[10-20] San Andreas Healthcare Reform Act of 2020

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[10-20] San Andreas Healthcare Reform Act of 2020

Post by Toretto » Thu Apr 02, 2020 9:24 pm

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SUBMITTED BY: Senator Underhill
SPONSORED BY: Senator Underhill
SENATE BILL N° 02-20




An act to strengthen the health care workforce in San Andreas


THE PEOPLE OF THE STATE OF SAN ANDREAS DO ORDAIN AS FOLLOWS:


  • TITLE I. CONSTITUTIONAL CHANGES AND THE STATE HEALTH REIMBURSEMENT REGISTRY

    Section 1. DEFINITIONS
    1. "Health care" refers to the maintenance or improvement of health via the prevention, diagnosis, treatment and cure services provided to the population
    2. "Private clinics" and "private health care institutions" refers to privately-owned health care facilities which provide medical care to their customers.
    3. "Public clinics" and "public health care institutions" refers to state-owned health care facilities funded by the state, covering the primary health care needs of San Andreas.
    4. "Family" refers to one or more persons occupying a single dwelling unit, provided that unless all members are related by blood or marriage, no such family shall contain over five persons, but further provided that domestic servants employed on the premises may be housed on the premises without being counted as a family or families.
    5. "Elderly" refers to individuals age 65 and older.
    6. "People with disabilities" refers to an individual with a significant physical or mental condition that limits a person's movements, senses or activities.

  • Section 2. SAN ANDREAS CONSTITUTIONAL AMENDMENT
    1. In order to offer competitive rates for health care services in San Andreas, and allowing the state government to contract medical services out to the private sector, with the ability to maintain basic medical practice regulations, multiple amendments within the San Andreas Constitution are required.
      1. Article I, Section V is to be amended from "The State shall have all medical services and offerings provided to the public at no direct cost or charge. The State shall be subsequently exempt from medical damages resulting from no-cost care." to read the following: "The State shall have emergency medical services provided prior to hospital admission, including ambulance services, provided to the public at no direct cost or charge. The State shall be subsequently exempt from medical damages resulting from no-cost care. The State shall have all other medical services and offerings provided to the public at the discretion of the Department of Health and Social Services."
    2. DHHS shall track and develop price caps for all health care services, including emergency life-saving care, in San Andreas.
    3. DHHS information related to billing for health care services shall be available to the public no more than 14 days after the enactment of this legislation.
    4. Private health care facilities shall have the ability to set their own prices, in accordance with DHSS price caps. Following of DHSS principles and regulations, especially regarding prices is mandatory.
    5. Individuals who are part of the State Health Reimbursement Registry service detailed in Section 3, and utilize services detailed in Section 3(C), shall pay no out-of-pocket expense to the provider. The Department of Health and Social Services shall reimburse providers for services to SHRR enrollers.

    Section 3. REIMBURSEMENT
    1. The Department of Health and Social Services will establish the State Health Reimbursement Registry (SHRR), which will allow lower-income San Andreas families to have their health care expenses reimbursed through the San Andreas Community Development Fund (SACDF).
    2. SHRR will be used as a public health insurance program with the intention of providing health care coverage to individuals and families with low income and cannot afford private health care plans, elderly, veterans who were injured during their service, people with disabilities or pregnant women.
    3. SHRR shall cover inpatient hospital care, outpatient care, skilled nursing facility care, hospice, lab tests, surgery, home health care, medical equipment, prescription drug costs, dental services, hearing aids, travel costs associated with health care services, and preventive services.
      1. The Department of Health and Social Services shall enroll families and individuals into the program based on income outlined in Section 3(D), or qualified applicants covered in Section 3(B).
      2. In case of a public health care facility forwarding an individual enrolled with SHRR to a private health care facility for specific treatment services, they are still covered by the program and will have their health expenses reimbursed.
    4. Individuals who reside in a care home are eligible for the program if their yearly income does not exceed $25,750, while for others the limit is $18,250. Low-income families are eligible if the household income does not exceed $51,500. Exceeding the stated limits may still entitle one for partial monetary assistance, with the state subsidizing certain services.
    5. Once enrolled in the program, participants will receive a health insurance card, which is to be shown when accessing services provided by public clinics or when referred to a private one.
    6. Health care providers will bill the DHSS for SHRR enrollees for services covered in Section 3(C).
    7. DHHS information, including applications, for the SHRR shall be provided no more than 14 days after the enactment of this legislation
    8. DHHS shall compile monthly statements to the San Andreas State Senate. SHRR expenditures are considered mandatory spending as part of quarterly appropriations legislation.

  • TITLE II. HEALTH WORKFORCE DIVIDENDS AND GRANTS

    Section 1. PURPOSE
    1. The Secretary of State and the Director of the Department of Health and Social Services will develop and implement the San Andreas Health Workforce Program, to attract and incentivize health care employment in San Andreas.
    2. Individuals eligible for dividends include all San Andreas primary and some secondary care providers.
      1. Dividends may be used for secondary care specialists in fields of:
        1. Allergy and asthma
        2. Anesthesiology
        3. Cardiology
        4. Dermatology
        5. Endocrinology
        6. Gastroenterology
        7. General surgery
        8. Hematology
        9. Immunology
        10. Infectious disease
        11. Nephrology
        12. Neurology
        13. Obstetrics/gynecology
        14. Oncology
        15. Ophthalmology
        16. Orthopedics
        17. Otorhinolaryngology
        18. Physical therapy and rehabilitative medicine
        19. Psychiatry
        20. Pulmonary
        21. Radiology
        22. Rheumatology
        23. Urology
      2. Dividends will not exceed $50,000 per individual.
    3. Health Workforce Grants may also be used to provide scholarships or to support recruitment of health practitioners in higher education institutions, public health care institutions, and private health care institutions.
      1. Grants to higher education institutions to support scholarships and training in health care shall not exceed $200,000. Higher education institutions must spend all funds allotted by June 1, 2020 or return funding to the State Treasury.
      2. Grants to private or public health care institutions to support recruitment shall not exceed $100,000. These institutions must spend all funds allotted by June 1, 2020 or return funding to the State Treasury.
    4. The Health Workforce Program will be administered by the Director of the Department of Health Social Services (DHSS), or by an a DHSS employee designated by the Director of DHSS.

      Section 2. AUTHORIZATION OF FUNDING
      1. SAN ANDREAS DEPARTMENT OF HEALTH AND SOCIAL SERVICES
        The State Senate authorizes $600,000 to the Department of Health and Social Services. $500,000 is authorized to support the dividends and grants. In addition, $100,000 is authorized to be used for informational campaigns raising awareness of the program and promoting recruitment into the health field.
      2. TERMINATION
        Assistance may not be provided pursuant to subsection (A) after June 1, 2020, unless the program is reauthorized by the State Senate.
      3. REPORTING REQUIREMENT
        The Department of Health and Social Services and the San Andreas Treasury Department shall present a report to the State Senate on the implementation of the San Andreas Health Workforce Program no later than April 30, 2020.
      Section 3. APPROPRIATIONS
      1. Allocations:
        • Total Appropriated for the San Andreas Health Workforce Program..........$600,000
          • Dividend and Grant Funding, Section 1(C).............................$500,000
            Public Service Announcements, Section 2(A)..........................$100,000
      2. Amounts for assistance Section 3(A) shall be derived from the San Andreas Community Development Fund.
      3. Any unused funds for Section 3(A) at the end of the expiration date, detailed in Section 2(B), shall return to the San Andreas Community Development Fund.


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    Image ______________________
    Jerry Richardson
    Acting Governor of San Andreas
    [SPACER]









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