West Virginia Nurse - January 2022
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<strong>January</strong>, February, March <strong>2022</strong> <strong>West</strong> <strong>Virginia</strong> <strong>Nurse</strong> Page 7<br />
Recap of the 2021 <strong>West</strong> <strong>Virginia</strong> Legislative Session<br />
Teresa Hovatter, BSN, RN, TTS, MSOL<br />
WVNA HP&L Committee Chair and WVNA President-Elect<br />
The <strong>West</strong> <strong>Virginia</strong> <strong>Nurse</strong>s Association (WVNA) advocates for the nurses of <strong>West</strong> <strong>Virginia</strong><br />
as well as for the health and well-being of <strong>West</strong> <strong>Virginia</strong>ns. The policy positions that WVNA<br />
has taken reflect the needs expressed by WVNA members and the nurses who participated<br />
in our surveys. WVNA’s Health Policy & Legislation (HP&) statement guides the legislative<br />
agenda and direction of WVNA to best serve WV nurses and <strong>West</strong> <strong>Virginia</strong>ns. The <strong>2022</strong> HP&L<br />
statement was ratified at our Membership Assembly in October 2021 and can be found on<br />
the WVNA website.<br />
As we look ahead to the <strong>2022</strong> legislative session, here is a recap of the 2021<br />
WV legislative session – to remind all of us who were there (in person, by Zoom,<br />
by email, by phone, or by reading WVNA information), and to pique the interest<br />
of those who were not. Many <strong>West</strong> <strong>Virginia</strong> nurses pay particularly close attention<br />
to bills sponsored by House Majority Leader Amy Summers, RN, and by Delegate<br />
Heather Tully, RN.<br />
Bills That Passed and Were Signed into Law<br />
HB 2368 – Mylissa Smith’s Law – creating patient visitation privileges. This bill is named in<br />
honor of the late Mylissa Smith, RN. Lead Sponsor: Delegate D. Jeffries. You can read more<br />
about the story behind the bill at Governor Justice Signs Mylissa Smith’s Law.<br />
HB 2672 – Relating to posting of safety information in hospitals.<br />
The purpose of this bill is to require a hospital to post the contact information for the<br />
Office for Health Facility Licensure and Certification, to notify citizens about how to file a<br />
complaint. Lead Sponsor: Delegate Tully.<br />
SB 277 – “COVID-19 Jobs Protection Act.”<br />
WVNA, along with AARP, vehemently advocated for the removal of the immunity for<br />
willful misconduct and reckless or intentional infliction of harm. Amendments to make the<br />
bill safer were added.<br />
SB 334 – Establishing license application process for needle exchange programs. Lead<br />
Sponsor: Senator Tarr.<br />
SB 714 – Relating to physician assistant practice act; was amended in House to include<br />
the ability of both PAs and APRNs to prescribe three days of Schedule II medications. Lead<br />
Sponsor: Senator Takubo.<br />
Bills That Died<br />
HB 2344 – Modify statute related to licensed veterinary technician, modifying the<br />
definition of “registered veterinary technician” from “technician” to “nurse.” (WVNA<br />
vehemently opposed.)<br />
Lead Sponsor: Delegate J. Pack. This bill died in the House Agriculture and Natural<br />
Resources Committee.<br />
HB 2363 – “Best Interests of the Child Protection Act of 2021,” regarding shared child<br />
custody. This bill died in the Senate Judiciary Committee.<br />
HB 2674 – CRNA: Relating to the administration of anesthetics. This bill passed the House;<br />
in the Senate Health Committee. it was completely changed from addressing CRNA scope of<br />
practice, to instead allowing three days of prescribing Schedule II medications for APRNs. It<br />
was referred to the Senate Rules Committee, where it died. Lead Sponsor: Delegate Tully.<br />
HB 2707 – APRN: Relating to prescriptive authority for advanced practice registered<br />
nurses; legislate executive orders. Lead Sponsor: Delegate Tully. This bill died waiting to be<br />
placed on the House Health Committee agenda.<br />
HB 2796 – Supplemental appropriations bill. The purpose of this bill was to provide relief<br />
for nurses who become ill from COVID-19 while caring for patients, using excess surplus<br />
funds paid from nursing licensure fees. Lead Sponsor: Majority Leader Summers. This bill died<br />
waiting to be placed on the Senate Finance Committee agenda.<br />
HB 2869 – To remove any mask mandate in <strong>West</strong><br />
<strong>Virginia</strong>. Lead Sponsor: Senator Jeffries. This bill died in the<br />
House Judiciary Committee.<br />
SB 568 – Eliminate [COVID-19] mask mandate; relating to<br />
emergency powers of Governor. This bill died in the Senate<br />
Government Organization Committee. Lead Sponsors:<br />
Senators Azinger and Karnes.<br />
****<br />
The HP&L Committee held a Legislative Leader (LL)<br />
training on November 9, 2021. The training was recorded<br />
for current and prospective LLs. If you have any questions about locating the recording,<br />
please reach out to Julie Huron, WVNA executive director, at centraloffice@wvnurses.org.<br />
Legislation to Create a<br />
Palliative Care Benefit in WV<br />
Medicaid is Anticipated in <strong>2022</strong><br />
Chris Zinn, MSc, BSN, RN<br />
Executive Director, Hospice Council of <strong>West</strong> <strong>Virginia</strong><br />
New legislation will be introduced in the next <strong>West</strong> <strong>Virginia</strong><br />
legislative session (which begins in <strong>January</strong> <strong>2022</strong>) to create a<br />
palliative care benefit in WV Medicaid. This bill comes from<br />
the work of the WV State Advisory Coalition on Palliative Care.<br />
The coalition has consulted experts and studied palliative care<br />
legislation from California, Hawaii, and Maine, and has decided<br />
that Maine’s approach is best suited to <strong>West</strong> <strong>Virginia</strong>.<br />
The draft palliative care bill directs the WV Department of<br />
Health and Human Resources to apply for a waiver or a State<br />
Plan Amendment so that interdisciplinary palliative care will be<br />
funded for people with serious illness. This benefit differs from<br />
the hospice benefit, as palliative care beneficiaries may still be<br />
Chris Zinn<br />
receiving curative treatment and may live longer. The Medicaid<br />
Hospice benefit is limited to patients whose physicians certify that they have less than six<br />
months to live. This can be a significant barrier to accessing support when it is needed. (For<br />
more information on the Medicaid Hospice benefit, see Medicaid Hospice benefit.)<br />
This legislation would greatly benefit <strong>West</strong> <strong>Virginia</strong>ns with serious illness such as<br />
advanced cancer, heart disease, lung disease, and neurologic diseases. Currently, palliative<br />
care is provided by physicians, APRNs, and PAs, but there is no way to bill for RNs and other<br />
professionals whose services may be needed to support patients and families. Studies in<br />
other states have shown that palliative care can be cost-neutral, as hospitalizations and<br />
emergency room visits are prevented when palliative care teams are involved.<br />
1 A BILL to amend the Code of <strong>West</strong> <strong>Virginia</strong>, 1931, as amended, by adding thereto a new section,<br />
2 designated §9-5-29, all relating to requiring coverage and reimbursement of specified<br />
3 palliative care benefits by the <strong>West</strong> <strong>Virginia</strong> Medicaid program.<br />
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