Rep. Norm Thurston — Voting Record

Bill

Number

S.B. 7 (2025GS)

Sponsor

Sen. Stratton, Keven J.

Final action

Governor Signed 2/14/2025

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• provides appropriations for the use and support of certain state agencies;
• provides appropriations for other purposes as described; and
• provides intent language.

Every vote on this bill

Bill text

6
Social Services Base Budget
2025 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Keven J. Stratton
House Sponsor: Raymond P. Ward
LONG TITLE
General Description:
This bill supplements or reduces appropriations otherwise provided for the support and 
operation of state government for the fiscal year beginning July 1, 2024 and ending June 30, 
2025 and appropriates funds for the support and operation of state government for the fiscal 
year beginning July 1, 2025 and ending June 30, 2026.
Highlighted Provisions:
This bill:
provides appropriations for the use and support of certain state agencies;
provides appropriations for other purposes as described; and
provides intent language.
Money Appropriated in this Bill:
This bill appropriates 
($180,618,200)
 in operating and capital budgets for fiscal year 2025, 
including:
($82,732,200)
 from General Fund; and
$0
 from Income Tax Fund; and
($97,886,000)
 from various sources as detailed in this bill.
This bill appropriates 
$1,592,100
 in expendable funds and accounts for fiscal year 2025, all of 
which is from the various sources as detailed in this bill.
This bill appropriates 
$5,061,600
 in business-like activities for fiscal year 2025, all of which is 
from the various sources as detailed in this bill.
This bill appropriates 
($129,323,000)
 in restricted fund and account transfers for fiscal year 
2025, all of which is from the various sources as detailed in this bill.
This bill appropriates 
$8,371,722,200
 in operating and capital budgets for fiscal year 2026, 
including:
$1,537,765,800
 from General Fund; and
$4,329,500
 from Income Tax Fund; and
$6,829,626,900
 from various sources as detailed in this bill.
This bill appropriates 
$2,002,900
 in expendable funds and accounts for fiscal year 2026, 
including:
$300,000
 from General Fund; and
$1,702,900
 from various sources as detailed in this bill.
This bill appropriates 
$3,303,200
 in business-like activities for fiscal year 2026, all of which is 
from the various sources as detailed in this bill.
This bill appropriates 
$162,859,900
 in restricted fund and account transfers for fiscal year 
2026, including:
$44,589,900
 from General Fund; and
$118,270,000
 from various sources as detailed in this bill.
This bill appropriates 
$221,493,900
 in fiduciary funds for fiscal year 2026, all of which is from 
the various sources as detailed in this bill.
Other Special Clauses:
This bill provides a special effective date.
Section 1 of this bill takes effect immediately. Section 2 and Section 3 of this bill take effect 
on July 1, 2025.
Uncodified Material Affected:
ENACTS UNCODIFIED MATERIAL
Be it enacted by the Legislature of the state of Utah:
Section 1. 
FY 2025 Appropriations.
The following sums of money are appropriated for the fiscal year beginning July 1, 
2024, and ending June 30, 2025. These are additions to amounts previously appropriated for 
fiscal year 2025. 
Subsection 1(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.
Social Services
Department of Health and Human Services
ITEM 1
Department of Health and Human Services - Operations
From Federal Funds, One-time
(4,007,700)
From Dedicated Credits Revenue, One-time
(16,100)
From Revenue Transfers, One-time
(1,179,300)
From Beginning Nonlapsing Balances
(9,060,100)
Executive Director Office
(2,374,600)
Ancillary Services
(269,100)
Finance 
 Administration
(11,679,100)
Data, Systems, 
 Evaluations
(1,343,800)
Public Affairs, Education 
 Outreach
1,301,300
American Indian / Alaska Native
143,900
Continuous Quality Improvement
(203,400)
Customer Experience
161,600
ITEM 2
Department of Health and Human Services - Clinical Services
From Dedicated Credits Revenue, One-time
(76,100)
From Revenue Transfers, One-time
(25,100)
From Beginning Nonlapsing Balances
6,444,600
Medical Examiner
546,600
State Laboratory
750,000
Primary Care and Rural Health
1,907,700
Health Equity
(200)
Medical Education Council
(35,700)
Medical Residency Grant Program
2,900,000
Forensic Psychiatry Grant Program
275,000
ITEM 3
Department of Health and Human Services - Department Oversight
From Federal Funds, One-time
(188,200)
From Revenue Transfers, One-time
(1,429,500)
From Beginning Nonlapsing Balances
(1,485,800)
Licensing 
 Background Checks
(2,902,000)
Internal Audit
(196,900)
Admin Hearings
6,400
Utah Developmental Disabilities Council
(11,000)
ITEM 4
Department of Health and Human Services - Health Care Administration
From Federal Funds, One-time
(1,439,700)
From Dedicated Credits Revenue, One-time
(8,700)
From Expendable Receipts, One-time
(600)
From Nursing Care Facilities Provider Assessment Fund, 
One-time
(10,000)
From Revenue Transfers, One-time
(289,300)
From Beginning Nonlapsing Balances
10,300,100
Integrated Health Care Administration
(60,005,800)
Long-Term Services and Supports 
Administration
(2,323,700)
