Insurance Reform Legislative Campaign

Please fill out this form if you are interested in helping OSMA with the Insurance Reform Legislative Campaign.

If you have questions, email kstone@osma.org.
Contact information:
First Name
Last Name
Designation (MD, MPH, PhD, etc.)
Organization
Email
Mobile Phone
Do you grant permission for OSMA staff to email you about your message?
Share Your Story:
Check box if you have interest in testifying regarding one of the insurance reform bills during the legislative process.
Check box if you want to be on our contact list for the insurance reform bills if more information is needed.
Additional comments:
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