| Members Present: Sen. Allen M. Christensen, Senate Chair Rep. Paul Ray, House Chair Rep. Raymond P. Ward, House Vice Chair Sen. Kirk A. Cullimore Sen. Luz Escamilla Sen. Daniel Hemmert Sen. Todd Weiler Rep. Steve R. Christiansen Rep. Kim F. Coleman Rep. Jennifer Dailey-Provost Rep. Sandra Hollins Rep. Marsha Judkins | Rep. Adam Robertson Members Absent: President J. Stuart Adams Sen. Keith Grover Rep. Brad M. Daw Rep. Norman K. Thurston Staff Present: An Bradshaw, Committee Secretary Douglas B. Farr, IT Manager Russell T. Frandsen, Finance Officer Clare Tobin Lence, Finance Manager Kimberly D. Madsen, Financial Analyst |
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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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| 1. 1:00 Call to Order |
| Chair Ray called the meeting to order at 1:15 p.m. |
| 2. 1:00 Unfinished Items from the Morning Agenda |
| Emma Chacon, Operations Director, Division of Medicaid and Health Financing, Department of Health (DOH), discussed administrative rules with costs over $7.5 million, beginning with Eligibility for Home and Community-Based Services Waivers. |
| Emma Chacon discussed Targeted Adult Medicaid. |
| Emma Chacon discussed Adult Expansion Medicaid. |
| Emma Chacon discussed Nursing Care Facility Assessments. |
| Rep. Ward requested additional information about the number of facilities which don't take Medicaid and Emma Chacon responded. |
| Clare Tobin Lence identified the next item that was remaining from the morning meeting, regarding state medical and dental clinics. |
| Dr. Marc Babitz, Deputy Director, DOH, provided information regarding the State's medical and dental clinics which were discussed in the 8:00 a.m. meeting. |
| Sen. Escamilla asked about the possibility of allocating funds to community health centers and Marc Babitz responded. |
| Chair Ray made a comment on the lack of primary care physicians in the State. Marc Babitz noted that Utah is 49th out of the 50 states in the number of primary care physicians for the population ratio. |
| 3. 1:20 2019 Fiscal Note and Budget Item Follow-Up Report - Remaining Reports |
| 4ai-Follow-Up Report 2019 - Assisted Living Reporting |
| 4aii-Follow-Up Report - Assisted Living Reporting - 2020 Interim Update |
| Clare Tobin Lence introduced 2019 Fiscal Note and Budget Item Follow-Up Report - Remaining Reports. |
| Nels Holmgren, Director, Division of Adult and Aging Services, Department of Human Services (DHS), explained the report. |
| 4bi-Follow-Up Report 2019 - DCFS Runaway Reporting |
| 4bii-DCFS FY20 Review of Caseworker Compliance with S.B.125 Data |
| Clare Tobin Lence introduced DCFS FY20 Review of Caseworker Compliance with S.B. 125 Data. |
| Charri Brummer, Assistant Director, Division of Child and Family Services, DHS, explained the report. |
| Kimberly Madsen introduced the Follow-Up Report 2019 - Operation Rio Grande. |
| Nathan Harrison, Director of Administrative Support, Department of Workforce Services (DWS), presented the Follow-Up Report 2019 - Operation Rio Grande. |
| Rep. Judkins asked for more information about mental health and housing services. |
| Jonathan Hardy, Director, Division of Housing and Community Development, DWS, answered Rep. Judkin's questions. Chair Ray provided additional information. |
| Rep. Coleman asked why the Rio Grande area is returning to its former state and Jonathan Hardy and Chair Ray responded. |
| Sen. Escamilla asked if the State planned to deploy more social workers to address the homeless issues and Chair Ray responded. |
| Rep. Hollins discussed the need for additional mental health and substance abuse treatment for the Rio Grande area. |
| 4. 1:40 Status of Recommendations From 2019 Interim Work on Accountable Base Budget Review |
| 5a-Health Report on Internal Audit Recommendations |
| Clare Tobin Lence explained Status of Recommendations From 2019 Interim Work on Accountable Base Budget Review and the DHS report. |
| Russell Frandsen presented the portion of the report dealing with DOH. |
| Kimberly Madsen discussed the portion of the report dealing with DWS. |
| 5. 1:50 Report on Prevention Efforts Related to Substance Use Disorder and Mental Health |
| 6-An Inventory of Prevention Programs in Utah |
| Doug Thomas, Director, Division of Substance Abuse and Mental Health (DSAMH), DHS, introduced the report to the committee. |
| Brent Kelsey, Assistant Director, DSAMH, DHS, discussed the division's work in the areas covered by the report and addressed questions from members of the committee. |
| Rep. Christiansen praised the division's focus on prevention and asked for additional information on how DSAMH measures the effectiveness of programs and Brent Kelsey responded. |
