Legislative Report
March 31, 2014
Utilization Review Bill Set for House Floor Thursday, Provider Stability Act Moves Forward
In a successful week for medical providers, the Provider Stability Act passed out of Senate Commerce and a House
subcommittee. The bill, an initiative by TMA is being supported by TOS, THA and other medical provider groups
now heads to the Senate floor and the House full committee on Banking and Insurance.
Additionally, the Transparency in Utilization Review Act is set for action on the House floor on Thursday. It has
already passed the Senate and nears passage.
The success of these two important pieces of legislation marks new an era where medical providers have
successfully lobbied meaningful legislation against the insurance lobby.
Legislative Session Nears the Beginning of the End
The last remaining weeks of session for the 108th General Assembly near as April says hello. Last year the
legislature recessed on April 18th and many observers believe adjournment will come sooner. This week the
Governor is expected to present his budget document to both chambers with additional cuts believed to be the top
point. Over the last few months, franchise and excise taxes have lagged from projections forcing the administration
and the legislature to prepare for additional cuts to the budget proposed by Governor Haslam. It is thought revenue
is below projections leaving a budget gap reaching $340 million. The result could force state leaders to eliminate
the proposed pay raises to state employees as well create additional pressure for higher education institutions. Many
fear that could lead to additional tuition hikes.
Passing a budget for the state is the only constitutional legislative action the General Assembly must make and it’
consideration marks the beginning of the final phase of the year’s legislative session.
The administration will make their presentation to both Finance committees on Tuesday.
Monday - 03/31/14 - 4:00pm - House Chamber - House Regular Calendar
3.
HB1440
G. McCormick
Workers Compensation: Revises various workers' compensation provisions. Revises
various provisions relative to workers' compensation. Defines specialty practice group. Alters
distribution of proceeds from certain penalty payments. Alters provisions regarding specific
documented findings by the court. Alters penalties and procedure for noncompliance with
insurance requirements. (11 pp.) (Part of Administration Package)
*SB1645 - M. Norris - 03/04/2014 - Senate Commerce & Labor Committee recommended
with amendment 1 and amendment 2. Sent to Senate Calendar Committee.
Amendment: SENATE COMMERCE & LABOR COMMITTEE AMENDMENT 1 (013628)
provides technical corrections. Changes "issue of surgery" to "issue of surgery and diagnosis."
Changes "15 days" to "15 calendar days." Replaces commissioner of labor and workforce
development with administrator of the division of workers' compensation. Clarifies that the
effective date will be in Section 8 of the bill and not in Section 9. HOUSE CONSUMER &
HUMAN RESOURCES COMMITTEE AMENDMENT 1 (013778) Rewrites the bill. Deletes
section seven of the original bill that proposed rewriting of the authorization to provide
additional workers' compensation benefits, and the criteria for receiving additional workers'
compensation benefits, both of which shall take effect on July 1, 2014 under current law, for
certain injuries occurring on or after July 1, 2014; the addition of a new language that replaces
the Commissioner of Labor and Workforce Development with the Administrator of the
Division of Workers' Compensation as the individual responsible for the rules and regulations
for drug-free workplace programs; and several technical corrections.
Fiscal Note: February 7, 2014 NOT SIGNIFICANT
Senate Status: 03/04/2014 - Senate Commerce & Labor Committee recommended with
amendment 1 and amendment 2. Sent to Senate Calendar Committee.
House Status: 03/28/2014 - Set for House Regular Calendar 03/31/14.
Monday - 03/31/14 - 4:00pm - Senate Chamber - Senate Regular Calendar
SB2033
18.
J. Hensley
SB2050
20.
D. Overbey
Professions & Licensure: Tennessee Patient Safety Cosmetic Medical Procedures Act.
Enacts the "Tennessee Patient Safety Cosmetic Medical Procedures Act." Requires the
comptroller to prepare a report on the effectiveness of current rules issued by the board of
medical examiners, the board of nursing, the committee on physician assistants, and the board
of cosmetology, concerning patient safety during cosmetic procedures in this state. Require the
comptroller to report to the health committee of the house of representatives and the health and
welfare committee of the senate on or before January 1, 2015.
