MHA Today | August 4, 2017

August 4, 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.


Herb Kuhn, MHA President & CEO
Regulations have a very real influence on health care. I haven’t counted the number of pages released this week for proposed and final federal Medicare PPS rules, but it’s obviously in the thousands. And, those are just the regulations about a single federal program.

Regulations are necessary. However, they should reflect the intent of the authorizing legislation and the evolution of health care. And, they should be reviewed regularly for relevance.

Gov. Eric Greitens has made increasing government efficiency a front-burner agenda item. In July, Greitens announced a new website to seek Missourians’ input on how to make the state a better place for families and businesses. He led with some pretty interesting statistics. According to the governor, “Missouri has more than 113,000 regulatory requirements. Our state’s regulations have more than 7.5 million words. That is more than 40 dictionaries’ worth of red tape.”

Greitens’ site,, has a survey that allows Missourians to voice how the state government is making their life better or worse, explain the experience and identify the agency. The Missouri General Assembly makes the laws; the bureaucracy that Greitens leads enforces those laws through more detailed regulations. His commitment to this effort is a great example of leadership.

MHA has been working for years to streamline hospital regulations. Suggestions from an expert workgroup convened to examine state hospital licensure regulations led to some improvements. Nonetheless, years later, some of these regulatory recommendations are still pending with state officials.

To press for faster action, MHA has engaged the Missouri General Assembly. The hospital licensure legislation adopted this session, and signed by Greitens, is one example. Another would be the work to streamline the stroke and STEMI system this year. In 2015, we successfully promoted new laws on hospital life-safety codes and helipad regulation. In 2013, legislators enacted MHA-sponsored hospital licensure reform legislation, but some of its effect was blunted by lack of regulatory implementation. This gave rise to this year’s legislative initiatives.

The hospital community needs an administration that listens, as well as directs. I recently wrote a letter to Gov. Greitens voicing concern about the Department of Health and Senior Services’ regulatory standards for designating stroke and STEMI centers. We have received a positive and engaged response from DHSS Director Randall Williams, M.D.

Earlier this week, MHA sent a letter to hospital CEOs asking for their help in identifying regulations that fall within the scope of Greitens’ effort. Although hospitals can send their concerns directly through the website, I’d encourage a coordinated effort. MHA has been working on a streamlining government initiative prior to Greitens’ announcement. We’ve already made connections and are working on submissions.

The governor’s signal that he wants to partner with citizens and businesses strengthens our position. If we work together, we’ll be a chorus, rather than a single voice on the issues that matter.

Let me know what you think.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Withdraws Transparency Requirement From Final IPPS Rule
United For Missouri Files Lawsuit Against St. Charles County PDMP

state and federal health policy developments

CMS Withdraws Transparency Requirement From Final IPPS Rule

Staff Contacts: Sarah Willson or Jim Mikes

The Centers for Medicare & Medicaid Services has decided to withdraw the transparency proposal from the final inpatient PPS that would have required accrediting organizations to post survey results of AOs online. The withdraw came about after significant opposition by hospitals and AOs. MHA was among those that opposed the measure on behalf of member hospitals. Section 1865(b) of the act prohibits CMS from disclosing survey reports or compelling AOs to disclose reports on their own. The move may have resulted not from negative comment, but rather from conflicts with current federal law.

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Health Law Insight

United For Missouri Files Lawsuit Against St. Charles County PDMP

Staff Contact: Meghan Henderson

Today, United for Missouri, an organization run by former state representative Carl Bearden, filed suit against the St. Charles County prescription drug monitoring program and the director of the St. Charles County Department of Public Health. The suit alleges the St. Charles County PDMP violates the protections against unreasonable search and seizure provided in the Fourth Amendment of the U.S. Constitution, and similar protections provided in Article I, Section 15 of the Missouri Constitution. The suit also alleges that the program violates certain Missouri statutes relating to the regulation of prescription information and pharmacies.

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Did You Miss An Issue Of MHA Today?

August 3, 2017
CMS Issues Psychiatric Payment Updates For FY 2018 And Solicits Comments
MLN Connects Provider eNews Available
CDC Issues Updated Zika Virus Guidance
TJC Announces Pioneers In Quality Webinar

August 2, 2017
CMS Announces Medicare IPPS/LTCH Final Regulations
MO HealthNet Gives Advance Notice Of Planned Systems Upgrade
CMS Issues Final Hospice Payment Rate Update For 2018
CMS Releases Survey And Certification Guidance
TJC Revises Medication Management EPs

August 1, 2017
Trump’s Commission On Opioids And Drug Abuse Issues Interim Report
Hospital Price And Quality Updates Available On Focus On Hospitals
CMS Issues Final 2018 Payment And Policy Updates For IRFs And SNFs
Mercy Hospital Lebanon Names New Administrator

July 31, 2017
McCaskill Expands Investigation Of Opioid Distribution

Consider This ...

Youth violence is a leading cause of death and injuries of young people between the ages of 10 and 24 in the U.S.

Source: Centers for Disease Control and Prevention