Provider Reimbursement Information System for 
Medicaid
9,595,800
Seeded Services
55,000,000
Substance Use 
 Mental Health Administration
3,881,000
Aging 
 Adult Services Administration
2,404,500
ITEM 5
Department of Health and Human Services - Integrated Health Care Services
From General Fund, One-time
(82,212,200)
From Federal Funds, One-time
(109,109,300)
From Expendable Receipts, One-time
(683,100)
From Expendable Receipts - Rebates, One-time
(362,200)
From Dedicated Credits Revenue, One-time
(3,213,500)
From General Fund Restricted - Medicaid Bud 
Stabilization Restricted Account, One-time
31,200,000
From Medicaid ACA Fund, One-time
200
From Revenue Transfers, One-time
(813,300)
From Beginning Nonlapsing Balances
118,945,900
Children's Health Insurance Program Services
(22,816,400)
Medicaid Accountable Care Organizations
(463,043,900)
Medicaid Behavioral Health Services
28,150,300
Medicaid Home and Community Based Services
24,009,300
Medicaid Hospital Services
32,273,200
Medicaid Pharmacy Services
(159,848,300)
Medicaid Long Term Care Services
69,735,200
Medicare Buy-In and Clawback Payments
56,452,100
Medicaid Other Services
(326,684,000)
Expansion Accountable Care Organizations
526,440,900
Expansion Behavioral Health Services
70,483,300
Expansion Hospital Services
54,497,800
Expansion Pharmacy Services
69,012,200
Non-Medicaid Behavioral Health Treatment and 
Crisis Response
(801,100)
State Hospital
(4,108,100)
The Department of Health and Human Services 
may use up to a combined maximum of $31,200,000 
from the General Fund Restricted - Medicaid Restricted 
Account and associated federal matching funds provided 
for Integrated Health Care Services only in the case that 
non-federal fund appropriations provided for FY 2025 in 
all other items of appropriation within the respective line 
item are insufficient to pay appropriate claims within the 
respective line item for FY 2025 when combined with 
federal matching funds.
ITEM 6
Department of Health and Human Services - Long-Term Services 
 Support
From Federal Funds, One-time
(17,979,600)
From Federal Funds - Enhanced FMAP, One-time
(9,180,400)
From Dedicated Credits Revenue, One-time
(26,600)
From Expendable Receipts, One-time
(131,700)
From Revenue Transfers, One-time
(3,782,300)
From Beginning Nonlapsing Balances
5,300,500
Aging 
 Adult Services
(1,670,400)
Adult Protective Services
(1,013,500)
Office of Public Guardian
146,900
Aging Waiver Services
1,100
Services for People with Disabilities
1,384,500
Community Supports Waiver Services
(7,430,600)
Disabilities - Non Waiver Services
(5,900,000)
Disabilities - Other Waiver Services
(15,589,800)
Utah State Developmental Center
4,271,700
ITEM 7
Department of Health and Human Services - Public Health, Prevention, and 
Epidemiology
From Federal Funds, One-time
(90,450,100)
From Expendable Receipts, One-time
(200,300)
From Expendable Receipts - Rebates, One-time
(2,896,900)
From Revenue Transfers, One-time
(1,240,100)
From Beginning Nonlapsing Balances
111,600
Communicable Diseases
(222,009,200)
Health Promotion and Prevention
(23,876,500)
Preparedness and Response
(17,392,800)
Local Health Departments
130,937,100
Population Health
327,200
State Epidemiology Inform Survey 
 Public 
Health Infrastructure
6,291,200
Emerging Infections 
 Surge Response
31,047,200
ITEM 8
Department of Health and Human Services - Children, Youth, 
 Families
From General Fund, One-time
(520,000)
From Federal Funds, One-time
(335,100)
From Dedicated Credits Revenue, One-time
(645,100)
From Expendable Receipts, One-time
(103,800)
From Revenue Transfers, One-time
(783,800)
From Beginning Nonlapsing Balances
(5,778,400)
From Closing Nonlapsing Balances
(2,275,800)
Child 
 Family Services
(18,550,700)
Domestic Violence
(2,796,000)
In-Home Services
1,353,900
Out-of-Home Services
1,243,300
Adoption Assistance
(1,453,700)
Child Abuse Prevention and Facility Services
1,419,300
Children with Special Healthcare Needs
(5,700)
Maternal 
 Child Health
(1,353,100)
Family Health
(1,021,100)
Office of Coordinated Care and Regional 
Supports
523,700
DCFS Selected Programs
(383,100)
Office of Early Childhood
3,961,900
DCFS Attorney General
6,619,300
ITEM 9
Department of Health and Human Services - Office of Recovery Services
From Dedicated Credits Revenue, One-time
(56,500)
From Revenue Transfers, One-time
(20,300)
Recovery Services
851,300
Child Support Services
(860,200)
Children in Care Collections
(34,800)
Attorney General Contract
(60,200)
Medical Collections
27,100
ITEM 10
Department of Health and Human Services - Juvenile Justice 
 Youth 
Services
From Federal Funds, One-time
(537,200)
From Dedicated Credits Revenue, One-time
(2,300)
From Expendable Receipts, One-time
(4,800)
From General Fund Restricted - Juvenile Justice 
Reinvestment Account, One-time
(982,900)
From Revenue Transfers, One-time
(191,600)
From Beginning Nonlapsing Balances
1,604,600
Juvenile Justice 
 Youth Services
9,507,200
Secure Care
(1,054,600)
Youth Services
(7,374,100)
Community Programs
(1,192,700)
ITEM 11
Department of Health and Human Services - Correctional Health Services
From Revenue Transfers, One-time
(800,700)
From Beginning Nonlapsing Balances
10,400
Correctional Health Services
(790,300)
Subsection 1(b).