*HB1896 - T. Shipley - 03/27/2014 - Set for House Health Committee Final Calendar
04/02/14.
Amendment: Senate Health & Welfare Committee amendment 1 (014299) rewrites the bill.
Requires that any entity doing business as or advertised as a medical spa shall display the
name of the medical director or supervising physician and shall indicate one of three
requirements provided in the statute regarding the certification of its medical director or
supervising physician at its practice site and in its media and advertising. Provides that if the
medical director or supervising physician is not certified through any of the three requirement
for certification, the lack of certification shall be displayed by signage at its practice site and in
its media and advertising. HOUSE HEALTH SUBCOMMITTEE AMENDMENT 1 as
amended rewrites the bill.
Fiscal Note: (Dated March 11, 2014) NOT SIGNIFICANT
Senate Status: 03/28/2014 - Set for Senate Regular Calendar 03/31/14.
House Status: 03/27/2014 - Set for House Health Committee Final Calendar 04/02/14.
Insurance Health: Telehealth insurance coverage. Requires that a health insurance carrier
provide coverage under a health insurance policy for healthcare services delivered through
telehealth. Establishes that "telehealth" does not include an audio-only conversation between a
licensed healthcare provider and a patient; an electronic mail message between a licensed
healthcare provider and a patient; or a facsimile transmission between a licensed healthcare
provider and a patient.
*HB1895 - K. Keisling - 03/24/2014 - House passed with amendment 2 (014742), which
rewrites the bill. Adds the definition of "qualified site." Adds the definition of "store and
forward telemedicine services." Expands the definition of telehealth to include store and
forward telemedicine services. Requires the provider to be a qualified site and that the patient
be at a qualified site or at a school clinic equipped to engage in telemedicine. Makes telehealth
providers subject to the same contractual requirements as other providers in the network.
Clarifies that the insurer is not required to reimburse an amount that exceeds the amount paid
for in-person services. Excludes certain insurance policies from the provisions of the bill.
Deletes the requirement that the telehealth service be in in the presence of another healthcare
provider.
Amendment: HOUSE AMENDMENT 2 (014742) rewrites the bill. Adds the definition of
"qualified site." Adds the definition of "store and forward telemedicine services." Expands the
definition of telehealth to include store and forward telemedicine services. Requires the
provider to be a qualified site and that the patient be at a qualified site or at a school clinic
equipped to engage in telemedicine. Makes telehealth providers subject to the same
contractual requirements as other providers in the network. Clarifies that the insurer is not
required to reimburse an amount that exceeds the amount paid for in-person services. Excludes
certain insurance policies from the provisions of the bill. Deletes the requirement that the
telehealth service be in in the presence of another healthcare provider. SENATE
COMMERCE & LABOR COMMERCE AMENDMENT 1 (014768) makes the bill. Provides
health care services for Tennesseans in rural areas that don't have ready access to healthcare
specialist. Establishes a definition for telehealth, encourages the maximum use for telehealth
and to decrease healthcare cost for Tennesseans. Deletes language from subdivision A6.2 of
section one. COUNCIL ON PENSIONS AND INSURANCE AMENDMENT 2 (014397)
rewrites the bill. Creates health insurance mandates related to telehealth. A health insurance
carrier: shall provide coverage under a health insurance policy or contract for covered
healthcare services delivered through telehealth; shall reimburse a licensed healthcare provider
for the diagnosis, consultation, and treatment of an insured patient for a healthcare service
covered under a health care policy or contract that is provided through telehealth; is prohibited
from denying payment of healthcare coverage solely because it is provided through telehealth
and is not provided in-person between a healthcare provider and a patient; shall reimburse
licensed healthcare providers who are out-of-network for telehealth care services under the
same reimbursement policies applicable that the benefit plan permits for in-person encounters
that are out-of-network. Healthcare services provided through telehealth must comply with
state licensure requirements. Requires a health insurance entity to provide coverage for
healthcare services provided during a telehealth encounter in a manner that is consistent with
what the health insurance policy or contract provides for in-person encounters with the same
service. COUNCIL ON PENSIONS AND INSURANCE AMENDMENT 3 (014542) deletes
"in the presence of another healthcare services provider" in subdivision (a)(6)(A)(ii) in
SECTION 1.
