TPCA Bill Report Week of 2/11/13

Printed 02/11/2013 TPCA Bill Report – Week of 2/11/13 Criminal Law

SB412 / HB306 Assault against a health care provider. Category Criminal Law Sponsors Sen. Mark Green / Rep. JoAnne Favors Description Adds health care provider to the list of persons where if an assault or an aggravated assault is committed while acting in the discharge of the provider's duty then the maximum fine shall be $5,000 and $15,000 respectively. Senate Status 02/05/2013 - Referred to Senate Judiciary. House Status 02/05/2013 - Referred to House Criminal Justice Subcommittee. Education

SB77 / HB633 Faculty and staff allowed to carry firearms. Category Education Sponsors Sen. Stacey Campfield / Rep. Joshua G. Evans Description Allows faculty or staff members at a K-12 public school building or bus, public school campus, grounds, recreation area, athletic field or any other property owned, used or operated by a local education agency for the administration of any K-12 public educational institution to possess and carry a firearm. Establishes that any local education agency that prohibits persons from possessing and carrying a handgun shall be civilly liable for any damages, personal injury or death that results from a criminal act by any person not authorized to be in the school in which the prohibition was in effect. Senate Status 01/30/2013 - Referred to Senate Judiciary. House Status 02/04/2013 - Introduced in the House. SB1025 / HB203 LEAs to work with area hospitals and doctors. Category Education Sponsors Sen. Doug Overbey / Rep. Bob Ramsey Description Encourages LEAs to work with area hospitals and doctors, as well as Project ADAM, a nonprofit organization serving children through life-saving programs that help prevent sudden cardiac arrest, in developing informational programs for faculty, staff and students on sudden cardiac arrest and in obtaining AEDs for LEA schools. Senate Status 02/08/2013 - Referred to Senate Education. House Status 02/05/2013 - Referred to House General Subcommittee of Education. Family Law

SB577 / HB486 Changes language regarding SNAP. Category Family Law Sponsors Sen. Charlotte Burks / Rep. Sherry Jones Description Changes the language in the food stamp statute from "food stamp program" to "supplemental nutrition assistance program." Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Health Subcommittee. SB948 / HB456 Photo id to purchase items with TANF benefits or food stamps. Category Family Law Sponsors Sen. Stacey Campfield / Rep. G.A. Hardaway Description Authorizes the department of health and human services to create photo identification cards for the head of the household to present when purchasing items with food stamps or TANF benefits and requires the use of such identification for continued eligibility in the food stamp program administered in Tennessee. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Health Subcommittee. Government Regulation

SB597 / HB323 Redefined qualified alien for Eligibility Verification Entitlements. Category Government Regulation Sponsors Sen. Jack Johnson / Rep. Joe Carr Description Expands the definition of "qualified alien" for purposes of the Eligibility Verification for Entitlements Act and allows state entities to verify an applicant's eligibility under the Act by using the SEVIS system, instead of the SAVE program. Specifies that certain aliens and non-immigrants, who are not considered "qualified aliens" under federal law but who are otherwise eligible to receive state and local benefits, would be considered to be "qualified aliens" for purposes of the state Eligibility Verification for Entitlements Act. Specifies that if a non-citizen applicant for benefits can't provide two forms of documentation of identity and immigration status, as required under federal law, then the person must provide one form of identification and be verified by the agency or political subdivision through the SAVE program or the SEVIS system. Senate Status 02/08/2013 - Referred to Senate State & Local Government. House Status 02/07/2013 - Set for House State Government Subcommittee 02/13/13. Health Care

