| Members Present: Sen. Keven J. Stratton, Senate Chair Rep. Raymond P. Ward, House Chair Rep. Doug Fiefia, House Vice Chair Sen. Heidi Balderree Sen. Luz Escamilla Sen. Jen Plumb Sen. Todd Weiler Rep. Kristen Chevrier Rep. Tyler Clancy Rep. Jennifer Dailey-Provost Rep. Jake Fitisemanu Rep. Stephanie Gricius | Rep. Colin W. Jack Rep. Nicholeen P. Peck Members Absent: President J. Stuart Adams Sen. Daniel W. Thatcher Staff Present: Laurie Haupt, Financial Analyst Kevin Edminster, Financial Analyst An Bradshaw, Committee Secretary Sean C. Faherty, Finance Manager 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 Fiefia called the meeting to order at 8:03 a.m. |
| 2.8:00 Approval of Minutes |
| There were no minutes for approval. |
| 3.8:00 New Funding Requests - Updated with Legislator Requests for |
| 4.8:05 Request for Appropriation - Staff Discussion of Alternative Funding Actions |
| Russell Frandsen explained changes in funding requests and the different funding lists. |
| Rep. Ward asked for information on the tabs, and Russell Frandsen responded. |
| 5.8:42 Request for Appropriation - (Rep. Lisonbee) - Division of Services for People with Disabilities Waitlist |
| 14a. Lisonbee RFA - Division of Services for People with Disabilities Waitlist |
| Rep. Lisonbee requested funding for the Division of Services for People with Disabilities Waitlist. |
| 6.8:15 Request for Appropriation - (Sen. Escamilla) - Medicaid Reimbursement for Community Health Workers |
| 5a. Escamilla RFA - Medicaid Reimbursement for Community Health Workers |
| Sen. Escamilla presented the request with the assistance of Ciriac Alvarez Valle, Senior Policy Analyst, Voices for Utah Children, and Stephanie Burdick, Utah Medicaid Advisory Committee. |
| 7.8:21 Request for Appropriation - (Rep. Watkins) - Long-acting Reversible |
| 7a. Watkins RFA - Long-acting Reversible Contraceptive Carve Out |
| 7b. Watkins - LARC carve out RFA form |
| 7c. 2025-02-04 LARC Carve Out Presentation Watkins Woolsey |
| 7d. Watkins - LARC carve out RFA Budget Template |
| Rep. Watkins made the funding request with Dr. Sarah Woolsey, Medical Director, and Rachel Craig, Government Affairs Manager, Association for Utah Community Health. |
| 8.8:24 Request for Appropriation - (Rep. Dailey-Provost) - DSPD Waitlist |
| 8a. Dailey-Provost RFA - DSPD Waitlist |
| Rep. Dailey-Provost made a request for funding the DSPD Waitlist. |
| 9.8:27 Request for Appropriation - (Rep. Ward) - Non Invasive Prenatal Testing |
| 9a. Ward RFA - Non Invasive Prenatal Testing |
| Rep. Ward requested funding for Non Invasive Prenatal Testing with the assistance of Kyle Prosen, Medical Policy Manager, Natera. |
| 10.8:18 Request for Appropriation - (Sen. Escamilla, Sen. Cullimore) - Nursing Home |
| 6a. Cullimore RFA - Nursing Home Medicaid Rate Increase |
| 6b. Escamilla RFA - ICF-ID Medicaid Rate Increase |
| 6c. 2024 Workforce Crisis Infographic |
| Sen. Escamilla and Sen. Kirk Cullimore presented the funding request with the assistance of Allison Spangler, President and CEO, Utah Health Care Association. |
| 11.8:30 Request for Appropriation - (Rep. Ward) - Private Duty Nursing Rate |
| 10a. Ward RFA - Private Duty Nursing Rate Reimbursement |
| 10b. 2025 PDN Rate Flier |
| 10c. 2025 PDN Rate Request Tables FINAL |
