Rep. Norm Thurston — Voting Record

Bill

Number

H.B. 347 (2025GS)

Sponsor

Rep. Dunnigan, James A.

Final action

Governor Signed 3/24/2025

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• amends provisions related to the Medicaid ACA Fund;
• amends provisions related to substance use and mental health program licensure;
• amends provisions related to certified community health workers;
• amends provisions regarding atypical anti-psychotic, psychotropic drugs, and the Medicaid preferred drug list;
• amends provisions related to case management; and
• makes technical and conforming changes.

Every vote on this bill

Bill text

21
26B-1-315
26B-2-101
26B-2-110
26B-3-105
26B-3-217
26B-5-101
26B-5-102
26B-5-301
26B-5-801
53-21-101
63M-7-204
0
Social Services Program Amendments
2025 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: James A. Dunnigan
Senate Sponsor: Evan J. Vickers
LONG TITLE
General Description:
This bill amends the provisions related to social services programs.
Highlighted Provisions:
This bill:
amends provisions related to the Medicaid ACA Fund;
amends provisions related to substance use and mental health program licensure;
amends provisions related to certified community health workers;
amends provisions regarding atypical anti-psychotic, psychotropic drugs, and the 
Medicaid preferred drug list;
amends provisions related to case management; and
makes technical and conforming changes.
Money Appropriated in this Bill:
This bill appropriates 
$1,100,000
 in operating and capital budgets for fiscal year 2026, all 
of which is from the General Fund.
Other Special Clauses:
This bill provides a special effective date.
Utah Code Sections Affected:
AMENDS:
26B-1-315
, 
Effective 
05/07/25
 as last amended by Laws of Utah 2024, Chapter 439
26B-2-101
, 
Effective 
05/07/25
 as last amended by Laws of Utah 2024, Chapters 240, 
267, 307, and 438
26B-3-105
, 
Effective 
07/01/25
 as renumbered and amended by Laws of Utah 2023, 
Chapter 306
26B-3-217
, 
Effective 
05/07/25
 as last amended by Laws of Utah 2024, Chapter 284
26B-5-101
, 
Effective 
05/07/25
 as last amended by Laws of Utah 2024, Chapters 240, 
420
26B-5-102
, 
Effective 
05/07/25
 as last amended by Laws of Utah 2024, Chapters 250, 
420
26B-5-301
, 
Effective 
05/07/25
 as renumbered and amended by Laws of Utah 2023, 
Chapter 308
26B-5-801
, 
Effective 
05/07/25
 as renumbered and amended by Laws of Utah 2024, 
Chapter 245
53-21-101
, 
Effective 
05/07/25
 as last amended by Laws of Utah 2024, Chapter 345
63M-7-204
, 
Effective 
05/07/25
 as last amended by Laws of Utah 2024, Chapter 345
ENACTS:
26B-2-110
, 
Effective 
05/07/25
 Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1, Section 
26B-1-315
 is amended to read:
26B-1-315
Effective 
05/07/25
. Medicaid ACA Fund.
(1)
There is created an expendable special revenue fund known as the "Medicaid ACA 
Fund."
(2)
The fund consists of:
(a)
assessments collected under Chapter 3, Part 5, Inpatient Hospital Assessment;
(b)
intergovernmental transfers under Section 
26B-3-508
;
(c)
savings attributable to the health coverage improvement program, as defined in 
Section 
26B-3-501
, as determined by the department;
(d)
savings attributable to the enhancement waiver program, as defined in Section 
26B-3-501
, as determined by the department;
(e)
savings attributable to the Medicaid waiver expansion, as defined in Section 
26B-3-501
, as determined by the department;
(f)
savings attributable to the inclusion of psychotropic drugs on the preferred drug list 
under Subsection 
26B-3-105
(3) as determined by the department;
(g)
(f)
revenues collected from the sales tax described in Subsection 
59-12-103
(11);
(h)
(g)
gifts, grants, donations, or any other conveyance of money that may be made to 
the fund from private sources;
(i)
(h)
interest earned on money in the fund; and
(j)
(i)
additional amounts as appropriated by the Legislature.
(3)
(a)
The fund shall earn interest.
(b)
All interest earned on fund money shall be deposited into the fund.
(4)
(a)
A state agency administering the provisions of Chapter 3, Part 5, Inpatient 
Hospital Assessment, may use money from the fund to pay the costs, not otherwise 
paid for with federal funds or other revenue sources, of:
(i)
the health coverage improvement program as defined in Section 
26B-3-501
;
(ii)
the enhancement waiver program as defined in Section 
26B-3-501
;
(iii)
a Medicaid waiver expansion as defined in Section 
26B-3-501
; and
(iv)
the outpatient upper payment limit supplemental payments under Section 
26B-3-511
.
(b)
A state agency administering the provisions of Chapter 3, Part 5, Inpatient Hospital 
Assessment, may not use:
(i)
funds described in Subsection (2)(b) to pay the cost of private outpatient upper 
payment limit supplemental payments; or
(ii)
money in the fund for any purpose not described in Subsection (4)(a).
Section 2, Section 
26B-2-101
 is amended to read:
26B-2-101
Effective 
05/07/25
. Definitions.
As used in this part:
(1)
"Adoption services" means the same as that term is defined in Section 
80-2-801
.
(2)
"Adult day care" means nonresidential care and supervision:
(a)
for three or more adults for at least four but less than 24 hours a day; and
(b)
that meets the needs of functionally impaired adults through a comprehensive 
program that provides a variety of health, social, recreational, and related support 
services in a protective setting.
(3)
"Applicant" means a person that applies for an initial license or a license renewal under 
this part.
(4)
(a)
"Associated with the licensee" means that an individual is:
(i)
affiliated with a licensee as an owner, director, member of the governing body, 
employee, agent, provider of care, department contractor, or volunteer; or
(ii)
applying to become affiliated with a licensee in a capacity described in 
Subsection (4)(a)(i).
(b)
"Associated with the licensee" does not include:
(i)
service on the following bodies, unless that service includes direct access to a 
child or a vulnerable adult:
(A)
a local mental health authority described in Section 
17-43-301
;
(B)
a local substance abuse authority described in Section 
17-43-201
; or
(C)
a board of an organization operating under a contract to provide mental health 
or substance use programs, or services for the local mental health authority or 
substance abuse authority; or
(ii)
a guest or visitor whose access to a child or a vulnerable adult is directly 
supervised at all times.
(5)
(a)
"Boarding school" means a private school that:
(i)
uses a regionally accredited education program;
(ii)
provides a residence to the school's students:
(A)
for the purpose of enabling the school's students to attend classes at the 
school; and
(B)
as an ancillary service to educating the students at the school;
(iii)
has the primary purpose of providing the school's students with an education, as 
defined in Subsection (5)(b)(i); and
(iv)
(A)
does not provide the treatment or services described in Subsection 
(40)(a)
(41)(a)
; or
(B)
provides the treatment or services described in Subsection 
(40)(a)
(41)(a)
 on 
a limited basis, as described in Subsection (5)(b)(ii).
(b)
(i)
For purposes of Subsection (5)(a)(iii), "education" means a course of study for 
one or more grades from kindergarten through grade 12.
(ii)
For purposes of Subsection (5)(a)(iv)(B), a private school provides the treatment 
or services described in Subsection 
(40)(a)
(41)(a)
 on a limited basis if:
(A)
the treatment or services described in Subsection 
(40)(a)
(41)(a)
 are provided 
only as an incidental service to a student; and
(B)
the school does not:
(I)
specifically solicit a student for the purpose of providing the treatment or 
services described in Subsection 
(40)(a)
(41)(a)
; or
(II)
have a primary purpose of providing the treatment or services described in 
Subsection 
(40)(a)
(41)(a)
.
(c)
"Boarding school" does not include a therapeutic school.
(6)
"Certification" means a less restrictive level of licensure issued by the department.
(7)
"Child" means an individual under 18 years old.
(8)
"Child placing" means receiving, accepting, or providing custody or care for any child, 
temporarily or permanently, for the purpose of:
(a)
finding a person to adopt the child;
(b)
placing the child in a home for adoption; or
(c)
foster home placement.
(9)
"Child-placing agency" means a person that engages in child placing.
(10)
"Client" means an individual who receives or has received services from a licensee.
