Dr. Christine Hahn — Explained how the department handled outbreak information and used the extraordinary occurrence category for new diseases.
Dr. Christine Hahn — Continued explaining the department's use of extraordinary occurrence authority for new diseases and outbreaks.
— Referenced as having asked for the reorganization before his departure.
Mr. Larson — Mr. Larson is questioned about whether the proposed changes are substantive, including why penalty provisions were deleted; he explains they are already addressed in statute and asks for a specific section citation because page numbers may not align. Later, he responds that COVID is not referenced in the rule, and in a separate but related discussion about duplicated language, he agrees that the material is in the same section, identifies section 5610.003 as the duplicated section, and says the department will improve the crosswalk to better show where duplicate language appears.
Mr. Larson — Mr. Larson is introduced to present the next docket, thanked by the chair, and then asked a follow-up question about exceptions before the discussion is redirected to Mr. Moss.
Mr. Larson — Mr. Larson was asked how to proceed after a typo was identified, and he responded that the rules office can correct typos and that the correction should be pointed out offline so it can be fixed.
Brian Lenney — Asks why the penalty provisions on page 41 were deleted.
Brian Lenney — Asks about the deleted penalty provisions.
Brian Lenney — Asks why COVID is not listed among the reportable diseases.
Brian Lenney — Questions how COVID-era reporting was compelled if COVID is not listed in the rule.
Camille Blaylock — Senator Blaylock briefly transitions into a new question, then asks about the provision on testing without informed consent and when it would apply. The witness asks for the specific citation, and Senator Blaylock clarifies the reference, correcting the section from 92 to 93 under restrictions so the witness can address the correct rule language.
Camille Blaylock — Seconded the motion to adopt the docket.
Mark Harris — Moved to accept the docket.
Mark Harris — Seconded the motion to approve or adopt the docket.
Dr. Chris Ball — Introduced as the bureau chief over the state laboratory and an expert on the docket.
Julie VanOrden — Senator Julie VanOrden moved to accept docket 16-0227-2501, and the motion was then recognized by the chair.
Julie VanOrden — Julie VanOrden moved to adopt docket 160321-21-2501-2501, and the chair then noted that a motion had been made by Senator Van Orden.
Julie VanOrden — Senator Van Orden is mentioned in a short procedural exchange: he seconded Senator Blaylock’s motion, and the meeting was then turned back over to him as chairperson.
Freddie Trankle — Identified as someone from the division who can speak more precisely about the licensing requirements.
Tom Moss — Tom Moss from the Department of Health and Welfare’s Licensing and Certification Division was introduced and then identified himself as the program supervisor for the residential assisted living licensing program. He explained the rules governing emergency discharge, including nonpayment, increased care needs, and maladaptive behaviors that put a resident outside a facility’s scope. He also noted that, in his experience, low Medicaid reimbursement has not led to immediate discharge, and the exchange concluded with a brief expression of appreciation to him.
Britt Raybould — Was called on for a motion.
Mr. Moss — Mr. Moss is repeatedly brought into the discussion to clarify discharge-related issues, including exceptions in discharge notices, what constitutes an emergency discharge, and how discharge planning is handled. He explains that the matter is addressed in the discharge notice and notes that the department has a good working relationship with the ombudsman program and facilities. The discussion continues with an invitation for him to add any further comments on the issue.
Carrie Semmelroth — Senator Wintrow thanked Mr. Moss and the ombudsman, then raised concerns about whether the rule addresses discharge planning in the context of rate reductions and whether the ombudsman should be involved. She noted that facilities have generally done a good job helping people remain in their homes, but emphasized that rates that are too low could force providers out of business and leave vulnerable residents, including those with dementia or Alzheimer’s, without housing or care. She said she was raising the issue to alert committee members and then yielded for Mr. Moss to respond.
Christy Zito — Was asked to restate her motion.
Christy Zito — Said she found a typo and asked whether it needed to be addressed before moving forward.
Christy Zito — Confirmed the typo was in the new language and moved to adopt docket 16-03-22-2501.
Christy Zito — Her motion to adopt the docket is recognized.
Christy Zito — Is thanked by the chair in the closing remarks.
Jared Larson — Jared Larson, Chief of Staff for the Idaho Department of Health and Welfare, introduces himself for the record and explains that Idaho’s reportable disease rules are undergoing zero-based regulation review as required by state law. He then continues discussing the rules, including a specific example in Section 380, clarifying that the department is aligning the rule with federal recommendations rather than incorporating those recommendations by reference.
Jared Larson — Introduced himself as chief of staff at the Idaho Department of Health and Welfare.
Jared Larson — Explained the scope and statutory authority for the radiation control rules.
Jared Larson — Described the ZBR rewrite and said fees remain unchanged.
Jared Larson — Explained the new registration requirement for out-of-state licensees and introduced Dr. Chris Ball.
Jared Larson — Said the bureau chief over the state laboratory would answer technical questions and that the department would stand for questions on the rule docket.
Jared Larson — Introduced the next set of rule dockets and said he would provide a roadmap.
Jared Larson — Asked for the specific section and explained the text change being discussed.
Jared Larson — Explained that changing 'agency' to 'organization' is stylistic and intended for consistency throughout the chapter.
Jared Larson — Said people are generally content because the rules are consolidated into one chapter.
Jared Larson — Introduced the docket and explained that it is an entire chapter repeal because the rules were moved to the newly approved section.
Jared Larson — His explanation was referenced as the basis for repealing the rule section.
Jared Larson — Introduced the final rule docket and explained that it is a comprehensive rewrite of assisted living facility licensing rules.
Dr. Hahn — Introduced as an expert on the rule docket who can address technical medical questions.
Dr. Hahn — Mr. Larson says he will invite Dr. Hahn to address the question directly.
Dr. Turner — Introduced as an expert on the rule docket who can address technical medical questions.
Melissa Wintrow — Senator Wintrow’s questions about the proposed rule changes are addressed in sequence: the speaker first clarifies her question, then responds to her follow-up about whether the changes are mostly editorial, confirming that they are not significant substantive changes.
Melissa Wintrow — Senator Wintrow first thanked Dr. Hahn, then seconded the motion, and then offered a substantive comment expressing hesitation about moving all rules into statute. She argued that some matters should remain in rule form so the executive branch retains flexibility, noting that the legislature would closely scrutinize any attempt to change the disease list and that the executive should still have room to handle the details of implementation.
Melissa Wintrow — Senator Wintrow was acknowledged in the committee proceedings, seconded a motion, and then engaged in a related discussion about residential assisted living facility discharge requirements. She asked whether there are exceptions to the written notice requirement, sought clarification on what constitutes an emergency discharge, and raised concerns about discharge planning for vulnerable residents, including the risk of homelessness and the effects of Medicaid rate reductions on discharge timing and resident support.
Ilana Rubel — A senator is referenced in the discussion of the lead changes and rule history; the transcript appears to misidentify the senator, so this is uncertain.
Dr. Christine Hahn — Identifies herself as being with the Division of Public Health and explains that incorporations were encouraged years ago to simplify regulations.
Dr. Christine Hahn — Explains that many incorporated materials became guideline documents to give providers more flexibility and that they are generally recommendations rather than mandates.