Utah 2025 Regular Session

Utah House Bill HB0347 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Enrolled Copy H.B. 347
	1	+	03-06 15:06 4th Sub. (Green) H.B. 347
	2	+	Evan J. Vickers proposes the following substitute bill:
2	3		1
3	4		Social Services Program Amendments
4	5		2025 GENERAL SESSION
5	6		STATE OF UTAH
6	7		Chief Sponsor: James A. Dunnigan
7	8		Senate Sponsor: Evan J. Vickers
8	9		2
9	10
10	11		3
11	12		LONG TITLE
12	13		4
13	14		General Description:
14	15		5
15	16		This bill amends the provisions related to social services programs.
16	17		6
17	18		Highlighted Provisions:
18	19		7
19	20		This bill:
20	21		8
21	22		▸ amends provisions related to the Medicaid ACA Fund;
22	23		9
23	24		▸ amends provisions related to substance use and mental health program licensure;
24	25		10
25	26		▸ amends provisions related to certified community health workers;
26	27		11
27	28		▸ amends provisions regarding atypical anti-psychotic, psychotropic drugs, and the
28	29		12
29	30		Medicaid preferred drug list;
30	31		13
31	32		▸ amends provisions related to case management; and
32	33		14
33	34		▸ makes technical and conforming changes.
34	35		15
35	36		Money Appropriated in this Bill:
36	37		16
37	38		This bill appropriates $1,100,000 in operating and capital budgets for fiscal year 2026, all
38	39		17
39	40		of which is from the General Fund.
40	41		18
41	42		Other Special Clauses:
42	43		19
43	44		This bill provides a special effective date.
44	45		20
45	46		Utah Code Sections Affected:
46	47		21
47	48		AMENDS:
48	49		22
49	50		26B-1-315 (Effective 05/07/25), as last amended by Laws of Utah 2024, Chapter 439
50	51		23
51	52		26B-2-101 (Effective 05/07/25), as last amended by Laws of Utah 2024, Chapters 240,
52	53		24
53	54		267, 307, and 438
54	55		25
55	56		26B-3-105 (Effective 07/01/25), as renumbered and amended by Laws of Utah 2023,
56	57		26
57	58		Chapter 306
58	59		27
59		-	26B-3-217 (Effective 05/07/25), as last amended by Laws of Utah 2024, Chapter 284 ~~H.B. 347 Enrolled Copy~~
	60	+	26B-3-217 (Effective 05/07/25), as last amended by Laws of Utah 2024, Chapter 284
60	61		28
61	62		26B-5-101 (Effective 05/07/25), as last amended by Laws of Utah 2024, Chapters 240,
	63	+	4th Sub. H.B. 347 4th Sub. (Green) H.B. 347 03-06 15:06
62	64		29
63	65		420
64	66		30
65	67		26B-5-102 (Effective 05/07/25), as last amended by Laws of Utah 2024, Chapters 250,
66	68		31
67	69		420
68	70		32
69	71		26B-5-301 (Effective 05/07/25), as renumbered and amended by Laws of Utah 2023,
70	72		33
71	73		Chapter 308
72	74		34
73	75		26B-5-801 (Effective 05/07/25), as renumbered and amended by Laws of Utah 2024,
74	76		35
75	77		Chapter 245
76	78		36
77	79		53-21-101 (Effective 05/07/25), as last amended by Laws of Utah 2024, Chapter 345
78	80		37
79	81		63M-7-204 (Effective 05/07/25), as last amended by Laws of Utah 2024, Chapter 345
80	82		38
81	83		ENACTS:
82	84		39
83	85		26B-2-110 (Effective 05/07/25), Utah Code Annotated 1953
84	86		40
85	87
86	88		41
87	89		Be it enacted by the Legislature of the state of Utah:
88	90		42
89	91		Section 1. Section 26B-1-315 is amended to read:
90	92		43
91	93		26B-1-315 (Effective 05/07/25). Medicaid ACA Fund.
92	94		44
93	95		(1) There is created an expendable special revenue fund known as the "Medicaid ACA
94	96		45
95	97		Fund."
96	98		46
97	99		(2) The fund consists of:
98	100		47
99	101		(a) assessments collected under Chapter 3, Part 5, Inpatient Hospital Assessment;
100	102		48
101	103		(b) intergovernmental transfers under Section 26B-3-508;
102	104		49
103	105		(c) savings attributable to the health coverage improvement program, as defined in
104	106		50
105	107		Section 26B-3-501, as determined by the department;
106	108		51
107	109		(d) savings attributable to the enhancement waiver program, as defined in Section
108	110		52
109	111		26B-3-501, as determined by the department;
110	112		53
111	113		(e) savings attributable to the Medicaid waiver expansion, as defined in Section
112	114		54
113	115		26B-3-501, as determined by the department;
114	116		55
115	117		[(f) savings attributable to the inclusion of psychotropic drugs on the preferred drug list
116	118		56
117	119		under Subsection 26B-3-105(3) as determined by the department;]
118	120		57
119	121		[(g)] (f) revenues collected from the sales tax described in Subsection 59-12-103(11);
120	122		58
121	123		[(h)] (g) gifts, grants, donations, or any other conveyance of money that may be made to
122	124		59
123	125		the fund from private sources;
124	126		60
125	127		[(i)] (h) interest earned on money in the fund; and
126	128		61
127	129		[(j)] (i) additional amounts as appropriated by the Legislature.
128		-	- 2 - Enrolled Copy H.B. 347
129	130		62
130	131		(3)(a) The fund shall earn interest.
	132	+	- 2 - 03-06 15:06 4th Sub. (Green) H.B. 347
131	133		63
132	134		(b) All interest earned on fund money shall be deposited into the fund.
133	135		64
134	136		(4)(a) A state agency administering the provisions of Chapter 3, Part 5, Inpatient
135	137		65
136	138		Hospital Assessment, may use money from the fund to pay the costs, not otherwise
137	139		66
138	140		paid for with federal funds or other revenue sources, of:
139	141		67
140	142		(i) the health coverage improvement program as defined in Section 26B-3-501;
141	143		68
142	144		(ii) the enhancement waiver program as defined in Section 26B-3-501;
143	145		69
144	146		(iii) a Medicaid waiver expansion as defined in Section 26B-3-501; and
145	147		70
146	148		(iv) the outpatient upper payment limit supplemental payments under Section
147	149		71
148	150		26B-3-511.
149	151		72
150	152		(b) A state agency administering the provisions of Chapter 3, Part 5, Inpatient Hospital
151	153		73
152	154		Assessment, may not use:
153	155		74
154	156		(i) funds described in Subsection (2)(b) to pay the cost of private outpatient upper
155	157		75
156	158		payment limit supplemental payments; or
157	159		76
158	160		(ii) money in the fund for any purpose not described in Subsection (4)(a).
159	161		77
160	162		Section 2. Section 26B-2-101 is amended to read:
161	163		78
162	164		26B-2-101 (Effective 05/07/25). Definitions.
163	165		79
164	166		As used in this part:
165	167		80
166	168		(1) "Adoption services" means the same as that term is defined in Section 80-2-801.
167	169		81
168	170		(2) "Adult day care" means nonresidential care and supervision:
169	171		82
170	172		(a) for three or more adults for at least four but less than 24 hours a day; and
171	173		83
172	174		(b) that meets the needs of functionally impaired adults through a comprehensive
173	175		84
174	176		program that provides a variety of health, social, recreational, and related support
175	177		85
176	178		services in a protective setting.
