Medical Association Status Report 2013 State Legislation Session 6/25/2013

Legend: Priority 1 = paramount concern vigorous involvement, testify in person; Priority 2 = paramount concern, testify as part of a larger coalition; Updated 6/25b/2013 Priority 3 = moderate concern; Priority 4 = minimal concern, track but do not need to testify Montana Medical Association Montana Legistature Preference Lists:

Position Bill Draft No (LC Request Primary Physician (S,W,O) and Status Status Date Short Title Notes No.) Date Sponsor Champion Priority (1,2,3,4) MMA Sponsored Bills SB 292 LC1280 Chapter Number Assigned 4/22/2013 Revise medical peer review Drs. Gillis Dr. Gallea will S-1 laws to clarify definitions & Gallea assist/testify Medicaid Expansion HB 458 LC1368 Pat Noonan (H) Died in Standing 4/24/2013 Implement the Medicaid S 2/3 w/ Support concept -- Committee* expansion reform Dr. Gillis to testify HB 590 LC1792 Chuck Hunter (H) Died in Standing 4/24/2013 Implement the Access Health Dr. Governor's expansion Committee* Montana Program Olszewski S 2/3 Chuck Hunter to Sponsor. HB 604 LC1001 Died in Process, Vetoed by 5/6/2013 Create Select Committee on Governor Medicaid Innovation, Reform, S 2/3 and Expansion HB 623 LC0664 Liz Bangerter (H) Died in Standing 4/24/2013 Generally revise laws related to S initially w/ prior Committee* health care and health amendments to keep ? insurance expansion conversation alive SB 393 LC0779 Christine (S) Died in Process* 4/24/2013 Implement the Medicaid S 2/3 w/ Kaufmann expansion reform SB 395 LC2058 David E (H) Died in Standing 4/24/2013 Revise health care laws to Dr. Gillis Did not remove Wanzenried Committee* expand Medicaid and improve S 2/3 bundling or pain health care delivery clinics as requested. Current HB 28 LC0311 Liz Bangerter Chapter Number Assigned 3/18/2013 Allow review of maternal deaths Drs. Gillis and Peters S-1/2 HB 450 LC0609 Roger A Hagan (S) Died in Standing 4/24/2013 Revise medical insurance and Dr. Carr Testified. Committee* medical payment laws S-2/3 Similar to legislation last session HB 473 LC0603 Scott Reichner (S) Died in Standing 4/24/2013 Revise medical lien laws Similar to legislation S-2/3 Committee* last session SB 297 LC0610 Chapter Number Assigned 5/7/2013 Revise laws related to health Similar to legislation Governor did not sign care provider service payments S-2/3 last session

1 Montana Medical Association Status Report 2013 State Legislation Session 6/25/2013 Position Bill Draft No (LC Request Primary Physician (S,W,O) and Status Status Date Short Title Notes No.) Date Sponsor Champion Priority (1,2,3,4) SJ 20 LC2137 Roger Webb (S) Filed with Secretary of 4/26/2013 Resolution requesting a Dr. Huitt State legislative study on prescription S-2/3 drug abuse Tort Reform HB 281 LC0670 Cary Smith (H) Died in Process* 4/24/2013 Provide for timely filing and Dr. Gillis resolution of claims in medical S-2 liability cases HB 310 LC1564 Cary Smith Chapter Number Assigned 4/26/2013 Prohibit lawsuits for wrongful Dr. Gillis Governor did not sign birth and wrongful life S2/3

Health Care ( HB 12 LC0121 Carolyn Pease- Veto Override Failed in 6/10/2013 Appropriate funds for provider S-2/3 Lopez Legislature payments HB 16 LC0241 Ellie Boldman Chapter Number Assigned 4/26/2013 Revise involuntary commitment Dr. Gallea S-2/3 Hill and emergency detention laws HB 84 LC0125 Pat Noonan Chapter Number Assigned 4/15/2013 Revise 72-hour presumptive possible eligibility requirements for crisis reimbursement issue W stabilization for psychiatrists?

