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WSMA Legislative and Regulatory update – agenda review
December 14, 2016
2
A Look Back and Ahead
oTakeaways and things to watch… o2016 legislative session reviewoPolitical campaigns/electionso2017 legislative session preview oRegulatory update
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Political CampaignsPresidential Election
o Surprise!!!o How did this happen? o Fallout?...
Congressional campaigns o Power of incumbency /
gerrymanderingo 7th Congressional District
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Political CampaignsStatewide Elections
o Supreme Court challengerso Dave Larson vs. Justice Charlie Wigginso Greg Zempel vs. Justice Barbara Madseno David DeWolf vs. Justice Mary Yu
o Incumbents safe o Governor o Attorney General o Insurance Commissionero Secretary of State
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Political CampaignsStatewide Elections
o Open seatso Lieutenant governoro Auditor
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Political Campaigns
State Senate o Conservatives will controlo 45th District appointee
o Former state senator Dino Rossi o What to watch: 31st district
State House of Representatives o D’s to controlo 50-48
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2016 Legislative Session…
…in two minutes or less!
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Top 5 takeaways from 2016 session1. Credentialing, HB 2335 (Cody)
o Standardize turn-around time and process to credential providers
o Preserves delegation arrangements for facilities o Passed House 97-0; Senate 48-0
2. Medical Assistant medication retrieval, HB 2350 (Cody)o PQAC overreacho Allowing MAs to retrieve medication while under
appropriate supervisiono Passed House 95-2; Senate 42-6
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Top 5 takeaways from session3. Telemedicine 2.0, SB 6519 (Becker)
o “In-home” reimbursemento Telehealth collaborative o Passed Senate 49-0; House 91-6
4. Prescription Monitoring Program access, HB 2730 (Peterson)
o “Bulk” access to the PMP for hospitals, groups of prescriberso More than 5 physicians
o Passed House 80-16; Senate 47-1
5. Bad bills defeated
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Bad bills defeated
o Balance billing prohibition in emergency settings, HB 2447 (Cody)oHighly technical and politicaloWSMA opposedoDefeated
o “ Associate physicians,” HB 2343 (Cody) oAlternative pathway for med school grads who
do not match a residency oDefeated
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Bad bills defeated o Naturopath opioid prescribing (Schedule II-
V), SB 2304 (DeBolt)o Inappropriate scope expansionoDefeated
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2017 Budget Contexto 2015-17 Budget
contexto $38.2 billion
spending plano Expires June 30,
2017o WSMA highlights?
o $511k vaccine module
o $230k MMR panel
o No cuts, new taxes
o Defend gains
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2017 Budget Contexto 2017-19 Budget
contexto Focus of 2017
sessiono Good news?
o Revenue forecasts up
o $2B projected reserves
o Bad news?o McCleary
mandateo Cost estimates:
$1-4Bo O2G
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2017 Legislative Session PreviewWSMA asks?
o Prescription Monitoring Program (PMP) o UW Telepain center
- $150-300ko Student loan
repaymento focus on mental
health
o Defend earlier gainso Student loan
repayment o Residency fundingo MMRo Other
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2017 Legislative Session PreviewWSMA asks?
o Defend against taxes on physicians
o Unknown/TBD o Medicaid
reimbursement?o Pediatric mental
health o Other funding items
TBD
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2017 Legislative Session PreviewBalance Billing
o OIC again proposing prohibitiono How prevalent is problem?
Appropriate scope of solution?o Impact on incentives to contracto Benchmark payment rate – NOT
Medicareo Bring our own bill?
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2017 Legislative Session PreviewOpioid Epidemic
o Joint Task Forceo Legislative proposals
o Overdose feedback system o Drug take-back/safe-drug disposal o Prescribing information to CMOso Naloxone, MAT services
o Non legislative proposalso Example: lower pill counts, etc.
o Possible fiscal impact?
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2017 Legislative Session PreviewHealthy Doctors, Healthier Patients
o Interstate medical licensure compacto Expedited multi-state licensure
o Disability parking permitso Addressing DOL oversight
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2017 Legislative Session PreviewScope of Practice
o Naturopath prescriptive authority?o Definition of dentistry?o Independent practice for pharmacists?
WSMA HOD Resolutionso Climate change…peer review…drug take-
back…whistleblower protections…risk protection orders…incentivized loan programs…
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2017 Legislative Session PreviewOther… o Tobacco 21+o Guns – Assault weapons ban, CAPo Non-competes?
o No WSMA Policyo Telemedicine 3.0 o Vaccines? o Drug pricing? o Federal level changes? o More!
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2017 Legislative Session Preview2017 WSMA Legislative Summit o January 25, 2017 o Governor Inslee to speak, Secretary of Health John
Wiesman o Meet with your local legislators o Sign up to attend!
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Regulatory Updateo Prior Authorization (OIC)
o Standardize timelines and processes across payers
o 2nd draft released in Sep.
o WSMA comments
o Prescription Drug Monitoring Program (DOH)o HB 2730 – PMP bill from
2016o Permits bulk registration o Interim measures; final
rule 4/17
o Suicide CME (MQAC)o Round twoo Defining “brief or
limited patient contact”
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Regulatory Updateo All-payer Claims Database (OFM)
o WSMA priorityo Oregon Health & Science University
o Pharmacy Benefit Managers (OIC)o Years of legislationo WSMA interest? Benefit managers, generallyo More legislation in ‘17…
Thank You!Katie Kolan, JDDirector, Legislative & Regulatory Affairs Email: [email protected]
Sean Graham Assc. Director, Policy & Political Affairs Email: [email protected]
Jeb ShepardAssc. Director, Policy & Regulatory AffairsEmail: [email protected]
Trevor JustinCoordinator, Legislative & Regulatory Affairs Email: [email protected]
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