| Members Present: Sen. Michael S. Kennedy, Chair Rep. Merrill F. Nelson, Chair Sen. Jacob L. Anderegg Sen. Luz Escamilla Sen. Evan J. Vickers Rep. Cheryl K. Acton Rep. Stewart E. Barlow Rep. Jennifer Dailey-Provost Rep. Steve Eliason Rep. Suzanne Harrison Rep. Sandra Hollins Rep. Marsha Judkins Rep. Kelly B. Miles | Rep. Karen M. Peterson Rep. Candice B. Pierucci Rep. Raymond P. Ward Members Absent: President J. Stuart Adams Rep. Robert M. Spendlove Staff Present: Seth Anderson, Policy Analyst Mark D. Andrews, Policy Analyst Daniel M. Cheung, Associate General Counsel Ericka A. Evans, Managing Associate General Counsel Christopher Williams, Associate General Counsel Lorna Wells, 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 1:39 p.m. |
| 1.Committee Business |
| MOTION:Rep. Pierucci moved to approve the minutes of the November 17, 2021 meeting.The motion passed with a vote of 9-0-9. | |||
| Yeas - 9 | Nays- 0 | Abs- 9 | |
| Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Harrison Rep. S. Hollins Rep. M. Judkins Sen. M. Kennedy Rep. C. Pierucci Sen. E. Vickers | Rep. C. Acton Sen. J. Adams Rep. S. Eliason Sen. L. Escamilla Rep. K. Miles Rep. M. Nelson Rep. K. Peterson Rep. R. Spendlove Rep. R. Ward |
| 1.1 Draft minutes of the November 17, 2021, meeting |
| Chair Kennedy introduced new committee members and staff. He mentioned materials available to the committee online, including Open and Public Meetings Act Training and updates on the Consolidation of the Department of Health and the Department of Human Services. |
| 1.3 Open and Public Meetings Act: A Summary of Key Provisions for Legislators (Source: OLRGC) |
| 1.4 Consolidation of the Department of Health and the Department of Human Services: Latest information (Source: DOH/DHS) |
| Mark Andrews, Policy Analyst, Office of Legislative Research and General Counsel, provided an overview of how meeting materials are posted to the committee's web page and reminded committee members to complete an evaluation of the Office of Legislative Research and General Counsel. |
| Meeting Outline (includes links to all meeting materials; version 05-18-22) |
| 2.2022 Interim Study Plan |
| Chair Kennedy gave an overview of the list of interim study items assigned to the committee by the Legislative Management Committee. |
| 2.1 2022 Interim Committee Study Items Approved by the Legislative Management Committee April 20, 2022 |
| Committee members discussed the interim study list from the Legislative Management Committee. |
| MOTION:Rep. Nelson moved to adopt the 2022 Interim Study List from the Legislative Management Committee.The motion passed with a vote of 14-0-4. | |||
| Yeas - 14 | Nays- 0 | Abs- 4 | |
| Rep. C. Acton Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Eliason Rep. S. Harrison Rep. S. Hollins Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Rep. C. Pierucci Sen. E. Vickers Rep. R. Ward | Sen. J. Adams Sen. L. Escamilla Rep. K. Peterson Rep. R. Spendlove |
| MOTION:Sen. Anderegg moved to allow the committee and authorize the chairs to open bill files related to the various topics assigned on the interim study list.The motion passed with a vote of 14-0-4. | |||
| Yeas - 14 | Nays- 0 | Abs- 4 | |
| Rep. C. Acton Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Eliason Rep. S. Harrison Rep. S. Hollins Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Rep. C. Pierucci Sen. E. Vickers Rep. R. Ward | Sen. J. Adams Sen. L. Escamilla Rep. K. Peterson Rep. R. Spendlove |
| 3.Sunset Review: Introduction |
| Seth Anderson, Policy Analyst, Office of Legislative Research and General Counsel, gave an overview of sunset reviews assigned to the committee by the Legislative Management Committee. |
| 3.1 Utah Code Section 63I-1-103 (Guidelines for Conducting a Sunset Review) |
| 3.2 2022 Overview of Health and Human Services Sunset Reviews (Source: OLRGC) |
| 3.3 Sunset Overview: Behavioral Health Crisis Response Commission (Source: OLRGC) |
| 3.4 Sunset Overview: Identifying Potential Overuse of Non-Evidence-Based Health Care (Source: OLRGC) |
| 3.5 Sunset Overview: Assisted Living Facility Transfers (Source: OLRGC) |
| 3.6 Sunset Overview: Behavioral Health Receiving Center Grant Program (Source: OLRGC) |
| 3.7 Sunset Overview: Forensic Mental Health Coordinating Council (Source: OLRGC) |
| 3.8 Sunset Overview: Utah Marriage Commission Dedicated Credits (Source: OLRGC) |
