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H0738aa....................................................by STATE AFFAIRS
DEPARTMENT OF HEALTH AND WELFARE - Adds to existing law to set forth
legislative intent; to establish the Health Quality Planning Commission
within the Department of Health and Welfare; to provide for commission
membership and meetings; to set forth provisions applicable to funding; and
to set forth commission duties.
02/24 House intro - 1st rdg - to printing
02/27 Rpt prt - to Health/Wel
03/08 Rpt out - to Gen Ord
Rpt out amen - to engros
03/09 Rpt engros - 1st rdg - to 2nd rdg as amen
03/10 2nd rdg - to 3rd rdg as amen
03/13 3rd rdg as amen - PASSED - 57-8-5
AYES -- Anderson, Andrus, Barraclough, Bastian, Bedke, Bell, Bilbao,
Boe, Bolz, Brackett, Bradford, Cannon, Chadderdon, Clark, Collins,
Deal, Denney, Edmunson, Ellsworth, Eskridge, Field(18), Field(23),
Garrett, Hart, Henbest, Henderson, Jaquet, Kemp, Lake, LeFavour,
Martinez, Mathews, McGeachin, Miller, Mitchell, Moyle, Pasley-Stuart,
Pence, Raybould, Ring, Ringo, Roberts, Rusche, Sali, Sayler,
Schaefer, Shepherd(2), Shepherd(8), Shirley, Skippen, Smith(30),
Smith(24), Smylie, Snodgrass, Stevenson, Trail, Wills
NAYS -- Barrett, Bayer, Harwood, Loertscher, McKague, Nielsen,
Nonini, Rydalch
Absent and excused -- Black, Block, Crow, Wood, Mr. Speaker
Floor Sponsor - Henbest
Title apvd - to Senate
03/14 Senate intro - 1st rdg - to Health/Wel
03/16 Rpt out - rec d/p - to 2nd rdg
03/17 2nd rdg - to 3rd rdg
03/21 3rd rdg - PASSED - 34-0-1
AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett, Cameron,
Coiner, Compton, Corder, Darrington, Davis, Fulcher, Gannon, Geddes,
Goedde, Hill, Jorgenson, Kelly, Keough, Langhorst, Little, Lodge,
Malepeai, Marley, McGee, McKenzie, Pearce, Richardson, Schroeder,
Stegner, Stennett, Sweet, Werk, Williams
NAYS -- None
Absent and excused -- Burtenshaw
Floor Sponsors - Compton & Stegner
Title apvd - to House
03/22 To enrol
03/23 Rpt enrol - Sp signed
03/24 Pres signed - To Governor
03/30 Governor signed
Session Law Chapter 243
Effective: 07/01/06
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 738
BY STATE AFFAIRS COMMITTEE
1 AN ACT
2 RELATING TO HEALTH QUALITY PLANNING; AMENDING CHAPTER 10, TITLE 56, IDAHO
3 CODE, BY THE ADDITION OF A NEW SECTION 56-1054, IDAHO CODE, TO SET FORTH
4 LEGISLATIVE INTENT, TO ESTABLISH THE HEALTH QUALITY PLANNING COMMISSION
5 WITHIN THE DEPARTMENT OF HEALTH AND WELFARE, TO PROVIDE FOR COMMISSION
6 MEMBERSHIP AND MEETINGS, TO SET FORTH PROVISIONS APPLICABLE TO FUNDING AND
7 TO SET FORTH COMMISSION DUTIES.
8 Be It Enacted by the Legislature of the State of Idaho:
9 SECTION 1. That Chapter 10, Title 56, Idaho Code, be, and the same is
10 hereby amended by the addition thereto of a NEW SECTION, to be known and des-
11 ignated as Section 56-1054, Idaho Code, and to read as follows:
12 56-1054. HEALTH QUALITY PLANNING. (1) It is the intent of the legislature
13 that the department of health and welfare ("the department") promote improved
14 quality of care and improved health outcomes through investment in health
15 information technology and in patient safety and quality initiatives in the
16 state of Idaho.