SB103 Retaining medical records. Category Health Care Sponsors Sen. Becky Duncan Massey Description Requires mammography records to be retained for 10 years following the patient's discharge from a hospital or death. Authorizes the board of medical examiners to promulgate rules and regulations in retaining medical records. Senate Status 02/07/2013 - Set for Senate Health & Welfare Committee 02/13/13. House Status None SB192 / HB186 Various changes to health care law - broadly captioned. Category Health Care Sponsors Sen. Mark S. Norris / Rep. Gerald McCormick Description Requires a court to notify a public hospital or a treatment resource before committing a criminal defendant to such a hospital or resource. Adds "deliver" to the list of unlawful activities regarding the release of information by an insurance or carrier that provides for the physical or mental health of patients. Reduces the time from 30 days to 15 days for an enrollee and applicant for TennCare to notify the bureau of any material change regarding the person's TennCare application. Broadly captioned. (Part of Administration Package) Senate Status 01/31/2013 - Referred to Senate Judiciary. House Status 02/08/2013 - Referred to House Civil Justice Subcommittee. SB252 / HB429 Pharmacy to check id for delivery of controlled substance. Category Health Care Sponsors Sen. Mark Green / Rep. Joe Pitts Description Requires a pharmacist or pharmacist's agent prior to dispensing a valid prescription drug for any controlled substance to check the identification of the person taking possession of the controlled substance. Requires signature of person taking possession of the controlled substance as confirmation of receipt. Senate Status 01/31/2013 - Referred to Senate Health & Welfare Committee. House Status 01/31/2013 - Introduced in the House. SB256 / HB67 Lymphedema Awareness Week. Category Health Care Sponsors Sen. Rusty Crowe / Rep. Kent Williams Description Designates the third week of June as "Lymphedema Awareness Week". Senate Status 02/07/2013 - Set for Senate Health & Welfare Committee 02/13/13. House Status 01/30/2013 - Referred to House Health Committee. SB407 / HB536 Health Care Compact. Category Health Care Sponsors Sen. Mae Beavers / Rep. Mark Pody Description Enacts Health Care Compact, which specifies that each member state may suspend by legislation the operation of all federal laws, rules, regulations, and orders regarding health care that are inconsistent with the laws and regulations adopted by the member state pursuant to this compact. Specifies that a member state that keeps such federal law in effect is responsible for the associated funding obligations in its state. Specifies that each member states has the right to federal monies up to an amount equal to its current year funding level, funded by congress as mandatory spending and not subject to annual appropriation, to support the exercise of member state authority under this compact. Specifies that this funding will not be conditional on any action of or regulation, policy, law, or rule being adopted by the member state. Creates Interstate Advisory Health Care Commission. Sunsets the Health Care Compact on June 30, 2014. Senate Status 01/31/2013 - Referred to Senate Government Operations. House Status 02/07/2013 - Set for House Insurance & Banking Subcommittee 02/13/13. SB441 / HB544 Annual Coverage Assessment Act of 2013. Category Health Care Sponsors Sen. Doug Overbey / Rep. Michael Harrison Description Creates the Annual Coverage Assessment Act of 2013. Establishes process for annual coverage assessments to be applied on covered hospitals. Requires such assessment to not be used to reduce or eliminate state funding to the Tenncare program. Establishes procedure to impose and collect the assessment. Specifies the amount of the assessment. (15 pp.) Senate Status 02/07/2013 - Set for Senate Health & Welfare Committee 02/13/13. House Status 02/07/2013 - Set for House Health Subcommittee 02/12/13. SB442 / HB880 Immunity to health providers in certain situations. Category Health Care Sponsors Sen. Doug Overbey / Rep. David B. Hawk Description Provides immunity to a hospital or health care provider in determining that a person needs emergency mental health treatment or needs physical restraint or vehicle security during transportation to a hospital or treatment resource. Senate Status 02/05/2013 - Referred to Senate Judiciary. House Status 02/06/2013 - Introduced in the House. SB486 / HB271 Requires certain providers to offer HIV/AIDS testing. Category Health Care Sponsors Sen. Ophelia Ford / Rep. Brenda Gilmore Description Requires acute care hospitals, birthing centers, prescribed child care centers, and ambulatory surgical treatment centers to implement a policy requiring licensed health care personnel to ask patients whether they wish to be tested for HIV/AIDS. Senate Status 02/05/2013 - Referred to Senate Health & Welfare Committee. House Status 01/30/2013 - Introduced in the House. SB526 Radiologist assistants to work at direction of a radiologist. Category Health Care Sponsors Sen. Steven Dickerson Description Requires a radiologist assistant to work in the employ or at the direction of a radiologist when practicing radiology assistance. Senate Status 02/05/2013 - Referred to Senate Finance, Ways & Means. House Status None SB557 / HB346 Access to Pediatric Rare Disease Treatment Information Act. Category Health Care Sponsors Sen. Doug Overbey / Rep. Mike Stewart Description Creates the "Access to Pediatric Rare Disease Treatment Information Act." Requires all