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First Substitute S.B. 21

Senator Dennis E. Stowell proposes the following substitute bill:


             1     
STATE AND LOCAL HEALTH AUTHORITIES

             2     
AMENDMENTS

             3     
2009 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Dennis E. Stowell

             6     
House Sponsor: Stephen D. Clark

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill modifies provisions relating to the Department of Health and local health
             11      department responsibilities.
             12      Highlighted Provisions:
             13          This bill:
             14          .    modifies responsibilities of the Department of Health and local health departments
             15      with respect to their interrelationship;
             16          .    requires the Department of Health to establish a committee consisting of
             17      Department of Health and local health department representatives;
             18          .    provides for the responsibilities of the committee;
             19          .    provides a process for processing applications for federal grants and establishing the
             20      goals and budget for federal grants; and
             21          .    allows the Department of Health to use federal grant money to pay certain
             22      administrative costs.
             23      Monies Appropriated in this Bill:
             24          None
             25      Other Special Clauses:


             26          This bill takes effect July 1, 2010.
             27      Utah Code Sections Affected:
             28      AMENDS:
             29          26-1-4, as last amended by Laws of Utah 1991, Chapters 112 and 269
             30     
             31      Be it enacted by the Legislature of the state of Utah:
             32          Section 1. Section 26-1-4 is amended to read:
             33           26-1-4. Department of Health created -- Policymaking responsibilities --
             34      Cooperation with local health departments.
             35          (1) There is created the Department of Health, which has all of the policymaking
             36      functions, regulatory and enforcement powers, rights, duties, and responsibilities of the
             37      Division of Health, the Board of Health, the State Health Planning Development Agency, and
             38      the Office of Health Care Financing. Unless otherwise specifically provided, when reference is
             39      made in any statute of this state to the Board of Health, the Division of Health, the State Health
             40      Planning Development Agency, or the Office of Health Care Financing, it refers to the
             41      department. The department shall assume all of the policymaking functions, powers, rights,
             42      duties, and responsibilities over the division, agency, and office previously vested in the
             43      Department of Human Services and its executive director.
             44          (2) [(a)] In establishing public health policy [which directly affects local health
             45      departments, as defined in Title 26A, Chapter 1, Part 1], the department shall [cooperate]
             46      consult with the local health departments established under Title 26A, Chapter 1, Local Health
             47      Departments.
             48          [(b) The department shall establish by rule procedures for developing its policies,
             49      which ensure that local health departments are given opportunity to comment and provide input
             50      on any new policy of the department and on any proposed changes in existing policies which
             51      affect local health departments.]
             52          [(c) The department shall also provide a mechanism for review of its existing policies
             53      which affect local health departments, and for consideration of policy changes proposed by
             54      local health departments.]
             55          (3) (a) As used in this Subsection (3):
             56          (i) "Committee" means the committee established under Subsection (3)(b).


             57          (ii) "Exempt application" means an application for a federal grant that meets the
             58      criteria established under Subsection (3)(c)(iii).
             59          (iii) "Expedited application" means an application for a federal grant that meets the
             60      criteria established under Subsection (3)(c)(iv).
             61          (iv) "Federal grant" means a grant from the federal government that could provide
             62      funds for local health departments to help them fulfill their duties and responsibilities.
             63          (v) "Reviewable application" means an application for a federal grant that is not an
             64      exempt application.
             65          (b) The department shall establish a committee consisting of:
             66          (i) the executive director, or the executive director's designee;
             67          (ii) two representatives of the department, appointed by the executive director; and
             68          (iii) three representatives of local health departments, appointed by all local health
             69      departments.
             70          (c) The committee shall:
             71          (i) evaluate:
             72          (A) the allocation of public health resources between the department and local health
             73      departments; and
             74          (B) policies that affect local health departments;
             75          (ii) consider policy changes proposed by the department or local health departments;
             76          (iii) establish criteria by which an application for a federal grant may be judged to
             77      determine whether it should be exempt from the requirements under Subsection (3)(d); and
             78          (iv) establish criteria by which an application for a federal grant may be judged to
             79      determine whether committee review under Subsection (3)(d)(i) should be delayed until after
             80      the application is submitted because the application is required to be submitted under a
             81      timetable that makes committee review before it is submitted impracticable if the submission
             82      deadline is to be met.
             83          (d) (i) The committee shall review the goals and budget for each reviewable
             84      application:
             85          (A) before the application is submitted, except for an expedited application; and
             86          (B) for an expedited application, after the application is submitted but before funds
             87      from the federal grant for which the application was submitted are disbursed or encumbered.


             88          (ii) Funds from a federal grant pursuant to a reviewable application may not be
             89      disbursed or encumbered before the goals and budget for the federal grant are established by:
             90          (A) a two-thirds vote of the committee, following the committee review under
             91      Subsection (3)(d)(i); or
             92          (B) if two-thirds of the committee cannot agree on the goals and budget, the chair of
             93      the health advisory council, after consultation with the committee in a manner that the
             94      committee determines.
             95          (e) An exempt application is exempt from the requirements of Subsection (3)(d).
             96          (f) The committee shall report to the Legislature's Health and Human Services
             97      Appropriations Subcommittee and Political Subdivisions Interim Committee by November 30
             98      of each year regarding implementation of this Subsection (3).
             99          (g) The department may use money from a federal grant to pay administrative costs
             100      incurred in implementing this Subsection (3).
             101          Section 2. Effective date.
             102          This bill takes effect July 1, 2010.


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