Draft Only Approval Pending S UMMARY of P ROCEEDINGS JOINT LABOR, HEALTH AND SOCIAL SERVICES COMMITTEE COMMITTEE M EETING I NFORMATION December 12-14, 2016 Room L54 – Jonah Business Center 3001 E. Pershing Blvd. Cheyenne, Wyoming COMMITTEE M EM BERS PRESENT Senator Charles Scott, Cochairman Representative Elaine Harvey, Cochairman Senator Brian Boner Senator Ogden Driskill Senator R. Ray Peterson Representative Fred Baldwin Representative Eric Barlow Representative JoAnn Dayton Representative Norine Kasperik Representative Lloyd Larsen Representative Lars Lone Representative Andy Schwartz Representative Sue Wilson COMM ITTEE M EM BERS NOT PRESENT Senator Bernadine Craft OTHER LEGISLATORS PRESENT Representative Scott Clem Representative Marti Halverson Representative-elect Anthony Bouchard Representative-elect Mike Giearu Representative-elect Timothy Hallinan Representative-elect Patrick Sweeney The Committee Meeting Summary of Proceedings (meeting minutes) is prepared by the Legislative Service Office (LSO) and is the official record of the proceedings of a legislative committee meeting. This document does not represent a transcript of the meeting; it is a digest of the meeting and provides a record of official actions taken by the Committee. All meeting materials and handouts provided to the Committee by the Legislative Service Office, public officials, lobbyists, and the public are on file at the Legislative Service Office and are part of the official record of the meeting. An index of these materials is provided at the end of this document and these materials are on file at the Legislative Service Office. For more information or to review meeting materials, please contact the Legislative Service Office at (307) 777-7881 or by e-mail at [email protected] . The Summary of Proceedings for each legislative committee meeting can be found on the Wyoming Legislature’s website at www.wyoleg.gov. PAGE 2 OF 15 LEGISLATIVE SERVICE OFFICE STAFF Ian Shaw, Legal Division Administrator Elizabeth Martineau, Associate Program Evaluator Heather Jarvis, Staff Attorney OTHERS PRESENT AT M EETING Please refer to Appendix 1 to review the Committee Sign-in Sheet for a list of other individuals who attended the meeting. EXECUTIVE SUMMARY The Committee met for three days in Cheyenne. During the meeting, the Committee heard testimony from the Department of Health and others concerning the EMS interstate licensure compact, the Employment First Policy, the DD Preschool program, the CHIP program, the multipayer claims database and state administered health insurance study, healthcare provider reimbursement rebasing, the Department of Health Facilities Task Force, the Joint Subcommittee on Title 25 Issues, the UW Family Medicine Residency study, as well as telehealth and insurance parity. The Committee also heard testimony from the Department of Family Services about statutory cleanup requests and welfare program qualification requirements that affect participant wage increases. The Wyoming Military Department discussed Medicaid benefits for military members. The Department of Workforce Services discussed Worker’s Compensation rate setting and unemployment insurance statutory changes. The Department of Insurance discussed the future of the Affordable Care Act. On the third day, the Committee and others participated in an education session presented by the National State Conference of Legislators. CALL TO ORDER AND APPROVAL OF MINUTES (DECEMBER 12, 2016) Cochairman Harvey called the meeting to order at 9:00 a.m. The Committee voted to approve its August 25-26, 2016 meeting minutes. The following sections summarize the Committee proceedings by topic. Please refer to Appendix 2 to review the meeting agenda. EMS LICENSURE COMPACT The Committee reviewed 17LSO-267-EMS licensure-interstate compact. See Appendix 3 and Appendix 4, and Appendix 5. Ian Shaw, LSO Legal Division Administrator, and Jackson Engels, Wyoming Attorney General’s Office, discussed concerns with the compact language. There is existing precedent to support the EMS licensure compact, in that the language in the bill is similar to language in the Nurse Licensure Compact enacted in the 2016 legislative session. The Committee discussed concerns about the education and professional standards for EMS professionals in Wyoming. Andy Gienapp, Emergency Medical Services, testified that although the compact includes national requirements, the State would retain the ability to set the specific education and professional standards, including the scope of practice or use of new technologies, for EMS professionals in Wyoming. The Committee also questioned Wyoming’s financial obligation to the compact commission. The discussion was open for public comment. Eric Boley, Wyoming Hospital