participating institutions to maintain all essential treatment information for patients under the age of eighteen diagnosed with any form of cancer. Requires participating institutions to provide all essential treatment information within ten days to another participating institution upon written request. Creates an advisory board to provide non-binding guidance for implementation of this act. Senate Status 02/05/2013 - Referred to Senate Government Operations. House Status 02/05/2013 - Referred to House Health Subcommittee. SB582 / HB317 Pharmacy Practice Act - compounding and dispense redefined. Category Health Care Sponsors Sen. Ferrell Haile / Rep. David Shepard Description Revises the definitions of "compounding" and "dispense" in the Pharmacy Practice Act. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Health Subcommittee. SB589 / HB74 Testing for lysosomal disorders in newborns. Category Health Care Sponsors Sen. Jack Johnson / Rep. Michael Harrison Description Requires every newborn be tested for lysosomal storage disorders, including Krabbe, Fabry, Gaucher, Pompe, Hurler Syndrome, and Niemann-Pick. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Insurance & Banking Subcommittee. SB604 / HB290 Implementation of the Affordable Care Act. Category Health Care Sponsors Sen. Lowe Finney / Rep. Craig Fitzhugh Description Authorizes the department of finance and administration to cooperate with the appropriate federal department in any reasonable manner as to implement the Patient Protection and Affordable Care Act to either the extent required or permitted by law. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Insurance & Banking Subcommittee. SB632 / HB984 Ultrasound prior to an abortion. Category Health Care Sponsors Sen. Jim Tracy / Rep. Rick Womick Description Requires a medical professional not more than seventy-two hours and not less than twenty- four hours prior to the performance of an abortion to perform an ultrasound, display the ultrasound images in a manner that the pregnant woman may view them, verbally offer the woman a printed copy of the ultrasound image, and make audible, when present, the live, real-time heart auscultation. Senate Status 02/08/2013 - Referred to Senate Judiciary. House Status 02/07/2013 - Introduced in the House. SB673 / HB616 Controlled substance database advisory committee reporting. Category Health Care Sponsors Sen. Mae Beavers / Rep. Tony Shipley Description Directs the Controlled Substance Database Advisory Committee to send its annual report on the controlled substance database to the new health and welfare committee of the senate and the health committee of the house of representatives, instead of the old general welfare, health and human resources committee of the senate and the health and human resources committee of the house of representatives. Broadly captioned. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/04/2013 - Introduced in the House. SB745 / HB532 Requires physician to discuss certain information about mammography. Category Health Care Sponsors Sen. Becky Duncan Massey / Rep. Dennis Powers Description Requires physicians to report to a patient the presence of dense breast tissue that could hide small abnormalities and might benefit from supplementary screening tests. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/06/2013 - Referred to House Health Subcommittee. SB789 / HB645 Reporting of a patient who makes an actual threat of bodily harm. Category Health Care Sponsors Sen. Ferrell Haile / Rep. William G. Lamberth Description Requires mental health professionals to report any patient who makes an actual threat of bodily harm against a reasonably identifiable victim or victims to local law enforcement who shall then report such patient to NICS for purposes of prohibiting the purchase of a firearm when a background check is conducted. Senate Status 02/08/2013 - Referred to Senate Judiciary. House Status 02/04/2013 - Introduced in the House. SB804 / HB937 Prohibits Medicaid expansion under new federal health care law. Category Health Care Sponsors Sen. Brian K. Kelsey / Rep. Jeremy Durham Description Prohibits the state from establishing, facilitating, implementing, or participating in any new expansion of the medical assistance program, also known as Medicaid, pursuant to the Patient Protection and Affordable Care Act. