State Advocacy Update - Week of February 22

By Policy and Advocacy Brief posted 02-23-2021 11:41

  
State Advocacy Updates
  • Prostate Cancer Bill Introduced in Illinois to Allow for Testing Without a Written Order;
  • Florida Introduces Two Step-Therapy Bills – At the national level, the AUA has met with the Centers for Medicare & Medicaid Services (CMS) to address various regulatory barriers to care such as step-therapy; 
  • Several States Seek to Cap the Cost of Monthly Insulin Supplies;
  • Kentucky and Montana Introduce Intersex Bills; 
  • Rhode Island and Montana Join the Many States with Bills Addressing Pelvic Exam; and
  • Telemedicine Continues to be Refined in the States Allowing for Audio-Only and Reimbursement Parity – The AUA continues to support the full expansion of telehealth services post the current public health emergency and has also met with CMS to urge the adoption of audio-only visits.

 

California

S.B. 473 – Cost Sharing

Introduced by Senator Pat Bates (R), S.B. 473 seeks to cap the cost of insulin to $50 for a 30-day supply and $100 for a supply exceeding 30 days. The bill was referred to the Senate Rules Committee. Read the bill.

 

Florida

H.B. 1001 – Step-Therapy

Introduced by Representative Matt Willhite (D), H.B. 1001 seeks to revise the circumstances under which step-therapy may not be required and for the insurers to grant or deny protocol exemption requests within certain timeframes. The bill has not been referred to a committee. Read the bill.

 

H.B. 6079 – Telemedicine

Introduced by Representative Cyndi Stevenson (R), H.B. 6079 seeks to amend state telemedicine law to allow audio-only telemedicine services. The bill has not yet been referred to a committee. Read the bill.

 

S.B. 1250 – Telemedicine

Introduced by Senator Loranne Ausley (D), S.B. 1250 seeks to prohibit Medicaid managed care plans from using providers who exclusively provide services through telehealth to achieve network adequacy; prohibit health insurance policies from denying coverage or excluding covered services provided through telehealth; require small employer benefit plans to comply with requirements for reimbursement of telehealth services; and prohibit insurers from requiring a subscriber to receive certain services through telehealth. The bill has not yet been assigned to a committee. Read the bill.

 

S.B. 1290 – Step Therapy

Introduced by Senator Ed Hooper (R), S.B. 1290 seeks to revise the circumstances under which step-therapy may not be required and for the insurers to grant or deny protocol exemption requests within certain timeframes. The bill has not yet been referred to a committee. Read the bill.

 

Georgia

S.B. 181 – Cost Sharing

Introduced by Senator Jen Jordan (D), S.B. 181 seeks to cap the cost of insulin to not exceed $50 per 30-day supply. The bill has not yet been referred to a committee. Read the bill.

 

Idaho

H.B. 179 – Telemedicine/Medical Licensure

Introduced by the House Business Committee, H.B. 179 seeks to provide licensure for out-of-state health care providers to provide telehealth services to a person located in Idaho. Each licensure board is responsible for creating the criteria for interstate licensure based on the requirements in the bill. The bill was referred to the House Health and Welfare Committee.

Read the bill.

 

1127 – Telemedicine

Introduced by the Senate Health and Welfare Committee, S.1127 seeks to amend state telemedicine law to permit telehealth technologies sufficient to diagnose and treat the patient. The bill was referred to the Senate Health and Welfare Committee. Read the bill.

 

1126 – Telemedicine

Introduced by the Senate Health and Welfare Committee, S. 1126 seeks to amend state telemedicine law to change “telehealth” to “virtual care”; allow for the use of virtual care to perform a patient evaluation, within the standard of care; prescribe medical devices and controlled substances; require documentation in the patient’s medical record; establish the patient-physician relationship; and further acknowledge the delivery of care is the location of the patient. The bill was referred to the Senate Health and Welfare Committee. Read the bill.

