| Members Present: Sen. Jacob L. Anderegg, Senate Chair Rep. Paul Ray, House Chair Rep. Raymond P. Ward, House Vice Chair Sen. Luz Escamilla Sen. Daniel W. Thatcher Rep. Steve R. Christiansen Rep. Jennifer Dailey-Provost Rep. Sandra Hollins Rep. Marsha Judkins Rep. Michael L. Kohler Rep. Michael J. Petersen | Members Absent: President J. Stuart Adams Sen. John D. Johnson Sen. Michael S. Kennedy Sen. Todd D. Weiler Rep. Candice B. Pierucci Rep. Norman K. Thurston Staff Present: Sean C. Faherty, Finance Officer Russell T. Frandsen, Finance Officer Kimberly D. Madsen, Financial Analyst An Bradshaw, Committee Secretary |
||
|
Note: A copy of related materials and an audio recording of the meeting can be found at www.le.utah.gov.
|
| 1.1:00 Tour of CAPSA |
| Committee members and the public were led on a tour of CAPSA between the morning and afternoon meetings. |
| 2.1:30 Call to Order |
| Chair Ray opened the meeting. |
| 3.1:35 Public Input on Topics on Today's Agenda |
| No members of the public signed up to comment. |
| 4.1:40 Unfinished Items from the Morning Agenda |
| There was no unfinished business from the morning portion of the meeting. |
| 5.1:45 Fiscal Note and Budget Item Follow-Up Report - FY 2021 and Other Years |
| 5a-Fiscal Note and Budget Item Follow-Up Report - FY 2020 and Other Years for Health, Human Services, and Workforce Services |
| 5a2-Suspending Eligibility for Incarcerated Medicaid Members |
| Russell Frandsen provided information on Medicaid eligibility for incarcerated individuals. |
| 5a3-Fiscal Note Follow Up Report 2020 ORG Update from DWS |
| Kimberly Madsen discussed the follow-up report on spending for Operation Rio Grande. |
| 5b-Fiscal Note and Budget Item Follow-Up Report - FY 2021 and Other Years for Health, Human Services, and Workforce Services |
| Russell Frandsen discussed the 2021 follow-up report for the Department of Health (DOH). |
| Kimberly Madsen provided information for the Department of Workforce Services (DWS). |
| Sean Faherty presented the report for the Department of Human Services (DHS). |
| 5c1-Performance Measures Health FY 2021 Items Staff Analysis |
| Russell Frandsen discussed performance measures for FY 2021. |
| Sean Faherty stated there were no recommended actions for DHS. |
| 5c3-DWS Budget Item PM Report 2020 GS FY 2021 - Final Report - Aug 2021 |
| Kimberly Madsen discussed the performance measures for DWS. |
| Rep. Dailey-Provost asked for additional information, and Kimberly Madsen responded. |
| 5d-DSAMH HB 393 Implementation 10.15.21 |
| 5e-FLDS Refugees Women's Services DSAMH Safety Net Outcomes |
| 6.2:05 Report on COVID Impact |
| 6a-Health Report on Vulnerabilities Exacerbated by COVID-19 |
| 6b-SSA - COVID Impact Presentation -10-19-2021 |
| 6c-Department of Workforce Services Report on COVID Impact |
| 6c2-DWS 19-Oct-2021 - COVID Impact and Crisis Presentation |
| Nate Checketts, Executive Director, Department of Health (DOH), gave the report on COVID's impact on the department. Michelle Hofman, Deputy Director, DOH, was available to answer questions from the committee. |
| Rep. Ward asked about the disproportionate impact of COVID on different communities. Nate Checketts and Michelle Hofman responded. |
| Chair Ray asked for information on the state's COVID vaccine finder, and Nate Checketts responded. |
| Rep. Judkins asked about COVID funds, and Nate Checketts responded. |
| 6d-DHS Report on Vulnerabilities Exacerbated by COVID-19 |
| Tracy Gruber, Executive Director, DHS, discussed the department's response to COVID. |
| Kevin Burt, Assistant Deputy Director, DWS, presented the department's report on the impact of COVID. |
| Chair Ray mentioned that schools continued to provide free lunches, and Kevin Burt responded. |
| 7.2:20 Report on Crisis Preparation |
