HB 321 Utah House · 2026 General Session

Inmate Medical Treatment Rates Amendments

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.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Jan 22, 2026 Signed Mar 19, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

Substitute #2 Enrolled · 1 edit · Mar 19, 2026
MINOR
This bill establishes a restricted account to fund inmate medical services and mandates that the Department of Health and Human Services pay Medicare rates to University of Utah providers for outpatient care. It also requires annual reporting on savings and account balances to legislative committees. The effective date for these reimbursement changes was updated from May 6, 2026, to May 6, 2027, likely to align with the start of the fiscal year.
Scope change
The bill's scope remains focused on inmate medical treatment funding and reporting, but the timeline for when the new reimbursement rates become effective has been extended by one year.
TIMELINE

The effective date for reimbursing University of Utah providers at Medicare rates was changed from May 6, 2026, to May 6, 2027.

Floor votes · Senate Mar 6, 2026 · House Feb 25, 2026

How they voted

280
Passed · 1 other
Total votes 29
Mar 6, 2026
D Democratic6
6 Yea
100% Yea
N Forward1
1 Yea
100% Yea
R Republican22
21 Yea 1
95% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
50
Key actions
9
Committee
7
Mar 19, 2026
Signed into law
Governor Signed
executive
Mar 7, 2026
Lower · Passed
House/ signed by Speaker/ sent for enrolling
lower
Mar 6, 2026
Lower · Passed
Senate/ signed by President/ returned to House
lower
Mar 3, 2026
Upper · Passed
Senate/ committee report favorable [Senate Health and Human Services Committee]
upper
Mar 3, 2026
Upper · Passed
Senate Comm - Favorable Recommendation [Senate Health and Human Services Committee]
upper
Feb 27, 2026
Committee
Senate/ to standing committee [Senate Health and Human Services Committee]
upper
Feb 26, 2026
Introduced
Senate/ 1st reading (Introduced)
upper
Feb 25, 2026
Upper · Passed
House/ passed 3rd reading
upper
Feb 17, 2026
Lower · Passed
House/ comm rpt/ substituted [House Health and Human Services Committee]
lower
Feb 17, 2026
Lower · Passed
House Comm - Favorable Recommendation [House Health and Human Services Committee]
lower
Feb 12, 2026
Lower · Passed
House Comm - Held [House Health and Human Services Committee]
lower
Feb 11, 2026
Committee
House/ to standing committee [House Health and Human Services Committee]
lower
Jan 22, 2026
Introduced
House/ 1st reading (Introduced)
lower
1 primary · 1 co-sponsor

Sponsors