Budget & Taxes (Government Spending)

HJR 20 proposes a constitutional amendment to require voter approval for most tax increases and government debt in Utah. If passed, it would mandate that taxpayers vote to approve any rise in tax revenue or new borrowing by state or local governments, limit annual spending without voter consent, and require refunds of excess tax revenue. The amendment also specifies that residential property must be assessed using sales comparison (standard home valuation method) and allows the legislature to exempt business personal property from taxes. This change would affect all Utah taxpayers and government entities by shifting key budgetary decisions to voter approval.

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.