This bill directs Utah's Public Employees' Benefit Insurance Program (PEHP) to create a new "Weight Management and Obesity Pilot Program" starting in 2026. It combines PEHP's existing bariatric surgery pilot with an alternative option for covered state employees to receive GLP-1 drugs (like Ozempic) instead of surgery, while staying within the existing $1.05 million annual budget. Key provisions include requiring 50% member cost-sharing, capping monthly pharmacy expenses at $300, limiting coverage to 24 months, and applying the same health coaching requirements to both options. The program allows eligible members (with BMI over 40 or 35+ with health conditions) to choose once between surgery or GLP-1 treatment, with annual reports to lawmakers.
SCR 6 is a non-binding resolution encouraging Utah's medical community to improve awareness, education, and diagnosis of POTS (postural orthostatic tachycardia syndrome) in children and adolescents, and urging insurers to cover diagnosis and treatment gaps. It highlights that 77% of POTS patients are initially misdiagnosed, Utah ranks 49th in primary care access, and POTS affects an estimated 3 million U.S. patients, often leading to disability. The resolution does not create new laws or appropriate funds but calls for systemic changes to address barriers in pediatric autonomic disorder care. It specifically targets pediatric patients, healthcare providers, and insurance companies without mandating action.
SB 161 amends Utah's guardianship laws to clarify rights for individuals alleged to be incapacitated and update procedures for court-appointed health care assessments. The bill ensures that Health Insurance Portability and Accountability Act (HIPAA) rights are preserved and sets new standards for health care providers conducting assessments, including requiring their reports to be filed with the court. It also prohibits health care providers from interviewing the person seeking guardianship or including their opinions in assessment reports. These changes apply to guardianships granted on or after May 7, 2025.
SB 127 requires all Utah hospital emergency departments to implement specific pediatric care standards. It mandates policies for pediatric triage, dosing, equipment use, and annual staff training with clinical simulations. Each ER must appoint a pediatric care coordinator (a licensed physician, PA, or nurse) and conduct annual readiness assessments using the National Pediatric Readiness Project framework, reporting results to the Bureau of Emergency Medical Services. The bureau will collect data and establish minimum safety rules for pediatric care in ERs, with $278,000 reallocated from existing state funds for implementation. The bill directly affects all general acute hospital emergency departments across Utah.
SB 311 requires the Huntsman Mental Health Institute to develop a multilingual SafeUT software application (including Spanish) to support a 24/7 crisis line for school safety. The SafeUT Crisis Line enables anonymous reporting of incidents like bullying, violence, or abuse in schools, while providing crisis intervention for emotional distress. The bill establishes a commission with representatives from state agencies, education, and the public to oversee the program. The application will be accessible to students, parents, and school staff to report concerns and access support, with no funding appropriated and effective May 6, 2026.
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.
HB 590 ensures children transitioning out of foster care in Utah can continue seeing their existing mental health therapist without losing coverage. It requires insurers to offer special agreements for these children (called "covered children") to access out-of-network therapists who provided care while they were in foster care, with the same cost-sharing as in-network providers. The Division of Child and Family Services must also coordinate with therapists when children enter or leave foster care to maintain treatment continuity. This applies specifically to children receiving outpatient mental health services, excluding those in residential or higher-level care facilities.
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.