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April 2019
 
Inside the Capitol helps you stay up-to-date on key legislation and gain insight into issues that are important to you and your patients and affect Family Medicine in Wisconsin. This electronic newsletter is free to all WAFP members by subscription only. If you are currently not receiving this publication monthly and would like to be added to the distribution, please subscribe and it will be sent to your email box every month.
 

Please Attend Dr. Day 2019

The Wisconsin Academy of Family Physician’s invites you to attend and participate in Doctor Day 2019 at the Monona Terrace Convention Center in Madison on Wednesday, May 1. Over 500 physicians and medical students are expected to attend, and family physicians need to represented. 

 

This annual event grows year after year and has become one of the largest state physician advocacy days in the country. Doctor Day provides a unique opportunity for physicians to come together to advocate on behalf of patients and the medical profession.

 

Additionally, if you attend Doctor Day, you are invited to attend the exclusive family medicine pre-meeting beginning at 8:00am at the Monona Terrace in Room E in the Hall of Ideas.

 

This meeting will include a presentation from WAFP's lobbyist, Tim Hoven, on legislative issues facing family medicine, the political landscape, further opportunities to participate in advocacy, and tips for meeting with legislators. The meeting also provides you the chance to meet fellow family medicine advocates from across the state. Please know there is no cost to attend the pre-meeting.

 

We hope to see you at Doctor Day 2019. When hundreds of family physicians enter the State Capitol wearing their white coats, it sends a powerful message to policymakers that physicians care about the future of family medicine.

 

For additional information on the Doctor Day agenda, issue topics, and logistical items, please visit the Doctor Day website.

 

If you have any questions, please email, or call (262) 512-0606.

 
 
 
 
 
 
 
Additional Resources
 
 

Spring Election Results

On April 2, Wisconsin voters went to the polls to cast ballots in a statewide Supreme Court race and several local races and referendums. Voter turnout was nearly 27% statewide, which was slightly larger than predicted.

State Supreme Court Race

The marquee race was to replace Supreme Court Justice Shirley Abrahamson when her term ends later this year. She announced in 2018 she would not seek reelection after serving on the court for 42 years.

While Supreme Court elections are officially non-partisan, conservative state Appeals Judge Brian Hagedorn faced off against liberal Appeals Judge Lisa Neubauer in what remains a close race. Hagedorn defeated Neubauer by about half a percentage point. In accordance with state law, Neubauer considered a recount since Hagedorn led by less than one percent. However, in the following weeks, Neubauer conceded the race.

Hagedorn’s victory marked the first statewide win for conservatives in quite some time. In November 2018 Republicans lost every statewide race and in April 2018 liberal candidate Rebecca Dallet won a seat on the Wisconsin Supreme Court.

Many political spectators dissected the differences between Dallet’s victory and Hagedorn’s apparent win. Most notably, Dallet won her election by 11.5 percentage points, which means there was a 12 percentage point conservative swing in State Supreme Court races in the span of one year. As noted in the Milwaukee Journal Sentinel, the conservative swing was particularly amplified in northeast Wisconsin, where the conservative margin swung 20 percentage points and in northcentral Wisconsin, where the conservative margin swung 17 points. Both northcentral and northeast Wisconsin performed particularly well for Donald Trump in 2016.

No doubt, the state Republican and Democratic parties will further investigate turnout numbers in every area of the state to better plan their strategies in 2020.

Hagedorn will take his seat on the court when Abrahamson’s term ends on August 1.

Madison Mayor’s Race

While the State Supreme Court race drew most of the attention, political spectators and the media also closely watched the race for Madison mayor. Incumbent Paul Soglin faced off Satya Rhodes-Conway who served 6 years on the Madison City Council. The race was officially nonpartisan, but both candidates are known Democrats.

In a somewhat surprising outcome, Rhodes-Conway handily defeated Soglin by over 24 percentage points. Rhodes-Conway’s victory marks the end of a storied mayoral career for Soglin, who served as mayor in three separate stints over the course of 46 years.

Soglin was first elected to serve as mayor from 1973 to 1979, when he left Madison to be a fellow at Harvard University’s Kennedy School of Government. He was reelected in 1989 and served until 1997, when he resigned to make an unsuccessful run for Congress. In 2011, Soglin once again sought and won election to serve as mayor.

Soglin also notably ran for governor in 2018, but ultimately lost the Democratic primary to Governor Tony Evers. During his run for governor, Soglin publicly stated he would not run for reelection as mayor. However, following his primary defeat, he announced he would seek another term.  While it’s unclear to what extent that reversal affected his reelection changes, political spectators can’t help but wonder if that misstep cost some support. 

 
 
 

WAFP Weighs in On Step Therapy Reform

Dr. Joanna Bisgrove Testifies on Senate Bill 26/Assembly Bill 24

 

On Wednesday, April 17, WAFP member Dr. Joanna Bisgrove testified before a rare joint hearing of the Assembly and Senate Committees on Health in favor of bills aimed at reforming step therapy protocols.

 

Step therapy is a tool commonly used by insurers to govern the order in which patients utilize certain therapies approved for a diagnosed condition. Under step therapy protocols, patients may be required to try one or more alternative prescription drugs chosen by their health plan before coverage is granted for the drug prescribed by that patient’s health care provider.

Senate Bill 26 and Assembly Bill 24 allow physicians to request exceptions to step therapy protocols under the following conditions:

  1. A drug required under a protocol is contraindicated
  2. A drug required under a protocol is expected to be ineffective based on various criteria
  3. The patient has already tried a drug required under a protocol and it was found to be ineffective.
  4. The patient is already stable on a provider-prescribed drug while covered under the current or previous policy or plan.

The bills were well-received by the committees and already have bipartisan support. It is expected both committees will recommend the bills for passage in their respective legislative bodies.

 

 
 
 
About this Newsletter
Inside the Capitol is a monthly electronic newsletter for Wisconsin Academy of Family Physicians (WAFP) members who are interested in legislative issues.  Please contact the WAFP office if you have comments or suggestions.
 
Content provided by Hoven Consulting.
 Wisconsin Academy of Family Physicians
210 Green Bay Road Thiensville, WI 53092
Phone: 262.512.0606  Email:
 academy@wafp.org
www.wafp.org
 
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