177	179		86
178	180		(3) "Applicant" means a person that applies for an initial license or a license renewal under
179	181		87
180	182		this part.
181	183		88
182	184		(4)(a) "Associated with the licensee" means that an individual is:
183	185		89
184	186		(i) affiliated with a licensee as an owner, director, member of the governing body,
185	187		90
186	188		employee, agent, provider of care, department contractor, or volunteer; or
187	189		91
188	190		(ii) applying to become affiliated with a licensee in a capacity described in
189	191		92
190	192		Subsection (4)(a)(i).
191	193		93
192	194		(b) "Associated with the licensee" does not include:
193	195		94
194	196		(i) service on the following bodies, unless that service includes direct access to a
195	197		95
196	198		child or a vulnerable adult:
197		-	- 3 - H.B. 347 Enrolled Copy
198	199		96
199	200		(A) a local mental health authority described in Section 17-43-301;
	201	+	- 3 - 4th Sub. (Green) H.B. 347 03-06 15:06
200	202		97
201	203		(B) a local substance abuse authority described in Section 17-43-201; or
202	204		98
203	205		(C) a board of an organization operating under a contract to provide mental health
204	206		99
205	207		or substance use programs, or services for the local mental health authority or
206	208		100
207	209		substance abuse authority; or
208	210		101
209	211		(ii) a guest or visitor whose access to a child or a vulnerable adult is directly
210	212		102
211	213		supervised at all times.
212	214		103
213	215		(5)(a) "Boarding school" means a private school that:
214	216		104
215	217		(i) uses a regionally accredited education program;
216	218		105
217	219		(ii) provides a residence to the school's students:
218	220		106
219	221		(A) for the purpose of enabling the school's students to attend classes at the
220	222		107
221	223		school; and
222	224		108
223	225		(B) as an ancillary service to educating the students at the school;
224	226		109
225	227		(iii) has the primary purpose of providing the school's students with an education, as
226	228		110
227	229		defined in Subsection (5)(b)(i); and
228	230		111
229	231		(iv)(A) does not provide the treatment or services described in Subsection [(40)(a)]
230	232		112
231	233		(41)(a); or
232	234		113
233	235		(B) provides the treatment or services described in Subsection [(40)(a)] (41)(a) on
234	236		114
235	237		a limited basis, as described in Subsection (5)(b)(ii).
236	238		115
237	239		(b)(i) For purposes of Subsection (5)(a)(iii), "education" means a course of study for
238	240		116
239	241		one or more grades from kindergarten through grade 12.
240	242		117
241	243		(ii) For purposes of Subsection (5)(a)(iv)(B), a private school provides the treatment
242	244		118
243	245		or services described in Subsection [(40)(a)] (41)(a) on a limited basis if:
244	246		119
245	247		(A) the treatment or services described in Subsection [(40)(a)] (41)(a) are provided
246	248		120
247	249		only as an incidental service to a student; and
248	250		121
249	251		(B) the school does not:
250	252		122
251	253		(I) specifically solicit a student for the purpose of providing the treatment or
252	254		123
253	255		services described in Subsection [(40)(a)] (41)(a); or
254	256		124
255	257		(II) have a primary purpose of providing the treatment or services described in
256	258		125
257	259		Subsection [(40)(a)] (41)(a).
258	260		126
259	261		(c) "Boarding school" does not include a therapeutic school.
260	262		127
261	263		(6) "Certification" means a less restrictive level of licensure issued by the department.
262	264		128
263	265		(7) "Child" means an individual under 18 years old.
264	266		129
265	267		(8) "Child placing" means receiving, accepting, or providing custody or care for any child,
266		-	- 4 - Enrolled Copy H.B. 347
267	268		130
268	269		temporarily or permanently, for the purpose of:
	270	+	- 4 - 03-06 15:06 4th Sub. (Green) H.B. 347
269	271		131
270	272		(a) finding a person to adopt the child;
271	273		132
272	274		(b) placing the child in a home for adoption; or
273	275		133
274	276		(c) foster home placement.
275	277		134
276	278		(9) "Child-placing agency" means a person that engages in child placing.
277	279		135
278	280		(10) "Client" means an individual who receives or has received services from a licensee.
279	281		136
280	282		(11)(a) "Congregate care program" means any of the following that provide services to a
281	283		137
282	284		child:
283	285		138
284	286		(i) an outdoor youth program;
285	287		139
286	288		(ii) a residential support program;
287	289		140
288	290		(iii) a residential treatment program; or
289	291		141
290	292		(iv) a therapeutic school.
291	293		142
292	294		(b) "Congregate care program" does not include a human services program that:
293	295		143
294	296		(i) is licensed to serve adults; and
295	297		144
296	298		(ii) is approved by the office to service a child for a limited time.
297	299		145
298	300		(12) "Day treatment" means specialized treatment that is provided to:
299	301		146
300	302		(a) a client less than 24 hours a day; and
301	303		147
302	304		(b) four or more persons who:
303	305		148
304	306		(i) are unrelated to the owner or provider; and
305	307		149
306	308		(ii) have emotional, psychological, developmental, physical, or behavioral
307	309		150
308	310		dysfunctions, impairments, or chemical dependencies.
309	311		151
310	312		(13) "Department contractor" means an individual who:
311	313		152
312	314		(a) provides services under a contract with the department; and
313	315		153
314	316		(b) due to the contract with the department, has or will likely have direct access to a
315	317		154
316	318		child or vulnerable adult.
317	319		155
318	320		(14) "Direct access" means that an individual has, or likely will have:
319	321		156
320	322		(a) contact with or access to a child or vulnerable adult that provides the individual with
321	323		157
322	324		an opportunity for personal communication or touch; or
323	325		158
324	326		(b) an opportunity to view medical, financial, or other confidential personal identifying
325	327		159
326	328		information of the child, the child's parents or legal guardians, or the vulnerable adult.
327	329		160
328	330		(15) "Directly supervised" means that an individual is being supervised under the
329	331		161
330	332		uninterrupted visual and auditory surveillance of another individual who has a current
331	333		162
332	334		background check approval issued by the office.
333	335		163
334	336		(16) "Director" means the director of the office.
335		-	- 5 - H.B. 347 Enrolled Copy
336	337		164
337	338		(17) "Domestic violence" means the same as that term is defined in Section 77-36-1.
	339	+	- 5 - 4th Sub. (Green) H.B. 347 03-06 15:06
338	340		165
339	341		(18) "Domestic violence treatment program" means a nonresidential program designed to
340	342		166
341	343		provide psychological treatment and educational services to perpetrators and victims of
342	344		167
343	345		domestic violence.
344	346		168
345	347		(19) "Elder adult" means a person 65 years old or older.
346	348		169
347	349		(20) "Emergency safety intervention" means a tactic used to protect staff or a client from
348	350		170
349	351		being physically injured, utilized by an appropriately trained direct care staff and only
350	352		171
351	353		performed in accordance with a nationally or regionally recognized curriculum in the
352	354		172
353	355		least restrictive manner to restore staff or client safety.
354	356		173
355	357		(21) "Foster home" means a residence that is licensed or certified by the office for the
356	358		174
357	359		full-time substitute care of a child.
358	360		175
359	361		(22) "Health benefit plan" means the same as that term is defined in Section 31A-22-634.
360	362		176
361	363		(23) "Health care provider" means the same as that term is defined in Section 78B-3-403.
362	364		177
363	365		(24) "Health insurer" means the same as that term is defined in Section 31A-22-615.5.
