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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 in order to
14 identify potential overuse of non-evidence-based health care; and
15 ▸ requires the Department of Health to annually report on the results of the analysis.
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
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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;
44 (d) solicit input from Utah health care providers, health systems, insurers, and other
45 stakeholders on methods to avoid overuse of non-evidence-based health care; and
46 (e) present the results of the analysis, research, and input described in Subsections
47 (3)(a) through (d) 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)(e); and
51 (b) identify priority issues and recommendations to include in an annual report.
52 (5) The department, or the third party organization described in Subsection (3) shall:
53 (a) compile the report described in Subsection (4)(b); 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.
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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.