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MINUTES OF THE
SOCIAL SERVICES APPROPRIATIONS SUBCOMMITTEE
Tuesday,
August 16, 2022
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8:00 a.m.
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PARC, A Service Source Affiliate, Clearfield, UT 84015
Members Present:
Sen. Jacob L. Anderegg, Senate Chair
Rep. Raymond P. Ward, House Chair
Rep. Ken Ivory, House Vice Chair
Sen. Luz Escamilla
Sen. John D. Johnson
Sen. Michael S. Kennedy
Sen. Daniel W. Thatcher
Rep. Jennifer Dailey-Provost
Rep. Sandra Hollins
Rep. Marsha Judkins
Rep. Michael J. Petersen
Rep. Karen M. Peterson
| Rep. Candice B. Pierucci
Rep. Norman K. Thurston
Members Absent:
President J. Stuart Adams
Sen. Todd D. Weiler
Rep. Michael L. Kohler
Staff Present:
Sean C. Faherty, Finance Officer
Russell T. Frandsen, Finance Officer
Kimberly D. Madsen, Financial Analyst
An Bradshaw, 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 Ward called the meeting to order at 8:05 a.m. |
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| 2.8:00 Public Input on Topics on Today's Agenda |
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| No one from the public signed up to speak. |
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| 3.8:05 Accountable Base Budget - DHHS Division of Services for People with Disabilities |
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| 4-August 2021 ABB DSPD Presentation |
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| 4a-DHHS SSA_DSPD Presentation_August 2022 |
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| Sean Faherty introduced the Accountable Base Budget for the Division of Services for People with Disabilities. |
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| Rep. Judkins asked if COLA can be put in statutorily, and Sean Faherty responded. |
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| Rep. Judkins commented on the limitations placed on agencies' requests by the governor's budget. Rep. Judkins asked about the waiting list for services, and Sean Faherty, Sen. Thatcher, and Sen. Anderegg responded. |
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| Rep. Ivory requested more data regarding the waitlists, and Sean Faherty responded. |
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| Rep. Peterson commended Sen. Anderegg's remarks and asked about constraints to providing services, and Sean Faherty responded. |
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| Angela Pinna, Director, Division of Services for People with Disabilities, discussed the waitlist for services. |
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| Rep. Thurston asked for clarification on the graphs, and Angela Pinna responded and continued with her presentation. |
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| Rep. Judkins asked for additional information on those receiving services, and Angela Pinna responded. |
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| Chair Ward commented on the changing demographics of individuals on the waitlist, and Angela Pinna responded. |
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| Angela Pinna continued with her presentation. |
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| Sen. Anderegg asked if the time on the waitlist is given weight in determining when services are available, and Angela Pinna responded and continued with her presentation. |
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| Rep. Ivory asked why someone would be on the waitlist for several years, and Angela Pinna responded. |
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| Rep. Judkins requested a graph on how long people who are receiving services had to wait, and Angela Pinna responded. |
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| Chair Ward asked for more information on emergency situations, and Angela Pinna responded. |
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| Sen. Kennedy commented on the need to prioritize those who have spent decades on the waitlist, and Angela Pinna responded. |
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| Rep. Thurston commented on the possibility and cost of automatically providing services to those who have been on the waitlist for an extended period of time. Angela Pinna continued with her presentation. |
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| Chair Ward asked about DSPD and other services, and Angela Pinna responded. |
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| Sen. Anderegg asked for clarification on the definition of "what possible options are," and Angela Pinna responded. |
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| Sen. Kennedy asked about property development and water rights on land owned by the Developmental Center, and Angela Pinna responded. |
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| 4.8:00 Approval of Minutes |
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| MOTION:Sen. Anderegg moved to approve the minutes of the June 14, 2022 meetings.The motion
passed
with a vote of
11-0-6.
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| Yeas -
11 | Nays-
0 | Abs-
6 | |
Sen. J. Anderegg
Rep. J. Dailey-Provost
Rep. K. Ivory
Sen. J. Johnson
Rep. M. Judkins
Sen. M. Kennedy
Rep. M. Petersen
Rep. K. Peterson
Sen. D. Thatcher
Rep. N. Thurston
Rep. R. Ward
| | Sen. J. Adams
Sen. L. Escamilla
Rep. S. Hollins
Rep. M. Kohler
Rep. C. Pierucci
Sen. T. Weiler
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| 5.9:05 Accountable Base Budget - DHHS Division of Child and Family Services |
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| 5-NCSL Summary of Coordination of Domestic Violence Services |
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| Kimberly Madsen introduced the Accountable Base Budget for the Division of Child and Family Services (DCFS). |
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| Diane Moore, Director, DCFS, presented the budget. |
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| Rep. Ivory asked for a status update on reports that were requested during the June meeting, and Diane Moore responded that the reports are still being developed. |
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| Kimberly Madsen provided information on the work being done to gather data for the reports. |
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| MOTION:Sen. Anderegg moved to request the agency to work with providers to determine core level of services for addressing domestic and sexual violence to be included in the October report with the historical context as much as possible.The motion
passed
with a vote of
11-0-6.