HB 100 LC0123 Ron Ehli Died in Process, Vetoed by 5/6/2013 Create a medicaid pay-for- W Governor performance pilot project HB 101 LC0348 Ron Ehli (S) Died in Standing 4/24/2013 Increase reimbursement rates psychiatrist Committee* for children's medicaid mental W reimbursement ROL health services HB 104 LC0657 Chapter Number Assigned 4/23/2013 Criminalize offenses involving notes medical W death to an unborn child procedures

2 Montana Medical Association Status Report 2013 State Legislation Session 6/25/2013 Position Bill Draft No (LC Request Primary Physician (S,W,O) and Status Status Date Short Title Notes No.) Date Sponsor Champion Priority (1,2,3,4) HB 133 LC0385 Tom Berry (H) Died in Process* 4/24/2013 Generally revise licensing board criminal charges laws gunshot reporting, foreign medical school change, eliminates reciprocity and endorsement, electronic prescriptions, refusal W of license- notice/hearing eliminated, hyperbaric (foot treatment does not include physician available)

HB 171 LC0667 Cary Smith (H) Died in Process* 4/24/2013 Revise laws related to medicaid and children's health program W fraud HB 259 LC0975 Chuck Hunter Chapter Number Assigned 4/26/2013 Revising professional, occupational licensing terms W regarding military training HB 277 LC0049 Bill McChesney (H) Died in Process* 4/23/2013 Constitutional amendment to W revise term limit laws HB 281 LC0670 Cary Smith (H) Died in Process* 4/24/2013 Provide for timely filing and resolution of claims in medical S 2/3 liability cases HB 365 LC1526 Tom Steenberg (S) Died in Standing 4/24/2013 Provide epinephrine standards, Committee* options for emergency S-2/3 responders HB 391 LC0881 Gerald (Jerry) Chapter Number Assigned 4/15/2013 Requiring parental consent prior W Bennett to an abortion for a minor HB 459 LC2066 Krayton Kerns Chapter Number Assigned 4/19/2013 Revise privacy laws related to Oppose-"possession" S as medical treatment and firearms amended HB 489 LC0974 Chuck Hunter (S) Died in Standing 4/24/2013 An act to create the Montana S-2/3 Committee* health care database HB 505 LC1733 Krayton Kerns (S) Died in Process* 4/24/2013 Clarify offense of aiding or W soliciting suicide

3 Montana Medical Association Status Report 2013 State Legislation Session 6/25/2013 Position Bill Draft No (LC Request Primary Physician (S,W,O) and Status Status Date Short Title Notes No.) Date Sponsor Champion Priority (1,2,3,4) HB 544 LC1559 Scott Reichner Bill became law without 4/26/2013 Revising insurance provisions S w/ Governor's signature related to provider networks amendments HB 565 LC2088 Kelly McCarthy (S) Died in Standing 4/24/2013 Establish a bioscience initiative W Committee* HB 583 LC2043 Rob Cook Chapter Number Assigned 4/25/2013 Establish Montana Suicide S 2/3 Review Team HB 601 LC1088 Douglas Coffin (H) Died in Standing 4/24/2013 Establish a newborn pulse Dr. Idzerda Interested S 2/3 Committee* oximetry screening program HB 604 LC1001 Cary Smith Died in Process, Vetoed by 5/6/2013 Create Select Committee on Governor Medicaid Innovation, Reform, S 2/3 and Expansion HB 619 LC1948 Wendy (S) Died in Process* 4/24/2013 Constitutional referendum to Warburton specify no right to abortion or its W public funding HB 622 LC1553 Liz Bangerter (H) Died in Standing 4/24/2013 Establishing a pilot project to Committee* fund services for cancer clinical S-3 trial patients HB 623 LC0664 Liz Bangerter (H) Died in Standing 4/24/2013 Generally revise laws related to Committee* health care and health ? insurance HB 627 LC2159 Ryan (S) Died in Process* 4/24/2013 Establish worker training and Osmundson economic development W accounts HB 633 LC1968 Ron Ehli Veto Override Failed in 6/10/2013 Provide for an interim select Legislature committee on efficiency in W government HJ 16 LC0771 Jennifer Eck (H) Filed with Secretary of 4/16/2013 Interim study of state-operated W State public institutions HJ 19 LC0751 Nicholas (H) Died in Standing 4/24/2013 An interim study of drug pricing Schwaderer Committee* and pharmacy benefit W managers SB 55 LC0240 Christine Chapter Number Assigned 3/27/2013 Clarify coverage of routine Kaufmann costs for patients in approved S-2/3 clinical trials SB 64 LC0720 Tom Facey Chapter Number Assigned 2/13/2013 Revise certain complaint provisions for professional and W occupational licensing SB 84 LC0378 Christine Chapter Number Assigned 4/26/2013 Establish standards and Dr. Carr & Amended in Senate. S-2/3 with Kaufmann/Fred structure for patient-centered Roberts Work on amendment amendments Thomas medical homes re: "payers"