| 7-Report on Crisis Preparation |
| 7a-Health Recommendations to Better Protect our Vulnerable Populations and Prepare our Programs in Times of Crises |
| 7b-SSA - Vulnerabilities and Crisis Preparation Presentation - 10-19-2021 |
| 7c-Department of Workforce Services Report on Crisis Preparation |
| Nate Checketts presented DOH's report on crisis preparation with the assistance of Michelle Hofman. |
| Sen. Escamilla commented on the COVID Community Partnership and its impact. |
| Tracy Gruber presented the DHS portion of the report on crisis preparation. |
| Sen. Escamilla asked for information on the pandemic's impact on children, and Charri Brummer, Assistant Director, Division of Child and Family Services, responded. |
| Kevin Burt presented the DWS portion of the report on crisis preparation. |
| 8.2:35 Review of Drug Testing and False Positives |
| Charri Brummer presented the Review of Drug Testing and False Positives. |
| Chair Ray asked about checking positive drug test results, and Charri Brummer responded. |
| 9.2:45 Update on DHHS Consolidation |
| 9a-HHS SSA Slides for Tuesday |
| 9b-DHHS Line Item Proposal - 10-15 update |
| Tracy Gruber gave an update on the consolidation efforts for the new Department of Health and Human Services (DHHS). |
| Sen. Escamilla requested more information on the American Indian Health Advisory Board, and Tracy Gruber responded. |
| Chair Ray asked about funding for juvenile justice services, and Tracy Gruber responded. |
| 10.2:55 A Performance Audit of the Division of Services for People with Disabilities |
| 10-A Performance Audit of the Division of Services for People with Disabilities |
| Darin Underwood, Deputy Auditor General, Office of the Legislative Auditor General (LAG), introduced August Lehman, Audit Supervisor, LAG, and Zackery King, Lead Auditor, LAG. August Lehman presented the report. |
| Sen. Escamilla asked if the audit considered federal law in its recommendations, and August Lehman responded. |
| Rep. Judkins expressed concern over services not being provided. Darin Underwood responded. |
| Tracy Gruber responded to the audit with the assistance of Angie Pinna, Director, Division of Services for People with Disabilities, DHS. |
| MOTION:Rep. Ward moved to: 1. Approve all the actions recommended by staff in the column "Recommended Action" in the document entitled "Fiscal Note and Budget Item Follow-Up Report - FY 2021 and Other Years for Health, Human Services, and Workforce Services."; 2. Approve all the actions recommended by staff in the documents entitled "Budget Item PM Report - 2020 GS FY 2021"; 3. Approve all the possible motions in the column "LFA Comments" in the document entitled "Department of Health and Department of Workforce Services - Items Funded in FY 2021" and "Department of Health and Department of Workforce Services - Items Funded in FY 2021"; and 4. Direct the Department of Human Services to report to the Social Services Appropriations Subcommittee on the status of implementing the recommendations in "A Performance Audit of the Division of Services for People with Disabilities" during the 2022 General Session. The motion passed with a vote of 10-0-7. | |||
| Yeas - 10 | Nays- 0 | Abs- 7 | |
| Sen. J. Anderegg Rep. J. Dailey-Provost Sen. L. Escamilla Rep. S. Hollins Rep. M. Judkins Rep. M. Kohler Rep. M. Petersen Rep. P. Ray Sen. D. Thatcher Rep. R. Ward | Sen. J. Adams Rep. S. Christiansen Sen. J. Johnson Sen. M. Kennedy Rep. C. Pierucci Rep. N. Thurston Sen. T. Weiler |
| Rep. Ward assumed the chair. |
| 11.3:15 A Performance Audit of Social Service Agencies' Performance Measures |
| 11-SSPM Presentation - Social Services Appropriations Subcommittee 10-19-21 |
| Darin Underwood and Tim Bereece, Senior Supervisor, LAG, presented the audit to the committee. |
