Each year, the Ohio General Assembly considers dozens of new laws that govern the daily practice of DOs. Your association maintains regular contact with the legislature. OOA staff and volunteers testify at committee hearings and discuss concerns through personal contact with legislators. A grassroots network of individual physicians complements ongoing efforts in Columbus.
We are fighting on the front line in battles involving practice regulation, Medicaid reimbursement, BWC compensation, tort reform and HMO/insurance company regulation to name a few. These areas are controlled by the states, not the national governement. Members are encouraged to meet their state representative and senator and express their views on healthcare issues.
To see a list of health-care related bills pending in the Ohio General Assembly, click here.
To find bills by bill number, sponsor, or keywords, click here.
To identify and contact your State Senator or State Representative, click here.
The Ohio Senate began hearings this week (April 23) for its version of the state budget, after receiving a House-passed blueprint that stripped Medicaid expansion from Gov. John Kasich’s original proposal. The Governor's office expressed optimism that lawmakers may still consider Medicaid expansion.
The current recommendations have a “trigger” for any chronic, non-terminal pain patient who has received 80 mg or more of morphine equivalent daily dose (MED) over the past 90 days, as determined through the OARRS database. By agreeing to issue guidelines rather than rules, the Kasich Administration is also challenging the provider community to make a positive change in opiate prescription overuse and abuse within a year.
The Ohio Medicaid Expansion Study, a partnership between the Health Policy Institute of Ohio, the Ohio State University, Regional Economic Models, Inc. and the Urban Institute, has released a new fact sheet examining the impact of not expanding Medicaid in Ohio
The Ohio Supreme Court of Ohio ruled in a 7-0 decision today (April 23) that an expression of sympathy by a physician to a patient regarding an unanticipated medical outcome may not be admitted as evidence of liability in any medical malpractice lawsuit initiated after September 13, 2004 the effective date of legislation prohibiting such evidence.
Overall, the report, released by Catalyst for Payment Reform and the Health Care Incentives Improvement Institute, gives 29 states an “F” and seven a “D.” Only two states – Massachussetts and New Hampshire received an “A.”
The Robert Wood Johnson Foundation released its annual county health rankings,, March 19. The report rates the health of nearly every county in the nation and shows that much of what affects health occurs outside of the physician’s office.
A total of 3,094 Ohio medical professional liability claims were closed in 2011, according to data collected by the Ohio Department of Insurance and released, March 1, in it's seventh annual closed claim report. Malpractice claims have steadily decreased from approximately 5,000 in 2005 to 3,000 in each of the last four years.
The Governor's two-year budget proposes to extend Medicaid coverage to adults making $15,415 or less per year (138 percent of poverty). Under the Affordable Care Act, the federal government will pay 100 percent of this cost for three years, decreasing to 90 percent in 2020 and beyond.
The web site contains valuable resources for players, parents, coaches, referees, and physicians. In addition to materials specifically required HB 143, the site also contains a list of frequently asked questions, fact sheets for coaches and parents, and CDC diagnosis and management educational articles for physicians. Click here to visit the web site: www.healthyohioprogram.org/concussion .
Ohio’s decision on whether to expand eligibility for the program is expected to come as part of the biennium budget process. The Health Policy Institute of Ohio's latest publication, "Policy Considerations for Medicaid Expansion in Ohio" discusses costs and benefits.
The Ohio Provider Coalition – which includes the OOA and the dental, medical, optometric, podiatric, pharmacists, psychological, and chiropractic associations – has sent a letter supporting HB 479, the Ohio Asset Management Modernization Act (OAMMA).
Last week’s elections resulted in few changes in the Ohio General Assembly, with Republicans retaining control of the House of Representatives and Senate.The legislature will be in lame duck session for several weeks, wrapping up any unfinished business before it adjourns permanently in mid-December.
The State Medical Board of Ohio (OSMB) voted to suspend further participation in a Maintenance of Licensure pilot project with the Federation of State Medical Boards. A interim Executive Director has also been named to replace Richard A. Whitehouse, who resigned in October.
OOA Board Member Jennifer J. Hauler, DO, of Dayton, participated in the discussions along with Jason P. Dapore, DO, of Columbus, who is the physician member of the Athletic Trainers Section of the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board.
