Healthcare (Primary Care)

SCR 6 is a non-binding resolution encouraging Utah's medical community to improve awareness, education, and diagnosis of POTS (postural orthostatic tachycardia syndrome) in children and adolescents, and urging insurers to cover diagnosis and treatment gaps. It highlights that 77% of POTS patients are initially misdiagnosed, Utah ranks 49th in primary care access, and POTS affects an estimated 3 million U.S. patients, often leading to disability. The resolution does not create new laws or appropriate funds but calls for systemic changes to address barriers in pediatric autonomic disorder care. It specifically targets pediatric patients, healthcare providers, and insurance companies without mandating action.

SB 204 requires Utah health insurers to apply the same cost-sharing rules (like copays and deductibles) for physical therapy services as they do for primary care visits. This directly affects patients seeking physical therapy and insurers, ensuring they pay no more out-of-pocket for PT than for a primary care visit. The bill amends Utah law to prohibit insurers from charging higher fees or imposing extra costs for physical therapy compared to primary care, while clarifying that physical therapists must still practice within existing scope-of-practice laws. It takes effect January 1, 2027, with no new funding required.

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 383 amends Utah's Health and Human Services code to clarify operational procedures within the department. It removes rulemaking authority from the Primary Care Grant Committee, clarifies membership and independence for the Compassionate Use Board and Health Workforce Advisory Council, and updates rules for Medicaid dental benefits and disability service funding transitions. The bill also specifies that the department may establish rules for congregate care ombudsman services and clarifies hospital transfer procedures for individuals in correctional custody. These changes affect department staff, advisory boards, healthcare providers, and service recipients, but the bill contains no new funding or significant policy shifts.