MINUTES OF THE
SOCIAL SERVICES APPROPRIATIONS SUBCOMMITTEE
Tuesday, October 18, 2022 • 8:00 a.m. • Visually Impaired Services, 250 N 1950 W, Salt Lake City, Utah 84116


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
Sen. Todd D. Weiler
Rep. Jennifer Dailey-Provost
Rep. Sandra Hollins
Rep. Marsha Judkins
Rep. Michael L. Kohler
Rep. Karen M. Peterson
Rep. Candice B. Pierucci
Rep. Norman K Thurston

Members Absent:
President J. Stuart Adams
Rep. Michael J. Petersen

Staff Present:
Sean C. Faherty, Finance Officer
Russell T. Frandsen, Finance Officer
Kimberly D. Madsen, Financial Analyst
An Bradshaw, Committee Secretary

Note: A copy of related materials and an audio recording of the meeting can be found at www.le.utah.gov.
1.8:00 Call to Order
Chair Ward called the meeting to order at 8:25 a.m.
2.8:00 Public Input on Topics on Today's Agenda
No members of the public made comments.
3.8:05 Accountable Base Budget - Department of Workforce Services Utah State Office of
4a-DWS - Legislative Reports - Social Services - October 18, 2022
Kimberly Madsen introduced the base budget for the Department of Workforce Services (DWS).
Kevin Burt, Deputy Director, DWS, presented the Base Budget with the assistance of Nathan Harrison, Director of Finance, DWS.
4.8:15 Accountable Base Budget - DHHS Division of Child and Family Services
5b-Utah Victim Services Overview DV and SA Report
Summary Tables for Utah Victim Services Overview Report
Kimberly Madsen introduced the base budget for the Division of Child and Family Services, Department of Health and Human Services (DHHS).
Charri Brummer, Assistant Division Director, DHHS, and Erin Jamison, Director of Public Policy, Utah Domestic Violence Coalition, presented information on programs for domestic and sexual violence victims.
Rep. Pierucci commented on the need for good data and asked if the cost of shelters is included in the base budget, and Charri Brummer responded.
Rep. Ivory expressed his pride in the agencies which provide these services with minimal financial support.
Sen. Anderegg assumed the chair.
Rep. Judkins requested information on funding requests, and Charri Brummer responded.
Gary Sheller, Office of Victims of Crime, Commission on Criminal and Juvenile Justice (CCJJ), was invited to provide additional information on funding for victim services.
Rep. Judkins commented on renters who are victims of domestic violence.
Liliana Olvera-Arbon, Executive Director, Utah Coalition Against Sexual Violence, and Gary Sheller continued with the presentation on sexual assault services.
Chair Anderegg asked about the level of federal funding for victim programs, and Gary Sheller responded.
Rep. Pierucci asked how we can be proactive in addressing sexual assault, and Liliana Olvera-Arbon responded.
Sen. Thatcher noted that males are also victims of sexual assault and requested they be included in the discussion. Sen. Thatcher asked about the cost of rape kits and how they are funded, and Gary Sheller responded.
Rep. Ivory discussed the reliance on federal funding and the problems which result when that funding goes away.
Tracey Tabet, Children's Justice Centers, Attorney General's Office, and Ned Searle, Office on Domestic and Sexual Violence, CCJJ, continued with the presentation.
Rep. Thurston requested information on data gathering, and Ned Searle responded.
Rep. Pierucci provided additional information on data gathering.
Rep. Ivory commented on the challenges and efforts of agencies to work together in providing victim support.
Rep. Peterson stated she was encouraged by the work of the agencies and expressed the need to be clearer in statutes that define responsibilities.
Tracey Tabet expressed concern about those who respond to trauma victims and the need to support them.
5.8:00 Approval of Minutes
MOTION:Sen. Escamilla moved to approve the minutes from the August 16, 2022 meetings.The motion passed with a vote of 11-0-6.
Yeas - 11Nays- 0Abs- 6
Sen. J. Anderegg
Rep. J. Dailey-Provost
Sen. L. Escamilla
Rep. S. Hollins
Rep. K. Ivory
Sen. J. Johnson
Rep. M. Judkins
Rep. K. Peterson
Rep. C. Pierucci
Rep. N. Thurston
Rep. R. Ward
Sen. J. Adams
Sen. M. Kennedy
Rep. M. Kohler
Rep. M. Petersen
Sen. D. Thatcher
Sen. T. Weiler
6.9:05 Accountable Base Budget Medicaid Long Term Care - Recommendations and
6g-Non-medical transportation brief-Social Services Approp (18 Oct 2022).
6a-Waiver Summary Medicaid 1915c
