HAR §10-4-54. Adoption and amendment procedures

(a) Adoption. All plans in each of the three tiers shall be adopted by a majority vote of the commission. Any comprehensive update or interim amendment requires a majority vote of the commission to be effective. Beneficiary consultation shall be required as part of any comprehensive update or interim amendment. (b) Comprehensive update. Comprehensive updates to plans provide an opportunity to refine or refocus based on changes in conditions, new trends, emerging issues, or past performance. Unless otherwise specified, an adopted comprehensive update shall supersede and void the entire previous plan. (1) Tier 1. The general plan in tier 1 shall be updated at least every twenty years. The department at its discretion may initiate the update sooner than the twenty years; (2) Tier 2. The plans in tier 2 shall be reviewed every eight years and updated at the discretion of the department if an update is justified. (3) Tier 3. The plans in tier 3 shall be re\riewed every four years and/updated at the discretion of the department if an update is justified. (c) Interim amendments. Between comprehensive updates, tier 1 and tier 2 plans may be amended upon beneficiary consultation appropriate to the plan as set forth in section 10-4-60, and a majority vote by the commission. Initiation of the amendment shall be as follows: (1) The chairman may propose, in writing, interim amendments to any of the plans by first notifying the commission and then 4-18 §10-4-54 initiating beneficiary consul~apion appropriate to the plan as set forth in section 10-4-60; or (2) A beneficiary may submit an application form requesting the chairman to initiate an interim amendment. The application form shall include information prescribed by the department. Upon receipt of a completed application form, the department shall have ninety days to respond to the application. Should the department initiate an amendment, the department shall prepare a report of its recommendation and initiate beneficiary consultation appropriate to the plan as set forth in section 10-4-60. (d) Consistency and conflicts. (1) Where conflicts exist among plans, the higher tier shall prevail over the lower tier. (2) Implementation actions set forth in section 10-4-58 shall be consistent with applicable plans. A commission member, beneficiary, or interested member of the public, may request the commission review a proposed or past action by the department for consistency. The request must detail the disputed action and describe why the petitioner believes disputed action is inconsistent with a particular plan. The commission may direct the chairman to prepare a response to the request. (3) Upon declaration of an emergency by the goy~rnor or mayor, the department may prOc'eed with an action that is inconsistent with a plan, provided that the chairman has 'notified the commission. The chairman shall propose an amendment to the relevant plan or plans at the earliest practicable time to restore consistency. (e) Repository. The department shall make available to the public through its website all current adopted plans as may be amended. [Eff and 4-19 1}2 88 §10-4-54 comp AUG 2 5 2018 HHC Act, all) (Auth: HHC Act §222) (Imp: