MHA Today | March 12, 2019

March 12, 2019

 



MHA Today: News for Healthcare Leaders

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March 12, 2019

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 Budget Committee Approves State FY 2020 Budget
Committee Advances Certificate Of Need Repeal Legislation
State Legislators Consider Practitioner Licensure Legislation
Legislative Committee Approves New Standards For Hospital Inspectors
MHA Releases Issue Brief On President’s 2020 Budget
MHA Launches Resources To Promote Safe Care


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House Budget Committee Approves State FY 2020 Budget

Staff Contact: Daniel Landon, Rob Monsees, Bill Anderson or Brian Kinkade

The House Budget Committee marked up and voted out the 13 appropriations bills that comprise Missouri’s fiscal year 2020 budget. The committee’s actions are favorable for hospitals. As expected, the committee reversed the governor’s recommendation to replace $500,000 in existing funding sources with FRA funds for the operations of the Poison Control Center by committing additional general revenue funds to the program in lieu of the FRA. The House budget also includes a new $10 million appropriation requested by MHA to provide the MO HealthNet Division the authority to claim 90 percent federal matching funds to reimburse hospitals’ investment in health information as well as a discrete “line item” appropriation for time critical diagnosis staff. The committee’s budget does not recommend reductions in funding for the Medicaid hospital program. Also, the committee essentially adopted the governor’s recommendation to provide $35 million for MO HealthNet Transformation, which is expected to include the conversion of Missouri Medicaid hospital payments to value-based reimbursement models. The committee-adopted budget now will be presented to the full House of Representatives for debate and approval before moving to the Senate for its consideration.

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Committee Advances Certificate Of Need Repeal Legislation

Staff Contact: Daniel Landon or Rob Monsees

The state House of Representatives’ Downsizing State Government committee approved legislation to repeal the certificate of need laws. In the hearing on House Bill 433, witnesses in opposition included MHA and a number of its member hospitals, several long-term care organizations and some of their members, and Associated Industries of Missouri.

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State Legislators Consider Practitioner Licensure Legislation

Staff Contact: Daniel Landon or Rob Monsees

Legislators took action on several practitioner licensure bills. A House committee approved a new version of House Bill 301. It would authorize separate licensure of advanced practice registered nurses; currently, they are licensed as registered nurses with an APRN certificate. Another committee reviewed House Bill 907. It would create a licensure system for paramedic practitioners who could provide nonemergency services through a collaborative practice arrangement with a physician. A Senate committee reviewed Senate Bill 303, which would authorize licensure of radiation technology practitioners.

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Legislative Committee Approves New Standards For Hospital Inspectors

Staff Contact: Rob Monsees or Bill Anderson

A state House committee unanimously approved House Bill 758. The legislation creates conflict of interest restrictions for state hospital inspectors. State hospital regulators will not inspect a hospital within two years of having been employed by the hospital or its hospital system. It also creates a process for assessing whether an inspector’s personal or business affiliations create bias for or against a hospital. MHA developed and is promoting the legislation, which is based on a law governing nursing home inspectors.

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MHA Releases Issue Brief On President’s 2020 Budget

Staff Contact: Andrew Wheeler

Yesterday, President Trump released his fiscal year 2020 budget request to Congress. The net increase to the proposed Centers for Medicare & Medicaid Services budget increased by $60.5 billion to $1.2 trillion. Of the increase, 96 percent is allocated to Medicare and Medicaid. MHA published an issue brief with additional details.

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Quality and Population Health


MHA Launches Resources To Promote Safe Care

Staff Contact: Jackie Gatz
Healing Happens Here Flyer
In recognition of National Patient Safety Week and to help hospitals communicate appropriate and expected behavior in care settings, MHA is providing patient-facing resources using the theme Healing Happens Here. These materials can be co-branded for use throughout the hospital.

These resources have been crafted to avoid misinterpretation that could deter patients from seeking needed care in hospitals’ emergency departments. Additional guidance about hospitals’ responsibilities under the Emergency Medical Treatment and Active Labor Act is available.

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Consider This ...

Every year, about 140,000 Americans get colorectal cancer, and more than 90 percent of colorectal cancers occur in people who are 50 years old or older.

Source: Centers for Disease Control and Prevention