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Wrap-Up 2013 Legislative Session by the Numbers

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Wrap-Up 2013 Legislative Session by the Numbers 2013 Legislative by the numbers Wrap-Up 2013 Legislative Session by the numbers The Nebraska Hospital Association’s (NHA) public policy and Legislative Bills Signed Into Law advocacy priorities are driven by a vision that every Nebraskan The following bills of interest to the NHA were signed into law has equitable access to affordable, safe, high-quality, medically during the 2013 session: necessary health care. Through effective leadership and member participation, the NHA seeks to develop consensus, APPROPRIATIONS COMMITTEE establish public policy priorities, represent and serve hospitals and health systems. LB 195: Biennial budget recommendations Introducer: Speaker Greg Adams, at the request of the Governor The NHA is committed to establishing and maintaining a NHA Position: Supported budget proposal as amended by the financial and regulatory environment within which hospitals Appropriations Committee and health care systems can respond to the opportunities and • Mainline appropriations bill for the biennium that begins challenges of health care reform and provide the health care July 1, 2013 and ends on June 30, 2015. that all Nebraskans deserve. • Includes appropriations for all state operations and aid programs. Strategically collaborating with policymakers, members and 2.25% per annum provider rate increase. other health care stakeholders, the NHA had a successful NeHII funding - $500,000 per annum. legislative session in 2013, advocating for our top priorities. Medicaid Management Information System (MMIS) - $2,840,000 cash funds and $25,560,000 federal funds for FY 2014-15 for the replacement of existing MMIS system. Nebraska Unicameral Legislature - Governor vetoed first year funding because he 103rd Legislature, First Session contends DHHS does not have resources to implement federal requirements of the Affordable Care Act (ACA), • 90 day session convened on January 9, 2013 provide better support services for ACCESSNebraska • 655 legislative bills introduced and pursue the replacement of the state’s MMIS • 105 “bills of interest” to the NHA system concurrently. The NHA initially: - Veto represents delay of one year in the MMIS replacement project. - Supported 25 - Legislature chose not to override this line item veto - Opposed 10 Rural health provider incentive program. - Monitored 64 - $500,000 per annum Medicaid Settlement Funds - $500,000 per annum Community Fund match - Neutral on 6 Additional one-time $900,000 appropriation for 18 • NHA testified 40 times before 7 of the 14 standing local public health departments ($50,000 each) to committees support preventive health programs. • First session adjourned on June 5, 2013 $300,000 per annum for six federally qualified health • 23 bills of interest became law centers (FQHCs) ($50,000 each) to expand dental • 4 bills of interest indefinitely postponed or withdrawn services to uninsured low-income. - Vetoed by Governor; however veto was overridden by • 79 bills of interest carried over to 2014 Legislature. $150,000 per annum for purpose of funding position of Composition of 103rd Legislature Dental Health Director. • 49 senators - Vetoed by Governor; however veto was overridden by Legislature. began serving their first terms in 2013 11 - $250,000 per annum to continue and expand nurse 17 term limited out of office at the end of 2014 visitation program. 7 more up for re-election in 2014 LB 198: Capital construction appropriations Introducer: Speaker Greg Adams, at the request of the Governor Legislative Interim Studies NHA Position: Support budget proposal as amended by the • 170 legislative interim study resolutions (ISRs) Appropriations Committee introduced • Includes $1,477,000 general funds for each year of FY • 29 identified as “of interest” to NHA members 2013-14 and FY 2014-15 for the University of Nebraska Medical Center College of Nursing – Lincoln Campus • Commits future state funding for the remaining $11,794,300 to complete this building project. Page 2 | NHA 2013 Legislative Wrap Up • Vetoed by Governor; however, veto was overridden by - With some streamlining modifications, it tracks the Legislature. language of LB 613 and eliminated need to enact a statute. BANKING, COMMERCE & INSURANCE COMMITTEE - A special legislative committee is fully empowered and capable of carrying out all aspects of LB 613 with LB 384: Adopt the Nebraska Exchange Transparency Act more flexibility. Introducer: Sen. Jeremy Nordquist NHA Position: Support HEALTH & HUMAN SERVICES COMMITTEE • Provides state-based oversight regarding the implementation of a Health Insurance Exchange. LB 344: Change moratorium exceptions for long-term care beds Creates technical and advisory groups to