| Members Present: Sen. Allen M. Christensen, Chair Rep. James A. Dunnigan, Chair Sen. Ann Millner Rep. Brad M. Daw Rep. Francis D. Gibson Rep. Marie H. Poulson Rep. Robert M. Spendlove Members Absent: | Sen. Gene Davis Sen. Evan J. Vickers Rep. Stewart E. Barlow Rep. Suzanne Harrison Staff Present: Mr. Mark D. Andrews, Policy Analyst Ms. Karin M. Rueff, Policy Analyst Mr. Daniel M. Cheung, Associate General Counsel Ms. Rikka Strong, Associate General Counsel Mr. Nathan Erickson, Administrative Assistant |
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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 Christensen called the meeting to order at 1:15 p.m. |
| 1. Committee Business |
| MOTION: Rep. Daw moved to approve the minutes from the November 13, 2019, meeting. The motion passed with a vote of 4-0-7. | |||
| Yeas - 4 | Nays-0 | Abs-7 | |
| Sen. A. Christensen Rep. B. Daw Rep. J. Dunnigan Rep. M. Poulson | Rep. S. Barlow Sen. G. Davis Rep. F. Gibson Rep. S. Harrison Sen. A. Millner Rep. R. Spendlove Sen. E. Vickers |
| 2. Medicaid Eligibility Expansion: Update |
| 2.2 Medicaid Expansion: At a Glance (Source: Utah Department of Health) |
| 2.3 Medicaid Adult Expansion Bridge Plan Report, November 13, 2019 (Source: Utah Department of Health) |
| Nate Checketts, Deputy Director, Utah Department of Health, gave an update on Medicaid eligibility expansion in Utah and answered clarifying questions from the task force. |
| 3. Medicaid Policy |
| 3.3 Moving Towards Integration Through Medicaid Expansion (SL County Behavioral Health) |
| Tim Whalen, Director, Salt Lake County Behavioral Health Services, spoke to the integration of medical and behavioral healthcare services in Utah's Medicaid program. |
| Brandon Hatch, Chair, Utah Behavioral Healthcare Committee of the Utah Association of Counties, spoke to the integration of medical and behavioral services and answered clarifying questions from the task force. |
| Jason Worthen, representing Utah Medicaid's four accountable care organizations (Health Choice Utah, Healthy U, Molina Healthcare, Select Health Community Care), also spoke to the integration of medical and behavioral services in Utah and answered clarifying questions from the task force. |
| Nate Checketts, Deputy Director, Utah Department of Health, thanked Emma Chacon for her work on the project and spoke to the integration effort. |
| Emma Chacon, Operations Director, Division of Medicaid and Health Financing, Utah Department of Health, thanked the stakeholders involved in the process of the integration. |
| Chair Christensen invited public comment. |
| Michael T. Hales, Senior Director, Government Healthcare Programs, University of Utah Health, recommended additional waivers to authorize federal funding of mental health services provided in residential settings with more than 16 beds and answered clarifying questions from the task force. |
| 3.2 State Medicaid Director Letter # 18?011, Opportunities to Design Innovative Service Delivery Systems for Adults with a Serious Mental Illness or Children with a Serious Emotional Disturbance (Source: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services) |
| Chair Christensen invited public comment. |
| Michael Hales continued to answer questions from the task force. |
| 4. Stop-Loss Coverage and the Small-Group Market |
| Tanji Northrup, Assistant Insurance Commissioner, Utah Insurance Department, introduced Jaakob Sundberg. |
| Jaakob Sundberg, Health Actuary, Utah Insurance Department, presented on stop-loss coverage and its impact on Utah's small-group heath insurance market and answered clarifying questions from the task force. |
| Steve Foxley, Director of Government Affairs for Utah, Cambia Health Solutions, spoke to the issue of stop-loss coverage and the small group market. |
| Kelly Atkinson, Executive Director, Utah Health Insurance Association, spoke to the issue of stop-loss coverage and the small group market. |
| Aliana White, Select Health, also spoke to the issue. |
| 5. Health Insurance Exchange: Actuarial Value of Silver Plans |
| Chad J. Westover, CEO, University of Utah Health Plans, addressed the committee on whether Utah should compress the allowable actuarial value range for silver-level plans offered on Utah's federal health insurance exchange. |
| Jaakob Sundberg addressed the committee on whether Utah should compress the allowable actuarial value range for silver-level plans offered on Utah's federal health insurance exchange, and answered clarifying questions from the committee. |
| 6. Prescription Drug Prices: Legislative Audit |
| 7.2 PRESENTATION: Performance Audit of PEHP?s Pharmacy Benefit Manager (Source - Office of the Legislative Auditor General) |
| Benjamin Buys, Audit Manager, Office of the Legislative Auditor General introduced, "Performance Audit of PEHP's Pharmacy Benefit Manager." |
| Sarah Flanigan, Legislative Auditor General's Office, presented the legislative auditor's report of an audit of PEHP's pharmacy benefit manager. |
| Sen. Vickers spoke to the issue and expressed his concern about certain findings in the audit. |
| Chet Loftis, Managing Director, PEHP Health and Benefits, expressed appreciation for the Auditor's Office and addressed findings of the Audit. |
| 7. Behavioral Health: Access to Care |
| 8.1 DRAFT LEGISLATION: Suicide Prevention and Mental Health Access Amendments (sponsor: S. Eliason) |
| 8.2 DRAFT LEGISLATION: Crisis Services Amendments (sponsor: S. Eliason) |
| 8.3 DOCUMENT: Utah?s Coordinated Crisis System (Source: Rep. Eliason) |
| 8.3.2 DOCUMENT: Utah's Coordinated Crisis System (Rep. Eliason) |
| 8.4 CHART: Utah's Coordinated Crisis System (Source: Utah Hospital Association) |
| 8.5 PRESENTATION: Suicide Prevention Policy in Utah (Rep. Eliason) |
| 8.6 PRESENTATION: Utah's Coordinated Crisis System (Rep. Eliason) |
| 8.7 VIDEO: "Its Been a Bad Day (Crisis Now)" (Rep. Eliason) |
| Rep. Steve Eliason introduced the agenda item. |
| Greg Bell, President, Utah Hospital Association, provided background information on the issue of behavioral health. |
| Rep Eliason presented on behavioral health. |
| 8. Adjourn |
| MOTION: Sen. Millner moved to adjourn. The motion passed with a vote of 6-0-5. | |||
| Yeas - 6 | Nays-0 | Abs-5 | |
| Sen. A. Christensen Rep. B. Daw Rep. J. Dunnigan Sen. A. Millner Rep. M. Poulson Rep. R. Spendlove | Rep. S. Barlow Sen. G. Davis Rep. F. Gibson Rep. S. Harrison Sen. E. Vickers |
| Chair Christensen adjourned the meeting at 4:06 p.m. |