MHA Today | March 29, 2018

March 29, 2018
MHA Today: News for Healthcare Leaders

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March 29, 2018

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

In This Issue
Bill Expands Physical Therapists’ Autonomy
Committee Considers Bill On Post-Discharge Caregivers
Hospital Regulatory Reform Measure Advances
Legislators Act On Voluntary Prescription Abuse Registry
Missouri House Passes FY 19 State Budget
Missouri Senate Approves FY 18 Supplemental Budget Bill
Proposal Regulates Medical Residency Placements

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state and federal health policy developments


Bill Expands Physical Therapists’ Autonomy

Staff Contact: Daniel Landon

House Bill 2090 would allow a physical therapist to initiate treatment without a prescription or referral from a physician or other approved practitioner. In a House committee hearing, various physician groups opposed the bill.

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Committee Considers Bill On Post-Discharge Caregivers

Staff Contacts: Daniel Landon or Ted Wedel

House Bill 2293 was reviewed by a state House committee. A proposal promoted by the American Association of Retired Persons creates standards for those admitted to a hospital or treated at an ambulatory surgical center to designate a caregiver to perform post-discharge tasks. Representatives of ambulatory surgical centers opposed the bill, arguing that they should be exempted. MHA asserts that comparable medical services should be subject to the same regulatory requirements, regardless of setting.

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Hospital Regulatory Reform Measure Advances

Staff Contact: Daniel Landon

The state House of Representatives gave first-round approval to House Bill 2183, which allows state hospital licensure regulations to update automatically to be in sync with the Centers for Medicare & Medicaid Services’ standards. MHA developed the bill and a Senate counterpart to dovetail with a 2017 enactment that curtails duplication of federal and state hospital inspection standards. The legislation also expands the definition of a hospital’s premises. The House amended the bill to include a certificate of need change limited to long-term care beds.

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Legislators Act On Voluntary Prescription Abuse Registry

Staff Contacts: Daniel Landon or Ted Wedel

A House committee reviewed House Bill 2209, which authorizes a “Prescription Abuse Registry” modeled on a registry of those addicted to gambling. People voluntarily add their names to the prescription registry, and providers don’t have to check it. There are civil and felony criminal penalties for improper disclosure of registry data. In debating another bill on opioids, HB 2105, the House of Representatives added the language of HB 2209 by amendment.

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Missouri House Passes FY 19 State Budget

Staff Contacts: Daniel Landon or Brian Kinkade

The Missouri House of Representatives approved its version of the state’s fiscal year 2019 operating budget on Thursday. Despite a restoration of $38 million in proposed payment cuts, the House-adopted budget still includes Medicaid cuts recommended by the Greitens administration, which fall disproportionately on hospitals, and are, therefore, strongly opposed by MHA. MHA will continue its intense advocacy in opposition to Medicaid cuts that are not balanced across the managed care plans and all health care provider groups. The budget now moves to the Senate, which is expected to prepare and adopt its version of the budget before the end of April.

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Missouri Senate Approves FY 18 Supplemental Budget Bill

Staff Contact: Brian Kinkade

This morning, the Missouri Senate gave final approval of House Bill 2014, which provides supplemental funding for state programs for the current fiscal year. The bill includes $277.8 million to fund Medicaid program payments to hospitals for the balance of the state fiscal year, which ends Saturday, June 30.

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Proposal Regulates Medical Residency Placements

Staff Contact: Daniel Landon

House Bill 1716 would prohibit contractual arrangements that give priority to students of out-of-state medical schools over Missouri medical school students in determining medical residency placements.

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Consider This ...

More Americans died of drug overdoses in 2016 than the number of Americans who died during the entirety of the Vietnam War, and nearly two-thirds of those deaths involved opioids.

Source: The Hill