1     
CHILDREN'S HEALTH INSURANCE AMENDMENTS

2     
2021 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Douglas R. Welton

5     
Senate Sponsor: Michael K. McKell

6     Cosponsors:
7     Suzanne Harrison
Mike Winder


8     

9     LONG TITLE
10     General Description:
11          This bill creates the Children's Health Care Coverage Program.
12     Highlighted Provisions:
13          This bill:
14          ▸     amends provisions relating to outreach to promote health insurance coverage for
15     children;
16          ▸     creates the Children's Health Care Coverage Program;
17          ▸     describes the purposes of the program created in this bill;
18          ▸     creates the Children's Health Care Coverage Program Restricted Account; and
19          ▸     establishes a sunset date.
20     Money Appropriated in this Bill:
21          This bill appropriates in fiscal year 2022:
22          ▸     to Department of Health - Children's Health Insurance Program, as an ongoing
23     appropriation:
24               •     from the General Fund, Ongoing, $172,500.
25     Other Special Clauses:
26          None
27     Utah Code Sections Affected:
28     AMENDS:

29          26-18-15, as enacted by Laws of Utah 2008, Chapter 390
30          63I-1-226, as last amended by Laws of Utah 2020, Chapters 19, 154, 172, 181, 221,
31     232, 303, 347, and 429
32     ENACTS:
33          26-18-27, Utah Code Annotated 1953
34     

35     Be it enacted by the Legislature of the state of Utah:
36          Section 1. Section 26-18-15 is amended to read:
37          26-18-15. Process to promote health insurance coverage for children.
38          (1) The department, in collaboration with the Department of Workforce Services[,] and
39     the State Board of Education, [and the department shall: (a) collaborate with one another to]
40     shall develop a process to promote health insurance coverage for a child in school when:
41          [(i)] (a) the child applies for free or reduced price school lunch;
42          [(ii)] (b) a child enrolls in or registers in school; and
43          [(iii)] (c) other appropriate school related opportunities[;].
44          [(b) report to the Legislature on the development of the process under Subsection (1)(a)
45     no later than November 19, 2008; and]
46          [(c) implement the process developed under Subsection (1)(a) no later than the
47     2009-10 school year.]
48          (2) The department, in collaboration with the Department of Workforce Services, shall
49     promote and facilitate the enrollment of children identified under Subsection (1)[(a)] without
50     health insurance in the Utah Children's Health Insurance Program, the Medicaid program, or
51     the Utah Premium Partnership for Health Insurance Program.
52          Section 2. Section 26-18-27 is enacted to read:
53          26-18-27. Children's Health Care Coverage Program.
54          (1) As used in this section:
55          (a) "CHIP" means the Children's Health Insurance Program created in Section
56     26-40-103.

57          (b) "Program" means the Children's Health Care Coverage Program created in
58     Subsection (2).
59          (2) (a) There is created the Children's Health Care Coverage Program within the
60     department.
61          (b) The purpose of the program is to:
62          (i) promote health insurance coverage for children in accordance with Section
63     26-18-15;
64          (ii) conduct research regarding families who are eligible for Medicaid and CHIP to
65     determine awareness and understanding of available coverage;
66          (iii) analyze trends in disenrollment and identify reasons that families may not be
67     renewing enrollment, including any barriers in the process of renewing enrollment;
68          (iv) administer surveys to recently enrolled CHIP and children's Medicaid enrollees to
69     identify:
70          (A) how the enrollees learned about coverage; and
71          (B) any barriers during the application process;
72          (v) develop promotional material regarding CHIP and children's Medicaid eligibility,
73     including outreach through social media, video production, and other media platforms;
74          (vi) identify ways that the eligibility website for enrollment in CHIP and children's
75     Medicaid can be redesigned to increase accessibility and enhance the user experience;
76          (vii) identify outreach opportunities, including partnerships with community
77     organizations including:
78          (A) schools;
79          (B) small businesses;
80          (C) unemployment centers;
81          (D) parent-teacher associations; and
82          (E) youth athlete clubs and associations; and
83          (viii) develop messaging to increase awareness of coverage options that are available
84     through the department.

