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.
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.
HB 351 requires Utah public schools to follow up with parents within 30 days if a student fails a vision screening, confirming they received results and offering help finding care. It affects students aged 3-16 in Utah public schools, their parents, and school staff conducting screenings. The bill establishes a two-tier screening system (basic "tier one" and more detailed "tier two"), mandates training for school nurses and volunteers, and creates standardized forms to ensure screenings aren't confused with full eye exams. Schools must also provide resources for follow-up care and prevent volunteers from promoting businesses during screenings. The bill takes effect July 1, 2026, with no new funding required.
SB 261 amends Utah's pharmacy laws to expand pharmacists' roles and improve oversight. It allows pharmacists to prescribe vaccines and epinephrine directly, increases patient access to these services, and permits online sales of pseudoephedrine under specific safeguards. The bill also requires an electronic tracking system for pseudoephedrine sales to prevent diversion, managed by the Division of Professional Licensing and the Board of Pharmacy. These changes primarily affect pharmacists, patients seeking vaccinations or epinephrine, and retailers selling pseudoephedrine. The bill makes no changes to funding or existing pharmacy licensing structures.
HB 468 requires health insurance plans in Utah to cover mobile mammography screenings when provided by an approved mobile unit (like a bus or vehicle with FDA-accredited equipment) in rural areas. It defines "rural area" as specific county classifications and mandates that coverage must reimburse mobile units at the same rate as in-network facility screenings. The bill also requires mobile units to accept the reimbursement amount plus any patient cost-sharing as full payment and to follow U.S. Preventive Services Task Force guidelines for screenings. This law takes effect January 1, 2027, directly affecting insurers, mobile mammography providers, and patients in rural Utah.
SB 281 creates a Senior Nutrition Private Donation Matching Fund to encourage private contributions for senior meal programs. Local area agencies serving seniors can qualify for matching funds when they secure new private donations (not from program recipients or in-kind donations) that exceed prior public entity donations by a specific amount. The fund matches these qualifying donations to support home-delivered meals, with distributions based on "area need" factors like senior population served and rural service costs. This directly affects local agencies managing senior nutrition services by providing a mechanism to leverage private funding without new state appropriations.