First Substitute H.B. 351

Representative Steven R. Mascaro proposes the following substitute bill:

1 TASK FORCE STUDYING PRIVATE SECTOR
2 APPROACHES TO COVERING THE UNINSURED
3 2004 GENERAL SESSION
4 STATE OF UTAH
5 Sponsor: Steven R. Mascaro
6
7 LONG TITLE
8 General Description:
9 This bill creates the task force studying private sector approaches to covering the
10 uninsured.
11 Highlighted Provisions:
12 This bill:
13 . creates a task force to analyze past, current, and model approaches to providing
14 comprehensive, affordable, accessible, and quality health care for the working
15 uninsured; and
16 . focuses on the extent to which each approach reduces the use of uncompensated
17 health care, contributes to improved health outcomes, and how successful each
18 program is in leveraging both public and private resources.
19 Monies Appropriated in this Bill:
20 This bill appropriates for fiscal year 2004-05 only:
21 . $2,500 to the Senate;
22 . $5,000 to the House of Representatives; and
23 . $20,000 to the Office of Legislative Research and General Counsel.
24 Other Special Clauses:
25 This bill is repealed on November 30, 2004.

26
27 Be it enacted by the Legislature of the state of Utah:
28 Section 1. Task Force Studying Private Sector Approaches to Covering the
29 Uninsured -- Creation -- Membership -- Quorum -- Compensation -- Staff.
30 (1) There is created the Task Force Studying Private Sector Approaches to Covering
31 the Uninsured consisting of the following six legislative members and eleven ex officio
32 members:
33 (a) two members of the Senate appointed by the president of the Senate, no more than
34 one of whom may be from the same political party;
35 (b) four members of the House of Representatives appointed by the speaker of the
36 House of Representatives, no more than two of whom may be from the same political party;
37 (c) eleven ex officio members appointed by the president of the Senate and the speaker
38 of the House of Representatives including:
39 (i) the executive director of the Department of Health or the director's designee;
40 (ii) a member representing a federally qualified health center located in the state;
41 (iii) two members from the general public with demonstrated expertise and interest in
42 private approaches to covering the uninsured and underinsured;
43 (iv) a chief executive officer of a health insurance company designated by the Utah
44 Health Insurance Association; and
45 (v) six representatives:
46 (A) three of whom are chief executive officers or presidents of large Utah businesses;
47 and
48 (B) three of whom are chief executive officers or presidents of small Utah businesses.
49 (2) (a) The president of the Senate shall designate a member of the Senate appointed
50 under Subsection (1)(a) as a cochair of the task force.
51 (b) The speaker of the House of Representatives shall designate a member of the House
52 of Representatives appointed under Subsection (1)(b) as a cochair of the task force.
53 (3) A majority of the legislative members of the task force constitute a quorum. The
54 action of a majority of a legislative quorum constitutes the action of the task force.
55 (4) (a) Salaries and expenses of the members of the task force who are legislators shall
56 be paid in accordance with Section 36-2-2 and Legislative Joint Rule 15.03.

57 (b) A member of the task force who is not a legislator or a state employee may not
58 receive compensation for the member's work associated with the task force, but may receive
59 per diem and reimbursement for travel expenses incurred as an ex officio member of the task
60 force at the rates established by the Division of Finance under Sections 63A-3-106 and
61 63A-3-107 .
62 (5) The Office of Legislative Research and General Counsel shall provide staff support
63 to the task force.
64 Section 2. Duties -- Interim report.
65 (1) The task force shall review and make recommendations on the following issues:
66 (a) the extent to which current private sector approaches to covering the uninsured
67 address the need for comprehensive, affordable, accessible, and quality health care, including:
68 (i) the Covered at Work component of the Primary Care Network;
69 (ii) the state Primary Care Grants Program; and
70 (iii) other relevant approaches identified by the task force;
71 (b) models or past approaches to covering the working uninsured and addressing the
72 need for comprehensive, affordable, accessible, and quality health care, including:
73 (i) purchasing cooperatives;
74 (ii) the Trade Adjustment Assistance Reform Act;
75 (iii) Maine's Dirigo plan;
76 (iv) insurance products based on exclusion of medical conditions; and
77 (v) other models or approaches identified by the task force;
78 (c) the cost effectiveness and public health impact of the programs in Subsections
79 (1)(a) and (1)(b) in terms of the following:
80 (i) the extent to which each program reduces the use of uncompensated care;
81 (ii) the extent to which each contributes to improved health outcomes; and
82 (iii) the success of each program in leveraging federal and private sector financial
83 resources for covering the working uninsured; and
84 (d) other issues that may be recommended by the task force including a review of
85 available studies and reports.
86 (2) A final report, including any proposed legislation shall be presented to the Health
87 and Human Services Interim Committee before November 30, 2004.

88 Section 3. Appropriation.
89 There is appropriated from the General Fund for fiscal year 2004-05 only:
90 (1) $2,500 to the Senate to pay for the compensation and expenses of senators on the
91 task force;
92 (2) $5,000 to the House of Representatives to pay for the compensation and expenses
93 of representatives on the task force; and
94 (3) $20,000 to the Office of Legislative Research and General Counsel to pay for
95 staffing the task force.
96 Section 4. Repeal date.
97 This bill is repealed on November 30, 2004.