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Second Substitute S.B. 58

Senator Peter C. Knudson proposes to substitute the following bill:





Sponsor: Peter C. Knudson

             6      This act repeals the Nursing Facility Assessment Act. This act appropriates for the fiscal
             7      year 2001-02, $1,300,000 from the Nursing Facilities Account to the University of Utah
             8      Health Science Center. This act makes conforming and technical amendments. This act
             9      coordinates appropriations. The act takes effect July 1, 2001.
             10      This act affects sections of Utah Code Annotated 1953 as follows:
             11      AMENDS:
             12          26-1-30, as last amended by Chapter 229, Laws of Utah 2000
             13      REPEALS:
             14          26-35-101, as enacted by Chapter 170, Laws of Utah 1992
             15          26-35-102, as enacted by Chapter 170, Laws of Utah 1992
             16          26-35-103, as last amended by Chapter 209, Laws of Utah 1997
             17          26-35-104, as last amended by Chapter 67, Laws of Utah 2000
             18          26-35-105, as enacted by Chapter 170, Laws of Utah 1992
             19          26-35-106, as enacted by Chapter 170, Laws of Utah 1992
             20      This act enacts uncodified material.
             21      Be it enacted by the Legislature of the state of Utah:
             22          Section 1. Section 26-1-30 is amended to read:
             23           26-1-30. Powers and duties of department.
             24          (1) The department shall:
             25          (a) enter into cooperative agreements with the Department of Environmental Quality to

             26      delineate specific responsibilities to assure that assessment and management of risk to human
             27      health from the environment are properly administered; and
             28          (b) consult with the Department of Environmental Quality and enter into cooperative
             29      agreements, as needed, to ensure efficient use of resources and effective response to potential
             30      health and safety threats from the environment, and to prevent gaps in protection from potential
             31      risks from the environment to specific individuals or population groups.
             32          (2) In addition to all other powers and duties of the department, it shall have and exercise
             33      the following powers and duties:
             34          (a) promote and protect the health and wellness of the people within the state;
             35          (b) establish, maintain, and enforce rules necessary or desirable to carry out the provisions
             36      and purposes of this title to promote and protect the public health or to prevent disease and illness;
             37          (c) investigate and control the causes of epidemic, infectious, communicable, and other
             38      diseases affecting the public health;
             39          (d) provide for the detection, reporting, prevention, and control of communicable,
             40      infectious, acute, chronic, or any other disease or health hazard that the department considers to
             41      be dangerous, important, or likely to affect the public health;
             42          (e) collect and report information on causes of injury, sickness, death, and disability and
             43      the risk factors that contribute to the causes of injury, sickness, death, and disability within the
             44      state;
             45          (f) collect, prepare, publish, and disseminate information to inform the public concerning
             46      the health and wellness of the population, specific hazards, and risks that may affect the health and
             47      wellness of the population and specific activities which may promote and protect the health and
             48      wellness of the population;
             49          (g) establish and operate programs necessary or desirable for the promotion or protection
             50      of the public health and the control of disease or which may be necessary to ameliorate the major
             51      causes of injury, sickness, death, and disability in the state, except that the programs shall not be
             52      established if adequate programs exist in the private sector;
             53          (h) establish, maintain, and enforce isolation and quarantine, and for this purpose only,
             54      exercise physical control over property and individuals as the department finds necessary for the
             55      protection of the public health;
             56          (i) close theaters, schools, and other public places and forbid gatherings of people when

             57      necessary to protect the public health;
             58          (j) abate nuisances when necessary to eliminate sources of filth and infectious and
             59      communicable diseases affecting the public health;
             60          (k) make necessary sanitary and health investigations and inspections in cooperation with
             61      local health departments as to any matters affecting the public health;
             62          (l) establish laboratory services necessary to support public health programs and medical
             63      services in the state;
             64          (m) establish and enforce standards for laboratory services which are provided by any
             65      laboratory in the state when the purpose of the services is to protect the public health;
             66          (n) cooperate with the Labor Commission to conduct studies of occupational health
             67      hazards and occupational diseases arising in and out of employment in industry, and make
             68      recommendations for elimination or reduction of the hazards;
             69          (o) cooperate with the local health departments, the Department of Corrections, the
             70      Administrative Office of the Courts, the Division of Youth Corrections, and the Crime Victims
             71      Reparations Board to conduct testing for HIV infection of convicted sexual offenders and any
             72      victims of a sexual offense;
             73          (p) investigate the cause of maternal and infant mortality;
             74          (q) establish, maintain, and enforce a procedure requiring the blood of adult pedestrians
             75      and drivers of motor vehicles killed in highway accidents be examined for the presence and
             76      concentration of alcohol;
             77          (r) provide the commissioner of public safety with monthly statistics reflecting the results
             78      of the examinations provided for in Subsection (2)(q) and provide safeguards so that information
             79      derived from the examinations is not used for a purpose other than the compilation of statistics
             80      authorized in this Subsection (2)(r);
             81          (s) establish qualifications for individuals permitted to draw blood pursuant to Section
             82      41-6-44.10 , and to issue permits to individuals it finds qualified, which permits may be terminated
             83      or revoked by the department;
             84          (t) establish a uniform public health program throughout the state which includes
             85      continuous service, employment of qualified employees, and a basic program of disease control,
             86      vital and health statistics, sanitation, public health nursing, and other preventive health programs
             87      necessary or desirable for the protection of public health;

