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MINUTES OF THE SENATE HEALTH AND HUMAN SERVICES

    STANDING COMMITTEE
FEBRUARY 5, 2008
ROOM W020, WEST OFFICE BUILDING,
STATE CAPITOL COMPLEX


Members Present:        Sen. D. Chris Buttars, Chair
                Sen. Allen M. Christensen
                Sen. Peter C. Knudson
                Sen. Scott D. McCoy

Member Excused:        Sen. Brent H. Goodfellow
    
Staff Present:            Mark D. Andrews, Policy Analyst
                Nedra B. Duzett, Secretary

Public Speakers Present:    Dr. Wendell Gibby, M.D./CEO
                Dr. Paul Winterton, M.D., Utah Medical Association
                Gayle Ruzicka, Utah Eagle Forum
                Dr. Stephen Lamb, M.D., Salt Lake County Medical Society
                Brian Berg, Utah Amublatory Surgery Center Association
                David Gessell, UHA: Utah Hospitals and Health Systems Association
                Spencer Stokes, HCA MountainStar
                Dr. Clark Ashby, M.D., Riverwood Surgery Center
                Bryant Kohler, Molina Health Care
                Kelly Atkinson, Utah Health Insurance Association
                Craig McMillan, Utah Funeral Directors Association
                Barry Nangle, Director, Health Data, Department of Health
                Michelle McOmber, Utah Medical Association
                F. David Stanley, Director, Division of Occupational and Professional Licensing

A list of visitors and a copy of handouts are filed with the committee minutes.

Committee Chair Buttars called the meeting to order at 8:07 a.m.

1.    S.B. 121 Access to Qualified Health Care Providers (D.C. Buttars)

Sen. Christensen assumed the Chair.

    Sen. Buttars explained the bill.

    The following spoke in support of the bill:

         Dr. Wendell Gibby, M.D./CEO


        Dr. Paul Winterton, M.D., Utah Medical Association
        Gayle Ruzicka, Utah Eagle Forum
        Brian Berg, Utah Ambulatory Surgery Centers Association
        Dr. Stephen Lamb, M.D., Salt Lake County Medical Society        

    The following spoke in opposition to the bill:
        David Gessell, UHA: Utah Hospitals and Health Systems Association
        Kelly Atkinson, Utah Health Insurance Association

     MOTION: Sen. Knudson moved to pass the bill out favorably.

    The motion passed unanimously.

2.    S.B. 74 Health Care Provider Access (D.C. Butters)

    Sen. Butters explained the bill.

    The following spoke in support of the bill:
        Dr. Wendell Gibby, M.D./CEO
        Dr. Clark Ashby, M.D., Riverwood Surgery Center

    The following spoke in opposition to the bill:
        David Gessell, UHA: Utah Hospitals and Health Systems Association
        Bryant Kohler, Molina Health Care
        Spencer Stokes, HCA Mountain Star
        Kelly Atkinson, Utah Health Insurance Association
    
     MOTION: Sen. Buttars moved to pass the bill out favorably.

    The motion passed unanimously.

3.    S.B. 175 Death Certificate Procedure Amendments (J. Greiner)

     MOTION: Sen. McCoy moved to adopt the following amendment:

1.    Page 1, Line 27 through Page 2, Line 28 :    

             27      AMENDS:
             28          26-2-13, as last amended by Laws of Utah 2007, Chapter 32
      26-2-16, as last amended by Laws of Utah 2006, Chapter 56      


2.    Page 4, Line 107 :    


             107          (ii) identify the court and date of the order.
    
  Section 2. Section 26-2-16 is amended to read:      

     26-2-16 .   Certificate of death -- Duties of a custodial funeral service director or agent -- Medical certification -- Records of funeral service director -- Information filed with local registrar -- Unlawful signing of certificate of death.
     (1) The custodial funeral service director shall sign the certificate of death prior to any disposition of a dead body or dead fetus.
     (2) The custodial funeral service director or an agent of the custodial funeral service director shall:
     (a) obtain personal and statistical information regarding the decedent from the available persons best qualified to provide the information;
     (b) present the certificate of death to the attending physician, if any, or to the medical examiner who shall certify the cause of death and other information required on the certificate of death;
     (c) provide the address of the custodial funeral service director;
  and      

