IHA Daily Briefing: May 17

Thursday, May 17, 2018

IHA Opposes Cuts to Medicaid, Prompt Pay Penalty
Healthcare Worker Safety Bill Moving in Illinois House
OAG Offers Sexual Assault ER Care Training
Batt to Join HANYS in June
Diabetes Prevention Programs Webinar June 6
IHA Small & Rural Meeting: Sessions Offer Insights
Briefly Noted

IHA Opposes Cuts to Medicaid, Prompt Pay Penalty
With just over two weeks (only 12 session days) left in the General Assembly’s Spring session, it is still not clear whether lawmakers will reach an agreement on the FY2019 state budget before the May 31 adjournment deadline.

The two most likely budget scenarios are either a budget passed prior to May 31 with Democrat-only votes that would include House Republican spending priorities with the hopes of attracting enough GOP support for a vote to successfully override a gubernatorial veto—or a budget passed prior to June 30 with a veto proof roll call.

IHA is closely tracking developments on the state budget, especially as they affect Medicaid funding and the prompt pay penalty for late bill payments by the state. IHA has already testified against any Medicaid cuts, and is also opposing legislation (Senate Bill 44) that would substantially reduce the prompt pay penalty. SB44 would reduce the prompt pay penalty from the current 12 percent (on an annualized basis) to as little as three percent (or two times the Consumer Price Index-Urban rate if greater than 3 percent).

It is important to note that budget implementation bills can be introduced at the last minute at the end of session, with little or no transparency and almost no public notice. Last session, IHA defeated a Senate effort in May to include a five percent Medicaid cut in a budget implementation bill.

Members are asked to watch for an IHA advocacy alert on this critical issue next week as the General Assembly heads down the home stretch of its spring session. When talking to your legislators over the next few weeks, members are encouraged to continue urging them to oppose any cut to Medicaid or the prompt pay penalty, which might be included in a budget implementation bill.

For more information about IHA’s advocacy efforts to oppose Medicaid cuts, see our fact sheet and recent testimony to the Senate Appropriations I and II Committees.

Healthcare Workers Safety Bill Moving in Illinois House
Legislation aimed at strengthening safeguards for healthcare employees, including nurses, in hospitals and retail healthcare facilities is now moving in the Illinois House. IHA supports the proposed legislation (“The Health Care Violence Prevention Act”)  as revised under House Amendment 3 to House Bill 4100, sponsored by Rep. Stephanie Kifowit (D-84, Aurora).

The proposed legislation includes provisions on training and procedures to protect healthcare employees, such as:

  • Protocols to be developed between hospitals and law enforcement agencies to provide notice to hospitals when potentially violent prisoners or justice-involved individuals will be presented for medical care; and
  • Training requirements for law enforcement/corrections personnel related to high-risk prisoners.

As a result of many discussions between IHA and the bill sponsor to address the hospital community’s concerns, the legislation has been amended to align OSHA requirements with state law on workplace violence along with the state’s existing whistleblower law.

The legislation was prompted by violent incidents at hospitals that occurred last year.

OAG Offers Sexual Assault ER Care Training
The Office of Attorney General (OAG) is offering a one day, eight-hour training program—Foundation to Provide Sexual Assault Patient Care in the Emergency Room (ER)—on July 12 at Advocate Condell Medical Center in Libertyville. The program is designed for law enforcement, advocates, first responders, emergency room nurses, mid-level providers and physicians who would like to learn best practice guidelines for the multidisciplinary approach to the care of sexual assault patients. The application deadline for this free program is July 6.

More information on the OAG’s Sexual Assault Nurse Examiner program is available here.

Batt to Join HANYS in June
Cristina Batt, IHA Vice President of Federal Relations, has accepted a position with the Healthcare Association of New York State (HANYS) and will be leaving IHA June 8.

Batt has been with IHA since February 2014 working on many critical federal healthcare issues on behalf of IHA members, including those related to Medicaid and Medicare, the Affordable Care Act, the 340B drug pricing program, behavioral health and rural healthcare.

