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Learn how education is the real safeguard of democracy and how you can make a difference by educating yourself on important issues. Get involved in impacting legislation and public policy to truly exercise your democratic power.
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YouCanMakeaDifference! Leslie Emerick,MPA WSHPCO Director of Public Policy PlenaryPresentation
Educate Yourself onIssues Democracy cannot succeed unless those who express their choice are prepared to choose wisely. The real safeguard of democracy, therefore, iseducation. Franklin D.Roosevelt
WSHPCO PolicyCommittees WSHPCO Public PolicyCommittee • Meets monthly on3rd Wednesday WSHPCOPediatric Palliative Care Committee • Meets monthly on4th Wednesday
2019 PalliativeCare NetworkingCallsBi-monthly, 3rd Tues., 7:30 am • Topics in 2019: • Dementia & Palliative Care • Acupuncture, Pain Management & Palliative Care • Overview of Palliative Care Efforts in WA State • Medi-Cal Palliative Care Program in CA • Torrie Fields, Blue Cross ofCalifornia Palliative Care Planning Committee
ImpactingLegislation Lots of opportunities to influence legislationthat impacts hospice and palliativecare! Come testify in Olympia or attend our legislative day! Respond to WSHPCO Legislative Alerts during session on important legislation impacting hospice and palliative care!
HB 1175 – Health CareDecisions • Expands persons whocan provide informed consent. • Provides limited immunity to providers. • Prohibits Death with Dignity if incapacitated. • Expands methods for a health caredirective.
Budget Proviso: (ESHB1109) Palliative Care Roadmap • $25,000 over 2-years for Palliative Care Road Map, similar to Dementia Road Map. • Forproviders, patients, families, &caregivers of individuals living with a serious or life-threateningillness. • DOH conveningHCA, DSHS,hospital-based, outpatient, &community-based palliative careproviders. • First meeting November 14th,2019. Hard copies available by Sept. 2020
2SHB 1087 Long-Term Care TrustAct • Establishes Long-Term Services & Supports Trust Program • Establishes a premium of 0.58 %of a person's wages • Start collecting premium in2020 • Payouts begin in2025 • $36,600 lifetimebenefits
Tax Bills ImpactingHospice • Passed: HB 2158 Workforce education investment to trainWAstudents forjobs: • Health professions B&O Tax increase, 1.5%-1.8%, may not impact In-Home Services • Establishes funding for MD, nursing • students & others • Failed: SB 5940, 37% tax on opioids • Failed: SB 5988, reducing tax preference for opioids distributed inWA
State Agency RuleMaking Administrative Procedures Act(APA) CR 101: Notification of intent to do rule making. Filed with Code Reviser and notifystakeholders. Stakeholders help developdraft. CR 102: Proposition of rule changes and opportunity to provide formal input inpublic hearing. Last chance for publiccomment! CR 103: Adoption of Final Rule, typically effective 31 days after adoption.
DOH Drug Take BackProgram • The Drug Take-Back Act, (HB 1047) established a safe medication return program. • Drug Take Back Program Rules, WAC246-480-010 • . • Established statewide system for safe& • secure collection & disposal of medicines • Funded by drug manufacturers • Regulated by DOH • Effective8/1/2019 • Implement by end of 2020 for kiosks, take back days and mail-backoptions! • www.takebackyourmeds.org
HCA Adult Palliative CareRules • CR 101:Rulemaking initiated for Adult Palliative Care. • 2 Stakeholder meetings at HCA so far: • Included Palliative Care providers in different settings. • Goal to develop funding mechanism for palliative care. • Bree Collaborative Palliative Care Workgrouprecommendations.
Impacting PublicPolicy • Good public policy is developed by good feedback & participation in the publicprocess. • When you show up, you can become part of the solution, not part of the problem.
Bree Collaborative Palliative CareWorkgroup • Goal: • Increase access, awareness & fundingfor palliativecare • Clinical best practice of palliative that's: • Responsive to culturalneeds, • Includes advance care planning • Incorporates goals of care & plan ofcare intomedical records. • Availability of palliative care through a benefit structure such as a per member permonth (PMPM)benefit.
Long Term CareWorkforce • 2019 Legislature re-convened LTC Workforce SteeringCommittee • Ensure workers have timely training, testing, &certification; • Workforce development councils project worker shortages; • Create a competency-based common curriculumfor CNA training.
DOH Rural Palliative CareInitiative • Public-private partnership, • 24organizations in 7 rural communities. • Core Guidance Team • Telemedicine • Clinical and Cultural Changes • Community Engagement
DOH Hospice Certificate of Need • Issues with Hospice CON: • Hospice agencies are required to take adult and pediatric patients under their CON in WA state. • Problems with inaccurate CON data impacting hospices.
Finding your LocalLegislators • Search: WA State Legislature(leg.wa.gov) • Find YourDistrict: • Enter home address & click! • Who is your stateSenator? • Who are your stateRepresentatives? • What committees are theyon? • Health Care • Appropriations • Read biography…anything incommon?
Developing a Relationshipwith yourLegislators • Set up meeting with legislators in your district. • Host a meeting at your hospice agency. • Contact legislators on issues by email or phone. • Legislators love hearing from constituents! • Thank them for their hard work and public service! • Local Advocacy Works!!
In-Home ServicesDay • Date: January 28,2020, 7:00 am Orientation • Location: State Capital, OlympiaWA
WSHPCO Advocacy &Outreach Join Join the WSHPCO Public Policy Committees Attend Attend the 2019 In-Home Services Day inOlympia, January 28,2020 Call Call your legislators during session regarding bills impacting hospice! Testify Testify or sign in at public hearings on bills of concern/interest. Make Your voice makes a difference!
