MASCA Legislative Report: 12/17/2017

Missouri Scout Weekly Summary

Who Won the Week

Dates of Interest for 2018 Legislative Session:

Friday, December 1 – First Day of Pre-Filing for 2018 Legislative Session

Wednesday, January 3 - Session Begins

Thursday, March 1 – Last Day to Introduce Bills in House/Senate

Monday, March 19-23 Legislative Spring Break

Friday, May 18 6:00 p.m. - Session Ends

Trending Articles:

Poll: Senate pre-filed legislation for 2018 session

The Missouri Times: Hawley unveils 'Claire McTaxAll' website in first shots at Democratic incumbent

The Missouri Times: This Week in the Governor's Office: Week of December 11, 2017

KC Star: Former Missouri Democratic Party Chairman Mike Sanders takes leave from law practice in wake of FBI probe The Missouri Times: Missouri House Democrats look to expand superminority

P-D: Missouri veterans chief resigns under pressure from governor Springfield Business Journal: Mini-profile: Elijah Haahr set to become youngest Speaker of the House in history The Missouri Times: Employees seek compensation for lost wages in lawsuit against Dept. of Insurance, Financial Institutions and Professional Registration

Podcast

Sen. Gary Romine (R-Farmington) discusses frayed relationship with Governor

Key Updates:

  1. Workers Compensation Fee Schedule: I met with Sen. Dave Schatz’s chief of staff on Thursday regarding SB 763, a bill Schatz pre-filed that would require the Division of Workers Compensation to establish a medical fee schedule with a maximum amount for various procedures. This would repeal the current law that allows providers to charge a fee that is not “greater than the usual and customary” fee the provider would receive from private individuals or private health insurance carriers. Schatz’s chief of staff said they received the bill from a law firm in their district who specializes in workers compensation, and that they encouraged us to talk to our national association and see what is working in other states. He also acknowledged that they don’t’ want to do anything that will drive physicians to stop taking workers comp patients. Missouri is currently one of six states that does not have a workers compensation medical fee schedule. Note that Schatz consistently files workers compensation related legislation, so this is not unusual for him to consider this type of legislation. Link to bill.

  2. Feedback: Please send me any information you are able to share regarding the amount of workers compensation your ASC does and why this is problematic for your center. I just want to have solid talking points that can also translate to patient care.

  3. Other states: Are there any states that have a workers compensation fee schedule that work relatively well for ASCs? In other words, is there a version of this we can compromise on to reflect another state’s law, or is our only path to try and defeat this legislation?

  4. Rehder PDMP: Despite her previous comments that she would not file a PDMP bill, Rep. Holly Rehder (R-Sikeston) pre-filed her PDMP bill again (link to bill). This still does not change our prediction that it will be tough to advance a statewide PDMP through the Senate this year given that it is Sen. Rob Schaaf’s last year in the Senate.

  5. Birthing Centers: Rep. Steve Helms (R-Springfield) introduced HB 1589 last week, which would exempt birthing centers from having to employ a physician with hospital admitting privileges. Under current law, birthing centers are licensed as ambulatory surgical centers and state law requires all ASCs and birthing centers to have a “current working agreement with at least one licensed hospital in the community in which the ambulatory surgical center is located, guaranteeing the transfer and admittance of patients for emergency treatment whenever necessary.” It’s unclear who prompted Helms to file this legislation, but it is worth tracking closely given that Helms is Vice-Chair of the Professional Registration & Licensing Committee.

MASCA Bill Tacking List

HB 1407

DeGroot, Bruce(R)

Modifies provisions relating to the collateral source rule

Bill History:

12-01-17 H Filed

HB 1419

Haefner, Marsha(R)

Requires certain health care professionals to complete two hours of suicide prevention training as a condition of licensure.

Bill History:

12-04-17 H Filed

HB 1467

Stevens, Martha(D)

Establishes a needle and syringe exchange pilot program

Bill History:

12-05-17 H Filed

HB 1473

Mitten, Gina(D)

Requires certain individuals with prescriptive authority to complete four hours of continuing professional education in approved classes that provide training in prescribing controlled substances

Bill History:

12-05-17 H Filed

HB 1502

Kelly, Hannah(R)

Changes provisions relating to advanced practice registered nurses.

