Download Zipped Introduced WordPerfect HB0391S02.ZIP
[Status][Bill Documents][Fiscal Note][Bills Directory]

Second Substitute H.B. 391

Representative Jacob L. Anderegg proposes the following substitute bill:




Chief Sponsor: Jacob L. Anderegg

Senate Sponsor: J. Stuart Adams

             7      LONG TITLE
             8      General Description:
             9          This bill amends the governor's programs related to the Health System Reform Act by
             10      prohibiting the governor and the Department of Health from expanding the Medicaid
             11      program.
             12      Highlighted Provisions:
             13          This bill:
             14          .    prohibits the governor or the Department of Health from expanding Medicaid to the
             15      optional population under the Patient Protection and Affordable Care Act.
             16      Money Appropriated in this Bill:
             17          None
             18      Other Special Clauses:
             19          None
             20      Utah Code Sections Affected:
             21      ENACTS:
             22          26-18-18, Utah Code Annotated 1953
             23          63M-1-2508, Utah Code Annotated 1953
             25      Be it enacted by the Legislature of the state of Utah:

             26          Section 1. Section 26-18-18 is enacted to read:
             27          26-18-18. Prohibition of Medicaid expansion.
             28          The department shall comply with Section 63M-1-2508 .
             29          Section 2. Section 63M-1-2508 is enacted to read:
             30          63M-1-2508. Prohibition of Medicaid expansion.
             31          (1) The purpose of this section is to respond to Chief Justice Robert's opinion in Nat'l
             32      Federation of Business v. Sebelius, Sec'y of Health and Human Services, 132 S.Ct. 2566
             33      (2012) which stated:
             34          (a) "In the typical case we look to the States to defend their prerogatives by adopting
             35      'the simple expedient of not yielding' to federal blandishments when they do not want to
             36      embrace the federal policies as their own. The States are separate and independent sovereigns.
             37      Sometimes they have to act like it...'; and
             38          (b) " . . . As for the Medicaid expansion, that portion of the Affordable Care Act
             39      violates the Constitution by threatening existing Medicaid funding. Congress has no authority
             40      to order the States to regulate according to its instructions. Congress may offer the States
             41      grants and require the States to comply with accompanying conditions, but the States must
             42      have a genuine choice whether to accept the offer. The States are given no such choice in this
             43      case: They must either accept a basic change in the nature of Medicaid, or risk losing all
             44      Medicaid funding. The remedy for that constitutional violation is to preclude the Federal
             45      Government from imposing such a sanction. . . .".
             46          (2) The Governor and the Department of Health shall not expand the state Medicaid
             47      program to the optional expansion population under the Patient Protection and Affordable Care
             48      Act, as permitted by the Supreme Court decision described in Subsection (1).

[Bill Documents][Bills Directory]