POSTED: November 7th, 2016
POSTED IN: Fall 2016,
The legislature has been adjourned since May 15th but it would be hard to tell by assessing the high activity level of the MOCEP legislative committee.
First, veto session convened on September 14, and the legislature voted on issues the governor vetoed this summer. There were several issues in which MOCP has interest.
Second, the division of Medicaid (MO HealthNet) is developing a payment mechanism to reduce ED facility payments if the patient did not present a health care condition that meets the emergency definition. So what is an “emergency definition?” The state would like to retrospectively reduce the facility payment only (not physician payment) if the condition treated was not an emergency. Drs. Heidt and Char are serving on a task force with the state to develop the litmus test the state will use when making a determination of what level of payment will be made to the hospital. We are advocating for the department to use the prudent layperson standard when retrospectively assessing if care was delivered to a person presenting an emergent condition.
Finally, we have been working on changing the CE required for Emergency Physicians to qualify their facility for Time Critical Diagnosis (TCD) designations. The legislature passed a bill overriding the Dept. of Health’s interpretation of required CE for Emergency Physicians. The legislation transfers the power to establish CE requirements to the Board of Healing Arts. Drs. Heidt and Char, Sarah and I met with the Board’s executive director, general counsel and medical director about what we believed were reasonable CE requirements. They were very open to a reasonable solution. They will gather additional information before meeting with us again to discuss the CE requirement.