17 (a) Coordinated implementation of health information technology in Idaho
18 will establish widespread use of networked electronic health information
19 or health records to allow quick, reliable and secure access to that
20 information in order to promote patient safety and best practices in
21 health care. This goal is consistent with the mission of the office of the
22 national coordinator for health information technology, established by the
23 president of the United States in 2004, to provide leadership for the
24 development and nationwide implementation of an interoperable health
25 information technology infrastructure to improve the quality and effi-
26 ciency of health care and the ability of consumers to manage their care
27 and safety.
28 (b) Coordinated implementation of statewide patient safety standards will
29 identify uniform indicators of and standards for clinical quality and
30 patient safety as well as uniform requirements for reporting provider
31 achievement of those indicators and standards.
32 (c) Coordinated implementation of transparency in pricing of health care
33 related services and coverage will advance policies that encourage
34 informed consumer-directed purchasing and containment of escalating health
35 care costs.
36 (2) There is hereby created and established within the department a
37 health quality planning commission ("the commission").
38 (a) By May 1, 2006, and as needed after that date, the governor shall
39 appoint eleven (11) voting members upon assurance of equitable geographic
40 and rural representation, comprising members of the public and private
41 sectors with expertise in health information technology and clinical qual-
42 ity and patient safety. The membership shall represent all major partici-
43 pants in the health care delivery and financing systems. A majority of the
2
1 commission shall be health care providers or employees of health care
2 providers. One (1) member shall be an Idaho resident representing the pub-
3 lic interest. The commission chairperson shall be appointed by the direc-
4 tor of the department.
5 (b) Members of the commission shall be appointed for a term of one (1)
6 year. The term of office shall commence on July 1, 2006, and shall expire
7 on June 30, 2007.
8 (c) The commission shall meet monthly and at the call of the chairperson.
9 (d) Each member of the commission shall be compensated as provided by
10 section 59-509(d), Idaho Code.
11 (e) Upon the occurrence or declaration of a vacancy in the membership of
12 the commission, the department shall notify the represented entity of that
13 fact in writing and the represented entity shall, within sixty (60) days
14 thereafter, nominate at least one (1) and not more than three (3) persons
15 to fill the vacancy and shall forward the nominations to the governor, who
16 shall appoint from among the nominees a person to be a member of the com-
17 mission to fill the vacancy.
18 (f) Members of the commission may be removed by the governor for substan-
19 tial neglect of duty, gross misconduct in office, or the inability to dis-
20 charge the duties described in this section, after written notice and
21 opportunity for response.
22 (g) A majority of the members of the commission shall constitute a quorum
23 for the transaction of all business and the carrying out of commission
24 duties.
25 (3) The department may dedicate funding to the operations of the commis-
26 sion, subject to appropriation from the legislature. The department shall seek
27 federal matching funds and additional private sector funding for commission
28 operations.
29 (4) The commission shall perform the following duties related to health
30 information technology planning:
31 (a) Develop and issue a request or requests for proposals from health
32 care information and communications technology contractors to perform a
33 study on health information technology in Idaho;
34 (b) Award a contract or contracts for the performance of the study to a
35 nationally recognized expert or experts in health information technology;
36 (c) Oversee and coordinate contractor performance;
37 (d) Provide quarterly progress reports to the director of the department
38 and to the legislative health care task force, including an interim status
39 report due to the director and the legislative health care task force by
40 November 30, 2006. The final report of the commission shall be due to the
41 director and the legislative health care task force on June 30, 2007. The
42 final report shall review the contractor study and make recommendations
43 regarding implementation of a plan for the creation of a health informa-
44 tion technology system as described in subsection (4)(f)(ii) of this sec-
45 tion;
46 (e) Widely disseminate requests, including through electronic media, for
47 the active participation of private groups and organizations in the devel-
48 opment of the plan. Before submitting the final plan to the director of
49 the department, the commission shall issue drafts of the plan for public
50 review and shall hold at least one (1) public meeting to receive public
51 comments on the plan;
52 (f) Develop and submit a final plan that shall include, but not be lim-
53 ited to:
54 (i) An analysis of existing health information technology in Idaho
55 and of national trends in the development of health information tech-
3
1 nology systems;
2 (ii) A plan for developing a uniform, statewide, flexible and
3 interoperable health information technology system to be used by
4 providers, patients and payers, including a unique patient identifier
5 for all patients;
6 (iii) Identification of all major participants in the health care
7 delivery and financing systems that would be affected by the health
8 information technology system;
9 (iv) Analysis of the feasibility of incorporating existing infra-
10 structure into the recommended system, analysis of improvements and
11 additions to the existing infrastructure needed to implement the rec-
12 ommended system, and identification of potential obstacles to imple-
13 mentation, such as privacy and security laws, and recommended solu-
14 tions;
15 (v) Development of recommended organizational and governance
16 structures for implementation and maintenance of the system;
17 (vi) A business plan for financing the development and maintenance
18 of the technology system, including identification of government and
19 private funding and including consideration of appropriate user fees;
20 (vii) A timetable for implementation of the technology system;
21 (viii) A means to assess the measurable ability of the recommended
22 system to improve the quality of health care through access to reli-
23 able, evidence-based current treatment guidelines; and
24 (ix) Provisions to ensure that the system meets the health informa-
25 tion technology needs of rural Idahoans; and
26 (g) Issue grants to selected providers including, but not limited to,
27 primary care providers, in order to support the adoption of health infor-
28 mation technology. The commission shall develop criteria for the selection
29 of grantee providers.
