MHA Today | April 13, 2017

April 13, 2017
MHA Today: News for Healthcare Leaders

twitter linkedin MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
Senate Committee Considers State Budget
Committee Reviews Physical Therapy Referral Restrictions
Legislators Consider Opioid Bills
Committee Approves Advanced Directive Registry
Bill Allows Concealed Weapons In Hospitals
House Combines Consent To Treatment, Medical Records Bills
Senate Committee Approves Perinatal Care Bill
Legislators Revise Assistant Physician Standards
CMS Releases Data About Gender And Minority Quality Of Care In MA
MLN Connects Provider eNews Available

Advocate
state and federal health policy developments


Senate Committee Considers State Budget

Staff Contacts: Daniel Landon or Rob Monsees

The state Senate Appropriations Committee has spent the week crafting its revisions to the appropriations bills that comprise the state budget for the fiscal year beginning Saturday, July 1. The committee is expected to complete that work next Tuesday, with the full Senate debating the budget bills later next week. Following Senate ratification, conference committees will negotiate the differences between the House and Senate. The constitutional deadline for completing the budget is Friday, May 5.

The chair of the Senate Appropriations Committee, Sen. Dan Brown (R-Rolla), has announced his intent to move forward a Senate budget that removes funding for expanding Medicaid managed care statewide. However, final committee ratification of that decision is pending to allow time to adjust the budget lines accordingly.

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Committee Reviews Physical Therapy Referral Restrictions

Staff Contact: Daniel Landon

A state House of Representatives committee held a hearing on House Bill 429. It would revise standards governing a physician’s referral to a physical therapist or physical therapy group with whom the physician has an ownership or financial interest. State law currently prohibits most of those referrals, with specified exemptions. The legislation would add a new exemption that encompasses a long section of federal law on the topic.

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Legislators Consider Opioid Bills

Staff Contacts: Daniel Landon or Leslie Porth

A House committee has approved a new version of House Bill 1197. It includes a variety of changes related to opioid abuse. The committee also reviewed a bill that would authorize the State Board of Pharmacy to administer an initiative to promote medication safety and curb abuse of prescription drugs.

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Committee Approves Advanced Directive Registry

Staff Contact: Daniel Landon

A House committee has reviewed and approved Senate Bill 50. It authorizes the state to contract with a third-party to establish an online registry for advanced directives. The committee recommended that the bill receive expedited review as an uncontroversial measure with minimal fiscal effect.

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Bill Allows Concealed Weapons In Hospitals

Staff Contact: Daniel Landon

After a hearing on House Bill 630 earlier this week, a House committee has approved the bill. It revises state law regarding concealed weapons. One of its many changes would allow those with a permit to carry a concealed weapon in the areas of a hospital that are accessible to the public. Current law allows hospitals to bar concealed weapons from those areas. MHA opposes the change.

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House Combines Consent To Treatment, Medical Records Bills

Staff Contacts: Daniel Landon or Ted Wedel

The state House has given first-round approval to House Bill 144, which would revise standards for securing consent to treatment for the incapacitated. In debating the bill, the House added an amendment on access to medical records of the deceased. By linking the issues, the House connected two issues that a Senate committee rejected in House Bill 381 yesterday.

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Senate Committee Approves Perinatal Care Bill

Staff Contacts: Daniel Landon or Rob Monsees

A Senate committee has approved House Bill 58. The legislation would create a system of state standards and hospital designations for providers of maternal and neonatal care.

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Legislators Revise Assistant Physician Standards

Staff Contact: Daniel Landon

The state House has given first-round approval to House Bill 330, which revises licensure standards for assistant physicians. It specifies that applicants who could have applied and met the criteria for assistant physician licensure in the three years following the effective date of the law will continue to be eligible to do so. The authorizing legislation was enacted in 2014, but the process of creating state regulations for the licensure process took 2 1/2 years, rendering some potential applicants ineligible.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Data About Gender And Minority Quality Of Care In MA

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced two reports detailing the quality of care received by people enrolled in Medicare Advantage. The first report focuses on gender, which found sizable differences in quality of treatment for certain conditions. The second report focused on racial and ethnic group comparisons. Cara James, Director of the CMS Office of Minority Health stated, “This is the first time that CMS has released Medicare Advantage data on racial and ethnic disparities in care separately for women and men. Showing the data this way helps us to understand the intersection between a person’s race, ethnicity and gender, and their health care.”

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • April 2017 outpatient PPS pricer file
  • 2017 Medicare Part C and Part D reporting requirements and data validation web-based training course
  • mapping Medicare disparities tool: identify disparities in chronic disease
  • questions about Medicare enrollment revalidation

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Consider This ...

April is Rosacea Awareness Month. Sixteen million Americans have rosacea and many don’t know it.

Source: National Rosacea Society