MHPCA Legislative Update 2.17.17
Jane Moore
THIS WEEK IN FLOOR DEBATE
The House on Thursday picked up and third read Rep. Marsha Heafner’s HB 65, HB 302 by Rep. Hill establishing the Blue Alert System, HB 230 which establishes the Hair Braiding Freedom Act, and then HB 126 which is still which establishes the Fairness in Public Construction Act. The Senate third read Rep. Rowden’s SB 237 that modifies definitions of “employee” and “physician employee” in actions against health care providers for personal injury or death and then Senator Onder’s SB 182 on project labor agreements.
COMMITTEE HEARINGS OF INTEREST
House Judiciary
The House Judiciary Committee heard Rep. Joe Don McGaugh’s HB 144 which would establish the Adult Health Care Decision Maker Act. The Missouri Hospital Association, VOICE STL, BJC Healthcare, the Missouri Bar, SSM Health Care, Kathy Butler with Greensfelder, Sheri Bilderdack all testified in support of the bill. The Missouri Family Policy Council testified against the bill while, the Missouri Hospice and Palliative Care Association, the Missouri Health Care Association, Missouri Right to Life and the Missouri Catholic Conference all testified for informational purposes. There is now a meeting at 4pm on Monday to further discuss any issues with the bill.
House Budget
On Monday, the House Budget Committee walked through the Missouri Department of Corrections budget recommendation. New department director Anne Precythe introduced herself as well as her leadership team. There was some brief discussion regarding the harassment charges against the Department, but Director Precythe wasn’t able to disclose too much as those cases are still caught up in litigation. She did tell the committee that she is going to be tackling these changes by taking on the merit system for employee promotion, implement a zero tolerance policy for sexual harassment and projects to improve moral.
The committee moved on to discuss the hospice rate increase, which did not receive any questions from the committee as it was described the $325,000 increase was tied to Medicare.
Senate Seniors and Families
This week the committee heard testimony SB 192 sponsored by Sen. Wallingford establishing the Senior Services Growth and Development Program was presented and essentially made a dedicated funding stream for the program that would attempt to mitigate budget decreases during 2008 and 09. General Revenue dollars would be reduced by the same amount the program would receive from this dedicated source. The Missouri Area Assoc on Aging and the Silver Haired legislature testified in favor and there was no opposition.
The committee then heard SB 334 sponsored by Chairman David Sater requiring assisted living facilities to provide residents with educational information on influenza was heard next. There was little discussion and the pharmaceutical lobby testified in favor with no opposition. This bill has been filed in years past and never quite made it across the finish line likely because most assisted living facilities likely do some form of this already.
House Rules
On Thursday the House Rules-Administrative Oversight Committee voted out Rep. Jean Evans HB 381. This bill allows a health care provider to disclose a deceased patient’s health care or payment records to the executor or administrator of his or her estate, or the power of attorney for health care that specifically directs the health care records be released to him or her after death. If no one has been appointed, and the deceased did not object to disclosure of his or her records in writing, the records may be released, upon written request, to his or her surviving spouse or personal representative, as specified in the bill. The bill specifies that disclosures under the bill cannot be inconsistent with any prior expressed preference of the deceased that is known to the health care provider.
Senate Seniors, Families and Children
On Wednesday morning, Senator Sater’s committee heard testimony on Senator Wallingford’s SB 192 which establishes the Senior Services Growth and Development Program and Senator Sater’s SB 334 which requires assisted living facilities to provide residents with educational information on influenza.
COMING UP…
On Monday February 20th the House Budget Committee will review the budget of the Department of Economic Development, on Tuesday the 21st they will hear from the Attorney General, the Department of Higher Education and the Department of Natural Resources. That Wednesday the 22nd the Governor and DESE will present their budgets, then on Thursday the 23rd, the Department of Agriculture and Department of Conservation will present their budgets. The final day for budget presentations will be on MOnday February 27th when the Judiciary, Public Defender and the General Assembly will present.
On Monday at 4pm there will be another meeting of interested parties in the Adult Health Care Decision Maker Act.
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: |
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: |
02-20-17 H Meeting set for 2:00 PM, HR 5 - House-Rules-Legislative Oversight |
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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: |
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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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: |
02-21-17 H Meeting set for 4:00 PM or Upon Adj., HR 1 - 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: |
02-09-17 S Referred to Senate Committee on Senate-Government Reform |
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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: |
02-22-17 H Meeting set for 12:00 PM or Upon Adj., HR 1 - House-Local Government |
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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: |
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: |
02-20-17 H Set on the House Calendar |
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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: |
02-16-17 H Referred to House Committee on House-Government Efficiency |
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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: |
02-16-17 H Reported do pass House-Rules-Administrative Oversight |
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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: |
02-16-17 H Referred to House Committee on House-Insurance Policy |
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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: |
02-16-17 H Referred to House Committee on 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: |
02-16-17 H Referred to House Committee on 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: |
02-20-17 H Meeting set for 2:00 PM, HR 5 - House-Rules-Legislative Oversight |
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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 Meeting set for 12:00 PM or Upon conclusion of morning sessi - House-Health and Mental Health Policy |
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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: |
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: |
02-09-17 H Referred to House 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: |
02-14-17 H Voted do pass from committee on House-Insurance Policy |
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Establishes a Prescription Abuse Registry. |
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Track Name(s): |
Hospice |
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Bill History: |
02-21-17 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: |
02-16-17 H Referred to House Committee on House-General Laws |
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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: |
02-16-17 H Referred to House Committee on House-Insurance Policy |
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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: |
02-16-17 H Referred to House Committee on House-Special Committe/Government 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: |
02-16-17 H Referred to House Committee on House-Professional Registration and Licensing |
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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: |
02-16-17 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: |
02-15-17 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: |
02-06-17 H Read second time |
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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: |
02-20-17 S Set on the Senate Calendar |
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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: |
02-20-17 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: |
02-08-17 S Voted do pass from committee on Senate-Seniors/Families and Children |
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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: |
02-15-17 S Hearing conducted |
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Modifies provisions relating to expert witnesses. |
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Track Name(s): |
Hospice |
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Bill History: |
02-15-17 S Voted do pass from committee on 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: |
02-16-17 H Reported to the House and first read |
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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: |
02-20-17 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: |
02-20-17 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: |
02-15-17 S Introduced and read first time |
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