No. 28182 (New Rule): R434-50. Assistance for People with Bleeding Disorders

DAR File No.: 28182
Filed: 08/30/2005, 10:32
Received by: NL

 

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. The rulemaking 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 will be approximately $5,000 to print and distribute the new rule throughout the state and to administer the program.

 

local governments:

This rule does not require action by local governments. If a local government chooses to apply for a grant, its costs will be covered by the grant.

 

other persons:

There may be some cost to grantees, but they will be covered in the grant. No other costs apply to other persons. Savings are anticipated to persons diagnosed with hemophilia or a bleeding disorder who are awarded funding under this program. However, the aggregate savings include the amount appropriated by the legislature minus grantee costs to administer the grant funds. It is anticipated that persons with bleeding disorders may experience some unquantifiable savings because of care provided on a more timely basis.

 

Compliance costs for affected persons:

Any costs to grantees will be covered in the grant. No other costs apply to other persons.

 

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

This voluntary grant program will cover administrative costs to apply as part of grants awarded. No other costs are expected for business. 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
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY UT 84116-3231

 

Direct questions regarding this rule to:

Don Beckwith or Erin L Olsen at the above address, by phone at 801-538-6818 or 801-538-6214, by FAX at 801-536-0940 or 801-538-6387, or by Internet E-mail at [e-mail] or [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:

10/17/2005

 

This rule may become effective on:

10/18/2005

 

Authorized by:

David N. Sundwall, Executive Director

 

 

RULE TEXT

R434. Health, 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 disorder, grants

2005

26-47-103(5)(a)