| Rep. Christiansen commented on the helpfulness of the audit. |
| Chair Ward commented on meeting performance measures. |
| Rep. Dailey-Provost commended the auditors and commented on the balance of using tax dollars for the best use and creating more bureaucracy trying to meet performance measures. |
| Tracy Gruber thanked the auditors and talked about the importance of performance measures. |
| Van Christensen, Internal Audit Director, DHS, cautioned against the overuse of performance measures. |
| Chair Ward talked about the importance of retaining staff, and Tracy Gruber agreed. |
| 12.3:35 Line Item Performance Measures |
| 12a-Update on HB 326 Implementation - October 2021 |
| 12b-Social Services Appropriations Subcommittee - Line Item Performance Measures |
| Clare Tobin Lence, Performance Initiatives Manager, Office of the Legislative Fiscal Analyst (LFA), introduced the Line Item Performance Measures and an update on H.B. 326. |
| Russell Frandsen presented LFA's response to the audit of DOH. |
| Sean Faherty presented LFA's response to the audit on DHS. |
| Kimberly Madsen presented LFA's response to the audit on DWS. |
| 13.3:45 Performance Audit of the Culture and Grant Management Processes of the |
| 13-DOH Presentation |
| Kade Minchey, Auditor General, LAG, introduced the audit. |
| Jesse Martinson, Senior Audit Supervisor, LAG, presented the audit to the committee. |
| Sen. Escamilla requested additional information on grant applications, and Jesse Martinson responded. |
| Nate Checketts responded to the audit on behalf of DOH. |
| Chair Ward expressed his support for an innovation center. |
| 14.4:05 More Justification for 14% Increase in Ambulance Reimbursement Rates |
| Guy Dansie, Bureau of Emergency Medical Services, DOH, discussed funding sources for EMS services. |
| Brad Hannig, Logan Fire Chief, explained how the department is funded. |
| Rep. Kohler asked if rates can be raised and about insurance reimbursement for EMS services. Brad Hannig and Guy Dansie responded. |
| Rep. Peterson asked what the typical ambulance ride costs and how much the fire department recoups from insurance and government funding, and Brad Hannig responded. |
| 15.4:15 Water Testing Laboratory Funding |
| Erica Gaddis, Director of the Division of Water Quality, Department of Environmental Quality, discussed Water Testing Laboratory Funding. |
| 16.4:35 Utah Statewide Immunization System Accuracy |
| 16-DOH Legislative Report - USIIS |
| Russell Frandsen presented Utah Statewide Immunization System Accuracy. |
| Janae Duncan provided additional information. |
| 17.4:45 Autism Rates in Accountable Care Organizations |
| 17-Moving ASD Services from FFS to Managed Care |
| Russell Frandsen presented the report. |
| 18.4:50 Medicaid Work Requirements - Supreme Court Update |
| 18a-Notice of CE Withdrawal FINAL 2021 |
| 18b-SCOTUS Action on Azar v. Greshem |
| Russell Frandsen said the short answer is "no" and explained. |
| 19.4:55 Report on Potential Changes to the Children's Health Insurance Program |
| 19-Ending CHIP Final Report |
| Russell Frandsen gave a complicated answer to the agenda question. |
| 20.5:00 Other Business |
| Sen. Escamilla distributed and explained a handout, "Report to the Utah State Legislature: Food Security Task Force." |
| MOTION:Rep. Petersen moved to adjourn.The motion passed with a vote of 5-0-12. | |||
| Yeas - 5 | Nays- 0 | Abs- 12 | |
| Sen. L. Escamilla Rep. M. Judkins Rep. M. Kohler Rep. M. Petersen Rep. R. Ward | Sen. J. Adams Sen. J. Anderegg Rep. S. Christiansen Rep. J. Dailey-Provost Rep. S. Hollins Sen. J. Johnson Sen. M. Kennedy Rep. C. Pierucci Rep. P. Ray Sen. D. Thatcher Rep. N. Thurston Sen. T. Weiler |
| Chair Ward adjourned the meeting at 5:00 p.m. |