Fiscal Note: (Dated February 21, 2014) NOT SIGNIFICANT
Senate Status: 03/28/2014 - Set for Senate Regular Calendar 03/31/14.
House Status: 03/24/2014 - House passed with amendment 2 (014742), which rewrites the
bill. Adds the definition of "qualified site." Adds the definition of "store and forward
telemedicine services." Expands the definition of telehealth to include store and forward
telemedicine services. Requires the provider to be a qualified site and that the patient be at a
qualified site or at a school clinic equipped to engage in telemedicine. Makes telehealth
providers subject to the same contractual requirements as other providers in the network.
Clarifies that the insurer is not required to reimburse an amount that exceeds the amount paid
for in-person services. Excludes certain insurance policies from the provisions of the bill.
Deletes the requirement that the telehealth service be in in the presence of another healthcare
provider.
Tuesday - 04/01/14 - 8:00am - LP 12 - Senate Finance, Ways & Means Committee- Regular Calendar
8.
SB1629
M. Norris
Professions & Licensure: Online applications - various health-related professions.
Authorizes the use of online applications for all occupations regulated by the division of health
related boards and for all occupations regulated by any board, commission, committee, agency
or other governmental entity created in title 63, title 68, chapter 24 and title 68, chapter 140,
part 3. Requires department annual health care facility and pharmacy survey inspection reports
to be available to the public pursuant to the conditions of making medical records public. (Part
of Administration Package)
*HB1425 - G. McCormick - 03/27/2014 - Set for House Government Operations Committee
04/01/14.
Fiscal Note: (Dated March 6, 2014) Increase State Expenditures $795,000/FY14-15/Health
Related Boards $50,000/FY15-16 and Subsequent Years/ Health Related Boards According to
the Department of Finance and Administration, expenditures in the amount of $745,000 onetime and $50,000 recurring are included in the Governor’s proposed FY14-15 budget.
Senate Status: 03/27/2014 - Set for Senate Finance, Ways & Means Committee- Regular
Calendar 04/01/14.
House Status: 03/27/2014 - Set for House Government Operations Committee 04/01/14.
SB1853
11.
R. Crowe
SB1875
19.
D. Overbey
Professions & Licensure: Nurse practitioners - change of supervising physician. Adds the
name of a nurse practitioner's and physician assistant's supervising physician to the
information each board regulating a provider must collect and provide to the department of
health in order for the department to create individual profiles on licensees. Authorizes the
supervising physician listed on the profile to notify the department of a change in being a
nurse practitioner or physician assistant's supervising physician, if the nurse or physician
assistant fails to do so within 30 days of the change. Requires department of health to notify
the nurse practitioner or physician assistant in writing prior to removing the physician's name
from the profile. Gives the person ten calendar days from the date of receipt of notice to
dispute the fact the physician is not the supervising physician. If notice goes undelivered, the
department may remove the physician's name and notify the board of nursing or committee on
physician assistants of an incorrect address and the failure to update the profile. If the
individual does not dispute the physician's claim then the physician's name will be removed
from the profile. If the department removes the physician's name from the file: (1) For nurse
practitioners, the board of nursing must determine if the individual is currently issuing
prescriptions and, if so, who the supervising physician is and why the file has not been
updated; and (2) For physician assistants, the committee on physician assistants must
determine if the individual is providing services for which supervision is required and, if so,
who the supervising physician is and why the profile has not be updated.
*HB2171 - B. Rich - 03/27/2014 - Set for House Finance Subcommittee 04/02/14.
Amendment: House Health Committee amendment 1, Senate Health & Welfare Committee
amendment 1 (013021) changes current Consumer Right-to-Know statute. Requires advance
practice nurses who hold a certificate of fitness and physician assistants to keep the name of
the current supervising physician updated within the information maintained by the
Department of Health (DOH). Requires DOH to allow a supervising physician to, at any time,
review, accept, and update the existence of a supervisory relationship between the physician
and any advance practice nurse who hold a certificate of fitness or a physician assistant. On or
after January 1, 2015, DOH shall use the supervisory relationships in the controlled substance
monitoring database (CSMD) to update provider profiles.
