VNA Legislative Tracking
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Bill NumberVNA PositionChief PatronLegislative SummaryLast actionPassed HousePassed SenateFailed
Approved
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HB1640SupportRansoneHealth carriers; nurse practitioners. Requires health insurers and health service plan providers whose policies or contracts cover services that may be legally performed by licensed nurse practitioners to provide equal coverage for such services when rendered by a licensed nurse practitioner.
02/14/19 S Passed Senate (40-Y 0-N)
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HB1847SupportAdams, D.M.Commission on Wellness and Opportunity; report. Establishes the Commission on Wellness and Opportunity to (i) establish the mission and vision of what wellness means for Virginia by (a) examining various dimensions of wellness, including but not limited to, physical, intellectual, emotional, spiritual, environmental, and social wellness, and (b) developing a comprehensive theoretical framework; (ii) identify and define measurable opportunities and outcomes that build community competence around well-being; and (iii) make policy recommendations for improving the quality of life for the people of the Commonwealth.02/05/19 H Left in RulesNNYN
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HB1848Adams, D.M.Department of Health Professions; disclosure of investigative information. Allows the Department of Health Professions and health regulatory boards to disclose otherwise confidential information related to disciplinary hearings to the Virginia Department of Education and the State Council of Higher Education for Virginia if such information relates to nursing or nurse aide education programs regulated by the Board of Nursing.
02/14/19 S Reported from Education and Health (14-Y 1-N)
YNNN
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HB1858SupportMcQuinnVirginia Grocery Investment Program and Fund. Creates the Virginia Grocery Investment Program and Fund to provide funding for the construction, rehabilitation, equipment upgrades, or expansion of grocery stores, small food retailers, and innovative food retail projects, defined in the bill, in underserved communities.
02/05/19 H Left in Appropriations
NNYN
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HB1967RasoulPhysicians; requirement of medical specialty board certification prohibited. Prohibits hospitals and other entities that employ or provide staff membership or professional privileges to individuals licensed to practice medicine in the Commonwealth, medical malpractice insurance providers, or health insurance providers from considering active certification of a physician by a medical specialty board of the American Board of Medical Specialties, the National Board of Physicians and Surgeons, the American Osteopathic Association, the National Board of Osteopathic Physicians and Surgeons, or any other nationally recognized entity providing medical specialty certification as a prerequisite for employment, the granting or continuing of staff membership or professional privileges, issuance of medical malpractice insurance coverage, reimbursement for services provided to a person covered by a health insurance policy, or licensure to practice medicine in the Commonwealth.
02/05/19 H Left in Commerce and Labor
NNYN
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HB1970KilgoreTelemedicine services; coverage and practice. Requires insurers, corporations, or health maintenance organizations to cover remote patient monitoring services as part of their coverage of telemedicine services to the full extent that these services are available. The bill defines remote patient monitoring services as the delivery of home health services using telecommunications technology to enhance the delivery of home health care, including monitoring of clinical patient data such as weight, blood pressure, pulse, pulse oximetry, blood glucose, and other condition-specific data; medication adherence monitoring; and interactive video conferencing with or without digital image upload.The bill requires the Board of Medical Assistance Services to include in the state plan for medical assistance services a provision for the payment of medical assistance for health care services provided through telemedicine services, including remote monitoring services and the use of telemedicine technologies as it pertains to remote patient monitoring services, to the full extent that these services are available.The bill provides that provisions of the Code of Virginia regulating health professions regulated by the Board of Medicine do not prevent or prohibit any practitioner of one of such professions who is located in another state and is in good standing with the applicable regulatory agency in such state from providing telemedicine services within the scope of his practice to a patient located in Virginia.Finally, the bill provides that in cases in which a practitioner of the healing arts is providing telemedicine services, such practice is deemed to occur where the practitioner is located at the time of provision.
