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Social Services Appropriations Subcommittee - October 18, 2022
Visually Impaired Services, 250 N 1950 W, Salt Lake City, Utah 84116
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Recording 1
1:00 Call to Order
Chair Ward called the meeting back to order at 1:36 p.m.
1:05 Public Input on Topics on Today's Agenda
There were no members of the public who requested to speak.
1:10 Unfinished Items from the Morning Agenda
Accountable Base Budget - Division of Services for People with Disabilities
Sean Faherty introduced agenda item 11 from the morning session - Accountable Base Budget - Division of Services for People with Disabilities.
Rep. Pierucci asked if incarcerated individuals remain on the waitlist, and Sean Faherty responded.
Chair Ward asked if additional information would be useful, and Angela Pinna, Division Director, Department of Health and Human Services (DHHS), responded.
Sean Faherty continued with the presentation.
Rep. Judkins asked about nursing home payment limits, and Nate Checketts, Deputy Director, DHHS, responded.
Rep. Ivory moved to approve the staff recommendations on slides 23 and 25.
Chair Ward moved to direct the Chairs of the Social Services Appropriations Subcommittee prepare a letter for the Executive Appropriations Committee (EAC) requesting that funding FY 2024 mandated additional needs cost increases for individual services with the Division of Service for People with Disabilities be included in the FY 2024 Social Services Base Budget Bill.
Medicaid Caregiver Compensation Options and Future Outlook
Sean Faherty introduced agenda item 13 from the morning session - Medicaid Caregiver Compensation Options and Future Outlook.
Tonya Hales, Assistant Deputy Director, DHHS, and Angela Pinna presented Medicaid Caregiver Compensation Options and Future Outlook.
Rep. Judkins asked for additional information on waivers, and Tonya Hales responded.
Sen. Escamilla asked if legislative action is required to continue funding, and Tonya Hales responded.
Rep. Daily-Provost commented on S.B. 63.
1:10 Environmental Chemistry Comprehensive Plan
4a-DEQ and UPHL Comprehensive Plan for Services - 2022
4b-UPHL DEQ update
Andreas Rohrwasser, Director, Public Health Laboratories, DHHS, and John Mackey, Director, Division of Water Quality, Department of Environmental Quality, presented the information.
Rep. Judkins asked for additional information on the bid process, and John Mackey responded.
Andreas Rohrwasser continued with the presentation.
Rep. Judkins asked which department funds the program, and John Mackey and Andreas Rohrwasser responded.
Sen. Escamilla asked if Social Services continues to fund the testing, and Russell Frandsen responded.
1:30 Performance Measures for Newly Funded Items FY 2022 Results
6a-2022 FN Follow Up Recommendations and Agency Responses
Kimberly Madsen, Sean Faherty, and Russell Frandsen introduced the performance measures.
Rep. Thurston asked how providers will be found when there is a shortage, and Sean Faherty responded.
Rep. Judkins asked which subcommittee was funding the program, and Sean Faherty responded.
Rep. Dailey-Provost moved the Legislature intends that the Department of Health and Human Services keep the $2,629,500 excess ongoing General Fund provided for 2021GS - Caregiver Compensation Amendments (2021 G.S. - S.B 63) and use the funding to maintain caregiver compensation for caring for minor and adult children currently paid for by the federal government during the public health emergency starting in FY 2024 to the extent funds are available. (Explanatory notes: This action lets the agency keep the excess ongoing funds, but still sweeps the onetime excess funds in FY 2023.)
After extensive committee discussion, Rep. Dailey-Provost's motion
Rep. Thurston moved to accept the other items on the list that were supported by the agency.
2:40 The Point by Switchpoint Airport Location Tour
The committee attended the tour.
1:25 Building Block Performance Measures - FY 2021 Report Follow Ups
Russell Frandsen presented the report to the committee.
1:45 Line Item Performance Measures
7a-2022 General Session Line Item Performance Measures with DWS Recommended Changes
7c-Summary of DWS Proposed Changes to Line Item Measures
Rep. Judkins asked where the committee could find the information, and Kimberly Madsen and Russell Frandsen responded.
7b-DHHS Line Item Performance Measures - October 14, 2022
Russell Frandsen introduced the performance measures for DHHS.
Sean Faherty continued with the presentation.
Amanda Slater, Assistant Deputy Director, DHHS, presented additional information.
2:05 Utah Sustainable Health Collaborative
James Wissler, Executive Director, Utah Sustainable Health Collaborative, presented information on the work of the collaborative.
