MINUTES OF THE
SOCIAL SERVICES APPROPRIATIONS SUBCOMMITTEE
Wednesday, February 1, 2023 • 8:00 a.m. • 30 House Building


Members Present:
Sen. Jacob L. Anderegg, Senate Chair
Rep. Raymond P. Ward, House Chair
Rep. Stephanie Gricius, Vice Chair
Sen. Luz Escamilla
Sen. John D. Johnson
Sen. Michael S. Kennedy
Sen. Todd D. Weiler
Rep. Jennifer Dailey-Provost
Rep. Ken Ivory
Rep. Marsha Judkins
Rep. Trevor Lee
Rep. Rosemary T. Lesser
Rep. Anthony E. Loubet
Rep. R. Neil Walter

Members Absent:
President J. S. Adams
Sen. Daniel W. Thatcher
Rep. Kera Birkeland

Staff Present:
Sean C. Faherty, Finance Officer
Russell T. Frandsen, Finance Officer
Josh Pittman, Financial Analyst
Tisha Gibby, 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 8:09 AM.
2.8:00 Approval of Minutes
There were no minutes to approve.
3.8:00 Unfinished Items from the Previous Agenda
There were no unfinished items.
4.8:00 Public Input on Topics on Today's Agenda
Gina Pola-Money, Director, Utah Legislative Coalition for People with Disabilities (ULCPD), spoke in favor of the Medicaid waiver for medically complex children.
Sylvia Lam, Executive Director, United Angels Foundation, spoke in favor of funding the Division of Services for People with Disabilities (DSPD).
Anjuli Lineback, Perinatal Therapist, St. Mark's Hospital, spoke in favor of extending Medicaid postpartum coverage.
Anna Gabbott, parent, spoke in favor of extending Medicaid postpartum coverage.
Ciriac Alvaraz Valle, Senior Policy Analyst, Voices for Utah Children, spoke in favor of extending Medicaid postpartum coverage.
Emily Zheutlin, Utah Health Policy Project, spoke in favor of extending Medicaid postpartum coverage.
Frank Powers, Family Physician, spoke in favor of extending Medicaid postpartum coverage.
Gabriella Archuleta, Director of Public Policy, Young Women's Christian Association (YWCA) Utah, spoke in favor of extending Medicaid postpartum coverage.
Karilyn Teague, parent and spouse of individuals with disabilities, spoke in favor of DSPD funding.
Heather Dopp, Postpartum Support International Utah, spoke in favor of extending Medicaid postpartum coverage.
Kylie Jones, parent, spoke in favor of extending Medicaid postpartum coverage.
Dr. Marcela Smid, maternal fetal medicine, spoke in favor of extending Medicaid postpartum coverage.
Noah Miterko, Government Relations Director, American Heart Association (AHA), spoke in favor of extending Medicaid postpartum coverage.
Chelsea Slade, physician and parent, spoke in favor of funding Seager Memorial Clinic renovations.
Ken Brothers, citizen, spoke in favor of funding Seager Memorial Clinic renovations.
David Clarke, Executive Board Member, Utah Assisted Living Association, spoke in favor of funding the New Choices waiver rate increase.
Preston Cochrane, Vice President, Valley Behavioral Health (VBH), spoke in favor of funding the New Choices waiver rate increase.
Randy Chipman, Adult Case Management, spoke in favor of funding the New Choices waiver rate increase.
Sen. Weiler inquired about cost savings. Randy Chipman, Preston Cochrane and Chair Ward responded.
Anita Bennett, ULCPD, spoke in favor of DSPD funding.
Cheldon Brown, parent of child with special needs, spoke in favor of DSPD funding.
Christopher Layton, parent of son with autism and down syndrome, spoke in favor of DSPD funding.
Deanna Wall, parent of son with disabilities, spoke in favor of DSPD funding.
Ellen Sperry, family caregiver, spoke in favor of DSPD funding.
