DAR File No. 44103

This notice was published in the October 15, 2019, issue (Vol. 2019, No. 20) of the Utah State Bulletin.


Health, Center for Health Data, Health Care Statistics

Rule R428-15

Health Data Authority Health Insurance Claims Reporting

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 44103
Filed: 09/25/2019 09:44:03 AM

NOTICE OF REVIEW AND STATEMENT OF CONTINUATION

Concise explanation of the particular statutory provisions under which the rule is enacted and how these provisions authorize or require the rule:

This rule is authorized by Subsection 26-33a-104(1) to "direct a statewide effort to collect, analyze, and distribute health care data to facilitate the promotion and accessibility of quality and cost-effective health care and also to facilitate interaction among those with concern for health care issues."

Summary of written comments received during and since the last five-year review of the rule from interested persons supporting or opposing the rule:

The Office of Health Care Statistics (Office) has not received any written comments since the last five-year review of this rule from interested persons supporting or opposing this rule. Only general inquires have been made and responded to by the Office. On September 17, 2019, the Health Data Committee voted to extend Rule R428-15.

Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:

This rule establishes requirements for certain entities that pay for health care to submit data to the Utah Department of Health. The data is needed to develop and maintain an All Payer Claims Database (APCD). The APCD assists in the comparison of health care cost efficiencies and effectiveness statewide from both a cross sectional, as well as from more longitudinally-based, disease progression perspective. Current requests for secure and approved use of APCD data are received from a variety of sources including qualified researchers, institutions, and inter-agency staff. Many analytic reports will continue to be released over the next several years that will help monitor trends in claims, costs, and quality of care for the people in Utah. The uses of the data and reports are justifications for continuation of this rule.

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

Health
Center for Health Data, Health Care Statistics
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY, UT 84116-3231

Direct questions regarding this rule to:

  • Mike Martin at the above address, by phone at 801-538-9205, by FAX at 801-538-9916, or by Internet E-mail at mikemartin@utah.gov
  • Norman Thurston at the above address, by phone at 801-538-7052, by FAX at 801-237-0787, or by Internet E-mail at nthurston@utah.gov
  • Stephanie Saperstein at the above address, by phone at 801-538-6430, by FAX at , or by Internet E-mail at stephaniesaperstein@utah.gov

Effective:

09/25/2019

Authorized by:

Joseph Miner, Executive Director


Additional Information

More information about a Five-Year Notice of Review and Statement of Continuation is available online.

The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at https://rules.utah.gov/publicat/bull_pdf/2019/b20191015.pdf. The HTML edition of the Bulletin is a convenience copy. Any discrepancy between the PDF version and HTML version is resolved in favor of the PDF version.

For questions regarding the content or application of this rule, please contact Mike Martin at the above address, by phone at 801-538-9205, by FAX at 801-538-9916, or by Internet E-mail at mikemartin@utah.gov; Norman Thurston at the above address, by phone at 801-538-7052, by FAX at 801-237-0787, or by Internet E-mail at nthurston@utah.gov; Stephanie Saperstein at the above address, by phone at 801-538-6430, by FAX at , or by Internet E-mail at stephaniesaperstein@utah.gov.  For questions about the rulemaking process, please contact the Office of Administrative Rules.