Rep. Norm Thurston — Voting Record

Bill

Number

S.B. 98 First Substitute (2015GS)

Sponsor

Sen. Adams, J. S.

Final action

Governor Signed 3/27/2015

Outcome

Became law — signed by Gov. Gary R. Herbert

Summary

What it does

• This bill:
• provides definitions;
• requires base budgets to include funding for Medicaid accountable care organizations at specified amounts; and
• requires the Governor's Office of Management and Budget, in cooperation with the Office of the Legislative Fiscal Analyst, to develop an estimate of ongoing General Fund revenue for the next fiscal year and provide it to the Department of Health no later than September 1 of each year.

Every vote on this bill

Bill text

MEDICAID ACCOUNTABLE CARE ORGANIZATIONS
GENERAL SESSION
STATE OF UTAH
Chief Sponsor: J. Stuart Adams
House Sponsor: 
James A. Dunnigan
LONG TITLE
General Description:
This bill requires base budgets to include funding for Medicaid accountable care
organizations at specified amounts.
Highlighted Provisions:
This bill:
▸ provides definitions;
▸ requires base budgets to include funding for Medicaid accountable care
organizations at specified amounts; and
▸ requires the Governor's Office of Management and Budget, in cooperation with the
Office of the Legislative Fiscal Analyst, to develop an estimate of ongoing General
Fund revenue for the next fiscal year and provide it to the Department of Health no
later than September 1 of each year.
Money Appropriated in this Bill:
None
Other Special Clauses:
This bill provides a special effective date.
Utah Code Sections Affected:
ENACTS:
26-18-405.5
, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 
26-18-405.5
 is enacted to read:
 26-18-405.5.
Base budget appropriations for Medicaid accountable care
organizations.
(1) For purposes of this section:
(a) "ACOs" means accountable care organizations.
(b) "Base budget" means the same as that term is defined in legislative rule.
(c) "Current fiscal year PMPM" means per-member-per-month funding for Medicaid
accountable care organizations under the Department of Health in the current fiscal year.
(d) "General Fund growth factor" means the amount determined by dividing the next
fiscal year ongoing General Fund revenue estimate by current fiscal year ongoing
appropriations from the General Fund.
(e) "Next fiscal year ongoing General Fund revenue estimate" means the next fiscal
year ongoing General Fund revenue estimate identified by the Executive Appropriations
Subcommittee, in accordance with legislative rule, for use by the Office of the Legislative
Fiscal Analyst in preparing budget recommendations.
(f) "Next fiscal year PMPM" means per-member-per-month funding for Medicaid
accountable care organizations under the Department of Health for the next fiscal year.
(2) If the General Fund growth factor is less than 100%, the next fiscal year base
budget shall include an appropriation to the Department of Health for Medicaid ACOs in an
amount necessary to ensure that next fiscal year PMPM equals current fiscal year PMPM
multiplied by 100%.
(3) If the General Fund growth factor is greater than or equal to 100%, but less than
102%, the next fiscal year base budget shall include an appropriation to the Department of
Health for Medicaid ACOs in an amount necessary to ensure that next fiscal year PMPM
equals current fiscal year PMPM multiplied by the General Fund growth factor.
(4) If the General Fund growth factor is greater than or equal to 102%, the next fiscal
year base budget shall include an appropriation to the Department of Health for Medicaid
ACOs in an amount necessary to ensure that next fiscal year PMPM is greater than or equal to
PMPM multiplied by 102% and less than or equal to current fiscal year PMPM multiplied by
the General Fund growth factor.
(5) In order for the department to estimate the impact of Subsections (2) through (4)
prior to identification of the next fiscal year ongoing General Fund revenue estimate under
Subsection (1)(e), the Governor's Office of Management and Budget shall, in cooperation with
the Office of the Legislative Fiscal Analyst, develop an estimate of ongoing General Fund
revenue for the next fiscal year and provide it to the department no later than September 1 of
each year.
Section 2. 
Effective date.
This bill takes effect on July 1, 2015.