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/06/2013 - Introduced in the House. SB817 / HB725 Access to prenatal care. Category Health Care Sponsors Sen. Lowe Finney / Rep. Mike Stewart Description Directs the commissioner of health to develop a plan to ensure that 90 percent of pregnant women in this state have access to prenatal care during the first trimester of pregnancy. Requires the commissioner to develop and present the plan to the health committee of the house of representatives and the health and welfare committee of the senate on or before February 1, 2014. Senate Status 02/08/2013 - Referred to Senate Commerce & Labor Committee. House Status 02/06/2013 - Referred to House Health Subcommittee. SB818 / HB686 Defines "medical directive" to mean the same as "advance directive". Category Health Care Sponsors Sen. Lowe Finney / Rep. Sherry Jones Description Includes "medical directive" as an alternative term for "advance directive". Senate Status 02/08/2013 - Referred to Senate Judiciary. House Status 02/06/2013 - Referred to House Civil Justice Subcommittee. SB884 Surrogates can seek mental health treatment. Category Health Care Sponsors Sen. Joey Hensley Description Authorizes surrogates under the Tennessee Health Care Decisions Act to apply for voluntary admission to a public or private hospital for diagnosis, observation, and treatment of a mental illness or serious emotional disturbance. Establishes that no person may be admitted by a surrogate for more than 21 consecutive days unless a petition has been filed or unless the individual meets certain criteria. Authorizes surrogates to apply for release by filing a written application with the chief officer and to allow the release of confidential information. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status None SB961 Pharmacists may refuse to dispense prescriptions for narcotics. Category Health Care Sponsors Sen. Randy McNally Description Authorizes a pharmacist to counsel any person seeking a schedule II controlled substance and refuse the sale if the pharmacist believes the drug is not for a legitimate purpose. Creates an offense for an owner or operator of a pharmacy, to interfere with a pharmacist's duty to counsel or refuse a sale to a patient asking for a scheduled II controlled substance. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status None SB963 / HB319 Revises tamper resistant prescription requirements. Category Health Care Sponsors Sen. Randy McNally / Rep. David Shepard Description Broadens tamper resistant prescription requirements by allowing prescriptions printed utilizing a technology that results in a tamper-resistant prescription that meets current regulatory guidelines and requirements. Allows a pharmacist to fill a prescription issued on tamper-resistant prescription paper or a prescription printed utilizing a technology that results in a tamper-resistant prescription. Allows unique serial numbers to be included on on all tamper-resistant prescriptions, written or printed. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Health Subcommittee. SB985 / HB530 Prescription required for any immediate methamphetamine precursor. Category Health Care Sponsors Sen. Randy McNally / Rep. Dennis Powers Description Requires a pharmacist-generated prescription order written by a pharmacist in order to purchase a product that contains any immediate methamphetamine precursor. Exempts gel capsules from such requirements. Requires the board of pharmacy to maintain a public list of the exempted products or categories of products. Senate Status 02/08/2013 - Referred to Senate Judiciary. House Status 02/04/2013 - Introduced in the House. SB1114 / HB908 Enacts the "Tennessee Health Care Pricing Act." Category Health Care Sponsors Sen. James F. Kyle Jr. / Rep. Bo Mitchell Description Enacts the "Tennessee Health Care Pricing Act. Requires health care providers to develop a pricing list, post that pricing list, and provide notice of a price change. Provides that a health care provider can not charge an amount that is different than the amount listed as the health care price in the pricing information list. Requires a physician to develop and enforce written policies for billing of health care services and supplies. Establishes the written policies standards. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/06/2013 - Introduced in the House. SB1125 / HB743 Fitting and patient management concerning diabetic shoes. Category Health Care Sponsors Sen. Ferrell Haile / Rep. William G. Lamberth Description Allows pharmacy and durable medical equipment providers to provide fitting and patient management concerning diabetic shoes and their inserts. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/06/2013 - Referred to House Health Subcommittee. HB34 Photo ID & fingerprint for prescription pick up. Category Health Care Sponsors Rep. Barbara W. Cooper Description Requires a person picking up a prescription for a controlled substance to present photo identification and provide a fingerprint. Requires a pharmacy to maintain a database of the fingerprints and establishes that all information obtained shall be confidential. Senate Status None House Status 01/28/2013 - Introduced in the House. Insurance Health

