MHPCA Legislative Update 2.3.17
Jane Moore
GOVERNOR GREITENS DELIVERS HIS BUDGET RECOMMENDATIONS
On Thursday, Governor Greitens released his recommendations for the FY 2018 budget that included more than $572 million in spending reductions from last fiscal year. His budget is based of a 3.8% consensus revenue estimate.
Included in his cuts were $73 million reduction from the four year higher educations institutions, A 3% cut to all Medicaid providers. A change in eligibility requirements for in-home and nursing care will see an estimated 60,000 people removed from the programs, $31 million reduction in school busing programs and saw the Department of Agriculture’s budget cut by more than half. Hospice had an increase in HB 11, however, we are determining if they are also part of the core 3% core Medicaid cut.
Click here to take you to the Fiscal Year 2018 Budget recommendations.
COMMITTEE HEARINGS OF INTEREST
House Appropriations for Health, Mental Health and Social Services
On Tuesday, Representative David Wood’s Appropriations for Health Committee met to hear a deeper dive in the MO HealthNet program. Jennifer Tidball and Jay Ludlam reviewed MO HealthNet’s various programs with committee and gave some updates on the managed care expansion that will go live on May 1. On Wednesday, the committee reviewed the department’s pharmacy program with Steve Galloway who is the pharmacy director.
House Health and Mental Health Policy
The House Committee for Health and Mental Health Policy heard three bills this week. These bills are expected to be considered and voted upon in committee next week.
The first bill heard in the committee was Rep. Keith Frederick’s House Bill 569. This legislation would address medical student depression and suicide rates through creating an awareness day and funding the Show-Me Compassion Research Project. Many private
citizens provided emotional testimony to their own personal experiences, as the Missouri State Medical Association, the Missouri Psychiatric Association and Wash U. expressed their support for the legislation. No one testified in opposition.
House Bill 226, sponsored by Rep. Tila Hubrecht, was the following bill to be heard. This legislation would change laws that pertain to the duties and powers of EMS Medical Directors, such as on-line telecommunications, allowance for local control, emergency
medications carried, home-based medications and more. There is no fiscal note with this bill. Testimony in favor was heard with the repeated message of providing individual care for every patient they come in contact with, specifically special needs patients.
No one testified in opposition.
The final bill to be heard in committee was Rep. Jean Evans’ House Bill 381, which would establish legal framework for families to obtain medical records of deceased family members. Cox Health, the Missouri Hospital Association, BJC, SSM, and St. Lukes all
testified in support. One member of the public offered a personal testimony of their own personal experience. No one testified in opposition.
After hearing public testimony, the committee moved into executive session to consider passage of bills out of the committee. Three bills were brought up for consideration. House Bill 122, sports medicine traveling physicians, was the first bill brought up
for consideration. Rep Fredericks offered an amendment that would clean up the language and bring more clarity on the services in which they can provide, when and where. The amendment was adopted and rolled into a substitute. HCS HB 122 was voted do-pass by
a vote of 11-0. The next bill up for consideration was HB 58, which establishes perinatal levels. This bill was voted do-pass by a vote of 11-0. The final bill to be considered was HB 544, pertaining to reimbursement for evening practices. Rep. Fredericks
offered an amendment that would change the incentive of reimbursement methods to what Medicare rates are. Rep. Morris felt that this needed to be looked into more and should maybe do a pilot program instead of this amendment, due to the fact he they felt they
could possibly be costing more money for the state. Other Reps agreed and Rep. Frederick withdrew his amendment and the motion to do pass on HB 544, returning it back to consideration. They will most likely vote on HB 544 net week.
COMING UP…
The House Budget Committee will begin reviewing the Governor’s recommendations next week. On Tuesday, the committee will review the Office of Administration’s budget, on Tuesday they will hear from the Auditor, DOR, MODOT, and DPS.
The Senate Appropriations Committee will meet at 10am on Tuesday to review the Governor’s budget recommendations and the FY 17 supplemental request.