| 4.Healthcare Reform - Prescription Drugs |
| The committee watched a pre-recorded presentation by Dan Liljenquist, Board Chair, Civica RX, on the manufacturing of insulin and other generic drugs by Civica for retail sale. |
| 4.11 PRESENTATION: Report from CivicaRx |
| Several committee members commented about the presentation and raised some questions. |
| Sen. Vickers gave additional perspective about the presentation. |
| Chet Loftis, Managing Director, Public Employees Health Program, with the assistance of Travis Tolley, Clinical Director, Public Employees Health Program, discussed PEHP's prescription discount program for insulin and epinephrine auto-injectors. |
| 4.10 PRESENTATION: Update on Pharmacy Issues (source: PEHP) |
| Several committee members asked questions and Chet Loftis responded. |
| Tanji Northrup, Deputy Commissoner, Utah Insurance Department, discussed the department's report on insulin required by 2020 H.B. 207, Insulin Access Amendments. |
| 4.2 REPORT: Affordable Insulin Study (Source: Utah Insurance Department, 12/30/20) |
| Committee members asked questions and Tanji Northrup responded. |
| MOTION:Rep. Ward moved to open a committee bill file that would allow PEHP to expand a program that allows any person in the state to purchase insulin and epinephrine auto-injectors at PEHP's post-manufacturer-rebate cost. The bill would authorize PEHP to identity and include in the program other prescription drugs that meet criteria similar to the criteria used for including insulin and epinephrine auto-injectors.The motion passed with a vote of 15-0-3. | |||
| Yeas - 15 | Nays- 0 | Abs- 3 | |
| Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Eliason Sen. L. Escamilla Rep. S. Harrison Rep. S. Hollins Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Rep. K. Peterson Rep. C. Pierucci Sen. E. Vickers Rep. R. Ward | Rep. C. Acton Sen. J. Adams Rep. R. Spendlove |
| Chet Loftis discussed the cost and risk to payers associated with high-cost gene therapy drugs and potential policy responses. |
| 4.10 PRESENTATION: Update on Pharmacy Issues (source: PEHP) |
| Committee members asked questions and Chet Loftis responded. |
| Jennifer Strohecker, Director, Division of Integrated Healthcare, Utah Department of Health, discussed two case studies that illustrate what Medicaid has done to drive value in Medicaid pharmacy. |
| 4.8 PRESENTATION: Health Care Reform - Prescription Drugs (source: DHHS) |
| Committee members asked questions and Jennifer Strohecker responded. |
| Michelle McOmber, Chief Executive Officer, Utah Medical Association, discussed promoting good prescribing practices, improving treatment compliance and drug affordability. |
| Eric Cannon, PharmD, SelectHealth Chief Pharmacy Benefits Officer, discussed contracts with pharmacy benefit managers. |
| Dr. Carl Letamendi, Bureau Director, Office of Health Care Statistics, Utah Department of Health, discussed the potential role of the state's all payer claims database in addressing appropriate prescription use and spending. He also highlighted good prescribing practices and addressed affordability. |
| 4.9 PRESENTATION: Leveraging the APCD and Utah Health Waste Calculator (source: DHHS) |
| Katelyn Lucariello, Senior Director of State Policy, Pharmaceutical Research and Manufacturers of America (PhRMA) discussed increasing treatment adherence and specifically highlighted ways the Legislature could improve the affordability of prescription drugs. |
| 4.4 PRESENTATION -- Promoting Good Prescribing Practices.... (source - PhRMA) |
| 5.One Utah Health Collaborative |
| Ryan Morley, Co-chair, One Utah Health Collaborative, reported on the collaborative's progress. |
| 5.3 (Final version) PRESENTATION: One Utah Health Collaborative - Overview and Introduction (source: GOPB) |
| Committee members asked questions and Ryan Morley responded. |
| MOTION:Rep. Pierucci moved to adjourn.The motion passed with a vote of 10-0-8. | |||
| Yeas - 10 | Nays- 0 | Abs- 8 | |
| Rep. C. Acton Rep. S. Barlow Rep. J. Dailey-Provost Sen. L. Escamilla Rep. S. Harrison Rep. M. Judkins Sen. M. Kennedy Rep. K. Peterson Rep. C. Pierucci Rep. R. Ward | Sen. J. Adams Sen. J. Anderegg Rep. S. Eliason Rep. S. Hollins Rep. K. Miles Rep. M. Nelson Rep. R. Spendlove Sen. E. Vickers |
| Chair Kennedy adjourned the meeting at 4:06 p.m. |