Rep. Norm Thurston — Voting Record

Bill

Number

H.B. 365 First Substitute (2021GS)

Sponsor

Rep. Ray, P.

Final action

Governor Signed 3/23/2021

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• creates the Department of Health and Human Services to combine the functions of the Department of Health and the Department of Human Services;
• describes the duties, responsibilities, and powers of the agency created in this bill;
• provides for the transition of the Department of Health and the Department of Human Services into the agency created in this bill;
• amends the certain responsibilities of the Department of Workforce Services, particularly relating to administration of Medicaid eligibility; and
• creates a sunset date for certain provisions relating to the transition to the agency created in this bill.

Every vote on this bill

Bill text

STATE AGENCY REALIGNMENT
GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Paul Ray
Senate Sponsor: 
Jacob L. Anderegg
LONG TITLE
General Description:
This bill creates the Department of Health and Human Services and provides for the
transition of the Department of Health and the Department of Human Services into the
newly created single state agency. 
Highlighted Provisions:
This bill:
▸ creates the Department of Health and Human Services to combine the functions of
the Department of Health and the Department of Human Services;
▸ describes the duties, responsibilities, and powers of the agency created in this bill;
▸ provides for the transition of the Department of Health and the Department of
Human Services into the agency created in this bill;
▸ amends the certain responsibilities of the Department of Workforce Services,
particularly relating to administration of Medicaid eligibility; and
▸ creates a sunset date for certain provisions relating to the transition to the agency
created in this bill.
Money Appropriated in this Bill:
This bill appropriates in fiscal year 2022:
▸ to General Fund Restricted - Department of Health and Human Services Transition
Restricted Account, as a one-time appropriation:
• from the General Fund, One-time, $1,500,000.
▸ to Department of Health - Executive Director's Operations, as an ongoing
appropriation:
• from the General Fund, Ongoing, ($135,000).
• from Federal Funds, Ongoing, ($135,000).
▸ to Department of Health - Executive Director's Operations, as a one-time
appropriation:
• from the General Fund, One-time, $135,000.
• from Federal Funds, One-time, $135,000.
▸ to Department of Health - Medicaid and Health Financing, as an ongoing
appropriation:
• from the General Fund, Ongoing, ($486,500).
• from the Federal Funds, Ongoing, ($486,500).
▸ to Department of Health - Medicaid and Health Financing, as a one-time
appropriation:
• from the General Fund, One-time, $486,500.
• from Federal Funds, One-time, $486,500.
▸ to Department of Health - Executive Director's Operations, as an ongoing
appropriation:
• from the General Fund, Ongoing, ($58,200).
• from Federal Funds, Ongoing, ($58,200).
▸ to Department of Health - Executive Director's Operations, as a one-time
appropriation:
• from the General Fund, One-time, $58,200.
• from Federal Funds, One-time, $58,200.
▸ to Department of Workforce Services - Operations and Policy, as an ongoing
appropriation:
• from the General Fund, Ongoing, $486,500.
• from the Federal Funds, Ongoing, $486,500.
▸ to Department of Workforce Services - Operations and Policy, as a one-time
appropriation:
• from the General Fund, One-time, ($486,500).
• from Federal Funds, One-time, ($486,500).
▸ to Department of Workforce Services - Administration, as an ongoing
appropriation:
• from the General Fund, Ongoing, $58,200.
• from Federal Funds, Ongoing, $58,200.
▸ to Department of Workforce Services - Administration, as a one-time
appropriation:
• from the General Fund, One-time, ($58,200).
• from Federal Funds, One-time, ($58,200).
▸ to Department of Health - Executive Director's Operations, as a one-time
appropriation:
• from the Department of Health and Human Services Transition Restricted
Account, One-time, $1,500,000.
• from Federal Funds, One-time, $1,500,000.
▸ to Department of Human Services - Executive Director Operations, as a one-time
appropriation:
• from the Department of Health and Human Services Transition Restricted
Account, One-time, $1,500,000.
• from Federal Funds, One-time, $1,500,000.
Other Special Clauses:
This bill provides a special effective date.
Utah Code Sections Affected:
AMENDS:
26-18-3
, as last amended by Laws of Utah 2019, Chapters 104 and 253
35A-1-304
, as last amended by Laws of Utah 1998, Chapter 116
35A-1-307
, as repealed and reenacted by Laws of Utah 1997, Chapter 375
35A-3-103
, as last amended by Laws of Utah 2016, Chapters 296 and 348
63I-2-226
, as last amended by Laws of Utah 2020, Chapters 154, 187, 215, and 354
ENACTS:
26B-1-101
, Utah Code Annotated 1953
26B-1-102
, Utah Code Annotated 1953
26B-1-103
, Utah Code Annotated 1953
26B-1-201
, Utah Code Annotated 1953
