District 120 Capitol Report | July 9, 2015

Health Care Improvements & Reform
The General Assembly approved and the Governor recently signed HB 769 to pave the way for a Direct Primary Care model of health care delivery. The model has been compared to having a doctor on retainer in much the same way a client would keep an attorney on retainer. In the arrangement, the patient would pay a set monthly fee and could then receive all the direct primary care they need. Under the bill, patients would be able to pay for these services with pre-tax dollars from a health savings account. In addition, employers could offer to pay these fees or reimburse their employees who choose to participate in direct primary care arrangement.

The legislature and Governor also approved SB 145 to provide assistance to Missourians with an eating disorder. The bill will require insurance companies to cover the diagnosis and medically necessary treatment of eating disorders. The bill is not a mandate on insurance, but lays out how eating disorder coverage decisions must be made.

Legislation given final approval by the General Assembly and Governor recently reauthorizes a tax on medical providers that is responsible for billions of dollars in funding for the state’s Medicaid program. SB 210 will extend the taxes on providers such as hospitals, nursing homes, and ambulances for an additional year. The reauthorization will generate approximately $3.6 billion in funding for Missouri’s system of Medicaid.

Finally, legislation already signed into law will limit the amount an individual can receive for noneconomic damages in a medical malpractice lawsuit.  SB 239 reinstates limits similar to those that were put in place in 2005 and then struck down in 2012 by the Missouri Supreme Court. The legislation will cap most noneconomic awards at $400,000. For catastrophic injuries such as paralysis or even death, the bill will cap noneconomic damages at $700,000. The bill also includes a provision to increase the caps by 1.7 percent annually.

You may read more about what is happening at your Capitol below.

As always, I will work diligently and tirelessly for you as your State Representative.

-Jason

New Medical Care Model
The General Assembly approved and the Governor recently signed HB 769 to pave the way for a Direct Primary Care model of health care delivery. The model has been compared to having a doctor on retainer in much the same way a client would keep an attorney on retainer. In the arrangement, the patient would pay a set monthly fee and could then receive all the direct primary care they need. Under the bill, patients would be able to pay for these services with pre-tax dollars from a health savings account. In addition, employers could offer to pay these fees or reimburse their employees who choose to participate in direct primary care arrangement.

Treatment for Eating Disorders
The legislature and Governor also approved SB 145 to provide assistance to Missourians with an eating disorder. The bill will require insurance companies to cover the diagnosis and medically necessary treatment of eating disorders. The bill is not a mandate on insurance, but lays out how eating disorder coverage decisions must be made.

Medicaid Funding
Legislation given final approval by the General Assembly and Governor recently reauthorizes a tax on medical providers that is responsible for billions of dollars in funding for the state’s Medicaid program. SB 210 will extend the taxes on providers such as hospitals, nursing homes, and ambulances for an additional year. The reauthorization will generate approximately $3.6 billion in funding for Missouri’s system of Medicaid.

Medical Malpractice Reform
Legislation already signed into law will limit the amount an individual can receive for noneconomic damages in a medical malpractice lawsuit.  SB 239 reinstates limits similar to those that were put in place in 2005 and then struck down in 2012 by the Missouri Supreme Court. The legislation will cap most noneconomic awards at $400,000. For catastrophic injuries such as paralysis or even death, the bill will cap noneconomic damages at $700,000. The bill also includes a provision to increase the caps by 1.7 percent annually.

Special Events
Missouri Mission of Mercy Free Dental Services — July 31-Aug 1, Doors Open at 5 AM. Hearnes Center Field House, 600 E Stadium Blvd., Columbia, MO MOMOM is a large scale dental clinic to provide free oral healthcare to patients of all ages who cannot otherwise afford care. Cleanings, fillings, and extractions are covered, but not crowns, bridges or dentures.. Arrive early as the clinic is first come first serve until we reach capacity. Please read the Patient FAQs available online at http://www.momom.org.

Facts & Figures
Each week you can find an interesting fact or figure here on how Missouri measures up to other states and the U.S. government: State Debt Per Capita ranges from $956 in Tennessee, and $3,200 here in Missouri, to $11,420 in Massachusetts.

I am committed to serve the constituents of the 120th District, so please feel free to contact my office anytime at 573-751-1688. Your District 120 Capitol office is 201 W Capitol Ave, Rm 115H, Jefferson City, MO 65101. If you wish to unsubscribe from this report, please email Dylan Bryant at dylan.bryant@house.mo.gov

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