364	366		178
365	367		(25)(a) "Human services program" means:
366	368		179
367	369		(i) a foster home;
368	370		180
369	371		(ii) a therapeutic school;
370	372		181
371	373		(iii) a youth program;
372	374		182
373	375		(iv) an outdoor youth program;
374	376		183
375	377		(v) a residential treatment program;
376	378		184
377	379		(vi) a residential support program;
378	380		185
379	381		(vii) a resource family home;
380	382		186
381	383		(viii) a recovery residence; or
382	384		187
383	385		(ix) a facility or program that provides:
384	386		188
385	387		(A) adult day care;
386	388		189
387	389		(B) day treatment;
388	390		190
389	391		(C) outpatient treatment;
390	392		191
391	393		(D) domestic violence treatment;
392	394		192
393	395		(E) child-placing services;
394	396		193
395	397		(F) social detoxification; or
396	398		194
397	399		(G) any other human services that are required by contract with the department to
398	400		195
399	401		be licensed with the department.
400	402		196
401	403		(b) "Human services program" does not include:
402	404		197
403	405		(i) a boarding school;
404		-	- 6 - Enrolled Copy H.B. 347
405	406		198
406	407		(ii) a residential, vocational and life skills program, as defined in Section 13-53-102;
	408	+	- 6 - 03-06 15:06 4th Sub. (Green) H.B. 347
407	409		199
408	410		or
409	411		200
410	412		(iii) a short-term relief care provider.
411	413		201
412	414		(26) "Indian child" means the same as that term is defined in 25 U.S.C. Sec. 1903.
413	415		202
414	416		(27) "Indian country" means the same as that term is defined in 18 U.S.C. Sec. 1151.
415	417		203
416	418		(28) "Indian tribe" means the same as that term is defined in 25 U.S.C. Sec. 1903.
417	419		204
418	420		(29) "Intermediate secure treatment" means 24-hour specialized residential treatment or
419	421		205
420	422		care for an individual who:
421	423		206
422	424		(a) cannot live independently or in a less restrictive environment; and
423	425		207
424	426		(b) requires, without the individual's consent or control, the use of locked doors to care
425	427		208
426	428		for the individual.
427	429		209
428	430		(30) "Licensee" means an individual or a human services program licensed by the office.
429	431		210
430	432		(31) "Local government" means a city, town, or county.
431	433		211
432	434		(32) "Mental health treatment program" means a program that:
433	435		212
434	436		(a) is a structured intervention; and
435	437		213
436	438		(b) is used to improve mental health, prevent mental disorders, and treat mental health
437	439		214
438	440		conditions.
439	441		215
440	442		[(32)] (33) "Minor" means child.
441	443		216
442	444		[(33)] (34) "Office" means the Office of Licensing within the department.
443	445		217
444	446		[(34)] (35) "Outdoor youth program" means a program that provides:
445	447		218
446	448		(a) services to a child that has:
447	449		219
448	450		(i) a chemical dependency; or
449	451		220
450	452		(ii) a dysfunction or impairment that is emotional, psychological, developmental,
451	453		221
452	454		physical, or behavioral;
453	455		222
454	456		(b) a 24-hour outdoor group living environment; and
455	457		223
456	458		(c)(i) regular therapy, including group, individual, or supportive family therapy; or
457	459		224
458	460		(ii) informal therapy or similar services, including wilderness therapy, adventure
459	461		225
460	462		therapy, or outdoor behavioral healthcare.
461	463		226
462	464		[(35)] (36) "Outpatient treatment" means individual, family, or group therapy or counseling
463	465		227
464	466		designed to improve and enhance social or psychological functioning for those whose
465	467		228
466	468		physical and emotional status allows them to continue functioning in their usual living
467	469		229
468	470		environment.
469	471		230
470	472		[(36)] (37) "Practice group" or "group practice" means two or more health care providers
471	473		231
472	474		legally organized as a partnership, professional corporation, or similar association, for
473		-	- 7 - H.B. 347 Enrolled Copy
474	475		232
475	476		which:
	477	+	- 7 - 4th Sub. (Green) H.B. 347 03-06 15:06
476	478		233
477	479		(a) substantially all of the services of the health care providers who are members of the
478	480		234
479	481		group are provided through the group and are billed in the name of the group and
480	482		235
481	483		amounts received are treated as receipts of the group; and
482	484		236
483	485		(b) the overhead expenses of and the income from the practice are distributed in
484	486		237
485	487		accordance with methods previously determined by members of the group.
486	488		238
487	489		[(37)] (38) "Private-placement child" means a child whose parent or guardian enters into a
488	490		239
489	491		contract with a congregate care program for the child to receive services.
490	492		240
491	493		[(38)] (39)(a) "Recovery residence" means a home, residence, or facility that meets at
492	494		241
493	495		least two of the following requirements:
494	496		242
495	497		(i) provides a supervised living environment for individuals recovering from a
496	498		243
497	499		substance use disorder;
498	500		244
499	501		(ii) provides a living environment in which more than half of the individuals in the
500	502		245
501	503		residence are recovering from a substance use disorder;
502	504		246
503	505		(iii) provides or arranges for residents to receive services related to the resident's
504	506		247
505	507		recovery from a substance use disorder, either on or off site;
506	508		248
507	509		(iv) is held out as a living environment in which individuals recovering from
508	510		249
509	511		substance abuse disorders live together to encourage continued sobriety; or
510	512		250
511	513		(v)(A) receives public funding; or
512	514		251
513	515		(B) is run as a business venture, either for-profit or not-for-profit.
514	516		252
515	517		(b) "Recovery residence" does not mean:
516	518		253
517	519		(i) a residential treatment program;
518	520		254
519	521		(ii) residential support program; or
520	522		255
521	523		(iii) a home, residence, or facility, in which:
522	524		256
523	525		(A) residents, by a majority vote of the residents, establish, implement, and
524	526		257
525	527		enforce policies governing the living environment, including the manner in
526	528		258
527	529		which applications for residence are approved and the manner in which
528	530		259
529	531		residents are expelled;
530	532		260
531	533		(B) residents equitably share rent and housing-related expenses; and
532	534		261
533	535		(C) a landlord, owner, or operator does not receive compensation, other than fair
534	536		262
535	537		market rental income, for establishing, implementing, or enforcing policies
536	538		263
537	539		governing the living environment.
538	540		264
539	541		[(39)] (40) "Regular business hours" means:
540	542		265
541	543		(a) the hours during which services of any kind are provided to a client; or
542		-	- 8 - Enrolled Copy H.B. 347
543	544		266
544	545		(b) the hours during which a client is present at the facility of a licensee.
	546	+	- 8 - 03-06 15:06 4th Sub. (Green) H.B. 347
545	547		267
546	548		[(40)] (41)(a) "Residential support program" means a program that arranges for or
547	549		268
548	550		provides the necessities of life as a protective service to individuals or families who
549	551		269
550	552		have a disability or who are experiencing a dislocation or emergency that prevents
551	553		270
552	554		them from providing these services for themselves or their families.
553	555		271
554	556		(b) "Residential support program" includes a program that provides a supervised living
555	557		272
556	558		environment for individuals with dysfunctions or impairments that are:
557	559		273
558	560		(i) emotional;
559	561		274
560	562		(ii) psychological;
561	563		275
562	564		(iii) developmental; or
563	565		276
564	566		(iv) behavioral.
565	567		277
566	568		(c) Treatment is not a necessary component of a residential support program.
