MHA Today | April 5, 2018

April 5, 2018
MHA Today: News for Healthcare Leaders

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April 5, 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
House Approves Hospital Licensure Reform Legislation
Committee Revamps APRN Collaborative Practice Legislation
Congressional Committees Schedule Opioid Hearings
House Committee Advances “Right to Shop” Legislation
Bill Permits Patients To Refuse Opioids
Legislators Consider Radiation Therapy Measures
Senate Committee Considers Bone Marrow Registry Bill
Committee Approves Bill Regulating Medical Residency Placements
MLN Connects Provider eNews Available
MHA Sends Survey On OUD And NAS To Hospital Members
SAMHSA Announces Grant Opportunity To Treat Serious Mental Illness

Advocate
state and federal health policy developments


House Approves Hospital Licensure Reform Legislation

Staff Contacts: Rob Monsees or Daniel Landon

The state House of Representatives gave its final approval to House Bill 2183. It 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. The measure now moves to the state Senate.

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Committee Revamps APRN Collaborative Practice Legislation

Staff Contacts: Daniel Landon or Rob Monsees

A state House committee approved a new version of House Bill 1502. The original bill would have loosened state requirements for collaborative practice arrangements between physicians and advanced practice registered nurses. The committee’s version revises nurse licensure standards so that APRNs would have a separate APRN license rather than be licensed as a registered nurse with an APRN certification.

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Congressional Committees Schedule Opioid Hearings

Staff Contacts: Daniel Landon or Leslie Porth

U.S. Senate and House committees will hold hearings on Wednesday, April 11, to review legislation regarding opioid abuse. The Senate Health, Education, Labor and Pensions committee hearing will consider a discussion draft proposal, which it has summarized. The House Energy and Commerce Health subcommittee will review several opioid-related bills in the third of a series of hearings on the topic.

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House Committee Advances “Right to Shop” Legislation

Staff Contacts: Daniel Landon or Rob Monsees

A House committee approved a scaled-back version of “Right to Shop” legislation. The original bill would have created a complex system of price transparency coupled with allowing insured enrollees to share in the savings if negotiated payments are less than the insurer’s average reimbursement. The bill was rewritten to apply only to the Missouri Consolidated Health Care Plan, which provides coverage for state employees.

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Bill Permits Patients To Refuse Opioids

Staff Contacts: Rob Monsees or Daniel Landon

House Bill 1927 was approved by a state House committee. The legislation directs the Department of Health and Senior Services to develop a form allowing patients to refuse opioids in their medical treatment. It also authorizes department regulations to dictate how the form will be administered and enforced. MHA opposes the bill based on liability and other concerns.

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Legislators Consider Radiation Therapy Measures

Staff Contacts: Rob Monsees or Daniel Landon

The House of Representatives gave first-round approval to House Bill 1252. The legislation adds digital mammography and breast tomosynthesis to the definition of low-dose screening mammography in a state law requiring insurance coverage of mammography. The bill was amended to require coverage of annual mammograms for women age 40 and older. Currently, coverage of annual examinations begins at age 50. Also, a House committee reviewed a bill to establish a system of occupational licensure for various types of radiographers.

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Senate Committee Considers Bone Marrow Registry Bill

Staff Contacts: Daniel Landon or Rob Monsees

A Senate committee reviewed House Bill 1953, which would direct the state health department to develop and distribute materials to promote the current bone marrow registry. The legislation also would authorize an advisory committee on access to drugs and biological products used to treat Medicaid patients with rare diseases.

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Committee Approves Bill Regulating Medical Residency Placements

Staff Contact: Daniel Landon

A state House committee approved House Bill 1716. It 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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Regulatory News
the latest actions of agencies monitoring health care


MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. 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.

  • new Medicare card project important updates
  • Bipartisan Budget Act: CMS reprocessing impacted claims
  • Merit-based Incentive Payment System Alternative Payment Model: resources for performance year 2018
  • administrative simplification: electronic transactions
  • opioids
    • online training series
    • overdoses treated in emergency departments: CDC vital signs report

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Quality and Population Health


MHA Sends Survey On OUD And NAS To Hospital Members

Staff Contact: Alison Williams

MHA seeks information from Missouri birthing hospitals on the incidence and prevalence of maternal opioid use disorder/substance abuse disorders and neonatal abstinence syndrome. Previous studies using claims data are thought to not completely capture the true frequency of maternal OUD or NAS as compared to anecdotal frequency noted through informal discussions with obstetric care professionals from across the state. One hypothesis for this is a lack of documentation and coding capture. MHA is collaborating with stakeholders to gain a more accurate understanding of this health issue, including the impact it makes on the lives of Missourians and the cost to the health care system.

Hospital members are encouraged to complete the brief survey by Friday, Apr. 13. The results will be reported in aggregate to inform hospitals, public health officials and policymakers.

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SAMHSA Announces Grant Opportunity To Treat Serious Mental Illness

Staff Contacts: Leslie Porth or Shawn Billings

The Substance Abuse and Mental Health Services Administration announced it will award up to seven, five-year Assertive Community Treatment grants modeled to provide around-the-clock care coordination. ACT is considered to be one of the most effective evidence-based programs designed to support community living for individuals with the most severe functional impairments associated with serious mental illness. This model is intended to improve behavioral health outcomes by reducing rates of hospitalization, mortality, substance use, homelessness and involvement with the criminal justice system.

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Consider This ...

This week is National Public Health Week. Injury and violence (intentional and unintentional) take the lives of nearly 200,000 people in the U.S. every year — it’s the No. 1 cause of death for Americans ages one to 44. For every injury death, 13 people are hospitalized and 135 get treated in an emergency room.

Source: American Public Health Association