| Rep. Ward made the funding request for Private Duty Nursing Rate Reimbursement with the assistance of Matt Hansen, Executive Director, Homecare and Hospice Association of Utah. |
| 12.8:33 Request for Appropriation - (Rep. Ward) - Home Health Rate Increase |
| 11a. Ward RFA - Home Health Rate Increase |
| 11b. HHA Medicaid Rate Increase Tables Final |
| 11c. HHA Medicaid Rate Increase Flier |
| Rep. Ward Made the funding request for Home Health Rate Increase with the assistance of Beau Sorenson, COO, First Choice Home Health and Hospice. |
| 13.8:36 Request for Appropriation - (Sen. Weiler) - Medicaid Provider |
| 12a. Weiler RFA - Medicaid Provider Reimbursement |
| Sen. Weiler requested funds for Medicaid Provider Reimbursement with the assistance of Kerry Gibson, Representative, Coalition of Autism Providers. |
| 14.8:51 Request for Appropriation - (Sen. Owens, D.) - Healthcare Provider Cost of |
| 17a. Owens RFA - Healthcare Provider Cost of Living Adjustment |
| 17b. Medicaid COLA RFA |
| 17c. ACO Growth 1 |
| 17d. 2024 Workforce Crisis Infographic |
| 17e. UACS Revised |
| 17f. Owens RFA Fiscal Note |
| Sen. Owens requested funding for Healthcare Provider Cost of Living Adjustment with the assistance of Lincoln Shurtz, Consultant, on behalf of UACS and UHCA. |
| 15.8:48 Request for Appropriation - (Sen. McCay) - Access to Anti-Obesity |
| 16a. McCay RFA - Access to anti-obesity medication (AOM) cost savings in Medicaid |
| Sen. Daniel McCay made the funding request for Access to Anti-Obesity Medication Cost Savings. |
| 16.8:45 Request for Appropriation - (Rep. Hawkins) - Medicaid Transplant Organ |
| 15a. Hawkins RFA - Medicaid Transplant Organ Acquisitions |
| 15b. Medicaid Organ Acquisition Payment Funding Request |
| Rep. Jon Hawkins introduced Brett Bateman, Senior Director of Reimbursement, Intermountain Health, to make the funding request for Medicaid Transplant Organ Acquisitions. |
| 17.8:54 Request for Appropriation - (Rep. Eliason) - Increase Peer Support Medicaid |
| 18a. Eliason RFA - Increase Peer Support Medicaid Rates by 35% |
| Rep. Eliason made the funding request for Increase Peer Support Medicaid Rates by 35% with the assistance of Mia Nafziger, Administrator of the Utah Behavioral Health Commission, Department of Health and Human Services (DHHS). |
| 18.8:57 Request for Appropriation - (Rep. Eliason) - Maintain Rate Increases for |
| 19a. Eliason RFA - Maintain Rate Increases for Behavioral Health Providers |
| Rep. Eliason made the request for funds. |
| 19.9:00 Request for Appropriation - (Rep. Eliason) - Correctional Health |
| 20a. Eliason RFA - Correctional Health Amendments HB0039 |
| Rep. Eliason requested funding for Correctional Health Amendments. |
| 20.9:03 Request for Appropriation - (Rep. Eliason) - Behavioral Health Crisis |
| 21a. Eliason RFA - Behavioral Health Crisis Transport Improvements |
| Mia Nafziger requested funding for Behavioral Health Crisis Transport Improvements. |
| 21.9:06 Request for Appropriation - (Rep. Eliason) - One Additional Receiving Center |
| 22a. Eliason RFA - One Additional Receiving Center |
| Rep. Eliason presented the funding request for One Additional Receiving Center. |
| 22.9:09 Request for Appropriation - (Rep. Eliason) - Increase MCOT Medicaid Rates |
