. Having no further business, the 160th Annual Session of the House of Delegates was adjourned at 12:30 p.m.

2014 MAG House of DelegatesCredentialing Committee Report

I. County Medical Societies

CMS Size County Medical Society Delegate Entitlement

Delegates Credentialed (including Alternates

credentialed as Delegates)

Altamaha CMS 1 0Baldwin CMS 1 0Barrow CMS 1 0Bartow CMS 2 1Ben Hill Irwin CMS 1 0

Bibb CMS 13 12Blue Ridge CMS 1 0Carroll CMS 2 0Cherokee Pickens CMS 2 1Clayton-Fayette-Henry CMS 6 0Cobb CMS 26 24Coffee CMS 1 1

Colquitt CMS 2 1

Coweta CMS 1 0CW Long CMS 7 3Decatur CMS 1 0DeKalb CMS 14 10Dougherty CMS 5 1East GA CMS 1 0East Metro CMS 3 0

Elbert CMS 1 0

Flint CMS 1 0

Floyd-Polk-Chattooga CMS 5 0

Georgia MS 13 13

Glynn CMS 2 0

Gordon CMS 1 0Gwinnett-Forsyth CMS 10 5

Habersham CMS 1 1

Hall CMS 9 8Jackson-Banks CMS 1 0

Laurens CMS 2 0

Lumpkin CMS 1 0Medical Association of Atlanta 72 49

Meriwether-Harris-Talbot CMS 1 0

Muscogee CMS 10 10

Ocmulgee CMS 1 0

Oconee Valley CMS 1 0

Ogeechee River CMS 4 3

Okefenokee CMS 2 2

Peachbelt CMS 2 1Richmond CMS 25 21South Georgia MS 2 0

Southeast Georgia MS 1 0

Spalding CMS 1 1

St. Johns Parish CMS 1 0

Stephens-Rabun CMS 2 1Sumter CMS 1 0Thomas Area CMS 2 1Tift CMS 2 0Troup CMS 2 2Upson CMS 1 0Walker-Catoosa-Dade CMS 1 1Wayne CMS 1 0Whitfield-Murray CMS 3 1TOTAL 54 CMS 276 174

II. Sections Entitlement Delegates Sections Represented:Medical Student’s Section 1 1Organized Medical Staff Section 1 0International Medical Graduates 1 1

TOTAL: 3 2

III. Specialties

Specialty Represented: Entitlement DelegatesGA Chapter American College of Cardiology 2 1GA Chapter, American College of Surgeons 2 1GA Society of Dermatologists 1 1GA OB/GYN 2 2GA Society of Ophthalmology 1 0GA Society of Plastic Surgeons 1 1GA Neurosurgical Society 1 0GA Orthopedic Society 2 1GA Chap, American College of Physicians/Am. Soc. Of Internal Medicine3 3GA Chap, American Academy of Pediatrics 2 2GA Psychiatric Physicians Association 1 1GA Academy of Family Physicians 3 3GA Society of Anesthesiologists 2 1GA Society of Otolaryngology 1 1GA College of Emergency Physicians 1 0GA Society of Clinical Oncology 1 0GA Radiological Society 1 1

TOTAL: 27 19

TOTAL: 306 195Respectfully submitted by:Rutledge Forney, M.D.

18-Oct-14Rutledge Forney, M.D.

19-Oct-14