Actions of the 2024 House of Delegates

2024 Proposal from the Coastal Virginia Medical Society Which Changed MSV Policy:

24-213: Healthcare Protections for In Vitro Fertilization (AMEND CURRENT MSV POLICY IN LIEU OF)

Amend MSV Policy 25.1.04- Opposing Legislative Efforts to Restrict the Provision of Reproductive Health Services

The Medical Society of Virginia opposes any government mandated efforts to restrict the provision of medically appropriate care, as decided by the physician and patient, in the management of reproductive health.

Comprehensive reproductive health services include including assisted reproductive technology such as in vitro fertilization (IVF), the provision of contraception, or abortion.

The Medical Society of Virginia further opposes efforts which criminalize or impose civil penalties for obtaining or providing evidence-based reproductive health services or enforce medically unnecessary standards on healthcare providers and clinics that in turn make it economically or physically difficult for healthcare providers and clinics to provide services.

Summary of All Final Actions of the 2024 Medical Society of Virginia House of Delegates

FINAL ACTIONS OF THE 2024 MEDICAL SOCIETY OF VIRGINIA HOUSE OF DELEGATES

SUMMARY OF ACTION

ADOPTED
• 24-101: MSV Proposed 2025 Budget
• 24-106: MSV Right of Conscience Resolution
• 24-207: Stop the Bleed Training in Medical Schools

ADOPTED AS AMENDED OR SUBSTITUTED
• 24-102: MSV Policy Compendium 10-Year Review
• 24-104: Defining Exceptions for Information Blocking
• 24-105: Expanded and Standardized Advanced Practice Registered Nurses Education
• 24-107: Physician Opinion of Readiness of Non-Physician Providers for Independent Practice
• 24-109: Reducing Stigma Through Modernizing the Accessibility Sign
• 24-111: Resolution Supporting Independent Practices
• 24-112: Resolution on Workplace Safety
• 24-205: Resolution on Expansion of Medicare Open Enrollment
• 24-206: Healthcare for People Who Are Incarcerated
• 24-211: Saving Resources in the Perioperative Arena

REFERRED TO THE BOARD OF DIRECTORS FOR ACTION
• 24-105: Expanded and Standardized Advanced Practice Registered Nurses Education
• 24-204: Equitable Access to Care for Individuals with Disabilities
NOT ADOPTED
• 24-208: Move the Profession of Medicine from its Present Location in an Economic Free Market
to the Code of Virginia

RECOMMENDED FOR AMENDMENT OF MSV POLICY IN LIEU OF
• MSV Policy 30.4.06: Remove Restrictive Covenants for Healthcare Providers in Virginia
o In lieu of: 24-103: Ban Non-Compete Employment Covenants
• MSV Policy 40.20.10: Secondhand Smoke
o In lieu of: 24-113: Resolution on Secondhand Marijuana Smoke
• MSV Policy 10.1.18: Insurance Coverage for Medical Conditions
o In lieu of: 24-203: Resolution on Early Prescription Eye Drop Refills in Virginia
• MSV Policy 30.4.04: MSV COPN Policy
o In lieu of: 24-209: Proposal for Removal of Certificate of Need Laws in Virginia
• MSV Policy 25.1.04: Opposing Legislative Efforts to Restrict the Provision of Reproductive Health
Services
o In lieu of: 24-213: Healthcare Protections for In Vitro Fertilization
MSV POLICIES REAFFIRMED IN LIEU OF
• MSV Policy 40.18.01: Changes in Commitment Law; Funding
o In lieu of: 24-108: Psychiatric Initiatives
• MSV Policy 10.1.18- Insurance Coverage for Medical Conditions

FINAL ACTIONS OF THE 2024 MEDICAL SOCIETY OF VIRGINIA HOUSE OF DELEGATES
31 | October 2024
o In lieu of: 24-202: Coverage of Human Milk Products by Commercial and Public
Insurance

