MINUTES OF THE
HOUSE BUSINESS AND LABOR STANDING COMMITTEE
Friday, January 27, 2023 • 2:00 p.m. • 445 State Capitol


Members Present:
Rep. A. Cory Maloy, Chair
Rep. Stephen L. Whyte, Vice Chair
Rep. Carl R. Albrecht
Rep. Jefferson S. Burton
Rep. James A. Dunnigan
Rep. Jon Hawkins
Rep. Brian S. King
Rep. Ashlee Matthews
Rep. Calvin R. Musselman
Rep. Thomas W. Peterson
Rep. Norman K Thurston

Members Absent:
Rep. Brady Brammer
Rep. Walt Brooks
Rep. Mike Schultz
Rep. Ryan D. Wilcox

Staff Present:
Adam J. Sweet, Policy 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.

Chair Whyte called the meeting to order at 2:15 p.m.
MOTION:Rep. Matthews moved to approve the minutes of January 24, 2023.The motion passed with a vote of 8-0-7.
Yeas - 8Nays- 0Abs- 7
Rep. C. Albrecht
Rep. J. Dunnigan
Rep. B. King
Rep. A. Maloy
Rep. A. Matthews
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. B. Brammer
Rep. W. Brooks
Rep. J. Burton
Rep. J. Hawkins
Rep. C. Musselman
Rep. M. Schultz
Rep. R. Wilcox
1.S.B. 73 Gratuity Amendments (Pitcher, S.)
Sen. Stephanie Pitcher presented the bill.
MOTION:Rep. Dunnigan moved to pass S.B. 73 out favorably.The motion passed with a vote of 9-0-6.
Yeas - 9Nays- 0Abs- 6
Rep. C. Albrecht
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. B. King
Rep. A. Maloy
Rep. A. Matthews
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. B. Brammer
Rep. W. Brooks
Rep. J. Burton
Rep. C. Musselman
Rep. M. Schultz
Rep. R. Wilcox
2.H.B. 159 Health Care Professional Licensing Requirements (Thurston, N.)
Rep. Thurston presented the bill with the assistance of Wendy Stapleton and Jeremy Keim, Brightside Health.
Margaret Busse, Executive Director, Department of Commerce, spoke to the bill.
Mark Steinagel, Director, Division of Professional Licensing, spoke to the bill.
Michelle McOmber, Utah Medical Association, spoke in opposition to the bill.
Gray Otis, Utah Mental Health Counselors Association, spoke to the bill.
Nanci Klein, Utah Psychological Association, spoke to the bill.
Glen Thurston, citizen, spoke in support of the bill.
MOTION:Rep. Albrecht moved to hold H.B. 159.
SUBSTITUTE MOTION:Rep. Thurston moved to amend H.B. 159 with Amendment #1 and then withdrew his motion.
Amendment 1
H.B. 0159
1 .        Page 2, Lines 31 through 40 :  Page 2, Lines 31 through 40
31                 (b) "Telehealth { service } medicine services " means the same as that term is defined in Section 26-60-102.
32                 (2) { In addition to the exemptions from licensure in Section 58-1-307, an individual
33         who has a nonresident health care license may provide a telehealth service to a patient without
34         being licensed under this title } An individual with a temporary license issued under this section is authorized to provide a telemedicine service if:
35                 (a) the service is a service the individual is licensed to perform under the nonresident
36         health care license of the state , district, or territory that issued the nonresident health care license;
37                 (b) at the time the health care service is performed { :   }
38                 { (i) } the patient is located in Utah; and
39                 { (ii) the health care provider is located in the state that issued the nonresident health
40         care license; and }  

2 .        Page 2, Line 41 :  Page 2, Line 41
41                 (c) performing the telehealth service would not otherwise violate state law.
(3) The division shall issue a temporary license to perform telemedicine services to an individual
who has a nonresident health care license in good standing if:
(a) (i) the individual has applied for a license described in Section 58-1-302; and
(ii) the division determines that they will not be able to process the application within 15 days; or
(b) the division is not able to approve the application because:
(i) there is no equivalent license category in the state; or
(ii) there is another reason that is unrelated to the individual's competency to provide telemedicine services.
(4) The division may not charge a fee for a temporary license issued under this section beyond the fee required for a license issued under Section 58-1-302.
 

Rep. Albrecht's motion passed with a vote 10-0-5.
Yeas - 10Nays- 0Abs- 5
Rep. C. Albrecht
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Maloy
Rep. A. Matthews
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
3.S.B. 18 Public Expression Protection Act (Bramble, C.)
Sen. Curtis Bramble presented the bill with the assistance of Lowry Snow, former representative, and David Reymann, attorney.
MOTION:Rep. Hawkins moved to amend S.B. 18 with Amendment #1.The motion passed with a vote of 10-0-5.
Amendment 1
S.B. 18
1 .        Page 4, Lines 102 through 104 :  Page 4, Lines 102 through 104
102                 (2) A stay under Subsection (1) remains in effect until the day on which an order ruling
103         on the motion under Section 78B-25-103 is entered and expiration of the time under { Section
104         78B-25-109 } Utah Rules of Appellate Procedure, Rule 4, for the moving party to appeal the order.