30 (5) The commission shall perform the following duties related to health
31 quality and patient safety planning, provided that performance of these duties
32 may include contracting with and supervising independent entities for the per-
33 formance of some or all of these duties:
34 (a) Analyze existing clinical quality assurance and patient safety stan-
35 dards and reporting;
36 (b) Identify best practices in clinical quality assurance and patient
37 safety standards and reporting;
38 (c) Recommend a mechanism or mechanisms for the uniform adoption of cer-
39 tain best practices in clinical quality assurance and patient safety stan-
40 dards and reporting including, but not limited to, the creation of regula-
41 tory standards;
42 (d) Recommend a mechanism or mechanisms to promote public understanding
43 of provider achievement of clinical quality and patient safety standards;
44 (e) Recommend a sustainable structure for leadership of ongoing clinical
45 quality and patient safety improvement in Idaho;
46 (f) Provide quarterly progress reports to the director of the department
47 and to the legislative health care task force, including an interim status
48 report due to the director and the legislative health care task force by
49 November 30, 2006;
50 (g) Recommend a method of acquiring and analyzing data necessary to ful-
51 fill the commission's duties as set forth in this section; and
52 (h) Enhance public health through means such as population-based
53 epidemiological studies and the maintenance of statistical databases and
54 registries, including the creation of a health data authority if appropri-
55 ate, provided that the privacy of individuals shall be maintained in all
4
1 instances where personal identification is not required for public health
2 necessity.
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
Moved by Henbest
Seconded by McGeachin
IN THE HOUSE OF REPRESENTATIVES
HOUSE AMENDMENT TO H.B. NO. 738
1 AMENDMENTS TO SECTION 1
2 On page 1 of the printed bill, delete lines 32 through 35; and on page 3,
3 in line 49, following "2006" insert: ". The final report of the commission
4 shall be due to the director and the legislative health care task force on
5 June 30, 2007".
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 738, As Amended
BY STATE AFFAIRS COMMITTEE
1 AN ACT
2 RELATING TO HEALTH QUALITY PLANNING; AMENDING CHAPTER 10, TITLE 56, IDAHO
3 CODE, BY THE ADDITION OF A NEW SECTION 56-1054, IDAHO CODE, TO SET FORTH
4 LEGISLATIVE INTENT, TO ESTABLISH THE HEALTH QUALITY PLANNING COMMISSION
5 WITHIN THE DEPARTMENT OF HEALTH AND WELFARE, TO PROVIDE FOR COMMISSION
6 MEMBERSHIP AND MEETINGS, TO SET FORTH PROVISIONS APPLICABLE TO FUNDING AND
7 TO SET FORTH COMMISSION DUTIES.
8 Be It Enacted by the Legislature of the State of Idaho:
9 SECTION 1. That Chapter 10, Title 56, Idaho Code, be, and the same is
10 hereby amended by the addition thereto of a NEW SECTION, to be known and des-
11 ignated as Section 56-1054, Idaho Code, and to read as follows:
12 56-1054. HEALTH QUALITY PLANNING. (1) It is the intent of the legislature
13 that the department of health and welfare ("the department") promote improved
14 quality of care and improved health outcomes through investment in health
15 information technology and in patient safety and quality initiatives in the
16 state of Idaho.
