Governor Wolf Applauds PA Insurance Commissioner for Issuing Non-Discrimination Guidance to Insurers, Prohibiting Discrimination on Basis of Sex, Sexual Orientation, and Gender Identity

first_img Equality,  Non-discrimination Harrisburg, PA – Governor Tom Wolf today applauded Insurance Commissioner Teresa Miller for announcing new Insurance Department expectations for non-discrimination provisions in health insurance policies, including language prohibiting discrimination on the basis of sex, sexual orientation, and gender identity. This guidance, submitted for publication in the April 30 edition of the Pennsylvania Bulletin, will apply to all health insurance plans regulated by the Pennsylvania Insurance Department, which includes individual and group policies purchased through the federal marketplace.“I am proud of this move by Commissioner Miller,” said Governor Wolf. “We need to ensure that Pennsylvania is a welcoming place, regardless of the color of your skin, your gender, the religion you profess, or the person you love. Next, I am excited to work with Democrats and Republicans in the legislature to pass a statewide non-discrimination bill that protects all Pennsylvanians and makes it clear to the world that Pennsylvania is a welcoming place for everyone.”“Governor Wolf recently announced that the commonwealth’s policy is to treat all Pennsylvanians with the respect and dignity they deserve, regardless of race, color, religion, sexual orientation, gender, or gender identity and expression,“ Commissioner Miller said. “My department is also committed to doing all it can protect the consumers we serve, and we expect health insurance companies to join in this effort.”This guidance does not require insurers to cover any particular services that they are not otherwise required to cover. However, under this guidance, health insurance policies under the jurisdiction of the Pennsylvania Insurance Department will not exclude services based on gender identity and will provide coverage for medically necessary covered services regardless of a policyholder’s gender identity.In addition, health insurance policies will not contain a blanket exclusion of coverage for health services related to an individual’s gender transition.Commissioner Miller said that her department expects health insurers to include language within policies that specifically details these protections in order to maintain compliance with state and federal laws.“Denying coverage for medically necessary covered services on the basis of gender violates federal regulations and Governor Wolf’s policy for Pennsylvania, and my department will not tolerate discrimination in the policies that it regulates,” said Commissioner Miller.The policy is consistent with Section 1557 of the Affordable Care Act, as explained in a proposed rule issued on September 8, 2015 by the Department of Health and Human Services’ Office of Civil Rights. That proposed rule delineated non-discrimination protections on the basis of sex to include sex stereotyping, gender identity, and sexual orientation.Health insurance providers around Pennsylvania vocalized support for non-discrimination provisions.“We have a strong commitment to diversity and inclusion and have been recognized regionally and nationally for our responsible actions. Across the state, we serve a very diverse population and believe our employees, policies and actions need to reflect the very communities that we serve,” said Highmark Health Plan President Deborah Rice-Johnson. “We currently provide coverage for health services related to gender transition to our workforce and to likeminded large employer insured groups across the state who choose these benefits and who are committed to supporting the diverse needs of their employees.”“UPMC Health Plan has been a proud and vocal advocate of diversity and of the fair and equal treatment of all persons, including through our support of the Pennsylvania Fairness Act. We are currently reviewing the Non-Discrimination Notice and will work with the Department to fully understand its scope, objective and practical impact,” said a representative from UPMC Health Plan. “We are committed to ensuring that all of our members, regardless of their sex, gender identity, or recorded gender are treated fairly and have access to the high-quality health care services they have come to expect from UPMC.”The notice will be available in the April 30 issue of the PA Bulletin and can be viewed online at Insurance companies that have questions regarding this notice should contact the Insurance Department’s Bureau of Life, Accident, & Health, Office of Insurance Product Regulation at who have questions regarding whether their health insurance policy is affected by these guidelines are encouraged to contact the department’s Bureau of Consumer Services at 1-877-881-6388 or online at # #Like Governor Tom Wolf on Facebook: April 27, 2016 Governor Wolf Applauds PA Insurance Commissioner for Issuing Non-Discrimination Guidance to Insurers, Prohibiting Discrimination on Basis of Sex, Sexual Orientation, and Gender Identitycenter_img SHARE Email Facebook Twitterlast_img read more

Wolf Administration Releases Warm Handoff Guidance to Emergency Room Doctors and Healthcare Professionals

first_img December 21, 2016 Wolf Administration Releases Warm Handoff Guidance to Emergency Room Doctors and Healthcare Professionals Press Release,  Public Health,  Public Safety,  Results,  Substance Use Disorder Harrisburg, PA – Today, Governor Tom Wolf released guidance developed by the Department of Health and the Department of Drug and Alcohol programs in conjunction with the American College of Emergency Physicians to help emergency room doctors and healthcare professionals identify individuals with substance use disorder, including those who have been saved by naloxone, and get them into treatment – a process known as a warm handoff.“Over the last few years, heroin and opioid overdoses have become the leading cause of accidental death in Pennsylvania, killing more individuals than motor vehicle accidents – 10 Pennsylvanians per day,” said Governor Tom Wolf. “We must do everything we can to destigmatize the disease of addiction and get patients into treatment so they can begin the recovery process.”A warm-handoff is a process in which a person who is identified as having a substance use disorder is transferred from a hospital emergency room or other healthcare provider to a drug treatment provider.“Ensuring overdose victims and other patients who seek help for opioid use disorders get into treatment is essential,” said Physician General Rachel Levine. “One of the best ways to help people enter treatment is for them to be properly identified by doctors and other medical personnel when they arrive in an emergency room, and referred immediately to treatment.”“The Wolf Administration has been working with emergency room doctors to develop a ‘clinical pathways’ guide to help determine how to get a patient into treatment for substance use disorders,” said Secretary Gary Tennis. “We believe this guidance is critical to getting those who suffer from the disease of addiction the help that they need.”Below are the steps physicians and healthcare professionals are advised to follow:PermissionAsking permission to talk about the issue shows respect for the patient’s autonomy, which can help to minimize resistance. It keeps the conversation focused on the patient.Open-ended questionsUsing open-ended questions can help the conversation move forward. Open-ended questions encourage patients to tell their story. Generally, try to avoid questions that can be answered with yes, no or other one-word answers. And listen when the patient responds.Listen reflectivelyThe provider should focus on listening to the patient, using reflective listening as a tool. Reflective tools such as repeating, rephrasing and paraphrasing keep the focus on the patient and reveal behavioral change opportunities. Listening with an attitude of respectful curiosity is easier when the patient is held up as expert and the physician recognizes him or herself to be more of a companion in the process of change.AffirmationAffirmation allows the provider to work with the patients’ strengths and acknowledge his/her  efforts. Affirmation can build confidence. Affirmations must be sincere to be effective.Roll with ambivalenceAs the patient talks, listen for information that could assist the patient in developing a plan to put them on course for less risky behavior. Listen for change talk, opportunities where the patient is willing and able to make changes. Talk of change often produces “but” or “if” statements indicating ambivalence. Ambivalence is not indecision but rather the equal desire for two opposing realities at the same time. Acknowledging the ambivalence can be the first step to finding a way out of it. The interviewer should use techniques to illicit “importance” and “confidence” statements from the patient. When you hear ambivalence, help the patient identify the ambivalence.Summarize plansSummarizing, or restating what you have heard, can be helpful at transitions or near the end of the conversation. If the patient has used a change statement, make sure to include it in your summary.Contact number for the single county authority and/or substance use disorder referral and warm handoff personal: Governor Tom Wolf on Facebook: SHARE Email Facebook Twitterlast_img read more