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State and school district-level policies mandating minimum requirements for in-school physical education and recess time are associated with increased odds of schools in those states and districts meeting physical activity recommendations for students, according to a report published Online First by Archives of Pediatrics & Adolescent Medicine, one of the JAMA/Archives journals.

As we [American Psychological Association Practice Organization] reported last week, the situation on Capitol Hill has once again shifted dramatically with the failure of the Joint Select Committee on Deficit Reduction to reach agreement on $1.2 trillion in debt savings. Legislative leaders have begun to discuss options to address critical, time-sensitive issues by the end of the year, including the expiration of unemployment benefits, the Alternative Minimum Tax patch, tax extenders and Medicare extenders.

As you know, the APA Practice Organization has been hard at work on Capitol Hill to avert steep cuts to Medicare reimbursement for psychologists. The Joint Select Committee on Deficit Reduction, which faces a November 23 deadline to identify at least $1.2 trillion in debt savings, has clearly indicated that the future of Medicare is on the table.

The American College of Physicians (ACP) today told the 112th Congress to “go big” by reforming Medicare payments, including enacting a permanent end to scheduled Medicare sustainable growth rate (SGR) physician payment cuts. The urgent need for Congress to act was demonstrated by today’s release of a Medicare final rule, announcing a 27.4 percent across-the-board cut in Medicare payments to doctors on January 1, 2012.

All psychologists needs to take action NOW to encourage your legislators to stand up and talk to their colleagues on the Joint Select Committee on Deficit Reduction to protect psychologist payments from steep Medicare cuts. Take Action! Included in this report are specific instructions on how you can take action.

Electromedical Products International Inc. (EPI) issued an urgent call-to-action this past week for practitioners who prescribe Alpha-Stim to their patients. The complete details and formal announcement from Tracey B. Kirsch, President of EPI are below. Briefly, the Food and Drug Administration (FDA) intend to review current evidence for the safety and effectiveness of Alpha-Stim. The FDA posted a notice whereby this matter is now open for public comment, and EPI asks that those who prescribe/use Alpha-Stim to get involved. If the FDA ignores the current positive and plentiful safety/effectiveness data, which they appear set to do, this could mean that Alpha-Stim is removed from the United States’ market until EPI goes through a lengthy and expensive FDA validation process. EPI invites all clinicians and patients who use Alpha-Stim to get involved. Included in this report are detailed instructions on how to get involved, including a suggested letter template and additional background information on this issue.

States spend up to $15 billion a year in medical expenses related to obesity, according to a new study by researchers at RTI International, Duke University, and the federal Agency for Healthcare Research and Quality. The study, published online in Obesity, updates 2004 state-by-state estimates of obesity-attributable medical expenditures. The report also provides rough estimates of the share of obesity expenditures in each state that are funded by taxpayers through Medicare and Medicaid.

Today, Judge Rhonda Hurley in Travis County District Court, Austin, Texas, upheld the ruling that the entry level to independent practice of psychology in Texas is the doctoral degree. Judge Hurley ruled that the Texas State Board of Examiners of Psychologists (TSBEP) has the authority to regulate the practice of Licensed Psychological Associates LPAs) through its rule making authority which states only doctoral‐trained, Licensed Psychologists may practice independently.

As we reported last week, the politics and process affecting Medicare reimbursement have changed significantly with the recent enactment of the Budget Control Act. House and Senate leaders have finished appointing twelve members to the Joint Select Committee on Deficit Reduction, which is tasked with identifying at least $1.2 trillion in savings over the next ten years. If the Joint Committee fails to reach an agreement that can pass in both chambers, automatic cuts to Medicare and other programs would result, slashing provider reimbursement by up to an additional 2%.

Social safety net programs that reduce psychosocial stressors for low-income families also ultimately lead to a reduction in childhood obesity, according to research by a University of Illinois economist who studies the efficacy of food assistance programs on public health. Craig Gundersen, a professor of agricultural and consumer economics at Illinois, says food and exercise alone are not to blame for the extent of obesity among children in the United States. Psychosocial factors, such as stressors brought about by uncertainty about the economy, income inequality, and a fraying social safety net also must be considered, he says.