Blog

TPCA Policy Update - February 23, 2017

Federal Updates in This Issue
-ACA Repeal/Replace and Medicaid Changes
-New NACHC Advocacy Website

State Updates in This Issue
-TPCA Hill Day
-State Budget 
-State Legislation 
Federal Update

ACA Repeal/Replace and Medicaid Changes
Congress continues to move towards a repeal/replace of the Affordable Care Act and has indicated that they intend to try to change the structure of Medicaid with the same piece of legislation. The House and Senate are moving at different speeds and it is likely the House will act first. The House has put out a brief outlining components of their plan; it tracks closely with A Better Way and focuses on Health Care Tax Credits, Health Savings Accounts, and high-risk pools. Based on this brief, the House plan will likely contain provisions to convert Medicaid to some form of a block grant. It is expected that the House will file the budget reconciliation bill during the month of March.

The Community Health Center message to Congress regarding the ACA is “no repeal without replace.” Repealing the ACA without putting forth a workable replacement would destabilize access to care for patients. Regarding Medicaid, Congress needs to understand how important Medicaid is to health centers and patients. It will be very difficult for CHCs to continue providing services as at the current level if Medicaid funding to states is drastically reduced. This is the message CHCs will be delivering to Congress during the upcoming NACHC Policy and Issues Forum.

New NACHC Advocacy Website
NACHC has launched a new Health Center Advocacy Network website that includes social media sharing tools, media sharing capabilities, and quick and easy ways for health center advocates to contact members of Congress. Additionally, the website contains well-formatted tools for advocates to institute advocacy plans at their health centers, engage with elected officials, and recruit new advocates. NACHC will be holding a launch webinar on March 15 at 3 p.m. (Eastern time)/2 p.m. (Central). You can register for the webinar here. If you are attending the Policy & Issues Forum, there will also be an opportunity to view, learn about, and experience hcadvocacy.org during the conference.

State Update

TPCA Hill Day
Tennessee Health Center advocates traveled to Nashville for TPCA's annual Hill Day on Wednesday, February 15. CHC representatives conducted more than 40 visits with state legislators during Hill Day. Thanks to everyone who participated! Congress seems poised to give states more flexibility about how they provide and pay for health care and it is important that state legislators understand the critical role that CHCs play in their communities and the health system as a whole. Health center advocates also talked with legislators about the need to keep the Health Care Safety Net strong; the proposed budget for FY 2018 reflects 21% less in Safety Net funding than in FY 2017. TPCA is working to increase Safety Net funding for FY 2018.

State Budget Update
State departments have begun presenting their budgets to legislative committees.

TennCare
TennCare presented their budget to two different committees on Tuesday, February 21. The TennCare presentation slides outline the increases and reductions the department is requesting for FY 2018, as well as information about potential changes to Medicaid as a result of Congressional action. TennCare is requesting $5.5 million for FQHCs to align budgeted and actual spending for FQHC wraparound payments. This is the smallest increase among the lists of increases requested; others increases include funding for medical inflation and utilization ($40 million), pharmacy costs ($14.9 million), Medicare ($72.5 million), pharmacy rate restorations ($6.1 million), and restoration of a previous 2% provider rate reduction ($36 million). Dr. Long's discussion of potential Medicaid changes emphasized the increased risk that would be shifted to states under a Medicaid block grant or per capita cap scenario and that states would need maximum flexibility to operate Medicaid programs efficiently under these scenarios. Dr. Long stressed that equity across states in terms of funding under a block grant system will be very important; TennCare does not want Tennessee to be disadvantaged because the State did not expand Medicaid under the ACA or because TennCare has been successful at controlling cost increases within the program. Dr. Long stated that, if given enough flexibility, TennCare could design a program that meets Tennessee's needs while keeping costs in check and ensuring that patients receive quality care. Legislators asked TennCare staff several questions around future scenarios, implementation of the episodes of care under TennCare's payment reform initiative, and the types of flexibility that TennCare would need in a block grant system to effectively operate the program.

Tennessee Department of Health
The Tennessee Department of Health will present their budget to the House Finance, Ways, and Means Committee at 10 a.m. (Central time) on Wednesday, March 1. You can view the presentation live on the Tennessee General Assembly website.

