Healthcare

SB 174 allows health care providers, institutions, and payers in Utah to refuse participation in certain medical services (like pregnancy termination disposal) based on religious, moral, or ethical beliefs. It requires providers who refuse such services to notify their institution and prohibits retaliation, discrimination, or adverse actions against them for exercising this right. The bill also shields these individuals from civil, criminal, or administrative liability and mandates health care payers to disclose services they won’t cover due to conscience objections. It defines key terms like "conscience" and "adverse action" to clarify protections and enforcement mechanisms. The bill makes no changes to funding and applies to all covered health care entities under Utah law.

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.

HB 527 amends Utah's pharmacy pricing rules to require pharmacy benefit managers to base reimbursement rates only on drugs rated "A" or "B" in the FDA's Orange Book (or similar ratings) that are not obsolete and generally available in the state. It clarifies key terms like "maximum allowable cost" and "rebate," and grants the Insurance Department authority to create implementing rules. This directly affects pharmacies, pharmacy benefit managers, and insurers by changing how drug reimbursement rates are calculated. The bill does not appropriate funds or create new taxes.

SB 158 expands Medicaid reimbursement eligibility to include licensed residential support programs accredited by the American Camp Association, directly affecting Medicaid beneficiaries receiving recreational therapy services in these facilities. The bill adds this program type to the existing list of covered settings (like hospitals and skilled nursing facilities) where qualified enrollees - those enrolled in Medicaid and referred by a mental health therapist - can access reimbursed services. It authorizes the Department of Health and Human Services to seek necessary federal waivers to implement this change, with no new state funding required. The policy takes effect May 6, 2026, and focuses solely on expanding coverage eligibility without altering service criteria or beneficiary requirements.

HB 174 prohibits health care providers in Utah from administering cross-sex hormones or puberty blockers to minors after January 28, 2027, unless the minor was diagnosed with gender dysphoria before January 28, 2023. The bill amends Utah Code Section 58-1-603.1 to establish this ban, directly affecting minors seeking these treatments who do not meet the pre-2023 diagnosis requirement. It repeals a prior requirement for medical evidence reviews (Section 26B-1-239) and takes effect on May 6, 2026. The law applies to all minors under Utah's definition, with violations classified as unprofessional conduct for providers.

HB 257 requires pharmacies, not the state, to provide patients receiving opiate prescriptions with a pamphlet covering addiction risks, safe storage/disposal methods, pain management alternatives, naloxone benefits, and substance use disorder resources. The pamphlets must be written in simple language, available in multiple languages, and periodically reviewed for effectiveness. The bill takes effect on May 6, 2026, with no new state funding required. It directly affects pharmacies dispensing opiates and patients receiving such prescriptions.