HB 70: Correctional Health Services Amendments - Utah

Substitute #3 → Substitute #4 · 3 edits

MINOR

This bill version removes the appropriation of $7 million from the General Fund and the creation of a new non-lapsing fund for unanticipated high-cost correctional health expenses. It also deletes the repeal of a specific reporting requirement for medication-assisted treatment plans, effectively keeping that reporting rule in place. The core mandates for the electronic health record study and opioid use disorder treatment plans remain unchanged.

Scope change

The bill's scope regarding funding sources and specific reporting obligations was narrowed by removing the General Fund appropriation and the repeal of an existing reporting statute.

FISCAL

Removed the $7 million appropriation from the General Fund for the electronic health record system and the creation of a non-lapsing fund for unanticipated high-cost correctional health expenses.

The 'Money Appropriated in this Bill' section was updated to reflect that only restricted fund and account transfers are being used, with no new General Fund operating budget added.

REQUIREMENT

Deleted the repeal of Section 64-13-25.1(5), meaning the requirement to report on the continuation or discontinuation of medication-assisted treatment plans will remain in effect past July 1, 2026.

Substitute #2 → Substitute #3 · 6 edits

MODERATE

This bill adds specific funding details and modifies reporting requirements for correctional health services. It explicitly appropriates $7 million for an electronic health record system and clarifies that certain unanticipated high-cost health funds are non-lapsing. Additionally, it updates the timeline for medication-assisted treatment reporting and repeals an outdated reporting subsection.

Scope change

The bill's scope expanded to include explicit funding appropriations and clarified the fiscal treatment of specific health care funds.

FISCAL

Added explicit appropriation of $7,000,000 from the General Fund for an electronic health record system in fiscal year 2027.

Added explicit appropriation of ($7,000,000) in restricted fund transfers for fiscal year 2027.

Clarified that funds for unanticipated high-cost correctional health care are non-lapsing and restricted to specific health care costs.

REQUIREMENT

Changed the deadline for the annual medication-assisted treatment report from November 30 to the August interim meeting.

Repealed the requirement to report on the discontinuation of medication-assisted treatment plans.

TECHNICAL

Corrected formatting and line breaks in the long title and code sections.

Substitute #1 → Substitute #2 · 5 edits

MODERATE

The bill was amended to remove all appropriations and funding provisions, including the $500,000 for an electronic health record system and the creation of the Medicaid Growth Reduction and Budget Stabilization Account. The text of the substantive sections regarding electronic health records, non-lapsing funds, and opioid treatment plans remains identical to the original version.

Scope change

The bill's scope was significantly reduced by removing the financial mechanisms that would have funded the new electronic health record system and the Medicaid stabilization account. The operational requirements for inmate health services remain unchanged.

FISCAL

Deleted the $500,000 appropriation for the electronic health record system and the associated budget items in the Department of Corrections.

Removed the section creating the 'Medicaid Growth Reduction and Budget Stabilization Account' and all related transfer and appropriation rules.

Deleted the provision allowing the Medicaid account to be used for the electronic health record system.

TECHNICAL

Changed the 'Money Appropriated in this Bill' section from listing $500,000 to stating 'None'.

Removed the 'FY 2027 Appropriations' section detailing the specific budget line items.

Introduced → Substitute #1 · 4 edits

MODERATE

The bill was amended to clarify that it applies specifically to opioid use disorder rather than all substance use disorders, added a new provision allowing Medicaid funds to pay for the new electronic health record system, and introduced a new section requiring a specific report on medication-assisted treatment discontinuations. Additionally, the Senate sponsor was updated and the effective date was changed to May 6, 2026.

Scope change

The scope of the treatment plan requirement was narrowed from all substance use disorders to specifically opioid use disorder.

SCOPE

The requirement to create a treatment plan was changed from covering 'all inmates who suffer from a substance use disorder' to covering only 'inmates who suffer from opioid use disorder'.

FISCAL

A new highlighted provision was added stating that money from the Medicaid Growth Reduction and Budget Stabilization Account may be used to pay for the new electronic health record system.

REQUIREMENT

A new reporting requirement was added to Section 64-13-25.1, mandating an annual report detailing the number of individuals who discontinued medication-assisted treatment and the reasons for discontinuation.

TECHNICAL

The Senate Sponsor was changed from 'LONG TITLE' to 'Brady Brammer', and the effective date was updated to May 6, 2026.

Correctional Health Services Amendments

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