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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72"><div class=WordSection1><p class=MsoNormal align=center style='text-align:center'><span style='font-size:9.5pt'><img width=540 height=163 style='width:5.625in;height:1.6979in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_1" src="cid:image001.jpg@01D5D686.2B4BFE60" alt="cid:image003.jpg@01D413DA.65584930"></span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial",sans-serif'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><div style='margin-left:15.0pt;margin-top:7.5pt;margin-right:15.0pt;margin-bottom:7.5pt' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782content"><div style='border-top:solid #7F7F7F 1.0pt;border-left:none;border-bottom:solid #7F7F7F 1.0pt;border-right:none;padding:4.0pt 0in 4.0pt 0in'><p class=MsoNormal><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:#7F7F7F'>Jan. 29, 2020</span></b><span style='font-size:9.5pt'><o:p></o:p></span></p></div><div style='margin-top:11.25pt;margin-bottom:11.25pt'><p class=MsoNormal><span style='font-size:9.5pt'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='font-size:12.5pt;font-family:"Arial",sans-serif;color:red'>NP Scope Expansion Bill Is Moving Forward: Urge NO Vote on AB 890!</span></b><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:#0070C0'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><a href="https://www.cmadocs.org/ab-890"><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:#1155CC'>CMA</span></a><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='margin-right:15.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>CMA and ACCMA are urging physicians to contact your Assemblymember and urge them to vote NO on AB 890!<o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Introduced by Assemblymember Jim Wood, DDS, AB 890 grants full practice authority to nurse practitioners (NP), removing critical patient protections by allowing NPs to practice without physician supervision. AB 890 lacks critical details related to nurse practitioner competency requirements, scope limitations, requirements to actually serve underserved populations or regions, and many other details. As it stands, it is a dangerous bill to move forward and will still do nothing to improve access to health care in California.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Despite these concerns, the bill has passed out of the Assembly Appropriations Committee and will be heard on the Assembly Floor as early as this week!<o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Please call and/or email your Assemblymember immediately. <o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>A list of phone numbers is available below, or you can send a message to your legislator through the CMA website by clicking <a href="http://r20.rs6.net/tn.jsp?f=001tyzwbeviQlWV3M1aT1UxOgk0w8-7QOYFhCQojrHIX0DcIg10C8SZR_ocIIpa07D-spzUtY0J-VEpwXyU6NQ0QuPEtb9h0_0fYH14TfscqQtqX780_i-AGnexvPAhCB-UEDYu207ivxxKuXKjXZ2RCg==&c=8JJj2jSudnhSRryfZkyxa1gPZ-8tP5uGDWjN4bIh28NWQwArDZRyOg==&ch=LMh8U5AjZIThb65f7nhn8iNv8w-wKtOzH9cOyvz2sD57YCvKqdcKQg==" target="_blank"><b>here</b></a>. <o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Talking Points </span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l18 level1 lfo13'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>AB 890 would remove critical patient protections by allowing nurse practitioners (NPs) to practice independently without physician supervision and without requiring the same level of education and training as a physician.<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l10 level1 lfo14'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>As amended, AB 890 not only removes supervision, but it restricts doctors from running their own practices as they see best for patient care, by removing their ability to determine what their employees can do.<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo15'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>AB 890 removes any requirement that nurse practitioners establish competency before they practice without physician supervision.<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l12 level1 lfo16'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>AB 890 requires a 2-3 year “transition to practice” but doesn’t require that period of time to be spent under an actual physician.<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l5 level1 lfo17'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>AB 890 is not guaranteed to increase access to care, as there is still no incentive or mandate for independent nurse practitioners to practice in underserved regions or serve underserved patient populations<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Contact Numbers for Assemblymembers</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l11 level1 lfo18'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Asm. Jim Frazier, District 11: (916) 319-2011 or (707) 399-3011<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l17 level1 lfo19'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Asm. Tim Grayson, District 14: (916) 319-2014 or (925) 521-1511<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l3 level1 