Wa. Ambulatory Surgery Center Association Detail Report

Transcription

1 Wa. Ambulatory Surgery Center Association Upcoming Events Appropriations (House) - HHR A, JLOB - 1:30pm HB Public Hearing - Allowing alternative payment methodologies for critical access hospitals participating in the Washington rural health access preservation pilot. Bill Details Status Sponsor Priority Position WA health security trust H HC/Wellness Appleton Requiring the submission of a waiver to the federal government to create the Washington health security trust. HB 1026 Creates the Washington health security trust to provide coverage for a set of health services for all residents. Requires the joint select committee on health care oversight to contract for an actuarial analysis of the funding needs of the Washington health security trust and recommend a funding mechanism to the appropriate legislative standing committees and the governor. Directs the legislature to enact legislation implementing the recommendations of the joint select committee during the 2018 regular legislative session. Creates the reserve account, the displaced worker training account, and the benefits account. Provides contingent effective dates. SHB 1043 (SB 5124) Personal health information H Rules R Robinson Addressing nonpublic personal health information. Prohibits the insurance commissioner from disclosing nonpublic personal health information except in the furtherance of regulatory or legal action brought as a part of the insurance commissioner's official duties. Exempts the following from disclosure under the public records act: Nonpublic personal health information obtained by, disclosed to, or in the custody of the insurance commissioner. HB 1067 (SB 5048) Operating budget H Approps Ormsby Making fiscal biennium operating appropriations. Makes fiscal biennium operating appropriations. HB 1068 (SB 5047) Operating sup budget 2017 H Approps Ormsby Making 2017 supplemental operating appropriations. Makes 2017 supplemental operating appropriations. HB 1117 Health care balance billing H HC/Wellness Cody High Oppose Page 1 of 10

2 (SB 5619) Addressing health care services balance billing. Establishes the balance billing protection act to provide for the protection of consumers against balance billing for emergency and other health care services when: (1) Emergency health care services are provided to a covered person; or (2) Health care services are provided to a covered person at an innetwork facility, but are provided by an out-of-network provider when no in-network provider is available to provide the health care services. HB 1337 (SB 5221) Medical licensure compact S Health Care Riccelli Creating the interstate medical licensure compact. Creates the interstate medical licensure compact. SHB 1339 Opioid drug prescriptions H Rules R Cody Concerning restrictions on prescriptions for opioid drugs. SHB 1426 Rx monitoring program data H Approps Robinson Concerning persons and entities to whom the department of health may provide prescription monitoring program data. SHB 1515 (SSB 5195) Special parking privileges H Rules R Graves Clarifying the appropriate format for signed written authorizations for special parking privileges. HB 1520 Hospital payment methodology H Approps Tharinger Allowing alternative payment methodologies for critical access hospitals participating in the Washington rural health access preservation pilot. Requires payments for services, delivered by public health care service districts participating in the Washington rural health access preservation pilot to recipients eligible for certain medical assistance programs, to be based on an alternative, value-based payment methodology established by the state health care authority. HB 1523 (SB 5602) Preventive service coverage H Rules R Robinson Requiring health plans to cover, with no cost sharing, all preventive services required to be covered under federal law as of December 31, Requires a health plan to provide coverage for the same preventive services required to be covered under: (1) 42 U.S.C. Sec. 300gg-13 (2016); and (2) Federal rules or guidance in effect on December 31, 2016, implementing 42 U.S.C. Sec. 300gg-13. SHB 1541 (SB 5401) Rx drug cost transparency H Approps Robinson Addressing prescription drug cost transparency. HB 1550 B&O tax/education H Finance Lytton Page 2 of 10

