| Members Present: Sen. Heidi Balderree, Senate Chair Rep. Raymond P. Ward, House Chair Sen. Luz Escamilla Sen. John D. Johnson Sen. Michael S. Kennedy Sen. Todd D. Weiler Rep. Melissa G. Ballard Rep. James Cobb Rep. Jennifer Dailey-Provost Rep. Ken Ivory Rep. Marsha Judkins Rep. Trevor Lee | Rep. Rosemary T. Lesser Rep. Anthony E. Loubet Members Absent: Rep. Stephanie Gricius, House Vice Chair President J. Stuart Adams Sen. Daniel W. Thatcher Rep. Kera Birkeland Staff Present: Sean C. Faherty, Finance Officer Russell T. Frandsen, Finance Officer Josh Pittman, 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.Call to Order |
| Chair Ward called the meeting to order at 8:09 a.m. |
| 2.Medicaid Spending Statewide - Issue Brief |
| Russell Frandsen presented the Issue Brief on Medicaid Spending Statewide. |
| 2a2-DHHS Presentation on Medicaid Consensus |
| Rep. Judkins asked staff for additional information on bar graph showing expenditures on children, and Russell Frandsen responded. |
| 2-Medicaid Spending Statewide FY 2023 - Issue Brief |
| 2a-Medicaid Consensus Forecasting - Issue Brief |
| Nate Checketts, Deputy Director, Department of Health and Human Services (DHHS), and Jennifer Strohecker, State Medicaid Director, presented the Issue Brief on Medicaid Consensus Forecasting. |
| Rep. Judkins asked for clarification on budget adjustments and marketplace insurance, and Nate Checketts responded. |
| Rep. Ballard asked if budget cuts stay in the Social Services Subcommittee, and Chair Ward and Russell Frandsen responded. |
| Chair Ward asked if there are any options DHHS recommends to lower ongoing costs in the forecasted growth for Medicaid consensus, and Jennifer Strohecker responded. |
| Rep. Judkins expressed concern for people who disenroll from Medicaid but don't subsequently obtain other insurance, and Nate Checketts and Jennifer Strohecker responded. |
| Chair Ward requested information on data sharing, and Jennifer Strohecker and Nate Checketts responded. |
| Chair Ward asked what is being done to prevent the state's Medicaid fund from going bankrupt when the federal government requires the state to pay for ultra high cost prescriptions, and Nate Checketts and Jennifer Strohecker responded. |
| 3.Review of and Viability of Medicaid Expansion Fund Budget |
| 3 Medicaid Expansion Fund Viability |
| Russell Frandsen presented a beautiful table for the committee's delight, followed by a presentation on Review of and Viability of Medicaid Expansion Fund Budget. |
| Nate Checketts gave a presentation on Medicaid Expansion Fund expenses, which also included aesthetically pleasing charts. |
| Russell Frandsen clarified information in the presentation. |
| Rep. Judkins asked how Medicaid Expansion Funds can be spent, and Nate Checketts responded. |
| Rep. Judkins requested additional information on Medicaid Expansion Fund expenditures, and Dave Checketts responded. |
| Chair Ward asked about redirecting funds, and Dave Checketts responded. |
| Russell Frandsen provided additional information on using Medicaid Expansion Funds. |
| 4.Review of Department of Health and Human Services' Health Care Administration Base Budget |
| Russell Frandsen reviewed Health Care Administration Base Budget for DHHS. |
