Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... •...
Transcript of Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... •...
![Page 1: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/1.jpg)
Legislative Recap 2016
HFMA Economic/Legislative Update July 15, 2016
Michael Robinson
Vice President
Government Relations & Community Affairs
![Page 2: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/2.jpg)
How A Bill Becomes Law
![Page 3: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/3.jpg)
Where we are currently
• Sent to Governor
• Gov has 45 days to act – Sign (becomes law)
– Not sign (becomes law)
– Veto (6/27)
• 2016 over 5,700 bills introduced (carryover)
• Only 72 Acts signed into law (as of 6/20/2016)
![Page 4: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/4.jpg)
Bill
![Page 5: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/5.jpg)
Result #1: Bill is Enacted
![Page 6: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/6.jpg)
Result #2: Resolution
![Page 7: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/7.jpg)
One thing can’t be altered in a bill….
![Page 8: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/8.jpg)
2016 Realities
– Dengue Crises
– Relatively Healthy State Fiscal Outlook
– Maui Privatization
– Election Year
![Page 9: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/9.jpg)
2016 Legislative Leadership
• Ronald K. Kouchi (D)
Senate President
(Kaua‘i)
• Joe Souki (D)
House Speaker
(Maui/Wailuku)
![Page 10: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/10.jpg)
Opening Day Priorities
• Speaker Souki: “Keep the momentum going.” – 100% renewable energy goals by 2045
– Marijuana Legalization
– Public Private Partnership for Maui Region
• Affordable Housing & Homelessness – Over 50 bills to address homelessness
– HB 1606 ID cards for homeless
• Taxation for Revenue Sources – SB 2028 County Transient Accommodation tax
– SB 2048 Tax on transient vacation rentals
– SB 2492/HB 2073 elimination for dividends paid from REITS
– SB 2586 1% GET to fund education for public school
• Health care Access – SB 2397/HB2252 Discharge Planning
– HB 1740 Medicare acceptance
• Commercial Lease Purchase Option – HB 1635/2135 Leased Fee Conversion for Commercial Property
![Page 11: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/11.jpg)
2016 Opening Day Remarks • Speaker Souki: “Keep the momentum going.”
– 100% renewable energy goals by 2045
– Marijuana Legalization
– Public Private Partnership for Maui Region
• Affordable Housing & Homelessness – Over 50 bills to address homelessness
– HB 1606 ID cards for homeless (DEAD)
• Taxation for Revenue Sources – HB 1554 County Transient Accommodation tax (DEAD)
– SB 2048 Tax on transient vacation rentals (DEAD)
– SB 2492/HB 2073 elimination for dividends paid from REITS (DEAD)
– SB 2586 1.0% GET to fund education for public school (DEAD)
– SB 2478 0.5% GET to fund LTC defined benefit plan (DEAD)
• Health care Access – SB 2397/HB2252 Discharge Planning (ALIVE)
– HB 1740 MD Medicare acceptance/Licensure (DEAD)*
• Commercial Lease Purchase Option – HB 1635/2135 Leased Fee Conversion for Commercial Property (DEAD)*
![Page 12: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/12.jpg)
2016 House Committee Chairs
Della Au Belatti (D), Chair – Health (Makiki)
Angus McKelvey (D), Chair – Consumer Protection (W. Maui)
Sylvia Luke (D), Chair-Finance (Nuuanu)
Karl Rhoads (D), Chair – Judiciary (Downtown)
![Page 13: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/13.jpg)
2016 Senate Committee Chairs
Suzie Chun-Oakland (D),
Chair – Human Services
(Liliha/Palama)
Jill Tokuda (D), Chair-Ways & Means (Kaneohe/Kailua)
Gilbert Keith-Agaran (D), Chair – Judiciary & Labor
(Waikuku/Kahului)
Rosalyn Baker (D),
Chair – Consumer Protection and Health
(South & West Maui)
![Page 14: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/14.jpg)
![Page 15: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/15.jpg)
![Page 16: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/16.jpg)
2017 Senate Committee Chairs
Suzie Chun-Oakland (D),
Chair – Human Services
(Liliha/Palama)
Jill Tokuda (D), Chair-Ways & Means (Kaneohe/Kailua)
Gilbert Keith-Agaran (D), Chair – Judiciary & Labor
(Waikuku/Kahului)
Rosalyn Baker (D),
Chair – Consumer Protection and Health
(South & West Maui)
![Page 17: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/17.jpg)