3 (SB 5113) Investing in education by modifying the business and occupation tax and providing small business tax relief. Modifies the business and occupation tax and provides small business tax relief to invest in education. HB 1555 (SB 5127) Carbon pollution tax H Finance Lytton Establishing a carbon pollution tax and investment program to reduce greenhouse gas emissions, facilitate the transition to a clean energy economy, and invest in K-12 education and other vital public services. Establishes the carbon pollution tax and investment act. Imposes a carbon pollution tax on: (1) The sale or use of fossil fuels, including fossil fuels used in generating electricity; or (2) The sale or consumption of electricity generated through the combustion of fossil fuels. Creates the carbon pollution reduction account and the carbon reduction investment fund. HB 1565 Young adult health coverage H HC/Wellness Macri Providing health coverage for young adults. Requires the state health care authority to provide health coverage to individuals who: (1) Are at least nineteen years old and no older than twenty-six; (2) Have an income that is at or below one hundred thirty-three percent of the federal poverty level; (3) Are not incarcerated; and (4) Are not eligible for categorically needy medical assistance as defined in the social security Title XIX state plan. HB 1619 Health care costs H HC/Wellness Farrell Addressing health care cost transparency. Requires the office of the insurance commissioner to: (1) Adopt rules to ensure that an enrollee may obtain an estimate of his or her out-of-pocket costs for a covered health care service before the service being provided; and (2) Convene a work group of interested parties and relevant state agencies to develop the content of the rules. HB 1640 (SB 5478) Advance directives H Rules R Graves Allowing notaries and proof of identity for advance directives. Requires a directive to withhold or withdraw from life-sustaining treatment in a terminal condition or permanent unconscious condition to be: (1) Signed by the declarer, who has provided proof of identity; and (2) Acknowledged before a notary public or other individual authorized by law to take acknowledgments. HB 1776 Digoxin & KCl/med procedures H HC/Wellness Van Werven Addressing the use of potassium chloride or digoxin in medical procedures. Requires a hospital or health care facility, in which an abortion is performed, to report to the department of health whether an intrafetal injection was used in an attempt to induce fetal demise, such as intrafetal potassium chloride or digoxin. HB 1810 Duty to warn/mental health H Judiciary Cody Page 3 of 10

4 (SB 5800) Concerning obligations of mental health professionals. Requires a mental health professional or an individual health care provider providing mental health services to a patient to warn or to take reasonable precautions to provide protection from a patient's violent behavior only if the patient has communicated to the mental health professional or individual health care provider an actual threat of physical violence against a reasonably identifiable victim or victims. Health provider changes H Judiciary Jinkins Concerning notice of material changes to the operations or governance structure of a health care provider or provider organization. HB 1811 Requires each party to a transaction that results in a material change to the operations or governance structure of a provider or provider organization to submit written notice to the attorney general of the material change. Requires a provider or provider organization that conducts business in this state, and files a premerger notification with the federal trade commission or the United States department of justice, to provide written notification to the attorney general of the filing and, upon request of the attorney general, provide a copy of the merger, acquisition, or other information. HB 1870 (SB 5654) Out-of-network health care H HC/Wellness Harris Protecting consumers from charges for out-of-network health care services. Modifies health care service provisions regarding the protection of consumers from charges for out-ofnetwork services. Noncompetition agreements H Rules R Stanford Concerning noncompetition agreements. HB 1967 Requires an employer, in order for a noncompetition agreement to be enforceable, to: (1) Disclose the terms of the agreement in writing to the prospective employee no later than the time of the offer of employment; or (2) If the agreement is entered into after the commencement of employment, provide independent consideration for the agreement. Sugar beverages tax H Finance Jinkins Concerning a tax on sugar-sweetened beverages. HB 1975 Imposes a tax on: (1) The first sale of prepackaged sugar-sweetened beverages made by a distributor in this state; (2) Syrup or powder sold or offered for sale to a retailer for sale to a consumer; (3) The first sale of prepackaged diet beverages made by a distributor in this state; and (4) Diet syrup or diet powder sold or offered for sale to a retailer for sale to a consumer. Requires the joint legislative audit and review committee to evaluate the impact of the sugar-sweetened beverage tax on the consumption of the beverages by residents. Requires the department of health and the department of revenue to provide the committee with access to data necessary to conduct the evaluation. Repeals chapter RCW (syrup tax). HB 2114 Out-of-network health srvs H Approps Cody Protecting consumers from charges for out-of-network health services. Page 4 of 10

