Health Care - including Medicaid

LWVAL Action Priority Level II - Monitoring occurs; action dependent on opportunity and available resources.

Click a bill to see sponsor(s), summary (including link to full text), League action and justification for that action, and progress of the bill through the legislative process.

Legend:
thumbs_up_icon.jpg = LWVAL's support for the legislation.
thumbs_down_icon.jpg = LWVAL's opposition to the legislation.
green-right-arrow.jpg = new bill activity; change from previous week's report such as new progress in the legislature and/or League action. Bill may be one newly added to the report. These updates are in green font.

LWVAL has taken a position on these bills:

thumbs_up_icon.jpgSB75 - Medicaid, expanded to include persons for whom matching funds are available under the Patient Protection and Affordable Care Act, Alabama Medicaid Agency to implement, appropriation

Sponsor(s): Senators Beasley, Coleman, Dunn, Sanders Singleton, Ross, Smitherman, and Figures

Summary/Synopsis: This bill would expand the Alabama Medicaid program to provide assistance to everyone who would qualify for federal matching funds under the Patient Protection and Affordable Care Act. This is an apparent response to the governor's refusal to expand Medicaid and avail our state of additional health care funding available under ACA.


League Action and Justification: Support
LWVAL’s Health Care position states: “Every Alabama resident should have access to a basic level of care that includes health maintenance and disease prevention, primary care (including prenatal and reproductive health), acute care, long-term care and mental health care.” And, its position on Health Care Access, Cost, and Quality states: “LWVAL supports the expansion of Medicaid and acceptance of increased federal funding as outlined in the Affordable Care Act.”

Bill Progress in Legislature:

3/03/2015: First reading and referred to the Senate Committee on Finance & Taxation - General Fund (F&T-GF).


thumbs_down_icon.jpgSB289 - Health care, sections repealed relating to notification requirements when dense breast tissue is found during mammogram and relating to insurance maternity coverage for inpatient hospital care for certain minimum amounts of time for a mother and newborn, Secs. 22-13-71, 27-48-2 repealed

Sponsor(s): Senators Stutts, Waggoner, Glover, Hightower, Bussman, McClendon and Melson

Summary/Synopsis: Under existing law, when dense breast tissue is found during a mammogram the physician issuing the report is required to notify the patient in writing regarding the increased risk of breast cancer. This bill would repeal the law requiring the written statement of notification be given when dense breast tissue is found.

Under existing law [Code Section 27-48-2], insurance maternity coverage for a mother and her newborn child is required to provide certain medically necessary inpatient hospital care for certain minimum amounts of time under certain conditions. This bill would repeal this law.


League Action and Justification: Oppose

LWVAL’s position on Health Care states: “Access to basic health care is a universal human right …. Other policy goals should include efficient and economical delivery of care, integration of technology with advances in care ….” And, “Eligibility for treatment should be based only on medical considerations.”

The content of the bill appears to be an effort to reduce costs, particularly for insurance companies and institutional providers of health care. It is not in the best interest of women’s health.

Bill Progress in Legislature:

03/19/2015: First Reading and Referred to the Senate Committee on Health and Human Services (H&HS).Senate Committee on Health and Human Services (H&HS)

thumbs_up_icon.jpgSB389 - Certificate of need process, expanded to include certain psychiatric residential treatment facilities, Sec. 22-21-260 am'd.

Sponsor(s): Senator Reed, Waggoner, Bussman, Albritton, Stutts, McClendon, Allen, Hightower, Pittman, Ward, Glover, Williams, Whatley, Shelnutt, Scofield, Melson, Beasley and Figures

Summary/Synopsis: This bill expands services for all persons under 21 by adding psychiatric and other therapeutic and clinically informed treatments outside of an acute care hospital. It streamlines the procedure for providers to obtain a certificate of need for existing facilities and encourages the development of additional services.

The bill’s provisions are embodied in definitions for sixteen terms that enlarge the category of Health Care and Health Services and focus significantly on the procedure for securing a certificate of need. It strengthens the State Health Planning and Development Agency (SHPDA) consisting of three consumers, three providers, and three representatives of the Governor. It also creates the Statewide Health Council (SHCC) to advise SHPDA on health planning, perform other assignments and create a State Health Plan every three years and review the plan and available resources every year. The term Health Care Facility can include tuberculous hospitals, public health centers, alcohol and drug abuse centers, home health care, laboratories and outpatient clinics, but must exclude offices of private physicians or dentists and two veterans’ homes operated by the State Dept. of Veterans Affairs.


League Action and Justification: Support Strongly

The bill is entirely consonant with LWVAL Health Care positions that were re-written after study and consensus in 2009. It provides health care to a neglected population, “ensures greater accountability in deliberations and decision-making,” greater “independence from political considerations,” and a wider network of providers. This bill and League positions identify the same problems, like the faulty Certificate of Need process, the gaps the data for planning, and inadequate oversight. It constructs a system that attempts to prevent some possible abuses.

