Procedures, Policies and Practices November 201
House of Delegates Reference Manual
Procedures, Policies and Practices
November 2022
? 2022 American Medical Association. All rights reserved.
Table of Contents
Page
Chapter 1: General Information on the AMA House of Delegates ...................................... 7 Composition of the House of Delegates ........................................................................ 7 Meeting Overview ......................................................................................................... 8 A Synopsis of the HOD Policy Development Process ................................................. 9 Traditions, including Privilege of the Floor .................................................................. 10 Meetings held in conjunction with House of Delegates Meetings ................................ 10
Chapter 2: Delegates and Alternates ...................................................................................... 15 Delegate Responsibilities .............................................................................................. 15 Role of Alternate Delegates .......................................................................................... 16 Delegates/Alternate Delegates Certification and Registration ...................................... 16 Seating of Delegates ...................................................................................................... 17 Conflicts of Interest........................................................................................................ 17 Code of Conduct for Delegates and Alternate Delegates............................................... 18
Chapter 3: Roles and Duties of the Speaker and Vice Speaker ........................................... 19 Speakers' Letters and other Communications from the Speakers ................................. 19 Speaker Appointments .................................................................................................. 19 Additional Speaker Responsibilities ............................................................................. 20
Chapter 4: HOD Committees: Roles and Responsibilities ................................................... 21 Rules and Credentials Committee ................................................................................. 21 Resolution Committee ................................................................................................... 21 Tellers ............................................................................................................................ 22 Reference Committees .................................................................................................. 23 Election Committee........................................................................................................ 24 Selection Committee for the Public Member of the Board ........................................... 24 Committee on Compensation of the Officers ................................................................ 24 Special Committees ....................................................................................................... 25 Other HOD Committees ................................................................................................ 25
Chapter 5: Business Items of the House of Delegates ........................................................... 26 Resolutions .................................................................................................................... 26 Reports .......................................................................................................................... 30 Reconciliation Reports from the Speakers ..................................................................... 33 Other Reports ................................................................................................................ 33 Information Statements .................................................................................................. 34 CEJA Opinions ............................................................................................................. 34
Chapter 6: The HOD Handbook and Distribution of other HOD Material ....................... 35 Resolutions assigned to Reference Committees ............................................................ 35 Late Resolutions ............................................................................................................ 38 Additional Handbook Items and Supplemental Materials ............................................ 38 Reference Committee Reports, including Versions annotated with HOD Action ........ 38
Chapter 7: Sessions of the AMA House of Delegates ............................................................. 39 New Business ................................................................................................................ 40 Informational Reports ................................................................................................... 41 Recommendations for Late Resolutions ....................................................................... 41 Memorial Resolutions ................................................................................................... 42 Recommendations for Reaffirmation ............................................................................ 42 Withdrawn resolutions .................................................................................................. 42 Items Recommended Against Consideration ................................................................ 42 Resolutions of an Emergency Nature............................................................................. 43
Chapter 8: Reference Committee Hearings ........................................................................... 44 Issues assigned to each Reference Committee .............................................................. 44 Reference Committee Schedules ................................................................................... 44 Order of Business .......................................................................................................... 45 Online Member Forums ................................................................................................. 45 Rules Governing Reference Committee Hearings ........................................................ 45 Testimony ...................................................................................................................... 45 Executive Session ......................................................................................................... 46 Reference Committee Report ........................................................................................ 47 Consent Calendar ........................................................................................................... 47 Reference Committee Report Availability and Distribution ......................................... 47 Schedule of Reference Committee Report Presentations .............................................. 47 Caucusing on Reference Committee Report Recommendations .................................. 47 Amendments ................................................................................................................. 48
Chapter 9: Parliamentary Procedure and the House of Delegates: An Overview .............. 49 Standing Rules ............................................................................................................... 49 Introduction of Business ............................................................................................... 50 Presentation of the Reference Committee Reports ....................................................... 51 Motions in the HOD....................................................................................................... 53 Understanding House Action ......................................................................................... 58 Voting Options .............................................................................................................. 59 Dynamic Nature of HOD Rules ..................................................................................... 60
Chapter 10: Special Items and their Treatment in the HOD ............................................... 61 Items of Business which may not be Modified by the House ....................................... 61 Late Resolutions............................................................................................................. 61 Emergency Business ...................................................................................................... 61 Reports which may be Modified by the House and Criteria applied ............................. 61 Informational Reports .................................................................................................... 62 Information Statements .................................................................................................. 62 Amendments to the AMA Constitution and Bylaws ..................................................... 63 Principles of Medical Ethics ......................................................................................... 63
Chapter 11: Nominations and Elections for AMA Board and Council Positions ............... 64 Announcements of Candidacy ...................................................................................... 64 Endorsements ................................................................................................................. 65 Nominations ................................................................................................................... 65 Elections......................................................................................................................... 65 Conflict of Interest Disclosures...................................................................................... 65 Campaigns...................................................................................................................... 66 Campaign Complaint Reporting, Validation and Resolution Process ........................... 69 Candidate Points of Personal Privileges ....................................................................... 70
Chapter 12: Awards.................................................................................................................. 71 General Awards Criteria ................................................................................................ 72
Chapter 13: Post meeting ........................................................................................................ 73 Annotated reports .......................................................................................................... 73 Policy Finder ................................................................................................................. 73 Sunset Process ............................................................................................................... 73 Reconciliation Process ................................................................................................... 73 Proceedings ................................................................................................................... 74 Reports under Development........................................................................................... 74 Board Review of HOD Actions .................................................................................... 74 Board Updates on Items Adopted or Referred .............................................................. 75 Board Actions contrary to AMA Policy......................................................................... 75
Appendix A. General Practicalities ........................................................................................ 76
Appendix B. Current and Past HOD Speakers ..................................................................... 82
Appendix C. Organizations represented in the AMA House of Delegates .......................... 83
Appendix D. Resolution Submission Checklist....................................................................... 88
Appendix E: Parliamentary Procedure Quick Tips............................................................... 89
Appendix F: Understanding the Recording of AMA Policy.................................................. 90
Appendix G: Policy on Conduct at AMA Meetings and Events ........................................... 92
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