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Senate advances substitute Medicaid waiver bill amid fiscal‑note and oversight concerns
Summary
Senators debated a first substitute to Senate Bill 172 that directs the Department of Health to pursue Medicaid waivers, pilot medical‑savings accounts for a limited population and seek a per‑capita block grant. Supporters framed it as innovation and state control; opponents warned of punitive impacts and pushed for clearer fiscal analysis.
Senators debated a broad substitute to Senate Bill 172 on Feb. 26 that would direct the Utah Department of Health to pursue Medicaid waivers and pilot new delivery models while limiting implementation to programs that reduce state Medicaid costs.
Sponsor remarks said the substitute narrows earlier language that produced a large fiscal note, turning potentially statewide programs into targeted pilots (estimated to affect roughly 10,000 Medicaid recipients) and removing the phrase “to the fullest extent allowed under federal law” to avoid assumptions that all recipients would receive state‑funded medical savings accounts. The substitute asks the department to study retroactive eligibility, explore direct primary‑care payment models, require internal reviews of…
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