Second Substitute H.B. 401

Representative James A. Dunnigan proposes the following substitute bill:




Chief Sponsor: James A. Dunnigan

Senate Sponsor: John L. Valentine

             7      LONG TITLE
             8      General Description:
             9          This bill requires the Health Reform Task Force to study programs to provide access to
             10      health care to individuals eligible for Medicaid.
             11      Highlighted Provisions:
             12          This bill:
             13          .    instructs the Health Reform Task Force to evaluate the proposals for coverage of the
             14      optional Medicaid population.
             15      Money Appropriated in this Bill:
             16          None
             17      Other Special Clauses:
             18          None
             19      Uncodified Material Affected:
             20      AMENDS UNCODIFIED MATERIAL:
             21      Uncodified Section 42, Laws of Utah 2013, Chapter 341
             23      Be it enacted by the Legislature of the state of Utah:
             24          Section 1. Uncodified Section 42, Laws of Utah 2013, Chapter 341 is amended to
             25      read:

             26          Section 42. Duties -- Interim report.
             27          (1) The task force shall review and make recommendations on the following issues:
             28          (a) the impact of implementation of the federal health reform law and federal
             29      regulations on the state;
             30          (b) options for the state regarding Medicaid expansion and reform including;
             31          (i) the proposals for expansion of coverage for the optional Medicaid population
             32      developed during the 2014 General Session of the Legislature;
             33          (ii) coordination of and evaluation of proposals for providing access to health care for
             34      the optional Medicaid population developed by the task force, the Governor, the Department of
             35      Health, and the Centers for Medicare and Medicaid Services within the United States
             36      Department of Health and Human Services;
             37          (c) health care cost containment strategies;
             38          (d) the role of the state defined contribution arrangement market and online health
             39      insurance market places established under PPACA;
             40          (e) governing structure for the state's defined contribution arrangement market;
             41          (f) Medicaid behavioral health delivery and payment reform models within Medicaid
             42      accountable care organizations and other county provided delivery settings, including:
             43          (i) the development of a system to encourage, track, evaluate, share, and disseminate
             44      results from existing pilot projects; and
             45          (ii) payment reform models that promote performance based reimbursement;
             46          (g) the delivery of charity care in the state, including:
             47          (i) the identification of:
             48          (A) medically underserved and needy populations and geographic areas of the state;
             49          (B) barriers in the current health care delivery and payment models to the promotion of
             50      a comprehensive charity care system; and
             51          (C) current resources available for medical care for medically under-served populations
             52      and medically underserved geographic areas in the state; and
             53          (ii) proposals to establish:
             54          (A) wellness education;
             55          (B) personal responsibility for health care; and
             56          (C) a coordinated, statewide, private sector approach to universal, basic health care for

             57      Utah's medically underserved populations and geographic areas, using private partners to affect
             58      cost savings and market efficiencies; and
             59          (h) the use of self-insured health plans by small employers and the regulation of small
             60      employer stop-loss insurance in the state.
             61          (2) A final report, including any proposed legislation, shall be presented to the
             62      Business and Labor Interim Committee before [November 30, 2013, and before] November 30,
             63      2014.

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