2
3
4
5
6 Cosponsors:
7 Patrice M. Arent
8 Brad M. Daw
Carol Spackman Moss
Travis M. Seegmiller
Norman K. Thurston
Raymond P. Ward
Mike Winder
9
10 LONG TITLE
11 General Description:
12 This bill requires the Department of Health to identify potential overuse of
13 non-evidence-based health care.
14 Highlighted Provisions:
15 This bill:
16 ▸ requires the Department of Health to contract with an organization for an analysis to
17 identify potential overuse of non-evidence-based health care;
18 ▸ requires the Health Data Committee to:
19 • review the results from the analysis;
20 • review scientific literature and solicit input on duplication in health care; and
21 • solicit input on instances of non-alignment in health care metrics; and
22 ▸ requires the Department of Health to annually report on the findings of the Health
23 Data Committee.
24 Money Appropriated in this Bill:
25 None
26 Other Special Clauses:
27 None
28 Utah Code Sections Affected:
29 AMENDS:
30 63I-1-226, as last amended by Laws of Utah 2019, Chapters 67, 136, 246, 289, 455 and
31 last amended by Coordination Clause, Laws of Utah 2019, Chapter 246
32 ENACTS:
33 26-33a-117, Utah Code Annotated 1953
34
35 Be it enacted by the Legislature of the state of Utah:
36 Section 1. Section 26-33a-117 is enacted to read:
37 26-33a-117. Identifying potential overuse of non-evidence-based health care.
38 (1) The department shall, in accordance with Title 63G, Chapter 6a, Utah Procurement
39 Code, contract with an entity to provide a nationally-recognized health waste calculator that:
40 (a) uses principles such as the principles of the Choosing Wisely initiative of the
41 American Board of Internal Medicine Foundation; and
42 (b) is approved by the committee.
43 (2) The department shall use the calculator described in Subsection (1) to:
44 (a) analyze the data in the state's All Payer Claims Database; and
45 (b) flag data entries that the calculator identifies as potential overuse of non-
46 evidence-based health care.
47 (3) The department, or a third party organization that the department contracts with in
48 accordance with Title 63G, Chapter 6a, Utah Procurement Code, shall:
49 (a) analyze the data described in Subsection (2)(b);
50 (b) review current scientific literature about medical services that are best practice;
51 (c) review current scientific literature about eliminating duplication in health care;
52 (d) solicit input from Utah health care providers, health systems, insurers, and other
53 stakeholders regarding duplicative health care quality initiatives and instances of
54 non-alignment in metrics used to measure health care quality that are required by different
55 health systems;
56 (e) solicit input from Utah health care providers, health systems, insurers, and other
57 stakeholders on methods to avoid overuse of non-evidence-based health care; and
58 (f) present the results of the analysis, research, and input described in Subsections
59 (3)(a) through (e) to the committee.
60 (4) The committee shall:
61 (a) make recommendations for action and opportunities for improvement based on the
62 results described in Subsection (3)(f);
63 (b) make recommendations on methods to bring into alignment the various health care
64 quality metrics different entities in the state use; and
65 (c) identify priority issues and recommendations to include in an annual report.
66 (5) The department, or the third party organization described in Subsection (3) shall:
67 (a) compile the report described in Subsection (4)(c); and
68 (b) submit the report to the committee for approval.
69 (6) Beginning in 2021, on or before November 1 each year, the department shall
70 submit the report approved in Subsection (5)(b) to the Health and Human Services Interim
71 Committee.
72 Section 2. Section 63I-1-226 is amended to read:
73 63I-1-226. Repeal dates, Title 26.
74 (1) Section 26-1-40 is repealed July 1, 2022.
75 (2) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
76 1, 2025.
77 (3) Section 26-10-11 is repealed July 1, 2020.
78 (4) Subsection 26-18-417(3) is repealed July 1, 2020.
79 (5) Subsection 26-18-418(2), the language that states "and the Mental Health Crisis
80 Line Commission created in Section 63C-18-202" is repealed July 1, 2023.
81 [
82 [
83 2024.
84 (7) Section 26-33a-117 is repealed on December 31, 2023.
85 (8) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1, 2024.
86 (9) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is repealed
87 July 1, 2024.
88 (10) Title 26, Chapter 36d, Hospital Provider Assessment Act, is repealed July 1, 2024.
89 (11) Title 26, Chapter 54, Spinal Cord and Brain Injury Rehabilitation Fund and
90 Pediatric Neuro-Rehabilitation Fund, is repealed January 1, 2023.
91 (12) Subsection 26-61a-108(2)(e)(i), related to the Native American Legislative
92 Liaison Committee, is repealed July 1, 2022.
93 (13) Title 26, Chapter 63, Nurse Home Visiting Pay-for-Success Program, is repealed
94 July 1, 2026.