2:15 Homeless Services Strategy and Performance Measures
The agenda item was not discussed.
2:35 Opioid Settlement Fund Recommendations from Social Services - Delayed Until
The agenda item is delayed until the 2023 General Session.
3:30 Funding Spread for Local Health Departments
Seth Anderson, Policy Analyst, Office of Legislative Research and General Counsel, presented the Funding Spread for Local Health Departments.
Jill Parker, Executive Director, Utah Association of Local Health Departments, and Jordan Mathis, Director, Bear River Health Department, responded to questions from the committee.
13a-Tobacco Product Retail Non-Compliance Rate Report - 2022
Russell Frandsen presented the report.
3:45 Non-compliance Rate of Retailers Selling Tobacco Products to Youth
Sen. Thatcher asked what the fines are when a store is caught selling to a minor, and Braden Ainswort, Health Program Manager, DHHS, responded.
Rep. Judkins asked if the report included vaping products, and Braden Ainswort responded.
4:00 Number of Sudden Unexplained Infant Deaths
14a-Sudden Unexplained Infant Death (SUID) Prevention Report - 2022
Anna Fondario, Office Director, DHHS, discussed sudden unexplained infant deaths.
Heather Borski, Assistant Deputy Director, DHHS, addressed questions from the committee.
Rep. Judkins commented on the terms we use regarding unsafe sleep factors for infants.
4:15 Tobacco Cessation Medicaid Match
15a-Medicaid Match and Tobacco Cessation Report - 2022
Russell Frandsen presented the agenda item.
4:20 Asthma Home Based Case Management in Medicaid
16a-Legislative Committee Report - Medicaid, Asthma
Anna Fondario presented the agenda item to the committee.
Jennifer Strohecker, State Medicaid Director, continued with the presentation.
4:35 State-run Health Clinic Transition to Private Provider Update
17a-Health Clinics of Utah Transition Plan and Letter
Michelle Hoffman, Executive Medical Director, DHHS, and Rebecca Brown, Assistant Deputy Director, DHHS, provided the update on the transition.
4:40 Graduate Medical Education Funding Options
18a-Medicaid Graduate Medical Education Expansion Report - 2022
Russell Frandsen explained the funding options.
4:45 Update on A Performance Audit of the Culture and Grant Management Process of
Nate Checketts provided the update on the department's actions in response to the audit.
Rep. Peterson asked about requirements for local health departments, and Nate Checketts and Heather Borski responded.
4:55 Other Business
20b-Hepatitis C Outreach Pilot Program - 2022
20c-Adult Autism Treatment Program Report - 2022
20a-Electronic Cigarette Substance and Nicotine Product Tax Restricted Account - 2022
Russell Frandsen discussed the electronic cigarette tax.
Rep. Judkins moved to approve proposed performance measures and targets listed for (1) Health and Human Services in the document entitled "Line Item Performance Measures" and dated 10/14/2022 and (2) Workforce Services in the document entitled "2022 General Session Line Item Performance Measures with DWS Recommended Changes." Additionally, authorize staff to add all the technical parts (statutory reference, reporting dates, mission statements, etc.) of the performance measure intent language needed for inclusion in the Social Services Base Budget. Additionally, Rep. Judkins moved that legislative staff shall work with the Department of Health and Human Services to include at least one performance measure for (1) client quality of Medicaid healthcare received and (2) agency performance with Medicaid providers for inclusion in the Social Services Base Budget bill.
Sen. Weiler moved to direct staff to align reports with the timing of the accountable base budget.
The motion
Sen. Weiler moved to adjourn.
Chair Ward adjourned the meeting at 5:00 p.m.
