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H.B. 498

             1     

INMATE HEALTH ISSUES AMENDMENTS

             2     
2011 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Paul Ray

             5     
Senate Sponsor: ____________

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill modifies the State Institutions Code regarding medical care expenses of
             10      inmates in the custody of the Department of Corrections.
             11      Highlighted Provisions:
             12          This bill:
             13          .    provides that the department will pay a yearly flat rate of $2,500,000 from funds
             14      appropriated to the department for the designated health care facility; and
             15          .    designates the University of Utah Medical Center as the health care facility to
             16      provide medical service for offenders in the custody of the department when
             17      medical care is provided outside of a prison facility.
             18      Money Appropriated in this Bill:
             19          None
             20      Other Special Clauses:
             21          This bill takes effect on July 1, 2011.
             22      Utah Code Sections Affected:
             23      AMENDS:
             24          64-13-30 (Effective 07/01/11), as last amended by Laws of Utah 2010, Chapter 386
             25     
             26      Be it enacted by the Legislature of the state of Utah:
             27          Section 1. Section 64-13-30 (Effective 07/01/11) is amended to read:


             28           64-13-30 (Effective 07/01/11). Expenses incurred by offenders -- Payment to
             29      department or county jail -- Medical care expenses and copayments.
             30          (1) (a) The department shall establish and collect from each offender on a work release
             31      program the reasonable costs of the offender's maintenance, transportation, and incidental
             32      expenses incurred by the department on behalf of the offender.
             33          (b) Priority shall be given to restitution and family support obligations.
             34          (c) The offender's reimbursement to the department for the cost of obtaining the
             35      offender's DNA specimen under Section 53-10-404 is the next priority after Subsection (1)(b).
             36          (2) The department, under its rules, may advance funds to any offender as necessary to
             37      establish the offender in a work release program.
             38          (3) (a) The department or county jail may require an inmate to make a copayment for
             39      medical and dental services provided by the department or county jail.
             40          (b) For services provided while in the custody of the department, the copayment by the
             41      inmate is $5 for primary medical care, $5 for dental care, and $2 for prescription medication.
             42          (c) For services provided outside of a prison facility while in the custody of the
             43      department, the offender is responsible for 10% of the costs associated with hospital care with
             44      a cap on an inmate's share of hospital care expenses not to exceed $2,000 per fiscal year.
             45          (4) (a) An inmate who has assets exceeding $200,000, as determined by the department
             46      upon entry into the department's custody, is responsible to pay the costs of all medical and
             47      dental care up to 20% of the inmate's total determined asset value.
             48          (b) After an inmate has received medical and dental care equal to 20% of the inmate's
             49      total asset value, the inmate is subject to the copayments provided in Subsection (3).
             50          (5) The department shall turn over to the Office of State Debt Collection any debt
             51      under this section that is unpaid at the time the offender is released from parole.
             52          (6) An inmate may not be denied medical treatment if the inmate is unable to pay for
             53      the treatment because of inadequate financial resources.
             54          (7) When an offender in the custody of the department receives medical care that is
             55      provided outside of a prison facility, the department shall pay [the costs]:
             56          [(a) at the contracted rate; or]
             57          [(b) (i) if there is no contract between the department and a health care facility that
             58      establishes a fee schedule for medical services rendered, expenses shall be at the noncapitated


             59      state Medicaid rate in effect at the time the service was provided; and]
             60          (a) (i) to the designated health care facility a yearly flat rate of $2,500,000 appropriated
             61      to the department; and
             62          (ii) the University of Utah Medical Center is the designated health care facility; and
             63          (b) to health care providers:
             64          (i) at the contracted rate; or
             65          (ii) if there is no contract between the department and a health care provider that
             66      establishes a fee schedule for medical services rendered, expenses under this Subsection (7)(b)
             67      shall be 65% of the amount that would be paid under the Public Employees' Benefit and
             68      Insurance Program, created in Section 49-20-103 .
             69          (8) Expenses described in Subsection (7) are a cost to the department only to the extent
             70      that they exceed an offender's private insurance that is in effect at the time of the service and
             71      that covers those expenses.
             72          (9) (a) The Public Employees' Benefit and Insurance Program shall provide
             73      information to the department that enables the department to calculate the amount to be paid to
             74      a health care provider under Subsection (7)(b).
             75          (b) The department shall ensure that information provided under Subsection (9)(a) is
             76      confidential.
             77          Section 2. Effective date.
             78          This bill takes effect on July 1, 2011.




Legislative Review Note
    as of 3-3-11 10:13 AM


Office of Legislative Research and General Counsel


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