SB 288 requires Utah's Department of Health and Human Services to establish quality standards for Medicaid providers (including managed care entities and fee-for-service providers) and annually report their performance to the legislature. It mandates a new "closed loop referral system" to coordinate social needs care (like housing or food assistance) for Medicaid-eligible individuals, ensuring secure communication and tracking of referrals between providers. The bill appropriates $42.7 million for fiscal year 2027 to fund these requirements, including $16.9 million from the General Fund. This directly affects Medicaid providers through performance evaluations and new reporting duties, while improving care coordination for Medicaid enrollees with social needs.
SB 261 amends Utah's pharmacy laws to expand pharmacists' roles and improve oversight. It allows pharmacists to prescribe vaccines and epinephrine directly, increases patient access to these services, and permits online sales of pseudoephedrine under specific safeguards. The bill also requires an electronic tracking system for pseudoephedrine sales to prevent diversion, managed by the Division of Professional Licensing and the Board of Pharmacy. These changes primarily affect pharmacists, patients seeking vaccinations or epinephrine, and retailers selling pseudoephedrine. The bill makes no changes to funding or existing pharmacy licensing structures.
HB 559 designates October as Pregnancy and Infant Loss Awareness Month and requires health care facilities providing birthing services to implement specific compassionate care practices when patients experience pregnancy or infant loss. These practices include offering memory-making opportunities (like photos or keepsakes), access to grief counseling, and protocols for anticipated losses, all to ensure dignity and support. The bill also mandates that health care professionals in emergency care, obstetrics, gynecology, and labor and delivery settings complete bereavement training on supporting patients, which can count toward their continuing medical education requirements. These provisions apply directly to Utah health care facilities and providers, with no new funding required.
HB 468 requires health insurance plans in Utah to cover mobile mammography screenings when provided by an approved mobile unit (like a bus or vehicle with FDA-accredited equipment) in rural areas. It defines "rural area" as specific county classifications and mandates that coverage must reimburse mobile units at the same rate as in-network facility screenings. The bill also requires mobile units to accept the reimbursement amount plus any patient cost-sharing as full payment and to follow U.S. Preventive Services Task Force guidelines for screenings. This law takes effect January 1, 2027, directly affecting insurers, mobile mammography providers, and patients in rural Utah.
SB 281 creates a Senior Nutrition Private Donation Matching Fund to encourage private contributions for senior meal programs. Local area agencies serving seniors can qualify for matching funds when they secure new private donations (not from program recipients or in-kind donations) that exceed prior public entity donations by a specific amount. The fund matches these qualifying donations to support home-delivered meals, with distributions based on "area need" factors like senior population served and rural service costs. This directly affects local agencies managing senior nutrition services by providing a mechanism to leverage private funding without new state appropriations.
This bill makes permanent a budgeting mechanism that adjusts Medicaid reimbursement rates for applied behavior analysis (ABA) services based on Utah's General Fund revenue growth. It ensures ABA providers receive rate increases tied to the state's budget growth factor (e.g., 100% if growth is below 100%, or 102% if growth is 102% or higher). The policy directly affects Medicaid providers delivering ABA services to beneficiaries and ensures these rates stay aligned with reimbursement for similar services under Medicaid managed care plans. The bill does not appropriate new funding but modifies how existing funds are allocated to maintain these rate adjustments.
SB 175 updates Utah's health insurance requirements for autism spectrum disorder (ASD) coverage. It requires health benefit plans to cover ASD treatment - including applied behavior analysis - and expands the list of qualified providers (like psychologists and social workers) eligible for reimbursement for diagnosis and treatment. The bill also removes outdated language about preexisting conditions and clarifies definitions for ASD diagnosis and treatment under Utah law. These changes directly affect health insurance plans sold in Utah's individual and large group markets, ensuring coverage for children aged 2-10 years with ASD. The law amends specific Utah Code sections (26B-3-904 and 31A-22-642) without appropriating new funds.
HB 343 amends Utah's Medicaid certification rules for nursing care facilities, primarily affecting facilities seeking to renew or transfer certification when relocating or renovating. The key change allows facilities with a previously approved two-year extension for relocation to request a longer four-year extension under specific circumstances, such as emergencies or documented need. It also clarifies requirements for maintaining certification during facility transitions, including written assurances to avoid disputes over facility ownership. The bill makes technical updates to existing code but does not appropriate new funds or change bed capacity rules without director approval. This streamlines certification continuity for facilities relocating within counties or within five miles of their original site.
SB 158 expands Medicaid reimbursement eligibility to include licensed residential support programs accredited by the American Camp Association, directly affecting Medicaid beneficiaries receiving recreational therapy services in these facilities. The bill adds this program type to the existing list of covered settings (like hospitals and skilled nursing facilities) where qualified enrollees - those enrolled in Medicaid and referred by a mental health therapist - can access reimbursed services. It authorizes the Department of Health and Human Services to seek necessary federal waivers to implement this change, with no new state funding required. The policy takes effect May 6, 2026, and focuses solely on expanding coverage eligibility without altering service criteria or beneficiary requirements.
HB 380 requires Utah hospitals to establish systems for tracking and reporting workplace violence incidents involving staff. Hospitals must record details like incident timing, victim job roles, perpetrator type (patient, visitor, or employee), and responses; prohibit retaliation against reporters; and submit quarterly data to medical/nursing leadership by November 2026. They must also maintain records for two years and provide annual reports to the state department. The bill also delays repealing enhanced criminal penalties for violence against health facility employees until 2032.
