Children, Families, Health and Human Services

ANNOUNCEMENTS

The Children and Families Committee has completed its work for the interim. Members agreed to introduce eight bills as committee bills in the 2019 legislative session.

Seven of the bills involved the committee's HJR 24 study of community services for adults with developmental disabilities. The eighth stemmed from its review of Medicaid expansion.

The committee's activities are summarized in the following final reports: HJR 24 Study: DD Services for Adults, HJR 20 Study: Health Care Price Transparency, and HJR 17 Study: Prescription Drug Pricing.

More information on all of the the committee's interim activities is available on the Committee Topics page page. A list of committee-approved legislation is available on the Legislation page.

Full Committee

Agendas
-- Sept. 13 -- Sept. 14 -- Combined
Minutes Log
-- Sept. 13 -- Sept. 14
HJR 24 Study: DD Services for Adults
- LCCF01: Use of Standardized Assessment Tools
- LCCF2a: Consideration of Inflationary Increase
- LCCF2b: Appropriation for Direct-Care Worker Wages
- LCCF3a: Grant Program for Community Services
- LCCF3b: Daily Rates for Certain Services
- LCCF4a: Crisis Response Services -- Existing Funding
- LCCF4b: Crisis Response -- New Funding
- LCCF05: Review of Rules, Policies, and Procedures
- Briefing Paper: Committee Bill Draft--Key Changes and Decision Points
- Draft Final Report: Conclusions and Recommendations
Agency Oversight: DPHHS Materials
- Senate Bill 9 Funding Restorations: DPHHS
- Required Reports
  - Strategic Plan for Reducing Child Abuse and Neglect
  - Suicide Prevention Strategic Plan
Agency Oversight: Staff Reports
- Agency Legislation:
  - Purpose and Process of Committee Review
  - DPHHS Legislative Proposals
- LFD Report: The Pew-MacArthur Results First Initiative (Child Abuse and Neglect)
- Administrative Rule Review
- MDC Client Status
- Montana Marjiuana Act: Registry Statistics

Agenda
Minutes Log
General Fund Revenue: Preliminary Fiscal Year-End Report
Senate Bill 9 -- 2017 Special Session
DPHHS 17-7-140 Budget Reductions
Compilation of Written Public Comment/Suggestions

Agendas -- June 21 -- June 22
Minutes Log -- June 21 -- June 22
Medicaid Expansion
- Speaker Materials
  - HELP-Link Program Update
  - DPHHS Budget Outlook
- Staff Materials
  - LCCF10: Eliminate the HELP Act Oversight Committee
  - Medicaid Expansion Enrollment in Other States
Assigned Studies: Final Reports
- HJR 17: Prescription Drug Pricing
- HJR 20: Health Care Price Transparency
HJR 24 Study: DD Services for Adults
- Bill Drafts and Related Briefing Papers
  - Appropriations-Related Considerations
  - Summary and Considerations Related to the HJR 24 Bill Drafts
  - LCCF01: Use of the Supports Intensity Scale
  - LCCF02: Requirements for Provider Rates and Direct-Care Worker Wages
  - LCCF03: Flexibility in Funding of DD Services
  - LCCF04: Crisis Response Services
  - LCCF05: Review of Rules, Policies, and Procedures
- Draft Final Report on the HJR 24 Study
Agency Oversight: Staff Reports
- Administrative Rule Review
- MDC Client Status
- Montana Marijuana Act:
  - Registry Statistics
  - Selected Statistics From Colorado and Washington
  - Non-Staff Medical Marijuana Reports:
    - Board of Medical Examiners Required Report
    - Cardholder Statistics in Other States (DPHHS)
Agency Oversight: Department of Public Health and Human Services
- Required Reports
- Speaker Materials:
  - STARS Preschool Grant Program
Health and Human Services Oversight
- Alzheimer's Work Group Update

Agenda
Minutes Log (w/exhibits)
Agency Oversight: Staff Materials
- Administrative Rule Review:
  - Summary of Proposed and Adopted Rules
- Monitoring: MDC Closure
  - Client Status as of April 27, 2018
- Monitoring: Medical Marijuana Act
- CFHHS Letter to DPHHS Regarding 2.99% Provider Rate Cut
HJR 24 Study: DD Services for Adults
- Staff Reports on Options for Committee Consideration:
Agency Oversight: Medicaid Expansion
- Speaker Materials:
  - Economic Impact Of Medicaid Expansion in Montana
    - PowerPoint Presentation
    - Full Report
- Staff Reports:
  - Medicaid Expansion: Potential Considerations

