| 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. Norman K. Thurston |
Members Absent: President J. Stuart Adams Sen. Keith Grover Rep. Brad M. Daw Rep. Marsha Judkins Rep. Adam Robertson Staff Present: Russell T. Frandsen, Finance Officer Clare Tobin Lence, Finance Manager Kimberly D. Madsen, Financial Analyst Chad K. Poll, IT Staff An Bradshaw, 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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| 1. Call to Order |
| Chair Christensen called the meeting to order at 1:02 p.m. |
| Rep. Coleman asked the committee to take note of an editorial in the newspaper regarding work requirements for Medicaid participants. |
| Rep. Dailey-Provost said she would send research data on work requirements for Medicaid recipients to the committee. |
| 2. Automatic Withdrawal Payments to Pay Children's Health Insurance Plan (CHIP) Premiums |
| 4-Options for Accepting Recurring CHIP Premium Payments 2020 Report |
| Nathan Harrison, Director of Administrative Support, Department of Workforce Services (DWS), spoke to Recurring CHIP Premium Payments. |
| 3. Unemployment Insurance Penalty Payments and Special Administrative |
| Kimberly Madsen introduced Unemployment Insurance Penalty Payments and Special Administrative Expense Account Funds. |
| Nathan Harrison provided information regarding insurance penalty payments. |
| Chair Christensen asked for clarification about the cost of setting up CHIP direct withdrawals for premiums. |
| 4. 1:45 PM Pew Results First Final Report - Medication Assisted Treatment Program Map |
| 6a-Medication Assisted Treatment in Utah - Pew Gardner Report |
| 6b-Pew-Gardner Slides |
| Alyssa Doom, Principal Associate, Pew Charitable Trusts, presented the report. |
| Laura Summers, Senior Health Care Analyst, University of Utah Gardner Policy Institute, gave regional reports on opioid overdose deaths vs. medication treatment options. |
| Alyssa Doom continued the presentation, discussing barriers to access of care. |
| Dr. Sarah Woolsey, Medical Director, Comagine Health, discussed considerations for treating opioid addictions. |
| Dr. Paula Cook, Chief Medical Officer, Odyssey House Martindale Clinic, continued with the presentation. |
| Dr. Sarah Woolsey discussed access points and support for different programs. |
| Alyssa Doom wrapped up the presentation on medication for opioid use disorder. |
| Rep. Ray asked about medications used to treat opioid addictions, and Laura Summers and Dr. Paula Cook responded. |
| 5. Report on Foster Parent Reimbursement Rates |
| 7-DCFS Foster Care Rates 10-15-20 |
| Diane Moore, Director, Division of Child and Family Services, Department of Human Services (DHS), presented the Report on Foster Parent Reimbursement Rates. |
| Chair Christensen asked what is the daily daycare rate for children ages 0-5, and Diane Moore responded. |
| Chair Christensen expressed his appreciation for foster parents and the good they do for children, and Diane Moore responded. |
| Sen. Weiler commented that he was pleased the foster parent recruitment and training contract went out to bid again. |
| 6. 2:10 PM Estate Recovery Program Report |
| 8-Estate Recovery Program Report - with LFA Highlight |
| Liesa Stockdale, Director, Office of Recovery Services, DHS, discussed the Estate Recovery Program Report and clarified the differences between state and federal laws. |
| Sen. Escamilla asked how many other states are doing TEFRA liens and how the liens impact Medicaid and Liesa Stockdale responded. |
| Chair Christensen commented on the force of the lien after the death of the recipient, and Liesa Stockdale responded. |
| Sen. Escamilla made additional comments regarding TEFRA liens. |
| Mark Brasher, Deputy Director, DHS, made additional comments. |
| 7. Office of Licensing Transition to Dedicated Credit Funding Model |
| 9-Office of Licensing Report on Fee Collection Funding - with LFA Highlight |
| Amanda Slater, Director, Office of Licensing, DHS, presented the Report on Fee Collection Funding. |
| 8. Why Have Multiple Disease Identification Systems? |
| 10a-Multiple Disease Registries |
| 10b-Identification Systems for Multiple Diseases - NCSL 8-31-20 |
| Heather Borski, Deputy Director, Department of Health (DOH), discussed why Utah has multiple disease identification systems. |
| Navina Forsythe, Director, Center for Health Data and Informatics, DOH, discussed the disease identification systems overseen by DOH. |
| Rep. Ward commended the report and asked what would make the vaccine database more complete. Navina Forsythe and Heather Borski responded. |
| Sen. Escamilla asked if there was a timeline for developing a vaccine reporting system and what DOH needs and Heather Borski responded. |
| 9. Required Review of Administrative Rules Costing More Than $7,500,000 |
| Emma Chacon, Assistant Director, Medicaid, DOH, discussed Coronavirus (COVID-19) testing coverage. |
| 11a-Coronavirus (COVID-19) Testing Coverage R414-303-13 |
| 11b-Public Health Emergency Provisions R414-312-7 |
| 11c-Public Health Emergency Provisions R414-308-11 |
| Emma Chacon discussed the Public Health Emergency Provisions expansion rules. |
| Rep. Ward asked for clarification about high deductible insurance plans and COVID-19 testing coverage, and Emma Chacon responded. |
| 10. New Reimbursement Methodology for Rural Inpatient Hospital Billing |
| 12a-Rural Hospitals Payment Report |
| Russell Frandsen explained New Reimbursement Methodology for Rural Impatient Hospital Billing. |
| Rep. Ward asked if there is data from other states regarding rural hospital billing, and Russell Frandsen responded. |
| 11. Medicaid Spending Statewide - FY 2019 |
| 13a-Issue Brief - 2020 Interim - Medicaid Spending Statewide - FY 19 |
| 13b-IGT Report October 2020 |
| Russell Frandsen presented Medicaid Spending Statewide - FY 2019. |
| 12. Other Business |
| 14a-MMIS Annual Report - September 2020 |
| Russell Frandsen discussed the Medicaid Management Information System. |
| Emma Chacon added information about the challenges of changes made to the Medicaid system. |
| Jason Stewart, Bureau Director, PRISM, DOH, provided information on the progress of the system. |
| Rep. Ward asked if parts of PRISM are being used now or if it will all be implemented in 2022. Jason Stewart responded that portions are being utilized as they become available. |
| 14b-Opiate Overdose Program Legislative Factsheet 2020 |
| Russell Frandsen provided an overview of the program factsheet. |
| Anna Fondario, Program Manager, DOH, responded to the report. |
| Rep. Ward asked about reporting the number of opiate overdoses, and Anna Fondario responded. |
| 14c-BCC Clients to Expansion - Savings Report |
| Russell Frandsen presented the report to the committee. |
| 14d-Medicaid Expansion Impact on APCD |
| Russell Frandsen explained the database. |
| 14e-Adult Autism Treatment Account Legislative Report |
| Russell Frandsen presented the legislative report. |
| Chair Christensen thanked the committee for their dedicated work over the years. |
| Rep. Ray thanked Chair Christensen for being a mentor and for his compassionate work with the committee and wished him well in his retirement from the Senate. |
| MOTION: Rep. Ward 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. P. Ray Rep. N. Thurston Rep. R. Ward Sen. T. Weiler | Sen. J. Adams Rep. B. Daw Sen. K. Grover Rep. M. Judkins Rep. A. Robertson |
| Chair Christensen adjourned the meeting at 3:22 p.m. |