The Academy of Senior
Health Sciences, Inc.
17 South High Street
Suite 770
Columbus, OH 43215
614.461.1922
800.999.6264
Fax: 614.461.7168
cmurray@seniorhealthsciences.org



 

The Academy of Senior Health Sciences, Inc. (formerly The Ohio Academy of Nursing Homes, Inc.) seeks to provide public education and awareness initiatives to the long-term care community in Ohio. Our membership represents a true cross-section of the skilled nursing facility profession, from small sole proprietorships to larger Ohio-based multi-facility companies, as well as those businesses that service our industry. Through our public education and awareness efforts, the Academy brings the collective influences of the members together into a single voice on vital issues affecting our profession.

Founded in 1966, the Academy then identified one of its core purposes as "To foster a spirit of goodwill among those persons engaged in the nursing home industry, to promote ethical practices in their relationships with each other, their employees, and the general public to the end that all interests may be served fairly..." Though the organization has undergone several transformations over the years, most notably in 2011, its dedication and commitment to Ohio's most frail and elderly remains the same.

 The Academy Weekly Headlines from 2 Weeks Ago
Aetna directly contracting with SNF providers  —  The Academy has been informed that Aetna is changing their network strategy and is in the process of contracting directly with skilled nursing facility providers. It is our understanding that Aetna is already contacting facilities directly to discuss contracts. Please note that if you go through an intermediary to contract with Aetna, that arrangement may change

House overrides 11 veto items including SNF reimbursement, MLTSS —  House members returned to Columbus this week to address 11 veto items from House Bill 49, or the "Budget Bill." The main item that drew the most attention, the Medicaid expansion freeze, was left off the final list of items to be voted on. The House decided to table the decision on the expansion freeze unless there is any changes to the federal funding of the program. Two items related to SNFs made the cut. The first was an override of the veto that removed changes to the reimbursement formula along with the methodology for any necessary rate cuts if the SNF expenditure cap was in place. There was concern that removing the descriptive language around how any cuts were to be made gave the administration the ability to cut SNF rates. An override of the veto would ensure that rates are not reduced unless it was evident that the cap will be reached. The second item is related to MLTSS. The Governor had vetoed language requiring legislative approval for MLTSS to go forward along with legislative text that prohibits the enrollment of SNF and waiver individuals. An override of the veto puts the General Assembly back in control of determining if MLTSS will go forward, most likely sometime after December 31, 2018. The study committee to determine the merits of MLTSS will go forward regardless of the outcome as that was not part of the veto. The committee must issue a report by December 31, 2018. The Senate has not determined if it will vote on any of the items and if so, when. (See article 3.)

Senate to review House veto items; no definitive timeline set —  The Ohio Senate will begin the task of determining if they are to meet this summer and if so, what veto items the House overrode today to address. (See article 2.) The Senate canceled the July 12 scheduled session, ensuring that they will not meet until at least the following week. Technically, the General Assembly has until the end of their current session, December of 2018, to override any Governor vetoes. The House is taking full advantage of this in relation to the Medicaid expansion freeze veto. The Senate Republicans plan on reviewing each item and determining the merits of a veto override. They currently have tentative sessions scheduled in late July. The latest rumor is that the Senate may wait until Fall session when the House returns; however, until the summer sessions are canceled it is difficult to accept the Senate not returning until Fall.

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