House of Representatives State of Utah


         UTAH STATE CAPITOL COMPLEX . 350 STATE CAPITOL
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CORRECTED, 2/28/13

        February 27, 2013

Madam Speaker:

    The Health and Human Services Committee reports a favorable recommendation on H.B. 141, MEDICAID EMERGENCY ROOM AND PRIMARY CARE AMENDMENTS, by Representative M. Kennedy, with the following amendments:

1.    Page 2, Lines 56 through 58 :    

             56          (A) means use of the emergency room to receive health care that is nonemergent as
             57      defined by the department by administrative rule adopted in accordance with Title 63G,
             58      Chapter 3, Utah Administrative Rulemaking Act

  and the Emergency Medical Treatment and Active Labor Act       ; and


2.    Page 3, Line 67 :    

             67      services provided to a recipient on or after
{   January   }        July       1, 2014.


3.    Page 3, Line 72 :    

             72      Subsections (2)(a) and (b) is limited to
{   five   }        three       years after the date on which the medical services


4.    Page 3, Lines 74 through 76 :    

             74          (3) An accountable care organization shall
  :

    (a)  
use the savings under Subsection (2) to

             75      maintain and improve access to primary care and urgent care services for all of the recipients
             76      enrolled in the accountable care plan
  ; and

    (b) report to the department on how the accountable care organization complied with Subsection (3)(a)       .


5.    Page 4, Lines 96 through 103 :    

             96          (5) The department shall apply for a Medicaid waiver and a Children's Health
             97      Insurance Program waiver with the Centers for Medicare and Medicaid Services within the
             98      United States Department of Health and Human Services, to:
             99          (a) allow the program to charge recipients who are enrolled in an accountable care plan
             100      a higher copayment for emergency room services; and
             101          (b) develop, by administrative rule, an algorithm to determine assignment of new,
             102      unassigned recipients to specific accountable care plans based on the plan's performance in
             103      relation to the quality measures developed pursuant to Subsection (4)(a).
  (6) The department shall report to the Legislature's Health and Human Services Interim Committee on or before October 1, 2016, regarding implementation of this section.      


    Respectfully,

    Paul Ray
    Committee Chair

Voting: 7-0-2
3 hb0141.hc1.wpd 2/27/13 3:04 pm markandrews/MDA CJD/MDA

Bill Number
Action Class
Action Code

*HB0141*
*H*
*HCRAMD*

 HB0141
H
HCRAMD