A. B 339: Case Study

Improved Essays
A.B 339 was presented by Senator Joe Hardy, Assemblywoman Woodbury, and Keith Lee (representing the Nevada Board of Medical Examiners). Assemblywoman Woodbury asserted that this bill “would make various changes to administrative requirement of the Board of Medical Examiners and its licensee.” One of the provisions within this bill is to allow the Board access to “health care records of a licensee’s patients in the event of the licensee’s death, disability, incarceration or other incapacitation that would render the licensee unable to continue his or her practice.” Assemblywoman Jauregui asked what the current situation is in terms of when a doctor passes away. Edward Cousineau, Executive Director of the Nevada Board of Examiners, responded that when a doctor passes away, there are very little …show more content…
352 was presented by Assemblyman Keith Pickard. The purpose of this bill is to require insurers to provide coverage for a chronic condition, “ which approval for coverage had previously been provided either by the present insurer or by the immediately preceding former insurer.” Assemblywoman Carlton asked if chronic conditions include diabetes, blood pressure, and other maintenance drugs that could fall in that category. Pickard responded with a yes. He added that if it's a chronic condition, particularly if the individual’s life being being endangered without their medication, then this bill would require insurers to continue with refills until the prior authorization is completed and the insurer receives notice. Assemblywoman Carlton stated that there are current regulations that provide short term coverage for individuals. Assemblyman Pickard stated that she was correct and that current regulations mandate that insurers provide at least 7 days of emergency coverage. The problem, according to Assemblyman Pickard, is that “between the patient loads of the doctor's office and the time it's taking to perform those prior authorizations, 7 days is not often not

Related Documents

  • Improved Essays

    In order to fulfil the requirements of this course, I was required to complete a synopsis and full review of multiple Michigan Acts including the Michigan Public Act 593. My full review of this act for this course is included below. The Michigan Public Act 593 of 2006 (MCL 550.283) was effective on January 3rd 2007 allowed the State of Michigan the ability to identify and recuperate disperses payments from third parties that should always pay medical expenses primary to Medicaid. In order to identify beneficiaries that are enrolled in both the State’s Medical Assistance Program and other medical assistance policies or programs, the Michigan Department of Health and Human Services works directly with other payers to apply the National Roster File Process and…

    • 488 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Medicare Coverage: A Case Study Heidi is a 72 year-old female who is hospitalized for 70-days after experiencing a stroke and further complications of a deep vein thrombosis of the leg and pulmonary embolus. Her current insurance includes Medicare Part A and B without Medicaid or a Medigap policy. While in the hospital she is treated by both a hospitalist and neurologist.…

    • 973 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Errors That Killed Lewis Blackman Lewis Blackman was a fifteen-year-old boy in seventh grade. He was thought of by his peers as gifted, enthusiastic, brilliant, talented across the board, achieved many academic accomplishments at such a young age, had a great memory and was loved by all. Lewis was born with the condition of pectus excavatum, which causes a crease in the chest cavity. He has lived many years with this condition but decided to have elective surgery at the University of South Carolina Children’s Hospital, since there was potential to cause respiratory problems if not corrected. Once Lewis’ elective surgery was completed, his life came to an end five frightful days after, due to septic shock.…

    • 1660 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    VACAA Case Study

    • 1079 Words
    • 5 Pages

    After the wait-time scandal at the Arizona VA in 2014, the President Obama signed the law, the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113-146, “VACAA”) in order to improve access to health care for the Veterans in a timely manner with great bipartisan support (Branchely, 2014). This bill includes several initiatives to improve the current standards of care and decrease wait times. In order to urgently address the situation, the law recommends hiring more resources, introducing ways to promote timely care for Veterans, and increasing accountability. The section 101 of VACAA lists necessary details to bring some positive changes to the organization.…

    • 1079 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    New York City College of Technology City University of New York Law and Ethics Case: Jeanette M. and the Phone Call Erica Rotstein October 7, 2017 Professor Bonsignore HAS 3560 -Legal Aspects of Health Care Abstract The advancement in the field of medicine over the years has led to doctors and health care providers having more responsibilities on their hands. This brings into question what should and shouldn’t be done, as well as what is morally and ethically right. However, this isn’t so cut and dry.…

    • 1877 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    H. R. 3355 Case Study

    • 688 Words
    • 3 Pages

    The legislative process in both chambers the House of Representatives and the Senate is immensely complicated with numerous policies waiting for approval to bring the bill to a vote and to, garner unanimous support for enactment. One bill that passed and enacted by President Clinton was the H.R. 3355 the Violent Crime Control and Law Enforcement Act of 1994. Representative Jack B. Brooks (D) sponsored the bill that aimed to reduce crime and protect Americans, and by September 13, 1994, became law (103rd Cong. Rec. 3355, 1994).…