Upcoming Dates of Interest
March 1st - Last day to file Senate bills
March 20th - 24th - Legislative Spring Break
April 1st - Last day to file bills in the House
May 5th - Appropriation bills must be TAFP
May 12th - Final day of session
July 1 - First day of Missouri’s new fiscal year (FY 2018)
Hospice
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Exempts health care entities registered with the department of health and senior services that distribute hypodermic needles or syringes from the crime of unlawful delivery of drug paraphernalia. |
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Track Name(s): |
Hospice |
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Bill History: |
01-25-17 H Referred to House Committee on House-Health and Mental Health Policy |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
02-07-17 H Meeting set for 12:00 PM or Upon Morning Adj., whichever is - House-Insurance Policy |
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Establishes the "Missouri Right to Shop Act". |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Establishes the "Patients First Medicaid Reform Act". |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Establishes the "Designated Health Care Decision-Maker Act". |
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Track Name(s): |
Hospice |
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Bill History: |
01-26-17 H Referred to House Committee on House-Judiciary |
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Modifies provisions relating to expert witnesses. |
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Track Name(s): |
Hospice |
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Bill History: |
02-02-17 S Reported to the Senate and first read |
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Establishes a limit on residential property assessment increases for the elderly and disabled who own and live in their principal residence proportional to the increase of their Social Security benefit. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Changes the Uniform Arbitration Act regarding agreements between employers and at-will employees. |
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Track Name(s): |
Hospice |
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Bill History: |
01-31-17 H Referred to House Committee on House-Litigation Reform |
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Changes provisions relating to advanced practice registered nurses. |
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Track Name(s): |
Hospice |
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Bill History: |
01-25-17 H Referred to House Committee on House-Professional Registration and Licensing |
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Creates the Silver Alert System to aid in identifying and locating a missing endangered person. |
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Track Name(s): |
Hospice |
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Bill History: |
01-24-17 H Public hearing completed |
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Changes provisions relating to the scope of practice for physical therapists. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Modifies the duration of unemployment compensation, modifies the method to pay federal advances, and raises the fund trigger causing contribution rate reductions. |
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Track Name(s): |
Hospice |
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Bill History: |
02-01-17 H Referred to House Committee on House-Rules-Administrative Oversight |
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Requires the Department of Social Services to apply for a global waiver for MO HealthNet. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Establishes a pilot program to transfer the authority to inspect nursing homes from the Department of Health and Senior Services to local health departments. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Changes the laws regarding vaccines and disorder monitoring. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Prohibits an employer from taking an adverse employment action based on an employee's reproductive health care decision. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Changes the laws regarding health care records of deceased patients. |
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Track Name(s): |
Hospice |
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Bill History: |
02-01-17 H Public hearing completed |
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Establishes the Missouri Freedom to Choose Health Care Act. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Requires the Department of Social Services to apply for a global waiver for MO HealthNet. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Specifies that the county coroner or medical examiner need not be notified and no investigation is necessary for a death that occurs under hospice care. |
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Track Name(s): |
Hospice |
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Bill History: |
01-25-17 H Referred to House Committee on House-Health and Mental Health Policy |
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Allows persons with certain serious medical conditions to use medical cannabis. |
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Track Name(s): |
Hospice |
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Bill History: |
01-09-17 H Read second time |
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Establishes "Simon's Law", which changes the laws regarding life-sustaining or nonbeneficial treatment policies of health care facilities. |
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Track Name(s): |
Hospice |
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Bill History: |
01-09-17 H Read second time |
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Modifies definitions of 'employee' and 'physician employee' in actions against health care providers for personal injury or death. |
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Track Name(s): |
Hospice |
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Bill History: |
02-06-17 H Meeting set for 1:00 PM, HR 6 - House-Litigation Reform |
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Allows structured family caregiving as a covered service under MO HealthNet, subject to the approval of federal waivers. |
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Track Name(s): |
Hospice |
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Bill History: |
01-09-17 H Read second time |
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Changes the laws regarding MO HealthNet services. |
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Track Name(s): |
Hospice |
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Bill History: |
01-10-17 H Read second time |
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Establishes the Death with Dignity Act to allow patients with terminal illnesses to end their life in a humane and dignified manner. |
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Track Name(s): |
Hospice |
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Bill History: |
01-10-17 H Read second time |
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Creates standards for predetermination of health care benefits requests and responses. |
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Track Name(s): |
Hospice |
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Bill History: |
01-11-17 H Read second time |
