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Legislative Wrap-Up

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Legislative Wrap-Up LegislativeLegislative Wrap-UpWrap-Up 2014 by the numbers 2014 Legislative Session by the numbers The Nebraska Hospital Association’s (NHA) public policy and advocacy priorities are driven by a vision that every Nebraskan Legislative bills of interest has equitable access to affordable, safe, high-quality, medically The following action was taken on bills of interest to the NHA necessary health care. Through effective leadership and during the 2014 session: member participation, the NHA seeks to develop consensus, establish public policy priorities, represent and serve hospitals HEALTH & HUMAN SERVICES COMMITTEE and health systems. LB 76: Health Care Transparency Act The NHA is committed to establishing and maintaining a Introducer: Sen. Jeremy Nordquist financial and regulatory environment within which hospitals NHA position:Support and health care systems can respond to the opportunities and Status: Signed into law challenges of health care reform and provide the health care that all Nebraskans deserve. • Requires the Director of Insurance to appoint Health Care Data Base Advisory Committee to make recommendations Strategically collaborating with policymakers, members and regarding creation of Nebraska Health Care Data Base, other health care stakeholders, the NHA had a successful which shall provide a tool for objective analysis of health legislative session in 2014, advocating for our top priorities. care costs and quality, promote transparency for health care consumers, and facilitate reporting of health care and health quality data. Nebraska Unicameral Legislature • Hospital representatives appointed to Advisory Committee: rd - Jeanette Wojtalewicz – CHI Nebraska 103 Legislature, Second Session - Russell Gronewold – Bryan Health • 60 day session convened on January 8, 2014 • 507 legislative bills introduced LB 854 – Prohibit issuance of a long-term care RFP before September 1, 2015 • 81 “bills of interest” to the NHA Introducer: Sen. Bob Krist The NHA initially: NHA position: Support - Supported 19 Status: Signed into law - Opposed 3 • Nebraska’s health care professionals who would be - Monitored 56 affected by proposed Medicaid Managed Long-Term - Neutral on 3 Services and Supports (MLTSS) project are concerned with ambitious timeline established by DHHS. The proposed • NHA testified 19 times before 6 of the 14 standing May 2014 deadline for completion of RFP does not allow committees sufficient time to understand plan and provide meaningful • First session adjourned on April 17, 2014 input. • 18 bills of interest became law • 48 bills of interest indefinitely postponed or withdrawn LB 887 – Adopts the Wellness in Nebraska (WIN) Act Introducer: Sen. Kathy Campbell • 15 bills of interest amended into other bills that NHA position: Support became law Status: Failed to Advance. Did not garner 33 votes needed to overcome filibuster on General File. Vote was 27-21. Composition of 103rd Legislature • Provides, through Medicaid expansion demonstration • 49 senators waivers, health care coverage to uninsured and 11 began serving their first terms in 2013 underinsured newly eligible individuals, age 19 through 64 17 term limited out of office at the end of 2014 between 0 and 133 percent of the Federal Poverty Limit. Coverage was to begin January 1, 2015. 8 more up for re-election in 2014, including Sen. Tommy Garrett, LD 3, who was appointed in 2013 to replace Sen. Scott Price who resigned. LB 901 – Provides psychology internships through Behavioral Health Education Center Legislative Interim Studies Introducer: Sen. Amanda McGill NHA position: Support • 95 legislative Interim Study Resolutions (ISRs) Status: Signed into law introduced • Provides funding for five doctoral-level psychology • 23 identified as “of interest” to NHA members internships in first year with an increase to ten by third. Coordinated by Behavioral Health Education Center. Interns placed in communities where presence will improve access for patients residing in rural and under- served areas. Page 2 | NHA 2014 Legislative Wrap Up LB 916 – Eliminate integrated practice agreements for nurse APPROPRIATIONS COMMITTEE practitioners Introducer: Sen. Sue Crawford LB 905 – Provide, change and eliminate provisions relating to NHA position: Support as amended appropriations Status: Advanced to governor 43-0, but was returned unsigned Introducer: Speaker Greg Adams at request of governor NHA position:Support • Eliminates integrated practice agreements (IPAs). Status: Became law notwithstanding the governor’s vetoes Committee amendment requires all NPs to submit to DHHS a transition-to-practice agreement (TPA) or evidence • Contains recommendations for adjustments of existing of completion of 2,000 hours of