State Advocacy Update

By Policy and Advocacy Brief posted 02-13-2021 12:52

  

State Advocacy Update

  • Several States Introduce Cost-Sharing for Insulin;
  • Multiple Telemedicine Measure Introduced Addressing Reimbursement Parity, Technology, Patient-Physician Relationship, and Allow Audio-Only Visits – The AUA supports the full expansion of telehealth following the current public health emergency and treatment and has met with CMS to urge the adoption of audio-only visits;
  • California Looks to Address Step-Therapy – The AUA has met with CMS to address and oppose various regulatory barriers to care such as step therapy;
  • Iowa and Kentucky Introduce Intersex Bills – The AUA advocates for medical decision-making for children remaining the responsibility of parents and should not be legislated;
  • New Mexico Seeks to Bring Medical and Osteopathic Boards Together; and
  • Texas Seeks to Join the Interstate Medical Licensure Compact (IMLC) – measure aligns with AUA’s state advocacy priority to expand IMLC.

 

Alabama

H.B. 249 – Cost-Sharing

Introduced by Representative Paul Lee (D), H.B. 249 seeks to cap the cost-sharing requirements on insulin to $100 per 30-day supply. The bill was referred to the House Insurance Committee. Read the bill.

 

Arizona

S.B. 1682 – Telemedicine

Introduced by Senator Tyler Pace (R), S.B. 1682 seeks to amend state telemedicine law to allow for store and forward technology and for audio-only telemedicine services. The bill has not yet been referred to a committee. Read the bill.

 

S.B. 1725 – Cost-Sharing

Introduced by Senator Rebecca Rios (D), S.B. 1725 seeks to cap cost-sharing for insulin to $100 per 30-day supply. The bill has not yet been assigned to a committee. Read the bill.

 

California

A.B. 347 – Step-Therapy

Introduced by Representative Joaquin Arambula (D), A.B. 347 seeks to clarify that a health care insurer may require step-therapy if there is more than one drug appropriate for the treatment of a medical condition. The bill would require a health care insurer to expeditiously grant a step therapy exception if specified criteria are met. The bill would authorize an enrollee or health care provider to file an appeal of prior authorization or denial of a step-therapy exception request, and would require a health care insurer to designate a clinical peer to review those appeals. The bill has not yet been referred to a committee. Read the bill.

 

A.B. 359 – Medical Licensure

Introduced by Representatives Jim Cooper (D) and Smitty Smith (R), A.B. 359 seeks to amend state medical licensure law to establish an exception for an applicant who holds an unrestricted license as a physician in another state with no disciplinary or adverse judgments. The bill has not yet been referred to a committee. Read the bill.

 

Connecticut

H.B. 6249 – Telemedicine

Introduced by Representative Lucy Dathan (D), H.B. 6249 seeks to amend state telemedicine law to expand the list of providers who may provide telehealth services and require health insurance reimbursement for telehealth services. The bill was referred to the Joint Committee on Insurance and Real Estate. Read the bill.

 

H.B. 6337 – Balance Billing

Introduced by Representative Kevin Ryan (D), H.B. 6337 seeks to prohibit certain out-of-network health care providers from engaging in balance billing. The bill was referred to the House Insurance and Real Estate Committee. Read the bill.

 

Indiana

Executive Order – 20-02

Governor Eric Holcomb (R) extends Executive Orders 20-3 through 20-52 suspending rules prohibiting audio-only telemedicine from reimbursement; allowing retired physicians to practice medicine by registering for a temporary license; and allowing elective procedures to resume. The order ends March 6. Read the Executive Order.

 

Iowa

H.F. 269 – Telemedicine

Introduced by Representative Joel Fry (R), H.F. 269 seeks to amend state telemedicine law to prohibit health insurance carriers from excluding out-of-state health care professionals from providing services in the state. The health care professional needs to be licensed in the state, but does not need to be physically located in the state. The bill was referred to the House Human Resources Committee. Read the bill.

 

H.F. 327 – Intersex

Introduced by Representative Jeff Shipley (R), H.F. 327 seeks to prohibit a physician from performing any treatment or intervention on the sex characteristics of a minor diagnosed with gender dysphoria unless the physician provides written disclosure to all parents of the minor that informed consent must be obtained from all parents of the minor. The bill was referred to the House Human Resources Committee. Read the bill.