 

Illinois

H.B. 1728 – Prostate Cancer

Introduced by Representative Deanne Mazzochi (R), H.B. 1728 seeks to give males the right to prostate-specific antigen testing once per year if he is: asymptomatic, but age 50 and over; African-American, but age 40 and over; age 40 and over with a personal or family history of prostate cancer; a Vietnam veteran or male with other military service who may have been exposed to Agent Orange; or any male in possession of prostate biopsy results showing a Gleason score above 6. Unless otherwise provided by law, the patient seeking the diagnostic test without a written order from a physician shall be responsible for paying the requested diagnostic costs. The provider of the diagnostic testing must provide the patient, in writing, the cost of the diagnostic test prior to the test being performed, and the patient agrees, in writing, to the amount. The bill has not yet been referred to a committee. Read the bill.

 

H.B. 1830 – COVID-19

Introduced by Representative Jim Durkin (R), H.B. 1830 seeks to provide liability protections for health care providers regarding civil damages for causing or contributing to the death or injury of an individual as a result of the health care provider's acts or omissions while providing or arranging health care in support of the State's response to COVID-19. The bill was referred to the House Rules Committee. Read the bill.

 

H.B. 1728 – Prostate Cancer

Introduced by Representative Deanne Mazzochi (R), H.B. 1728 seeks to give males the right to prostate-specific antigen testing once per year if he is: asymptomatic, but age 50 and over; African-American, but age 40 and over; age 40 and over with a personal or family history of prostate cancer; a Vietnam veteran or individual with other military service who may have been exposed to Agent Orange; or any male in possession of prostate biopsy results showing a Gleason score above 6. The bill has not yet been referred to a committee. Read the bill.

 

Kansas

H.B. 2325 – Balance Billing

Introduced by the House Insurance and Pensions Committee, H.B. 2325 seeks to prohibit balance billing and surprise medical billing, and provide for independent dispute resolution. The bill was referred to the House Insurance and Pension Committee. Read the bill.

 

S.B. 248 – Telemedicine

Introduced by the Senate Ways and Means Committee, S.B. 248 seeks to amend the state telemedicine law to allow a referral to specialty services consistent with the standard of care and require coordination of care with the primary care of other treating physician. The bill has not yet been referred to a committee. Read the bill.

 

Kentucky

H.B. 477 – Intersex

Introduced by Representative Melinda Prunty (R), H.B. 477 seeks to prohibit administering transgender health care services on a minor patient without the written consent of the parent or guardian. The bill was referred to the House Committee on Committees. Read the bill.

 

Minnesota

S.F. 1094 – Telemedicine

Introduced by Jim Abeler (R), S.F. 1094 seeks to amend the state telemedicine law to reduce reimbursement for telemedicine services to 90 percent of the in-person reimbursement rate for services. The bill was referred to the Senate Health and Human Services Finance and Policy Committee. Read the bill.

 

Montana

S.B. 65 – Medical Liability ENACTED

Introduced by Senator Steve Fitzpatrick (R), this bill seeks to provide limited liability to health care providers for causing the death or injury of an individual while providing health care in support of the state’s response to COVID-19, unless the act causing the death or injury was through gross negligence, willful and wanton misconduct or intentional. This bill was signed by Governor Greg Gianforte on February 11, 2021. Read the bill.

 

LC 2334 – Pelvic Exams

Introduced by Senator Jill Cohenour (R), LC 2334 seeks to prohibit a physician from performing or supervise the performance of a breast, pelvic, urogenital, prostate or rectal examination on a patient who is anesthetized or unconscious unless: (a) the patient has provided specific informed consent to the examination; (b) the examination is within the scope of care for a procedure or diagnostic examination scheduled to be performed on the patient; or (c) it is impracticable to obtain consent, and the examination is necessary for diagnostic or treatment purposes. Read the bill.

 

LC 2290 – Intersex

Introduced by Representative Jennifer Carlson (R), LC 2290 seeks to prohibit a health care provider from performing gender transition procedures on a minor, removing healthy tissue to treat gender dysphoria or referring a minor to a health care provider for gender transition procedures. Gender transition does not include drugs or other nonsurgical mechanisms to prevent or promote the development of feminine or masculine features, or service to those born with a medically verifiable disorder of sex development. Read the bill.

 

Pennsylvania

S.B. 196 – Cost Sharing

Introduced by Senator Judy Ward (R), S.B. 196 seeks to amend state health insurance law to include any cost-sharing amounts paid by the insured or a third party. The bill was referred to the Senate Banking and Insurance Committee. Read the bill.

