Rep. Norm Thurston — Voting Record

Bill

Number

H.B. 310 (2025GS)

Sponsor

Rep. Dailey-Provost, Jennifer

Final action

Governor Signed 3/19/2025

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• defines terms;
• requires the Department of Health and Human Services (department) to apply for a Medicaid waiver or state plan amendment to provide wraparound services to qualified individuals with a disability;
• requires qualified individuals who receive services under the waiver or state plan amendment to make cost-sharing payments according to a sliding scale established by the department;
• specifies certain percentages and maximum payment amounts for the sliding scale established by the department; and
• requires the department to make rules.

Every vote on this bill

Bill text

3
26B-3-229
0
Disability Coverage Amendments
2025 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Jennifer Dailey-Provost
Senate Sponsor: Luz Escamilla
LONG TITLE
General Description:
This bill addresses wraparound services for certain individuals with a disability.
Highlighted Provisions:
This bill:
defines terms;
requires the Department of Health and Human Services (department) to apply for a 
Medicaid waiver or state plan amendment to provide wraparound services to qualified 
individuals with a disability;
requires qualified individuals who receive services under the waiver or state plan 
amendment to make cost-sharing payments according to a sliding scale established by 
the department;
specifies certain percentages and maximum payment amounts for the sliding scale 
established by the department; and
requires the department to make rules.
Money Appropriated in this Bill:
None
Other Special Clauses:
None
Utah Code Sections Affected:
ENACTS:
26B-3-229
, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1, Section 
26B-3-229
 is enacted to read:
26B-3-229
. Wraparound services for qualified individuals with a disability.
(1)
As used in this section:
(a)
"Federal poverty level" means the United States poverty level as defined by the most 
recently revised poverty income guidelines published by the United States 
Department of Health and Human Services in the Federal Register.
(b)
"Minimum essential coverage" means the same as that term is defined in 26 U.S.C. 
Sec. 5000A.
(c)
"Qualified individual" means an individual who:
(i)
is a disabled individual as described in 42 U.S.C. Sec. 1382c;
(ii)
within the past 12 months has been enrolled in the state Medicaid program;
(iii)
is enrolled in minimum essential coverage other than the Medicaid program;
(iv)
except as provided in Subsections (1)(c)(v) and (vi), does not meet the income or 
asset requirements for enrollment in the state Medicaid program;
(v)
has a household income that is between 250% and 800% of the federal poverty 
level; and
(vi)
has assets, excluding one home and one automobile, that are valued at less than 
$125,000.
(d)
"Wraparound services" means services and benefits that:
(i)
are covered by the Medicaid program; and
(ii)
are not covered by the minimum essential coverage described in Subsection 
(1)(c)(iii).
(2)
Before July 1, 2025, the department shall apply for a Medicaid waiver with CMS to 
provide wraparound services to qualified individuals:
(a)
as state funding permits; and
(b)
in a manner that requires qualified individuals to make cost sharing payments 
according to the sliding scale described in Subsection (3).
(3)
(a)
The department shall establish a sliding scale for services received under this 
section that:
(i)
is based on household income in relation to the federal poverty level; and
(ii)
is used to determine the percentage of the cost of a wraparound service that a 
qualified individual is required to pay.
(b)
The percentage of the cost of wraparound services that a qualified individual is 
required to pay:
(i)
may not be less than 10% for a qualified individual with a household income 
greater than 400% of the federal poverty level; and
(ii)
for a qualified individual with a household income less than or equal to 400% of 
the federal poverty level, shall be determined according to income categories 
established by the department as provided in Subsection (4).
(c)
Notwithstanding Subsection (3)(b), the amount paid by a qualified individual under 
Subsection (3)(b) may not exceed:
(i)
$1,500 per month for a qualified individual with a household income greater than 
400% of the federal poverty level; and
(ii)
for a qualified individual with a household income less than or equal to 400% of 
the federal poverty level, an amount determined according to income categories 
established by the department as provided in Subsection (4).
(d)
The department shall credit the amount of premium payments that a qualified 
individual makes for minimum essential coverage other than Medicaid toward the 
amount that a qualified individual is required to pay for wraparound services under 
this section.
(4)
The department shall make rules in accordance with Title 63G, Chapter 3, Utah 
Administrative Rulemaking Act, to:
(a)
establish the income categories, percentages, and maximum payment amounts 
described in Subsection (3); and
(b)
provide continuous enrollment for 12 months for a qualified individual who receives 
wraparound services in accordance with this section.
(5)
If a waiver or state plan amendment described in Subsection (2) is approved, the 
department shall provide wraparound services in accordance with this section.
Section 2. 
Effective date.
This bill takes effect on 
May 7, 2025
.
3-6-25 3:10 PM