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S.B. 33 Enrolled






Chief Sponsor: Kevin T. Van Tassell

House Sponsor: Jack R. Draxler

             8      LONG TITLE
             9      General Description:
             10          This bill modifies the Utah Health Code to address the Center for Multicultural Health
             11      and provide for an American Indian-Alaskan Native Health Liaison.
             12      Highlighted Provisions:
             13          This bill:
             14          .    renames the Center for Multicultural Health to be the Office of Health Disparities
             15      Reduction;
             16          .    establishes the position of American Indian-Alaskan Native Health Liaison; and
             17          .    makes technical and conforming amendments.
             18      Money Appropriated in this Bill:
             19          None
             20      Other Special Clauses:
             21          None
             22      Utah Code Sections Affected:
             23      AMENDS:
             24          9-9-104.6, as last amended by Laws of Utah 2010, Chapter 286
             25          26-7-2, as last amended by Laws of Utah 2006, Chapter 349
             26      ENACTS:
             27          26-7-2.5, Utah Code Annotated 1953
             29      Be it enacted by the Legislature of the state of Utah:

             30          Section 1. Section 9-9-104.6 is amended to read:
             31           9-9-104.6. Participation of state agencies in meetings with tribal leaders --
             32      Contact information.
             33          (1) For at least three of the joint meetings described in Subsection 9-9-104.5 (2)(a), the
             34      division shall coordinate with representatives of tribal governments and the entities listed in
             35      Subsection (2) to provide for the broadest participation possible in the joint meetings.
             36          (2) The following may participate in all meetings described in Subsection (1):
             37          (a) the chairs of the Native American Legislative Liaison Committee created in Section
             38      36-22-1 ;
             39          (b) the governor or the governor's designee; [and]
             40          (c) (i) the American Indian-Alaskan Native Health Liaison appointed in accordance
             41      with Section 26-7-2.5 ; or
             42          (ii) if the American Indian-Alaskan Native Health Liaison is not appointed, a
             43      representative of the Department of Health appointed by the executive director of the
             44      Department of Health; and
             45          [(c)] (d) a representative appointed by the chief administrative officer of the following:
             46          [(i) the Department of Health;]
             47          [(ii)] (i) the Department of Human Services;
             48          [(iii)] (ii) the Department of Natural Resources;
             49          [(iv)] (iii) the Department of Workforce Services;
             50          [(v)] (iv) the Governor's Office of Economic Development;
             51          [(vi)] (v) the State Office of Education; and
             52          [(vii)] (vi) the State Board of Regents.
             53          (3) (a) The chief administrative officer of the agencies listed in Subsection (3)(b) shall:
             54          (i) designate the name of a contact person for that agency that can assist in coordinating
             55      the efforts of state and tribal governments in meeting the needs of the Native Americans
             56      residing in the state; and
             57          (ii) notify the division:

             58          (A) who is the designated contact person described in Subsection (3)(a)(i); and
             59          (B) of any change in who is the designated contact person described in Subsection
             60      (3)(a)(i).
             61          (b) This Subsection (3) applies to:
             62          (i) the Department of Agriculture and Food;
             63          (ii) the Department of Community and Culture;
             64          (iii) the Department of Corrections;
             65          (iv) the Department of Environmental Quality;
             66          (v) the Department of Public Safety;
             67          (vi) the Department of Transportation;
             68          (vii) the Office of the Attorney General;
             69          (viii) the State Tax Commission; and
             70          (ix) any agency described in Subsection (2)(c) or (d).
             71          (c) At the request of the division, a contact person listed in Subsection (3)(b) may
             72      participate in a meeting described in Subsection (1).
             73          (4) A participant under this section who is not a legislator may not receive
             74      compensation or benefits for the participant's service, but may receive per diem and travel
             75      expenses in accordance with:
             76          (a) Section 63A-3-106 ;
             77          (b) Section 63A-3-107 ; and
             78          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
             79      63A-3-107 .
             80          Section 2. Section 26-7-2 is amended to read:
             81           26-7-2. Office of Health Disparities Reduction -- Duties.
             82          (1) As used in this section[, "multicultural and]:
             83          (a) "Multicultural or minority health [issues] issue" means a health issue, including a
             84      mental and oral health issue, [issues] of particular interest to cultural, ethnic, racial, or other
             85      subpopulations, including:

             86          [(a)] (i) disparities in:
             87          [(i)] (A) disease incidence, prevalence, morbidity, mortality, treatment, and treatment
             88      response; and
             89          [(ii)] (B) access to care; and
             90          [(b)] (ii) cultural competency in the delivery of health care.
             91          (b) "Office" means the Office of Health Disparities Reduction created in this section.
             92          (2) There is created within the department the [Center for Multicultural Health] Office
             93      of Health Disparities Reduction.
             94          (3) The [Center for Multicultural Health] office shall:
             95          (a) promote and coordinate the research, data production [and], dissemination,
             96      education, and health promotion activities of the following that relate to a multicultural or
             97      minority health issue:
             98          (i) the department[,];
             99          (ii) local health departments[,];
             100          (iii) local mental health authorities[,];
             101          (iv) public schools[,];
             102          (v) community-based organizations[, Indian tribes,]; and
             103          (vi) other organizations within the state [as they relate to multicultural and minority
             104      health issues];
             105          (b) assist in the development and implementation of one or more programs to address a
             106      multicultural [and] or minority health [issues] issue;
             107          (c) promote the dissemination and use of information on a multicultural [and] or
             108      minority health [issues] issue by minority populations, health care providers, and others;
             109          (d) seek federal funding and other resources to accomplish [its] the office's mission;
             110          (e) provide technical assistance to [entities] organizations within the state seeking
             111      funding to study or address a multicultural [and] or minority health [issues] issue;
             112          (f) develop and increase the capacity of the [center] office to:
             113          (i) ensure the delivery of qualified timely culturally appropriate translation services

             114      across [all] department programs; and
             115          (ii) provide, [where] when appropriate, linguistically competent translation and
             116      communication services for limited English proficiency individuals;
             117          (g) provide staff assistance to any advisory committee created by the department to
             118      study a multicultural [and] or minority health [issues] issue; and
             119          (h) annually report to the Legislature on its activities and accomplishments.
             120          Section 3. Section 26-7-2.5 is enacted to read:
             121          26-7-2.5. American Indian-Alaskan Native Health Liaison -- Duties.
             122          (1) As used in this section:
             123          (a) "Health care" means care, treatment, service, or a procedure to improve, maintain,
             124      diagnose, or otherwise affect an individual's physical or mental condition.
             125          (b) "Liaison" means the American Indian-Alaskan Native Health Liaison appointed
             126      under this section.
             127          (2) Subject to budget constraints, the executive director shall appoint an individual as
             128      the American Indian-Alaskan Native Health Liaison.
             129          (3) The liaison shall on behalf of the executive director and the department:
             130          (a) promote and coordinate collaborative efforts between the department and Utah's
             131      American Indian population to improve the availability and accessibility of quality health care
             132      impacting Utah's American Indian populations on and off reservations;
             133          (b) interact with the following to improve health disparities for Utah's American Indian
             134      populations:
             135          (i) tribal health programs;
             136          (ii) local health departments;
             137          (iii) state agencies and officials; and
             138          (iv) providers of health care in the private sector;
             139          (c) facilitate education, training, and technical assistance regarding public health and
             140      medical assistance programs to Utah's American Indian populations; and
             141          (d) staff an advisory board by which Utah's tribes may consult with state and local

             142      agencies for the development and improvement of public health programs designed to address
             143      improved health care for Utah's American Indian populations on and off the reservation.
             144          (4) The liaison shall annually report the liaison's activities and accomplishments to the
             145      Native American Legislative Liaison Committee created in Section 36-22-1 .

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