MINUTES OF THE
HEALTH AND HUMAN SERVICES INTERIM COMMITTEE
Wednesday, June 15, 2022 • 1:15 p.m. • 30 House Building


Members Present:
Sen. Michael S. Kennedy, 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. Robert M. Spendlove
Rep. Raymond P. Ward

Members Absent:
Rep. Merrill F. Nelson, Chair
President J. Stuart Adams

Staff Present:
Seth Anderson, Policy Analyst
Mark D. Andrews, Policy Analyst
Daniel M. Cheung, 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 1:35 p.m.
1.Local Health Department Funding
Meeting Outline -- HHS, 06-15-22 (includes links to all meeting materials; version 06-14-22)
Seth Anderson, Policy Analyst, Office of Legislative Research and General Counsel, introduced the recent performance audit.
2.7 A Performance Audit of the Culture and Grant Management Processes of the Department of Health
Seth Anderson provided background information on Utah's local health departments including statutory powers, funding mechanisms, and some recommendations from the audit.
2.4 Local Health Departments Presentation (Source: LRGC)
2.5 Local Health Departments Presentation Handout(Source: LRGC)
Rep. Pierucci asked for clarification about the performance funding amounts.
Jill Parker, Executive Director, Utah Association of Local Health Departments, gave a presentation regarding local health department funding.
2.6 Utah Association of Local Health Departments Presentation Handout (Source: UALHD)
Rep. Ward asked a clarifying question. Jill Parker responded.
Brian Hatch, Director of Health, Davis County Health Department, and Jill Parker responded.
Rep. Barlow asked some questions about mobile clinics. Jill Parker responded.
Chair Kennedy asked each of the panelists to make some comments.
Brian Hatch commented on the Davis County Health Department and answered questions from committee members.
Jordan Mathis, Health Officer, Bear River Health Department, commented on the Bear River Health Department's perspective and answered committee members' questions.
Eric Edwards, Executive Director, Utah County Health Department, commented on Utah County's perspective and answered committee members' questions.
Department of Health and Human Services
Tracy Gruber, Executive Director, Utah Department of Human Services, commented on the recent audit.
Nate Checketts, Executive Director, Utah Department of Health, commented briefly and answered committee members' questions.
Brandy Grace, Chief Executive Officer, Utah Association of Counties, gave an overview regarding local health department funding from the county perspective.
Gina Worthen, Cache County Council and First Vice President of Utah Association of Counties Board, gave an overview regarding local health department funding from the Cache County perspective.
Brandy Grace and Gina Worthen answered committee members' questions.
MOTION:Rep. Pierucci moved to open a committee bill file to address local health departments funding, performance standards, and other related issues.The motion passed with a vote of 14-0-4.
Yeas - 14Nays- 0Abs- 4
Rep. C. Acton
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. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Sen. J. Adams
Rep. M. Nelson
Rep. R. Spendlove
Sen. E. Vickers
2.Committee Business
MOTION:Rep. Pierucci moved to approve the minutes of the May 18, 2022 meeting.The motion passed with a vote of 14-0-4.
Yeas - 14Nays- 0Abs- 4
Rep. C. Acton
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. K. Peterson
Rep. C. Pierucci
Rep. R. Ward
Sen. J. Adams
Rep. M. Nelson
Rep. R. Spendlove
Sen. E. Vickers
3.Healthcare Reform - Prescription Drugs
Dr. Bruce Wolf, CEO, Milligram, discussed potential savings that could be realized by those purchasing prescription drugs in Utah.
4.1 Milligram Statement
4.2 Milligram Presentation
Several committee members asked questions and Dr. Wolf responded.
4.Sunset Reviews
Forensic Mental Health Coordinating Council
Chris Williams, Associate General Counsel, Office of Legislative Research and General Counsel, gave an overview of the Forensic Mental Health Coordinating Council statute.
3.2 Sunset Overview -- Forensic Mental Health Coordinating Council (Source: OLRGC)
Dallas Earnshaw, Superintendent, Utah State Hospital, with the assistance of Jeremy Christensen, Assistant Superintendent, Utah State Hospital, gave a report regarding this council and the sunset recommendation.
Committee members discussed the issue.
Identifying Potential Overuse of Non-Evidence-Based Health Care
3.3 Sunset Report -- Identifying Potential Overuse of Non-Evidence-Based Health Care (Source: DHHS)
Chris Williams gave an overview of the statute requiring identification of potential overuse of non-evidence-based health care.
Carl Letamendi, Bureau Director, Office of Health Care Statistics, Utah Department of Health, and Brantley Scott, Data Quality Manager, Office of Health Care Statistics, gave their perspectives regarding the statute scheduled for sunset.
Committee members asked questions regarding the issue.
MOTION:Rep. Eliason moved to open a committee bill file to amend the USAAV section of code to take over the duties and responsibilities of the Forensic Mental Health Coordinating Council.The motion passed with a vote of 9-0-9.
Yeas - 9Nays- 0Abs- 9
Rep. C. Acton
Rep. S. Barlow
Rep. S. Eliason
Rep. M. Judkins
Sen. M. Kennedy
Rep. K. Peterson
Rep. C. Pierucci
Sen. E. Vickers
Rep. R. Ward
Sen. J. Adams
Sen. J. Anderegg
Rep. J. Dailey-Provost
Sen. L. Escamilla
Rep. S. Harrison
Rep. S. Hollins
Rep. K. Miles
Rep. M. Nelson
Rep. R. Spendlove
MOTION:Rep. Pierucci moved to adjourn.The motion passed with a vote of 9-0-9.
Yeas - 9Nays- 0Abs- 9
Rep. C. Acton
Rep. S. Barlow
Rep. S. Eliason
Rep. M. Judkins
Sen. M. Kennedy
Rep. K. Peterson
Rep. C. Pierucci
Sen. E. Vickers
Rep. R. Ward
Sen. J. Adams
Sen. J. Anderegg
Rep. J. Dailey-Provost
Sen. L. Escamilla
Rep. S. Harrison
Rep. S. Hollins
Rep. K. Miles
Rep. M. Nelson
Rep. R. Spendlove
Chair Kennedy adjourned the meeting at 3:54 p.m.