(11)
(a)
"Congregate care program" means any of the following that provide services to a 
child:
(i)
an outdoor youth program;
(ii)
a residential support program;
(iii)
a residential treatment program; or
(iv)
a therapeutic school.
(b)
"Congregate care program" does not include a human services program that:
(i)
is licensed to serve adults; and
(ii)
is approved by the office to service a child for a limited time.
(12)
"Day treatment" means specialized treatment that is provided to:
(a)
a client less than 24 hours a day; and
(b)
four or more persons who:
(i)
are unrelated to the owner or provider; and
(ii)
have emotional, psychological, developmental, physical, or behavioral 
dysfunctions, impairments, or chemical dependencies.
(13)
"Department contractor" means an individual who:
(a)
provides services under a contract with the department; and
(b)
due to the contract with the department, has or will likely have direct access to a 
child or vulnerable adult.
(14)
"Direct access" means that an individual has, or likely will have:
(a)
contact with or access to a child or vulnerable adult that provides the individual with 
an opportunity for personal communication or touch; or
(b)
an opportunity to view medical, financial, or other confidential personal identifying 
information of the child, the child's parents or legal guardians, or the vulnerable adult.
(15)
"Directly supervised" means that an individual is being supervised under the 
uninterrupted visual and auditory surveillance of another individual who has a current 
background check approval issued by the office.
(16)
"Director" means the director of the office.
(17)
"Domestic violence" means the same as that term is defined in Section 
77-36-1
.
(18)
"Domestic violence treatment program" means a nonresidential program designed to 
provide psychological treatment and educational services to perpetrators and victims of 
domestic violence.
(19)
"Elder adult" means a person 65 years old or older.
(20)
"Emergency safety intervention" means a tactic used to protect staff or a client from 
being physically injured, utilized by an appropriately trained direct care staff and only 
performed in accordance with a nationally or regionally recognized curriculum in the 
least restrictive manner to restore staff or client safety.
(21)
"Foster home" means a residence that is licensed or certified by the office for the 
full-time substitute care of a child.
(22)
"Health benefit plan" means the same as that term is defined in Section 
31A-22-634
.
(23)
"Health care provider" means the same as that term is defined in Section 
78B-3-403
.
(24)
"Health insurer" means the same as that term is defined in Section 
31A-22-615.5
.
(25)
(a)
"Human services program" means:
(i)
a foster home;
(ii)
a therapeutic school;
(iii)
a youth program;
(iv)
an outdoor youth program;
(v)
a residential treatment program;
(vi)
a residential support program;
(vii)
a resource family home;
(viii)
a recovery residence; or
(ix)
a facility or program that provides:
(A)
adult day care;
(B)
day treatment;
(C)
outpatient treatment;
(D)
domestic violence treatment;
(E)
child-placing services;
(F)
social detoxification; or
(G)
any other human services that are required by contract with the department to 
be licensed with the department.
(b)
"Human services program" does not include:
(i)
a boarding school;
(ii)
a residential, vocational and life skills program, as defined in Section 
13-53-102
; 
or
(iii)
a short-term relief care provider.
(26)
"Indian child" means the same as that term is defined in 25 U.S.C. Sec. 1903.
(27)
"Indian country" means the same as that term is defined in 18 U.S.C. Sec. 1151.
(28)
"Indian tribe" means the same as that term is defined in 25 U.S.C. Sec. 1903.
(29)
"Intermediate secure treatment" means 24-hour specialized residential treatment or 
care for an individual who:
(a)
cannot live independently or in a less restrictive environment; and
(b)
requires, without the individual's consent or control, the use of locked doors to care 
for the individual.
(30)
"Licensee" means an individual or a human services program licensed by the office.
(31)
"Local government" means a city, town, or county.
(32)
"Mental health treatment program" means a program that:
(a)
is a structured intervention; and
(b)
is used to improve mental health, prevent mental disorders, and treat mental health 
conditions.
(32)
(33)
"Minor" means child.
(33)
(34)
"Office" means the Office of Licensing within the department.
(34)
(35)
"Outdoor youth program" means a program that provides:
(a)
services to a child that has:
(i)
a chemical dependency; or
(ii)
a dysfunction or impairment that is emotional, psychological, developmental, 
physical, or behavioral;
(b)
a 24-hour outdoor group living environment; and
(c)
(i)
regular therapy, including group, individual, or supportive family therapy; or
(ii)
informal therapy or similar services, including wilderness therapy, adventure 
therapy, or outdoor behavioral healthcare.
(35)
(36)
"Outpatient treatment" means individual, family, or group therapy or counseling 
designed to improve and enhance social or psychological functioning for those whose 
physical and emotional status allows them to continue functioning in their usual living 
environment.
(36)
(37)
"Practice group" or "group practice" means two or more health care providers 
legally organized as a partnership, professional corporation, or similar association, for 
which:
(a)
substantially all of the services of the health care providers who are members of the 
group are provided through the group and are billed in the name of the group and 
amounts received are treated as receipts of the group; and
(b)
the overhead expenses of and the income from the practice are distributed in 
accordance with methods previously determined by members of the group.
(37)
(38)
"Private-placement child" means a child whose parent or guardian enters into a 
contract with a congregate care program for the child to receive services.
(38)
(39)
(a)
"Recovery residence" means a home, residence, or facility that meets at 
least two of the following requirements:
(i)
provides a supervised living environment for individuals recovering from a 
substance use disorder;
(ii)
provides a living environment in which more than half of the individuals in the 
residence are recovering from a substance use disorder;
(iii)
provides or arranges for residents to receive services related to the resident's 
recovery from a substance use disorder, either on or off site;
(iv)
is held out as a living environment in which individuals recovering from 
substance abuse disorders live together to encourage continued sobriety; or
(v)
(A)
receives public funding; or
(B)
is run as a business venture, either for-profit or not-for-profit.
(b)
"Recovery residence" does not mean:
(i)
a residential treatment program;
(ii)
residential support program; or
(iii)
a home, residence, or facility, in which:
(A)
residents, by a majority vote of the residents, establish, implement, and 
enforce policies governing the living environment, including the manner in 
which applications for residence are approved and the manner in which 
residents are expelled;
(B)
residents equitably share rent and housing-related expenses; and
(C)
a landlord, owner, or operator does not receive compensation, other than fair 
market rental income, for establishing, implementing, or enforcing policies 
governing the living environment.
(39)
(40)
"Regular business hours" means:
(a)
the hours during which services of any kind are provided to a client; or
(b)
the hours during which a client is present at the facility of a licensee.
(40)
(41)
(a)
"Residential support program" means a program that arranges for or 
provides the necessities of life as a protective service to individuals or families who 
have a disability or who are experiencing a dislocation or emergency that prevents 
them from providing these services for themselves or their families.
(b)
"Residential support program" includes a program that provides a supervised living 
environment for individuals with dysfunctions or impairments that are:
(i)
emotional;
(ii)
psychological;
(iii)
developmental; or
(iv)
behavioral.
(c)
Treatment is not a necessary component of a residential support program.
(d)
"Residential support program" does not include:
(i)
a recovery residence; or
(ii)
a program that provides residential services that are performed:
(A)
exclusively under contract with the department and provided to individuals 
through the Division of Services for People with Disabilities; or
(B)
in a facility that serves fewer than four individuals.
(41)
(42)
(a)
"Residential treatment" means a 24-hour group living environment for four 
or more individuals unrelated to the owner or provider that offers room or board and 
specialized treatment, behavior modification, rehabilitation, discipline, emotional 
growth, or habilitation services for persons with emotional, psychological, 
developmental, or behavioral dysfunctions, impairments, or chemical dependencies.
(b)
"Residential treatment" does not include a:
(i)
boarding school;
(ii)
foster home; or
(iii)
recovery residence.
(42)
(43)
"Residential treatment program" means a program or facility that provides:
(a)
residential treatment; or
(b)
intermediate secure treatment.
(43)
(44)
"Seclusion" means the involuntary confinement of an individual in a room or an 
area:
(a)
away from the individual's peers; and
(b)
in a manner that physically prevents the individual from leaving the room or area.