    • 688 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    The proposed bill will not only benefit healthcare in a positive way, but will greatly impact patients as well. First, patients will get the help they need, and will less likely be readmitted to an inpatient facility. As a result, the overall cost that a healthcare organization would have to pay for hospitalization would be decreased. Secondly, patients will receive further care by having an on-call case manager on standby if needed.…

    • 758 Words
    • 4 Pages
    Great Essays
  • Superior Essays

    Medical Necessity Analysis

    • 1271 Words
    • 6 Pages

    In order to discuss medical necessity in the current era of health information technology, we must have a comprehensive knowledge and understanding of medical necessity. Most of this article focuses on explaining medical necessity and towards the end includes some thoughts on how medical necessity relates with health information technology. The meaning of medical necessity is different for providers, physicians, courts, government/private insurers, or consumers. Medical necessity is used for managed care plans as a tool to deny or approve necessary care.…

    • 1271 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    If doctors are enabled the decision to terminate a life on behalf of a unconscious patient, they would be then granted a power over society that not only breaches the Hippocratic Oath, but also empowers them to “play God”. This responsibility could then reflect upon society, altering their views and their trust within doctors and medical professionals as they could then be seen as “providers of death” (Cosic, 2003. 25) In addition to this, a doctor’s decision to terminate a life may not rely on the condition and best interests of the patient, but instead of amount of hospital beds and facilities that are…

    • 2101 Words
    • 9 Pages
    Superior Essays
  • Superior Essays

    In 1976, the California Supreme Court ruled in the case of Tarasoff v. Regents of the University of California that a patient’s right to confidentiality “ends where the public peril begins.” It was decided that doctor-patient confidentiality could—and should—be broken if the doctor believes a patient will cause serious harm to another person. In his article entitled “A Defense of Unqualified Medical Confidentiality,” Kenneth Kipnis argues that doctor-patient confidentiality should always be kept, contrary to the findings of the Tarasoff case. He presents the fictionalized case of the infected spouse to clarify his argument. In this case, a husband learns from his doctor that he is HIV positive.…

    • 1212 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Medicare Benefits

    • 1287 Words
    • 6 Pages

    On December 8, 2003 began a historical day for which President George W. Bush signed the Medicare Prescription Drug, Improvement, and Modernization Act. The main provision of this legislative act was allowing Medicare coverage for outpatient prescription drugs. This was a well overdue benefit for Senior’s who spend an average of $2,322 per year on prescription drugs. President Bush proposal was to initiate private sector’s capacity to expand health care coverage while delivering quality medical services. Some Medicare beneficiaries felt this Act still didn’t bring value as 14 million low-income beneficiaries benefited from the changes; as the remaining face significant gaps in coverage and were still liable up to 3,600 in annual expenses.…

    • 1287 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Stewart, M.D. states, “the greatest problem we face today in the field of health care are the rising costs of health care…” (Stewart, 1967) As Medicare was only 18 months old back in July 1967, Dr. Stewart seemed to hit the nail on the head with his statement. With this being said, Medicare over the years has made a great impact and helped give coverage for the elderly, disabled, or those with ESRD – End-stage renal disease. Medicare is one of the largest, if not the largest, healthcare plans in the country and over the years since its inception there have been changes along to the way. To give an example, Medicare implemented a program known as IPPS, which stands for inpatient acute hospital Prospective Payment System, which was adopted in 1983 and payments were based on patient diagnoses not cost-based payments (CMS.gov,…

    • 1093 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Statistically, only twenty-eight percent of Americans are insured through government-funded programs such as Medicare and Medicaid, implemented in the middle 1960s. Medicare commonly insures older people with acute care needs. “Medicaid is the joint federal-state government-sponsored program that pays for health services for poor children, pregnant women, and mothers of young children as well as mentally and physically disabled and very poor elderly individuals” (Emanuel 36). The most recent attempt to maintain a current medical assistance problem was a new law widely known as Obamacare. President Obama signed the Affordable Care Act into law on the 23rd of March 2010, putting in place comprehensive reforms that are meant to improve access to affordable health coverage for everyone and protect consumers from unfair insurance company practices.…

    • 1634 Words
    • 7 Pages
    Great Essays
  • Superior Essays

    ALED 424 Case Study 1 Jackie is a doctor at a private family practice in Waco, Texas. He and his wife have been invited to dinner at a nice, expensive restaurant by an old college friend that has recently been employed as a pharmaceutical representative for Fannie Mae Pharmaceuticals. Jim is a new pharmaceutical representative eager to make a good impression on his company. Jim represents the premium diabetes drug, Glucophage, and he wants to discuss with Jackie the benefits of prescribing this expensive diabetic drug to his patients at his practice. Jackie’s practice services clients that are 65% over the age of 55 and the majority are insured patients (Connolly, Althaus, & Skipper, 2014).…

    • 1474 Words
    • 6 Pages
    Superior Essays