West Virginia An Overview of Health Election Policy Issues Update . Federal Races

. Senate – Manchin vs. Morrisey

Key Races . Congressional District #2 – Mooney vs. Sergent

. Congressional District #3 – Miller vs. Ojeda . WV Supreme Court

. Division #1 . Former House Speaker is on the ballot for this seat. Key Races . Division #2 . Congressman Evan Jenkins, Former Senate President Jeff Kessler . WV Senate

. Senate District 17 – vs. Terrell Ellis . Risk of Health Chair reassignment

. Senate District 1 – Ryan Ferns vs. William Key Races Ihlenfeld. . Senate District 4 - vs. Brian Prim

. Senate District 16 – John Unger vs. . WV House

. House Speaker Changes Lead to New Committee Leadership Key Races . House District Health Policy Issues . Prior Authorization

. Opioid Prescribing

. Immunizations Potential Policy Changes . Certificate of Need

. Restrictions on Medicaid

. Medicine Board Combination

. In 2018, Governor Justice vetoed Senate bill 442

. Legislative interim committees have recommended a fix Prior to the governor’s stated concerns. Authorization . Draft BMS HMO contracts contain language that was in the bill. . In 2018, the WV Legislature passed SB 273 modifying prescribing habits for opioids.

Opioid . Confusion on days of prescribing.

Prescribing . Suboxone

. In September 2018, the Joint Committee on Children and Families suggested legislation to modify the current law.

. The committee will propose a bill removing the immunization officer position and process for medical exemptions.

Immunizations . The new bill will propose that individual physicians should decide medical exemptions for vaccines.

. Likely will be amended to include religious exemptions.

. Senate leadership make-up could determine the outcome of CON.

Certificate of . Ferns is supportive of the elimination of Certificate of Need Need.

. WV House Race

. In 2018, the WV Legislature passed a bill to require low- income individuals to be drug-tested if they are receiving state funds. Medcaid Eligibility . Co-pays

. In 2018, an agreed-to bill was proposed to combine the Board of Medicine and the Osteopathic Board of Medicine.

. The proposed legislation would have required APRNs to Board be under this board. Combination . Senator Takubo lead on the issue in 2018.

Engagement The importance of being involved in policy

. Your voice needs to be heard.

. Legislators need to hear from constituents.

Why Be . They are not the experts. Involved? . Other competing voices or opposition.

. Over 1/3 of the WV House will be new members this term.

. Call and engage with the new members.

. Education is key. Meet New Members . Become their expert resource.

Questions??? . Tom Susman – President, TSG . [email protected]

Contact us . Rachel Coffman – Vice President, TSG . [email protected]