| Members Present: Sen. Jacob L. Anderegg, Senate Chair Rep. Raymond P. Ward, House Chair Rep. Ken Ivory, House Vice Chair Sen. Luz Escamilla Sen. Michael S. Kennedy Sen. Daniel W. Thatcher Sen. Todd D. Weiler Rep. Jennifer Dailey-Provost 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 Sen. John D. Johnson Rep. Sandra Hollins 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 |
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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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| 1.1:00 Call to Order |
| Chair Ward called the meeting back to order at 1:36 p.m. |
| 2.1:05 Public Input on Topics on Today's Agenda |
| There were no members of the public who requested to speak. |
| 3.1:10 Unfinished Items from the Morning Agenda |
| Accountable Base Budget - Division of Services for People with Disabilities |
| Sean Faherty introduced agenda item 11 from the morning session - Accountable Base Budget - Division of Services for People with Disabilities. |
| Rep. Pierucci asked if incarcerated individuals remain on the waitlist, and Sean Faherty responded. |
| Chair Ward asked if additional information would be useful, and Angela Pinna, Division Director, Department of Health and Human Services (DHHS), responded. |
| Sean Faherty continued with the presentation. |
| Rep. Judkins asked about nursing home payment limits, and Nate Checketts, Deputy Director, DHHS, responded. |
| MOTION:Rep. Ivory moved to approve the staff recommendations on slides 23 and 25.The motion passed with a vote of 9-0-8. | |||
| Yeas - 9 | Nays- 0 | Abs- 8 | |
| Rep. J. Dailey-Provost Sen. L. Escamilla Rep. K. Ivory Rep. M. Judkins Sen. M. Kennedy Rep. K. Peterson Rep. C. Pierucci Sen. D. Thatcher Rep. R. Ward | Sen. J. Adams Sen. J. Anderegg Rep. S. Hollins Sen. J. Johnson Rep. M. Kohler Rep. M. Petersen Rep. N. Thurston Sen. T. Weiler |
| MOTION:Chair Ward moved to direct the Chairs of the Social Services Appropriations Subcommittee prepare a letter for the Executive Appropriations Committee (EAC) requesting that funding FY 2024 mandated additional needs cost increases for individual services with the Division of Service for People with Disabilities be included in the FY 2024 Social Services Base Budget Bill. The motion passed with a vote of 9-0-8. | |||
| Yeas - 9 | Nays- 0 | Abs- 8 | |
| Rep. J. Dailey-Provost Sen. L. Escamilla Rep. K. Ivory Rep. M. Judkins Sen. M. Kennedy Rep. K. Peterson Rep. C. Pierucci Sen. D. Thatcher Rep. R. Ward | Sen. J. Adams Sen. J. Anderegg Rep. S. Hollins Sen. J. Johnson Rep. M. Kohler Rep. M. Petersen Rep. N. Thurston Sen. T. Weiler |
| Medicaid Caregiver Compensation Options and Future Outlook |
| Sean Faherty introduced agenda item 13 from the morning session - Medicaid Caregiver Compensation Options and Future Outlook. |
| Tonya Hales, Assistant Deputy Director, DHHS, and Angela Pinna presented Medicaid Caregiver Compensation Options and Future Outlook. |
| Rep. Judkins asked for additional information on waivers, and Tonya Hales responded. |
| Sen. Escamilla asked if legislative action is required to continue funding, and Tonya Hales responded. |
| Rep. Daily-Provost commented on S.B. 63. |
| 4.1:10 Environmental Chemistry Comprehensive Plan |
| 4a-DEQ and UPHL Comprehensive Plan for Services - 2022 |
| 4b-UPHL DEQ update |
| Andreas Rohrwasser, Director, Public Health Laboratories, DHHS, and John Mackey, Director, Division of Water Quality, Department of Environmental Quality, presented the information. |
| Rep. Judkins asked for additional information on the bid process, and John Mackey responded. |
| Andreas Rohrwasser continued with the presentation. |
| Rep. Judkins asked which department funds the program, and John Mackey and Andreas Rohrwasser responded. |
| Sen. Escamilla asked if Social Services continues to fund the testing, and Russell Frandsen responded. |
| 5.1:30 Performance Measures for Newly Funded Items FY 2022 Results |
