Transcript InAHQ I Know What You Did Last Session 5.13.16

I Know What You Did Last Session
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Blayne Miley, JD
◦ ISNA Director of Policy & Advocacy
◦ Adjunct Professor, Indiana State University
◦ [email protected]
2016 Indiana General Assembly
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Convened Jan 5 – Mar 10
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831 Bills Introduced
◦ 217 Passed by General Assembly to the Governor
◦ 215 Signed Into Law
◦ 2 Vetoed – College Cop Records & Limit on Environmental
Regulations
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2017 Session Will Be a Budget Year
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Interim Study Committees Will Meet This Summer
Medical Malpractice Act Reform
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Cap on Damages Increased
◦ Currently $1.25 million total
 $250,000 from provider, rest from patient compensation fund
◦ Reform to $1.65 million effective 7/1/17, then $1.8 million 7/1/19
 $400,000 from provider effective 7/1/17, then $500,000 on 7/1/19
◦ Provider amount = amount of professional liability insurance
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Medical Review Panel Stays the Same
◦ Current exception if damages sought < $15,000
◦ Reform proposal to $35,000 removed by amendment
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Resurrected by stripping the content of SB 28 (privacy
fences) and inserting pieces of SB 152
Palliative Care Council
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Establishes the Palliative Care and Quality of Life
Advisory Counsel – SB 272
◦ Members appointed by the state health commissioner
◦ Must include a member representing nursing
◦ At least two members must be a physician or nurse specialized
in hospice and palliative care
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Purpose is to:
◦ Educate the public, healthcare providers, and healthcare
facilities
◦ Develop initiatives
◦ Make policy recommendations
Other Advisory Councils
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Medicaid Advisory Committee
◦ http://www.in.gov/fssa/ompp/4882.htm
◦ Stakeholder input to FSSA
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Attorney General’s Prescription Drug Abuse
Prevention Task Force
◦ http://www.in.gov/bitterpill/about.html
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Governor’s Task Force on Drug Enforcement,
Treatment, and Prevention
◦ http://www.in.gov/gtfdetp/
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Governor’s Health Workforce Council
◦ http://www.in.gov/dwd/ghwc.htm
◦ Taskforces on (1) Education/Pipeline/Training and
◦ (2) Mental/Behavioral Health
Ephedrine/Pseudo
Restrict sale to reduce production of meth
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Passed: stop sale for anyone with a drug-related felony
in the last 7 years - SB 161, HB 1157
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Passed: must meet one of the paths to purchase - SB 80
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Consumer is a patient of record with the pharmacy
Pharmacist determines there is a legitimate need
Purchase only 720mg of 30mg tablets
Purchase an extraction resistant form of ephedrine
Get a prescription
Failed: make ephedrine a schedule III controlled
substance - SB 237, HB 1390
Prescribing
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Allows telemedicine prescribing for non-controlled
substances - HB 1263
◦ Requires audio & visual or store & forward technology
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Felony to prescribe a controlled substance without a
medical purpose - SB 174
◦ Originally applied to administer/provide outside scope of practice
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Standing orders for overdose intervention drugs - SB 187
◦ From ISDH to Pharmacies
◦ Making Narcan as close to OTC as possible
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Opioid Restrictions - SB 214 & SB 297
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No Medicaid for buprenorphine prescribed for pain
Opioid treatment providers must drug test & limit take home
Methadone clinics must comply with Medicaid regulations
Medicaid coverage for inpatient detox
Health Insurer Regulations
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Regulating step therapy protocols – SB 41
◦ Limits insurer policies to make them more consumer-friendly
◦ Provider may apply for exception to the protocols to bypass try
and fail
◦ Insurer still has final say over exceptions
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Claim Denial Information – SB 30
◦ Requires Dept. of Insurance to post info on consumer grievance
procedures
◦ Requires insurers to include that website in info provided to
consumers whenever policy is issued/renewed and when claim
denied
◦ Requires Dept. of Insurance to report to the General Assembly
if there is a pattern of denials of coverage
 Catalyst = investigatory/experimental denials
 Initial version required insurers to report denials
APN’s and Mental Health
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Medicaid reimbursement and treatment plan
supervision for NPs and CNSs in CMHCs – HB 1347
◦ Practice agreement requirement added by amendment changes
practice agreement content requirements for APNs in CMHCs
◦ Also requires reimbursement for clinical addiction counselors
and grad-level interns
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Governing entity of state institutions can grant the
same privileges as the governing board of a private
hospital – SB 206
◦ In preparation of new state hospital at Community East
opening in 2018
Hospital Employee Immunizations
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Did not pass - SB 162
Mandatory for all employees/contractors with direct
patient contact
◦ (1) Influenza, (2) Varicella, (3) measles, mumps, rubella, (4) tetanus, diptheria,
and pertussis
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Exceptions:
◦ Already immunized – requires documentation from your
healthcare provider & hospital can overrule them
◦ Medically contraindicated
◦ Religious belief – hospital can determine whether your religion
actually prohibits immunizations
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Hospital has immunity for any wrongful
discipline/termination
House amended to interim study committee, then bill
died in conference committee
Questions?
[email protected]
 @IndianaNurses
 Indiana State Nurses Association
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Sequel next year