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In This Issue
Greitens Issues Executive Orders On Ethics, State Regulations
Missouri Senate Committee Holds Hearing On Medicaid Global Waiver Legislation
NASEM Releases Health Equity Report
state and federal health policy developments
Staff Contact: Daniel Landon
Since his Jan. 9 inauguration, Gov. Eric Greitens has issued an executive order on ethics standards for state employees in the executive branch. Among other requirements, it prohibits a state employee in the executive branch from soliciting or accepting a gift from a lobbyist. It also bars those state employees from participating in a proceeding or decision in which his or her impartiality might be questioned because of financial or personal relationships with a participant. A second executive order suspends state agency rulemaking until Tuesday, Feb. 28, with exceptions. It also calls for all state regulations to be assessed based on various criteria by May 31, 2018, with those failing to meet the criteria slated for repeal.
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Staff Contact: Rob Monsees
Today, the Senate Committee on Seniors, Families and Children held a hearing on Senate Bill 28, sponsored by Committee Chair David Sater (R-Barry, Lawrence, McDonald, Stone and Taney counties). The legislation requires the Missouri Department of Social Services to apply for a global waiver for the MO HealthNet program to give the state more flexibility to implement a patient-centered, sustainable and cost-effective market-based health care system that emphasizes competitive and value-based purchasing.
MHA testified in favor of the legislation under the premise that we support the discussion and effort to create a Missouri-specific solution to health care. MHA referenced the longstanding partnership — since the Ashcroft administration — between the state and hospitals on the Federal Reimbursement Allowance and our hope to work side by side with policymakers as the current health care landscape is emerging from a period of great uncertainty. MHA also used the testimony as an opportunity to point to data that shows the shortcomings of Medicaid managed care in addressing the significant problem of superutilizers in the Medicaid program. Testifying in opposition were advocates for disabled, mentally ill or low-income enrollees.
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Quality and Population Health
Staff Contact: Leslie Porth
The National Academies of Sciences, Engineering and Medicine released a new report that highlights the root causes of health inequality in the U.S. The report outlines community-based solutions that are essential to advancing health equity. NASEM also released a document with recommendations and a social media toolkit to supplement the report.
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One-third of long-term opioid users in the U.S. report being addicted or dependent on the painkillers.
Source: The Washington Post