Each year, the Ohio General Assembly considers dozens of new laws that govern the daily practice of DOs. Your association maintains regular contact with the legislature. OOA staff and volunteers testify at committee hearings and discuss concerns through personal contact with legislators. A grassroots network of individual physicians complements ongoing efforts in Columbus.
We are fighting on the front line in battles involving practice regulation, Medicaid reimbursement, BWC compensation, tort reform and HMO/insurance company regulation to name a few. These areas are controlled by the states, not the national governement. Members are encouraged to meet their state representative and senator and express their views on healthcare issues.
To see a list of health-care related bills pending in the Ohio General Assembly, click here.
To find bills by bill number, sponsor, or keywords, click here.
To identify and contact your State Senator or State Representative, click here.
The Health Policy Institute of Ohio (HPIO) has created a web page about the Ohio's federally facilitated marketplace to serve as a central repository for tools and resources about the new health insurance exchange.
In a 5-2 ruling, the Ohio Supreme Court reversed the decision of the Court of Appeals in Moretz v. Muakkassa. The OOA, along with the Ohio Hospital Association and Ohio State Medical Association filed an amicus brief in the case, which involved medical bill write-offs and whether expert testimony is required to establish the amount. The Supreme Court determined there is no basis for requiring an expert witness for this purpose.
The lawsuit argues that the Controlling Board violated the constitutional guarantee of separation of powers and that the executive branch does not have the power to make such a major policy change administratively
The Controlling Board today (Oct 21), by a vote of 5-2, approved the Kasich administration’s multi-billion dollar funding authorization request to expand Ohio’s Medicaid eligibility up to 138% of the federal poverty level.
Now that the federal government has approved Ohio's Medicaid expansion plan, the Governor will seek permission to move forward from the State Controlling Board. All eyes are focused on October 21, when the seven member panel debates coverage for another 275,000 Ohioans that would bring an estimated $13 billion to the state.
Guidelines Stress Reevaluation at 80 milligrams MED
As part of an ongoing effort to curb the misuse and abuse of prescription pain medications and unintentional overdoses, Gov. John R. Kasich announced the adoption of new opioid prescribing guidelines and launch of a new website for physicians.
Meanwhile, the Ohio Senate passed their version of the Governor's Biennial Budget and removed House-passed language that created a study committee to address Medicaid expansion. A Conference Committee will iron out differences.
The Ohio Senate began hearings this week (April 23) for its version of the state budget, after receiving a House-passed blueprint that stripped Medicaid expansion from Gov. John Kasich’s original proposal. The Governor's office expressed optimism that lawmakers may still consider Medicaid expansion.
The current recommendations have a “trigger” for any chronic, non-terminal pain patient who has received 80 mg or more of morphine equivalent daily dose (MED) over the past 90 days, as determined through the OARRS database. By agreeing to issue guidelines rather than rules, the Kasich Administration is also challenging the provider community to make a positive change in opiate prescription overuse and abuse within a year.
The Ohio Medicaid Expansion Study, a partnership between the Health Policy Institute of Ohio, the Ohio State University, Regional Economic Models, Inc. and the Urban Institute, has released a new fact sheet examining the impact of not expanding Medicaid in Ohio
The Ohio Supreme Court of Ohio ruled in a 7-0 decision today (April 23) that an expression of sympathy by a physician to a patient regarding an unanticipated medical outcome may not be admitted as evidence of liability in any medical malpractice lawsuit initiated after September 13, 2004 the effective date of legislation prohibiting such evidence.
Overall, the report, released by Catalyst for Payment Reform and the Health Care Incentives Improvement Institute, gives 29 states an “F” and seven a “D.” Only two states – Massachussetts and New Hampshire received an “A.”
The Robert Wood Johnson Foundation released its annual county health rankings,, March 19. The report rates the health of nearly every county in the nation and shows that much of what affects health occurs outside of the physician’s office.
A total of 3,094 Ohio medical professional liability claims were closed in 2011, according to data collected by the Ohio Department of Insurance and released, March 1, in it's seventh annual closed claim report. Malpractice claims have steadily decreased from approximately 5,000 in 2005 to 3,000 in each of the last four years.
The Governor's two-year budget proposes to extend Medicaid coverage to adults making $15,415 or less per year (138 percent of poverty). Under the Affordable Care Act, the federal government will pay 100 percent of this cost for three years, decreasing to 90 percent in 2020 and beyond.
The web site contains valuable resources for players, parents, coaches, referees, and physicians. In addition to materials specifically required HB 143, the site also contains a list of frequently asked questions, fact sheets for coaches and parents, and CDC diagnosis and management educational articles for physicians. Click here to visit the web site: www.healthyohioprogram.org/concussion .
Ohio’s decision on whether to expand eligibility for the program is expected to come as part of the biennium budget process. The Health Policy Institute of Ohio's latest publication, "Policy Considerations for Medicaid Expansion in Ohio" discusses costs and benefits.
Working in collaboration with other physician associations, the OOA sent a letter to all members of the Ohio Senate to oppose an amendment requiring health insuring corporations to directly contract with APNs as primary care providers.