GME/Rural Health Study Bill

HB 998/SB 742 GME Rural Hospital Study

Primary House Sponsors: Rep. David Lewis (R-Harnett), Rep. Greg Murphy (R-Pitt), Rep. Donna White (R-Johnston), Rep. Howard Hunter (D-Bertie)

Primary Senate Sponsors: Sen. Tom McInnis (R-Anson), Sen. David Curtis (R-Gaston), Sen. Danny Britt (R-Columbus)

Bill Summary

This bill would direct NC DHHS to study and report recommendations to create incentives for medical education in rural areas of the state. In addition, this bill would assist rural hospitals in becoming designated teaching hospitals by CMS.

The study would examine the following:

  • Expansion of GME payments to outpatient costs and services;
  • Modifications to reimbursement formulas that incentivize rural hospitals to participate in education programs;
  • Options in physician reimbursement to incentivize participation, including GME.

Bill Movement

This bill was filed in the House and Senate on May 23, 2018.

This bill was amended in the House Health Committee to include a study of the State Health Plan by the NC Department of Insurance in the study.

This bill was amended to include the words primary care provider as consistent language throughout the bill.

This bill was passed in the House Health Committee on June 6, 2018.

This bill was amended on the House floor on June 7, 2018.

The first amendment changed the language in the bill to include “primary care provider” consistently throughout the bill.

Rep. Beverly Boswell (R-Dare) offered a second amendment to study Certificate of Need (CON). This amendment was debated and failed with a vote of 18-89.

The bill passed with a vote of 107-0

There was objection to third reading and will be re calendared for the next House Session.

This bill was heard on the House floor on June 11, 2018.

Rep. Bert Jones (R-Rockingham) put forward an amendment to also allow for reciprocity for dentists who hold licenses and are in good standing in one of the four states that border NC. The dentist would be required to meet certain standards laid out by the NC Dental Board. This amendment passed 112-0.

Rep. Bobbie Richardson (D-Mecklenburg) send forward an amendment to expand Medicaid eligibility. This amendment was ruled out of order.

Rep. Darren Jackson (D-Wake) sent forward an amendment to study the impact of the Medicaid program on rural residents. This amendment passed 68-44.

This bill passed third reading 113-0 and will be sent to the Senate.

This bill passed the Senate Health Care Committee on June 13, 2018.

This bill is calendared to be heard in the Senate Rules Committee on June 14, 2018 at 1pm.

This bill passed in the Senate Rules Committee and will move to the Senate floor on June 14, 2018.

This bill passed second reading with a vote of 44-0 the Senate on June 14, 2018. The bill passed third reading and will be sent to the House for concurrence. The House concurred with this bill on June 14, 2018.

 
 

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