State Advocacy Update - Week of March 1

By Policy and Advocacy Brief posted 02-28-2021 13:52

  
  • California Introduces Prostate Cancer Screening Without Cost-Sharing Bill – Expanding access to prostate cancer screening is a top AUA state advocacy initiative and the AUA is working with stakeholders to promote this particular measure;
  • Alabama Introduces Resolution to Designate September 2021 as Prostate Cancer Awareness Month;
  • Intersex Bills Introduced in Arkansas, Iowa and Nevada – The AUA continues to advocate medical decision-making on behalf of children remain the responsibility of parents and therefore, should not be legislated;
  • New York and Illinois Considering Controversial Medical Malpractice Measures – Expanding medical liability protections for urologists remains a top priority for the AUA in 2021;
  • Maine Asks Health Insurance Carriers to Collect Co-Pay, Co-Insurance and Deductible from Patients;
  • States Continue to Refine and Define Telemedicine Seeking Audio-Only and Reimbursement Parity – The AUA continues to support the full expansion of telehealth services post the current public health emergency and, on the national level, has also met with the Centers for Medicare & Medicaid Services to urge the adoption of audio-only visits;
  • Massachusetts Seeks to Create a Four-Year Pilot Program to Allow a Specialty Pharmacy Program for Urology; and
  • South Dakota Enacts COVID-19 Liability Protection Bill – On a national level, the AUA has worked directly with Congress during the pandemic to ensure expanded liability protections are enacted.

Alabama

S.J.R. 37 – Prostate Cancer Awareness Month

Introduced by Senator Bobby Singleton (D), S.J.R. 37 seeks to designate September 2021 as Prostate Cancer Awareness Month. The bill was referred to the House Rules Committee. Read the bill.

 

S.B. 239 – Medical Licensure

Introduced by Senator Jim McClendon (R), S.B. 239 seeks to abolish the Medical Licensure Commission and transfer all responsibilities to the Board of Medical Examiners. It would allow an individual to obtain a license to practice medicine by authorizing the board to qualify and license a physician in one step; authorize the board to hear cases and discipline doctors; as well as make additional changes to the composition of the board. The bill was referred to the Senate Healthcare Committee. Read the bill.

 

Alaska

H.B. 76 – Medical Licensure

Introduced by the House Rules Committee at the request of the Governor, H.B. 76 seeks to prohibit the licensure boards from increasing licensing fees. It would allow the board to grant a license on an expedited basis and temporarily waive continuing education requirements. The bill has not yet been referred to a committee. Read the bill.

 

H.B. 77 – Certificate of Need

Introduced by Representative George Rauscher (R), H.B. 77 seeks to remove the certificate of need requirements in the state. The bill was referred to the House Health and Social Services Committee. Read the bill.

 

Arkansas

S.B. 347 – Intersex

Introduced by Senator Alan Clark (R), S.B. 347 seeks to prohibit gender reassignment services to a minor with no exceptions. The bill was referred to the Senate Public Health, Welfare and Labor Committee. Read the bill.

 

California

A.B. 1520 – Prostate Cancer

Introduced by Representatives Marc Levine (D) and Ben Allen (D), A.B. 1520 seeks to prohibit a healthcare service plan from applying a deductible, co-payment or coinsurance to coverage for preventive care screening services for prostate cancer for an insured patient who is 55 years of age or older or who is 40 years of age or older and high risk, as defined. The bill has not yet been referred to a committee. Read the bill.

 

S.B. 568 – Cost Sharing

Introduced by Senator Richard Pan (D), S.B. 568 seeks to prohibit a health insurance plan from imposing a deductible requirement for a covered prescription drug, equipment and supplies used to treat a chronic disease (e.g., diabetes) and limits the amount paid by the enrollee to co-pay or co-insurance. The bill was referred to the Senate Rules Committee. Read the bill.

 

Illinois

H.B. 2473 – Prostate Cancer

Introduced by Representative Deanne Mazzochi (R), H.B. 2473 seeks to remove the requirement for a physician to recommend or prescribe a prostate-specific antigen test. The bill was referred to the House Rules Committee. Read the bill.

 

H.B. 3308 – Telehealth

Introduced by Representative Thaddeus Jones (D), H.B. 3308 seeks to amend the state telehealth law to require telehealth services be covered when clinically appropriate; patient cost-sharing may be no more than if health care services were covered in-person; and no health plan may deny or reduce any benefit based on the use of clinically appropriate telehealth services. The bill was referred to the House Rules Committee. Read the bill.