Expendable Funds and Accounts
The Legislature has reviewed the following expendable funds. The Legislature 
authorizes the State Division of Finance to transfer amounts between funds and accounts as 
indicated. Outlays and expenditures from the funds or accounts to which the money is 
transferred may be made without further legislative action, in accordance with statutory 
provisions relating to the funds or accounts.
Social Services
Department of Health and Human Services
ITEM 12
Department of Health and Human Services - Allyson Gamble Organ Donation 
Contribution Fund
From Beginning Fund Balance
(92,000)
From Closing Fund Balance
92,000
ITEM 13
Department of Health and Human Services - Neuro-Rehabilitation Fund
From Dedicated Credits Revenue, One-time
(450,000)
From Beginning Fund Balance
(1,170,500)
From Closing Fund Balance
1,170,500
Neuro-Rehabilitation Fund
(450,000)
ITEM 14
Department of Health and Human Services - Brain and Spinal Cord Injury 
Fund
From Beginning Fund Balance
1,172,500
From Closing Fund Balance
(534,500)
Brain and Spinal Cord Injury Fund
638,000
ITEM 15
Department of Health and Human Services - Maurice N. Warshaw Trust Fund
From Beginning Fund Balance
8,200
From Closing Fund Balance
(8,200)
ITEM 16
Department of Health and Human Services - Out and About Homebound 
Transportation Assistance Fund
From Beginning Fund Balance
(181,500)
From Closing Fund Balance
181,500
ITEM 17
Department of Health and Human Services - Utah State Developmental 
Center Long-Term Sustainability Fund
From Beginning Fund Balance
4,592,200
From Closing Fund Balance
(3,188,100)
Utah State Developmental Center Long-Term 
Sustainability Fund
1,404,100
ITEM 18
Department of Health and Human Services - Utah State Developmental 
Center Miscellaneous Donation Fund
From Beginning Fund Balance
16,500
From Closing Fund Balance
(16,500)
ITEM 19
Department of Health and Human Services - Utah State Developmental 
Center Workshop Fund
From Beginning Fund Balance
400
From Closing Fund Balance
(400)
ITEM 20
Department of Health and Human Services - Utah State Hospital Unit Fund
From Beginning Fund Balance
12,500
From Closing Fund Balance
(12,500)
ITEM 21
Department of Health and Human Services - Mental Health Services 
Donation Fund
From Beginning Fund Balance
119,800
From Closing Fund Balance
(119,800)
ITEM 22
Department of Health and Human Services - Suicide Prevention and 
Education Fund
From Beginning Fund Balance
(200,500)
From Closing Fund Balance
200,500
ITEM 23
Department of Health and Human Services - Pediatric Neuro-Rehabilitation 
Fund
From Beginning Fund Balance
(39,900)
From Closing Fund Balance
39,900
ITEM 24
Department of Health and Human Services - Licensed Provider Assessment 
Fund
From Beginning Fund Balance
604,600
From Closing Fund Balance
(604,600)
Subsection 1(c).
Business-like Activities
The Legislature has reviewed the following proprietary funds. Under the terms and 
conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature 
approves budgets, full-time permanent positions, and capital acquisition amounts as indicated, 
and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other 
charges. The Legislature authorizes the State Division of Finance to transfer amounts between 
funds and accounts as indicated.
Social Services
Department of Health and Human Services
ITEM 25
Department of Health and Human Services - Qualified Patient Enterprise Fund
From Beginning Fund Balance
(1,164,600)
From Closing Fund Balance
6,226,200
Qualified Patient Enterprise Fund
5,061,600
Subsection 1(d).
Restricted Fund and Account Transfers
The Legislature authorizes the State Division of Finance to transfer the following 
amounts between the following funds or accounts as indicated. Expenditures and outlays from 
the funds to which the money is transferred must be authorized by an appropriation.
Social Services
ITEM 26
Ambulance Service Provider Assessment Expendable Revenue Fund
From Dedicated Credits Revenue, One-time
(5,092,300)
Ambulance Service Provider Assessment 
Expendable Revenue Fund
(5,092,300)
ITEM 27
Hospital Provider Assessment Fund
From Dedicated Credits Revenue, One-time
(113,256,800)
Hospital Provider Assessment Expendable 
Special Revenue Fund
(113,256,800)
ITEM 28
Medicaid ACA Fund
From Expendable Receipts, One-time
7,514,800
From Revenue Transfers, One-time
36,400
From Beginning Fund Balance
(39,415,400)
From Closing Fund Balance
61,950,100
Medicaid ACA Fund
30,085,900
ITEM 29
Nursing Care Facilities Provider Assessment Fund
From Dedicated Credits Revenue, One-time
(41,059,800)
Nursing Care Facilities Provider Assessment 
Fund
(41,059,800)
ITEM 30
General Fund Restricted - Medicaid Restricted Account
From Beginning Fund Balance
(101,119,800)
From Closing Fund Balance
101,119,800
ITEM 31
Alternative Eligibility Account
From Beginning Fund Balance
3,517,800
From Closing Fund Balance
(3,517,800)
Subsection 1(e).
Fiduciary Funds
The Legislature has reviewed proposed revenues, expenditures, fund balances, and 
changes in fund balances for the following fiduciary funds.
