Journal of Urgent Care Medicine

‘Out of State’ Doesn’t Mean You’re Out of Range for Telehealth Patients in Alaska

Alaska is the latest of many states marching toward adoption of new telehealth bills, but legislators there has been typically “maverick” in their approach to adopting such new technologies. The interesting thing about that state’s soon-to-be signed law is that physicians won’t have to be in-state in order to prescribe for Alaskans. In addition to removing in-state presence requirements for prescribing via telemedicine, SB 74 will pave the way for patients to connect with occupational …

Pilot Program Will Have Ambulances Pulling Up to Urgent Care

Louisiana lawmakers have passed a bill that would allow ambulances to deliver patients with non–life-threatening illnesses directly to urgent care centers in East Baton Rouge Parish. Our Lady of the Lake Regional Medical Center has volunteered to accept low-acuity ambulance patients at its 24/7 urgent care facility as part of the pilot program. The legislation is expected to help address poor access to emergency care in the area since one hospital closed and another shut …

Freestanding ER Sticker Shock Still an Issue Despite Transparency Laws

Urgent care operators who face competition from freestanding emergency rooms should emphasize cost differences compared with urgent care, and remind patients that vigilance may be needed to tell the difference between the two. Patients in Texas, for example, are finding that a new law requiring freestanding emergency rooms to post notices that fees may be comparable to a hospital emergency room doesn’t go far enough in preventing surprisingly big bills postcare. One problem: The nature …

Ohio Law Gives PAs More Clinical Authority with Less Physician Oversight

Physician assistants in Ohio now have more authority to make decisions—including more freedom to prescribe drugs—under a new law signed into effect by Gov. John Kasich. While PAs still must work under the supervision of a physician, they have more autonomy when it comes to ordering diagnostics, prescribing or directly providing medications, and administering local anesthesia. While urgent care centers typically have physicians on site most or all of the time, retail clinics like those …

NC: Can’t Wait for Your PCP? ‘Go to the Urgent Care’

With a storm of protest from state workers still ringing in their ears, North Carolina legislators have backed off a plan to eliminate traditional “80/20” insurance (in which plan members pay 20% of healthcare costs until their deductible is met). Instead, they’ll incentivize preventive care by lowering copays for routine medical visits and some prescription drugs in 2017. That could mean higher traffic in primary care practices—and even longer waits to see PCPs in a …

Colorado Bill Would Force Freestanding ERs to Be More Open on Costs

Colorado is considering legislation that would require freestanding emergency rooms to post notices throughout the building alerting patients that they have stepped into an emergency room, where they will be afforded emergency care for emergent medical conditions (and pay emergency-level charges). The bill was inspired by complaints from consumers who have mistakenly sought care in freestanding ERs, thinking they had gone to an urgent care center—where costs are lower and more likely to be covered …

FDA Wants Some Gloves to Take a Powder

The Food and Drug Administration wants to ban most powdered gloves from exam rooms, as well as operating rooms. The ban would apply to powdered surgeon’s gloves, powdered patient examination gloves, and absorbable powder for lubricating a surgeon’s glove. The FDA says the risk that synthetic proteins in the gloves can cause airway inflammation, wound inflammation, and postprocedure adhesions is too great to allow their continued use. If finalized, the ban would force withdrawal of …

West Virginia Moving Toward Prescribing Authority for APRNs

The West Virginia House of Delegates has approved a bill that would give advanced practice registered nurses more authority to treat patients and prescribe medications without a physician’s supervision. If the state senate also passes the “Nurse Practitioners Bill,” West Virginia will become the 22nd state allowing nurse practitioners to do so. The senate has already proposed two amendments to the version passed by the house; one would establish an advisory board to put forth …

Balance Billing Takes a Hit in Tallahassee

The Florida legislature’s House Insurance & Banking Subcommittee has put its stamp of approval on a proposal to protect patients from surprise charges after discharge from the emergency room. As written, the bill would make insurers pay for emergency services and include an arbitration process to resolve differences between insurers and healthcare providers; patients themselves would be removed from that process. Several states have already enacted similar legislation, with still more—including Florida—moving toward doing the …

ACA Is Officially Repealed—Temporarily

After months of legislative back-and-forth, and as we previewed here last month, the US House of Representatives has passed new legislation that essentially repeals the Affordable Care Act (ACA, or “Obamacare”). The Senate already voted to approve the bill, called the Restoring America’s Healthcare Freedom Reconciliation Act, after implementing changes to the original version. Proponents of the new bill—which President Obama has already promised to veto—say it would cut the federal deficit by $516 billion …