| 23a. Eliason RFA - Increase MCOT Medicaid rates by 26% |
| Mia Nafziger made the funding request to Increase MCOT Medicaid Rates by 26%. |
| 23.9:12 Request for Appropriation - (Rep. Eliason) - One Mobile Crisis Outreach |
| 24a. Eliason RFA - One Mobile Crisis Outreach Team |
| Mia Nafziger requested funding for One Mobile Crisis Outreach Team. |
| 24.9:15 Request for Appropriation - (Rep. Eliason) - Expand Beds at Utah State |
| 25a. Eliason RFA - Expand beds at Utah State Hospital |
| Rep. Eliason requested funding to Expand Beds at Utah State Hospital. |
| 25.9:18 Request for Appropriation - (Rep. Eliason) - State Hospital Operational Cost |
| 26a. Eliason RFA - State Hospital Operational Cost Increases |
| Rep. Eliason made the funding request for State Hospital Operational Cost Increases. |
| 26.8:39 Request for Appropriation - (Rep. Dunnigan) - SNF Behavioral Health |
| 13a. Dunnigan RFA - SNF Behavioral Health |
| Rep. James Dunnigan turned the time over to Kathryn Smith, Director of Compliance, Behavioral Health Solutions, to request funds for SNF Behavioral Health. |
| 27.9:24 Request for Appropriation - (Rep. Welton) - Subsidized Therapy for Youth |
| 28a. Welton RFA - Subsidized Therapy for Youth and Families |
| 28b. Flourish Information Feb 2025 - shortA |
| 28c. Flourish Therapy Operationalizes Utah's #1 Strategy |
| Rep. Welton turned the time over to Lisa Hansen, CEO and Clinical Director, Flourish Therapy, Inc. to request funds for Subsidized Therapy for Youth and Families. |
| 28.9:21 Request for Appropriation - (Rep. Gwynn) - Homelessness and Mental |
| 27a. Gwynn RFA - Homelessness and Mental Health Support |
| 27b. Homelessness and Mental Health Support Handout |
| Rep. Gwynn presented the request for Homelessness and Mental Health Support with Jed Burton, Clinical Director, Weber Human Services. |
| 29.9:27 Request for Appropriation - (Sen. Plumb) - Outreach, Connections, and |
| 29a. Plumb RFA - Outreach, Connections, and Recovery Soap2Hope |
| 29b. Soap2Hope Program Presentation |
| Sen. Plumb requested funding with the assistance of January Riggin, Executive Director, Soap2Hope. |
| 30.9:30 Request for Appropriation - (Sen. Plumb) - Statewide Recovery Support |
| 30a. Plumb RFA - Statewide Recovery Support Service - Addict II Athlete |
| 30b. Opiate RFAAIIA |
| Sen. Plumb turned the time over to Blue and Marissa Robinson, Executive Directors, to request funding for Statewide Recovery Support Service - Addict II Athlete. |
| 31.10:20 Other Requests for Appropriation |
| Minors in State Custody - Fiefia |
| Rep. Fiefia made the funding request for Minors in State Custody Amendments. |
| Sen. Escamilla made the funding request for Infant Cremation Fee Waiver. |
| 32.9:36 Ultra High-cost Pharmacy Drugs and Associated Costs |
| Jennifer Strohecker, State Medicaid Director, discussed Ultra High-cost Pharmacy Drugs and Associated Costs. |
| Rep. Peck asked how many people receive ultra high-cost drugs, and Jennifer Strohecker responded. |
| 33.9:45 Should Applied Behavioral Analysis Services be Carved Into Managed Care? |
| Jennifer Strohecker provided information on health services currently carved out of managed care. |
| Rep. Peck asked how large the ADA program is, and Jennifer Strohecker responded. |
