2015 Legislative Session Outcomes and Priority Issues Jennifer Witten, Government Relations Director Moderator Maryland Hospital Association August 21,

Slides:



Advertisements
Similar presentations
MEDICAID REDESIGN – IDAHO What it would mean for Idahoans with disabilities. Presented by:
Advertisements

Briefing for Maryland Legislators 1. 2 New Maryland Waiver Five year demonstration program State of Maryland and CMS signed agreement in January 2014.
Funding Makes a Difference: The Role of Philanthropy in Massachusetts Health Care Reform.
Minnesota’s Seniors Public Policy Issues Toby Pearson, Vice President of Advocacy, Care Providers of Minnesota Heidi Holste, Director of Government Affairs,
Implementing Emergency Room Best Practices: Improves Care, Reduces Costs 1.
Population Health Initiatives in Maryland Regional Forum on Hospital-Community Partnerships Cumberland, Maryland September 29, 2014 Laura Herrera, MD,
Effective Partnerships School-Based and School Linked Health Care Michigan Perspective School Community Health Alliance of Michigan.
FAC Legislative Review Webinar Series Thank you for joining us! Please mute your phones. If you have any questions during the presentation please feel.
The Business Case for Bidirectional Integrated Care: Mental Health and Substance Use Services in Primary Care Settings and Primary Care Services in Specialty.
Care Coordination, Provider Alignment and Infrastructure: Laying the Foundation for Health Care Transformation Nicole Stallings Vice President Maryland.
1 Advancing Recovery: Baltimore Buprenorphine Initiative Tucson Presentation July 29, 2009 Baltimore Substance Abuse Systems.
Budget Forum Charles W. Sorensen Chancellor University of Wisconsin -Stout.
Stephanie Hull MGA Conference Chief, Long Term Services and Supports June 7, 2012 Maryland Department of Aging.
Tuesday, May 25, 2010 Collaborative Research …Humanizing research.
DEPARTMENT OF JUVENILE JUSTICE OPERATING BUDGET DEFICIT Wansley Walters, Secretary Rick Scott, Governor SENATE CRIMINAL JUSTICE COMMITTEE October.
MassHealth Defense Campaign Presentation For: Grantmakers in Health Health Care For All April, 2003.
Secretary’s Advisory Committee on Infant Mortality March 8, 2012 “ Healthy Babies Initiatives ” David Lakey, M.D. Commissioner Texas Department of State.
Pam Mariea-Nason RN, MBA CareOregon Director of Health Policy & Community Engagement The Oregon “Provider” Tax.
San Marino Unified School District Second Interim Financial Report and Long Range Financial Projections March 11, 2008.
Alaska’s Behavioral Health System Presentation to the Idaho Behavioral Health Transformation Workgroup March 24 th 2010 Bill Hogan Commissioner Commissioner.
Medi-Cal and IHSS Budget Reductions Kathryn Smith, RN, DrPH January 4, 2012.
Federal-State Policies: Implications for State Health Care Reform National Health Policy Conference February 4, 2008.
Maryland Health Care Reform John M. Colmers Secretary Department of Health and Mental Hygiene SCI Coverage Institute Kick-Off September 26, 2007.
IWIF Wellness Symposium John M. Colmers, Secretary Maryland Department of Health and Mental Hygiene June 8, 2010.
WVHA Legislative Update May 16, 2014 WV Chapter of HFMA Spring Meeting.
The MARYLAND HEALTH CARE COMMISSION. Telehealth Landscape Telehealth adoption is increasing 2013: ~ 61 percent of acute care hospitals; ~9 percent of.
HEALTH ENTERPRISE ZONES: Charles County Public Forum Department of Health and Mental Hygiene Community Health Resources Commission July 11, 2012.
Gerald Friedman Professor of Economics
Finding the Opportunities in National and NYS Healthcare Reform Bill Hudock Senior Public Health Advisor Center for Mental Health Services Substance Use.
Arizona Update February 22, Arizona Update #1 276,500 50, Million 48% 35% 210,
HEALTH ENTERPRISE ZONES: Eastern Shore Public Forum Wor-Wic Community College Department of Health and Mental Hygiene Community Health Resources Commission.
