MHA Today | February 10, 2016

February 10, 2016
MHA Today: News for Healthcare Leaders


MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet. Connect with us on LinkedIn.

In This Issue
House Committee Votes Down HMO High-Deductible Legislation
Senate Advances Amendments On Price Transparency And Patient Responsibility
Senate Approves Advance Directives Registry
House Committee Votes Do Pass On APRN Legislation
General Assembly Blocks Personal Care Wage Increase
D.C. Appeals Court Reverses Decision On RAC Hearing Backlogs
Southeast Health Center Of Reynolds County To Close

Advocate
state and federal health policy developments


House Committee Votes Down HMO High-Deductible Legislation

Staff Contact: Rob Monsees

House Bill 1592, health maintenance organization high-deductible legislation, was voted down 5-6 by the House Health Insurance Committee. Special thanks goes out to hospital CEOs and government affairs representatives who contacted their local delegation to oppose the legislation. Voting with their local hospitals against the bill were Reps. Lynn Morris (R-Nixa), Justin Hill (R-Lake St. Louis), Kip Kendrick (D-Columbia), Gina Mitten (D-St. Louis), Bill White (R-Joplin) and Margo McNeil (D-Florissant). During the same hearing, Rep. Don Gosen (R-Ballwin) also presented HB 2061, which is an expanded version of HB 1592. HB 1592 includes provisions to add more options for insurers to sell products with “gatekeeper” provisions and exclusive provider organization products. MHA will continue to monitor the legislation, as well as the Senate companion SB 911.

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Senate Advances Amendments On Price Transparency And Patient Responsibility

Staff Contacts: Daniel Landon or Rob Monsees

Today, the Missouri Senate debated and adopted a series of amendments to Senate Bill 608. The underlying bill deals with incentives to promote price sensitivity among Medicaid enrollees, including a maximum $8 co-pay for nonemergency use of the hospital and charges for missed appointments. One amendment changed the standards for charging patients for missed appointments. Another merged two other bills, one dealing with disclosure of price information by all providers and insurers, and the other stating that contracts between insurers and providers cannot prevent the patient from knowing the contracted amount if doing so impedes the patient’s assessment of the out-of-pocket cost for a service. The final compilation of the Senate’s work, which was given first-round approval, is not available at press time.

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Senate Approves Advance Directives Registry

Staff Contact: Daniel Landon

The Missouri Senate has unanimously approved Senate Bill 887, which would authorize a private contractor to create an online registry for storing and accessing advance directives for health care. The bill now moves to the House of Representatives.

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House Committee Votes Do Pass On APRN Legislation

Staff Contact: Rob Monsees

This morning, a House committee voted do pass on House Bill 1465, which is sponsored by Rep. Eric Burlison (R-Springfield). HB 1465 changes the laws regarding collaborative practice arrangements between advanced practice registered nurses and physicians, and was approved 16-1. Upon approval, the bill is referred to the House Select Committee on General Laws.

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General Assembly Blocks Personal Care Wage Increase

Staff Contact: Daniel Landon

The General Assembly has enacted Senate Concurrent Resolution 46, which blocks a proposed state regulation mandating wage increases for personal care attendants. In May 2015, a legislative committee concluded the proposed regulation violated state law and recommended that the General Assembly block it in the 2016 legislative session, which the General Assembly has done. MHA previously expressed opposition to the regulation. Gov. Nixon is expected to veto the measure. The General Assembly appears to have a sufficient number of votes to override the veto.

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Regulatory News
the latest actions of agencies monitoring health care


D.C. Appeals Court Reverses Decision On RAC Hearing Backlogs

Staff Contact: Jane Drummond

The Court of Appeals for the District of Columbia ruled that the lower court must reconsider imposing strict deadlines on the U.S. Department of Health & Human Services for conducting administrative appeals in the Medicare Recovery Audit Program. By law, administrative law judges have 90 days to decide RAC appeals. In reality, cases currently are backlogged by more than 18 months. The appellate court ordered the district court to weigh the agency’s resource limitations against its duty to conduct hearings within the mandated timeframe and determine whether HHS must be compelled to timely complete all RAC appeals.

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Noteworthy


Southeast Health Center Of Reynolds County To Close

Staff Contact: Carol Boessen

SoutheastHEALTH in Cape Girardeau announced it will be closing Southeast Health Center of Reynolds County in Ellington and its related clinics in Ellington and Van Buren, effective Friday, March 11.

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Consider This ...

Direct and indirect costs of cardiovascular diseases and stroke total more than $316.6 billion. That includes health expenditures and lost productivity.

Source: American Heart Association