Literature Review

Wide-ranging health care bill gets final approval from CT House CT Mirror - Connecticut's Nonprofit Journalism; by Jenna Carlesso; 5/6/24The House gave final passage Monday to a wide-ranging health care bill that would add protections for home care workers, boost preparedness for cyberattacks at medical facilities and establish new regulations for the state’s health information exchange, among other reforms. ... The sections on additional protections for home care workers were prompted by the murder of visiting nurse Joyce Grayson, who was killed in October while working at a halfway house in Willimantic. ... The bill requires home health aide agencies to collect certain client information upon intake and make it available to any employee assigned to the client. Information includes a history of violence against health care workers, domestic abuse, substance use, psychiatric history, any listing on a sex offender registry, the crime rate of the municipality the person lives in, and whether there are any weapons or safety hazards in the home. [Click on the title's link for more important information about this bill's safety measures.]

More legislation in Illinois deals with ending a person’s life The Center Square - Illinois; by Kevin Bessler; 5/1/24 Another bill has been introduced in Springfield dealing with end of life options for the terminally ill. Illinois state Sen. Julie Morrison’s Senate Bill 2644 would establish a statewide electronic registry that would contain Physician Orders for Life Sustaining Treatment (POLST) forms, which detail what type of medical treatment a critically ill patient does and does not want. “How much or how little treatment a person receives at the end of their life should be up to each individual instead of the one-size-fits-all approach,” said Morrison, D-Lake Forest, during a news conference Wednesday. “This measure will enable physicians to access forms detailing patients wishes in a single, accessible location.” 

Is pot legal now? Despite big marijuana news, it's still in legal limbo. USA Today; by Joel Shannon and Jeanine Santucci; 5/1/24 Tuesday brought big marijuana news: The Biden Administration is expected to soon reclassify marijuana for the first time in decades, putting it in a less restrictive drug category that would allow it to be studied and prescribed more easily. But that news comes in a nation where many states have already crafted their own marijuana policy: Some states allow for it to be prescribed already; others allow people to use it recreationally. Few states ban it outright. ... Here's what to know.

Medical marijuana may be sold in pharmacies, but it is not a medicine Psychiatric Times; by Yi-Lang Tang, MD, PhD and Elizabeth McCord, MD; 4/29/24Commentary: Georgia will soon be the first state in the nation to allow independent pharmacies to sell medical marijuana products, with more than 100 pharmacies already applying to participate. This raises serious health concerns. The public should be aware that medical marijuana is not a medicine and that it differs from US Food and Drug Administration (FDA)-approved medications in several key ways. ... Editor's Note: This article contains a list of what is approved (or not) in each state (with Washington D.C. and Puerto Rico); a brief history of medical marijuana; and differences between medical marijuana and FDA-approved medications.

Congresswoman Kat Cammack introduces legislation to block 80-20 Rule Home Health Care News; by Joyce Famakinwa; 4/26/24 ... On Thursday, Congresswoman Kat Cammack (R-Fla.) introduced a bill to block the U.S. Department of Health and Human Services (HHS) from finalizing the 80-20 provision. Additionally, the legislation would also block HHS from implementing any similar rules that place a minimum requirement for how much of Medicaid spending on HCBS goes towards direct workers’ wages. Cammack’s reason for introducing this legislation is her belief that the 80-20 provision will severely limit access to care at a time when providers are already struggling to serve patients.

Death with dignity or slippery slope? Senate committee hears end-of-life bill testimonySeacoastline, Portsmouth (NH); by Margie Cullen; 4/25/24... The bill has sparked passions as it has made its way through the New Hampshire Legislature. It passed the House in March by just three votes. The hearing Wednesday was its first in the Senate and is likely to be its last public hearing before going to the Senate floor for a vote. The committee did not vote on whether to recommend the bill Wednesday. The bill has transcended typical party lines, with both Democrats and Republicans voting for and against the bill in the House. On Wednesday, Smith was joined by Rep. Bob Lynn, R-Windham, a cosponsor of the bill, in introducing it to the Senate committee. 

Hospice fraud must be stopped!Hospice Action Network; via email; 4/26/24Across multiple states, the same story is playing out: Criminals are defrauding Medicare, getting licensed and certified to operate as hospices when they have no intent of providing care. This flagrant abuse of vulnerable patients and our healthcare system must be stopped in its tracks. We need your help! Ask your representatives to support a letter demanding answers from CMS. We need as many signatures as possible to keep the pressure on CMS.Take action today!

New York State Bar Association backs expansion of end-of-life-options Brooklyn Daily Eagle - Courts and Law, by Robert Abruzzese; 4/23/24 The New York State Bar Association (NYSBA) has endorsed the Medical Society of the State of New York's recent support for medical aid in dying. ... The proposed New York bill (A995a/S2445), which will be considered in the 2024 legislative session, includes comprehensive safeguards to ensure that the process is voluntary, informed and free from coercion. These include the confirmation of terminal illness by two independent physicians, mandatory mental health evaluations if needed and detailed counseling on all available end-of-life care options. ...

Lawmakers mull bills to ensure hospice, home health worker safety Hospice News, by Holly Vossel; 4/19/24 Lawmakers in Connecticut and Vermont have recently introduced legislation aimed at protecting hospice and home health workers. Some stakeholders worry that the laws may impact care continuity among vulnerable homebound terminally ill populations lacking end-of-life support.

Connecticut home care safety bill would create administrative burdens, hospices sayMcKnights Home Care, by Adam Healy; 4/19/24 Some hospices are fighting to be carved out of a Connecticut state bill that would impose stricter safety policies for home-based healthcare providers. The legislation’s burdensome administrative requirements could affect patient care, they argue. ...  The bill’s introduction comes only months after a visiting nurse was killed on the job while providing care through a Connecticut home care agency. ... By the time a hospice could produce background checks and safety reports for a client, it may be too late to provide effective treatment, according to Barbara Pearce, chief executive officer of Connecticut Hospice.Editor's Note: For more information, see the articles we posted on 

Medicaid Access Rule review completed by White House McKnights Senior Living, by Lois A. Bowers; 4/16/24A proposed federal rule establishing mandatory quality measures for home- and community-based services and requiring providers to allocate 80% of HCBS payments to direct care worker pay is one step closer to being finalized. The White House Office of Management and Budget’s Office of Information and Regulatory Affairs has completed its review of the Centers for Medicare & Medicaid Services’s so-called Medicaid Access Rule, according to the agency’s website.

One-third of West Virginians may soon have a harder time getting health care after lawmakers declined to fully fund Medicaid Mountain State Spotlight, by Erin Beck; 4/18/24Across West Virginia, it’s already hard for many people to access health care. And unless state lawmakers change the budget they passed last month, it’s about to get even more difficult, especially for people who live in the most rural areas and those considered lower income. Starting in July, at the start of the next fiscal year, West Virginia officials will be forced to dramatically cut the state’s Medicaid budget. Roughly one-third of the state’s population relies on the government health insurance program. ... [Lawmakers] gave the program about $150 million less than was needed. 

Outlook dims for resolution of eased telehealth payments and rules McKnights Senior Living, by John O'Connor; 4/16/24 The general consensus was clear during a recent House hearing aimed at addressing the temporary easing of policies and payments: Telehealth as a concept is here to stay. But as a year-end deadline to either reinforce or discard numerous COVID-era stopgap measures approaches, resolution is hardly in reach.