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MASCA Legislative Update: 2/25/2018

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Key Legislative Updates

  1. Workers Compensation Claims Database: A big thanks to MASCA’s Christine Frederick for taking time to travel to Jefferson City this week to testify in opposition to legislation that would create a workers compensation fee schedule. We met with the Senate Chairman last week and he does not intend to vote the bill out of the committee in the near future.

  2. Surprise Billing: The Senate Health Committee advanced SB 928, a bill sponsored by Sen. Bob Onder, MD (R-Lake St. Louis) to address recent insurance policy proposals relating to a) ER benefit determination; b) direct payment to providers; c) use of Modifier 25 for E&M services; and d) surprise billing. Link to bill text (not public yet). A House version is expected to be voted on this week, although Anthem’s announcement to repeal the Modifier 25 code may cause that provision to be removed.

  3. ASC Caregiver Bill: A House and Senate bill have been introduced to require hospitals and ASCs to provide patients with an opportunity to designate a caregiver prior to discharge. We are working to get ASCs carved out of this bill. The House bill was referred to the Health & Mental Health Committee this week.

  4. Prohibition of Non-Competes: An act to restrict the use and enforcement of non-compete clauses in contracts. This has a significant amount of opposition from the MO Chamber, MO Hospital Association and other business groups. It was passed 6-4 out of the Workforce Development Committee and is still awaiting a vote in the House Rules Committee. A vote on this has been postponed in the House Rules Committee, signaling it may not advance much further.

  5. Opioid Restrictions: Restricts initial opioid prescription to seven day supply limit, unless designated in the medical record the reason for additional supply. This was passed out of committee on Feb 7th, but has yet to be placed on the Senate calendar for debate.

  6. Medicaid Reimbursement for Chiropractors: The Senate approved a bill this week that would allow chiropractors to get reimbursed through Medicaid.

Next Week’s Public Hearings on Tracked Legislation

MONDAY - 02/26/18

House-Rules-Administrative Oversight MONDAY - 02/26/18 2:00 PM, HR 6 Executive Session:

Frederick, Keith

Establishes the Opioid Addiction Prevention and Treatment Act of 2018

Frederick, Keith

Modifies provisions relating to assistant physicians.

TUESDAY - 02/27/18

Senate-Insurance and Banking TUESDAY - 02/27/18 8:05 AM, Senate Lounge

Wieland, Paul

Modifies provisions relating to methods of self-insurance for workers' compensation

Executive Session May Occur On:

Wieland, Paul

Modifies provisions of law relating to payments made by insurance companies

Wieland, Paul

Specifies that whether an ailment qualifies as an emergency medical condition does not depend on what final diagnosis is given

House-Special Committee/Employment Security TUESDAY - 02/27/18 9:00 AM, HR 6 Executive Session:

DeGroot, Bruce

Modifies provisions relating to notices on workers' compensation requirements.

House-Government Efficiency TUESDAY - 02/27/18 12:00 PM or Upon Adj., whichever is later, HR 6 Executive Session:

Alferman, Justin

Modifies provisions of law relating to emergency medical services.

House-Insurance Policy TUESDAY - 02/27/18 12:00 PM or upon conclusion of morning session, HR 4 Executive Session:

Henderson, Mike

Modifies provisions relating to emergency services health benefit determinations.

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