Your Voice in Washington: Netsmart Leadership on Key Public Policy Issues
Netsmart continues to be a strong advocate on behalf of our clients and providers across the country.
Call to Action: Tax Cut Would Impact Seniors and Long-Term Care Facility Financing
The House version of tax reform legislation (H.R. 1) currently includes these two items that are causing major concern among older Americans and long-term care providers:
- Eliminates the tax deduction for medical expenses
- Eliminates tax-exempt financing for the development and preservation of affordable senior housing and life plan communities/CCRCs
How Can You Help?
Link to more info and TAKE ACTION alert from Netsmart partner LeadingAge
Call to Action: Standard Deduction Increase Could Reduce Charitable Deductions by Billions
The nonpartisan Joint Committee on Taxation released an analysis projecting the new standard deduction structure proposed in the Senate version of the tax bill could reduce the amount of charitable gifts that taxpayers deduct by nearly $100 billion overall. This would directly impact human services and post-acute provider organizations that rely on charitable gifts to fund critical services.
How Can You Help?
Click here for info from Netsmart partner the National Council for Behavioral Health. Scroll down to the first item in the Federal Issues section (or Protect Charitable Giving in Tax Reform) to send a letter to Senators.
Call to Action: Support Therapy Cap Repeal Legislation
The therapy cap is a statutory cap on the dollar amount of rehabilitation therapy services a patient can receive under Medicare Part B in a calendar year. Under current law, beneficiaries face two therapy caps: a $1,980 cap on physical therapy (PT) and speech language pathology (SLP) services combined, and a $1,980 cap on occupational therapy (OT) services.
Congress has instituted a statutory exceptions process that allows patients to access medically necessary therapy above the annual spending cap. This process requires annual Congressional authorization. The current exceptions process will expire on December 31, 2017.
How Can You Help?
- Support the Medicare Access to Rehabilitation Services Act of 2017 (S. 253, H.R. 807)
- Link to more info and a way to help from Netsmart partner National Association for the Support of Long-Term Care (NASL)
CMS Chooses Not to Finalize HHGM
After extensive opposition by home health providers and associations, the Centers for Medicare and Medicaid Services (CMS) chose not to finalize the Home Health Groupings Model (HHGM). The proposed HHGM would have taken effect January 1, 2019, revising the case-mix adjustment methodology, removing therapy from the case-mix altogether, and making other substantial changes that analysis shows would add significant cost and reduce reimbursement rates for many home health care providers.
Netsmart agrees with the decision, which opens the opportunity for stakeholder collaboration with CMS, Congress and the Administration on a value-based, patient-focused system and related policies.
House and Senate Bills Propose Pilot Program: Incentives for Behavioral Health and Addiction Treatment Provider Use of EHRs and Care Coordination
Two bipartisan bills were introduced in Congress recommending the creation of a pilot program within the Center for Medicare and Medicaid Innovation (CMMI) with health IT incentives for the adoption of EHR technology, and use of that technology to improve quality and coordination of care through the electronic exchange of health information. Eligible providers would include psychiatric hospitals, community behavioral health centers, residential and outpatient mental health and substance use treatment facilities, and clinical psychologists and social workers.
Cong. Lynn Jenkins (R-KS) and Rep. Doris Matsui (D-CA) introduced H.R. 3331 in the U.S. House of Representatives. Sen. Rob Portman (R-OH) and Sen. Sheldon Whitehouse (D-RI) then introduced the Improving Access to Behavioral Health Information Technology Act (S. 1732), the Senate counterpart bill to H.R. 3331.
Netsmart advocated for this legislation, and will continue to do so as the bills move to committee consideration this Fall.
- Netsmart CareThreads Blog
- BHIT Coalition letter
- Statement from Cong. Jenkins and Matsui
- Sen. Whitehouse news release
- Sen. Portman news release
- Congress.gov information about H.R. 3331
- Congress.gov information about S. 1732
- Netsmart advance comment letter: CMS/CMMI Beh. Health Service Delivery and Payment Listening Session, Sept. 8, 2017
Bills Would Simplify Sharing of Substance Use Disorder (SUD) Information with Treating Providers
Two bipartisan bills have been introduced in Congress that more closely align 42 CFR Part 2 regulations with HIPAA, and ensure all clinicians involved in a person’s care will get the full picture of their health.
Rep. Markwayne Mullin (R-OK) and Rep. Earl Blumenauer (D-OR) are lead sponsors of the bipartisan Overdose Prevention and Patient Safety Act (H.R. 3545) in the House. A bipartisan companion bill, the Protecting Jessica Grubb’s Legacy Act (The Legacy Act) (S. 1850) was introduced in the Senate by Sen. Joe Manchin (D-WV) and Sen. Shelley Moore Capito (R-WV). Netsmart supports these bills as a strong advocate for regulatory and legislative measures to update 42 CFR Part 2.
