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Posted on Monday, March 20, 2017

March 17, 2017 | Bill Tracker

Prepared by: Dodie Wellshear, Ad Astra Government Relations

 

Senate to Take Up KanCare Expansion

The Senate Public Health and Welfare Committee will begin hearings on HB 2044,* the KanCare expansion bill sent over from the House, on Monday. HB 2044 originally would have required “clubhouse recreational” mental health programs to be covered under KanCare. However, after a bill to expand KanCare was stalled in the House Health and Human Services Committee, Rep. Susan Concannon, R-Beloit, moved to add the contents of the expansion bill into HB 2044 in floor debate. The bill passed the House, 81-44.

The Senate hearings begin on Monday, March 20, with testimony from the proponents. Dr. Jeremy Presley, Dodge City, will present on behalf of KAFP. His testimony will focus on the obligation physicians have to their patients and on personal stories of patients that have had poorer health outcomes, due to their lack of health insurance.

The hearings will continue on Tuesday, with testimony from those who oppose or are neutral on the bill, with committee action expected later in the week.

Psychiatry Student Loan Program

SB 32*, a bill that would establish loans and scholarships for psychiatry students and residents, is now on its way to the governor for signature. These mirror the Medical Student Loan Program and the Medical Residency Bridge Program, currently available to those planning to practice primary care in an under-served county in Kansas.

KAFP originally opposed the legislation, because it would have simply added psychiatry to the list of specialties allowed under the programs for primary care. The Senate amended the bill to establish separate programs for psychiatry, before sending it to the House for consideration. Once the separate programs were provided in SB 32, KAFP removed its opposition and testified in support of the bill in the House Health and Human Services Committee.

Restoring KanCare Provider Cuts

Two bills aimed at restoring the four-percent cuts to KanCare providers, SB 94* and HB 2180*, received legislative action in the last week. Both bills increase the privilege fees on MCOs to 5.77%, with the first proceeds of the increase going to restore the provider cuts initiated in 2016. SB 94 goes on to say that any remaining funds would go into the KanCare program for medical assistance payments. The bill passed the Senate, 27-13.

HB 2180 expends the proceeds from the privilege fee increase in a three-tiered priority, beginning with the provider cut restoration. Following that, the bill requires $3.5 million in FY 2018 and $15 million in subsequent years be provided for care by community mental health centers. Finally, any remaining funds would stay in the KanCare program for medical assistance. HB 2180 was voted favorably out of the House Appropriations Committee and awaits action by the full House.

Another bill, HB 2065, had a hearing in the House Health and Human Services Committee on Thursday. It is similar, except it would also increase the fees on hospital providers. KAFP entered testimony supporting the MCO increase, but opposing the increase on hospitals.

In his budget, Governor Brownback called for the fee increases, but would have had any funds remaining after the restoration of provider cuts shifted to the State General Fund and not dedicated to Medicaid services.

Family Doctor of the Day

Thank you to the following for providing Family Doctor of the Day services for the Kansas Legislature this past week: Dr. R.C. Trotter, Dodge City; Dr. John Feehan, Olathe; Dr. Todd Miller, Wichita; and Dr. Deb Doubek, Manhattan.

The service you provide is appreciated, especially at a time when most legislators are away from their hometown physicians.

 

Committee Hearings Week of March 20-24

Following are committee hearings related to KAFP priorities. Please note, the calendar is subject to change.

Monday, March 20

9:30 am, S-Public Health & Welfare, Room 346-S

Hearing on: HB 2044 – KanCare Bridge to a Healthy Kansas Program (proponents)

Tuesday, March 21

9:00 am, H-Federal & State Affairs, Room 346-S

Hearings:

·         HB 2307 – Withholding life-sustaining treatment from patients under 18 y/o

·         HB 2308 – Suicide evaluation upon admission to certain treatment facilities

9:30 am, S-Public Health & Welfare, Room 548-S

Hearing on: HB 2044 – KanCare Bridge to a Healthy Kansas Program (opponents and neutral)

Wednesday, March 22

9:30 am, S-Public Health & Welfare, Room 118-N

Hearing: HB 2217* – Standards regarding emergency opioid antagonists

 

*Where available, bill numbers link to Supplemental Notes, which provide explanations and details of the bills.

Posted on Monday, March 20, 2017


Annual Meeting Brochure Arriving Soon

KAFP

You should receive your brochure for the 2017 Annual Meeting, "Chart the Course" in the mail this week. Please contact us if you do not. You can also download the print brochure on the KAFP website.

We are pleased to offer you secure online registration.

We look forward to seeing you!

2017 KAFP Annual Meeting: Chart the Course
June 8-10 | Wichita Marriott Hotel | Wichita, Kansas

Posted on Monday, March 20, 2017

Learn how to  Implement a System in Your Work Setting for Seriously Ill Patients 

KAFP

We are excited about this new Annual Meeting pre-conference offering -- Serious Illness Conversation Workshop (SICW). Please plan to attend!