Fiscal Note: (Dated February 4, 2014) Increase State Expenditures - $8,600/One-Time/Health
Related Boards $129,300/Recurring/Health Related Boards
Senate Status: 03/27/2014 - Set for Senate Finance, Ways & Means Committee- Regular
Calendar 04/01/14.
House Status: 03/27/2014 - Set for House Finance Subcommittee 04/02/14.
Health Care: Extends moratorium-issuance of certificates of need. Extends the current
moratorium on the issuance of certificates of need (CONs) for new nursing home and skilled
nursing facility beds until June 30, 2015.
*HB1784 - M. Harrison - 03/27/2014 - Set for House Finance Subcommittee 04/02/14.
Fiscal Note: (Dated January 29, 2014) Forgone State Revenue - $222,500/FY14-15/Nursing
Home Bed Tax State Expenditures – Cost Avoidance – $2,002,200/FY14-15 Federal
Expenditures – Cost Avoidance – $3,801,300/FY14-15
Senate Status: 03/27/2014 - Set for Senate Finance, Ways & Means Committee- Regular
Calendar 04/01/14.
House Status: 03/27/2014 - Set for House Finance Subcommittee 04/02/14.
Tuesday - 04/01/14 - 9:00am - LP 16 - House Insurance & Banking Committee Final Calendar
7.
HB2303
J. Lundberg
Health Care: Health Care Provider Stability Act. Enacts the "Health Care Provider Stability
Act." Provides that a third party may not effect material change to a contract under which a
health care provider is paid for providing items or services during either the first year of the
contract or the initial term of the contract, whichever is longer. States that after the initial term
or first year of the contract in which a health care provider is paid, the third-party payer may
only effect a material change on the renewal date of the contract or the anniversary if the
effective date of the contract, whichever is longer. Establishes a civil penalty of not less than
$100 or more than $1,000 for each violation.
*SB2427 - B. Watson - 03/25/2014 - Senate Commerce & Labor Committee recommended
with amendment 1 (015062) and amendment 2 (015185) and amendment 3 (015406). Sent to
Senate Calendar Committee.
Amendment: Council on Pensions and Insurance amendment 1, Senate Commerce & Labor
Committee amendment 1 (015062) deletes all language after the enacting clause. Creates the
Health Care Provider Stability Act. Prohibits a health insurer, third party administrator (TPA),
or other person from effecting a material change to a contract under which a health care
provider is paid for providing items or services more than once during a one year period.
Requires a TPA or health care provider to send written notice of a material change to the other
party sixty days prior to the effective date of such change. Defines "material change" as a
change in fees or payment methodologies that a reasonable person would attach importance in
determining the action to be taken upon the change. Exempts plans administered by the
Division of Benefits Administration and the Bureau of TennCare. The act will take effect
October 1, 2014. SENATE COMMERCE & LABOR COMMITTEE AMENDMENT 2,
COUNCIL ON PENSIONS AND INSURANCE AMENDMENT 2 (015185) specifies a
healthcare provider or TPA may maintain an individual or class action as the sole remedy to
enforce the provisions of the bill. SENATE COMMERCE & LABOR COMMITTEE
AMENDMENT 3, HOUSE INSURANCE & BANKING SUBCOMMITTEE AMENDMENT
1 (015306).
Fiscal Note: (Dated March 9, 2014) On February 23, 2014, a fiscal note was issued estimating
a fiscal impact as follows: Increase State Expenditures - $6,014,600/FY14-15
$8,011,100/FY15-16 and Subsequent Years Increase Federal Expenditures $10,979,700/FY14-15 $14,639,600/FY15-16 and Subsequent Years Due to an erroneous
Senate Status: 03/25/2014 - Senate Commerce & Labor Committee recommended with
amendment 1 (015062) and amendment 2 (015185) and amendment 3 (015406). Sent to Senate
Calendar Committee.
House Status: 03/27/2014 - Set for House Insurance & Banking Committee Final Calendar
04/01/14.
Tuesday - 04/01/14 - 1:30pm - LP 30 - House Government Operations Committee
4.
HB2139
D. Shepard
Professions & Licensure: Authorizes collaborative pharmacy practice. Authorizes
collaborative pharmacy practice. Includes, in the definition of pharmacy, the provision of
patient care services and activities pursuant to a collaborative pharmacy practice agreement.
