MINUTES OF THE
SENATE HEALTH AND HUMAN SERVICES STANDING COMMITTEE
Monday, January 24, 2022 • 2:00 p.m. • 210 Senate Building


Members Present:
Sen. Michael S. Kennedy, Chair
Sen. Jacob L. Anderegg
Sen. David G. Buxton
Sen. Luz Escamilla
Sen. Keith Grover
Sen. Jani Iwamoto
Sen. Evan J. Vickers
Sen. Chris H. Wilson

Staff Present:
Mark D. Andrews, Policy Analyst
Shandra Mutchie, Committee Secretary

Note: A copy of related materials and an audio recording of the meeting can be found at www.le.utah.gov.
Chair Kennedy called the meeting to order at 2:03 p.m.
MOTION:Chair Kennedy moved to approve the minutes.The motion passed with a vote of 3-0-5.
Yeas - 3Nays- 0Abs- 5
Sen. D. Buxton
Sen. M. Kennedy
Sen. C. Wilson
Sen. J. Anderegg
Sen. L. Escamilla
Sen. K. Grover
Sen. J. Iwamoto
Sen. E. Vickers
1.S.B. 41 Behavioral Health Services Amendments (Kennedy, M.)
Chair Kennedy presented the bill.
Michelle Jenson, Director of Compliance, Weber Behavioral Health, spoke to the bill.
Michelle McOmber, Utah Medical Association, spoke in favor of the bill.
MOTION:Senator Wilson moved to adopt Amendment #1.
Amendment 1
S.B. 41
1 .        Page 1, Lines 19 through 21 :  Page 1, Lines 19 through 21
19                         •         develop a proposal to allow the state Medicaid program to reimburse a local
20         mental health authority for { behavioral } physical health services in an integrated behavioral
21         health care setting { at an increased rate } ; and

2 .        Page 2, Lines 29 through 32 :  Page 2, Lines 29 through 32
29                 This bill appropriates in fiscal year 2023:
30                 ▸         to Department of Health and Human Services -- { Family Health and Preparedness } Integrated Health Care Services -- Medicaid Behavioral Health Services , as a one-time
31         appropriation:
32                         •         from General Fund, One-time, $200,000.

3 .        Page 4, Lines 100 through 105 :  Page 4, Lines 100 through 105
100                 (2) The department shall develop a proposal to allow the state Medicaid program to
101         reimburse a local mental health authority for covered { behavioral } physical health care services provided
102         in an integrated health care setting { at an increased capitation rate within the state Medicaid
103         program } to Medicaid eligible individuals .
104                 (3) Before December 31, 2022, the department shall apply for a Medicaid waiver or a
105         state plan amendment with CMS to implement the proposal described in Subsection (2).

4 .        Page 9, Lines 269 through 275 :  Page 9, Lines 269 through 275
269         ITEM 1
270                 To { Department of Health -- Family Health and Preparedness } Department of Health and Human Services -- Integrated Health Care Services
271                         From General Fund, One-time$200,000
272                         Schedule of Programs:
273                                 { Integrated Behavioral Health Care Grant } Medicaid Behavioral Health Services                 $200,000
274                 The Legislature intends that { the Department of Health use } the appropriations provided
275         under this item be used to award grants under the Integrated Behavioral Health Care Grant Program

Sen. Wilson's motionpassed with a vote 5-0-3.
Yeas - 5Nays- 0Abs- 3
Sen. D. Buxton
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
Sen. J. Anderegg
Sen. L. Escamilla
Sen. K. Grover
MOTION:Chair Kennedy moved to pass S.B. 41 out favorably.The motion passed with a vote of 6-0-2.
Yeas - 6Nays- 0Abs- 2
Sen. D. Buxton
Sen. L. Escamilla
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
Sen. J. Anderegg
Sen. K. Grover
2.S.B. 101 Nurse Apprentice Licensing Act (Vickers, E.)
Sen. Evan J. Vickers presented the bill.
Joan Gallegos, Co-Lead, Utah Action Coalition, spoke in favor of the bill.
Dr. Cherie Lowell, Western Governors University, spoke in favor of the bill.
Allison Spangler, CEO, Utah Health Care Association, spoke in favor of the bill.
Dr. Terri Hunter, Hospital Nurse Administrator and President of Utah Organization of Nurse Leaders, spoke in favor of the bill.
MOTION:Sen. Vickers moved to adopt Amendment #1.The motion passed with a vote of 8-0-0.
Amendment 1
S.B. 101
1 .        Page 12, Lines 366 through 367 :  Page 12, Lines 366 through 367
366                 (3) An applicant for a registered nurse apprentice license shall:
367                 (a) submit to the division an application form prescribed by the division;

2 .        Page 13, Lines 372 through 377 :  Page 13, Lines 372 through 377
372                 (e) { be enrolled in good standing in the last semester of an approved registered nursing
373         education program; } as determined by an approved registered nursing education program, be:
        (i) in good standing with the program; and
        (ii) in the last semester, quarter, or competency experience;
374                 (f) have written permission from the program in which the applicant is enrolled; and
375         {           (g) be a legal resident of Utah; and }
376                 { (h) } (g) meet with the board, if requested, to determine the applicant's qualifications for
377         licensure.