Date: Wednesday, June 7
Time: 1:30  to 5 p.m.
Place: Wichita Marriott, 9100 Corporate Hills Drive, Wichita, KS 67207

During the workshop you will:

  • Discuss the correlation between provider's ability to initiate goals-of-care conversations and patients ability to make informed choices that reflect their core values. reduce suffering, enhance family well-being and improve quality of life.
  • Implement a system in their work setting to identify patients/families that would benefit from serious illness conversations.
  • Develop skills to address the important points of serious illness conversations.
  • Identify a system for documenting personalized patient goals and priorities in the electronic health record.

You may register online with your Annual Meeting registration or separately at Serious Illness Workshop.

Posted on Monday, March 20, 2017


KSA Group Learning Session Opportunity for You

KAFP

This Annual Meeting pre-conference session: KSA Group Learning - Heart Failure  is an easy way to fulfill one of your American Board of Family Medicine (ABFM) requirements. The Knowledge Self-Assessment (KSA), formerly SAM,  meets your ABFM's Family Medicine Certification Self-Assessment Activities requirement.

Date: Wednesday, June 7
Time: 1 to 5 p.m.
Where: Wichita Marriott Hotel, 9100 Corporate Hills Drive, Wichita, Kansas 67207

KSA seating is limited. Register online with your Annual Meeting registration or separately at KSA Heart Failure. If you have questions about the new format contact the ABFM at 877-223-7437.

Posted on Monday, March 20, 2017

Webinar "Performance Metrics that Guide Patient-Centered Care" Wednesday, March 22 - Noon to 1 p.m.

REGISTER HERE 

TCPi

Practices participating in the Transforming Clinical Practice Initiative (TCPI) are constantly aiming toward effective transformation through the implementation of meaningful, person-centered care. In support of this goal, TCPI recently released six Person and Family Engagement (PFE) performance measures that can be used to strengthen partnerships in ambulatory care. 

This webinar is part one of a two-part series that will provide attendees with an overview of TCPI's Person and Family Engagement (PFE) performance measures. In collaboration with our partners at the Institute for Patient and Family-Centered Care (IPFCC), we will describe three PFE metrics:

•   Shared decision making
•   Patient activation
•   Health literacy
 

Hear success stories from a clinician and patient advisor at Cambridge Health Alliance highlighting how they successfully implemented these strategies. They will also share special resources and practice tools. 

Note: The examples and tools shared during the presentation are not limited to practices enrolled in the TCPI. They apply to any practice interested in preparing for CMS' Quality Payment Program. Register today!

Presenters: 
Mary Minniti, CPHQ, Senior Policy and Program Specialist, IPFCC
Ziva Mann,
Patient Lead, Cambridge Health Alliance
Amberly Ticotsky,
RN, BSN, MPH, Cambridge Health Alliance
Posted on Monday, March 20, 2017

AAFP “Pick Your Pace” Resources: How to Avoid Penalties

AAFP

Are you aware that 2017 is a critical year for you and your practice? Your performance in 2017 now determines your payment adjustments in 2019. Failure to report at least one measure or activity in 2017 will result in a negative 4 percent adjustment in 2019.

Most AAFP members will fall into the Merit-based Incentive Program (MIPS) track under the Quality Payment Program (QPP). To help you adjust to the shift to value-based payment, the Centers for Medicare & Medicaid Services (CMS) deemed 2017 a transition year.

You now have the option to “Pick Your Pace” during the performance period. By selecting one of three “Pick Your Pace” options under MIPS, you will avoid a negative adjustment in 2019.

To help you succeed, the AAFP has a variety of “Pick Your Pace” resources available, including:

Avoid negative payments by assessing your current activities and visiting the AAFP’s “Pick Your Pace” resources today.

Call (800) 274-2237 or email with questions.

Posted on Monday, March 20, 2017

Celebrate National Infant Immunization Week: April 22-29

IAC Express

National Infant Immunization Week (NIIW) is an annual observance to highlight the importance of protecting infants from vaccine-preventable diseases and celebrate the achievements of immunization programs and their partners in promoting healthy communities. NIIW will be held this year on April 22–29.

Thank you for protecting infants and toddlers from vaccine-preventable diseases and educating their parents. Visit CDC's updated NIIW website to find promotional and educational materials for your office/clinic.

Posted on Monday, March 20, 2017

Call to Action: AAFP SpeakOut

AAFP

Congress has recently introduced the American Health Care Act (AHCA) to repeal and replace health reform. While the proposal maintains many important provisions, the Congressional Budget Office now estimates that, if the AHCA is enacted, 14 million Americans will lose coverage next year and 24 million Americans will lose coverage by 2026. The AAFP has launched a SpeakOut urging legislators to oppose any legislation that would leave millions of patients without affordable coverage. The AAFP and KAFP are concerned that the AHCA does not succeed at addressing the real-life financial challenges patients’ experience. It does not address affordability such as the high cost of prescription drugs, coverage under Medicaid for maternity and mental health services, or support for those with pre-existing conditions after a gap in coverage. 

