Rep. Norm Thurston — Voting Record

Bill

Number

S.B. 161 Fourth Substitute (2018GS)

Sponsor

Sen. Escamilla, L.

Final action

Governor Signed 3/22/2018

Outcome

Became law — signed by Gov. Gary R. Herbert

Summary

What it does

• This bill:
• creates an evidence-based Nurse Home Visiting Pay-for-Success Program within the Department of Health;
• describes the requirements of the nurse home visiting pay-for-success program;
• provides that the program is funded through a contractual relationship between the Department of Health and one or more private investors;
• initiates the program as a pilot program;
• provides for success payments to investors if performance goals outlined in the pay-for-success contract are met by the program;
• makes changes to the Nurse Home Visiting Restricted Account;
• creates a reporting requirement; and
• sets a sunset date for the new program.

Every vote on this bill

Bill text

NURSE HOME VISITING PAY-FOR-SUCCESS PROGRAM
GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Luz Escamilla
House Sponsor: 
Edward H. Redd
LONG TITLE
General Description:
This bill creates an evidence-based nurse home visiting pay-for-success program within
the Department of Health.
Highlighted Provisions:
This bill:
▸ creates an evidence-based Nurse Home Visiting Pay-for-Success Program within
the Department of Health;
▸ describes the requirements of the nurse home visiting pay-for-success program;
▸ provides that the program is funded through a contractual relationship between the
Department of Health and one or more private investors;
▸ initiates the program as a pilot program;
▸ provides for success payments to investors if performance goals outlined in the
pay-for-success contract are met by the program;
▸ makes changes to the Nurse Home Visiting Restricted Account;
▸ creates a reporting requirement; and
▸ sets a sunset date for the new program.
Money Appropriated in this Bill:
This bill appropriates in fiscal year 2019:
▸ to General Fund Restricted - Nurse Home Visiting Restricted Account, as an
ongoing appropriation:
• from the General Fund, $500,000; and
▸ to Department of Health - Family Health and Preparedness - Nurse Home Visiting
Pay-for-Success, as an ongoing appropriation:
• from the General Fund Restricted - Nurse Home Visiting Restricted Account,
$500,000.
Other Special Clauses:
This bill provides a special effective date.
Utah Code Sections Affected:
AMENDS:
63I-1-226
, as last amended by Laws of Utah 2017, Chapters 177 and 443
63I-1-263
, as last amended by Laws of Utah 2017, Chapters 23, 47, 95, 166, 205, 469,
and 470
63J-1-602.1
 (Superseded 09/30/18)
, as last amended by Laws of Utah 2017, Chapters
88, 194, and 383
63J-1-602.1
 (Effective 09/30/18)
, as last amended by Laws of Utah 2017, Chapters 88,
107, 194, and 383
RENUMBERS AND AMENDS:
26-62-601
, (Renumbered from 26-10-12, as enacted by Laws of Utah 2017, Chapter
155)
ENACTS:
26-62-101
, Utah Code Annotated 1953
26-62-102
, Utah Code Annotated 1953
26-62-201
, Utah Code Annotated 1953
26-62-202
, Utah Code Annotated 1953
26-62-203
, Utah Code Annotated 1953
26-62-204
, Utah Code Annotated 1953
26-62-301
, Utah Code Annotated 1953
26-62-302
, Utah Code Annotated 1953
26-62-303
, Utah Code Annotated 1953
26-62-401
, Utah Code Annotated 1953
26-62-402
, Utah Code Annotated 1953
26-62-403
, Utah Code Annotated 1953
26-62-501
, Utah Code Annotated 1953
26-62-502
, Utah Code Annotated 1953
26-62-503
, Utah Code Annotated 1953
26-62-504
, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 
26-62-101
 is enacted to read:
CHAPTER 62. NURSE HOME VISITING PAY-FOR-SUCCESS PROGRAM
Part 1. General Provisions
 26-62-101.
Title.
This chapter is known as the "Nurse Home Visiting Pay-for-Success Program."
Section 2. Section 
26-62-102
 is enacted to read:
 26-62-102.
Definitions.
As used in this chapter:
(1) "At-risk individual" means an individual who qualifies for coverage under:
(a) the Children's Health Insurance Program created in Chapter 40, Utah Children's
Health Insurance Act;
(b) the Medicaid program, as defined in Section 
26-18-2
;
(c) the Special Supplemental Nutrition Program for Women, Infants, and Children,
established in 42 U.S.C. Sec. 1786; or
(d) Temporary Assistance for Needy Families, described in 42 U.S.C. Sec. 601 et seq.
(2) "Eligible participant" means an individual who:
(a) is referred to the program as an at-risk individual; and
(b) is appropriate for participation in the program as determined by a service provider.