State Legislation Update
Legislative committee calendars are filling up as bills make their way through committees. TPCA is monitoring a number of bills; the list below is lengthy, but will decrease as the session progresses.

TPCA Bill List

SB613/HB522

 

PROFESSIONS & LICENSURE: Permit for dentists and dental facilities who uses general anesthesia.

 
Sponsors: Sen. Watson, Bo , Rep. Ramsey, Bob
Summary: Amends language to require any duly licensed and registered dentist and dental facilities who uses general anesthesia, deep sedation, or conscious sedation in that dentist's or dental facility's practice, must secure a permit from the board of dentistry, by meeting the standards as set in rules and by paying fees set by the board. The permit is subject to renewal at intervals upon payment of a fee as set by the board in rules. Permits must be prominently displayed at all times in the dental facility for patients to view.
Fiscal Note: (Dated February 14, 2017) NOT SIGNIFICANT
Intro Dates: S: 02/08/17, H: 02/08/17
Senate Status: 02/09/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.

SB683/HB158

 

ENVIRONMENT & NATURE: Level of fluoride in sample of water from public water system.

 
Sponsors: Sen. Yager, Ken , Rep. Marsh, Pat
Summary: Requires public water systems for which a monthly fluoride test is confirmed by quarterly laboratory analysis to exceed 1.5 mg/L to have each monthly test analyzed by a laboratory until fluoride levels are below 1.5 mg/L for three consecutive months. Requires the public water system to notify all of its customers that a water sample tested exceeded one and one-half milligrams per liter of fluoride.
Intro Dates: S: 02/13/17, H: 02/01/17
Senate Status: 02/13/17 - Referred to Senate Energy, Agriculture & Natural Resources Committee.
House Status: 02/03/17 - Referred to House Agriculture & Natural Resources Subcommittee.

SB985/HB675

 

UTILITIES: Fluoride limits in public drinking water.

 
Sponsors: Sen. Gresham, Dolores , Rep. Lynn, Susan
Summary: Limits amount of fluoride that public water supply system operators may add to public drinking water. Requires that fluoride testing results be open for public inspection and that the public be given notice of fluoridation.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Energy, Agriculture & Natural Resources Committee.
House Status: 02/14/17 - Referred to House Agriculture & Natural Resources Subcommittee.

HEALTH CARE

SB150/HB292

 

HEALTH CARE: Treatment of STDs by nurse practitioners and physician assistants to minors.

 
Sponsors: Sen. Green, Mark , Rep. Reedy, Jay
Summary: Authorizes nurse practitioners and physician assistants to treat minors with sexually transmitted diseases, including the prescription of drugs relating to a sexually transmitted disease.
Amendment Summary: Senate Health and Welfare committee amendment1 (003939) deletes and rewrites the bill such that the amended bill authorizes nurse practitioners with a certificate of fitness and an appropriate supervising physician, or a physician assistant with an appropriate supervising physician, to treat a minor with a sexually transmitted disease to the full extent of their practice authority, including the authority to prescribe and dispense drugs relating to a sexually transmitted disease.
Fiscal Note: (Dated February 1, 2017) NOT SIGNIFICANT
Intro Dates: S: 01/30/17, H: 02/01/17
Senate Status: 02/22/17 - Senate Health & Welfare Committee recommended with amendment1 (003939). Sent to Senate Calendar Committee.
House Status: 02/03/17 - Referred to House Health Subcommittee.

SB214/HB647

 

WELFARE: Annual Coverage Assessment Act of 2017.

 
Sponsors: Sen. Overbey, Doug , Rep. McDaniel, Steve
Summary: Annual coverage assessment means, the annual assessment imposed on covered hospitals. Imposes an annual coverage assessment of 4.52 percent on each covered hospital licensed as of July 1, 2017 for fiscal year 2017-2018.
Fiscal Note: (Dated February 7, 2017) Increase State Revenue - $446,590,600/FY17-18/ Maintenance of Coverage Trust Fund Increase State Expenditures - $446,590,600/FY17-18/ Maintenance of Coverage Trust Fund Increase Federal Expenditures - $851,826,400/FY17-18/ Maintenance of Coverage Trust Fund Revenue recognition in the amount of $446,590,600 is included in the Governor's proposed FY17-18 budget (page A-37). Corresponding non- recurring appropriations in the amount of $1,298,417,000 ($446,590,600 in state funds and $851,826,400 in federal matching funds) are also included.
Intro Dates: S: 02/01/17, H: 02/09/17
Senate Status: 02/02/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.

