| 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 |
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Note: A copy of related materials and an audio recording of the meeting can be found at www.le.utah.gov.
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| 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. |
| Utah Association of Counties |
| 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 - 14 | Nays- 0 | Abs- 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 - 14 | Nays- 0 | Abs- 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 - 9 | Nays- 0 | Abs- 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 - 9 | Nays- 0 | Abs- 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. |