6d-Accountable Base Budget Explanations - Medicaid Waiver and Long Term Care
6b-Reimbursement Rate Disparities
6e-Research Materials for October 2022 Accountable Base Budget Review of Medicaid LTC
6f-NCSL Nursing UPL Info for Utah
Russell Frandsen introduced the base budget for Medicaid Long Term Care.
Sen. Escamilla asked for clarification on the methods used to bill for services, and Russell Frandsen responded.
Russell Frandsen continued with the introduction.
Gene Cottrell, Inspector General, discussed Waiver Summary Medicaid 1915c.
Sen. Escamilla asked about the 2016 audit, and Gene Cottrell responded.
MOTION:Rep. Ward moved to approve the staff recommendations supported by the agency on slides/pages 6, 9, 10, and 11.The motion passed with a vote of 13-0-4.
Yeas - 13Nays- 0Abs- 4
Sen. J. Anderegg
Rep. J. Dailey-Provost
Sen. L. Escamilla
Rep. S. Hollins
Rep. K. Ivory
Sen. J. Johnson
Rep. M. Judkins
Sen. M. Kennedy
Rep. K. Peterson
Rep. C. Pierucci
Rep. N. Thurston
Rep. R. Ward
Sen. T. Weiler
Sen. J. Adams
Rep. M. Kohler
Rep. M. Petersen
Sen. D. Thatcher
7.9:30 Tour of Division for Services for the Blind and Visually Impaired
The group toured the facilities.
Rep. Ward resumed the chair.
8.10:15 Update on Implementation of Provider Reimbursement Information System for
8a-DHHS - 2022 MMIS Annual Report - Oct 1, 2022
Jennifer Strohecker, State Medicaid Director, DHHS, and Nate Checketts, Deputy Director, DHHS, presented the update.
9.10:20 Update on Public Health Emergency Unwinding of Medicaid
9a-Top 10 Fundamental Actions to Prepare for Unwinding
Jennifer Strohecker and Kevin Burt provided the update.
Rep. Thurston asked for an estimate of the number of recipients who will not complete the paperwork, and Kevin Burt responded.
Sen. Escamilla asked for more information on who is qualified and certified to be on Medicaid, and Kevin Burt responded.
10.11:30 Utah Commission on Aging Update
12a-UCOA Funding Comments - Ence Update w SS Approp Sub
12b-2021-22 UCOA FYE Annual Report
Rob Ence, Executive Director, Commission on Aging, presented the update.
11.10:25 Accountable Base Budget - Lawsuit Update for Intermediate Care Facilities for
10a-ICFIID Infographic June 2022
10d-DLC Settlement Agreement Presentation October 2022
10b-Hidden Hollow Care Center
10c-Mesa Vista ICF-ID Letter
Tonya Hales, Assistant Deputy Director, DHHS, gave an update on the lawsuit.
Sen. Anderegg asked what follow-up has occurred to verify that quality of care continues, and Tonya Hales responded.
Sen. Escamilla asked if some resources are still lacking, and Tonya Hales responded.
Nate Crippes, Public Affairs Supervising Attorney, Disability Law Center, addressed the lawsuit settlement.
Sen. Escamilla asked if there are any states that don't offer ICFs, and Nate Crippes responded.
Chair Ward asked for additional information on ICFs, and Nate Crippes responded.
Nora Morgan, client, discussed her successful transition to home-based care from an ICF-ID.
Sen. Anderegg asked for more information, and Nora Morgan and Hannah Taggart, residential manager, responded.
Chair Ward asked Nora Morgan for the name of her Etsy account, and she responded that it is Nora's Handicrafts.
Merlin Moyes, owner and operator, Medallion Supported Living (ICF-ID), discussed the facility, assisted by Vicky Zollinger, parent of Shawn, who is returning to an ICF-ID from HCBS.
Sen. Anderegg asked if the lawsuit intended to do away with ICFs, and Russell Frandsen responded.
Kelly Oviatt, owner of GOAL Home LLC, stated that ICFs are appropriate for some individuals and HCBSs for others.
12.10:50 Accountable Base Budget - Division of Services for People with Disabilities
The agenda item was not discussed.
13.11:40 Medicaid Caregiver Compensation Options and Future Outlook
The agenda item was not discussed.
14.11:50 Items From the Afternoon Agenda
There was no discussion of items from the afternoon agenda.
15.11:55 Other Business
No other business was discussed.
MOTION:Sen. Anderegg moved to recess the meeting until 1:30 p.m. The motion passed with a vote of 14-0-3.
Yeas - 14Nays- 0Abs- 3
Sen. J. Anderegg
Rep. J. Dailey-Provost
Sen. L. Escamilla
Rep. S. Hollins
Rep. K. Ivory
Sen. J. Johnson
Rep. M. Judkins
Sen. M. Kennedy
Rep. K. Peterson
Rep. C. Pierucci
Sen. D. Thatcher
Rep. N. Thurston
Rep. R. Ward
Sen. T. Weiler
Sen. J. Adams
Rep. M. Kohler
Rep. M. Petersen
Chair Ward recessed the meeting at 12:18 p.m.