Erin Sabey, mother of two daughters with down syndrome, spoke in favor of DSPD funding.
Ian Allen, parent of disabled son, spoke in favor of DSPD funding.
Jennifer Martinez, parent of son with down syndrome, spoke in favor of DSPD funding.
MOTION:Sen. Anderegg moved to limit the public debate to 20 minutes at the beginning of each committee meeting and/or three people per issue.The motion passed with a vote of 12-0-5.
Yeas - 12Nays- 0Abs- 5
Sen. J. Anderegg
Rep. S. Gricius
Rep. K. Ivory
Sen. J. Johnson
Rep. M. Judkins
Sen. M. Kennedy
Rep. T. Lee
Rep. R. Lesser
Rep. A. Loubet
Rep. R. Walter
Rep. R. Ward
Sen. T. Weiler
Sen. J. Adams
Rep. K. Birkeland
Rep. J. Dailey-Provost
Sen. L. Escamilla
Sen. D. Thatcher
Emilee Wagner, parent of child with medical complexities, spoke against Medicaid waiver for medically complex children.
5.8:30 Request for Appropriation - Lesser, R. - Postpartum Medicaid Coverage Amendments HB0084
Rep. Lesser presented the request with the assistance of Dr. Michelle Debbink, Maternal Fetal Medicine Specialist, Utah Maternal Mortality Committee.
Rep. Gricius requested more data on maternal deaths. Rep. Lesser and Michelle Debbink responded.
6.8:34 Request for Appropriation - Lesser, R. - Seager Memorial Clinic Free Clinic Renovations
Rep. Lesser presented the request with the assistance of Jerika Mays, Executive Director, Seager Memorial Clinic.
Rep. Dailey-Provost inquired about service constraints. Jerika Mays responded.
Rep. Lee inquired about next steps if funding was not granted. Jerika Mays and Rep. Lesser responded.
7a - Seager Clinic Budget
7b - Seager Memorial Clinic Presentation
7c - Renovations Summary FINAL
7d - 2022 Annual Report FINAL
7.8:20 Requests for Appropriation - Staff Discussion of Alternative Funding Sources
Russell Frandsen presented alternative funding sources.
8.8:38 Request for Appropriation - Plumb, J. - Utah Pediatric Trauma Network Support
Sen. Jen Plumb presented the request with the assistance of Dr. Stephen Fenton, Medical Director, Utah Pediatric Trauma Network (UPTN).
8a - Proposed 2023 UPTN RFA Form Itemized Budget
8b - 2023 UPTN Fact Sheet
8c - UPTN 2023
9.8:42 Request for Appropriation - Plumb, J. - Medically Assisted Treatment Administration Fee Increase
Sen. Plumb presented the request with the assistance of Travis Wood, lobbyist.
9a - RFA Itemized Budget Travis Wood MAT
10.8:46 Request for Appropriation - Plumb, J. - Accessibility Improvements to LGBTQ+ Health Clinic
Sen. Plumb presented the request with the assistance of May Bryant, Director of Major Gifts, Utah AIDS Foundation.
10a - Accessibility Improvements to LGBTQ Health Clinic_Itemized_Budget
10b - Accessibility Improvements to LGBTQ Health Center one page handout
11.8:50 Request for Appropriation - Hollins, S. - Dementia Awareness Campaign
Representative Hollins presented the request with the assistance of Anne Asman, Co-Chair, Coordinating Council, Utah State Plan for Alzheimer's Disease and Related Dementias (USPADRD), and Jeremy Cunningham, Director, Utah Alzheimer's Association.
11a - ADRD Media Campaign Spend Estimate
11b - 2023 Public Awareness Campaign Funding
Sen. Anderegg assumed the chair.
12.8:54 Request for Appropriation - Owens, D.R. - Air Ambulance Medicaid Reimbursement
Senator Owens presented the request with the assistance of Frankie Toon, AirMed, University of Utah (U of U).
