Are you familiar with the SUPPORT Act and EKRA?

Not one to shy away from lengthy acronyms, Congress passed the SUPPORT Act (Substance Use Prevention that Promotes Opioid Recovery and Treatment) a couple of years ago. What is it? The Act is an attempt to manage various issues related to the opioid crisis through a series of more than 70 separate bills.(1)

Some important highlights of paramount importance to providers include:

  • States must establish a qualifying prescription drug monitoring program (PDMP) and require healthcare providers to check the PDMP for an enrollee’s prescription drug history before prescribing controlled substances. There has been a great deal of discussion about the ability for physicians and pharmacies to track usage in other states as well.
  • The bill increases the maximum number of patients that healthcare providers may initially treat with a medication-assisted treatment plan
  • The Eliminating Kickbacks in Recovery Act (EKRA) is one of the SUPPORT Act’s related bills. This tightens up the laws that make it a federal crime to receive/offer illegal remunerations for patient referrals to recovery homes, clinical treatment facilities, and laboratories.(2)

As with any legislation, there are still issues regarding the applicability of the Act to unrelated arrangements in the healthcare industry that could otherwise be structured to comply with existing federal law.(3) Additionally, EKRA has been criticized as being overly broad and ambiguous.(4)

New laws usually result in new issues for healthcare providers. The more time providers spend trying to figure out what the government wants them to do, the less time they have to dedicate to patient care. What can you do to protect yourself from the potential liability surrounding these new laws? Education is of vital importance, as is ensuring that your risk mitigation plan addresses these issues.

Contact us today. We can help you make sense of these and other laws that affect your risk management plan.

Footnotes

Enrollment Now Open for New High-Limits Disability Insurance Program

This coverage, available via CARE’s partnership with MGIS, is a great benefit for our members. It offers you choices and pricing otherwise not available outside of our association. For more than 50 years, Medical Group Insurance Services (MGIS) has specialized in creating a continuum of coverage that addresses the unique income replacement needs of physicians and dentists. Working with world-renowned underwriters at Lloyd’s of London, we have added a layer of coverage for high-earning physicians and dentists. The MGIS incomeprotect® | HIGH LIMITS maintains the integrated continuum of key provisions crucial to protecting high-income earners.

Enrollment in this exclusive disability insurance program ends March 2, 2020. Take advantage of this offer before open enrollment ends. If you do not enroll during the 30-day enrollment period, you’ll have to go through the normal application process, including answering detailed health and hazardous avocation questions, and may even be turned down for coverage.

The online enrollment process is simple, totally confidential, and walks you through each of the available options. Lump-sum options include (all with a one-year elimination period):

  • $250,000
  • $500,000
  • $1,000,000

This program has other advantages that you won’t see on other offerings outside of this exclusive program:

  • Easy Enrollment. Simplified Issue (only three questions about missed work and recent medical needs; no exams required).
  • Best Definition of Disability in the Industry. You are considered disabled if you cannot perform the actual procedures you have performed over the past 12 months. This is crucial to ensuring you qualify for benefits.

If you have questions about the enrollment process or any of the options, please send an email to highlimitsfaq@mgis.com and an MGIS product specialist will be happy to assist you.

(To make enrollment even simpler, please have your NPI or SSN and total earned income from all practice settings available when you enroll.)

Contact us today to learn more about how MGIS offerings can complement your current liability coverage with CARE, LLC.