| 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. 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. Sandra Hollins Rep. Robert M. Spendlove Staff Present: Seth Anderson, Policy Analyst Mark D. Andrews, Policy Analyst Victoria Ashby, Associate General Counsel Daniel M. Cheung, Associate General Counsel Christopher Williams, Associate General Counsel Naomi Garrow, Administrative Assistant |
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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 1:24 p.m. |
| 1.Committee Business |
| MOTION:Rep. Nelson moved to approve the minutes of the June 15, 2022, and August 17, 2022, meetings.The motion passed with a vote of 8-0-10. | |||
| Yeas - 8 | Nays- 0 | Abs- 10 | |
| Rep. C. Acton Sen. J. Anderegg Rep. J. Dailey-Provost Rep. M. Judkins Sen. M. Kennedy Rep. M. Nelson Rep. K. Peterson Rep. R. Ward | Sen. J. Adams Rep. S. Barlow Rep. S. Eliason Sen. L. Escamilla Rep. S. Harrison Rep. S. Hollins Rep. K. Miles Rep. C. Pierucci Rep. R. Spendlove Sen. E. Vickers |
| MOTION:Chair Kennedy moved to open a committee bill file to address gender transitioning surgical procedures for minors.The motion passed with a vote of 8-1-9. | |||
| Yeas - 8 | Nays- 1 | Abs- 9 | |
| Rep. C. Acton Sen. J. Anderegg Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Rep. K. Peterson Rep. R. Ward | Rep. J. Dailey-Provost | Sen. J. Adams Rep. S. Barlow Rep. S. Eliason Sen. L. Escamilla Rep. S. Harrison Rep. S. Hollins Rep. C. Pierucci Rep. R. Spendlove Sen. E. Vickers |
| MOTION:Chair Kennedy moved to open a committee bill file to address transgender hormone therapies for minors.The motion passed with a vote of 9-1-8. | |||
| Yeas - 9 | Nays- 1 | Abs- 8 | |
| Rep. C. Acton Sen. J. Anderegg Rep. S. Eliason Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Rep. K. Peterson Rep. R. Ward | Rep. J. Dailey-Provost | Sen. J. Adams Rep. S. Barlow Sen. L. Escamilla Rep. S. Harrison Rep. S. Hollins Rep. C. Pierucci Rep. R. Spendlove Sen. E. Vickers |
| 2.Behavioral Health Receiving Centers |
| 2.1 Receiving Centers Fact Sheet (Source: UAC/UBHC) |
| 2.2 Receiving Centers Presentation (Source: UAC/UBHC) |
| 2.3 Updates and Innovations: Utah's Receiving Centers (Source: DHHS) |
| Amanda Alkema, Assistant Director, Office of Substance Use and Mental Health, Utah Department of Health and Human Services (DHHS), and Brent Kelsey, Director, Office of Substance Use and Mental Health, DHHS, presented on Behavioral Health Receiving Centers and answered questions from the committee. |
| Dr. Juergen Korbanka, Executive Director of Wasatch Behavioral Health and Chair of Utah Association of Counties Behavioral Healthcare Committee and Brandon Hatch, CEO of Davis Behavioral Health, presented on receiving centers and answered questions from the committee. |
| 3.Sunset Review - Behavioral Health Receiving Center Grant Program |
| 3.1 Sunset Overview -- Behavioral Health Receiving Center Grant Program (Source: OLRGC) |
| 3.2 Sunset Report -- Behavioral Health Receiving Center Grant Program (Source: DHHS) |
| Seth Anderson, Policy Analyst, Office of Legislative Research and General Counsel (OLRGC), presented information on the scheduled sunset of the Behavioral Health Receiving Center Grant Program and answered questions from the committee. |
| Nate Checketts, Deputy Director, DHHS, provided comment in response to questions. |
| MOTION:Rep. Eliason moved to open a committee bill file titled, "Behavioral Health Crisis Response Amendments," to clarify funding for receiving centers, enact recommendations by the Behavioral Health Crisis Response Commission, and allow the Behavioral Health Receiving Center Grant Program to sunset.The motion passed with a vote of 13-0-5. | |||
| Yeas - 13 | Nays- 0 | Abs- 5 | |
| Rep. C. Acton Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Eliason Sen. L. Escamilla Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Rep. K. Peterson Sen. E. Vickers Rep. R. Ward | Sen. J. Adams Rep. S. Harrison Rep. S. Hollins Rep. C. Pierucci Rep. R. Spendlove |
| 4.Sunset Review - Behavioral Health Crisis Response Commission |
