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H.B. 24

             1     

AMENDMENTS TO UTAH DIGITAL HEALTH

             2     
SERVICE COMMISSION ACT

             3     
2008 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Ronda Rudd Menlove

             6     
Senate Sponsor: ____________

             7     
             8      LONG TITLE
             9      Committee Note:
             10          The Health and Human Services Interim Committee recommended this bill.
             11      General Description:
             12          This bill amends the Utah Digital Health Service Commission Act.
             13      Highlighted Provisions:
             14          This bill:
             15          .    renames the commission the "Utah Digital Health Service Committee";
             16          .    amends the appointment of the members;
             17          .    requires the chairperson of the committee to report to the executive director of the
             18      Department of Health; and
             19          .    amends the duties of the committee, including requires the committee to:
             20              .    advise and make recommendations to the department concerning patient privacy
             21      related policies; and
             22              .    place an emphasis on helping rural health care providers and special
             23      populations.
             24      Monies Appropriated in this Bill:
             25          None
             26      Other Special Clauses:
             27          None


             28      Utah Code Sections Affected:
             29      AMENDS:
             30          26-9f-102, as last amended by Laws of Utah 2004, Chapter 33
             31          26-9f-103, as last amended by Laws of Utah 2004, Chapter 33
             32          26-9f-104, as last amended by Laws of Utah 2006, Chapter 121
             33     
             34      Be it enacted by the Legislature of the state of Utah:
             35          Section 1. Section 26-9f-102 is amended to read:
             36           26-9f-102. Definitions.
             37          As used in this chapter:
             38          (1) ["Commission"] "Committee" means the Utah Digital Health Service
             39      [Commission] Committee created in Section 26-9f-103 .
             40          (2) ["Telehealth"] "Digital health service" means the electronic transfer [or], exchange
             41      [of medically], or management of related data for diagnosis, treatment, consultation,
             42      educational, public health, or other related purposes.
             43          Section 2. Section 26-9f-103 is amended to read:
             44           26-9f-103. Utah Digital Health Service Committee.
             45          (1) There is created within the department the Utah Digital Health Service
             46      [Commission] Committee.
             47          (2) The governor shall appoint 11 members to the [commission with the consent of the
             48      Senate, as follows:] committee from a list of three nominees recommended by the department
             49      and the committee as follows:
             50          (a) a physician who is involved in [telehealth] digital health service;
             51          (b) a representative of a licensed health care facility or system as defined in Section
             52      26-21-2 ;
             53          (c) a representative of rural Utah, which may be a person nominated by an advisory
             54      committee on rural health issues created pursuant to Section 26-1-20 ;
             55          (d) a member of the public who is not involved with [telehealth] digital health service;
             56      and
             57          (e) seven members who fall into one or more of the following categories:
             58          [(i) selected from a list of three nominees for each open position submitted by the


             59      division over health systems improvement; and]
             60          [(ii) who fall into one or more of the following categories:]
             61          [(A)] (i) individuals who use [telehealth] digital health service in a public or private
             62      institution;
             63          [(B)] (ii) individuals who use [telehealth] digital health service in serving medically
             64      underserved populations;
             65          [(C)] (iii) nonphysician health care providers involved in [telehealth] digital health
             66      service;
             67          [(D)] (iv) information technology professionals involved in [telehealth] digital health
             68      service;
             69          [(E)] (v) representatives of the health insurance industry; and
             70          [(F)] (vi) [telehealth] digital health service consumer advocates.
             71          (3) (a) The [commission] committee shall annually elect a chairperson from its
             72      membership. The chairperson shall report to the executive director of the department.
             73          (b) The [commission] committee shall hold meetings at least once every three months.
             74      Meetings may be held from time to time on the call of the chair or a majority of the board
             75      members.
             76          (c) Six [commission] committee members are necessary to constitute a quorum at any
             77      meeting and, if a quorum exists, the action of a majority of members present shall be the action
             78      of the [commission] committee.
             79          (4) (a) Except as provided in Subsection (4)(b), a [commission] committee member
             80      shall be appointed for a three-year term and eligible for two reappointments.
             81          (b) Notwithstanding Subsection (4)(a), the governor shall, at the time of appointment
             82      or reappointment, adjust the length of terms to ensure that the terms of [commission]
             83      committee members are staggered so that approximately 1/3 of the [commission] committee is
             84      appointed each year.
             85          (c) A [commission] committee member shall continue in office until the expiration of
             86      the member's term and until a successor is appointed, which may not exceed 90 days after the
             87      formal expiration of the term.
             88          (d) Notwithstanding Subsection (4)(c), a [commission] committee member who fails to
             89      attend 75% of the scheduled meetings in a calendar year shall be disqualified from serving.


             90          (e) When a vacancy occurs in membership for any reason, the replacement shall be
             91      appointed for the unexpired term.
             92          (5) (a) Board members who are not government employees may not receive
             93      compensation or benefits for the services, but may receive per diem and expenses incurred in
             94      the performance of their official duties at rates established by the Division of Finance under
             95      Sections 63A-3-106 and 63A-3-107 .
             96          (b) A [commission] committee member may decline to receive per diem and expenses
             97      for service to the [commission] committee.
             98          (6) The department shall provide informatics staff support to the [commission]
             99      committee.
             100          (7) The funding of the [commission] committee shall be a separate line item to the
             101      department in the annual appropriations act.
             102          Section 3. Section 26-9f-104 is amended to read:
             103           26-9f-104. Duties and responsibilities.
             104          The [commission] committee shall:
             105          (1) advise and make recommendations on [telehealth] digital health service issues to
             106      the department[, the Utah Technology Commission,] and other state entities;
             107          (2) advise and make recommendations on digital health service related patient privacy
             108      to the department;
             109          [(2)] (3) promote collaborative efforts to establish technical compatibility, uniform
             110      policies, and privacy features to meet legal, financial, commercial, and other societal
             111      requirements;
             112          [(3) serve as a clearinghouse on emerging telehealth technologies;]
             113          (4) identify, address, and seek to resolve the legal, ethical, regulatory, financial,
             114      medical, and technological issues that may serve as barriers to [telehealth] digital health
             115      service;
             116          (5) explore and encourage the development of [telehealth] digital health service
             117      systems as a means of reducing health care costs and increasing health care quality and access,
             118      [including] with emphasis on assisting rural health care providers and special populations with
             119      access to or development of electronic medical records;
             120          (6) seek public input on [telehealth] digital health service issues; and


             121          [(7) educate the public, state officials, and the health care community on telehealth
             122      issues; and]
             123          [(8)] (7) in consultation with the department, advise the governor and Legislature on:
             124          (a) the role of [telehealth] digital health service in the state;
             125          (b) the policy issues related to [telehealth] digital health service;
             126          (c) the changing [telehealth] digital health service needs and resources in the state; and
             127          (d) state budgetary matters related to [telehealth] digital health service.




Legislative Review Note
    as of 10-17-07 2:44 PM


Office of Legislative Research and General Counsel


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