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Mass. Legislation To Push Poor Seniors Into Managed Care Plans Stirs Concerns

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Also Included In: Caregivers / Homecare ;   Medicare / Medicaid / SCHIP ;   Abortion

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The Boston Globe : “Legislation that could pushing more than 100,000 low-income elderly citizens in Massachusetts into managed guardianship wellness plans spurred acute lobbying yesterday, as consumer advocates argued the mensuration would peel patients of their exemption to stoppage in traditional Medicare , patch proponents aforementioned it could economize the commonwealth important money. At exit is a pecker sponsored by Representative Peter J. Koutoujian, a Waltham Democrat, which would involve elders who are receiving both state-subsidized Medicaid wellness benefits and federal Medicare reporting to be mechanically enrolled in managed tending wellness plans. … A legislative commission yesterday delayed activeness on the pecker for various weeks to pay lawmakers more clip to bailiwick the extremely supercharged outlet” (Lazar, 4/28).

NPR : “The Oklahoma Senate voted Tuesday to reverse the regulator’s prohibit of two anti-abortion laws that are considered roughly of the strictest in the land. One of the laws, which became efficaciously straightaway, requires women to let an ultrasonography and mind to a elaborate description of the foetus ahead acquiring an miscarriage. The former prevents women from suing doctors who wittingly deduct data most the foetus, including whether thither’s a foetal freakishness. Supporters of that bill get aforesaid it is an try to support meaning women from keen against fetuses with disabilities.” Gov. Brad Henry, a Democrat, has aforesaid that the law bequeath probably be constitute unconstitutional (Lohr, 4/27).

The Wall Street Journal : Oklahoma’s “ultrasonography law drew an quick cause, filed in posit courtroom and backed by the Center for Reproductive Rights, which aforementioned it profaned miscarriage providers’ free-speech and equal-protection rights. In summation to requiring any typecast of echography would acquaint the clearest epitome - much a vaginal one - the law says doctors or technicians moldiness report the echography results to the char. Stephanie Toti, a stave lawyer for the gist, aforementioned this goes encourage than laws in 21 early states that demand or intimate sonography for women quest abortions. The gist is considering a sound dispute to the early Oklahoma law as swell, she aforementioned” (Mathews, 4/28).

Kansas Health Institute reports on the proposed tax on licenced nursing plate beds in Kansas: The lawmaking “calls for exploitation a $1,325-per-year tax on licenced nursing habitation beds to beget astir $30 zillion which, in twist, would be victimized to hook kill $56 zillion in extra federal Medicaid backing. Ninety-nine percentage of the $86 trillion would be returned to the nursing homes, depending on how many of their residents are on Medicaid. Homes with more Medicaid residents would get more money. … The peak’s supporters … suffer been warm in pointing out that more than 90 percentage of the province’s nursing homes leave either breakout level or get out beforehand. It makes footling sensation, they say, to forget $56 1000000 on the federal postpone at a sentence when many nursing homes, peculiarly those with high-pitched numbers of Medicaid residents, are reeling from the 10 pct cut in Medicaid reimbursement originally this year.” There is too plenteousness of impedance to the tax (Ranney, 4/28).

Florida Health News : “State lawmakers seem cook to toss a eyeshade to fling devour on pain-management clinics that suffer get a attraction for dose abusers — including placing restrictions on doctors who deal more than a 72-hour provision of controlled substances. The peak would bar clinic patients from acquiring more than the three-day supplying if they pay with cash, checks or citation cards. By requiring defrayment with indemnity or workers-compensation reporting, lawmakers desire to slenderize the bit of masses who walkway into clinics, plunker polish cash and leave-taking with great quantities of painkillers such as oxycodone . The repose of acquiring drugs at Florida clinics has haggard users and traffickers from states such as Ohio and Kentucky” (Saunders, 4/28).

The Tennessean : “The submit law-makers may yield up the motion adjacent year of whether ganja should be usable by prescription in Tennessee, later agreeing to air the dubiousness to a survey grouping. The House Health and Human Resources Committee voted Tuesday to birdsong on nation wellness, husbandry and law enforcement officials to field checkup cannabis and present a composition to the law-makers no posterior than Feb. 15, conclusion a two-week deliberate ended the publication. But the commission did not sanction any extra support for the bailiwick, going it to the province’s Board of Pharmacy to adjudicate whether to payoff up the thing. If it goes forrader, the bailiwick could set up a disputation o’er aesculapian ganja following year” (Sisk, 4/28).

The Wall Street Journal : “Two New York-Presbyterian Hospital officials and two contractors who did job with the esteemed infirmary were indicted on fraudulence charges Tuesday in the up-to-the-minute cases stemming from a federal probe into bid-rigging and put-on. The indictment alleges that the infirmary officials - Santo Saglimbeni of Armonk, N.Y., and Emilio Figueroa, whose hometown wasn’t minded - standard payments and gifts in rally for award contracts to sure companies. The contractors, Michael Yaron of Meadowbrook, Pa., and Moshe Buchnik of Richboro, Pa., standard approximately of the rigged contracts. The four-spot individuals couldn’t be reached for gossip. … The indictment, which was returned by a federal g jury in the Southern District of New York, aforesaid more than $42 billion in infirmary contracts was tortuous” (Rockoff, 4/28).

St. Louis Globe-Democrat : “Gov. Jay Nixon sign House Bill 1498, which requires wellness policy companies in Missouri to hurrying up claims payments to doctors, hospitals and over-the-counter wellness charge providers. John Huff, conductor of the Missouri Department of Insurance, joined Nixon at the nib signing. … According to Nixon, a 2009 reputation from the Missouri Department of Insurance showed wellness guardianship providers crossways the country are transaction with important defrayment delays in the claims filed with indemnity companies for discourse of patients. The reputation on Missouri’s ‘instigate pay’ law showed more than 26 pct of claims at Missouri hospitals are by due by 90 years or more, Nixon aforementioned. The trouble of belatedly requital was fifty-fifty worsened for rural hospitals, he added” (4/27).

This data was reprinted from kaiserhealthnews.org with sort license from the Henry J. Kaiser Family Foundation. You can survey the full Kaiser Daily Health Policy Report, explore the archives and signaling up for e-mail pitch at kaiserhealthnews.org .

© Henry J. Kaiser Family Foundation. All rights reserved.

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