Bill History:

12-05-17 H Filed

HB 1518

Eggleston, J.(R)

Changes the laws regarding rates charged by health care providers.

Bill History:

12-06-17 H Filed

HB 1570

Shaul, Dan(R)

Changes the laws regarding the Small Business Regulatory Fairness Board.

Bill History:

12-08-17 H Filed

HB 1574

Rowland-155, Lyle(R)

Modifies provisions relating to advanced practice registered nurses in collaborative practice arrangements

Bill History:

12-11-17 H Filed

HB 1587

Helms, Steve(R)

Creates new provisions of law related to professional registration.

Bill History:

12-11-17 H Filed

HB 1588

Helms, Steve(R)

Establishes a pilot program to allow MO HealthNet participants to receive services through direct primary care arrangements.

Bill History:

12-11-17 H Filed

HB 1602

Merideth, Peter(D)

Provides for the expansion of MO HealthNet services beginning January 1, 2019.

Bill History:

12-12-17 H Filed

HB 1603

Merideth, Peter(D)

Establishes the Missouri Care Plan within the MO HealthNet program to allow individuals who are not otherwise eligible for Medicaid to purchase coverage through the plan.

Bill History:

12-12-17 H Filed

HB 1619

Rehder, Holly(R)

Establishes the Narcotics Control Act

Bill History:

12-14-17 H Filed

HB 1624

Mitten, Gina(D)

Provides for the expansion of MO HealthNet services beginning January 1, 2019.

Bill History:

12-14-17 H Filed

SB 562

Sater, David(R)

Requires the Department of Social Services to apply for a global waiver for MO HealthNet

Bill History:

12-01-17 S Filed

SB 575

Wallingford, Wayne(R)

Provides that a managed care plan's network is adequate if the health carrier is accredited by the Accreditation Association for Ambulatory Health Care

Bill History:

12-01-17 S Filed

SB 611

Koenig, Andrew(R)

Modifies several provisions relating to taxation

Bill History:

12-01-17 S Filed

SB 617

Eigel, Bill(R)

Modifies several provisions relating to taxation

Bill History:

12-01-17 S Filed

SB 638

Sater, David(R)

Extends the sunset on certain healthcare provider reimbursement allowance taxes

Bill History:

12-01-17 S Filed

SB 639

Sater, David(R)

This act lowers, from fifty to twenty-five, the minimum number of members an association must have in order to purchase group health insurance

Bill History:

12-01-17 S Filed

SB 646

Wallingford, Wayne(R)

Enacts provisions relating to advanced practice registered nurses.

Bill History:

12-01-17 S Filed

SB 667

Onder, Bob(R)

Increases the amount of the personal income tax cut and the business income deduction in current law

Bill History:

12-01-17 S Filed

SB 713

Schupp, Jill(D)

Provides for the expansion of MO HealthNet services beginning January 1, 2019

Bill History:

12-01-17 S Filed

SB 731

Sifton, Scott(D)

Provides for the expansion of MO HealthNet services beginning January 1, 2018.

Bill History:

12-01-17 S Filed

SB 737

Schupp, Jill(D)

Establishes the Narcotics Control Act

Bill History:

12-01-17 S Filed

SB 744

Sater, David(R)

Requires health carriers and health care providers to establish and participate in comparable health care service incentive programs.

Bill History:

12-01-17 S Filed

SB 745

Sater, David(R)

Modifies provisions relating to advanced practice registered nurses in collaborative practice agreements

Bill History:

12-01-17 S Filed

SB 762

Schatz, Dave(R)

Establishes the Narcotics Control Act.

Bill History:

12-01-17 S Filed

SB 763

Schatz, Dave(R)

Establishes a workers' compensation claims databaseaims

Bill History:

12-01-17 S Filed

SB 775

Brown, Dan(R)

Extends the sunset on certain healthcare provider reimbursement allowance taxes

Bill History:

12-06-17 S Filed

SB 778

Rowden, Caleb(R)

Provides that an insurer who deposits the limits of coverage amount with the court shall not be liable for an amount in excess of the insurer's contractual coverage limits in an inter-pleader action.

Bill History:

12-06-17 S Filed

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