Utah
How is the One Utah Health Collaborative announced in 2021 working to improve health care?
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SALT LAKE CITY — When Utah Gov. Spencer Cox announced a statewide initiative to reduce health care costs in late 2021, he called it “one of the most transformative and visionary health care efforts” in the country.
Eighteen months later, Cox is calling the One Utah Health Collaborative a “heavy, heavy lift,” but says he is feeling good about the direction in which the process is headed.
“It is big, and it is bold, and it will take all of us working together to accomplish,” the governor said during his monthly news conference on Thursday.
The One Utah Health Collaborative takes a unique approach to address problems “through collaboration and innovation rather than regulation,” according to a written progress update provided to KSL.com by Elise Saarela, the collaborative’s program director. It also has three roles: Commit to action, align the community and accelerate innovation.
“Our approach is bold but respectful as we drive consensus-based approaches,” the update says.
Although Cox said change is expected to take 10 years, the collaborative’s update says it has a 15-year roadmap to “improve affordability, equity and outcomes for Utahns.”
Community involvement
The collaborative said the health care industry is getting involved by signing a pledge and making commitments to align with the collaborative’s goals.
The Legislature passed some Utah Medicaid bills associated with the collaborative during this year’s legislative session, including extending postpartum coverage from 60 days to 12 months; creating a waiver to provide family planning health care for people who have incomes slightly higher than the eligibility for Medicaid; expanding the children’s insurance program to children without citizenship; and expanding preventive care services and dental services for adults.
Cox said because about 30% of Utahns are on some sort of government-provided benefits, Medicaid is one place the collabrative can start to make a difference.
He said there were several pieces of legislation associated with the collaborative introduced in the 2023 legislative session and while some of them passed, there are others they are continuing to work on.
“They’re working both with the private sector as well as the public sector. They’re working with the nonprofit sector on different ideas that can be implemented to help us reduce those costs,” Cox said.
The collaborative is supported by a community board and has 36 members representing various providers, employers, government officials and industry leaders, including representatives from health care organizations and health insurance companies. It expects more involvement as the collaborative continues to expand.
Cox said the goal is to get everyone in a room to find ways to make changes.
“They’re very unified, and we’ve been so impressed with the hospital association here in the state,” he said. “They’re working with doctors and nursing associations, as well. They’re working on the pharma side of things — that’s another big, expensive piece of this — (and) working with private insurance, another area where there’s some misaligned incentives.”
Initiatives
The collaborative has started working toward three specific initiatives and has completed a listening tour to increase awareness as it looks for more support from the community.
The first initiative of the collaborative was to address health data, and the Digital Health Pilot and associated work group was launched on April 10. Its goal, the collaboration’s update says, is to enhance data exchange among health care providers and lead to improved patient care.
It also partnered with the Kem C. Gardner Policy Institute to create a “cost growth target” for the state. The collaborative is collecting and evaluating data to help it find areas where it can make the most impactful changes.
The third initiative is to promote and support innovation in the hopes of accelerating it. The collaborative is forming an Innovation Advisory Committee to review community submissions and determine how to provide support. The update said the collaborative has received dozens of qualified applicants who want to help make health care reforms as they work to finalize the committee membership in June.
“With several innovation submissions in the pipeline, we anticipate our committee will get straight to work,” the update says.
One of the innovation projects is streamlining the application for health insurance coverage for commercial and other health plans.
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Utah
Judge orders legal fees paid to Utah newspaper that defended libel suit
SALT LAKE CITY — A businessman has been ordered to pay almost $400,000 to the weekly Utah newspaper he sued for libel.
It’s to cover the legal fees of the Millard County Chronicle Progress. In September, it became the first news outlet to successfully use a 2023 law meant to protect First Amendment activities.
The law also allows for victorious defendants to pursue their attorney fees and related expenses. The plaintiff, Wayne Aston, has already filed notice he is appealing the dismissal of his lawsuit.
