This document includes Senate Committee Amendments incorporated into the bill on Mon, Feb 4, 2019 at 10:21 AM by lpoole.
This document includes House Floor Amendments incorporated into the bill on Wed, Mar 13, 2019 at 5:50 PM by pflowers.



Chief Sponsor: Ann Millner

House Sponsor: Paul Ray


8     General Description:
9          This bill creates the Partnerships for Healthy Communities Grant Program.
10     Highlighted Provisions:
11          This bill:
12          ▸     creates the Partnerships for Healthy Communities Grant Program (program); and
13          ▸     provides requirements for the program.
14     Money Appropriated in this Bill:
15          This bill appropriates:
16          ▸     to the Ŝ→ [
Division] Department ←Ŝ of Workforce Services -- Ŝ→ [Contracts and
16a     Grants
] Operations and Policy ←Ŝ -- Ŝ→ [Partnerships for
17     Healthy Communities
] Workforce Development Division ←Ŝ
, as an ongoing appropriation:
18               •     from the General Fund, Ĥ→ [
$2,000,000] $500,000 ←Ĥ .
19     Other Special Clauses:
20          This bill provides revisor instructions.
21     Utah Code Sections Affected:
22     ENACTS:
23          63M-13-301, Utah Code Annotated 1953
24          63M-13-302, Utah Code Annotated 1953
25          63M-13-303, Utah Code Annotated 1953
26          63M-13-304, Utah Code Annotated 1953
27          63M-13-305, Utah Code Annotated 1953


29     Be it enacted by the Legislature of the state of Utah:
30          Section 1. Section 63M-13-301 is enacted to read:
Part 3. Partnerships for Healthy Communities

32          63M-13-301. Definitions.
33          As used in this part:
34          (1) "Anchor institution" means a physical entity that:
35          (a) plays a vital role in the local community and economy; and
36          (b) is likely to remain in the same geographical setting, even as surrounding conditions
37     may change.
38          (2) "Commission" means the Governor's Early Childhood Commission created in
39     Section 63M-13-201.
40          (3) "Health Improvement Index" means a composite measure of health equity
41     indicators developed by the Department of Health.
42          (4) "Small area" means a geographical area, designated by the Department of Health,
43     with a population size ranging from approximately 8,000 to 86,000 individuals.
44          (5) "Social determinants of health" means conditions in the environments in which
45     individuals are born, live, learn, work, play, worship, and age that affect a wide range of health,
46     functioning, and quality-of-life outcomes and risks.
47          Section 2. Section 63M-13-302 is enacted to read:
48          63M-13-302. Partnerships for Healthy Communities Grant Program -- Purpose --
49     Application.
50          (1) There is created the Partnerships for Healthy Communities Grant Program to
51     improve long-term health outcomes for children through the formation of public-private
52     partnerships that address the social determinants of health and use existing data to align and
53     improve efforts focused on early childhood benchmarks for success.
54          (2) To apply for a grant under the Partnerships for Healthy Communities Grant
55     Program, an applicant partnership shall be composed of the following partners:
56          (a) a local health care provider;
57          (b) a local community-based organization that facilitates access to housing, food,
58     transportation, or other relevant services;

59          (c) the Department of Health or a local health department;
60          (d) a community-based early childhood organization;
61          (e) two parent or legal guardian representatives from the target community; and
62          (f) any other partner, including a mental health organization, if the partnership
63     determines that the partner is integral to accomplishing the objectives described in Subsection
64     (1).
65          (3) Subject to legislative appropriations, the commission shall award matching grants
66     to applicant partnerships that enter into a memorandum of understanding to implement a
67     partnership that:
68          (a) engages an anchor institution;
69          (b) develops a sustainable plan;
70          (c) reduces long-term health care costs;
71          (d) improves an identified health disparity; and
72          (e) improves outcomes for children from age zero to six.
73          (4) To be eligible for a grant award under this section, a partnership applicant shall:
74          (a) demonstrate to the commission the availability of one-to-one matching funds, in
75     cash or in-kind, to carry out the objectives expressed in the partnership applicant's grant
76     application; and
77          (b) commit to providing those matching funds to carry out the objectives expressed in
78     the partnership applicant's grant application.
79          (5) The commission shall prioritize the award of grants to partnership applicants who:
80          (a) address one or more social determinants of health outcomes;
81          (b) target a community need:
82          (i) in a small area; and
83          (ii) in an area categorized as very high need or high need by the Health Improvement
84     Index;
85          (c) demonstrate that the partnership will align with community state-supported
86     partnerships, including the Intergenerational Poverty Interventions Grant Program or the
87     Partnerships for Student Success Grant Program, where they exist; and
88          (d) provide data that explains the children's health needs in the target community.
89          (6) In awarding grants under this part, the commission:

