From: Subject: Nebraska Hospital Association: Rotunda Review Date: Fri, 7 Mar 2008 16:47:58 -0600 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C88072.FFFFF250" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C88072.FFFFF250 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.nhanet.org/publications/rotunda_review/index.htm Nebraska Hospital Association: Rotunda = Review
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Rotunda Review Archive

March 3, 2008
Advocacy=20 Resources

NHA Advocacy Action Center

Legislative Bill Status

Advocacy=20 News

Email Your State Senator

Other Advocacy=20 Resources

Where to get = current=20 legislative news

The NHA Web site Advocacy page has valuable = information=20 resources for your advocacy efforts, including: =
 

NHA Legislative bill=20 status
Nebraska=20 Legislature online
E-mai= l=20 your state senator
Weekly=20 schedule of committee hearings
Contact=20 the Nebraska Governor 
Contact=20 Nebraska's U.S. Senators and Congressional=20 Delegates
House=20 of Representatives
United States=20 = Senate


The Unicameral=20 Web site has been redesigned and includes = comprehensive=20 information about the senators, bill status, = legislative=20 calendar and news.

If you have questions or concerns = about any=20 state legislation, please contact Bruce Rieker, vice=20 president, advocacy, at 402/742-8146 or brieker@nhanet.org; or=20 Carly Runestad, director of health policy, at = 402/742-8153 or=20 crunestad@nhanet.org. =20



NHA offers testimony at legislative hearings

Click on each bill number to read = the=20 testimony.

  • Oppose=20 LB 963 =97 Require verification of lawful = presence in=20 the United States to receive public benefits=20
  • Support LB 1086 = =97 Change=20 workers' compensation provisions relating to = third-party=20 claims, subrogation and settlement=20
  • Support LB 1105 = =97 Provide for=20 confidentiality of certain workers' compensation = court=20 documents and information


Last week=20 was the last week of committee hearings. All-day floor = debate=20 will begin Tuesday. The Unicameral=92s late-night = schedule will=20 be released March 10. Senators are expected to spend = many=20 hours of discussion on many important issues. The = remainder of=20 the session will be dedicated to the 102 priority = bills=20 selected by senators, committees and the Speaker. To = search=20 for a specific bill, cl= ick=20 here to access the Unicameral's bill=20 finder.

 

Roger Reamer, CEO of Memorial = Health Care=20 Systems in Seward, recognized as Grassroots Champion

The American Hospital Association = (AHA), in=20 partnership with the Nebraska Hospital Association = (NHA) last=20 Thursday honored Roger Reamer, CEO, Memorial Health = Care=20 Systems in Seward, Neb., with the Partnership for = Action=20 Grassroots Champion Award. As a 2008 = Grassroots=20 Champion, Roger is being recognized for his = exceptional=20 leadership in generating grassroots and community = activity in=20 support of a hospital=92s mission.

The Partnership for Action = Grassroots=20 Champion Award was created to recognize those = hospital=20 leaders who most effectively educate elected officials = on how=20 major issues affect the hospital=92s vital role in the = community, who have done an exemplary job in = broadening the=20 base of community support for the hospital, and is a = tireless=20 advocate for the hospital and its patients.

=93Mr. Reamer is a strong advocate = for=20 protecting and promoting health care services at the = local,=20 state and federal levels,=94 said NHA President, Laura = J.=20 Redoutey, FACHE. =93He routinely meets with state = senators and=20 Nebraska=92s federal delegation to support critical = access=20 hospital interests and to promote safe and quality = health care=20 service delivery. Mr. Reamer is respected as a = persuasive=20 champion for high quality health care in Nebraska,=94 = Ms.=20 Redoutey added. <= FONT=20 size=3D2>Read the full news release.

 

Update on Regulation of Health Professions = Act

The Regulation=20 of Health Professions Act provides for an = administrative=20 process to review and present to the Nebraska = Legislature=20 recommendations regarding change in scope of practice = of=20 licensed health care professionals and the = establishment of=20 new credentialing for currently unregulated = professions. This=20 process is commonly referred to as a credentialing = review.=20

A=20 credentialing review process was recently completed = related to=20 =93whether or not certified registered nurse = anesthetists=20 (CRNAs) should be allowed to use fluoroscopy as a = component of=20 their scope of practice independent of physician = oversight.=94=20 C= lick=20 here to view the=20 recommendations of Dr. Joann Schaefer, Nebraska = Department of=20 Health and Human Services chief medical officer. Dr.=20 Schaefer's comments were presented to the HHS=20 Committee.

In = summary,=20 Dr. Schaefer advised that CRNAs be allowed to utilize=20 fluoroscopy under the following terms and=20 conditions:

  • CRNAs should=20 not be added to the list of exempt professionals = under Sec.=20 71-3508(3), Revised Statutes of = Nebraska;

  • The Nebraska=20 Radiation Control Act should be amended to mandate = specific=20 educational and training standards for the use of=20 fluoroscopy by any health care practitioners not = exempted in=20 this section;

  • Such=20 standards should clearly identify the types of = persons=20 qualified to provide the necessary training and = education,=20 and the settings in which such training and = education might=20 be given; and

  • Such=20 standards should establish that the responsibility = for=20 assuring compliance and competency rests with the = hospital,=20 clinic, or other owner of the fluoroscopy equipment, = through=20 the development of internal standards of = credentialing and=20 safe operation and through documentation. Facilities = should=20 be held accountable for any failure to enforce the=20 standards.

