Governor Patrick Signs Bill That Improves Health Care

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BOSTON – Sunday, August 10, 2008 – Governor Deval Patrick has signed into law a bill that will help contain the skyrocketing costs of health care, while ensuring transparency and continued quality of care for all Massachusetts residents.

“I applaud the many important initiatives that this legislation enacts to enhance the quality and cost-effectiveness of health care in the Commonwealth,” said Governor Patrick.

Senate President Therese Murray and House Speaker Salvatore DiMasi commended Governor Patrick for supporting the bill.

"In order for health care reform to be successful, it is imperative that we increase access and quality, while decreasing the cost of care. This legislation through incentives for medical and nursing students, the adoption of uniform billing and electronic health records and increasing transparency for consumers, achieves those goals," said Senate President Therese Murray. "Massachusetts is known around the world for cutting-edge, top notch health care and medical research. We are leading the way, and this legislation allows us to continue that leadership, while providing the best health care possible for the people of the Commonwealth. I want to thank Senator Moore for his hard work on this legislation, as well as Governor Patrick and Speaker DiMasi for their dedication to health care reform."

“The ongoing success of our historic health care reform depends on our ability to continue to cut costs in the health care system while we increase quality and the number of insured,” said House Speaker Salvatore F. DiMasi. “From increased transparency in rate-setting to expanded use of electronic records and a tough new code of conduct for gift-giving, this law charts a bold course to cut costs. This is also a true compromise between the House and Senate and I commend Governor Patrick for joining us to take this bold step to help reduce costs in our health care system.”

An Act to Promote Cost Containment, Transparency and Efficiency in the Delivery of Quality Health Care includes many targeted measures intended to improve aspects of the health care system that affect quality of care and costs. Several cost-containing initiatives include:

* The development of quality improvement and cost containment goals and performance benchmarks
* The promotion of electronic health records systems

* The implementation of measures to increase the availability and accessibility of primary care and to improve the quality of chronic care
* The dissemination of health care quality and cost data to consumers, providers and insurers.

The legislation also includes a section requiring pharmaceutical and medical device manufacturing companies to report to the state Department of Public Health any payment or gift of more than $50 made to a healthcare professional. Those gifts would be publicly reported on the state's Web site.

“This measure will set a marketing code of conduct to help ensure health care providers make choices about prescription drugs and medical devices for their patients based on therapeutic benefits and cost-effectiveness,” said Governor Patrick. “I am confident the Department of Public Health, pursuant to its regulatory authority, will safeguard the confidentiality of companies’ trade secrets and proprietary information and protect against roadblocks to medical research or the education of health care providers.”

“This legislation is at least as significant as earlier health care reform efforts, and it creates a broader range of improvements to health care,” said Senator Richard T. Moore, Senate Chair of the Health Care Financing Committee. “I commend the Governor for his courage and leadership to make this law a reality.”

"I congratulate the Governor for his action today," said Representative Pat Walrath (D-Stow), House Chair of the Health Care Financing Committee. "This legislation lays a firm foundation for the serious kind of cost containment that is necessary if we are to realize the goals of health reform, and I look forward to a continued partnership with the administration as we implement the law."

"Biased marketing and financial inducements are destructive to the sacred doctor-patient relationship. Evidence based academic detailing enhances this relationship. Cost controls, disclosure and transparency are imperative as we demand universal access to quality healthcare. I commend the Governor for standing firmly on the side of the patient and taxpayer," said Senator Mark Montigny, author of the gift ban legislation and a former chair of the Health Care Committee.
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Lanesborough Town Meeting to Vote Budget, Bylaws & Vehicle Purchases

By Breanna SteeleiBerkshires Staff

LANESBOROUGH, Mass. — Tuesday's annual town meeting includes a $14 million operating budget, new short-term rentals, accessory dwelling units and sign bylaws, and free cash article appropriations.

Voters will gather at Lanesborough Elementary School on June 9 at 6 p.m. to decide on 20 warrant articles.

The fiscal 2027 budget is up a little over 10 percent. Some of the main increases are the Mount Greylock Regional School District and McCann Technical School: the McCann assessment is up more than 30 percent based on factors including enrollment and the school renovation project, and Mount Greylock's is up 11 percent.

Article 11 is for the town to vote to approve from free cash the sum of $16,298.48 for the McCann Technical School roof and window replacement project so as not to impact the budget. Article 3 is  appropriate $7,586,284 for Mount Greylock Regional School assessment.

Another notable increase was in life and health insurance, showing an increase of about 26 percent.

Ambulance Director Jen Weber is planning 24-hour coverage, which means more staff and a hike in her budget. One of the articles asks the town to appropriate $234,100 to operate the Ambulance Enterprise Fund for salaries and expenses.

Many town departments are looking for new vehicles. The Fire Department is looking to replace its outdated 1996 fire engine. There are two articles related to the truck at a total of $813,366. Article 12 would transfer $225,000 from free cash into the Fire Truck Stabilization Fund; Article 13 would transfer $605,000 from the fund and authorize the borrowing of $208,366.08.

The total includes a $100,000 contingency cost to cover any additional costs if a 2026 model-year chassis cannot be secured before new emissions standards go into effect in 2027.

The board at its last meeting moved the $225,000 transfer to come before the borrowing article, changing the stabilization number. If the $225,000 is not voted on, then they will amend the next article's number on the floor, subtracting the $225,000. This shows the borrowing number significantly lower.

Article 17 asks for the transfer of $80,000 from free cash to replace a police cruiser.

Police Chief Rob Derksen's aim is to replace one vehicle every other year, meaning the oldest vehicle gets replaced about every 10 years. 

He stressed that if delayed this year, the town may have to double up in a future year to get back on schedule, and that paying later usually costs more. The article will ask for $80,000 from free cash, the vehicles used to be funded by the BHRD.

Lastly, the Highway Department is looking to replace a 2014 International dump truck that will be a total of $330,000 and will take two to three years to receive.

Money will be used from last year's approval of $250,000 from free cash for the replacement of a 2012 highway front-end loader that was underspent $49,261. Town meeting is being asked to approve  a transfer of $53,274.85 from free cash and the use of $227,464 from funds from the Sale of Town Real Estate to fund the balance.

Other free cash proposals include $1,200 to purchase software to support tracking and ongoing maintenance schedules of town-owned vehicles; $42,000 for the replacement of the Highway Department's storage shed roof, $200,000 to reduce the tax levy.

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