:
(A)
50% of the average amount paid by the insurer
320
for comparable services of preferred health care providers who are members of the same
class
321
of health care providers unless the illness or injury treated by the health care provider are
not
322
within the scope of the insurance contract;
and
(B) 75% of the average amount paid by the insurer for the treatment of an
emergency medical condition as required under Section 31A-22-627;
MOTION: Sen. Knudson moved to adopt the amendment.
The motion passed unanimously.
Rep. Dunnigan explained the amended bill. He stated that the University of Utah
Medical Center supports the bill.
Don Gorlitz, Utah Assn. of Health Underwriters, and Frank Pignanelli, Regence Blue
Cross and Blue Shield, spoke in support of the bill.
Bryan Bird, Utah Ambulatory Surgery Center Assn., spoke against the bill.
MOTION: Sen. McCoy moved to table the bill.
The motion passed with Sen. Goodfellow voting in opposition and Sen. Knudson absent
for the vote.
4. H.B. 242S1 Medicaid False Claims Act Amendments (B. Last)
Rep. Last asked the committee to adopt the following amendment to the bill:
1. Page
3, Lines 62 through 65
:
62
the money or property.
63
[(2)] (3) "False statement" or "false representation" means a wholly or partially
untrue
64
statement or representation which is
:
(a)
knowingly [and willfully] made [if the person making the
65
statement or representation has knowledge of the falsity thereof]
; and
(b) a material fact with respect to the claim
.
2. Page
6, Lines 153 through 154
:
153
(1)
(a) Except as provided in Subsection (1)(b) the
{
The
}
culpable
mental state required for a criminal violation of this chapter is
154
knowingly, intentionally, or recklessly as defined in Section
76-2-103
.
(b) The culpable mental state required for a criminal violation of this chapter
for kickbacks and bribes under Section 26-20-4 is knowingly and intentionally as
defined in Section 76-2-103.
MOTION: Sen. McCoy moved to adopt the amendment.
The motion passed unanimously with Sen. Knudson absent for the vote.
Rep. Last explained the amended bill.
MOTION: Sen. Christensen moved to pass the bill out favorably as amended.
The motion passed unanimously with Sen. Knudson absent for the vote.
Committee Chair Buttars adjourned the meeting at 4:30 p.m.
Minutes reported by Nedra Duzett, Secretary.
_______________________________________
Sen. D. Chris Buttars, Committee Chair