Yeas - 8Nays- 0Abs- 0
Sen. J. Anderegg
Sen. D. Buxton
Sen. L. Escamilla
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
Sen. Vickers' motionpassed with a vote 8-0-0.
Yeas - 8Nays- 0Abs- 0
Sen. J. Anderegg
Sen. D. Buxton
Sen. L. Escamilla
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
MOTION:Sen. Anderegg moved to pass S.B. 101 out favorably.The motion passed with a vote of 8-0-0.
Yeas - 8Nays- 0Abs- 0
Sen. J. Anderegg
Sen. D. Buxton
Sen. L. Escamilla
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
3.S.B. 84 Chiropractic Practice Amendments (McKell, M.)
Rep. Mike K. McKell presented the bill.
Kristina Stitcher, Chiropractor, Utah Chiropractic Physicians Association, spoke in favor of the bill.
MOTION:Sen. Anderegg moved to adopt Amendment #1.The motion passed with a vote of 8-0-0.
Amendment 1
S.B. 84
1 .        Page 2, Line 30 :  Page 2, Line 30
30                 (b) (i) use { advanced imaging, including   } x-ray {   , } for diagnostic purposes only; and
(ii) order, for diagnostic purposes only:
(A) ultrasound;
(B) magnetic resonance imaging; and
(C) computerized tomography;

Yeas - 8Nays- 0Abs- 0
Sen. J. Anderegg
Sen. D. Buxton
Sen. L. Escamilla
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
MOTION:Sen. Anderegg moved to pass S.B. 84 out favorably.The motion passed with a vote of 8-0-0.
Yeas - 8Nays- 0Abs- 0
Sen. J. Anderegg
Sen. D. Buxton
Sen. L. Escamilla
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
4.S.B. 45 Department of Health and Human Services Amendments (Anderegg, J.)
Sen. Anderegg presented the bill.
Tracy Gruber, Executive Director, Utah Department of Health and Human Services, spoke to the bill.
MOTION:Sen. Anderegg moved to replace S.B. 45 with 1st Substitute S.B. 45.The motion passed with a vote of 8-0-0.
Yeas - 8Nays- 0Abs- 0
Sen. J. Anderegg
Sen. D. Buxton
Sen. L. Escamilla
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
MOTION:Sen. Anderegg moved to pass 1st Substitute S.B. 45 out favorably.The motion passed with a vote of 8-0-0.
Yeas - 8Nays- 0Abs- 0
Sen. J. Anderegg
Sen. D. Buxton
Sen. L. Escamilla
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. E. Vickers
Sen. C. Wilson
5.H.B. 47 Extension for Controlled Substance Prescription Requirements (Ward, R.)
Rep. Ward presented the bill.
MOTION:Sen. Iwamoto moved to pass H.B. 47 out favorably.The motion passed with a vote of 5-0-3.
Yeas - 5Nays- 0Abs- 3
Sen. D. Buxton
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. C. Wilson
Sen. J. Anderegg
Sen. L. Escamilla
Sen. E. Vickers
6.H.B. 48 Utah Substance Use and Mental Health Advisory Council Sunset Extension (Eliason, S.)
Chair Kennedy presented the bill.
Elizabeth Klc, Director, Mental Health Advisory Council, spoke in favor of the bill.
MOTION:Sen. Wilson moved to pass H.B. 48 out favorably.The motion passed with a vote of 5-0-3.
Yeas - 5Nays- 0Abs- 3
Sen. D. Buxton
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. C. Wilson
Sen. J. Anderegg
Sen. L. Escamilla
Sen. E. Vickers
7.H.B. 49 Study on State Hospital Capacity Sunset Amendments (Eliason, S.)
Dr. Dallas Earnshaw, Superintendent, Utah State Hospital, spoke in favor of the bill.
Rep. Steve Eliason presented the bill.
Michelle McOmber, Utah Medical Association, spoke in favor of the bill.
MOTION:Sen. Wilson moved to pass H.B. 49 out favorably.The motion passed with a vote of 5-0-3.
Yeas - 5Nays- 0Abs- 3
Sen. D. Buxton
Sen. K. Grover
Sen. J. Iwamoto
Sen. M. Kennedy
Sen. C. Wilson
Sen. J. Anderegg
Sen. L. Escamilla
Sen. E. Vickers
MOTION:Sen. Wilson moved to adjourn.
Chair Kennedy adjourned the meeting at 3:02 p.m.