Fifth Substitute H.B. 391

This document includes Senate 2nd and 3rd Reading Floor Amendments incorporated into the bill on Wed, Mar 13, 2013 at 7:20 PM by cmillar. -->

Senator Todd Weiler proposes the following substitute bill:

1 PROHIBITION OF MEDICAID EXPANSION
2 2013 GENERAL SESSION
3 STATE OF UTAH
4 Chief Sponsor: Jacob L. Anderegg
5 Senate Sponsor: J. Stuart Adams
6 Cosponsors:
7 Jerry B. Anderson
8 Derek E. Brown
9 Kay J. Christofferson
10 Brad L. Dee
11 Jack R. Draxler
12 Gage Froerer
13 Francis D. Gibson
14 Brian M. GreeneRichard A. Greenwood
Keith Grover
Ken Ivory
Michael S. Kennedy
John Knotwell
Dana L. Layton
David E. Lifferth
Daniel McCay
Curtis OdaLee B. Perry
Jeremy A. Peterson
Marc K. Roberts
Douglas V. Sagers
Jon E. Stanard
R. Curt Webb
John R. Westwood 15
16 LONG TITLE
17 General Description:
18 This bill amends the Health Code related to the state Medicaid program by prohibiting
19 the expansion of the Medicaid program under certain circumstances.
20 Highlighted Provisions:
21 This bill:
22 . defines terms;
23 . prohibits the Department of Health or the governor from expanding the state
24 Medicaid program to optional expansion populations unless:

25 . the Health System Reform Task Force completes a review of a statewide charity
26 care system;
27 . the department completes a thorough analysis of the impact of Medicaid
28 expansion in the state and makes the analysis available to the public; and
29 . the department reports to the Legislature in accordance with statutory reporting
30 requirements.
31 Money Appropriated in this Bill:
32 None
33 Other Special Clauses:
34 S. [ None ] This bill has an immediate effective date. .S
35 Utah Code Sections Affected:
36 ENACTS:
37 26-18-18, Utah Code Annotated 1953
38
39 Be it enacted by the Legislature of the state of Utah:
40 Section 1. Section 26-18-18 is enacted to read:
41 26-18-18. Optional Medicaid expansion.
42 (1) For purposes of this section PPACA is as defined in Section 31A-1-301 .
43 (2) The department and the governor shall not expand the state's Medicaid program to
44 the optional population under PPACA unless:
45 (a) the Health System Reform Task Force has completed a thorough analysis of a
46 statewide charity care system;
47 (b) the department and its contractors have:
48 (i) completed a thorough analysis of the impact to the state of expanding the state's
49 Medicaid program to optional population under PPACA; and
50 (ii) made the analysis conducted under Subsection (2)(b)(i) available to the public;
51 (c) the S. [ department ] governor or the governor's designee .S has reported S. [ its ]
51a the .S intention to expand the state Medicaid program
52 under PPACA to the Legislature in compliance with the legislative review process in Sections
53 63M-1-2505.5 and 26-18-3 ; and
54 (d) notwithstanding Subsection 63 S. J .S -5-103 (2), the governor submits the request
54a for
55 expansion of the Medicaid program for optional populations to the Legislature under the high

56 impact federal funds request process required by Section 63J-5-204 , Legislative review and
57 approval of certain federal funds request.
57a S. Section 2. Effective date.
57b If approved by two-thirds of all the members elected to each house, this bill takes effect
57c upon approval by the governor, or the day following the constitutional time limit of Utah
57d Constitution Article VII, Section 8, without the governor's signature, or in the case of veto, the
57e date of veto override. .S

[Bill Documents]