02/13/19 H Senate amendment agreed to by House (97-Y 0-N)
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HB1998SupportPriceExposure to bodily fluids; infection with human immunodeficiency virus or hepatitis B or C viruses; expedited testing. Requires a general district court to hold a hearing within 48 hours of a petition being filed seeking to compel collection of a blood specimen for testing for human immunodeficiency virus or the hepatitis B or C viruses when exposure to bodily fluids occurs between a person and any health care provider, person employed by or under the direction and control of a health care provider, law-enforcement officer, firefighter, emergency medical services personnel, person employed by a public safety agency, or school board employee and the person whose blood specimen is sought refuses to consent to providing such specimen. The bill allows a testing order to be issued based on a finding that there is probable cause to believe that exposure has occurred. The bill directs the Office of the Executive Secretary of the Supreme Court to publish a petition form for such filing. The bill specifies that no specimen obtained as a result of a testing order shall be tested for any purpose other than for the purpose provided for in the bill, nor shall the specimen or the results of such testing be used for any purpose in any criminal matter or investigation. Any violation shall constitute reversible error in any criminal case in which the specimen or results were used.
02/12/19 G Governor's Action Deadline Midnight, February 19, 2019
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HB2004SupportAirdCommunity health workers; certification. Requires the Department of Health to approve one or more entities to certify community health workers in the Commonwealth and prohibits a person from using or assuming the title of certified community health worker unless he is certified by an entity approved by the Department.
02/05/19 H Left in Appropriations
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HB2129SupportGuzmanBoard of Nursing; application for license or certification; military spouse; expedited review. Provides that the Board of Nursing shall process applications and, if an applicant meets the criteria for licensure or certification, issue such license or certification within 30 days in cases in which an applicant for licensure or certification is licensed or certified in another state and is relocated to the Commonwealth pursuant to a spouse's official military orders.
02/14/19 S Reported from Education and Health (15-Y 0-N)
YNNN
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HB2158PlumDispensing of naloxone. Expands the list of individuals who may dispense naloxone pursuant to a standing order to include emergency medical services personnel and health care providers providing services in hospital emergency departments and eliminates the requirements (i) that an organization providing services to individuals at risk of experiencing an opioid overdose or training in the administration of naloxone for overdose reversal obtain a controlled substances registration prior to dispensing naloxone, (ii) that naloxone dispensed on behalf of the organization be dispensed by a person who is authorized to train individuals on the administration of naloxone, and (iii) that individuals to whom naloxone is dispensed complete a training program prior to dispensing. The bill also provides that a person who dispenses naloxone shall not be required to obtain a permit to operate a pharmacy or a controlled substances registration and allows a person who dispenses naloxone to charge a fee for dispensing of naloxone provided the fee is no greater than the cost to the organization of obtaining the naloxone dispensed.02/14/19 H EnrolledYYNN
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HB2169ThomasPhysician assistants; licensure by endorsement. Authorizes the Board of Medicine to issue a license by endorsement to an applicant for licensure as a physician assistant who (i) is the spouse of an active duty member of the Armed Forces of the United States or the Commonwealth, (ii) is a graduate of an approved physician assistant education program, and (iii) holds a license as a physician assistant that is in good standing, or that is eligible for reinstatement if lapsed, under the laws of another state, the District of Columbia, or a United States possession or territory.
02/14/19 S Reported from Education and Health with amendment (15-Y 0-N)
YNNN
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HB2184KilgoreSpecial volunteer license for limited practice. Provides that any qualified practitioner of the healing arts or other profession regulated by the Board of Medicine who does not regularly practice his profession in Virginia and who holds a current valid license or certificate to practice his profession in another state, territory, district, or possession of the United States may be issued a special volunteer license to render free health care in conjunction with a publicly supported, all-volunteer, nonprofit organization that sponsors the provision of health care to underserved populations in Virginia, subject to conditions set out in the bill. The bill directs the Board to promulgate regulations to implement the special volunteer license.
