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7 LONG TITLE
8 Committee Note:
9 The Health and Human Services Interim Committee recommended this bill.
10 General Description:
11 This bill enacts provisions for family planning services within the state Medicaid
12 program.
13 Highlighted Provisions:
14 This bill:
15 ▸ defines terms;
16 ▸ requires the Medicaid program to reimburse providers separately for the insertion of
17 long-acting reversible contraception immediately after childbirth;
18 ▸ requires the Division of Health Care Financing to apply for a Medicaid waiver or a
19 state plan amendment to provide family planning services to certain low-income
20 individuals;
21 ▸ institutes a four-year pilot program for the provision of family planning services
22 under the Medicaid waiver or state plan amendment described in this bill;
23 ▸ creates a reporting requirement; and
24 ▸ provides a sunset date for the Medicaid waiver or state plan amendment described
25 in this bill.
26 Money Appropriated in this Bill:
27 None
28 Other Special Clauses:
29 None
30 Utah Code Sections Affected:
31 AMENDS:
32 63I-1-226, as last amended by Laws of Utah 2017, Chapters 177 and 443
33 ENACTS:
34 26-18-24, Utah Code Annotated 1953
35 26-18-415, Utah Code Annotated 1953
36
37 Be it enacted by the Legislature of the state of Utah:
38 Section 1. Section 26-18-24 is enacted to read:
39 26-18-24. Reimbursement for long-acting reversible contraception immediately
40 following childbirth.
41 (1) As used in this section, "long-acting reversible contraception" means a
42 contraception method that requires administration less than once per month, including:
43 (a) an intrauterine device; and
44 (b) a contraceptive implant.
45 (2) The division shall separately identify and reimburse, from other labor and delivery
46 services within the Medicaid program, the provision and insertion of long-acting reversible
47 contraception immediately after childbirth.
48 Section 2. Section 26-18-415 is enacted to read:
49 26-18-415. Limited family planning services for low-income individuals.
50 (1) As used in this section:
51 (a) (i) "Family planning services" means family planning services that are provided
52 under the state Medicaid program, including:
53 (A) sexual health education and family planning counseling; and
54 (B) other medical diagnosis, treatment, or preventative care routinely provided as part
55 of a family planning service visit.
56 (ii) "Family planning services" do not include an abortion, as that term is defined in
57 Section 76-7-301.
58 (b) "Low-income individual" means an individual who:
59 (i) has an income level that is equal to or below 95% of the federal poverty level; and
60 (ii) does not qualify for full coverage under the Medicaid program.
61 (2) Before July 1, 2018, the division shall apply for a Medicaid waiver or a state plan
62 amendment with the Centers for Medicare and Medicaid Services within the United States
63 Department of Health and Human Services to:
64 (a) offer a four-year pilot program that provides family planning services to
65 low-income individuals; and
66 (b) receive a federal match rate of 90% of state expenditures for family planning
67 services provided under the waiver or state plan amendment.
68 (3) If the waiver or state plan amendment described in Subsection (2) is approved, the
69 department shall report to the Health and Human Services Interim Committee each year before
70 November 30 while the waiver or state plan amendment is in effect regarding:
71 (a) the number of qualified individuals served under the program;
72 (b) the cost of the program; and
73 (c) the effectiveness of the program, including:
74 (i) any savings to the state Medicaid program from reductions in enrollment;
75 (ii) any reduction in the number of abortions;
76 (iii) any reduction in the number of unintended pregnancies;
77 (iv) any reduction in the number of individuals requiring services from the Women,
78 Infants, and Children Program established in 42 U.S.C. Sec. 1786; and
79 (v) any other costs and benefits as a result of the program.
80 Section 3. Section 63I-1-226 is amended to read:
81 63I-1-226. Repeal dates, Title 26.
82 (1) Section 26-1-40 is repealed July 1, 2019.
83 (2) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
84 1, 2025.
85 (3) Section 26-10-11 is repealed July 1, 2020.
86 (4) Section 26-18-415 is repealed on July 1, 2023.
87 [
88 2024.
89 [
90 2019.
91 [
92 2021.
93 [
94 [
95 [
Legislative Review Note
Office of Legislative Research and General Counsel