(3) "Fiscal intermediary entity" means an organization that has the necessary
experience to coordinate the funding and management of a pay-for-success contract.
(4) "Independent evaluator" means a person that is contracted to conduct an annual
evaluation of the performance outcome measures specified in the pay-for-success contract.
(5) "Investor" means a private person that:
(a) provides an up-front cash payment to fund the program; and
(b) receives a success payment if the performance outcome measures are satisfied.
(6) "Pay-for-success contract" means a contract entered into by the department in
accordance with Section 
26-62-301
.
(7) "Performance outcome measure" means a measurable outcome established by the
department under Section 
26-62-302
.
(8) "Program" means the Nurse Home Visiting Pay-for-Success Program created in
Section 
26-62-201
.
(9) "Programmatic intermediary entity" means a private, not-for-profit organization
that enters into a pay-for-success contract with the department to operate the program.
(10) "Qualified nurse" means an individual who is licensed to practice as a registered
nurse in the state.
(11) "Restricted account" means the Nurse Home Visiting Restricted Account created
in Section 
26-62-601
.
(12) "Service provider" means a person that receives a contract from the programmatic
intermediary entity to provide the services described in Section 
26-62-203
.
(13) "Success payment" means the amount paid by the department to an investor from
the restricted fund in accordance with the terms of a pay-for-success contract.
Section 3. Section 
26-62-201
 is enacted to read:
Part 2. Nurse Home Visiting Pay-for-Success Program
 26-62-201.
Creation.
There is created the Nurse Home Visiting Pay-for-Success Program in the department.
Section 4. Section 
26-62-202
 is enacted to read:
 26-62-202.
Department duties.
The department shall:
(1) administer the pilot program described in Section 
26-62-401
;
(2) negotiate and enter into:
(a) a pay-for-success contract to provide the services described in Section 
26-62-203
;
and
(b) a contract with an independent evaluator to perform the evaluation described in
Section 
26-62-303
;
(3) provide necessary data to the independent evaluator to facilitate assessment of the
performance outcome metrics;
(4) if the independent evaluator determines that the specified performance outcome
measures have been achieved, make a success payment to the investors in the amount specified
in the pay-for-success contract;
(5) refer pregnant at-risk individuals who are likely to be first-time mothers to the
program for potential enrollment; and
(6) calculate the potential savings to the state through a Medicaid waiver or a state plan
amendment under Section 
26-62-502
.
Section 5. Section 
26-62-203
 is enacted to read:
 26-62-203.
Nurse home visiting program.
(1) A participant in a program shall receive ongoing in-person home visits from a
qualified nurse from early in the participant's pregnancy to up to two years after the
participant's child is born.
(2) (a) To participate in the program, an individual must be an eligible participant at
the time of enrollment.
(b) The program shall prioritize the enrollment of first-time mothers, as defined by the
programmatic intermediary entity.
(c) The programmatic intermediary entity may request a limited waiver from the
requirement in Subsection (2)(a) from the department if the programmatic intermediary entity
can demonstrate that a group:
(i) is significantly underserved; and
(ii) meets all other requirements of the program.
(3) The services provided during a home visit described in Subsection (1) shall be
provided according to a set of standards that:
(a) are nationally recognized;
(b) are evidence-based, with support from at least two reliable, randomized control
trials with statistically significant results; and
(c) have demonstrated sizable and sustained results.
Section 6. Section 
26-62-204
 is enacted to read:
 26-62-204.
Service providers.
(1) The programmatic intermediary entity may contract with one or more qualified
service providers to provide the services described in Section 
26-62-203
 for the program.
(2) A service provider that receives a contract under Subsection (1) shall:
(a) have a demonstrated record of providing social services to low-income populations;
(b) agree to deliver services according to the standards set by the programmatic
intermediary entity; and
(c) submit data to the independent evaluator that are necessary to evaluate the
performance outcome measures.
