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MINUTES OF THE
HOUSE HEALTH AND HUMAN SERVICES STANDING COMMITTEE
Room 25, House Office Building
January 24, 2011

MEMBERS PRESENT:    Rep. Evan J. Vickers, Vice Chair
                Rep. Rebecca Chavez-Houck
                Rep. Tim M. Cosgrove
                Rep. Bradley M. Daw
                Rep. Daniel McCay
                Rep. Ronda Rudd Menlove
                Rep. Dean Sanpei
                Rep. Christine F. Watkins

MEMBERS EXCUSED:    Rep. Paul Ray, Chair                    
            
STAFF PRESENT:        Mr. Mark D. Andrews, Policy Analyst
                Ms. Linda Black, House Secretary

Note:    A list of visitors and copy of handouts are filed with committee minutes.

Vice Chair Vickers called the meeting to order at 2:10 p.m., and introduced the committee.

Vice Chair Vickers relinquished the chair to Rep. Daw.

H.B. 51    Medical Speciality Practice Act Amendments
(Rep. E. Vickers)

Vice Chair Vickers presented the bill to the committee.

MOTION:    Vice Chair Vickers moved to amend the bill as follows:

1.    Page 2, Line 55 :    

             55          (xi) Chapter 70a, Physician Assistant Act
  ;

    (xii) Chapter 71, Naturopathic Physician Practice Act; and
    (xiii) Chapter 73, Chiropractic Physician Practice Act  
.


The motion passed unanimously, with Rep. McCay and Rep. Menlove absent for the vote.

Spoke in favor of the bill:    Mr. Reid Barker, Executive Director, Utah Pharmacists Association
                Mr. Casey Hill, Utah Medical Association

MOTION:    Rep. Sanpei moved to pass H.B. 51 out with a favorable recommendation. The motion passed with Rep. Daw and Rep. McCay voting in opposition and Rep. Menlove absent for the vote.


Rep. Daw returned the chair to Vice Chair Vickers

H.B. 55    Health Care Associated Infections
(Rep. J. Draxler)

Rep. Draxler presented the bill to the committee.

MOTION:    Rep. Daw moved to amend the bill as follows:

1.    Page 1, Line 17 :    

             17          .    requires an ambulatory surgical facility, a general acute hospital,
  an end stage renal disease facility,       and a specialty


2.    Page 3, Line 66 :    

             66          [(5)] (6)
  "End stage renal disease facility" is as defined in Section 26-21-2.

    (7)  
"Epidemic" means the occurrence or outbreak in a community or region of


3.    Page 3, Lines 73 through 74 :    

             73          
{   (7)   }        (8)       "General acute hospital" is as defined in Section 26-21-2 .

             74          [(6)]
{   (8)   }        (9)       "Incubation period" means the time interval between exposure to an infectious


4.    Page 3, Line 76 :    

             76          [(7)]
{   (9)   }        (10)       "Infected individual" means an individual who harbors an infectious agent and


5.    Page 3, Line 79 :    

             79          [(8)]
{   (10)   }        (11)       "Infection" means the entry and development or multiplication of an


6.    Page 3, Line 84 :    

             84          [(9)]
{   (11)   }        (12)       "Infectious agent" means an organism such as a virus, rickettsia, bacteria,


7.    Page 3, Lines 86 through 88 :    

             86          [(10)]
{   (12)   }        (13)       "Infectious disease" means a disease of man or animals resulting from an

             87      infection.


             88          [(11)]
{   (13)   }        (14)       "Isolation" means the separation, for the period of communicability, of


8.    Page 4, Line 92 :    

             92          [(12)]
{   (14)   }        (15)       "Quarantine" means the restriction of the activities of well individuals or


9.    Page 4, Line 95 :    

             95          [(13)]
{   (15)   }        (16)       "School" means a public, private, or parochial nursery school, licensed or


10.    Page 4, Line 98 :    

             98          [(14)]
{   (16)   }        (17)       "Sexually transmitted disease" means those diseases transmitted through


11.    Page 4, Line 100 :    

             100          
{   (17)   }        (18)       "Specialty hospital" is as defined in Section 26-21- 2.


12.    Page 6, Lines 160 through 165 :    

             160          (1) An ambulatory surgical facility, a general acute hospital,
{   and   } a specialty hospital        , an end stage renal disease facility, and other facilities as required by rules of the Center for Medicare and Medicaid Services      

             161      shall give the department access to the facility's data on the incidence and rate of health care
             162      associated infections that the facility submits to the National Healthcare Safety Network in the
             163      Center for Disease Control pursuant to the Center for Medicare and Medicaid Services rules for
             164      infection reporting
{   under the Inpatient Prospective Payment System   } . Access to data under this

             165      Subsection (1) may include data sharing through the National Healthcare Safety Network.
The motion passed unanimously with Rep. Menlove absent for the vote.

MOTION:    Rep. Sanpei moved to amend the bill as follows:

1.    Page 1, Line 27 through Page 2, Line 28 :    



             27          .    states that the report
{   shall   }        may       not be used as evidence in a criminal, civil, or

             28      administrative proceeding; and

The motion passed unanimously with Rep. Menlove absent for the vote.

Spoke in favor of the bill:    Mr. David Gessel, Utah Hospital Association
                Dr. Robert Rolfs, Utah Department of Health
                Ms. Shelly Braun, Utah Health Policy Project
                Ms. Rouett Abouzelof, Prevention Specialist, Primary Children's Medical Center

MOTION:    Rep. Daw moved to pass H.B. 55 out with a favorable recommendation as amended. The motion passed unanimously.

H.B. 46    Electronic Personal Medical Records (Rep. R. Menlove)

MOTION:    Rep. Menlove moved to replace H.B. 46 with 1st Substitute H.B. 46. The motion passed unanimously.

MOTION:    Rep. Menlove moved to amend 1st Substitute H.B. 46 as follows:

1.    Page 1, Lines 9 through 10 :    

             9          This bill facilitates the enrollment of Medicaid beneficiaries,
{   Children   }        Children's       Health Insurance        Program      

             10      enrollees, and
{   public   }        state       employees        and their dependents       into the electronic exchange of clinical health records.


2.    Page 1, Lines 18 through 19 :    

             18          .    amends the duties of the Public Employees Health Program to enroll
{   members   }        state employees and their dependents       in

             19      the electronic exchange of clinical health records unless the individual opts out.

3.    Page 8, Line 242 through Page 9, Line 243 :    

             242          (t) require
{   a member   }        state employees and their dependents       to participate in the electronic exchange of clinical health records

             243      in accordance with Section 26-1-37 unless the enrollee opts out of participation.

The motion passed unanimously with Rep. Daw and Rep. McCay absent for the vote.



Spoke in favor of the bill:    Ms. Jan Root, CEO, Utah Health Information Network
                Mr. Michael Hales, Deputy Director, Utah Department of Health

Spoke to the bill:        Ms. Maryann Christensen, Utah Eagle Forum

MOTION:    Rep. Watkins moved to pass the bill out favorably. The motion passed with Rep. Daw and Rep. McCay voting in opposition.

H.B. 241    Foster Care and Kinship Placement Amendments (Rep. C. Watkins)

This bill was not considered.

MOTION:    Rep. Daw moved to adjourn the meeting. The motion passed unanimously.

Vice Chair Vickers adjourned the meeting at 3:55 p.m.



_____________________________
                         Rep. Paul Ray, Chair