26B-1-201.1
, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 
26-18-3
 is amended to read:
26-18-3.
Administration of Medicaid program by department -- Reporting to the
Legislature -- Disciplinary measures and sanctions -- Funds collected -- Eligibility
standards -- Internal audits -- Health opportunity accounts.
(1) The department shall be the single state agency responsible for the administration
of the Medicaid program in connection with the United States Department of Health and
Human Services pursuant to Title XIX of the Social Security Act.
(2) (a) The department shall implement the Medicaid program through administrative
rules in conformity with this chapter, Title 63G, Chapter 3, Utah Administrative Rulemaking
Act, the requirements of Title XIX, and applicable federal regulations.
(b) The rules adopted under Subsection (2)(a) shall include, in addition to other rules
necessary to implement the program:
(i) the standards used by the department for determining eligibility for Medicaid
services;
(ii) the services and benefits to be covered by the Medicaid program;
(iii) reimbursement methodologies for providers under the Medicaid program; and
(iv) a requirement that:
(A) a person receiving Medicaid services shall participate in the electronic exchange of
clinical health records established in accordance with Section 
26-1-37
 unless the individual
opts out of participation;
(B) prior to enrollment in the electronic exchange of clinical health records the enrollee
shall receive notice of enrollment in the electronic exchange of clinical health records and the
right to opt out of participation at any time; and
(C) beginning July 1, 2012, when the program sends enrollment or renewal information
to the enrollee and when the enrollee logs onto the program's website, the enrollee shall receive
notice of the right to opt out of the electronic exchange of clinical health records.
(3) (a) The department shall, in accordance with Subsection (3)(b), report to the Social
Services Appropriations Subcommittee when the department:
(i) implements a change in the Medicaid State Plan;
(ii) initiates a new Medicaid waiver;
(iii) initiates an amendment to an existing Medicaid waiver;
(iv) applies for an extension of an application for a waiver or an existing Medicaid
waiver;
(v) applies for or receives approval for a change in any capitation rate within the
Medicaid program; or
(vi) initiates a rate change that requires public notice under state or federal law.
(b) The report required by Subsection (3)(a) shall:
(i) be submitted to the Social Services Appropriations Subcommittee prior to the
department implementing the proposed change; and
(ii) include:
(A) a description of the department's current practice or policy that the department is
proposing to change;
(B) an explanation of why the department is proposing the change;
(C) the proposed change in services or reimbursement, including a description of the
effect of the change;
(D) the effect of an increase or decrease in services or benefits on individuals and
families;
(E) the degree to which any proposed cut may result in cost-shifting to more expensive
services in health or human service programs; and
(F) the fiscal impact of the proposed change, including:
(I) the effect of the proposed change on current or future appropriations from the
Legislature to the department;
(II) the effect the proposed change may have on federal matching dollars received by
the state Medicaid program;
(III) any cost shifting or cost savings within the department's budget that may result
from the proposed change; and
(IV) identification of the funds that will be used for the proposed change, including any
transfer of funds within the department's budget.
(4) Any rules adopted by the department under Subsection (2) are subject to review and
reauthorization by the Legislature in accordance with Section 
63G-3-502
.
(5) The department may, in its discretion, contract with the Department of Human
Services or other qualified agencies for services in connection with the administration of the
Medicaid program, including:
(a) the determination of the eligibility of individuals for the program;
(b) recovery of overpayments; and
(c) consistent with Section 
26-20-13
, and to the extent permitted by law and quality
control services, enforcement of fraud and abuse laws.
(6) The department shall provide, by rule, disciplinary measures and sanctions for
Medicaid providers who fail to comply with the rules and procedures of the program, provided
that sanctions imposed administratively may not extend beyond:
(a) termination from the program;
(b) recovery of claim reimbursements incorrectly paid; and
(c) those specified in Section 1919 of Title XIX of the federal Social Security Act.
(7) (a) Funds collected as a result of a sanction imposed under Section 1919 of Title
XIX of the federal Social Security Act shall be deposited in the General Fund as dedicated
