WiAHC is happy to remind members about and provide links to the latest articles and information on the home health care industry from Home Health Care News and other publications:

·        The Path for Occupational Therapy To Lose Its ‘Second-Tier’ Status In Home Health Care

Home Health Care News – By Patrick Filbin | Feb. 20, 2023

If a senior or homebound patient is eligible for home health care, there are a number of caregiving professionals who can open a case and begin an assessment. Those include nurses, home health aides, physical therapists, and others. Read More…

·        The ‘Tipping Point Is Coming’ For Hospital-At-Home Care In The US

Home Health Care News – By Andrew Dolan | Feb. 16, 2024

Empirical evidence suggests that hospital-at-home care is safe and effective. Anecdotal evidence suggests that the model is still not nearly as widespread as it should be, however, with patients regularly asking their health care providers about the option. Read more…

·        Lawmakers Rubio, Carper Introduce Bill to Expand Hospital-At-Home Care In US

Home Health Care News – By Andrew Dolan | Feb. 9, 2024

Two senators introduced a bill Thursday that would create a pilot program aimed at expanding the scope of hospital-at-home care in the U.S. Dubbed the At Home Observation and Medical Evaluation (HOME) Services Act, the bill was introduced specifically by Sens. Marco Rubio (R-Fla.) and Tom Carper (D-Del.). Sen. Marsha Blackburn (R-Tenn.) was an original cosponsor of the legislation. Read More…

·        ‘A Monumental Shift’: Home Health Providers Believe Review Choice Demonstration Is Here To Stay

Home Health Care News – By Patrick Filbin | Feb. 1, 2024

The Centers for Medicare & Medicaid Services (CMS) has been tight-lipped about its Review Choice Demonstration (RCD) plans beyond May 2024. However, industry leaders believe RCD will be extended across the country on a more permanent basis — a development that agency leaders should recognize as a momentum shifting change. Read more…

Home Health Care News, which is part of the Aging Media Network, is a leading source for news and information covering the home health industry.

On January 16, the full Assembly approved several bills supported by WiAHC that attempt to streamline the state occupational licensing process:

• Assembly Bill 90:  A bill allowing a third-party contractor to process occupational credentialing applications for occupational therapists and occupational therapist assistants.  This will help expedite the processing of these applications, as many of them are stuck in a continuing backlog of credential processing at the state Department of Safety and Professional Services.   

• Assembly Bill 143:  This bill would help reduce processing delays for individuals applying for occupational credentials to be occupational therapists, occupational therapy assistants, advanced practice nurse prescribers, and certain other health care professions by no longer requiring such applicants to take a “statutes and rules” exam.  Instead, such applicants may need to affirm that they have read and understood the statutes and rules that apply to the applicants’ practice.

• Senate Bill 158:  In order to help expedite the occupational credentialing process for new college graduates in the health care field, this bill would require the state Department of Safety and Professional Services to grant preliminary occupational credentials to those who have recently completed the requirements to obtain a health care credential, submitted a license application, and have been engaged by a health care employer. 

On Friday, Jan. 26, Gov. Tony Evers appointed State Senator Lena Taylor (D-Milwaukee) to the Milwaukee County Circuit Court. Taylor immediately resigned from the Senate and will fill her new role starting on Jan. 30.

Taylor, 57, was first elected to the state Assembly in 2003 and has served in the Senate, representing the 4th Senate District, since 2005. Her departure from the Senate creates a vacancy, with Republicans now holding a 22-10 majority in the 33-seat legislative body. Evers said he will call a special election this spring to fill Taylor’s seat, which leans heavily Democratic.

Delivering his sixth State of the State Address on Jan. 23, Gov. Tony Evers focused on what his team is messaging as the Administration’s achievements, saying that Wisconsin “has never been in a better fiscal position than we are today – better than last year, better than when I took office, and better than any year in Wisconsin’s 176 years of statehood.”

He also touched on the political battle occurring in the state as it relates to reproductive rights, as well as the state’s ongoing workforce shortage crisis. In fact, during his speech, Evers announced he will issue an executive order to establish the Governor’s Task Force on Healthcare Workforce. 

According to the governor’s office, the task force will be charged with studying the workforce challenges facing the state’s healthcare system, including recruitment and retention, identifying ways to improve patient care and alleviate the burdens on the healthcare workforce. The task force will also explore educational and training pathways to grow a sustainable healthcare workforce, and to create an action plan with solutions related to workforce development, industry innovation, education, and training.

Task force members will include representatives from institutions of higher education, medical providers, individuals from various levels of government, and patient advocacy organizations. 

On December 22, 2023, the State Supreme Court issued a ruling that Wisconsin’s state legislative district maps are unconstitutional and the maps for each such district must be redrawn before the 2024 elections.  State Supreme Court justices voted 4-3 in favor of this ruling.  The decision focused on specific state legislative districts that include non-contiguous portions of land, which the court found violated the state constitution.