 

H.F. 333 – Cost-sharing

Introduced by Representative Sharon Steckman (D), H.F. 333 seeks to amend state health insurance law to require coverage benefits for the diagnosis and treatment of infertility and fertility preservation services. The bill was referred to the House Commerce Committee. Read the bill.

 

Kansas

H.B. 2206 – Telemedicine

Introduced by, and referred to the House Health and Human Services Committee, H.B. 2206 seeks to amend state telemedicine law to allow referral to specialty services and coordination of those services with the treating physician. The bill was referred to the House Health and Human Services Committee. Read the bill.

 

S.B. 137 – Medical Licensure; Telemedicine

Introduced by, and referred to the Senate Commerce Committee, S.B. 137 seeks to amend state licensure law to expand the military spouse and service member’s expedited licensure law to applicants who established residency; provide for a license during a state of emergency; and allow telemedicine services by out-of-state health care providers. The bill was referred to the Senate Commerce Committee. Read the bill.

 

Kentucky

H.B. 336 – Intersex

Introduced by Representatives Savannah Maddox (R) and Melinda Prunty (R), H.B. 336 seeks to prohibit medical professionals from performing surgeries or prescribing medications to a minor with the intent to alter the sex the child was assigned at birth and create a civil cause of action for violations and create a new section regarding parental rights in the area of gender identity or gender dysphoria. The bill was referred to the House Committee on Committees. Read the bill.

 

Massachusetts

S.B. 528 – Pelvic Exams

Introduced by Senator Jo Comerford (D), S.B. 528 seeks to prohibit a pelvic exam on an anesthetized or unconscious patient without first obtaining written consent, unless the performance of the exam is within the scope of care for a procedure or diagnostic exam. The bill has not yet been referred to a committee. Read the bill.

 

Nevada

S.B. 5 – Telemedicine

Introduced by the Senate Health and Human Services Committee, S.B. 5 seeks to prohibit a third-party payer from: (1) refusing to pay for services provided through telehealth because of the technology used to provide the services; or (2) categorizing a service provided through telehealth differently for purposes relating to coverage or reimbursement than if the service had been provided in person. The bill also requires a third-party payer to cover services provided through telehealth, except for services provided using a standard telephone, in the same amount as services provided in person or by other means. The bill was referred to the Senate Health and Human Services Committee. Read the bill.

 

New Mexico

S.B. 279 – Medical Licensure

Introduced by Senator Bill O’Neill (D), S.B. 279 seeks to eliminate the osteopathic board and bring all physicians under the medical board. The bill was referred to the Senate Judiciary Committee. Read the bill.

 

Oklahoma

H.B. 1019 – Cost-Sharing

Introduced by Representative Rande Worthen (R), H.B. 1019 seeks to cap the cost of insulin to $100 per 30-day supply. The bill has not yet been referred. Read the bill.

Oregon

S.B. 560 – Cost Sharing

Introduced by Senators Sara Gelser (D) and Tim Knopp (R), S.B. 560 seeks to require health care insurers to count payments made on behalf of enrollee for costs of care toward enrollee’s out-of-pocket maximum or cost-sharing. The bill was referred to the Senate Health Care Committee. Read the bill.

 

Rhode Island

H.B. 5251 – Cost-Sharing

Introduced by Representative Grace Diaz (D), H.B. 5251 seeks to cap cost-sharing for insulin to $50 per 30-day supply. The bill was referred to the House Health & Human Services Committee. Read the bill.

 

Texas

S.B. 517 – Interstate Medical Licensure Compact

Introduced by Senator Joan Hoffman (R), S.B. 517 seeks to allow Texas to join the Interstate Medical Licensure Compact. The bill has not yet been referred to a committee. Read the bill.

 

Washington

H.B. 1462 – Telemedicine

Introduced by Representative Alicia Rule (D), H.B. 1462 seeks to amend state telemedicine law to reimburse for telemedicine services at the same rate as in-person services. The bill was referred to the House Health Care and Wellness Committee. Read the bill.

 

For information about bills the AUA is tracking in your state, please contact AUA State Advocacy Manager Catherine Hendricks at CHendricks@AUAnet.org.

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