Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32A D V A M E D 2 0 1 6 A N N U A L R E P O R T 18 u S TAT E A F F A I R S ADVOCACY ACROSS AMERICA AdvaMed’s State Government Affairs team works collaboratively with members to engage state lawmakers and regulators to advance our policy agenda. In 2016, this included advocating for state legislation to help ensure patient access to innovative new treatments and cures, and successfully opposing initiatives that would have created unnecessarily burdensome device distribution restrictions, product stewardship requirements and device warranty mandates. Often working in concert with state and local medical technology groups, the team marked key successes across the nation: COVERAGE & REIMBURSEMENT In 2016, AdvaMed advocacy led to an improved health technology assessment (HTA) process in Washington state. Passage of legislation to require clinical expertise on the HTA panel will help protect patient access to life-changing innovations. WARRANTIES AdvaMed led a successful effort to block legislation in New York that would have required a five-year warranty for artificial hips and knees, as well as implanted electronic devices. AdvaMed worked with members and allies as it made a strong push that stopped the bill on the Senate floor. PRODUCT STEWARDSHIP AdvaMed continued to fight state and local government efforts to require costly manufacturer take-back programs for home- generated medical sharps waste and batteries. The Association was successful in helping to defeat a sharps take-back ordinance in Los Angeles County and in staving off harmful sharps and battery proposals in the Maine and California legislatures. DISTRIBUTION Proposals to restrict out-of-state medical device distribution continued to surface around the country in 2016. The Association was able to defeat legislative proposals in Arizona and Idaho that would have required suppliers of durable medical equipment to have accredited facilities in the same state served. State Rep. Matt Dean, chair of the Minnesota House Health & Human Services Finance Committee (at right), meets with members of AdvaMed’s State Affairs Working Group at the AdvaMed 2016 conference in October, including (from left to right) Michael Ferguson of AtriCure, Tom Jeffers of Hill-Rom, Lori Sims of Baxter, and Maria Cahill of Abbott. Members of AdvaMed’s State Affairs Working Group meet with Washington representatives of state governors’ offices in March to discuss medtech advocacy priorities. Pictured are (from right to left): Geoffrey Becker of Medtronic, Michael Hagenson of Medtronic, Dona deLeon of the New Jersey governor’s office, and Tiffany Ahern of the Massachusetts governor’s office.