Download Zipped Enrolled WordPerfect HB0174.ZIP
[Introduced][Amended][Status][Bill Documents][Fiscal Note][Bills Directory]

H.B. 174 Enrolled

             1     

CONTRACTING FOR MEDICAID ELIGIBILITY

             2     
DETERMINATION SERVICES

             3     
2011 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Wayne A. Harper

             6     
Senate Sponsor: Allen M. Christensen

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill requires the Department of Health and the Department of Workforce Services
             11      to study the state's Medicaid eligibility determination system.
             12      Highlighted Provisions:
             13          This bill:
             14          .    requires the study of the state's eligibility determination system for Medicaid to
             15      determine whether consolidation of the system or privatization would create greater
             16      efficiencies; and
             17          .    requires a report of the study to the Legislature's Health and Human Services
             18      Interim Committee and the Social Services Appropriations Subcommittee prior to
             19      October 20, 2011.
             20      Money Appropriated in this Bill:
             21          None
             22      Other Special Clauses:
             23          None
             24      Utah Code Sections Affected:
             25      ENACTS:
             26          26-18-3.3, Utah Code Annotated 1953
             27     
             28      Be it enacted by the Legislature of the state of Utah:
             29          Section 1. Section 26-18-3.3 is enacted to read:


             30          26-18-3.3. Study of privatization of eligibility determination.
             31          (1) The department shall work with the Department of Workforce Services, the
             32      Department of Human Services, and the Privatization Policy Board created in Section
             33      63I-4-201 to study the state's eligibility determination system for the state Medicaid program in
             34      accordance with this section.
             35          (2) (a) The study shall include the state's eligibility determination system for the
             36      following programs:
             37          (i) the state Medicaid program;
             38          (ii) the Utah Children's Health Insurance Program created under Chapter 40, Utah
             39      Children's Health Insurance Act;
             40          (iii) the Primary Care Network;
             41          (iv) the Utah Premium Partnership; and
             42          (v) other eligibility systems administered by the Department of Workforce Services.
             43          (b) The study shall include:
             44          (i) the workflow and operations of the eligibility determination systems for the
             45      programs described in Subsection (2)(a); and
             46          (ii) efficiencies that may be obtained through:
             47          (A) consolidation of the eligibility determination systems;
             48          (B) privatization of the eligibility determination systems; and
             49          (C) other technology or organizational solutions for the eligibility determination
             50      systems.
             51          (3) The department, the Department of Workforce Services, and the Privatization
             52      Policy Board shall, prior to October 20, 2011, report to the Legislature's Health and Human
             53      Services Interim Committee and to the Social Services Appropriations Subcommittee regarding
             54      the findings of the study and any recommendations and options regarding the advantages and
             55      disadvantages to the state in privatizing the eligibility determination system.


[Bill Documents][Bills Directory]