Preventative Primary Care Pilot Program
If approved, the proposed pilot program would specifically cater to individuals and families with an income below 175% of the federal poverty level. By January 1, 2023, the department is expected to submit a waiver application to the Centers for Medicare and Medicaid Services (CMS), potentially allowing the state to offer enhanced case management and healthcare services. Regular reports to the Health and Human Services Interim Committee would be required to evaluate the effectiveness of the program, focusing on metrics such as cost savings, reduction in emergency visits, and improvements in health statistics.
SB0230, titled the Preventative Primary Care Pilot Program, aims to authorize the Utah Department of Health to apply for a Medicaid waiver for the purpose of creating a pilot program to provide primary care services. This initiative targets low-income individuals and families, enhancing healthcare access and potentially improving overall health outcomes. The bill emphasizes the use of both virtual and in-person healthcare services, ensuring that participants receive necessary medical attention tailored to their unique needs.
While the bill presents potential benefits in improving access to primary care for underserved populations, it may also encounter various points of contention. Advocates may stress the necessity of securing funding and ensuring that the program reaches its target demographic effectively. There may also be discussions around the sustainability of such pilot programs, as well as concerns regarding the management of the provided services, especially in a healthcare environment with limited resources.