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JOINT RESOLUTION RECOGNIZING THE SUCCESS OF

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THE UTAH MEDICAID ACCOUNTABLE CARE PROGRAM

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2021 GENERAL SESSION

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STATE OF UTAH

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Chief Sponsor: Norman K. Thurston

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Senate Sponsor: Michael S. Kennedy

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8     LONG TITLE
9     General Description:
10          This joint resolution recognizes the success of Utah Medicaid's accountable care
11     program.
12     Highlighted Provisions:
13          This resolution:
14          ▸     highlights the history of Utah Medicaid's accountable care program;
15          ▸     highlights the program's outcomes;
16          ▸     recognizes the program's success;
17          ▸     expresses the Legislature's support; and
18          ▸     commends the Department of Health for its efforts.
19     Special Clauses:
20          None
21     

22     Be it resolved by the Legislature of the state of Utah:
23          WHEREAS, in 2011 the Legislature of the state of Utah unanimously passed S.B. 180,
24     Medicaid Reform, which required the Department of Health to maximize replacement of the
25     Medicaid program's fee-for-service delivery model with one or more risk-based delivery
26     models;
27          WHEREAS, since January 1, 2013, Medicaid services have been delivered to most
28     program enrollees through risk-based accountable care organizations;
29          WHEREAS, today the Medicaid program contracts with four accountable care

30     organizations for service delivery;
31          WHEREAS, during the two decades preceding the creation of accountable care
32     organizations, the rate of growth in state spending for Utah's Medicaid program exceeded the
33     rate of growth of the state's General Fund, raising concerns about the long-term sustainability
34     of the program;
35          WHEREAS, the Legislature's stated goals for reforming Medicaid service delivery
36     included reducing the rate of spending growth, aligning incentives to promote quality and
37     value, and creating a budget stabilization account funded with reform savings to mitigate
38     funding challenges during economic downturns; and
39          WHEREAS, as foreseen by the Legislature in 2011, the enactment of S.B. 180 has:
40          (1) slowed Medicaid spending and aligned the growth rates of Medicaid and the
41     General Fund;
42          (2) produced a Budget Stabilization Account with an accumulated savings of over
43     seventy million dollars;
44          (3) increased predictability for state budgeting; and
45          (4) incentivized the increased delivery of value-added services to Medicaid enrollees
46     and the state through Medicaid accountable care organizations, including customer service,
47     care management, social services and care coordination, standardized quality measurement and
48     improvement programs, value-based payment programs, and provider support services:
49          NOW, THEREFORE, BE IT RESOLVED that the Legislature of the state of Utah,
50     recognizes the successful implementation and accomplishments of Utah Medicaid's
51     accountable care program.
52          BE IT FURTHER RESOLVED that the Legislature renews its commitment to and
53     support for Utah Medicaid's accountable care program.
54          BE IT FURTHER RESOLVED that the Legislature commends the Department of
55     Health and the department's Division of Medicaid and Health Financing for their role in
56     creating, and supporting ongoing efforts to sustain, a successful Medicaid accountable care
57     program.

58          BE IT FURTHER RESOLVED that a copy of this resolution be sent to the Department
59     of Health and the department's Division of Medicaid and Health Financing.