| 6a-2022 FN Follow Up Recommendations and Agency Responses |
| Kimberly Madsen, Sean Faherty, and Russell Frandsen introduced the performance measures. |
| Rep. Thurston asked how providers will be found when there is a shortage, and Sean Faherty responded. |
| Rep. Judkins asked which subcommittee was funding the program, and Sean Faherty responded. |
| MOTION:Rep. Dailey-Provost moved the Legislature intends that the Department of Health and Human Services keep the $2,629,500 excess ongoing General Fund provided for 2021GS - Caregiver Compensation Amendments (2021 G.S. - S.B 63) and use the funding to maintain caregiver compensation for caring for minor and adult children currently paid for by the federal government during the public health emergency starting in FY 2024 to the extent funds are available. (Explanatory notes: This action lets the agency keep the excess ongoing funds, but still sweeps the onetime excess funds in FY 2023.) |
| After extensive committee discussion, Rep. Dailey-Provost's motion failed with a vote 4-6-7. | |||
| Yeas - 4 | Nays- 6 | Abs- 7 | |
| Rep. J. Dailey-Provost Sen. L. Escamilla Rep. M. Judkins Rep. K. Peterson | Rep. K. Ivory Sen. M. Kennedy Rep. C. Pierucci Sen. D. Thatcher Rep. N. Thurston Rep. R. Ward | Sen. J. Adams Sen. J. Anderegg Rep. S. Hollins Sen. J. Johnson Rep. M. Kohler Rep. M. Petersen Sen. T. Weiler |
| MOTION:Rep. Thurston moved to accept the other items on the list that were supported by the agency.The motion passed with a vote of 11-0-6. | |||
| Yeas - 11 | Nays- 0 | Abs- 6 | |
| Rep. J. Dailey-Provost Sen. L. Escamilla Rep. K. Ivory Rep. M. Judkins Sen. M. Kennedy Rep. M. Kohler Rep. K. Peterson Rep. C. Pierucci Sen. D. Thatcher Rep. N. Thurston Rep. R. Ward | Sen. J. Adams Sen. J. Anderegg Rep. S. Hollins Sen. J. Johnson Rep. M. Petersen Sen. T. Weiler |
| 6.2:40 The Point by Switchpoint Airport Location Tour |
| The committee attended the tour. |
| 7.1:25 Building Block Performance Measures - FY 2021 Report Follow Ups |
| Russell Frandsen presented the report to the committee. |
| 8.1:45 Line Item Performance Measures |
| 7a-2022 General Session Line Item Performance Measures with DWS Recommended Changes |
| 7c-Summary of DWS Proposed Changes to Line Item Measures |
| Rep. Judkins asked where the committee could find the information, and Kimberly Madsen and Russell Frandsen responded. |
| 7b-DHHS Line Item Performance Measures - October 14, 2022 |
| Russell Frandsen introduced the performance measures for DHHS. |
| Sean Faherty continued with the presentation. |
| Amanda Slater, Assistant Deputy Director, DHHS, presented additional information. |
| 9.2:05 Utah Sustainable Health Collaborative |
| James Wissler, Executive Director, Utah Sustainable Health Collaborative, presented information on the work of the collaborative. |
| 10.2:15 Homeless Services Strategy and Performance Measures |
| The agenda item was not discussed. |
| 11.2:35 Opioid Settlement Fund Recommendations from Social Services - Delayed Until |
| The agenda item is delayed until the 2023 General Session. |
| 12.3:30 Funding Spread for Local Health Departments |
| Seth Anderson, Policy Analyst, Office of Legislative Research and General Counsel, presented the Funding Spread for Local Health Departments. |
| Jill Parker, Executive Director, Utah Association of Local Health Departments, and Jordan Mathis, Director, Bear River Health Department, responded to questions from the committee. |
| 13a-Tobacco Product Retail Non-Compliance Rate Report - 2022 |
| Russell Frandsen presented the report. |
| 13.3:45 Non-compliance Rate of Retailers Selling Tobacco Products to Youth |
| Sen. Thatcher asked what the fines are when a store is caught selling to a minor, and Braden Ainswort, Health Program Manager, DHHS, responded. |
| Rep. Judkins asked if the report included vaping products, and Braden Ainswort responded. |
| 14.4:00 Number of Sudden Unexplained Infant Deaths |
