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MINUTES OF THE
HOUSE HEALTH AND HUMAN SERVICES STANDING COMMITTEE
ROOM 25, HOUSE OFFICE BUILDING, STATE CAPITOL COMPLEX
February 10, 2009


MEMBERS PRESENT:    Rep. Paul Ray, Chair
                Rep. Ronda R. Menlove, Vice Chair
                Rep. Trisha Beck
                Rep. Brad Daw
                Rep. Phil Riesen
                Rep. Stephen E. Sandstrom                

MEMBERS ABSENT:    Rep. Evan Vickers                    
            
STAFF PRESENT:        Mark Andrews, Policy Analyst
                Sylvia Newton, House Secretary
                Tom Vaughn, Associate General Counsel

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

Rep. Ray called the meeting to order at 3:26 p.m.

MOTION:    Rep. Beck moved to approve the minutes of the February 6, 2009 meeting. The motion passed unanimously.


S.B. 129    Mental Health Therapist Grant and Scholarship Act Repeal (Sen. D. Liljenquist)

Sen. Liljenquist explained the bill to the committee.

MOTION:    Rep. Beck moved to pass the bill with a favorable recommendation. The motion passed unanimously.

MOTION:    Rep. Daw moved to place the bill on the Consent Calendar. The motion passed unanimously.


H.J.R. 3    Joint Resolution Supporting Efforts to Increase and Improve Cancer Treatment, Screening, and Research Programs (Rep. S. Duckworth)

Rep. Duckworth explained the resolution, assisted by Michael Siler, American Cancer Society.

Spoke in favor of the bill:    Debbie Turner, Department of Health
                        Mary Beckerle, Huntsman Cancer Institute
                        Janet Bingham, Huntsman Cancer Foundation
                        Paula Axelrod, American Cancer Society




MOTION:    Rep. Riesen moved to pass the bill with a favorable recommendation. The motion passed unanimously.

MOTION:    Rep. Menlove moved to place the bill on the Consent Calendar. The motion passed unanimously.


H.B. 254    Health Professional Authority - Death Certificates (Rep. B. Last)


Rep. Last explained the bill to the committee.

Spoke in favor of the bill:    Julie Balk, Utah Nurse Practitioners

MOTION:    Rep. Daw moved to pass the bill with a favorable recommendation. The motion passed unanimously with Rep. Beck absent for the vote.


H.B. 144    Medical Language Interpreter Act (Rep. R. Chavez-Houck)

Rep. Chavez-Houck explained H.B. 144 and provided a handout to committee members.

Spoke in favor of the bill:    Debbie Turner, Department of Health
                        Alisha Hayden, Masters of Public Health student
                        Jennifer Villapando, University of Utah Hospital
                        Alan Pruhs, Association for Utah Community Health

Spoke to the bill:    Tony Yapias, Projecto Latino

MOTION:    Rep. Sandstrom moved to pass the bill with a favorable recommendation. The motion passed unanimously with Rep. Beck absent for the vote.

MOTION:    Rep. Menlove moved to place H.B. 144 on the Consent Calendar. The motion passed unanimously with Rep. Beck absent for the vote.


H.B. 89    Prosthetic Limb Health Insurance Parity (Rep. D. Litvack)

Tom Vaughn, Associate General Counsel, explained the proposed amendment to the committee.

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

1.    Page 1, Lines 10 through 11 :    



             10          This bill amends the Insurance Code to require
{   accident and health insurers   }        a health benefit plan       to provide

             11      coverage for prosthetic devices.

2.    Page 1, Line 15 :    

             15          .    requires
{   accident and health insurers   }        a health benefit plan       to provide coverage for prosthetic devices; and


3.    Page 2, Lines 36 through 38 :    

             36          (2) Beginning July 1, 2009,
{   an accident and health insurance policy that provides

             37      coverage for hospital, medical, or surgical expenses  
}
  health benefit plan       shall provide coverage for benefits for

             38      prosthetics that:

4.    Page 2, Lines 55 through 57 :    

             55          (3) The coverage required by this section:
             56          (a) may
  , except as otherwise provided in this section       be made subject to      {   , and no more restrictive than, the provisions of an accident

             57      and health insurance policy that apply to other benefits under the policy  
}
  cost-sharing provisions, including dollar limits, deductibles, and coinsurance, that are not less favorable to the insured than the cost-sharing provisions of the health benefit plan that apply to physical illness generally       ;


5.    Page 3, Lines 60 through 76 :    

             60      fee-for-service program;
  and      

             61          (c) shall reimburse for a prosthetic device at no less than the fee schedule amount for
             62      the prosthetic device under the federal Medicare reimbursement schedule
{   ;

             63          (d) may not impose any annual or lifetime dollar maximum on coverage for prosthetic
             64      devices other than an annual or lifetime dollar maximum that applies in the aggregate to all
             65      terms and services covered under the policy; and
             66          (e) does not apply to a policy that provides benefits solely for:
             67          (i) accident only coverage;


             68          (ii) a specific disease;
             69          (iii) hospital indemnity;
             70          (iv) Medicare supplement;
             71          (v) long-term care;
             72          (vi) disability income replacement;
             73          (vii) dental;
             74          (viii) vision; or
             75          (ix) a limited health plan offered under Chapter 8, Health Maintenance Organizations
             76      and Limited Health Plans  
}
.

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

Rep. Litvack explained the amended bill, assisted by Tami Stanley, Amputee Coalition of Utah, who provided a handout to committee members.

Spoke in favor of the bill:    Joe Webster, M.D., University of Utah and Veterans Administration Medical Center

Spoke in opposition to the bill:    Kelly Atkinson, Utah Health Insurance Association

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

Page 2, Line 38:    Delete "prosthetics" and insert "prosthetic devices."

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

MOTION:    Rep. Daw moved to hold the bill in committee.

SUBSTITUTE
MOTION:    Rep. Riesen moved to adjourn. The motion passed unanimously with Rep. Beck absent for the vote.

Rep. Ray adjourned the meeting at 5:11 p.m.




                        __________________
                        Rep. Paul Ray
                        Committee Chair