Social Services
Department of Health and Human Services
ITEM 32
Department of Health and Human Services - Human Services Client Trust 
Fund
From Beginning Fund Balance
140,200
From Closing Fund Balance
(140,200)
ITEM 33
Department of Health and Human Services - Human Services ORS Support 
Collections
From Beginning Fund Balance
(77,600)
From Closing Fund Balance
77,600
ITEM 34
Department of Health and Human Services - Utah State Developmental 
Center Patient Account
From Beginning Fund Balance
(8,400)
From Closing Fund Balance
8,400
ITEM 35
Department of Health and Human Services - Utah State Hospital Patient Trust 
Fund
From Beginning Fund Balance
(229,600)
From Closing Fund Balance
229,600
Section 2. 
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 2(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.
Social Services
Department of Health and Human Services
ITEM 36
Department of Health and Human Services - Operations
From General Fund
31,122,000
From Income Tax Fund
586,500
From Federal Funds
6,972,100
From Dedicated Credits Revenue
3,288,100
From Medicaid ACA Fund
5,100
From Revenue Transfers
451,900
From Beginning Nonlapsing Balances
4,642,000
From Closing Nonlapsing Balances
(3,372,000)
Executive Director Office
5,206,500
Ancillary Services
8,854,800
Finance 
 Administration
12,238,100
Data, Systems, 
 Evaluations
9,736,500
Public Affairs, Education 
 Outreach
2,108,600
American Indian / Alaska Native
660,600
Continuous Quality Improvement
2,840,600
Customer Experience
2,050,000
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Operations line 
item performance measures for FY 2026: 1. Number of 
DHHS audit recommendations unresolved after one year 
(Target = 5); 2. Percent of key data systems that are 
modernized, optimized, and integrated by 2026 
(American Rescue Plan Act project tracking) (Target = 
100%); and 3. Percent of strategic objectives that are due 
and completed per fiscal year (Target = 80%).
ITEM 37
Department of Health and Human Services - Clinical Services
From General Fund
13,252,300
From Income Tax Fund
3,311,700
From Federal Funds
3,014,600
From Expendable Receipts
196,300
From Dedicated Credits Revenue
9,304,100
From Department of Public Safety Restricted Account
463,700
From Gen. Fund Rest. - State Lab Drug Testing Account
787,000
From Revenue Transfers
1,221,200
Medical Examiner
10,944,500
State Laboratory
15,757,400
Health Equity
1,537,300
Medical Education Council
1,261,700
Medical Residency Grant Program
1,500,000
Forensic Psychiatry Grant Program
550,000
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Clinical 
Services line item performance measures for FY 2026: 1. 
Percent of operational units or offices that increase their 
activity score after participating in the Building 
Organizational Capacity project (Target = 100%); 2. 
Percentage of autopsy reports completed within 60 days 
(Target = 90%); and 3. Percentage of turnaround times 
standards met (Target = 90%).
ITEM 38
Department of Health and Human Services - Department Oversight
From General Fund
9,505,600
From Federal Funds
6,687,000
From Dedicated Credits Revenue
2,440,800
From Revenue Transfers
3,326,300
From Beginning Nonlapsing Balances
4,212,000
From Closing Nonlapsing Balances
(4,394,900)
Licensing 
 Background Checks
17,789,500
Internal Audit
2,109,500
Admin Hearings
1,248,300
Utah Developmental Disabilities Council
629,500
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Department 
Oversight line item performance measures for FY 2026: 
1. Number of days between criminal record released and 
staff determination (Target = 5) and 2. Rate of increased 
provider compliance with licensing rules (Target = 5%).
ITEM 39
Department of Health and Human Services - Health Care Administration
From General Fund
16,434,900
From Income Tax Fund
56,400
From Federal Funds
160,808,400
From Dedicated Credits Revenue
9,600
From Expendable Receipts
19,571,700
From Ambulance Service Provider Assess Exp Rev Fund
20,000
From Hospital Provider Assessment Fund
216,500
From Medicaid ACA Fund
3,572,600
From Nursing Care Facilities Provider Assessment Fund
1,232,500
From Suicide Prevention Fund
12,500
From Revenue Transfers
45,321,400
Integrated Health Care Administration
66,614,400
Long-Term Services and Supports 
Administration
6,983,200
Provider Reimbursement Information System for 
Medicaid
25,515,400
Utah Developmental Disabilities Council
21,800
Seeded Services
142,173,800
Substance Use 
 Mental Health Administration
3,548,800
Aging 
 Adult Services Administration
2,399,100
The Legislature intends that the Department of 
Health and Human Services implement a pharmacy 
carve-out as recommended in the report entitled, 
"Evaluation of Pharmacy Delivery Models for the Utah 
Medicaid Managed Care Program" for Medicaid drugs 
effective July 2026 for FY 2027.
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Health Care 
Administration line item performance measures for FY 
2026: 1. Average decision time of Medicaid medical 
prior authorizations (Target = 7); 2. Health Program 
Representative Customer Service Line average call wait 
time (Target = 2); and 3. Percent of Medicaid 
members/patients/clients that report adequate access to 
DHHS program services (Target = 85%).