567	569		278
568	570		(d) "Residential support program" does not include:
569	571		279
570	572		(i) a recovery residence; or
571	573		280
572	574		(ii) a program that provides residential services that are performed:
573	575		281
574	576		(A) exclusively under contract with the department and provided to individuals
575	577		282
576	578		through the Division of Services for People with Disabilities; or
577	579		283
578	580		(B) in a facility that serves fewer than four individuals.
579	581		284
580	582		[(41)] (42)(a) "Residential treatment" means a 24-hour group living environment for four
581	583		285
582	584		or more individuals unrelated to the owner or provider that offers room or board and
583	585		286
584	586		specialized treatment, behavior modification, rehabilitation, discipline, emotional
585	587		287
586	588		growth, or habilitation services for persons with emotional, psychological,
587	589		288
588	590		developmental, or behavioral dysfunctions, impairments, or chemical dependencies.
589	591		289
590	592		(b) "Residential treatment" does not include a:
591	593		290
592	594		(i) boarding school;
593	595		291
594	596		(ii) foster home; or
595	597		292
596	598		(iii) recovery residence.
597	599		293
598	600		[(42)] (43) "Residential treatment program" means a program or facility that provides:
599	601		294
600	602		(a) residential treatment; or
601	603		295
602	604		(b) intermediate secure treatment.
603	605		296
604	606		[(43)] (44) "Seclusion" means the involuntary confinement of an individual in a room or an
605	607		297
606	608		area:
607	609		298
608	610		(a) away from the individual's peers; and
609	611		299
610	612		(b) in a manner that physically prevents the individual from leaving the room or area.
611		-	- 9 - H.B. 347 Enrolled Copy
612	613		300
613	614		[(44)] (45) "Short-term relief care provider" means an individual who:
	615	+	- 9 - 4th Sub. (Green) H.B. 347 03-06 15:06
614	616		301
615	617		(a) provides short-term and temporary relief care to a foster parent:
616	618		302
617	619		(i) for less than six consecutive nights; and
618	620		303
619	621		(ii) in the short-term relief care provider's home;
620	622		304
621	623		(b) is an immediate family member or relative, as those terms are defined in Section
622	624		305
623	625		80-3-102, of the foster parent;
624	626		306
625	627		(c) is direct access qualified, as that term is defined in Section 26B-2-120;
626	628		307
627	629		(d) has been approved to provide short-term relief care by the department;
628	630		308
629	631		(e) is not reimbursed by the department for the temporary relief care provided; and
630	632		309
631	633		(f) is not an immediate family member or relative, as those terms are defined in Section
632	634		310
633	635		80-3-102, of the foster child.
634	636		311
635	637		[(45)] (46) "Social detoxification" means short-term residential services for persons who are
636	638		312
637	639		experiencing or have recently experienced drug or alcohol intoxication, that are provided
638	640		313
639	641		outside of a health care facility licensed under Part 2, Health Care Facility Licensing and
640	642		314
641	643		Inspection, and that include:
642	644		315
643	645		(a) room and board for persons who are unrelated to the owner or manager of the facility;
644	646		316
645	647		(b) specialized rehabilitation to acquire sobriety; and
646	648		317
647	649		(c) aftercare services.
648	650		318
649	651		[(46)] (47) "Substance abuse disorder" or "substance use disorder" mean the same as
650	652		319
651	653		"substance use disorder" is defined in Section 26B-5-501.
652	654		320
653	655		[(47)] (48) "Substance abuse treatment program" or "substance use disorder treatment
654	656		321
655	657		program" means a program:
656	658		322
657	659		(a) designed to provide:
658	660		323
659	661		(i) specialized drug or alcohol treatment;
660	662		324
661	663		(ii) rehabilitation; or
662	664		325
663	665		(iii) habilitation services; and
664	666		326
665	667		(b) that provides the treatment or services described in Subsection [(47)(a)] (48)(a) to
666	668		327
667	669		persons with:
668	670		328
669	671		(i) a diagnosed substance use disorder; or
670	672		329
671	673		(ii) chemical dependency disorder.
672	674		330
673	675		[(48)] (49) "Therapeutic school" means a residential group living facility:
674	676		331
675	677		(a) for four or more individuals that are not related to:
676	678		332
677	679		(i) the owner of the facility; or
678	680		333
679	681		(ii) the primary service provider of the facility;
680		-	- 10 - Enrolled Copy H.B. 347
681	682		334
682	683		(b) that serves students who have a history of failing to function:
	684	+	- 10 - 03-06 15:06 4th Sub. (Green) H.B. 347
683	685		335
684	686		(i) at home;
685	687		336
686	688		(ii) in a public school; or
687	689		337
688	690		(iii) in a nonresidential private school; and
689	691		338
690	692		(c) that offers:
691	693		339
692	694		(i) room and board; and
693	695		340
694	696		(ii) an academic education integrated with:
695	697		341
696	698		(A) specialized structure and supervision; or
697	699		342
698	700		(B) services or treatment related to:
699	701		343
700	702		(I) a disability;
701	703		344
702	704		(II) emotional development;
703	705		345
704	706		(III) behavioral development;
705	707		346
706	708		(IV) familial development; or
707	709		347
708	710		(V) social development.
709	711		348
710	712		[(49)] (50) "Unrelated persons" means persons other than parents, legal guardians,
711	713		349
712	714		grandparents, brothers, sisters, uncles, or aunts.
713	715		350
714	716		[(50)] (51) "Vulnerable adult" means an elder adult or an adult who has a temporary or
715	717		351
716	718		permanent mental or physical impairment that substantially affects the person's ability to:
717	719		352
718	720		(a) provide personal protection;
719	721		353
720	722		(b) provide necessities such as food, shelter, clothing, or mental or other health care;
721	723		354
722	724		(c) obtain services necessary for health, safety, or welfare;
723	725		355
724	726		(d) carry out the activities of daily living;
725	727		356
726	728		(e) manage the adult's own resources; or
727	729		357
728	730		(f) comprehend the nature and consequences of remaining in a situation of abuse,
729	731		358
730	732		neglect, or exploitation.
731	733		359
732	734		[(51)] (52)(a) "Youth program" means a program designed to provide behavioral,
733	735		360
734	736		substance use, or mental health services to minors that:
735	737		361
736	738		(i) serves adjudicated or nonadjudicated youth;
737	739		362
738	740		(ii) charges a fee for the program's services;
739	741		363
740	742		(iii) may provide host homes or other arrangements for overnight accommodation of
741	743		364
742	744		the youth;
743	745		365
744	746		(iv) may provide all or part of the program's services in the outdoors;
745	747		366
746	748		(v) may limit or censor access to parents or guardians; and
747	749		367
748	750		(vi) prohibits or restricts a minor's ability to leave the program at any time of the
749		-	- 11 - H.B. 347 Enrolled Copy
750	751		368
751	752		minor's own free will.
	753	+	- 11 - 4th Sub. (Green) H.B. 347 03-06 15:06
752	754		369
753	755		(b) "Youth program" does not include recreational programs such as Boy Scouts, Girl
754	756		370
755	757		Scouts, 4-H, and other such organizations.
756	758		371
757	759		[(52)] (53)(a) "Youth transportation company" means any person that transports a child
758	760		372
759	761		for payment to or from a congregate care program in Utah.
760	762		373
761	763		(b) "Youth transportation company" does not include:
762	764		374
763	765		(i) a relative of the child;
764	766		375
765	767		(ii) a state agency; or
766	768		376
767	769		(iii) a congregate care program's employee who transports the child from the
768	770		377
769	771		congregate care program that employs the employee and returns the child to the
770	772		378
771	773		same congregate care program.
