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MINUTES OF THE
HOUSE HEALTH AND HUMAN SERVICES STANDING COMMITTEE
ROOM W125, WEST OFFICE BUILDING, STATE CAPITOL COMPLEX
February 7, 2005


MEMBERS PRESENT:    Rep. Bradley G. Last, Chair
                Rep. Paul Ray, Vice Chair
                Rep. D. Gregg Buxton
                Rep. Patricia W. Jones
                Rep. David Litvack
                Rep. Rebecca Lockhart
                Rep. Ronda R. Menlove

MEMBERS ABSENT:    Rep. Steven R. Mascaro
            
STAFF PRESENT:        Mark Andrews, Policy Analyst
                Sylvia Newton, House Secretary

Note:    A list of visitors and copy of handouts are filed with committee minutes.


Rep. Last called the meeting to order at 8:09 a.m.

MOTION:    Rep. Buxton moved to approve the minutes of the February 3, 2005 meeting. The motion passed unanimously with Rep. Jones, Rep. Litvack, and Rep. Menlove absent for the vote.

H.B. 243    Repeal of Geriatric Care Manager (Rep. R. Lockhart)

MOTION:    Rep. Lockhart moved to amend the bill as follows:

1.    Page 16, Line 490 :    

             490      Subsection 58-31b-302
{   [   } (2)      {   ]   }      {   (3)(d)   } as an advanced practice registered nurse.


The motion to amend the bill passed unanimously with Rep. Jones, Rep. Litvack, and Rep. Menlove absent for the vote.

Spoke in favor of the bill:    Laura Poe, Division of Professional Licensing

MOTION:    Rep. Buxton moved to pass the bill as amended out favorably. The motion passed unanimously with Rep. Jones, Rep. Litvack, and Rep. Menlove absent for the vote.





S.B. 83    Medical Decisions of a Parent or Guardian (Sen. D. Thomas)

MOTION:    Rep. Ray moved to amend the bill as follows:

1.    Page 1, Lines 15 through 17
    Senate 2nd Reading Amendments
    1-24-2005 :
    

             15              *    a health care decision made by a child's parent or guardian does not constitute
             16      neglect unless the state or other party to the proceeding shows, by clear and
             17      convincing evidence, that the decision is not reasonable and
{   prudent   }        informed       ; and


2.    Page 1, Lines 21 through 24
    Senate 2nd Reading Amendments
    1-24-2005 :
    

             21              *    a health care decision made by a child's parent or guardian does not constitute
             22      severe child abuse or neglect unless the state or other party to the proceeding
             23      shows, by clear and convincing evidence, that the decision is not reasonable and
             24     
{   prudent   }        informed       ; and    


3.    Page 2, Lines 34 through 37
    Senate 2nd Reading Amendments
    1-24-2005 :
    

             34          .    modifies the definition of a neglected child under the Juvenile Court Act of 1996 to
             35      provide that a health care decision made by a child's parent or guardian does not
             36      constitute neglect unless the state or other party to the proceeding can show, by
             37      clear and convincing evidence, that the decision was not reasonable and
{   prudent   }        informed       ;


4.    Page 2, Lines 41 through 43
    Senate 2nd Reading Amendments
    1-24-2005 :
    

             41              *    a health care decision made by a child's parent does not constitute neglect


             42      unless the state or other party to the proceeding shows, by clear and convincing
             43      evidence, that the decision is not reasonable and
{   prudent   }        informed       ; and


5.    Page 2, Lines 50 through 51
    Senate 2nd Reading Amendments
    1-24-2005 :
    

             50      is required by law
{   , unless the health care provider fails to comply with the child

             51      abuse or neglect reporting requirements  
}
;

6.    Page 5, Line 149 through Page 6, Line 152 :    

             149          (d) (i) Notwithstanding Subsection (18)(a), a health care decision made for a child by
             150      the child's parent or guardian does not constitute neglect unless the state or other party to the
             151      proceeding shows, by clear and convincing evidence, that the health care decision is not
             152      reasonable and
{   prudent   }        informed       .


7.    Page 9, Lines 265 through 267 :    

             265          © a health care decision made for a child by the child's parent or guardian, unless the
             266      state or other party to the proceeding shows, by clear and convincing evidence, that the health
             267      care decision is not reasonable and
{   prudent   }        informed       .


8.    Page 17, Lines 515 through 518
    Senate 2nd Reading Amendments
    1-24-2005 :
    

             515          (iv) Notwithstanding Subsection (1)(s)(i), a health care decision made for a child by the
             516      child's parent or guardian does not constitute neglect unless the state or other party to the
             517      proceeding shows, by clear and convincing evidence, that the health care decision is not
             518      reasonable and
{   prudent   }        informed       .


9.    Page 20, Lines 609 through 612
    Senate 2nd Reading Amendments
    1-24-2005 :
    


             609          (4) (a) Notwithstanding Subsection (2), a parent may not be considered neglectful or
             610      unfit because of a health care decision made for a child by the child's parent unless the state or
             611      other party to the proceeding shows, by clear and convincing evidence, that the health care
             612      decision is not reasonable and
{   prudent   }        informed       .


10.    Page 21, Lines 640 through 643 :    

             640          
{   (2) The prohibition on bringing a malpractice action against a health care provider in

             641      Subsection (1) does not apply if the health care provider fails to comply with the requirements
             642      of Title 62A, Chapter 4a, Part 4, Child Abuse or Neglect Reporting Requirements.
             643          (3)  
}
  (2)       The sole purpose of this section is to prohibit a malpractice action against a health


The motion to amend the bill passed unanimously with Rep. Jones absent for the vote.

Sen. Thomas introduced S.B. 83 as amended and explained it to the committee.

MOTION:    Rep. Litvack moved to pass the bill as amended out favorably. The motion passed unanimously with Rep. Jones absent for the vote.


H.B. 279    Clinical Counselor - Title Change (Rep. L. Fowlke)

Rep. Fowlke introduced H.B. 279 and explained it to the committee.

MOTION:    Rep. Lockhart moved to pass the bill out favorably. The motion passed unanimously with Rep. Jones absent for the vote.

MOTION:    Rep. Litvack moved to place H.B. 279 on the Consent Calendar. The motion passed unanimously with Rep. Jones absent for the vote.

MOTION:    Rep. Ray moved to recess for five minutes.

Rep. Last called the meeting to order and relinquished the chair to Rep. Ray.



S.B. 107    Licensure and Regulation of Programs and Facilities (Sen. T. Hatch)


Rep. Last introduced S.B. 107. Ken Stettler, Director, Office of Licensing, Department of Human Services, assisted Sen. Hatch in explaining the bill.

Spoke in favor of the bill:    Fraser Nelson, Disability Law Center

MOTION:    Rep. Jones moved to pass the bill out favorably. The motion passed unanimously.


MOTION:    Rep. Lockhart moved to adjourn the meeting. The motion passed unanimously.

Rep. Ray adjourned the meeting at 9:23 a.m.





                        
                        Rep. Bradley G. Last
                        Committee Chair