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First Substitute H.B. 174

Representative Wayne A. Harper proposes the following substitute bill:





Chief Sponsor: Wayne A. Harper

Senate Sponsor: Allen M. Christensen

             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 Sub-committee 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
             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; and
             41          (iv) the Utah Premium Partnership.
             42          (b) The study shall include:
             43          (i) the workflow and operations of the eligibility determination systems for the
             44      programs described in Subsection (2)(a); and
             45          (ii) efficiencies that may be obtained through:
             46          (A) consolidation of the eligibility determination systems;
             47          (B) privatization of the eligibility determination systems; and
             48          (C) other technology or organizational solutions for the eligibility determination
             49      systems.
             50          (3) The department, the Department of Workforce Services, and the Privatization
             51      Polity Board shall, prior to October 20, 2011, report to the Legislature's Health and Human
             52      Services Interim Committee and to the Social Services Appropriations Subcommittee regarding
             53      the findings of the study and any recommendations and options regarding the advantages and
             54      disadvantages to the state in privatizing the eligibility determination system.

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