SB595/HB664

 

PROFESSIONS & LICENSURE: Interstate Medical Licensure Compact.

 
Sponsors: Sen. Watson, Bo , Rep. Hill, Matthew
Summary: Enacts the Interstate Medical Licensure Compact by creating alliances with other states to enable medical doctors to be licensed across state borders. Does not replace existing boards in each state. Streamlines procedures to assure license portability between the states.
Amendment Summary: Amendment 1 (Verbal) Senate Government Operations- Extends the Interstate Medical Licensure Compact to January 1, 2019.
Fiscal Note: (Dated February 19, 2017) Increase State Revenue - $8,200/FY18-19/TBI $100,000/FY18-19 and Subsequent Years/General Fund $177,500/FY18-19 and Subsequent Years/Division of Health Related Boards Increase State Expenditures - $8,200/FY18-19/TBI $151,500/FY18-19/Department of Health $67,200/FY19-20 and Subsequent Years/Division of Health Related Boards Other Fiscal Impact – The Board of Medical Examiners (BME) and the Board of Osteopathic Examination (BOE) are required to be self-supporting. As a result, any substantial increase in expenditures occurring pursuant to paying assessment fees to join the Compact may result in a subsequent increase in licensure fees in order to offset any increased expenditures. The BME had a cumulative reserve balance of $3,041,785 on June 30, 2016 and the BOE had a cumulative reserve balance of $713,249 on June 30, 2016.
Intro Dates: H: 02/09/17
Senate Status: 02/22/17 - Senate Government Operations Committee recommended with amendment 1 (verbal), which extends the Interstate Medical Licensure Compact to January 1, 2019. Sent to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.

SB639/HB607

 

HEALTH CARE: Volunteer healthcare services to eligible low-income patients.

 
Sponsors: Sen. Roberts, Kerry , Rep. Gant, Ron
Summary: Permits certain healthcare providers or individual medical professionals to execute a contract with the department of health or a governmental contractor to deliver volunteer healthcare services to eligible low-income patients.
Intro Dates: S: 02/09/17, H: 02/08/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.

SB791

 

HEALTH CARE: Prescriptions of buprenorphine.

 
Sponsors: Sen. Dickerson, Steven ,
Summary: Permits the prescription for buprenorphine mono or for buprenorphine without use of naloxone for the treatment of substance use disorder only to patients who are pregnant, transitioning from methadone maintenance to buprenorphine with naloxone for a period not to exceeding 7 days, or allergic to naloxone with a type 1 hypersensitivity reaction to sublingual naloxone.
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.

SB849/HB537

 

HEALTH CARE: Report on state's health status ranking.

 
Sponsors: Sen. Briggs, Richard , Rep. Smith, Eddie
Summary: Requires the commissioner of health to report concerning the factors affecting this state's health status in rankings of health status among the several states to the health committee of the house and the health and welfare committee of the senate by February 15, 2018. Requires the report to include discussions of the role of individual behaviors in obesity, diabetes, and other health conditions in developing those rankings.
Intro Dates: S: 02/09/17, H: 02/08/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.

SB1161/HB1214

 

PROFESSIONS & LICENSURE: Practice of mobile integrated health care by emergency service personnel.

 
Sponsors: Sen. Hensley, Joey , Rep. Parkinson, Antonio
Summary: Requires the Tennessee emergency medical services board to study, on or before January 31, 2018, the practice of mobile integrated health care by emergency medical services personnel and its relationship to community paramedicine. The board shall report its findings and recommendations to the health and welfare committee of the senate and the health committee of the house of representatives.
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.

SB1225/HB1179

 

HEALTH CARE: Increased time limit to provide medical records.

 
Sponsors: Sen. Massey, Becky , Rep. Faison, Jeremy
Summary: Increases length of time a health care provider has to provide medical records to a patient who has requested such records from within 10 to within 20 working days. Broadly captioned.
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.