Maryland Medicaid’s Partnership in Improving Behavioral Health Services Susan Tucker Executive Director, Office of Health Services May 14, 2014.
A Journey Together: New Maryland Healthcare Landscape Baltimore County Forum Maryland Health Services Cost Review Commission June 2015.
Challenges and Solutions for State Single Payer Legislation David Ball, PNHP South Carolina and Dave Sterrett, Public Citizen.
AAHAM Spring Meeting MHA UPDATE March 15, 2013 Anne Hubbard, Assistant Vice President, Financial Policy & Advocacy 1.
11 Sustainability of Provider Assessments DHMH Presentation: Maryland Medicaid Advisory Committee October 2011.
National Policy Update October 15, 2015 Chuck Ingoglia, MSW.
Improving Patient-Centered Care in Maryland—Hospital Global Budgets
Healthcare Reform: Where is this all headed? Patrick Cahill Government Affairs September 12, 2014.
Welcome to the Safe Table. Carol Wagner, Senior Vice President Patient Safety Washington State Hospital Association Susan Callahan, Director of Community.
Constraints on Public Budgeting Dr. David Thomason Unit 8- Budgeting Kaplan University.
Jeanene Smith MD, MPH Office for Oregon Health Policy and Research SCI Coverage Institute - July, 2009 Albuquerque, NM Building a Healthy Oregon: Delivery.
Reducing Preventable Emergency Room Visits 1. An Opportunity Redirecting care to the most appropriate setting protects patient safety and ensures payment.
340B In New Mexico Senator Dede Feldman New Mexico State Legislature 8/5/05.
Medicaid Redesign & Expansion Update Britteny M. Howell Research Analyst Governor’s Council on Disabilities & Special Education.
LAO California’s Fiscal Outlook Jennifer Kuhn Director, K-12 Education Legislative Analyst’s Office April 15,
Improving State and Local Policy through Advocacy NAEH Family Homelessness Conference February 7-8, 2008 Seattle, WA Mia Navarro Wells Executive Director.
“Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly, and applying the wrong remedies.” – Groucho Marx Oklahoma.
Maryland’s Approach to Coverage Expansion 2004 Presentation by the Honorable John Adams Hurson Chairman, Health & Government Operations Committee Maryland.
A Preview of the 2012 Colorado Legislative Session CO AHEC, Central CO AHEC and CHI Conversation Series January 4, 2012.
2016 LEGISLATIVE REVIEW CAFP Annual Scientific Conference 2016 Lobbyist Report.
Sources: National Journal Research 2016, Jordain Carney, “Senate passes opioid abuse bill,” The Hill, March 10, 2016; Nadia Kounang, “Obama Announces New.
2016 LEGISLATIVE WRAP UP May 25, Overview  Introductions  Budget  Bills of Interest  Interim Activities.
Friends of Colorado Hospitals Political Action Committee 2015 CAMPAIGN.
Sources: National Journal Research 2016, Jordain Carney, “Senate passes opioid abuse bill,” The Hill, March 10, 2016; Nadia Kounang, “Obama Announces New.
Maryland Legislative Wrap-Up [Your Organization’s Name] [Presenter’s Name] [Date, 2016]
Presented by: Names here Date Medicaid Expansion: What’s at Stake for Texas.
Addressing the Behavioral Health Needs of Cook County Residents
Change in Washington… Is seismic
What’s Next for Maryland Hospitals HFMA Maryland Chapter
Illinois’ 1115 Behavioral Health Transformation Waiver
2017 New Mexico legislative session update
Barbara Sears, Director Ohio Department of Medicaid November 8, 2017
Association of Indiana Counties Annual Conference September 27th, 2017
Maryland’s Approach to Coverage Expansion 2004
MDHHS Response to the Opioid Crisis
CHARM Beverly Razon, Public Affairs Director
Meeting with Denver Legislators
LEGISLATIVE ADVOCACY UPDATE
Updates: Federal Legislation June 2019
Presentation transcript:

2015 Legislative Session Outcomes and Priority Issues Jennifer Witten, Government Relations Director Moderator Maryland Hospital Association August 21, 2015

1 Agenda Panel Introduction Panel Discussion –Political Environment –2015 Legislative Outcomes –2016 Priorities Audience Questions

