Health law

BNA'S HEALTH CARE DAILY REPORT

Number 63 March 31, 2000
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EXECUTIVE BRIEFING

JUDICIARY COMMITTEE APPROVES PHYSICIAN BARGAINING BILL -- The House  Judiciary Committee March 30 favorably reported a bill, H.R. 1304, that would allow independent  health care providers to bargain collectively with health plans. Reported out of committee by a 26-2  vote, the Quality Health-Care Coalition Act of 1999 is expected to reach a House floor vote within  two weeks, according to Rep. Tom Campbell (R-Calif.), the bill's sponsor.

"This bill is going to the floor with a real opportunity for passage," Campbell said in a prepared statement. "This is a very important step toward improving the quality of health care for all  Americans, and I look forward to its passage on the House floor within the next two weeks." The  legislation would provide health care professionals such as physicians, dentists, and pharmacists a   waiver of antitrust laws that bar competitors from negotiating jointly.

MEDICARE PART A TRUST FUND SOLVENT UNTIL 2023 - For the third consecutive year,   Medicare's Board of Trustees have extended the life expectancy of the program's Part A trust fund,  reporting March 30 that it should remain financially solvent until 2023, eight years longer than estimated last year. The solvency of the Part A trust fund, which primarily pays hospitals and skilled  nursing facilities, has been extended by 24 years since the Clinton administration took office. The  latest estimate is the longest projection of solvency since 1974. The program met the trustees'   definition of short-term solvency for the first time since 1991. However, the long-range financial  condition remains shaky and, unless reforms are adopted at some point, it is liable to face severe  financial difficulties, the trustees said. In its annual report on the state of Medicare's finances, the program's six trustees said a robust economy, lower-than-expected program spending, fraud and abuse initiatives, provisions of the Balanced Budget Act of 1997, and lower overall growth in health   care inflation all contributed to the increase in program solvency.

SENATE PANEL APPROVES BUDGET PLAN AFTER DOUBLING MONEY FOR DRUG BENEFIT -- The Senate Budget Committee voted along party lines March 30 to approve its fiscal  year 2001 budget resolution after adopting an amendment doubling to $40 billion the money available for a new Medicare prescription drug benefit but giving the Finance Committee only until   Sept. 1 to pass such a plan.  

OKLAHOMA LAWMAKERS ACT ON BILL ALLOWING LAWSUITS AGAINST HMOS --  The Oklahoma Legislature continues to advance legislation that would allow Oklahomans to sue their  health maintenance organizations for harm caused by medical treatment decisions. The House Judiciary Committee March 29 reported out a bill (S.B. 1206) that had passed the Senate March 15 by a vote of 41-4. The Senate Judiciary Committee March 28 reported out a slightly different measure (H.B. 2710) that had passed the House Feb. 29 by a vote of 93-8.

GROUP OF CONFEREES MEET TO CONSIDER HOW TO MOVE ON EXTERNAL APPEALS -- Ten of the 33 members of House-Senate managed care conference committee met  March 30 to consider how to proceed on the critical issue of external appeals, a spokeswoman for Sen. Don Nickles (R-Okla.), conference committee chairman,  said. As the committee's March 31   deadline approached, the spokeswoman said the committee has no intention to stop work on  merging the two sharply different bills. She said the committee is now determined to wrap up work by Easter, April 23.

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TABLE OF CONTENTS
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TOPICAL INDEX

COLLECTIVE BARGAINING

Judiciary Committee moves Campbell bill; House floor vote expected within weeks

HEALTH DATA

Industry needs federal guidance to establish secure e-health care systems, experts say

MEDICARE

Part A trust fund solvent until 2023, program's trustees report

White House happy with solvency numbers but continues push for fund replenishment

OKLAHOMA

Legislature moves toward adoption of bill allowing suits against HMOs

PHARMACEUTICALS

Agency issues 180 day exclusivity draft; source says generic industry may suffer

PLAN REGULATION

Group of conferees convene to consider how to move forward on external appeals

PUBLIC HEALTH

Changes in Medicaid policy, lower subsidies putting new strain on safety net, IOM says

TOBACCO

New York hospitals sue tobacco companies for smokers' uncompensated treatment costs

U.S. BUDGET

Senate panel approves budget resolution after doubling money for drug benefit