Legislator Briefs · 9 published · one page each
Legislator Briefs
A legislative office has five minutes and a printer. Each brief compresses one published proposal into a single page: what the issue is, what the law currently provides, where the gap is, what KPSGILL recommends, who has the authority to act, what it would cost, who is affected, what the trade-offs are, and what the next decision point is.
The briefs
MODEL LEGISLATIONAI medical record integrityA physician should be accountable for what she adopted, not for pretending she typed it.Who can act · California Legislature (Health and Safety Code) · ONC / electronic-record certificationMODEL LEGISLATIONParallel certification recognitionA private credential should be recognised on stated criteria, not on the identity of the body that issued it.Who can act · California Legislature (Business and Professions Code; Insurance Code) · Medical Board of CaliforniaMODEL PAYER STANDARDPrior authorisation duration and automated denialAutomation may recommend a denial; a named clinician should have to own it.Who can act · California Legislature (Health and Safety Code; Insurance Code) · DMHCMODEL REGULATIONCorporate control of clinical judgementA prohibition on lay control of clinical judgement means nothing until the levers of control are named.Who can act · Medical Board of California (rulemaking) · California Attorney GeneralMODEL CMS POLICYLaboratory quality as payment integrityA test that is known not to work should stop generating clean claims before it becomes a fraud case.Who can act · CMS (payment rules) · CLIA programme / CDCMODEL LEGISLATIONPhysician payment: update and redistributionFix the update and the redistribution separately: one is a level problem, the other is a fairness problem, and conflating them has stalled both.Who can act · Congress · CMS (rulemaking and impact disclosure)MODEL LEGISLATIONMedical board investigative processThe protections a physician has arrive after the phase in which the case was decided.Who can act · California Legislature (Business and Professions Code; Government Code) · Medical Board of CaliforniaMODEL LEGISLATIONHealth data outside HIPAAIf a fact about a patient's body is protected in one hand and unregulated in another, the duty is attached to the wrong thing.Who can act · California Legislature (Civil Code) · California Privacy Protection AgencyMODEL LEGISLATIONEmergency public-health powersEmergency power should be renewed on stated findings rather than sustained by inertia.Who can act · California Legislature (Health and Safety Code; Government Code) · Governor
By domain and decision-maker
| Brief | Domain | First mover | Full text |
|---|---|---|---|
| AI medical record integrity | Artificial intelligence & medicine | California Legislature (Health and Safety Code) | Full proposal |
| Parallel certification recognition | Certification & credentialing | California Legislature (Business and Professions Code; Insurance Code) | Full proposal |
| Prior authorisation duration and automated denial | Payer & prior authorization | California Legislature (Health and Safety Code; Insurance Code) | Full proposal |
| Corporate control of clinical judgement | Physician independence & ownership | Medical Board of California (rulemaking) | Full proposal |
| Laboratory quality as payment integrity | Drug & device regulation | CMS (payment rules) | Full proposal |
| Physician payment: update and redistribution | Physician payment | Congress | Full proposal |
| Medical board investigative process | Medical board reform | California Legislature (Business and Professions Code; Government Code) | Full proposal |
| Health data outside HIPAA | Health data & digital medicine | California Legislature (Civil Code) | Full proposal |
| Emergency public-health powers | Public health | California Legislature (Health and Safety Code; Government Code) | Full proposal |
What a brief does not do
A brief adds no facts to the proposal it compresses and takes no position the full page does not already take. Where a proposal declines to take a position because the record is thin — coverage architecture is the current example — there is no brief, because there is nothing to recommend yet. Where the object is a forecast rather than a recommendation, it stays in the Policy Lab with its confidence, its assumptions and its competing scenario attached.