OPSC 2019Report to the Membership

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It is with mixed emotions that I attend this OPSC convention as the outgoing OPSC President. It has been a great pleasure and privilege to serve alongside each OPSC Board Member. I am excited for our organization as Dr. Murad begins his term and continues the excellent work that we have all built this past year.

Together, we leveled the rocky pathway for DOs by tackling some important issues surrounding osteopathic medicine this past year. We began the year with a couple of “victories” for our profession. After years of working with the Centers for Medicare and Medicaid Services (CMS), regulatory authorities and state legislators, OPSC successfully led the effort in securing OMM reimbursement in the Medi-Cal system. OPSC continues to work with Department of Health Care Services (DHCS) to update the system, which will lead to increase reimbursement rates for physicians who provide OMM services.

In late 2018 we heard from our membership about the concerns regarding the rush implementation for new regulations involving secured controlled substance prescription pads that was to be implemented on January 1, 2019. Working with other stakeholders, we passed legislation delaying the implementation of these new regulations. This gave our physicians the necessary time to meet compliance regulations and secure new prescription pads without impacting our patients during this transition.

Looking back over my tenure, I’m proud of our work with the AOA. In our discussions with Anthem leadership to reduce administration burdens created in their updated policy on the use of modifier 25. Although we have not yet achieved the outcome we desired, we remain committed to advocate for osteopathic physicians in our state on issues that impact our practice and patient care. The AOA was also instrumental in helping to address DO discrimination issues involving board certification for osteopathic neurosurgeons and internal medicine. We continued our proud traditions of protecting the rights of all osteopathic physicians to practice without discrimination.

On the legislative front, OPSC remains strong in advocating for our profession and the practice of medicine. Last year, we were successful in helping to stall a Nurse Practitioner (NP) expansion of scope of practice bill (AB 890) by holding it in appropriations committee. However, this bill recently passed out of the Assembly during the current legislative session and we are working with other stakeholders to defeat in in the Senate.

President’s Report

Minh Nguyen, DO

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Our members rely on OPSC for tools and resources, so we can focus on quality patient care and advocating for our patients. I am excited that OPSC is now offering members improved access to information through our new app, “OPSC Connect.” It is available for download in your app store. It has all of your convention materials, along with CME information, legislative updates and more.

Now you have the power of membership at your fingertips 24/7!

It has been truly an honor and privilege to have served as your 2019-2020 OPSC President. I’m excited to see all the great things that Dr. Murad will do to lead this organization in the upcoming year, but I will truly miss representing our California DOs as your President.

President’s Report Continued

3 DAYS featuring more than 25 top quality faculty

100+ GUESTS attending the first “Future of Osteopathic Medicine” reception honoring our Osteopathic Students

Quick Recap of CME by the Bay 2019

634 ATTENDEES

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Throughout this past year, both OPSC, and the practice of osteopathic medicine are growing at a steady rate. We’ve started chipping away at the strategic goal of modernizing our association, gathering feedback directly from members and non-members and achieving our goal of becoming a world class membership organization. Although there is still a great deal of work to be done, I could not be prouder of what our membership has accomplished together, and I’m happy to report that the state of our organization is strong.

Fiscal ResponsibilityThe strength of our association’s finances continues to be the top priority of OPSC. We are happy to report that OPSC continued to maintain a healthy financial position.

See page 8 for our Financial Breakdown.

OPSC enjoyed a healthy growth in revenue from both membership dues and strong conference attendance. The total revenue received from conference registration did fall slightly in 2019, due to a higher than expected member participation at the Annual Conference and lower than expected total registration at that Convention.

In response to lower than expected conference revenue, OPSC adjusted expenditures to ensure a strong budget year-end financial surplus.

We are happy to report that net assets at the end of the budget year increased from $1,584,375 to $1,696,509.

Executive Director Report

2018

2019

$1,584,375

Nick Birtcil

$1,696,509

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Membership SurveyLast year, we discussed the importance of reaching out to members and non-members directly to ensure the association was continuing to meet the needs of the osteopathic physician community in California. The OPSC Board of Directors approved the commission of our first ever scientific statewide membership survey.

Working with the national polling firm ALG Research, we were able to communicate with over 400 osteopathic physicians in California. The summary of results, which you can find later in this annual report, provide insight into the priorities of our osteopathic physicians in California.

OPSC is GrowingIn response to the results of our survey, the OPSC Board of Directors voted to invest in the organization and the services we provide to members. To achieve the goals of the organization, we have hired two additional OPSC staff members.