ITEM 40
Department of Health and Human Services - Integrated Health Care Services
From General Fund
157,745,500
From Federal Funds
51,480,700
From Expendable Receipts
362,300
From Dedicated Credits Revenue
5,229,300
From General Fund Restricted - Statewide Behavioral 
Health Crisis Response Account
39,133,300
From General Fund Restricted - Electronic Cigarette 
Substance and Nicotine Product Proceeds Restricted 
Account
262,600
From Medicaid ACA Fund
1,146,700
From General Fund Restricted - Opioid Litigation 
Proceeds Restricted Account
5,860,500
From General Fund Restricted - Tobacco Settlement 
Account
1,123,300
From Revenue Transfers
24,442,700
Non-Medicaid Behavioral Health Treatment and 
Crisis Response
187,567,000
State Hospital
99,219,900
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Integrated 
Health Care Services line item performance measures for 
FY 2026: 1. Annual State General Funds Saved Through 
Preferred Drug List (Target = $20,000,000); 2. Average 
percent of patients in delay (Target = 19.9%); 3. Percent 
of clean claims adjudicated by Provider Reimbursement 
Information System for Medicaid within 30 days of 
submission (Target = 90%); 4. Percent of Medicaid adult 
members that receive services from an integrated health 
plan or other integrated model (Target = 40%); 5. Percent 
of Medicaid adults and adolescents with major 
depressive episodes who receive treatment (Target = 
60.9%); 6. Percent of Medicaid members who promptly 
receive outpatient treatment after visiting a hospital for 
mental health issues (Target = 59%); 7. Percentage of 
adult clients with improved symptoms, or recovered, as 
measured by the Adult Mental Health Outcome (Target = 
45%); 8. Percentage of Individuals Who Transitioned 
From Intermediate Care Facilities to Community-based 
Services (Target = 10%); 9. Percentage of youth clients 
with improved symptoms, or recovered, as measured by 
the Youth Outcome questionnaires (Target = 50%); and 
10. Rates of Utahns Dying of Drug-Related Causes 
(Target = 0.00001).
ITEM 41
Department of Health and Human Services - Long-Term Services 
 Support
From General Fund
278,715,800
From Income Tax Fund
201,300
From Federal Funds
14,735,600
From Expendable Receipts
1,400,000
From Dedicated Credits Revenue
1,624,500
From General Fund Restricted - Division of Services for 
People with Disabilities Restricted Account
4,017,400
From Revenue Transfers
420,376,200
Aging 
 Adult Services
21,802,900
Adult Protective Services
5,451,000
Office of Public Guardian
1,428,400
Aging Waiver Services
2,008,200
Services for People with Disabilities
14,587,000
Community Supports Waiver Services
563,681,100
Disabilities - Non Waiver Services
2,765,500
Disabilities - Other Waiver Services
45,859,600
Utah State Developmental Center
63,487,100
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Long-Term 
Services 
 Support line item performance measures for 
FY 2026: 1. People Receiving Supports in their home or 
a Family Member's Home Rather Than a Residential 
Setting (Target = 57%); 2. Percent of Adults Who Report 
that Services and Supports Help Them Live a Good Life 
(Target = 92%); 3. Percent of individuals who do not 
currently have a paid job in the community, but would 
like a job in the community (NCI) (Target = 44%); 4. 
Percent of Office of the Public Guardian (OPG) referrals 
where an alternative to guardianship with OPG is made 
(Target = 60%); and 5. The percentage of APS clients 
who accept referrals to community services (Target = 
60%).
ITEM 42
Department of Health and Human Services - Public Health, Prevention, and 
Epidemiology
From General Fund
13,184,400
From Federal Funds
137,103,000
From Expendable Receipts - Rebates
3,746,600
From Expendable Receipts
1,825,100
From Dedicated Credits Revenue
244,000
From General Fund Restricted - Cancer Research 
Account
20,000
From General Fund Restricted - Cigarette Tax Restricted 
Account
3,150,000
From General Fund Restricted - Electronic Cigarette 
Substance and Nicotine Product Proceeds Restricted 
Account
9,518,400
From General Fund Restricted - Opioid Litigation 
Proceeds Restricted Account
443,400
From General Fund Restricted - Tobacco Settlement 
Account
3,458,800
From Revenue Transfers
6,430,700
Communicable Diseases
13,471,900
Health Promotion and Prevention
21,150,000
Preparedness and Response
2,151,400
Local Health Departments
106,016,100
Population Health
1,436,100
State Epidemiology Inform Survey 
 Public 
Health Infrastructure
6,385,100
Emerging Infections 
 Surge Response
28,513,800
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Public Health, 
Prevention, and Epidemiology line item performance 
measures for FY 2026: 1. Decrease the Percent of Utah 
Adults Who Report Fair or Poor General Health in Very 
High Health Improvement Index Areas (Target = 1%); 2. 
Decreasing the number of Utahns who experience a 
preventable illness or injury of public health concern 
(Target = 149); 3. Percentage of Rules, Disease Plans, 
and Response Plans That Are Current (Target = 95%); 
and 4. Proportion of State and Private Funding Vs Total 
Funds Allocated to Essential Public Health Services 
(Target = 20).
ITEM 43
Department of Health and Human Services - Children, Youth, 
 Families
From General Fund
206,818,200
From General Fund, One-time
520,000
From Income Tax Fund
173,600
From Federal Funds
148,985,500
From Expendable Receipts
582,000
From Dedicated Credits Revenue
2,546,800
From Expendable Receipts - Rebates
7,985,300
From General Fund Restricted - Adult Autism Treatment 
Account
1,566,100
From General Fund Restricted - Victim Services 
Restricted Account
3,204,900
From General Fund Restricted - Children's Account
340,000
From Gen. Fund Rest. - K. Oscarson Children's Organ 
Transp.
