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The bipartisan “Medicare Hospice Access Care Act,” allows physician assistants to care for Medicare hospice patients.
“No matter who you are or where you live, everyone deserves access to high quality health care,” said Thompson. “This legislation will allow Medicare patients to continue seeing the health care provider they know, are comfortable with, and that understands their health history. Entering hospice should not mean losing the health care provider a patient has come to depend on.”
“This is a common sense step for American health care. Medicare patients in rural parts of our great country should have the same freedom of choice as Medicare patients in America’s cities. Our legislation ensures this, guaranteeing uninterrupted hospice benefits to seniors in medically underserved communities,” said Terry.
Often, physician assistants are the only health care professionals in rural areas. In 2010 alone, nearly 307 million patient visits were made to physician assistants.
While Medicare coverage was originally extended to physician assistants through the 1977 Rural Health Clinic Services Act, the program was never updated to allow physician assistants to deliver hospice care.
Under current law, physician assistants may provide care to Medicare patients – until hospice care is needed. At this point, Medicare patients must then find an alternative provider, disrupting the continuity of their care.
With this legislation, individuals and families who rely on physician assistants as their primary health care professional would be ensured continuity of quality medical care when patients move from the hospital to hospice care.
“I commend Representatives Lee Terry and Mike Thompson for introducing the Medicare Hospice Access Care Act,” said AAPA President Robert Wooten. “The bill will increase access to quality hospice care for those relying on Medicare. Currently, physician assistants cannot provide hospice care for their terminally ill Medicare patients, and an undue burden falls on the patient and family to find alternative care. We cannot deny patients access to their ‘medical home’ at a time when they are the most vulnerable.”
Congressman Mike Thompson represents California’s 1st Congressional District, which includes the Counties of Del Norte, Humboldt, Lake, Mendocino, Sonoma, Napa and Yolo. He is a senior member of the House Ways and Means Committee and the House Permanent Select Committee on Intelligence. Rep. Thompson is also a member of the fiscally conservative Blue Dog Coalition and sits on the bipartisan, bicameral Congressional Wine Caucus.
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Funds were awarded through OSHPD’s Song-Brown Program.
The awards are funded by the California Health Data Planning Fund, which was statutorily established to receive and expend revenues in support of health care related programs. The funds are generated through annual fees collected from health facilities.
“Family nurse practitioners and physician assistants are uniquely positioned to improve access to vulnerable populations,” said OSHPD Acting Director Stephanie Clendenin.
The following 12 training programs received awards:
California State University, Long Beach – $170,000;
USC - Keck School of Medicine – $170,000;
Sonoma State University – $169,959;
California State University, Fresno – $135,000;
Stanford University – $135,000;
University of California, Davis – $135,000;
University of California, Los Angeles – $100,000;
University of California, San Francisco – $100,000;
Touro University – $125,060;
Azusa Pacific University – $99,981;
San Joaquin Valley College – $65,000;
University of California, Irvine – $65,000.
The Song-Brown Program works to increase the number of family practice physicians, physician assistants, family nurse practitioners, and registered nurses trained statewide to provide needed medical services to Californians.
For more information on the program, call 916-326-3752 or log on to www.oshpd.ca.gov/HWDD/Song_Brown_Prog.html.
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