The legislation passed the Ohio House of Representatives by a vote of 66-29 and would permit unlicensed individuals to provide alternative or complementary health care services to patients without being in violation of health care professional licensing laws.
The interpretative guideline applies solely to cases that involve prescribing or personally furnishing non-controlled substances and recognizes that with advances in medical technology it may be possible for the personal and physical examination to occur through the use of the internet or other forms of telecommunication when the provider and patient are in remote locations.
According to the OHT, the Integrated Care Delivery System (ICDS) is designed to manage the full spectrum of Medicare and Medicaid benefitis for the dual eligible population. The ICDS will also identify and incentivize new techniques for the improvement of care.
A lawsuit filed by Aetna Better Health, Inc. over the Ohio Department of Job and Family Service’s (ODJFS) Medicaid managed care contract award process was dismissed last week by Franklin County Common Pleas Judge Robert Sheward.
The OOA and six other physician organizations sent a joint letter to the Governor’s Cabinet Opiate Action Team (GCOAT), August 9, strongly encouraging GCOAT “to proceed very cautiously with any additional regulatory solutions imposing opioid prescribing restrictions until the impact of current accomplishments can be evaluated and an aggressive professional and public educational program is in place.”
“We have been partnering with schools for many years to get high-quality surveillance data that give us a statewide snapshot of the health of our children, said Andrew Wapner, DO, chronic disease medical director at the ODH. “Hopefully, these partnerships will continue so schools have the information they need to help create healthy environments to help their students succeed academically.”
The Ohio Osteopathic Association, Academy of Medicine of Cleveland and Northeast Ohio, and the Ohio State Medical Association joined together in filing an amicus brief suporting the position of the plaintiff physicians. Although the opinion does not expressly mention the amici in its brief, attorneys involved in the case believe the associations' support helped illustrate to the justices just how overbroad the law’s effect was.
The Kasich Administration is planning to separate Ohio Medicaid as a division of the Ohio Department of Job and Family Services (ODJFS) into a separate state agency, effective July 1, 2014, as part of its plan to improve performance of Ohio's $18, billion Medicaid Program.
The Health Policy Institute of Ohio has released a new publication titled “The Supreme Court's ruling on the Affordable Care Act: A review of the decision and its impact on Ohio” (pdf, 8 pages).
Ohio Medicaid will receive $40.2 million in recoveries from GlaxoSmithKline (GSK), as the federal government, Ohio and other states have reached an agreement in principle for the largest health care fraud settlement in US history.
The Governor’s Office of Health Transformation (OHT) is seeking federal funding to initiate a Medicaid Eligibility Modernization Project. The proposal involves simplifying client eligibility based on income, streamlining state and local determination responsibility, and modernizing eligibility systems technology.
The Supreme Court of Ohio ruled, June 4, that when a plaintiff’s medical malpractice suit is dismissed for failure to attach a physician’s certificate of merit as required by Ohio Civil Rule 10(D)(2), the dismissal is “without prejudice” by operation of law.
Ohio Medicaid has dropped potential managed care contracts with Aetna Better Health of Ohio and the Meridian Health Plan of Ohio and selected Molina Healthcare and Buckeye Community Health Plan instead under a proposed reorganization of Ohio’s Medicaid managed care program, effective January 2014.
Ohio and Montana scored the lowest among all 50 states in a new State-by State Injury Prevention Report released, May 21, by Robert Wood Johnson Foundation (RWJF) and the Trust for America’s Health (TFAH).
State Representative Terry A. Johnson, DO, was once again in the spotlight as he received the Legion Merit of Honor, May 22, from State Representative Danny Bupt and Ohio Adjutant General Deborah Ashenhurst during a session of the Ohio House of Representatives.
The Ohio Supreme Court ruled unanimously, May 22, that enforcement of Ohio's indoor smoking ban is constitutional, meaning that state officials can now go after more than 1,000 establishments in Ohio that owe a combined total of $2.5 million in fines.
Working in collaboration with other physician associations, the OOA sent a letter to all members of the Ohio Senate to oppose an amendment requiring health insuring corporations to directly contract with APNs as primary care providers.