CONTINUED TO 2025 MSV HOUSE OF DELEGATES
• 24-201: Access to Healthcare for People Experiencing Homelessness
• 24-210: Transgender Hormonal Treatment and Surgeries for Minors
• 24-212: Supporting Innovative Models of Primary Care

FINAL ACTIONS OF THE 2024 MEDICAL SOCIETY OF VIRGINIA HOUSE OF DELEGATES
31 | October 2024
24-101: Medical Society of Virginia 2025 Proposed Budget (ADOPTED)
RESOLVED, that the Medical Society of Virginia approve, as presented, the proposed budget for 2024.
24-102: 2024 MSV Policy Compendium 10 Year Review (ADOPTED AS AMENDED)
RESOLVED, that the Medical Society of Virginia adopt the recommendations in the enclosed report as
well as archive the following policies:
45.1.02- Diagnosis by Optometrists
The Medical Society of Virginia opposes the use of optometrists and inadequately trained nonmedical
personnel for the diagnosis of eye disease and eye injury.
40.7.02 - Regulation of Tattoo Parlors
The Medical Society of Virginia supports legislation and/or regulation to require that all commercial tattoo
parlors and those individuals applying the tattoos be registered with an appropriate state regulatory board
and that all methods employed in the application of tattoos be certified as free of potential contamination.
40.15.02- Agency Jurisdiction
The Medical Society of Virginia believes that the jurisdiction over Day Care Centers lies with the
Department of Social Services which should continue to study existing laws and regulations and make
them applicable to all Day Care Centers.
45.1.01- Determination of Fitness to Return to Work
The Medical Society of Virginia opposes the use of persons other than doctors of medicine or osteopathy,
or agents under their supervision, to attest to an employee’s fitness to return to work.
24-103: Ban Non-Compete Employment Covenants (AMEND CURRENT MSV
POLICY IN LIEU OF)
Amend MSV Policy 30.4.06- Remove Restrictive Covenants for Healthcare Providers in Virginia
The Medical Society of Virginia supports policies, regulations, and legislation, that prohibit covenants notto-compete for healthcare providers. will publish a study that provides a legal summary of the tests the
court uses for covenants and summaries of several decisions so to inform members on how the court has
ruled. The study will be made available for members by December 31, 2019.
24-104: Defining Exceptions for Information Blocking (ADOPTED AS AMENDED)
RESOLVED, that the Medical Society of Virginia supports exceptions to patient’s immediate access to
electronic health record information when delaying notification would improve patient outcomes by
allowing thorough provider review and personal patient notification. Further, such exceptions should not
be categorized as "information blocking."
24-105: Expanded and Standardized Advanced Practice Registered Nurses
Education (REFERRED TO MSV BOARD OF DIRECTORS FOR ACTION)
RESOLVED, The Medical Society of Virginia supports the standardization of the education and training
for advanced practice providers.