credits to be used by the division in accordance with the requirements of Section 1919 of Title
XIX of the federal Social Security Act.
(b) In accordance with Section 
63J-1-602.2
, sanctions collected under this Subsection
(7) are nonlapsing.
(8) (a) In determining whether an applicant or recipient is eligible for a service or
benefit under this part or Chapter 40, Utah Children's Health Insurance Act, the department
shall, if Subsection (8)(b) is satisfied, exclude from consideration one passenger vehicle
designated by the applicant or recipient.
(b) Before Subsection (8)(a) may be applied:
(i) the federal government shall:
(A) determine that Subsection (8)(a) may be implemented within the state's existing
public assistance-related waivers as of January 1, 1999;
(B) extend a waiver to the state permitting the implementation of Subsection (8)(a); or
(C) determine that the state's waivers that permit dual eligibility determinations for
cash assistance and Medicaid are no longer valid; and
(ii) the department shall determine that Subsection (8)(a) can be implemented within
existing funding.
(9) (a) For purposes of this Subsection (9):
(i) "aged, blind, or has a disability" means an aged, blind, or disabled individual, as
defined in 42 U.S.C. Sec. 1382c(a)(1); and
(ii) "spend down" means an amount of income in excess of the allowable income
standard that shall be paid in cash to the department or incurred through the medical services
not paid by Medicaid.
(b) In determining whether an applicant or recipient who is aged, blind, or has a
disability is eligible for a service or benefit under this chapter, the department shall use 100%
of the federal poverty level as:
(i) the allowable income standard for eligibility for services or benefits; and
(ii) the allowable income standard for eligibility as a result of spend down.
(10) The department shall conduct internal audits of the Medicaid program.
(11) (a) The department may apply for and, if approved, implement a demonstration
program for health opportunity accounts, as provided for in 42 U.S.C. Sec. 1396u-8.
(b) A health opportunity account established under Subsection (11)(a) shall be an
alternative to the existing benefits received by an individual eligible to receive Medicaid under
this chapter.
(c) Subsection (11)(a) is not intended to expand the coverage of the Medicaid program.
(12) (a) (i) The department shall apply for, and if approved, implement an amendment
to the state plan under this Subsection (12) for benefits for:
(A) medically needy pregnant women;
(B) medically needy children; and
(C) medically needy parents and caretaker relatives.
(ii) The department may implement the eligibility standards of Subsection (12)(b) for
eligibility determinations made on or after the date of the approval of the amendment to the
state plan.
(b) In determining whether an applicant is eligible for benefits described in Subsection
(12)(a)(i), the department shall:
(i) disregard resources held in an account in the savings plan created under Title 53B,
Chapter 8a, Utah Educational Savings Plan, if the beneficiary of the account is:
(A) under the age of 26; and
(B) living with the account owner, as that term is defined in Section 
53B-8a-102
, or
temporarily absent from the residence of the account owner; and
(ii) include the withdrawals from an account in the Utah Educational Savings Plan as
resources for a benefit determination, if the withdrawal was not used for qualified higher
education costs as that term is defined in Section 
53B-8a-102.5
.
(13) (a) The department may not deny or terminate eligibility for Medicaid solely
because an individual is:
(i) incarcerated; and
(ii) not an inmate as defined in Section 
64-13-1
.
(b) Subsection (13)(a) does not require the Medicaid program to provide coverage for
any services for an individual while the individual is incarcerated.
(14) The department is a party to, and may intervene at any time in, any judicial or
administrative action:
(a) to which the Department of Workforce Services is a party; and
(b) that involves medical assistance under:
(i) Title 26, Chapter 18, Medical Assistance Act; or
(ii) Title 26, Chapter 40, Utah Children's Health Insurance Act.
Section 2. Section 
26B-1-101
 is enacted to read:
TITLE 26B. DEPARTMENT OF HEALTH AND HUMAN SERVICES
CHAPTER 1. GENERAL PROVISIONS AND ORGANIZATION
Part 1. General Provisions
 26B-1-101.
Title.
This title is known as the "Department of Health and Human Services."
Section 3. Section 
26B-1-102
 is enacted to read:
 26B-1-102.
Definitions.
As used in this title:
(1) "Department" means the Department of Health and Human Services created in
Section 
26B-1-201
.
(2) "Department of Health" means the Department of Health created in Section 
26-1-4
.
(3) "Department of Human Services" means the Department of Human Services
created in Section 
62A-1-102
.
Section 4. Section 
26B-1-103
 is enacted to read:
 26B-1-103.
Purpose of title -- Consolidation of functions into single state agency.
