MINUTES OF THE
HOUSE HEALTH AND HUMAN SERVICES STANDING COMMITTEE
Friday, February 25, 2022 • 4:00 p.m. • 30 House Building


Members Present:
Rep. Merrill F. Nelson, Chair
Rep. Candice B. Pierucci, Vice Chair
Rep. Cheryl K. Acton
Rep. Stewart E. Barlow
Rep. Jennifer Dailey-Provost
Rep. Steve Eliason
Rep. Marsha Judkins
Rep. Rosemary T. Lesser
Rep. Kelly B. Miles
Rep. Karen M. Peterson
Rep. Raymond P. Ward

Members Absent:
Rep. Sandra Hollins
Rep. Robert M. Spendlove

Staff Present:
Seth Anderson, Policy Analyst
Jordan Gage, Committee Secretary

Note: A copy of related materials and an audio recording of the meeting can be found at www.le.utah.gov.
Chair Pierucci called the meeting to order at 4:18 p.m.
MOTION:Rep. Dailey-Provost moved to approve the minutes from the February 24, 2022 meeting.The motion passed with a vote of 8-0-5.
Yeas - 8Nays- 0Abs- 5
Rep. J. Dailey-Provost
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. C. Acton
Rep. S. Barlow
Rep. S. Eliason
Rep. S. Hollins
Rep. R. Spendlove
1.H.B. 441 Community Paramedicine Amendments (Johnson, D.N.)
Rep. Dan Johnson presented the bill with the assistance of Guy Dansie, State EMS Director, Utah Department of Health.
Melinda Seager, Government Affairs Director, South Jordan City, spoke in favor of the bill.
MOTION:Chair Nelson moved to amend H.B. 441 with Amendment #1.The motion passed with a vote of 10-0-3.
Amendment 1
H.B. 441
1 .        Page 6, Lines 165 through 168 :  Page 6, Lines 165 through 168
165                 (b) A community paramedicine program shall report data, as determined by the
166         committee, related to community paramedicine to the department.
(3) A service provided as part of a community paramedicine program may not be billed to an individual or a health benefit plan as defined in Section 31A-1-301 unless:
(a) the service is provided in partnership with a health care facility as defined in Section 26-21-2; and
(b) the partnering health care facility is the person that bills the individual or health benefit plan.
(4) Nothing in this section affects any billing authorized under Section 26-8a-403.
167                 { (3) } (5) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
168         committee shall make rules to implement this section.

Yeas - 10Nays- 0Abs- 3
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. C. Acton
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Chair Nelson moved to pass H.B. 441 out favorably.The motion passed with a vote of 10-0-3.
Yeas - 10Nays- 0Abs- 3
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. C. Acton
Rep. S. Hollins
Rep. R. Spendlove
Rep. Nelson assumed the chair.
2.1st Sub. H.B. 341 Birth Certificate Amendments (Pierucci, C.)
Rep. Pierucci presented the bill and distributed handouts.
HB341 Handout 1
HB341 Handout 2
Leslie Corbly, Privacy Policy Analyst, Libertas Institute, spoke in favor of the bill.
Whitney Phillips, State Privacy Officer, spoke in favor of the bill.
John Dougal, State Auditor, commented on the bill.
Heather Andrews, State Director, Americans for Prosperity Utah, spoke in favor of the bill.
MOTION:Rep. Ward moved to replace 1st Substitute H.B. 341 with 2nd Substitute H.B. 341.The motion passed with a vote of 8-0-5.
Yeas - 8Nays- 0Abs- 5
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. C. Acton
Rep. S. Eliason
Rep. S. Hollins
Rep. M. Judkins
Rep. R. Spendlove
MOTION:Rep. Ward moved to pass 2nd Substitute H.B. 341 out favorably.The motion passed with a vote of 8-0-5.
Yeas - 8Nays- 0Abs- 5
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. C. Acton
Rep. S. Eliason
Rep. S. Hollins
Rep. M. Judkins
Rep. R. Spendlove
Rep. Pierucci resumed the chair.
3.H.C.R. 18 Concurrent Resolution Highlighting the Importance of Supportive Networks of Adults for Child Success and Opportunity (Weight, E.)
Rep. Elizabeth Weight presented the bill with the assistance of Melissa Freigang, Executive Director, Weber Prosperity Center of Excellence, and Dr. Ben Gibbs.
MOTION:Rep. Dailey-Provost moved to amend H.C.R. 18 with Amendment #1.The motion passed with a vote of 9-0-4.
Amendment 1
H.C.R. 18
1 .        Page 1, Lines 21 through 22 :  Page 1, Lines 21 through 22
21         organizations who make up supportive networks of adults and diminish the harmful
22         effects of adverse childhood experiences (ACEs) ; and

2 .        Page 2, Line 38 :  Page 2, Line 38
38         and adverse childhood experiences (ACEs) , including abuse, neglect, substance use or mental illness in

3 .        Page 2, Lines 40 through 42 :  Page 2, Lines 40 through 42
40                 WHEREAS, a supportive network of adults reinforces to a child that the child is strong { , } and
41         capable { , } and { necessary and assist } possesses value and assists the child to build social and emotional skills necessary for
42         successful development;

4 .        Page 3, Lines 59 through 61 :  Page 3, Lines 59 through 61
59         participating in, and building supportive networks of adults that provide acknowledgment and
60         encouragement to children and create opportunities for all Utah's children to reach full
61         potential and exercise the power of self-determination .