*SB1992 - D. Overbey - 03/17/2014 - Senate Health & Welfare Committee recommended
with amendment 1 (013630), which rewrites the bill. Sent to Senate Calendar Committee.
Amendment: House Health Committee amendment 1, Senate Health & Welfare Committee
amendment 1 (013630) deletes all language after the enacting clause. Authorizes collaborative
pharmacy practice agreements (CPPAs) and sets out the legal parameters for CPPAs involving
pharmacists and health care practitioners with prescriptive authority. Prohibits a retail
pharmacy from employing an individual with prescribing authority for the purpose of
maintaining, establishing or entering into a collaborative practice agreement with a patient.
Specifies that nothing shall prevent a pharmacy or pharmacist or group of pharmacists from
employing or entering into a professional contract with a physician or licensed medical
practitioner for the purpose of conducting quality assurance reviews of its pharmacists that are
engaged in the practice of collaborative drug therapy.
Fiscal Note: (Dated March 7, 2014) NOT SIGNIFICANT
Senate Status: 03/17/2014 - Senate Health & Welfare Committee recommended with
amendment 1 (013630), which rewrites the bill. Sent to Senate Calendar Committee.
House Status: 03/27/2014 - Set for House Government Operations Committee 04/01/14.
8.
HB2129
J. Matheny
Insurance Health: Health insurance policies with premium increases. Requires that a
notice of any premium increase or offer of new coverage in a policy of health insurance, issued
or renewed, contain a good faith estimate as to the amount or percentage of any premium
increase which is attributable to the Patient Protection and Affordable Care Act. Authorizes the
commissioner of commerce and insurance to promulgate rules to carry out this section.
*SB2155 - M. Green - 03/20/2014 - Senate Commerce & Labor Committee recommended
with amendment 1, which makes the bill. Sent to Senate Calendar Committee.
Amendment: Senate Commerce Amendment 1, House Insurance & Banking Committee
amendment 1 (014833) makes the bill. Requires an insurance entity, upon request by an
insurance producer, individual, or entity authorized to sell, solicit or negotiate insurance on
behalf of an insurance entity, to provide a good faith estimate as to the amount or percentage
of any premium increase or tax increase which is attributable to a policy of health insurance
issued or renewed after August 1, 2014 and offered through the Patient Protection and
Affordable Care Act (PPACA). The estimate may be presented as a percentage, dollar amount
or combination of the two. The estimate shall not require a policy form, rate filing or approval
by the Commissioner of Commerce and Insurance.
Fiscal Note: (Dated February 13, 2014) NOT SIGNIFICANT
Senate Status: 03/20/2014 - Senate Commerce & Labor Committee recommended with
amendment 1, which makes the bill. Sent to Senate Calendar Committee.
House Status: 03/27/2014 - Set for House Government Operations Committee 04/01/14.
Wednesday - 04/02/14 - 10:30am - LP 16 - House Finance Subcommittee
HB859
10.
J. Durham
HB2104
17.
R. Haynes
Insurance Health: Co-payment restrictions for seeing certain health providers. Prohibits
any health insurance entity from imposing on a covered person any copayment or coinsurance
amount for services rendered during an office visit to a chiropractic physician or a physical or
occupational therapist which is greater than the copayment or coinsurance amount imposed on
a covered person by that health insurance entity for the services rendered during an office visit
to a primary care physician.
*SB726 - B. Watson - 03/24/2014 - Senate Commerce & Labor Committee recommended
with amendment 1 (015201). Sent to Senate Calendar Committee.
Amendment: House Insurance & Banking Committee amendment 1 (015204) rewrites the bill.
Requires insurers offering employer based plans to include at least one plan option in which
the employer may choose for copayment/coinsurance amounts for chiropractic/PT/OT services
to be no greater than those amounts paid for primary care physician services. States that
compliance is not required if it would result in a health plan using its grandfather status
according to the Affordable Care Act. Excludes certain plans. Effective date of January 1,
2015. Senate Commerce & Labor Committee amendment 1 (015201).
Fiscal Note: Increase in State Expenditures - Not Significant. Increase in Local Expenditures Not Significant.
