2014 Legislative AgendaKatie Kolan, JD, Director of Legislative and Regulatory AffairsDecember 7, 2013

Welcome!

Welcome!Interspecialty Advocacy Council

Legislative Outreach and Advocacy2014 Legislative Agenda

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.

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

2014 Legislative Agenda

WSMA Legislative Agenda – 2014

“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

2014 Legislative Agenda

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

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

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

Budget

• Budget Priorities Contracts for Health Care Services for Incarcerated

Offenders Public Health Funding Rural Health Systems Payment Stabilization

Budget

• Preserve Funding for Patients and Providers Defend against cuts to physician and physician’s

assistants payments and programs delivered through government

Policy

• Policy Priorities• Health Care Reform• Access to Care Issues – Telemedicine & Workforce• All-Payer Claims Database

• Others issues

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

Policy

• Telemedicine (HB 1448) Access to care Reimburse/coverage for services provided via

telemedicine No “parity” language

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?

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

Policy

• Grace Period Require notice/reimbursement for services

rendered• Biosimilars and Biologics

Require safe substitution and notification (HOD Resolution)

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

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

Policy

• Others?

Thank you.

For more information:

Contact:Katie Kolan, JDkak@wsma.org(206) 618-4821

Website:www.wsma.org