(3) The programmatic intermediary entity shall seek approval from the department
before entering into a contract with a service provider under this section.
(4) The selection of a service provider by the programmatic intermediary entity:
(a) shall be conducted with input from the department; and
(b) shall be conducted in accordance with a rigorous, evidence-based selection process.
Section 7. Section 
26-62-301
 is enacted to read:
Part 3. Pay-for-Success Contract
 26-62-301.
Pay-for-success contract -- Success payments -- Outcome measures.
The department shall implement a program under this chapter through a pay-for-success
contract, which:
(1) shall include at least all of the following as parties to the contract:
(a) the department;
(b) an independent evaluator;
(c) an intermediary agency; and
(d) an investor;
(2) shall include clear performance outcome measures that trigger a success payment;
(3) shall establish a payment schedule for investors if the performance outcome
measures are achieved;
(4) shall only allow repayment with funds appropriated from the restricted account;
(5) shall prohibit civil action by investors against the state if a success payment is not
made because performance outcome measures are not achieved; and
(6) may not, under any circumstance, cause the total outstanding obligations under this
chapter to exceed $25,000,000.
Section 8. Section 
26-62-302
 is enacted to read:
 26-62-302.
Performance outcome measures.
(1) The department shall establish performance outcome measures that shall be used to
determine the conditions of a success payment under a contract described in Section
26-62-301
.
(2) (a) Before entering into a pay-for-success contract under this chapter, the
department shall report the terms of the proposed pay-for-success contract, including the
proposed outcome measures, to the Executive Appropriations Committee.
(b) The report described in Subsection (2)(a) shall include, at a minimum, the
following items:
(i) the populations selected as targetable and high-need populations, including the
department's assessment of whether similar publicly funded services are available to those
populations;
(ii) the benchmarks selected to measure each performance outcome measure;
(iii) the targets selected for each performance outcome measure; and
(iv) the amount that will be paid to each party in the pay-for-success contract if a target
is reached.
(c) The department may not enter into a pay-for-success contract under this chapter
until after the department makes the report described in Subsection (2)(a) to the Executive
Appropriations Committee.
(3) The performance outcome measures described in Subsection (2) shall include, at a
minimum, the following categories:
(a) preterm births;
(b) child injury;
(c) child immunization rates through age two;
(d) screening for postpartum depression; and
(e) enrollment targets for the program.
(4) The program outcome measures shall be determined using data from:
(a) the pilot phase described in Section 
26-62-401
;
(b) peer-reviewed studies; or
(c) any government entity.
(5) The enrollment targets described in Subsection (3)(e) shall include a measure of:
(a) the number of participants in the program; and
(b) the proportion of participants who come from a zip code in which 15% or more of
households have incomes below the federal poverty guidelines established by the secretary of
the United States Department of Health and Human Services.
Section 9. Section 
26-62-303
 is enacted to read:
 26-62-303.
Independent evaluator.
(1) The department shall contract with an independent evaluator who will perform an
assessment for the pay-for-success contract.
(2) The independent evaluator shall:
(a) have demonstrated expertise in evaluating home visiting programs; and
(b) have successfully completed at least two independent evaluations of a program that
utilizes the pay-for-success contract model before entering into the contract.
Section 10. Section 
26-62-401
 is enacted to read:
Part 4. Implementation
 26-62-401.
Pilot phase.
(1) Before July 1, 2019, the department shall:
(a) identify whether there is a targetable, high-need population for the implementation
of the home visiting program;
(b) identify service providers that are able to reach the targeted population with the
program; and
(c) gather data needed to make the evaluation in Subsection (3).
(2) The department may:
(a) contract with a third party with the necessary expertise to act as a programmatic