Agendas: March 22 -- March 23
Minutes Log: March 22 -- March 23
Agency Oversight: Staff Reports and Statutorily Required Reports
- Adminstrative Rule Review
  - Summary of Proposed and Adopted Rules
1. Monitoring: MDC Closure
  1. Staff Report: Client Status as of March 5, 2018
  2. Statutorily Required Report: HB 458 Monitoring of MDC Clients
2. Monitoring: Medical Marijuana Act
  1. Staff Report: Summary of Proposed and Adopted Rules
    1. Unofficial DPHHS Compilation of Proposed and Adopted Rules
  2. Revenue and Transportation Interim Committee Request for Rule Objection/Changes
    1. Staff Memo: Options Related to RTIC Request
    2. DPHHS Response:
      - Letter from Director Hogan
      - Attachment A: ISO/IEC 17025 General Requirements for Competence of and Calibration of Testing Laboratories
      - Attachment B: Steps to ISO/EIC 17025 Accreditation
      - Attachment C: DPHHS Quality Sampling Protocols
      - Attachment D: DPHHS Quality Assurance Testing
  3. Staff Report: Registry Statistics for February 2018
HJR 24 Study: DD Services for Adults
- Staff Reports:n
  - Summary of Provider Proposals for System Change
  - Approaches in Other States
- DPHHS Materials
  - Memo Regarding 0208 Draft Waiver
- Speaker Materials:
  - Jeff Cross: Benchmark Human Services Crisis Presentation
  - Clay Hiatt: Utah Rate Structure
HJR 20 Study: Health Care Price Transparency
Agency Oversight: Medicaid Expansion
- Staff Report:
  - Work Requirements and Other Federal Changes
- Speaker Materials:
  - Kathleen Nolan: Exploring the Medicaid Reform Landscape
  - Bob Olsen: Expansion Impacts on Montana Hospitals
Agency Oversight: Child Protective Services
- NCSL Materials
  - Privatization in Child Welfare
  - Structure of State HHS Departments

Agendas: Jan. 18 -- Jan. 19
Minutes Logs: January 18, 2018 -- January 19, 2018
Medicaid Expansion
- Staff Reports:
HJR 17 Study: Prescription Drug Pricing
- Speaker Materials:
  - State Auditor's Office PowerPoint
  - Pharmacy Profession Update
HJR 24 Study: DD Services for Adults
- Staff Reports:
  - Individual Cost Plan Overview
  - DD Provider Reimbursement
- Speaker Materials:
  - Secondary Transition: Frank Podobnik, Office of Public Instruction
  - Montana Project SEARCH: Christy Sofianek, Montana State University
  - Flathead Industries PowerPoint
Agency Oversight: Staff Reports and Statutorily Required Reports
- - Administrative Rule Review
    - Summary of Proposed and Adopted Rules
    - MAR Notices 37-788, 37-801, 37-802, and 37-805
      - Staff Report: Rules Subject to Objection
      - Committee Objection Letter, Nov. 8, 2017
      - DPHHS Response to Committee Objection, Nov. 22, 2017
      - Staff Letter Regarding Majority Notification, Dec. 28, 2017
  - Monitoring: Medical Marijuana Act
    - Staff Reports:
      - Summary of Activity to Date
      - Registry Statistics for December 2017
  - Monitoring: MDC Closure
    - Staff Report: Client Status as of December 2017
  - Other Agency Monitoring
    - Staff Reports:
      - Healthy Montana Kids Plan: An Overview
        
        Legislative Fiscal Division HMK Memo, March 2014
      - DPHHS Spending Reductions
    - DPHHS Reports
      - Out-of-State Placement of Children
      - TANF Parents as Scholars
    - Office of the Child and Family Ombudsman
Emerging Issues: Drug-Exposed Children
- Senate Bill 229
- Memo: Wyatt Glade, Custer County Attorney

Agenda
Minutes Log
Draft Letter: Objection to MAR Notices 37-788, 37-801,37-802, and 37-805
Memo: Options Regarding Rules Objection

Agenda
Minutes Log
Revised Draft Interim Work Plan
Medicaid Expansion
- Staff Report: Medicaid--An Overview
- Speaker Materials: Congressional Proposals to Reduce Federal Medicaid Funding--Considerations for Montana
HJR 17: Prescription Drug Pricing
- Staff Report: State Legislation to Control Costs
- Speaker Materials:
  - DPHHS: Costs to Montana Health Care Programs
  - Health Care and Benefits Division: State of Montana Employee Group Benefit Plan-Pharmacy
  - Montana University System: URx Performance Report
  - Department of Corrections: Prescription Medication Costs
HJR 20: Health Care Price Transparency
- HJR 20 Subcommittee Members
- Agenda for Sept. 12, 2017, Meeting
HJR 24: DD Services for Adults
- Staff Report: Overview of Medicaid-Funded DD Services
- Speaker Materials:
  - Montana Resource Allocation Protocol (MONA)
  - Individual Cost Plan (ICP) Example
Agency Oversight: Staff Presentations and Required Reports
- Administrative Rule Review
- Monitoring: Medical Marijuana Act
  - Registry Statistics for July 2017
- Monitoring: MDC Closure
  - Client Status as of August 2017