Paige Haskin joins OPSC as Director of Communications. Prior to joining OPSC, Paige worked for the Assembly Republican Caucus as a communications staffer. She has extensive experience in communications and legislation and will be an asset to our organization. In the coming months, OPSC will be rolling out a number of newsletters and updates, focusing on osteopathic issues nationally and in California. We’ll also be providing members with regular updates from the State Capitol, ensuring that our members are apprised of the latest updates with laws and regulations.

Melissa Leal joins OPSC as our Meetings Coordinator. Prior to joining OPSC, Melissa was the ReStore Development Officer for Habitat for Humanity of Greater Sacramento and a Tradeshow Coordinator and Meeting Planner Assistant at the California Peace Officers’ Association. Melissa brings extensive live event experience to OPSC and will be an asset to the organization as we expand our live and online CME offerings to members.

I’m excited about the projects going on at OPSC. In addition to the items mentioned above, OPSC is rolling out a membership app for your mobile device, putting the power of membership at your fingertips 24/7/365.

We’ve added exciting programs to our conference program, including our first ever legislative panel with some of our partner membership associations in health care.We are proud to offer services to help you get back to patients. Because of our loyal members, dedicated Board Members and outstanding staff, OPSC can respond to the priorities of our osteopathic physicians.

It is an honor to serve you all as the Executive Director of OPSC. As we enter 2020, thank you for joining me as we build on the momentum from 2019!

Executive Director Report Continued

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2019 was the first year of California’s 2019-2020 legislative session, but more notably the start of Gavin Newsom’s tenure as Governor. The Governor came off the blocks quickly with an aggressive agenda articulated at his inauguration, followed by the release of an in-depth State Budget. He was also quick to issue several health care executive orders to expand Medi-Cal to undocumented young adults, create a large single-purchaser system for prescriptions drugs, and expand health care subsidies to the middle class.

The Governor, who inherited a strong economy, has enjoyed the benefit of a healthy state budget coupled with a strong democrat-controlled legislature. This helped him deliver on many of his initial policy objectives pertaining to housing, criminal justice reform, health care expansion, the environment and more.

Governor Newsom has relished the role of being a strong voice against the Trump administration. It seems every week the State of California sues the federal government or speaks against the president’s policies.

Pertinent 2019 Legislative Issues

VACCINATIONS – SENATE BILL 276

Senator/Dr. Pan’s bill, which ultimately passed and was signed into law, ensures the integrity of the medical exemption process. This measure (along with AB 5) was the most controversial and discussed bill in 2019. SB 276 garnered national attention, thousands of protestors and even some dramatic events. Senator Pan was physically attacked by a protester and an anti-vaxer dropped blood on Senate Floor from a public viewing area above the Senate Chambers.

INDEPENDENT CONTRACTORS - ASSEMBLY BILL 5

No bill in recent memory has generated as much attention and scrutiny as Assembly Bill 5, a measure intended to codify a court case that more narrowly defines the definition of an employee versus an independent contractor. While significant attention was placed on gig economy workers, specifically, Uber and Lyft drivers, the bill impacts everything from freelance writers to truck drives. While AB 5 is now law, the issue is far from over. Some industries have sued and/or threatened to take the issue directly to voters. It should be noted that physicians and surgeons are exempt from AB 5, but other health care professions are impacted and there is still a great deal of confusion around the bill in all sectors.

2019 Legislative Update

Matt BackOPSC Lobbyist

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SCOPE OF PRACTICE

OPSC and our partners in Sacramento successfully defeated onerous scope of practice measures in 2019, but 2020 is looking to be more challenging. Members should expect to hear more about this issue as the year unfolds.

LEGISLATING THE PRACTICE OF MEDICINE - SENATE BILL 201

This controversial measure attempted to legislate how and when medical treatment could be provided to an “intersex” patient. The bill, opposed by OPSC and the larger medical community, has been defeated.

MEDI-CAL COVERAGE OF OMT

2019 was the year OPSC successfully added Osteopathic Manipulative Treatment (OMT) as a covered Medi-Cal benefit, although not without some hiccups as we worked with the State to ensure an accurate provider manual.