Take action. Send this pre-written letter directly to your congressional leaders through the AAFP SpeakOut. Thank you.
Posted on Monday, March 20, 2017

2017 Match Results for Family Medicine

AAFP

Interest in family medicine continued its upward trend for the eighth consecutive year, according to the 2017 National Residency Matching Program® results.

2017 NRMP Match Highlights

  • 3,237 medical students and graduates matched to family medicine residency programs in 2017, the most in family medicine’s history as a specialty.
  • Of those matches, 1,530 positions were filled with U.S. Seniors, 810 fewer than the historical peak (2,340 in 1997).
  • Family medicine offered 3,378 positions, 118 more than 2016.
  • This is the eighth straight year that the family medicine match rate climbed year-over-year.

Click here for AAFP news release.

KAFP will publish Kansas residency matches in the spring Kansas Family Physician.

 

Posted on Tuesday, March 14, 2017

March 10, 2017 | Bill Tracker

Prepared by: Dodie Wellshear, Ad Astra Government Relations

 

Slower Pace After Break

The pace at the Statehouse got off to a slow start, following the legislative turnaround break. On Monday, the Senate quickly dispensed with SB175, a bill that contained the governor’s suggested revenue enhancements – including an increase on cigarettes and tobacco. On a rarely used motion to strike the enacting clause of the bill, SB175 was effectively killed in the Senate.

Senate leaders were not supportive of SB175, debating it more to send a message to the governor than anything. Senate President Susan Wagle, R-Wichita, has repeatedly called on the governor to provide the legislature with a “structurally balanced budget,” to no avail. The governor’s budget proposal, of course, relies heavily on one-time transfers, borrowing, and selling off the master tobacco settlement proceeds.

Next week, the Senate will take up the current fiscal year rescission bill, HB2052, and rumors are there may be some cuts added to that. The Senate Assessment and Taxation Committee will begin earnestly working on their own tax plan, which likely will not include retroactivity to January 1, 2017.

House Committee Advances Psychiatry KMSLP Legislation

The House Health and Human Services Committee passed SB32 out favorably on Thursday, sending it to the full House for action. The bill sets up a medical student scholarship program and a residency bridge program for psychiatry, much like the Kansas Medical Student Loan Program (KMSLP) for primary care.

As it was originally drafted, the bill would have added psychiatry into the KMSLP and created competition for those primary care slots. KAFP opposed the legislation and said opposition would be removed only if additional slots were created for psychiatry, in which case support would be given. KAFP worked with the Community Mental Health Centers and key legislators to create separate programs and new slots, to be separately funded, for psychiatry.

On Thursday, KAFP testified in support of SB32, as amended, and recommended that the committee vote it out favorably. In a rather unusual move, the committee took action on the bill the same day as they held the hearing. Passage by the House seems highly likely. From there, the legislature will need to find funding to pay for the new psychiatry scholarships.

Family Doctor of the Day

Thank you to the following for providing Family Doctor of the Day services for the Kansas Legislature this past week: Dr. R.C. Trotter, Dodge City; Dr. Jennifer Bacani-McKenney, Fredonia; Dr. Marla Ullom-Minnich, Moundridge; Dr. Danelle Perry, Overland Park; and Dr. Wendy Biggs, Kansas City.

The service you provide is appreciated, especially at a time when most legislators are away from their hometown physicians.

Committees of Interest: Week of March 13-17

Monday, March 13

9:30 am, S-Public Health and Welfare, Room 118-N

Hearings:

·         HB2045 – Period for which institutional licenses under healing arts act are valid

·         HB2027 – Healing arts concerning anatomic pathology billing

Tuesday, March 14

9:30 am, S-Public Health and Welfare, Room 118-N

Hearing: HB2121 – Reporting the administration of vaccines to the state registry

Wednesday, March 15

9:30 am, S-Public Health and Welfare, Room 118-N

Hearings on:

·        HB2030Pharmacist, pharmacy student or intern, administration of any vaccine to a person six years of age or older

·         HB2205 Vaccinations for meningitis required

1:30 pm, H-Health and Human Services, Room 546-S

Hearing on: HB2152Authorizing hemp treatments for certain medical conditions.

Thursday, March 16

9:30 am, S-Public Health and Welfare, Room 118-N

Hearings on:

·         HB2107 – Inclusion of biological products in the Kansas pharmacy act

·         HB2219 – Relating to diabetes information reporting

1:30 pm, House Health and Human Services, Room 546-S

Hearing on: HB2065 – Assessments on hospitals and health maintenance organizations

Note: Bill number links will lead to a Supplemental Note (SN) when available, as these clearly explain the bill and actions taken on the bill. In cases where no action has been taken on a bill, it will link directly to the bill.

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