West Virginia-2019-HB2825-Introduced

article 29b. health care Authority.

§16-29B-31. Hospice need standard review; membership; report to the Legislative Oversight Committee on Health and Human Resources.

(a) The West Virginia Health Care Authority shall form a working group to review the provision of hospice services in West Virginia. The workgroup shall be comprised of the following members:

(1) The Chairman of the West Virginia Health Care Authority, who shall also be the chair of this workgroup;

(2) The Secretary of the Department of Health and Human Resources, or designee;

(3) Six hospice providers chosen by the Hospice Council of West Virginia:

(A) One of which must be a for-profit service provider; and

(B) Two of which must operate a free-standing inpatient hospice facility;

(4) One member chosen by the West Virginia chapter of the American Cancer Society;

(5) One member chosen by the Alzheimer Association of West Virginia;

(6) One member chosen by the West Virginia Rural Health Association;

(7) One member chose by West Virginia AARP;

(8) A hospital-based hospice provider chosen by the West Virginia Hospital Association;

(9) A physician chosen by the West Virginia State Medical Association with a practice treating terminal diseases; and

(10) A physician chosen by the West Virginia Osteopathic Medial Association whose practice includes geriatric patients.

(b) The workgroup shall have the following duties:

(1) Establish a model for data collection to best predict future need of hospice service in West Virginia and collect the necessary data;

(2) Review the access to hospice services in West Virginia as well as future needs;

(3) Examine how West Virginia serves its population with hospice services;

(4) Examine the financial condition of the current delivery system;

(5) Recommend a need methodology to the Authority of the development of new hospice services; and

(6) Make other recommendations the workgroup deems appropriate.

(c) The Authority shall provide staff for the workgroup and the workgroup shall schedule one public hearing in each of the congressional districts in West Virginia as it related to the provision of hospice services in the state. The workgroup shall develop and approve a final report by June 30, 2020, and a copy shall be submitted to the Joint Committee of Government and Finance of the Legislature, the Governor, and the Authority. The workgroup will sunset on March 31, 2021.

(d) The Authority shall consider modifying the hospice standards based on the report’s findings no later than December 31, 2020: Provided, That prior to approving the modified standards the Authority shall present its proposed changes to the hospice need standards to the Legislative Oversight Committee on Health and Human Resources within 90 days after development of the drafts and prior to submission of the final hospice need standards to the Governor. The Legislative Oversight Committee on Health and Human Resources shall have 90 days to review the standards and provide input to the Authority, which shall consider such input when developing the final standards for submission to the Governor.

(e) The need standards of the provision of hospice services shall be those that were in effect on January 1, 2018, and shall remain in effect until the Governor approves the new standards developed according to this section. The need standards for hospice shall not be modified prior to March 31, 2021.

NOTE: The purpose of this bill is to establish a work group to review the need standards of hospice services in this state.

Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.