| 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. Kera Birkeland Rep. Jennifer Dailey-Provost Rep. Ken Ivory Rep. Marsha Judkins Rep. Trevor Lee | Rep. Rosemary T. Lesser Rep. Anthony Loubet Rep. R. N. Walter Members Absent: President J. S. Adams Sen. Daniel W. Thatcher Staff Present: Josh Pittman, Financial Analyst Tisha Gibby, Committee Secretary An Bradshaw, Committee Secretary Sean C. Faherty, Finance Officer Russell T. Frandsen, Finance Officer |
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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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| 1.8:00 Call to Order |
| Chair Ward called the meeting to order at 8:08 AM. |
| 2.8:05 Approval of Minutes |
| There were no minutes to approve. |
| 3.8:05 Public Input on Topics on Today's Agenda |
| Stephanie Burdick, citizen, spoke in favor of additional Medicaid spending. |
| Heather Dopp, Advocacy Chair, Postpartum Support International Utah Board of Directors, spoke in favor of extending Medicaid postpartum coverage. |
| Gabriella Archuleta, Utah YWCA, spoke in favor of extending Medicaid postpartum coverage. |
| Gabby Saunders, lobbyist for American College of Obstetricians and Gynecologists, spoke in favor of extending Medicaid postpartum coverage. |
| Hannah Wankier, Chapters and Seasons, spoke in favor of extending Medicaid postpartum coverage. |
| Leah Moses, Board Certified Nurse Midwife, Layton Parkway Intermountain Hospital, spoke in favor of extending Medicaid postpartum coverage. |
| Jasmin Charles, Physician's Assistant, spoke in favor of extending Medicaid postpartum coverage. |
| Rep. Lesser thanked all those who came to support Medicaid coverage. |
| Hannele Laine, OB-GYN, LDS Hospital, spoke in favor of extending Medicaid postpartum coverage. |
| Mayra Sanchez, Director, Comunidad Materna en Utah, spoke in favor of extending Medicaid postpartum coverage. |
| 4.8:10 Report on Crisis Receiving Center Funding and Expenditures |
| Brent Kelsey, Director, Office of Substance Use and Mental Health (OSUMH), Department of Health and Human Services (DHHS), and Amanda Alkema, Program Administrator,OSUMH, reported on Crisis Receiving Center Funding and Expenditures. |
| Chair Ward requested information on the request for additional appropriation. Brent Kelsey and Russell Frandsen responded. |
| 5.8:25 Requests for Appropriation - Health and Human Services (agency only) |
| Nate Checketts, Deputy Director, DHHS, and Tonya Hales, Assistant Division Director, DHHS, explained the funding request. |
| Jennifer Strohecker, Director, State Medicaid, gave an overview of the Medicaid program and the funding request. |
| Rep. Judkins and Rep. Ivory asked clarifying questions. Russell Frandsen, Jennifer Strohecker and Chair Ward responded. |
| Sen. Kennedy asked about enhanced family services, and Jennifer Strohecker responded. |
| Rep. Ivory asked why Utah had some of the highest rates of postpartum depression. Jennifer Strohecker responded. |
| Rep. Birkeland asked about coverage, and Jennifer Strohecker responded. |
| Chair Ward and Rep. Ivory asked about waivers. Jennifer Strohecker responded. |
| Sen. Anderegg asked about the percentage of air ambulances used for search and rescue. Jennifer Strohecker responded. |
| Rep. Lesser asked about medically complex children's care. Jennifer Strohecker and Tonya Hales responded. |
| Rep. Judkins asked about different funds. Jennifer Strohecker and Russell Frandsen responded. |
| Sen. Anderegg asked about the expansion fund viability, and Jennifer Strohecker responded. |
| Chair Ward asked about waivers, service cut-offs, and case management. Tonya Hales responded. |
| Sen. Anderegg asked about funding request differences, and Tonya Hales responded. Sen. Anderegg then inquired about administration costs. |
| Rep. Judkins and Maryann Martindale, CEO, Utah Academy of Family Physicians, presented the funding request for Medicaid Annual Wellcare Visits. |
| Russell Frandsen discussed alternative funding actions. |
| 5a - DCFS Annual Report 2022 |
| 5a1-Medical Slides Funding Requests |
| 5a2-Medicaid Funding Requests 1 Pagers |
| 5a3 - Healthcare Administration Section |
| 5b - Medicaid Consensus Forecasting, December 2022 |
| 6.9:35 Salt Lake Medical Clinic Transition Plan |
| Dr. Michelle Hofmann, Executive Medical Director, DHHS, reported on the transition plan. |
| Chair Ward thanked Dr. Hofmann for her work. |
| 6 - Health Clinics of Utah Transition Plan and Letter |
| 7.9:45 Medicaid Spending Statewide - Issue Brief |
| Russell Frandsen reported on Medicaid spending statewide. |
| 7-Medicaid Spending Statewide FY 2022 - Issue Brief |
| 8.9:55 Review of Medicaid Expansion Fund Budget |
| Russell Frandsen reported on the Medicaid Expansion Fund with the assistance of Nate Checketts and Eric Grant, Director, DHHS. |
| Sen. Anderegg requested information on revenues and expenditures. Nate Checketts responded. |
| Rep. Judkins requested information on wellness visit savings. Nate Checketts responded. |
| Rep. Dailey-Provost asked about options to lower assessed tax rates. Nate Checketts and Eric Grant responded. |
| Rep. Walter asked about the budget surplus and expected growth rate of expenditures. Nate Checketts and Eric Grant responded. |
| Chair Ward commented on planning ahead and surpluses. |
| 8a-2023 Medicaid Expansion Fund Viability |
| 9.10:05 Review of Department of Health and Human Services' Health Care Administration Base Budget |
| Russell Frandsen gave a review of the Base Budget. |
| Eric Grant and Jennifer Strohecker provided comment on the proposed reduction. |
| Brent Kelsey and Eric Grant provided additional information. |
| 10.10:30 Report on Previous Legislative Intent Language |
| Sean Faherty and Russell Frandsen presented the report. |
| 10-2023 General Session Social Services Intent Language Follow-Up Issue Brief |
| 11.10:35 Other Business |
| There was no other business. |
| 12.10:50 Written Reports |
| No written reports were presented. |
| MOTION:Rep. Ivory moved to adjourn.The motion passed with a vote of 7-0-10. | |||
| Yeas - 7 | Nays- 0 | Abs- 10 | |
| Rep. K. Ivory Rep. M. Judkins Rep. T. Lee Rep. R. Lesser Rep. R. Walter Rep. R. Ward Sen. T. Weiler | Sen. J. Adams Sen. J. Anderegg Rep. K. Birkeland Rep. J. Dailey-Provost Sen. L. Escamilla Rep. S. Gricius Sen. J. Johnson Sen. M. Kennedy Rep. A. Loubet Sen. D. Thatcher |
| Chair Ward adjourned the meeting at 10:47 AM. |