Panel Delegate Nicholaus R. Kipke-District 31B, Anne Arundel County Senator Delores G. Kelley-District 10, Baltimore County Senator Catherine Pugh-District 40, Baltimore City Pegeen Townsend-VP of Government Affairs, MedStar Health Nicole McCann-Director of Health Policy for Johns Hopkins State Affairs 2

New Players Governor Hogan Key health care personnel –Van Mitchell, Secretary, DHMH Former legislator; health lobbyist –Bobby Neall, Fiscal Advisor Former legislator; CEO Priority Partners –Al Redmer, MD Insurance Comm Former legislator; Coventry Health Care –Craig Williams, Chief of Staff Govt’ Affairs Amgen 70+ new legislators 3

Session Challenges Many new players –Administration –Legislature Key committee member changes Education –Basics – Medicare vs. Medicaid –Complex health care issues – waiver Significant budget debate –Eliminate state structural deficit; reduce taxes 4

State Budget-Healthcare Impact Health Care – all Medicaid provider payments cut Physicians –Medicaid fees cut from 100% to 92% Medicare rate Nursing Homes –Medicaid payments cut to 2014 levels Pharmacists –Medicaid dispensing fees cut Managed Care Organizations –2% rate cut 5

State Budget Hospital Impact $16.7 million cut for 2016 Original proposal would have effect of greater financial impact across-the-board rate cut for all payers Secured fix to implement differently, more efficiently resulting in greater savings Secured ability to “count” toward total savings pending HSCRC action to cut uncompensated care funds 6

Hospital Legislative Priorities Reduce, eliminate Medicaid hospital tax Restrain out-of-control liability costs Improve care for people suffering from mental health, substance abuse problems 7

Medicaid Hospital Tax Began in 2009 as a “temporary” $19 million tax to backfill state’s Medicaid budget – has ballooned to nearly $400 million annually Inflates hospital bills by 3% - revenue goes to state special Medicaid fund, not hospitals Makes meeting new waiver spending targets more difficult Maryland has an opportunity to reduce tax burden on patients and their families 8

Outcome: Medicaid Hospital Tax State budget now includes a $25 million hospital tax “spend down” each year Supported by Governor, Budget Secretary Brinkley and legislature Opportunity to seek an increase in the spend down amount as state budget improves 9

10

Restrain High Liability Costs Progress: No-fault birth injury compensation fund Held: Committee of legislators to address over interim; excellent step toward new bill next year Access to obstetrical services Passed: MHA to lead study; connect to need for no-fault birth injury fund Health Courts Interim study Blocked: –Tripling of cap on non-economic damages from $750,000 to $2.4 million 11

12

Joint Committee on Behavioral Health and Opioid Use Disorder (HB896/SB607) –Built broad-based coalition of support –Incorporated with other behavioral health bills to create one effort to address issues –Committee of 10 legislators will address over 6 years –Hogan administration interest – connection to heroin initiative –First briefing Sept 9, HGO 13

Maryland Emergency Department Opioid Prescribing Guidelines MHA took the lead in drafting standardized opioid prescribing guidelines for hospital emergency departments based on current crisis. The guidelines are informed by the work of the Massachusetts Hospital Association, as well as a patient-focused brochure developed by the Maryland Chapter of the American College of Emergency Physicians (MDACEP) and released in The Maryland Heroin and Opioid Emergency Task Force will release its comprehensive plan to address the state’s heroin/opioid misuse epidemic this fall and MHA’s guidelines will be included in those recommendations. 14

Additional Legislation-Policy Issues (SB297-Ch.155) Task Force on Family Caregiving and Long-Term Supports (HB1101) Department of Health and Mental Hygiene-Health Program Integrity and Recovery Activities (HB05-Ch.56) Department of Health and Mental Hygiene - Newborn Screening Program Fund (SB606-Ch.372) Health Insurance - Abuse-Deterrent Opioid Analgesic Drug Products - Coverage Telehealth Medicaid Redetermination Other issues? 15

2016 Legislative Outlook What priority issues will each of you focus on for 2016 What efforts over the interim will move issues forward? What might be introduced or reintroduced in the next legislative session? 16

Audience Questions Thank You 17