We have completed SIX weeks of the legislative session, only one week to go-- Thursday, March 12th is the final day. Please see below for an updated list of bills UHPP is following, and their current status.
The main updates for this week:
HB38, Representative Daw's Substance Use and Health Care bill passed its final Senate hurdle (after some major revisions) and will be signed into law! HB 207 - Representative Thurston's insulin access bill passed out of the Senate HHS committee, and is waiting for Senate floor approval. SB74 - Senator Kitchen's family planning services bill passed the House HHS committee but was returned to Rules due to fiscal impact. HB313 - Representative Ballard's telehealth bill passed the Senate HHS committee and is awaiting Senate floor approval.
Representative Dunnigan introduced two bills to address surprise medical bills, HB456 and HB457, but they have not yet received a committee hearing, and might not gain any steam this session...
The budget is yet to be finalized, but the Executive Appropriations Committee released its list of funding priorities Friday afternoon. You can see that HERE.
Calls to Action! Use the links below to speak out:
1. Contact members of the Executive Appropriations committee ASAP and ask them to please prioritize funding 12-month continuous eligibility for children. This was NOT listed on the committee's budget, and so they need to hear from us! (very politely, of course.)
This 'Keeping Kids Covered' bill would provide 12- month continuous eligibility for kids on Medicaid, and would address other potential barriers to coverage for children by allowing automatic CHIP premiums and chartering a study on Utah’s kids churn issue.
Ranked #14 on Social Service Appropriations Ongoing Priority List and #18 on the one-time list. Will move forward as an appropriation rather than as a bill. NOT listed on EAC budget list.
This bill creates an incentive for health benefit plans to reduce the required copayments for insulin. As well as increasing the number of days for which an insulin prescription can be refilled, increasing the length of time an insulin prescription can last and increases the number of professions that can be licensed to prescribe insulin.
House/ HHS Passed | House/ Passed 3rd Reading
Senate/ HHS Passed | On Senate 2nd Reading Calendar
This bill requires the Division of Health Care Financing to apply for a Medicaid waiver or a state plan amendment to extend family planning services to certain low-income individuals; and extends the sunset date for the current reporting requirement.
Senate HHS- Favorable Recommendation
Senate/ 2nd Reading Passed
House HHS/ Favorable Recommendation | Returned to Rules
This bill requires the Department of Health to submit a request to the United States Department of Health and Human Services for a prescription drug importation program. If the request is approved, this bill requires PEHP to operate a two-year pilot prescription drug importation program for the state's health insurance risk pool.
Modifies and enacts provisions related to mental health treatment access. Gives recommendations on the need for more adult beds at the Utah State Hospital. Outlines the responsibilities of assertive community outreach treatment teams (ACT teams) and requests a grant to develop ACT teams. The third substitute version also creates a Utah Substance Use and Advisory Council within the Governor's office.
Ranked #40 on Social Service Appropriations Ongoing Priority List
Listed on EAC budget options- $6,2740,000 ongoing and just over $1 million one-time
This bill amends the definition of telemedicine services; clarifies the scope of telehealth practice; and requires certain health benefit plans to provide coverage parity and commercially reasonable reimbursement for telehealth services and telemedicine services.
This bill focuses on facility balance billing issues. Enforces that facilities will bill for the median of contracted in-network rates with all managed care organization contracts. Enforces that will never pay more than in-network costs.
This bill focuses on provider balance billing issues. Enforces that non-ER providers will bill at the 80th percentile of all total amounts paid for services in a similar specialty. The Insurance Department will pull this percentile from the APCD annually. ER providers will bill at the median contracted in-network rates with all managed care organizations. Enforces that consumers will never pay more than in-network costs
Directs the Utah Department of Health to apply for a waiver allow inmates with substance use disorder to apply for and receive Medicaid benefits up to 30 days before release from a correctional facility. Creates a substance use and mental health tele-health pilot program to be conducted in one or more county jails, and tax refund for qualifying clinicians providing care for incarcerated individuals.
Implements more transparency measures on PBMs. Requires the Insurance Department to annually publish the total value of rebates and administrative fees received by a PBM from a pharmaceutical manufacturer.
Requires health care facilities and providers who do balance billing for certain services to submit a report to the Insurance Department. Implements rules, and penalties, for those that do not comply with submitting information
Senate Business and Labor Committee - Favorable Recommendation
This bill would provide pharmacy-counter flexibility for certain drugs like albuterol and epinephrine, allowing emergency refills and other measures to ensure patients don't run out of these prescriptions.
Senate HHS Passed | Senate/ Passed 2nd and 3rd Reading