Literature Review

NH House passes medical aid in dying: Debate isn't over yet Portsmouth Herald, by Margie Cullen; 3/22/24 The End of Life Options Act, which would allow terminally ill people in New Hampshire to access medical aid in dying, narrowly passed in the House of Representatives Thursday. While versions of this bill have been brought to the legislature in past years, this is the first time it has passed the House. It comes after it gained its first victory in the House Judiciary Committee, where it was recommended to pass 13-7 for the first time. In the House Thursday, it passed 179-176.

Healthcare provider anti-burnout bill advances in Congress Modern Healthcare, by Michael Mcauliff; 3/12/24 A bill to support healthcare workers struggling with burnout, stress and other work-related mental health problems advanced in Congress on a unanimous subcommittee vote Tuesday. ... The measure funds grants for healthcare organizations and professionals associations to offer employee education programs to address burnout, encourage peer support, and direct struggling providers to mental and behavioral health treatment.

Aid in dying or physician-assisted suicide? As Minn. lawmakers weigh bill, advocates and opponents choose different terms ArcaMax / Pioneer Press, by Alex Derosier; 3/10/24... “Medical aid in dying” or “physician-assisted suicide” is an emotional issue for many, with a January [Minnesota] House hearing on the bill drawing an audience of hundreds on either side. Lawmakers heard hours of testimony from cancer patients with only months to live, and families of people who suffered painful deaths from disease. There also were people concerned legal elective death could eventually become an option for people with disabilities and negatively affect care. But it isn’t just a debate on medical ethics. There’s also an ongoing discussion in medicine, academia, journalism and law over what society should call the practice.

States eye (and deny) 4-day workweek Becker's Hospital Review, by Alexis Kayser; 3/4/24 The shortened workweek appeals to most Americans. A July survey found that 81% of the full-time U.S. workforce supports a four-day schedule, and 89% would sacrifice something else for that extra day off: working longer hours on "on-days," taking a pay cut or even switching industries. But the idea is less likely to win executives' favor. ... Multiple states have introduced their own legislation to support the four-day workweek, to varying levels of success. 

Veterans’ care new battleground in nursing home staffing mandate McKnights Long-Term Care News, by Kimberly Marselas; 3/5/24Two senators have introduced a bill to determine exactly what “unintended circumstances” could result for elderly veterans if a federal rule mandating staffing levels at all US nursing homes is allowed to proceed. ... The bill would require the VA to study potential risks associated with the proposed Center for Medicare and Medicaid Services rule — especially as they pertain to rural providers. The senators said the proposal would “unsustainably change staffing ratios at nursing homes.”

Congress floats Medicare physician pay bump: 4 notes Becker's Hospital CFO Report, by Mackenzie Bean; 3/4/24 Physicians are set to receive a 1.7% increase in Medicare pay effective March 9 as part of a $460 billion spending package congressional leaders released this weekend. Four things to know: ... [click on the title's link for more]

What is the appropriate response when a colleague is not following an aid-in-dying law? American Clinicians Academy on Medical Aid in Dying - Ethics Consultation Service; posted by Jean Abbott, MD, MH; originally posted 2/2/24 and emailed 3/4/24 Outline of Ethics Question: A resource practitioner for aid-in-dying care has encountered practitioners who have not followed the requirements of the laws in that state, including eligibility, documentation, and other standard legal or medical elements of aid-in-dying care. The resource practitioner wonders what ethical responsibilities should guide their response to these concerns. Definition of “resource practitioner”: An experienced prescriber who acts as a source of information or a mentor for others prescribing or consulting for patients considering aid in dying. Their role is to advise the provider on aid-in-dying best medical practices and the process required to comply with the law.

Could Kansas adopt medical cannabis pilot program? Legislation in the works Kansas News, by Rebekah Chung; 3/1/24Medical marijuana advocates are crafting proposals for this session. Nexstar’s Kansas Capitol Bureau confirmed that a medical cannabis pilot program proposal is in the works. The future of marijuana reform lies in the Kansas Senate’s hands, as the House awaits action.

How will Kentucky's medical marijuana program be regulated? Here's where things stand Louisville Courier Journal, by Olivia Evans; 3/4/24The Kentucky Medical Cannabis Program — which regulates the legal cultivation, production, sale and use of medical marijuana products — is set to officially start Jan. 1, 2025. ... In early January, Gov. Beshear's administration filed its first set of 10 regulations governing the industry and providing a framework for how businesses will operate. ... The 10 regulations focus on cultivators, processors, producers, safety compliance facilities, dispensaries and more. ... According to the website for the state medical cannabis program, the cabinet is in the process of developing additional regulations.

Revolutionizing healthcare: New legislative measures reshape services and access in 2023 BNN, by Israel Ojoko; 2/28/24[Oklahoma Senate] Recent legislative actions have significantly altered the healthcare landscape, addressing issues in hospice care, long-term care training, pharmacy services, physician licensure, Medicaid, and substance abuse services.

WiHPCA: Applauds State Assembly for approving bill establishing a state Palliative Care Council WisPolitics; 2/22/24[Wednesday,] the [Wisconsin] State Assembly approved Assembly Bill 736, a bill that would establish a state Palliative Care Council. The Wisconsin Hospice and Palliative Care Association (WiHPCA) strongly supports this legislation, which would ultimately help increase awareness and utilization of palliative care throughout the state. The Assembly Committee on Health, Aging, and Long-Term Care voted 16-0 on January 17 to recommend approval of this legislation. This bill would establish a council of individuals with palliative care and other medical expertise to consult and advise the Wisconsin Department of Health Services (DHS) on this type of specialized medical care. 

US Senate launches investigation of assisted living after lay media reports about safety, staffing, pricingMcKnight's Senior Living, by Kimberly Bonvissuto; 1/17/24The US Senate Special Committee on Aging is launching a review of the assisted living industry following recent articles in the Washington Post, which reported on the deaths of residents who wandered from communities, as well as the New York Times and KFF, which scrutinized an industry pricing structure that adds fees on top of basic charges to cover additional services, as well as rate increases and the for-profit status of most providers.