SB1276/HB1272

 

HEALTH CARE: Mobile integrated healthcare.

 
Sponsors: Sen. Norris, Mark , Rep. Thompson , Dwayne
Summary: Authorizes the Tennessee emergency medical services board to establish standards for mobile integrated healthcare through promulgation of rules.
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.

SB1309/HB1067

 

PROFESSIONS & LICENSURE: Inappropriate involvement of healthcare practitioners with controlled substances.

 
Sponsors: Sen. Crowe, Rusty , Rep. Holsclaw, Jr., John
Summary: Authorizes department acting through the chief medical officer of the department of health or designee to the commissioner of health to issue emergency order of suspension or restricting the license of a healthcare practitioner who test positive for any drug they do not have a lawful prescription and medical reason for using. Allows practitioner 48 hours from notification to produce a lawful prescription before issuing an emergency order. Requires employer of the healthcare practitioner who test positive for any drug on a confirmed drug test to report them to their licensing board or committee and the department in compliance with the Uniform Administration Procedures Act. Allows a quality improvement to share information on substance abuse by a licensed nurse with another committee. Requires emergency action by department of health any time a healthcare practitioner test positive for any drug on a confirmed drug test or engages in use, possession, or diversion of controlled substances.
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.

SJR44

 

INSURANCE HEALTH: Expresses support for conversion of Medicaid funding to a block grant.

 
Sponsors: Sen. Green, Mark ,
Summary: Expresses support for conversion of Medicaid funding to a block grant and opposes expansion of Medicaid under the federal Patient Protection and Affordable Care Act, Pub. L. No. 111-148.
Fiscal Note: (Dated February 7, 2017) Pursuant to Tenn. Code Ann. § 3-2-107, this fiscal note has been corrected to include an Impact to Commerce Statement. The fiscal analysis of the original fiscal note dated January 29, 2017 has not changed. NOT SIGNIFICANT
Intro Dates: S: 01/30/17
Senate Status: 02/01/17 - Referred to Senate Commerce & Labor Committee.

HEALTH INSURANCE

SB591/HB848

 

INSURANCE HEALTH: Dependent health insurance requirement for child up to 26 years of age.

 
Sponsors: Sen. Yarbro, Jeff , Rep. Fitzhugh, Craig
Summary: Requires health insurance policies to cover a dependent child until they reach 26 years of age.
Intro Dates: H: 02/09/17
Senate Status: 02/09/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.

SB593/HB502

 

INSURANCE HEALTH: Imposing preexisting condition exclusions on insureds.

 
Sponsors: Sen. Yarbro, Jeff , Rep. Powell, Jason
Summary: Prohibits health insurance issuers from excluding people from coverage based off pre-existing conditions.
Senate Status: 02/09/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.

SB612/HB1252

 

INSURANCE HEALTH: Claims by insurance companies to be paid within 10 days if pre-authorized.

 
Sponsors: Sen. Jackson, Ed , Rep. Byrd, David
Summary: Includes as a requirement for timely reimbursement that any claim submitted to an insurer by a provider be paid within 10 days if the provider had obtained a pre-authorization for the claim.
Intro Dates: S: 02/08/17, H: 02/08/17
Senate Status: 02/09/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/15/17 - Referred to House Insurance & Banking Subcommittee.

SB657/HB701

 

INSURANCE HEALTH: Reporting requirements for the all payer claims database.

 
Sponsors: Sen. Jackson, Ed , Rep. Brooks, Kevin
Summary: Revises reporting requirements for the all payer claims database to exclude self-funded employer sponsored health insurance plans. Establishes a Tennessee all payer claims database task force.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.

SB697/HB1091

 

INSURANCE HEALTH: Prohibits an HMO from denying payment for preventative and diagnostic services.

 
Sponsors: Sen. Yager, Ken , Rep. Keisling, Kelly
Summary: Prohibits an HMO or subcontractor from denying payment for preventative and diagnostic services provided by primary care providers or through a provider's supervision of auxilliary personnel.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/15/17 - Referred to House Insurance & Banking Subcommittee.

SB827/HB847

 

INSURANCE HEALTH: Health insurance coverage of dependent children.

