MHPCA Legislative Update 3.17.17
Jane Moore
HAPPY ST. PATRICKS DAY
House Government Efficiency
HB 322 sponsored by Rep. Jim Neely was voted out of Rep. Delus Johnson’s House Government Efficiency Committee by a vote of 8 to 1 without any amendments. This bill would establish a pilot program to transfer the authority to inspect nursing homes from the Department of Health and Senior Services to local health departments. There is a six year sunset on the bill.
Senate Professional Registration
This week the Senate Committee on Professional Registration meet to hear public testimony on Senate Bill 42, sponsored by Senator Wayne
Wallingford. This legislation would modify provisions relating to the licensing of advanced practice registered nurses and collaborative practice arrangements. If passed this would allow advanced practice registered nurses (APRN) also known a nurse practitioner
to practice at the highest level of their education and certification, making Missouri a full practice state.
Senator Wallingford presented the bill stating the importance of improving Missouri’s health care and APRN’s role in that. Missouri has fallen to 36th in the nation on health treatment and ranks 40th in residents with healthy lives. Currently, there is no license
for APRNs, they are only specialized by an accreditation, even though they are required to have a doctorate degree. There are 38 states that are less restrictive than the State of Missouri.
Numerous nurse practitioners and private citizens came forward to testify in favor of the bill. Others testifying in favor included Missouri Coalition for Community Behavioral Services, Missouri Children’s Leadership Council, Missouri Nurse Estheticians, BJC,
Missouri Association Rural Health Clinics, Leading Age Missouri and Missouri Nurses Association.
The final bill to be considered was Senator Jill Schupp’s SB 490, which pertains to suicide prevention training for healthcare professionals. This legislation was also heard during public testimony. However, considering Monday was the last day a committee can
pass a bill out consent. The bill was heard and moved to executive session in order to vote out consent. The bill received bi-partisan support and was voted out consent by a vote of 7-0.
House Budget Committee
On Wednesday the House Budget Committee met to hear testimony on two bills by Rep. David Wood that need to pass to achieve the costs savings that have been booked in HB 10 & 11. Rep. Wood first presented his HB 1110 that removes the termination date for the Missouri Rx Prescription Drug Program and then requires applicants household income limits apply only to Medicaid dual eligible individuals. The AARP testified in opposition to the bill.
Rep. Wood then presented his HB 986. In his opening remarks the sponsor said that the House Committee Substitute that he is working on will take out several of the provisions of the bill so he was just going to speak to the HCS. His bill would create a public pharmacy to oversee the prescriptions of the high-risk members in MO HealthNet, basically establishing a Health Home for Pharmacy. The bill would also place antipsychotic drug medications on a preferred drug list. The MIssouri Pharmacy Association testified in favor of the bill while several members of the National Alliance on Mental Illness testified in opposition, telling personal stories of how access to psychotropic drugs should not be limited more than what it already is.
Following testimony on the bills, the committee voted out HB 14, which provides supplemental funding for the current fiscal year. Then they began the walk through of the House Committee Substitutes of HBs 1 through 13. These are the actual bills in which the committee will amend the week following spring break.
Below are some of the big changes included in the House Committee Subs are...
- Additional $45 million GR to fully fund the foundation formula
- $36 million GR increase to restore cuts to k-12 education
- Zero’d out all dollars for public placement program in HB 2
- Partial restoration of core cuts to higher education institutions
- Partial restoration of Medicaid provider cuts (3% to 1.5 % reduction / 3.5% reduction to 1.75% for nursing home ($22,670,462 ($14,568,039 FED / $8,102,423 OTHER)))
- Point count changed back to 21 for home & community-based services and nursing home ($38,286,118 ($29,443,247 FED / $8,842,871 OTHER))
- Fee-for-Service runout claims fund switched with master settlement agreement dollars
- $28 million reduction to MO HealthNet Specialty Pharmacy NDI
- $63 million reduction to MO HealthNet Cost-to-Continue
House Health and Mental Health Policy
HB 437, sponsored by Rep. Neely, which would legalize medical marijuana for those with debilitating diseases. Rep Morris offered house amendment 1, which would eliminate everyone from use except for terminal diseases. After discussions, the amendment was withdrawn and the motion to do pass the bill was withdrawn. They plan to return to the bill after Spring Break.
OTHER TIDBITS
Governor Greitens made good on coming to visit with House members about passing the charter school bill that was perfected and third read in the House this week. This round of legislator visits went better than his first experience in the Senate.
