Print Page | Contact Us | Report Abuse | Sign In | Register
News & Press: Legislative News

Introducing the 2017 Florida Legislative Session

Tuesday, March 7, 2017   (0 Comments)
Posted by: Bryan Campbell, DCMS Chief Executive Officer
Share |

An Update on Day 1 of the Florida Legislative Session from DCMS Chief Executive Officer, Bryan Campbell: 

Today marks the beginning of the 2017 Florida Legislative Session. Over the next 60 days, the Florida Legislature will be considering a large variety of proposed bills which could have a significant impact on the delivery of healthcare in Florida for years to come.

Every week, we will attempt to provide a high-level summary here for you to quickly get caught up on the week’s activities. We will also be posting almost daily updates on individual measures as they move through the Legislative process. You will find these updates on our Legislative Blog.

While we will be tracking dozens of bills, I wanted to highlight a few that could have a dramatic and immediate impact on Duval County.

Independent Practice for ARNPs

This bill would create a category of Advanced Registered Nurse Practitioner which could operate independent from a physician’s protocol.

Pros: Proponents say that this is a necessary step to provide access to care and meet the demand created by the growing physician shortage in Florida.

Cons: The amount of training a physician receives is significantly different from that of an ARNP. While the nurse is a critically important part of the healthcare team, nurses should continue to work under the supervision of physicians.

DCMS Official Position: Oppose

Legislative Status:

Senate: No Senate Bill filed

House: PCB HQS 17-01 filed by Health Quality Subcommittee (Bill Text)

 

Right Medicine, Right Time

This bill would provide physicians a pathway to bypass fail first protocols for urgent healthcare services, specifically if a drug class is known to be ineffective, if there is a contraindication, or if the protocol care is not in the best interest of the patient.

Pros: Protects the physician’s ability to make clinical care decisions in the best interest of the patient when a fail first protocol would be detrimental to care.

Cons: Opponents say these protocols are required to maintain affordable care.

DCMS Official Position: Support

Legislative Status:

Senate: SB 530 filed by Sen. Greg Steube (Bill Text)

·         Referred to Banking and Insurance; Judiciary; Rules

House: HB 877 filed by Rep. Shawn Harrison (Bill Text)

·         Referred to Health Innovation; Appropriations; Health & Human Services

 

Retroactive Denials

This bill states that a health insurer may not retroactively deny a claim because of insured ineligibility at any time if the eligibility of the insured was verified at the time of treatment and an authorization number was provided.

Pros: Ensures that physicians are paid for seeing patients for whom insurance authorization was received.

Cons: Opponents say the Affordable Care Act grace periods make it impossible to maintain up-to-date eligibility.

DCMS Official Position: Support

Legislative Status:

Senate: SB 102 filed by Sen. Greg Steube (Bill Text)

·         Passed Banking and Insurance (9-0) on 2/21

·         Referred to Health Policy; Rules

House: HB 579 filed by Rep. Bill Hager (Bill Text)

·         Referred to Health Innovation; Insurance & Banking; Health & Human Services

 

Direct Primary Care

Would allow for physicians to enter into a Direct Primary Care model with patients which is not regulated like an insurance contract.

Pros: Increases patient choice for alternative payment models and Direct Primary Care contracts.

Cons: Under current Affordable Care Acts regulations, individuals would still need to carry catastrophic coverage.

DCMS Official Position: Support

Legislative Status:

Senate: SB 240 filed by Sen. Tom Lee (Bill Text)

·         Passed Banking and Insurance (8-0) on 2/7

·         Passed Health Policy (5-0) on 2/21

·         Referred to Appropriations Subcommittee on Health and Human Services and Appropriations

House: HB 161 filed by Rep. Daniel Burgess (Bill Text)

·         Passed Health Innovation (15-0) on 2/16

·         Referred to Health & Human Services

Certificate of Need Deregulation

This is a bill which would change the current process by which medical facilities are approved. The current Certificate of Need (CON) process would be replaced by local organizations which would have the authority to set their own approval process.

Pros: Could speed up the burdensome process for hospitals, hospice, and other facilities to be approved.

Cons: There is no demonstration that the current system fails to meet community needs. Could hurt established safety net hospitals or lead to market saturation.

DCMS Official Position: Oppose

Legislative Status:

Senate: SB 676 filed by Sen. Rob Bradley (Bill Text)

·         Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations; Rules

House: CS/HB 7 filed by Health Innovation (Bill Text)

·         Passed Health Innovation (10-5) on 2/15

·         Referred to Health Care Appropriations Subcommittee; Health and Human Services Committee

 

Trauma Center Deregulation

This is a bill which changes the regulatory process for approving new Trauma Centers in Florida, expanding the current cap on facilities.

Pros: Would allow for remote areas to have designated Trauma Centers.

Cons: Would impact the established model, potentially creating market saturation and impacting existing programs.

DCMS Official Position: Oppose

Legislative Status:

Senate: SB 746 filed by Sen. Matt Hutson (Bill Text)

·         Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations; Rules

House: HB 1077 filed by Rep. Trumbull (Bill Text)

 

Maintenance of Certification

This bill would prohibit the Boards of Medicine and Osteopathic Medicine, respectively, and the Department of Health, healthcare facilities, and insurers from requiring certain certifications as conditions of licensure, reimbursement, employment, or admitting privileges, etc.

Pros: Ensures that the onerous Maintenance of Certification is not used at a future time as a form of credentialing.

Cons: Current CME requirements may not be sufficient.

DCMS Official Position: Support

Legislative Status:

Senate: SB 1354 filed by Sen. Dana Young (Bill Text)

·         Not referred to committee at this time

House: HB 723 filed by Rep. Julio Gonzalez, Rep. Ralph Massulo (Bill Text)

·         Referred to Health Quality; Health Care Appropriations; Health & Human Services

 

Compassionate Use of Low-THC Cannabis and Marijuana

This bill would take into consideration the existing rules for low-THC cannabis and marijuana in consideration with the passage of Amendment 2 in 2016. It would lower the CME requirements and remove some current restrictions to patient access.

Pros: Utilizes the existing system to ensure that Amendment 2 is enacted in a controlled environment.

Cons: Opponents say that there will still be too many restrictions in place.

DCMS Official Position: Support

Legislative Status:

Senate: SB 406 filed by Sen. Rob Bradley (Bill Text)

·         Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations

House: No House Companion Bill has been filed