772	774		379
773	775		Section 3. Section 26B-2-110 is enacted to read:
774	776		380
775	777		26B-2-110 (Effective 05/07/25). Adult substance use and mental health providers.
776	778		381
777	779		(1) As used in this section:
778	780		382
779	781		(a) "Deemed site" means a site:
780	782		383
781	783		(i) operated by a licensee; and
782	784		384
783	785		(ii) that is approved by the department in accordance with Subsection (2).
784	786		385
785	787		(b) "Good standing" means:
786	788		386
787	789		(i) that a licensee has not had a violation that is considered by the department as
788	790		387
789	791		moderate, high, or extreme noncompliance in the previous 24 months; and
790	792		388
791	793		(ii) does not have outstanding fees or civil money penalties owed to the department.
792	794		389
793	795		(c) "Licensee" means a substance abuse treatment program or mental health treatment
794	796		390
795	797		program.
796	798		391
797	799		(2)(a) The department may approve a site operated by a licensee as a deemed site if:
798	800		392
799	801		(i) the licensee meets the requirements of Subsection (2)(b); and
800	802		393
801	803		(ii) at the time of licensure or renewal, the licensee is in good standing.
802	804		394
803	805		(b) A deemed site:
804	806		395
805	807		(i) may not serve an individual that is not at least 18 years old;
806	808		396
807	809		(ii) shall be accredited by a national accrediting organization that is recognized by the
808	810		397
809	811		department through rule; and
810	812		398
811	813		(iii) shall provide the department with documentation from the accrediting
812	814		399
813	815		organization that includes:
814	816		400
815	817		(A) inspection reports;
816	818		401
817	819		(B) findings;
818		-	- 12 - Enrolled Copy H.B. 347
819	820		402
820	821		(C) plans of correction issued by the accrediting organization; and
	822	+	- 12 - 03-06 15:06 4th Sub. (Green) H.B. 347
821	823		403
822	824		(D) progress reports on any plan of correction required by the accrediting
823	825		404
824	826		organization.
825	827		405
826	828		(3)(a) A licensee may opt-out of on-site renewal inspections conducted by the
827	829		406
828	830		department for a deemed site.
829	831		407
830	832		(b) Notwithstanding Subsection (3)(a), the department may investigate complaints or
831	833		408
832	834		incidents involving the deemed site.
833	835		409
834	836		(c) A licensee is still subject to all renewal licensing fees for a deemed site.
835	837		410
836	838		(4) The department shall revoke a licensee's deemed site status if:
837	839		411
838	840		(a) a compliance or incident investigation of the deemed site results in a moderate, high,
839	841		412
840	842		or extreme noncompliance violation;
841	843		413
842	844		(b) the licensee does not submit accreditation documentation described in Subsection
843	845		414
844	846		(2)(b)(iii) for the deemed site; or
845	847		415
846	848		(c) documentation from the accrediting organization shows any findings that equate to a
847	849		416
848	850		moderate, high, or extreme noncompliance violation in a state licensing finding for
849	851		417
850	852		the deemed site.
851	853		418
852	854		(5)(a) If a licensee has multiple sites, the department shall consider whether a site
853	855		419
854	856		becomes a deemed site through a separate evaluation described in Subsection (2).
855	857		420
856	858		(b) The revocation of deemed status for a site does not cause the revocation of deemed
857	859		421
858	860		status for another of a licensee's deemed sites unless the conditions listed in
859	861		422
860	862		Subsection (4) apply to each site that is subject to losing the site's deemed site status.
861	863		423
862	864		(6) Information received by the department from a licensee pertaining to that licensee's
863	865		424
864	866		accreditation by a voluntary accrediting organization, shall be private data except for a
865	867		425
866	868		summary prepared by the department related to licensure standards.
867	869		426
868	870		(7) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
869	871		427
870	872		office shall make rules to implement and enforce this section.
871	873		428
872	874		Section 4. Section 26B-3-105 is amended to read:
873	875		429
874	876		26B-3-105 (Effective 07/01/25). Medicaid drug program -- Preferred drug list.
875	877		430
876	878		(1) As used in this section:
877	879		431
878	880		(a) "Immunosuppressive drug" means a drug that:
879	881		432
880	882		(i) is used in immunosuppressive therapy to inhibit or prevent activity of the immune
881	883		433
882	884		system to aid the body in preventing the rejection of transplanted organs and
883	885		434
884	886		tissue; and
885	887		435
886	888		(ii) does not include drugs used for the treatment of autoimmune disease or diseases
887		-	- 13 - H.B. 347 Enrolled Copy
888	889		436
889	890		that are most likely of autoimmune origin.
	891	+	- 13 - 4th Sub. (Green) H.B. 347 03-06 15:06
890	892		437
891	893		(b) "Psychotropic drug" means the following classes of drugs:
892	894		438
893	895		(i) anti-depressant;
894	896		439
895	897		(ii) anti-convulsant/mood stabilizer;
896	898		440
897	899		(iii) anti-anxiety; and
898	900		441
899	901		(iv) attention deficit hyperactivity disorder stimulant.
900	902		442
901	903		(c) "Stabilized" means a health care provider has documented in the patient's medical
902	904		443
903	905		chart that a patient has achieved a stable or steadfast medical state within the past 90
904	906		444
905	907		days.
906	908		445
907	909		(2) A Medicaid drug program developed by the department under Subsection
908	910		446
909	911		26B-3-104(2)(f):
910	912		447
911	913		(a) shall, notwithstanding Subsection 26B-3-104(1)(b), be based on clinical and
912	914		448
913	915		cost-related factors which include medical necessity as determined by a provider in
914	916		449
915	917		accordance with administrative rules established by the Drug Utilization Review
916	918		450
917	919		Board;
918	920		451
919	921		(b) may include therapeutic categories of drugs that may be exempted from the drug
920	922		452
921	923		program;
922	924		453
923	925		(c) notwithstanding Section 58-17b-606, may include placing some drugs[, except the
924	926		454
925	927		drugs described in Subsection (2),] on a preferred drug list:
926	928		455
927	929		(i) to the extent determined appropriate by the department; and
928	930		456
929	931		(ii) in the manner described in Subsection [(3)] (4) for [psychotropic] atypical
930	932		457
931	933		anti-psychotic drugs;
932	934		458
933	935		(d) notwithstanding the requirements of Sections 26B-3-302 through 26B-3-309
934	936		459
935	937		regarding the Drug Utilization Review Board, and except as provided in Subsection [
936	938		460
937	939		(3)] (4), shall immediately implement the prior authorization requirements for a
938	940		461
939	941		nonpreferred drug that is in the same therapeutic class as a drug that is:
940	942		462
941	943		(i) on the preferred drug list on the date that this act takes effect; or
942	944		463
943	945		(ii) added to the preferred drug list after this act takes effect; and
944	946		464
945	947		(e) except as prohibited by Subsections 58-17b-606(4) and (5), shall establish the prior
946	948		465
947	949		authorization requirements [established under Subsections (1)(c) and (d) ]which shall
948	950		466
949	951		permit a health care provider or the health care provider's agent to obtain a prior
950	952		467
951	953		authorization override of the preferred drug list through the department's pharmacy
952	954		468
953	955		prior authorization review process, and which shall:
954	956		469
955	957		(i) provide either telephone or fax approval or denial of the request within 24 hours of
956		-	- 14 - Enrolled Copy H.B. 347
957	958		470
958	959		the receipt of a request that is submitted during normal business hours of Monday
	960	+	- 14 - 03-06 15:06 4th Sub. (Green) H.B. 347
959	961		471
960	962		through Friday from 8 a.m. to 5 p.m.;
961	963		472
962	964		(ii) provide for the dispensing of a limited supply of a requested drug as determined
963	965		473
964	966		appropriate by the department in an emergency situation, if the request for an
965	967		474
966	968		override is received outside of the department's normal business hours; and
967	969		475
968	970		(iii) require the health care provider to provide the department with documentation of
969	971		476
970	972		the medical need for the preferred drug list override in accordance with criteria
971	973		477
972	974		established by the department in consultation with the Pharmacy and Therapeutics
973	975		478
974	976		Committee.