After what some consider a reasonable compromise offered during negotiations on Senator Onder’s “paycheck protection” bill that was shot down, the body chose not to bring it back up for debate prior to spring break.
COMING UP…
Next week is Legislative Spring Break so no update then.
On Monday the 27th the House Rules-Legislative Oversight Committee at 1pm will vote out Rep. McGaugh’s HB 144 that creates the Designated Health Care Decision-Maker Act.
Then at 5pm on Wednesday the House Rules Committee on Legislative Oversight will vote out Rep. Hubrecht’s HB 405 that 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.
House Budget will mark up HBs 1-13 on Tuesday the 28th at 8:15am in HR 3. Seats go quick!
Senate Health and Pensions will hear Senator Emery’s SB 518 on hosptial licensure, SB 532 by Senator Hoskins SB 532 relating to DMH inspections, SB 533 by Senator Eigel relating to maintenance medication filled by pharmacists and Senator Chappelle-Nadal’s SB 538 that prohibits the use of mercury in vaccines.
Upcoming Dates of Interest
March 20th - 24th - Legislative Spring Break
April 1 - Last day to file House Committee Bills
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)
Track: Hospice
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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: |
03-28-17 H Meeting set for 8:15 AM, HR 3 - House-Budget |
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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: |
02-08-17 H Public hearing completed |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
03-24-17 H Set on the House Calendar |
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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: |
03-15-17 H Meeting set for 12:00 PM or Upon Morning Adj., HR 7 - House-Health and Mental Health Policy |
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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: |
03-27-17 H Meeting set for 1:30 PM, HR 5 - House-Rules-Legislative Oversight |
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Modifies provisions relating to expert witnesses. |
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Track Name(s): |
Hospice |
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Bill History: |
03-16-17 G Sent to the Governor |
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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: |
03-02-17 H Referred to House Committee on House-Rules-Administrative Oversight |
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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: |
03-07-17 H Referred to House Committee on House-Rules-Legislative Oversight |
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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: |
03-15-17 H Public hearing completed |
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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: |
02-09-17 H Referred to House Committee on House-Professional Registration and Licensing |
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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: |
03-09-17 S Referred to Senate Committee on Senate-Small Business and Industry |
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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: |
02-08-17 H Referred to House Committee on House-Budget |
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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: |
03-27-17 H Meeting set for 1:30 PM, HR 5 - House-Rules-Legislative Oversight |
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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: |
03-13-17 S Referred to Senate Committee on Senate-Health and Pensions |
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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: |
03-07-17 H Public hearing completed |
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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: |
02-08-17 H Referred to House Committee on House-Budget |
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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: |
03-29-17 H Meeting set for 5:00 PM or Upon Adj., - House-Rules-Administrative Oversight |
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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: |
03-15-17 H Meeting set for 12:00 PM or Upon Morning Adj., HR 7 - House-Health and Mental Health Policy |
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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: |
02-16-17 H Referred to House Committee on House-Health and Mental Health Policy |
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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: |
03-16-17 S Reported to the Senate and first read |
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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: |
02-22-17 H Public hearing completed |
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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: |
03-08-17 H Referred to House Committee on House-Health and Mental Health Policy |
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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: |
02-13-17 H Public hearing completed |
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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: |
03-15-17 H Voted do pass as substitute from committee on House-Health and Mental Health Policy |
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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: |
03-15-17 H Reported do pass House-Rules-Legislative Oversight |
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Establishes a Prescription Abuse Registry. |
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Track Name(s): |
Hospice |
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Bill History: |
03-07-17 H Meeting set for 12:00 PM or Upon Adj., HR 4 - House-Insurance Policy |
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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: |
03-07-17 H Public hearing completed |
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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: |
03-24-17 H Set on the House Calendar |
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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: |
02-16-17 H Referred to House Committee on House-Professional Registration and Licensing |
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Allows health care providers to contract with the Department of Health and Senior Services to provide volunteer health care services to uninsured and underserved individuals. |
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Track Name(s): |
Hospice |
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Bill History: |
02-22-17 H Meeting set for 12:00 PM or Upon conclusion of morning sessi - House-Health and Mental Health Policy |
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Prohibits law enforcement from releasing records containing personally identifiable health information, unless such information is redacted or a court orders disclosure. |
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Track Name(s): |
Hospice |
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Bill History: |
03-16-17 H Reported do pass House-Rules-Administrative Oversight |
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Authorizes the next-of-kin of a deceased person to delegate control of the final disposition of the remains. |
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Track Name(s): |
Hospice |
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Bill History: |
03-24-17 H Set on the House Calendar |
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Establishes a legislative task force on advanced practice nursing. |
