2015 ANNUAL REPORT
Medical Liability Reform
Neurosurgery is the specialty that faces the highest
premiums, the most lawsuits and the largest average
indemnity payments. As such, the AANS recognizes
the need for improving the medical liability climate for
neurosurgeons. While federal medical liability reform
legislation remains elusive, the Washington Committee
continues to lead efforts to pass reform. Serving as vice-
chair of the Health Coalition on Liability and Access
(HCLA), and in collaboration with the trauma community
and others, Washington Office staff have worked to secure
the passage and introduction of several important liability
reform bills. First and foremost, the passage of MACRA
incorporated the “Standard of Care Projection Act,” which
ensures that any care standards and practice guidelines
derived from the Affordable Care Act (ACA), Medicare or
other federal programs — including PQRS, EHR and other
quality incentive programs — cannot be used to establish a
standard of care in medical malpractice actions. The “Health
Care Safety Net Enhancement Act of 2015” (H.R. 836/S.
884) would provide crucial medical liability protections
to neurosurgeons providing EMTALA-related care. The
“Saving Lives, Savings Cost Act” (H.R. 2603/S. 1475)
would provide certain protections for physicians following
clinical practice guidelines. Finally, the “Sports Medicine
Licensure Clarity Act” (H.R. 921/S. 689) would provide
protections for certain sports medicine professions that
provide certain medical service in a secondary state.
Top to Bottom:
Aviva Abosch, MD, PhD, FAANS, president of the American Society for Stereotactic and Functional
Neurosurgery meets with Rep. Mike Coffman (R-Colo.) during the 83rd AANS Annual Scientific
Meeting held in Washington, D.C.
Daniel M. Sciubba, MD, FAANS, pictured with Rep. Andy Harris, MD (R-Md.) during the Alliance of
Specialty Medicine’s 2015 Legislative Advocacy Conference in Washington, D.C.
AANS treasurer, Alex B. Valadka, MD, FAANS, meets with Rep. Dave Brat (R-Va.) during the Alliance
of Specialty Medicine’s 2015 Legislative Advocacy Conference in Washington, D.C.