 
Sponsors: Sen. Yarbro, Jeff , Rep. Fitzhugh, Craig
Summary: Raises the age until which health insurance policies must cover a dependent child from 24 to 26 years of age.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.

SB830/HB842

 

INSURANCE HEALTH: Establishes minimum essential benefits for health insurance coverage.

 
Sponsors: Sen. Yarbro, Jeff , Rep. Fitzhugh, Craig
Summary: Requires the commissioner of commerce and insurance by July 1, 2017, to establish by rule requirements for minimum essential benefits for health insurance coverage in this state that is no less extensive than that available under the federal Patient Protection and Affordable Care Act, Pub. L. No. 111-148.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.

SB833/HB846

 

INSURANCE HEALTH: Expansion of Medicaid pursuant to the Affordable Care Act.

 
Sponsors: Sen. Yarbro, Jeff , Rep. Fitzhugh, Craig
Summary: Authorizes the governor to expand medicaid eligibility in accordance with the Patient Protection and Affordable Care Act. Also authorizes the governor to negotiate with the centers for medicare and medicaid services with respect to the terms of medicaid expansion.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.

SB1314/HB966

 

GOVERNMENT ORGANIZATION: Advisory council on payment reform in health care.

 
Sponsors: Sen. Crowe, Rusty , Rep. Hill, Matthew
Summary: Establishes an advisory council on payment reform in health care that is administratively attached to the general assembly. Requires that the council report to the health and welfare committee of the senate and the health committee of the house of representatives.
Fiscal Note: (Dated February 15, 2017) Increase State Expenditures - $7,600
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Government Operations Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.

NON-PROFITS

SB144/HB81

 

GOVERNMENT REGULATION: Appropriation of funds for nonprofit organizations by local governments.

 
Sponsors: Sen. Lundberg, Jon , Rep. Crawford , John
Summary: Requires any nonprofit organization seeking financial assistance to file an annual report, detailing all receipts and expenditures in a form prescribed by the comptroller of the treasury. Also requires any nonprofit seeking financial assistance from a municipality to file with the city's clerk office, the entity's most recently completed annual audit or an annual report detailing all receipts and expenditures, description of the program that serves the residents of the municipality, and purpose for the financial assistance. Subjects the nonprofit's report to be audited by the department of audit.
Intro Dates: S: 01/30/17, H: 01/30/17
Senate Status: 02/01/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/01/17 - Referred to House State Government Subcommittee.
   

PUBLIC ASSISTANCE

SB7/HB632

 

GOVERNMENT REGULATION: Capping the total value of certain public assistance at the level of average household income in the state.

 
Sponsors: Sen. Green, Mark , Rep. Holt, Andy
Summary: Places a cap on the total value of public assistance benefits a household can receive, that is not to exceed the median household income for the State of Tennessee. States that once a household reaches the median income level, the household is ineligible for further public assistance. The department of finance and administration shall develop a system for calculating the value of public assistance a household is receiving and monitor affected households.
Intro Dates: S: 01/10/17, H: 02/08/17
Senate Status: 01/30/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.

SB504/HB1215

 

WELFARE: Report on recommendations regarding the supplemental nutrition assistance program.

 
Sponsors: Sen. Tracy, Jim , Rep. Hicks, Gary
Summary: Requires the commissioner of human services to study and report any appropriate recommendations to the health and welfare committee of the senate and the health committee of the house concerning options for reducing or prohibiting the purchase of harmful products with no or little nutritional value by recipients of benefits under the supplemental nutrition assistance program.
Fiscal Note: (Dated February 14, 2017) NOT SIGNIFICANT
Senate Status: 02/09/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.

SB1172/HB91

 

WELFARE: Requirements for recipients of food assistance (SNAP).

 
Sponsors: Sen. Hensley, Joey , Rep. VanHuss, James
Summary: Requires recipients of food assistance (SNAP), as a condition of participation and eligibility, to periodically submit proof that the recipient has been employed for at least 20 hours of work each week, has been engaged in at least 24 hours of community service each month, has participated at an employment center in classes to improve skills or in actively seeking employment for at least 20 hours each week, or is enrolled as a full-time student in a higher education institution or technical school. Specifies certain exemptions to this requirement.
Intro Dates: S: 02/13/17, H: 01/30/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/01/17 - Referred to House Health Subcommittee.

