Medicaid Provider Reimbursement Amendments
SB 193 requires annual Medicaid rate increases for certain providers, including Medicaid Accountable Care Organizations (ACOs) and behavioral health plans, based on Utah's General Fund growth factor. The bill establishes a formula: if growth is below 100%, rates stay level; between 100-102%, rates increase by the growth factor; and above 102%, rates increase by 102% through 2026, then align with growth starting in 2027. It coordinates with another bill (SB 246) to clarify which legislation takes effect if both pass. The bill modifies existing budget processes but does not appropriate new funds, affecting providers who serve Medicaid beneficiaries.
Bill status
passed
3 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Feb 2025
Governor
Introduced Jan 30, 2025
Last action Mar 8, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Substitute #2
→
Substitute #3
·
4 edits
MODERATE
This bill revision updates the House sponsor name and adds a coordination clause to clarify how this bill interacts with other Medicaid reimbursement bills if both pass. The substantive policy provisions regarding Medicaid rate increases, funding thresholds, and provider definitions remain unchanged from the previous version.
Scope change
The bill's scope and applicability remain unchanged; no new providers, services, or funding amounts were added or removed.
TECHNICAL
House Sponsor name changed from 'LONG TITLE' to 'Doug Fiefia'
Added coordination clause in highlighted provisions and Utah Code Sections Affected sections to specify which bill becomes law if S.B. 246 and S.B. 193 both pass
Added bill title page header information including date and substitute number
Minor formatting changes including line breaks and spacing throughout the document
Floor votes
How they voted
This bill passed the House by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
26
Key actions
2
Committee
3
Mar 3, 2025
Committee
House/ to standing committee
lower
Feb 21, 2025
Introduced
House/ 1st reading (Introduced)
lower
Feb 19, 2025
Lower · Passed
Senate/ passed 3rd reading
lower
Feb 7, 2025
Upper · Passed
Senate Comm - Favorable Recommendation
upper
Feb 4, 2025
Committee
Senate/ to standing committee
upper
Jan 30, 2025
Introduced
Senate/ 1st reading (Introduced)
upper
1 primary · 1 co-sponsor
Sponsors
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