02/14/19 S Reported from Education and Health with substitute (15-Y 0-N)
YNNN
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HB2228BagbyComposition of the Boards of Nursing and Psychology; health regulatory boards; staggered terms. Alters the composition of the Board of Nursing and replaces the requirement that the Board of Nursing meet each January with the requirement that it meet at least annually. The bill also removes specific officer titles from the requirement that the Board of Nursing elect officers from its membership. The bill replaces the requirement that a member of the Board of Psychology be licensed as an applied psychologist with the requirement that that position be filled by a member who is licensed in any category of psychology. The bill also provides a mechanism for evenly staggering the terms of members of the following health regulatory boards, without affecting the terms of current members: Board of Nursing, Board of Psychology, Board of Dentistry, Board of Long-Term Care Administrators, Board of Medicine, Board of Veterinary Medicine, Board of Audiology and Speech-Language Pathology, Board of Pharmacy, and Board of Counseling.02/14/19 H EnrolledYYNN
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HB2267PoindexterHospitals; drawing of certain blood samples. Directs the Board of Health to amend regulations governing hospitals to require each hospital to which funds are appropriated in any general appropriation act to collect blood samples from patients who are unwilling or unable to provide consent to the collection of such samples when such samples are required by a valid search warrant.
02/05/19 H Tabled in Health, Welfare and Institutions
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HB2318SupportMcGuirePossession and administration of naloxone; school nurses; local health department employees. Adds school nurses and local health department employees that are assigned to a public school pursuant to an agreement between the local health department and school board to the list of individuals who may possess and administer naloxone or other opioid antagonist, provided that they have completed a training program.02/14/19 H EnrolledYYNN
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HB2425LevineVirginia Department of Health; monitoring of health care-associated infections. Provides for the release of data on health care-associated infections (HAIs) to the National Healthcare Safety Network (NHSN) by health care facilities located in the Commonwealth. Such data shall also be released to the Virginia Department of Health, either by the health care facility or through the NHSN, and to the public upon request.
02/14/19 S Reported from Education and Health (15-Y 0-N)
YNNN
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HB2426LevineDispensing of controlled substances; advance disclosure of charge. Requires every person licensed to dispense controlled substances to provide to the patient for whom such controlled substance is dispensed, or to the patient's authorized representative, an estimate of the payment amount for which the patient will be responsible, prior to dispensing such controlled substance.
02/05/19 H Tabled in Health, Welfare and Institutions
NNYN
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HB2457LandesPractitioners of medicine, osteopathy, podiatry, or chiropractic; inactive license; charity care. Provides that the Board of Medicine may issue an inactive license to any doctor of medicine, osteopathy, podiatry, or chiropractic who holds a valid license to practice in the Commonwealth upon receipt of a request made upon application for renewal of such license and submission of the required fee. The bill provides that a person to whom an inactive license has been issued shall not be required to meet continuing competency requirements and shall not engage in the practice of medicine, except that such person may provide charity care or in-home health care to patients for whom travel is a barrier to receiving health care.
02/14/19 S Reported from Education and Health with amendments (15-Y 0-N)
YNNN
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HB2493SupportTranAdministration of topical drugs; dental hygienists, physician assistants, and nurses. Authorizes a dental hygienist practicing under remote supervision to administer topical oral anesthetics, topical and directly applied antimicrobial agents for treatment of periodontal pocket lesions, and any other Schedule VI topical drug approved by the Board of Dentistry. Under current law, a dental hygienist must be practicing under general supervision to do so. Additionally, the bill authorizes a physician assistant, nurse, or dental hygienist to possess and administer topical fluoride varnish pursuant to an oral or written order or a standing protocol. Under current law, such possession and administration is limited to administration to children aged six months to three years and is required to conform to standards adopted by the Department of Health.
02/14/19 S Reported from Education and Health (15-Y 0-N)
YNNN
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HB2556PlumDepartment of Health Professions and health regulatory boards; information obtained in an investigation or disciplinary proceeding; authorized disclosures. Provides that provisions protecting the confidentiality of information obtained during an investigation or disciplinary hearing do not prohibit the disclosure of information about a suspected violation of state or federal law or regulation to state law enforcement. Under current law, such disclosure is authorized only to agencies within the Health and Human Resources Secretariat or to federal law-enforcement agencies. The bill also provides that investigative staff of agencies to which disclosure is authorized are not prohibited from interviewing fact witnesses, disclosing to fact witnesses the identity of the subject of the complaint or report, or reviewing with fact witnesses any portion of records or other supporting documentation necessary to refresh the fact witnesses' recollection.
