73rd Legislative Session -- 1998

Committee: House Health and Human Services

Wednesday, February 18, 1998

                                            P - Present
                                            E - Excused
                                            A - Absent

Roll Call
P      Belatti
P      Davis
P      Eccarius
P      Fischer-Clemens
P      Hagen
P      Hassard
P      Kazmerzak
P      Madden
P      Peterson (Bill)
P      Van Gerpen
P      Windhorst
P      Monroe, Vice-Chair
P      Fiegen, Chair


OTHERS PRESENT: See Original Minutes

The meeting was called to order by Kristie Fiegen, Chair.


MOTION:      TO APPROVE THE MINUTES OF February 13, 1998.

Moved by:      Representative Madden
Second by:      Representative Belatti
Action:      Prevailed by voice vote.

          SB 86:   to authorize the adoption of certain federal poverty guidelines by administrative rule.

Proponents:      Bernie Ripperger, Pierre, SDACC
         
Opponents:      None
Presented by:      Rep. Belatti

MOTION:      AMEND SB 86

t-86

     On page 1 , after line 14 of the printed bill , insert:

"      Section 2. That § 28-13-32.9 be amended to read as follows:

     28-13-32.9.   A county is financially responsible only for the hospitalization expense which is beyond the person's ability to pay. A person's ability to pay is determined according to the following:

             (1)      Determine the household's contributions for taxes, social security, medicare, and payments to other standard retirement programs. A household's contribution for taxes is limited to the amount of taxes payable for the actual number of dependents in the household;

             (2)      Determine the household's expenses, including actual rent paid or scheduled principal and interest payments for a personal residence plus property taxes and homeowner's insurance costs; all utilities; child care expenses related to work schedules; grocery expenses up to the maximum allowed under the Food Stamp Program's Thrifty Food Plan as specified in 60 Federal Register 2,733 (January 11, 1995) rules promulgated by the Department of Social Services pursuant to chapter 1-26 , plus household supplies and toiletries; basic auto expenses, gasoline, and upkeep; employee-paid health, life, and auto insurance payments; installment payments for medical bills; recurring expenses for medicine and medical care; court-ordered child support and alimony paid; automobile installment payments for one vehicle; clothing, reasonable in relation to the household's income; and installment payments, limited to necessary household items required by the household to maintain the needs of everyday living and reasonable in relation to the household's income;

             (3)      Determine the amount of a household's discretionary income by subtracting the sum of the household's contributions and expenses from the household's income determined according to §   28-13-32.7. Divide the amount of the household's discretionary income in half and multiply the resulting amount by forty-four dollars and ninety-six cents. The result added to the household's adjusted resources determined according to §   28-13-32.8 equals the household's ability to pay the debt and constitutes the household's share of the hospital bill. The amount of forty-four dollars and ninety-six cents represents the amount of medical or hospital expenses which can be amortized over sixty months at twelve percent annual interest per dollar of payment.

     The amount of the county's obligation is determined by subtracting the amount of the household's ability to pay from the hospital charges computed according to §   28-13-29. If the household defaults on the payment of its share of the hospital bill, a hospital may not pursue a collection action against the county for the defaulted payment. "


Moved by:      Representative Belatti
Second by:      Representative Kazmerzak
Action:      Prevailed by voice vote.

MOTION:      DO PASS SB 86 AS AMENDED

Moved by:      Representative Fischer-Clemens
Second by:      Representative Belatti
Action:      Prevailed by roll call vote.   (9-3-1-0)

Voting yes:      Belatti, Davis, Eccarius, Fischer-Clemens, Hagen, Hassard, Kazmerzak, Van Gerpen, Fiegen

Voting no:      Madden, Peterson (Bill), Windhorst

Excused:      Monroe

MOTION:      TO AMEND TITLE OF SB 86

t-86t

     On page 1 , line 1 of the printed bill , after " poverty " insert " and food stamp " .


Moved by:      Representative Belatti
Second by:      Representative Kazmerzak
Action:      Prevailed by voice vote.

          SB 68:   to revise the requirements relating to the use of child restraint systems in passenger vehicles.

Proponents:      David Volk, Pierre, Sec. of Commerce & Regulations
          Lori Cowan, Pierre, self
          Jeff Holden, Pierre, Div. Of Comm. & Regulations, Highway Safety
          Bill Mickelson, Pierre, SD Highway Patrol
          Mike Shaw, Pierre Attorney, National Assn. of Independent Insurers
        Craig Matson, Sioux Falls, State Farm

Opponents:      N. Bob Pesall, Brookings, self
         
Presented by:      Sen. Jim Lawler

MOTION:      DO PASS SB 68

Moved by:      Representative Van Gerpen
Second by:      Representative Peterson (Bill)
Action:      Was not acted on.

MOTION:      REFER TO Transportation

Moved by:      Representative Madden


Second by:      Representative Monroe
Action:      Failed by voice vote.

PREVIOUS MOTION:      DO PASS SB 68

Action:      Prevailed by roll call vote.   (7-6-0-0)

Voting yes:      Belatti, Eccarius, Fischer-Clemens, Hassard, Peterson (Bill), Van Gerpen, Fiegen

Voting no:      Davis, Hagen, Kazmerzak, Madden, Windhorst, Monroe

          SB 228:   to provide certain requirements for new continuing care retirement communities.

Proponents:      Dick Reding, Sioux Falls, SD Health Care Assn.
          Randy Moses, Pierre, Dept. Of Commerce & Regulation, Div. Of Insurance
          Dave Hewett, Sioux Falls, SD Assn. Of Healthcare Organizations
         
Opponents:      None

MOTION:      DO PASS SB 228

Moved by:      Representative Hagen
Second by:      Representative Davis
Action:      Prevailed by roll call vote.   (12-0-1-0)

Voting yes:      Belatti, Davis, Eccarius, Fischer-Clemens, Hagen, Hassard, Kazmerzak, Madden, Peterson (Bill), Windhorst, Monroe, Fiegen

Excused:      Van Gerpen

Chair stated that the Committee will meet on Feb. 25, 1998 for Summer Study discussions.

MOTION:      ADJOURN

Moved by:      Representative Kazmerzak
Second by:      Representative Madden
Action:      Prevailed by voice vote.



Beverly Jennings

_________________________________

Committee Secretary
Kristie K. Fiegen, Chair


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