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Summer 2019 State of the State€¦ · Contrast Colorado –The Polis Primavera Roadmap for Saving...
Transcript of Summer 2019 State of the State€¦ · Contrast Colorado –The Polis Primavera Roadmap for Saving...
Summer 2019 State of the State
Key legislation Affecting the healthcare community
Jon Amores, Director of Government RelationsRick Hazelton, Deputy Director of Government Relations
Arizona Medical Association(602) 799-2043
2019 Legislative Session Overview• 1318 Bills Introduced• ArMA tracked 208 bills with a healthcare focus• 135 Days of Session• Adjourned sine die on May 28th at 12:58am• 321 Chaptered Bills• 11 Vetoed Bills• One resignation (Rep. Stringer)• $11.8 billion-dollar budget
2019 Legislative Session OverviewThe Arizona Medical Association
ArMA’s 2019 Legislative Priorities:•Reversing the Opioid Epidemic• Strengthening Public Health• Expanding Access to Care for Arizonans•Administrative Simplification for Physicians and Patients
The Budget•Physician Shortage / Graduate Medical Education Programs: $5,524,400 in
state general funds in FY 2019-2020 to supplement graduate medical education programs in rural counties, and $4,419,300 for urban areas; $8 million to U of A Phoenix Medical School
•KidsCare: $1,586,900 from general fund to prevent enrollment freeze•Maternal Morbidity and Mortality Prevention: $1.7 million in FY 2019-2020
to DHS to provide primary care-based programs in rural areas for physicians and mid-level providers for prenatal care, including sonogram and telemedicine equipment for rural hospitals; $500,000 in FY 2020-2022 to DHS for student loan repayment options for healthcare professionals who provide prenatal care in healthcare professional shortage areas
•Trauma Funds: $1.5 million for critical access hospital services in Benson and Willcox
Reversing the Opioid
Reversing the Opioid EpidemicHB 2075/SB 1108: electronic prescribing; exceptions; deadlines• Delays implementation of EPCS until January 2020• Eliminates waiver process• Restores PA's ability to prescribe specified substances
SB 1029: qualifying physicians; opioid-dependent patients• Allows the Medical and Osteopathic Boards to determine whether a
licensed physician has the training to treat and manage opioid-dependent patients pursuant to federal law
Strengthening Public Health
Public Health LegislationHB 2318: texting while driving; prohibition; enforcement: Primary offense; exemptions: 1) stopped vehicle, and 2) hands-free texting or navigation
Vaping Legislation: SBs 1009, 1060, 1147 & HB 2357• County / city / school preemption• Bills did not pass
Immunization Legislation: Six bills stopped!• HB 2470/SB 1114: schools; immunization; religious exemption• HB 2471/SB 1115: informed consent; vaccinations• HB 2472/SB 1116: vaccinations; antibody titer testing; notification
Public Health Legislation• HB 2550: regulation; kratom productsEstablishes requirements and prohibitions related to the preparation, distribution, sale and exposure of kratom products; prohibits sale to minors
• SB 1468: schools; suicide prevention trainingRequires school districts, charter schools, and AZ teacher training programs to include suicide awareness and prevention training and directs AHCCCS to make suicide awareness and prevention training available
Access to Care Legislation
Access to Care LegislationSB 1089: insurance; telemedicine• Requires insurers to provide coverage for any health care services that are provided
through telemedicine, if the health care service would be covered were it provided in-person
SB 1085: association health plans; definitions; requirements• Revises and establishes requirements for association health plans
Other Healthcare Legislation
Insurance-Related LegislationHB 2494: health insurers; notice; providers• Provides payment and notification requirements for health insurers and
health providers
SB 1100: insurance; living organ donors• Prohibits insurers from discriminating against a living organ donor based on
the person's status as a living organ donor
HB 2166: insurance; cost-sharing; calculation• Requires a healthcare insurer to include any cost sharing amount paid by
either the enrollee or another person on behalf of the enrollee when calculating an enrollee's contribution to any out-of-pocket maximum, deductible, copayment, coinsurance or other applicable cost sharing
Regulatory LegislationAdministrative Simplification
HB 2569: occupational licensing; reciprocity– Allows a person who has held an out-of-state occupational license for at least one year to
practice their profession in Arizona if they abide by the outlined stipulations, including being a current certified or licensed professional in good standing, and do not have any pending complaints, allegations or investigations relating to unprofessional conduct.
– Law will affect industries that require a license to operate, including health care professions, teaching, accounting and engineering.
SB 1105: direct primary care agreements– Creates framework for direct primary care agreements; not an insurance product
SB 1086: health professions; temporary licensure– Establishes the process and requirements for obtaining a temporary license from an Arizona
health profession regulatory board
Scope of Practice Legislation
• HB 2548: pharmacists; prescribing authorityBill did not make it out of House• HB 2068: clinical nurse specialists; prescribing authorityGrants prescription privileges to a CNS if certain criteria are met; prohibits a CNS from prescribing opioids or benzodiazepines to be used or filled outside of a licensed health care facility, unless prescription is written pursuant to discharge protocols of the institution
Universal Coverage – Almost There – 6.5% Uninsured RateState Backed insurance Option – Health Care Cost Savings ActHospital Prices - HB1004Reduce Out of Pocket Costs – HB1174 Drive Down Cost of Insurance – HB 1168Lower RX Costs: Colorado Wholesale Importation of Prescription Drugs Act
FailedImprove Vaccination Rates
Contrast Colorado – The Polis PrimaveraRoadmap for Saving Money on Healthcare
HB 1168 Addresses
• High Premiums• Competition• Rural Access
Impact250K residents
Needs $120M state funding
Hospital FundingChanged to Include• Limit on Hospital Fees• Hospital Exemptions
PASSED State will submit federal waiver