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MINUTES OF THE
HOUSE HEALTH AND HUMAN SERVICES STANDING COMMITTEE
ROOM W125, WEST OFFICE BUILDING, STATE CAPITOL COMPLEX
January 25, 2008


MEMBERS PRESENT:    Rep. Paul Ray, Chair
                Rep. Ronda R. Menlove, Vice Chair
                Rep. John Dougall
                Rep. Richard A. Greenwood
                Rep. David Litvack
                Rep. Phil Riesen
                Rep. Stephen E. Sandstrom

MEMBERS ABSENT:    Rep. Wayne A. Harper                    
            
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. Ray called the meeting to order at 8:37 a.m.

MOTION:    Rep. Greenwood moved to approve the minutes of the January 22, 2008 meeting. The motion passed unanimously with Rep. Dougall and Rep. Litvack absent for the vote.

H.B. 258    Medicaid Drug Utilization Amendments (Rep. R. Lockhart)

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

1.    Page 3, Lines 65 through 68 :    

             65          (c)
{   Notwithstanding the provisions of Subsection 58-17b-606 (4), the state Medicaid

             66      drug program may not require the substitution of a generic equivalent for an
             67      immunosuppressive drug without written or oral consent from the health care provider and the
             68      patient  
}
  The state Medicaid program shall reimburse for a prescription for an immunosuppressive drug as written by the health care provider for a patient who has undergone an organ transplant. For purposes of Subsection 58-17b-606(4), and with respect to patients who have undergone an organ transplant, the prescription for a particular immunosuppressive drug as written by a health care provider meets the criteria of demonstrating to the Department of Health a medical necessity for dispensing the prescribed immunosupresssive drug       .


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

Rep. Lockhart presented H.B. 258 as amended to the committee. (handout)

Spoke in favor of the bill:    Casey Hill, American Heart Association
                        David Sundwall, M.D., Utah Department of Health
                        Michelle McOmber, Utah Medical Association

Spoke in opposition to the bill:    Elizabeth Garbe, Utah Health Policy Project

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


H.B. 119    Controlled Substance Database Amendments (Rep. B. Daw)

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

1.    Page 1, Lines 22 through 23 :    

             22          .    establishes a pilot program, beginning on July 1, 2008, and ending on
{   December 1,

             23      2009, in Davis, Salt Lake, Utah, and Weber counties  
}
  July 1, 2010       , for the real-time reporting of,


2.    Page 2, Lines 31 through 35 :    

             31          .    requires the Division of Occupational and Professional Licensing to implement the
             32      pilot program established in this bill on a statewide basis on or before
{   December 1,

             33      2009, and provides that the division may implement the pilot program on a
             34      statewide basis at anytime after July 1, 2008, if the division and the Utah State
             35      Board of Pharmacy determine that the pilot program is successful  
}
  July 1, 2010       ; and


3.    Page 5, Line 151 :    

             151          (f) federal, state, and local law enforcement authorities
  , and state and local prosecutors,       engaged as a specified duty of


4.    Page 7, Line 211 through Page 8, Line 215 :    

             211          (i) "Pilot area" means
{   :


             212
         (A) Davis County;
             213          (B) Salt Lake County;
             214          (C) Utah County; and
             215          (D) Weber County  
}
  the areas of the state that the division determines to operate the pilot program in, under Subsection (3), which may include:

    (A)    the entire state; or
    (B)    geographical areas within the state  
.


5.    Page 8, Lines 218 through 231 :    

             218          (2) There is established a pilot program for real-time reporting of data to, and access to
             219      data from, the database by a pharmacy, a pharmaceutical facility, or a physician beginning on
             220      July 1, 2008, and ending on
{   December 1, 2009.   }        July 1, 2010.      