- It's A Process...42CFR Part 2 Consent Reform (Video)
- SAMHSA 42 CFR Part 2 Final Rule (Published Jan. 2017)
- Netsmart statement: SAMHSA 42 CFR Part 2 Final Rule
- SAMHSA 42 CFR Part 2 Supplemental Notice of Proposed Rulemaking (SNPRM)
- Netsmart comments filed re: SAMHSA SNPRM
Other 42 CFR Part 2 Reform Advocacy
Interim Report: White House Commission on Combating Drug Addiction and the Opioid Crisis
A special Presidential commission on addiction and opioids released its interim report this week, and its position on 42 CFR Part 2 aligns closely with the Murphy bill.
Netsmart and MHA Team to Correct Part 2 Reform Misperceptions
Concerned about inaccurate claims that updates to 42 CFR Part 2 would compromise patient privacy, Netsmart and Mental Health America (MHA) issued a joint press release reemphasizing their support for legislation in Congress that would update decades-old 42 CFR Part 2 provisions.
- Read the Netsmart/MHA press release
- Read the memorandum about HIPAA protections for substance use disorder information
- Read the letter from the Patient Safety Movement about patient safety aspects of 42 CFR Part 2
U.S. News & World Report story
Netsmart’s Kevin Scalia quoted about patient consent in article about mental health legislation in Congress.
Netsmart Comments: SAMHSA 42 CFR Part 2 Update Listening Session
Here are Netsmart’s comments about the need to update 42 CCR Part 2 submitted in conjunction with a Substance Abuse and Mental Health Services Administration (SAMHSA) June 2014 Listening Session on the confidentiality of alcohol and drug abuse patient records.
Substance Use Treatment in a Digital Era
In an Open Letter to the Wall Street Journal and Modern Healthcare, Netsmart CEO Mike Valentine says updated privacy regulations "would enable coordination of care and save lives."
21st Century Cures Act
This comprehensive legislation, passed by Congress and signed into law in December 2016, authorizes $1 billion over the next two years to address the opioid crisis, and creates and reauthorizes a number of federal mental health grant programs. It also includes a number of health IT-related provisions on interoperability, data sharing/exchange and electronic health records.
Other Public Policy Advocacy
Meaningful Use Funding Parity with Physical Health
The HITECH Act’s incentive program to encourage the meaningful use of electronic health records (EHRs) has helped thousands of eligible providers and facilities fully use EHRs to manage patient health data, share authorized data with other providers, and measure quality to improve outcomes and lower costs.
Unfortunately, mental health, addiction treatment, and other human services providers were not fully included in the Meaningful Use program. Netsmart has aggressively advocated to extend full eligibility to mental health treatment facilities, psychiatric hospitals and substance use treatment facilities, and to expand the types of providers eligible for incentives to include clinical psychologists and licensed social workers.
Mental Health and Addiction Parity Enforcement
Netsmart has joined many advocacy and industry groups to support strong implementation and enforcement of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008. This law generally prevents group health plans and health insurance issuers that provide mental health or substance use disorder benefits from imposing less favorable benefit limitations on those benefits than on medical/surgical benefits.
Anna Westin Act Included in 21st Century Cures Bill
According to the National Institute of Mental Health (NIMH), 10 percent of the population will experience an eating disorder such as anorexia, bulimia or binge eating during their lifetimes.
In December 2016, Congress passed The 21st Century Cures Act. Included in that legislation was The Anna Westin Act of 2015. This bill, introduced by Sen. Amy Jean Klobuchar (D-Minn.) is the first to address eating disorders specifically. To learn more about the life and legacy of Anna Westin, as well as the journey that took her parents Mark and Kitty from grief to advocacy, visit our non-profit advocacy foundation, EveryDay Matters and view the documentary A Journey of Love: The Anna Westin Story.
Matching Funds to States for Coordinated Care
The Centers for Medicare and Medicaid Services (CMS) has announced it will permit states to apply for 90 percent HITECH matching funds for expenditures related to helping a broader variety of Medicaid providers exchange health information with other providers.
While the funds will be provided to states and not directly to providers, this initiative is a financial incentive for states to include behavioral health and other providers in state-funded Health Information Exchanges (HIEs), health homes and other coordinated care initiatives.
How Can I Help?
Your letters and meetings with legislators do make a difference! For information on how to lend your voice of support to critical legislation impacting Netsmart clients and those they serve, contact Dave Kishler, Netsmart Director of Industry Relations, at 740.819.6760 or email@example.com.