CNS Legislative Committee MEETING MINUTES - Wednesday, June 18, 2025

California Neurology Society CNS • June 25, 2025

Reviewing two CMA Resolutions for the upcoming board meeting

Gavel

Quick recap

The group reviewed and discussed responses to two California Medical Association resolutions, one regarding youth tackle football and another about transportation access, while also addressing comments from other members. They discussed organizational matters including legislative meetings and delegate roles. The conversation ended with discussions about educational content development for concussion awareness, and planning for upcoming board meetings to address various organizational issues.


Summary

CMA Resolution Review Meeting

The group discusses two resolutions submitted to the California Medical Association (CMA) website - one on youth tackle football and another on expanding transportation access. They review comments from other CMA members on these resolutions and debate how to respond. The group also discusses logistics around upcoming legislative meetings and CMA delegate roles. Joanna and Stella navigate the CMA website to view the resolutions and comments, with some technical difficulties. They consider reaching out to provide more information on existing transportation discount programs for people with disabilities.


Neurological Pre-Authorization and Concussion Laws

The group discusses issues with pre-authorization for neurological procedures, with Dr. Prasad sharing his frustrations about the process being time-consuming and burdensome. Selim, the Legislative Advocate for the California Neurology Society, then shifts the conversation to concussion education in youth tackle football. He presents research on concussion education laws across states, highlighting that 43 out of 50 states have such laws for coaches. Selim identifies issues with current concussion education, including a focus on definitions rather than symptoms and a lack of mandates on how the education should be provided or verified.


CTE and Concussion Education Planning

Selim updates the group on his plan to implement CTE education alongside concussion education in legislation, aiming to draft it before September. Jeff suggests making the education less costly by providing online content, possibly created by CNS. The group discusses creating a video lecture to be distributed to schools, with Jeff emphasizing the need to simplify the content for a general audience. They consider involving Ian Mattimo for production and potentially including Chris Nowinski in the video. The group agrees to work on developing a script and creating the video content over the summer to have it ready for Selim's legislative approach in September or October.


Brain Injury Education Content Planning

The group discusses creating educational content about brain injuries in sports, targeting a 4th-grade reading level (around age 10). Jeff suggests developing brief, compelling content from the California Neurology Society, focusing on decisions and next steps. Stella experiments with using ChatGPT to create a poster, but the group acknowledges the need to carefully proofread AI-generated content. They plan to review materials at the next legislative meeting on July 2nd. Selim postpones his legislative updates to the next meeting due to time constraints.


Board Meeting Agenda and Updates

The board agrees to hold a meeting on July 1st to discuss important issues. The agenda will include Jeff's feedback from AAN, a proposal for a code of conduct, and approval of a letter. The meeting aims to address these matters before Jeff's trip to Alaska from July 8th to 15th. Regarding CMA resolutions, Jeff advises responding to comments that require answers, but not to purely positive feedback. The group also plans to discuss prior authorization at their next ledge meeting on July 2nd.


Bill Comment Response Strategy

The group discusses how to respond to comments on their bill, particularly focusing on two responses: one from Samantha Mann who opposes the bill for being too narrow, and another from Quinn Lipman requesting more information. Jeff suggests reaching out to Samantha directly to understand her concerns, while for Quinn, they agree to provide additional background information online. Johanna proposes that team members prepare responses within three days for group review before submission. The team also considers involving Natalia Schuer, the CEO of Norcal Epilepsy Foundation, to help address some of the concerns. They agree to contact the CMA to determine the appropriate protocol for reaching out to commenters.

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