Senate Status: 03/24/2014 - Senate Commerce & Labor Committee recommended with
amendment 1 (015201). Sent to Senate Calendar Committee.
House Status: 03/27/2014 - Set for House Finance Subcommittee 04/02/14.
Health Care: Extends pilot project for assisted outpatient treatment. Extends the pilot
project for assisted outpatient treatment for two years until June 30, 2016.
*SB2256 - B. Massey - 02/12/2014 - Senate Health & Welfare Committee recommended. Sent
to Senate Calendar Committee.
Amendment: House Health Committee amendment 1 (012690) extends the pilot project for
one year instead of two years.
Fiscal Note: (Dated February 18, 2014) On February 7, 2014, a fiscal note was issued
estimating a fiscal impact as follows: Other Fiscal Impact - Of the $125,000 originally
allocated for this program, $21,100 has been expended. The remaining $103,900 is set to be
reallocated to the community mental health services after June 30, 2014. Extending the
program will keep the $103,900 with the pilot program and reduce available funds for other
community mental health services. Additional information was provided by the Department of
Mental Health and Substance Abuse Services on February 18, 2014, identifying a different
amount of funds that would be allocated for the continuation of the program. The estimated
fiscal impact is: (CORRECTED) Other Fiscal Impact – The Department of Mental Health
and Substance Abuses Services originally allocated $125,000. Of the original allocation,
$103,900 is set to be reallocated to the community mental health services after June 30, 2014.
Extending the program will result in $125,000 being allocated to the pilot program and will
reduce available funds for other community mental health services.
Senate Status: 02/12/2014 - Senate Health & Welfare Committee recommended. Sent to
Senate Calendar Committee.
House Status: 03/27/2014 - Set for House Finance Subcommittee 04/02/14.
HB2171
32.
B. Rich
Professions & Licensure: Nurse practitioners - change of supervising physician. Adds the
name of a nurse practitioner's and physician assistant's supervising physician to the
information each board regulating a provider must collect and provide to the department of
health in order for the department to create individual profiles on licensees. Authorizes the
supervising physician listed on the profile to notify the department of a change in being a
nurse practitioner or physician assistant's supervising physician, if the nurse or physician
assistant fails to do so within 30 days of the change. Requires department of health to notify
the nurse practitioner or physician assistant in writing prior to removing the physician's name
from the profile. Gives the person ten calendar days from the date of receipt of notice to
dispute the fact the physician is not the supervising physician. If notice goes undelivered, the
department may remove the physician's name and notify the board of nursing or committee on
physician assistants of an incorrect address and the failure to update the profile. If the
individual does not dispute the physician's claim then the physician's name will be removed
from the profile. If the department removes the physician's name from the file: (1) For nurse
practitioners, the board of nursing must determine if the individual is currently issuing
prescriptions and, if so, who the supervising physician is and why the file has not been
updated; and (2) For physician assistants, the committee on physician assistants must
determine if the individual is providing services for which supervision is required and, if so,
who the supervising physician is and why the profile has not be updated.
*SB1853 - R. Crowe - 03/27/2014 - Set for Senate Finance, Ways & Means CommitteeRegular Calendar 04/01/14.
Amendment: House Health Committee amendment 1, Senate Health & Welfare Committee
amendment 1 (013021) changes current Consumer Right-to-Know statute. Requires advance
practice nurses who hold a certificate of fitness and physician assistants to keep the name of
the current supervising physician updated within the information maintained by the
Department of Health (DOH). Requires DOH to allow a supervising physician to, at any time,
review, accept, and update the existence of a supervisory relationship between the physician
and any advance practice nurse who hold a certificate of fitness or a physician assistant. On or
after January 1, 2015, DOH shall use the supervisory relationships in the controlled substance
monitoring database (CSMD) to update provider profiles.
Fiscal Note: (Dated February 4, 2014) Increase State Expenditures - $8,600/One-Time/Health
Related Boards $129,300/Recurring/Health Related Boards
Senate Status: 03/27/2014 - Set for Senate Finance, Ways & Means Committee- Regular
Calendar 04/01/14.
House Status: 03/27/2014 - Set for House Finance Subcommittee 04/02/14.
HB1784
51.
