EMPACT UpdateFebruary 2024
The Texas policymaking process is unique, with a biennial legislature meeting for 140 days every odd-numbered year in Austin. TCEP, alongside our lobby team at Imperium Public Affairs (IPA), is actively engaged during the legislative session, ensuring that the concerns of emergency medicine physicians are at the forefront. While the limited time frame might seem challenging for responsible policymaking in a state boasting the 8th largest economy globally, diligent preparation allows TCEP to navigate these five months successfully. Importantly, the work doesn't conclude with the adjournment; it's only the beginning. In 2023, TCEP and IPA diligently advocated for emergency medicine during the legislative session. Battles were waged on critical issues such as scope of practice, surprise billing, and insurance issues. Any bills addressing these concerns passed and received the governor's approval, the focus shifted to the next phase – policy implementation by state agencies. This involves a meticulous process of rule adoption, as defined by Texas state law, where agencies interpret legislative intent, seeking input from the public, stakeholders, and policymakers to effectively implement the new laws. A prime example of this process is seen in House Bill 3359, the network adequacy bill, which codifies network adequacy standards into law. This has triggered a rulemaking process at the Texas Department of Insurance, ensuring patients' insurance coverage allows access to an adequate network of physicians, specialists, and provider types. IPA is tirelessly working on behalf of TCEP members, collaborating with key stakeholders to ensure that rules related to HB 3359 are adopted equitably and practically, safeguarding the interests of emergency medicine physicians and their patients. Between legislative sessions, the interim period shifts focus to monitoring law implementation and formal studies in preparation for the next session. TCEP members are encouraged to actively participate in committee hearings and issue studies conducted across the state, addressing concerns on a local level for the benefit of all emergency medicine practitioners. Member engagement is pivotal for the success of TCEP’s legislative policy agenda, influencing outcomes both in the present and future sessions. The crucial role of TCEP’s lobby firm, IPA, in advocating for emergency medicine physicians is underscored. While IPA monitors issue studies, hearings, and rulemakings, they rely on the input, expertise, and energy of TCEP members. TCEP’s efforts extend beyond campaigns and elections, shaping the trajectory of emergency medicine in Texas. Active involvement is encouraged, recognizing that there is always significant work to be done in the state of Texas. I encourage you to get involved and contribute to EMPACT. |
