Urology Times

Urology Times.Based on a partnership with Urology Times, articles from the American Association of Clinical Urologists (AACU) provide updates on legislative processes and issues affecting urologists. We welcome your comments and suggestions. Contact the AACU government affairs office at (847) 517-1050 or info@aacuweb.org for more information.

Policymakers Consider Intersex Surgical Standards

posted: May 5, 2017

Proposals to regulate treatment of sex development differences threaten to further confuse patients and physicians. Too often, urologists fail to make their voices heard when policymakers consider instituting intersex surgical standards. A lone voice in Nevada hopes to add nuance to legislation governing a child's consent.

As indicated by a dialogue taking place at UrologyTimes.com following the July 5, 2016, publication of an awareness-raising post entitled, The transgender community: Urology has a role and responsibility, physicians might well-benefit from continuing education on distinctions between differences of sex development (DSD) and gender dysphoria. Responding to the online publication, a concerned grandmother pointed out that associating congenital adrenal hyperplasia (CAH) with "bathroom bill" controversies overstates any connection between an inherited condition and one's psychological understanding of their gender identity. In fact, CAH patients and all other intersex people identify as transgendered or transsexual at the same rate as the non-DSD population, according to the Intersex Society of North America.

Organizations that promote national medical policy standards and lawmakers in several states (Texas, Indiana, Nevada) have recently considered proposals that would direct scrutiny upon surgical procedures undertaken in infancy to assign or confirm gender.

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Legislative Priorities
  • Proper Implementation of MACRA

    Urologists support the goals of Medicare payment reform, but Congress must monitor its implementation to ensure that the intent of MACRA is fully realized and preserved.BackgroundIn April 2015, Congress passed, and the president signed into law, the Medicare Access and CHIP Reauthorization Act (P...

  • Repeal the Independent Payment Advisory Board

    Urologists urge Congress to repeal the Independent Payment Advisory Board (IPAB). We urge Representatives to cosponsor H.R. 849. We urge Senators to cosponsor S. 251 and S. 260. Each of these measures would permanently repeal the IPAB.Take ActionSend an email to Congress, requesting support for H...

  • Support Transparency and Accountability for USPSTF

    Urologists urge Congress to support legislation that promotes greater transparency and accountability from the U.S. Preventative Services Task Force (USPSTF).  We urge representatives to cosponsor H.R. 539, the “USPSTF Transparency and Accountability Act of 2017”.Take ActionSend...

State Advocacy
  • Fair Contracting and Medical Practice Freedom

    Where We Stand Ensure openness and fairness in health care provider contacts. Prevent third-party payors from changing the terms of their provider contract without notice to the provider and without the consent of the provider. Ensure that physician licensure is based upon a physician's...

  • Medical Liability Reform — Expert Witness Qualifications

    Strengthen expert witness standards Ensure that expert witness is from the same specialty as the defendant physician Prevent frivolous lawsuits Improve the practice environment for physicians in your stateWhenever a physician’s conduct is being called into question, it is only fair...

  • Prostate Cancer Awareness & Assessment

    Where We Stand Continue the progress that has been made in the reduction of prostate cancer morbidity and mortality with the appropriate use of prostate cancer testing. Ensure that third-party payors provide for the reimbursement of prostate cancer testing when the patient and his physician...

  • Uniform Prior Authorization for Prescriptions and Health Services

    Where We Stand Prior authorizations cost the health system $728 million in 2012. Prior authorization requests must use a single form, no more than two pages in length. Forms must available for both access and submission electronically. Requests are deemed approved if no response is...

  • Work Force — Scope of Practice

    Where We Stand Allow the maximum patient-to-physician ratio to increase based on the number of physician assistants in a practice. Expand the ability of nurse practitioners and physician assistants to supervise medical assistants when doctors aren’t on the premises.Proactive Physician...

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