| 4.1 Sunset Overview -- Behavioral Health Crisis Response Commission (Source: OLRGC) |
| 4.2 Sunset Report -- Behavioral Health Crisis Response Commission (Source: DHHS) |
| Seth Anderson presented information on the scheduled sunset of the Behavioral Health Crisis Response Commission. |
| MOTION:Rep. Nelson moved that in accordance with a recommendation by DHHS the Behavioral Health Crisis Response Commission statute be extended for 10 years, with a sunset review in five years. |
| SUBSTITUTE MOTION:Rep. Judkins moved that the Behavioral Health Crisis Response Commission statute be extended for 10 years, with a sunset review in two years. |
| Rep. Judkins withdrew the motion. |
| SUBSTITUTE MOTION:Sen. Vickers moved that the Behavioral Health Crisis Response Commission statute be extended for five years.The substitute motion passed with a vote of 13-0-5. | |||
| Yeas - 13 | Nays- 0 | Abs- 5 | |
| Rep. C. Acton Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Eliason Sen. L. Escamilla Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Rep. K. Peterson Sen. E. Vickers Rep. R. Ward | Sen. J. Adams Rep. S. Harrison Rep. S. Hollins Rep. C. Pierucci Rep. R. Spendlove |
| 5.Sunset Review - Forensic Mental Health Coordinating Council |
| 5.1 DRAFT COMMITTEE LEGISLATION: Forensic Mental Health Amendments (OLRGC) |
| Christopher Williams, Associate General Counsel, OLRGC, provided background for discussion of draft legislation "Forensic Mental Health Amendments." |
| Rep. Eliason presented the draft legislation. |
| Dallas Earnshaw, Superintendent, Utah State Hospital, spoke in support of the draft legislation. |
| MOTION:Rep. Nelson made a motion to favorably recommend draft legislation "Forensic Mental Health Amendments (2023FL-0438/002).The motion passed with a vote of 11-0-7. | |||
| Yeas - 11 | Nays- 0 | Abs- 7 | |
| Rep. C. Acton Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Eliason Rep. M. Judkins Sen. M. Kennedy Rep. M. Nelson Rep. K. Peterson Rep. C. Pierucci Rep. R. Ward | Sen. J. Adams Sen. L. Escamilla Rep. S. Harrison Rep. S. Hollins Rep. K. Miles Rep. R. Spendlove Sen. E. Vickers |
| 6.Healthcare Reform - Prescription Drugs |
| 6.1 DRAFT COMMITTEE LEGISLATION: Prescription Discount Program Amendments (OLRGC) |
| Rep. Ward presented draft legislation "Prescription Discount Program Amendments" and answered questions from the committee. |
| MOTION:Rep. Nelson moved to favorably recommend "Prescription Discount Program Amendments" (2023FL-0341/002).The motion passed with a vote of 12-0-6. | |||
| Yeas - 12 | Nays- 0 | Abs- 6 | |
| Rep. C. Acton Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Eliason Sen. L. Escamilla Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Rep. K. Peterson Rep. R. Ward | Sen. J. Adams Rep. S. Harrison Rep. S. Hollins Rep. C. Pierucci Rep. R. Spendlove Sen. E. Vickers |
| 7.Medicaid - Pregnancy Postpartum Coverage |
| 7.1.2 DRAFT LEGISLATION: Postpartum Medicaid Coverage Amendments (amended) (posted 09/21/22) (Rep. Lesser) |
| 7.2 DRAFT LEGISLATION: Pregnancy Medicaid Coverage Amendments (Rep. Lesser) |
| 7.3 Pregnancy and Postpartum Medicaid Coverage Amendments Presentation (Source Rep. Lesser) |
| 7.4 Pregnancy and Postpartum Medicaid Coverage Amendments Handout (Source. Rep. Lesser) |
| Rep. Rosemary T. Lesser, with the assistance of Gabriella Archuleta, Public Policy Director, YWCA Utah, presented draft legislation "Postpartum Medicaid Coverage Amendments" (2023FL-0171/006) and Pregnancy Medicaid Coverage Amendments (2023FL-0177/003), and answered questions from the committee. |
| Mark Brinton, General Counsel and Director of Government Affairs, Utah Medical Association, spoke in favor of the draft legislation. |
| Jamie Hales, Co-Chair, Postpartum Support International - Utah, spoke in favor of the draft legislation. |
| Gabby Saunders, American College of Obstetricians and Gynecologists, spoke in favor of the draft legislation. |
| Dr. Sarah Zarek, OB/GYN, spoke in favor of the draft legislation. |
