1     
ADULT AUTISM TREATMENT PROGRAM

2     
2019 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Craig Hall

5     
Senate Sponsor: ____________

6     

7     LONG TITLE
8     General Description:
9          This bill creates the Adult Autism Treatment Program.
10     Highlighted Provisions:
11          This bill:
12          ▸     defines terms;
13          ▸     creates the Adult Autism Treatment Program within the Department of Health;
14          ▸     describes the operation of the program; and
15          ▸     creates the Adult Autism Treatment Account.
16     Money Appropriated in this Bill:
17          None
18     Other Special Clauses:
19          None
20     Utah Code Sections Affected:
21     AMENDS:
22          26-1-7, as last amended by Laws of Utah 2017, Chapter 419
23     ENACTS:
24          26-66-101, Utah Code Annotated 1953
25          26-66-102, Utah Code Annotated 1953
26          26-66-201, Utah Code Annotated 1953
27          26-66-202, Utah Code Annotated 1953

28          26-66-203, Utah Code Annotated 1953
29          26-66-204, Utah Code Annotated 1953
30          26-66-205, Utah Code Annotated 1953
31     

32     Be it enacted by the Legislature of the state of Utah:
33          Section 1. Section 26-1-7 is amended to read:
34          26-1-7. Committees within department.
35          (1) There are created within the department the following committees:
36          (a) Health Facility Committee;
37          (b) State Emergency Medical Services Committee;
38           (c) Air Ambulance Committee;
39          (d) Health Data Committee;
40          (e) Utah Health Care Workforce Financial Assistance Program Advisory Committee;
41          (f) Residential Child Care Licensing Advisory Committee;
42          (g) Child Care Center Licensing Committee; [and]
43          (h) Primary Care Grant Committee[.]; and
44          (i) Adult Autism Treatment Program Advisory Committee.
45          (2) The department shall:
46          (a) consolidate advisory groups and committees with other committees or advisory
47     groups as appropriate to create greater efficiencies and budgetary savings for the department;
48     and
49          (b) create in writing, time-limited and subject-limited duties for the advisory groups or
50     committees as necessary to carry out the responsibilities of the department.
51          Section 2. Section 26-66-101 is enacted to read:
52     
CHAPTER 66. ADULT AUTISM TREATMENT PROGRAM

53     
Part 1. General Provisions

54          26-66-101. Title.
55          This chapter is known as the "Adult Autism Treatment Program."
56          Section 3. Section 26-66-102 is enacted to read:
57          26-66-102. Definitions.
58          As used in this chapter:

59          (1) "Adult Autism Treatment Account" means the Adult Autism Treatment Account
60     created in Section 26-66-204.
61          (2) "Advisory committee" means the Adult Autism Treatment Program Advisory
62     Committee created in Section 26-1-7.
63          (3) "Applied behavior analysis" means the same as that term is defined in Section
64     31A-22-642.
65          (4) "Autism spectrum disorder" means the same as that term is defined in Section
66     31A-22-642.
67          (5) "Program" means the Adult Autism Treatment Program created in Section
68     26-66-201.
69          (6) "Qualified individual" means an individual who:
70          (a) is at least 22 years of age;
71          (b) is a resident of the state;
72          (c) has been diagnosed by a qualified professional as having:
73          (i) an autism spectrum disorder; or
74          (ii) another neurodevelopmental disorder requiring significant supports through
75     treatment using applied behavior analysis; and
76          (d) needs significant supports for a condition described in Subsection (6)(c), as
77     demonstrated by formal assessments of the individual's:
78          (i) cognitive ability;
79          (ii) adaptive ability;
80          (iii) behavior; and
81          (iv) communication ability.
82          (7) "Qualified provider" means a provider that is qualified under Section 26-66-202 to
83     provide services for the program.
84          Section 4. Section 26-66-201 is enacted to read:
85     
Part 2. Program

86          26-66-201. Adult Autism Treatment Program -- Creation -- Requirements --
87     Reporting.
88          (1) There is created within the department the Adult Autism Treatment Program.
89          (2) (a) The program shall be administered by the department in collaboration with the

90     advisory committee.
91          (b) The program shall be funded only with money from the Adult Autism Treatment
92     Account.
93          (3) (a) An individual may apply for a grant from the program by submitting to the
94     department information documenting to the satisfaction of the department that the individual is
95     a qualified individual.
96          (b) As funding permits, the department shall award a grant from the program on behalf
97     of an applicant in accordance with criteria established by the department, in collaboration with
98     the advisory committee, by rule made in accordance with Title 63G, Chapter 3, Utah
99     Administrative Rulemaking Act.
100          (c) A grant shall:
101          (i) be for a specific amount;
102          (ii) cover a specific period, not to exceed five years; and
103          (iii) be disbursed incrementally, if appropriate.
104          (d) The department shall transmit a grant awarded on behalf of an applicant to a
105     qualified provider designated by the applicant.
106          (4) A qualified provider that receives a grant for the treatment of a qualified individual
107     shall:
108          (a) use the grant only for treatment of the qualified individual;
109          (b) submit any reports that are required by the department; and
110          (c) notify the department within seven days if:
111          (i) the qualified individual:
112          (A) has not received treatment from the qualified provider for 10 consecutive days;
113          (B) is no longer receiving treatment from the qualified provider; or
114          (C) is no longer a qualified individual; or
115          (ii) the qualified provider is no longer a qualified provider.
116          (5) A qualified provider that receives a grant for the treatment of a qualified individual
117     shall refund any amount to the department on a prorated basis for each day that:
118          (a) the qualified provider is no longer a qualified provider;
119          (b) the individual is no longer a qualified individual; or
120          (c) the qualified provider does not provide services to a qualified individual.