The HHS=20 Committee will now discuss the recommendations within = their=20 committee and an amendment to LB 48 (Exempt certified=20 registered nurse anesthetists from certain = radiation-use=20 qualifications) which has been drafted to meet the=20 recommendations as outlined above. The NHA will = monitor the=20 status of LB 48 and alert you to any=20 changes.

 

NHA anticipates record attendance at Advocacy = Day=20 luncheon this Wednesday

The Nebraska Hospital Association's = annual=20 Advocacy Day will be held this Wednesday, March 5, at = the=20 Cornhusker Marriott Hotel in Lincoln. Nearly 115 = health care=20 advocates are registered to attend the morning = workshop. The=20 event will provide attendees with important = information about=20 state legislative issues. Scheduled speakers include = Speaker=20 of the Legislature Sen. Mike Flood (Norfolk); Sen. Deb = Fischer=20 (Valentine); Scot Adams, Nebraska Health and Human = Services=20 director of division of Behavioral Health; NHA = President,=20 Laura J. Redoutey, FACHE; Bruce Rieker, NHA vice = president of=20 advocacy; and Carly Runestad, NHA director of health = policy.=20

Following the morning's educational=20 programming, participants will have an opportunity to = visit=20 with their senator about how legislation will affect = health=20 care in their community at the Legislative Luncheon. = At=20 present, NHA anticipates nearly 145 health care=20 representatives, in addition to 40 senators, at the = luncheon.=20 Look forward to a report and photos from the event in = next=20 week's Rotunda Review.

 

Governor blasts lawmakers for killing immigration=20 bill

Gov. Dave Heineman and Attorney = General Jon=20 Bruning urged Judiciary Committee members Friday to = change=20 their minds and send the governor=92s immigration bill = to the=20 full Legislature for debate. Committee Chairman Brad = Ashford=20 said he told the governor and attorney general he = would ask=20 the committee to reconsider the bill if a college = tuition=20 portion was dropped.

But Heineman and Bruning said they = don=92t want=20 to let young adults who are illegal immigrants = continue to pay=20 in-state tuition for college. Heineman and Bruning = spoke at a=20 news conference the day after the committee voted to = kill the=20 bill. They said senators should listen to Nebraska = residents,=20 not to Sen. Ernie Chambers. And they urged Nebraskans = to=20 contact senators on the committee via e-mail, using = the=20 Legislature=92s Web site.

The committee members need to hear = that=20 citizens are disappointed, that they want this vote=20 reconsidered and that they want the issue discussed by = the=20 entire Legislature, Heineman said. On Thursday, = Chambers=20 convinced a majority of the Judiciary Committee to = kill the=20 governor=92s bill (LB 963) outright rather than let it = sit in=20 committee. Click here to read the full = article.

=97 Nancy Hicks, Lincoln Journal = Star,=20 February 29, 2008.

 

Bill would require drivers to =93move over=94 or = face=20 penalties

The Transportation and = Telecommunications=20 Committee advanced a bill to general file Feb. 26 that = would=20 require drivers to exercise caution and, if possible, = move=20 into the passing lane when approaching a parked = emergency=20 vehicle on controlled-access highways.

Introduced by Omaha Sen. Gwen = Howard, LB 786=20 would establish penalties for failing to move into a = passing=20 lane when approaching an emergency vehicle that is = stopped and=20 using audible or visual signals. If it is unsafe to = change=20 lanes, however, the bill requires that drivers slow = down and=20 exercise caution. Under the bill, a first offense = violation=20 would be an infraction. Second and subsequent offenses = would=20 be Class IIIA misdemeanors, which carry a $500 fine = and up to=20 seven days in jail.

Howard clarified, =93This bill is = not intended=20 to generate revenue for the Department of Roads, = it=92s intended=20 to be an instrument for safety.=94 Read more.

=97 Nebraska Unicameral Update = Online, February=20 26, 2008.

 

Nebraska governor signs statewide smoking ban

(Omaha World-Herald) =97 Nebraska = will have some=20 of the strictest smoking restrictions in the nation = when its=20 new anti-smoking law takes effect June 1, 2009. Gov. = Dave=20 Heineman signed legislation last week imposing a = statewide ban=20 on smoking in workplaces, restaurants and bars, as = well as=20 gambling locations. Nebraska lawmakers approved the=20 prohibition, contained in LB 395, on a 34-14 vote the = previous=20 week. The new law makes exceptions only for tobacco = shops,=20 some hotel rooms and laboratories used for research on = smoking. Private homes used for businesses would not = be=20 covered unless they are used as licensed child care=20 facilities. Patterned after Lincoln's smoking ban, LB = 395 will=20 supersede local smoking ordinances, including=20 Omaha's.

=97 Nebraska Chamber of Commerce = Daily Update,=20 February 28, 2008.