SB1 Patient Protection and Affordable Care Act. Category Insurance Health Sponsors Sen. Brian K. Kelsey Description Prohibits TN from expanding Medicaid as part of the Affordable Care Act. Senate Status 01/23/2013 - Referred to Senate Commerce & Labor Committee. House Status None SB63 / HB228 Pharmacy benefits manager compliance with state contracts. Category Insurance Health Sponsors Sen. Ken Yager / Rep. Bill Sanderson Description Establishes monitoring and audit requirements by the department of finance and administration of the pharmacy benefit manager's compliance with state pharmacy benefit contracts. Requires the department of finance and administration to do an annual risk assessment to assist in complying with the monitoring and audit requirements. Senate Status 02/07/2013 - Set for Senate Commerce & Labor Committee 02/12/13. House Status 01/30/2013 - Introduced in the House. SB484 / HB923 Reimbursement of providers for telemedicine services. Category Insurance Health Sponsors Sen. Ophelia Ford / Rep. Brenda Gilmore Description Requires health insurance coverage to include reimbursement of providers for telemedicine services. Defines "telemedicine" as the use of interactive audio, video, or other telecommunications or electronic technology to deliver health care service by a health care provider. Requires the department of corrections to study the use of telemedicine to identify opportunities to reduce the costs of delivering health care services to inmates in state and local corrections facilities and to report the findings on December 1, 2013. Senate Status 02/05/2013 - Referred to Senate Commerce & Labor Committee. House Status 02/06/2013 - Introduced in the House. SB666 / HB476 Insurance companies - prohibited actions. Category Insurance Health Sponsors Sen. Dolores R. Gresham / Rep. Vance Dennis Description Prohibits insurance company's from selling or offering health insurance coverage through any American Health Benefit Exchange or any other health insurance exchange operated in this state under the Patient Protection and Affordable Care Act. Senate Status 02/08/2013 - Referred to Senate Commerce & Labor Committee. House Status 02/05/2013 - Referred to House Insurance & Banking Subcommittee. SB888 / HB556 Health care provider diagnostic radiology test payment required. Category Insurance Health Sponsors Sen. Joey Hensley / Rep. Eric Watson Description Requires health care provider to be paid when a health insurer or radiology benefits manager which is contracted to provide utilization review services for the health insurer has approved a diagnostic radiology test, unless there was fraud on the part of the provider in procuring the authorization. Senate Status 02/08/2013 - Referred to Senate Commerce & Labor Committee. House Status 02/06/2013 - Referred to House Insurance & Banking Subcommittee. SB1145 / HB881 Regulates navigators for exchanges under the Affordable Care Act. Category Insurance Health Sponsors Sen. Mark Green / Rep. Joe Pitts Description Provides that federal navigator programs for the health exchange be licensed as an insurance producer in this state to carry out duties. Requires the commissioner to develop a certification and training program for prospective navigators that will include continuing education requirements and an examination. Requires the commissioner to adopt rules that will require the navigator to carry error insurance. Establishes that an individual may not act in the capacity of a navigator unless their at least 18 years of age, submit a disclosure form, complete a background check, successfully complete the certification and training requirements adopted by the commissioner, and have not committed an act that would lead to a denial, suspension or revocation of their producer license. Senate Status 02/08/2013 - Referred to Senate Commerce & Labor Committee. House Status 02/06/2013 - Introduced in the House. SB1162 / HB904 Cancellation of health insurance. Category Insurance Health Sponsors Sen. Stacey Campfield / Rep. Roger Kane Description Asserts that no health insurance issuer and no managed health insurance issuer may deny any medical laboratory licensed under the Tennessee Medical Laboratory Act, the right to participate as a provider in any contract on the same terms and conditions as are offered to any other provider of medical laboratory services under the policy, contract, or plan. Also prevents any person or health care provider who is a party to a health care contract to select a licensed lab of the person's or provider's choice to furnish lab services. Senate Status 02/07/2013 - Referred to Senate Commerce & Labor Committee. House Status 02/06/2013 - Introduced in the House. SB1173 / HB699 Credentialing application before a health insurance entity. Category Insurance Health Sponsors Sen. Rusty Crowe / Rep. Andy Holt Description Establishes a process for reimbursing physicians for services rendered during