24-106: MSV Right of Conscience Resolution (ADOPTED)
RESOLVED, that the Medical Society of Virginia supports the AMA Code of Medical Ethics Opinion 1.1.7
“Physician Exercise of Conscience.”
24-107: Physician Opinion of Readiness of Non-Physician Providers for
Independent Practice (ADOPTED AS AMENDED)
RESOLVED, the Medical Society of Virginia supports that a physician’s autonomy to rely on their
professional opinion as final determining factor in whether a non-physician provider can practice
independently. No physician should be forced to sign off on such an affidavit if, in their
professional opinion, the non-physician provider does not have the appropriate level of training,
and be it further
RESOLVED, MSV shall oppose legislation, regulation, hospital or business policy that forces a
physician to sign off when, in their professional opinion, they do not believe the right level of
training has been achieved.
24-108: Psychiatric Initiatives (REAFFIRM MSV POLICY IN LIEU OF)
Reaffirm MSV Policy 40.18.01- Changes in Commitment Law; Funding
The Medical Society of Virginia supports the civil commitment of a patient to a private or a public hospital
for psychiatric care with a view to the highest quality medical care and adequate funding be provided for
the process established by law.
24-109: Reducing Stigma Through Modernizing the Accessibility Sign (ADOPTED
AS AMENDED)
RESOLVED, the Medical Society of Virginia (MSV) supports the replacement of any signs with
the current International Symbol of Access with use of the New York Dynamic Wheelchair Symbol
Sign. when placards are set to expire.
23-111: Resolution Supporting Independent Practices (ADOPTED AS AMENDED)
RESOLVED, that the Medical Society of Virginia (MSV) draft and publish a statement in support of
independent physicians in private practice, and be it further
RESOLVED, that the MSV research and make available educational materials to support independent
physicians in private practice and educate early physicians about options for developing or joining a
viable private practice., and be it further
RESOLVED, that the MSV delegates encourage the American Medical Association (AMA) to draft and
publish a statement in support of independent physicians in private practice, and to continue developing
and updating educational materials to support independent physicians in private practice and educate
early physicians about options for developing or joining a viable private practice.
24-112: Resolution on Workplace Safety (ADOPTED AS AMENDED)
RESOLVED, the Medical Society of Virginia supports allowing an employer to seek a protective order on
behalf of an employee with their consent.
24-113: Resolution on Secondhand Marijuana Smoke (AMEND CURRENT MSV
POLICY IN LIEU OF)
Amend MSV Policy 40.20.10 Secondhand Smoke
The Medical Society of Virginia supports access to clean smoke-free air for all citizens in the
Commonwealth, especially children. The Society supports efforts to eliminate tobacco and marijuana
smoking or vaping in public places and places of employment in order to protect Virginians from the
hazards of passive smoke inhalation. Further, the Medical Society of Virginia supports efforts to make it
illegal to smoke or vape in a vehicle with a minor present.
The Medical Society of Virginia opposes efforts to repeal protections for the public from secondhand
smoke.
Archive MSV Policy 40.20.09- Tobacco use in Cars with Minors
The Medical Society of Virginia supports statewide legislative efforts to make it illegal for anyone to
smoke tobacco in a car with a minor inside of the car.
24-201: Access to Healthcare for People Experiencing Homelessness
(CONTINUED TO 2025 HOUSE OF DELEGATES)
Amend MSV Policy 05.4.01- Access without Discrimination
The Medical Society of Virginia believes that all persons in Virginia should have access to medical
services without discrimination based on race, religion, age, social status, housing insecurity, income,
sexual orientation, gender identity, or expression.
The MSV recognizes health disparities as a major public health problem and that bias is a barrier to
effective medical diagnosis and treatment. The Medical Society of Virginia will support policies and
strategic interventions that decrease health disparities in medicine.
24-202: Coverage of Human Milk Products by Commercial and Public Insurance
(REAFFIRM MSV POLICY IN LIEU OF)
Reaffirm MSV Policy 10.1.18- Insurance Coverage for Medical Conditions
The Medical Society of Virginia affirms the need for government and commercial insurance plans to refer
to a nationally recognized medical association or organization, such as the American Academy of
Dermatology, in defining what is a medical condition versus a cosmetic condition, and be it further,
The Medical Society of Virginia affirms the need for government and commercial coverage for diagnostic
evaluation and treatment of all conditions which have been recognized by a national medical association
or organization as a medical condition.
24-203: Resolution on Early Prescription Eye Drop Refills in Virginia (AMEND
CURRENT MSV POLICY IN LIEU OF)
Amend MSV Policy 10.1.18- Insurance Coverage for Medical Conditions
The Medical Society of Virginia affirms the need for government and commercial insurance plans to refer