975	977		479
976	978		[(2)] (3)[(a) As used in this Subsection (2):]
977	979		480
978	980		[(i) "Immunosuppressive drug":]
979	981		481
980	982		[(A) means a drug that is used in immunosuppressive therapy to inhibit or prevent
981	983		482
982	984		activity of the immune system to aid the body in preventing the rejection of
983	985		483
984	986		transplanted organs and tissue; and]
985	987		484
986	988		[(B) does not include drugs used for the treatment of autoimmune disease or
987	989		485
988	990		diseases that are most likely of autoimmune origin.]
989	991		486
990	992		[(ii) "Stabilized" means a health care provider has documented in the patient's
991	993		487
992	994		medical chart that a patient has achieved a stable or steadfast medical state within
993	995		488
994	996		the past 90 days using a particular psychotropic drug.]
995	997		489
996		-	[(b)] ~~(a) A preferred drug list developed under the provisions of this section may not~~
	998	+	[(b)]
997	999		490
998		-	~~include an immunosuppressive~~ drug.
	1000	+	(a) A preferred drug list developed under the provisions of this section may not include
999	1001		491
1000		-	~~[(c)] (i)[(i)] The state Medicaid program shall reimburse for a prescription for an~~
	1002	+	an immunosuppressive drug.
1001	1003		492
1002		-	~~immunosuppressive drug as written by the health care provider for a patient who~~
	1004	+	[(c)]
1003	1005		493
1004		-	~~has undergone~~ an ~~organ transplant.~~
	1006	+	[(i)] (b) The state Medicaid program shall reimburse for a prescription for an
1005	1007		494
1006		-	~~(ii)~~ For ~~purposes of Subsection 58-17b-606(4), and with respect to patients~~ who ~~have~~
	1008	+	immunosuppressive drug as written by the health care provider for a patient who has
1007	1009		495
1008		-	undergone an organ transplant~~, the prescription for a particular~~
	1010	+	undergone an organ transplant.
1009	1011		496
	1012	+	[(ii)] (c) For purposes of Subsection 58-17b-606(4), and with respect to patients who
	1013	+	497
	1014	+	have undergone an organ transplant, the prescription for a particular
	1015	+	498
1010	1016		immunosuppressive drug as written by a health care provider meets the criteria of
1011		-	~~497~~
	1017	+	499
1012	1018		demonstrating to the department a medical necessity for dispensing the prescribed
1013		-	~~498~~
	1019	+	500
1014	1020		immunosuppressive drug.
1015		-	499
1016		-	[(d)] (iii) Notwithstanding the requirements of Sections 26B-3-302 through 26B-3-309
1017		-	500
1018		-	regarding the Drug Utilization Review Board, the state Medicaid drug program
1019	1021		501
1020		-	~~may not require~~ the ~~use~~ of ~~step therapy for immunosuppressive drugs without the~~
	1022	+	(d) Notwithstanding the requirements of Sections 26B-3-302 through 26B-3-309
1021	1023		502
1022		-	~~written or oral consent of~~ the ~~health care provider and~~ the ~~patient.~~
	1024	+	regarding the Drug Utilization Review Board, the state Medicaid drug program may
1023	1025		503
	1026	+	not require the use of step therapy for immunosuppressive drugs without the written
	1027	+	504
	1028	+	or oral consent of the health care provider and the patient.
	1029	+	- 15 - 4th Sub. (Green) H.B. 347 03-06 15:06
	1030	+	505
1024	1031		[(e) The department may include a sedative hypnotic on a preferred drug list in
1025		-	- 15 - H.B. 347 Enrolled Copy
1026		-	504
	1032	+	506
1027	1033		accordance with Subsection (2)(f).]
1028		-	~~505~~
	1034	+	507
1029	1035		[(f) The department shall grant a prior authorization for a sedative hypnotic that is not on
1030		-	~~506~~
	1036	+	508
1031	1037		the preferred drug list under Subsection (2)(e), if the health care provider has
1032		-	~~507~~
	1038	+	509
1033	1039		documentation related to one of the following conditions for the Medicaid client:]
1034		-	~~508~~
	1040	+	510
1035	1041		[(i) a trial and failure of at least one preferred agent in the drug class, including the
1036		-	~~509~~
	1042	+	511
1037	1043		name of the preferred drug that was tried, the length of therapy, and the reason for
1038		-	~~510~~
	1044	+	512
1039	1045		the discontinuation;]
1040		-	~~511~~
	1046	+	513
1041	1047		[(ii) detailed evidence of a potential drug interaction between current medication and
1042		-	~~512~~
	1048	+	514
1043	1049		the preferred drug;]
1044		-	~~513~~
	1050	+	515
1045	1051		[(iii) detailed evidence of a condition or contraindication that prevents the use of the
1046		-	~~514~~
	1052	+	516
1047	1053		preferred drug;]
1048		-	~~515~~
	1054	+	517
1049	1055		[(iv) objective clinical evidence that a patient is at high risk of adverse events due to
1050		-	~~516~~
	1056	+	518
1051	1057		a therapeutic interchange with a preferred drug;]
1052		-	~~517~~
	1058	+	519
1053	1059		[(v) the patient is a new or previous Medicaid client with an existing diagnosis
1054		-	~~518~~
	1060	+	520
1055	1061		previously stabilized with a nonpreferred drug; or]
1056		-	~~519~~
	1062	+	521
1057	1063		[(vi) other valid reasons as determined by the department.]
1058		-	~~520~~
	1064	+	522
1059	1065		[(g) A prior authorization granted under Subsection (2)(f) is valid for one year from the
1060		-	~~521~~
	1066	+	523
1061	1067		date the department grants the prior authorization and shall be renewed in accordance
1062		-	~~522~~
	1068	+	524
1063	1069		with Subsection (2)(f).]
1064		-	~~523~~
	1070	+	525
1065	1071		[(3)] (4)[(a) As used in this Subsection (3), "psychotropic drug" means the following
1066		-	~~524~~
	1072	+	526
1067	1073		classes of drugs:]
1068		-	~~525~~
	1074	+	527
1069	1075		[(i) atypical anti-psychotic;]
1070		-	~~526~~
	1076	+	528
1071	1077		[(ii) anti-depressant;]
1072		-	~~527~~
	1078	+	529
1073	1079		[(iii) anti-convulsant/mood stabilizer;]
1074		-	~~528~~
	1080	+	530
1075	1081		[(iv) anti-anxiety; and]
1076		-	~~529~~
	1082	+	531
1077	1083		[(v) attention deficit hyperactivity disorder stimulant.]
1078		-	~~530~~
	1084	+	532
1079	1085		[(b)] (a)(i) The department shall [develop a preferred drug list for psychotropic drugs]
1080		-	~~531~~
	1086	+	533
1081	1087		include atypical anti-psychotic drugs on the preferred drug list.