2017 Senate Committee Chairs (?)
Chair – Human Services
Jill Tokuda (D), Chair-Ways & Means (Kaneohe/Kailua)
Gilbert Keith-Agaran (D), Chair – Judiciary & Labor
(Waikuku/Kahului)
Rosalyn Baker (D),
Chair – Consumer Protection and Health
(South & West Maui)
![Page 18: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/18.jpg)
Political Geography
– 51 House Districts
• Oahu: 35
• Maui: 6
• Kauai: 3
• Hawaii 7
– 25 Senate Districts
• Oahu: 17
• Maui: 3
• Kauai: 1
• Hawaii 4
![Page 19: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/19.jpg)
Political Party Realities
– 51 House Districts
• Democrats: 44
• Republicans: 7
• Need 26 for Majority
– 25 Senate Districts
• Democrats: 24
• Republicans: 1
• Need 13 for Majority
![Page 20: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/20.jpg)
Bills DEAD
2
0
• Mandatory Healthcare Worker Vaccination (SB 2394)
• Preauthorization Requirement Liability (HB 2740)
• Clean Claims Act (SB 2667)
• Balance Billing (SB 2668)
• Gender Equity Pay (HB 1909)
• Customized Patient Medication Packages (HB 1757)
• Employer Access to Social Media Accounts (HB 2209) – Intent to VETO
• Pharmacy Non-Network Retail Access (HB 1672)
• Family Leave Employee Fund/Designated Person (SB 2961)
• Extending Family Leave to Care of Sibling (HB1683)
• Community Pharmacy/Network Adequacy (HB 1672)
• Relating to Access to Treatment for Terminally Ill Patients (SB 2181) – GOV VETO
• Relating to HHSC Separation Benefits (SB 2077) – Intent to Veto
• Relating to Sugar Sweetened Beverages for Children (SB 2385)
![Page 21: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/21.jpg)
Mandatory Health care Worker Vaccination
HB 2394
2
1
• Requires annual influenza vaccinations for health care workers. Establishes exemptions for influenza vaccination requirement under
certain conditions.
• Introduced by: BAKER
• Status: DIED in House FIN
![Page 22: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/22.jpg)
Mandatory Health care Worker Vaccination
HB 2394
2
2
![Page 23: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/23.jpg)
Mandatory Health care Worker Vaccination
HB 2394
2
3
![Page 24: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/24.jpg)
Preauthorization Requirement
HB 2740
2
4
• Establishes preauthorization standards for all health insurers in the State.
• Requires decisions on preauthorization requests to be made in
accordance with nationally-accepted evidence-based appropriate-use criteria or guidelines and made available to health care providers within a health insurer's network.
• Establishes that an insurer that fails to meet the standards is
civilly liable for any injury that occurs to a patient due to undue delay in receipt of medical treatment or services.
• Introduced by: CACHOLA
• Status: DIED in CONFERENCE COMMITTEE
![Page 25: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/25.jpg)
Clean Claims
SB 2667
2
5
• Requires health insurers to promptly (30 days) pay clean claims for
services. Repeals the exemption of Medicaid claims from the clean
claims definition.
• Introduced by: BAKER
• Status: DIED in CONFERENCE COMMITTEE
![Page 26: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/26.jpg)
Balance Billing
SB 2668
2
6
• Establishes a dispute resolution process by which a dispute for a bill for
emergency services or a surprise bill may be resolved.
• Specifies disclosure requirements for health care professionals and
health care facilities, including estimated costs for health care services
and information on participating provider networks.
