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MINUTES OF THE
HOUSE HEALTH AND HUMAN SERVICES STANDING COMMITTEE
ROOM W125, WEST OFFICE BUILDING, STATE CAPITOL COMPLEX
February 18, 2008


MEMBERS PRESENT:    Rep. Paul Ray, Chair
                Rep. Ronda R. Menlove, Vice Chair
                Rep. John Dougall
                Rep. Richard A. Greenwood
                Rep. Wayne A. Harper
                Rep. David Litvack
                Rep. Phil Riesen
                Rep. Stephen E. Sandstrom                    
            
STAFF PRESENT:        Mark Andrews, Policy Analyst
                Sylvia Newton, House Secretary
                Cathy Dupont, Associate General Counsel

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

Rep. Menlove called the meeting to order at 8:08 a.m.

MOTION:    Rep. Riesen moved to approve the minutes of the February 15, 2008 meeting. The motion passed unanimously with Rep. Greenwood, Rep.Harper, Rep. Litvack, and Rep. Ray absent for the vote.


H.B. 494    Amendments to the Utah Medical Service System Act (Rep. J. Dougall)

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

1.    Page 4, Lines 95 through 96 :    

             95          (11) "Inter-facility transport"
  and "non-911"       means the transport of a patient from one facility to

             96      another facility:

2.    Page 4, Line 103 :    

             103          (c) if the
{   requesting   }        sending       facility or the receiving facility is:


3.    Page 10, Lines 277 through 287 :    

             277          (a) "911 ambulance or paramedic services" means either 911 ambulance service, or 911
             278      paramedic service, or both and:
             279          (i) means
{   :

             280          (A)  
}
a response to a 911 call received by a designated dispatch center that

receives 911
             281      or E911 calls;

{   [   } and      {   ]   }      {   or

             282          (B) a response to a seven digit telephone call received directly by an ambulance
             283      provider licensed under this chapter if the person  
}
is in an emergency medical condition as
             284      defined in Subsection 26-8a-102 (5)(a); and
             285          (ii) does not mean a seven digit telephone call received directly by an ambulance
             286      provider licensed under this chapter
{   if the person's medical condition is as defined in

             287      Subsection 26-8a-102 (5)(b)  
}
.

4.    Page 13, Lines 384 through 387 :    

             384      must demonstrate that non-911 ambulance or paramedic service] The political subdivision
             385      must demonstrate to the department that inter-facility
{   ambulance or inter-facility paramedic   }        transport services and 911 ambulance or paramedic      

             386      services will be provided in the geographic service area, either by the current provider, the
             387      applicant, or some other method acceptable to the department.

The motion to amend the bill passed unanimously with Rep. Greenwood, Rep. Harper, and Rep. Ray absent for the vote.

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

1.    Page 13, Lines 396 through 397 :    

             396          (1) This section
  :

        (a)  
does not apply to a political subdivision that is the exclusive licensed

             397      provider for inter-facility transport services
  ; and

        (b)    applies to a county of the first class  
.


The motion to amend the bill passed with Rep. Greenwood voting in opposition to the motion and Rep. Harper and Rep. Ray absent for the vote.

Spoke in favor of the bill:    Jordan Garn, legal counsel, Southwest Ambulance
                        Dave Gessel, UHA: Utah Hospitals and Health Systems Association

Spoke in opposition to the bill:
    Kevin Ward, Layton City Fire Chief, and President, State Fire Chiefs Association
    Mike Mathieu, Ogden Fire Chief, and Vice President, State Fire Chiefs Association


    Gene Moffatt, owner, Gold Cross Ambulance
    Brad Wardle, West Jordan Fire Chief, and Vice President, State Fire Chiefs Association

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

1.    Page 13, Line 397 :     After " (b)"    insert " only"
    (as amended by the
    previous motion)

The motion to amend the bill passed unanimously with Rep. Harper and Rep. Ray absent for the vote.

MOTION:    Rep. Riesen moved to pass H.B. 494 as amended with a favorable recommendation. The motion passed unanimously with Rep. Harper and Rep. Ray absent for the vote.


H.B. 366    Medicaid Long Term Care Amendments (Rep. M. Newbold)

MOTION:    Rep. Menlove moved to delete in title and body H.B. 366 and replace it with 1st Substitute H.B. 366. The motion passed unanimously with Rep. Harper and Rep. Ray absent for the vote.

Rep. Newbold explained 1st Substitute H.B. 366 and provided a handout to the committee.

Spoke in favor of the bill:    Dirk Anjewierden, Utah Health Care Association
                        Michael Hales, Department of Health

MOTION:    Rep. Harper moved to pass 1st Substitute H.B. 366 with a favorable recommendation. The motion passed unanimously with Rep. Ray absent for the vote.


1st Sub. H.B. 364    Promotion of Health Care Coverage (Rep. K. Holdaway)
                        
MOTION:    Rep. Dougall moved to delete in title and body 1st Substitute H.B. 364 and replace it with 2nd Substitute H.B. 364. The motion passed unanimously with Rep. Ray absent for the vote.