HB43

 

WELFARE: Restrictions for welfare recipients.

 
Sponsors: Rep. Butt, Sheila
Summary: Prohibits recipients of electronic benefits transfer (EBT) cards from using the card to purchase food that is high in calories, sugar, and fat, as recommended by the United States department of agriculture. Bans people or businesses that take EBT cards from accepting the card if used to purchase food that is high in calories, sugar, and fat.
Intro Dates: H: 01/30/17
House Status: 02/01/17 - Referred to House Health Subcommittee.

SAFETY NET

SB191/HB643

 

WELFARE: Health care safety net.

 
Sponsors: Sen. Overbey, Doug , Rep. McDaniel, Steve
Summary: Deletes language associated with the creation and implementation of the health care safety net's 24/7 hotline, designed to assist and direct individuals in need of medical care and services to available resources in their areas.
Intro Dates: S: 02/01/17, H: 02/09/17
Senate Status: 02/02/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.

SCOPE OF PRACTICE

SB523/HB756

 

PROFESSIONS & LICENSURE: Redefining relationship between advanced practice RNs and Physicians regarding controlled substances.

 
Sponsors: Sen. Massey, Becky , Rep. Favors, JoAnne
Summary: Modifies the relationship between an advanced practice registered nurse and a physician in regards to reporting of certain controlled substances to be a relationship based on collaboration rather than supervision.
Fiscal Note: (Dated February 14, 2017) NOT SIGNIFICANT
Intro Dates: H: 02/09/17
Senate Status: 02/09/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.
 

SB943/HB967

 

HEALTH CARE: Monitoring of certified nurse practitioners by physicians.

 
Sponsors: Sen. Ketron, Bill , Rep. Hill, Matthew
Summary: Requires supervising physicians to personally review at least twenty percent (20%) of charts monitored or written by certified nurse practitioners within seventy-two (72) hours of the patient being seen by the certified nurse practitioner.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.
 

SB1055/HB1099

 

HEALTH CARE: Role of nurse practitioners in the treatment of youth sport-related injuries.

 
Sponsors: Sen. Bowling, Janice , Rep. Hill, Timothy
Summary: Adds nurse practitioner with concussion training who is a member of a health care team supervised by a Tennessee licensed M.D. or O.D., as a permissible health care provider for purposes of authorizing a youth athlete to return to play after suffering a head injury.
Fiscal Note: (Dated February 21, 2017) NOT SIGNIFICANT
Intro Dates: S: 02/09/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.
 

SB1056/HB1177

 

PROFESSIONS & LICENSURE: Authorizes advanced practice registered nurses to prescribe and practice without physician supervision.

 
Sponsors: Sen. Bowling, Janice , Rep. Faison, Jeremy
Summary: Allows a registered nurse who has been in practice as an advanced practice registered nurse (APRN) for three years to begin a four year process to practice without the supervision of a physician. Outlines the four year process, including two periods of 4,160 practice hours each. Allows the nurse to apply to the board for a practice review to determine if the nurse may be granted controlled substance prescribing authority. Requires the board of medical examiners to review and update physician supervision requirements and guidelines. Authorizes the board of nursing to promulgate rules.
Intro Dates: S: 02/09/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.

SUBSTANCE ABUSE AND TREATMENT

 

SB871/HB1192

 

HEALTH CARE: Time frame for healthcare practitioners to register in the controlled substance database.

 
Sponsors: Sen. Yarbro, Jeff , Rep. Towns Jr., Joe
Summary: Decreases the amount of time in which healthcare practitioners or their agents have to register in the controlled substance database after receiving a federal drug enforcement administration number from 30 to 15 days. Broadly captioned.
Fiscal Note: (Dated February 16, 2017) NOT SIGNIFICANT
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Judiciary Committee.
House Status: 02/15/17 - Referred to House Criminal Justice Subcommittee.
 

SB1173/HB1323

 

PUBLIC FINANCE: Opioid Abuse Block Grant Act.

 
Sponsors: Sen. Hensley, Joey , Rep. Stewart, Mike
Summary: Requires the department of health to create an opioid abuse block grant program. Appropriates $100 million from excess state tax revenues over collected in fiscal years 2015-2016 and 2016-2017 for opioid abuse block grants.
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Judiciary Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.
 

