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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