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Senate advances bill to establish permanent Indian health liaison role at Utah Department of Health

Utah State Senate · February 11, 2020
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Summary

Senators passed amendments to create and fund (subject to appropriation) a full-time Indian health liaison position at the Utah Department of Health to address persistent health disparities for American Indian and Alaska Native communities; the bill advanced with unanimous support on the floor.

Senate Bill 22, presented by Senator Iwamoto, would establish a strengthened Indian health liaison role within the Utah Department of Health to coordinate outreach, tribal consultation and public-health surveillance for American Indian and Alaska Native communities across the state.

Iwamoto said tribal leaders requested the change to respond to long-standing disparities in maternal and child health, chronic disease and access to care. He described historical steps that led to a liaison role in the early 2000s and noted that prior federal grant funding for liaison work has ended. "Tribal leadership and health program requests for technical assistance, program outreach, and health promotional activities have increased and exceeded the current capacity for one person to address," Iwamoto said. He told the Senate the department currently lacks capacity in surveillance and epidemiology to fulfill reporting and analytic requests.

Sponsor comments and supporting context: Iwamoto said the role would address opioid grants, Medicaid expansion issues, maternal and child health, immunizations, and public-health emergency preparedness. He said the liaison has previously served multiple tribes and had met with tribal governments multiple times during a prior reporting period. Senator Hinkins was listed as a cosponsor and tribal leaders submitted letters of support.

Floor action: Senator Iwamoto moved SB22 to third reading. No further questions were raised during floor consideration; the clerk reported the bill had received 26 yea votes, 0 nay votes and 3 absent and would be read a third time.

What remains: The bill creates or codifies liaison authority and responsibilities; the transcript notes that funding is tied to appropriations and that prior liaison positions were funded by a grant that had ended. The bill’s implementation and any appropriation for staffing or epidemiology capacity will depend on subsequent appropriation action.