| 14a-Sudden Unexplained Infant Death (SUID) Prevention Report - 2022 |
| Anna Fondario, Office Director, DHHS, discussed sudden unexplained infant deaths. |
| Heather Borski, Assistant Deputy Director, DHHS, addressed questions from the committee. |
| Rep. Judkins commented on the terms we use regarding unsafe sleep factors for infants. |
| 15.4:15 Tobacco Cessation Medicaid Match |
| 15a-Medicaid Match and Tobacco Cessation Report - 2022 |
| Russell Frandsen presented the agenda item. |
| 16.4:20 Asthma Home Based Case Management in Medicaid |
| 16a-Legislative Committee Report - Medicaid, Asthma |
| Anna Fondario presented the agenda item to the committee. |
| Jennifer Strohecker, State Medicaid Director, continued with the presentation. |
| 17.4:35 State-run Health Clinic Transition to Private Provider Update |
| 17a-Health Clinics of Utah Transition Plan and Letter |
| Michelle Hoffman, Executive Medical Director, DHHS, and Rebecca Brown, Assistant Deputy Director, DHHS, provided the update on the transition. |
| 18.4:40 Graduate Medical Education Funding Options |
| 18a-Medicaid Graduate Medical Education Expansion Report - 2022 |
| Russell Frandsen explained the funding options. |
| 19.4:45 Update on A Performance Audit of the Culture and Grant Management Process of |
| Nate Checketts provided the update on the department's actions in response to the audit. |
| Rep. Peterson asked about requirements for local health departments, and Nate Checketts and Heather Borski responded. |
| 20.4:55 Other Business |
| 20b-Hepatitis C Outreach Pilot Program - 2022 |
| 20c-Adult Autism Treatment Program Report - 2022 |
| 20a-Electronic Cigarette Substance and Nicotine Product Tax Restricted Account - 2022 |
| Russell Frandsen discussed the electronic cigarette tax. |
| MOTION:Rep. Judkins moved to approve proposed performance measures and targets listed for (1) Health and Human Services in the document entitled "Line Item Performance Measures" and dated 10/14/2022 and (2) Workforce Services in the document entitled "2022 General Session Line Item Performance Measures with DWS Recommended Changes." Additionally, authorize staff to add all the technical parts (statutory reference, reporting dates, mission statements, etc.) of the performance measure intent language needed for inclusion in the Social Services Base Budget.Additionally, Rep. Judkins moved that legislative staff shall work with the Department of Health and Human Services to include at least one performance measure for (1) client quality of Medicaid healthcare received and (2) agency performance with Medicaid providers for inclusion in the Social Services Base Budget bill.The motion passed with a vote of 8-0-9. | |||
| Yeas - 8 | Nays- 0 | Abs- 9 | |
| Sen. J. Anderegg Rep. M. Judkins Rep. K. Peterson Rep. C. Pierucci Sen. D. Thatcher Rep. N. Thurston Rep. R. Ward Sen. T. Weiler | Sen. J. Adams Rep. J. Dailey-Provost Sen. L. Escamilla Rep. S. Hollins Rep. K. Ivory Sen. J. Johnson Sen. M. Kennedy Rep. M. Kohler Rep. M. Petersen |
| MOTION:Sen. Weiler moved to direct staff to align reports with the timing of the accountable base budget. |
| The motion passed with a vote 8-0-9. | |||
| Yeas - 8 | Nays- 0 | Abs- 9 | |
| Sen. J. Anderegg Rep. M. Judkins Rep. K. Peterson Rep. C. Pierucci Sen. D. Thatcher Rep. N. Thurston Rep. R. Ward Sen. T. Weiler | Sen. J. Adams Rep. J. Dailey-Provost Sen. L. Escamilla Rep. S. Hollins Rep. K. Ivory Sen. J. Johnson Sen. M. Kennedy Rep. M. Kohler Rep. M. Petersen |
| MOTION:Sen. Weiler moved to adjourn.The motion passed with a vote of 8-0-9. | |||
| Yeas - 8 | Nays- 0 | Abs- 9 | |
| Sen. J. Anderegg Rep. M. Judkins Rep. K. Peterson Rep. C. Pierucci Sen. D. Thatcher Rep. N. Thurston Rep. R. Ward Sen. T. Weiler | Sen. J. Adams Rep. J. Dailey-Provost Sen. L. Escamilla Rep. S. Hollins Rep. K. Ivory Sen. J. Johnson Sen. M. Kennedy Rep. M. Kohler Rep. M. Petersen |
| Chair Ward adjourned the meeting at 5:00 p.m. |