1082		-	~~532~~
	1088	+	534
1083	1089		(ii) [Except as provided in Subsection (3)(d), a preferred drug list for psychotropic
1084		-	~~533~~
	1090	+	535
1085	1091		drugs developed under this section] The department shall allow a health care
1086		-	~~534~~
	1092	+	536
1087	1093		provider to override the preferred drug list for an atypical anti-psychotic drug by
1088		-	~~535~~
	1094	+	537
1089	1095		writing "dispense as written" on the prescription for the [psychotropic] atypical
1090		-	~~536~~
	1096	+	538
1091	1097		anti-psychotic drug.
1092		-	537
	1098	+	- 16 - 03-06 15:06 4th Sub. (Green) H.B. 347
	1099	+	539
1093	1100		(iii) A health care provider may not override Section 58-17b-606 by writing
1094		-	- 16 - Enrolled Copy H.B. 347
1095		-	538
	1101	+	540
1096	1102		"dispense as written" on a prescription.
1097		-	~~539~~
	1103	+	541
1098	1104		[(c)] (b) The department, and a Medicaid accountable care organization that is
1099		-	~~540~~
	1105	+	542
1100	1106		responsible for providing behavioral health, shall[:]
1101		-	~~541~~
	1107	+	543
1102	1108		[(i)] establish a system to:
1103		-	~~542~~
	1109	+	544
1104	1110		[(A)] (i) track health care provider prescribing patterns for [psychotropic] atypical
1105		-	~~543~~
	1111	+	545
1106	1112		anti-psychotic drugs;
1107		-	~~544~~
	1113	+	546
1108	1114		[(B)] (ii) educate health care providers who are not complying with the preferred drug
1109		-	~~545~~
	1115	+	547
1110	1116		list; and
1111		-	~~546~~
	1117	+	548
1112	1118		[(C)] (iii) implement peer to peer education for health care providers whose
1113		-	~~547~~
	1119	+	549
1114	1120		prescribing practices continue to not comply with the preferred drug list[; and] .
1115		-	~~548~~
	1121	+	550
1116	1122		[(ii) determine whether health care provider compliance with the preferred drug list is
1117		-	~~549~~
	1123	+	551
1118	1124		at least:]
1119		-	~~550~~
	1125	+	552
1120	1126		[(A) 55% of prescriptions by July 1, 2017;]
1121		-	~~551~~
	1127	+	553
1122	1128		[(B) 65% of prescriptions by July 1, 2018; and]
1123		-	~~552~~
	1129	+	554
1124	1130		[(C) 75% of prescriptions by July 1, 2019.]
1125		-	~~553~~
	1131	+	555
1126	1132		[(d) Beginning October 1, 2019, the department shall eliminate the dispense as written
1127		-	~~554~~
	1133	+	556
1128	1134		override for the preferred drug list, and shall implement a prior authorization system
1129		-	~~555~~
	1135	+	557
1130	1136		for psychotropic drugs, in accordance with Subsection (2)(f), if by July 1, 2019, the
1131		-	~~556~~
	1137	+	558
1132	1138		department has not realized annual savings from implementing the preferred drug list
1133		-	~~557~~
	1139	+	559
1134	1140		for psychotropic drugs of at least $750,000 General Fund savings.]
1135		-	~~558~~
	1141	+	560
1136	1142		(5) For enrollees that begin a psychotropic drug treatment on or after July 1, 2025, the
1137		-	~~559~~
	1143	+	561
1138	1144		department shall pay for a psychotropic drug that is not on the preferred drug list if the
1139		-	~~560~~
	1145	+	562
1140	1146		department, based on patient claims history or health care provider attestation, has
1141		-	~~561~~
	1147	+	563
1142	1148		evidence of:
1143		-	~~562~~
	1149	+	564
1144	1150		(a) an enrollee's trial and failure of a psychotropic drug on the preferred drug list that is
1145		-	~~563~~
	1151	+	565
1146	1152		equivalent or similar to the drug that is not on the preferred drug list in the last 365
1147		-	~~564~~
	1153	+	566
1148	1154		days; or
1149		-	~~565~~
	1155	+	567
1150	1156		(b) the enrollee being stabilized on the psychotropic drug that is not on the preferred
1151		-	~~566~~
	1157	+	568
1152	1158		drug list at the time of enrollment.
1153		-	~~567~~
	1159	+	569
1154	1160		Section 5. Section 26B-3-217 is amended to read:
1155		-	~~568~~
	1161	+	570
1156	1162		26B-3-217 (Effective 05/07/25). Medicaid waiver for coverage of qualified
1157		-	~~569~~
	1163	+	571
1158	1164		inmates leaving prison or jail.
1159		-	~~570~~
	1165	+	572
1160	1166		(1) As used in this section:
1161		-	571
	1167	+	- 17 - 4th Sub. (Green) H.B. 347 03-06 15:06
	1168	+	573
1162	1169		(a) "Certified community health worker" means an individual who has obtained the
1163		-	- 17 - H.B. 347 Enrolled Copy
1164		-	572
	1170	+	574
1165	1171		certification described in Section 26B-2-504.
1166		-	~~573~~
	1172	+	575
1167	1173		(b) "Correctional facility" means:
1168		-	~~574~~
	1174	+	576
1169	1175		(i) a county jail;
1170		-	~~575~~
	1176	+	577
1171	1177		(ii) a prison, penitentiary, or other institution operated by or under contract with the
1172		-	~~576~~
	1178	+	578
1173	1179		Department of Corrections for the confinement of an offender, as defined in
1174		-	~~577~~
	1180	+	579
1175	1181		Section 64-13-1; or
1176		-	~~578~~
	1182	+	580
1177	1183		(iii) a facility for secure confinement of minors operated by the Division of Juvenile
1178		-	~~579~~
	1184	+	581
1179	1185		Justice and Youth Services.
1180		-	~~580~~
	1186	+	582
1181	1187		[(b)] (c) "Limited Medicaid benefit" means:
1182		-	~~581~~
	1188	+	583
1183	1189		(i) reentry case management services;
1184		-	~~582~~
	1190	+	584
1185	1191		(ii) physical and behavioral health clinical services;
1186		-	~~583~~
	1192	+	585
1187	1193		(iii) medications and medication administration;
1188		-	~~584~~
	1194	+	586
1189	1195		(iv) medication-assisted treatment, including all United States Food and Drug
1190		-	~~585~~
	1196	+	587
1191	1197		Administration approved medications, including coverage for counseling; [and]
1192		-	~~586~~
	1198	+	588
1193	1199		(v) services provided by a certified community health worker; and
1194		-	~~587~~
	1200	+	589
1195	1201		[(v)] (vi) other services as determined by rule made in accordance with Title 63G,
1196		-	~~588~~
	1202	+	590
1197	1203		Chapter 3, Utah Administrative Rulemaking Act.
1198		-	~~589~~
	1204	+	591
1199	1205		[(c)] (d) "Qualified inmate" means an individual who:
1200		-	~~590~~
	1206	+	592
1201	1207		(i) is incarcerated in a correctional facility; and
1202		-	~~591~~
	1208	+	593
1203	1209		(ii) is ineligible for Medicaid as a result of incarceration but would otherwise qualify
1204		-	~~592~~
	1210	+	594
1205	1211		for Medicaid.