As for the legal fees, Aston’s attorneys contended the newspaper’s lawyers overbilled. But Judge Anthony Howell, who sits on the bench in the state courthouse in Fillmore, issued an order Monday giving the Chronicle Progress attorneys everything they asked for – $393,597.19.
Jeff Hunt, a lawyer representing the Chronicle Progress, said in an interview Tuesday with FOX 13 News the lawsuit “was an existential threat” to the newspaper.
“It would have imposed enormous financial cost on the on the newspaper just to defend itself,” Hunt said.
“It’s just a very strong deterrent,” Hunt added, “when you get an award like this, from bringing these kinds of meritless lawsuits in the first place.”
Aston sued the Chronicle Progress in December 2023 after it reported on his proposal to manufacture modular homes next to the Fillmore airport and the public funding he sought for infrastructure improvements benefiting the project. Aston’s suit contended the Chronicle Progress published “false and defamatory statements.”
The suit asked for “not less” than $19.2 million.
In its dismissal motion, attorneys for the newspaper said the reporting was accurate and protected by a statute the Utah Legislature created in 2023 to safeguard public expression and other First Amendment activities.
Howell, in a ruling in September, said the 2023 law applies to the Chronicle Progress. He also repeatedly pointed out how the plaintiff didn’t dispute many facts reported by the newspaper.
Utah
How Utah’s Christmas Festival has buoyed a changing coal community – High Country News
This story is part of a series on the future of Utah’s Coal Country. Read the first story about labor in the coal mines.
On the Friday evening after Thanksgiving, the Main Street of Helper, Utah, was pitch-black. The streetlights were off, and patches of ice dotted the sidewalk. At 6 p.m., a collection of small lights came into view from the south end of the street and slowly clarified into a procession of school children, holding flameless candles in mitten-covered hands as they sang “Jingle Bells.”
A crowd of about 40 people followed the kids into a small snow-covered park. Everyone gathered around the stage, where Mayor Lenise Peterman read a proclamation from Gov. Spencer Cox declaring Helper as Utah’s Christmas Town for the 35th year.
“Park City was trying to take our title,” said Mark Montoya, a co-director of Helper’s Christmas Festival, after Peterman read Cox’s statement. “But we didn’t let them. They don’t have a proclamation.” Montoya, an exuberant and warm middle-aged man, was born in Helper, a small town of 2,000 people in Carbon County, halfway between Salt Lake City and Moab, and he has never left.
The winners of the Miss Carbon County contest, wearing tiaras and sashes, took the stage next and led a countdown: “Ten, nine, eight. …” The crowd joined in, and the second they shouted “ONE,” the entire town lit up. Strings of white twinkle lights outlined each brick building. A colorfully illuminated train decoration brightened the park, which is next to the Union Pacific station where the “helper” engine — the town’s namesake — still waits, ready to assist trains up the nearby steep canyon. Even Big John, a towering statue of a coal miner, was wearing a Santa hat.
Helper’s two-week Christmas Festival started in 1990, as nearby coal mines were shutting down and laying off workers. The once-bustling town was, for years, the hub of Utah’s Coal Country known for its bars, brothels (the last one closed in 1977) and an assortment of restaurants whose diverse cuisine reflected the immigrants drawn to the mines from all over the world. “We’re the black sheep of Utah,” Montoya told High Country News. By the 1980s, though, Helper was practically a ghost town. “It was just desolate, like there was nothing here,” Montoya said. “That was half the reason why people started the annual Helper Light Parade. They did it to kind of lift the spirits of the community.”
In the 1990s, artists began buying abandoned buildings on Main Street, lured by the low prices, the town’s eccentric industrial history and the nearby scenery, especially the surrounding Book Cliffs. In 1995, they started an Arts Festival that attracted some visitors. Then the Balance Rock Eatery opened in 1999, and travelers on their way to Moab two hours south began pulling off the highway to grab lunch. Life returned to Helper as tourism increased, and some of the young professionals who had fled Carbon County began moving back home.