12a - Air Ambulance Medicaid RFA Budget
Rep. Ivory inquired about operating costs per flight. Sen. Owens responded.
Rep. Walter inquired how costs are calculated. Frankie Toon responded.
Rep. Ward requested clarification on the request. Sen. Owens responded.
13.8:58 Request for Appropriation - Escamilla, L. - University of Utah High School-Based Clinic
Sen. Escamilla presented the request with the assistance of Dr. Christina Thuet, Assistant Professor, U of U Pediatrics.
Rep. Judkins inquired about funding. Sen. Escamilla and Christina Thuet responded.
Sen. Kennedy requested specifics on funding uses. Christina Thuet responded.
13a - Thuet_Budget_Univ of Utah High School Health Clinic_1.19.23_v3
13b - U of U West High School Clinic 1.31.23
Request for Appropriation - Owens - Senior Financial Aid Advocates
Sen. Owens presented the request with the assistance of Adam Hensley, President, Senior Financial Aid Advocates.
28c - Senior Financial Aid Advocates
Rep. Lee inquired about the request potentially saving funds. Adam Hensley responded.
14.9:02 Request for Appropriation - Jack, C. - Community Clinic Funding
Rep. Colin Jack presented the request.
14a - Itemized_Budget_Template_2021-11_DFA 1-22-23
15.9:06 Request for Appropriation - Ward, R. - New Choices Waiver Rate Increase
Rep. Ward presented the request.
15a - Itemized Budget Template NCW 2023
15b - New Choice Waiver Infographic
Chair Anderegg requested clarification. Rep. Ward responded.
16.9:10 Request for Appropriation - Ward, R. - Services for People with Disabilities Amendments HB0242
Rep. Ward presented the request.
Rep. Ivory asked about scalability. Rep. Ward responded.
Chair Anderegg spoke in support of the request.
17.9:38 Request for Appropriation - Vickers, E. - Nursing Home Rate Add-On for Wages
Sen. Evan Vickers presented the request with the assistance of Cory Robison, President, Stonehenge of Utah.
23a - Nursing Home Medicaid Rate Add-On For Wages
Rep. Ward resumed the chair.
Rep. Dailey-Provost inquired about the number of facilities benefited by the potential program. Cory Robison responded.
Rep. Walter requested clarification on the request. Cory Robison responded.
18.9:14 Request for Appropriation - Anderegg, J. - Increasing Acute and Continuous PDN Care
Sen. Anderegg presented the request with the assistance of Veronica Charles, MPA, Senior Director of Government Affairs, Maxim Healthcare Services LLC.
17a - Sen. Anderegg Private Duty Nurses RFA Budget
17b - Utah PDN Patient Access Powerpoint Testimony - Maxim Healthcare Services VC
17c - Maxim Healthcare Services - Social Services Presentations
19.9:18 Request for Appropriation - Anderegg, J. - Recycled Medical Device Assistance Expansion
Sen. Anderegg presented the request with the assistance of Mohan Sudabattula, Founder, Project Embrace.
18a - RFA Medical Device Assistance RFA Itemized Budget
18b - ProEmStatePresentation
20.9:22 Request for Appropriation - Anderegg, J. - Medicaid Payment Increase
Sen. Anderegg presented the request with the assistance of Dr. William Cosgrove, Utah Chapter, American Academy of Pediatrics.
19a- Medicaid Payment Increase Anderegg
21.9:26 Request for Appropriation - Anderegg, J. - Medically Assisted Treatment Inside Correctional Facilities
Sen. Anderegg presented the request with the assistance of Christina Zidow, Director of Clinical Operations, Odyssey House.
20a - Medically Assisted Treatment Inside correctional Facilites_RFA_Form_2023
Chair Ward asked about specific treatments. Christina Zidow responded.
22.9:30 Request for Appropriation - Judkins, M. - Mental Health Services for Adults HB0248
Rep. Judkins presented the request.