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Track Name(s): |
Hospice |
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Bill History: |
03-08-17 H Referred to House Committee on House-Professional Registration and Licensing |
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Requires a health carrier provider to pay identical benefits to similarly licensed nonparticipating or nonpreferred providers who meet the necessary requirements. |
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Track Name(s): |
Hospice |
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Bill History: |
02-22-17 H Read second time |
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Modifies and creates provisions relating to the MO HealthNet pharmacy program. |
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Track Name(s): |
Hospice |
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Bill History: |
03-28-17 H Meeting set for 8:15 AM, HR 3 - House-Budget |
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Changes the laws regarding rates charged by health care providers. |
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Track Name(s): |
Hospice |
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Bill History: |
02-23-17 H Read second time |
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Changes the laws regarding health care for persons with disabilities. |
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Track Name(s): |
Hospice |
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Bill History: |
03-16-17 H Referred to House Committee on House-Insurance Policy |
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Modifies provisions relating to coroners. |
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Track Name(s): |
Hospice |
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Bill History: |
03-08-17 H Referred to House Committee on House-Judiciary |
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Changes the laws regarding hospital licensure. |
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Track Name(s): |
Hospice |
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Bill History: |
03-15-17 H Public hearing completed |
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Changes provisions relating to acts that may be performed by a licensed practical nurse and modifies provisions relating to the Missouri State Board of Nursing. |
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Track Name(s): |
Hospice |
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Bill History: |
03-01-17 H Read second time |
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Establishes the "Prescription Drug Monitoring Program Act". |
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Track Name(s): |
Hospice |
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Bill History: |
03-01-17 H Read second time |
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Modifies provisions relating to the Missouri Rx Prescription Drug Program. |
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Track Name(s): |
Hospice |
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Bill History: |
03-28-17 H Meeting set for 8:15 AM, HR 3 - House-Budget |
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Changes the laws regarding background check requirements of in-home service providers and personal care attendants. |
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Track Name(s): |
Hospice |
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Bill History: |
03-02-17 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: |
03-24-17 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: |
03-16-17 H Referred to House Committee on House-Litigation Reform |
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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: |
03-13-17 S Hearing conducted |
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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: |
03-06-17 H Read second time |
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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: |
03-06-17 H Read second time |
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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: |
03-21-17 S Set on the Senate Calendar |
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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: |
03-15-17 S Voted do pass as substitute from 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: |
03-21-17 S Set on the Senate Calendar |
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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: |
03-21-17 S Set on the Senate Calendar |
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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: |
03-16-17 H Referred to House Committee on House-Litigation Reform |
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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: |
02-08-17 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: |
03-21-17 S Set on the Senate Calendar |
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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: |
03-21-17 S Set on the Senate Calendar |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
02-09-17 S Superseded by - see SB 314 |
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Modifies Universal Service Fund eligibility requirements for wireless telecommunications providers providing lifeline service. |
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Track Name(s): |
Hospice |
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Bill History: |
02-13-17 S Referred to Senate Committee on Senate-Commerce/Consumer Prot./Energy/Environ |
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Removes the termination date for the MO Rx Prescription Drug Program. |
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Track Name(s): |
Hospice |
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Bill History: |
03-15-17 S Voted do pass from committee on Senate-Seniors/Families and Children |
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Requires certain health care professionals to complete two hours of suicide prevention training as a condition of initial licensure and as a condition of license renewal. |
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Track Name(s): |
Hospice |
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Bill History: |
03-21-17 S Set on the Senate Calendar |
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Authorizes a health care decision-maker to make health care decisions for a incapacitated patient who does not have a person with legal authority to consent for the patient. |
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Track Name(s): |
Hospice |
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Bill History: |
03-02-17 S Referred to Senate Committee on Senate-Judiciary/Civil and Criminal Juris. |
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Modifies a provision relating to maintenance medication filled by pharmacists. |
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Track Name(s): |
Hospice |
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Bill History: |
03-28-17 S Meeting set for Upon Morning Recess, SCR 2 - Senate-Health and Pensions |
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Modifies membership of the Missouri State Board of Nursing. |
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Track Name(s): |
Hospice |
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Bill History: |
03-09-17 S Referred to Senate Committee on Senate-Professional Registration |
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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