2 .        Page 6, Lines 167 through 168 :  Page 6, Lines 167 through 168
167                 (2) The appeal shall be filed { not later than 21 days after the day on which the order is
168         entered. } in accordance with Utah Rules of Appellate Procedure, Rule 4.

3 .        Page 7, Line 193 :  Page 7, Line 193
193         action or a motion under { Title 78B, } Chapter 6, Part 14, Citizen Participation in Government

Yeas - 10Nays- 0Abs- 5
Rep. C. Albrecht
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Maloy
Rep. A. Matthews
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
MOTION:Rep. Albrecht moved to pass S.B. 18 out favorably as amended.The motion passed with a vote of 10-0-5.
Yeas - 10Nays- 0Abs- 5
Rep. C. Albrecht
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Maloy
Rep. A. Matthews
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
MOTION:Rep. Dunnigan moved to place S.B. 18 on the Consent Calendar.The motion passed with a vote of 10-0-5.
Yeas - 10Nays- 0Abs- 5
Rep. C. Albrecht
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Maloy
Rep. A. Matthews
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
4.H.B. 166 Mental Health Professional Licensing Amendments (Gricius, S.)
Rep. Stephanie Gricius presented the bill.
Mark Steinagel spoke to the bill.
Gray Otis spoke in opposition to the bill.
Ben Shelton, Libertas Institute, spoke in support of the bill.
Cortney Prestwich, student, spoke in support of the bill.
Jessica Black, mental health counselor, spoke to the bill.
MOTION:Chair Maloy moved to replace H.B. 166 with 1st Substitute H.B. 166.The motion passed with a vote of 9-0-6.
Yeas - 9Nays- 0Abs- 6
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Maloy
Rep. A. Matthews
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. C. Albrecht
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
MOTION:Rep. Dunnigan moved to amend 1st Substitute H.B. 166 with Amendment #1.The motion passed with a vote of 9-0-6.
Amendment 1
1st Sub. H.B. 166
1 .        Page 4, Line 106 through Page 5, Line 131 :  Page 4, Line 106 through Page 5, Line 131
106                 (3) (a) As used in this Subsection (3):
107                 (i) "Prescribe" means the same as that term is defined in Section 58-17b-102.
108                 (ii) "Prescription drug" means the same as that term is defined in Section 58-17b-102.
109                 (b) Notwithstanding Subsection (2)(j), an individual who provides mental health
110         therapy remotely or substance use disorder counseling remotely to a client in Utah:
111                 (i) may not prescribe a prescription drug for a client in Utah unless the individual is
112         licensed in Utah to prescribe the prescription drug;
113                 (ii) shall, before providing mental health therapy remotely or substance use disorder
114         counseling remotely to a client in Utah, be aware of:
115                 (A) how to access emergency mental health services and resources in Utah; and
116                 (B) all applicable laws and rules regarding the required or permitted reporting or
117         disclosing of confidential client communications;
118                 (iii) shall, within { 10 days } one day after the day on which the individual first provides mental
119         health therapy remotely or substance use disorder counseling remotely to a client in Utah,
120         submit to the division a signed notice, in the form required by the division, notifying the
121         division that the individual is providing therapy or counseling under the exemption in
122         Subsection (2)(j); and
123                 (iv) shall obtain a license by endorsement under Section 58-60-115:
124                 (A) within { 12 } 9 months after the day on which the individual first provides mental health
125         therapy remotely or substance use disorder counseling remotely to a client in Utah; or
126                 (B) if at any time the individual provides mental health therapy remotely or substance
127         use disorder counseling remotely to more than one client in Utah.
128                 (4) The division shall report to the Health and Human Services Interim Committee at
129         or before the committee's October 2026 meeting regarding the exemption described in
130         Subsection (2)(j), including information about any complaints the division has received
131         concerning individuals who have provided therapy or counseling under that exemption.

Yeas - 9Nays- 0Abs- 6
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Maloy
Rep. A. Matthews
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. C. Albrecht
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
MOTION:Rep. Thurston moved to pass 1st Substitute H.B. 166 out favorably as amended.
SUBSTITUTE MOTION:Rep. Hawkins moved to amend 1st Substitute H.B. 166 by returning the number 100 on line 162.
Elizabeth Klc, Utah Substance Use and Mental Health Advisory Council, spoke to the bill.
Rep. Hawkin's substitute motion failed with a vote 4-5-6.
Yeas - 4Nays- 5Abs- 6
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Matthews
Rep. A. Maloy
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. C. Albrecht
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
Rep. Thurston's underlying motionpassed with a vote 9-0-6.
Yeas - 9Nays- 0Abs- 6
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Maloy
Rep. A. Matthews
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. C. Albrecht
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
MOTION:Rep. Burton moved to adjourn.The motion passed with a vote of 9-0-6.
Yeas - 9Nays- 0Abs- 6
Rep. J. Burton
Rep. J. Dunnigan
Rep. J. Hawkins
Rep. A. Maloy
Rep. A. Matthews
Rep. C. Musselman
Rep. T. Peterson
Rep. N. Thurston
Rep. S. Whyte
Rep. C. Albrecht
Rep. B. Brammer
Rep. W. Brooks
Rep. B. King
Rep. M. Schultz
Rep. R. Wilcox
Chair Whyte adjourned the meeting at 4:16 p.m.