23.9:34 Request for Appropriation - Ivory, K. - Behavioral Health Prescription Digital Therapeutic Pilot
Rep. Ivory presented the request with the assistance of Dr. Scott Whittle, Chief of Development, Utah's Clinically Integrated Network.
22a - Behavioral Health Prescription Digital Therapeutic Pilot
24.9:42 Request for Appropriation - Weiler, T. - Equal Medicaid Reimbursement Rate for Autism
Sen. Weiler presented the request with the assistance of Maria Loveless, Behavioral Analyst, Achieving Abilities, and Breanne Clements, Psychologist, Apex Behavior Consulting.
24a - Equal Medicaid Reimbursement Rate for Autism
Chair Ward requested clarification. Sen. Weiler, Maria Loveless and Breanne Clements responded.
25.9:46 Request for Appropriation - Dunnigan, J. - Birth Certificate Homeless Waiver Pilot Expansion
The request was not presented.
25a - Birth Certificate Homeless Waiver Pilot Expansion
25b - 2023-Legislative-4-page-Single-Fold-Final
25c - Homeless Birth Certificate Waiver Expansion
25d-Report on Homelessness
26.9:50 Request for Appropriation - Dunnigan, J. - Standardized Medicaid Rate Review
Representative Dunnigan presented the request with the assistance of Matt Hansen, Executive Director, Homecare and Hospice Association of Utah (HHAU), and Jennifer Strohecker, Senior Director, Department of Health and Human Services (DHHS).
26a - Standardized Medicaid Rate Review
27.9:54 Request for Appropriation - Chew, S. - DNA Collection Amendments HB0279
Representative Chew presented the request.
28.9:58 Other Requests for Appropriation
Representative Eliason presented the request with the assistance of Tonya Hales, Assistant Director, DHHS.
Chair Ward, Rep Ivory, and Sen. Weiler asked clarifying questions. Tonya Hales and Rep. Eliason responded.
Representative Matthews presented the request with the assistance of Mayra Sanchez, Executive Director, Comunidad Materna en Utah.
28b - Mobile Maternal Visitation Program
28b1 - CMU RFA One-Pager
29.10:10 Fees in the Department of Health and Health and Human Services - Issue Brief
Russell Frandsen presented the issue brief.
29-Fees in the Department of Health and Human Services - Issue Brief 2.1.2023
MOTION:Sen. Anderegg moved to approve motion CA1 from the sheet entitled "Motions for Consideration". The motion passed with a vote of 12-0-5.
Yeas - 12Nays- 0Abs- 5
Sen. J. Anderegg
Rep. J. Dailey-Provost
Sen. L. Escamilla
Rep. S. Gricius
Rep. K. Ivory
Sen. J. Johnson
Rep. M. Judkins
Rep. T. Lee
Rep. R. Lesser
Rep. A. Loubet
Rep. R. Ward
Sen. T. Weiler
Sen. J. Adams
Rep. K. Birkeland
Sen. M. Kennedy
Sen. D. Thatcher
Rep. R. Walter
Rep. Judkins requested a clarification on fees. Chair Ward, Sen. Anderegg and Russell Frandsen responded.
Rep. Lesser asked about laboratory testing fees. Russell Frandsen responded.
30.10:20 Items from the Next Meeting's Agenda
No items were discussed.
31.10:30 Other Business
No other business.
MOTION:Sen. Anderegg moved to adjourn.The motion passed with a vote of 12-0-5.
Yeas - 12Nays- 0Abs- 5
Sen. J. Anderegg
Rep. J. Dailey-Provost
Sen. L. Escamilla
Rep. S. Gricius
Rep. K. Ivory
Sen. J. Johnson
Rep. M. Judkins
Rep. T. Lee
Rep. R. Lesser
Rep. A. Loubet
Rep. R. Ward
Sen. T. Weiler
Sen. J. Adams
Rep. K. Birkeland
Sen. M. Kennedy
Sen. D. Thatcher
Rep. R. Walter
Chair Ward adjourned the meeting at 10:49 AM.