the period the physicians credentialing application is pending before a health insurance entity. Senate Status 02/07/2013 - Introduced in the Senate. House Status 02/06/2013 - Referred to House Insurance & Banking Subcommittee. SB1196 Requires MCOs to demonstrate certain geographical coverage. Category Insurance Health Sponsors Sen. Jim Tracy Description Clarifies that any managed health insurance issuer's network is required to demonstrate an adequate number of acute care hospital services, within a reasonable distance or travel time among covered person, and an adequate number of primary care providers within not more than 30 miles distance or thirty minutes travel time at a reasonable speed among covered persons. Senate Status 02/08/2013 - Filed for Introduction House Status None Professions & Licensure

SB171 / HB165 Exempts dentist licensing requirements. Category Professions & Licensure Sponsors Sen. Mark S. Norris / Rep. Gerald McCormick Description This bill exempts the following activities from the practice of dentistry: (1) The application of sealants to the teeth of individuals in a setting under the direction of a state or local health department by registered hygienists without requiring an exam by a dentist prior to such application or prophylaxis, under a protocol established by the state or a metropolitan health department; or (2) The application of topical fluoride and dental prophylaxis to the teeth of individuals in a setting under the direction of a state or local health department by registered hygienists, without requiring an exam by a dentist prior to such application or prophylaxis, under a protocol established by the state or a metropolitan health department. (Part of Administration Package) Senate Status 01/31/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Health Subcommittee. SB221 / HB482 Checking of controlled substance database in overdose cases. Category Professions & Licensure Sponsors Sen. Charlotte Burks / Rep. Ryan Williams Description Requires a physician in an emergency department to check the controlled substances database to determine if a patient who has overdosed has been prescribed a prescription for the same substance on which the patient overdosed. Requires the physician to report the overdose to the prescriber of the controlled substance and to the board of medical examiners if the physician determines that the patient has been prescribed the controlled substance. Senate Status 01/31/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Health Subcommittee. SB528 / HB204 Education approved by American or TN Dental Hygienists Ass. Category Professions & Licensure Sponsors Sen. Steven Dickerson / Rep. Matthew Hill Description Revises continuing education requirement for dental hygienists. Requires that licensed and registered dental hygienists have completed six hours of public health continuing education approved by the American Dental Hygienists Association or the Tennessee Dental Hygienists Association within the past two years. Requires that licensed dental hygienists have practiced 2,000 hours in the preceding five years or taught dental hygiene courses for two of the proceeding three years in a dental hygiene program accredited by the American Dental Association's Commission on Dental Accreditation. Requires that registered dental hygienists have actively practiced as dental hygienists for at least five years. Allows the hygienist to work on a part-time basis after completing five years of active practice. Senate Status 02/05/2013 - Referred to Senate Finance, Ways & Means. House Status 02/05/2013 - Referred to House Health Subcommittee. SB955 / HB541 Practitioners under indictment for sale of controlled substances. Category Professions & Licensure Sponsors Sen. Randy McNally / Rep. David Shepard Description Requires a health care practitioner to report to the practitioner's licensing board within seven calendar days when the practitioner is under state or federal indictment for an offense involving the sale or dispensing of controlled substances. Encourages the district attorney and appropriate federal attorneys to promptly notify a practitioner's licensing board. Requires the licensing board to conduct an expedited review of the practitioners alleged conduct within 15 days of receiving a report of an indictment. Senate Status 02/08/2013 - Referred to Senate Judiciary. House Status 02/04/2013 - Introduced in the House. SB976 Prescribing restriction for nurse practitioners, physician assistants. Category Professions & Licensure Sponsors Sen. Randy McNally Description Prohibits a nurse practitioner or physician assistant from prescribing schedules II, III, and IV controlled substances unless such prescription is specifically authorized by the formulary or approved after consultation with the supervising physician. Establishes a nurse practitioner or physician assistant may only prescribe or issue an opioid or benzodiazepine for a maximum 30 day non-refillable course of treatment unless specifically approved after consultation with the supervising physician. Senate Status 02/08/2013 - Referred to Senate Judiciary. House Status None Taxes Sales

