First Substitute H.B. 218

Representative James A. Dunnigan proposes the following substitute bill:

1 UTAH CHILDREN'S HEALTH INSURANCE PROGRAM
2 2007 GENERAL SESSION
3 STATE OF UTAH
4 Chief Sponsor: James A. Dunnigan
5 Senate Sponsor: Peter C. Knudson
6
7 LONG TITLE
8 General Description:
9 This bill amends the Children's Health Insurance Program.
10 Highlighted Provisions:
11 This bill:
12 . amends the program benefits by January 1, 2008.
13 Monies Appropriated in this Bill:
14 None
15 Other Special Clauses:
16 None
17 Utah Code Sections Affected:
18 AMENDS:
19 26-40-106, as enacted by Chapter 360, Laws of Utah 1998
20
21 Be it enacted by the Legislature of the state of Utah:
22 Section 1. Section 26-40-106 is amended to read:
23 26-40-106. Program benefits.
24 [At] (1) Until the department implements a plan under Subsection (2), at a minimum,
25 program benefits shall include:

26 [(1)] (a) hospital services;
27 [(2)] (b) physician services;
28 [(3)] (c) laboratory services;
29 [(4)] (d) prescription drugs;
30 [(5)] (e) mental health services;
31 [(6)] (f) basic dental services;
32 [(7)] (g) preventive care including:
33 [(a)] (i) routine physical examinations;
34 [(b)] (ii) immunizations;
35 [(c)] (iii) basic vision services; and
36 [(d)] (iv) basic hearing services;
37 [(8)] (h) limited home health and durable medical equipment services; and
38 [(9)] (i) hospice care.
39 (2) (a) No later than January 1, 2008, the program benefits shall be benchmarked, in
40 accordance with 42 U.S.C. 1397cc, to be actuarial equivalent to a benefit plan with the largest
41 insured commercial enrollment offered by a health maintenance organization in the state.
42 (b) After January 1, 2008, program benefits may not exceed the benefit level described
43 in Subsection (2)(a).