(44)
(45)
"Short-term relief care provider" means an individual who:
(a)
provides short-term and temporary relief care to a foster parent:
(i)
for less than six consecutive nights; and
(ii)
in the short-term relief care provider's home;
(b)
is an immediate family member or relative, as those terms are defined in Section 
80-3-102
, of the foster parent;
(c)
is direct access qualified, as that term is defined in Section 
26B-2-120
;
(d)
has been approved to provide short-term relief care by the department;
(e)
is not reimbursed by the department for the temporary relief care provided; and
(f)
is not an immediate family member or relative, as those terms are defined in Section 
80-3-102
, of the foster child.
(45)
(46)
"Social detoxification" means short-term residential services for persons who are 
experiencing or have recently experienced drug or alcohol intoxication, that are provided 
outside of a health care facility licensed under Part 2, Health Care Facility Licensing and 
Inspection, and that include:
(a)
room and board for persons who are unrelated to the owner or manager of the facility;
(b)
specialized rehabilitation to acquire sobriety; and
(c)
aftercare services.
(46)
(47)
"Substance abuse disorder" or "substance use disorder" mean the same as 
"substance use disorder" is defined in Section 
26B-5-501
.
(47)
(48)
"Substance abuse treatment program" or "substance use disorder treatment 
program" means a program:
(a)
designed to provide:
(i)
specialized drug or alcohol treatment;
(ii)
rehabilitation; or
(iii)
habilitation services; and
(b)
that provides the treatment or services described in Subsection 
(47)(a)
(48)(a)
 to 
persons with:
(i)
a diagnosed substance use disorder; or
(ii)
chemical dependency disorder.
(48)
(49)
"Therapeutic school" means a residential group living facility:
(a)
for four or more individuals that are not related to:
(i)
the owner of the facility; or
(ii)
the primary service provider of the facility;
(b)
that serves students who have a history of failing to function:
(i)
at home;
(ii)
in a public school; or
(iii)
in a nonresidential private school; and
(c)
that offers:
(i)
room and board; and
(ii)
an academic education integrated with:
(A)
specialized structure and supervision; or
(B)
services or treatment related to:
(I)
a disability;
(II)
emotional development;
(III)
behavioral development;
(IV)
familial development; or
(V)
social development.
(49)
(50)
"Unrelated persons" means persons other than parents, legal guardians, 
grandparents, brothers, sisters, uncles, or aunts.
(50)
(51)
"Vulnerable adult" means an elder adult or an adult who has a temporary or 
permanent mental or physical impairment that substantially affects the person's ability to:
(a)
provide personal protection;
(b)
provide necessities such as food, shelter, clothing, or mental or other health care;
(c)
obtain services necessary for health, safety, or welfare;
(d)
carry out the activities of daily living;
(e)
manage the adult's own resources; or
(f)
comprehend the nature and consequences of remaining in a situation of abuse, 
neglect, or exploitation.
(51)
(52)
(a)
"Youth program" means a program designed to provide behavioral, 
substance use, or mental health services to minors that:
(i)
serves adjudicated or nonadjudicated youth;
(ii)
charges a fee for the program's services;
(iii)
may provide host homes or other arrangements for overnight accommodation of 
the youth;
(iv)
may provide all or part of the program's services in the outdoors;
(v)
may limit or censor access to parents or guardians; and
(vi)
prohibits or restricts a minor's ability to leave the program at any time of the 
minor's own free will.
(b)
"Youth program" does not include recreational programs such as Boy Scouts, Girl 
Scouts, 4-H, and other such organizations.
(52)
(53)
(a)
"Youth transportation company" means any person that transports a child 
for payment to or from a congregate care program in Utah.
(b)
"Youth transportation company" does not include:
(i)
a relative of the child;
(ii)
a state agency; or
(iii)
a congregate care program's employee who transports the child from the 
congregate care program that employs the employee and returns the child to the 
same congregate care program.
Section 3, Section 
26B-2-110
 is enacted to read:
26B-2-110
Effective 
05/07/25
. Adult substance use and mental health providers.
(1)
As used in this section:
(a)
"Deemed site" means a site:
(i)
operated by a licensee; and
(ii)
that is approved by the department in accordance with Subsection 
(2)
.
(b)
"Good standing" means:
(i)
that a licensee has not had a violation that is considered by the department as 
moderate, high, or extreme noncompliance in the previous 24 months; and
(ii)
does not have outstanding fees or civil money penalties owed to the department.
(c)
"Licensee" means a substance abuse treatment program or mental health treatment 
program.
(2)
(a)
The department may approve a site operated by a licensee as a deemed site if:
(i)
the licensee meets the requirements of Subsection 
(2)(b)
; and
(ii)
at the time of licensure or renewal, the licensee is in good standing.
(b)
A deemed site:
(i)
may not serve an individual that is not at least 18 years old;
(ii)
shall be accredited by a national accrediting organization that is recognized by the 
department through rule; and
(iii)
shall provide the department with documentation from the accrediting 
organization that includes:
(A)
inspection reports;
(B)
findings;
(C)
plans of correction issued by the accrediting organization; and
(D)
progress reports on any plan of correction required by the accrediting 
organization.
(3)
(a)
A licensee may opt-out of on-site renewal inspections conducted by the 
department for a deemed site.
(b)
Notwithstanding Subsection 
(3)(a)
, the department may investigate complaints or 
incidents involving the deemed site.
(c)
A licensee is still subject to all renewal licensing fees for a deemed site.
(4)
The department shall revoke a licensee's deemed site status if:
(a)
a compliance or incident investigation of the deemed site results in a moderate, high, 
or extreme noncompliance violation;
(b)
the licensee does not submit accreditation documentation described in Subsection 
(2)(b)(iii) for the deemed site; or
(c)
documentation from the accrediting organization shows any findings that equate to a 
moderate, high, or extreme noncompliance violation in a state licensing finding for 
the deemed site.
(5)
(a)
If a licensee has multiple sites, the department shall consider whether a site 
becomes a deemed site through a separate evaluation described in Subsection (2).
(b)
The revocation of deemed status for a site does not cause the revocation of deemed 
status for another of a licensee's deemed sites unless the conditions listed in 
Subsection (4) apply to each site that is subject to losing the site's deemed site status.
(6)
Information received by the department from a licensee pertaining to that licensee's 
accreditation by a voluntary accrediting organization, shall be private data except for a 
summary prepared by the department related to licensure standards.
(7)
In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the 
office shall make rules to implement and enforce this section.
Section 4, Section 
26B-3-105
 is amended to read:
26B-3-105
Effective 
07/01/25
. Medicaid drug program -- Preferred drug list.
(1)
As used in this section:
(a)
"Immunosuppressive drug" means a drug that:
(i)
 is used in immunosuppressive therapy to inhibit or prevent activity of the immune 
system to aid the body in preventing the rejection of transplanted organs and 
tissue; and
(ii)
does not include drugs used for the treatment of autoimmune disease or diseases 
that are most likely of autoimmune origin.
(b)
"Psychotropic drug" means the following classes of drugs:
(i)
anti-depressant;
(ii)
anti-convulsant/mood stabilizer;
(iii)
anti-anxiety; and
(iv)
attention deficit hyperactivity disorder stimulant.
(c)
"Stabilized" means a health care provider has documented in the patient's medical 
chart that a patient has achieved a stable or steadfast medical state within the past 90 
days.
(2)
A Medicaid drug program developed by the department under Subsection 
26B-3-104(2)(f)
:
(a)
shall, notwithstanding Subsection 
26B-3-104(1)(b)
, be based on clinical and 
cost-related factors which include medical necessity as determined by a provider in 
accordance with administrative rules established by the Drug Utilization Review 
Board;
(b)
may include therapeutic categories of drugs that may be exempted from the drug 
program;
(c)
notwithstanding Section 
58-17b-606
, 
may include placing some drugs
, except the 
drugs described in Subsection 
(2)
,
 on a preferred drug list:
(i)
to the extent determined appropriate by the department; and
(ii)
in the manner described in Subsection 
(3)
(4)
 for 
psychotropic
atypical 
anti-psychotic
 drugs; 
(d)
notwithstanding the requirements of Sections 
26B-3-302
 through 
26B-3-309
regarding the Drug Utilization Review Board, and except as provided in Subsection 
(3)
(4)
, shall immediately implement the prior authorization requirements for a 
nonpreferred drug that is in the same therapeutic class as a drug that is:
(i)
on the preferred drug list on the date that this act takes effect; or
(ii)
added to the preferred drug list after this act takes effect; and
(e)
except as prohibited by Subsections 
58-17b-606(4)
 and 
(5)
, shall establish the prior 
authorization requirements 
established under Subsections 
(1)(c)
 and 
(d)
which shall 
permit a health care provider or the health care provider's agent to obtain a prior 
authorization override of the preferred drug list through the department's pharmacy 
prior authorization review process, and which shall:
(i)
provide either telephone or fax approval or denial of the request within 24 hours of 
the receipt of a request that is submitted during normal business hours of Monday 
through Friday from 8 a.m. to 5 p.m.;
(ii)
provide for the dispensing of a limited supply of a requested drug as determined 
appropriate by the department in an emergency situation, if the request for an 
override is received outside of the department's normal business hours; and
(iii)
require the health care provider to provide the department with documentation of 
the medical need for the preferred drug list override in accordance with criteria 
established by the department in consultation with the Pharmacy and Therapeutics 
Committee.