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| Yeas -
11 | Nays-
0 | Abs-
6 | |
Sen. J. Anderegg
Rep. J. Dailey-Provost
Rep. K. Ivory
Sen. J. Johnson
Rep. M. Judkins
Sen. M. Kennedy
Rep. M. Petersen
Rep. K. Peterson
Sen. D. Thatcher
Rep. N. Thurston
Rep. R. Ward
| | Sen. J. Adams
Sen. L. Escamilla
Rep. S. Hollins
Rep. M. Kohler
Rep. C. Pierucci
Sen. T. Weiler
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| Rep. Thurston asked if funding for prevention programs has been consolidated and about ongoing funding sources, and Diane Moore and Kimberly Madsen responded. |
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| 5c-DHHS SSA_DCFS Adoption Assistance Programs_August 2022 agency-produced document |
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| Diane Moore discussed the Adoption Assistance Programs. |
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| Rep. Ivory asked Diane Moore where she was going on vacation after her upcoming retirement, and she responded that she would be traveling to Spain. |
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| Rep. Judkins asked for a detailed budget of what DCFS needs in order to meet the level of care that is acceptable to the state, and Diane Moore responded. |
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| 6.9:35 Tour Host Site PARC A ServiceSource Affiliate |
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| Ken Naegle, CEO, PARC, A ServiceSource Utah Affiliate, provided a PowerPoint Presentation. |
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| Ken Naegle led the committee on a tour of PARC's facility. |
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| 7.10:20 Accountable Base Budget - Department of Workforce Services Utah State Office of |
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| Kimberly Madsen introduced the Accountable Base Budget for the Utah State Office of Rehabilitation. |
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| Sarah Brenna, Division Director, Utah State Office of Rehabilitation, presented the Accountable Base Budget and described the division's efforts. |
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| Rep. Thurston asked about the clients receiving disability payments, and Sarah Brenna responded. |
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| Rep. Judkins asked what services were available to those who are unemployed while waiting for benefits to start, and Sarah Brenna responded. |
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| Chair Ward asked for clarification on the number of people receiving benefits, and Sarah Brenna responded. |
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| Sen. Escamilla commented on the work of the division. |
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| Chair Ward asked if there was a waitlist for the program, and Sarah Brenna said currently there was not a waitlist. |
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| 8.10:50 Accountable Base Budget - DHHS Medicaid Long Term Care Services |
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| Jennifer Strohecker, State Medicaid Director, discussed sharing relevant findings from internal audits. |
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| Gene Cottrell, Inspector General, discussed measures to improve working with DHHS. |
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| 8b-DHHS SSA_Quality Improvement Incentive Programs for Nursing Facilities_August 2022.pdf |
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| Trent Brown, Reimbursement Unit Manager, DHHS, provided a review of the Nursing Home Incentive Programs. |
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| Rep. Judkins asked about the various types of facilities, and Trent Brown responded. |
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| Nate Winters, Deputy Director, DHHS, and Russell Frandsen provided information on funds available through Medicaid. |
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| 8c-DHHS SSA_New HCBS Eligibility Guidance_August 2022.pdf |
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| Tonya Hales discussed Costs to Pursue Medicaid Wait List Flexibilities. |
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| Rep. Judkins asked about people eligible for Medicaid benefits, and Tonya Hales responded. |
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| 8d1-Antipsychotic use in Serious Mental Illness.pdf |
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| 8e1-Concurrent Prescriptions for Opioid and Benzodiazepines.pdf |
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| 8e2-Concurrent Prescriptions - NCSL Utah memo |
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| 8f1-Urine Drug Testing Report 2022.pdf |
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| Russell Frandsen explained the reports. |
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| Rep. Pierucci asked for information on antipsychotic medications, and Russell Frandsen responded. |
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| Jennifer Strohecker provided the department's response to the reports. |
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| Rep. Thurston asked what circumstances warrant frequent drug testing, and Brent Kelsey responded. |
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| Rep. Judkins asked for additional information on the population being tested, and Brent Kelsey responded. |
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| Rep. Pierucci asked about those getting high numbers of tests, and Brent Kelsey responded. |
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| Rep. Petersen asked what other states that pay for fewer tests are doing differently, and Brent Kelsey responded. |
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| Sen. Escamilla asked about reports on the profiles of individuals who have been dropped from Medicaid, and Jennifer Strohecker responded that no one has been dropped yet. |
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| MOTION:Rep. Ivory moved to recess.The motion
passed
with a vote of
9-0-8.
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| Yeas -
9 | Nays-
0 | Abs-
8 | |
Rep. S. Hollins
Rep. K. Ivory
Rep. M. Judkins
Rep. M. Petersen
Rep. K. Peterson
Rep. C. Pierucci
Sen. D. Thatcher
Rep. N. Thurston
Rep. R. Ward
| | Sen. J. Adams
Sen. J. Anderegg
Rep. J. Dailey-Provost
Sen. L. Escamilla
Sen. J. Johnson
Sen. M. Kennedy
Rep. M. Kohler
Sen. T. Weiler
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| Chair Ward recessed the meeting at 12:20 p.m. |
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