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Minnesota State Bar Association Health Law Section

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Senate Minority Leader: David Senjem (Rochester) Mostly New Health Care Chairs. Senator John Marty at Health, Housing and Family Security Committee ... – PowerPoint PPT presentation

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Title: Minnesota State Bar Association Health Law Section


1
Minnesota State Bar AssociationHealth Law Section
  • 2007 Legislative Wrap Up

2
The plan for today
  • Tom Lehman,The Lehman Group
  • Phil Griffin, Griffin Government Consulting
  • Jon Lips, Care Providers of Minnesota
  • Background
  • Drugs
  • Hospitals
  • Mental Health
  • Health Care Reform
  • Health Plans
  • Continuing Care
  • Occupational Licensing
  • Prospects for 2008

3
New landscape going into session
  • 53 new legislators
  • 35 new House members 29 of these are DFL
  • 18 new Senate members 15 of these are DFL
  • 12 House Republican incumbents lost
  • Senate statistics 44 DFL 23 Rs
  • House statistics 85 DFL 49 Rs

4
New legislative leadership
  • House Speaker Margaret Anderson-Kelliher
    (Minneapolis)
  • House Majority Leader Tony Sertich (Chisolm)
  • House Minority Leader Marty Seifert (Marshall)
  • Senate Majority Leader Larry Pogemiller
    (Minneapolis)
  • Senate Minority Leader David Senjem (Rochester)

5
Mostly New Health Care Chairs
  • Senator John Marty at Health, Housing and Family
    Security Committee
  • Rep. Tom Huntley at Health and Human Services
    Finance Committee
  • Rep. Paul Thissen at Health and Human Services
    Policy Committee
  • Rep. Neva Walker at Mental Health Division
  • Rep. Cy Thao at Licensing Division
  • Only Senator Linda Berglin returns to chair HHS
    Budget Division

6
But not everything was different
  • Constitution 2/3 of the members of each body
    are needed to vote to override a gubernatorial
    veto.
  • This means 89 House members (85 DFL) and 45 (44
    DFL) Senate members needed to override a veto

7
Great Expectations by DFL
  • Property Tax Relief
  • Cover all Kids and health care reform
  • Enhanced K-12 funding
  • Higher ed tuition relief
  • New investments in transportation
  • All Day kindergarten
  • Bonding bill

8
What Happened? Not as much as most hoped or
expected
  • Hospital Issues
  • Radiation
  • Imaging
  • Moratorium
  • Administrative Simplification
  • Domestic Partners
  • Newborn Hearing Screening
  • Doulas
  • Circumcision not an MA-covered Benefit
  • Funding

9
Mental Health
  • Progress made in 2006
  • Aggressive agenda for 2007
  • MHAG/Legislators
  • Nearly 40 million in new spending
  • Enhanced payments to providers
  • Expanded eligibility and benefits. GAMC and
    MinnesotaCare benefits now mirror MA

10
Drugs (Legal or otherwise)
  • Pharmaceutical Issues
  • Clinical trials
  • Medical Marijuana
  • Passed Senate, passed all House Committees
  • Governor just said no

11
Other Issues
  • Family Planning up 25
  • Critical Access dentist payments up 30
  • GAMC drugs must be on MA formulary and have
    rebate agreements
  • MinnesotaCare application shortened to 4 pages
    and renewals are now annually
  • Free MinnesotaCare for veterans
  • MinnesotaCare for adults w/o kids goes from 175
    of FPL to 200, increasing to 215 in 2009

12
Other Issues (continued)
  • No prescriptions based solely on online forms
  • Electronic reporting system for controlled
    substances
  • MDH Commissioner to study HPV vaccine
  • Electronic health record system revolving loan
    program created
  • DHS Commissioner to study whether to expand MA
    chiropractic services

13
Continuing Care Issues
  • Rate Increases
  • 2 then rebasing for nursing facilities.
  • 2 and 2 for other providers.
  • One-time sprinkler funds and limited moratorium
    funding for nursing facilities.
  • LOTS of worthy ideas were not funded
  • Coverage for kids not expanded as far as some
    hoped
  • Coverage of Part D co-payments
  • MA Asset Limits MA-EPD for those over 65
  • MR/RC Slot Increase

14
Continuing Care Issues (contd)
  • Assisted Living
  • Elderly Waiver program changes enacted.
  • Transitional Consultation must be offered in
    2008 and beyond.
  • Study of role State can play in aiding choice.

15
Continuing Care Issues (contd)
  • Disability Services
  • Self-Directed Supports Option
  • Quality Assurance Improvement
  • Personal Care Assistant Changes
  • Centers for Independent Living

16
Continuing Care Issues (contd)
  • Long Term Care Access to Pharmaceuticals
  • Safe Patient Handling (Omnibus Jobs and Econ
    Development bill Session Laws Chapter 135)
  • Patient Bill of Rights changes

17
Occupational Licensing
  • New supervision requirements for social workers,
    effective 2011.
  • New licensure requirement for physical therapy
    assistants.
  • The licensing bill also affects X-ray operators,
    credentialing of foreign physicians,
    chiropractors, audiologists and speech-language
    pathologists, and licensed professional clinical
    counselors.
  • See Session Laws Chapter 123.

18
Safety Net Issues
  • FQHC Grants (FY08 1.5M /FY09 1.5M)
  • Funding for a Toll-Free Health Care Access Number
    (FY08 150,000 / FY09 150,000)
  • Critical Access Dental funding (FY08 4.2M / FY09
    5.0M)
  • Medical assistance coverage for Community Health
    Workers

19
Safety Net Issues
  • Funding for the Bright Smiles Program -- one of
    three Oral Health Innovation grants (FY08
    400,000)
  • e-health grants (FY08 7.0M / FY09 7.0 M)
  • Grant funding for the Center for Urban Health
    Note line item(FY08 300,000)

20
Health Plan Issues
  • Premium Caps not adopted
  • Colorectal screening mandate
  • Hearing aid mandate
  • HSA preventive care mandate not adopted
  • Amino acid formula not adopted
  • SSN action delayed to 2008
  • Administrative Simplification adopted

21
The Biggest Health Issue
  • Freedom
  • To
  • Breath!

22
Prospects for 2008
  • Health care access will be a major issue
  • Constitutional amendment
  • Many other bills on this topic are still alive.
  • Numerous legislators campaigned on this issue in
    2006.
  • June 12th, HCAC mtg.

23
Interim Studies may shape agenda
  • Legislative Commission on Health Care Access
    universal coverage
  • Health plan purchasing pool study group
  • Health Care Transformation Task Force
  • The insurance exchange is a 500,000 study
    (Should be a good one Huntley added)
  • PCA study

24
Prospects for 2008
  • Some 2007 proposals likely to rise again
  • Statewide Teachers Health Pool? (Vetoed)
  • Medical marijuana
  • Bad Faith
  • False Claims
  • More mandates
  • Clinical Trial regulation
  • LTC COLA
  • Expanded Access

25
Prospects for 2008
  • 2008 is an election year for national and state
    offices, incl the MN House.
  • Much will depend on the State budget forecast.

26
Questions?
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