practice which have appropriations. Adjustments include an additional been completed under a TPA or a similar collaborative $150,000 to Rural Health Provider Incentive Program, agreement. In order for NP to be a supervising provider, $1.5 million for Nebraska’s six federally qualified health the NP must submit evidence of completion of 10,000 centers (FQHCs), $212,000 for state aid for tuition hours of practice as a NP completed under a TPA or similar reimbursement for EMS responder training, $1.8 million agreement. for pediatric cancer research at UNMC and an additional $10 million for behavioral health aid. LB 1072 – Adopt the Prescription Drug Monitoring Act Introducer: Sen. Steve Lathrop NHA position: Support as amended Interim Studies Status: Signed into law Legislative Interim Studies are introduced each year and allow a committee to study a certain subject after the adjournment • Requires the Board of Pharmacy to establish and maintain of a legislative session. Each committee will choose priorities a program to monitor the prescribing and dispensing of from the list of interim studies they are assigned and hold substances that demonstrate a potential for abuse. hearings throughout the interim. LB 1078 – Amend the Nebraska Telehealth Act LR 422 (Sen. Kathy Campbell) – The HHS Committee, in Introducer: Sen. Jeremy Nordquist cooperation with the Banking, Commerce & Insurance NHA position: Support Committee, shall develop policy recommendations towards Status: Portions amended into LB 1076 and signed into law transformation of Nebraska's health care system. • Defines telehealth and telemonitoring; clarifies that a physician, physician assistant, nurse practitioner, and LR 559 (Sen. Heath Mello) – Examine issues surrounding the pharmacist may establish a patient relationship either Medicaid Reform Council. in-person or with real-time, two-way electronic video conference; and provides that the reimbursement rate LR 565 (Sen. Mike Gloor) – Examine whether adding for telehealth consultation shall, as a minimum, be set at antidepressant, antipsychotic, and anticonvulsant drugs to the the same rate as the medical assistance program rate for Medicaid preferred drug list would be of benefit to Nebraska comparable in-person consultation and shall not depend Medicaid or Nebraska Medicaid clients. on distance between health care practitioner and patient. LR 575 (Sen. Heath Mello) – Examine issues surrounding in- home personal services. JUDICIARY COMMITTEE LR 576 (Sen. Kathy Campbell) – Study the current status of the LB 893 – Change amount recoverable under Nebraska sharing of electronic health records and health information Hospital Medical Liability Act exchanges in Nebraska. Introducer: Sen. Les Seiler NHA position: Support LR 580 (Sen. Kathy Campbell) – Examine reform efforts of Status: Amended into LB 961 and signed into law Nebraska's behavioral health system. • Increases medical liability cap to $2.25 million LR 592 (Sen. Amanda McGill) – Study various methods of • Currently, recovery is limited to $1.75 million per behavioral health workforce development. occurrence. NHA supported LB 893 in its original form that limited the amount recoverable to $2 million per LR 596 (Sen. Dan Watermeier) – Evaluate potential uses of occurrence after December 31, 2014. Another bill, Physician Orders for Life-Sustaining Treatment and out-of- LB 862 called for an increase to $2.5 million. The Judiciary hospital Do Not Resuscitate protocols. Committee advanced LB 893 to General File with amendment to increase cap to $2.25 million and that LR 601 (Sen. Al Davis) – Examine impact of implementing and amendment is what was signed into law. the impact of failing to implement, Medicaid expansion in Nebraska. nebraskahospitals.org | Page 3 rd Nebraska’s Governor & 103 Unicameral Legislature Governor Dave Heineman Governor Heineman Western Office Office of the Governor Office of the Governor State Capitol 4500 Avenue I, P.O. Box 1500 P.O. Box 94848 Scottsbluff, NE 69363-1500 Lincoln, NE 68509-48484 Phone: (308) 632-1370 ● Fax: (308) 632-1313 Phone: (402) 471-2244 ● Fax: (402) 471-6031 Dist. Senator Committees Election Health & Human Services 1 Dan Watermeier Elected to first term in 2012 Transportation & Telecommunications Elected in 2012; up for election 2 Bill Kintner Appropriations to first full term in 2014 Government, Military and Veterans Affairs 3 Tommy Garrett Re-elected to last term in 2014 Transportation & Telecommunications 4 Pete Pirsch Banking Commerce & Insurance, Revenue Term limited in 2014 5 Heath Mello Appropriations (Chair), Retirement Re-elected to last term in 2012 6 John Nelson Appropriations Term limited in 2014 7 Jeremy Nordquist Retirement (Chair), Appropriations Re-elected to last term in 2012 8 Burke Harr Agriculture, Business & Labor, Revenue Elected to
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