Yeas - 9Nays- 0Abs- 4
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Eliason
Rep. S. Hollins
Rep. M. Judkins
Rep. R. Spendlove
MOTION:Rep. Dailey-Provost moved to pass H.C.R. 18 out favorably.The motion passed with a vote of 9-0-4.
Yeas - 9Nays- 0Abs- 4
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Eliason
Rep. S. Hollins
Rep. M. Judkins
Rep. R. Spendlove
4.H.B. 440 Homeless Services Amendments (Eliason, S.)
Rep. Eliason presented the bill with the assistance of Wayne Neiderhauser, State Homeless Services Coordinator, Utah Office of Homeless Services.
Cameron Diehl, Executive Director, Utah League of Cities and Towns, commented on the bill.
Dawn Ramsey, Mayor, South Jordan City, and President, Utah League of Cities and Towns, spoke against the bill.
Cameron Diehl, Utah League of Cities and Towns, further explained his organization's position on the bill.
Jared Myer, Executive Director, Cicero Action, spoke in favor of the bill.
Cate Klundt, Government Affairs Director, Utah Association of Realtors, spoke in favor of the bill.
Erin Mendenhall, Mayor, Salt Lake City, spoke against the bill.
Jean Hill, Salt Lake Valley Coalition to End Homelessness, and Catholic Diocese of Salt Lake City, spoke in favor of the bill.
Cherie Wood, Mayor, City of South Salt Lake, spoke against the bill.
Steffine Amodt spoke in favor of the bill.
Stacy Johnson spoke in favor of the bill.
Russell Pearson spoke against the bill.
Hannah Jackovich, ACLU of Utah, spoke in favor of the bill.
Ana Valdemoros, Councilwoman, Salt Lake City District 4, spoke against the bill.
Robert Danielson spoke against the bill.
Soren Simonson, Executive Director, Jordan River Commission, and Salt Lake Valley Coalition to End Homelessness, commented on the bill.
MOTION:Rep. Dailey-Provost moved to replace H.B. 440 with 1st Substitute H.B. 440.The motion passed with a vote of 11-0-2.
Yeas - 11Nays- 0Abs- 2
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Rep. Dailey-Provost moved to pass 1st Substitute H.B. 440 out favorably.The motion passed with a vote of 10-1-2.
Yeas - 10Nays- 1Abs- 2
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
5.3rd Sub. S.B. 45 Department of Health and Human Services Amendments (Anderegg, J.)
Sen. Jake Anderegg presented the bill and distributed a handout.
SB45 Handout
Patrick Fleming commented on the bill.
Shawn McMillen, Executive Director, First Step House, commented on the bill.
Mary Jo McMillen, Utah Support Advocates for Recovery Awareness, commented on the bill.
Rob Wesemann, Executive Director, National Alliance on Mental Illness Utah, commented on the bill.
Tracy Gruber, Executive Director, Utah Department of Human Services, spoke in favor of the bill.
MOTION:Rep. Peterson moved to amend 3rd Substitute S.B. 45 with Amendment #2.The motion passed with a vote of 10-0-3.
Amendment 2
3rd Sub. S.B. 45
1 .        Page 106, Line 3278 :  Page 106, Line 3278
3278                 (iii) the Division { for } of Services for People with Disabilities; and

2 .        Page 157, Lines 4857 through 4858 :  Page 157, Lines 4857 through 4858
4857         outlined in state law that were previously vested in the Division of { [ } Substance Abuse and
4858         Mental Health { ] } { Integrated Healthcare } within the department, under the administration and

Yeas - 10Nays- 0Abs- 3
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Eliason
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Rep. Peterson moved to amend 3rd Substitute S.B. 45 with Amendment #3.The motion passed with a vote of 10-0-3.
Amendment 3
3rd Sub. S.B. 45
1 .        Page 89, Lines 2726 through 2732 :  Page 89, Lines 2726 through 2732
2726                 (b) The standards and regulations under Subsection (1)(a):
2727                 (i) supersede existing local standards, regulations, and ordinances pertaining to similar
2728         subject matter; { and }
2729                 (ii) [except as provided under Subsection (1)(c) and] except where specifically allowed
2730         by federal law or state statute, may not be more stringent than those established by federal law,
2731         state statute, or administrative rules adopted by the [Department of Health] department in
2732         accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act { . } ; and
(iii) notwithstanding Subsection (1)(b)(ii), may be more stringent than those established by federal law, state statute, or administrative rule adopted by the department if the standard or regulation is:
(A) in effect on February 1, 2022; and
(B) not modified or amended after February 1, 2022.