 

Rhode Island

5461 – Balance Billing

Introduced by Jay Edwards (D), H. 5461 seeks to amend state insurance law to keep out-of-pocket expenses for emergency services at the same rate as services from an in-network health care provider. This bill has not yet been referred to a committee. Read the bill.

 

H.B. 5544 – Pelvic Exams

Introduced by Representative Kathy Fogarty (D), H.B. 5544 seeks to prohibit the performance of a pelvic exam on an anesthetized or unconscious female patient without first obtaining informed consent, unless the exam is within the scope of the procedure or is required for diagnostic purposes and is medically necessary. The bill has not yet been referred to a committee. Read the bill.

 

Tennessee

S.B. 1589 – Telemedicine

Introduced by Senator Paul Bailey (R), S.B. 1589 seeks to redefine store-and-forward telemedicine services to establish a patient-physician relationship and standard of practice. The bill was introduced and passed on first consideration. Read the bill.

 

S.B. 1397 – Cost Sharing

Introduced by Senator Art Swann (R), S.B. 1397 seeks to require a health care insurer to include cost sharing amounts paid by the enrollee, or on behalf of the enrollee, to count when calculating an enrollee’s contribution to their cost sharing requirement. The bill has not yet been referred to a committee. Read the bill.

 

West Virginia

H.B. 2004 – Telemedicine

Introduced by Representative Amy Summers (R), H.B. 2004 seeks to permit a licensed health care professional from another state to practice in this state through telehealth when registered with the appropriate West Virginia board. The bill was referred to the House Health and Human Resources Committee. Read the bill.

 

H.B. 2007 – Medical Licensure

Introduced by Representative Paul Espinosa (R), H.B. 2007 seeks to amend state licensure law to provide for an application method for persons with a valid medical license in another state, providing their license is in good standing. The bill was referred to the House Government Organization Committee. Read the bill.

 

H.B. 2024 – Telemedicine

Introduced by Representative Roger Hanshaw (R), H.B. 2024 seeks to allow all licensed medical personnel to use telemedicine, allow for audio-only telemedicine services, limit the ability of professional licensure boards to restrict telemedicine, and to require reimbursement for telemedicine to be the same as an in-person service. The bill was referred to the Senate Health and Health and Human Resources Committee. The bill was referred to the House Health and Human Services Committee. Read the bill.

 

H.B. 2226 – Balance Billing

Introduced by Representative Barbara Fleischauer (D), H.B. 2226 seeks to amend state law to define surprise billing; add new disclosure requirements for health care providers, hospitals and health insurance providers; and establish how surprise bills are to be handled in certain circumstances. The bill was referred to the House Health and Human Resources Committee. Read the bill.

 

S.B. 1 – Telemedicine

Introduced by Senator Tom Takubo (R), S.B. 1 seeks to amend state telemedicine law to require reimbursement for telemedicine services at the same rate as in-person services and allow for audio-only telemedicine. The bill also requires a patient have no more than three telemedicine consultations without an in-person primary care visit and an in-person visit is required before controlled substances can be prescribed. The bill was referred to the Senate Health and Human Resources Committee. Read the bill.

 

S.B. 124 – Cost Sharing

Introduced by Senator Stephen Baldwin (D), S.B. 124 seeks to amend state insurance law to cap the cost of insulin to $25 per 30-day supply. The bill was referred to the Senate Finance Committee. Read the bill.

 

S.B. 233 – Cost Sharing

Introduced by Senator Stephen Baldwin (D), S.B. 233 seeks to cap the cost of insulin to $100 per 30-day supply. The bill was referred to the Senate Finance Committee. Read the bill.

 

S.B. 273 – Telemedicine

Introduced by Senator Craig Blair (R), S.B. 273 seeks to allow all licensed medical personnel to use telemedicine, allow for audio-only telemedicine services, limit the ability of professional licensure boards to restrict telemedicine, and to require reimbursement for telemedicine to be the same as an in-person service. The bill was referred to the Senate Health and Health and Human Resources 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. Check out our new tracking map on the AUA State Advocacy webpage.

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