17 (a) Coordinated implementation of health information technology in Idaho
18 will establish widespread use of networked electronic health information
19 or health records to allow quick, reliable and secure access to that
20 information in order to promote patient safety and best practices in
21 health care. This goal is consistent with the mission of the office of the
22 national coordinator for health information technology, established by the
23 president of the United States in 2004, to provide leadership for the
24 development and nationwide implementation of an interoperable health
25 information technology infrastructure to improve the quality and effi-
26 ciency of health care and the ability of consumers to manage their care
27 and safety.
28 (b) Coordinated implementation of statewide patient safety standards will
29 identify uniform indicators of and standards for clinical quality and
30 patient safety as well as uniform requirements for reporting provider
31 achievement of those indicators and standards.
32 (2) There is hereby created and established within the department a
33 health quality planning commission ("the commission").
34 (a) By May 1, 2006, and as needed after that date, the governor shall
35 appoint eleven (11) voting members upon assurance of equitable geographic
36 and rural representation, comprising members of the public and private
37 sectors with expertise in health information technology and clinical qual-
38 ity and patient safety. The membership shall represent all major partici-
39 pants in the health care delivery and financing systems. A majority of the
40 commission shall be health care providers or employees of health care
41 providers. One (1) member shall be an Idaho resident representing the pub-
42 lic interest. The commission chairperson shall be appointed by the direc-
43 tor of the department.
2
1 (b) Members of the commission shall be appointed for a term of one (1)
2 year. The term of office shall commence on July 1, 2006, and shall expire
3 on June 30, 2007.
4 (c) The commission shall meet monthly and at the call of the chairperson.
5 (d) Each member of the commission shall be compensated as provided by
6 section 59-509(d), Idaho Code.
7 (e) Upon the occurrence or declaration of a vacancy in the membership of
8 the commission, the department shall notify the represented entity of that
9 fact in writing and the represented entity shall, within sixty (60) days
10 thereafter, nominate at least one (1) and not more than three (3) persons
11 to fill the vacancy and shall forward the nominations to the governor, who
12 shall appoint from among the nominees a person to be a member of the com-
13 mission to fill the vacancy.
14 (f) Members of the commission may be removed by the governor for substan-
15 tial neglect of duty, gross misconduct in office, or the inability to dis-
16 charge the duties described in this section, after written notice and
17 opportunity for response.
18 (g) A majority of the members of the commission shall constitute a quorum
19 for the transaction of all business and the carrying out of commission
20 duties.
21 (3) The department may dedicate funding to the operations of the commis-
22 sion, subject to appropriation from the legislature. The department shall seek
23 federal matching funds and additional private sector funding for commission
24 operations.