| Rep. Ward thanked Brent Kelsey for the report and asked for more information about the focus of the report. Rep. Ward also asked about the efficacy of Utah's prevention programs in substance abuse and suicide in comparison to other states. Brent Kelsey responded. |
| 6. 2:15 Methadone Therapy Options |
| 7a-Pew Two Other State Examples of Handling Methadone Therapy |
| Emma Chacon explained Methadone Therapy Options. |
| Doug Thomas added more information regarding methadone treatment. |
| Rep. Ward asked for clarification about treatment options and Emma Chacon responded. |
| Chair Ray asked about the length of time a person is on methadone and Rep. Ward responded. |
| 7. 2:45 Update on Division of Services for People with Disabilities Budget Shortfall |
| Angie Pinna, Director, Division of Services for People with Disabilities, DHS, gave the Update on Division of Services for People with Disabilities Budget Shortfall. |
| 8. 2:50 Utah Transportation Authority Rates for Clients with Disabilities |
| 9-Utah Transit Authority Rates for Clients with Disabilities |
| Angie Pinna discussed Utah Transportation Authority Rates for Clients with Disabilities. |
| Ryan Taylor, Coordinated Mobility Manager, Utah Transit Authority, provided detailed information about the proposed reimbursement rates for transporting clients with disabilities. |
| Rep. Judkins asked for clarification about the reimbursements and Ryan Taylor responded. |
| 9. 3:00 A Performance Audit of the Permanent Community Impact Fund |
| 10-CIB Audit Presentation to Social Services |
| 10b-Audit Action Tracker - Social Services Appropriations Subcommittee |
| Benn Buys, Audit Manager, Office of Legislative Auditor General (OLAG), commended Jonathan Hardy for his efforts to implement audit recommendations and presented Performance Audit of the Permanent Community Impact Fund. |
| Jonathan Hardy thanked the auditors for their work and responded to the audit. |
| Rep. Judkins asked for more information regarding bidding for projects and Benn Buys responded. |
| Rep. Christiansen asked for more information about audits and how the recommendations made by the audits are implemented. Benn Buys responded. |
| MOTION: Sen. Christensen moved that the Legislature intends that the Department of Workforce Services report to the Office of the Legislative Fiscal Analyst by January 1, 2021 on the status of all recommendations from "A Performance Audit of the Permanent Community Impact Fund" and include an estimate of savings for each recommendation where applicable. The motion passed with a vote of 12-0-5. | |||
| Yeas - 12 | Nays-0 | Abs-5 | |
| Sen. A. Christensen Rep. S. Christiansen Rep. K. Coleman Sen. K. Cullimore Rep. J. Dailey-Provost Sen. L. Escamilla Sen. D. Hemmert Rep. S. Hollins Rep. M. Judkins Rep. P. Ray Rep. A. Robertson Rep. R. Ward | Sen. J. Adams Rep. B. Daw Sen. K. Grover Rep. N. Thurston Sen. T. Weiler |
| MOTION: Sen. Christensen moved that the Department of Workforce Services take staff's suggestions on performance measures for the agenda item "Proposed Performance Measures for Building Blocks Funded in the 2020 General Session" and present new performance measures or targets in the October meeting. The motion passed with a vote of 12-0-5. | |||
| Yeas - 12 | Nays-0 | Abs-5 | |
| Sen. A. Christensen Rep. S. Christiansen Rep. K. Coleman Sen. K. Cullimore Rep. J. Dailey-Provost Sen. L. Escamilla Sen. D. Hemmert Rep. S. Hollins Rep. M. Judkins Rep. P. Ray Rep. A. Robertson Rep. R. Ward | Sen. J. Adams Rep. B. Daw Sen. K. Grover Rep. N. Thurston Sen. T. Weiler |
| 10. 3:30 Poverty Mitigation Services |
| Sen. Escamilla explained the use of Poverty Mitigation Services to address intergenerational poverty. |
| Melissa Freigang, Director, Weber Prosperity Center of Excellence, introduced Scott Parke, Weber County Comptroller. |
| Scott Parke explained Weber County's revenues and expenditures. |
| Melissa Freigang presented a slide show describing Weber County's poverty mitigation systems and the use of evidence-based outcomes. |
| Sen. Escamilla provided additional information about Poverty Mitigation Services and levying property taxes. |
| Chair Ray thanked Sen. Escamilla for her work on poverty mitigation. |
| MOTION: Rep. Judkins moved to adjourn. The motion passed with a vote of 12-0-5. | |||
| Yeas - 12 | Nays-0 | Abs-5 | |
| Sen. A. Christensen Rep. S. Christiansen Rep. K. Coleman Sen. K. Cullimore Rep. J. Dailey-Provost Sen. L. Escamilla Sen. D. Hemmert Rep. S. Hollins Rep. M. Judkins Rep. P. Ray Rep. A. Robertson Rep. R. Ward | Sen. J. Adams Rep. B. Daw Sen. K. Grover Rep. N. Thurston Sen. T. Weiler |
| Chair Ray adjourned the meeting at 3:56 p.m. |