January 11, 2019
Playbook From The Well…

Friday, January 11, 2019

 

Day 3

 

 

House HHR passes prior authorization bill

Members of the House Committee on Health and Human Resources Thursday resurrected a prior authorization bill vetoed last year by Gov. Jim Justice for what he said violated the contract clause of the United States Constitution and the West Virginia Constitution.

 

The bill establishes prior authorization guidelines for insurance programs and managed care organizations. It requires electronic prior authorization forms be posted on company websites by Oct. 01. By July 01, 2020, companies must accept and respond to electronic prior authorization submissions.

 

Response deadlines are established in the bill. Companies must respond in seven days for standard health requests and two days for requests affecting the health, life and safety of the patient. Committee Counsel Charles Roskovensky told members emergency situations are precluded from the prior authorization requirements.

 

Cook reports budget surplus Details proposed pay increases.

State Budget Director Michael Cook told members of the Senate Committee on Finance the state has a $185.9 million surplus as of Dec. 31, the largest ever surplus in state history. (Budget guru Mark Muchow predicted early this month revenues may cool.) After challenging budget years during 2014-2018, Cook said this year’s budget contains money for annual salary increases of $2,120 for teachers, $1,150 for school service personnel and $2,370 for state employees.

 

About $1.3 billion of the state’s $5.28 billion general revenue budget goes to public education. The Department of Health and Human Resources receives $1.3 billion. He said the state’s Medicaid program ended the fiscal year with a “healthy balance.”

Cook could not be specific on Justice’s proposals to spend $25 million for substance abuse programs, noting plans are still being formulated. Justice dubbed the nascent program “Jim’s Dream” in his state-of-the-state address last night.

 

LHD pay raise bill passes Senate Finance

Senate Finance Committee members approved SB24, which requires DHHR provide funds for across-the-board pay raises for local health department employees when state employees receive such a pay raise. Committee counsel Jeff Johnson noted LHD employees, while members of the State Personnel System, are not considered state employees Committee Chairman Craig Blair said this puts LHD employees “in purgatory” whenever there is a pay raise.

 

The bill passed the Senate last year with no dissenting votes and is expected to be approved this year by the Senate—probably Tuesday or Wednesday. Last year, the bill died in the House of Delegates.

 

Some Bills introduced

SB156.   By Sen. Ojeda

Including nursing home nurses in WV Nurse Overtime and Patient Safety Act

Health and Human Resources then Judiciary

SB168.   By Sen. Maynard

DHHR rule relating to behavioral health centers licensure

Health and Human Resources then Judiciary

SB169.   By Sen. Maynard

DHHR rule relating to assisted living residences

Health and Human Resources then Judiciary

SB170.   By Sen. Maynard

DHHR rule relating to food establishments

Health and Human Resources then Judiciary

SB171.   By Sen. Maynard

DHHR rule relating to food manufacturing facilities

Health and Human Resources then Judiciary

SB172.   By Sen. Maynard

DHHR rule relating to newborn screening system

Health and Human Resources then Judiciary

SB173.   By Sen. Maynard

DHHR rule relating to medication-assisted treatment–office-based medication-assisted treatment

Health and Human Resources then Judiciary

SB174.   By Sen. Maynard

DHHR rule relating to chronic pain management clinic licensure

Health and Human Resources then Judiciary

SB175.   By Sen. Maynard

DHHR rule relating to collection and exchange of overdose data

Health and Human Resources then Judiciary

SB202.   By Sen. Maynard

Board of Medicine rule relating to permitting and disciplinary procedures: educational permits for graduate medical interns, residents, and fellows

Judiciary

SB203.   By Sen. Maynard

Board of Osteopathic Medicine rule relating to licensing procedures for osteopathic physicians

Judiciary

SB210.   By Sen. Maynard

Registered Professional Nurses rule relating to criteria for evaluation and accreditation of colleges, departments, or schools of nursing

Judiciary

SB211.   By Sen. Maynard

Board of Examiners for Registered Professional Nurses rule relating to registration and licensure, and conduct constituting professional misconduct

Judiciary

SB212.   By Sen. Maynard

Board of Registered Professional Nurses rule relating to advanced practice registered nurse

Judiciary

SB213.   By Sen. Maynard

Board of Examiners for Registered Professional Nurses rule relating to standards for scope of professional nursing practice

Judiciary

SB214.   By Sen. Maynard

Board of Registered Professional Nurses rule relating to fees for services rendered by board and supplemental renewal fee for center for nursing

Judiciary

SB215.   By Sen. Maynard

Board of Examiners for Registered Professional Nurses rule relating to dialysis technicians

Judiciary

SB250.   By Sen. Baldwin and Lindsay

Creating Wholesale Prescription Drug Importation Program

Health and Human Resources then Government Organization

 

2204.  By Del. Foster and Fast – Prohibiting state licensing boards from hiring lobbyists – To Government Organization then the Judiciary 

2206..  By Del. Westfall and Rohrbach – Transitioning foster children into managed care (FN) – To Seniors, Children, and Family Issues then Finance

2215.  By Del. Sypolt and Rowan – Making it a felony to knowingly expose another individual to HIV – To Health and Human Resources then the Judiciary

2224.  By Del. Hornbuckle, Rowan and Longstreth – Relating to insurance coverage for breast cancer screening (FN) – To Banking and Insurance then Health and Human Resources

2241.  By Del. Foster – Department of Health and Human Resources, Newborn Screening System – To the Judiciary

2242.  By Del. Foster – Health and Human Resources, Chronic Pain Management Clinic Licensure – To the Judiciary

2243.  By Del. Foster – Department of Health and Human Resources, rule relating to collection and exchange of data related to overdoses – To the Judiciary

2248.  By Del. Foster – Board of Medicine, rule relating to licensing and disciplinary procedures: physicians; podiatric physicians and surgeons – To the Judiciary

2249.  By Del. Foster – Board of Medicine, rule relating to permitting and disciplinary procedures: educational permits for graduate medical interns, residents, and fellows – To the Judiciary

2253.  By Del. Foster – Board of Osteopathic Medicine, rule relating to licensing procedures for osteopathic physicians – To the Judiciary

2258.  By Del. Foster – Board of Registered Professional Nurses, rule relating to advanced practice registered nurse – To the Judiciary

2285.  By Del. Foster – Department of Health and Human Resources, rule relating to behavioral health centers licensure – To the Judiciary

2286.  By Del. Foster – Department of Health and Human Resources, rule relating to assisted living residences – To the Judiciary

2287.  By Del. Foster – Department of Health and Human Resources, rule relating to food establishments – To the Judiciary

2288.  By Del. Foster – Department of Health and Human Resources, rule relating to food manufacturing facilities – To the Judiciary

2289.  By Del. Foster – Department of Health and Human Resources, rule relating to medication-assisted treatment-office-based medication-assisted treatment – To the Judiciary

2297.  By Del. Foster – Registered Professional Nurses, rule relating to policies, standards, and criteria for the evaluation and accreditation of colleges, or schools of nursing – To the Judiciary

2298.  By Del. Foster – Board of Examiners for Registered Professional Nurses, rule relating to requirements for registration and licensure – To the Judiciary

2299.  By Del. Foster – Board of Examiners for Registered Professional Nurses, rule relating to standards for scope of professional nursing practice – To the Judiciary

2300.  By Del. Foster – Board of Registered Professional Nurses, rule relating to fees for services rendered by the board – To the Judiciary

2301.  By Del. Foster – Board of Examiners for Registered Professional Nurses, rule relating to dialysis technicians – To the Judiciary

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