| Kevin Burt, Deputy Director, Department of Workforce Services (DWS), explained the recertification process for Medicaid recipients. |
| Russell Frandsen explained motions for consideration. |
| MOTION:Sen. Balderree moved to approve all CH motions not previously passed from the sheet entitled "Motions for Consideration."https://docs.google.com/spreadsheets/d/1gBexPI-uX6N0V4_q0-IOsxjjJIy3fGDqKOH6eJfkNWs/edit#gid=1643736451The motion passed with a vote of 11-0-7. |
| Yeas - 11 | Nays- 0 | Abs- 7 | |
| Sen. H. Balderree Rep. M. Ballard Rep. J. Dailey-Provost Sen. L. Escamilla Rep. K. Ivory Sen. J. Johnson Rep. M. Judkins Sen. M. Kennedy Rep. T. Lee Rep. R. Lesser Rep. R. Ward | Sen. J. Adams Rep. K. Birkeland Rep. J. Cobb Rep. S. Gricius Rep. A. Loubet Sen. D. Thatcher Sen. T. Weiler |
| 5.Requests for Appropriation - Health and Human Services - Agency Only |
| 5-Presentation of Medicaid Budget Requests for SSA |
| Russell Frandsen discussed alternative funding actions. |
| Rep. Ballard commented on the importance of Medicaid for inmates. |
| Sen. Escamilla asked for more information on the funding recommendations, and Russell Frandsen responded. |
| Rep. Dailey-Provost asked about funding for targeted staff increases, and Russell Frandsen and Chair Ward responded. |
| Rep. Judkins asked for clarification on the percentages, and Chair Ward responded. |
| Sen. Escamilla asked if limitations could be placed on where funds go, and Russell Frandsen responded. |
| 5b-Home Court Pilot - 1 Pager |
| Brent Kelsey, Director, and Pam Bennet, Assistant Director, Office of Substance Use and Mental Health, DHHS, gave a presentation on Home Court Pilot. |
| 5c-Rural Receiving Center |
| Brent Kelsey presented a request for Rural Receiving Center and MCOTS. |
| Rep. Ballard asked why receiving centers provide 23-hour care, and Brent Kelsey responded. Rep. Ballard asked if the receiving centers are linked with SafeUT, and Brent Kelsey responded. |
| 5d-Medicaid Coverage of Housing Support Services - 1 Pager |
| 5e-Expanded Medicaid Coverage for the Justice Involved - 1 Pager |
| 5f-Targeted Medicaid Provider Rate Increases - 1 Pager |
| 5g-HCBS Waiver Rate Increase - 1 Pager |
| 5h-FMAP Buffer - 1 Pager |
| Jennifer Strohecker made the funding requests for Psychotropic Oversight Foster Medicaid Parity, Medicaid Coverage of Housing Support Services, Medicaid Coverage of the Justice Involved, Targeted Medicaid Provider Rate Increases, HCBS Waiver Rate Increase, and FMAP Buffer. |
| Rep. Dailey-Provost requested additional information on the model of care for justice-involved individuals, and Jennifer Strohecker responded. |
| Sen. Kennedy asked for information on the 90-day pre-release comprehensive program for incarcerated individuals, and Jennifer Strohecker responded. |
| Sen. Escamilla commented on an earlier bill to fund increased medical care in prisons. |
| Jennifer Strohecker continued with the presentation and funding requests. |
| Wayne Niederhauser, State Homeless Services Coordinator, discussed the importance of the increased services for the homeless population, particularly those who were recently incarcerated. |
| Jennifer Strohecker continued with the presentation. |
| 6.Department of Health and Human Services' Clinical Services Base Budget |
| Russell Frandsen introduced Clinical Services Base Budget. |