 

H.B. 3360 – Medical Malpractice

Introduced by Representative Don Harmon (D), H.B. 3360 seeks to accrue pre-judgement interest on a personal injury claim from the date the defendant has notice of the injury from the incident at nine percent per annum. The bill is before Governor J.B. Pritzker (D) for his signature. Read the bill.

 

H.B. 3403 – Cost Sharing

Introduced by Representative Suzanne Ness (D), H.B. 3403 seeks to cap the cost of insulin to $30 per 30-day supply. The bill was referred to the House Rules Committee. Read the bill.

 

H.B. 3498 – Telehealth

Introduced by Representative Greg Harris (D), H.B. 3498 seeks to amend the state telehealth law to require reimbursement for telehealth services at the same as in-person services and reasonable compensation to a facility serving as the originating site; prohibit health insurance plans from requiring health care professionals to offer telehealth services, require patients to use telehealth services, and impose utilization review requirements more stringent than  in-person services. The bill was referred to the House Rules Committee. Read the bill.

 

H.B. 3794 – Cost Sharing

Introduced by Representative Brad Stephens (R), H.B. 3794 seeks to cap the cost of insulin to $100 per 30-day supply. The bill has not yet been referred to a committee. Read the bill.

 

Iowa

H.F. 612 – Telehealth

Introduced by Representative Todd Prichard (D), H.F. 612 seeks to reimburse telehealth services at the same rate as in-person health care services. The bill was referred to the House Human Resources Committee. Read the bill.

 

H.F. 662 – Intersex

Introduced by Representative Liz Bennett (D), H.F. 662 seeks to prohibit a physician from performing a treatment or intervention on the sex characteristics of an intersex minor, which is not medically necessary and can be deferred, until the minor can provide informed consent. If the physician determines it is medically necessary to perform an intervention on the minor’s sex characteristics, the parent or guardian may provide informed consent. The bill was referred to the House Human Resources Committee. Read the bill.

 

Maine

L.D. 530 – Cost Sharing

Introduced by Senator Ned Claxton (D), L.D. 530 seeks to require health insurance plans to collect from the enrollee for any deductible, co-pay or cost-sharing requirements and to reimburse the provider for any health care services provided to the enrollee in the amount specified in the provider’s agreement.  The health insurance plan may not discontinue coverage to the enrollee based on the enrollee’s failure to pay the health plan nor can a health plan delay or withhold payment to the provider because the enrollee failed to pay their cost-sharing amount. The bill was referred to the Joint Committee on Health Coverage, Insurance and Financial Services. Read the bill.

 

Massachusetts

H.D. 2533 – Telehealth

Introduced by Representative Tom Golden (D), H.D. 2533 seeks to prevent healthcare carriers from imposing any prior authorization requirements for medical services provided by telehealth that would not apply to in-person services; coverage for telehealth services shall not include a co-pay; and coverage for telehealth services shall include reimbursement for interpreter services for patients with limited English proficiency or deaf or hard of hearing. The bill has not yet been referred to a committee. Read the bill.

 

H.D. 2156 – Cost Sharing

Introduced by Representative Dan Cahill (D), H.D. 2156 seeks to require a health plan to include third-party payments, financial assistance or any other payments when calculating an insured’s overall contribution to any out-of-pocket maximum, deductible, copayment or any other cost-sharing requirement. The bill has not yet been referred to a committee. Read the bill.

 

H.D. 2928 – Pelvic Exams

Introduced by Representatives Mindy Domb (D) and Kim Ferguson (R), H.D. 2928 seeks to require written consent for a pelvic exam on an anesthetized or unconscious patient or if the exam is within the scope of a surgical or diagnostic examination. The bill has not yet been referred to a committee. Read the bill.

 

H.D. 3054 – Dispensing Medication

Introduced by Representative Paul McMurtry (D), H.B. 3054 seeks to create a four-year pilot program to allow a specialty pharmacy pilot program for urology. A private urology practice with five doctors and three office locations in the state may submit an application to the pharmacy board to operate a limited formulary, specialty pharmacy. The bill has not yet been referred to a committee. Read the bill.

 

S.D. 1392 – Cost Sharing

Introduced by Senator Brendan Crighton (D), S.D. 1392 seeks to require a health plan to include third-party payments, financial assistance or any other payments when calculating an insured patient’s overall contribution to any out-of-pocket maximum, deductible, copayment or any other cost-sharing requirement. The bill has not yet been referred to a committee. Read the bill.

 

S.D. 1795 – Dispensing Medications

Introduced by Senator Paul Feeney (D), S.D. 1795 seeks to create a four-year pilot program to allow a specialty pharmacy pilot program for urology. A private urology practice with five doctors and three office locations in the state may submit an application to the pharmacy board to operate a limited formulary, specialty pharmacy. The bill has not yet been referred to a committee. Read the bill.

