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MNAAP Newsletter

Legislative Session to Begin Feb 20

Eric Dick headshotEric Dick, MNAAP Lobbyist

With the arrival of the New Year, the 2018 legislative session looms large in the front of legislators and advocates. The session, scheduled to start on February 20, promises to be chaotic and likely acrimonious.

The 2017 legislative session ended with the Governor line item vetoing the funding for the Legislature over a conflict over tax cuts, and that disagreement is likely to leave a mark on the 2018 session.

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Word from the President

AndrewKiraguAndrew Kiragu, MD, FAAP

Since this is my first message of the year, I want to take this opportunity to wish each one of you Happy New Year! It is my sincere hope that the holiday season went well for you and your families.

As we embark on 2018, it is instructive to reflect on the year we have had and the one that lies ahead. I recently reviewed my message to you from around this time last year, and it is interesting — albeit somewhat sad — how many of the concerns we had remain the same.

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Searching for The Holy Grail: A Perfect Screen for Social Determinants of Health

DianaCuttsDiana Cutts, MD, FAAP, Hennepin County Medical Center; and Rich Sheward, deputy director of innovative partnerships at Children’s HealthWatch

Why screen for social determinants of health?
In the United States, we spend increasingly more money per capita on medical services compared to other industrialized nations, while we spend increasingly less on social services. Thus, despite medical advances and increased health care spending, underinvestment in addressing patients’ socioeconomic needs inhibits progress in achieving improvements in our nation’s health.

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The Nitty Gritty of Providing Adolescent Confidential Services

DaveAugheyDave Aughey, MD, FAAP, Children’s Minnesota

Minnesota’s “Minor Consent” statute allows adolescents to receive confidential sexual health services. The statute does not mandate that clinicians need to provide confidential care. But if services are provided confidentially, the clinician is obligated to do everything possible to ensure 100 percent privacy for the patient.

This is an implied contract between the clinician and the patient and is consistent with “Do no harm.” When confidentiality is broken, not only is the patient’s trust violated, but a variety of harms may occur.

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Minnesota Newborn Screening: The Addition of SMA

Maggie Dreon, MS, CGC, Sondra Rosendahl, MS, CGC, and Bridget Busacker, MA, Minnesota Department of Health

Minnesota continues to be a leader in the country for timely and well-executed newborn screening. In 2017, Minnesota’s program added three new disorders (X-ALD, MPS I, and Pompe disease) to the newborn screening panel. In 2018, Minnesota will be one of the first states to start screening for spinal muscular atrophy (SMA).

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