Representative Suzanne Harrison proposes the following substitute bill:


1     
DIABETES PREVENTION PROGRAM

2     
2021 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 allows for Medicaid reimbursement for diabetes prevention services.
10     Highlighted Provisions:
11          This bill:
12          ▸     defines terms;
13          ▸     authorizes the department to reimburse a provider for certain diabetes prevention
14     services; and
15          ▸     creates a sunset date.
16     Money Appropriated in this Bill:
17          This bill appropriates in fiscal year 2022:
18          ▸     to the Department of Health -- Medicaid Services, One-time:
19               •     from the General Fund, One-time, $500,000.
20     Other Special Clauses:
21          None
22     Utah Code Sections Affected:
23     AMENDS:
24          63I-1-226, as last amended by Laws of Utah 2020, Chapters 19, 154, 172, 181, 221,
25     232, 303, 347, and 429
26          63J-1-602.2, as last amended by Laws of Utah 2020, Fifth Special Session, Chapters 20
27     and 20
28     ENACTS:
29          26-18-27, Utah Code Annotated 1953
30     

31     Be it enacted by the Legislature of the state of Utah:
32          Section 1. Section 26-18-27 is enacted to read:
33          26-18-27. Reimbursement for diabetes prevention program.
34          (1) As used in this section, "DPP" means the National Diabetes Prevention Program
35     developed by the United States Centers for Disease Control and Prevention.
36          (2) Subject to appropriation, the Medicaid program shall reimburse a provider for an
37     enrollee's participation in the DPP if the enrollee:
38          (a) meets the DPP's eligibility requirements;
39          (b) begins the DPP on or after October 1, 2021, and before October 1, 2024; and
40          (c) has not previously participated in the DPP after October 1, 2021, and before
41     October 1, 2024.
42          (3) The Medicaid program may set the rate for reimbursement.
43          (4) The department may apply for a state plan amendment if necessary to implement
44     this section.
45          (5) (a) Before October 1, 2024, the department shall provide a written report regarding
46     the efficacy of the DPP and reimbursement under this section to the Health and Human
47     Services Interim Committee.
48          (b) The report described in Subsection (5)(a) shall include:
49          (i) the total number of enrollees who participated in the DPP;
50          (ii) the total number of classes held before August 1, 2024;
51          (iii) the costs incurred by the state under this section;
52          (iv) the percentage of enrollees described in Subsection (5)(b)(i) who:
53          (A) completed at least 20 classes; and
54          (B) developed type 2 diabetes after completing at least 20 classes;
55          (v) the total number of enrollees diagnosed with prediabetes before October 1, 2021;
56     and
57          (vi) the percentage of enrollees described in Subsection (5)(b)(v) who were diagnosed
58     with type 2 diabetes after October 1, 2021.
59          Section 2. Section 63I-1-226 is amended to read:
60          63I-1-226. Repeal dates, Title 26.
61          (1) Subsection 26-1-7(1)(f), related to the Residential Child Care Licensing Advisory
62     Committee, is repealed July 1, 2024.
63          (2) Subsection 26-1-7(1)(h), related to the Primary Care Grant Committee, is repealed
64     July 1, 2025.
65          (3) Section 26-1-7.5, which creates the Utah Health Advisory Council, is repealed July
66     1, 2025.
67          (4) Section 26-1-40 is repealed July 1, 2022.
68          (5) Section 26-1-41 is repealed July 1, 2026.
69          (6) Section 26-7-10 is repealed July 1, 2025.
70          (7) Subsection 26-7-11(5), regarding reports to the Legislature, is repealed July 1,
71     2028.
72          (8) Section 26-7-14 is repealed December 31, 2027.
73          (9) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
74     1, 2025.
75          (10) Subsection 26-10-6(5), which creates the Newborn Hearing Screening Committee,
76     is repealed July 1, 2026.
77          (11) Section 26-10-11 is repealed July 1, 2025.