Specifically, the court ruled that the legislature must redraw the boundaries for each state Assembly and state Senate district in advance of the August 2024 primary election.  If the legislature and Governor Evers are not able to agree on legislation creating new district boundaries, the court noted that it will decide on the new boundaries.  As a practical matter, the state Elections Commission has stated that new district boundaries will need to be finalized by March 15, 2024. 

After the December 22 decision, Legislative Republicans asked the State Supreme Court to reconsider its decision. The State Supreme Court rejected that request.  Subsequently, the State Supreme Court requested that parties to the lawsuit submit new suggested district maps.  Seven such maps were submitted to the court on January 13.  At this point, two consultants hired by the court will review all these proposed new maps and submit their recommendations to the court by February 1.  At that point, the court will select the new state legislative maps, unless the Governor signs a bill creating new maps. 

In an unexpected twist, the GOP-controlled Senate and Assembly passed legislation the week of Jan. 22 to create new maps, giving little notice to legislative Democrats of Evers. Republican leadership said the new maps were very close to maps previously proposed by Evers with some small changes to ensure political fairness. Democrats blasted the maps and Evers indicated he would veto the legislation.

Assuming the State Supreme Court ultimately selects the new maps, it is possible that this case will be appealed to the U.S. Supreme Court.  

On January 8, state Assembly Republicans unveiled their draft bill permitting registered patients to access medical cannabis. 

Under the legislation, all prescribers who have a bona-fide relationship with a patient would be able to certify if a patient has a qualifying condition (prescribers are not mandated to make certifications if they choose not to for whatever reason). Qualifying conditions include cancer, HIV or AIDS, seizures and epilepsy, post-traumatic stress disorder, Alzheimer’s disease, glaucoma, severe chronic pain (narrowly defined in the legislation), severe chronic nausea, severe muscle spasms, multiple sclerosis, amyotrophic lateral sclerosis, chronic motor or vocal tic disorder, Tourette syndrome, inflammatory bowel disease, and any terminal illness with a probable life expectancy of less than one year.

After receiving a certification, the patient would register with the newly created Office of Medical Cannabis Regulation (OMCR) within the Department of Health Services (DHS). The OMCR would issue patients and caregivers (up to 3 chosen by each patient) “registry identification cards”. These cards would allow the patient or caregiver to go to one of the five state government-operated medical cannabis dispensaries where a licensed pharmacist will consult on dosage and dispense medical cannabis to a patient or caregiver.  The bill allows medical cannabis concentrates, oils, tinctures, edibles, pills, topical forms, gels, creams, vapors, patches, liquids, or forms administered by a nebulizer. The bill does not allow smokeable cannabis. All forms of cannabis would need to be dispensed in child/tamper proof containers. 

As of the writing of this newsletter, this bill has not yet been introduced.  However, it is likely that the full Assembly – and possibly the full Senate – will vote on this bill before the end of the 2023-2024 legislative session.

In mid-January, the state Department of Health Services (DHS) announced their recommendation that young children living in Wisconsin should have their blood tested for lead.  Specifically, DHS recommends that all children between the ages 1 and 2 should receive this test.  Also, DHS recommends that any child between the ages of 3 and 5 who has not been tested, should be tested.  Further, any child under the age of 6 who lives in the City of Milwaukee may need to be tested, according to the City of Milwaukee Health Department guidelines.  For further information, please go to the DHS website. 

In December 2023, the state Department of Health Services (DHS) announced that it would extend its free telehealth service to ensure rapid access to COVID-19 antiviral drugs through April 10, 2024.  With this service in place, any Wisconsinite 18 years of age or older who tests positive for COVID-19 is able to receive a telehealth consultation with a health care professional seven days a week during the hours of 8:00AM – 8:00PM.  If the patient is eligible for treatment, the patient will receive a prescription for a COVID-19 antiviral drug that may be filled at a pharmacy.  If the patient does not have access to a pharmacy, the prescription drug will be shipped overnight to the patient.  For more information, go to the DHS website. 

In recent weeks, the state Department of Health Services (DHS) released a Forward Health Update entitled “Home Health Care Services Electronic Visit Verification Soft Launch Announcement.”  

Starting on January 1, 2024, DHS will require home health agencies to use an electronic visit verification (EVV) system if they are providing home health services covered by Medicaid.  This is being implemented to ensure that the State of Wisconsin receives its full allocation of Medicaid funding from the federal government. 

If you have any questions about EVV implementation, please contact DHS EVV Customer Care at 1-833-931-2035 or VDXC.ContactEVV@wisconsin.gov from Monday through Friday, 7:00AM – 6:00PM (Central Time). 

On Wednesday, December 6, WiAHC Board Chair Jayne Thill and her Compassus colleague and fellow WiAHC member Brenda Lefeber met with state Senator Rachael Cabral-Guevara (R-Appleton). Cabral-Guevara, who currently serves as chair of the Senate Health Committee, is also a nurse practitioner and worked in home health care early in her career. 

During the meeting, the group discussed the value of home health care and the regulatory and policy challenges the home health industry faces. Their conversation also touched on the challenges with prior authorization for home health care. Sen. Cabral Guevara not only expressed an interest in our issues, offered her help on prior authorization obstacles.