Enrolled Copy H.B. 93 1 Rehabilitation Services Modifications 2025 GENERAL SESSION STATE OF UTAH Chief Sponsor: Katy Hall Senate Sponsor: Ann Millner 2 3 LONG TITLE 4 General Description: 5 This bill amends provisions related to the Brain and Spinal Cord Injury Fund and Advisory 6 Committee. 7 Highlighted Provisions: 8 This bill: 9 ▸ defines terms; 10 ▸ allows money in the Brain and Spinal Cord Injury Fund to be used for nervous system 11 research under certain circumstances; 12 ▸ modifies the membership of the Brain and Spinal Cord Injury Advisory Committee 13 (committee); 14 ▸ requires the committee to meet quarterly; 15 ▸ creates a reporting requirement; and 16 ▸ makes technical changes. 17 Money Appropriated in this Bill: 18 None 19 Other Special Clauses: 20 None 21 Utah Code Sections Affected: 22 AMENDS: 23 26B-1-318, as last amended by Laws of Utah 2024, Chapter 289 24 26B-1-417, as repealed and reenacted by Laws of Utah 2024, Chapter 289 25 26 Be it enacted by the Legislature of the state of Utah: 27 Section 1. Section 26B-1-318 is amended to read: H.B. 93 Enrolled Copy 28 26B-1-318 . Brain and Spinal Cord Injury Fund. 29 (1) As used in this section: 30 (a) "Advisory committee" means the Brain and Spinal Cord Injury Advisory Committee 31 created in Section [26B-1-418] 26B-1-417. 32 (b) "Nervous system research" means research conducted by a qualified charitable clinic 33 that is: 34 (i) designed to improve, enhance, accelerate, or advance the clinical outcomes of: 35 (A) an individual affected by a spinal cord injury, a brain injury, or a stroke; or 36 (B) a child with a neurological condition or syndrome; 37 (ii) approved by an institutional review board; and 38 (iii) designed to be completed in a 12-month period. 39 [(b)] (c) "Qualified charitable clinic" means a professional medical clinic that: 40 (i) provides therapeutic services; 41 (ii) employs licensed therapy clinicians; 42 (iii) has at least five years experience operating a post-acute care rehabilitation clinic 43 in the state; and 44 (iv) has obtained tax-exempt status under Internal Revenue Code, 26 U.S.C. Sec. 45 501(c)(3). 46 (d) "Research grant" means a grant that can only be used for nervous system research. 47 [(c)] (e)(i) "Therapeutic services" means: 48 (A) rehabilitation services to individuals who have a spinal cord or brain injury 49 that tends to be non-progressive or non-deteriorating and require post-acute 50 care; or 51 (B) rehabilitation services for children with neurological conditions and who 52 require post-acute care. 53 (ii) "Therapeutic services" include: 54 (A) physical, occupational, and speech therapy; and 55 (B) other services as determined by the department, in consultation with the 56 advisory committee, through rule made in accordance with Title 63G, Chapter 57 3, Utah Administrative Rulemaking Act. 58 (2) There is created an expendable special revenue fund known as the "Brain and Spinal 59 Cord Injury Fund." 60 (3) The fund shall consist of: 61 (a) gifts, grants, donations, or any other conveyance of money that may be made to the - 2 - Enrolled Copy H.B. 93 62 fund from private sources; and 63 (b) additional amounts as appropriated by the Legislature; 64 (c) a portion of the impound fee as designated in Section 41-6a-1406; and 65 (d) the fees collected by the Motor Vehicle Division under Subsections 41-1a-1201(8) 66 and 41-22-8(3). 67 (4) The fund shall be administered by the executive director, in consultation with the 68 advisory committee. 69 (5) Fund money may be used to: 70 (a) educate the general public and professionals regarding understanding, treatment, and 71 prevention of brain injury; 72 (b) provide access to evaluations and coordinate short-term care to assist an individual in 73 identifying services or support needs, resources, and benefits for which the individual 74 may be eligible; 75 (c) develop and support an information and referral system for persons with a brain 76 injury and their families; 77 (d) provide grants to persons or organizations to provide the services described in 78 Subsections (5)(a), (b), and (c); 79 (e) assist one or more qualified charitable clinics to provide therapeutic services; [and] 80 (f) purchase equipment for use in the qualified charitable clinic[.] ; and 81 (g) provide research grants to qualified charitable clinics in accordance with Subsection 82 (7). 83 (6) Each year, approximately no less than: 84 (a) 40% of the fund shall be used for programs and services described in Subsections 85 (5)(a) through (d); 86 (b) 25% of the fund shall be used to assist adults with brain or spinal cord injuries under 87 Subsections (5)(e) and (f); and 88 (c) 10 % of the fund shall be used to assist children with neurological conditions under 89 Subsections (5)(e) and (f). 90 (7)(a) Each year, if money remains in the fund after the money has been allocated in 91 accordance with Subsection (6), the advisory committee may award up to $100,000 92 in research grants divided among one or more qualified charitable clinics. 93 (b) A qualified charitable clinic that accepts a research grant shall agree to the 94 requirements in Subsection (7)(c) before receiving the grant. 95 (c) A qualified charitable clinic that accepts a research grant: - 3 - H.B. 93 Enrolled Copy 96 (i) shall report the results of the nervous system research to the advisory committee; 97 (ii) shall provide the committee an itemized list of expenditures for research grant 98 money; 99 (iii) shall return any unspent research grant money to the fund; 100 (iv) subject to Subsection (7)(c)(v), may collaborate with another entity for 101 performing the nervous system research; 102 (v) may not use research grant money to pay another entity to conduct the project; and 103 (vi) may not use research grant money to pay for administrative costs not directly 104 associated with the research project. 