SB1385/HB620

 

HEALTH CARE: Report on treatment resources for persons affected by substance abuse.

 
Sponsors: Sen. Tate, Reginald , Rep. Favors, JoAnne
Summary: Requires the commissioner of mental health and substance abuse services to report to the health committee of the house of representatives and the health and welfare committee of the senate by January 15, 2018, on the geographic distribution and program adequacy of treatment resources for persons affected by substance abuse.
Fiscal Note: (Dated February 12, 2017) NOT SIGNIFICANT
Intro Dates: S: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/17/17 - Referred to House Health Subcommittee.
 

SB1413/HB1120

 

HEALTH CARE: Substance abuse treatment.

 
Sponsors: Sen. Briggs, Richard , Rep. Ragan, John
Summary: Requires the commissioner of mental health and substance abuse services to report to the health committee of the house of representatives and the health and welfare committee of the senate concerning any restrictions and requirements from the federal department of health and human services about federal law on substance abuse treatment programs that the department of mental health and substance abuse services contracts with or operates in order to provide treatment services.
Fiscal Note: (Dated February 12, 2017) NOT SIGNIFICANT
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/15/17 - Referred to House Health Subcommittee.

TELEHEALTH

 

SB601/HB518

 

HEALTH CARE: Use of technology in delivering healthcare services by means of telemedicine and telehealth.

 
Sponsors: Sen. Overbey, Doug , Rep. Sexton, Cameron
Summary: Requires the commissioner of health to study and report on recommendations for legislation concerning telehealth and telemedicine under existing statutes, to the health committee of the house of representatives and the health and welfare committee of the senate. The recommendations shall examine the need for improving the effective use of telemedicine and telehealth among healthcare providers and insurers.
Fiscal Note: (Dated February 11, 2017) NOT SIGNIFICANT
Intro Dates: S: 02/08/17, H: 02/08/17
Senate Status: 02/09/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.

TENNCARE

 

SB118/HB69

 

TENNCARE: Expansion of TennCare waiver.

 
Sponsors: Sen. Briggs, Richard , Rep. Smith, Eddie
Summary: Directs the commissioner of finance and administration to submit a waiver request to the federal centers for medicare and medicaid services to enable the state to provide medical assistance to the existing TennCare II waiver population and persons with incomes below 138 percent of the federal poverty line by means of a block grant of federal funds.
Fiscal Note: (Dated January 31, 2017) Increase State Expenditures – Not Significant Other Fiscal Impact – If approved by the federal government, the block grant received will be at the current federal funding level of $7,163,104,200 for FY17-18. Additional state funds will be needed to cover the expanded population of 280,000 enrollees or the TennCare benefit structure will need to be amended so that benefits can be provided to the entire population at the current funding level.
Intro Dates: S: 01/30/17, H: 01/30/17
Senate Status: 02/01/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/08/17 - Referred to House Insurance & Banking Subcommittee.
 

SB837/HB480

 

TENNCARE: Report on coverage for mental health treatment.

 
Sponsors: Sen. Briggs, Richard , Rep. Clemmons, John
Summary: Requires managed care organizations participating in the TennCare program to annually report to the bureau of TennCare certain information regarding treatment of claims for mental health and alcoholism or drug dependence benefits in relation to the requirements of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.
Intro Dates: S: 02/09/17, H: 02/08/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.
 

SB841/HB1096

 

TENNCARE: Annual reports required by managed care organizations.

 
Sponsors: Sen. Briggs, Richard , Rep. Hill, Timothy
Summary: Requires managed care organizations to submit an annual report to the bureau of TennCare, the members of the health committee and insurance and banking committee of the house, the members of the health and welfare committee of the senate, the commissioner of finance and administration, and the governor. Requires the report to contain the following information for the year to which it pertains: (1) The amount of money spent on services for patients in each area of care; (2) The number of patients receiving care in each area of care; (3) The number of facilities and providers that have sought to be credentialed with the managed care organization, along with their credential approval status; and (4) The medical loss ratio for each category.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/15/17 - Referred to House Insurance & Banking Subcommittee.
 