(2)
(3)
(a)
As used in this Subsection 
(2)
:
(i)
"Immunosuppressive drug":
(A)
means a drug that is used in immunosuppressive therapy to inhibit or prevent 
activity of the immune system to aid the body in preventing the rejection of 
transplanted organs and tissue; and
(B)
does not include drugs used for the treatment of autoimmune disease or 
diseases that are most likely of autoimmune origin.
(ii)
"Stabilized" means a health care provider has documented in the patient's 
medical chart that a patient has achieved a stable or steadfast medical state within 
the past 90 days using a particular psychotropic drug.
(b)
(a)
A preferred drug list developed under the provisions of this section may not 
include an immunosuppressive drug.
(c)
(i)
(i)
The state Medicaid program shall reimburse for a prescription for an 
immunosuppressive drug as written by the health care provider for a patient who 
has undergone an organ transplant.
(ii)
For purposes of Subsection 
58-17b-606(4)
, and with respect to patients who have 
undergone an organ transplant, the prescription for a particular 
immunosuppressive drug as written by a health care provider meets the criteria of 
demonstrating to the department a medical necessity for dispensing the prescribed 
immunosuppressive drug.
(d)
(iii)
Notwithstanding the requirements of Sections 
26B-3-302
 through 
26B-3-309
regarding the Drug Utilization Review Board, the state Medicaid drug program 
may not require the use of step therapy for immunosuppressive drugs without the 
written or oral consent of the health care provider and the patient.
(e)
The department may include a sedative hypnotic on a preferred drug list in 
accordance with Subsection 
(2)(f)
.
(f)
The department shall grant a prior authorization for a sedative hypnotic that is not on 
the preferred drug list under Subsection 
(2)(e)
, if the health care provider has 
documentation related to one of the following conditions for the Medicaid client:
(i)
a trial and failure of at least one preferred agent in the drug class, including the 
name of the preferred drug that was tried, the length of therapy, and the reason for 
the discontinuation;
(ii)
detailed evidence of a potential drug interaction between current medication and 
the preferred drug;
(iii)
detailed evidence of a condition or contraindication that prevents the use of the 
preferred drug;
(iv)
objective clinical evidence that a patient is at high risk of adverse events due to 
a therapeutic interchange with a preferred drug;
(v)
the patient is a new or previous Medicaid client with an existing diagnosis 
previously stabilized with a nonpreferred drug; or
(vi)
other valid reasons as determined by the department.
(g)
A prior authorization granted under Subsection 
(2)(f)
 is valid for one year from the 
date the department grants the prior authorization and shall be renewed in accordance 
with Subsection 
(2)(f)
.
(3)
(4)
(a)
As used in this Subsection 
(3)
, "psychotropic drug" means the following 
classes of drugs:
(i)
atypical anti-psychotic;
(ii)
anti-depressant;
(iii)
anti-convulsant/mood stabilizer;
(iv)
anti-anxiety; and
(v)
attention deficit hyperactivity disorder stimulant.
(b)
(a)
(i)
The department shall 
develop a preferred drug list for psychotropic drugs
include atypical anti-psychotic drugs on the preferred drug list
.
(ii)
Except as provided in Subsection 
(3)(d)
, a preferred drug list for psychotropic 
drugs developed under this section
The department
 shall allow a health care 
provider to override the preferred drug list
 for an atypical anti-psychotic drug
 by 
writing "dispense as written" on the prescription for the 
psychotropic
atypical 
anti-psychotic
 drug.
(iii)
A health care provider may not override Section 
58-17b-606
 by writing 
"dispense as written" on a prescription.
(c)
(b)
The department, and a Medicaid accountable care organization that is 
responsible for providing behavioral health, shall
:
(i)
establish a system to:
(A)
(i)
track health care provider prescribing patterns for 
psychotropic
atypical 
anti-psychotic
 drugs;
(B)
(ii)
educate health care providers who are not complying with the preferred drug 
list; and
(C)
(iii)
implement peer to peer education for health care providers whose 
prescribing practices continue to not comply with the preferred drug list
; and
.
(ii)
determine whether health care provider compliance with the preferred drug list is 
at least:
(A)
55% of prescriptions by July 1, 2017;
(B)
65% of prescriptions by July 1, 2018; and
(C)
75% of prescriptions by July 1, 2019.
(d)
Beginning October 1, 2019, the department shall eliminate the dispense as written 
override for the preferred drug list, and shall implement a prior authorization system 
for psychotropic drugs, in accordance with Subsection 
(2)(f)
, if by July 1, 2019, the 
department has not realized annual savings from implementing the preferred drug list 
for psychotropic drugs of at least $750,000 General Fund savings.
(5)
For enrollees that begin a psychotropic drug treatment on or after July 1, 2025, the 
department shall pay for a psychotropic drug that is not on the preferred drug list if the 
department, based on patient claims history or health care provider attestation, has 
evidence of:
(a)
an enrollee's trial and failure of a psychotropic drug on the preferred drug list that is 
equivalent or similar to the drug that is not on the preferred drug list in the last 365 
days; or
(b)
the enrollee being stabilized on the psychotropic drug that is not on the preferred 
drug list at the time of enrollment.
Section 5, Section 
26B-3-217
 is amended to read:
26B-3-217
Effective 
05/07/25
. Medicaid waiver for coverage of qualified 
inmates leaving prison or jail.
(1)
As used in this section:
(a)
"Certified community health worker" means an individual who has obtained the 
certification described in Section 
26B-2-504
.
(b)
"Correctional facility" means:
(i)
a county jail;
(ii)
a prison, penitentiary, or other institution operated by or under contract with the 
Department of Corrections for the confinement of an offender, as defined in 
Section 
64-13-1
; or
(iii)
a facility for secure confinement of minors operated by the Division of Juvenile 
Justice and Youth Services.
(b)
(c)
"Limited Medicaid benefit" means:
(i)
reentry case management services;
(ii)
physical and behavioral health clinical services;
(iii)
medications and medication administration;
(iv)
medication-assisted treatment, including all United States Food and Drug 
Administration approved medications, including coverage for counseling; 
and
(v)
services provided by a certified community health worker; and
(v)
(vi)
other services as determined by rule made in accordance with Title 63G, 
Chapter 3, Utah Administrative Rulemaking Act.
(c)
(d)
"Qualified inmate" means an individual who:
(i)
is incarcerated in a correctional facility; and
(ii)
is ineligible for Medicaid as a result of incarceration but would otherwise qualify 
for Medicaid.
(2)
Subject to appropriation, before July 1, 2024, the division shall apply for a Medicaid 
waiver, or amend an existing Medicaid waiver application, with CMS to offer a program 
to provide a limited Medicaid benefit to a qualified inmate for up to 90 days 
immediately before the day on which the qualified inmate is released from a correctional 
facility.
(3)
(a)
Savings to state and local funds that result from the use of federal funds provided 
under this section shall be used in accordance with a reinvestment plan as mandated 
by CMS.
(b)
In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the 
department shall make rules for a participating county to establish a reinvestment 
plan described in Subsection (3)(a).
(4)
If the waiver or amended waiver described in Subsection (2) is approved, the 
department shall report to the Health and Human Services Interim Committee each year 
before November 30 while the waiver is in effect regarding:
(a)
the number of qualified inmates served under the program;
(b)
the cost of the program; and
(c)
the effectiveness of the program, including:
(i)
any reduction in the number of emergency room visits or hospitalizations by 
inmates after release from a correctional facility;
(ii)
any reduction in the number of inmates undergoing inpatient treatment after 
release from a correctional facility;
(iii)
any reduction in overdose rates and deaths of inmates after release from a 
correctional facility; and
(iv)
any other costs or benefits as a result of the program.
