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S.B. 15

             1     

USE OF TOBACCO SETTLEMENT REVENUES

             2     
2000 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Sponsor: L. Steven Poulton

             5      AN ACT RELATING TO STATE AFFAIRS IN GENERAL; REQUIRING THAT TOBACCO
             6      SETTLEMENT FUNDS BE ALLOCATED IN THE FOLLOWING ORDER: $5,500,000 FOR
             7      THE CHILDREN'S HEALTH INSURANCE PROGRAM, $10,000,0000 FOR TOBACCO
             8      PREVENTION, $5,000,000 TO THE STATE BOARD OF REGENTS FOR THE HUNTSMAN
             9      CANCER INSTITUTE, AND THE REMAINDER TO THE PERMANENT STATE SCHOOL
             10      FUND; DIRECTING THE APPROPRIATION OF FUNDS FOR FISCAL YEAR 2000-01;
             11      REPEALING THE HOSPITAL PROVIDER ASSESSMENT; AND PROVIDING AN
             12      EFFECTIVE DATE.
             13      This act affects sections of Utah Code Annotated 1953 as follows:
             14      AMENDS:
             15          26-40-102, as enacted by Chapter 360, Laws of Utah 1998
             16          26-40-103, as last amended by Chapters 21 and 61, Laws of Utah 1999
             17          63-97-102, as enacted by Chapter 78, Laws of Utah 1999
             18      REPEALS:
             19          26-40-111, as enacted by Chapter 360, Laws of Utah 1998
             20          26-40-112, as last amended by Chapter 78, Laws of Utah 1999
             21          26-40-113, as enacted by Chapter 360, Laws of Utah 1998
             22          26-40-114, as enacted by Chapter 360, Laws of Utah 1998
             23      Be it enacted by the Legislature of the state of Utah:
             24          Section 1. Section 26-40-102 is amended to read:
             25           26-40-102. Definitions.
             26          As used in this chapter:
             27          [(1) "Assessment" means the hospital provider assessment established in Section


             28      26-40-111 .]
             29          [(2)] (1) "Child" means a person who is under 19 years of age.
             30          [(3)] (2) "Eligible child" means a child who qualifies for enrollment in the program as
             31      provided in Section 26-40-105 .
             32          [(4)] (3) "Enrollee" means any child enrolled in the program.
             33          [(5) "Freestanding ambulatory surgical facility" means an urban or rural nonhospital-based
             34      or nonhospital-affiliated licensed facility, as defined in Section 26-21-2 , as an ambulatory surgical
             35      facility, with an organized professional staff that provides surgical services to patients who do not
             36      require an inpatient bed.]
             37          [(6) (a) "Hospital" means any general acute hospital, as defined in Section 26-21-2 ,
             38      operating in this state.]
             39          [(b) "Hospital" does not include:]
             40          [(i) a residential care or treatment facility, as defined in Subsections 62A-2-101 (16), (17),
             41      and (19);]
             42          [(ii) the Utah State Hospital;]
             43          [(iii) any rural hospital that operates outside of a metropolitan statistical area, a
             44      metropolitan area, or an urbanized area as designated by the U.S. Bureau of Census; or]
             45          [(iv) any specialty hospital operating in this state, as defined in Section 26-21-2 , that is
             46      engaged exclusively in rendering psychiatric or other mental health treatment.]
             47          [(7) "Hospital-based ambulatory surgical facility" means an urban or rural on-hospital
             48      campus or hospital-affiliated licensed facility with an organized professional staff that provides
             49      surgical services to patients who do not require an inpatient bed.]
             50          [(8)] (4) "Plan" means the department's plan submitted to the United States Department
             51      of Health and Human Services pursuant to 42 U.S.C. Sec. 1397ff.
             52          [(9)] (5) "Program" means the Utah Children's Health Insurance Program created by this
             53      chapter.
             54          Section 2. Section 26-40-103 is amended to read:
             55           26-40-103. Creation and administration of the Utah Children's Health Insurance
             56      Program.
             57          (1) There is created the Utah Children's Health Insurance Program to be administered by
             58      the department in accordance with the provisions of:


