2017 Washington Legislative Session Preview Webinar

WSMA Legislative and Regulatory update – agenda review

December 14, 2016

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A Look Back and Ahead

oTakeaways and things to watch… o2016 legislative session reviewoPolitical campaigns/electionso2017 legislative session preview oRegulatory update

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Political CampaignsPresidential Election

o Surprise!!!o How did this happen? o Fallout?...

Congressional campaigns o Power of incumbency /

gerrymanderingo 7th Congressional District

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Political CampaignsStatewide Elections

o Supreme Court challengerso Dave Larson vs. Justice Charlie Wigginso Greg Zempel vs. Justice Barbara Madseno David DeWolf vs. Justice Mary Yu

o Incumbents safe o Governor o Attorney General o Insurance Commissionero Secretary of State

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Political CampaignsStatewide Elections

o Open seatso Lieutenant governoro Auditor

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Political Campaigns

State Senate o Conservatives will controlo 45th District appointee

o Former state senator Dino Rossi o What to watch: 31st district

State House of Representatives o D’s to controlo 50-48

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2016 Legislative Session…

…in two minutes or less!

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Top 5 takeaways from 2016 session1. Credentialing, HB 2335 (Cody)

o Standardize turn-around time and process to credential providers

o Preserves delegation arrangements for facilities o Passed House 97-0; Senate 48-0

2. Medical Assistant medication retrieval, HB 2350 (Cody)o PQAC overreacho Allowing MAs to retrieve medication while under

appropriate supervisiono Passed House 95-2; Senate 42-6

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Top 5 takeaways from session3. Telemedicine 2.0, SB 6519 (Becker)

o “In-home” reimbursemento Telehealth collaborative o Passed Senate 49-0; House 91-6

4. Prescription Monitoring Program access, HB 2730 (Peterson)

o “Bulk” access to the PMP for hospitals, groups of prescriberso More than 5 physicians

o Passed House 80-16; Senate 47-1

5. Bad bills defeated

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Bad bills defeated

o Balance billing prohibition in emergency settings, HB 2447 (Cody)oHighly technical and politicaloWSMA opposedoDefeated

o “ Associate physicians,” HB 2343 (Cody) oAlternative pathway for med school grads who

do not match a residency oDefeated

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Bad bills defeated o Naturopath opioid prescribing (Schedule II-

V), SB 2304 (DeBolt)o Inappropriate scope expansionoDefeated

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2017 Budget Contexto 2015-17 Budget

contexto $38.2 billion

spending plano Expires June 30,

2017o WSMA highlights?

o $511k vaccine module

o $230k MMR panel

o No cuts, new taxes

o Defend gains

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2017 Budget Contexto 2017-19 Budget

contexto Focus of 2017

sessiono Good news?

o Revenue forecasts up

o $2B projected reserves

o Bad news?o McCleary

mandateo Cost estimates:

$1-4Bo O2G

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2017 Legislative Session PreviewWSMA asks?

o Prescription Monitoring Program (PMP) o UW Telepain center

- $150-300ko Student loan

repaymento focus on mental

health

o Defend earlier gainso Student loan

repayment o Residency fundingo MMRo Other

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2017 Legislative Session PreviewWSMA asks?

o Defend against taxes on physicians

o Unknown/TBD o Medicaid

reimbursement?o Pediatric mental

health o Other funding items

TBD

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2017 Legislative Session PreviewBalance Billing

o OIC again proposing prohibitiono How prevalent is problem?

Appropriate scope of solution?o Impact on incentives to contracto Benchmark payment rate – NOT

Medicareo Bring our own bill?

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2017 Legislative Session PreviewOpioid Epidemic

o Joint Task Forceo Legislative proposals

o Overdose feedback system o Drug take-back/safe-drug disposal o Prescribing information to CMOso Naloxone, MAT services

o Non legislative proposalso Example: lower pill counts, etc.

o Possible fiscal impact?

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2017 Legislative Session PreviewHealthy Doctors, Healthier Patients

o Interstate medical licensure compacto Expedited multi-state licensure

o Disability parking permitso Addressing DOL oversight

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2017 Legislative Session PreviewScope of Practice

o Naturopath prescriptive authority?o Definition of dentistry?o Independent practice for pharmacists?

WSMA HOD Resolutionso Climate change…peer review…drug take-

back…whistleblower protections…risk protection orders…incentivized loan programs…

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2017 Legislative Session PreviewOther… o Tobacco 21+o Guns – Assault weapons ban, CAPo Non-competes?

o No WSMA Policyo Telemedicine 3.0 o Vaccines? o Drug pricing? o Federal level changes? o More!

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2017 Legislative Session Preview2017 WSMA Legislative Summit o January 25, 2017 o Governor Inslee to speak, Secretary of Health John

Wiesman o Meet with your local legislators o Sign up to attend!

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Regulatory Updateo Prior Authorization (OIC)

o Standardize timelines and processes across payers

o 2nd draft released in Sep.

o WSMA comments

o Prescription Drug Monitoring Program (DOH)o HB 2730 – PMP bill from

2016o Permits bulk registration o Interim measures; final

rule 4/17

o Suicide CME (MQAC)o Round twoo Defining “brief or

limited patient contact”

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Regulatory Updateo All-payer Claims Database (OFM)

o WSMA priorityo Oregon Health & Science University

o Pharmacy Benefit Managers (OIC)o Years of legislationo WSMA interest? Benefit managers, generallyo More legislation in ‘17…

Thank You!Katie Kolan, JDDirector, Legislative & Regulatory Affairs Email: [email protected]

Sean Graham Assc. Director, Policy & Political Affairs Email: [email protected]

Jeb ShepardAssc. Director, Policy & Regulatory AffairsEmail: [email protected]

Trevor JustinCoordinator, Legislative & Regulatory Affairs Email: [email protected]