02/14/19 S Reported from Education and Health (15-Y 0-N)
YNNN
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HB2606SupportWardExposure to bodily fluids; infection with human immunodeficiency virus or hepatitis B or C viruses; expedited testing. Requires a general district court to hold a hearing within 48 hours of a petition being filed seeking to compel collection of a blood specimen for testing for human immunodeficiency virus or the hepatitis B or C viruses when exposure to bodily fluids occurs between a person and any health care provider, person employed by or under the direction and control of a health care provider, law-enforcement officer, firefighter, emergency medical services personnel, person employed by a public safety agency, or school board employee and the person whose blood specimen is sought refuses to consent to providing such specimen. The bill allows a testing order to be issued based on a finding that there is probable cause to believe that exposure has occurred. The bill directs the Office of the Executive Secretary of the Supreme Court to publish a petition form for such filing. The bill specifies that no specimen obtained as a result of a testing order shall be tested for any purpose other than for the purpose provided for in the bill, nor shall the specimen or the results of such testing be used for any purpose in any criminal matter or investigation. Any violation shall constitute reversible error in any criminal case in which the specimen or results were used.
02/05/19 H Left in Courts of Justice
NNYN
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HB2652HopeRegulation of licensed providers; Board of Behavioral Health and Developmental Services to require disclosure of certain information about employees. Directs the Board of Behavioral Health and Developmental Services to amend regulations governing licensed providers to require every licensed provider to provide a truthful statement regarding the character, ability, and fitness for employment of a current or past employee or other individual currently or previously associated with the provider in a capacity that requires a criminal history background check to any other licensed provider with which the current or past employee has applied for employment or to fill a role that requires a criminal history background check upon receipt of a request for such information from the other licensed provider and written consent to the disclosure of such information executed by the current or past employee or other individual currently or previously associated with the provider in a capacity that requires a criminal history background check.
02/14/19 S Reported from Education and Health (15-Y 0-N)
YNNN
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HB2748SupportStollePurchase, possession, and sale of tobacco products, nicotine vapor products, and alternative nicotine products; minimum age requirements; penalties. Increases the minimum age for persons prohibited from purchasing or possessing tobacco products, nicotine vapor products, and alternative nicotine products, and the minimum age for persons such products can be sold to, from 18 years of age to 21 years of age. The bill also allows tobacco products, nicotine vapor products, and alternative nicotine products to be sold from a vending machine if there is posted notice of the minimum age requirements and the machine is located in a place that is not open to the general public and not generally accessible to persons under 21 years of age. Under current law, tobacco products may be sold from a vending machine if there is posted notice of the minimum age requirements and the machine is located in a place that is not open to the general public and not generally accessible to minors.02/14/19 S Signed by PresidentYYNN
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HJ614SupportDelaneyStudy; Virginia State Crime Commission; forensic nursing; report. Directs the Virginia State Crime Commission to study current access to forensic nursing programs across the Commonwealth, determine the costs associated with establishing additional programs in regions that lack coverage, identify funding sources for forensic nursing programs to assist with the costs of recovering evidence and providing expert testimony, identify opportunities to increase availability of forensic nursing certifications, evaluate existing forensic nursing programs in other states, and identify best practices that could be utilized in the Commonwealth.02/05/19 H Left in RulesNNYN
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SB1178SupportSturtevantHealth carriers; nurse practitioners. Requires health insurers and health services plan providers whose policies or contracts cover services that may be legally performed by licensed nurse practitioners to provide equal coverage for such services when rendered by a licensed nurse practitioner.
02/13/19 H Passed House BLOCK VOTE (98-Y 0-N)
YYNN
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SB1189SupportDanceVirginia Grocery Investment Program and Fund. Creates the Virginia Grocery Investment Program and Fund to provide funding for the construction, rehabilitation, equipment upgrades, or expansion of grocery stores, small food retailers, and innovative food retail projects, defined in the bill, in underserved communities.