(5)
Before July 1, 2024, the department shall amend the Medicaid waiver related to housing 
support services to include an individual that was a qualified inmate within the previous 
12 months.
(6)
The department may elect to not apply for a Medicaid waiver or limit services described 
in this section based on appropriation.
Section 6, Section 
26B-5-101
 is amended to read:
26B-5-101
Effective 
05/07/25
. Chapter definitions.
As used in this chapter:
(1)
"Criminal risk factors" means a person's characteristics and behaviors that:
(a)
affect the person's risk of engaging in criminal behavior; and
(b)
are diminished when addressed by effective treatment, supervision, and other support 
resources, resulting in reduced risk of criminal behavior.
(2)
"Director" means the director appointed under Section 
26B-5-103
.
(3)
"Division" means the Division of Integrated Healthcare created in Section 
26B-1-1202
.
(4)
"Local mental health authority" means a county legislative body.
(5)
"Local substance abuse authority" means a county legislative body.
(6)
"Mental health crisis" means:
(a)
a mental health condition that manifests in an individual by symptoms of sufficient 
severity that a prudent layperson who possesses an average knowledge of mental 
health issues could reasonably expect the absence of immediate attention or 
intervention to result in:
(i)
serious danger to the individual's health or well-being; or
(ii)
a danger to the health or well-being of others; or
(b)
a mental health condition that, in the opinion of a mental health therapist or the 
therapist's designee, requires direct professional observation or intervention.
(7)
"Mental health crisis response training" means community-based training that educates 
laypersons and professionals on the warning signs of a mental health crisis and how to 
respond.
(8)
"Mental health crisis services" means an array of services provided to an individual who 
experiences a mental health crisis, which may include:
(a)
direct mental health services;
(b)
on-site intervention provided by a mobile crisis outreach team;
(c)
the provision of safety and care plans;
(d)
prolonged mental health services for up to 90 days after the day on which an 
individual experiences a mental health crisis;
(e)
referrals to other community resources;
(f)
local mental health crisis lines; and
(g)
the statewide mental health crisis line.
(9)
"Mental health therapist" means the same as that term is defined in Section 
58-60-102
.
(10)
"Mobile crisis outreach team" or "MCOT" means a mobile team of medical and mental 
health professionals that, in coordination with local law enforcement and emergency 
medical service personnel, provides mental health crisis services.
(11)
"Office" means the Office of Substance Use and Mental Health created in Section 
26B-5-102
.
(12)
(a)
"Public funds" means federal money received from the department, and state 
money appropriated by the Legislature to the department, a county governing body, 
or a local substance abuse authority, or a local mental health authority for the 
purposes of providing substance abuse or mental health programs or services.
(b)
"Public funds" include federal and state money that has been transferred by a local 
substance abuse authority or a local mental health authority to a private provider 
under 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. The money maintains the nature of "public funds" 
while in the possession of the private entity that has an annual or otherwise ongoing 
contract with a local substance abuse authority or a local mental health authority to 
provide comprehensive substance use or mental health programs or services for the 
local substance abuse authority or local mental health authority.
(c)
Public funds received for the provision of services under substance use or mental 
health service plans may not be used for any other purpose except those authorized in 
the contract between the local mental health or substance abuse authority and 
provider for the provision of plan services.
(13)
"Severe mental disorder" means schizophrenia, major depression, bipolar disorders, 
delusional disorders, psychotic disorders, and other mental disorders as defined by the 
division.
(14)
"Stabilization services" means in-home services provided to a child with, or who is at 
risk for, complex emotional and behavioral needs, including teaching the child's parent 
or guardian skills to improve family functioning.
(15)
"Statewide mental health crisis line" means the same as that term is defined in Section 
26B-5-610
.
(16)
"System of care" means a broad, flexible array of services and supports that:
(a)
serve a child with or who is at risk for complex emotional and behavioral needs;
(b)
are community based;
(c)
are informed about trauma;
(d)
build meaningful partnerships with families and children;
(e)
integrate service planning, service coordination, and management across state and 
local entities;
(f)
include individualized case planning;
(g)
provide management and policy infrastructure that supports a coordinated network of 
interdepartmental service providers, contractors, and service providers who are 
outside of the department; and
(h)
are guided by the type and variety of services needed by a child with or who is at risk 
for complex emotional and behavioral needs and by the child's family.
(17)
"Targeted case management" means a service that assists Medicaid recipients in a 
target group to gain access to needed medical, social, educational, and other services.
Section 7, Section 
26B-5-102
 is amended to read:
26B-5-102
Effective 
05/07/25
. Division of Integrated Healthcare -- Office of 
Substance Use and Mental Health -- Creation -- Responsibilities.
(1)
(a)
The Division of Integrated Healthcare shall exercise responsibility over the 
policymaking functions, regulatory and enforcement powers, rights, duties, and 
responsibilities outlined in state law that were previously vested in 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.
(c)
There is created the Office of Substance Use and Mental Health within the division.
(d)
The office shall exercise the responsibilities, powers, rights, duties, and 
responsibilities assigned to the office by the executive director.
(2)
The division shall:
(a)
(i)
educate the general public regarding the nature and consequences of 
substance use by promoting school and community-based prevention programs;
(ii)
(b)
render support and assistance to public schools through approved school-based 
substance abuse education programs aimed at prevention of substance use;
(iii)
(c)
promote or establish programs for the prevention of substance use within the 
community setting through community-based prevention programs;
(iv)
(d)
cooperate with and assist treatment centers, recovery residences, and other 
organizations that provide services to individuals recovering from a substance use 
disorder, by identifying and disseminating information about effective practices and 
programs;
(v)
(e)
promote integrated programs that address an individual's substance use, mental 
health, and physical health;
(vi)
(f)
establish and promote an evidence-based continuum of screening, assessment, 
prevention, treatment, and recovery support services in the community for 
individuals with a substance use disorder or mental illness;
(vii)
(g)
evaluate the effectiveness of programs described in this Subsection (2);
(viii)
(h)
consider the impact of the programs described in this Subsection (2) on:
(A)
(i)
emergency department utilization;
(B)
(ii)
jail and prison populations;
(C)
(iii)
the homeless population; and
(D)
(iv)
the child welfare system; 
and
(ix)
(i)
promote or establish programs for education and certification of instructors to 
educate individuals convicted of driving under the influence of alcohol or drugs or 
driving with any measurable controlled substance in the body;
(b)
(j)
(i)
collect and disseminate information pertaining to mental health;
(ii)
(k)
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)
(l)
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; 
(iv)
(m)
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 
26B-5-313
; 
and
(v)
(n)
to the extent authorized and in accordance with statute, 
make rules in 
accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that:
(A)
(i)
create a certification for targeted case management
certify an adult as a case 
manager, qualified to provide case management services within the state
;
(B)
(ii)
establish training and certification requirements;
(C)
(iii)
specify the types of services each certificate holder is qualified to provide;
(D)
(iv)
specify the type of supervision under which a certificate holder is required 
to operate; and
(E)
(v)
specify continuing education and other requirements for maintaining or 
renewing certification;
(c)
(o)
(i)
consult and coordinate with local substance abuse authorities and local 
mental health authorities regarding programs and services;
(ii)
(p)
provide consultation and other assistance to public and private agencies and 
groups working on substance use and mental health issues;
(iii)
(q)
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)
(r)
promote or conduct research on substance use and mental health issues, and 
submit to the governor and the Legislature recommendations for changes in policy 
and legislation;
(v)
(s)
receive, distribute, and provide direction over public funds for substance use and 
mental health services;
(vi)
(t)
monitor and evaluate programs provided by local substance abuse authorities 
and local mental health authorities;
(vii)
(u)
examine expenditures of local, state, and federal funds;
(viii)
(v)
monitor the expenditure of public funds by:
(A)
(i)
local substance abuse authorities;
(B)
(ii)
local mental health authorities; and
(C)
(iii)
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)
(w)
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)
(y)
review and approve each local substance abuse authority's plan and each local 
mental health authority's plan in order to ensure:
(A)
(i)
a statewide comprehensive continuum of substance use services;
(B)
(ii)
a statewide comprehensive continuum of mental health services;
(C)
(iii)
services result in improved overall health and functioning;
(D)
(iv)
a statewide comprehensive continuum of community-based services 
