JAC Index 02-13-18pm2
Chairman Nicholas is Chairman of the Day
2/13/2018 5:21:08 PM

Nicholas: 18LSO-0129 Draft 1.2, Retirement center and pioneer home
Winters: cost for pioneer home is minimal, personnel to work, safety net function, recommend holding off on bill
Sommers: retirement home, lock down service not provided at other locations, % of population
Winters: major function of Basin facility
Burns: private facilities do the same function, WY in the assisted living business
Winters: indigent clients, historically both facilities provided options
Dockstader: clients mostly from local area, other counties provide same facilities, purpose/intention out lived its time, does the state support facilities in every county
Winters: provides a level of access, 30% of residents out of area
Walters: no income scale to be housed there
Winters: sliding scale, 63 bed facility
Dockstader: fills need for some, but care environment has changed 
Discussion/questions followed. 
Greer: change in focus shifted to Lander, getting qualified medical staff challenging, requested more time to continue services
More discussion/comments/questions followed about privatization, using public hospital
Nicholas: prefer community take on task, shutting facility down is not the end game; privatization is the preferred solution, no job losses, etc.
Greer: yet the bill doesn’t say that, concern of representatives from area is loss of business
Larsen: tried to craft a bill to make move toward privatization, how can private facilities complete with the state?
Continued discussion on topic. 
Burkhart: Saratoga nursing home history
Forslund: Deseret owned nursing home, short notice for shut down, got private companies to run facilities, took over in about 60 days, successful today, 
Burkhart: compare to Basin facility change
Forslund: private companies have approached and are interested in facilities in the Basin, proposal is to privatize both facilities, CMS standards, proposed cuts, DOH – majority of cuts, looked at programs to be cut back or privatized, 2 state operated facilities, less government employees with move
Schwartz: Section 3 comments, level of overlap between facilities
Larsen: skilled nursing facility, mentally ill clients
Forslund: handling various “being able to pay” clients across state
Discussion continued with Director Forslund.
Larsen: amount of subsidy to facilities, how well served the state is
Forslund: assisted care facilities, Thermopolis heavily subsidized still under national standard, GF dollars 60% pf operating fund
Sommers: nursing homes thriving or struggling within communities
2/13/2018 6:15:12 PM
Forslund: gauge across state hard to quantify, none are on the verge of going out of business
Nicholas: closed public comment, bill moved and 2nd by Burns. House bill, amendments potentially being worked
Roll call vote taken; motion passes. 
2/13/2018 6:26:03 PM
Break.

2/13/2018 6:40:24 PM
CapCon Bill Draft 1.2
Richards: overview given of new draft, changes to version, pg. 6, line 4, pg. 11, lines 18 – 22, pg. 13, lines 9 -10, pg. 14, line 14, lines 17 and 23, pg. 15 lines 8, 9 and 10, pg. 17 line 19, pg. 17 footnote 7, 8, 9; pg. 24, lines 10 and 14, lines 19-21; pg. 29, line 12, footnote 7, pg. 30, line 14 and 15 on pg. 29, pg. 30 footnotes 6 and 7, section 9 and 10 fully revised, pg. 32 subsection C, pg. 39 section 11, lines 8 – 10, pg. 41 – 46 line 10, section 15, pg. 47, section 14, pg. 46, veteran’s museum, $5M, conforming amendments to come
Rivale: pg. 19, lines 6-8
Richards: GF $36.9M
2/13/2018 7:03:18 PM
Adjourned