The purpose of this title is to consolidate into a single agency of state government all of
the functions exercised by:
(1) the Department of Health, including all of the powers and duties described in Title
26, Utah Health Code; and
(2) the Department of Human Services, including all of the powers and duties
described in Title 62A, Utah Human Services Code.
Section 5. Section 
26B-1-201
 is enacted to read:
Part 2. Organization
 26B-1-201.
Department of Health and Human Services -- Creation -- Duties.
(1) There is created within state government the Department of Health and Human
Services, which has all of the policymaking functions, regulatory and enforcement powers,
rights, duties, and responsibilities outlined in this title.
(2) In addition to Subsection (1), during the transition period described in Section
26B-1-201.1
, the Department of Health and Human Services may exercise any of the
policymaking functions, regulatory and enforcement powers, rights, duties, and responsibilities
of the Department of Health and the Department of Human Services under the joint direction
of:
(a) the executive director of the Department of Health; and
(b) the executive director of the Department of Human Services.
Section 6. Section 
26B-1-201.1
 is enacted to read:
 26B-1-201.1.
Transition to single state agency -- Transition plan -- Restricted
Account.
(1) As used in this section:
(a) "Transition agencies" means the:
(i) Department of Health; and
(ii) Department of Human Services.
(b) "Transition period" means the period of time:
(i) during which the transition of the department to the Department of Health and
Human Services takes place; and
(ii) beginning on the effective date of the bill, and ending on July 1, 2022.
(2) On or before December 1, 2021, the transition agencies shall develop a written
transition plan for merging the functions of the transition agencies into the Department of
Health and Human Services on July 1, 2022, in order to:
(a) more efficiently and effectively manage health and human services programs that
are the responsibility of the state;
(b) establish a health and human services policy for the state; and
(c) promote health and the quality of life in the health and human services field.
(3) The written transition plan described in Subsection (2) shall describe:
(a) the tasks that need to be completed before the move on July 1, 2022, including a
description of:
(i) how the transition agencies solicited comment from stakeholders, including:
(A) employees of the transition agencies;
(B) clients and partners of the transition agencies;
(C) members of the public;
(D) the Legislature; and
(E) the executive office of the governor;
(ii) the proposed organizational structure of the department, including the transition of
responsibilities of employees, by job title and classification, under the newly proposed
organizational structure and a plan for these transitions;
(iii) office space and infrastructure requirements related to the transition;
(iv) any work site location changes for transitioning employees;
(v) the transition of service delivery sites;
(vi) amendments needed to existing contracts, including grants;
(vii) legislative changes needed to implement the transition described in this section;
(viii) how the transition agencies will coordinate agency rules;
(ix) procedures for the transfer and reconciliation of budgeting and funding of the
department as the transition agencies transition into the department; and
(x) the transition of technology services to the department;
(b) the tasks that may need to be completed after the transition on July 1, 2022; and
(c) how the transition to the department will be funded, including details of:
(i) how expenses associated with the transition will be managed;
(ii) how funding for services provided by the transition agencies will be managed to
ensure services will be provided by the transition agencies and the department without
interruption; and
(iii) how federal funds will be used by or transferred between the transition agencies
and the department to ensure services will be provided by the transition agencies and the
department without interruption.
(4) The written transition plan described in Subsection (2) shall:
(a) include a detailed timeline for the completion of the tasks described in Subsection
(3)(a);
(b) be updated at least one time in every two week period until the transition is
complete;
(c) describe how information will be provided to clients of the transition agencies and
the department regarding any changes to where services will be provided and the hours services
will be provided;
(d) be provided to the:
(i) Health and Human Services Interim Committee;
(ii) Social Services Appropriations Subcommittee;
(iii) the executive office of the governor;
(iv) Division of Finance; and
(v) Department of Technology Services; and
(e) be made available to employees that are transitioning or may potentially be
transitioned.
(5) The transition agencies shall publish information that provides a full overview of
