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APPROVED
MINUTES OF THE
SOCIAL SERVICES APPROPRIATIONS SUBCOMMITTEE
Tuesday,
June 20, 2017
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8:30 a.m.
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30 House Building
Members Present:
Rep. Paul Ray, House Chair
Rep. Raymond P. Ward, House Vice Chair
Sen. Daniel Hemmert
Sen. Todd Weiler
Rep. Rebecca Chavez-Houck
Rep. Michael S. Kennedy
Rep. Edward H. Redd
Rep. Norman K. Thurston
Members Absent:
Sen. Allen M. Christensen, Senate Chair
| Sen. Luz Escamilla
President Wayne L. Niederhauser
Sen. Brian E. Shiozawa
Sen. Kevin T. Van Tassell
Rep. Rebecca P. Edwards
Rep. Timothy D. Hawkes
Rep. Sandra Hollins
Staff Present:
Mr. Russell T. Frandsen, Fiscal Analyst
Mr. Gary K. Ricks, Fiscal Analyst
Ms. Clare Tobin Lence, Fiscal Analyst
Ms. Linda Service, Committee Secretary
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Note: A copy of related materials and an audio recording of the
meeting can be found at www.le.utah.gov.
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| Chair Ray called the meeting to order at 8:49 a.m. |
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| 1.
Public Input on Topics on Today's Agenda |
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| There was no public input on topics on today's agenda. |
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| 2.
Budget Deep-Dive into Newborn Screening Program |
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| 4a-Issue Brief - 2017 Interim - Budget Deep-Dive into Newborn Screening Programs |
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4a-Issue Brief - 2017 Interim - Budget Deep-Dive into Newborn Screening Programs
| 4b-Newborn Screening - June 20 2017 - Interim Session |
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4b-Newborn Screening - June 20 2017 - Interim Session
| Mr. Russell Frandsen, Fiscal Analyst, presented an overview of the Newborn Screening Program, explained the Issue Brief and recommendations. |
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| Ms. Heather Borski, Director, Division of Disease Control and Prevention, Utah Department of Health, gave a slide presentation of the newborn screening programs. |
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| Mr. Paul Patrick, Director, Division of Family Health and Preparedness, Utah Department of Health, discussed the newborn hearing and heart disease testing programs. |
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| Mr. Patrick responded to questions from Rep. Ward regarding reporting of heart disease on birth certificates. |
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| Ms. Borski and Mr. Frandsen clarified the procedure for initiating or changing fees in response to questions from Rep. Kennedy. |
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| Ms. Amy Nance, Program Manager, Utah Department of Health, responded to Rep. Ward's questions related to newborn hearing and birth certificate reporting. |
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| Ms. Nance responded to questions from Rep. Redd regarding screening and testing results. |
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| Mr. Frandsen offered further clarification with information from the Department of Health. |
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| Ms. Nance and Mr. Nate Checketts, Deputy Director and Medicaid Director, Utah Department of Health, replied to questions from Rep. Chavez-Houck related to services covered by Medicaid such as newborn testing and follow-up. |
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| Mr. Frandsen commented on a question from Rep. Chavez-Houck regarding costs. |
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| Ms. Nance responded to Rep. Chavez-Houck's question related to birth certificate reporting. |
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| Chair Ray commented on the birth certificate reporting in Utah. |
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| Dr. Joe Miner, Executive Director, Utah Department of Health, responded to a question from Rep. Redd regarding whether or not information on birth certificates are of public record. |
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| Chair Ray asked the committee members if there was any action they would like to take at this time. Rep Redd and Rep. Chavez-Houck responded. |
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| 3.
Update on Utah Medicaid Enhancement |
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| Mr. Checketts reported on H.B. 437, along with responding to questions from Rep. Ward and Rep. Chavez-Houck. |
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| 4.
Converting to Value-Based Payments |
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| 6-Memo - Medicaid ACO Reports on Efforts to Convert to Value-based Payments |
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6-Memo - Medicaid ACO Reports on Efforts to Convert to Value-based Payments
| Dr. David Patton, President and CEO, Molina Healthcare of Utah, commented on the purpose of the coalition and the need for a value-based approach. |
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| Mr. Russ Elbel, Medicaid Program Director, SelectHealth, presented an overview of SelectHealth Community Care. He also responded to a question from Rep. Ward with regard to contracts with physicians. |
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| Members of the coalition group spoke to clarify the contract issue. |
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| Mr. Chad Westover, CEO, University of Utah Health Plans, responded to questions from Rep. Redd. |
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| Mr. Jason Worthen, CEO, Health Choice Utah, commented on Rep. Redd's concerns. |
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| Mr. Westover continued with a presentation on the University's health plans. |
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| Rep. Kennedy asked how to engage with patients. |
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| 5.
Utah Nursing Consortium |
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| Dr. Dale Maughan, Associate Professor and Chair, Department of Nursing, Utah Valley University, offered a historical perspective on nursing concerns. |
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| Ms.Teresa Garrett, Project Director, Utah Nursing Consortium, and Assistant Professor, University of Utah, discussed the program. |
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| Rep. Thurston asked: 1) What efforts have been made in figuring how to get increased throughput, and 2) What efforts have been made to create programs farther down the scale? |
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| Mr. Dave Gessel, Executive Vice President, Utah Hospital Association, and Ms. Garrett spoke to Rep. Thurston's questions. |
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| Rep. Redd commented on the shortage of adequate professionals and inadequate funds. |
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| Mr. Gessel responded to a concern expressed by Rep. Chavez-Houck of tracking and keeping trained nurses in Utah. |
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| 6.
Comparison of Social Services Recommendations to Final Action Taken by the Legislature |
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| 8-Social Services Priorities Compared to Final Funding - June 2017 |
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8-Social Services Priorities Compared to Final Funding - June 2017
| Chair Ray informed the committee that Mr. Frandsen prepared a handout "Report on the Comparison of Social Services Recommendations to Final Actions Taken by the Legislature," that is now available for review. |
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| 7.
Reassessment of Performance Measure for Emergency Medical Services and Preparedness |
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| Mr. Paul Patrick, Director, Division of Family Health and Preparedness, Utah Department of Health, along with Mr. Dean Penovich, Director, Emergency Medical Services, discussed performance measures. |
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| 8.
Publicly Funded Web Resources for Provider Quality Comparison |
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| 10-Publicly Funded Web Resources for Provider Quality Comparison - June 2017 |
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10-Publicly Funded Web Resources for Provider Quality Comparison - June 2017
| 10b-Power Point - DHS - Publicly Funded Web Resources for Provider Quality Comparison - June 2017 |
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10b-Power Point - DHS - Publicly Funded Web Resources for Provider Quality Comparison - June 2017
| Mr. Checketts briefly discussed posting quality measures related to the Medicaid Program. |
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| Mr. Joel Hoffman, Bureau Director, Health Facility Licensing and Certification, Utah Department of Health, commented on information on the Medicare.gov Nursing Home Compare website. |
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| Mr. Charles Hawley, Analytic Lead, Office of Health Care Statistics, Utah Department of Health, reviewed websites. |
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| Rep. Thurston commented on the need to get quality improvement in the system. |
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| Ms. Angella Pinna, Director, Division of Services for People with Disabilities, discussed information specific to their service system. |
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| Chair Ray informed the committee members that the meeting will reconvene at 1:15 p.m. |
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| Rep. Thurston moved to adjourn. |
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| Chair Ray adjourned the meeting at 11:14 a.m. |
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