lfo20'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Asm. Buffy Wicks, District 15: (916) 319-2015 or (510) 286-1400<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l15 level1 lfo21'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Asm. Rebecca Bauer-Kahan, District 16: (916) 319-2016 or (925) 328-1515<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l20 level1 lfo22'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Asm. Rob Bonta, District 18: (916) 319-2018 or (510) 286-1670<o:p></o:p></span></li></ul><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:60.7pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l23 level1 lfo23'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Asm. Bill Quirk, District 20: (916) 319-2020 or (510) 583-8818<o:p></o:p></span></p><p class=MsoNormal style='margin-right:60.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:60.7pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l23 level1 lfo23'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Asm. Kansen Chu, District 25: (916) 319-2025 or (408) 262-2501<o:p></o:p></span></p><p class=MsoNormal style='margin-right:15.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p></div><p class=MsoNormal><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><strong><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Brian Potts</span></strong><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> MD, MBA</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><br>Managing Editor, CAL/AAEM News Service</span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.5pt'> <o:p></o:p></span></p></div><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'>Contact us at: </span><span style='color:black'><a href="mailto:calaaem.news.service1@gmail.com" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#1155CC'>calaaem.news.service1@gmail.com</span></a></span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'><br><br>For more articles, visit our </span><span style='color:black'><a href="https://www.aaem.org/get-involved/chapter-divisions/calaaem/news-service" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#1155CC'>archives</span></a></span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'>. <br><br></span><span style='color:black'><a href="mailto:somcaaem@uci.edu" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black;text-decoration:none'>To</span></a><a href="https://maillists.uci.edu/mailman/listinfo/calaaem" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#0070C0;text-decoration:none'> </span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#1155CC'>unsubscribe</span></a></span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'> from this list, visit our mail server.<br><br>Copyright (C) 2018. The California Chapter of the American Academy of Emergency Medicine (CAL/AAEM).</span><span style='font-size:9.0pt;color:black'> </span><span style='color:black'><a href="http://www.calaaem.org/" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#1155CC'>http://www.calaaem.org</span></a></span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'>. All rights reserved.<br><br>CAL/AAEM, a nonprofit professional organization for emergency physicians, operates the CAL/AAEM News Service solely as an educational resource for physicians. Dissemination of an article by CAL/AAEM News Service does not imply endorsement, agreement, or recommendation by CAL/AAEM News Service, CAL/AAEM, or AAEM.</span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:9.5pt'><o:p> </o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><b><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'>Follow CAL/AAEM on Facebook and Twitter and check out WestJEM:</span></b><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:7.5pt;font-family:"Verdana",sans-serif;color:black'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><span style='color:black'><a href="http://www.facebook.com/CALAAEM" target="_blank"><span style='font-size:9.5pt;color:black;text-decoration:none'><img border=0 width=40 height=40 style='width:.4166in;height:.4166in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_2" src="cid:image002.jpg@01D5D686.2B4BFE60" alt="cid:image002.jpg@01D0A9FD.796449A0"></span></a></span><span style='font-size:9.5pt;color:black'> </span><span style='color:black'><a href="https://twitter.com/CALAAEM" target="_blank"><span style='font-size:9.5pt;color:black;text-decoration:none'><img border=0 width=43 height=43 style='width:.4479in;height:.4479in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_3" src="cid:image003.jpg@01D5D686.2B4BFE60" alt="cid:image003.jpg@01D0A9FD.796449A0"></span></a></span><span style='font-size:9.5pt;color:black'> </span><span style='color:black'><a href="https://westjem.com/" target="_blank"><span style='font-size:9.5pt;color:black;text-decoration:none'><img border=0 width=160 height=43 style='width:1.6666in;height:.4479in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_4" src="cid:image004.jpg@01D5D686.2B4BFE60" alt="cid:image004.jpg@01D0A9FD.796449A0"></span></a></span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:9.5pt;color:black'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='text-decoration-style:initial;text-decoration-color:initial'><span style='font-size:9.5pt'><o:p> </o:p></span></p></div></body></html>