1. 2014 Legislative Agenda Katie Kolan, JD, Director of Legislative and Regulatory Affairs December 7, 2013

2. Welcome! Interspecialty Advocacy Council Legislative Outreach and Advocacy 2014 Legislative Agenda

3. Outreach and Advocacy Outreach and Advocacy Program Our Mission  Make the WSMA Legislative and Regulatory Affairs department the “go to” resource for information and advocacy for state and federal legislative and regulatory activities. Our Goal  Offer tiered legislative advocacy services to specialty and county societies and large physician groups.

4. Outreach and Advocacy  Menu of Services Bill and issue tracking Weekly or monthly updates on YOUR issues Special access to your website Timely updates for your newsletters Seek opinions and expertise on key issues Provide speaks at meetings & workshops Arrange “Legislative Days” to coincide with WSMA’s Legislative Summit Political action consultation

5. 2014 Legislative Agenda WSMA Legislative Agenda – 2014

6. “I would like to see anyone, prophet, king or God, convince a thousand cats to do the same thing at the same time.” ― Neil Gaiman

7. 2014 Legislative Agenda 2014 Legislative Session  Begins January 13, 2014 - 60 Days  Second session of 63 rd Legislature  Focus on Budget  Legislative Priorities

8. Budget Budget Priorities  Primary Care funding  Contracts for Health Care Services for Incarcerated Offenders  Public Health Funding  Graduate Medical Education funding  Rural Health Systems Payment Stabilization

9. Budget Budget Priorities – Access to Care  Primary Care funding – continuing the two-year ‘bump’ in reimbursement for primary care Medicaid providers Access to care Closing the 6mo. gap? $24million (state); $24million (federal) Extend funding in perpetuity Coalition –WSMA  Graduate Medical Education funding

10. Budget Budget Priorities  Contracts for Health Care Services for Incarcerated Offenders  Public Health Funding  Rural Health Systems Payment Stabilization

11. Budget Preserve Funding for Patients and Providers  Defend against cuts to physician and physician’s assistants payments and programs delivered through government

12. Policy Policy Priorities Health Care Reform Access to Care Issues – Telemedicine & Workforce All-Payer Claims Database Others issues

13. Policy Health Care Reform  Support efforts that promote cost effective access to care: Health Insurance Exchange Developments OIC Authority and Scope Federal BHP Option Contracting Fairness Network Adequacy

14. Policy Telemedicine (HB 1448)  Access to care  Reimburse/coverage for services provided via telemedicine  No “parity” language

15. Policy All-Payer Claims Database  Insurers reporting of health care information specific to price, outcomes, etc. Housed within Puget Sound Washington Health Alliance  Support provider friendly implementation of state- wide database Reporting, governance and operations  What will legislation look like? Mandatory participation? Enabling?

16. Policy MQAC non-disciplinary remedial measures  “Creating a quality improvement program for the licensees of the medical quality assurance commission.”  Practice correction and improvement…addressing deficits or concerns which are not unprofessional conduct  Improve the care of practitioners in a nonpunitive, confidential environment  The quality improvement program is educational and nondisciplinary

17. Policy Grace Period  Require notice/reimbursement for services rendered Biosimilars and Biologics  Require safe substitution and notification (HOD Resolution)

18. Policy Standard of Care Act  No ACA standards to determine “standard of care” Mental and behavioral health issues  Mandatory CME?  RSN compliance and reorganization? Bloodborne pathogens and the “Good Samaritan”  Testing of person for blood borne pathogen exposure when acting as Good Samaritan

19. 2014 Legislative Agenda 2013 HOD Resolutions  B-1 – Fair and Professional Medical Staff Peer Review * (2012, 2013 legislative action; established work group)  B-5 – Patient Choice, Managing End of Life  B-6 – Hospital Mergers and Repro. Health  B-9 – Reproductive Parity  C-1 – Immigrant Health Care Coverage  C-3 – Premera’s decision to decrease reimbursements for allied health professionals  C-4 – Fairness in Contracting  C-5 – Prohibiting sales of E-Cigarettes  C-6 – Criminal background checks on gun sales in Washington  C-7 – Gun safety education

20. Policy Others?

21. Thank you.

22. For more information: Contact: Katie Kolan, JD kak@wsma.org (206) 618-4821 Website: www.wsma.org