1     
JOINT RULES RESOLUTION -- MEDICAID

2     
ACCOUNTABLE CARE ORGANIZATIONS

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2015 GENERAL SESSION

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STATE OF UTAH

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Chief Sponsor: J. Stuart Adams

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House Sponsor: James A. Dunnigan

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8     LONG TITLE
9     General Description:
10          This joint resolution of the Legislature amends the legislative rule for executive
11     appropriations and the base budget.
12     Highlighted Provisions:
13          This resolution:
14          ▸     requires the base budgets to include funding for Medicaid accountable care
15     organizations in specified amounts.
16     Special Clauses:
17          This rules resolution provides a special effective date.
18     Legislative Rules Affected:
19     AMENDS:
20          JR3-2-402
21     

22     Be it resolved by the Legislature of the state of Utah:
23          Section 1. JR3-2-402 is amended to read:
24          JR3-2-402. Executive appropriations -- Duties -- Base budgets.
25          (1) As used in this rule:
26          (a) "Base budget" means amounts appropriated by the Legislature for each item of
27     appropriation for the current fiscal year that:
28          (i) are not designated as one-time in an appropriation, regardless of whether the
29     appropriation is covered by ongoing or one-time revenue sources; and

30          (ii) were not vetoed by the governor, unless the Legislature overrode the veto.
31          (b) "Base budget" includes:
32          (i) any changes to those amounts approved by the Executive Appropriations
33     Committee; and
34          (ii) amounts appropriated for debt service.
35          (2) (a) The Executive Appropriations Committee shall meet no later than the third
36     Wednesday in December to:
37          (i) direct staff as to what revenue estimate to use in preparing budget
38     recommendations, to include a forecast for federal fund receipts;
39          (ii) consider treating above-trend revenue growth as one-time revenue for major tax
40     types;
41          (iii) hear a report on the historical, current, and anticipated status of the following:
42          (A) debt;
43          (B) long term liabilities;
44          (C) contingent liabilities;
45          (D) General Fund borrowing;
46          (E) reserves;
47          (F) fund balances;
48          (G) nonlapsing appropriation balances;
49          (H) cash funded infrastructure investment; and
50          (I) changes in federal funds paid to the state;
51          (iv) decide whether to set aside special allocations for the end of the session, including
52     allocations:
53          (A) to address any anticipated reduction in the amount of federal funds paid to the
54     state; and
55          (B) of one-time revenue to pay down debt and other liabilities;
56          (v) approve the appropriate amount for each subcommittee to use in preparing its
57     budget;

58          (vi) set a budget figure; and
59          (vii) adopt a base budget in accordance with Subsection (2)(b) and direct the legislative
60     fiscal analyst to prepare one or more appropriations acts appropriating one or more base
61     budgets for the next fiscal year.
62          (b) In a base budget adopted under Subsection (2)(a), appropriations from the General
63     Fund, the Education Fund, and the Uniform School Fund shall be set as follows:
64          (i) if the next fiscal year ongoing revenue estimates set under Subsection (2)(a)(i) are
65     equal to or greater than the current fiscal year ongoing appropriations, the new fiscal year base
66     budget is not changed;
67          (ii) if the next fiscal year ongoing revenue estimates set under Subsection (2)(a)(i) are
68     less than the current fiscal year ongoing appropriations, the new fiscal year base budget is
69     reduced by the same percentage that projected next fiscal year ongoing revenue estimates are
70     lower than the total of current fiscal year ongoing appropriations; [and]
71          (iii) in making a reduction under Subsection (2)(b)(ii), appropriated debt service shall
72     not be reduced, and other ongoing appropriations shall be reduced, in an amount sufficient to
73     make the total ongoing appropriations, including the unadjusted debt service, equal to the
74     percentage calculated under Subsection (2)(b)(ii)[.]; and
75          (iv) the new fiscal year base budget shall include an appropriation to the Department of
76     Health for Medicaid accountable care organizations in the amount required by Section
77     26-18-405.5.
78          (c) The chairs of each appropriation subcommittee are invited to attend this meeting.
79          (3) Appropriations subcommittees may not meet while the Senate or House is in
80     session without special leave from the speaker of the House and the president of the Senate.
81          (4) All proposed items of expenditure to be included in the appropriations bills shall be
82     submitted to one of the subcommittees named in JR3-2-302 for consideration and
83     recommendation.
84          (5) (a) After receiving and reviewing subcommittee reports, the Executive
85     Appropriations Committee may refer the report back to an appropriations subcommittee with

86     any guidelines the Executive Appropriations Committee considers necessary to assist the
87     subcommittee in producing a balanced budget.
88          (b) The subcommittee shall meet to review the new guidelines and report the
89     adjustments to the chairs of the Executive Appropriations Committee as soon as possible.
90          (6) (a) After receiving the reports, the Executive Appropriations Committee chairs will
91     report them to the Executive Appropriations Committee.
92          (b) That committee shall:
93          (i) make any further adjustments necessary to balance the budget; and
94          (ii) complete all decisions necessary to draft the final appropriations bill no later than
95     the 39th day of the annual general session.
96          Section 2. Contingent effective date.
97          (1) If S.B. 98, Medicaid Accountable Care Organizations, 2015 General Session,
98     becomes law, this resolution takes effect on July 1, 2015.

99          (2) If S.B. 98, Medicaid Accountable Care Organizations, 2015 General Session, fails
100     to become law, this resolution does not take effect.