intermediary agency to administer the pilot phase described in Subsection (1);
(b) contract with a fiscal intermediary entity to administer the pilot phase described in
Subsection (1); and
(c) execute a single contract with the programmatic intermediary agency to administer
the pilot phase described in this section and the implementation phase described in Section
26-62-402
.
(3) The department shall begin the implementation phase described in Section
26-62-203
 if the department determines that:
(a) there is at least one identifiable high-need population that would benefit from the
program;
(b) there are sufficient service providers to provide services under the program to the
population described in Subsection (3)(a);
(c) there is evidence that the program would produce positive outcomes for the state;
and
(d) there are persons that are qualified and have expressed an interest in serving as:
(i) an intermediary entity;
(ii) an independent evaluator; and
(iii) an investor.
Section 11. Section 
26-62-402
 is enacted to read:
 26-62-402.
Implementation phase.
(1) If all of the conditions described in Subsection 
26-62-401
(3) are satisfied, and after
the department has made the report described in Subsection 
26-62-302
(2), the department shall
enter into a pay-for-success contract with a programmatic intermediary entity, an independent
evaluator, and investors to provide the services required under Section 
26-62-203
.
(2) The department shall make success payments from the restricted fund to investors
in accordance with the terms of the pay-for-success contract.
(3) The program shall operate for six years.
Section 12. Section 
26-62-403
 is enacted to read:
 26-62-403.
Study and expansion phase.
Before July 1, 2025, the department shall create a report to the Legislature describing:
(1) cost savings and other benefits to the state resulting from the program; and
(2) options for:
(a) increasing the number of individuals served by home visiting programs;
(b) improving the effectiveness of home visiting programs funded by the state;
(c) leveraging private and government funding, including Medicaid funding, to
increase the use and effectiveness of home visiting programs in the state;
(d) coordinating the identification of individuals who could benefit from home visiting
programs;
(e) coordinating the delivery of services provided through multiple home visiting
programs, where appropriate; and
(f) funding home visiting programs if funding through the federal government's
Maternal, Infant, and Early Childhood Home Visiting program is eliminated or reduced.
Section 13. Section 
26-62-501
 is enacted to read:
Part 5. Miscellaneous Provisions
 26-62-501.
Reporting requirement.
The department shall report to the Health and Human Services Interim Committee,
before October 1 of each year while the program is in operation, regarding:
(1) the number of participants enrolled in the program;
(2) the amount of any success payments that have been made;
(3) an estimate of savings to the state resulting from this program; and
(4) suggestions for legislation that would make a home visiting program or a
pay-for-success contract more efficient or widely available throughout the state.
Section 14. Section 
26-62-502
 is enacted to read:
 26-62-502.
Medicaid waiver.
(1) The department may submit a Medicaid waiver to the secretary of the United States
Department of Health and Human Services to expand the Nurse Home Visiting
Pay-for-Success Program.
(2) The department shall report to the Health and Human Services Interim Committee
or the Health and Human Services Standing Committee within 60 days after the date on which
the department submits a waiver request under Subsection (1).
Section 15. Section 
26-62-503
 is enacted to read:
 26-62-503.
Limited liability.
(1) An investor may not take any action against the state, a political subdivision, a
programmatic intermediary entity, a service provider, or a financial intermediary entity for:
(a) the failure of a success payment due to the failure to achieve the performance
outcome measures; or
(b) any amount over the $25,000,000 limit for all success payments in the aggregate for
the program.
(2) The limitation described in Subsection (1) does not prohibit an investor from taking
action against the state for a failure to make a success payment in accordance with the
pay-for-success contract if the performance outcome measures are achieved and the limit has
not been exceeded.
Section 16. Section 
26-62-504
 is enacted to read:
 26-62-504.
Repeal date.