             221          (3) In addition to fulfilling the requirements of Sections 58-37-7.5 and 58-37-7.7 on a
             222      statewide basis, the division shall
  , in accordance with Subsection (4),       upgrade, administer, and direct the functioning of the

             223      database in
{   the pilot area   }        geographical areas              specified by the division, or on a statewide basis,       in a manner that provides for real-time reporting of information

             224      entered into, and accessed from, the database by a pharmacy or pharmaceutical facility.
             225          (4)
{   (a)   } The division      {   may   }        shall       , under state procurement laws,        and with the technical assistance of the Department of Technology Services,       contract with      {   another state

             226      agency or  
}
  a       private entity to upgrade, operate,      {   or   }        and       maintain the database in the pilot area.

             227          
{   (b) The division shall collaborate with the board to determine whether to enter into a

             228      contract under Subsection (4)(a), or to provide the services described in Subsection (4)(a)
             229      within the division.
             230          (c) The division and the board shall make the determination described in Subsection
             231      (4)(b) based on an analysis of costs and benefits.  
}


6.    Page 9, Lines 254 through 257 :    



             254          (10)
{   (a)   } The division shall, on or before      {   December 1, 2009   }        July 1, 2010       , implement the pilot

             255      program on a statewide basis.
             256          
{   (b) The division may implement the pilot program on a statewide basis at anytime after

             257      July 1, 2008, if the division and the board determine that the pilot program is successful.  
}


7.    Page 9, Lines 263 through 265 :    

             263          (2) $650,000
{   in nonlapsing funds   } from the General Fund, for the fiscal year 2008-09

             264      only, to the Division of Occupational and Professional Licensing to implement and operate the
             265      pilot program described in this bill.
    
  (3)    The $650,000 appropriated from the General Fund, under Subsection (2), shall be nonlapsing.      


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

Rep. Daw presented H.B. 119 as amended to the committee.

Spoke to the bill:    Wade Farraway, Attorney General's Office
                Jim Olsen, Utah Retail Merchants Association
                David Sundwall, M.D., Utah Department of Health (handout)
                Kevin Wyatt, citizen

Spoke in favor of the bill:    Michelle McOmber, Utah Medical Association
                        Roger Stuart, M.D., Workers Compensation Fund

MOTION:    Rep. Dougall moved to proceed to the next item on the agenda and put this bill on the next agenda. The motion passed unanimously with Rep. Litvack and Rep. Riesen absent for the vote.


H.B. 45    Supported Employment Services to a Person with a Disability (Rep. R. Menlove)

Rep. Menlove presented H.B. 45 to the committee, assisted by George Kelner, Director, Division of Services for People with Disabilities. (handout)




Spoke in favor of the bill:    Kris Fawson, Legislative Coalitition for People with Disabilities
                        Steven Clyde, recipient of services
                        Karen Huggins, job coach

MOTION:    Rep. Dougall moved to pass the bill out favorably. The motion passed unanimously with Rep. Litvack and Rep. Riesen absent for the vote.

MOTION:    Rep. Dougall moved to place H.B. 45 on the Consent Calendar with the approval of Rep. Menlove. The motion passed unanimously with Rep. Litvack and Rep. Riesen absent for the vote.


H.B. 46    Adoption and Termination of Parental Rights (Rep. S. Allen)

Rep. Allen presented H.B. 46, assisted by Larry Jenkins, Utah Adoption Council.

MOTION:    Rep. Sandstrom moved to pass the bill out favorably. The motion passed unanimously with Rep. Litvack, Rep. Riesen, and Rep. Menlove absent for the vote.

MOTION:    Rep. Sandstrom moved to place H.B. 46 on the Consent Calendar with the approval of Rep. Allen. The motion passed unanimously with Rep. Litvack Rep. Riesen, and Rep. Menlove absent for the vote.

MOTION:    Rep. Dougall moved to adjourn the meeting. The motion passed unanimously Rep. Litvack, Rep. Riesen, and Rep. Menlove absent for the vote.


Rep. Ray adjourned the meeting at 9:44 a.m.




                        __________________
                        Rep. Paul Ray
                        Committee Chair