Batt has family just outside of New York City and Buffalo and previously served as the healthcare legislative assistant for U.S. Rep. Eliot Engel (D-16) of the New York delegation.

IHA wishes Cristina and her family the best of success as she undertakes this new opportunity.

IHA will begin a search process to fill the federal relations position.

Diabetes Prevention Programs Webinar June 6
Learn more about “Improving Patients' Health through Diabetes Prevention Programs (DDPs)” on June 6 from 10-11 a.m. This complimentary webinar will provide an overview of the Centers for Disease Control and Prevention’s recognition process for DDPs. Funding for this program was provided by Illinois Dept. of Public Health State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health (CDC-DP13-130504PPHF16). Click here for more details and to register.

IHA Small & Rural Meeting: Sessions Offer Insights
Leading thinkers at this year's IHA Small & Rural Hospitals Annual Meeting will address the pressing challenges in care delivery, policy and leadership that impact small and rural hospital leaders and board members. The 1½-day meeting, themed ALL IN: A Passion for Rural Healthcare, will be June 20-21 at the Bank of Springfield Center.

Keynote speaker Benjamin Anderson, CEO of Kearny County Hospital in a small Kansas town, will explore the fatalism common in rural communities and the essential steps to achieve effective, sustainable reform. Anderson has received national acclaim for his work in physician recruitment, health promotion, women's health initiatives and rural healthcare delivery innovation.

Dale Smith Thomas, founder and president of Winners By Choice Inc., will uncover what it takes to create a winning edge both personally and professionally in her inspiring closing session on applying fundamental principles of success.

The meeting will also feature reactor panels of small and rural hospital leaders who will bring to life the concepts in two pertinent sessions:

  • "Uncovering the Leader's Path to Resiliency" by Vistage International Chairman Bob Berk, who is based in Chicago and currently coaches over 100 CEO and C-suite executives; and
  • "The Disruptors: How Amazon, Google & Apple Plan to Change the Face of Healthcare," by Ron Galloway, president of 818 Research in Augusta, Georgia, a noted speaker on innovation in healthcare and business technology.

IHA encourages C-suite leaders from small and rural hospitals to attend the annual meeting and to invite your board members. For 2018, we've reduced registration fees for full meeting attendance—with 50 percent off for board members. Register online today.

If you are planning an overnight stay, a discounted hotel rate is available at the President Abraham Lincoln Springfield – a DoubleTree by Hilton Hotel through May 29. The hotel is adjacent to the meeting venue.

Briefly Noted
On Tuesday the Centers for Medicare & Medicaid Services (CMS) released a redesigned version of the drug spending dashboards. For the first time, the dashboards include year-over-year information on drug pricing and highlight which manufactures have been increasing their prices. Medicare Part D drug spending dashboard is available here. Medicare Part B drug spending dashboard is available here. Medicaid drug spending dashboard is available here. A Medicare Part D manufacturer rebate summary report is available here.

According to the dashboards, Medicare spent 17 percent of its total budget, or $109 billion, on prescription drugs in 2012. Four years later in 2016, spending had increased to 23 percent, or $174 billion.

The U.S. Food and Drug Administration Wednesday approved Lucemyra (lofexidine hydrochloride) to assist with opioid withdrawal symptoms in adult patients. It is the first non-opioid treatment for opioid withdrawal symptoms to be approved. While Lucemyra may lessen the severity of withdrawal symptoms, it may not completely prevent them and is only approved for treatment for up to 14 days. Lucemyra is not a treatment for opioid use disorder (OUD), but can be used as part of a broader, long-term treatment plan for managing OUD. Read more here.

AHA has extended the deadline for the prescription drug trends survey to May 25. A link and credentials for accessing the survey, fielded in collaboration with the Federation of American Hospitals and the American Society of Health-System Pharmacists, was sent to hospital and/or health system executives on April 19 and again on May 14. The survey requests information on hospitals and health systems' recent experience with drug spending and shortages.