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.
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 Ohio State Board of Pharmacy has announced the availability of the Practice Insight Report in the Ohio Automated Rx Reporting System (OARRS) to provide prescribers with additional information about their patients.
Ohio Sens. Shannon Jones (R-Springboro) and Charleta B. Tavares (D-Columbus) introduced five bills this week related to the state’s infant mortality problems. Ohio ranks 48th nationally in its infant mortality rate—37th among white infants and 49th among black infants.
The OOA and other physician organizations continue to advocate for an educational approach to solving the problem, while the legislators, impatient with results to date, continue to press for penalties and more stringent laws to get the attention of the physician community.
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.
In a 4-3 ruling, written by Chief Justice Maureen O’Connor, the court said the groups challenging the Kasich administration's authority to expand Medicaid failed in their lawsuit because they did not adequately show that the Controlling Board had a clear legal duty to follow the directives of the legislature “when those directives are not expressed in the final, enrolled bill.”
Six Ohio DOs were part of a delegation of physicians who went to the Statehouse, Dec. 10, to discuss 13 bills that have been recently introduced to address Ohio’s prescription drug addiction epidemic.
A series of bills aimed at addressing Ohio’s opiate epidemic have been introduced as a result of hearings conducted over the summer by the Ohio House Prescription Drug Addiction and Healthcare Reform Study Committee. The Ohio Osteopathic Association and other physician organizations brought a panel of physicians to the Statehouse, December 10, to help legislators sort out the good proposals from the bad.
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 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 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.
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
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.