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J_JBC_2019A 03/04/2019 01:30:00 PM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
JOINT COMMITTEE COMMITTEE ON JOINT BUDGET COMMITTEE
Date 03/04/2019
Attendance
Hansen X
Rankin X
Ransom X
Zenzinger X
Esgar X
Moreno X
X = Present, E = Excused, A = Absent, * = Present after roll call
Time 01:30:00 PM to 05:31:02 PM
Place JBC
This Meeting was called to order by Senator Moreno
This Report was prepared by Eric Kurtz
Hearing Items Action Taken
Department of Health Care Policy and Financing (Executive Director's Office, Medical Services Premiums, Indigent Care Program, Other Medical Programs) Figure Setting

Department of Health Care Policy and Financing (Executive Director's Office, Medical Services Premiums, Indigent Care Program, Other Medical Programs) - Figure Setting


02:12:00 PM
 Motion Staff rec for R6, +footnote to tie county incentive payments to quality improvement plans, +request for information to track savings
Moved Esgar
Seconded
Hansen
Rankin
Ransom
Zenzinger
Esgar
Moreno
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Withdrawn


02:13:00 PM
 Motion Staff rec for portion of R6 to consolidate returned mail
Moved Moreno
Seconded
Hansen Yes
Rankin Yes
Ransom No
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 5   NO: 1   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:14:00 PM
 Motion Staff rec for portion of R6 to increase county incentive payments
Moved Moreno
Seconded
Hansen Yes
Rankin Yes
Ransom No
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 5   NO: 1   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:15:00 PM
 Motion Staff rec for portion of R6 to centralize administration of NEMT
Moved Moreno
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:22:00 PM
 Motion Staff rec for R12
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS
02:35:00 PM  
Staff rec for portion of R13 for Personal
care/Homemaker rates laid over (to discuss a potential bill)


02:38:00 PM
 Motion Staff rec for portion of R13 to adjust Home- and Community-Based Services rates
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:39:00 PM
 Motion Staff rec for portion of R13 to adjust Transportation rates
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:42:00 PM
 Motion Staff rec for portion of R13 to adjust Dental rates
Moved Esgar
Seconded
Hansen
Rankin
Ransom
Zenzinger
Esgar
Moreno
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Withdrawn


02:50:00 PM
 Motion Staff rec for portion of R13 to adjust Maternity rates
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:51:00 PM
 Motion Staff rec for portion of R13 to adjust Other rates
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:52:00 PM
 Motion Staff rec for portion of R13 to adjust Primary Care/Radiology/PT&OT rates
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:53:00 PM
 Motion Staff rec for portion of R13 to adjust Laboratory/pathology Prates
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:55:00 PM
 Motion Staff rec for portion of R13 to adjust Diabetes Test Strips rates
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


02:55:00 PM
 Motion Re: portion of R13 to adjust Anesthesia rates - Adjust rates to 120 percent of Medicare rates
Moved Hansen
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


03:16:00 PM
 Motion Staff rec for R15
Moved Esgar
Seconded
Hansen Excused
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 5   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  PASS


03:20:00 PM
 Motion Staff rec for BA7
Moved Esgar
Seconded
Hansen Excused
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 5   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  PASS


03:25:00 PM
 Motion Staff rec for Staff Initiated - Breast and Cervical Cancer, +draft a bill to reauthorize
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


03:55:00 PM
 Motion Staff rec for R7
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


04:05:00 PM
 Motion Staff rec for R8
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom No
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 5   NO: 1   EXC: 0   ABS:  0   FINAL ACTION:  PASS


04:08:00 PM
 Motion Staff rec for R9
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


04:22:00 PM
 Motion Staff rec for all portions of R10 except Call Center Temporary Pool
Moved Moreno
Seconded
Hansen Yes
Rankin Yes
Ransom No
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 5   NO: 1   EXC: 0   ABS:  0   FINAL ACTION:  PASS


04:23:00 PM
 Motion Staff rec for portion of R10 for Call Center Temporary Pool
Moved Moreno
Seconded
Hansen Yes
Rankin Yes
Ransom Excused
Zenzinger No
Esgar No
Moreno No
YES: 2   NO: 3   EXC: 1   ABS:  0   FINAL ACTION:  FAIL


04:45:00 PM
 Motion Department request for R11
Moved Zenzinger
Seconded
Hansen
Rankin
Ransom
Zenzinger
Esgar
Moreno
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Withdrawn


04:45:00 PM
 Motion Modified staff rec for R14 to draft a Nursing Home Civil Penalty bill to charge the Medical Services Board with setting a reserve requirement, eliminate the annual cap on expenditures, and eliminate the repeal
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


04:54:00 PM
 Motion Staff rec for BA6
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS
04:55:00 PM  
There were no motions on NP Office of Electronic
Health Information, NP CBMS-PEAK, or Staff Initiated - State Innovation
Model, since the JBC previously acted on these during figure setting for
the Governor's Office


04:55:00 PM
 Motion Staff rec for Line Item Detail - Executive Director's Office
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:00:00 PM
 Motion Staff rec for R1
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:01:00 PM
 Motion Staff rec for Line Item Detail - Medical Services Premiums
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:02:00 PM
 Motion Continuation funding for PACE, rather than the rate reduction forecasted in R1
Moved Moreno
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:04:00 PM
 Motion Staff rec for R3
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:10:00 PM
 Motion Staff rec Line Item Detail - Indigent Care Program
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:11:00 PM
 Motion Staff rec for R4
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:12:00 PM
 Motion Staff rec for Line Item Detail - Other Medical Services
Moved Esgar
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:13:00 PM
 Motion Staff rec for footnotes and requests for information, +new RFI asking HCPF to report on success in achieving savings projections, +new FN instructing HCPF to tie county incentive payments to county quality improvement plans and federal penalty payments
Moved Rankin
Seconded
Hansen Yes
Rankin Yes
Ransom Yes
Zenzinger Yes
Esgar Yes
Moreno Yes
YES: 6   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


05:31:02 PM   The committee adjourned.






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