OTHER HEALTH CARE BILLS SIGNED BY THE GOVERNOR

l A profit limit for dialysis clinicsl Legislation to require continued

education courses on implicit bias training for certain health care providers

l Extending the tax on managed care plans until 2023

l Legislation requiring public universities to offer medication abortions (Plan B) to students

l A measure aimed at reducing prescription drug prices by prohibiting brand name and generic drug manufacturers from entering into “pay-for-delay” agreements

l Legislation allowing pharmacists to furnish HIV pre-and post-exposure medications to patients

l A bill to require insurers to reimburse providers at the same rate for tele-health services as in person services

2019 Legislative Report Continued

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OSTEOPATHIC PHYSICIANS AND SURGEONS OF CALIFORNIASTATEMENT OF FINANCIAL POSITION

June 30 ASSETSCURRENT ASSETS Cash and cash equivalents $ 597,262 Certificates of Deposit 232, 506 Investments 274,122 Prepaid and advanced expenses 8,399

TOTAL CURRENT ASSETS 1,112,289

PROPERTY AND EQUIPMENT Building, land and fixtures 1,098,803 Furniture and equipment 42,828

1,141,631 Less accumulated depreciation (277,009)

864,622

TOTAL ASSETS $ 1,976,911

LIABILITIES AND NET ASSETSCURRENT LIABILITIES Accounts payable and accrued expenses $ 22,864 Compensation and related benefits payable 9,012 Deferred revenue 242,576 Staff incentive payable 2,450 TOTAL CURRENT LIABILITIES 276,902

SECURITY DEPOSITS HELD 3,500 COMMITMENTS AND CONTINGENCIES --

TOTAL LIABILITIES 280,402

NET ASSETS Without donor restrictions 1,696,509

TOTAL LIABILITIES AND NET ASSETS $ 1,976,911

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ADVOCACYGOALS:l OPSC is the nexus of autonomy for the practice of osteopathic medicine in the state of

California.

l OPSC is the leader in achieving awareness of the osteopathic profession.

STRATEGIC OBJECTIVES:1. Prioritize advocacy by increasing OPSC presence, visibility and awareness among

legislators, regulators and the osteopathic profession.

2. Expand involvement of members in advocacy activities and funding.

3. Emphasize the role of physician as leader of the health care team.

4. Engage strategic organizations to achieve OPSC’s advocacy objectives.

5. Establish OPSC as the leader in health care policy emphasizing patient/public advocacy.

6. Annually identify, monitor and address issues of relevance to DOs and osteopathic medical students.

MEMBERSHIPGOALS:l OPSC has a strong vibrant membership.

l OPSC has strong, active regional affiliates.

l Osteopathic physicians recognize the value of membership in OPSC.

l OPSC’s programs, products and services are essential, innovative and valuable to osteopathic physicians.

l OPSC continues to offer targeted programs, products and services across the continuum of education, training and practice.

Strategic Plan

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Strategic Plan Continued

STRATEGIC OBJECTIVES:1. OPSC increases the number, market share and engagement of osteopathic physician,

physician in training and student membership.

2. OPSC understands the demographics of osteopathic physicians in the state.

3. OPSC has an open dialogue with - and provides support to - Regional Affiliates.

4. OPSC is the vehicle for timely communication with DOs and osteopathic medical students on issues of relevance.

5. OPSC regularly enhances the value of member benefits.

6. OPSC continually reevaluates, enhances and defines the value of membership to DOs and osteopathic medical students.

LIFELONG LEARNINGGOALS:l OPSC is the preferred source of quality relevant CME for osteopathic physicians.

l OPSC supports the core principle of lifelong learning.

STRATEGIC OBJECTIVES:1. OPSC evaluates and supports the lifelong educational needs of DOs.

2. OPSC understands the needs of DOs regarding delivery and content of CME programs that are fiscally viable.

3. OPSC maximizes partnership potential in the delivery and development of CME.

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BUDGET & FINANCIAL REVIEWDevelop and review the preliminary budget for each fiscal year and review monthly reports concerning the financial health of the association.

Alexandra Myers, DO, Chair

BYLAWSMonitor the changing policies of the Board of Directors and needs of the association. Recommend changes to the Board for consideration and develop necessary language to present before the membership.

Blake Wylie, DO, ChairDonna M. Cashdan, DO, Chair

EDUCATIONProvide oversight for all association activities of educational interest to osteopathic medicine, including the Annual Convention, Fall Conference and other programs.

Carrie Janiski, DO, Chair

HOUSE OF DELEGATES Oversee activities of the California delegation to the American Osteopathic Association House of Delegates, including development and review of proposed resolutions.

William Henning, DO, Chair Dan E. Miulli, DO, Vice Chair

LEGISLATIVE Study pending legislation which affects the healing arts profession, make recommendations to the OPSC Board of Directors on OPSC legislative positions, priorities, and sponsored legislation that would benefit health care in this state.