This chapter is repealed on July 1, 2026, in accordance with Section 
63I-1-226
.
Section 17. Section 
26-62-601
, which is renumbered from Section 26-10-12 is
renumbered and amended to read:
Part 6. Nurse Home Visiting Restricted Account
[
26-10-12
].
 26-62-601.
Nurse Home Visiting Restricted Account.
[
(1) As used in this section, "home visiting" means an evidence-based program
designed to meet the needs of pregnant women and families with children under four years of
age by improving maternal mental and physical health, supporting positive parenting,
preventing child abuse and neglect, and promoting child health, development, and school
readiness.
]
[
(2) (a)
] 
(1)
 There is created a restricted account within the General Fund known as the
"
Nurse
 Home Visiting Restricted Account."
[
(b)
] 
(2)
 The restricted account consists of:
[
(i)
] 
(a)
 money appropriated to the restricted account by the Legislature;
[
(ii)
] 
(b)
 private donations; and
[
(iii)
] 
(c)
 all income and interest derived from the deposit and investment of money in
the account.
[
(c) Money in the restricted account may be used only for appropriations by the
Legislature to fund evidence-based home visiting programs in the state.
]
(3) Subject to legislative appropriations, money in the restricted account may be used
to fund activities related to the program created in this chapter.
Section 18. Section 
63I-1-226
 is amended to read:
63I-1-226.
Repeal dates, Title 26.
(1) Section 
26-1-40
 is repealed July 1, 2019.
(2) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
1, 2025.
(3) Section 
26-10-11
 is repealed July 1, 2020.
(4) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2024.
(5) Title 26, Chapter 36a, Hospital Provider Assessment Act, is repealed July 1, 2019.
(6) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1, 2021.
[
(7) Section 
26-38-2.5
 is repealed July 1, 2017.
]
[
(8) Section 
26-38-2.6
 is repealed July 1, 2017.
]
[
(9)
] 
(7)
 Title 26, Chapter 56, Hemp Extract Registration Act, is repealed July 1, 2021.
(8) Title 26, Chapter 62, Nurse Home Visiting Pay-for-Success Program is repealed
July 1, 2026.
Section 19. Section 
63I-1-263
 is amended to read:
63I-1-263.
Repeal dates, Titles 63A to 63N.
(1) Subsection 
63A-5-104
(4)(h) is repealed on July 1, 2024.
(2) Section 
63A-5-603
, State Facility Energy Efficiency Fund, is repealed July 1, 2023.
(3) Title 63C, Chapter 4a, Constitutional and Federalism Defense Act, is repealed July
1, 2018.
(4) Title 63C, Chapter 4b, Commission for the Stewardship of Public Lands, is
repealed November 30, 2019.
(5) Title 63C, Chapter 16, Prison Development Commission Act, is repealed July 1,
2020.
(6) Title 63C, Chapter 17, Point of the Mountain Development Commission Act, is
repealed July 1, 2021.
(7) Title 63C, Chapter 18, Mental Health Crisis Line Commission, is repealed July 1,
2018.
(8) Title 63G, Chapter 21, Agreements to Provide State Services, is repealed July 1,
2023.
(9) Title 63H, Chapter 4, Heber Valley Historic Railroad Authority, is repealed July 1,
2020.
(10) Title 63H, Chapter 8, Utah Housing Corporation Act, is repealed July 1, 2026.
(11) On July 1, 2025:
(a) in Subsection 
17-27a-404
(3)(c)(ii), the language that states "the Resource
Development Coordinating Committee," is repealed;
(b) Subsection 
23-14-21
(2)(c) is amended to read "(c) provide notification of proposed
sites for the transplant of species to local government officials having jurisdiction over areas
that may be affected by a transplant.";
(c) in Subsection 
23-14-21
(3), the language that states "and the Resource Development
Coordinating Committee" is repealed;
(d) in Subsection 
23-21-2.3
(1), the language that states "the Resource Development
Coordinating Committee created in Section 
63J-4-501
 and" is repealed;
(e) in Subsection 
23-21-2.3
(2), the language that states "the Resource Development
Coordinating Committee and" is repealed;
(f) Subsection 
63J-4-102
(1) is repealed and the remaining subsections are renumbered
accordingly;
(g) Subsections 
63J-4-401
(5)(a) and (c) are repealed;
(h) Subsection 
63J-4-401
(5)(b) is renumbered to Subsection 
63J-4-401
(5)(a) and the
word "and" is inserted immediately after the semicolon;
(i) Subsection 
63J-4-401
(5)(d) is renumbered to Subsection 
63J-4-401
(5)(b);
(j) Sections 
63J-4-501
, 
63J-4-502
, 
63J-4-503
, 
63J-4-504
, and 
63J-4-505
 are repealed;
and
(k) Subsection 
63J-4-603
(1)(e)(iv) is repealed and the remaining subsections are
renumbered accordingly.
(12) Subsection 
63J-1-602.1
(20) is repealed July 1, 2026.
[
(12)
] 
(13)
 (a) Subsection 
63J-1-602.4
(15) is repealed July 1, 2022.
(b) When repealing Subsection 
63J-1-602.4
(15), the Office of Legislative Research and
General Counsel shall, in addition to the office's authority under Subsection 
36-12-12
(3), make
necessary changes to subsection numbering and cross references.
[
(13)
] 
(14)
 The Crime Victim Reparations and Assistance Board, created in Section
63M-7-504
, is repealed July 1, 2027.
[
(14)
] 
(15)
 Title 63M, Chapter 11, Utah Commission on Aging, is repealed July 1,
2027.
[
(15)
] 
(16)
 Title 63N, Chapter 2, Part 2, Enterprise Zone Act, is repealed July 1, 2018.
[
(16)
] 
(17)
 (a) Title 63N, Chapter 2, Part 4, Recycling Market Development Zone Act,
is repealed January 1, 2021.
(b) Subject to Subsection [
(16)
] 
(17)
(c), Sections 
59-7-610
 and 
59-10-1007
 regarding
tax credits for certain persons in recycling market development zones, are repealed for taxable
years beginning on or after January 1, 2021.
(c) A person may not claim a tax credit under Section 
59-7-610
 or 
59-10-1007
:
(i) for the purchase price of machinery or equipment described in Section 
59-7-610
 or
59-10-1007
, if the machinery or equipment is purchased on or after January 1, 2021; or
(ii) for an expenditure described in Subsection 
59-7-610
(1)(b) or 
59-10-1007
(1)(b), if
the expenditure is made on or after January 1, 2021.
(d) Notwithstanding Subsections [
(16)
] 
(17)
(b) and (c), a person may carry forward a
tax credit in accordance with Section 
59-7-610
 or 
59-10-1007
 if:
(i) the person is entitled to a tax credit under Section 
59-7-610
 or 
59-10-1007
; and
(ii) (A) for the purchase price of machinery or equipment described in Section
59-7-610
 or 
59-10-1007
, the machinery or equipment is purchased on or before December 31,
2020; or
(B) for an expenditure described in Subsection 
59-7-610
(1)(b) or 
59-10-1007
(1)(b), the
expenditure is made on or before December 31, 2020.
[
(17)
] 
(18)
 Section 
63N-2-512
 is repealed on July 1, 2021.
[
(18)
] 
(19)
 (a) Title 63N, Chapter 2, Part 6, Utah Small Business Jobs Act, is repealed
January 1, 2021.
(b) Section 
59-9-107
 regarding tax credits against premium taxes is repealed for
calendar years beginning on or after January 1, 2021.
(c) Notwithstanding Subsection [
(18)
] 
(19)
(b), an entity may carry forward a tax credit
in accordance with Section 
59-9-107
 if:
(i) the person is entitled to a tax credit under Section 
59-9-107
 on or before December
31, 2020; and
(ii) the qualified equity investment that is the basis of the tax credit is certified under
Section 
63N-2-603
 on or before December 31, 2023.
[
(19)
] 
(20)
 Title 63N, Chapter 9, Part 2, Outdoor Recreational Infrastructure Grant
Program, is repealed January 1, 2023.
[
(20)
] 
(21)
 Title 63N, Chapter 12, Part 3, Utah Broadband Outreach Center, is repealed
July 1, 2018.
[
(21)
] 
(22)
 Title 63N, Chapter 12, Part 4, Career and Technical Education Board, is
repealed July 1, 2018.
Section 20. Section 
63J-1-602.1 (Superseded 09/30/18)
 is amended to read:
63J-1-602.1 (Superseded 09/30/18).
List of nonlapsing accounts and funds --
General authority and Title 1 through Title 30.
(1) Appropriations made to the Legislature and its committees.
(2) The Utah Intracurricular Student Organization Support for Agricultural Education
and Leadership Restricted Account created in Section 
4-42-102
.
(3) The Percent-for-Art Program created in Section 
9-6-404
.
(4) The Native American Repatriation Restricted Account created in Section 
9-9-407
.
(5) The Martin Luther King, Jr. Civil Rights Support Restricted Account created in
Section 
9-18-102
.
(6) The National Professional Men's Soccer Team Support of Building Communities
Restricted Account created in Section 
9-19-102
.
(7) The LeRay McAllister Critical Land Conservation Program created in Section
11-38-301
.
(8) The Support for State-Owned Shooting Ranges Restricted Account created in
Section 
23-14-13.5
.
(9) An appropriation made to the Division of Wildlife Resources for the appraisal and
purchase of lands under the Pelican Management Act, as provided in Section 
23-21a-6
.
(10) Award money under the State Asset Forfeiture Grant Program, as provided under
Section 
24-4-117
.
(11) Funds collected from the program fund for local health department expenses
incurred in responding to a local health emergency under Section 
26-1-38
.
(12) Funds collected from the emergency medical services grant program, as provided