 

S.D. 2099 – Telehealth

Introduced by Senator Adam Gomez (D), S.D. 2099 seeks to amend state telehealth laws to prohibit health plans from imposing any prior authorizations or co-payment requirements for telehealth services. The bill requires health plans to cover reimbursement for interpreter services for patients with limited English proficiency or those who are deaf or hard of hearing. The bill has not yet been referred to a committee. Read the bill.

 

Minnesota

H.F. 1412 – Telehealth

Introduced by Representative Kelly Morrison (D), H.F. 1412 seeks to amend the state telemedicine law to provide parity between telehealth and in-person services (no additional requirements of prior authorization or utilization review); reimbursement for telehealth services must be the same as in-person reimbursement; telehealth equipment must be HIPAA compliant; and permits audio-only communication if it meets the standard of care. The bill was referred to the House Commerce Finance and Policy Committee. Read the bill.

 

S.F. 1160 – Telehealth

Introduced by Julie Rosen (R), S.F. 1160 seeks to amend existing telehealth law. The definition of “telehealth” does not include communication through email, fax or telephone between health care providers. A health plan must not create a separate provider network or provide incentives to patients to use a separate network for telehealth services that does not include health care providers who offer in-person care. Deductibles, co-payment or coinsurance requirements must be the same between telehealth and in-person services. A health plan must reimburse the health care provider for services delivered through telehealth the same as in-person services. The bill was referred to the Senate Health and Human Services Finance and Policy Committee. Read the bill.

 

Missouri

H.B. 1211 – Medical Licensure

Introduced by Representative Derek Grier (R), H.B. 1211 seeks to amend state licensure law for an applicant who has graduated from a qualified international medical program accredited by the board, and the board shall consider the applicant to meet the postgraduate training requirement. The bill has not yet been referred to a committee. Read the bill.

 

Montana

L.C. 50 – Medical Licensure

Introduced by Senator Tom Jacobson (D), L.C. 50 seeks to expand the members of the board of medical examiners from 13 to 17, changing the composition of the board, and the length of service. The bill has not yet been referred to a committee. Read the bill.

 

Nevada

S.B. 139 – Intersex

Introduced by Senators Melanie Scheible (D) and Dallas Harris (D), S.B. 139 seeks to require health insurance plans to cover treatment relating to gender dysphoria, gender incongruence and other disorders of sexual development. The bill was referred to the Senate Commerce and Labor Committee. Read the bill.

 

New York

3528 – Medical Malpractice

Introduced by Senator Brian Benjamin (D), S. 3528 seeks to have interest accrue from the date of injury in all cases involving bodily injury. The bill was referred to the Senate Judiciary Committee. Read the bill.

 

Pennsylvania

H.B. 642 – Telehealth

Introduced by Representative Chris Sappey (D), H.B. 642 seeks to create a telehealth law to allow the state licensure boards to regulate telehealth; allow a health care provider to provide telehealth services within the scope of their license and subject the provider to the state standards of care; establish a provider-patient relationship; obtain informed consent; establish a diagnosis and treatment plan; create and maintain an electronic medical record; and require health insurance plans to cover telemedicine services and reimburse the same as in-person services. The bill was referred to the House Insurance Committee. Read the bill.

 

Rhode Island

304 – Balance Billing

Introduced by Senator Steve Archambault (D), S. 304 seeks to provide a method for the reimbursement to out-of-network health care providers and offers guidelines for what payment out-of-network health care providers may seek or accept from a patient for unanticipated out-of-network care. The bill has not yet been referred to a committee. Read the bill.

 

South Dakota

H.B. 1046 – Medical Malpractice ENACTED

Introduced by Representative Charles Hoffman (R), H.B. 1046 provides COVID-19 liability protections against allegations of exposure, or potential exposure, to COVID-19, unless there is recklessness or willful misconduct. The bill was signed into law by Governor Kristi Noem. Read the bill.

 

Virginia

H.R. 569 – Prostate Cancer

Introduced by Cia Price (D), H.R. 569 seeks to honor the 100 Black Men of the Virginia Peninsula who through various educational programs helped to address the issues stemming from the high rates of prostate cancer suffered by African Americans. The bill has not yet been referred to a committee. Read the bill.

 

West Virginia

H.B. 2708 – Cost Sharing

Introduced by Representative Matthew Rohrbach (R), H.B. 2708 seeks to cap the cost of a covered non-insulin drug to $25 for a 30-day supply and $100 for a 30-day supply of equipment and supplies needed for the management of diabetes. The bill was referred to the House Health and Human Resources Committee. Read the bill.

 

For additional 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 interactive map on the AUA State Advocacy Webpage.

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