01/16/19 S Incorporated by Finance (SB999-Stanley) (16-Y 0-N)
NNYN
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SB1221ChafinTelemedicine services; coverage and practice. Requires insurers, corporations, or health maintenance organizations to cover remote patient monitoring services as part of their coverage of telemedicine services to the full extent that these services are available. The bill defines remote patient monitoring services as the delivery of home health services using telecommunications technology to enhance the delivery of home health care, including monitoring of clinical patient data such as weight, blood pressure, pulse, pulse oximetry, blood glucose, and other condition-specific data; medication adherence monitoring; and interactive video conferencing with or without digital image upload.The bill requires the Board of Medical Assistance Services to include in the state plan for medical assistance services a provision for the payment of medical assistance for health care services provided through telemedicine services, including remote monitoring services and the use of telemedicine technologies as it pertains to remote patient monitoring services, to the full extent that these services are available.The bill provides that provisions of the Code of Virginia regulating health professions regulated by the Board of Medicine do not prevent or prohibit any practitioner of one of such professions who is located in another state and is in good standing with the applicable regulatory agency in such state from providing telemedicine services within the scope of his practice to a patient located in Virginia.Finally, the bill provides that in cases in which a practitioner of the healing arts is providing telemedicine services, such practice is deemed to occur where the practitioner is located at the time of provision.
02/13/19 H Passed House BLOCK VOTE (98-Y 0-N)
YYNN
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SB1280SupportBarkerCommunity health workers; certification. Requires the Department of Health to approve one or more entities to certify community health workers in the Commonwealth and prohibits a person from using or assuming the title of certified community health worker unless he is certified by an entity approved by the Department.

02/12/19 H Subcommittee recommends passing by indefinitely (5-Y 3-N)
NYNN
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SB1395SupportHowellAssault and battery against a health care provider; enhanced penalty. Adds to the existing enhanced penalty for committing a battery against a health care provider the provision that any person who commits a simple assault against a health care provider, as defined in the bill, is guilty of a Class 1 misdemeanor that shall include a term of confinement of 15 days in jail, two of which shall be a mandatory minimum term of confinement. The bill also adds health care providers to the list of professions against whom committing a malicious wounding or an unlawful wounding is subject to an enhanced penalty. As amended, malicious wounding is a Class 3 felony, and malicious wounding of a health care provider is punishable by imprisonment for a period of five to 30 years with a mandatory minimum term of imprisonment of two years. Unlawful wounding of a health care provider is a Class 6 felony with a mandatory minimum term of imprisonment of one year.
02/11/19 H Subcommittee recommends reporting with substitute (6-Y 1-N)
NYNN
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SB1526SupportSturtevantCertificate of public need; psychiatric beds and facilities. Repeals the requirement for a certificate of public need for certain projects involving mental hospitals or psychiatric hospitals and intermediate care facilities established primarily for the medical, psychiatric, or psychological treatment and rehabilitation of individuals with substance abuse. The bill creates a new permitting process for such projects, exempted from the certificate of public need process, that requires the Commissioner of Health to issue a permit upon the agreement of the applicant to certain charity care conditions and quality of care standards.
02/05/19 S Read third time and defeated by Senate (14-Y 26-N)
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SB1557SupportDunnavantBoard of Pharmacy; cannabidiol oil and tetrahydrocannabinol oil; regulation of pharmaceutical processors. Alters the definitions of cannabidiol oil and tetrahydrocannabinol (THC-A) oil to remove the five percent cap on the concentration of THC permitted to be contained in each oil. The bill allows licensed physician assistants and licensed nurse practitioners to issue a written certification for use of cannabidiol oil and THC-A oil. The bill requires the Board to promulgate regulations establishing dosage limitations, which shall require that each dispensed dose of cannabidiol oil or THC-A oil not exceed 10 milligrams and each dispensed package of cannabidiol oil or THC-A oil not exceed 100 milligrams. The bill removes the requirement that a licensed pharmacist provide on-premises supervision of pharmaceutical processors and clarifies who may be employed by pharmaceutical processors and the regulations governing such employees.
