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This Week in Health Care
SM,  April 16, 2014

Every Wednesday, Stateside Associates selects some health care-related state events to highlight in This Week in Health Care.

To provide feedback, or for more information about these issues or Stateside Associates’ Health Care Practice, please contact Robert Holden at (703) 525-7466 or rah@stateside.com.

CALIFORNIA

The Health Benefit Exchange Board will meet 4/17/2014 to discuss emergency rules addressing 2015 Standard Benefit Design. The emergency rule establishes the 2015 standard plan designs for plans inside and outside the Exchange, addresses coverage for prescription drugs, imaging and other tests, physician services, catastrophic coverage, dental services, and other types of care.  Melissa Martin at mpf@stateside.com

The Assembly Committee on Health and Judiciary will meet 4/22/2014 to discuss A.B. 1830, which prohibits a contractor, subcontractor, volunteer, or vendor of the Exchange who gains access to personally identifiable information in the course of fulfilling his duties from using or disclosing that information other than to the extent necessary to carry out those duties.  Kelsey Lovell at kel@stateside.com

IOWA

The Senate Committee on Appropriations meets 4/16/2014 to discuss H.F. 2463, which requires the Department of Human Services to collaborate with the Medicaid Managed Care Organization (MCO) to perform an analysis to determine the cost effectiveness of including the pharmacy benefit for enrollees of the managed care plan within the MCO contract.  Kelsey Lovell at kel@stateside.com

The Board of Pharmacy will accept comments through 4/22/2014 regarding proposed amendments relating to pharmacy controlled substances inventory. The proposed amendments provide pharmacies with flexibility in the date by which the required annual inventory of controlled substances may be completed and clarify when a controlled substances inventory must be completed upon a change of ownership of a pharmacy.  Amy Goldlust at amg@stateside.com

The Insurance Division will meet 4/22/2014 to discuss proposed revisions to rules pertaining to Pharmacy Benefits Managers (PBMs). The revisions clarify the duties of insurers and PBMs and set forth standards to ensure compliance with those duties.  Amy Goldlust at amg@stateside.com

MARYLAND

The Health Care Commission will accept comments through 4/21/2014 regarding proposed new regulations that affect Electronic Health Records (EHR). The rules require state-regulated carriers that issue or deliver health benefit plans in the state to provide incentives to practices that meet national requirements in the use of an EHR.  Amy Goldlust at amg@stateside.com

MONTANA

The Board of Nursing meets 4/16/2014 and 4/17/2014 to discuss amendments to rules and new rules concerning advanced practice registered nurses.  Becky Lukaesko at bml@stateside.com

NEW HAMPSHIRE

The House Health, Human Services and Elderly Affairs Committee will hold an executive session 4/17/2014 to discuss S.B. 229, which authorizes a patient to transmit his or her protected health information through the health information organization and clarifies that such information may only be used in accordance with the HIPAA.  Mark Japinga at maj@stateside.com

NORTH DAKOTA

The Board of Pharmacy will hold a public meeting 4/17/2014 to discuss proposed amendments to rules concerning pharmacies and wholesalers. The amendments will require the inspection or accreditation of out-of-state pharmacies, list license fees adopted during the 2013 legislative session, and make other changes.  Becky Lukaesko at bml@stateside.com

RHODE ISLAND

The House Health, Education and Welfare Committee is meeting 4/16/2014 to discuss H.B. 7577, which increases hearing aid insurance coverage for those under the age of 19 from $1,500 to full cost, and for those age 19 and older from $700 to $1,500.  Mark Japinga at maj@stateside.com

VERMONT

The Green Mountain Care Board will meet 4/17/2014 to discuss the ACO shared savings program and to receive an update on VHCURES, the state claims database.  David Owens at do@stateside.com

The Committee on Health Care will meet 4/18/2014 to discuss S.B. 281, which requires health insurance plans to provide a choice of providers for vision care and medical eye care services and to reimburse providers the same amount for the same services when provided by either an optometrist or an ophthalmologist.  Kelsey Lovell at kel@stateside.com

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