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Legislative Recap WE 1/16/21

From our TASCS Lobbyist

Opening week of the 87thLegislative Session started with better-than-expected news from the Comptroller of Public Accounts. While previous estimates warned of a $4.6 billion deficit, revised estimates place that closer to $1 billion. Additionally, we are entering the session with $112.5 billion available for general-purpose spending during the 2022-23 biennium, just 4% shy of the funds available for the previous session. This is a relief for budget-writers as they try to craft a balanced budget.
 
On Tuesday, the Texas House and Senate gaveled in the 87thTexas Legislature. Rep. Dade Phelan was sworn in as the Speaker of the House of Representatives while Sen. Brian Birdwell was elected President Pro Tempore of the Texas Senate. Both chambers are now adjourned until January 26th, but the rules of procedure were passed before their departure. The most significant change to the Senate rules was a measure lowering the threshold of votes required to bring a bill to the floor to 18 votes, or a three-fifths majority.  Not coincidentally, there are 18 Republicans in the Texas Senate.
 
In the House, the most controversial alteration to the rules was removed almost as quickly as it was introduced. The “Consensus Calendar” was intended to address the time-constraints of the 87thSession and would be charged with bills which, “…in the opinion of the Committee on Calendars, could be considered expeditiously with limited debate.” This provision would include restricted time for speeches and disincentives to introducing amendments during second reading. It was struck from the rules on Thursday with an amendment introduced by Rep. Todd Hunter.
 
Both sets of rules contain amendments in response to the COVID-19 pandemic. The House rules relax the restrictions around emergency adjournment, require face coverings, and expand the information required in hearing notices to ensure access for constituents, but do not allow for virtual testimony. The Senate rules do not directly allude to the pandemic, but consolidate and streamline operations by removing the Committees on Agriculture and Property Tax, adding the Committee on Jurisprudence, and renaming the Committee on Intergovernmental Relations as the Committee on Local Government and the Committee on Water and Rural Affairs as the Committee on Water, Agriculture, and Rural Affairs. The rules also restrict media presence to a designated press area, rather than the whole floor.
 
The rules for both chambers also address redistricting, which will likely take place in a special session as the latest Census numbers are not expected until April. While neither set of rules specifically addresses COVID-19, the Senate rules allow for videoconferencing during regional hearings if a) those meetings are held the capitol and the witness is not in the same physical location, b) the witness is clearly visible and audible, and c) they submit a witness affirmation form prior to testifying.
 
Lt. Governor Dan Patrick released committee assignments which can be found here.  House Committee preference requests from members are due on January 22nd. We will send out a release as soon as committee assignments are posted.  
 
Late last week, the Department of State Health Services (DSHS) released the COVID-19 vaccination hub provider locations. Twenty-eight large providers will receive 158,825 doses of vaccine, allocated according to the number of people each provider estimated it could vaccinate in a week. DSHS and the Texas Department of Emergency Management (TDEM) have released an updated provider map displaying first and second dose availability from providers around the state.













 

Texas Headlines

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2021 Payment Rules Affecting Pharmacy

2021 Payment Rules Affecting Pharmacy

As we move into the new outpatient/ambulatory payment year still in the midst of the COVID-19 pandemic, navigating payment rules across sites of care and ensuring that pharmacy is in sync with their organization’s overall strategies are essential. Themes finalized in the rule sets are: embrace patient centricity, continue to simplify (electronic health record requirements and reporting, regulations), cut costs and save money, and not lose focus on pharmacy’s efforts to combat the opioid crisis.

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2021 OPPS Effects

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Recap of J.P. Morgan Annual Healthcare Conference

Day 2 Notes for the 39th Annual J.P Morgan Healthcare Conference, 2021

It’s Day 2 of the J.P. Morgan Annual Healthcare Conference at its finest – looking closely at healthcare inequities, strategic business shifts and killer robots, all in the same day! (Yes, we did say killer robots and it’s your reward for reading all the way to the end of this article).

Healthcare Equity:

We have moved from last year’s significant emphasis at the JPM Conference on social determinants of health (SDOH) initiatives to a broader discussion of healthcare equity, social justice, diversity and anti-racism, as voiced by many health plans and health systems. Stephen Klasko, Chief Executive Officer of Jefferson Health, said that, “Health disparities are the #1 public health crisis in our nation.” As many noted at the Conference, the COVID-19 crisis is clear evidence that minority and economically disadvantaged communities are medically underserved and bear a higher burden of illness than their more affluent neighbors. Many of the healthcare companies presenting at the Conference expressed their commitment to work to improve those inequities. We look forward to what we will see at next year’s JPM Conference. It also was refreshing to see women Chief Executive Officers presenting at the Conference for leading healthcare companies, like Karen Lynch, the incoming Chief Executive Officer of CVS Health. Kudos for this year’s markedly increased presence on the podium of  women in leadership – CEO’s, CFO’s and CSO’s, among others.

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Centers for Medicare & Medicaid Services Update of the Ambulatory Surgical Center (ASC) Payment System

CMS.gov Centers for Medicare & Medicaid Services

ASC Payment System Update Effective January 1, 2021

On December 27, 2020, the Consolidated Appropriations Act modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS), providing a 3.75 percent increase in MPFS payments. CMS recalculated Ambulatory Surgical Center (ASC) rates for office-based covered surgical procedures and certain covered ancillary radiology services and diagnostic tests, as well as the budget neutrality adjustment applied to all ASC procedure payment rates.

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Save the Date- Infection Control Week!

More information soon!

COVID19 Vaccine TownHall January 14th

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Introducing the TASCS Blog

We are excited to introduce the TASCS Blog beginning in 2021! 
This is yet another way that your association is providing you relevant, up-to-date information that is critical to our ASC industry. 
Check back regularly for more! You never know what you'll find. 
And be sure to follow us on social media for live updates.