• Specifies that an insured shall not be liable to a health care provider for
any sums owed by an insurer.
• Introduced by: BAKER
• Status: DIED in CONFERENCE COMMITTEE
![Page 27: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/27.jpg)
Gender Equity Pay
HB 1909
• Amends the provisions for equal pay and sex
discrimination for substantially similar work.
Clarifies employer defenses. Prohibits employer
actions regarding wage disclosure and applicant
wage histories. Requires that employer
advertisements include minimum rate of pay.
• Introduced By: BELATTI
• Status: Died in Senate
CREATING A HEALTHIER HAWAI ʻ I
![Page 28: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/28.jpg)
Customized Patient Medication Packages
HB 1757
28
• Authorizes a pharmacy to provide a customized
patient medication package to any patient of an
institutional facility or any member of the general
public, subject to certain conditions.
• Introduced By: BELATTI
• Status: Died in Senate JDL
CREATING A HEALTHIER HAWAI ʻ I
![Page 29: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/29.jpg)
Social Media Accounts
HB 1739
• Prohibits employers from requiring, requesting, or
coercing employees or potential employees to
provide access to their personal social media
accounts, subject to certain exemptions.
• Introduced By: LOPRESTI
• Status: Transmitted to Governor/VETO
CREATING A HEALTHIER HAWAI ʻ I
![Page 30: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/30.jpg)
Non-Network Retail Access
HB 1672
30
• Authorizes a beneficiary of a prescription drug benefit plan to obtain a prescription without penalty from a non-network retail community pharmacy located within ten miles of the beneficiary's residence, if the nearest network retail community pharmacy is located ten or more miles away. Requires reimbursement to non-network retail community pharmacist to include a $15 dispensing fee plus the product cost at the higher rate of reimbursement.
• Introduced By: BELATTI
• Status: Died in Conference Committee
CREATING A HEALTHIER HAWAI ʻ I
![Page 31: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/31.jpg)
Family Leave Insurance Program
SB 2961
• Requires the office of the lieutenant governor to work with
the department of labor and industrial relations to conduct
an actuarial study on the cost of implementing the family
leave insurance program and the effect that it may have on
the existing temporary disability insurance program and
prepare a report to the legislature. Appropriates funds for
the actuarial study and report.
• Introduced By: KEITH-AGARAN
• Status: Died in House FIN
CREATING A HEALTHIER HAWAI ʻ I
![Page 32: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/32.jpg)
Relating to Wahiawa General Hospital
HCR 118
3
2
• Requesting the Governor and Legislature of the State of
Hawai‘i to provide immediate and emergent financial
assistance to Wahiawa General Hospital.
• Introduced by: OSHIRO
• Status: Died in House FIN
![Page 33: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/33.jpg)
Bills Enacted into Law
3
3
• Relating to MD Licensing – (SB 2675) – Act 038
• Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069
• Relating to Telehealth (SB 2395) – Act 226
• Respiratory Therapist Licensing – (SB 2341) – Act 014
• Relating to Non-General Funds (SB 2252) – Act 043
• Nursys Nurse Licensing (SB 2862) – Act 018
• Electronic Fingerprint Checks for Nursing (HB 1756) – Act 97
• LTC Inflationary Adjustment (HB 1943) – Act 136
• MD Continuing Education (HB 2233) – Act 115
• Relating to Latex (SB 911) – Act 180
• DME Licensing Program (SB 2076) – Act 137
• Maternal Mortality Review Panels (SB 2317) – Act 203
• Mental Health Treatment for Homeless Individuals (SB 2560) – Act 186
• Behavior Analysts Surcharge Reduction (SB 2670) – Act 123
• Relating to Nursing Criminal Background Checks (HB 1756) – Act 97
• Relating to APRNs Scope of Practice (SB 2672) – Act 183
• Hospital General Hospital Funding (HB 1700)
• All Payer All Claims Database (HB 2482) – Act 139
![Page 34: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/34.jpg)
Bills Enacted into Law
3
4
Relating to MD Licensing (SB 2675)
• Authorizes the Hawaii Medical Board, Board of
Nursing, and Board of Pharmacy to deny a
license to an applicant or impose disciplinary
action against a licensee who has been
disciplined by another state or a federal agency.