     (d) certify the date and place of burial
{   ; and

     (e) file the certificate of death with the state or local registrar  
}
.
     (3) A funeral service director, embalmer, or other person who removes from the place of death or transports or is in charge of final disposal of a dead body or dead fetus, shall keep a record identifying the dead body or dead fetus, and containing information pertaining to receipt, removal, and delivery of the dead body or dead fetus as prescribed by department rule.
     (4) (a) Not later than the tenth day of each month, every licensed funeral service establishment shall send to the local registrar and the department a list of the information required in Subsection (3) for each casket furnished and for funerals performed when no casket was furnished, during the preceding month.
     (b) The list described in Subsection (4)(a) shall be in the form prescribed by the state registrar.
     (5) Any person who intentionally signs the portion of a certificate of death that is required to be signed by a funeral service director under Subsection (1) is guilty of a class B misdemeanor, unless the person:
     (a) is a funeral service director; and
     (b) is employed by a licensed funeral establishment.
     Renumber remaining sections accordingly.

     The motion passed unanimously with Sen. Buttars absent for the vote.

    Sen. Greiner explained the amended bill.

Sen. Buttars assumed the chair.

    Craig McMillan, Utah Funeral Directors Association, spoke in support of the bill.

    Michelle McOmber, Utah Medical Association, spoke in opposition to the bill.


    Barry Nangle, Health Data, Department of Health, raised concerns about the bill.

     MOTION: Sen. Christensen moved to pass the bill out favorably.

    The motion passed unanimously.

4.    S.B. 174 Dentist and Dental Hygienist Practice Act Amendments (P. Knudson)

    
Sen. Knudson explained the bill.

    F. David Stanley, Director, Division of Occupational and Professional Licensing, spoke in support of the bill.

     MOTION: Sen. McCoy moved to pass the bill out favorably.

    The motion passed unanimously.

5.    S.B. 70 Emotional Support Animals (S. McCoy)

    
Sen. McCoy explained the bill.

     MOTION: Sen. McCoy moved the following amendment:

1.    Page 5, Line 127 through Page 6, Line 153 :    

            
{   127
         (4) "Veterinarian" means a person:
             128          (a) licensed as a veterinarian in Utah under Title 58, Occupations and Professions; or
             129          (b) licensed and in good standing as a veterinarian in another state.  
}

             130          Section 5. Section 62A-5b-202 is enacted to read:
             131          62A-5b-202. Documentation of emotional support animal.
             132          
{   (1)   } A mental health therapist may provide a person with a disability with

             133      documentation that:
             134          
{   (a)   }        (1)       is signed by the mental health therapist;

             135          
{   (b)   }        (2)       is dated; and

             136          
{   (c)   }        (3)       certifies that in the opinion of the mental health therapist:

             137          
{   (i)   }        (a)       the person has a disability as defined in Section 62A-5b-102 ; and

             138          
{   (ii)   }        (b)       the person with the disability:

             139          
{   (A)   }        (i)       needs a particular type of emotional support animal; and

             140          
{   (B)   }        (ii)       needs the emotional support animal in a particular location identified in Section

             141      62A-5b-103 , except for restaurants or hospitals.
            
{   142
         (2) (a) A veterinarian may provide a person with a disability with documentation that:


             143          (i) is signed by the veterinarian;
             144          (ii) is dated; and
             145          (iii) states that:
             146          (A) the emotional support animal has received all recommended vaccinations; and
             147          (B) in the opinion of the veterinarian, the emotional support animal is socialized or
             148      trained to behave appropriately in the particular locations in which the mental health therapist
             149      has certified the emotional support animal is needed.
             150          (b) A veterinarian who provides a statement under Subsection (2)(a) is not liable for
             151      the actions of the animal that is the subject of the statement issued under Subsection (2)(a).
             152          (3) The documentation authorized by this section is valid for one year from the date the
             153      document is signed.  
}


    The motion passed unanimously.

     MOTION: Sen. Christensen moved to pass the bill out favorably.

    The motion passed unanimously.

6.    S.B. 93 Licensed Direct Entry Midwife Amendments (M. Dayton)

    This bill was not considered.

7.    H.B. 38 Education and Outreach Regarding Substances Harmful During Pregnancy (R. Menlove)

    This bill was not considered.

Sen. adjourned the meeting at 9:55 a.m.

Minutes reported by Nedra Duzett, Secretary.



                    _______________________________________
                     Sen. D. Chris Buttars, Committee Chair