4 Montana Medical Association Status Report 2013 State Legislation Session 6/25/2013 Position Bill Draft No (LC Request Primary Physician (S,W,O) and Status Status Date Short Title Notes No.) Date Sponsor Champion Priority (1,2,3,4) SB 108 LC0907 Taylor Brown Chapter Number Assigned 4/20/2013 Renew Montana charitable S-3 endowment tax credit SB 112 LC0330 Chapter Number Assigned 4/22/2013 Establish youth concussion S-2/3 w/ Rec. Amendments protection laws amendment re: liability SB 139 LC0118 Edward Walker Chapter Number Assigned 4/18/2013 Require small business impact analyses prior to adoption of S-2/3 administrative rules SB 149 LC0545 Fred Thomas Chapter Number Assigned 4/16/2013 Revise collaborative practice Dr. Roberts Support with S as laws for pharmacy Amendments amended immunizations SB 165 LC1565 Mary Caferro Chapter Number Assigned 4/12/2013 Authorize emergency use of epinephrine in a school setting S-2/3

SB 223 LC0408 Mary Caferro Chapter Number Assigned 4/26/2013 Require plan for terminating Indentified significant Montana comprehensive health monetary savings W association laws from tobacco settlement SB 230 LC0570 David E Chapter Number Assigned 4/5/2013 Revise laws governing board of Review by Dr. Beck Wanzenried speech-language pathologists and ENTs no W and audiologists concerns expressed

SB 270 LC1546 Edward Buttrey Chapter Number Assigned 4/5/2013 Require insurance coverage of S-2/3 telemedicine services SB 282 LC0909 Bruce Tutvedt Died in Process, Vetoed by 5/6/2013 Generally revise taxation of Support Requested. Governor income, including the corporate S-2/3 license tax SB 296 LC1669 Fred Thomas (H) Died in Standing 4/24/2013 Provide protections for Sponsor requests Committee* physician treatment of Lyme W support. BOME has disease issues. SB 323 LC1183 Fred Thomas Chapter Number Assigned 4/26/2013 Revise workers' compensation Dr. Gallea Support with laws on prescribing schedule II S -2/3 w Amendments. Dr. and III drugs amendments Beck and Dr. Gallea reviewed. SB 352 LC2116 Fred Thomas (H) Died in Standing 4/24/2013 Raise county population for Committee* certificate of need for W ambulatory surgery centers SB 377 LC0776 David E (S) Died in Standing 4/24/2013 Generally revise medical BOME requests Wanzenried Committee* marijuana laws and regulate rec. W review industry

