ADVOCACY 201. Louis M. Belch The Corydon Group, LLC 125 West Market St, Suite 300 Indianapolis, IN 46204

Transcription

1 ADVOCACY 201 Louis M. Belch The Corydon Group, LLC 125 West Market St, Suite 300 Indianapolis, IN 46204

2 Why Should I be Involved in the Legislative Process? Health and Safety of Patients General Business Issues Medicaid Scope of Practice ALL are Determined by Legislative Process

3 How Does A Bill Become Law? Idea-Bill Drafted Filed & Read in Chamber Assigned to Committee Committee Hear Bill- public testimony Committee Vote 3 rd Reading in Chamber To Other Chamber (repeat process)

4 How Does A Bill Become Law? Committee Hearing, 2 nd Hearing, 3 rd Hearing Back to Original Chamber if Changes Governor for Action If Author Dissents to Conference After CC both Chambers vote on reworked Bill

5 Telehealth A Legislative Journey

6 IAHHC Legislative Committee Made issue a priority

7 Look for allies Indiana Primary Health Care Association was interested in pursuing a Telemedicine bill Lou and Evan meet with Phil Morphew August 23, 2012 Agree to work together

8 Determine Legislative Interest

9 Selecting an Author

10 Bill Drafted Given to Legislative Services Agency SB 554 is introduced in the Senate January 14 th Assigned to the Senate Health and Provider Services Committee

11 Introduced Version

12 Fiscal Impact Statement

13 Fiscal Impact Statement Agency asserts that telehealth services are not permitted under Federal law Therefore all costs would be borne by the State Lou asks Evan to investigate Evan produces document of activity in every state Agency backs off

14 Senate Health and Provider Services Committee Hearing on February 6 th Lori Melton testifies in support 14 interested parties testify in support Indiana Chamber of Commerce

15 Franciscan VNS Data 30.00% 25.00% 24.70% 24.70% 20.00% 15.00% 10.00% 5.00% 19.70% 19.70% 18.50% 18.50% 7% 7% 5% 5% 4% National 30 day Readmission Rate for CHF Franciscan VNS 30 day readmission rate for CHF National 30 day Readmission Rate for COPD/Pneumonia Franciscan VNS 30 day Readmission Rate for COPD/Pneumonia National 30 day Readmission Rate for CAD/CABG/AMI Franciscan VNS 30 day Readmission Rate for CAD/CABG/AMI 0.00%

16 Senate Health and Provider Services Committee Still concerns over fiscal impact

17 Committee Report

18 Committee on Appropriations February 21 Senator Becker is only one to present Senator Kenley (Chair of the Committee) questions why the bill was re-committed

19 Committee Report

20 Second Reading Where bills can be amended by all 50 Senators No amendments offered February 25

21 Third Reading Final Passage Senator Becker Presents the Bill February 26

22 Third Reading

23 Third Reading

24 Bill Moves to the House House Sponsors Bacon C. Brown T. Brown G. Porter Assigned to House Public Health Committee

25 House Public Health Committe More people come to the party CCMHC Critical Access Hospitals 20-Mile rule becomes issue March 11 Hearing March 18 Moves out of Committee Teleabortion????????

26 House Committee Report

27 Second Reading Allows all 100 House Members to offer amendments Bacon offers amendment to attempt to clean-up 20 mile rule language March 21

28 2 nd Reading

29 Third Reading Rep. Bacon presents Rep. Austin supports Rep. T. Brown supports March 23

30 House Roll Call

31 Bill has passed each House in a different form Options?

32 Motion to Dissent

33 Conference Committee Appointed Sen. Becker Chair Sen. Jean Breaux Rep. Ron Bacon Rep. Charlie Brown Committee meets April 16 Additional clean up dealing with 20 mile rule

34 Conference Committee Report

35 Rules Committee Report must go through rules committee in the House and Senate prior to final vote Clears House Rules April 23 Clears Senate Rules April 24 Eligible for final vote

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37 SEA 554

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43 choice_polls/1wvzdysuly61esm