Immigration

HB 471 amends Utah's Medicaid and SNAP programs to implement work requirements for certain adults (ages 19-64, not pregnant or disabled), stricter verification for income, residency, and citizenship, and new citizenship eligibility rules. It requires documented proof (not self-attestation) for enrollment and annual redeterminations, and mandates hospitals to collect immigration status during applications. The bill directly affects Medicaid applicants and recipients who do not qualify for existing exemptions, beginning October 1, 2026, for citizenship rules and January 1, 2027, for work requirements. It also requires annual reports on compliance rates and exemptions to state legislators.