5 Establishes the balance billing protection act. Addresses the charges for out-of-network health services. SSB 5035 Investigational med. product S 2nd Reading Pedersen Concerning patients' access to investigational medical products. Authorizes an eligible patient and his or her treating physician to request that a manufacturer make an investigational product available for treatment of the patient. SB 5047 (HB 1068) Operating sup budget 2017 S Ways & Means Braun Making 2017 supplemental operating appropriations. Makes 2017 supplemental operating appropriations. SB 5048 (HB 1067) Operating budget S Ways & Means Braun Making fiscal biennium operating appropriations. Makes fiscal biennium operating appropriations. SB 5111 (HB 1730) Capital gains excise tax S Ways & Means Braun Enacting an excise tax on capital gains to improve the fairness of Washington's tax system and provide funding for the education legacy trust account. Provides funding for the education legacy trust account. Imposes a tax on individuals for the privilege of: (1) Selling or exchanging long-term capital assets; or (2) Receiving Washington capital gains. Tax preferences S Ways & Means Braun Investing in education and other vital public services by narrowing or eliminating tax preferences, making administrative revenue changes, and redirecting existing revenue sources. SB 5112 (HB 1549) Invests in education and other vital public services by: (1) Narrowing the use tax exemption for extracted fuel; (2) Modifying the nonresident sales and use tax exemption; (3) Eliminating the sales and use tax exemption for bottled water; and (4) Addressing the real estate excise tax on foreclosures; the limit tradein exclusion; the business license fee; the interest rate on assessments and refunds; trust fund accountability; the economic nexus for retailing business and occupation tax; and the public works assistance account. SB 5113 (HB 1550) B&O tax/education S Ways & Means Braun Investing in education by modifying the business and occupation tax and providing small business tax relief. Modifies the business and occupation tax and provides small business tax relief to invest in education. SSB 5195 (SHB 1515) Special parking privileges S 2nd Reading Hunt Clarifying the appropriate format for signed written authorizations for special parking privileges. Page 5 of 10

6 Requires a licensed physician, an advanced registered nurse practitioner, or a physician assistant who is authorizing a parking permit to provide a signed written authorization on a prescription pad or paper or office letterhead or by electronic means. SB 5197 All payer claims database S Ways & Means Becker Requiring additional security review of the all payer claims database. Changes certain reporting requirements of the office of the chief information officer with regard to the statewide all-payer health care claims database. SB 5221 (HB 1337) Medical licensure compact S Rules 2G Fain Creating the interstate medical licensure compact. Creates the interstate medical licensure compact. SB 5248 Rx monitoring prog. data S Ways & Means Rivers Concerning persons to whom the department of health may provide prescription monitoring program data. Expands the list of persons to whom the department of health may provide prescription monitoring program data. Telemedicine/injured workers S Health Care Conway Expanding the use of telemedicine to improve access to care for injured workers. SB 5355 Requires the director of the department of labor and industries to: (1) Develop access to telemedicine and reimburse providers for services in a manner that is similar to the policies developed for commercial health insurance plans and medicaid managed care plans; and (2) Reimburse a provider for a health care service provided to a covered person through telemedicine or store and forward technology for a health care service that is medically necessary. SB 5400 (SHB 1477) Health info. disclosure S HumSer/MenHlth Zeiger Concerning disclosure of health-related information with persons with a close relationship with a patient. Authorizes certain health care providers and facilities to disclose, under certain circumstances, healthrelated information to persons with a close relationship with a patient. SB 5401 (SHB 1541) Rx drug cost transparency S Health Care Rivers Addressing prescription drug cost transparency. Requires the office of financial management to use a competitive procurement process to select a data organization to collect, verify, and summarize the prescription drug pricing data provided by issuers and manufacturers. Requires an issuer to submit certain prescription drug cost and utilization data to the data organization for the previous calendar year. Requires a covered manufacturer to report certain data for each covered drug to the data organization. Requires the data organization to compile the data submitted Page 6 of 10

7 by issuers and manufacturers and: (1) Prepare an annual report for the public and the legislature summarizing the data; and (2) Provide the report to the office of financial management and the joint select committee on health care oversight. SB 5413 (HB 1356) Physician limited licenses S Rules 2 Cleveland Concerning physician limited licenses. Addresses the medical quality assurance commission's issuance of limited licenses for physicians. SB 5416 Property tx exemp/intangible S Ways & Means Chase Repealing the tax exemption on intangible property to provide funding for essential government services. Provides funding for essential government services by repealing the tax exemption on intangible property. SB 5433 Death with dignity decisions S Rules 2 Miloscia Concerning informed decision making for death with dignity decisions. Revises the state death with dignity act to require an attending physician to inform the patient of feasible alternatives, including the treatment for the purpose of cure and the treatment for the purpose of extending the patient's life, to ensure that the patient is making an informed decision. SSB 5435 (SHB 1413) Mental health record discl. S Rules 2 Rivers Specifying to whom information and records related to mental health services may be disclosed for the purposes of care coordination and treatment. SB 5436 Telemedicine locations S Rules 2 Becker Expanding patient access to health services through telemedicine by further defining where a patient may receive the service. Provides that an originating site for a telemedicine health care service includes any location determined by the individual receiving the service. SB 5457 Telemedicine payment parity S Rules 2 Becker Expanding patient access to health services through telemedicine and store and forward technology by requiring parity in payment for services. Requires parity in payment for services to expand patient access to health services through telemedicine and store and forward technology. SSB 5471 (HB 1637) Medicaid reimbursement/pcps S Ways & Means Rivers Concerning the reimbursement rate primary care providers receive to participate in medicaid. SB 5538 Health prof. licensure fees S Health Care Becker Page 7 of 10

