Legislative Update Week of May 13th

The Legislature received it's updated estimates on revenue for the coming fiscal year on Wednesday which sparked activity on the budgets in the House and Senate. The Senate finally sent its MDCH budget proposal to the full House without the Medicaid Expansion dollars realized in the budget, while House Republicans started taking testimony on their solution to the Medicaid question. Let's review the activities of the week:

House:

The House this week in the common procedural move "zeroed" out the budget proposals that the Senate sent to the House and sent them back which now sets up the budgets to go to conference committee. One lingering issue that the House will most certainly address next week is the MDCH budget that was finally sent to the House for their consideration without the Medicaid Expansion dollars allocated in the budget, leaving the question still on the table of the expansion will survive in Michigan.

The House Health Policy committee this week considered Senate Bill 165 and House Bill 4156 in its traditional second hearing fashion was looking to take a vote on the legislation. The committee provided a substitute to Senate Bill 165 and House Bill 4156 and sent them on their way to the House floor for consideration. The Senate bill will have to be sent back to the Senate for concurrence since the House amended the bill.

The main attraction this week was actually the House Michigan Competitiveness Committee which had House Bill 4714 which is the Republican answer to the Medicaid Expansion question. Committee meetings on this legislation started on Tuesday with hearing in the afternoon and then continued again on Thursday. Republicans are looking for major Medicaid reform and on Thursday had the opportunity to ask the Michigan Department of Community Health Director Jim Haveman and Medicaid Director Steve Finton if they felt that direction Republicans were taking was a good idea and to provide a general overview of the current system in Michigan. It is expected that the process will continue into the next week or two before any potential action from the committee.

The Senate

The Senate Health Policy committee reconvened this week where health insurance was on their radar. The committee considered Senate Bill 324 which would provide the licensure and governance of insurance "Navigators" in Michigan. With the pending implementation of the health insurance exchanges the use of navigators will be crucial to those looking to obtain health insurance. Currently under Michigan statute there is no mention of navigators leaving them to be unlicensed and unregulated on a state level. The committee just took testimony on the legislation and would expect to vote the legislation out before the summer break begins.

Expedited Partner Therapy Press Conference

On this past Thursday the National Coalition of STD Directors (NCSD) along with MSMS, the Michigan section of ACOG, MALPH, and the Michigan Pharmacists Association had a press conference and reception to education lawmakers on the policies of Expedited Partner Therapy. Representatives Gail Haines and George Darany were gracious hosts of the reception and press conference with Representative Darany being able to highlight his legislation House Bull 4736 that would bring EPT to Michigan.
     
"The treatment is critical to prevent reinfections and further transmission for untreated partners," Rep. Darany said in the press conference. Jeff Phillips, MD represented MSMS at the press conference providing his thoughts and expertise to the panel. "It's frustrating seeing these patients come back time and again with an infection that is easily treatable," said Phillips after the press conference. Stephanie Arnold Pang from NCSD provided the national outlook of the practice of EPT and what they are seeing from the different states that have implemented the policies. "If you don't treat a partner of a patient with an STD, the treatment of that index patient is not effective, they are just going to be reinfected and it will cause more costs and visits on our health care system," said Arnold Pang. The legislation is now scheduled for a hearing on May 21st with a possible voting out of the committee on June 4th.

Stay with MSMS to get the most up to date information on all of the items MSMS is following in the legislature and beyond at http://www.msms.org/advocacy.

Legislative Update: Week of May 28th

This week saw a flurry of budget activity this week with conference committees meeting throughout the Tuesday, Wednesday, Thursday period. The House also took the time to push a cut in the Michigan income tax that was scheduled to come at the beginning of next year ahead of schedule. The House spent most of Thursday night in session, passing all but the education budget, scheduling an unusual Friday session day for the House. Lets review the rest of the week in Lansing:

Senate:

The Senate Insurance committee continued taking testimony on Senate bills 1115-1118, the Patients First Reform package that amends Michigan's tort reform to protect access to Michigan's patients. MSMS testified last week in the committee, coverage on that can be found in last week article. The committee is expected to take a vote on the legislation this coming Tuesday. The Senate Health Policy committee scheduled a hearing for Thursday to take up Senate bill 481 which would expand the scope of practice and provide independence for advance practice nurses. Due to the budget, the committee was cancelled and scheduled for this coming Wednesday at 9:00am.

House:

The House worked long through the week, even into Friday working on the budget. While waiting for the conference committees to come to a conclusion they had the ability to work on some of the other lingering issues. The House did pass House bill 5338 which would amend the public health code to allow the Director of the Department of Community Health to issue orders to place designer substances on the controlled substances list i.e. K2. As mentioned before the House did pass their version of tax relief by upping the time when the rollback of the income tax would take effect.

Budget:

Budget was the main story this week. The Senate passed through all of its individual budget conference reports and the government omnibus that included everything but education funding. The House did the same with the government omnibus but had to wait until Friday's session to pass the education omnibus or "school bus" as it was affectionately called.

The Department of Community Health budget saw some good come out of the conference report. First the legislature rejected the $17 million cut to GME suggested by the governor; rather the legislature funded it with an extra $8.6 million more than what the governor had proposed and a victory from looking at such a substantial cut. Primary care physicians are going to see a rise in their reimbursement rates from Medicaid as $281 Million of federal funding was put into Medicaid to raise the rates for primary care (excluding ER physicians and some OB services) to Medicare rates. This change was a part of the Affordable Care Act. Investments in Health Kids Dental, Medicaid coverage for Autism, and Health Michigan Fund were all positive and more than had expected. The budget now goes to the Governor for his signature.

For the latest legislative news and activity check out http://www.msms.org/advocacy. Help support those who support you, go to http://www.mdpac.org to find out how you can help!