 

Workers' compensation bills get hearing

On February 25, the Business and = Labor=20 Committee held hearings on two measures dealing with = workers=92=20 compensation policy. The first measure, LB 1105 = introduced by=20 Senator Tony Fulton of Lincoln, would help protect the = confidentiality of employees who file a workers=92 = compensation=20 claim. The bill would prohibit the public inspection = or=20 copying of workers=92 compensation court documents and = other=20 electronic information revealing specific information = about=20 the employee, unless exempted. The bill is designed to = address=20 the solicitation of injured workers by lawyers by = preventing=20 access to first injury reports.

The second bill, LB 1086 by Senator = Scott=20 Lautenbaugh of Omaha, would amend workers' = compensation=20 provisions relating to third-party claims, subrogation = and=20 settlement. The bill would allow an insurer to recover = its=20 right to subrogation on a proportionate basis in cases = in=20 which the injured party was not =93made whole=94 by = the third=20 party settlement. According to proponents, the bill = would=20 bring about an element of fairness in distributing the = proceeds of an award or settlement obtained from a = negligent=20 third party, by allocating the proceeds on a pro rata = basis=20 between the insured party and the subrogation holder = in cases=20 in which the injured party had arguably not been fully = compensated for his or her damages. It would establish = a=20 statutory formula for determining the allocation of = proceeds=20 of a third party recovery between the subrogation = interests=20 and the plaintiff.

The committee did not act = immediately on=20 either bill.

=97 Nebraska Chamber of Commerce = Legislative=20 Report, February 29, 2008.

 

Stem cell bill sails to first-round approval

(Lincoln Journal Star) =97 Last week = the=20 Legislature easily advanced a stem cell research = policy after=20 a compromise was reached between University of = Nebraska=20 officials and pro-life groups on an issue that has = been=20 contentious in the state for nearly a decade. Senators = passed=20 the bill (LB 606) to a second round of debate on a = 45-0 vote.=20 Under the bill, University of Nebraska Medical Center = (UNMC)=20 could continue to do the research it is doing now, = obtaining=20 cell lines in existence before 2001 from other = sources. As=20 additional lines become available, it could add to = that. UNMC=20 allows adult stem cell research and embryonic stem = cell=20 research in limited cases, but bans any = cloning.

=97 Nebraska Chamber of Commerce = Daily Update,=20 February 27, 2008.

 

Senator withdraws affirmative action measure

(Lincoln Journal Star) =97 A state = lawmaker has=20 withdrawn a resolution that would have put a = constitutional=20 ban on affirmative action before Nebraska voters in = November.=20 Sen. Mark Christensen of Imperial said Monday he was = forced to=20 abandon the measure (LR 233CA) in part because fellow=20 lawmakers had threatened not to support his other = bills if he=20 did not do so. Because those other bills =97 including = his=20 priority bill, which would allow natural resources = districts=20 in the Republican River basin to borrow money from the = state=20 to pay irrigators =97 are critical to his district, = Christensen=20 said he was left with no choice but to withdraw the=20 affirmative-action measure. Still, opponents of = affirmative=20 action have ample opportunity to get the issue on = November=20 ballots.

=97 Nebraska Chamber of Commerce = Daily Update,=20 February 26, 2008.

 

Investigative Report: No state but = Nebraska=20 makes attorneys decide how people died

Lincoln County Attorney Jeff Meyer = summarizes=20 his medical knowledge in one sentence. "Apply direct = pressure=20 and scream for help," he said. As county attorney, he = is also=20 the county coroner, determining how people died if = they=20 weren't under a doctor's care. If you die at home = alone in=20 Nebraska, a lawyer will decide what killed you. = Nebraska is=20 the only state that puts prosecutors, across the = board, in=20 charge of death investigations - whether it's homicide = or=20 pneumonia.

The responsibility, which many = states assign=20 to doctors, baffles and irritates many county = attorneys. "Why=20 is some dumb ass like me without medical training out = here=20 deciding the cause of death?" said Meyer, who left = office last=20 month. While prime-time TV has given America an = armchair=20 education in forensics, Nebraska clings to a = 91-year-old,=20 haphazard law requiring county attorneys to be the=20 coroner.

Those lawyers handle about 3,000 = deaths a=20 year, roughly 20 percent of the state's deaths. "It's = a system=20 set up to fail," said Glenn Clark, county attorney in = three=20 central Nebraska counties. And it does fail. Read=20 the full article.

=97 Karyn Spencer, Omaha World = Herald,=20 February 24, 2008.

 

For more information about = health-related=20 legislative bills or resolutions, contact: Bruce = Rieker, vice=20 president, advocacy at (402) 742-8146 or=20 brieker@nhanet.org.

NHA Rotunda Review is published by = the=20 Nebraska Hospital Association, 3255 Salt Creek Circle, = Lincoln, NE 68504. Phone (402) 742-8140, Fax (402) = 742-8191.=20 Visit our Web site at http://www.nhanet.org/.=20 Christy Rasmussen, editor, at 402/742-8151, or email, = mailto:abarry@nhanet.org.


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