• Prohibits a licensee from practicing until a final
order of discipline is issued if the licensee has
been prohibited from practicing in another state.
• Introduced By: BAKER
• Enacted Act on 4/29/2016 Act 038
![Page 35: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/35.jpg)
Bills Enacted into Law
3
5
Licensing of Respiratory Therapists SB 2341
• Makes permanent the regulation and licensing of respiratory
therapists.
• Introduced By: BAKER
• Enacted on 4/25/2016 as Act 014
![Page 36: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/36.jpg)
Bills Enacted into Law
3
6
Relating to Discharge Planning HB 2252
• Hospital required to adopt/maintain written discharge policy enabling opportunity:
– Each patient the opportunity to designate a caregiver to be included in the patient’s EHR
– For patient & caregiver to participate in discharge planning
– For patient & caregiver to receive instruction prior to discharge
– Reasonable attempts to notify caregiver of discharge to residence
• Non interference of policy with discharge planning or health care directives
• Childrens Hospital (i.e. Kapi‘olani Medical Center) exempted
• Introduced By: Belatti
• Enacted Act on 6/17/2016 as Act 069
![Page 37: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/37.jpg)
Care Act – June 17 2016
3
7
![Page 38: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/38.jpg)
Bills Passed
3
8
Relating to Non-General Funds SB 2552
• Repeals and abolishes various non-general funds and
accounts
• Early Intervention Special Fund
• Early Childhood Obesity Special Fund
• Hawai‘i Primary Care Association Dental Special Fund
• Hospital Based Poison Center Special Fund
• Introduced By: TOKUDA
• Enacted Act on 4/29/2016 as Act 043
![Page 39: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/39.jpg)
Trauma Fund Projected Balances
3
9
![Page 40: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/40.jpg)
Relating to Telehealth
SB 2395
4
0
• Requires that reimbursement requirements for telehealth services apply to all
health benefits plans including managed Medicaid and fee-for-service.
• Clarifies that reimbursement for services provided through telehealth shall be
equivalent to reimbursement for the same services provided via face-to-face
contact between a health care provider and a patient.
• Specifies medical professional liability insurance policy requirements with regard
to telehealth coverage.
• Requires that telehealth encompasses store and forward technologies, remote
monitoring, live consultation, and mobile health.
• Ensures telehealth is covered when originating in a patient's home and other
non-medical environments. Clarifies requirements for physicians and out-of-state
physicians to establish a physician-patient relationship via telehealth.
• Takes effect on 1/1/2017.
• Introduced By: BAKER
• Status: Enacted July 7, 2016 as Act 226
![Page 41: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/41.jpg)
Bills Enacted into Law
Hospital Sustainability Program (SB 2330)
• Extends the hospital sustainability program for an additional year.
Amends the purposes for which moneys in the hospital sustainability
program special fund, may be used. Amends the assessment schedule,
scope of application, and rates of the hospital sustainability fee.
Appropriates funds out of the hospital sustainability program special fund
for fiscal year 2016-2017.
• Introduced By: BAKER
• Enacted on 6/6/2016 as Act 060
CREATING A HEALTHIER HAWAI ʻ I
![Page 42: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/42.jpg)
Bills Enacted into Law
Nursing Facility Sustainability Program (SB 2213)
• Continues the nursing facility sustainability program for one
additional year. Appropriates funds out of the nursing facility
sustainability program special fund for fiscal year 2016-
2017.