25 (4) The commission shall perform the following duties related to health
26 information technology planning:
27 (a) Develop and issue a request or requests for proposals from health
28 care information and communications technology contractors to perform a
29 study on health information technology in Idaho;
30 (b) Award a contract or contracts for the performance of the study to a
31 nationally recognized expert or experts in health information technology;
32 (c) Oversee and coordinate contractor performance;
33 (d) Provide quarterly progress reports to the director of the department
34 and to the legislative health care task force, including an interim status
35 report due to the director and the legislative health care task force by
36 November 30, 2006. The final report of the commission shall be due to the
37 director and the legislative health care task force on June 30, 2007. The
38 final report shall review the contractor study and make recommendations
39 regarding implementation of a plan for the creation of a health informa-
40 tion technology system as described in subsection (4)(f)(ii) of this sec-
41 tion;
42 (e) Widely disseminate requests, including through electronic media, for
43 the active participation of private groups and organizations in the devel-
44 opment of the plan. Before submitting the final plan to the director of
45 the department, the commission shall issue drafts of the plan for public
46 review and shall hold at least one (1) public meeting to receive public
47 comments on the plan;
48 (f) Develop and submit a final plan that shall include, but not be lim-
49 ited to:
50 (i) An analysis of existing health information technology in Idaho
51 and of national trends in the development of health information tech-
52 nology systems;
53 (ii) A plan for developing a uniform, statewide, flexible and
54 interoperable health information technology system to be used by
55 providers, patients and payers, including a unique patient identifier
3
1 for all patients;
2 (iii) Identification of all major participants in the health care
3 delivery and financing systems that would be affected by the health
4 information technology system;
5 (iv) Analysis of the feasibility of incorporating existing infra-
6 structure into the recommended system, analysis of improvements and
7 additions to the existing infrastructure needed to implement the rec-
8 ommended system, and identification of potential obstacles to imple-
9 mentation, such as privacy and security laws, and recommended solu-
10 tions;
11 (v) Development of recommended organizational and governance
12 structures for implementation and maintenance of the system;
13 (vi) A business plan for financing the development and maintenance
14 of the technology system, including identification of government and
15 private funding and including consideration of appropriate user fees;
16 (vii) A timetable for implementation of the technology system;
17 (viii) A means to assess the measurable ability of the recommended
18 system to improve the quality of health care through access to reli-
19 able, evidence-based current treatment guidelines; and
20 (ix) Provisions to ensure that the system meets the health informa-
21 tion technology needs of rural Idahoans; and
22 (g) Issue grants to selected providers including, but not limited to,
23 primary care providers, in order to support the adoption of health infor-
24 mation technology. The commission shall develop criteria for the selection
25 of grantee providers.
26 (5) The commission shall perform the following duties related to health
27 quality and patient safety planning, provided that performance of these duties
28 may include contracting with and supervising independent entities for the per-
29 formance of some or all of these duties:
30 (a) Analyze existing clinical quality assurance and patient safety stan-
31 dards and reporting;
32 (b) Identify best practices in clinical quality assurance and patient
33 safety standards and reporting;
34 (c) Recommend a mechanism or mechanisms for the uniform adoption of cer-
35 tain best practices in clinical quality assurance and patient safety stan-
36 dards and reporting including, but not limited to, the creation of regula-
37 tory standards;
38 (d) Recommend a mechanism or mechanisms to promote public understanding
39 of provider achievement of clinical quality and patient safety standards;
40 (e) Recommend a sustainable structure for leadership of ongoing clinical
41 quality and patient safety improvement in Idaho;
42 (f) Provide quarterly progress reports to the director of the department
43 and to the legislative health care task force, including an interim status
44 report due to the director and the legislative health care task force by
45 November 30, 2006. The final report of the commission shall be due to the
46 director and the legislative health care task force on June 30, 2007;
47 (g) Recommend a method of acquiring and analyzing data necessary to ful-
48 fill the commission's duties as set forth in this section; and
49 (h) Enhance public health through means such as population-based
50 epidemiological studies and the maintenance of statistical databases and
51 registries, including the creation of a health data authority if appropri-
52 ate, provided that the privacy of individuals shall be maintained in all
53 instances where personal identification is not required for public health
54 necessity.
STATEMENT OF PURPOSE
RS 16156
This legislation creates a new section in Chapter 10, Title 56
which directs the Department of Health and Welfare to create
within the Department a Health Quality Planning Commission.
Members of that Commission would be appointed by the Governor and
be comprised of representatives of the public and private sectors
with expertise in health information technology, clinical quality
and patient safety. The Commission has the responsibility of
reporting to the Director and the Legislative Health Care Task
Force its final recommendation related to the development of
uniform, statewide, flexible and interoperable health information
technology system, and to recommend a mechanism for the adoption
of certain best practices in clinical quality assurance, patient
safety standards, and reporting.
The Commission is also charged with issuing grants to selected
providers in order to support the adoption of health information
technology.
FISCAL NOTE
There will be an impact of $200,000 to the general fund and an
additional $300,000 in Federal funds that are available.
Contact
Names: Representative Margaret Henbest
Speaker Bruce Newcomb
Representative Max Black
Representative John Rusche
Senator Dick Compton
Senator Joe Stegner
Phone: (208) 332-1000
STATEMENT OF PURPOSE/FISCAL NOTE H 738