Bill Progress in Legislature:

04/16/2015: First Reading and referred to the Senate Committee on Health and Human Services (H&HS).

05/28/2015: 2nd Read and placed on the calendar; pending 3rd read and Favorable from HLTH

06/04/2015: 3rd Reading Carried Over to Call of the Chair; Melson motion to Carry Over to the Call of the Chair adopted by Voice Vote; 3rd Reading Passed; Motion to Read a Third Time and Pass adopted by Roll Call; Signature Requested
House:

06/04/2015: Passed 2nd House; Enrolled; Clerk of the House Certification; Delivered to Governor at 5:43 p.m. on June 4, 2015.

green-right-arrow.jpgthumbs_up_icon.jpgHB389 - Health care workers, infected health care workers, add Hepatitis C infection to definition of, Secs. 22-11A-60, 22-11A-61, 22-11A-62, 22-11A-63, 22-11A-66, 22-11A-67, 22-11A-73 am'd.

Sponsor(s): Representative Weaver

Summary/Synopsis: Under existing law, infected health care workers are defined as health care workers who are infected with Human Immunodeficiency Virus (HIV) or hepatitis B virus (HBV). This bill would add to the definition of infected health care workers those health care workers infected with hepatitis C virus (HCV) for purposes of reporting to the State Health Officer.

This bill would also authorize the State Board of Health to designate by rule other diseases that infected health care workers must report to the State Health Officer.


League Action and Justification:
Support

Bill Progress in Legislature:

04/02/2015: Read for the first time and referred to the House Committee on Health (HLTH).

04/16/2015: 2nd Reading and place on the calendar; pending 3rd reading and Favorable from HLTH

05/19/2015: 3rd Reading Passed; Motion to Read a 3rd Time and Pass adopted by Roll Call; Fridy intended to vote “Yea”

Senate:

05/21/2015: Read for the 2nd Time and referred to the Senate Committee on Health and Human Services (H&HS).

05/28/2015: 2nd Read and placed on the calendar; pending 3rd read and Favorable from HLTH

06/04/2015: 3rd Reading Carried Over to Call of the Chair; Melson motion to Carry Over to the Call of the Chair adopted by Voice Vote; 3rd Reading Passed; Motion to Read a Third Time and Pass adopted by Roll Call; Signature Requested

House:

06/04/2015: Passed 2nd House; Enrolled; Clerk of the House Certification; Delivered to Governor at 5:43 p.m. on June 4, 2015.

green-right-arrow.jpgthumbs_up_icon.jpgHB500 - State Health Planning and Development Agency (SHPDA), mandatory reporting of health care information, Health Care Information and Data Collection Advisory Council estab., advice on rules to implement

Sponsor(s): Representative Weaver .

Summary/Synopsis: “Alabama Health Planning Facilitation Bill” is a companion to HB 389. Relating to the State Health Planning and Development Agency (SHPDA).
At present there is no systematic way for SHPDA, the Statewide Health Council (SHCC) or the Certificate of Need Board to collect health care service information for proper health care planning because reporting to SHPDA is voluntary. This bill requires mandatory reporting. It establishes the Health Care Information and Data Advisory Council. After obtaining advice and approval from the Council, SHPDA is required to adopt rules for the required reporting and dissemination of aggregated health care reports, reporting to the Certificate of Need Board.. After failure to provide electronic reporting by a certain date, SHPDA would lose its authority to require the reporting.


League Action and Justification: Support.

Progress in Legislature:

House:

04/16/2015:
First Reading and referred to the House Committee on Health (HLTH).

04/30/2015: 2nd Read and place on the calendar with 2 Amendments (168384-2; 168382-2); Health 1st and 2nd Amendments offered; pending 3rd Read and favorable from Health with 2 Amendments.

05/14/2015: 3rd Reading Passed; Health Amendment (168384-2) Offered; Motion to Adopt adopted by Roll Call; Health Amendment (168382-2) Offered; Motion to Adopt adopted by Roll Call; Hill (M) Amendment (169446-1) Offered; Motion to Adopt adopted by Roll Call; Motion to Read a 3rd Time and Pass adopted by Roll Call; Engrossed.


Senate:

05/14/2015: Read for the First Time and referred to the Senate Committee on Health and Human Services (H&HS).Senate Committee on Health and Human Services (HLTH)

06/02/2015: 2nd Read and placed on the calendar

06/04/2015: 3rd Read Passed; Motion to Read a Third Time and Pass adopted Roll Call; Signature Requested

House:

06/04/2015: Passed 2nd House; Enrolled; Clerk of the House Certification; Delivered to Governor at 5:43 p.m. on June 4, 2015.


green-right-arrow.jpgthumbs_up_icon.jpgSB431/HB585 - Medicaid, long-term care services, delivery to elderly and disabled on managed care basis, intergrated care network established, Sec. 22-6-160 am'd.

