Utah was one of the first states to operate an all-payer claims database (APCD), and claims to be the first to begin tracking and analyzing episodes of care, which will be an important feature of risk-sharing based payment systems in a number of states looking to reduce private payer and Medicaid expenditures. Utah’s Governor has also pitched an alternative to Medicaid expansion, and began the process of obtaining the necessary legislative approval and HHS waivers to bring affordable healthcare to Utah’s low-income population not covered by the state’s existing Medicaid rolls or ACA premium subsidies.
In the 2018 legislative term, the legislature introduced several bills aimed at healthcare price transparency and cost control, including SB 208, which would prohibit a pharmacy benefits manager from preventing a pharmacist from disclosing cost information to a patient, and HB 19, which rewards insurance enrollees for selecting high-quality and low-cost health care providers.
2020 Legislative Session: 1/27/2020 - 3/12/2020 (2020 term). *Current session bill updates are ongoing. Check back weekly for updates.