78          (12) Section 26-10b-106, which creates the Primary Care Grant Committee, is repealed
79     July 1, 2025.
80          (13) Section 26-18-27 is repealed October 1, 2024.
81          [(13)] (14) Title 26, Chapter 18, Part 2, Drug Utilization Review Board, is repealed
82     July 1, 2027.
83          [(14)] (15) Subsection 26-18-417(3) relating to a report to the Health and Human
84     services Interim Committee is repealed July 1, 2020.
85          [(15)] (16) Subsection 26-18-418(2), the language that states "and the Behavioral
86     Health Crisis Response Commission created in Section 63C-18-202" is repealed July 1, 2023.
87          [(16)] (17) Title 26, Chapter 18a, Kurt Oscarson Children's Organ Transplant
88     Coordinating Committee, is repealed July 1, 2021.
89          [(17)] (18) Section 26-33a-117 is repealed on December 31, 2023.
90          [(18)] (19) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1,
91     2024.
92          [(19)] (20) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July
93     1, 2024.
94          [(20)] (21) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is
95     repealed July 1, 2024.
96          [(21)] (22) Title 26, Chapter 36d, Hospital Provider Assessment Act, is repealed July
97     1, 2024.
98          [(22)] (23) Section 26-39-201, which creates the Residential Child Care Licensing
99     Advisory Committee, is repealed July 1, 2024.
100          [(23)] (24) Section 26-40-104, which creates the Utah Children's Health Insurance
101     Program Advisory Council, is repealed July 1, 2025.
102          [(24)] (25) Section 26-50-202, which creates the Traumatic Brain Injury Advisory
103     Committee, is repealed July 1, 2025.
104          [(25)] (26) Title 26, Chapter 54, Spinal Cord and Brain Injury Rehabilitation Fund and
105     Pediatric Neuro-Rehabilitation Fund, is repealed January 1, 2025.
106          [(26)] (27) Title 26, Chapter 63, Nurse Home Visiting Pay-for-Success Program, is
107     repealed July 1, 2026.
108          [(27)] (28) Title 26, Chapter 66, Early Childhood Utah Advisory Council, is repealed
109     July 1, 2026.
110          Section 3. Section 63J-1-602.2 is amended to read:
111          63J-1-602.2. List of nonlapsing appropriations to programs.
112          Appropriations made to the following programs are nonlapsing:
113          (1) The Legislature and the Legislature's committees.
114          (2) The State Board of Education, including all appropriations to agencies, line items,
115     and programs under the jurisdiction of the State Board of Education, in accordance with
116     Section 53F-9-103.
117          (3) The Percent-for-Art Program created in Section 9-6-404.
118          (4) The LeRay McAllister Critical Land Conservation Program created in Section
119     11-38-301.
120          (5) Dedicated credits accrued to the Utah Marriage Commission as provided under
121     Subsection 17-16-21(2)(d)(ii).
122          (6) The Trip Reduction Program created in Section 19-2a-104.
123          (7) The Division of Wildlife Resources for the appraisal and purchase of lands under
124     the Pelican Management Act, as provided in Section 23-21a-6.
125          (8) The emergency medical services grant program in Section 26-8a-207.
126          (9) The primary care grant program created in Section 26-10b-102.
127          (10) Sanctions collected as dedicated credits from Medicaid provider under Subsection
128     26-18-3(7).
129          (11) The Diabetes Prevention Program created in Section 26-18-27.
130          [(11)] (12) The Utah Health Care Workforce Financial Assistance Program created in
131     Section 26-46-102.
132          [(12)] (13) The Rural Physician Loan Repayment Program created in Section
133     26-46a-103.
134          [(13)] (14) The Opiate Overdose Outreach Pilot Program created in Section 26-55-107.
135          [(14)] (15) Funds that the Department of Alcoholic Beverage Control retains in
136     accordance with Subsection 32B-2-301(8)(a) or (b).
