2019 Legislative Session Recap September 2019 2019 Political

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2019 Legislative Session Recap September 2019

2019 Legislative Session Recap September 2019

2019 Political Environment Snapshot - State §Balance of House and Senate ØSenate �Current: 40

2019 Political Environment Snapshot - State §Balance of House and Senate ØSenate �Current: 40 Rs, 10 Ds �Republicans hold supermajority ØHouse �Current: 67 Rs, 33 Ds �Republicans hold supermajority ØBudget Year - 2 nd Budget Cycle for Holcomb Administration 2

The Legislative Process in “Theory” 3

The Legislative Process in “Theory” 3

The Legislative Process in “Practice” 4

The Legislative Process in “Practice” 4

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Office Based Opioid Treatment (OBOT) Providers § SEA 141 § Provides that a physician

Office Based Opioid Treatment (OBOT) Providers § SEA 141 § Provides that a physician or physician acting in a supervisory capacity to other providers providing OBOT services must have SAMHSA waiver to treat opioid addicted patients in an office based setting and a DEA registration authorizing treatment in an office based setting. (Some exemptions for certain providers) § Specifies requirements that a healthcare provider that prescribes for a patient in an OBOT setting must meet in the treatment of a patient. § Requires the Medical Licensing Board to adopt rules and protocols concerning OBOT providers and: (1) Treatment Agreements; (2) periodic scheduled patient visits; (3) urine toxicology screens; (4) HIV, Hep B, and Hep C testing; and (5) medical record documentation required for the prescribing of buprenorphine over a specified dosage. § Subjects practitioners who violate these requirements to sanctions that may include: �a permanent or temporary revocation of a practitioner’s license �Censure �Letter of reprimand �Probation �Fines in an amount not to exceed $1000 6

Pharmacists; Physician Assistants § SEA 1248: Pharmacists & Physician Assistants: § Changes the word

Pharmacists; Physician Assistants § SEA 1248: Pharmacists & Physician Assistants: § Changes the word supervisory/supervision to collaborative. The definition remains the same. § Provides that PAs shall work under a collaborative agreement with a physician instead of under an supervisory agreement. �However, PAs are still a dependent practice and must work under a collaborative agreement. § Deletes the provision that restricts a PA from writing a script for longer than a 30 day supply. § Deletes the provision that requires a PA to work 1800 hours before prescribing. § Deletes the statutory requirement of 30 hours of pharmacology contact training hours before prescribing (This already required as part of an accredited PA program). § Removes the requirements that for the first year of practice: (1) the PA must have a chart review of at least 25% § Removes the requirements that, for the first year in which a PA obtains authority to prescribe a Schedule II controlled substance, 50% of the patient records shall be reviewed. § Adds 10% chart review for prescriptions prescribed by a PA in first year authorized to prescribe. 7

Consent to Pregnancy Services for a Minor § HEA 1547 § Allows a minor

Consent to Pregnancy Services for a Minor § HEA 1547 § Allows a minor who is at least 16 years of age and: (1) pregnant; (2) in labor; or (3) postpartum; to consent to health care concerning the pregnancy, delivery, and post-partum care. § Requires a health care provider to make a reasonable effort to contact a minor's parent or guardian before or at the initial appointment before providing treatment and document in writing each attempt to contact the parent or guardian. § Requires the health care provider to act in the manner that is in the best interests of the minor and the fetus. § If, after the initial appointment or treatment, the health care provider determines that additional care is in the best interest of the minor and the fetus, the health care provider shall make one additional attempt to contact the parent or guardian of the minor for consent, if applicable, before: (1) the provision of prenatal care; (2) the delivery of the baby; and (3) the provision of postpartum care. 8

Other Legislation Interest – Final Outcome Bill Number/Short Title Summary SEA 201: Health Provider

Other Legislation Interest – Final Outcome Bill Number/Short Title Summary SEA 201: Health Provider Ethical Exemption The ethical exemption is now extended to include: (1) nurses; (2) physician assistants; and (3) pharmacists; from being required to: (1) perform an abortion; (2) or to prescribe, administer, or dispense an abortion inducing drug; or (3) to assist or participate in the medical procedures resulting in or intended to result in an abortion if the health care provider objects to the procedures on ethical, moral, or religious grounds. (Current law applies only to physicians and hospital employees. ) HEA 333: Body Cavity Searches & Blood Draws Establishes a procedure authorizing licensed medical personnel to obtain a bodily fluid sample or retrieve contraband from the body cavity of an individual as part of a criminal investigation, and, grants, with certain exceptions, immunity to medical personnel. Also, provides for a method for EMS providers/law enforcement who have been exposed to bodily fluids to obtain test results for a dangerous communicable disease from non-criminal suspects. HEA 1294: INSPECT Program Removes the criminal penalty for failure to check INSPECT with some exceptions. Imposes, instead, professional licensing sanctions. All prescribers must still use INSPECT by Jan 1, 2021. 9

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Other Legislation of Interest– Final Outcome (Cont. ) Bill Summary Number/Short Title Status HB

Other Legislation of Interest– Final Outcome (Cont. ) Bill Summary Number/Short Title Status HB 1444: Taxation of E Implemented a tax on e-cigarettes products based on a percentage of retail price. (Conf Cttee report version) Failed HB 1565: Cigarette Taxes Increases the cigarette tax by $2/pack. Appropriates $35 M each yr of the biennium to fun to tobacco prevention and cessation Failed SB 425: Minimum age Includes provisions that raise from 18 to to purchase tobacco 21 yrs the age a person may: (1) sell or and e-liquids buy tobacco products, e-liquids &/or ecigs containing nicotine. Failed 11

Advocacy 101 12

Advocacy 101 12

Effective Advocacy Habits §Work with your govn’t affairs professional §Stay Informed §Newspapers, radio, TV,

Effective Advocacy Habits §Work with your govn’t affairs professional §Stay Informed §Newspapers, radio, TV, social media, advocacy groups §Build Relationships §Meet; invite; call; write §Build Coalitions §Identify orgs/entities with like-minded interests §Raise Public Awareness §LTEs, meet with editorial boards, PSAs, earned media, testify, enlist champions §Participate Politically §Use resources to support elected leaders/candidates that share your interests 13

Delivering Your Message § Method § In Person (Ideal) �For Healthcare professionals: Wear your

Delivering Your Message § Method § In Person (Ideal) �For Healthcare professionals: Wear your “white coats” § Formal Letter § Email (avoid template emails; personalize) § Formal Testimony § Know your audience § Understand the members’ background § Prioritize communications with those who can effectuate the most change § Know your environment § Where’s your bill in the process? § Are we in a Conservative/Liberal environment? § Is it an election year? 14

Delivering Your Message – Cont. § Develop a clear and concise message § Clearly

Delivering Your Message – Cont. § Develop a clear and concise message § Clearly identify yourself and who you represent § Explain briefly yet clearly your position § Tell the member the result you favor § Attempt to identify their position § Leave visuals and/or talking points § Be respectful and professional § Address as “Representative/Senator” [name] § Address as “Mr. /Madame Chair and Members of the Committee” § Thank them for their time § Avoid letting emotion control the conversation § Avoid surprise “attacks” § Be persistent § “Touch” the member throughout the process (NOTE: Relax. Remember, you likely know more than they do on a topic) 15

Questions? Tory Callaghan Castor tcastor@iuhealth. org 16

Questions? Tory Callaghan Castor [email protected] org 16