MHPCA Hospice Legislative Update 2.24.17
Jane Moore
COMMITTEE HEARINGS OF INTEREST
House Judiciary
On Thursday Rep. Joe Don McGaugh’s House Judiciary Committee met to vote out his HB 144 that would establish the “Designated Health Care Decision-Maker Act”. The only amendment that was added was offered by Rep. Joe Don McGaugh that would delete line 24 in section 404.1107, page 11 and insert “employee thereof that makes good faith efforts to”. This bill will now head to the House Rules - Legislative Oversight Committee chaired by Rep. Shawn Rhoads.
Senate Appropriations
The Senate Appropriations Committee heard testimony from the Department of Mental Health and the Department of Health and Senior Services on Tuesday. Then on Wednesday the Committee heard from the Department of Revenue, Lottery and the Department of Transportation.
House Health and Mental Health Policy
The first bills to be heard this week in the House Committee for Health and Mental Health Policy were HB 123 and HB 125, both sponsored
by Rep. Frederick’s, which pertain to the Right to Shop Programs. This program would require a health care provider to provide the cost of non-emergency services and/or procedures if requested by the patient. Similar legislation was filed last year but did
not reach the finish line. Opportunity Solutions Project and the Foundation for Government Accountability testified in support of the legislation while Anthem Blue Cross Blue Shield, the Missouri Hospital Association and the St. Louis Area Business Health
Coalition all opposed the bill.
The next bill heard in committee was HB 455, sponsored by Rep. Bahr, which is the structured family care bill. This bill is identical to legislation filed last year. It would ask for a waiver from the department to be able to use Medicaid dollars to reimburse
those family members involved in home care of another family member. Currently, family members cannot receive payment for in home care for family members. The bill received numerous testimonies in favor including Paraquad, Delta Centers, Missouri Senior League
and the Missouri Assisted Living Association, stating that this legislation would allow a caregiver to continue being able to provide in-home care and prevent caregiver burn-out, which was stated as the leading reason for family members placing loved ones
in nursing homes. The Missouri Council for In-Home Services spoke in opposition stating that they felt this legislation could potentially lead to the loss of 20,000 patients.
The final bill to be heard in committee was Rep. Korman’s HB 691. This bill allows for the state to require the Department of Social Services to request a waiver to require certain MO HealthNet participants to be Missouri residents for 6 months before receiving
benefits. The purpose of this legislation is to keep people from coming to Missouri to take advantage of Medicaid benefits. This bill received no testimony in favor, but witnesses testified in opposition stating that there is absolute no study shows if you
withdraw health care for 6 months on Medicaid that it will save the state any money. In addition, according to the supreme court rule on durational residency this bill would hinder the 14th amendment, right to travel, and the state cannot deny public benefits
for any duration of time. The Missouri College of Emergency Physicians, the Missouri Coalition for Behavioral Health Care, and Empower Missouri testified in opposition.
After hearing public testimony, the committee moved into executive session to consider two bills. House Bill 121, sponsored by Rep. Fredericks, would add psychiatrists to the list of health student loan repayments. This is to encourage qualified physicians
to practice in Missouri. The bill was voted Do-Pass with bipartisan support by a vote of 8-0.
The final bill to be considered was HCR 16, sponsored by Rep. Brattin. This bill urges congress to require physicians display costs of services provided. The bill was voted Do-Pass by a vote of 7-3.
Upcoming Dates of Interest
March 1st - Last day to file House and Senate bills
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)
Hospice
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Appropriations Bill |
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Track Name(s): |
Hospice |
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Bill History: |
02-23-17 H Referred to House Committee on 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: |
02-20-17 H Reported do pass 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 Public hearing completed |
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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: |
02-23-17 H Voted do pass as substitute from 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: |
03-01-17 S Meeting set for 8:00 AM, SCR 1 - 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: |
03-01-17 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: |
02-27-17 H Meeting set for 1:00 PM, HR 6 - 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: |
02-23-17 H Third read and passed (Vote: Y:100/N: 56) |
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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: |
03-01-17 H Meeting set for 12:00 PM or Upon 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: |
02-20-17 H Reported do pass 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 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: |
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: |
02-22-17 H Referred to House Committee on 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: |
02-21-17 H Public hearing completed |
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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: |
02-28-17 H Meeting set for 12:00 PM or Upon Adj., HR 4 - 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: |
02-22-17 H Public hearing completed |
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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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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: |
02-22-17 H Read second time |
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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: |
02-23-17 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: |
02-23-17 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: |
02-27-17 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: |
02-27-17 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: |
02-22-17 S Voted do pass as substitute from committee on Senate-Health and Pensions |
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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: |
02-20-17 H Read second time |
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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: |
02-27-17 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: |
02-27-17 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: |
03-01-17 S Meeting set for 8:00 AM, Senate Lounge - Senate-Seniors/Families and Children |
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