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H.B. 67





Chief Sponsor: Carl Wimmer

Senate Sponsor: ____________

             7      LONG TITLE
             8      General Description:
             9          This bill amends provisions related to the state's strategic plan for health system reform
             10      to respond to federal reform efforts.
             11      Highlighted Provisions:
             12          This bill:
             13          .    makes legislative findings;
             14          .    prohibits a state agency or department from implementing any provision of the
             15      federal health care reform without first reporting to the Legislature:
             16              .    whether the federal act compels the state to adopt the particular federal
             17      provision;
             18              .    consequences to the state if the state refuses to adopt the particular federal
             19      provision; and
             20              .    impact to the citizens of the state if reform efforts are implemented or not
             21      implemented; and
             22          .    requires the state to opt out of federal reform when the state determines that opting
             23      out is in the best interest of the citizens of the state.
             24      Monies Appropriated in this Bill:
             25          None
             26      Other Special Clauses:
             27          None

             28      Utah Code Sections Affected:
             29      ENACTS:
             30          63M-1-2505.5, Utah Code Annotated 1953
             32      Be it enacted by the Legislature of the state of Utah:
             33          Section 1. Section 63M-1-2505.5 is enacted to read:
             34          63M-1-2505.5. Freedom from federal health reform efforts -- Preservation of state
             35      reform efforts.
             36          (1) The Legislature finds that:
             37          (a) the state has embarked on a rigorous process of implementing a strategic plan for
             38      health system reform pursuant to Section 63M-1-2505 ;
             39          (b) the health system reform efforts for the state were developed to address the unique
             40      circumstances within Utah and to provide solutions that work for Utah;
             41          (c) Utah is a leader in the nation for health system reform which includes:
             42          (i) developing and using health data to control costs and quality; and
             43          (ii) creating a defined contribution insurance market to increase options for employers
             44      and employees; and
             45          (d) the federal government proposals for health system reform:
             46          (i) infringe on state powers;
             47          (ii) impose a uniform solution to a problem that requires different responses in
             48      different states;
             49          (iii) threaten the progress Utah has made towards health system reform; and
             50          (iv) infringe on the rights of citizens of this state to provide for their own health care
             51      by:
             52          (A) requiring a person to enroll in a third party payment system;
             53          (B) imposing fines on a person who chooses to pay directly for health care rather than
             54      use a third party payer;
             55          (C) imposing fines on an employer that does not meet federal standards for providing
             56      health care benefits for employees; and
             57          (D) threatening private health care systems with competing government supported
             58      health care systems.

             59          (2) (a) The departments required to assist the state under Section 63M-1-2503 with
             60      implementing the state's strategic plan for health system reform may not implement any part of
             61      federal health care reform as described in Subsection (1)(d)(iv) until the department reports to
             62      the Legislature's Health Reform Task Force and the Legislative Executive Appropriations
             63      Committee in accordance with Subsection (2)(b).
             64          (b) The report required under Subsection (2)(a) shall include:
             65          (i) the specific federal statute or regulation that requires the state to implement a
             66      federal reform provision;
             67          (ii) whether the reform provision has any state waiver or options;
             68          (iii) exactly what the reform provision requires the state to do, and how it would be
             69      implemented;
             70          (iv) who in the state will be impacted by adopting the federal reform provision, or not
             71      adopting the federal reform provision;
             72          (v) what is the cost to the state or citizens of the state to implement the federal reform
             73      provision; and
             74          (vi) the consequences to the state if the state does not comply with the federal reform
             75      provision.
             76          (3) (a) The state may opt out of complying with a provision of the federal reform
             77      efforts after the report required by Subsection (2):
             78          (i) through statute; or
             79          (ii) by administrative rule adopted in accordance with Title 63G, Chapter 3, Utah
             80      Administrative Rulemaking Act.
             81          (b) Subsection (3)(a) does not create rulemaking authority for a department.

Legislative Review Note
    as of 11-5-09 4:24 PM

Office of Legislative Research and General Counsel

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