SB 305 modifies how Utah calculates Medicaid hospital provider assessments and integrates quality incentive arrangements into Medicaid accountable care organization payment rates. It directly affects Utah hospitals serving Medicaid patients by requiring them to meet specific quality standards to qualify for additional payments. Key provisions include using funds from the Hospital Provider Assessment Expendable Revenue Fund to support quality strategies (capping annual spending at $211,300) and monitoring how accountable care organizations distribute funds to hospitals (capping annual spending at $200,000). The bill takes effect on May 6, 2026, and updates existing Medicaid payment structures without appropriating new state funds.
SB 319 requires Utah health insurance companies to increase transparency around preauthorization processes. It mandates insurers to post detailed preauthorization requirements and statistics on their websites, disclose if they use artificial intelligence in reviews, and make decisions within seven days. The bill also sets minimum validity periods for authorizations covering chronic or long-term care conditions and requires independent medical judgment for denials. These changes directly affect insurers, healthcare providers submitting requests, and patients seeking covered services.
SB 244 requires all Utah public schools to develop cardiac emergency response plans (CERPs) by the 2026-2027 school year, directly affecting every school within a local education agency (LEA). The bill mandates that CERPs include evidence-based emergency cardiovascular care protocols, proper placement and maintenance of automated external defibrillators (AEDs), and training for staff in CPR and AED use. It establishes a $200,000 grant program prioritizing high-needs schools (those with Title I status or over 50% free/reduced lunch students) to cover AED purchases, maintenance, and staff training. The State Board of Education will oversee implementation and set rules for compliance, with the law taking effect July 1, 2026.
SB 73 requires online platforms providing content deemed harmful to minors to implement age verification systems. It imposes an excise tax on these platforms, with revenues funding mental health programs and enforcement through the Division of Consumer Protection. The bill creates two dedicated accounts for these funds and grants the Division authority to investigate violations, impose fines, and establish verification standards. Platforms failing to comply face civil penalties, while approved verification methods receive a safe harbor from liability.
HB 379 exempts licensed child care providers in Utah from standard food service establishment regulations. Instead, it authorizes the Department of Health and Human Services to create specific food safety and sanitation rules for these providers, based on food volume and preparation type - not the number of children served. The bill directly affects licensed child care facilities operating under Utah’s child care licensing system, replacing general food safety requirements with tailored standards. It makes technical changes to relevant Utah Code sections without appropriating new funds.
HB 321 establishes that Utah's Department of Health and Human Services must pay University of Utah Hospitals and Clinics the standard Medicaid base rate (not higher rates) for inmate medical care when no contract exists, creating a savings mechanism. It requires the department to deposit 50% of these savings into a new "Inmate Medical Treatment Restricted Account" for correctional health services, while the other 50% returns to the General Fund. The bill mandates annual reports to legislative committees detailing the savings calculations and account balances. This directly affects state departments managing inmate healthcare, hospitals providing services, and incarcerated individuals receiving medical treatment. The policy changes focus on standardizing reimbursement rates and tracking cost savings without altering healthcare delivery.
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.
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.