SB431 Sponsor(s): Senators Reed, Marsh, and Wagonner
HB 585 Sponsor(s): Representative Weaver

Summary/Synopsis:
Long term managed care services (such as nursing facilities, home based and community-based facilities) for certain elderly and disabled Medicaid beneficiaries will be distributed on a managed care basis through one or more statewide integrated care networks. This bill establishes requirements for the operation of such a network under the Medicaid program to be governed by a Board of Directors with a citizens’ advisory committee. This complex and detailed bill provides procedures and safeguards for both the establishment and operations of these entities. It includes a system for assessing quality of care and publication of the results, with provisions for confidential patient information. Provisions protect patients from undue risk-bearing. This bill seems so definitive that no additions or corrections seem likely to be needed.



League Action and Justification: Support
Both of these bills address—with intelligent safeguards–most of the provisions of the LWVAL Health Care position. They solve problems without political considerations, are plainly based on expert knowledge, and should avoid any amendments or substitutions.

Bill Progress in Legislature:

SB431

04/30/2015: Read for the first time and referred to the Senate Committee on Health and Human Services (H&HS).Senate Committee on Health and Human Services (HLTH)

05/07/2015: 2nd Read and placed on the calendar with 2 Amendments (168870-2; 168677-3); HLTH Amendments offered; Pending third reading on day 21 Favorable from Health and Human Services with 2 amendments

05/14/2015: 3rd Reading Carried Over to Call of the Chair; H&HS Amendment (168870-2) Offered; H&HS Amendment (168677-3) Offered; Reed Motion to Adopt adopted by Roll Call; Motion to adopt adopted by Roll Call; Reed Amendment (169203-2) Offered; Pittman Amendment (169463-1) Offered; Reed motion to Adopt adopted by Roll Call; Reed motion to Carry Over to the Call of the Chair adopted by Voice Vote; Further Consideration.

05/19/2015: 3rd Reading Passed; Pittman Amendment (169463-1) Offered; Reed motion to Table adopted by Voice Vote; Reed Amendment (169529-1) Offered; Reed motion to Adopt adopted by Roll Call; Motion to Read and Pass adopted by Roll Call; Engrossed

House:

05/19/2015: Read for the first time and referred to the House Committee on Health (HLTH).

05/21/2015: 2nd Read and placed on the calendar; pending 3rd reading and Favorable from HLTH

05/28/2015: 3rd Reading Passed; Motion to Read a 3rd Time and Pass adopted by Roll Call; Signature requested; Enrolled; Forwarded to Governor on May 28, 2015 at 1:35 p.m.

Senate:

05/28/2015: Passed Second House


HB585

04/30/2015: Read for the first time and referred to the House Committee on Health (HLTH).

05/07/2015: 2nd Read and placed on the calendar with 1 Amendment (168678-3); HLTH Amendment offered; Pending third reading on day 21 Favorable from Health with 1 amendment

06/03/2015: Indefinitely Postponed

thumbs_up_icon.jpgSB476 (Constitutional Amendment) - General appropriations, Alabama Medicaid Agency appropriation limited to ten percent of total of state funds under Legislature's control, Department of Corrections appropriation limited to five and one half percent, limits exceeded under certain conditions, Section 71, Constitution of Alabama of 1901, am'd., const. amend.

Sponsor(s): Senator Marsh

Summary/Synopsis: Under Section 71 of the Constitution of Alabama of 1901, the general appropriation bill is limited to appropriations for the ordinary expenses of the executive, legislative, and judicial departments of the state, for interest on the public debt and for the public schools.

This bill would amend, effective January 1, 2017, Section 71 to provide that no appropriation to the Alabama Medicaid Agency could exceed ten percent of the total appropriations, nor could any appropriation to the Alabama Department of Corrections exceed five and one half percent of the total appropriations.
These limits could be exceeded by a three-fifths vote of the elected members of each house.


League Action and Justification: Oppose

The proposed legislation not only would continue the existing system of tax earmarking that has led to underfunding programs covered in the General Fund, it restricts amounts that may be spent in the two public policy areas where expenditure demands have grown the most in large measure due to the policy decisions of past legislatures. Rather than focusing on needed tax reform, including un-earmarking and changes in the tax system, it seeks to limit costs in what is basically an arbitrary manner.

Bill Progress in Legislature:

05/14/2015: Read for the First Time and referred to the Senate Committee on Finance and Taxation General Fund (F&TGF).



LWVAL is monitoring these bills:
[none at this time]


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