This document includes House Floor Amendments incorporated into the bill on Thu, Mar 10, 2016 at 10:36 AM by cynthiahopkin.
This document includes House Floor Amendments incorporated into the bill on Thu, Mar 10, 2016 at 10:23 PM by cynthiahopkin.
This document includes House Floor Amendments incorporated into the bill on Thu, Mar 10, 2016 at 10:29 PM by cynthiahopkin.
1     
MEDICAID COVERAGE FOR ADULT DENTAL SERVICES

2     
2016 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Stephen H. Urquhart

5     
House Sponsor: Paul Ray

6     

7     LONG TITLE
8     Committee Note:
9          The Health Reform Task Force recommended this bill.
10     General Description:
11          This bill directs the Department of Health to seek federal waivers authorizing the
12     Medicaid program to provide dental services to blind or disabled adults already eligible
13     for Medicaid.
14     Highlighted Provisions:
15          This bill:
16          ▸     requires the Department of Health to request waivers from federal law necessary for
17     the Medicaid program to provide dental services to blind or disabled adults already
18     eligible for Medicaid;
19           ▸     specifies that within Salt Lake County dental services shall be provided to the extent
20     possible through the University of Utah School of Dentistry;
21          ▸     requires the University of Utah School of Dentistry to annually transfer funds to the
22     Medicaid program to cover the non-federal share of the cost of providing dental
23     services through the school;
24          ▸     specifies an implementation deadline; and
25          ▸     requires indefinite cessation of dental services if the federal share of the cost of
26     providing the services falls below 65%.
27     Money Appropriated in this Bill:

28          None
29     Other Special Clauses:
30          None
31     Utah Code Sections Affected:
32     ENACTS:
33          26-18-411, Utah Code Annotated 1953
34     

35     Be it enacted by the Legislature of the state of Utah:
36          Section 1. Section 26-18-411 is enacted to read:
37          26-18-411. Medicaid waiver for delivery of adult dental services.
38          (1) No later than Ĥ→ [
Ĥ→ [] June 30, 2016 []] [May 1, 2017 ←Ĥ] ←Ĥ , the department
shall ask

38a     the United States Secretary of
39     Health and Human Services to grant waivers from federal statutory and regulatory law
40     necessary for the Medicaid program to provide dental services in the manner described in
41     Subsection (2).
42          (2) (a) Ĥ→ [
Services] To the extent funded, services ←Ĥ shall be provided to only
42a     blind or disabled individuals, as defined in 42
43     U.S.C. Sec. 1382c(a)(1), who are 18 years of age or older and eligible for the program.
44          (b) To the extent possible, services within Salt Lake County shall be provided through
45     the University of Utah School of Dentistry.
46          (c) Each fiscal year, the University of Utah School of Dentistry shall transfer money to
47     the program in an amount equal to the program's non-federal share of the cost of providing
48     services under this section through the school during the fiscal year.
49          (d) During each general session of the Legislature, the department shall report to the
50     Social Services Appropriations Subcommittee whether the University of Utah School of
51     Dentistry will have sufficient funds to make the transfer required by Subsection (2)(c) for the
52     current fiscal year.
53          (e) Where possible, services not provided by the University of Utah School of
54     Dentistry shall be provided through managed care or other risk sharing arrangements.
55          (f) Subject to appropriations by the Legislature, and as determined by the department,
56     the scope, amount, duration, and frequency of services may be limited.
57          (3) The reporting requirements of Section 26-18-3 apply to the waivers requested under
58     Subsection (1).
59          (4) If the waivers requested under Subsection (1) are granted, the Medicaid program
60     shall begin providing dental services in the manner described in Subsection (2) no later than
61     Ĥ→ [
January 1, 2017.] May 1, 2017. ←Ĥ
62          (5) If the federal share of the cost of providing dental services under this section will be
63     less than 65% during any portion of the next fiscal year, the Medicaid program shall cease
64     providing dental services under this section indefinitely no later than the end of the current
65     fiscal year.






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