discuss issues Introducer: Sen. Kate Sullivan regarding the Exchange and to make recommendations NHA Position: Neutral to the Commission, state or federal agencies and the • In applications to add long term care (LTC) beds, the DHHS Legislature. shall deny an application unless it determines that all LTC - Assists in meeting stakeholder consultation beds in a licensed facility located in a city of the second requirements. class or village have been sold or transferred to another - Identifies challenges and problems in the facility located outside of a 25 mile radius of the city or implementation and operation of the Exchange and village resulting in no LTC beds within the corporate limits prepare recommendations to alleviate the problems of the city of second class or village. identified. • In such case, DHHS shall waive the certificate of need limitations if the political subdivision or a nonprofit LB 479: Prohibit Policy and Contract Terms relating to organization agrees not to sell the LTC beds licensed contractual rights and insurance proceeds under such waiver or increase the number of LTC beds Introducer: Sen. Steve Lathrop until five years have passed after such beds are first NHA Position: Support occupied. The number of LTC beds in the facility shall be • Prohibits specific insurance policies from asserting any limited to the number of LTC beds sold or transferred. contractual rights to the proceeds of any resources that result from medical payments coverage, uninsured LB 243: Redefine nurse practitioner practice or underinsured motorist coverage, accident or disability Introducer: Sen. Sara Howard income coverage, specific disease or illness coverage, or NHA Position: Neutral hospital indemnity or other fixed indemnity coverage. • Nurse practitioner scope of practice expanded to include “acute” as follows: nurse practitioner scope of practice EXECUTIVE COMMITTEE includes health promotion, health supervision, illness prevention and diagnosis, treatment and management LB 242: Change provisions relating to adoption of administrative of common health problems, and acute and chronic rules and regulations conditions. Introducer: Sen. Sara Howard NHA Position: Support LB 225: Newborn Critical Congenital Heart Disease Screening Act • Ensures that regulations are promulgated in a timely Introducer: Sen. Jim Smith manner by requiring a public hearing if regulations are not NHA Position: Support adopted within three years of enacting legislation. • All newborns shall undergo a critical congenital heart • Applies to all legislation enacted on, before or after the disease screening and results shall be reported to the effective date of the act. newborn's physician. • For deliveries outside of a birthing facility, the prenatal LB 613: Create the Tax Modernization Commission care provider shall inform the parent of the screening Introducer: Sen. Paul Schumacher requirement and that the person registering such birth NHA Position: Support shall be responsible for obtaining such screening. • Includes subpoena powers for information required by committee. LB 326: Change Pharmacy Practice Act and Automated Medication Systems Act Scope must be specific to individuals and materials required. Introducer: Sen. Sara Howard NHA Position: Support Requires approval from the Executive Committee of the Legislature. • Changed definitions of "supervision" and "verification" • Allows for court intervention in case of failure to deliver in Pharmacy Practice Act to allow for supervision of requested information or failure by individuals to appear. technicians via real-time auditory and video • Included was Legislative Resolution (LR) 155 that was communication system. • Allows for automated medication systems to be introduced by Sen. Ernie Chambers and supported by NHA. registered and operated in a long-term care (LTC) Organized the Tax Modernization Committee as a Special Committee. automated pharmacy. www.nhanet.org | Page 3 Operation of the automated medication system is the Review costs among various treatment settings, responsibility of the pharmacist in charge of the retail providers and approaches. pharmacy that owns and registers the automated Improve the quality and affordability of patient health medication system and the inventory used in the LTC care and health care coverage. automated pharmacy. LB 347: Moratorium on licenses under the Health Care Facility LB 458: Require hospitals to offer tetanus-diphtheria-pertussis Licensure Act vaccinations Introducer: Sen. Mike Gloor Introducer: Sen. Bob Krist NHA Position: Oppose NHA Position: Support Status: In Committee • Requires hospitals to offer on site vaccinations to all • Due to the possible expansion of Medicaid, the possible hospital employees of a single dose of tetanus-diphtheria- increase in demand for services could overwhelm current
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