Rep. Holdaway explained the bill, assisted by Lincoln Nehring, Utah Health Policy Project. Handouts were provided to committee members.

Spoke in favor of the bill:    Sheila Walsh-McDonald, Salt Lake Community Action Program
                        Kelly Atkinson, Utah Health Insurance Association
                        Jerry Cochran, Voices for Utah Children


MOTION:    Rep. Riesen moved to pass 2nd Substitute H.B. 364 with a favorable recommendation. The motion passed with Rep. Dougall and Rep. Sandstrom voting in opposition to the motion.


H.B. 374    Child Abuse and Neglect Prevention and Treatment Amendments (Rep. P. Ray)

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

1.    Page 1, Lines 14 through 18 :    

             14          .    
{   provides that before child abuse or neglect prevention or treatment programs

             15      intended to be presented in public schools may be purchased or contracted for under
             16      Title 62A, Chapter 4a, Part 3, Child Abuse and Neglect Prevention and Treatment,
             17      evidence shall be submitted to the division that the program or service has been
             18      approved by the school district's superintendent or the superintendent's designee  
}
  provides that a local board of education may grant to the superintendent the authority to approve a child abuse or neglect prevention or treatment service or program which is intended for presentation in a public school       ;


2.    Page 2, Lines 43 through 47 :    

             43          [Additionally, before] (2) Before any child abuse or neglect prevention or treatment
             44      service or program which is intended for presentation in public schools may be purchased or
             45      contracted for, evidence shall be submitted to the division that the program or service has been
             46      approved by the
{   [   } local board of education for      {   ]   }      {   superintendent, or the superintendent's designee   } ,

             47      of each school district which [would] will be utilizing that program or service.
  The local board of education may grant the approval authority to the superintendent.      


SUBSTITUTE
MOTION:    Rep. Harper moved to amend the bill as follows:

1.    Page 1, Lines 14 through 18 :    

             14          .    
{   provides that before child abuse or neglect prevention or treatment programs


             15
     intended to be presented in public schools may be purchased or contracted for under
             16      Title 62A, Chapter 4a, Part 3, Child Abuse and Neglect Prevention and Treatment,
             17      evidence shall be submitted to the division that the program or service has been
             18      approved by the school district's superintendent or the superintendent's designee  
}
  provides that a local board of education may grant to the superintendent the authority to approve a child abuse or neglect prevention or treatment service or program which is intended for presentation in a public school       ;


2.    Page 2, Lines 43 through 47 :    

             43          [Additionally, before] (2) Before any child abuse or neglect prevention or treatment
             44      service or program which is intended for presentation in public schools may be purchased or
             45      contracted for, evidence shall be submitted to the division that the program or service has been
             46      approved by the
{   [   } local board of education      {   for ]   }      {   superintendent, or the superintendent's designee   } ,

             47      of each school district which [would] will be utilizing that program or service.
  The local board of education may grant the approval authority to the superintendent.      


The substitute motion to amend the bill passed unanimously.

Rep. Ray explained the amended bill to the committee.

Spoke in favor of the bill:    Patricia Worthington, Child Abuse and Neglect Council

MOTION:    Rep. Harper moved to pass H.B. 374 as amended with a favorable recommendation. The motion passed unanimously.

MOTION:    Rep. Harper moved to place H.B. 374 as amended on the Consent Calendar. The motion passed unanimously.


H.C.R. 7    Concurrent Resolution Declaring Colorectal Cancer Awareness Month (Rep. E. Hutchings)

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

1.    Page 2, Lines 39 through 40 :    



             39          WHEREAS, the American Cancer Society
{   is   }        , the Utah Cancer Action Network, and the Utah Cancer Control Program of the Utah Department of Health are       taking      {   a   } leadership      {   role   }        roles       in educating the

             40      public on the methods of preventing colon cancer and symptoms for its early detection; and

2.    Page 2, Lines 48 through 49 :    

             48          BE IT FURTHER RESOLVED that a copy of this resolution be sent to the American
             49      Cancer Society Utah Division Inc.
  , the Utah Cancer Action Network,       and to the Utah Department of Health.


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

Rep. Hutchings explained H.C.R. 7 as amended to the committee and provided a handout from the American Cancer Society.

Spoke in favor of the resolution:    Michael Siler, American Cancer Society

MOTION:    Rep. Harper moved to pass the resolution as amended with a favorable recommendation. The motion passed unanimously with Rep. Litvack and Rep. Riesen absent for the vote.

MOTION:    Rep. Ray moved to place H.C.R. 7 as amended on the Consent Calendar. The motion passed unanimously with Rep. Litvack and Rep. Riesen absent for the vote.

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

Rep. Ray adjourned the meeting at 9:51 a.m.





                        __________________
                        Rep. Paul Ray
                        Committee Chair