105 [(7)] (8) An individual who receives services either paid for from the fund, or through an 106 organization under contract with the fund, shall: 107 (a) be a resident of Utah; 108 (b) have been diagnosed by a qualified professional as having a brain injury, spinal cord 109 injury, or other neurological condition which results in impairment of cognitive or 110 physical function; and 111 (c) have a need that can be met within the requirements of this section. 112 [(8)] (9) The fund may not duplicate any services or support mechanisms being provided to 113 an individual by any other government or private agency. 114 [(9)] (10) All actual and necessary operating expenses for the Brain and Spinal Cord Injury 115 Advisory Committee created in Section 26B-1-417 and staff shall be paid by the fund. 116 Section 2. Section 26B-1-417 is amended to read: 117 26B-1-417 . Brain and Spinal Cord Injury Advisory Committee -- Membership -- 118 Duties. 119 (1) There is created the Brain and Spinal Cord Injury Advisory Committee within the 120 department. 121 (2)(a) The advisory committee shall be composed of the following members: 122 (i) an individual employed with the Department of Health and Human Services; 123 (ii) an individual who has experienced a neurological condition; 124 (iii) an individual who has experienced a brain injury; 125 (iv) an individual who has experienced a spinal cord injury; 126 (v) a parent of a child who has a neurological condition; 127 (vi) a parent or caretaker of an individual who has experienced a brain or spinal cord 128 injury; 129 (vii) a professional who: - 4 - Enrolled Copy H.B. 93 130 (A) provides services to adults who have experienced brain or spinal cord injuries; 131 and 132 (B) does not receive a financial benefit from the fund described in Section 133 26B-1-318; 134 (viii) a professional who: 135 (A) provides services to children who have a neurological condition; and 136 (B) does not receive a financial benefit from the fund described in Section 137 26B-1-318; 138 (ix) an individual licensed as a speech-language pathologist under Title 58, Chapter 139 41, Speech[ ] -Language Pathology and Audiology Licensing Act, who works with 140 individuals who have experienced a brain injury; 141 (x) a representative of an association that advocates for individuals with brain injuries; 142 (xi) an individual who conducts research or is familiar with or possesses knowledge 143 of research on neurological conditions, brain injuries, or spinal cord injuries; 144 [(xi)] (xii) a member of the House of Representatives appointed by the speaker of the 145 House of Representatives; and 146 [(xii)] (xiii) a member of the Senate appointed by the president of the Senate. 147 (b) Except for members described in [Subsection (xi) and (xii)] Subsections (2)(a)(xii) 148 through (xiii), the executive director shall appoint members of the advisory 149 committee. 150 (3)(a) [The] Except as provided in Subsection (3)(f), the term of advisory committee 151 members shall be four years. 152 (b) If a vacancy occurs in the committee membership for any reason, a replacement shall 153 be appointed for the unexpired term in the same manner as the original appointment. 154 [(b)] (c) The committee shall elect a chairperson from the membership. 155 [(c)] (d) A majority of the committee constitutes a quorum at any meeting, and, if a 156 quorum is present at an open meeting, the action of the majority of members shall be 157 the action of the advisory committee. 158 [(d)] (e) The terms of the advisory committee shall be staggered so that approximately 159 half of the committee members appointed under Subsections [(2)(b), (d), and (f) shall 160 serve an initial two-year term and members appointed under Subsections (2)(c), (e), 161 and (g) shall serve four-year terms. Thereafter, members appointed to the advisory 162 committee shall serve four-year terms.] (2)(a)(i) through (xi) are appointed every two 163 years. - 5 - H.B. 93 Enrolled Copy 164 (f) The executive director may shorten an appointment to comply with Subsection (3)(e). 165 (4) The advisory committee shall comply with the procedures and requirements of: 166 (a) Title 52, Chapter 4, Open and Public Meetings Act; and 167 (b) Title 63G, Chapter 2, Government Records Access and Management Act. 168 (5)(a) A member who is not a legislator may not receive compensation or benefits for 169 the member's service, but, at the executive director's discretion, may receive per diem 170 and travel expenses as allowed in: 171 (i) Section 63A-3-106; 172 (ii) Section 63A-3-107; and 173 (iii) rules adopted by the Division of Finance according to Sections 63A-3-106 and 174 63A-3-107. 175 (b) Compensation and expenses of a member who is a legislator are governed by Section 176 36-2-2 and Legislative Joint Rules, Title 5, Legislative Compensation and Expenses. 177 (6) The advisory committee shall: 178 (a) establish priorities and criteria for the advisory committee to follow in 179 recommending distribution of money from the Brain and Spinal Cord Injury Fund 180 created in Section 26B-1-318; 181 (b) identify, evaluate, and review the quality of care: 182 (i) available to: 183 (A) individuals with spinal cord and brain injuries; or 184 (B) children with non-progressive neurological conditions; and 185 (ii) that is provided through qualified charitable clinics, as defined in Section 186 26B-1-318; [and] 187 (c) explore, evaluate, and review other possible funding sources and make a 188 recommendation to the Legislature regarding sources that would provide adequate 189 funding for the advisory committee to accomplish its responsibilities under this 190 section[.] ; 191 (d) on or before each July 1, provide a report to the Health and Human Services Interim 192 Committee describing how money in the fund described in Section 26B-1-318 was 193 used the previous year; and 194 (e) meet at least once each quarter. 195 (7) Operating expenses for the advisory committee, including the committee's staff, shall be 196 paid for only with money from the Brain and Spinal Cord Injury Fund created in Section 197 26B-1-318. - 6 - Enrolled Copy H.B. 93 198 Section 3. Effective Date. 199 This bill takes effect on May 7, 2025. - 7 -