5 Montana Medical Association Status Report 2013 State Legislation Session 6/25/2013 Position Bill Draft No (LC Request Primary Physician (S,W,O) and Status Status Date Short Title Notes No.) Date Sponsor Champion Priority (1,2,3,4) SB 391 LC1375 Christine (S) Died in Standing 4/24/2013 Revise laws related to sale of Kaufmann Committee* non-profit insurance companies W

SB 393 LC0779 Christine (S) Died in Process* 4/24/2013 Implement the Medicaid S 2/3 w/ Kaufmann expansion reform SB 395 LC2058 David E (H) Died in Standing 4/24/2013 Revise health care laws to Did not remove Wanzenried Committee* expand Medicaid and improve S 2/3 bundling or derm health care delivery clinics as requested. SB 407 LC0894 Fred Thomas (S) Died in Process* 4/24/2013 Prohibit contingency fees for W attorneys certain injuries SJ 20 LC2137 Roger Webb (S) Filed with Secretary of 4/26/2013 Resolution requesting a State legislative study on prescription S 2/3 drug abuse SR 18 LC2163 Jon Sonju (S) Filed with Secretary of 3/20/2013 Confirm Governor's appointee State as commissioner of dept. of S w/ letter labor and industry SR 21 LC2172 (S) Filed with Secretary of 3/22/2013 Confirm Governor's State appointment for director of S 2/3 DPHHS SR 36 LC2130 Jon Sonju (S) Filed with Secretary of 4/4/2013 Confirm certain Governor's State appointees related to prof and W occupational boards State Budget HB 2 LC0095 Chapter Number Assigned 4/25/2013 General Appropriations Act S/W HB 3 LC0096 Duane Ankney Chapter Number Assigned 4/25/2013 Supplemental appropriations Watch appropriations for physician loan repayment

HB 4 LC0097 Duane Ankney Chapter Number Assigned 4/25/2013 Appropriations by budget amendment HB 226 LC1049 Donald W Jones Chapter Number Assigned 4/5/2013 Exempt computer professionals from overtime pay

HB 625 LC1673 Duane Ankney Veto Override Failed in 6/10/2013 Implementing the provisions of Legislature House Bill 2 Insurance HB 48 LC0376 Bill McChesney Chapter Number Assigned 4/26/2013 Revise Insure Montana laws

6 Montana Medical Association Status Report 2013 State Legislation Session 6/25/2013 Position Bill Draft No (LC Request Primary Physician (S,W,O) and Status Status Date Short Title Notes No.) Date Sponsor Champion Priority (1,2,3,4) HB 87 LC0379 Jeffrey W Chapter Number Assigned 4/26/2013 Provide state insurance gave to HCR&T Welborn commissioner with health Sarah Loble insurance rate review authority HB 280 LC0668 Cary Smith (H) Died in Process* 4/24/2013 Authorize choice for out-of-state W health care insurance HB 545 LC1557 Scott Reichner Chapter Number Assigned 4/26/2013 Allow employer to fund total cost of qualifying employee's health insurance SB 181 LC0677 Mary Caferro (S) Died in Process* 4/24/2013 Exempt health care sharing ministries from insurance laws SB 383 LC0411 David E (S) Died in Standing 4/24/2013 Generally revise health care Wanzenried Committee* insurance laws SB 409 LC0413 Cliff Larsen (S) Died in Standing 4/24/2013 Generally revise laws related to Committee* conversion of nonprofit health entities Lobby and PAC HB 255 LC0600 Rob Cook (S) Died in Standing 4/24/2013 Require political action Committee committees to report on expenditures Small Business and Non-Profit SB 96 LC0908 Bruce Tutvedt Chapter Number Assigned 4/26/2013 Lower the business and equipment tax SB 139 LC0118 Edward Walker Chapter Number Assigned 4/18/2013 Require small business impact analyses prior to adoption of administrative rules Worker's Compensation HJ 25 LC1335 Scott Reichner (H) Filed with Secretary of 4/26/2013 Interim study of workers' State compensation

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