85          (3) (a) The department may not delegate implementation of the program to a private
86     entity.
87          (b) Notwithstanding Subsection (3)(a), the department may contract with a media
88     agency to conduct the activities described in Subsection (2)(b)(iv) and (vii).
89          Section 3. Section 63I-1-226 is amended to read:
90          63I-1-226. Repeal dates, Title 26.
91          (1) Subsection 26-1-7(1)(f), related to the Residential Child Care Licensing Advisory
92     Committee, is repealed July 1, 2024.
93          (2) Subsection 26-1-7(1)(h), related to the Primary Care Grant Committee, is repealed
94     July 1, 2025.
95          (3) Section 26-1-7.5, which creates the Utah Health Advisory Council, is repealed July
96     1, 2025.
97          (4) Section 26-1-40 is repealed July 1, 2022.
98          (5) Section 26-1-41 is repealed July 1, 2026.
99          (6) Section 26-7-10 is repealed July 1, 2025.
100          (7) Subsection 26-7-11(5), regarding reports to the Legislature, is repealed July 1,
101     2028.
102          (8) Section 26-7-14 is repealed December 31, 2027.
103          (9) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
104     1, 2025.
105          (10) Subsection 26-10-6(5), which creates the Newborn Hearing Screening Committee,
106     is repealed July 1, 2026.
107          (11) Section 26-10-11 is repealed July 1, 2025.
108          (12) Section 26-10b-106, which creates the Primary Care Grant Committee, is repealed
109     July 1, 2025.
110          (13) Section 26-18-27 is repealed July 1, 2025.
111          [(13)] (14) Title 26, Chapter 18, Part 2, Drug Utilization Review Board, is repealed
112     July 1, 2027.

113          [(14) Subsection 26-18-417(3) relating to a report to the Health and Human services
114     Interim Committee is repealed July 1, 2020.]
115          (15) Subsection 26-18-418(2), the language that states "and the Behavioral Health
116     Crisis Response Commission created in Section 63C-18-202" is repealed July 1, 2023.
117          (16) Title 26, Chapter 18a, Kurt Oscarson Children's Organ Transplant Coordinating
118     Committee, is repealed July 1, 2021.
119          (17) Section 26-33a-117 is repealed on December 31, 2023.
120          (18) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2024.
121          (19) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1,
122     2024.
123          (20) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is repealed
124     July 1, 2024.
125          (21) Title 26, Chapter 36d, Hospital Provider Assessment Act, is repealed July 1, 2024.
126          (22) Section 26-39-201, which creates the Residential Child Care Licensing Advisory
127     Committee, is repealed July 1, 2024.
128          (23) Section 26-40-104, which creates the Utah Children's Health Insurance Program
129     Advisory Council, is repealed July 1, 2025.
130          (24) Section 26-50-202, which creates the Traumatic Brain Injury Advisory
131     Committee, is repealed July 1, 2025.
132          (25) Title 26, Chapter 54, Spinal Cord and Brain Injury Rehabilitation Fund and
133     Pediatric Neuro-Rehabilitation Fund, is repealed January 1, 2025.
134          (26) Title 26, Chapter 63, Nurse Home Visiting Pay-for-Success Program, is repealed
135     July 1, 2026.
136          (27) Title 26, Chapter 66, Early Childhood Utah Advisory Council, is repealed July 1,
137     2026.
138          Section 4. Appropriation.
139          The following sums of money are appropriated for the fiscal year beginning July 1,
140     2021, and ending June 30, 2022. These are additions to amounts previously appropriated for

141     fiscal year 2022.
142          Subsection 4(a). Operating and Capital Budgets.
143          Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the
144     Legislature appropriates the following sums of money from the funds or accounts indicated for
145     the use and support of the government of the state of Utah.
146     ITEM 1
147          To Department of Health -- Children's Health Insurance Program
148               From General Fund, Ongoing
$172,500

149               Schedule of Programs:
150                    Children's Health Care Coverage Program          $172,500