HB 1507 — Patient-Centered Medical Home Advisory Council; established.

The office of the Secretary of Health and Human Resources shall provide staff support to the Council.

All agencies of the Commonwealth shall provide assistance to the Council, upon request.

§ 2.2-214.3.

Patient-Centered Medical Home Advisory Council;

powers and duties.

A.

The Council shall recommend to the Secretary and his secretariat an implementation plan for a patient-centered medical home system in the Commonwealth.

The implementation plan shall include strategies to (i) coordinate health care services, (ii) provide for monitoring and data collection on patient-centered medical homes, (iii) increase access to treatment and recovery services for opioid addiction and opioid-related disorders, especially in underserved areas of the Commonwealth, (iv) foster best practices and adherence to standards for such treatment and recovery services;

(v) strengthen and expand the capacity of the health system in the Commonwealth to respond to substance abuse treatment and recovery needs;

(vi) increase the sharing and integration of data among health care providers, state agencies, and other relevant entities to ensure data-driven decision and policy making;

and (vii) provide for training and education of health care professionals.

The plan may include the use of telemedicine, the development of pilot programs, and partnering with stakeholders, health care providers, non-profit organizations, and other relevant entities.

B.

The Council shall also recommend (i) qualifications for the certification of patient-centered medical homes, with such qualifications based on standards developed by a nongovernmental accrediting agency such as the National Committee for Quality Assurance or the Accreditation Association for Ambulatory Health Care;

(ii) education and training standards for health care professionals participating in the patient-centered medical home system;

(iii) a reimbursement methodology and incentives for participation in the patient-centered medical home system that (a) ensure that providers enter and remain in the system and (b) promote wellness, prevention, chronic care management, immunizations, health care management, and the use of electronic health records.

C.

The Council shall collaborate with and make recommendations to the Department of Behavioral Health and Developmental Services in the development of the pilot program established pursuant to § 37.2-310.1.

In developing the pilot program, the Department and the partnering hospital, community services boards, and telemedicine networks shall (i) collaborate with and receive recommendations from the Patient-Centeredwork Medicalgroup Home Advisory Council established pursuant to §subsection 2.2-214.2,C and (ii) implement a measurement-based systematic substance abuse use disorder monitoring and retention system to track patient outcomes throughout treatment and recovery.

The fundsDepartment availableshall toestablish implementa thework provisionsgroup of thisinterested section,stakeholders asto setcollaborate outwith in the generalDepartment appropriationin act, shall consist of (i) funds appropriated for such purpose and (ii) notwithstanding the provisionsdevelopment of Chapter 31 (§ 3.2-3100 et seq.) of Title 3.2, payments from the Tobaccopilot Indemnificationprogram. and Community Revitalization Fund.

The work group shall include representatives from the Virginia Association of Medication Assisted Recovery Programs, the Virginia Chapter of the American Society of Addiction Medicine, the Virginia Community Healthcare Association, the Virginia Academy of Family Physicians, the Virginia Section of the American Congress of Obstetricians and Gynecologists, the Virginia Council of Nurse Practitioners, the Virginia Chapter of the American College of Physicians, the Virginia Chapter of the American Academy of Pediatrics, the Medical Society of Virginia, the Virginia Association of Community Services Boards, and the Virginia Hospital & Healthcare Association.

The Departmentfunds shallavailable reportto implement the resultsprovisions of thethis pilotsection, programas includingset nonidentifiable,out aggregatein datathe ongeneral patientappropriation outcomesact, andshall anyconsist findingsof or(i) recommendationsfunds toappropriated thefor Boardsuch andpurpose; to the General Assembly by October 1, 2020.

(ii) notwithstanding the provisions of Chapter 31 (§ 3.2-3100 et seq.) of Title 3.2, payments from the Tobacco Indemnification and Community Revitalization Fund;

and (iii) reimbursement received for services provided through the program from coverages issued pursuant to Title XVIII of the Social Security Act, 42 U.S.C.

§ 1395 et seq.

(Medicare).

E.

The Department shall report the results of the pilot program including nonidentifiable, aggregate data on patient outcomes and any findings or recommendations to the Board and to the General Assembly by December 1, 2020.