SB852/HB584

 

TENNCARE: Recipients of medical assistance.

 
Sponsors: Sen. Briggs, Richard , Rep. Love Jr., Harold
Summary: Requires language interpreter services, which may include sign language to help hearing impaired recipients, and spoken language interpreter services to all recipients with limited English proficiency; to be included as medical assistance for the TennCare program.
Fiscal Note: (Dated February 14, 2017) NOT SIGNIFICANT
Intro Dates: S: 02/09/17, H: 02/08/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.
 

SB1145/HB1188

 

GOVERNMENT ORGANIZATION: Reestablishes the legislative oversight committees on TennCare, children's services, and correction.

 
Sponsors: Sen. Hensley, Joey , Rep. Hill, Matthew
Summary: Re-establishes legislative oversight committees on Tenncare, children's services, and correction. Specifies the procedures by which the committees shall be created and who shall serve on the boards. (19 pp)
Intro Dates: S: 02/13/17
Senate Status: 02/13/17 - Referred to Senate Government Operations Committee.
House Status: 02/15/17 - Referred to House State Government Subcommittee.
 

SB1155/HB290

 

TENNCARE: TennCare advisory commission.

 
Sponsors: Sen. Hensley, Joey , Rep. Kumar, Sabi
Summary: Deletes the entire section and requires the department of finance and administration to reestablish a TennCare advisory commission. The purpose of the commission is to review annually the health care operations including, but not limited to, cost-management analysis, benefits, enrollment, eligibility, costs, and performance of the TennCare program and to make recommendations to the governor regarding cost-containment strategies and cost-effective program improvements.
Intro Dates: S: 02/13/17, H: 02/01/17
Senate Status: 02/13/17 - Referred to Senate Government Operations Committee.
House Status: 02/03/17 - Referred to House Health Subcommittee.

TOBACCO

 

SB278/HB279

 

LOCAL GOVERNMENT: Local regulation of products containing nicotine.

 
Sponsors: Sen. Lundberg, Jon , Rep. Sexton, Cameron
Summary: Allows local authorities to regulate the use of tobacco products in public places, places of employment, and parks. Clarifies that such regulation by local authorities cannot be less restrictive than that required by state law.
Intro Dates: S: 02/02/17, H: 02/01/17
Senate Status: 02/06/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/03/17 - Referred to House Agriculture & Natural Resources Subcommittee.
   
   

BEHAVIORAL HEALTH

 

SB709/HB746

 

HEALTH CARE: Treatment guidelines for the nonresidential use of buprenorphine.

 
Sponsors: Sen. Yager, Ken , Rep. Powers, Dennis
Summary: Requires the commissioners of health and mental health and substance abuse services to produce guidelines on nonresidential buprenorphine treatment by January 1, 2018, and to annually update those guidelines.
Intro Dates: S: 02/13/17, H: 02/09/17
Senate Status: 02/13/17 - Referred to Senate Health & Welfare Committee.
House Status: 02/14/17 - Referred to House Health Subcommittee.
 

SB836/HB479

 

INSURANCE HEALTH: Federal and state statutes concerning mental health parity.

 
Sponsors: Sen. Briggs, Richard , Rep. Clemmons, John
Summary: Requires the department of commerce and insurance to implement and enforce federal and state statutes concerning mental health parity. Mandates the department to issue a report to the general assembly and provide an educational presentation to the general assembly concerning the department's efforts to implement and enforce federal and state statutes concerning mental health parity. no later than June 1 of each year.
Intro Dates: S: 02/09/17, H: 02/08/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.
 

SB837/HB480

 

TENNCARE: Report on coverage for mental health treatment.

 
Sponsors: Sen. Briggs, Richard , Rep. Clemmons, John
Summary: Requires managed care organizations participating in the TennCare program to annually report to the bureau of TennCare certain information regarding treatment of claims for mental health and alcoholism or drug dependence benefits in relation to the requirements of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.
Intro Dates: S: 02/09/17, H: 02/08/17
Senate Status: 02/13/17 - Referred to Senate Commerce & Labor Committee.
House Status: 02/14/17 - Referred to House Insurance & Banking Subcommittee.
 

Archive

    Archive

      Trainings

      View All Events