• Introduced By: CHUN OAKLAND
• Enacted on 6/6/2016 as Act 059
CREATING A HEALTHIER HAWAI ʻ I
![Page 43: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/43.jpg)
Bills Enacted into Law
4
3
• DME Licensing Program (SB2076)
• Establishes a durable medical equipment supplier license
program for suppliers of durable medical equipment,
prosthetics, orthotics, and related supplies through the office
of health care assurance. Allows license fees to be
deposited into the office of health care assurance special
fund.
• Introduced By: CHUN OAKLAND
• Status: Enacted 6/29/16 as Act 137
![Page 44: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/44.jpg)
Wahiawa General Hospital Funding
HB 1700
44
• To adjust and request appropriations for Fiscal
Biennium 2015-17 funding requirements for
operations and capital improvement projects of
Executive Branch agencies and programs.
• Introduced By: SOUKI
• Status: Transmitted to Governor
CREATING A HEALTHIER HAWAI ʻ I
![Page 45: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/45.jpg)
Bills Passed
4
5
All Payer All Claims Database HB 2482
• Broadens the scope of health and health care data and
other information submitted to the state health planning and
development agency (SHPDA)
• Requires SHPDA to collect all Medicaid and EUTF claim data and
provide to UH SSRI to analyze & collect
• Introduced By: BELATTI
• Enacted Act on 6/29/2016 as Act 139
![Page 46: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/46.jpg)
Relating to HHSC Separation Benefits (Maui)
SB 2077
4
6
• Authorizes public employees facing position abolishment, reduction-in-force
(RIF), or workforce restructuring to opt to receive either (1) severance benefits or (2) special retirement benefit in lieu of exercising any Reduction In Force (RIF) rights.
• Additionally bill requires the State, through the Department of Budget and Finance (B&F), to pay a monthly contribution into the Employer Union Trust Fund (EUTF) on behalf of the employee impacted and their dependent beneficiaries.
• Legislature passed with no $ appropriation included in budget • Estimated cost to State: $40M-60M for Maui alone • Introduced by: TANIGUCHI
• Status: Gov notice of intent to veto, 6/27/16
![Page 47: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/47.jpg)
Maui Memorial Update
4
7
• SB 2077 (HGEA)
• United PW v. David Ige filed in Federal Court
– Filed in Federal Curt as a Constitutional Issue
– 11th Amendment Contract Clause
– “No State shall...pass any...law impairing the obligation of contracts.”
– UPW request for temporary injunction (2017)
Fed Court Decision – Feb 19, 2016
o Collective Bargaining Agreements (CBA) not employment contracts
o CBA guarantees an employee will be employed for duration of the contract.
Ruling: UPW request for injunction denied.
![Page 48: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/48.jpg)
Maui Memorial Update
4
8
• United PW v. David Ige heard on appeal by Federal 9th Circuit
– Same argument
Appeal heard by 9th Circuit Court of Appeals – May 17, 2016
o Sua sponte (court’s own will) 9th Circuit Court of Appeals
reconsidered UPW request expressing concern for displaced
workers
o Court ordered temporary injunction until September 30, 2016
o State to provide progress report by June 30, 2016
Result: HHSC/Kaiser discussions temporarily halted
![Page 49: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/49.jpg)
Maui Memorial Update…Not done yet
4
9
Appeal heard by 9th Circuit Court of Appeals – June 17, 2016
o Court partial lifted temporary injunction, allowing HHSC/State
to continue discussion
Some unanswered question
What about SB 2077?
If Gov vetoes, how will it effect 9th circuit view of injunction?
If Gov enacts SB 2077, how will it effect future privatization?
How long will parties stay committed given delays?
![Page 50: Legislative Recap 2016 - HFMA Hawaii · Legislative Recap 2016 ... –Dengue Crises ... • Relating to Discharge Planning (aka “Care Act”) – (HB 2252) – Act 069](https://reader031.fdocuments.us/reader031/viewer/2022030704/5aef95077f8b9abc788c2ae1/html5/thumbnails/50.jpg)
Legislative Recap 2016
Michael Robinson
Vice President
Government Relations & Community Affairs
535-7124
Harbor Court 27th Floor