| 34.9:55 Fees in the Department of Health and Health and Human Services - Issue |
| 37. Health and Human Services Fees - Issue Brief |
| Russell Frandsen presented the Issue Brief for Fees in DHHS. |
| Kevin Edminster continued the presentation, discussing recommendations made by staff. |
| Rep. Peck asked for additional information about fee increases, and Rep. Ward and Russell Frandsen responded. |
| Rep. Chevrier asked why cannabis card fees may be reduced, and Kevin Edminster responded. |
| Sen. Escamilla asked how the cremation fees of Utah compare to surrounding states, and Kevin Edminster responded. |
| Rep. Ward gave information on cremation and cannabis card fees. |
| Rep. Dailey-Provost cautioned against cutting fees that affect prevention and mitigation services. |
| Chair Fiefia invited Dr. Stacey Bank, Executive Medical Director, and Krisann Bacon, Director of Operations, Clinical Services Operations, to provide the response. |
| Sen. Escamilla asked for clarification of fees, and Stacy Bank responded. |
| Rep. Ward requested clarification on the use of fees, and Krisann Bacon and Stacey Bank responded. |
| Rep. Peck asked for more information, and Stacey Bank responded. |
| Sen. Plumb commented on the conversation. |
| 35.10:10 Supplemental Motions from Subcommittee Members and Agencies (Not |
| Russell Frandsen explained how to make motions and possible motions. |
| MOTION:Sen. Stratton moved to approve #AZ2 from the Ad Hoc Tab of Motions for Consideration Sheet.The motion passed with a vote of 10-0-6. | |||
| Yeas - 10 | Nays- 0 | Abs- 6 | |
| Sen. H. Balderree Rep. K. Chevrier Rep. J. Dailey-Provost Rep. D. Fiefia Rep. J. Fitisemanu Rep. S. Gricius Rep. C. Jack Sen. J. Plumb Sen. K. Stratton Rep. R. Ward | Sen. J. Adams Rep. T. Clancy Sen. L. Escamilla Rep. N. Peck Sen. D. Thatcher Sen. T. Weiler |
| MOTION:Sen. Stratton moved to approve the following motions from the Ad Hoc Tab of Motions for Consideration sheet: #AZ1 and AZ3 through AZ7. |
| Rep. Dailey-Provost asked for more information on the motions, and Russell Frandsen responded. |
| Rep. Fitisemanu asked for clarification on the motions, and Russell Frandsen responded. |
| Sen. Stratton's motion to approve the following motions from the Ad Hoc Motions sheet: #AZ1 and AZ3 through AZ7passed with a vote 10-0-6. | |||
| Yeas - 10 | Nays- 0 | Abs- 6 | |
| Sen. H. Balderree Rep. K. Chevrier Rep. J. Dailey-Provost Rep. D. Fiefia Rep. J. Fitisemanu Rep. S. Gricius Rep. C. Jack Sen. J. Plumb Sen. K. Stratton Rep. R. Ward | Sen. J. Adams Rep. T. Clancy Sen. L. Escamilla Rep. N. Peck Sen. D. Thatcher Sen. T. Weiler |
| 36.10:20 Other Requests for Appropriation |
| There were no additional requests for appropriations. |
| 37.10:30 Other Business |
| Chair Fiefia advised committee members to meet with staff if they need to prepare motions for the upcoming voting days. |
| MOTION:Rep. Ward moved to adjourn.The motion passed with a vote of 12-0-4. | |||
| Yeas - 12 | Nays- 0 | Abs- 4 | |
| Sen. H. Balderree Rep. K. Chevrier Rep. J. Dailey-Provost Rep. D. Fiefia Rep. J. Fitisemanu Rep. S. Gricius Rep. C. Jack Rep. N. Peck Sen. J. Plumb Sen. K. Stratton Rep. R. Ward Sen. T. Weiler | Sen. J. Adams Rep. T. Clancy Sen. L. Escamilla Sen. D. Thatcher |
| Chair Fiefia adjourned the meeting at 10:32 a.m. |