the written transition plan and how the move may affect client services offered by the transition
agencies on the transition agencies' respective websites, including regular updates regarding:
(a) how the move may affect client services offered by the transition agencies;
(b) information regarding the location where services are provided and the hours
services are provided; and
(c) contact information so that clients of the transition agencies can contact
transitioning employees and obtain information regarding client services.
(6) The transition agencies may, separately or collectively, enter into a memorandum of
understanding regarding how costs and responsibilities will be shared to:
(a) ensure that services provided under agreements with the federal government,
including new and ongoing grant programs, are fulfilled;
(b) ensure that commitments made by the transition agencies are met;
(c) provide ongoing or shared services as needed, including the provision of payments
to the department from the transition agencies; and
(d) ensure that money from the Department of Health and Human Services Transition
Restricted Account created in Subsection (8) is used appropriately by the transition agencies
and the department.
(7) In implementing the written transition plan described in this section, the transition
agencies and the department shall protect existing services, programs, and access to services
provided by the transition agencies.
(8) (a) There is created a restricted account within the General Fund known as the
"Department of Health and Human Services Transition Restricted Account."
(b) The restricted account shall consist of appropriations made by the Legislature.
(c) Subject to appropriation, the transition agencies and the department may spend
money from the restricted account to pay for expenses related to moving the transition agencies
into the department, including staff and legal services.
Section 7. Section 
35A-1-304
 is amended to read:
35A-1-304.
Review authority of the Workforce Appeals Board.
(1) (a) In accordance with this title and Title 63G, Chapter 4, Administrative
Procedures Act, the Workforce Appeals Board may allow an appeal from a decision of an
administrative law judge 
from a formal adjudicative proceeding
 if a motion for review is filed
with the Division of Adjudication within the designated time by any party entitled to the notice
of the administrative law judge's decision.
(b) An appeal filed by the party shall be allowed as of right if the decision of the
administrative law judge did not affirm the department's prior decision.
(c) If the Workforce Appeals Board denies an application for appeal from the decision
of an administrative law judge, the decision of the administrative law judge is considered a
decision of the Workforce Appeals Board for purposes of judicial review and is subject to
judicial review if further appeal is initiated under this title.
(2) On appeal, the Workforce Appeals Board may on the basis of the evidence
previously submitted in the case, or upon the basis of any additional evidence it requires:
(a) affirm the decision of the administrative law judge;
(b) modify the decision of the administrative law judge; or
(c) reverse the findings, conclusions, and decision of the administrative law judge.
(3) The Workforce Appeals Board shall promptly notify the parties to any proceedings
before it of its decision, including its findings and conclusions, and the decision is a final order
of the department unless within 30 days after the date the decision of the Workforce Appeals
Board is issued, further appeal is initiated under this title.
Section 8. Section 
35A-1-307
 is amended to read:
35A-1-307.
Scope of part.
This part does not apply to adjudication under[
: (1) Chapter 3, Employment Support
Act; or (2)
] Chapter 5, Part 1, Job Training Coordination Act.
Section 9. Section 
35A-3-103
 is amended to read:
35A-3-103.
Department responsibilities.
The department shall:
(1) administer public assistance programs assigned by the Legislature and the
governor;
(2) determine eligibility for public assistance programs in accordance with the
requirements of this chapter;
(3) cooperate with the federal government in the administration of public assistance
programs;
(4) administer state employment services;
(5) provide for the compilation of necessary or desirable information, statistics, and
reports;
(6) perform other duties and functions required by law;
(7) monitor the application of eligibility policy;
(8) develop personnel training programs for effective and efficient operation of the
programs administered by the department;
(9) provide refugee resettlement services in accordance with Section 
35A-3-701
;
(10) provide child care assistance for children in accordance with Part 2, Office of
Child Care; [
and
]
(11) provide services that enable an applicant or recipient to qualify for affordable
housing in cooperation with:
(a) the Utah Housing Corporation;