Administrative Matters

Draft Interim Work Plan and Study Assignments

Agency Oversight: Staff Presentations and Required Reports

Administrative Rule Review
- Overview of Administrative Rule Review
- June 2017 Administrative Rule Report
Montana Medical Marijuana Act
Montana Developmental Center Closure
- Client Status as of June 6, 2017

Agenda
Minutes Log
Draft Letter: Objection to MAR Notices 37-788, 37-801,37-802, and 37-805
Memo: Options Regarding Rules Objection

HJR 20 Subcommittee

Agenda
Minutes Log (will be posted after the committee meeting)
HIE: Montana Health Information Exchange
- Abstract: 2017 Montana HIE Planning Project Report
- Big Sky Care Connect Infographic
Colorado Transparency Laws
- SB 65 (2017)
- Staff Briefing Paper: Considerations Related to Colorado SB 65
- HB 1330 (2010)
- Staff Briefing Paper: Considerations Related to Colorado HB 1330
- Briefing Paper: Colorado Transparency Bill Rating
Suprise Medical Bills: NAIC Model Legislation
- NAIC Surprise Medical Bill Provisions
- Staff Briefing Paper: Considerations Related to NAIC Surprise Bill Provisions
Other Topics
- NASHP Model Drug Importation Legislation

Agenda
Minutes Log
Topic Terminology
Pre-Meeting Reading Materials
- The Medical Billing Process and Use of Coding, Carnegie Mellon University Open Learning Initiative
- Association Between Availability of a Price Transparency Tool and Outpatient Spending, Sunita Desai, et. al.
- Patients' Views on Price Shopping and Price Transparency, Hannah L. Semigran, et. al.
- Supporting Informed Consumer Health Care Decisions, Judith H. Hibbard and Ellen Peters
- Best Practices to Maximize Consumer Use, Judith Hibbard
- Colorado Senate Bill 65, 2017
- Are Price Transparency Tools Actually Working?, David Hines, ConsumerMedical, op-ed
- High Cost Claimants: Private vs. Public Sector Approaches, American Health Policy Institute
- Waste in the Health Care World: An AHPI/VBID Collaboration, American Health Policy Institute
- Why Health-Care Price Transparency Isn't Enough for Consumers, Wall Street Journal
- Doctors Aren't Grasping for Cost Transparency Tools, Richard Mark Kirkner, Managed Care Magazine Online
Components of High-Quality State Price Transparency Resources
Panel Discussion: Consumer Needs in Price Transparency
- Questions for Panelists
- Health Literacy (RiverStone Health handout)
Montana Health Information Exchange
Price Transparency Websites
- Montana Hospital Association Memo
Overview of Billing Process

Agenda
Minutes Log (with exhibits linked)
Topic Terminology
- Reimbursement and Pricing
- Model Cost Reduction Programs
Pre-Meeting Reading Materials
- Montana Code Annotated
  - 50-4-512: Disclosures Required of Health Care Providers
  - 50-4-512: Disclosures Required of Health Insurers
- How Much Should We Spend on Medical Care?, Health Policy Issues-An Economic Perspective: Sixth Edition, Paul Feldstein
- A Way Forward for Bipartisan Health Reform?, American Journal of Public Health Editorial, October 2017
- Singapore Healthcare, William A. Haseltine, The Fiscal Times, June 17, 2013
- Montana Health Care Innovation Plan, Governor's Council on Health Care Innovation, June 2016
Speaker Materials
- Introduction to Reimbursement and Pricing
Questions for Panel Discussions
- Reimbursement and Pricing
- Model Cost Reduction Programs

Agenda
Minutes Log
Draft Letter: Objection to MAR Notices 37-788, 37-801,37-802, and 37-805
Memo: Options Regarding Rules Objection

The video/audio meeting archives are still under development. However, meeting recordings are available using the interface below.

A Guide to Using the Archives

Past/Current Recordings

The Children and Families Interim Committee is a joint bipartisan committee of the Legislature that meets between legislative sessions to monitor the Department of Public Health and Human Services; conduct interim studies; and generally review issues related to health and human services.

The work plan adopted by the committee in September 2017 outlines how it will carry out those duties.