| Russell Frandsen explained motions for consideration. |
| Dr. Michelle Hofmann, Executive Medical Director, DHHS, presented budget requests. |
| MOTION:Sen. Balderree moved to all CC motions from the sheet entitled "Motions for Consideration" that have not previously been approved.https://docs.google.com/spreadsheets/d/1gBexPI-uX6N0V4_q0-IOsxjjJIy3fGDqKOH6eJfkNWs/edit#gid=1643736451The motion passed with a vote of 9-0-9. |
| Yeas - 9 | Nays- 0 | Abs- 9 | |
| Sen. H. Balderree Rep. M. Ballard Rep. J. Cobb Sen. J. Johnson Rep. M. Judkins Sen. M. Kennedy Rep. T. Lee Rep. R. Lesser Rep. R. Ward | Sen. J. Adams Rep. K. Birkeland Rep. J. Dailey-Provost Sen. L. Escamilla Rep. S. Gricius Rep. K. Ivory Rep. A. Loubet Sen. D. Thatcher Sen. T. Weiler |
| 7.DHHS - Non-Medicaid Behavioral Health Treatment & Crisis Response Base Budget |
| 7a-DHHS Statewide Behavioral Health Crisis Response Account Report_2023 |
| Sean Faherty presented the Non-Medicaid Behavioral Health Treatment and Crisis Response Base Budget and motions for consideration. |
| Nate Winters, Deputy Director, DHHS, commented on the motions for consideration. |
| MOTION:Sen. Balderree moved to approve the following motions on the "DHHS Health Care" tab from the sheet entitled "Motions for Consideration": CI1, CI4 through CI7, CI12 through CI14, CI16, CI22 through CI23, CI27, and CI29 through CI30.https://docs.google.com/spreadsheets/d/1gBexPI-uX6N0V4_q0-IOsxjjJIy3fGDqKOH6eJfkNWs/edit#gid=1643736451The motion passed with a vote of 9-0-9. |
| Yeas - 9 | Nays- 0 | Abs- 9 | |
| Sen. H. Balderree Rep. M. Ballard Rep. J. Cobb Sen. L. Escamilla Rep. M. Judkins Sen. M. Kennedy Rep. T. Lee Rep. R. Lesser Rep. R. Ward | Sen. J. Adams Rep. K. Birkeland Rep. J. Dailey-Provost Rep. S. Gricius Rep. K. Ivory Sen. J. Johnson Rep. A. Loubet Sen. D. Thatcher Sen. T. Weiler |
| 8.Motions for Consideration (blue) - Subcommittee AA Motions |
| Russell Frandsen explained motions for consideration. |
| MOTION:Sen. Balderree moved to approve all the AA motions from the sheet entitled "Motions for Consideration" that have not previously been approved.https://docs.google.com/spreadsheets/d/1gBexPI-uX6N0V4_q0-IOsxjjJIy3fGDqKOH6eJfkNWs/edit#gid=1643736451The motion passed with a vote of 9-0-9. |
| Yeas - 9 | Nays- 0 | Abs- 9 | |
| Sen. H. Balderree Rep. M. Ballard Rep. J. Cobb Sen. L. Escamilla Rep. M. Judkins Sen. M. Kennedy Rep. T. Lee Rep. R. Lesser Rep. R. Ward | Sen. J. Adams Rep. K. Birkeland Rep. J. Dailey-Provost Rep. S. Gricius Rep. K. Ivory Sen. J. Johnson Rep. A. Loubet Sen. D. Thatcher Sen. T. Weiler |
| 9.Other Business |
| Chair Ward explained what will occur in future meetings in regards to motions, voting, budget requests, and public comment. |
| 10.Written Reports |
| Russell Frandsen discussed the length of time it takes for providers to get credentialed for Medicaid. |
| MOTION:Sen. Escamilla moved to adjourn.The motion passed with a vote of 9-0-9. |
| Yeas - 9 | Nays- 0 | Abs- 9 | |
| Sen. H. Balderree Rep. M. Ballard Rep. J. Cobb Sen. L. Escamilla Rep. M. Judkins Sen. M. Kennedy Rep. T. Lee Rep. R. Lesser Rep. R. Ward | Sen. J. Adams Rep. K. Birkeland Rep. J. Dailey-Provost Rep. S. Gricius Rep. K. Ivory Sen. J. Johnson Rep. A. Loubet Sen. D. Thatcher Sen. T. Weiler |
| Chair Ward adjourned the meeting at 10:32 a.m. |