HB 15 amends Utah's Medicaid expansion program to address potential reductions in federal funding. It changes the automatic end date for the expansion if federal matching funds decrease, requires the Department of Health and Human Services to terminate programs that would reduce federal funds, and mandates a report to the legislature if funding drops. The bill also allows the state tax funding Medicaid expansion to end if the program concludes. These changes directly affect Utah's Medicaid beneficiaries and the state's administration of the program, focusing on maintaining federal funding alignment without new state spending.
This is a non-binding resolution (HJR 4) from Utah's legislature urging Congress to take specific actions on prison security and inmate reentry. It requests Congress to support the 2025 Second Chance Reauthorization Act (to restore funding for reentry programs), expand affordable health care access for incarcerated individuals before release, pass the 2025 Cell Phone Jamming Reform Act, criminalize drone flights over prisons, and allow pilot programs to mitigate drone threats. The resolution does not appropriate funds or create new state laws, but highlights federal policy gaps using statistics on recidivism, contraband cell phones, and drone incidents. It directly addresses Congress, not Utah residents or state agencies.
HB 258 requires health insurance plans in Utah to cover reversal treatments for gender transition if the plan covers transition-related care. Specifically, plans covering hormonal transgender treatments must also cover reversal hormonal treatments, and plans covering surgical sex transition procedures must cover reversal surgeries. This applies to all health benefit plans renewed or entered into on or after January 1, 2027. The bill directly affects insurers and policyholders by mandating this coverage, without appropriating funds or adding new administrative requirements.
HB 264 modifies Utah's prescription medication rules to streamline pharmacy operations. It removes the requirement for pharmacies to notify providers when substituting medications (as authorized by the prescription), allows prescription refills to remain valid for two years, and establishes new rules for standing prescriptions issued by the Department of Health and Human Services. Standing prescriptions must be limited to specific conditions, FDA-approved diagnoses, and clinically appropriate treatments. These changes primarily affect pharmacies, patients receiving refills, and healthcare providers who write prescriptions.
SB 87 allows healthcare providers and overdose outreach groups to legally administer or dispense **expired naloxone** (up to 24 months past expiration) without fear of legal liability, as long as it’s done in good faith during an overdose emergency. It specifically extends immunity from civil lawsuits or criminal charges for using expired naloxone, clarifies that prescribing/dispensing expired naloxone isn’t unprofessional conduct, and requires providers to educate recipients on its safety, efficacy, and risks. The bill directly affects **licensed healthcare professionals, overdose outreach programs, and individuals at high risk of opioid overdose** (or their family/friends who may assist them). Key provisions include permitting expired naloxone use under standing prescriptions and ensuring providers give clear instructions on overdose response. The law does not change existing rules for non-expired naloxone.
HB 199 amends Utah's health data laws to clarify how the Department of Health and Human Services manages health information. It defines key terms, allows the department to share data with public health, mental health, and substance use authorities for public health purposes, and adds new data security requirements. The bill removes certain reporting obligations for health data providers and updates rules around the All Payer Claims Database. These changes primarily affect health care facilities, providers, insurers, and government agencies handling health data within Utah. The law makes technical updates to existing statutes without appropriating new funds.
SB 96 amends Utah laws to clarify how the Department of Health and Human Services investigates opioid overdose deaths and shares related information. It explicitly states the department can investigate drug overdose fatalities as public health hazards, specifies that treatment records shared with medical examiners must follow federal privacy laws (like 42 U.S.C. § 290dd-2), and allows the department to use its authority to identify prevention and intervention opportunities after deaths under the medical examiner’s jurisdiction. The bill directly affects the Department of Health, medical examiners, healthcare providers (who share treatment records), and public health officials. It makes no new funding changes and updates existing codes without creating new programs.
HB 171 clarifies that insurance plans must allow patients to select physician assistants (PAs) as primary care providers without higher costs or barriers. It amends Utah law to explicitly include PAs in insurance coverage requirements for primary care, ensuring they are recognized alongside physicians, obstetricians, gynecologists, and pediatricians. The bill requires insurers to cover PA services as primary care under the same terms as other providers, preventing higher premiums or copays for choosing a PA. This affects patients seeking primary care and insurance companies operating in Utah, with the changes taking effect May 6, 2026.
HB 97, titled "Medical Waste Amendments" (though it addresses medication distribution, not waste), requires health facilities like hospitals, urgent care centers, and surgical facilities to offer unused portions of specific medications to patients upon discharge if continued treatment is needed. The bill covers topical antibiotics, anti-inflammatories, dilation drops, or glaucoma treatments provided during procedures or visits. It mandates that these medications be labeled per pharmacy laws and requires prescribers to counsel patients on proper use, while exempting them from standard pharmacy counseling rules. This applies directly to patients receiving facility-provided medications during care, effective May 6, 2026.
HB 71 requires health insurance companies (covered insurers) to help enrollees access behavioral health services (like mental health and substance use treatment) in a timely manner when in-network providers aren't available. Insurers must publish and regularly update accurate provider directories, facilitate out-of-network care within 7 days (or 24 hours for emergencies), and follow specific rules for single case agreements to cover out-of-network services. The bill also extends these requirements to Utah's Medicaid program and directs the state to create a working group to study a statewide behavioral health provider directory. These changes apply to all insurers offering behavioral health coverage, effective July 1, 2026.