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MINUTES OF THE SENATE HEALTH AND HUMAN SERVICES
STANDING COMMITTEE
Room 250 State Capitol
February 7, 2013
Members Present: Sen. Evan J. Vickers, Chair
Sen. Allen M. Christensen
Sen. Daniel W. Thatcher
Sen. Luz Robles
Members Absent: Sen. Brian E. Shiozawa
Staff Present: Mr. Mark D. Andrews, Policy Analyst
Ms. Nancy A. Skidmore, Committee Secretary
A list of visitors and a copy of handouts are filed with the committee minutes.
Sen. Vickers called the meeting to order at 2:16 p.m.
Approval of Minutes
MOTION: Sen. Robles moved to approve the minutes of the February 4, 2013 meeting. The
motion passed unanimously.
S.B. 165 Physical Therapy Practice Act Amendments (T. Weiler)
Rep. Weiler presented the bill to the committee.
MOTION: Sen. Thatcher moved to pass S.B. 165 out favorably. The bill passed unanimously.
S.B. 166 Hospital Provider Assessment Amendments (L. Hillyard)
MOTION: Sen. Christensen moved to amend the bill as follows:
1. Page
4, Line 111 through Page 5, Line 121
:
111
26-36a-203. Calculation of assessment.
112
[(1) The division shall calculate the inpatient upper payment limit gap for hospitals
for
113
each state fiscal year.]
114
[(2)] (1) (a) An annual assessment is payable on a quarterly basis for each hospital
in
115
an amount calculated at a uniform assessment rate for each hospital discharge, in
accordance
116
with this section.
117
(b) The uniform assessment rate shall be determined using the total number of
hospital
118
discharges for assessed hospitals divided into the total nonfederal portion [of the upper
119
payment limit gap] in an amount
{
equal to the $154 million
}
consistent with
26-36a-205
that is needed to support capitated
120
rates for accountable care organizations for purposes of hospital services provided to
Medicaid
121
enrollees.
2. Page
8, Line 242 through Page 9, Line 245
:
242
Quarterly assessments imposed by this chapter shall be paid to the division within
[10]
243
15 business days after the [hospital receives its Medicaid inpatient hospital access
payment due
244
for the applicable quarter under Section
26-36a-205
]
original invoice
date that
appears on the invoice issued by
245
the division.
3. Page
9, Lines 247 through 253
:
247
26-36a-205. Medicaid hospital adjustment under accountable care organization
248
rates.
249
[(1)] To preserve and improve access to [hospitals] hospital services, the division
shall
250
[make Medicaid inpatient hospital access payments to hospitals in accordance with this
section,
251
Section
26-36a-204
, and Subsection
26-36a-203
(7)], for accountable care organization
rates
252
effective on or after April 1, 2013, incorporate an
annualized
amount equal to $154
million into the
253
accountable care organization rate structure
calculation
consistent with the certified
actuarial rate range.
4. Page
11, Line 328 through Page 12, Line 340
:
328
Section 7.
Section
26-36a-207
is amended to read:
329
26-36a-207. Restricted Special Revenue Fund -- Creation -- Deposits.
330
(1) There is created a restricted special revenue fund known as the "Hospital
Provider
331
Assessment Special Revenue Fund."
332
(2) The fund shall consist of:
333
(a) the assessments collected by the department under this chapter;
334
(b) any interest and penalties levied with the administration of this chapter; and
335
(c) any other funds received as donations for the restricted fund and appropriations
336
from other sources.
337
(3) Money in the fund shall be used:
338
[(a) to make inpatient hospital access payments under Section
26-36a-205
; and]
339
(a) to support capitated rates
consistent with 26-36a-203(1)(d)
for accountable
care organizations
{
in an amount equal to
340
$154 million
}
; and
The motion passed unanimously.
Spoke to the bill: Mr. David Gessel, Utah Hospital Association
Mr. Tom Brownlee, Advocate for Persons with Disabilities
MOTION: Sen. Christensen moved to pass S.B. 166, as amended, out favorably. The motion
passed unanimously.
MOTION: Sen. Christensen moved to place S.B.166, as amended, on the Consent Calendar.
The motion passed unanimously.
H.B. 56 Behavioral Health Care Workforce Amendments (R. Menlove)
Rep. Menlove presented the bill to the committee.
Spoke to bill: Mr. Santiago Cortez
MOTION: Sen. Christensen moved to pass H.B. 56 out favorably. The motion passed
unanimously.
H.B. 57 Mental and Behavioral Health Amendments (D. Sanpei)
Rep. Sanpei presented the bill to the committee.
Spoke to the bill: Mr. Brent Kelsey, Assistant Director, Division of Substance Abuse and
Mental Health, Department of Human Services
Mr. Pat Fleming, Director, Salt Lake County Division of Substance Abuse
Services
MOTION: Sen. Robles moved to pass H.B. 57 out favorably. The motion passed
unanimously
.
MOTION: Sen. Thatcher moved to adjourn the meeting. The motion passed unanimously.
The meeting adjourned at 2:43 p.m.
Minutes reported by Nancy Skidmore, Secretary.
________________________________
Sen. Evan J. Vickers, Committee Chair