We are fighting on the front line at the Statehouse in battles involving practice regulation, Medicaid reimbursement, BWC compensation, tort reform and HMO/insurance company regulation to name a few. These areas of your practice are controlled by the states, not the federal government.
Ohio Medicaid ended the current fiscal year, June 30, approximately $1.3 billion under budget according to a new report released by the Office of Health Transformation.
The Ohio Department of Medicaid has submitted a request to CMS that would mandate Ohio Medicaid recipients be enrolled in a Health Savings Account Program. The waiver request was required by the Ohio General Assembly as a provision in the biennial budget, passed June 30, 2015.
Before adjourning in May, the Ohio House of Representatives passed a compromise version of HB 216, which modernizes the advance practice nurse (APRN) practice act. The the bill now goes to the Senate for consideration.
Governor John Kasich signed HB 352, May 31, designating April as "Osteopathic Medicine Recognition Month, after the Senate unanimously passed the bill by a vote of 29-0, before adjourning until November.
The Ohio Osteopathic Association's testimony as "an interested party" was written by Darren J. Sommer, DO. OOA did not take a position on whether medicinal marijuana should be legalized or not. Instead, the testimony focused on three issues that would put physicians at risk, if the state of Ohio chooses to move forward with legalization.
After breakfasts with legislators, the students joined nearly 500 first and second year students on all three campuses to hear presentations by guest speakers originating from Athens and Columbus.
Companion bills introduced in the Ohio House and Senate do not prohibit step therapy, but establish conditions for its use. Reps. Terry Johnson, DO (R-Portsmouth) and Rep. Nickie Antonio (D-Lakewood) are joint sponsors of HB 443.
The Ohio House of Representatives Health & Aging Committee heard testimony, Feb.10, from doctors and staff representing a coalition of physician associations opposed to House Bill 216. The proposed legislation would eliminate the requirement for Advanced Practice Registered Nurses, Certified Registered Nurse Anesthetists and Certified Mid-Wives, to collaborate with a physician and expand their scope of practice.
The new guidelines address short-term acute pain from injuries, or surgical and dental procedures that is expected to resolve within 12 weeks. Cynthia S. Kelley, DO, of Akron; Cleanne Cass, DO, of Dayton; and Mark N. Malinowski, DO, of Chillicothe, helped to write the guidelines, which specifically mention osteopathic neuromusculoskeletal medicine as an alternative to opioids.
Speaker of the House Cliff Rosenberger has appointed a 15-member task force of legislators, legal, medical and law enforcement officials to help the legislature decide what to do about medical marijuana. At the same time the Ohio Senate will hold town hall meetings in three cities.
A panel of APRNs supporting the bill testified, Jan. 20. Prior to the hearing, the OOA, in collaboration with other medical associations, sent a joint-letter to members of the Committee making it clear that the physician organizations are opposed to the current legislation and existing substitute drafts, but committed to working with the sponsor, State Rep. Dorothy Pelanda, to resolve issues of concern.
The Graduate Medical Education Study Committee, created by the Ohio General Assembly earlier this year, has completed its work and transmitted its recommendations to the legislature. The
The Ohio General Assembly adjourned, December 8, and legislators won’t return to the Statehouse until January 20, 2016. Since 2016 is a major election year, the legislative process will be interrupted by primaries in the Spring and the Presidential election in the Fall, followed by a "lame duck" session in December .
State Rep. Terry Johnson, DO (R-McDermott) introduced HB 352 to designate April as “Osteopathic Medicine Recognition Month” in honor of the significant contributions made by the osteopathic field of medicine to improve the health of Ohioans.
Statewide Coalition to Protect Patients
The OOA and other state physician organizations have launched a campaign to educate legislators and the general public about the dangers of HB 216 and how it will undermine team-based care and endanger patients. The bill allows advance practice nurses to practice without a collaboration agreement with a physician.
Goal is to Integrate OARRS with EHRs
The state will make up to a $1.5M annual investment to enable prescribers and dispensers to automatically check past opiate history within the same system they use day-to-day.
Voices Support for New Initiative to Prevent Opioid Abuse
OOA Member Elizabeth B. Lottes, DO, of Columbus, testified, October 7, before the Ohio House Health and Aging Committee in support of HB 248. The bill would require health insurance companies to cover the cost of opioid pain medications formulated with abuse deterrent properties.
Ohio's Application Fails to Make the Final Cut
Thirty nine proposals were funded nationally. A group of Ohio organizations, including the Ohio Osteopathic Association, submitted a TCPI application through the Ohio Health Information Partnership, but the proposal did not make the final cut for funding.
Report Shows Alarming Increase In Deaths Due to Fentanyl
New statistics released by the Ohio Department of Health, Sept 24, show some positive trends in Ohio’s fight against prescription drug abuse, but an alarming increase in deaths due to fentanyl, which is 30 to 50 times more potent than heroine.
Both Urge Quick Passage of HB 248
The physicians joined two legislators at a Statehouse press conference to mandate insurance companies to pay for abuse deterrent versions of addictive pain medications.
Ballot Language Challenged in the Ohio Supreme Court
Issue 3 would provide for 10 Marijuana Growth, Cultivation and Extraction (MGCE) facilities. Cultivation of medical and retail marijuana and production of marijuana-infused products would only be permitted to take place at the 10 MGCE facilities. The Ohio Legislature was especially critical of this section of the initiative, and has initiated Issue 2 in opposition.
Barreiro stresses importance of funding community based programs
Barreiro also discussed the need to train culturally competent primary care physicians, focusing on population health.
Medicaid Targets Zip Codes with Highest Mortality Rates
According to statistics from the U. S. Department of Health and Human Services, Ohio ranks 45th in overall infant mortality. The state’s rate of infant mortality for black babies (13.57) was second highest nationally for the 39 states where a rate could be calculated.
Has good news and bad news for Medicaid
The final budget has a slight increase in reimbursement for Medicaid payments to primary care physicians, that is still well below Medicare rates; but a cut in reimbursement for dual eligibles from Medicare to Medicaid levels.
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 .
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.