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Changes the laws regarding the Missouri Human Rights Act and employment discrimination. |
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Track Name(s): |
Hospice |
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Bill History: |
01-25-17 H Referred to House Committee on House-Litigation Reform |
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Changes the laws regarding dispensations of maintenance medications. |
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Track Name(s): |
Hospice |
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Bill History: |
01-20-17 H Read second time |
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Changes the law relating to short term medical policies sold in the state of Missouri. |
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Track Name(s): |
Hospice |
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Bill History: |
01-31-17 H Public hearing completed |
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Establishes a Prescription Abuse Registry. |
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Track Name(s): |
Hospice |
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Bill History: |
01-25-17 H Read second time |
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Establishes requirements for authorized entities to stock epinephrine auto-injectors for use in emergencies. |
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Track Name(s): |
Hospice |
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Bill History: |
01-26-17 H Read second time |
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Establishes a state innovation waiver task force to develop a health care reform plan. |
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Track Name(s): |
Hospice |
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Bill History: |
01-31-17 H Read second time |
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Allows certain assistant physicians, advanced practice registered nurses, and physician assistants to prescribe certain Schedule II medications. |
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Track Name(s): |
Hospice |
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Bill History: |
02-02-17 H Read second time |
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Appropriates money for the expenses, grants, and distributions of the Department of Social Services. |
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Track Name(s): |
Hospice |
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Bill History: |
02-02-17 H Set on the House Calendar |
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Modifies provisions relating to the collateral source rule and provides that parties may introduce evidence of the actual cost, rather than the value, of the medical care rendered. |
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Track Name(s): |
Hospice |
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Bill History: |
02-02-17 H Reported to the House and first read |
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Enacts provisions relating to advanced practice registered nurses. |
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Track Name(s): |
Hospice |
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Bill History: |
01-10-17 S Referred to Senate Committee on Senate-Professional Registration |
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Establishes the Advance Health Care Directive Registry. |
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Track Name(s): |
Hospice |
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Bill History: |
02-01-17 S Hearing conducted |
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Provides for the expansion of MO HealthNet services beginning January 1, 2018. |
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Track Name(s): |
Hospice |
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Bill History: |
01-10-17 S Referred to Senate Committee on Senate-Health and Pensions |
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Establishes a Prescription Drug Monitoring Act. |
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Track Name(s): |
Hospice |
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Bill History: |
02-06-17 S Set on the Senate Calendar |
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Requires elder abuse investigators to provide specified written materials to alleged perpetrators. |
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Track Name(s): |
Hospice |
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Bill History: |
02-01-17 S Hearing conducted |
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Establishes the Senior Services Growth and Development Program. |
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Track Name(s): |
Hospice |
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Bill History: |
01-11-17 S Referred to Senate Committee on Senate-Seniors/Families and Children |
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Modifies provisions relating to expert witnesses. |
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Track Name(s): |
Hospice |
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Bill History: |
02-08-17 S Meeting set for 8:00 AM, SCR 1 - Senate-Government Reform |
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Creates the MO HealthNet Buy-In for Workers with Disabilities program. |
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Track Name(s): |
Hospice |
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Bill History: |
02-01-17 S Hearing conducted |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
01-25-17 S Hearing conducted |
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Establishes a workers' compensation claims database. |
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Track Name(s): |
Hospice |
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Bill History: |
01-31-17 S Hearing conducted |
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Modifies definitions of "employee" and "physician employee" in actions against health care providers for personal injury or death. |
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Track Name(s): |
Hospice |
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Bill History: |
02-06-17 S Set on the Senate Calendar |
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Requires health carriers and health care providers to establish and participate in shared savings incentive programs. |
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Track Name(s): |
Hospice |
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Bill History: |
01-12-17 S Referred to Senate Committee on Senate-Seniors/Families and Children |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
01-19-17 S Referred to Senate Committee on Senate-Trans./Infrastructure/Pub. Safety |
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Modifies provisions relating to workers' compensation liability. |
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Track Name(s): |
Hospice |
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Bill History: |
02-07-17 S Meeting set for 10:00 AM, SCR 1 - Senate-Small Business and Industry |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
02-02-17 S Referred to Senate Committee on Senate-Trans./Infrastructure/Pub. Safety |
Jane Moore
CEO
Missouri Hospice & Palliative Care Assn.
600 Monroe Street
Suite 300
Jefferson City, MO 65101
Phone 573-634-5514
Fax 573-635-0659
Please save the date for the Midwest Conference October 22- 24, 2017 at Hilton Frontenac!
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