“We’re the black sheep of Utah.”
Montoya, however, had never had any desire to leave. “I just love this town,” he said. He has experienced Helper’s transition firsthand: He’s been involved in the Christmas Festival since its inception, selling hot chocolate out of an old Coca-Cola wagon when he was a teenager. Montoya, who works as the town’s mail carrier, also manages several new AirBnBs and long-term rentals. “I’d go from walking down the street and seeing all these vacant, dilapidated buildings to this,” he said, gesturing to the nearly full Main Street. “This is so much better.”
Change is hard, though, and not all locals support the transition from a coal-based economy to one that relies on tourism and the arts. Since 2020, Carbon County hasn’t produced any coal, and the Carbon Power Plant, just three miles north of town, shuttered in 2015. The residents who still depend on the coal industry travel 40 to 90 minutes south to work at the mines and power plants in Emery County. For Helper, the energy transition is about more than fuel replacement; it’s about diversifying the economy while also honoring the generations of workers who kept the lights on.
Montoya likens what’s happening in Helper to producing an ongoing play. “It takes everybody to make that play work,” he said. “And when you’re telling a story, sometimes you introduce new characters along the way.”
Scenes from the Helper Light Parade. The town’s two-week Christmas Festival started in 1990, as nearby coal mines were shutting down and laying off workers.
A FEW DAYS AFTER the lighting ceremony, locals gathered in the town cemetery for the annual Luminary Memorial Service. Historically, they used classic luminarias — paper bags aglow with candles — but this year they placed purple, green and blue solar lights near the headstones.
Some of the oldest graves there belong to Italian families who immigrated to the area in the late 1800s. On the south end of Main Street, “welcome” is engraved on the sidewalk in the 27 languages — from Greek to Japanese — that were spoken in Helper at the beginning of the 20th century.
Early miners in Carbon County faced racism, poverty and the daily, deadly risks of hard work underground. “These were really harsh conditions,” Roman Vega, curator of Helper’s Western Mining and Railroad Museum, said. “You had a lot of accidents. You had a lot of deaths.”
The Italian workers went on strike in the early 1900s, and Mary Harris Jones — the legendary “Mother” Jones, the iconic labor organizer — marched down Main Street with the miners. The United Mine Workers of America became a strong presence in the region, and every year on Labor Day, the UMWA celebrated the local workers and labor unions. Montoya fondly remembers the excitement — a big picnic, coal-shoveling contest and games for kids.
Montoya’s own great-grandparents moved to Carbon County from New Mexico in the 1940s. “All my coal-mining ancestors, my uncles and my grandfathers, they were all union members,” Montoya said. His father, who worked for the railroad, was also part of a union. Today, Montoya continues that legacy as the union steward for the Northwest region of the National Association of Letter Carriers.
Montoya has always considered Helper’s Main Street to be his “stomping grounds,” ever since he was a kid stocking shelves at the pharmacy in exchange for a soda. He has spent more than 25 years delivering the mail and, on his route, he can track the town’s evolution. Main Street’s once-abandoned buildings are now brightened by neon signs and fresh paint. Eighteen of them were restored by local developer Gary DeVincent and his wife, Malarie, a former Helper City Council member, who also own some of the AirBnBs and rentals Montoya manages.
“(The tourists) love the history of old towns,” Montoya said. “It’s a big draw.”
DURING THE FIRST WEEK of December, the Main Street businesses decorated their storefronts. Friar Tuck’s Barbershop, owned by Kylee Howell, won the window-decorating contest. A toy train that once circled her grandparents’ Christmas tree ran along the front of the display, one of its cars filled with snow-covered coal. In the corner, a tall rainbow-striped candy cane from Montoya served as a festive replacement for Howell’s usual pride flag.