Yeas - 10Nays- 0Abs- 3
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Eliason
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Rep. Peterson moved to pass 3rd Substitute S.B. 45 out favorably.The motion passed with a vote of 10-0-3.
Yeas - 10Nays- 0Abs- 3
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Eliason
Rep. S. Hollins
Rep. R. Spendlove
6.1st Sub. S.B. 194 Medical Rationing Amendments (Fillmore, L.)
Sen. Lincoln Fillmore presented the bill.
MOTION:Chair Nelson moved to pass 1st Substitute S.B. 194 out favorably.
SUBSTITUTE MOTION:Rep. Dailey-Provost moved to hold 1st Substitute S.B. 194.The substitute motion passed with a vote of 6-5-2.
Yeas - 6Nays- 5Abs- 2
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. R. Lesser
Rep. K. Miles
Rep. K. Peterson
Rep. R. Ward
Rep. C. Acton
Rep. S. Barlow
Rep. M. Judkins
Rep. M. Nelson
Rep. C. Pierucci
Rep. S. Hollins
Rep. R. Spendlove
7.1st Sub. S.B. 190 Medical Cannabis Act Amendments (Vickers, E.)
Sen. Evan Vickers presented the bill and distributed a handout with the assistance of Brandon Forsythe, Director of the Hemp and Medical Cannabis Program, Department of Agriculture.
SB190 Handout
Desiree Hennessy, Executive Director, Utah Patients Coalition, spoke in favor of the bill.
Shane England spoke against the bill.
Samuel Warner spoke in favor of the bill.
Dustin Smith, Utah Hemp Association, spoke against the bill.
Mike Berry, Utah Hemp Industry Association, commented on the bill.
Cindy Maughan, Suicide Prevention Coalition, spoke against the bill.
MOTION:Rep. Dailey-Provost moved to amend 1st Substitute S.B. 190 with Amendment #5.The motion passed with a vote of 11-0-2.
Amendment 5
1st Sub. S.B. 190
1 .        Page 39, Lines 1197 through 1198 :  Page 39, Lines 1197 through 1198
1197                 (ii) if the employee's position is dependent on a license or { law enforcement } peace officer
1198         certification that is subject to federal regulations[.], including 18 U.S.C. Sec. 922(g)(3); or

Yeas - 11Nays- 0Abs- 2
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Rep. Judkins moved to amend 1st Substitute S.B. 190 with Amendment #6.The motion failed with a vote of 1-10-2.
Amendment 6
1st Sub. S.B. 190
1 .        Page 4, Lines 103 through 110 :  Page 4, Lines 103 through 110
103                 (1) "Cannabinoid product" means a [chemical compound extracted from a hemp]
104         product that:
105                 [(a) is processed into a medicinal dosage form; and]
106                 (a) contains one or more cannabinoids; and
107                 (b) contains less than [0.3% tetrahydrocannabinol] the cannabinoid product THC level,
108         by dry weight { [ } . { ] } { ; and
109                   (c) contains a combined amount of total THC and any THC analog that does not
110         exceed 10% of the total cannabinoid content. }

Yeas - 1Nays- 10Abs- 2
Rep. M. Judkins
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Rep. Ward moved to pass 1st Substitute S.B. 190 out favorably.The motion passed with a vote of 11-0-2.
Yeas - 11Nays- 0Abs- 2
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Rep. Ward moved to reconsider action SB 194.The motion passed with a vote of 11-0-2.
Yeas - 11Nays- 0Abs- 2
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
8.1st Sub. S.B. 194 Medical Rationing Amendments (Fillmore, L.)
MOTION:Rep. Ward moved to amend 1st Substitute S.B. 194 with Amendment #1.The motion passed with a vote of 11-0-2.
Amendment 1
1st Sub. S.B. 194
1 .        Page 2, Lines 45 through 50 :  Page 2, Lines 45 through 50
45                 (c) "Scarce health care resource" means a health care resource:
46                 (i) for which the need for the health care resource in the state or region significantly
47         exceeds the available supply of that health care resource in that state or region; { and }
48                 (ii) that, based on the circumstances described in Subsection (1)(c)(i), is distributed or
49         provided using written requirements, guidelines, processes, or recommendations as a factor in
50         the decision to distribute or provide the health care resource { . } ; and
(iii) that the federal government has allocated to the state to distribute.

Yeas - 11Nays- 0Abs- 2
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Rep. Eliason moved to pass 1st Substitute S.B. 194 out favorably.The motion passed with a vote of 11-0-2.
Yeas - 11Nays- 0Abs- 2
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
MOTION:Rep. Ward moved to adjourn.The motion passed with a vote of 11-0-2.
Yeas - 11Nays- 0Abs- 2
Rep. C. Acton
Rep. S. Barlow
Rep. J. Dailey-Provost
Rep. S. Eliason
Rep. M. Judkins
Rep. R. Lesser
Rep. K. Miles
Rep. M. Nelson
Rep. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Rep. S. Hollins
Rep. R. Spendlove
Chair Pierucci adjourned the meeting at 7:04 p.m.