This document includes House Committee Amendments incorporated into the bill on Thu, Feb 6, 2020 at 11:52 AM by naomigarrow.
Representative Suzanne Harrison proposes the following substitute bill:


1     
IDENTIFYING WASTEFUL HEALTH CARE SPENDING

2     
2020 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Suzanne Harrison

5     
Senate Sponsor: Evan J. Vickers

6     

7     LONG TITLE
8     General Description:
9          This bill requires the Department of Health to identify potential overuse of
10     non-evidence-based health care.
11     Highlighted Provisions:
12          This bill:
13          ▸     requires the Department of Health to contract with an organization Ĥ→ [in order] for an
13a          analysis ←Ĥ to
14     identify potential overuse of non-evidence-based health care; Ĥ→ [and]
14a     ▸ requires the Health Data Committee to:
14b     • review the results from the analysis;
14c     • review scientific literature and solicit input on duplication in health care; and
14d     • solicit input on instances of non-alignment in health care metrics; and ←Ĥ
15          ▸     requires the Department of Health to annually report on the Ĥ→ [results of the analysis]
15a     findings of the Health Data Committee ←Ĥ .
16     Money Appropriated in this Bill:
17          None
18     Other Special Clauses:
19          None
20     Utah Code Sections Affected:☆
21     ☆AMENDS:
22          63I-1-226, as last amended by Laws of Utah 2019, Chapters 67, 136, 246, 289, 455 and
23     last amended by Coordination Clause, Laws of Utah 2019, Chapter 246
24     ENACTS:
25          26-33a-117, Utah Code Annotated 1953
26     

27     Be it enacted by the Legislature of the state of Utah:
28          Section 1. Section 26-33a-117 is enacted to read:
29          26-33a-117. Identifying potential overuse of non-evidence-based health care.
30          (1) The department shall, in accordance with Title 63G, Chapter 6a, Utah Procurement
31     Code, contract with an entity to provide a nationally-recognized health waste calculator that:
32          (a) uses principles such as the principles of the Choosing Wisely initiative of the
33     American Board of Internal Medicine Foundation; and
34          (b) is approved by the committee.
35          (2) The department shall use the calculator described in Subsection (1) to:
36          (a) analyze the data in the state's All Payer Claims Database; and
37          (b) flag data entries that the calculator identifies as potential overuse of non-
38     evidence-based health care.
39          (3) The department, or a third party organization that the department contracts with in
40     accordance with Title 63G, Chapter 6a, Utah Procurement Code, shall:
41          (a) analyze the data described in Subsection (2)(b);
42          (b) review current scientific literature about medical services that are best practice;
43          (c) review current scientific literature about eliminating duplication in health care;
43a     Ĥ→ (d) solicit input from Utah health care providers, health systems, insurers, and other
43b     stakeholders regarding duplicative health care quality initiatives and instances of non-
43c     alignment in metrics used to measure health care quality that are required by different health
43d     systems; ←Ĥ
44          Ĥ→ [(d)] (e) ←Ĥ solicit input from Utah health care providers, health systems, insurers, and
44a     other
45     stakeholders on methods to avoid overuse of non-evidence-based health care; and
46          Ĥ→ [(e)] (f) ←Ĥ present the results of the analysis, research, and input described in
46a     Subsections
47     (3)(a) through Ĥ→ [(d)] (e) ←Ĥ to the committee.
48          (4) The committee shall:
49          (a) make recommendations for action and opportunities for improvement based on the
50     results described in Subsection (3) Ĥ→ [(e); and] (f);
50a     (b) make recommendations on methods to bring into alignment the various health care quality
50b     metrics different entities in the state use; and ←Ĥ
51          Ĥ→ [(b)] (c) ←Ĥ identify priority issues and recommendations to include in an annual
51a     report.☆
52          ☆(5) The department, or the third party organization described in Subsection (3) shall:
53          (a) compile the report described in Subsection (4) Ĥ→ [(b)] (c) ←Ĥ ; and
54          (b) submit the report to the committee for approval.
55          (6) Beginning in 2021, on or before November 1 each year, the department shall
56     submit the report approved in Subsection (5)(b) to the Health and Human Services Interim
57     Committee.
58          Section 2. Section 63I-1-226 is amended to read:
59          63I-1-226. Repeal dates, Title 26.
60          (1) Section 26-1-40 is repealed July 1, 2022.
61          (2) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
62     1, 2025.
63          (3) Section 26-10-11 is repealed July 1, 2020.
64          (4) Subsection 26-18-417(3) is repealed July 1, 2020.
65          (5) Subsection 26-18-418(2), the language that states "and the Mental Health Crisis
66     Line Commission created in Section 63C-18-202" is repealed July 1, 2023.
67          [(6) Section 26-18-419.1 is repealed December 31, 2019.]
68          [(7)] (6) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1,
69     2024.
70          (7) Section 26-33a-117 is repealed on December 31, 2023.
71          (8) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1, 2024.
72          (9) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is repealed
73     July 1, 2024.
74          (10) Title 26, Chapter 36d, Hospital Provider Assessment Act, is repealed July 1, 2024.
75          (11) Title 26, Chapter 54, Spinal Cord and Brain Injury Rehabilitation Fund and
76     Pediatric Neuro-Rehabilitation Fund, is repealed January 1, 2023.
77          (12) Subsection 26-61a-108(2)(e)(i), related to the Native American Legislative
78     Liaison Committee, is repealed July 1, 2022.
79          (13) Title 26, Chapter 63, Nurse Home Visiting Pay-for-Success Program, is repealed
80     July 1, 2026.