Rep. Norm Thurston — Voting Record

Bill

Number

H.B. 210 (2022GS)

Sponsor

Rep. Pierucci, C.

Final action

Governor Signed 3/24/2022

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• requires the Health Data Committee to issue a report on primary care spending within the state; and
• makes technical changes.

Every vote on this bill

Bill text

PRIMARY CARE SPENDING AMENDMENTS
GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Candice B. Pierucci
Senate Sponsor: 
Michael S. Kennedy
LONG TITLE
General Description:
This bill requires the Health Data Committee to annually issue a report on primary care
spending within the state.
Highlighted Provisions:
This bill:
▸ requires the Health Data Committee to issue a report on primary care spending
within the state; and
▸ makes technical changes.
Money Appropriated in this Bill:
None
Other Special Clauses:
None
Utah Code Sections Affected:
AMENDS:
26-33a-106.1
, as last amended by Laws of Utah 2019, Chapter 370
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 
26-33a-106.1
 is amended to read:
26-33a-106.1.
Health care cost and reimbursement data.
(1) The committee shall, as funding is available:
(a) establish a plan for collecting data from data suppliers[
, as defined in Section
26-33a-102
,
] to determine measurements of cost and reimbursements for risk-adjusted episodes
of health care;
(b) share data regarding insurance claims and an individual's and small employer
group's health risk factor and characteristics of insurance arrangements that affect claims and
usage with the Insurance Department, only to the extent necessary for:
(i) risk adjusting; and
(ii) the review and analysis of health insurers' premiums and rate filings; and
(c) assist the Legislature and the public with awareness of, and the promotion of,
transparency in the health care market by reporting on:
(i) geographic variances in medical care and costs as demonstrated by data available to
the committee; and
(ii) rate and price increases by health care providers:
(A) that exceed the Consumer Price Index - Medical as provided by the United States
Bureau of Labor Statistics;
(B) as calculated yearly from June to June; and
(C) as demonstrated by data available to the committee;
(d) provide on at least a monthly basis, enrollment data collected by the committee to a
not-for-profit, broad-based coalition of state health care insurers and health care providers that
are involved in the standardized electronic exchange of health data as described in Section
31A-22-614.5
, to the extent necessary:
(i) for the department or the Medicaid Office of the Inspector General to determine
insurance enrollment of an individual for the purpose of determining Medicaid third party
liability;
(ii) for an insurer that is a data supplier, to determine insurance enrollment of an
individual for the purpose of coordination of health care benefits; and
(iii) for a health care provider, to determine insurance enrollment for a patient for the
purpose of claims submission by the health care provider;
(e) coordinate with the State Emergency Medical Services Committee to publish data
regarding air ambulance charges under Section 
26-8a-203
; [
and
]
(f) share data collected under this chapter with the state auditor for use in the health
care price transparency tool described in Section 
67-3-11
[
.
]
; and
(g) publish annually a report on primary care spending within Utah.
(2) (a) The Medicaid Office of Inspector General shall annually report to the
Legislature's Health and Human Services Interim Committee regarding how the office used the
data obtained under Subsection (1)(d)(i) and the results of obtaining the data.
(b) A data supplier [
shall not be
] 
is not
 liable for a breach of or unlawful disclosure of
the data [
obtained by an entity described in Subsection (1)(b)
] 
caused by an entity that obtains
data in accordance with Subsection (1)
.
(3) The plan adopted under Subsection (1) shall include:
(a) the type of data that will be collected;
(b) how the data will be evaluated;
(c) how the data will be used;
(d) the extent to which, and how the data will be protected; and
(e) who will have access to the data.