Howard Fienberg, DO, Chair Tony Khan, DO, Vice Chair

Committees

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MEMBERSHIPDevelop membership recruitment and retention campaigns, coordinate member surveys, assess member benefits, and advise the Board regarding classes of membership and dues structure.

Alexandra Myers, DO, Chair Alan D. Cundari, DO, Vice Chair Caitlin McAuley, DO, Vice Chair

Membership CommitteeThe Membership Committee continues to invest in ways to bring value to our members and to find new ways to increase OPSC’s membership. To this end, OPSC contracted with a third party to conduct an intensive membership survey; we invested in an automated marketing system to improve our member communications, and we added additional staff to ensure that in this rapidly changing climate, both political and environmental, OPSC continues to serve the DOs in California steadily.

The Osteopathic Physicians and Surgeons of California hired a professional firm to conduct a statewide survey of health professionals. OPSC heard from members to discuss their priorities and collect feedback, ensuring we adapt as environments and technologies evolve. Results from the survey help OPSC provide the services that our members deserve and expect.

Communicating

Educating

AdvocatingNetworking Opportunities

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Osteopathic Health Care

Health Policy News

9 in 10 members would recommend

OPSC to a colleague

8 in 10 members think positively of

OPSC’s advocacy in state government

8 in 10 members like the way OPSC

promotes the osteopathic practice of medicine

The top issues in Osteopathic Medicine are public health, regulatory relief, scope of practice expansion, expanding the physician workforce and increasing the reimbursement rates for physicians.

NEW PHYSICIANS Develop programs and services of relevance to new physicians and promote young physician membership.

Elaine S. Ho, DO, Chair Caitlin McAuley, DO, Vice Chair

Committees Continued

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OSTEOPATHIC PUBLIC AFFAIRS (OSTEOPAC)Promote the improvement of osteopathic medicine by encouraging osteopathic physicians and surgeons to become active in state affairs and the political process. Help DOs establish relationships that will ensure effective state political action.

Thomas Horowitz, DO, Chair James Lally, DO, MMM, Vice Chair

PUBLIC RELATIONS Develop/conduct public relations activities in California.

Timothy B. Marcoux Jr, DO, ChairFarris Serio, DO, Vice Chair

PUBLICATIONSDevelop and provide oversight on the California DO and any other written OPSC publications.

Gail Feinberg, DO, Co-ChairJohn J. Kowalczyk, DO, Co-ChairGlenn Thiel, DO, Co-Chair

STUDENT CLUBSAct as the liaison between OPSC and the osteopathic medical students in the state, promote student membership, attend student events, direct OPSC scholarship/award funds and maintain oversight of the OPSC mentor program.

Leslie Gonzalez, OMS, Chair Adam L. Mortimer, OMS, Chair Demiana A. Sidrak, OMS, Vice Chair Alexander Wulff, OMS, Vice Chair

WORKERS’ COMPENSATION Closely monitor and represent the osteopathic profession on workers’ compensation issues.

Richard Bernstein, DO, Chair

Student ClubsThe Student Club Committee facilitated student membership drives at both schools, encouraged club participation in National Osteopathic Medicine Week, arranged the “The Future of Osteopathic Medicine” reception at the 2019 Fall Conference in Monterey, California and participated in both the Monterey and San Diego conferences as well as the AOA House of Delegates. The Student Club is also excited to work with the new DO school, California Health Sciences University, and welcoming students into the DO profession and OPSC community.

Committees Continued

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Minh Q. Nguyen, DO President

Wadsworth H. Murad, DO President-Elect

Richard B. Riemer, DO Immediate Past President

Alexandra Myers, DO Vice President/Secretary/Treasurer

DirectorsAllen Boghossian, DODonna M. Cashdan, DO Tony Khan, DO Melissa G. Pearce, DO Stacey L. Pierce-Talsma, DOMichael Luszczak, DOMarc E. Lynch, DOEmma Schatz, DO Alan Shatzel, DO John P. Zopfi III, DO

Student Board MembersYeelong Yang, OMS, Western University/COMPEmma Schatz, OMS, Touro University

Resident Board MemberT. Brian Marcoux, DO

Board Members EmeritusEthan Allen, DOGary Gramm, DOLionel Katchem, DONorman Vinn, DOJoseph Zammuto, DO

Ex-Officio MembersMichael Clearfield, DO, Touro University California

Paula Crone, DO, Western University of Health Sciences/ College of Osteopathic Medicine of the Pacific

John Graneto, DO, California Health Sciences University, College of Osteopathic Medicine

2015 H StreetSacramento, CA 95811

(916) 822-5246or toll-free in California (800) 638-6772

www.opsc.org

Board of Directors