8 Concerning health profession licensure fees. Requires the state auditor's office to conduct a performance audit of the department of health focused on fee setting for health professions licensed by the department. Prohibits the secretary of the department of health from assessing a fee on a denturist or denturist applicant that is allocated to the indirect cost pool or to a different health profession that exceeds two hundred twenty dollars. SB 5574 Health care declarations S Ways & Means Keiser Concerning the maintenance and disclosure of health care declarations. Requires the department of health to contract with an entity, which may be a private organization or another state that operates a similar registry, to coordinate and manage the statewide health care declarations registry in compliance with certain standards. Balance billing S Health Care Rivers Concerning balance billing. SB 5579 Establishes the cost transparency and balance billing protection act. Requires a governing body of a hospital to require that providers who are granted professional privileges must be an employee, part of its medical staff, or have a contract with the hospital to perform services in the hospital. Requires a hospital to provide notice on its web site that lists the names and hyperlinks for direct access to the web sites for each health carrier for which the facility contracts. Rx drug cost transparency S Health Care Ranker Addressing prescription drug cost transparency. SB 5586 Requires the office of financial management to use a competitive procurement process to select a data organization to collect, verify, and summarize the prescription drug pricing data provided by issuers and manufacturers. Requires an issuer to submit certain prescription drug cost and utilization data to the data organization for the previous calendar year. Requires a covered manufacturer to report certain data for each covered drug to the data organization. Requires the data organization to compile the data submitted by issuers and manufacturers and: (1) Prepare an annual report for the public and the legislature summarizing the data; and (2) Provide the report to the office of financial management and the joint select committee on health care oversight. Postsurgical care S Health Care Frockt High Support Concerning postsurgical care. SB 5593 Authorizes an ambulatory surgical facility to offer postsurgical care services in a postsurgical care center with the maximum length of stay for patients not to exceed seventy-two hours. Requires the department of health to make or cause to be made a survey of a postsurgical care center where an ambulatory surgical facility provides postsurgical care services in coordination with a survey conducted of the ambulatory surgical facility. SB 5619 (HB 1117) Health care balance billing S Health Care Rivers Addressing health care services balance billing. Establishes the balance billing protection act to provide for the protection of consumers against balance Page 8 of 10

9 billing for emergency and other health care services when: (1) Emergency health care services are provided to a covered person; or (2) Health care services are provided to a covered person at an innetwork facility, but are provided by an out-of-network provider when no in-network provider is available to provide the health care services. SB 5636 Telemedicine licensure S Health Care Becker Concerning telemedicine licensure reciprocity. Requires the department of health to convene a work group, in collaboration with the boards and commissions, to explore solutions that allow telemedicine licensure reciprocity for health professionals from our border states. SB 5637 Health insurance mandates S Health Care Becker Addressing health insurance mandates in the individual and small group markets. Exempts commercial health benefit plans, offered in the individual and small group markets, from all state-mandated benefits beyond those required by the federal government. SB 5654 (HB 1870) Out-of-network health care S Health Care Rivers Protecting consumers from charges for out-of-network health care services. Modifies health care service provisions regarding the protection of consumers from charges for out-ofnetwork services. SB 5756 Noncompetition agreements S Com/Labor/Spor Pearson Addressing noncompetition agreements. States that a noncompetition agreement between an employer and an employee is void and unenforceable if the employee's compensation, excluding benefits, is less than: (1) Fifty-five thousand dollars per year in 2017; and (2) Beginning January 1, 2018, and each January 1st thereafter, the amount provided in (1) above adjusted for inflation. SB 5767 Health care provider notices S Health Care Wellman Concerning notice requirements of health care providers. Requires a health care provider's office to post a statement on its web site and in locations accessible to and visible by patients or clients that a health care provider will not perform certain medical procedures or prescribe specific drugs because of his or her religious or philosophical beliefs. SB 5800 (HB 1810) Duty to warn/mental health S Rules 2 Baumgartner Concerning obligations of mental health professionals. Requires a mental health professional or an individual health care provider providing mental health services to a patient to warn or to take reasonable precautions to provide protection from a patient's violent behavior only if the patient has communicated to the mental health professional or individual health care provider an actual threat of physical violence against a reasonably identifiable victim or Page 9 of 10

10 victims. Page 10 of 10