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2010 SESSION

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Senate Committee on Education and Health
Subcommittee Health Care

Northam (Chairman), Martin, Newman, Edwards, Whipple

Clerk: Jocelyn R. Lance
Staff: Jessica Eades, Brenda Edwards
Date of Meeting: February 23, 2010
Time and Place: Tuesday: 1/2 hr. after Senate adjourns, 4E Conf. Rm, GAB

H.B. 11 Health care services; peer utilization reviews on reconsideration of an adverse decision.

Patron: Marshall, R.G.

Health services; peer utilization reviews. Clarifies that a health care provider may seek reconsideration or appeal of an adverse health care utilization review decision, and that written notification of an adverse decision must include instructions for requesting reconsideration or an appeal. This bill also provides that when a treating provider requests a peer review of an adverse decision during the reconsideration process, the request for reconsideration shall be vacated and the request shall be considered a request for an appeal, and that in any case under appeal, the case shall be reviewed by a peer of the health care provider proposing the treatment at issue who shall be board certified in the same or similar specialty as the treating health care provider. This bill contains a delayed enactment clause, and shall not become effective until October 1, 2010.

H.B. 514 Long-term services; SHHR develop blueprint for livable communities for people with disabilities.

Patron: Rust

State aging services; blueprint for livable communities and long-term services and supports for older Virginians and people with disabilities. Provides for the Secretary of Health and Human Resources to coordinate the development of a blueprint for livable communities and long-term services and supports for older Virginians and people with disabilities. In addition, the bill amends provisions relating to the development by the Department for the Aging of a four-year plan for aging services. The bill also repeals the authority for Campbell County to contract with the Area Agency on Aging designated to serve the County to provide certain services specified by federal law.

H.B. 708 Home health care organization; establish policies for maintaining a drug-free workplace.

Patron: Peace

Home health aides; drug testing. Requires home health organizations to establish policies for maintaining a drug free work place, which may include drug testing of employees, and requires home health organizations to report any positive result of any drug test to the health regulatory boards responsible for licensing, certifying, or registering the person to practice, if any.

H.B. 710 Health care data and reporting; increase awareness thereof through nonprofit organization websites.

Patron: Peace

Health care data and reporting. Requires the Department of Health to take steps to increase public awareness of data and information related to health care quality that is available through a website maintained by a nonprofit organization with which the Department has entered into a contract, and guidance regarding how such data and information can be used to inform decisions about health care providers and services.

H.B. 733 Medicaid fraud; Director may deny Medicaid provider contracts for violation of statutes.

Patron: Albo

Medicaid fraud. Provides that a person will be guilty of Medicaid fraud and therefore punishable for causing certain acts or maliciously aiding and abetting in certain acts, in addition to knowingly and willfully engaging in such acts. The bill also provides that the Director of the Department of Medical Assistance Services may terminate or deny Medicaid provider contracts for a violation of statutes setting forth the crimes constituting Medicaid fraud or any other felony, or for any other reason for which the U.S Secretary of Health and Human Services may do the same. The bill also requires the Director of the Department of Medical Assistance Services shall investigate options for a comprehensive system that utilizes external records search and analytic technologies for the collection and review of data from public and private sources, to detect, prevent and investigate fraud, waste and abuse in Virginia's medical assistance services program, and to report his findings by December 1, 2010.