SB217 / HB963 Exempts diabetic testing supplies from sales and use tax. Category Taxes Sales Sponsors Sen. Doug Overbey / Rep. Matthew Hill Description Exempts from the sales and use tax diabetic testing supplies for human use, including but not limited to lancets, test strips for blood glucose monitors, and visual reading and urine test strips. Senate Status 01/31/2013 - Referred to Senate Finance, Ways & Means. House Status 02/07/2013 - Introduced in the House. SB960 Collection of sales tax on diabetic supplies. Category Taxes Sales Sponsors Sen. Randy McNally Description Permits a pharmacist or pharmacy to collect any tax due on any prescription for diabetic supplies sold. Allows the pharmacy benefits manager to collect and remit any such tax as part of the monies received as a patient's responsibility for co-payment or coinsurance. Senate Status 02/08/2013 - Referred to Senate Finance, Ways & Means. House Status None Tenncare SB123 / HB329 Requires implementation of prepayment prevention solutions. Category Tenncare Sponsors Sen. Bill Ketron / Rep. Charles Curtiss Description Requires the TennCare program to implement certain prepayment prevention solutions to reduce health care fraud, waste and abuse. Senate Status 01/30/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Insurance & Banking Subcommittee. SB190 / HB184 Revisions to Tennessee Medicaid False Claims Act. Category Tenncare Sponsors Sen. Mark S. Norris / Rep. Gerald McCormick Description Establishes that employees, contractors, and agents are entitled to relief under the Tennessee Medicaid False Claims Act for employment discrimination due to any effort of such person to stop a violation of the Act. Requires that relief includes reinstatement with the same seniority status the employee, contractor, or agent would have had but for the discrimination, two times the amount of back pay, interest on the back pay, and compensation for any special damages sustained as a result of the discrimination. (Part of Administration Package) Senate Status 01/31/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Health Subcommittee. SB428 / HB11 Time period for providing documentation of material changes. Category Tenncare Sponsors Sen. Doug Overbey / Rep. David Shepard Description Changes the time period within which uninsured or uninsurable TennCare enrollee must provide documentation to the bureau of material changes of information disclosed in initial application for Tenncare coverage from 30 to 15 days. Senate Status 02/05/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Insurance & Banking Subcommittee. SB429 / HB79 Annual actuarial study of TennCare - payments to providers. Category Tenncare Sponsors Sen. Doug Overbey / Rep. Curtis Halford Description Requires the annual actuarial study of TennCare to include an analysis of the effect of reduction of payments to providers on the provision of care. Senate Status 02/05/2013 - Referred to Senate Health & Welfare Committee. House Status 02/05/2013 - Referred to House Insurance & Banking Subcommittee. SB500 / HB519 Criminalizes unauthorized distribution of prescription drugs. Category Tenncare Sponsors Sen. Mark S. Norris / Rep. Gerald McCormick Description Creates a Class E felony for a person, other than a person authorized to issue or dispense prescriptions, to knowingly sell, deliver, or aid and abet a person in the sale or delivery of a drug and use TennCare benefits to obtain the drug. Senate Status 02/05/2013 - Referred to Senate Judiciary. House Status 02/06/2013 - Referred to House Criminal Justice Subcommittee. SB778 / HB634 Co-payment system involving TennCare medical or pharmacy benefits. Category Tenncare Sponsors Sen. Bo Watson / Rep. Ryan A. Haynes Description Requires the bureau of TennCare to notify each member of the general assembly via electronic communication, the co-payment system for TennCare Medicaid members and TennCare Standard members with regard to medical benefits and pharmacy benefits. Senate Status 02/08/2013 - Referred to Senate Health & Welfare Committee. House Status 02/07/2013 - Referred to House Insurance & Banking Subcommittee. HB82 Prohibits TN from participating in Medicaid expansion. Category Tenncare Sponsors Rep. Jeremy Durham Description Establishes the "TennCare Fiscal Responsibility Act ". Prohibits Tennessee from participating in any Medicaid expansion authorized under the federal Patient Protection and Affordable Care Act. Senate Status None House Status 02/05/2013 - Referred to House Insurance & Banking Subcommittee.