designed to reduce criminal risk factors for individuals who are determined to 
have substance use or mental illness conditions or both, and who are involved in 
the criminal justice system;
(E)
(v)
compliance, where appropriate, with the certification requirements in 
Subsection 
(2)(h)
(2)(gg)
; and
(F)
(vi)
appropriate expenditure of public funds;
(xii)
(z)
review and make recommendations regarding each local substance abuse 
authority's contract with the local substance abuse authority's provider of substance 
use 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)
(aa)
monitor and ensure compliance with division rules and contract 
requirements; 
and
(xiv)
(bb)
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)
(cc)
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)
(dd)
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)
(ee)
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;
(g)
(ff)
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)
(gg)
train and certify an adult as a peer support specialist, qualified to provide peer 
supports services to an individual with:
(A)
(i)
a substance use disorder;
(B)
(ii)
a mental health disorder; 
or
(C)
(iii)
a substance use disorder and a mental health disorder;
(ii)
(iv)
certify a person to carry out, as needed, the division's duty to train and 
certify an adult as a peer support specialist;
(iii)
(v)
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)
(vi)
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)
(hh)
collaborate with the State 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 
individual 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;
(j)
(ii)
establish performance goals and outcome measurements for a mental health or 
substance use treatment program that is licensed under Chapter 2, Part 1, Human 
Services Programs and Facilities, and contracts with the department, including goals 
and measurements related to employment and reducing recidivism of individuals 
receiving mental health or substance use treatment who are involved with the 
criminal justice system;
(k)
(jj)
annually, on or before November 30, submit a written report to the Judiciary 
Interim Committee, the Health and Human Services Interim Committee, and the Law 
Enforcement and Criminal Justice Interim Committee, that includes:
(i)
a description of the performance goals and outcome measurements described in 
Subsection 
(2)(j)
(2)(ii)
; and
(ii)
information on the effectiveness of the goals and measurements in ensuring 
appropriate and adequate mental health or substance use treatment is provided in a 
treatment program described in Subsection 
(2)(j)
(2)(ii)
;
(l)
(kk)
collaborate with the Administrative Office of the Courts, the Department of 
Corrections, the Department of Workforce Services, and the Board of Pardons and 
Parole to collect data on recidivism in accordance with the metrics and requirements 
described in Section 
63M-7-102
;
(m)
(ll)
at the division's discretion, use the data described in Subsection 
(2)(l)
(2)(kk)
to make decisions regarding the use of funds allocated to the division to provide 
treatment;
(n)
(mm)
annually, on or before August 31, submit the data collected under Subsection 
(2)(l)
(2)(kk)
 and any recommendations to improve the data collection to the State 
Commission on Criminal and Juvenile Justice to be included in the report described 
in Subsection 
63M-7-204
(1)(x);
(o)
(nn)
publish the following on the division's website:
(i)
the performance goals and outcome measurements described in Subsection 
(2)(j)
(2)(ii)
; and
(ii)
a description of the services provided and the contact information for the mental 
health and substance use treatment programs described in Subsection 
(2)(j)
(2)(ii)
and residential, vocational and life skills programs, as defined in Section 
13-53-102
; and
(p)
(oo)
consult and coordinate with the Division of Child and Family Services to 
develop and manage the operation of a program designed to reduce substance use 
during pregnancy and by parents of a newborn child that includes:
(i)
providing education and resources to health care providers and individuals in the 
state regarding prevention of substance use 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 use disorder; and
(iii)
providing referrals to pregnant women, pregnant minors, or parents of a newborn 
child 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 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 under 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 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; and
(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 rebate program.
(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 use 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 8, Section 
26B-5-301
 is amended to read:
26B-5-301
Effective 
05/07/25
. Definitions.
As used in this part, 
Part 4, Commitment of Persons Under Age 18
, and 
Part 5, Essential 
Treatment and Intervention
:
(1)
"Adult" means an individual 18 years old or older.
(2)
"Approved treatment facility or program" means a mental health or substance use 
treatment provider that meets the goals and measurements described in Subsection 
26B-5-102(2)(j)
26B-5-102(2)(ii)
.
(3)
"Assisted outpatient treatment" means involuntary outpatient mental health treatment 
ordered under Section 
26B-5-351
.
(4)
"Attending physician" means a physician licensed to practice medicine in this state who 
has primary responsibility for the care and treatment of the declarant.
(5)
"Attorney-in-fact" means an adult properly appointed under this part to make mental 
health treatment decisions for a declarant under a declaration for mental health treatment.
(6)
"Commitment to the custody of a local mental health authority" means that an adult is 
committed to the custody of the local mental health authority that governs the mental 
health catchment area where the adult resides or is found.
(7)
"Community mental health center" means an entity that provides treatment and services 
to a resident of a designated geographical area, that operates by or under contract with a 
local mental health authority, and that complies with state standards for community 
mental health centers.
(8)
"Designated examiner" means:
(a)
a licensed physician, preferably a psychiatrist, who is designated by the division as 
specially qualified by training or experience in the diagnosis of mental or related 
illness; or
(b)
a licensed mental health professional designated by the division as specially qualified 
by training and who has at least five years' continual experience in the treatment of 
mental illness.
(9)
"Designee" means a physician who has responsibility for medical functions including 
admission and discharge, an employee of a local mental health authority, or an employee 
of a person that has contracted with a local mental health authority to provide mental 
health services under Section 
17-43-304
.
(10)
"Essential treatment" and "essential treatment and intervention" mean court-ordered 
treatment at a local substance abuse authority or an approved treatment facility or 
program for the treatment of an adult's substance use disorder.
(11)
"Harmful sexual conduct" means the following conduct upon an individual without the 
individual's consent, including the nonconsensual circumstances described in 
Subsections 
76-5-406(2)(a)
 through 
(l)
:
(a)
sexual intercourse;
(b)
penetration, however slight, of the genital or anal opening of the individual;
(c)
any sexual act involving the genitals or anus of the actor or the individual and the 
mouth or anus of either individual, regardless of the gender of either participant; or
(d)
any sexual act causing substantial emotional injury or bodily pain.
(12)
"Informed waiver" means the patient was informed of a right and, after being informed 
of that right and the patient's right to waive the right, expressly communicated his or her 
intention to waive that right.
(13)
"Incapable" means that, in the opinion of the court in a guardianship proceeding under 
Title 75, Utah Uniform Probate Code
, or in the opinion of two physicians, a person's 
ability to receive and evaluate information effectively or communicate decisions is 
impaired to such an extent that the person currently lacks the capacity to make mental 
health treatment decisions.
(14)
"Institution" means a hospital or a health facility licensed under Section 
26B-2-206
.
(15)
"Local substance abuse authority" means the same as that term is defined in Section 
26B-5-101
 and described in Section 
17-43-201
.
(16)
"Mental health facility" means the Utah State Hospital or other facility that provides 
mental health services under contract with the division, a local mental health authority, a 
person that contracts with a local mental health authority, or a person that provides acute 
inpatient psychiatric services to a patient.
(17)
"Mental health officer" means an individual who is designated by a local mental health 
authority as qualified by training and experience in the recognition and identification of 
mental illness, to:
(a)
apply for and provide certification for a temporary commitment; or
(b)
assist in the arrangement of transportation to a designated mental health facility.
(18)
"Mental illness" means:
(a)
a psychiatric disorder that substantially impairs an individual's mental, emotional, 
behavioral, or related functioning; or
(b)
the same as that term is defined in:
(i)
the current edition of the Diagnostic and Statistical Manual of Mental Disorders 
published by the American Psychiatric Association; or
(ii)
the current edition of the International Statistical Classification of Diseases and 
Related Health Problems.
(19)
"Mental health treatment" means convulsive treatment, treatment with psychoactive 
medication, or admission to and retention in a facility for a period not to exceed 17 days.
(20)
"Patient" means an individual who is:
(a)
under commitment to the custody or to the treatment services of a local mental health 
authority; or
(b)
undergoing essential treatment and intervention.
(21)
"Physician" means an individual who is:
(a)
licensed as a physician under 
Title 58, Chapter 67, Utah Medical Practice Act
; or
(b)
licensed as a physician under 
Title 58, Chapter 68, Utah Osteopathic Medical 
Practice Act
.
