203 - FAIR Foundation



AMERICAN MEDICAL ASSOCIATION HOUSE OF DELEGATES

Resolution:

(A-18)

Introduced by: The American Society of Transplant Surgeons

Subject: Improving Medicare Patients’ Access to Kidney Transplantation

Referred to:

Whereas, Kidney transplantation is often the best and most cost-effective treatment for Medicare patients with End Stage Renal Disease (ESRD); and

Whereas, The Dialysis PATIENTS Demonstration Act of 20171 (S. 2065) (HR 4143)-- (PATIENTS Act)--appears to remove control of kidney transplantation decision-making from many physicians and their Medicare patients; and

Whereas, The PATIENTS Act is duplicative of the more comprehensive and patient-oriented Center for Medicare and Medicaid Innovation Comprehensive ESRD Care Model2; and

Whereas, Dialysis and transplant professional3-5 as well as patient-centered groups5,6 oppose the PATIENTS Act because it limits physician and patient choice in ESRD treatment options; therefore be it

RESOLVED, That our AMA work with professional and patient-centered organizations to advance patient and physician-directed coordinated care for ESRD patients (Directive to Take Action); and be it further

RESOLVED, That our AMA actively oppose the “Dialysis PATIENTS Demonstration Act of 2017” (S. 2065) (HR 4143) (Directive to Take Action); and be it further

RESOLVED, That the House of Delegates receive a report back at Interim 2018 regarding our AMA actions in opposing the PATIENTS Act (Directive to Take Action)

References:

1. Dialysis PATIENTS Demonstration Act of 2017” (S. 2065) (HR 4143):

2. Center for Medicare and Medicaid Innovation Comprehensive ESRD Care Model:

3. American Society of Transplant Surgeons: The ASTS-AST-AOPO-AAKP Joint Letter on Dialysis PATIENTS Demonstration Act of 2017:

4. DCI: Letter 2 November, 2017:

5. American Association of Kidney Patients and the American Society of Nephrology: Letter 28 February, 2018:

6. The FAIR Foundation: :   Policy adopted 28 January, 2018

Fiscal Note:

RELEVANT AMA POLICY

Equal Access to Organ Transplantation for Medicaid Beneficiaries H-370.962 Our AMA supports federal funding of organ transplants for Medicaid patients.

Ethical Procurement of Organs for Transplantation H-370.967 Our AMA will continue to monitor ethical issues related to organ transplantation and develop additional policy as necessary.

UNOS Kidney Paired Donation Program H-370.960 Our AMA: (1) encourages the continued expansion of the United Network for Organ Sharing's (UNOS) Kidney Paired Donation program which provides a national registry of living donors, carries out ongoing data collection on key issues of concern in transplantation from... ...through its operational guidelines provides consistent, national standards for the transplant community; and (2) encourages voluntary coordination among private donor registries and UNOS.

Cost-Saving Public Coverage for Renal Transplant Patients H-370.963 Our AMA supports private and public mechanisms that would extend insurance coverage for evidence-based treatment of renal transplant care for the life of the transplanted organ.

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