H.B. 391 Enrolled

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
Richard A. GreenwoodKeith 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 14
15 LONG TITLE
16 General Description:
17 This bill amends the Health Code related to the state Medicaid program by prohibiting
18 the expansion of the Medicaid program under certain circumstances.
19 Highlighted Provisions:
20 This bill:
21 . defines terms;
22 . prohibits the Department of Health or the governor from expanding the state
23 Medicaid program to optional expansion populations unless:
24 . the Health Reform Task Force completes a review of a statewide charity care
25 system;
26 . the department completes a thorough analysis of the impact of Medicaid
27 expansion in the state and makes the analysis available to the public; and

28 . the department reports to the Legislature in accordance with statutory reporting
29 requirements.
30 Money Appropriated in this Bill:
31 None
32 Other Special Clauses:
33 This bill has an immediate effective date.
34 Utah Code Sections Affected:
35 ENACTS:
36 26-18-18, Utah Code Annotated 1953
37
38 Be it enacted by the Legislature of the state of Utah:
39 Section 1. Section 26-18-18 is enacted to read:
40 26-18-18. Optional Medicaid expansion.
41 (1) For purposes of this section PPACA is as defined in Section 31A-1-301 .
42 (2) The department and the governor shall not expand the state's Medicaid program to
43 the optional population under PPACA unless:
44 (a) the Health Reform Task Force has completed a thorough analysis of a statewide
45 charity care system;
46 (b) the department and its contractors have:
47 (i) completed a thorough analysis of the impact to the state of expanding the state's
48 Medicaid program to optional populations under PPACA; and
49 (ii) made the analysis conducted under Subsection (2)(b)(i) available to the public;
50 (c) the governor or the governor's designee has reported the intention to expand the
51 state Medicaid program under PPACA to the Legislature in compliance with the legislative
52 review process in Sections 63M-1-2505.5 and 26-18-3 ; and
53 (d) notwithstanding Subsection 63J-5-103 (2), the governor submits the request for
54 expansion of the Medicaid program for optional populations to the Legislature under the high
55 impact federal funds request process required by Section 63J-5-204 , Legislative review and

56 approval of certain federal funds request.
57 Section 2. Effective date.
58 If approved by two-thirds of all the members elected to each house, this bill takes effect
59 upon approval by the governor, or the day following the constitutional time limit of Utah
60 Constitution Article VII, Section 8, without the governor's signature, or in the case of a veto,
61 the date of veto override.

[Bill Documents]