(22)
"Serious bodily injury" means bodily injury that involves a substantial risk of death, 
unconsciousness, extreme physical pain, protracted and obvious disfigurement, or 
protracted loss or impairment of the function of a bodily member, organ, or mental 
faculty.
(23)
"State hospital" means the Utah State Hospital established in Section 
26B-5-302
.
(24)
"Substantial danger" means that due to mental illness, an individual is at serious risk of:
(a)
suicide;
(b)
serious bodily self-injury;
(c)
serious bodily injury because the individual is incapable of providing the basic 
necessities of life, including food, clothing, or shelter;
(d)
causing or attempting to cause serious bodily injury to another individual;
(e)
engaging in harmful sexual conduct; or
(f)
if not treated, suffering severe and abnormal mental, emotional, or physical distress 
that:
(i)
is associated with significant impairment of judgment, reason, or behavior; and
(ii)
causes a substantial deterioration of the individual's previous ability to function 
independently.
(25)
"Treatment" means psychotherapy, medication, including the administration of 
psychotropic medication, or other medical treatments that are generally accepted 
medical or psychosocial interventions for the purpose of restoring the patient to an 
optimal level of functioning in the least restrictive environment.
Section 9, Section 
26B-5-801
 is amended to read:
26B-5-801
Effective 
05/07/25
. Definitions -- Creation of committee -- 
Membership -- Terms.
(1)
(a)
As used in this part, "committee" means the Utah Substance Use and Mental 
Health Advisory Committee created in this section.
(b)
There is created within the department the Utah Substance Use and Mental Health 
Advisory Committee, which serves under the direction of the Utah Behavioral Health 
Commission created in Section 
26B-5-702
.
(2)
The committee shall be comprised of the following voting members:
(a)
the attorney general or the attorney general's designee;
(b)
one elected county official appointed by the Utah Association of Counties;
(c)
the commissioner of public safety or the commissioner's designee;
(d)
the director of the Division of Integrated Healthcare or the director's designee;
(e)
the state superintendent of public instruction or the superintendent's designee;
(f)
the executive director of the Department of Health and Human Services or the 
executive director's designee;
(g)
the executive director of the State Commission on Criminal and Juvenile Justice or 
the executive director's designee;
(h)
the executive director of the Department of Corrections or the executive director's 
designee;
(i)
the director of the Division of Juvenile Justice and Youth Services or the director's 
designee;
(j)
the director of the Division of Child and Family Services or the director's designee;
(k)
the chair of the Board of Pardons and Parole or the chair's designee;
(l)
the director of the Office of Multicultural Affairs or the director's designee;
(m)
the director of the Division of Indian Affairs or the director's designee;
(nn)
(n)
the state court administrator or the state court administrator's designee;
(oo)
(o)
one district court judge who presides over a drug court and who is appointed 
by the chief justice of the Utah Supreme Court;
(pp)
(p)
one district court judge who presides over a mental health court and who is 
appointed by the chief justice of the Utah Supreme Court;
(qq)
(q)
one juvenile court judge who presides over a drug court and who is appointed 
by the chief justice of the Utah Supreme Court;
(rr)
(r)
one prosecutor appointed by the Statewide Association of Prosecutors;
(ss)
(s)
the chair or co-chair of each subcommittee established by the committee;
(tt)
(t)
the chair or co-chair of the Statewide Suicide Prevention Committee created 
under Subsection 
26B-5-611
(3);
(uu)
(u)
one representative appointed by the Utah League of Cities and Towns to serve 
a four-year term;
(vv)
(v)
the chair of the Utah Victim Services Commission or the chair's designee;
(ww)
(w)
the superintendent of the Utah State Hospital or the superintendent's designee;
(xx)
(x)
the following members appointed by the governor to serve four-year terms:
(i)
one resident of the state who has been personally affected by a substance use or 
mental health disorder; and
(ii)
one citizen representative; and
(yy)
(y)
in addition to the voting members described in Subsections (2)(a) through (x), 
the following voting members appointed by a majority of the members described in 
Subsections (2)(a) through (x) to serve four-year terms:
(i)
one resident of the state who represents a statewide advocacy organization for 
recovery from substance use disorders;
(ii)
one resident of the state who represents a statewide advocacy organization for 
recovery from mental illness;
(iii)
one resident of the state who represents a statewide advocacy organization for 
protection of rights of individuals with a disability;
(iv)
one resident of the state who represents prevention professionals;
(v)
one resident of the state who represents treatment professionals;
(vi)
one resident of the state who represents the physical health care field;
(vii)
one resident of the state who is a criminal defense attorney;
(viii)
one resident of the state who is a military servicemember or military veteran 
under Section 
53B-8-102
;
(ix)
one resident of the state who represents local law enforcement agencies;
(x)
one representative of private service providers that serve youth with substance use 
disorders or mental health disorders; and
(xi)
one resident of the state who is certified by the Division of Integrated Healthcare 
as a peer support specialist as described in Subsection 
26B-5-102
(2)(h)
26B-5-102(2)
(gg)
.
(3)
An individual other than an individual described in Subsection (2) may not be appointed 
as a voting member of the committee.
Section 10, Section 
53-21-101
 is amended to read:
53-21-101
Effective 
05/07/25
. Definitions.
As used in this chapter:
(1)
"Crime scene investigator technician" means an individual employed by a law 
enforcement agency to collect and analyze evidence from crime scenes and 
crime-related incidents.
(2)
"Designated mental health resources liaison" means a non-leadership human resources 
or other administrative employee designated by a first responder agency who receives 
and processes a request for mental health resources on behalf of the first responder 
agency under this chapter.
(3)
"First responder" means:
(a)
a law enforcement officer, as defined in Section 
53-13-103
;
(b)
an emergency medical technician, as defined in Section 
53-2e-101
;
(c)
an advanced emergency medical technician, as defined in Section 
53-2e-101
;
(d)
a paramedic, as defined in Section 
53-2e-101
;
(e)
a firefighter, as defined in Section 
34A-3-113
;
(f)
a dispatcher, as defined in Section 
53-6-102
;
(g)
a correctional officer, as defined in Section 
53-13-104
;
(h)
a special function officer, as defined in Section 
53-13-105
, employed by a local 
sheriff;
(i)
a search and rescue worker under the supervision of a local sheriff;
(j)
a forensic interviewer or victim advocate employed by a children's justice center 
established in accordance with Section 
67-5b-102
;
(k)
a credentialed criminal justice system victim advocate as defined in Section 
77-38-403
 who responds to incidents with a law enforcement officer;
(l)
a crime scene investigator technician;
(m)
a wildland firefighter;
(n)
an investigator or prosecutor of cases involving sexual crimes against children; or
(o)
a civilian employee of a first responder agency who has been authorized to view or 
otherwise access information concerning crimes, accidents, or other traumatic events.
(4)
"First responder agency" means:
(a)
a special district, municipality, interlocal entity, or other political subdivision that 
employs a first responder to provide fire protection, paramedic, law enforcement, or 
emergency services; or
(b)
a certified private law enforcement agency as defined in Section 
53-19-102
.
(5)
(a)
"Mental health resources" means:
(i)
an assessment to determine appropriate mental health treatment that is performed 
by a mental health therapist;
(ii)
outpatient mental health treatment provided by a mental health therapist; or
(iii)
peer support services provided by a peer support specialist who is qualified to 
provide peer support services under Subsection 
26B-5-102
(2)(h)
26B-5-102(2)(gg)
.
(b)
"Mental health resources" includes, at a minimum, the following services:
(i)
regular periodic screenings for all employees within the first responder agency;
(ii)
assessments and availability to mental health services for personnel directly 
involved in a critical incident within 48 hours of the incident; and
(iii)
regular and continuing access to the mental health program for:
(A)
spouses and children of first responders;
(B)
first responders who have retired or separated from the agency; and
(C)
spouses of first responders who have retired or separated from the agency.
(6)
"Mental health therapist" means the same as that term is defined in Section 
58-60-102
.
(7)
"Plan" means a plan to implement or expand a program that provides mental health 
resources to first responders for which the division awards a grant under this chapter.
(8)
"Retired" means the status of an individual who has become eligible, applies for, and 
may receive an allowance under Title 49, Utah State Retirement and Insurance Benefit 
Act.
(9)
"Separated" means the status of an individual who has separated from employment as a 
first responder from a first responder agency as a result of a critical incident involving 
the first responder.