Association, testified that several meetings were held around the state and other stakeholders did express their support for the compact. JOINT LABOR, HEALTH & SOCIAL SERVICES COMMITTEE Summary of Proceedings WYOMING LEGISLATIVE SERVICE OFFICE • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE (307) 777-7881 • FAX 307-777-5466 • E-MAIL [email protected] • WEB SITE www.wyoleg.gov PAGE 3 OF 15 Representative Kasperik moved to have the Committee sponsor 17LSO-267-EMS licensure-interstate compact. The motion was seconded by Representative Wilson. The motion passed on a roll call vote, all members voting in favor of the motion, with the following amendments: Page 11-line 20 After "§731.202" insert "or subsequent similar federal legislation". Page 50-line 16 Delete "33-26-301(a),". Page 51-lines 12 through 23 Delete. Page 53-line 15 Delete "biennium" insert "biennial". DEPARTMENT OF FAMILY SERVICES STATUTORY CLEANUP REQUESTS Director Steve Corsi, Rachel Campbell, Roxanne O’Conner, and Brenda Lyttle, Department of Family Services (“DFS”), presented 17LSO-111-DFS statutory amendments and provided the Committee with additional explanation for specific provisions. See Appendix 6 and Appendix 7. Ms. Campbell noted that the Attorney General’s Office felt the purpose of the Central Registry statute was to balance between protecting the public and the rights of alleged perpetrators and therefore, the language on Page 3-lines 30-32 should be removed. The Committee discussed the recommendation and Ms. Campbell provided a description of the Central Registry, including a review of its purpose and existing requirements when communicating with alleged perpetrators. The Committee requested that DFS provide more information regarding the burial benefits expenditures, specifically looking at the amount counties would be responsible for under the proposed statutory change. Representative Barlow moved to have the Committee sponsor 17LSO-111-Department of family services-statutory amendments. The motion was seconded by Representative Kasperik. The motion passed on a roll call vote, all members voting in favor of the motion, with the following amendments: Page 2-line 12 Delete "14-3-213(e)". Page 2-line 18 After "42-2-501(c)(intro)" insert "and by creating a new subsection (g)". Page 2 lines 21 through 27 Delete. Page 3-lines 1 through 32 Delete. Page 4-line 36 After "employer" insert "or entity". Page 5-lines 1 and 2 Reinsert stricken, new language "in the course of their employment or volunteer service". Page 8-line 9 Delete line after "registry.". Page 8-lines 10 through 12 Delete. Page 10-line 32 After "employer" insert "or entity". JOINT LABOR, HEALTH & SOCIAL SERVICES COMMITTEE Summary of Proceedings WYOMING LEGISLATIVE SERVICE OFFICE • 213 State Capitol • Cheyenne, Wyoming 82002 TELEPHONE (307) 777-7881 • FAX 307-777-5466 • E-MAIL [email protected] • WEB SITE www.wyoleg.gov PAGE 4 OF 15 Page 10-lines 33 and 34 Reinsert stricken, new language "in the course of their employment or volunteer service". Page 14-line 18 Delete and insert "(F) Child care program;". Page 18-line 4 Delete new language reinsert stricken language. Page 18-lines 6 and 7 Delete. Page 18-after line 21 Insert: "(g) To the extent the department encounters an individual enrolled in Medicaid who the department has reason to believe is not eligible for Medicaid, the department shall inform the individual and the department of health Medicaid division of the reasons the department does not believe the individual is eligible.". No public comment was provided on the bill. WELFARE PROGRAM QUALIFICATION REQUIREMENTS THAT DISCOURAGE / ENCOURAGE PARTICIPANT WAGE INCREASES After some additional research, Director Corsi, Department of Family Services, determined that legislation would not be necessary at this time to address the Committee’s fiscal cliff concerns. Instead, DFS plans to work with several stakeholders to begin development of a pilot program directed at assisting clients to attain financial self-sufficiency. Director Corsi noted that the next meeting to discuss the pilot program will be January 6, 2017. MILITARY DEPARTMENT – DD W AIVER WAITING LIST – MILIT ARY PERSONNEL Major General K. Luke Reiner, Wyoming Military Department, provided an update regarding the ongoing efforts of the Wyoming Air and Army Guard. General Reiner then presented information related to the Medicaid developmental disability support waiver for transitional special needs military family members who participate in the Exceptional Family Member Program (“EFMP”). See Appendix 8. Currently, twenty-three states have remedies for qualifying EFMP families. See Appendix 9. The Committee discussed 17LSO-128-Medicaid waiver program-military personnel. See Appendix 10. While the Department of Health and Wyoming