No. 34327 (New Rule): Rule R434-50. Assistance for People with Bleeding Disorders

(New Rule)

DAR File No.: 34327
Filed: 12/21/2010 03:21:21 PM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The rule establishes the criteria for awarding grants and financial need review criteria as required under Subsection 26-47-103(1)(b)(iii)(D).

Summary of the rule or change:

The rule establishes criteria for awarding grants and financial need review criteria, and establishes the criteria for persons with bleeding disorders to receive financial assistance for bleeding disorder services, including health insurance coverage and premiums.

State statutory or constitutional authorization for this rule:

• Subsection 26-47-101(5)(a)

Anticipated cost or savings to:

the state budget:

Cost to the Utah Department of Health to print and distribute the new rule throughout the state, as well as administrative costs to manage and monitor the grant. Rulemaking will require an increased workload to the Department. The estimated cost to the Department includes: printing ($75), cost of envelops ($50), postage ($325), costs of $450 based on past experience; estimated administrative costs include personnel time for .2 FTE ($11,000), office space rental ($600), telephone and fax ($150), which totals $11,750. Program information is also entered and maintained in a newly created database which is estimated to cost $800 annually.

local governments:

No costs are foreseen to local governments. Local governments are not affected as only eligible individuals with bleeding disorders are affected and they are required to work through the Utah Hemophilia Foundation.

small businesses:

No costs are foreseen to small businesses. Small businesses are not affected as only eligible individuals with bleeding disorders are affected and they are required to work through the Utah Hemophilia Foundation.

persons other than small businesses, businesses, or local governmental entities:

No costs are foreseen to other persons. Cost savings are anticipated to persons diagnosed with hemophilia or a bleeding disorder that are awarded funding under this program. The application to become eligible for funding through the Program is available to other persons to fill out and submit online. The only costs to other persons would be the time spent filling out the application and submitting it to the Utah Hemophilia Foundation.

Compliance costs for affected persons:

Compliance costs related to applying for a grant are minimal for affected persons. The application to become eligible for funding through the Program is available to other persons to fill out and submit online. The only costs to other persons would be the time spent filling out the application and submitting it to the Utah Hemophilia Foundation.

Comments by the department head on the fiscal impact the rule may have on businesses:

This is an important program for persons with bleeding disorders. Fiscal impact to business is positive as payments are made available to assist access to this service.

David N. Sundwall, MD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Health Systems Improvement, Primary Care and Rural Health
3760 S HIGHLAND DR
SALT LAKE CITY, UT 84106

Direct questions regarding this rule to:

• Erin Olsen at the above address, by phone at 801-273-6618, by FAX at 801-273-4146, or by Internet E-mail at [e-mail]

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

02/14/2011

This rule may become effective on:

02/21/2011

Authorized by:

David Sundwall, Executive Director

RULE TEXT

R434. Health Systems Improvement, Primary Care and Rural Health.

R434-50. Assistance for People with Bleeding Disorders.

R434-50-1. Authority and Purpose.

This rule is required by Section 26-47-103 (5). It implements Section 103 of the Health Care Assistance Act, Title 26, Chapter 47.

 

R434-50-2. Definitions.

The definitions as they appear in Section 26-47-103 (1) apply. In addition, "Department" means the Utah Department of Health.

 

R434-50-3. Grant Application.

An applicant responding to a request for grant application under this program shall submit its application as directed in the grant application guidance issued by the department.

 

R434-50-4. Criteria for Awarding Grants.

The department shall consider:

(1) the extent to which the applicant:

(a) demonstrates that it will provide assistance to the greatest number of persons with bleeding disorders residing across the State of Utah;

(b) utilizes other sources of funding, including private funding, to provide bleeding disorder services; and

(c) provides:

(i) information that meets the requirements established in Section 26-47-103 (3);

(ii) a description of the individuals to be served by the grant;

(iii) the estimated number of individuals to be served with the grant award; and

(iv) the results of an assessment of need demonstrating the need for the bleeding disorder services that the grantee proposes to provide.

(2) the cost to the person with a bleeding disorder for the bleeding disorder services;

(3) the degree to which the applicant meets the requirements of the statute; and

(4) the degree to which the application is feasible, clearly described, and ready to be implemented.

 

R434-50-5. Qualified Service Recipients.

(1) As required by Section 26-47-103 (1)(b)(iii)(D), the Department establishes that to meet the definition of a person with a bleeding disorder the individual's health insurance must be at or greater than 7.5 percent of the individual's adjusted gross income.

(2) The grantee must assure that each individual to whom it provides service under a grant awarded under this rule meets the requirements of this rule and Section 26-47-103 (1)(b).

 

KEY: bleeding disorders, grants

Date of Enactment or Last Substantive Amendment: 2011

Authorizing, and Implemented or Interpreted Law: 26-47-103(5)(a)

 

 

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