The stripes on the barber pole on Howell’s shop have been twirling there for generations. Howell largely cuts the hair of the “blue-collar dudes” who work at the region’s remaining coal mines, power plants and manufacturing businesses. According to Headwater Economics, such non-service jobs were still the highest-paying jobs in Carbon County last year, though they employed the fewest people. Most jobs these days are in the lower-paying service industries, such as retail. Over 12% of families in Carbon County live below the poverty line, the third-highest rate in the state.
Howell has only been in Helper for four years, but she isn’t new to Carbon County; she lived in the nearby towns of Price and East Carbon until she moved to Salt Lake County as a teenager. Her family went to Helper twice a year, attending the Arts Festival on the third weekend in August and watching the light parade every December. She has fond memories of bundling up, sipping hot chocolate and watching the bright floats trundle down Main Street.
After Howell moved away, though, she never thought she’d return. Then, about four years ago, she and her wife found themselves looking for somewhere more affordable and rural to live.
Helper’s revitalized Main Street first sold Howell on the town. What solidified it for her, though, was the fact that Helper’s mayor was a lesbian. When one of her clients in Salt Lake first told her that, Howell didn’t believe it. But she looked it up, and sure enough, “There’s Lenise with her carabiner and cargo shorts,” Howell recalled.
Lenise Peterman moved to Helper about 10 years ago, a few years after her wife, Kate Kilpatrick, ventured here to fulfill her dream of being an artist. Since then, Kilpatrick has recorded the stories and painted the portraits of roughly 180 Helper locals.
When Peterman ran for mayor, she fully embraced the economic transition. “While we can respect and honor what the coal industry has done and been for us, it’s not the path to the future, and we need to decide if we’re just going to hold our breath and wait for a coal mine to close or a plant to close,” she told High Country News, “or we can proactively determine who we are and what we want to do, and let’s go do it.” That was her platform, and the town voted for it.
Now, Helper’s Main Street is busy nearly every weekend during summer, from its “First Friday” gallery strolls to the bimonthly Helper Saturday Vibes street fair, originally brought to Helper by the organizer of Park City’s summer market.
It’s hard work keeping a small town afloat, though. Peterman constantly applies for grants to fund infrastructure improvements. Tourism brings revenue through sales and transient room taxes, and the city has updated things like event permits to mitigate the impact on city resources. But the changes have also sparked controversy: New permits have increased the cost of putting on some special events. Last summer, one longtime local, Mike James, moved his Outlaw Car Show, which he started three years before the Christmas Festival began, to a town 35 miles away.
“While we can respect and honor what the coal industry has done and been for us, it’s not the path to the future.”
There have also been dramatic changes in the housing market. A couple of decades ago, Montoya said, there may have been as many as 20 houses for sale on his mail route. Now, there’s maybe two at any given time, and they’ll likely be snapped up within a week, he said. In a roughly eight-year period, he watched one small two-bedroom house go from $68,000 to $175,000. Now, a 1,600-square-foot home sells for over $400,000.
While Montoya still views tourism as a good path for the town, he said the AirBnBs should stay on Main Street. “I don’t think there’s a need for that in neighborhoods,” he said. “Those houses need to be available for people to move into.”
Small destination towns like Helper can fall into what researchers at Headwaters Economics call the “amenity trap.” As a place becomes increasingly attractive to tourists and wealthy homebuyers — people who want amenities — it often becomes too expensive for all but the very well-off. The coal industry has always had its booms and busts, but a tourism-based economy can prove equally precarious, creating an economy based on low-paying service jobs and unaffordable housing.
Peterman told High Country News that the town’s planning and zoning commission is looking at possibly limiting AirBnBs, though she’s “not super keen” on telling people what they can do with their property. Ultimately, Peterman views tourism as just one piece of the puzzle. She hopes the town can attract another industry that resonates with its amenities. “Why aren’t we building ATVs?” she wondered.