(b) the Housing and Community Development Division; and
(c) local housing authorities[
.
]
;
(12) in accordance with 42 C.F.R. Sec. 431.10, develop non-clinical eligibility policy
and procedures to implement the eligibility state plan, waivers, and administrative rules
developed and issued by the Department of Health and Human Services for medical assistance
under:
(a) Title 26, Chapter 18, Medical Assistance Act; and
(b) Title 26, Chapter 40, Utah Children's Health Insurance Act;
(13) administer the Medicaid Eligibility Quality Control function in accordance with
C.F.R. Sec. 431.812; and
(14) conduct eligibility hearings and issue final decisions in adjudicative proceedings,
including expedited appeals as defined in 42 C.F.R. Sec. 431.224, for medical assistance
eligibility under:
(a) Title 26, Chapter 18, Medical Assistance Act; or
(b) Title 26, Chapter 40, Utah Children's Health Insurance Act.
Section 10. Section 
63I-2-226
 is amended to read:
63I-2-226.
Repeal dates, Title 26 through 26B.
(1) Subsection 
26-1-7
(1)(c), in relation to the Air Ambulance Committee, is repealed
July 1, 2024.
(2) Subsection 
26-7-8
(3) is repealed January 1, 2027.
(3) Section 
26-8a-107
 is repealed July 1, 2024.
(4) Subsection 
26-8a-203
(3)(a)(i) is repealed January 1, 2023.
(5) Section 
26-8a-211
 is repealed July 1, 2023.
(6) 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) Subsection 
26-18-2.4
(3)(e) is repealed January 1, 2023.
(8) Subsection 
26-18-411
(8), related to reporting on the health coverage improvement
program, is repealed January 1, 2023.
(9) Subsection 
26-18-420
(5), related to reporting on coverage for in vitro fertilization
and genetic testing, is repealed July 1, 2030.
[
(10) Subsection 
26-21-28
(2)(b) is repealed January 1, 2021.
]
[
(11)
] 
(10)
 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)
] 
(11)
 Subsection 
26-33a-106.1
(2)(a) is repealed January 1, 2023.
[
(13)
] 
(12)
 Title 26, Chapter 46, Utah Health Care Workforce Financial Assistance
Program, is repealed July 1, 2027.
[
(14) Subsection 
26-55-107
(8) is repealed January 1, 2021.
]
[
(15)
] 
(13)
 Subsection 
26-61-202
(4)(b) is repealed January 1, 2022.
[
(16)
] 
(14)
 Subsection 
26-61-202
(5) is repealed January 1, 2022.
(15) Section 
26B-1-201.1
 is repealed July 1, 2022.
Section 11. 
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.
Subsection 11(a). 
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 accounts indicated for
the use and support of the government of the state of Utah.
ITEM 1
To Department of Health -- Executive Director's Operations
From General Fund
($135,000)
From General Fund, One-time
$135,000
From Federal Funds
($135,000)
From Federal Funds, One-time
$135,000
ITEM 2
To Department of Health -- Medicaid and Health Financing
From General Fund
($486,500)
From General Fund, One-time
$486,500
From Federal Funds
($486,500)
From Federal Funds, One-time
$486,500
ITEM 3
To Department of Health -- Executive Director's Operations
From General Fund
($58,200)
From General Fund, One-time
$58,200
From Federal Funds
($58,200)
From Federal Funds, One-time
$58,200
ITEM 4
To Department of Health -- Executive Director's Operations
From Department of Health and Human Services Transition Restricted
Account, One-time
$1,500,000
From Federal Funds, One-Time
$1,500,000
Schedule of Programs:
Program Operations $3,000,000
ITEM 5
To Department of Human Services -- Executive Director Operations
From Department of Health and Human Services Transition Restricted
Account, One-time
$1,500,000
From Federal Funds, One-Time
$1,500,000
Schedule of Programs:
Fiscal Operations $3,000,000
ITEM 6
To Department of Workforce Services -- Operations and Policy
From General Fund
$486,500
From General Fund, One-time
($486,500)
From Federal Funds
$486,500
From Federal Funds, One-time
($486,500)
ITEM 7
To Department of Workforce Services -- Administration
From General Fund
$58,200
From General Fund, One-time
($58,200)
From Federal Funds
$58,200
From Federal Funds, One-time
($58,200)
Subsection 11(b). 
Restricted Fund and Account Transfers.
The Legislature authorizes the State 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 -- Department of Health and Human Services Transition
 Restricted Account
From General Fund, One-time
$1,500,000
From Federal Funds, One-time
$1,500,000
Schedule of Programs:
General Fund Restricted -- Department of Health and Human Services
 Transition Restricted Account $3,000,000
Section 12. 
Effective date.
(1) Except as provided in Subsection (2), if approved by two-thirds of all the members
elected to each house, this bill takes effect upon approval by the governor, or the day following
the constitutional time limit of Utah Constitution, Article VII, Section 8, without the governor's
signature, or in the case of a veto, the date of veto override.
(2) The actions affecting the following sections take effect on July 1, 2022:
(a) Section 
26-18-3
;
(b) Section 
35A-1-304
;
(c) Section 
35A-1-307
; and
(d) Section 
35A-3-103
.