CSHA HOT TOPIC

Update

AMA Scope of Practice Data Series: Audiologists

February 17, 2010

Dear Colleagues,

As promised, ASHA wants to keep you updated regarding AMA's Scope of Practice Data Series: Audiologists.

We have received a reply from the AMA in response to our letter regarding the document.

[Download the AMA response document from the CSHA Web site HERE --PDF file]

We believe there is no value in providing additional examples to the AMA of factual inaccuracies in its document. We've already provided examples of inaccuracies and it's not in our interest to work with the AMA to strengthen a document that is intended to be used to lobby against the scope of practice of audiology.

We are continuing with an active process of challenging the AMA, but doing it through a systematic and carefully planned approach in concert with the Coalition for Patient Rights (CPR). We will keep you informed of our efforts directly with AMA and through the CPR.

Sincerely,
Tommie L. Robinson, Jr.
2010 ASHA President

Access to Referenced Documents:

  • AMA Scope of Practice Data Series Publication: Audiologists [Download HERE -- 32MB PDF file]

  • AMA Response to AWEA Regarding Comments on Scope of Practice Data Series Publication (January 19, 2010) [Download HERE - PDF]

  • ASHA Response to the AMA Regarding the Scope of Practice Data Series Publication (December 11, 2009) [Download HERE - PDF]

  • Alert from ASHA Regarding AMA's Draft Scope of Practice Data Series: Audiologists Document (October 27, 2009) [Download HERE - PDF]

Update On This Issue

We have had some questions regarding the status of AMA’s Scope of Practice Data Series: Audiologists, so I wanted to provide everyone with an update.

We understand that the AMA has created “issue briefs” for some of their Scope of Practice documents for use by their members at the state and local levels. To date, AMA has not made public any issue briefs related to audiology, and we don’t know if any have been developed. To counteract the information provided in the original AMA Scope of Practice document, ASHA is creating materials for members to use at the state and local levels. We also continue to work with the Coalition for Patient Rights (CPR), an organization that ASHA helped establish in 2006 that includes more than 35 organizations representing more than one million nonphysician, health-care providers. The CPR has discussed meeting with the AMA on this issue. While we and other members of the CPR have reservations, we believe there is benefit to opening a dialogue with the AMA to discuss areas of common interest and concern. We are beginning to work on setting up such a meeting and will keep you posted on the outcomes of our discussions with the AMA.

I also wanted to update you about another issue of prime importance to audiologists, namely, comprehensive Medicare coverage of audiology services. As I’m sure you know, ASHA is strongly advocating for improved public and private coverage and reimbursement policies for audiologists across the age span. This includes preventive, diagnostic, and habilitative and rehabilitative treatment services, and equipment. However, currently there is direct-access legislation before Congress that would create an audiology benefit that is strictly diagnostic in nature. ASHA is very uncomfortable with this legislation and believes the bill locks audiologists into a narrow diagnostic category that, if passed, would be extremely difficult to amend or change. In our view, a comprehensive Medicare audiologic benefit that includes both diagnostic and rehabilitative services is in the best long-term interest of the profession. This is a top advocacy priority for ASHA. We have prepared a brief Q&A (http://www.asha.org/aud/Comprehensive-Medicare-Coverage-of-Audiology-Services/) that we hope will answer some of the questions you may have about this important issue.

Please don’t hesitate to contact me if you have additional questions.

 

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