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Safety Net Meeting April 22, 2008. Utah Legislative Update Deb Wynkoop UHA. Political Environment. Political Environment. Political Environment. Political Environment. What We Know. 3 sitting senators attempting to be Pres 21 GOP senators up for re-election vs. 12 Dems

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Safety net meeting april 22 2008

Safety Net MeetingApril 22, 2008

Utah Legislative Update

Deb Wynkoop

UHA





Political environment3
Political Environment

What We Know

  • 3 sitting senators attempting to be Pres

  • 21 GOP senators up for re-election vs. 12 Dems

  • 25 GOP and 2 Dem House members retiring

  • 51- 49 margin in Senate with Dem majority

  • Historically low congressional approval rating

  • November 4, 2008


Political environment4
Political Environment

  • Economy/economic stimulus will dominate

  • President’s budget slashes Medicare

  • Short legislative year

  • Lame duck administration

  • Key markers

    • May 25: Medicaid

    • June 30: Medicare

  • Endgame


Political environment5
Political Environment

What We Don’t Know

  • Roadways vs. roadblocks

  • Impact of presidential nominees on process


Utah state budget overview
Utah State Budget Overview

  • Legislator’s allocated $775 million in new funds for 2008-2009

  • $441 million prioritized for new school funding

  • $100 million for future public education

  • $72 million for public safety, for corrections, UHP officers, county jails and new prison in Gunnison.


Utah state budget overview1
Utah State Budget Overview

  • $60 million to the state’s rainy day funds

  • $18 million in tax cuts for self employed families who purchase own health ins.

  • $14 million for Medicaid needs

  • $12 million for Higher Education


Health and human services
Health and Human Services

  • FY 2009 appropriated budget is $66,929,500 over the 2008 budget

  • 2.6% increase

  • General Fund increased by $28,078,200 or 4.3%


Major funding initiatives
Major Funding Initiatives

  • Provider Contract COLAs of 3% based on operating budget

  • Federal Medical Assistance Rate Change funded

  • Medicaid Inflation/Provider Reimbursement Rates increased 2-3%

  • Inpatient Hospital increase 2.7%

  • Outpatient Hospital increase 3.3%


Major funding initiatives1
Major Funding Initiatives

  • Baby Watch Early Intervention reallocation for 6% provider rates and 5% caseloads

  • Immunization funding for underinsured children one time $500,000

  • Medicaid adult dental services

  • Community Health Centers one-time GF for grants to serve medically uninsured

  • Medicaid funding decrease utilization


Budget policy initiatives
Budget Policy Initiatives

  • HB 326 Children’s Health Insurance Program – Open Enrollment $2,700,000 on going GF for the FY 2010 base with non-lapsing appropriation

  • HB 133 – Health System Reform - $615,000 on going and $882,000 one-time GF. Creates a multi-agency strategic reform plan & 11 member task force


Budget policy initiatives1
Budget Policy Initiatives

  • HB 133 provides funding to encourage standard electronic medical records

  • Additional partnerships to work on health care reform – UHA Health Care Coalition

  • Members appointed – Sen.Killpack, Knudson, Bell and Davis

  • Rep. David Clark, Barrus, Daw, Newbold, Painter, Litvak and Biskupsi


Failed bills
Failed Bills

  • HB 168- Health Insurance Market – Allowed insurance companies to offer products without state minimum mandates

  • HB 491 – Health Plan Exemption for Selected Requirements

  • Issues may be discussed in the Health Care Task Force


Workforce budgets
Workforce Budgets

  • Nurse education funding with Utah hospitals paying match $2 million ongoing

  • Health care initiative $900,000 to Dixie and SLCC for health care workforce

  • Medical Education Council $220,000 GF to replace dedicated credits lost


Other uha bills of interest
Other UHA Bills of Interest

  • HB 121 – County Charges to Incarcerated Persons requires all counties to pay Medicaid rate to hospitals and PEHP rates plus 35% to physicians w/o a contract for services to county inmates

  • HB 47 – Standards for Exchange of Electronic Health Information. Establishes statewide standards


Other uha bills of interest1
Other UHA Bills of Interest

  • H.B. 140- Child Restraint Device Amendments – children under 8 in child seats

  • H.B. 268- Health Facility Committee Membership – adds a hospital affiliated outpatient ASC member

  • HB 74 – Medicaid 340B Drug Pricing Program – Requires UDOH to explore expanding the program


Uha tracking
UHA Tracking

  • HB 82 – Notice of Changes to State Medicaid Plan – Requires UDOH to notify the legislature when changes are made

  • HB 277 – Pandemic Preparedness Amendments – provides immunity in disasters for use of a building for vaccine distribution

  • HB 366- Medicaid Long Term Care Amendments – changes bed banking and limits growth without UDOH oversight


Uha tracking1
UHA Tracking

  • HB 399 – Medication Aide Certified Amendments – ongoing certification by DOPL for medication aides.

  • SB 66 – Uniform Emergency Volunteer Health Practitioners Act – Outside volunteer registration in response to a declared emergency

  • SB 93 – Licensed Direct Entry Midwife – defines normal birth, clarifies client transfer requirements for hospitalization


Uha tracking2
UHA Tracking

  • SB 97 – Immigration Task Force

  • SB99 Amendments to Sales and Use Tax for Prosthetic Devices – tax exemption for prosthetic devices

  • SB 146 – Amendment to Uniform Anatomical Gift Act – coordinates directions from a pt. under an advanced directive to declare to make a gift


Uha tracking3
UHA Tracking

  • SB 161 – Advance Health Care Directive – Describes standards surrogates use when making a health care decision, modifies the POLST form

  • Training is available from the Utah Bar.


2008 state elections
2008 State Elections

  • Senate Leadership Will Have Some New Faces Next Year

  • The most influential Senators in the Utah Legislature are resigning, signaling a changing of the guard. Senate Majority Whip, Davis County's Dan Eastman, the Rules Committee Chairman, Senator Bill Hickman, and Minority Leader Mike Dimitrich

  • Senate President John Valentine isn't worried.


Questions
Questions?

Deb Wynkoop

UHA, Utah Hospitals & Health Systems Assn

801-486-9915


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