Despite opposition from the governor and corporate hospitals, measures for medical workers are progressing

A bill proposed by the Patient Protection Board is about to pass Congress despite opposition from the governor’s office.

The measures are Assembly Bill No. 11, would prohibit corporate hospitals and hospital systems from hiring doctors directly. Nevada hospitals have long refrained from hiring doctors directly, opting instead to hire them as independent contractors. The bill formally enacts that practice.

The bill also prohibits hospitals from restricting nurses and other health care providers they employ or contract from discussing salaries, wages, and working conditions with others. The bill also prohibits hospitals from imposing non-compete agreements that prevent them from working with other medical facilities.

“Although not all hospitals have enough doctors to hire, there is a strong movement not only in Nevada but across the country towards consolidating hospitals and the healthcare industry as a whole to make it easier for hospitals and the healthcare system. There is a movement “to build market share,” said Culinary Health’s Bobett Bond. The Director of Fund Policy said at a previous meeting on the bill.

Four companies—HCA, UHS, Renown and Common Spirit—own most of Nevada’s acute care hospitals and generate more than 70% of hospital revenues and profits in the state. For bill presentations. However, Nevada ranks first in the nation with the highest percentage of poorly rated acute care hospitals (those with 1 out of 5 stars). Medicare and Medicaid Service Center.

Across the United States, ownership of hospitals and healthcare systems is on the rise. increasingly integrated As a result, the burden on patients will increase and the compensation for healthcare workers will decrease. Healthcare pricing project.

AB 11 is one of three bills introduced to Congress this week by the Patient Protection Board and endorsed by Democratic Gov. Steve Sisolak in 2019. At the beginning of this Congress, Republican Governor Joe Lombardo’s chief of staff wrote a letter.To the Committee Expressing the Opinion of the Governor’s Office Opposition to AB11 And another bill they submitted.

However, AB 11 underwent a committee hearing last month and passed parliament as a whole by a vote of 26 to 16. Democrats Shea Backus and Shannon Billbrae-Axelrod joined the Republican opposition. The bill passed the Senate Health and Human Services Committee on Tuesday.

Hospitals that violate the bill’s provisions could be subject to administrative penalties, and repeated offenses could have their licenses revoked or suspended.

The law also The Joint Transitional Commission for Health and Welfare will examine the employment of doctors by businesses during the 2023-2024 transitional period and assign one additional draft bill to the Commission to address the findings.

of Nevada Hospital Association opposes AB 11, arguing it will keep the state on the backburner of national moves. In 2020, one study found that nearly 40% of doctors worked directly in hospitals or in clinics partially owned by hospitals or the health system. Report of the American Medical Association.

“There is a huge shortage of specialists in Nevada, and many doctors today are having a hard time opening up and paying rent, staffing issues, and malpractice issues,” state Senator Jeff said. Mr. Stone (Republican, Henderson) said: At a Senate committee hearing. “For many of them it is easier to work in an organization like a hospital.

The bill’s proponents said the law would ratify the state’s current practice, Employs a doctor in the state’s graduate medical education program so that patients can be treated at any hospital to which that doctor has a privilege or contract.

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