| Rep. Dailey-Provost made a point of order. She clarified that draft legislation "Postpartum Medicaid Coverage Amendments" (2023FL-017/006) extends Medicaid postpartum coverage to one year but does not expand eligibility for the coverage to include individuals with up to 200% of the federal poverty level. |
| MOTION:Rep. Harrison moved to favorably recommend draft legislation "Postpartum Medicaid Coverage Amendments" (2023FL-0171/006). |
| SUBSTITUTE MOTION:Sen. Vickers moved that the committee move to the next item on the agenda.The substitute motion failed with a vote of 6-7-5. | |||
| Yeas - 6 | Nays- 7 | Abs- 5 | |
| Sen. J. Anderegg Rep. S. Barlow Sen. M. Kennedy Rep. M. Nelson Sen. E. Vickers Rep. R. Ward | Rep. C. Acton Rep. J. Dailey-Provost Rep. S. Eliason Sen. L. Escamilla Rep. S. Harrison Rep. M. Judkins Rep. K. Miles | Sen. J. Adams Rep. S. Hollins Rep. K. Peterson Rep. C. Pierucci Rep. R. Spendlove |
| The original motion failed with a vote 10-4-4. | |||
| Yeas - 10 | Nays- 4 | Abs- 4 | |
| Rep. C. Acton Rep. J. Dailey-Provost Rep. S. Eliason Sen. L. Escamilla Rep. S. Harrison Rep. M. Judkins Rep. K. Miles Rep. M. Nelson Rep. K. Peterson Rep. R. Ward | Sen. J. Anderegg Rep. S. Barlow Sen. M. Kennedy Sen. E. Vickers | Sen. J. Adams Rep. S. Hollins Rep. C. Pierucci Rep. R. Spendlove |
| MOTION:Rep. Harrison moved to favorably recommend draft legislation "Pregnancy Medicaid Coverage Amendments" (2023FL-0177/003) as a committee bill.The motion failed with a vote of 9-4-5. | |||
| Yeas - 9 | Nays- 4 | Abs- 5 | |
| Rep. C. Acton Rep. J. Dailey-Provost Rep. S. Eliason Sen. L. Escamilla Rep. S. Harrison Rep. M. Judkins Rep. K. Miles Rep. M. Nelson Rep. R. Ward | Sen. J. Anderegg Rep. S. Barlow Sen. M. Kennedy Sen. E. Vickers | Sen. J. Adams Rep. S. Hollins Rep. K. Peterson Rep. C. Pierucci Rep. R. Spendlove |
| 8.Sunset Review - Assisted Living Facility Transfers |
| 8.1 Sunset Overview -- Assisted Living Facility Transfers (Source: OLRGC) |
| 8.2 Sunset Report -- Assisted Living Facility Transfers (Source: DHHS) |
| Christopher Williams presented information about the scheduled sunset of Utah Code Section 62A-3-209, Assisted living facility transfers, and answered questions from the committee. |
| Alianne Sipes, Long-term Care Ombudsman, DHHS, provided clarifying comments and responded to questions. |
| MOTION:Rep. Eliason moved to open a committee bill file to remove Utah Code Section 62A-3-209 from the Legislative Oversight and Sunset Act, with the modifications recommended by DHHS, including amending Utah Code Section 62A-3-209 to require the long-term care ombudsman to conduct voluntary interviews with residents being discharged from nursing homes. |
| SUBSTITUTE MOTION:Rep. Judkins moved that the committee approve the original motion, but with an amendment that Utah Code Section 62A-3-209 be amended to: 1) include stronger accountability for long-term care facilities, both assisted living facilities and skilled nursing facilities, to notify the long-term care ombudsman of a discharge to ensure adherence to state and federal regulations; and 2) clarify that long-term care facilities must notify the Long-Term Care Ombudsman Program of a pending discharge that is not strictly initiated by the resident or resident’s representative. |
| Rep. Judkins withdrew the motion. |
| The original motion passed with a vote 10-0-8. | |||
| Yeas - 10 | Nays- 0 | Abs- 8 | |
| Rep. C. Acton Sen. J. Anderegg Rep. S. Barlow Rep. J. Dailey-Provost Rep. S. Eliason Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Sen. E. Vickers | Sen. J. Adams Sen. L. Escamilla Rep. S. Harrison Rep. S. Hollins Rep. K. Peterson Rep. C. Pierucci Rep. R. Spendlove Rep. R. Ward |
| 9.Adjourn |
| MOTION:Rep. Nelson 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. J. Dailey-Provost Rep. S. Eliason Rep. M. Judkins Sen. M. Kennedy Rep. K. Miles Rep. M. Nelson Sen. E. Vickers | Sen. J. Adams Sen. J. Anderegg Sen. L. Escamilla Rep. S. Harrison Rep. S. Hollins Rep. K. Peterson Rep. C. Pierucci Rep. R. Spendlove Rep. R. Ward |
| Chair Kennedy adjourned the meeting at 4:05 p.m. |