HOUSING COSTS IN HELPER have gone up, but they’re still a far cry from the prices in Moab and Park City. Howell, Montoya and others told High Country News that they’re not worried about Helper following in the footsteps of Utah’s more famous former mining towns. Helper lacks the amenities that other, wealthier towns boast; there is no nearby ski resort to attract millions of visitors or Arches National Park in the backyard. Instead, visitors have access to less well-known public lands, such as the San Rafael Swell, and, above all, the town has a history that it takes pride in.
While Helper’s transformation into an art and tourist town might seem like it conflicts with its mining history, those two strands are also intertwined. One of the co-founders of the Arts Festival, Thomas Williams, was a miner in Utah’s coalfields before becoming a painter. Williams passed away a few years ago, but his paintings of his fellow miners still hang at the Balance Rock Eatery.
Scenes from a Saturday morning “Breakfast with Santa.” Residents gather; Billy Deeter carves ham; Chanel and Jesse Candelaria, with their children Lennen, 8, and Sunny, 2, visit with Santa.
This relationship has helped some former miners embrace the changes. “I’m really happy about it,” Celso Montoya, Mark Montoya’s uncle and a retired coal miner, said. “These artists come here, and they’ve brought the town back up.” He loves the new brewery that opened on the north edge of Main Street a year and a half ago. He always gets the prosciutto sandwich. “After I finish it, and I’m walking out, I look up and say, ‘Take me, Lord, if you want.’”
As Helper continues to move forward, the Christmas Festival offers a sense of continuity. During its last two days, Brenda Deeter, who co-directs Christmas Town with Mark Montoya, spent hours cooking a “Breakfast with Santa” and back-to-back chili dinners in the town’s civic center. It was a true family affair, with Deeter’s children, grandchildren and in-laws flipping waffles by morning and dishing chili over kielbasa sausages — a town classic, a remnant from its history of immigration — by night.
“These artists come here, and they’ve brought the town back up.”
While the locals devoured the chili, Montoya and his friend Tyler Nelsen, who works at the Hunter coal-fired power plant 45-minutes south, drove around in a golf cart to line up the floats.
Local businesses, from Utah Power Credit Union to the nearby RV Park, created displays with thousands of lights. Intermountain Electronics, the region’s major manufacturing business, stole the show, though, with workers dressed in reindeer costumes who appeared to fly through the air, pulling a red sleigh: They sat on a long black beam attached to a lifting machine called a telehandler, and were raised and lowered by the driver as they cruised down Main Street. The float made Montoya, and the thousands filling the sidewalks, giddy with delight.
The festival ended with a fireworks show set to a soundtrack of Christmas songs on the local radio station. Montoya watched from behind Main Street, next to the railroad track, the outline of the Book Cliffs visible at the edge of town.
“I want people to discover this place,” he said.
Reporting for this project was supported by the MIT Environmental Solutions Initiative Journalism Fellowship.
Utah
White Christmas moves closer to reality for much of Utah
Those who asked Santa Claus for a White Christmas may find what they wanted under the tree… or better yet, on the trees as storms are expected to bring snow to much of Utah on the holiday.
TRACK THE STORMS: Get real-time weather by downloading the FREE Utah Weather Authority app
Southern Utah will wake up on Christmas morning with snow already likely on the ground as a storm moves in overnight. The winds then turn in the afternoon and the snow arrives along the Wasatch Front with a few inches possible in the northern Utah valleys.
Salt Lake City is currently seeing a 60-70 percent chance of receiving over a trace amount of snow, according to the National Weather Service, with the possibility of accumulating snowfall in the benches.
The mountains are expected to get a decent dump of snow, which will please skiers and snowboarders who have waited through a disappointing start to winter. The resorts up the Cottonwood canyons can see up to 10 inches of snow.
Another storm is expected to impact many of the state’s mountains on Thursday and Friday. Overall, the northern mountain areas could receive up to 3 feet of snow throughout all the storms, with the higher amounts possible in the Bear River Mountains and upper Cottonwoods.
The Thursday-Friday storm will only bring light accumulations to valleys.
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