90          (a) shall distribute funds to the lead partner designated by the partnership;
91          (b) may not award more than $500,000 per fiscal year to a partnership;
92          (c) may not award the same partnership a grant for a total of more than five years;
93          (d) shall limit the use of grant funds for a partnership to review services, coordinate
94     services, collect data, or align with existing services; and
95          (e) may allow a partnership to use the partnership's matching funds to be in-kind,
96     including the direct provision of services.
97          Section 3. Section 63M-13-303 is enacted to read:
98          63M-13-303. Partnerships for Healthy Communities Grant recipient.
99          A grant recipient partnership shall:
100          (1) share data to monitor and evaluate shared goals and outcomes, in accordance with
101     state and federal law;
102          (2) mutually hold one another accountable for shared goals and outcomes;
103          (3) continually assess progress toward reaching shared goals and outcomes;
104          (4) annually publish the results of the continual assessment described in Subsection (3),
105     and provide the publication to the commission;
106          (5) as requested, share information and data with the independent evaluator, described
107     in Section 35A-15-105, in accordance with state and federal law; and
108          (6) measure and report the measurement of data from at least two of the following
109     categories:
110          (a) premature births;
111          (b) frequency of and quality of well-child doctor visits for children under age six;
112          (c) frequency and quality, which includes the provision of appropriate interventions, of
113     standard health screenings, including hearing and vision, for children under age six;
114          (d) frequency, results, and quality, which includes the provision of appropriate
115     interventions, of a validated developmental screening tool that:
116          (i) includes a social and emotional component;
117          (ii) is designed to be completed by a child's caregiver; and
118          (iii) is approved by the commission;
119          (e) rate of children under age six who are covered by a public or private health
120     insurance plan;

121          (f) number of emergency room visits for children under age six;
122          (g) adherence to the state-approved immunization schedule; or
123          (h) kindergarten readiness.
124          Section 4. Section 63M-13-304 is enacted to read:
125          63M-13-304. Independent evaluator.
126          (1) In accordance with Title 63G, Chapter 6a, Utah Procurement Code, the commission
127     shall contract with an independent evaluator to annually evaluate a partnership that receives a
128     grant under this part.
129          (2) The evaluation described in Subsection (1) shall:
130          (a) assess implementation of a partnership, including the extent to which members of a
131     partnership:
132          (i) share data to align and improve health outcomes for children ages zero to six; and
133          (ii) meet regularly and communicate authentically; and
134          (b) assess the impact of a partnership on early childhood health outcomes, using
135     defined metrics based on the categories selected under Subsection 63M-13-303(6).
136          (3) In identifying an independent evaluator under Subsection (1), the commission shall
137     identify an evaluator that:
138          (a) has a credible track record of conducting evaluations as described in Subsection (2);
139     and
140          (b) is independent of any member of a recipient partnership and does not otherwise
141     have a vested interest in the outcome of the evaluation.
142          (4) The commission shall ensure that the independent evaluator prepares an annual
143     written report of an evaluation conducted under this section.
144          Section 5. Section 63M-13-305 is enacted to read:
145          63M-13-305. Rules.
146          In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
147     Department of Workforce Services shall make rules for the commission to administer the
148     Partnerships for Healthy Communities Grant Program in accordance with this part.
149          Section 6. Appropriation.
150          The following sums of money are appropriated for the fiscal year beginning July 1,
151     2019, and ending June 30, 2020. These are additions to amounts previously appropriated for

152     fiscal year 2020. Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures
153     Act, the Legislature appropriates the following sums of money from the funds or accounts
154     indicated for the use and support of the government of the state of Utah.
155     ITEM 1
156          To the Ŝ→ [
Division] Department ←Ŝ of Workforce Services -- Ŝ→ Operations and
156a     Policy ←Ŝ
157               From General Fund                          Ĥ→ [
$2,000,000] $500,000 ←Ĥ
158               Schedule of Programs:
159                     Ŝ→ [
Contracts and Grants --
160                    Partnerships for Healthy Communities
] Workforce Development Division

160a      ←Ŝ      Ĥ→ [
$2,000,000] $500,000 ←Ĥ
161          The Legislature intends that:
162          (1) under Section 63J-1-603, appropriations provided under this section not lapse at the
163     close of fiscal year 2020; and
164          (2) the commission may use up to $80,000 of the appropriation under this section for
165     administration of the Partnerships for Healthy Communities Grant Program.
166          Section 7. Revisor instructions.
167          The Legislature intends that the Office of Legislative Research and General Counsel, in
168     preparing the Utah Code database for publication, not enroll this bill if H.B. 47, Early
169     Childhood Coordination Amendments, does not pass.