to a nationally recognized medical association or organization, such as the American Academy of
Dermatology, in defining what is a medical condition versus a cosmetic condition, and be it further,
The Medical Society of Virginia affirms the need for government and commercial coverage for diagnostic
evaluation and treatment of all conditions which have been recognized by a national medical association
or organization as a medical condition, and further,
The Medical Society of Virginia supports insurance coverage for early prescription refills of eyedrops and
other essential medications when deemed medically appropriate.
24-204: Equitable Access to Care for Individuals with Disabilities (REFERRED TO
MSV BOARD OF DIRECTORS FOR ACTION)
RESOLVED, that the Medical Society of Virginia Board of Directors advocate to the appropriate
stakeholders to do research and produce a report on the disparities in access to healthcare faced by
individuals with disabilities in the state Commonwealth of Virginia.
24-205: Resolution on Expansion of Medicare Open Enrollment (ADOPTED AS
AMENDED)
RESOLVED, the MSV supports legislation and regulations that would identify a transition back to
Traditional Medicare and Medicare Supplement and away from Medicare Advantage. allow for
year-round open enrollment and guaranteed issue clauses for traditional Medigap plans.
24-206: Healthcare for People Who Are Incarcerated (ADOPTED AS AMENDED)
RESOLVED, that the Medical Society of Virginia supports efforts to provide access to high quality,
routine, protective and accessible healthcare to for people who experience incarceration or have
experienced incarceration are and have previously been incarcerated, and be it further
RESOLVED, that the Medical Society of Virginia opposes is against the cruel and unusual punishment of
people who are incarcerated and supports livable and safe conditions for all those who are incarcerated,
and be it further,
RESOLVED, that the Medical Society of Virginia supports providing medical students with access to
specialized training focused on healthcare for individuals who are currently or formerly experiencing
incarceration. have been incarcerated.
24-207: STOP THE BLEED Training in Medical Schools (ADOPTED)
RESOLVED, that the MSV supports implementation of Stop the Bleed Training in Virginia medical school
curricula.
24-208: Move the Profession of Medicine from its Present Location in an
Economic Free Market to the Code of Virginia (NOT ADOPTED)
RESOLVED, that the profession of medicine be moved to the Code of Virginia where rules, regulations,
with penalties and exceptions can be described.
24-209: Proposal for Removal of Certificate of Need Laws in Virginia (AMEND
CURRENT MSV POLICY IN LIEU OF)
Amend MSV Policy 30.4.04- MSV COPN Policy
The Medical Society of Virginia supports the deregulation of COPN. The Medical Society of
Virginia will consider supporting individual COPN legislation on a case-by-case basis, including
repeal, with decision for approval derived from previously adopted principles of patient safety and
access to quality, affordable healthcare. The Medical Society of Virginia continues to supper the
economic viability of Virginia’s academic health centers. Newly deregulated services should be
required to meet a charity care commitment as well as recognized standards of accreditation or
quality.
24-210: Transgender Hormonal Treatment and Surgeries for Minors (CONTINUED
TO 2025 MSV HOUSE OF DELEGATES)
RESOLVED, that the MSV opposes transgender both hormonal and surgical procedures on persons 18
years of age and younger.
24-211: Resolution to Save Resources in the Perioperative Arena (ADOPTED AS
AMENDED)
RESOLVED, that the MSV supports patient retention, when appropriate, of any unused
medication administered during a surgical procedure medical encounter or appointment upon
discharge when the medication is required for that patient’s continued treatment.
24-212: Supporting Innovative Models of Primary Care (CONTINUED TO 2025 MSV
HOUSE OF DELEGATES)
Reaffirm MSV Policy 10.3.08- Free-Market
The Medical Society of Virginia endorses a plurality of health care delivery and financing systems in a
free market setting.
24-213: Healthcare Protections for In Vitro Fertilization (AMEND CURRENT MSV
POLICY IN LIEU OF)
Amend MSV Policy 25.1.04- Opposing Legislative Efforts to Restrict the Provision of Reproductive Health
Services
The Medical Society of Virginia opposes any government mandated efforts to restrict the provision of
medically appropriate care, as decided by the physician and patient, in the management of reproductive
health.
Comprehensive reproductive health services include including assisted reproductive technology such as
in vitro fertilization (IVF), the provision of contraception, or abortion.
The Medical Society of Virginia further opposes efforts which criminalize or impose civil penalties for
obtaining or providing evidence-based reproductive health services or enforce medically unnecessary
standards on healthcare providers and clinics that in turn make it economically or physically difficult for
healthcare providers and clinics to provide services.

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