in Section 
26-8a-207
.
(13) The primary care grant program created in Section 
26-10b-102
.
(14) The Prostate Cancer Support Restricted Account created in Section 
26-21a-303
.
(15) The Children with Cancer Support Restricted Account created in Section
26-21a-304
.
(16) State funds appropriated for matching federal funds in the Children's Health
Insurance Program as provided in Section 
26-40-108
.
(17) The Utah Health Care Workforce Financial Assistance Program created in Section
26-46-102
.
(18) The Rural Physician Loan Repayment Program created in Section 
26-46a-103
.
(19) The Opiate Overdose Outreach Pilot Program created in Section 
26-55-107
.
(20) The Children with Heart Disease Support Restricted Account created in Section
26-58-102
.
(21) The Nurse Home Visiting Restricted Account created in Section 
26-62-601
.
Section 21. Section 
63J-1-602.1 (Effective 09/30/18)
 is amended to read:
63J-1-602.1 (Effective 09/30/18).
List of nonlapsing accounts and funds -- General
authority and Title 1 through Title 30.
(1) Appropriations made to the Legislature and its committees.
(2) The Utah Intracurricular Student Organization Support for Agricultural Education
and Leadership Restricted Account created in Section 
4-42-102
.
(3) The Percent-for-Art Program created in Section 
9-6-404
.
(4) The Native American Repatriation Restricted Account created in Section 
9-9-407
.
(5) The Martin Luther King, Jr. Civil Rights Support Restricted Account created in
Section 
9-18-102
.
(6) The National Professional Men's Soccer Team Support of Building Communities
Restricted Account created in Section 
9-19-102
.
(7) The LeRay McAllister Critical Land Conservation Program created in Section
11-38-301
.
(8) The Support for State-Owned Shooting Ranges Restricted Account created in
Section 
23-14-13.5
.
(9) An appropriation made to the Division of Wildlife Resources for the appraisal and
purchase of lands under the Pelican Management Act, as provided in Section 
23-21a-6
.
(10) Award money under the State Asset Forfeiture Grant Program, as provided under
Section 
24-4-117
.
(11) Funds collected from the program fund for local health department expenses
incurred in responding to a local health emergency under Section 
26-1-38
.
(12) Funds collected from the emergency medical services grant program, as provided
in Section 
26-8a-207
.
(13) The primary care grant program created in Section 
26-10b-102
.
(14) The Children with Cancer Support Restricted Account created in Section
26-21a-304
.
(15) State funds appropriated for matching federal funds in the Children's Health
Insurance Program as provided in Section 
26-40-108
.
(16) The Utah Health Care Workforce Financial Assistance Program created in Section
26-46-102
.
(17) The Rural Physician Loan Repayment Program created in Section 
26-46a-103
.
(18) The Opiate Overdose Outreach Pilot Program created in Section 
26-55-107
.
(19) The Children with Heart Disease Support Restricted Account created in Section
26-58-102
.
(20) The Nurse Home Visiting Restricted Account created in Section 
26-62-601
.
Section 22. 
Appropriation.
The following sums of money are appropriated for the fiscal year beginning July 1,
2018, and ending June 30, 2019. These are additions to amounts previously appropriated for
fiscal year 2019.
Subsection 22(a). 
Restricted Fund and Account Transfers.
 The Legislature
authorizes the Division of Finance to transfer the following amounts between the following
funds or accounts as indicated. Expenditures and outlays from the funds to which the money is
transferred must be authorized by an appropriation.
ITEM 1
To General Fund Restricted - Nurse Home Visiting Restricted Account
From General Fund
$500,000
Schedule of Programs:
General Fund Restricted - Nurse Home
Visiting Restricted Account
$500,000
Subsection 22(b). 
Operating and Capital Budgets.
 Under the terms and conditions
of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following
sums of money from the funds or fund accounts indicated for the use and support of the
government of the state of Utah.
ITEM 2
To Department of Health - Family Health and Preparedness
From General Fund Restricted - Nurse Home Visiting
Restricted Account
$500,000
Schedule of Programs:
Nurse Home Visiting Pay-for-Success
Program
$500,000
Section 23. 
Effective date.
(1) Except as provided in Subsection (2), this bill takes effect on May 8, 2018.
(2) The actions affecting Section 
63J-1-602.1
 (Effective 09/30/18) take effect on
September 30, 2018.