M. Harrison
Health Care: Extends moratorium-issuance of certificates of need. Extends the current
moratorium on the issuance of certificates of need (CONs) for new nursing home and skilled
nursing facility beds until June 30, 2015.
*SB1875 - D. Overbey - 03/27/2014 - Set for Senate Finance, Ways & Means CommitteeRegular Calendar 04/01/14.
Fiscal Note: (Dated January 29, 2014) Forgone State Revenue - $222,500/FY14-15/Nursing
Home Bed Tax State Expenditures – Cost Avoidance – $2,002,200/FY14-15 Federal
Expenditures – Cost Avoidance – $3,801,300/FY14-15
Senate Status: 03/27/2014 - Set for Senate Finance, Ways & Means Committee- Regular
Calendar 04/01/14.
House Status: 03/27/2014 - Set for House Finance Subcommittee 04/02/14.
Wednesday - 04/02/14 - 1:30pm - LP 16 - House Health Committee Final Calendar
9.
HB1512
T. Shipley
HB1896
11.
T. Shipley
Health Care: Dispensing of controlled substances. Requires applicants seeking to become
eligible to dispense controlled substances from the state board of pharmacy and any other
appropriate professional licensing boards to supply a fingerprint sample and submit to a
background check to be conducted by the TBI. Requires all medical boards regulating a
provider to disclose to the department of health whether or not a provider prescribes controlled
substances in order for the department to make the information available to the public.
Provides that the violation of a statute or rule pertaining to a board, commission or agency that
involves the unauthorized dispensing of controlled substances shall result in a minimum civil
penalty of $10,000 and a suspension of that person's license for at least six months. Establishes
the criteria for finding a pain management clinic to be a public nuisance, and authorizes a
court to issue an order of abatement upon such a finding. Outlines requirements for
wholesalers who sell controlled substances to develop internal policies to identify, prevent and
report transactions that are suspicious in nature to the controlled substance database advisory
committee. Prohibits medical practitioners, except in certain cases, from dispensing controlled
substances listed as Schedule II or Schedule III.
*SB1663 - B. Kelsey - 03/27/2014 - Set for Senate Judiciary Committee Final Calendar
04/01/14.
Amendment: House Health Subcommittee amendment 1 (014201).
Fiscal Note: (Dated February 21, 2014) Increase State Revenue - $6,300/FY14-15/TBI
$12,600/FY15-16 and Subsequent Years/TBI Increase State Expenditures - $6,300/FY1415/TBI $12,600/FY15-16 and Subsequent Years/TBI
Senate Status: 03/27/2014 - Set for Senate Judiciary Committee Final Calendar 04/01/14.
House Status: 03/27/2014 - Set for House Health Committee Final Calendar 04/02/14.
Professions & Licensure: Tennessee Patient Safety Cosmetic Medical Procedures Act.
Enacts the "Tennessee Patient Safety Cosmetic Medical Procedures Act." Requires the
comptroller to prepare a report on the effectiveness of current rules issued by the board of
medical examiners, the board of nursing, the committee on physician assistants, and the board
of cosmetology, concerning patient safety during cosmetic procedures in this state. Require the
comptroller to report to the health committee of the house of representatives and the health and
welfare committee of the senate on or before January 1, 2015.
*SB2033 - J. Hensley - 03/28/2014 - Set for Senate Regular Calendar 03/31/14.
Amendment: Senate Health & Welfare Committee amendment 1 (014299) rewrites the bill.
Requires that any entity doing business as or advertised as a medical spa shall display the
name of the medical director or supervising physician and shall indicate one of three
requirements provided in the statute regarding the certification of its medical director or
supervising physician at its practice site and in its media and advertising. Provides that if the
medical director or supervising physician is not certified through any of the three requirement
for certification, the lack of certification shall be displayed by signage at its practice site and in
its media and advertising. HOUSE HEALTH SUBCOMMITTEE AMENDMENT 1 as
amended rewrites the bill.
Fiscal Note: (Dated March 11, 2014) NOT SIGNIFICANT
Senate Status: 03/28/2014 - Set for Senate Regular Calendar 03/31/14.
House Status: 03/27/2014 - Set for House Health Committee Final Calendar 04/02/14.