DAR File No. 41175
This rule was published in the February 1, 2017, issue (Vol. 2017, No. 3) of the Utah State Bulletin.
Health, Health Care Financing, Coverage and Reimbursement Policy
DUR Board Composition and Membership Requirements
Notice of Proposed Rule
DAR File No.: 41175
Filed: 01/17/2017 09:30:28 AM
Purpose of the rule or reason for the change:
The purpose of this change is to update Drug Utilization Review (DUR) Board membership to include a pharmacist who will represent Accountable Care Organizations (ACOs).
Summary of the rule or change:
This amendment updates DUR Board membership to include a pharmacist who will represent ACOs. It also makes other technical changes.
Statutory or constitutional authorization for this rule:
- Title 26, Chapter 18, Part 2
- Section 26-1-5
- Section 26-18-3
Anticipated cost or savings to:
the state budget:
There is no impact to the state budget because this amendment only updates DUR Board composition and implements new membership requirements. It neither affects services to Medicaid clients nor reimbursement to Medicaid providers.
There is no impact to local governments because they neither fund the DUR Board nor make administrative decisions regarding its composition.
There is no impact to small businesses because this amendment only updates DUR Board composition and implements new membership requirements. It neither affects services to Medicaid clients nor reimbursement to Medicaid providers.
persons other than small businesses, businesses, or local governmental entities:
There is no impact to Medicaid providers and to Medicaid clients because this amendment only updates DUR Board composition and implements new membership requirements. It neither affects Medicaid services nor provider reimbursement.
Compliance costs for affected persons:
There is no impact to a single Medicaid provider or to a Medicaid client because this amendment only updates DUR Board composition and implements new membership requirements. It neither affects Medicaid services nor provider reimbursement.
Comments by the department head on the fiscal impact the rule may have on businesses:
There is no fiscal impact to business because membership changes to the DUR Board do not affect the operation of any businesses.
Joseph K. Miner, MD, Executive Director
The full text of this rule may be inspected, during regular business hours, at the Office of Administrative Rules, or at:Health
Health Care Financing, Coverage and Reimbursement Policy
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY, UT 84116-3231
Direct questions regarding this rule to:
- Craig Devashrayee at the above address, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at email@example.com
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:
This rule may become effective on:
Joseph Miner, Executive Director
R414. Health, Health Care Financing, Coverage and Reimbursement Policy.
R414-60A. Drug Utilization Review Board.
R414-60A-2. DUR Board Composition and Membership Requirements.
(1) The Director of the Division of [
Health Care] Financing ([ DHCF]) shall act on behalf of the Executive Director of the
Utah Department of Health regarding all DUR Board issues, and shall
appoint the following groups of individuals to four-year terms on
the DUR Board:
(a) Four physicians from recommendations received from the Utah Medical Association.
(b) One physician engaged in Academic Medicine.
(c) Three pharmacists from recommendations received from the Utah Pharmacy Association.
(d) One pharmacist engaged in Academic Pharmacy.
(e) One dentist from recommendations received from the Utah Dental Association.
(f) One individual from recommendations received from the Pharmaceutical Manufacturers Association (PhRMA).
(g) One consumer representative.
(2) Membership Requirements.
(a) An appointee may not serve more than two consecutive terms in one of the 12 board positions listed in Subsection R414-60A-2(1). Terms separated by more than an interruption of two months are not consecutive.
(b) If [
the Division] does not receive recommendations to fill a vacant
position within 30 days of a request, [ the Division] may [ submit for consideration a list of potential candidates to
an organization listed in Subsection R414-60A-2(1)].
(c) If there are no willing nominees for
appointment when an appointed term has expired, the [
DHCF] Director may reappoint[ : (i) physician] members on the board to additional
non-consecutive terms as needed[ ; (ii) pharmacist members on the board to additional
non-consecutive terms as needed; and (iii) a dentist, PhRMA member, or consumer member to
additional non-consecutive one-year terms as needed].
(3) Notwithstanding the requirements in Subsection R414-60A-2(1), the Director shall adjust the length of terms upon appointment so that one-half of the DUR Board is appointed every two years.
(4) The DUR Board shall elect a chairperson to a one-year term from among its members. The chairperson may serve consecutive terms if reelected by the board.
(5) When a vacancy occurs on the board, the Director shall appoint a replacement for the unexpired term of the vacating member.
(6) The DUR Board shall be managed by a
non-voting board manager appointed from the pharmacy group within [
(7) Other individuals of the [
DHCF] pharmacy group are non-voting ex-officio advisory
members of the DUR Board.
Date of Enactment or Last Substantive Amendment: [
September 7, 2007]
Notice of Continuation: June 25, 2012
Authorizing, and Implemented or Interpreted Law: 26-18-3; 26-1-5
More information about a Notice of Proposed Rule is available online.
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For questions regarding the content or application of this rule, please contact Craig Devashrayee at the above address, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at firstname.lastname@example.org. For questions about the rulemaking process, please contact the Office of Administrative Rules.