112,200
From General Fund Restricted - National Professional 
Men's Basketball Team Support of Women and Children 
Issues
101,600
From Revenue Transfers
(1,510,300)
From Beginning Nonlapsing Balances
4,349,900
Child 
 Family Services
118,480,400
Domestic Violence
19,835,200
In-Home Services
4,017,300
Out-of-Home Services
48,600,200
Adoption Assistance
24,567,300
Child Abuse Prevention and Facility Services
5,023,900
Children with Special Healthcare Needs
11,745,200
Maternal 
 Child Health
62,726,600
Office of Coordinated Care and Regional 
Supports
7,783,200
DCFS Selected Programs
14,662,000
Office of Early Childhood
44,363,300
DCFS Attorney General
13,971,200
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Children, Youth, 
 Families line item performance measures for FY 2026: 
1. Average number of caseworkers per case (percent 
decrease from FY22 rate) (Target = 5); 2. Average 
number of placements per child (moves per 1,000 days) 
(Target = 4.48); 3. Case worker turnover rate (Target = 
22.4%); 4. Percent of children confirmed as victims of 
abuse or neglect who experienced repeat maltreatment 
within 12 months (Target = 9.7%); 5. Percent of 
reunification (percent increase over the FY21 rate) 
(Target = 2%); and 6. Percent of children who 
demonstrated improvement in social-emotional skills, 
including social relationships. (Target = 56%).
ITEM 44
Department of Health and Human Services - Office of Recovery Services
From General Fund
16,426,900
From Federal Funds
30,103,400
From Dedicated Credits Revenue
3,599,500
From Expendable Receipts
2,129,900
From Medicaid ACA Fund
57,800
From Revenue Transfers
3,403,400
Recovery Services
19,463,200
Child Support Services
25,610,000
Children in Care Collections
693,700
Attorney General Contract
6,211,600
Medical Collections
3,742,400
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Office of 
Recovery Services line item performance measures for 
FY 2026: 1. Current Support Collection Rates (Target = 
65%); 2. Medical Coverage for Children (Target = 65%); 
and 3. Overall Cost Effectiveness of the Office of 
Recovery Services (Target = 5.5%).
ITEM 45
Department of Health and Human Services - Juvenile Justice 
 Youth 
Services
From General Fund
109,411,800
From Federal Funds
1,554,200
From Dedicated Credits Revenue
783,500
From Expendable Receipts
9,100
From General Fund Restricted - Juvenile Justice 
Reinvestment Account
250,000
From Revenue Transfers
(832,700)
Juvenile Justice 
 Youth Services
26,635,500
Secure Care
23,807,600
Youth Services
35,335,800
Community Programs
25,397,000
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Juvenile Justice 
 Youth Services line item performance measures for 
FY 2026: 1. Percent of Youth during custody who have 
reduced dynamic risk (Target = 80%) and 2. Percent of 
youth who avoid JJYS, DCFS, or formal probation orders 
within 90 days of release from the implementation phase 
of the Youth Services plan (Target = 100%).
ITEM 46
Department of Health and Human Services - Correctional Health Services
From General Fund
49,377,000
From Dedicated Credits Revenue
650,000
From Revenue Transfers
(830,700)
Correctional Health Services
49,196,300
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Correctional 
Health Services line item performance measures for FY 
2026: 1. Percentage of Dental Exams performed within 7 
days of admission (or evidence of refusal) (Target = 
90%); 2. Percentage of initial health assessments 
completed within 7 days of admission (or evidence of 
refusal) (Target = 90%); 3. Percentage of inmates failing 
to keep appointments (Target = 10%); and 4. Percentage 
of Mental Health screenings completed within 14 days of 
admission (Target = 90%).
Subsection 2(b).
Expendable Funds and Accounts
The Legislature has reviewed the following expendable funds. The Legislature 
authorizes the State Division of Finance to transfer amounts between funds and accounts as 
indicated. Outlays and expenditures from the funds or accounts to which the money is 
transferred may be made without further legislative action, in accordance with statutory 
provisions relating to the funds or accounts.
Social Services
Department of Health and Human Services
ITEM 47
Department of Health and Human Services - Brain and Spinal Cord Injury 
Fund
From General Fund
200,000
From Dedicated Credits Revenue
450,000
From Beginning Fund Balance
669,000
Brain and Spinal Cord Injury Fund
1,319,000
ITEM 48
Department of Health and Human Services - Maurice N. Warshaw Trust Fund
From Interest Income
1,000
From Beginning Fund Balance
175,500
From Closing Fund Balance
(176,500)
ITEM 49
Department of Health and Human Services - Out and About Homebound 
Transportation Assistance Fund
From Dedicated Credits Revenue
75,600
From Interest Income
3,000
From Beginning Fund Balance
124,300
From Closing Fund Balance
(124,300)
Out and About Homebound Transportation 
Assistance Fund
78,600
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Out and About 
Homebound Transportation Assistance Fund line item 
performance measure for FY 2026: 1. Number of internal 
reviews completed for compliance with statute, federal 
regulations, and other requirements (Target = 1).