             59          (a) this chapter; and
             60          (b) the State Children's Health Insurance Program, 42 U.S.C. Sec. 1397aa et seq.
             61          (2) The department shall:
             62          (a) prepare and submit the state's children's health insurance plan before May 1, 1998, and
             63      any amendments to the federal Department of Health and Human Services in accordance with 42
             64      U.S.C. Sec. 1397ff; and
             65          (b) make rules in accordance with Title 63, Chapter 46a, Utah Administrative Rulemaking
             66      Act regarding:
             67          (i) eligibility requirements consistent with Subsection 26-18-3 (6);
             68          (ii) program benefits;
             69          (iii) the level of coverage for each program benefit;
             70          (iv) cost-sharing requirements for enrollees, which may not:
             71          (A) exceed the guidelines set forth in 42 U.S.C. Sec. 1397ee; or
             72          (B) impose deductible, copayment, or coinsurance requirements on an enrollee for
             73      well-child, well-baby, and immunizations; and
             74          (v) the administration of the program[; and].
             75          [(vi) the provider assessment, including:]
             76          [(A) the factor for the assessment;]
             77          [(B) the administration, collection, and enforcement of the assessment, including:]
             78          [(I) auditing a provider's records; and]
             79          [(II) imposing penalties for failure to pay the assessment as required; and]
             80          [(C) reducing the amount of the assessment to the extent funds are deposited into the
             81      Hospital Provider Assessment Account created in Section 26-40-112 as a result of private
             82      contributions to the program.]
             83          (3) Before July 1, 2001, the Governor's Office of Planning and Budget shall study the
             84      effectiveness of the department's administration of the program and report any findings to:
             85          (a) the Health and Human Services Interim Committee of the Legislature;
             86          (b) the Health Policy Commission; and
             87          (c) the department.
             88          Section 3. Section 63-97-102 is amended to read:
             89           63-97-102. Creation of restricted account.


             90          (1) There is created within the General Fund a restricted account known as the Tobacco
             91      Settlement Account.
             92          (2) The account shall earn interest.
             93          [(2)] (3) The account shall consist of:
             94          (a) all funds received by the state that are related to the settlement agreement that the state
             95      entered into with leading tobacco manufacturers on November 23, 1998[. (3) Funds in the
             96      account may only be used as directed by the Legislature through appropriation.]; and
             97          (b) interest earned on the account.
             98          (4) To the extent that funds are available for appropriation in a given fiscal year, those
             99      funds shall be appropriated from the account in the following order:
             100          (a) $5,500,000 to the Department of Health for the Children's Health Insurance Program
             101      created in Section 26-40-103 ;
             102          (b) $10,000,000 to the Department of Health for tobacco prevention, reduction, and control
             103      programs that promote a unified message and make use of media outlets;
             104          (c) $5,000,000 to the State Board of Regents to be appropriated to the Huntsman Cancer
             105      Institute to benefit the health and well-being of Utah citizens through in-state research, treatment,
             106      and educational activities; and
             107          (d) any amount remaining after Subsection (4)(a) and (b) to the permanent State School
             108      Fund created by and operated under Utah Constitution Article X, Section 5.
             109          Section 4. Repealer.
             110          This act repeals:
             111          Section 26-40-111, Provider assessment.
             112          Section 26-40-112, Hospital Provider Assessment Account.
             113          Section 26-40-113, Intergovernmental transfers.
             114          Section 26-40-114, Repeal of assessment.
             115          Section 5. Appropriation.
             116          (1) All tobacco settlement funds that are available for appropriation in fiscal year 2000-01,
             117      regardless of the specific date on which they are received, shall be appropriated in the following
             118      order:
             119          (a) $5,500,000 to the Department of Health for the Children's Health Insurance Program;
             120          (b) $10,000,000 to the Department of Health for tobacco prevention, reduction, and control


             121      programs as described in Section 63-97-102 ;
             122          (c) $5,000,000 to the State Board of Regents to be appropriated to the Huntsman Cancer
             123      Institute as provided in Section 63-97-102 ; and
             124          (d) all remaining amounts to the permanent State School Fund created by and operated
             125      under Utah Constitution Article X, Section 5.
             126          (2) Any funds remaining in the Hospital Providers Assessment Account as of June 30,
             127      2000, shall lapse into the General Fund.
             128          Section 6. Effective date.
             129          This act takes effect on July 1, 2000.




Legislative Review Note
    as of 12-13-99 3:28 PM


A limited legal review of this legislation raises no obvious constitutional or statutory concerns.

Office of Legislative Research and General Counsel


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