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MSA Executive Director’s Report (2014-2015)
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Submitted by David Jackson
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The 2014-15 year was governed by veteran MSA leader James Kelly, Jr., M.D., who transitioned from
MSA PAC Chairman to the role of President to fill an unexpected vacancy on the Executive Committee.
Under Dr. Kelly’s leadership, the MSA was able to achieve the following goals:
1. Transition to dual billing with ASA
2. Advocacy/PAC support at the state and federal level
3. Membership engagement
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Membership
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The MSA transitioned to a dual billing system with the American Society of Anesthesiologists for the
2015 billing cycle. Under this new system, members are billed by the ASA for their state and national
dues, thus saving the state component society the burden of tracking down members to pay their dues.
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The ASA and MSA ByLaws require members to be a member of the state and national society. However,
it wasn’t until we started the dual billing process that we realized how many Missouri members have not
been a member of ASA and should have been removed prior to the 2015 billing cycle.
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As a result, the 2014 membership list may reflect an unusually high number of unpaid members because
they no longer live in Missouri and/or haven’t been a member of a substantial amount of time.
Unfortunately, the records Pelopidas received from the Missouri State Medical Association (MSMA) did
not always show how many years a member had gone without paying. Therefore, we kept billing people
as if they were members, when they should have been removed from the books.
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The membership database should be up-to-date and give a clear indication of the health of the MSA.
Most importantly, this has allowed us to work with the ASA on a dual membership drive.
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Advocacy/PAC Support at the State and Federal Level
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At the federal level, the MSA delegation continued to show strength in fundraising for the ASA PAC and
engagement with Missouri’s congressional leaders. Missouri was the only state component society to
get each member of their state’s House congressional delegation to sign on as a co-sponsor to rural pass
through legislation.
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At the state level, the MSA PAC raised over $75,000 and had a 97% success rate in elections. The only
high risk/high reward election MSA lost was the 24th Senatorial District where Jay Ashcroft (R) lost
narrowly to Representative Jill Schupp (D).
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Corporate contributions from anesthesia groups continue to be our largest source of revenue for the
MSA PAC, although MSA did receive a handful of individual checks as well.
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On the state legislative level, MSA had the following big issues on deck:
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1. Pain Management: The law passed in 2012 to stop non-physicians from performing image
guided injections for chronic pain management is set to expire in August 2016. MSA is
advocating for pending legislation to renew the existing law.
2. Tort Reform: The Senate passed a tort reform law for the first time in three years following the
2012 Supreme Court decision that ruled the 2005 cap on non-economic damages
unconstitutional. The bill passed out of the Senate would reinstate caps on a two-tier scale,
$400,000 for personal injury and $750,000 for catastrophic injuries.
3. Prescription Drug Monitoring Program (PDMP): The Senate has also passed a drug monitoring
system for the first time in the last decade, a proposal that now heads to the House with a
month left in session. Missouri is the last state without a PDMP for doctors to use when
prescribing narcotics.
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https://www.youtube.com/watch?v=MuQS5mgaRxs
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Membership Engagement
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The MSA Advocacy Day at the Missouri Capitol was cancelled due to snow this year, although there has
been an increased level of participation from across the membership.
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MSA President Jim Kelly, MD has helped engage physicians from across the state, including board
members from the University of Missouri and Washington University in St. Louis.
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