ITEM 50
Department of Health and Human Services - Utah State Developmental 
Center Long-Term Sustainability Fund
From Dedicated Credits Revenue
12,100
From Interest Income
14,500
From Revenue Transfers
38,700
From Beginning Fund Balance
33,016,000
From Closing Fund Balance
(33,016,000)
Utah State Developmental Center Long-Term 
Sustainability Fund
65,300
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Utah State 
Developmental Center Long-Term Sustainability Fund 
line item performance measure for FY 2026: 1. Number 
of internal reviews completed for compliance with 
statute, federal regulations, and other requirements 
(Target = 1).
ITEM 51
Department of Health and Human Services - Utah State Developmental 
Center Miscellaneous Donation Fund
From Dedicated Credits Revenue
6,000
From Interest Income
6,000
From Beginning Fund Balance
618,600
From Closing Fund Balance
(618,600)
Utah State Developmental Center Miscellaneous 
Donation Fund
12,000
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Utah State 
Developmental Center Miscellaneous Donation Fund line 
item performance measure for FY 2026: 1. Number of 
internal reviews completed for compliance with statute, 
federal regulations, and other requirements (Target = 1).
ITEM 52
Department of Health and Human Services - Utah State Developmental 
Center Workshop Fund
From Dedicated Credits Revenue
140,000
From Beginning Fund Balance
17,400
From Closing Fund Balance
(17,400)
Utah State Developmental Center Workshop 
Fund
140,000
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Utah State 
Developmental Center Workshop Fund line item 
performance measure for FY 2026: 1. Internal Reviews 
of the Utah State Developmental Center Workshop Fund 
(Target = 1).
ITEM 53
Department of Health and Human Services - Utah State Hospital Unit Fund
From Dedicated Credits Revenue
42,400
From Interest Income
8,000
From Beginning Fund Balance
253,100
From Closing Fund Balance
(253,100)
Utah State Hospital Unit Fund
50,400
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Utah State 
Hospital Unit Fund line item performance measure for 
FY 2026: 1. Internal Reviews of the Utah State Hospital 
Unit Fund (Target = 1).
ITEM 54
Department of Health and Human Services - Mental Health Services 
Donation Fund
From General Fund
100,000
From Beginning Fund Balance
430,400
From Closing Fund Balance
(430,400)
Mental Health Services Donation Fund
100,000
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Mental Health 
Services Donation Fund line item performance measure 
for FY 2026: 1. Number of internal reviews completed 
for compliance with statute, federal regulations, and 
other requirements (Target = 1).
ITEM 55
Department of Health and Human Services - Suicide Prevention and 
Education Fund
From Beginning Fund Balance
1,229,800
From Closing Fund Balance
(1,229,800)
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Suicide 
Prevention and Education Fund line item performance 
measure for FY 2026: 1. Number of internal reviews 
completed for compliance with statute, federal 
regulations, and other requirements (Target = 1).
ITEM 56
Department of Health and Human Services - Pediatric Neuro-Rehabilitation 
Fund
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Pediatric 
Neuro-Rehabilitation Fund line item performance 
measure for FY 2026: 1. Percentage of children that had 
an increase in functional activity (Target = 70%).
ITEM 57
Department of Health and Human Services - Licensed Provider Assessment 
Fund
From Beginning Fund Balance
604,600
From Closing Fund Balance
(604,600)
Subsection 2(c).
Business-like Activities
The Legislature has reviewed the following proprietary funds. Under the terms and 
conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature 
approves budgets, full-time permanent positions, and capital acquisition amounts as indicated, 
and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other 
charges. The Legislature authorizes the State Division of Finance to transfer amounts between 
funds and accounts as indicated.
Social Services
Department of Health and Human Services
ITEM 58
Department of Health and Human Services - Qualified Patient Enterprise Fund
From Dedicated Credits Revenue
5,493,800
From Beginning Fund Balance
8,475,300
From Closing Fund Balance
(10,665,900)
Qualified Patient Enterprise Fund
3,303,200
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Qualified 
Patient Enterprise Fund line item performance measure 
for FY 2026: 1. Audit compliance rate of recommending 
medical providers, medical cannabis cardholders, and 
pharmacy medical providers (Target = 95%).
Subsection 2(d).
Restricted Fund and Account Transfers
The Legislature authorizes the State Division of Finance to transfer the following 
amounts between the following funds or accounts as indicated. Expenditures and outlays from 
the funds to which the money is transferred must be authorized by an appropriation.
Social Services
ITEM 59
Medicaid ACA Fund
From General Fund
13,861,100
From General Fund, One-time
(13,861,100)
From Dedicated Credits Revenue
151,000,000
From Expendable Receipts
7,870,700
From Interest Income
8,589,900
From Revenue Transfers
948,300
From Beginning Fund Balance
380,000,000
From Closing Fund Balance
(430,138,900)
Medicaid ACA Fund
118,270,000
ITEM 60
Statewide Behavioral Health Crisis Response Account
From General Fund
39,089,900
Statewide Behavioral Health Crisis Response 
Account
39,089,900
ITEM 61
Adult Autism Treatment Account
From General Fund
1,000,000
Adult Autism Treatment Account
1,000,000
ITEM 62
Alternative Eligibility Account
From General Fund
4,500,000
From Beginning Fund Balance
3,517,800
From Closing Fund Balance
(3,517,800)
Alternative Eligibility Account
4,500,000
Subsection 2(e).
Fiduciary Funds
The Legislature has reviewed proposed revenues, expenditures, fund balances, and 
changes in fund balances for the following fiduciary funds.