1:00 Call to Order
1:00 Call to Order
1:05 Public Input on Topics on Today's Agenda
1:05 Public Input on Topics on Today's Agenda
1:10 Unfinished Items from the Morning Agenda
1:10 Unfinished Items from the Morning Agenda
1:10 Environmental Chemistry Comprehensive Plan
1:10 Environmental Chemistry Comprehensive Plan
1:25 Building Block Performance Measures - FY 2021 Report Follow Ups
1:25 Building Block Performance Measures - FY 2021 Report Follow Ups
1:30 Performance Measures for Newly Funded Items FY 2022 Results
1:30 Performance Measures for Newly Funded Items FY 2022 Results
1:45 Line Item Performance Measures
1:45 Line Item Performance Measures
2:05 Utah Sustainable Health Collaborative
2:05 Utah Sustainable Health Collaborative
2:15 Homeless Services Strategy and Performance Measures
2:15 Homeless Services Strategy and Performance Measures
2:35 Opioid Settlement Fund Recommendations from Social Services - Delayed Until
2:35 Opioid Settlement Fund Recommendations from Social Services - Delayed Until
2:40 The Point by Switchpoint Airport Location Tour
2:40 The Point by Switchpoint Airport Location Tour
3:30 Funding Spread for Local Health Departments
3:30 Funding Spread for Local Health Departments
3:45 Non-compliance Rate of Retailers Selling Tobacco Products to Youth
3:45 Non-compliance Rate of Retailers Selling Tobacco Products to Youth
4:00 Number of Sudden Unexplained Infant Deaths
4:00 Number of Sudden Unexplained Infant Deaths
4:15 Tobacco Cessation Medicaid Match
4:15 Tobacco Cessation Medicaid Match
4:20 Asthma Home Based Case Management in Medicaid
4:20 Asthma Home Based Case Management in Medicaid
4:35 State-run Health Clinic Transition to Private Provider Update
4:35 State-run Health Clinic Transition to Private Provider Update
4:40 Graduate Medical Education Funding Options
4:40 Graduate Medical Education Funding Options
4:45 Update on A Performance Audit of the Culture and Grant Management Process of
4:45 Update on A Performance Audit of the Culture and Grant Management Process of
4:55 Other Business
4:55 Other Business
AGENDA
AGENDA
MINUTES
MINUTES
NOTICE
NOTICE
4a-DEQ and UPHL Comprehensive Plan for Services - 2022
4a-DEQ and UPHL Comprehensive Plan for Services - 2022
4b-UPHL DEQ update
4b-UPHL DEQ update
5-PM Motion Response 10-18-2022
5-PM Motion Response 10-18-2022
6a-2022 FN Follow Up Recommendations and Agency Responses
6a-2022 FN Follow Up Recommendations and Agency Responses
7a-2022 General Session Line Item Performance Measures with DWS Recommended Changes
7a-2022 General Session Line Item Performance Measures with DWS Recommended Changes
7b-DHHS Line Item Performance Measures - October 14, 2022
7b-DHHS Line Item Performance Measures - October 14, 2022
7c-Summary of DWS Proposed Changes to Line Item Measures
7c-Summary of DWS Proposed Changes to Line Item Measures
10a-OUHC Presentation to Appropriations - October 18, 2022
10a-OUHC Presentation to Appropriations - October 18, 2022
12a-Responses to local health department funding questions - 10-18-22
12a-Responses to local health department funding questions - 10-18-22
12b-Responses to local health department funding questions - 10-18-22
12b-Responses to local health department funding questions - 10-18-22
12c-Utah's Local Health Departments
12c-Utah's Local Health Departments
12d-Utah's Local Health Departments Handout
12d-Utah's Local Health Departments Handout
12e-2022 SSA October Interim LHD Presentation
12e-2022 SSA October Interim LHD Presentation
13a-Tobacco Product Retail Non-Compliance Rate Report - 2022
13a-Tobacco Product Retail Non-Compliance Rate Report - 2022
14a-Sudden Unexplained Infant Death (SUID) Prevention Report - 2022
14a-Sudden Unexplained Infant Death (SUID) Prevention Report - 2022
15a-Medicaid Match and Tobacco Cessation Report - 2022
15a-Medicaid Match and Tobacco Cessation Report - 2022
16a-Legislative Committee Report - Medicaid, Asthma
16a-Legislative Committee Report - Medicaid, Asthma
16b-Medicaid Asthma Legislative Report
16b-Medicaid Asthma Legislative Report
17a-Health Clinics of Utah Transition Plan and Letter
17a-Health Clinics of Utah Transition Plan and Letter
18a-Medicaid Graduate Medical Education Expansion Report - 2022
18a-Medicaid Graduate Medical Education Expansion Report - 2022
20a-Electronic Cigarette Substance and Nicotine Product Tax Restricted Account - 2022
20a-Electronic Cigarette Substance and Nicotine Product Tax Restricted Account - 2022
20b-Hepatitis C Outreach Pilot Program - 2022
20b-Hepatitis C Outreach Pilot Program - 2022
20c-Adult Autism Treatment Program Report - 2022
20c-Adult Autism Treatment Program Report - 2022
Motion - Dailey-Provost - Redirect Caregiver Compensation Excess Funds - 10-18-2022
Motion - Dailey-Provost - Redirect Caregiver Compensation Excess Funds - 10-18-2022
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