1     
DIABETES PREVENTION PROGRAM

2     
2022 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Suzanne Harrison

5     
Senate Sponsor: Evan J. Vickers

6     Cosponsors:
7     Cheryl K. Acton
Rosemary T. Lesser


8     

9     LONG TITLE
10     General Description:
11          This bill allows for Medicaid reimbursement for diabetes prevention services.
12     Highlighted Provisions:
13          This bill:
14          ▸     defines terms;
15          ▸     authorizes the Medicaid program to reimburse a provider for certain diabetes
16     prevention services;
17          ▸     implements a reporting requirement;
18          ▸     sets a termination date for the reimbursement but requires legislative review before
19     the termination date; and
20          ▸     makes technical changes.
21     Money Appropriated in this Bill:
22          This bill appropriates in fiscal year 2023:
23          ▸     to the Department of Health and Human Services -- Integrated Health Care
24     Services, as an ongoing appropriation:
25               •     from the General Fund, $87,500; and
26               •     from the Medicaid Expansion Fund, $6,000.
27     Other Special Clauses:
28          None
29     Utah Code Sections Affected:
30     AMENDS:
31          63I-1-226, as last amended by Laws of Utah 2021, Chapters 13, 50, 64, 163, 182, 234,
32     and 417
33     ENACTS:
34          26-18-28, Utah Code Annotated 1953
35     

36     Be it enacted by the Legislature of the state of Utah:
37          Section 1. Section 26-18-28 is enacted to read:
38          26-18-28. Reimbursement for diabetes prevention program.
39          (1) As used in this section, "DPP" means the National Diabetes Prevention Program
40     developed by the United States Centers for Disease Control and Prevention.
41          (2) Beginning July 1, 2022, the Medicaid program shall reimburse a provider for an
42     enrollee's participation in the DPP if the enrollee:
43          (a) meets the DPP's eligibility requirements; and
44          (b) has not previously participated in the DPP after July 1, 2022, while enrolled in the
45     Medicaid program.
46          (3) Subject to appropriation, the Medicaid program may set the rate for reimbursement.
47          (4) The department may apply for a state plan amendment if necessary to implement
48     this section.
49          (5) (a) On or after July 1, 2025, but before October 1, 2025, the department shall
50     provide a written report regarding the efficacy of the DPP and reimbursement under this
51     section to the Health and Human Services Interim Committee.
52          (b) The report described in Subsection (5)(a) shall include:
53          (i) the total number of enrollees with a prediabetic condition as of July 1, 2022;
54          (ii) the total number of enrollees as of July 1, 2022, with a diagnosis of type 2 diabetes;
55          (iii) the total number of enrollees who participated in the DPP;
56          (iv) the total cost incurred by the state to implement this section; and
57          (v) any conclusions that can be drawn regarding the impact of the DPP on the rate of
58     type 2 diabetes for enrollees.
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 26-10b-106, which creates the Primary Care Grant Committee, is repealed
78     July 1, 2025.
79          (12) Subsection 26-15c-104(3), relating to a limitation on the number of
80     microenterprise home kitchen permits that may be issued, is repealed [on] July 1, 2022.
81          (13) Subsection 26-18-2.6(9), which addresses reimbursement for dental hygienists, is
82     repealed July 1, 2028.
83          (14) Section 26-18-27 is repealed July 1, 2025.
84          (15) Section 26-18-28 is repealed June 30, 2027.
85          [(15)] (16) Title 26, Chapter 18, Part 2, Drug Utilization Review Board, is repealed
86     July 1, 2027.
87          [(16)] (17) Subsection 26-18-418(2), the language that states "and the Behavioral
88     Health Crisis Response Commission created in Section 63C-18-202" is repealed July 1, 2023.
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          [(28)] (29) Title 26, Chapter 68, COVID-19 Vaccine Restrictions Act, is repealed July
111     1, 2024.
112          Section 3. Appropriation.
113          The following sums of money are appropriated for the fiscal year beginning July 1,
114     2022, and ending June 30, 2023. These are additions to amounts previously appropriated for
115     fiscal year 2023. Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures
116     Act, the Legislature appropriates the following sums of money from the funds or accounts
117     indicated for the use and support of the government of the state of Utah.
118     ITEM 1
119          To Department of Health and Human Services -- Integrated Health Care Services
120               From General Fund
$87,500

121               From Medicaid Expansion Fund
$6,000

122               Schedule of Programs:
123                    Medicaid -- Other Services                    $93,500
124          The Legislature intends that the Department of Health and Human Services expend
125     appropriations provided under this item for reimbursing providers in accordance with Section
126     26-18-28.