Social Services
Department of Health and Human Services
ITEM 63
Department of Health and Human Services - Human Services Client Trust 
Fund
From Interest Income
9,100
From Trust and Agency Funds
4,907,600
From Beginning Fund Balance
2,044,000
From Closing Fund Balance
(2,044,000)
Human Services Client Trust Fund
4,916,700
ITEM 64
Department of Health and Human Services - Human Services ORS Support 
Collections
From Trust and Agency Funds
212,842,300
From Beginning Fund Balance
2,126,100
From Closing Fund Balance
(2,126,100)
Human Services ORS Support Collections
212,842,300
ITEM 65
Department of Health and Human Services - Utah State Developmental 
Center Patient Account
From Interest Income
1,000
From Trust and Agency Funds
2,002,900
From Beginning Fund Balance
616,200
From Closing Fund Balance
(616,200)
Utah State Developmental Center Patient 
Account
2,003,900
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Utah State 
Developmental Center Patient Account line item 
performance measure for FY 2026: 1. Number of internal 
reviews completed for compliance with statute, federal 
regulations, and other requirements (Target = 1).
ITEM 66
Department of Health and Human Services - Utah State Hospital Patient Trust 
Fund
From Trust and Agency Funds
1,731,000
From Beginning Fund Balance
329,800
From Closing Fund Balance
(329,800)
Utah State Hospital Patient Trust Fund
1,731,000
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Utah State 
Hospital Patient Trust Fund line item performance 
measure for FY 2026: 1. Number of Internal Reviews of 
the Utah State Hospital Patient Trust Fund (Target = 1).
Section 3. 
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 3(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.
Social Services
Department of Health and Human Services
ITEM 67
Department of Health and Human Services - Clinical Services
From General Fund
4,246,600
From Federal Funds
1,479,300
From General Fund Restricted - Opioid Litigation 
Proceeds Restricted Account
1,300,000
From Revenue Transfers
188,400
Primary Care and Rural Health
7,214,300
ITEM 68
Department of Health and Human Services - Integrated Health Care Services
From General Fund
656,730,800
From General Fund, One-time
(26,300,000)
From Federal Funds
4,383,936,900
From Federal Funds, One-time
(52,305,000)
From Dedicated Credits Revenue
3,538,900
From Expendable Receipts
333,945,400
From Expendable Receipts - Rebates
372,928,000
From Ambulance Service Provider Assess Exp Rev Fund
6,388,500
From General Fund Restricted - Alternative Eligibility 
Account
4,500,000
From Hospital Provider Assessment Fund
113,045,500
From Medicaid ACA Fund
111,785,300
From Nursing Care Facilities Provider Assessment Fund
39,851,000
From General Fund Restricted - Tobacco Settlement 
Account
11,026,300
From Revenue Transfers
279,677,900
From Pass-through
1,813,000
Children's Health Insurance Program Services
170,235,500
Medicaid Accountable Care Organizations
1,606,331,100
Medicaid Behavioral Health Services
315,140,900
Medicaid Home and Community Based Services
647,097,900
Medicaid Hospital Services
349,817,100
Medicaid Pharmacy Services
199,489,700
Medicaid Long Term Care Services
519,700,000
Medicare Buy-In and Clawback Payments
175,000,000
Medicaid Other Services
505,644,800
Offsets to Medicaid Expenditures
(62,996,500)
Expansion Accountable Care Organizations
826,520,300
Expansion Behavioral Health Services
150,000,200
Expansion Hospital Services
350,000,400
Expansion Other Services
291,867,400
Expansion Pharmacy Services
196,713,700
ITEM 69
Department of Health and Human Services - Children, Youth, 
 Families
From General Fund
574,000
From Federal Funds
150,000
From Revenue Transfers
90,500
Family Health
814,500
Subsection 3(b).
Expendable Funds and Accounts
The Legislature has reviewed the following expendable funds. The Legislature 
authorizes the State Division of Finance to transfer amounts between funds and accounts as 
indicated. Outlays and expenditures from the funds or accounts to which the money is 
transferred may be made without further legislative action, in accordance with statutory 
provisions relating to the funds or accounts.
Social Services
Department of Health and Human Services
ITEM 70
Department of Health and Human Services - Allyson Gamble Organ Donation 
Contribution Fund
From Dedicated Credits Revenue
224,600
From Interest Income
13,000
From Beginning Fund Balance
518,200
From Closing Fund Balance
(518,200)
Allyson Gamble Organ Donation Contribution 
Fund
237,600
In accordance with UCA 63J-1-903, the 
Legislature intends that the Department of Health and 
Human Services report on the following Allyson Gamble 
Organ Donation Contribution Fund line item 
performance measure for FY 2026: 1. Increase Division 
of Motor Vehicle/Driver's License Division Donations 
(Target = 15%).
Section 4. 
Effective Date.
(1)
Except as provided in Subsection (2), this bill takes effect July 1, 2025.
(2)
The actions affecting Section 1 (Effective upon governor's approval) take effect:
(a)
except as provided in Subsection (2)(b), May 7, 2025; or
(b)
if approved by two-thirds of all members elected to each house:
(i)
upon approval by the governor;
(ii)
without the governor's signature, the day following the constitutional time limit of 
Utah Constitution, Article VII, Section 8; or
(iii)
in the case of a veto, the date of veto override.
2-9-25 3:03 PM