137          [(15)] (16) The General Assistance program administered by the Department of
138     Workforce Services, as provided in Section 35A-3-401.
139          [(16)] (17) A new program or agency that is designated as nonlapsing under Section
140     36-24-101.
141          [(17)] (18) The Utah National Guard, created in Title 39, Militia and Armories.
142          [(18)] (19) The State Tax Commission under Section 41-1a-1201 for the:
143          (a) purchase and distribution of license plates and decals; and
144          (b) administration and enforcement of motor vehicle registration requirements.
145          [(19)] (20) The Search and Rescue Financial Assistance Program, as provided in
146     Section 53-2a-1102.
147          [(20)] (21) The Motorcycle Rider Education Program, as provided in Section 53-3-905.
148          [(21)] (22) The Utah Board of Higher Education for teacher preparation programs, as
149     provided in Section 53B-6-104.
150          [(22)] (23) The Medical Education Program administered by the Medical Education
151     Council, as provided in Section 53B-24-202.
152          [(23)] (24) The Division of Services for People with Disabilities, as provided in
153     Section 62A-5-102.
154          [(24)] (25) The Division of Fleet Operations for the purpose of upgrading underground
155     storage tanks under Section 63A-9-401.
156          [(25)] (26) The Utah Seismic Safety Commission, as provided in Section 63C-6-104.
157          [(26)] (27) Appropriations to the Department of Technology Services for technology
158     innovation as provided under Section 63F-4-202.
159          [(27)] (28) The Office of Administrative Rules for publishing, as provided in Section
160     63G-3-402.
161          [(28)] (29) The Governor's Office of Economic Development to fund the Enterprise
162     Zone Act, as provided in Title 63N, Chapter 2, Part 2, Enterprise Zone Act.
163          [(29)] (30) Appropriations to fund the Governor's Office of Economic Development's
164     Rural Employment Expansion Program, as described in Title 63N, Chapter 4, Part 4, Rural
165     Employment Expansion Program.
166          [(30)] (31) Appropriations to fund programs for the Jordan River Recreation Area as
167     described in Section 65A-2-8.
168          [(31)] (32) The Department of Human Resource Management user training program, as
169     provided in Section 67-19-6.
170          [(32)] (33) A public safety answering point's emergency telecommunications service
171     fund, as provided in Section 69-2-301.
172          [(33)] (34) The Traffic Noise Abatement Program created in Section 72-6-112.
173          [(34)] (35) The Judicial Council for compensation for special prosecutors, as provided
174     in Section 77-10a-19.
175          [(35)] (36) A state rehabilitative employment program, as provided in Section
176     78A-6-210.
177          [(36)] (37) The Utah Geological Survey, as provided in Section 79-3-401.
178          [(37)] (38) The Bonneville Shoreline Trail Program created under Section 79-5-503.
179          [(38)] (39) Adoption document access as provided in Sections 78B-6-141, 78B-6-144,
180     and 78B-6-144.5.
181          [(39)] (40) Indigent defense as provided in Title 78B, Chapter 22, Part 4, Utah Indigent
182     Defense Commission.
183          [(40)] (41) The program established by the Division of Facilities Construction and
184     Management under Section 63A-5b-703 under which state agencies receive an appropriation
185     and pay lease payments for the use and occupancy of buildings owned by the Division of
186     Facilities Construction and Management.
187          Section 4. Appropriation.
188          The following sums of money are appropriated for the fiscal year beginning July 1,
189     2021, and ending June 30, 2022. These are additions to amounts previously appropriated for
190     fiscal year 2022. Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures
191     Act, the Legislature appropriates the following sums of money from the funds or accounts
192     indicated for the use and support of the government of the state of Utah.
193     ITEM 1
194          To Department of Health -- Medicaid Services
195               From General Fund, One-time
$500,000

196               Schedule of Programs:
197                    Diabetes Prevention Program                    $500,000
198          The Legislature intends that the Department of Health expend appropriations provided
199     under this item for reimbursing providers in accordance with Section 26-18-27.