(10)
"Small first responder agency" means a first responder agency that:
(a)
has 10 or fewer employees;
(b)
is primarily staffed by volunteers; or
(c)
is located in:
(i)
a county of the third, fourth, fifth, or sixth class;
(ii)
a city of the third, fourth, fifth, or sixth class; or
(iii)
a town.
Section 11, Section 
63M-7-204
 is amended to read:
63M-7-204
Effective 
05/07/25
. Duties of commission.
(1)
The commission shall:
(a)
promote the commission's purposes as enumerated in Section 
63M-7-201
;
(b)
promote the communication and coordination of all criminal and juvenile justice 
agencies;
(c)
study, evaluate, and report on the status of crime in the state and on the effectiveness 
of criminal justice policies, procedures, and programs that are directed toward the 
reduction of crime in the state;
(d)
study, evaluate, and report on programs initiated by state and local agencies to 
address reducing recidivism, including changes in penalties and sentencing 
guidelines intended to reduce recidivism, costs savings associated with the reduction 
in the number of inmates, and evaluation of expenses and resources needed to meet 
goals regarding the use of treatment as an alternative to incarceration, as resources 
allow;
(e)
study, evaluate, and report on policies, procedures, and programs of other 
jurisdictions which have effectively reduced crime;
(f)
identify and promote the implementation of specific policies and programs the 
commission determines will significantly reduce crime in Utah;
(g)
provide analysis and recommendations on all criminal and juvenile justice 
legislation, state budget, and facility requests, including program and fiscal impact on 
all components of the criminal and juvenile justice system;
(h)
provide analysis, accountability, recommendations, and supervision for state and 
federal criminal justice grant money;
(i)
provide public information on the criminal and juvenile justice system and give 
technical assistance to agencies or local units of government on methods to promote 
public awareness;
(j)
promote research and program evaluation as an integral part of the criminal and 
juvenile justice system;
(k)
provide a comprehensive criminal justice plan annually;
(l)
review agency forecasts regarding future demands on the criminal and juvenile 
justice systems, including specific projections for secure bed space;
(m)
promote the development of criminal and juvenile justice information systems that 
are consistent with common standards for data storage and are capable of 
appropriately sharing information with other criminal justice information systems by:
(i)
developing and maintaining common data standards for use by all state criminal 
justice agencies;
(ii)
annually performing audits of criminal history record information maintained by 
state criminal justice agencies to assess their accuracy, completeness, and 
adherence to standards;
(iii)
defining and developing state and local programs and projects associated with 
the improvement of information management for law enforcement and the 
administration of justice; and
(iv)
establishing general policies concerning criminal and juvenile justice information 
systems and making rules as necessary to carry out the duties under Subsection 
(1)(k) and this Subsection (1)(m);
(n)
allocate and administer grants, from money made available, for approved education 
programs to help prevent the sexual exploitation of children;
(o)
allocate and administer grants for law enforcement operations and programs related 
to reducing illegal drug activity and related criminal activity;
(p)
request, receive, and evaluate data and recommendations collected and reported by 
agencies and contractors related to policies recommended by the commission 
regarding recidivism reduction, including the data described in Section 
13-53-111
and Subsection 
26B-5-102
(2)(l)
26B-5-102(2)(kk)
;
(q)
establish and administer a performance incentive grant program that allocates funds 
appropriated by the Legislature to programs and practices implemented by counties 
that reduce recidivism and reduce the number of offenders per capita who are 
incarcerated;
(r)
oversee or designate an entity to oversee the implementation of juvenile justice 
reforms;
(s)
make rules and administer the juvenile holding room standards and juvenile jail 
standards to align with the Juvenile Justice and Delinquency Prevention Act 
requirements pursuant to 42 U.S.C. Sec. 5633;
(t)
allocate and administer grants, from money made available, for pilot qualifying 
education programs;
(u)
request, receive, and evaluate the aggregate data collected from prosecutorial 
agencies and the Administrative Office of the Courts, in accordance with Sections 
63M-7-216
 and 
78A-2-109.5
;
(v)
report annually to the Law Enforcement and Criminal Justice Interim Committee on 
the progress made on each of the following goals of the Justice Reinvestment 
Initiative:
(i)
ensuring oversight and accountability;
(ii)
supporting local corrections systems;
(iii)
improving and expanding reentry and treatment services; and
(iv)
strengthening probation and parole supervision;
(w)
compile a report of findings based on the data and recommendations provided under 
Section 
13-53-111
 and Subsection 
26B-5-102
(2)(n)
26B-5-102(2)(mm)
 that:
(i)
separates the data provided under Section 
13-53-111
 by each residential, 
vocational and life skills program; and
(ii)
separates the data provided under Subsection 
26B-5-102
(2)(n)
26B-5-102(2)(mm)
 by each mental health or substance use treatment program;
(x)
publish the report described in Subsection (1)(w) on the commission's website and 
annually 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;
(y)
receive, compile, and publish on the commission's website the data provided under:
(i)
Section 
53-25-202
;
(ii)
Section 
53-25-301
; and
(iii)
Section 
53-25-401
;
(z)
review, research, advise, and make recommendations to the three branches of 
government regarding evidence-based sex offense management policies and 
practices, including supervision standards, treatment standards, and the sex offender 
registry;
(aa)
receive and evaluate a referral from the Department of Public Safety received under 
Section 
53-21-104.3
 involving a denial of mental health resources to an eligible 
individual, including, if appropriate in the commission's discretion, deny the relevant 
entity from receiving any grant of state funds under Section 
63M-7-218
 for a 
specified period of time; and
(bb)
accept public comment.
(2)
(a)
The commission may designate an entity to perform the duties described in this 
part.
(b)
If the commission designates an entity under Subsection (2)(a), the commission shall 
ensure that the membership of the designated entity includes representation from 
relevant stakeholder groups from the parts of the justice system implicated in the 
policy area.
(3)
in fulfilling the commission's duties under Subsection (1), the commission may seek 
input and request assistance from groups with knowledge and expertise in criminal 
justice, including other boards and commissions affiliated or housed within the 
commission.
Section 12. 
FY 2026 Appropriations.
The following sums of money are appropriated for the fiscal year beginning July 1, 
2025, and ending June 30, 2026. These are additions to amounts previously appropriated for 
fiscal year 2026. 
Subsection 12(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.
Economic and Community Development
Department of Workforce Services
ITEM 1
Department of Workforce Services - Office of Homeless Services
From General Fund
100,000
From General Fund, One-time
(100,000)
The Legislature intends that this funding be used 
to fund the item "Healthcare and Housing: Medical 
Respite 
 End-of-Life Care for Homeless".
Social Services
Department of Health and Human Services
ITEM 2
Department of Health and Human Services - Operations
From General Fund, One-time
200,000
Finance 
 Administration
200,000
Under the provisions of Utah Code Annotated 
Title 63G, Chapter 6b, State Grants, the Legislature 
intends that the Department of Health and Human 
Services provide a direct award grant of $200,000 to 
Valley Behavioral Health in fiscal year 2026 to expand 
services in Tooele County. The Legislature intends that 
the funding be distributed in one lump sum payment.
ITEM 3
Department of Health and Human Services - Integrated Health Care Services
From General Fund
1,200,000
From General Fund, One-time
(300,000)
Medicaid Long Term Care Services
300,000
Non-Medicaid Behavioral Health Treatment and 
Crisis Response
600,000
Under the provisions of Utah Code Annotated 
Title 63G, Chapter 6b, State Grants, the Legislature 
intends that the Department of Health and Human 
Services provide a direct award grant of $150,000 
ongoing and $450,000 one-time to Odyssey House to 
serve individuals exiting inpatient substance use disorder 
treatment, jail, or unstable housing. The Legislature 
intends that the $600,000 funding in fiscal 2026 be 
distributed in one lump sum payment.
The Legislature intends that $300,000 in fiscal 
year 2026 be used to fund the item "Skilled Nursing 
Facility Behavioral Health". Beginning in fiscal year 
2027, the Legislature intends that $1,050,000 ongoing go 
to this purpose.
Section 13. 
Effective date.
(1)
Except as provided in Subsection (2), this bill takes effect on May 7, 2025.
(2)
The actions affecting Section 
26B-3-105
 (Effective 07/01/25) take effect on July 1, 
2025.
3-14-25 1:43 PM