121          Section 5. Section 26-66-202 is enacted to read:
122          26-66-202. Adult Autism Treatment Program Advisory Committee -- Membership
123     -- Procedures -- Compensation-- Duties -- Expenses.
124          (1) The Adult Autism Treatment Advisory Committee created in Section 26-1-7 shall
125     consist of five members appointed by the governor to two-year terms as follows:
126          (a) one individual who:
127          (i) has a doctorate degree in psychology;
128          (ii) is a licensed behavior analyst practicing in the state; and
129          (iii) has treated adults with an autism spectrum disorder for at least three years;
130          (b) one individual who is:
131          (i) employed by the department; and
132          (ii) has professional experience with the treatment of autism spectrum disorder; and
133          (c) three individuals who have firsthand experience with autism spectrum disorders and
134     their effects, diagnosis, treatment, and rehabilitation, including:
135          (i) family members of an adult with an autism spectrum disorder;
136          (ii) representatives of an association that advocates for adults with an autism spectrum
137     disorder; and
138          (iii) specialists or professionals who work with adults with an autism spectrum
139     disorder.
140          (2) (a) Notwithstanding Subsection (1), the governor shall, at the time of appointment
141     or reappointment, adjust the length of terms to ensure the terms of members are staggered so
142     that approximately half of the committee is appointed every year.
143          (b) If a vacancy occurs in the membership of the committee, the governor may appoint
144     a replacement for the unexpired term.
145          (3) (a) The committee shall annually elect a chair from its membership.
146          (b) A majority of the committee constitutes a quorum at any meeting and, if a quorum
147     exists, the action of the majority of members present is the action of the committee.
148          (4) The committee shall meet as necessary to:
149          (a) advise the department regarding implementation of the program;
150          (b) make recommendations to the department and the Legislature for improving the
151     program; and

152          (c) before October 1 each year, provide a written report of the committee's activities
153     and recommendations to:
154          (i) the executive director;
155          (ii) the Health and Human Services Interim Committee; and
156          (iii) the Social Services Appropriations Subcommittee.
157          (5) The committee shall comply with the procedures and requirements of:
158          (a) Title 52, Chapter 4, Open and Public Meetings Act; and
159          (b) Title 63G, Chapter 2, Government Records Access and Management Act.
160          (6) A member may not receive compensation or benefits for the member's service, but
161     may receive per diem and travel expenses in accordance with:
162          (a) Section 63A-3-106;
163          (b) Section 63A-3-107; and
164          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
165     63A-3-107.
166          (7) (a) The department shall staff the committee.
167          (b) Expenses of the committee, including the cost of committee staff if approved by the
168     executive director, may be paid only with funds from the Adult Autism Treatment Account.
169          Section 6. Section 26-66-203 is enacted to read:
170          26-66-203. Provider qualifications.
171          The department shall designate a provider as a qualified provider if the provider:
172          (1) is able to treat a qualified individual's condition through:
173          (a) one or more evidence-based treatments, including applied behavior analysis;
174          (b) individualized, client-centered treatment;
175          (c) any method that engages the qualified individual's family members in the treatment
176     process; and
177          (d) measured development of the qualified individual's pre-vocational, vocational, and
178     daily-living skills; and
179          (2) provides treatment to a qualified individual through:
180          (a) a behavior analyst licensed under Title 58, Chapter 61, Part 7, Behavior Analyst
181     Licensing Act; or
182          (b) a psychologist who is licensed under Title 58, Chapter 61, Psychologist Licensing

183     Act.
184          Section 7. Section 26-66-204 is enacted to read:
185          26-66-204. Department rulemaking.
186          The department, in collaboration with the advisory committee, shall make rules in
187     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to:
188          (1) specify assessment tools and outcomes that a qualified provider may use to
189     determine the types of supports that a qualified individuals needs;
190          (2) define evidence-based treatments that a qualified individual may pay for with grant
191     funding;
192          (3) establish criteria for awarding a grant under this chapter;
193          (4) specify the information that an individual shall submit to demonstrate that the
194     individual is a qualified individual;
195          (5) specify the information a provider shall submit to demonstrate that the provider is a
196     qualified provider; and
197          (6) specify the content and timing of reports required from a qualified provider,
198     including a report on actual and projected treatment outcomes for a qualified individual.
199          Section 8. Section 26-66-205 is enacted to read:
200          26-66-205. Adult Autism Treatment Account.
201          (1) There is created within the General Fund a restricted account known as the "Adult
202     Autism Treatment Account."
203          (2) The account consists of:
204          (a) gifts, grants, donations, or any other conveyance of money that may be made to the
205     fund from private sources;
206          (b) interest earned on money in the account; and
207          (c) money appropriated to the account by the Legislature.
208          (3) Money from the fund shall be used only to:
209          (a) fund grants awarded by the department under Section 26-66-201; and
210          (b) pay the advisory committee's operating expenses, including the cost of committee
211     staff if approved by the executive director.
212          (4) The state treasurer shall invest the money in the account in accordance with Title
213     51, Chapter 7, State Money Management Act.

214