Bill
Suicide Prevention Amendments
- Number
- H.B. 336 First Substitute (2021GS)
- Sponsor
- Rep. Eliason, S.
- Final action
- Governor Signed 3/17/2021
- Outcome
- Became law — signed by Gov. Spencer J. Cox
Summary
This bill amends and creates programs to address suicide.
What it does
- This bill:
- defines terms;
- creates a reporting requirement regarding youth suicides;
- allows the Utah medical examiner to obtain certain information;
- changes a program that helps Utah residents purchase a firearm safe from a coupon program to a rebate program;
- requires the Division of Substance Abuse and Mental Health to administer a program to provide training to health care organizations related to reducing suicides;
- eliminates a grant application requirement for an individual to receive funds for clean-up and bereavement services; and
- makes technical changes.
Every vote on this bill
2/23/2021House Comm - Favorable Recommendation
House Health and Human Services Committee
12 0 1not eligible / no record2/25/2021House/ circled
House 3rd Reading Calendar for House bills
Voice votenot eligible / no record2/26/2021House/ uncircled
House 3rd Reading Calendar for House bills
Voice votenot eligible / no record2/26/2021House/ substituted from # 0 to # 1
House 3rd Reading Calendar for House bills
Voice votenot eligible / no record2/26/2021House/ passed 3rd reading
Senate Secretary
70 0 5YEA3/2/2021Senate Comm - Favorable Recommendation
Senate Government Operations and Political Subdivisions Committee
6 0 2not eligible / no record3/3/2021Senate/ passed 2nd & 3rd readings/ suspension
Senate President
27 0 2not eligible / no recordBill text
enrolled version · official source
SUICIDE PREVENTION AMENDMENTS GENERAL SESSION STATE OF UTAH Chief Sponsor: Steve Eliason Senate Sponsor: Michael S. Kennedy LONG TITLE General Description: This bill amends and creates programs to address suicide. Highlighted Provisions: This bill: ▸ defines terms; ▸ creates a reporting requirement regarding youth suicides; ▸ allows the Utah medical examiner to obtain certain information; ▸ changes a program that helps Utah residents purchase a firearm safe from a coupon program to a rebate program; ▸ requires the Division of Substance Abuse and Mental Health to administer a program to provide training to health care organizations related to reducing suicides; ▸ eliminates a grant application requirement for an individual to receive funds for clean-up and bereavement services; and ▸ makes technical changes. Money Appropriated in this Bill: This bill appropriates in fiscal year 2022: ▸ to the Department of Human Services -- Division of Substance Abuse and Mental Health, as an ongoing appropriation: • from the General Fund, $350,000. Other Special Clauses: None Utah Code Sections Affected: AMENDS: 26-33a-109 , as last amended by Laws of Utah 2020, Chapter 90 53-5-707 , as last amended by Laws of Utah 2019, Chapter 440 62A-15-103 , as last amended by Laws of Utah 2020, Chapter 193 62A-15-1501 , as enacted by Laws of Utah 2019, Chapter 447 62A-15-1502 , as enacted by Laws of Utah 2019, Chapter 447 63I-2-226 , as last amended by Laws of Utah 2020, Chapters 154, 187, 215, and 354 76-10-526 , as last amended by Laws of Utah 2019, Chapters 386 and 440 ENACTS: 26-4-6.1 , Utah Code Annotated 1953 62A-15-120 , Utah Code Annotated 1953 Be it enacted by the Legislature of the state of Utah: Section 1. Section 26-4-6.1 is enacted to read: 26-4-6.1. Youth suicide report. (1) Before September 30, 2021, the medical examiner shall report to the Health and Human Services Interim Committee regarding: (a) any data obtained from the past 10 years pertaining to youth suicides in the state, including any demographic data the medical examiner has obtained; (b) insights learned from studying and investigating youth suicide; (c) possible explanations for why youth in the state die by suicide; and (d) recommendations to inform public health and legislative policy for reducing youth suicide in the future. (2) The medical examiner may not disclose data described in Subsection (1)(a) if the medical examiner determines that disclosing specific data would lead to harm. Section 2. Section 26-33a-109 is amended to read: 26-33a-109. Exceptions to prohibition on disclosure of identifiable health data. (1) The committee may not disclose any identifiable health data unless: (a) the individual has authorized the disclosure; (b) the disclosure is to the department or a public health authority in accordance with Subsection (2); or (c) the disclosure complies with the provisions of: (i) Subsection (3); (ii) insurance enrollment and coordination of benefits under Subsection 26-33a-106.1 (1)(d); or (iii) risk adjusting under Subsection 26-33a-106.1 (1)(b). (2) The committee may disclose identifiable health data to the department or a public health authority under Subsection (1)(b) if: (a) the department or the public health authority has clear statutory authority to possess the identifiable health data; and (b) the disclosure is solely for use [ in ]: (i) in the Utah Statewide Immunization Information System operated by the department; [ or ] (ii) in the Utah Cancer Registry operated by the University of Utah, in collaboration with the department[ . ] ; or (iii) by the medical examiner, as defined in Section 26-4-2 , or the medical examiner's designee. (3) The committee shall consider the following when responding to a request for disclosure of information that may include identifiable health data: (a) whether the request comes from a person after that person has received approval to do the specific research or statistical work from an institutional review board; and (b) whether the requesting entity complies with the provisions of Subsection (4). (4) A request for disclosure of information that may include identifiable health data shall: (a) be for a specified period; or (b) be solely for bona fide research or statistical purposes as determined in accordance with administrative rules adopted by the department in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act , which shall require: (i) the requesting entity to demonstrate to the department that the data is required for the research or statistical purposes proposed by the requesting entity; and (ii) the requesting entity to enter into a written agreement satisfactory to the department to protect the data in accordance with this chapter or other applicable law. (5) A person accessing identifiable health data pursuant to Subsection (4) may not further disclose the identifiable health data: (a) without prior approval of the department; and (b) unless the identifiable health data is disclosed or identified by control number only. (6) Identifiable health data that has been designated by a data supplier as being subject to regulation under 42 C.F.R. Part 2, Confidentiality of Substance Use Disorder Patient Records, may only be used or disclosed in accordance with applicable federal regulations. Section 3. Section 53-5-707 is amended to read: 53-5-707. Concealed firearm permit -- Fees -- Concealed Weapons Account. (1) (a) An applicant for a concealed firearm permit shall pay a fee of $25 at the time of filing an application. (b) A nonresident applicant shall pay an additional $10 for the additional cost of processing a nonresident application. (c) The bureau shall waive the initial fee for an applicant who is a law enforcement officer under Section 53-13-103 . (d) Concealed firearm permit renewal fees for active duty service members and the spouse of an active duty service member shall be waived. (2) The renewal fee for the permit is $20. A nonresident shall pay an additional $5 for the additional cost of processing a nonresidential renewal. (3) The replacement fee for the permit is $10. (4) (a) The late fee for the renewal permit is $7.50. (b) As used in this section, "late fee" means the fee charged by the bureau for a renewal submitted on a permit that has been expired for more than 30 days but less than one year. (5) (a) There is created a restricted account within the General Fund known as the "Concealed Weapons Account." (b) The account shall be funded from fees collected under this section and Section 53-5-707.5 . (c) Funds in the account may only be used to cover costs relating to: (i) the issuance of concealed firearm permits under this part; or (ii) the programs described in [ Subsections ] Subsection 62A-15-103 (3) and [ 76-10-526 (15) and ] Section 62A-15-1101 . (6) (a) The bureau may collect any fees charged by an outside agency for additional services required by statute as a prerequisite for issuance of a permit. (b) The bureau shall promptly forward any fees collected under Subsection (6)(a) to the appropriate agency. (7) The bureau shall make an annual report in writing to the Legislature's Law Enforcement and Criminal Justice Interim Committee on the amount and use of the fees collected under this section and Section 53-5-707.5 . Section 4. Section 62A-15-103 is amended to read: 62A-15-103. Division -- Creation -- Responsibilities. (1) (a) There is created the Division of Substance Abuse and Mental Health within the department, under the administration and general supervision of the executive director. (b) The division is the substance abuse authority and the mental health authority for this state. (2) The division shall: (a) (i) educate the general public regarding the nature and consequences of substance abuse by promoting school and community-based prevention programs; (ii) render support and assistance to public schools through approved school-based substance abuse education programs aimed at prevention of substance abuse; (iii) promote or establish programs for the prevention of substance abuse within the community setting through community-based prevention programs; (iv) cooperate with and assist treatment centers, recovery residences, and other organizations that provide services to individuals recovering from a substance abuse disorder, by identifying and disseminating information about effective practices and programs; (v) except as provided in Section 62A-15-103.5 , make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to develop, in collaboration with public and private programs, minimum standards for public and private providers of substance abuse and mental health programs licensed by the department under Title 62A, Chapter 2, Licensure of Programs and Facilities; (vi) promote integrated programs that address an individual's substance abuse, mental health, physical health, and criminal risk factors; (vii) establish and promote an evidence-based continuum of screening, assessment, prevention, treatment, and recovery support services in the community for individuals with substance use disorder and mental illness that addresses criminal risk factors; (viii) evaluate the effectiveness of programs described in this Subsection (2); (ix) consider the impact of the programs described in this Subsection (2) on: (A) emergency department utilization; (B) jail and prison populations; (C) the homeless population; and (D) the child welfare system; and (x) promote or establish programs for education and certification of instructors to educate persons convicted of driving under the influence of alcohol or drugs or driving with any measurable controlled substance in the body; (b) (i) collect and disseminate information pertaining to mental health; (ii) provide direction over the state hospital including approval of the state hospital's budget, administrative policy, and coordination of services with local service plans; (iii) make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to educate families concerning mental illness and promote family involvement, when appropriate, and with patient consent, in the treatment program of a family member; and (iv) make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to direct that an individual receiving services through a local mental health authority or the Utah State Hospital be informed about and, if desired by the individual, provided assistance in the completion of a declaration for mental health treatment in accordance with Section 62A-15-1002 ; (c) (i) consult and coordinate with local substance abuse authorities and local mental health authorities regarding programs and services; (ii) provide consultation and other assistance to public and private agencies and groups working on substance abuse and mental health issues; (iii) promote and establish cooperative relationships with courts, hospitals, clinics, medical and social agencies, public health authorities, law enforcement agencies, education and research organizations, and other related groups; (iv) promote or conduct research on substance abuse and mental health issues, and submit to the governor and the Legislature recommendations for changes in policy and legislation; (v) receive, distribute, and provide direction over public funds for substance abuse and mental health services; (vi) monitor and evaluate programs provided by local substance abuse authorities and local mental health authorities; (vii) examine expenditures of local, state, and federal funds; (viii) monitor the expenditure of public funds by: (A) local substance abuse authorities; (B) local mental health authorities; and (C) in counties where they exist, a private contract provider that has an annual or otherwise ongoing contract to provide comprehensive substance abuse or mental health programs or services for the local substance abuse authority or local mental health authority; (ix) contract with local substance abuse authorities and local mental health authorities to provide a comprehensive continuum of services that include community-based services for individuals involved in the criminal justice system, in accordance with division policy, contract provisions, and the local plan; (x) contract with private and public entities for special statewide or nonclinical services, or services for individuals involved in the criminal justice system, according to division rules; (xi) review and approve each local substance abuse authority's plan and each local mental health authority's plan in order to ensure: (A) a statewide comprehensive continuum of substance abuse services; (B) a statewide comprehensive continuum of mental health services; (C) services result in improved overall health and functioning; (D) a statewide comprehensive continuum of community-based services designed to reduce criminal risk factors for individuals who are determined to have substance abuse or mental illness conditions or both, and who are involved in the criminal justice system; (E) compliance, where appropriate, with the certification requirements in Subsection (2)(j); and (F) appropriate expenditure of public funds; (xii) review and make recommendations regarding each local substance abuse authority's contract with the local substance abuse authority's provider of substance abuse programs and services and each local mental health authority's contract with the local mental health authority's provider of mental health programs and services to ensure compliance with state and federal law and policy; (xiii) monitor and ensure compliance with division rules and contract requirements; and (xiv) withhold funds from local substance abuse authorities, local mental health authorities, and public and private providers for contract noncompliance, failure to comply with division directives regarding the use of public funds, or for misuse of public funds or money; (d) ensure that the requirements of this part are met and applied uniformly by local substance abuse authorities and local mental health authorities across the state; (e) require each local substance abuse authority and each local mental health authority, in accordance with Subsections 17-43-201 (5)(b) and 17-43-301 (6)(a)(ii), to submit a plan to the division on or before May 15 of each year; (f) conduct an annual program audit and review of each local substance abuse authority and each local substance abuse authority's contract provider, and each local mental health authority and each local mental health authority's contract provider, including: (i) a review and determination regarding whether: (A) public funds allocated to the local substance abuse authority or the local mental health authorities are consistent with services rendered by the authority or the authority's contract provider, and with outcomes reported by the authority's contract provider; and (B) each local substance abuse authority and each local mental health authority is exercising sufficient oversight and control over public funds allocated for substance use disorder and mental health programs and services; and (ii) items determined by the division to be necessary and appropriate; [ and ] (g) define "prevention" by rule as required under Title 32B, Chapter 2, Part 4, Alcoholic Beverage and Substance Abuse Enforcement and Treatment Restricted Account Act; (h) (i) train and certify an adult as a peer support specialist, qualified to provide peer supports services to an individual with: (A) a substance use disorder; (B) a mental health disorder; or (C) a substance use disorder and a mental health disorder; (ii) certify a person to carry out, as needed, the division's duty to train and certify an adult as a peer support specialist; (iii) make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that: (A) establish training and certification requirements for a peer support specialist; (B) specify the types of services a peer support specialist is qualified to provide; (C) specify the type of supervision under which a peer support specialist is required to operate; and (D) specify continuing education and other requirements for maintaining or renewing certification as a peer support specialist; and (iv) make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that: (A) establish the requirements for a person to be certified to carry out, as needed, the division's duty to train and certify an adult as a peer support specialist; and (B) specify how the division shall provide oversight of a person certified to train and certify a peer support specialist; (i) except as provided in Section 62A-15-103.5 , establish by rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, minimum standards and requirements for the provision of substance use disorder and mental health treatment to an individual who is incarcerated or who is required to participate in treatment by a court or by the Board of Pardons and Parole, including: (i) collaboration with the Department of Corrections and the Utah Substance Use and Mental Health Advisory Council to develop and coordinate the standards, including standards for county and state programs serving individuals convicted of class A and class B misdemeanors; (ii) determining that the standards ensure available treatment, including the most current practices and procedures demonstrated by recognized scientific research to reduce recidivism, including focus on the individual's criminal risk factors; and (iii) requiring that all public and private treatment programs meet the standards established under this Subsection (2)(i) in order to receive public funds allocated to the division, the Department of Corrections, or the Commission on Criminal and Juvenile Justice for the costs of providing screening, assessment, prevention, treatment, and recovery support; (j) except as provided in Section 62A-15-103.5 , establish by rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the requirements and procedures for the certification of licensed public and private providers, including individuals licensed by the Division of Occupational and Professional Licensing, programs licensed by the department, and health care facilities licensed by the Department of Health, who provide, as part of their practice, substance use disorder and mental health treatment to an individual involved in the criminal justice system, including: (i) collaboration with the Department of Corrections, the Utah Substance Use and Mental Health Advisory Council, and the Utah Association of Counties to develop, coordinate, and implement the certification process; (ii) basing the certification process on the standards developed under Subsection (2)(i) for the treatment of an individual involved in the criminal justice system; and (iii) the requirement that a public or private provider of treatment to an individual involved in the criminal justice system shall obtain certification on or before July 1, 2016, and shall renew the certification every two years, in order to qualify for funds allocated to the division, the Department of Corrections, or the Commission on Criminal and Juvenile Justice on or after July 1, 2016; (k) collaborate with the Commission on Criminal and Juvenile Justice to analyze and provide recommendations to the Legislature regarding: (i) pretrial services and the resources needed to reduce recidivism; (ii) county jail and county behavioral health early-assessment resources needed for an offender convicted of a class A or class B misdemeanor; and (iii) the replacement of federal dollars associated with drug interdiction law enforcement task forces that are reduced; (l) (i) establish performance goals and outcome measurements for all treatment programs for which minimum standards are established under Subsection (2)(i), including recidivism data and data regarding cost savings associated with recidivism reduction and the reduction in the number of inmates, that are obtained in collaboration with the Administrative Office of the Courts and the Department of Corrections; and (ii) collect data to track and determine whether the goals and measurements are being attained and make this information available to the public; (m) in the division's discretion, use the data to make decisions regarding the use of funds allocated to the division, the Administrative Office of the Courts, and the Department of Corrections to provide treatment for which standards are established under Subsection (2)(i); (n) annually, on or before August 31, submit the data collected under Subsection (2)(k) to the Commission on Criminal and Juvenile Justice, which shall compile a report of findings based on the data and provide the report to the Judiciary Interim Committee, the Health and Human Services Interim Committee, the Law Enforcement and Criminal Justice Interim Committee, and the related appropriations subcommittees; and (o) consult and coordinate with the Department of Health and the Division of Child and Family Services to develop and manage the operation of a program designed to reduce substance abuse during pregnancy that includes: (i) providing education and resources to health care providers and individuals in the state regarding prevention of substance abuse during pregnancy; (ii) providing training to health care providers in the state regarding screening of a pregnant woman or pregnant minor to identify a substance abuse disorder; and (iii) providing referrals to pregnant women or pregnant minors in need of substance use treatment services to a facility that has the capacity to provide the treatment services. (3) In addition to the responsibilities described in Subsection (2), the division shall, within funds appropriated by the Legislature for this purpose, implement and manage the operation of a firearm safety and suicide prevention program, in consultation with the Bureau of Criminal Identification created in Section 53-10-201 , including: (a) coordinating with the Department of Health, local mental health and substance abuse authorities, a nonprofit behavioral health advocacy group, and a representative from a Utah-based nonprofit organization with expertise in the field of firearm use and safety that represents firearm owners, to: (i) produce and periodically review and update a firearm safety brochure and other educational materials with information about the safe handling and use of firearms that includes: (A) information on safe handling, storage, and use of firearms in a home environment; (B) information about at-risk individuals and individuals who are legally prohibited from possessing firearms; (C) information about suicide prevention awareness; and (D) information about the availability of firearm safety packets; (ii) procure cable-style gun locks for distribution pursuant to this section; (iii) produce a firearm safety packet that includes the firearm safety brochure and the cable-style gun lock described in this Subsection (3); and (iv) create a suicide prevention education course that: (A) provides information for distribution regarding firearm safety education; (B) incorporates current information on how to recognize suicidal behaviors and identify individuals who may be suicidal; and (C) provides information regarding crisis intervention resources; (b) distributing, free of charge, the firearm safety packet to the following persons, who shall make the firearm safety packet available free of charge: (i) health care providers, including emergency rooms; (ii) mobile crisis outreach teams; (iii) mental health practitioners; (iv) other public health suicide prevention organizations; (v) entities that teach firearm safety courses; (vi) school districts for use in the seminar, described in Section 53G-9-702 , for parents of students in the school district; and (vii) firearm dealers to be distributed in accordance with Section 76-10-526 ; (c) creating and administering a [ redeemable coupon program described in this Subsection (3) and Section 76-10-526 that includes: (i) producing a redeemable coupon ] rebate program that includes a rebate that offers between $10 and $200 off the purchase price of a firearm safe from a participating firearms dealer or a person engaged in the business of selling firearm safes in Utah, by a Utah resident [ who has filed an application for a concealed firearm permit; and ] ; [ (ii) collecting the receipts described in Section 76-10-526 from the participating dealers and persons and reimbursing the dealers and persons; ] (d) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, making rules that establish procedures for: (i) producing and distributing the suicide prevention education course and the firearm safety brochures and packets; (ii) procuring the cable-style gun locks for distribution; and (iii) administering the [ redeemable coupon ] rebate program; and (e) reporting to the Health and Human Services Interim Committee regarding implementation and success of the firearm safety program and suicide prevention education course at or before the November meeting each year. (4) (a) The division may refuse to contract with and may pursue legal remedies against any local substance abuse authority or local mental health authority that fails, or has failed, to expend public funds in accordance with state law, division policy, contract provisions, or directives issued in accordance with state law. (b) The division may withhold funds from a local substance abuse authority or local mental health authority if the authority's contract provider of substance abuse or mental health programs or services fails to comply with state and federal law or policy. (5) (a) Before reissuing or renewing a contract with any local substance abuse authority or local mental health authority, the division shall review and determine whether the local substance abuse authority or local mental health authority is complying with the oversight and management responsibilities described in Sections 17-43-201 , 17-43-203 , 17-43-303 , and 17-43-309 . (b) Nothing in this Subsection (5) may be used as a defense to the responsibility and liability described in Section 17-43-303 and to the responsibility and liability described in Section 17-43-203 . (6) In carrying out the division's duties and responsibilities, the division may not duplicate treatment or educational facilities that exist in other divisions or departments of the state, but shall work in conjunction with those divisions and departments in rendering the treatment or educational services that those divisions and departments are competent and able to provide. (7) The division may accept in the name of and on behalf of the state donations, gifts, devises, or bequests of real or personal property or services to be used as specified by the donor. (8) The division shall annually review with each local substance abuse authority and each local mental health authority the authority's statutory and contract responsibilities regarding: (a) use of public funds; (b) oversight of public funds; and (c) governance of substance use disorder and mental health programs and services. (9) The Legislature may refuse to appropriate funds to the division upon the division's failure to comply with the provisions of this part. (10) If a local substance abuse authority contacts the division under Subsection 17-43-201 (10) for assistance in providing treatment services to a pregnant woman or pregnant minor, the division shall: (a) refer the pregnant woman or pregnant minor to a treatment facility that has the capacity to provide the treatment services; or (b) otherwise ensure that treatment services are made available to the pregnant woman or pregnant minor. (11) The division shall employ a school-based mental health specialist to be housed at the State Board of Education who shall work with the State Board of Education to: (a) provide coordination between a local education agency and local mental health authority; (b) recommend evidence-based and evidence informed mental health screenings and intervention assessments for a local education agency; and (c) coordinate with the local community, including local departments of health, to enhance and expand mental health related resources for a local education agency. Section 5. Section 62A-15-120 is enacted to read: 62A-15-120. Suicide technical assistance program. (1) As used in this section, "technical assistance" means training for the prevention of suicide. (2) (a) Before July 1, 2021, and each subsequent July 1, the division shall solicit applications from health care organizations to receive technical assistance provided by the division. (b) The division shall approve at least one but not more than six applications each year. (c) The division shall determine which applicants receive the technical assistance before December 31 of each year. (3) An application for technical assistance under this section shall: (a) identify the population to whom the health care organization will provide suicide prevention services; (b) identify how the health care organization plans to implement the skills and knowledge gained from the technical assistance; (c) identify the health care organization's current resources used for the prevention of suicide; (d) explain how the population described in Subsection (3)(a) will benefit from the health care organization receiving technical assistance; (e) provide details regarding: (i) how the health care organization will provide timely and effective suicide prevention services; (ii) any existing or planned contracts or partnerships between the health care organization and other persons that are related to suicide prevention; (iii) the methods the health care organization will use to: (A) protect the privacy of each individual to whom the health care organization provides suicide prevention services; and (B) collect non-identifying data; and (f) provide other information requested by the division for the division to evaluate the application. (4) In evaluating an application for technical assistance, the division shall consider: (a) the extent to which providing technical assistance to the health care organization will fulfill the purpose of preventing suicides in the state; (b) the extent to which the population described in Subsection (3)(a) is likely to benefit from the health care organization receiving the technical assistance; (c) the cost of providing the technical assistance to the health care organization; and (d) the extent to which any of the following are likely to benefit the heath care organization's ability to assist in preventing suicides in the state: (i) existing or planned contracts or partnerships between the applicant and other persons to develop and implement other initiatives; or (ii) additional funding sources available to the applicant for suicide prevention services. (5) Before June 30, 2022, and each subsequent June 30, the division shall submit a written report to the Health and Human Services Interim Committee regarding each health care organization the division provided technical assistance to in the preceding year under this section. (6) Before June 30, 2024, the division shall submit a written report to the Health and Human Services Interim Committee regarding: (a) data gathered in relation to providing technical assistance to a health care organization; (b) knowledge gained relating to providing technical assistance; (c) recommendations for the future regarding how the state can better prevent suicides; and (d) obstacles encountered when providing technical assistance. Section 6. Section 62A-15-1501 is amended to read: 62A-15-1501. Definitions. As used in this part: (1) "Account" means the Survivors of Suicide Loss Account created in Section 62A-15-1502 . (2) (a) "Cohabitant" means an individual who lives with another individual. (b) "Cohabitant" does not include a relative. [ (2) ] (3) "Relative" means father, mother, husband, wife, son, daughter, sister, brother, grandfather, grandmother, uncle, aunt, nephew, niece, grandson, granddaughter, first cousin, mother-in-law, father-in-law, brother-in-law, sister-in-law, son-in-law, or daughter-in-law. Section 7. Section 62A-15-1502 is amended to read: 62A-15-1502. Survivors of Suicide Loss Account. (1) There is created a restricted account within the General Fund known as the "Survivors of Suicide Loss Account." (2) The division shall administer the account in accordance with this part. (3) The account shall consist of: (a) money appropriated to the account by the Legislature; and (b) interest earned on money in the account. (4) Upon appropriation, the division shall award grants from the account to[ :(a) a relative, legal guardian, or cohabitant of an individual who dies by suicide as reimbursement for costs incurred by the relative, legal guardian, or cohabitant for mental health treatment or therapy as a result of the suicide; and (b) ] a person who provides, for no or minimal cost: [ (i) ] (a) clean-up of property affected or damaged by an individual's suicide, as reimbursement for the costs incurred for the clean-up; and [ (ii) ] (b) bereavement services to a relative, legal guardian, or cohabitant of an individual who dies by suicide. [ (5) The division shall establish a grant application and review process for the expenditure of money from the account. ] [ (6) The grant application and review process shall describe: ] [ (a) requirements to complete the grant application; ] [ (b) requirements for receiving funding; ] [ (c) criteria for the approval of a grant application; and ] [ (d) support offered by the division to complete a grant application. ] [ (7) Upon receipt of a grant application, the division shall: ] [ (a) review the grant application for completeness; ] [ (b) make a determination regarding the grant application; ] [ (c) inform the grant applicant of the division's determination regarding the grant application; and ] [ (d) if approved, award grants from the account to the grant applicant. ] [ (8) ] (5) Before November 30 of each year, the division shall report to the Health and Human Services Interim Committee regarding the status of the account and expenditures made from the account. Section 8. Section 63I-2-226 is amended to read: 63I-2-226. Repeal dates, Title 26. (1) Subsection 26-1-7 (1)(c), in relation to the Air Ambulance Committee, is repealed July 1, 2024. (2) Section 26-4-6.1 is repealed January 1, 2022. [ (2) ] (3) Subsection 26-7-8 (3) is repealed January 1, 2027. [ (3) ] (4) Section 26-8a-107 is repealed July 1, 2024. [ (4) ] (5) Subsection 26-8a-203 (3)(a)(i) is repealed January 1, 2023. [ (5) ] (6) Section 26-8a-211 is repealed July 1, 2023. [ (6) ] (7) In relation to the Air Ambulance Committee, on July 1, 2024, Subsection 26-8a-602 (1)(a) is amended to read: "(a) provide the patient or the patient's representative with the following information before contacting an air medical transport provider: (i) which health insurers in the state the air medical transport provider contracts with; (ii) if sufficient data is available, the average charge for air medical transport services for a patient who is uninsured or out of network; and (iii) whether the air medical transport provider balance bills a patient for any charge not paid by the patient's health insurer; and". [ (7) ] (8) Subsection 26-18-2.4 (3)(e) is repealed January 1, 2023. [ (8) ] (9) Subsection 26-18-411 (8), related to reporting on the health coverage improvement program, is repealed January 1, 2023. [ (9) ] (10) Subsection 26-18-420 (5), related to reporting on coverage for in vitro fertilization and genetic testing, is repealed July 1, 2030. [ (10) ] (11) Subsection 26-21-28 (2)(b) is repealed January 1, 2021. [ (11) ] (12) In relation to the Air Ambulance Committee, July 1, 2024, Subsection 26-21-32 (1)(a) is amended to read: "(a) provide the patient or the patient's representative with the following information before contacting an air medical transport provider: (i) which health insurers in the state the air medical transport provider contracts with; (ii) if sufficient data is available, the average charge for air medical transport services for a patient who is uninsured or out of network; and (iii) whether the air medical transport provider balance bills a patient for any charge not paid by the patient's health insurer; and". [ (12) ] (13) Subsection 26-33a-106.1 (2)(a) is repealed January 1, 2023. [ (13) ] (14) Title 26, Chapter 46, Utah Health Care Workforce Financial Assistance Program, is repealed July 1, 2027. [ (14) ] (15) Subsection 26-55-107 (8) is repealed January 1, 2021. [ (15) ] (16) Subsection 26-61-202 (4)(b) is repealed January 1, 2022. [ (16) ] (17) Subsection 26-61-202 (5) is repealed January 1, 2022. Section 9. Section 76-10-526 is amended to read: 76-10-526. Criminal background check prior to purchase of a firearm -- Fee -- Exemption for concealed firearm permit holders and law enforcement officers. (1) For purposes of this section, "valid permit to carry a concealed firearm" does not include a temporary permit issued under Section 53-5-705 . (2) (a) To establish personal identification and residence in this state for purposes of this part, a dealer shall require an individual receiving a firearm to present one photo identification on a form issued by a governmental agency of the state. (b) A dealer may not accept a driving privilege card issued under Section 53-3-207 as proof of identification for the purpose of establishing personal identification and residence in this state as required under this Subsection (2). (3) (a) A criminal history background check is required for the sale of a firearm by a licensed firearm dealer in the state. (b) Subsection (3)(a) does not apply to the sale of a firearm to a Federal Firearms Licensee. (4) (a) An individual purchasing a firearm from a dealer shall consent in writing to a criminal background check, on a form provided by the bureau. (b) The form shall contain the following information: (i) the dealer identification number; (ii) the name and address of the individual receiving the firearm; (iii) the date of birth, height, weight, eye color, and hair color of the individual receiving the firearm; and (iv) the social security number or any other identification number of the individual receiving the firearm. (5) (a) The dealer shall send the information required by Subsection (4) to the bureau immediately upon its receipt by the dealer. (b) A dealer may not sell or transfer a firearm to an individual until the dealer has provided the bureau with the information in Subsection (4) and has received approval from the bureau under Subsection (7). (6) The dealer shall make a request for criminal history background information by telephone or other electronic means to the bureau and shall receive approval or denial of the inquiry by telephone or other electronic means. (7) When the dealer calls for or requests a criminal history background check, the bureau shall: (a) review the criminal history files, including juvenile court records, to determine if the individual is prohibited from purchasing, possessing, or transferring a firearm by state or federal law; (b) inform the dealer that: (i) the records indicate the individual is prohibited; or (ii) the individual is approved for purchasing, possessing, or transferring a firearm; (c) provide the dealer with a unique transaction number for that inquiry; and (d) provide a response to the requesting dealer during the call for a criminal background check, or by return call, or other electronic means, without delay, except in case of electronic failure or other circumstances beyond the control of the bureau, the bureau shall advise the dealer of the reason for the delay and give the dealer an estimate of the length of the delay. (8) (a) The bureau may not maintain any records of the criminal history background check longer than 20 days from the date of the dealer's request, if the bureau determines that the individual receiving the firearm is not prohibited from purchasing, possessing, or transferring the firearm under state or federal law. (b) However, the bureau shall maintain a log of requests containing the dealer's federal firearms number, the transaction number, and the transaction date for a period of 12 months. (9) (a) If the criminal history background check discloses information indicating that the individual attempting to purchase the firearm is prohibited from purchasing, possessing, or transferring a firearm, the bureau shall inform the law enforcement agency in the jurisdiction where the individual resides. (b) A law enforcement agency that receives information from the bureau under Subsection (9)(a) shall provide a report before August 1 of each year to the bureau that includes: (i) based on the information the bureau provides to the law enforcement agency under Subsection (9)(a), the number of cases that involve an individual who is prohibited from purchasing, possessing, or transferring a firearm as a result of a conviction for an offense involving domestic violence; and (ii) of the cases described in Subsection (9)(b)(i): (A) the number of cases the law enforcement agency investigates; and (B) the number of cases the law enforcement agency investigates that result in a criminal charge. (c) The bureau shall: (i) compile the information from the reports described in Subsection (9)(b); (ii) omit or redact any identifying information in the compilation; and (iii) submit the compilation to the Law Enforcement and Criminal Justice Interim Committee before November 1 of each year. (10) If an individual is denied the right to purchase a firearm under this section, the individual may review the individual's criminal history information and may challenge or amend the information as provided in Section 53-10-108 . (11) The bureau shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to ensure the identity, confidentiality, and security of all records provided by the bureau under this part are in conformance with the requirements of the Brady Handgun Violence Prevention Act, Pub. L. No. 103-159, 107 Stat. 1536 (1993). (12) (a) A dealer shall collect a criminal history background check fee for the sale of a firearm under this section. (b) The fee described under Subsection (12)(a) remains in effect until changed by the bureau through the process described in Section 63J-1-504 . (c) (i) The dealer shall forward at one time all fees collected for criminal history background checks performed during the month to the bureau by the last day of the month following the sale of a firearm. (ii) The bureau shall deposit the fees in the General Fund as dedicated credits to cover the cost of administering and conducting the criminal history background check program. (13) An individual with a concealed firearm permit issued under Title 53, Chapter 5, Part 7, Concealed Firearm Act, is exempt from the background check and corresponding fee required in this section for the purchase of a firearm if: (a) the individual presents the individual's concealed firearm permit to the dealer prior to purchase of the firearm; and (b) the dealer verifies with the bureau that the individual's concealed firearm permit is valid. (14) (a) A law enforcement officer, as defined in Section 53-13-103 , is exempt from the background check fee required in this section for the purchase of a personal firearm to be carried while off-duty if the law enforcement officer verifies current employment by providing a letter of good standing from the officer's commanding officer and current law enforcement photo identification. (b) Subsection (14)(a) may only be used by a law enforcement officer to purchase a personal firearm once in a 24-month period. [ (15) (a) A dealer or a person engaged in the business of selling firearm safes in Utah may participate in the redeemable coupon program described in this Subsection (15) and Subsection 62A-15-103 (3). ] [ (b) A participating dealer or person shall: ] [ (i) apply the coupon only toward the purchase of a gun safe; ] [ (ii) collect the receipts from the purchase of a firearm safe using the redeemable coupons and send the receipts to the Division of Substance Abuse and Mental Health for redemption; and ] [ (iii) make the firearm safety brochure described in Subsection 62A-15-103 (3) available to a customer free of charge. ] [ (16) ] (15) A dealer engaged in the business of selling, leasing, or otherwise transferring any firearm shall: (a) make the firearm safety brochure described in Subsection 62A-15-103 (3) available to a customer free of charge; and (b) at the time of purchase, distribute a cable-style gun lock provided to the dealer under Subsection 62A-15-103 (3) to a customer purchasing a shotgun, short barreled shotgun, short barreled rifle, rifle, or another firearm that federal law does not require be accompanied by a gun lock at the time of purchase. Section 10. Appropriation. The following sums of money are appropriated for the fiscal year beginning July 1, 2021, and ending June 30, 2022. These are additions to amounts previously appropriated for fiscal year 2022. 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 accounts indicated for the use and support of the government of the state of Utah. ITEM 1 To Department of Human Services -- Division of Substance Abuse and Mental Health From General Fund $350,000 Schedule of Programs: Community Mental Health Services $350,000 The Legislature intends that the Division of Substance Abuse and Mental Health expend appropriations provided under this item for providing suicide prevention training to health care organizations under Section 62A-15-120 .