02/13/19 H Passed House with amendments BLOCK VOTE (98-Y 0-N)
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SB1632SupportSturtevantCannabidiol oil and THC-A oil; use at school. Requires local school boards to adopt and implement policies permitting a student who has been issued a valid written certification for the use of cannabidiol oil or THC-A oil to use such oils while at school. The bill prohibits a school board from suspending or expelling such a student for such use. The bill prohibits a school nurse employed by a local school board, person employed by a local health department who is assigned to the public school pursuant to an agreement between the local health department and the school board, or other person employed by or contracted with a local school board to deliver health-related services from being prosecuted for possession or distribution of cannabidiol oil or THC-A oil or for storing, dispensing, or administering cannabidiol oil or THC-A oil, in accordance with the policy adopted by the local school board, to a student who has been issued a valid written certification for its use. Finally, the bill requires the Department of Health Professions, in coordination with the Department of Education, to develop and make available to school boards, a standardized form to be completed by the certification issuing physician and the dispensing pharmaceutical processor.
02/12/19 H Assigned Courts sub: Subcommittee #1
NYNN
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SB1727SupportNormentPurchase, possession, and sale of tobacco products, nicotine vapor products, and alternative nicotine products; minimum age requirements; penalties. Increases the minimum age for persons prohibited from purchasing or possessing tobacco products, nicotine vapor products, and alternative nicotine products, and the minimum age for persons such products can be sold to, from 18 years of age to 21 years of age. The bill also allows tobacco products, nicotine vapor products, and alternative nicotine products to be sold from a vending machine if there is posted notice of the minimum age requirements and the machine is located in a place that is not open to the general public and not generally accessible to persons under 21 years of age. Under current law, tobacco products may be sold from a vending machine if there is posted notice of the minimum age requirements and the machine is located in a place that is not open to the general public and not generally accessible to minors.
02/14/19 G Governor's Action Deadline Midnight, Midnight, February 21, 2019
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SB1773DunnavantDirects the Board of Counseling, the Board of Medicine, the Board of Nursing, the Board of Psychology, and the Board of Social Work to each promulgate regulations or guidance documents defining conversion therapy and the unprofessional conduct in the practice of conversion therapy with any person under 18 years of age. The bill requires such regulations or guidance documents to ensure any interventions in such practice are patient-centered and align with relevant primary sources or policy statements from the relevant professional association.
01/31/19 S Passed by indefinitely in Education and Health (13-Y 1-N)
NNYN
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SB1778NewmanDirects the Board of Counseling, the Board of Medicine, the Board of Nursing, the Board of Psychology, and the Board of Social Work to each promulgate regulations prohibiting the use of electroshock therapy, aversion therapy, or other physical treatments in the practice of conversion therapy with any person under 18 years of age.
02/06/19 S Left in Education and Health
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Budget ItemsItem NumberDescriptionGovernorHouseSenate
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The introduced budget adds $7.9 million GF the second year to fund 254 direct care positions (direct service associates, registered nurses, licensed practical nurses and psychiatrists) at state mental health hospitals. Additional staff is intended to handle the increase in admissions and patients in need of direct supervision. A change in state law in 2014, that made the state hospitals the facility “of last resort,” has resulted in much higher admissions of individuals subject to temporary detention orders at all state hospitals as private hospitals have reduced their share of these admissions.YYN
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Item 303 - Medicaid Program ServicesWWW. The Department of Medical Assistance Services shall amend the State Plan to add coverage of the preventive services provided pursuant to the Patient Protection and Affordable Care Act (ACA) for adult, full Medicaid individuals who are not enrolled pursuant to the ACA. The evidence-based preventive services provided shall include: 1) prevention services with a grade of "A" or "B" recommended by the United States Preventive Services Task Force; 2) adult vaccines recommended by the Centers for Disease Control Advisory Committee for Immunization Practices; and 3) preventive services for women recommended by the Institute of Medicine. The Department shall have the authority to implement these changes effective July 1, 2019, and prior to the completion of any regulatory process undertaken in order to effect such changes.YNN
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