APA's finances were in the spotlight at the July meeting of the Board of
Trustees in Chicago. At this early point in the year, APA is facing a
potential year-end deficit of approximately $452,000, after many years of
As pointed out by Secretary-Treasurer David Fassler, M.D., and Finance and
Budget Committee Chair Jack Bonner, M.D., this year's budget projections may
not be met in large part because of a major drop in pharmaceutical advertising
in APA publications and higher than expected costs and lower than expected
income from the annual meeting—these are among the major sources of
income for APA. APA Medical Director James H. Scully Jr., M.D., said that
there are contingency plans in place if such a deficit does exist at the end
of the year.
Bonner introduced four finance-related items developed by his committee,
all of which the Board passed.
The first of these actions was an increase in the rates for lump-sum dues
payments, an option by which members make one payment and are then exempt from
paying future dues to APA. The lump-sum amount has not changed in 15 years.
About 155 members have taken advantage of the program. The rates vary by age
The second proposal the Board approved is to implement small increases in
member and nonmember annual meeting course fees. Advance course registration
fees will increase by $14 or $15.
In addition, the Board voted to increase registration fees for the 2009
annual meeting in San Francisco. For members, the fee will increase by $10 to
$280 for advance and by $5 to $350 for on-site registration.
Member-in-training registration fees will increase by $5 for both advance and
on-site registration to $80 and $90, respectively. Nonmember fees were also
Finally, the Board voted to increase block grants to district branches and
state associations from the Board New Initiative Fund.
On a recommendation from the Membership Committee, the Board increased
annual dues for Canadian members from $300 to $330. Canadians have for several
years paid lower dues than U.S. members, because they benefit from fewer of
the services APA provides, particularly advocacy on legislative and regulatory
issues. In addition, the Canadian dollar has traditionally been worth less
than the U.S. dollar, but with the latter's steady loss of value over the last
few years, the two currencies are now at par.
In other actions the Board voted to
In addition, the Trustees heard from several speakers. Sue Bergeron, CEO of
the Depression and Bipolar Support Alliance (DBSA), emphasized the consumerled
group's broad scope, with more than 1,000 groups in all 50 states. She noted
that the group distributes more than 1 million brochures a year, all written
in a "patient-friendly" style. The DBSA also offers several"
scientifically based recovery tools," she pointed out. About 99
percent of what the group produces is free, since many of its members are on
disability or can't afford to buy them, she noted.
Trustees also heard updates on activities in two DBs. Lisa Rone, M.D.,
president-elect of the Illinois Psychiatric Society, discussed the DB's
successful advocacy efforts to convince state lawmakers to expand parity-law
mandates to include anorexia and bulimia in the category of serious mental
illnesses that insurance plans have to cover.
Kelda Walsh, M.D., president of the Indiana Psychiatric Society, discussed
tort reform in the context of the state's Patient Care Fund, which was
established in 1975 after huge increases in malpractice premiums. All
physicians pay into the fund, thus keeping malpractice rates relatively low.
Psychiatrists pay the lowest amount among medical specialists, she pointed
out. She also noted that the DB has increased its focus on CME programs,
rotating them among different regions of the state. In addition, she cited the
problem of Indiana physicians dropping out of Medicaid after reforms to the
program, including more prior-authorization requirements. The shrinkage of the
number of participating physicians is causing an access crisis, Walsh
Actions taken by the Board at its July meeting are posted in the
Members Corner of APA's Web site at<www.psych.org>.▪