             88          (u) adopt rules and enforce minimum sanitary standards for the operation and maintenance
             89      of:
             90          (i) orphanages;
             91          (ii) boarding homes;
             92          (iii) summer camps for children;
             93          (iv) lodging houses;
             94          (v) hotels;
             95          (vi) restaurants and all other places where food is handled for commercial purposes, sold,
             96      or served to the public;
             97          (vii) tourist and trailer camps;
             98          (viii) service stations;
             99          (ix) public conveyances and stations;
             100          (x) public and private schools;
             101          (xi) factories;
             102          (xii) private sanatoria;
             103          (xiii) barber shops;
             104          (xiv) beauty shops;
             105          (xv) physicians' offices;
             106          (xvi) dentists' offices;
             107          (xvii) workshops;
             108          (xviii) industrial, labor, or construction camps;
             109          (xix) recreational resorts and camps;
             110          (xx) swimming pools, public baths, and bathing beaches;
             111          (xxi) state, county, or municipal institutions, including hospitals and other buildings,
             112      centers, and places used for public gatherings; and
             113          (xxii) of any other facilities in public buildings and on public grounds;
             114          (v) conduct health planning for the state;
             115          (w) monitor the costs of health care in the state and foster price competition in the health
             116      care delivery system;
             117          (x) adopt rules for the licensure of health facilities within the state pursuant to Title 26,
             118      Chapter 21, Health Care Facility Licensing and Inspection Act; and

             119          [(y) serve as the collecting agent, on behalf of the state, for the nursing facility assessment
             120      fee imposed under Title 26, Chapter 35, Nursing Facility Assessment Act, and the provider
             121      assessment imposed under Chapter 40, Utah Children's Health Insurance Act, and adopt rules for
             122      the enforcement and administration of the assessments consistent with Chapters 35 and 40;]
             123          [(z) monitor and report to the Health Policy Commission created in Title 63C, Chapter 3,
             124      Health Policy Commission, on the development of managed health care plans in rural areas of the
             125      state, including the effect of the managed health care plans on costs, access, and availability of
             126      providers located in the rural communities of the state; and]
             127          [(aa)] (y) license the provision of child care.
             128          Section 2. Repealer.
             129          This act repeals:
             130          Section 26-35-101, Short title.
             131          Section 26-35-102, Legislative findings.
             132          Section 26-35-103, Definitions.
             133          Section 26-35-104, Collection, remittance, and payment of nursing facilities
             134      assessment.
             135          Section 26-35-105, Penalties and interest.
             136          Section 26-35-106, Restricted account -- Creation -- Deposits.
             137          Section 3. Appropriation.
             138          (1) There is appropriated from the Nursing Facilities Account within the General Fund for
             139      fiscal year 2001-02, $1,300,000 of the funds remaining in the restricted account on June 30, 2001
             140      to the University of Utah Health Science Center.
             141          (2) It is the intent of the Legislature that this appropriation shall be used for expansion of
             142      the Area Health Education Center Program established in Section 26-9-3.
             143          (3) Any funds remaining in the Nursing Facilities Account after the disbursement under
             144      Subsection (1) on June 30, 2001 shall lapse into the General Fund.
             145          Section 4. Directions to Division of Finance for Appropriation.
             146          If this bill and S.B. 31, Area Health Education Center Amendments, both pass, it is the
             147      intent of the Legislature that the Division of Finance appropriate $1,300,000 from the Nursing
             148      Facilities Account to the University of Utah Health Service Center as provided in this bill and not
             149      appropriate $1,300,000 from the General Fund as provided in S.B. 31.

             150          Section 5. Effective date.
             151          This act takes effect on July 1, 2001.

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