1. 2015 legislative summary Elizabeth Harmon July 22, 2015 regulatorylegislative acts legislation pending

2. regulatory action The Advocacy Team spent a great deal of time this session on proposed changes to healthcare regulations. CON (4551)  increases equipment and capital thresholds  S.811 JR to disapprove, clock tolled CON (4551)  establishes web-based application process  H.3750 JR to disapprove; clock tolled ASC (4471)  defines ‘same day’ as 24-hour period  ‘appropriate staff’ provision  effective 6/26/15

3. legislation enacted

4.  State Appropriations  Proviso 33.22 Healthy Outcomes Plan  Primary Care Safety Net (encounter level data)  Telemedicine (SC Telemedicine Network) – MUSC – PCC – USC  Rural Health Initiative Partnership Pilot (DHHS/USCSOM)  Obesity (funding for provider partnerships, pt. education)  Vulnerable Mental Health Patients Pilot  Proviso 33.27 Hospital Transformation Plan  Plans submitted prior to April 1, 2016  Caps allocation per partnership at $4M  Proviso 33.30 Healthcare Workforce Analysis  Transfers $200K to AHEC

5. legislation enacted life, death & vaccinations  Sickle cell disease or trait, educational information to parents of newborns (6/8/15 - Kimpson)  Death certificates, physician signature and electronic filing (1/1/16 - Alexander)  Administration of vaccinations, pharmacists (6/1/15 – Cleary)

6. legislation enacted mental health care, medical records & body- worn cameras  Mental health patients, definition of authorized health care provider (6/1/15 - O’Dell)  Release of child’s medical records, cases of suspected child abuse or neglect (6/8/15 - Shealy)  Law enforcement officers, body worn cameras (6/10/15 - Malloy)

7. legislation still pending

8. Status of our 2 major issues, for further discussion tomorrow: certificate of need  CON reform (White, GM Smith)  Appeals filed with ALC (Campbell) (Pitts) access to coverage  Financial Responsibility & Opportunity Health Care Program Act (Lourie, Cleary)  Palmetto Comprehensive Care Act (Hutto) (Mack)

9. legislation still pending Health care professionals seeking legislative approval for broadened scopes of practice and autonomy, while others are seeking to be licensed or regulated: scope of practice  Advanced Practice Nurses (Horne) (GM Smith)  Podiatrists (Ryal)  Anesthesiologists (Hayes) licensure/regulation  Music Therapists (Lourie, Leatherman)  Sign Language Interpreters (Alexander) (Allison)  Birthing Centers (GM Smith, Horne)

10. legislation still pending Bills introduced in previous sessions that continue to stay on our radar screen: tort reform  False Claims Act (Malloy)  Noneconomic damage limits (Massey) insurance  Insurance coverage, discrimination (Massey) protection for healthcare professionals  Dentists and chiropractors, immunity (Cleary)  Violence against certain healthcare professionals (Alexander) (McCoy)

11. legislation still pending Legislation introduced on behalf of constituent experiences & their own *frustration:  Samuel’s Law – grounds for revocation of nurse licensure (Bryant)  Hope’s Law – breast tissue density (Lourie)  Act 76 – sickle cell disease (Kimpson)  DHEC elimination and reorganization (*Peeler)

12. legislation still pending life, death & inmates  Maternal Morbidity and Mortality Review Committee (GM Smith) (Hutto)  Pain-Capable Unborn Child Protection Act (Nanney)  Health Care Decisions (Henderson)  Inmate hospital visitation (Allen)

13. potential legislative issues 2016

14. tax exempt status for non-profit hospitals  New Jersey Tax Court Ruling  property taxes  Local City Ordinances  business license taxes At both the national and statewide level, tax exempt status of non-profit hospitals remains a moving target.