1206		-	~~593~~
	1212	+	595
1207	1213		(2) Subject to appropriation, before July 1, 2024, the division shall apply for a Medicaid
1208		-	~~594~~
	1214	+	596
1209	1215		waiver, or amend an existing Medicaid waiver application, with CMS to offer a program
1210		-	~~595~~
	1216	+	597
1211	1217		to provide a limited Medicaid benefit to a qualified inmate for up to 90 days
1212		-	~~596~~
	1218	+	598
1213	1219		immediately before the day on which the qualified inmate is released from a correctional
1214		-	~~597~~
	1220	+	599
1215	1221		facility.
1216		-	~~598~~
	1222	+	600
1217	1223		(3)(a) Savings to state and local funds that result from the use of federal funds provided
1218		-	~~599~~
	1224	+	601
1219	1225		under this section shall be used in accordance with a reinvestment plan as mandated
1220		-	~~600~~
	1226	+	602
1221	1227		by CMS.
1222		-	~~601~~
	1228	+	603
1223	1229		(b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
1224		-	~~602~~
	1230	+	604
1225	1231		department shall make rules for a participating county to establish a reinvestment
1226		-	~~603~~
	1232	+	605
1227	1233		plan described in Subsection (3)(a).
1228		-	~~604~~
	1234	+	606
1229	1235		(4) If the waiver or amended waiver described in Subsection (2) is approved, the
1230		-	605
	1236	+	- 18 - 03-06 15:06 4th Sub. (Green) H.B. 347
	1237	+	607
1231	1238		department shall report to the Health and Human Services Interim Committee each year
1232		-	- 18 - Enrolled Copy H.B. 347
1233		-	606
	1239	+	608
1234	1240		before November 30 while the waiver is in effect regarding:
1235		-	~~607~~
	1241	+	609
1236	1242		(a) the number of qualified inmates served under the program;
1237		-	~~608~~
	1243	+	610
1238	1244		(b) the cost of the program; and
1239		-	~~609~~
	1245	+	611
1240	1246		(c) the effectiveness of the program, including:
1241		-	~~610~~
	1247	+	612
1242	1248		(i) any reduction in the number of emergency room visits or hospitalizations by
1243		-	~~611~~
	1249	+	613
1244	1250		inmates after release from a correctional facility;
1245		-	~~612~~
	1251	+	614
1246	1252		(ii) any reduction in the number of inmates undergoing inpatient treatment after
1247		-	~~613~~
	1253	+	615
1248	1254		release from a correctional facility;
1249		-	~~614~~
	1255	+	616
1250	1256		(iii) any reduction in overdose rates and deaths of inmates after release from a
1251		-	~~615~~
	1257	+	617
1252	1258		correctional facility; and
1253		-	~~616~~
	1259	+	618
1254	1260		(iv) any other costs or benefits as a result of the program.
1255		-	~~617~~
	1261	+	619
1256	1262		(5) Before July 1, 2024, the department shall amend the Medicaid waiver related to housing
1257		-	~~618~~
	1263	+	620
1258	1264		support services to include an individual that was a qualified inmate within the previous
1259		-	~~619~~
	1265	+	621
1260	1266		12 months.
1261		-	~~620~~
	1267	+	622
1262	1268		(6) The department may elect to not apply for a Medicaid waiver or limit services described
1263		-	~~621~~
	1269	+	623
1264	1270		in this section based on appropriation.
1265		-	~~622~~
	1271	+	624
1266	1272		Section 6. Section 26B-5-101 is amended to read:
1267		-	~~623~~
	1273	+	625
1268	1274		26B-5-101 (Effective 05/07/25). Chapter definitions.
1269		-	~~624~~
	1275	+	626
1270	1276		As used in this chapter:
1271		-	~~625~~
	1277	+	627
1272	1278		(1) "Criminal risk factors" means a person's characteristics and behaviors that:
1273		-	~~626~~
	1279	+	628
1274	1280		(a) affect the person's risk of engaging in criminal behavior; and
1275		-	~~627~~
	1281	+	629
1276	1282		(b) are diminished when addressed by effective treatment, supervision, and other support
1277		-	~~628~~
	1283	+	630
1278	1284		resources, resulting in reduced risk of criminal behavior.
1279		-	~~629~~
	1285	+	631
1280	1286		(2) "Director" means the director appointed under Section 26B-5-103.
1281		-	~~630~~
	1287	+	632
1282	1288		(3) "Division" means the Division of Integrated Healthcare created in Section 26B-1-1202.
1283		-	~~631~~
	1289	+	633
1284	1290		(4) "Local mental health authority" means a county legislative body.
1285		-	~~632~~
	1291	+	634
1286	1292		(5) "Local substance abuse authority" means a county legislative body.
1287		-	~~633~~
	1293	+	635
1288	1294		(6) "Mental health crisis" means:
1289		-	~~634~~
	1295	+	636
1290	1296		(a) a mental health condition that manifests in an individual by symptoms of sufficient
1291		-	~~635~~
	1297	+	637
1292	1298		severity that a prudent layperson who possesses an average knowledge of mental
1293		-	~~636~~
	1299	+	638
1294	1300		health issues could reasonably expect the absence of immediate attention or
1295		-	~~637~~
	1301	+	639
1296	1302		intervention to result in:
1297		-	~~638~~
	1303	+	640
1298	1304		(i) serious danger to the individual's health or well-being; or
1299		-	639
	1305	+	- 19 - 4th Sub. (Green) H.B. 347 03-06 15:06
	1306	+	641
1300	1307		(ii) a danger to the health or well-being of others; or
1301		-	- 19 - H.B. 347 Enrolled Copy
1302		-	640
	1308	+	642
1303	1309		(b) a mental health condition that, in the opinion of a mental health therapist or the
1304		-	~~641~~
	1310	+	643
1305	1311		therapist's designee, requires direct professional observation or intervention.
1306		-	~~642~~
	1312	+	644
1307	1313		(7) "Mental health crisis response training" means community-based training that educates
1308		-	~~643~~
	1314	+	645
1309	1315		laypersons and professionals on the warning signs of a mental health crisis and how to
1310		-	~~644~~
	1316	+	646
1311	1317		respond.
1312		-	~~645~~
	1318	+	647
1313	1319		(8) "Mental health crisis services" means an array of services provided to an individual who
1314		-	~~646~~
	1320	+	648
1315	1321		experiences a mental health crisis, which may include:
1316		-	~~647~~
	1322	+	649
1317	1323		(a) direct mental health services;
1318		-	~~648~~
	1324	+	650
1319	1325		(b) on-site intervention provided by a mobile crisis outreach team;
1320		-	~~649~~
	1326	+	651
1321	1327		(c) the provision of safety and care plans;
1322		-	~~650~~
	1328	+	652
1323	1329		(d) prolonged mental health services for up to 90 days after the day on which an
1324		-	~~651~~
	1330	+	653
1325	1331		individual experiences a mental health crisis;
1326		-	~~652~~
	1332	+	654
1327	1333		(e) referrals to other community resources;
1328		-	~~653~~
	1334	+	655
1329	1335		(f) local mental health crisis lines; and
1330		-	~~654~~
	1336	+	656
1331	1337		(g) the statewide mental health crisis line.
1332		-	~~655~~
	1338	+	657
1333	1339		(9) "Mental health therapist" means the same as that term is defined in Section 58-60-102.
1334		-	~~656~~
	1340	+	658
1335	1341		(10) "Mobile crisis outreach team" or "MCOT" means a mobile team of medical and mental
1336		-	~~657~~
	1342	+	659
1337	1343		health professionals that, in coordination with local law enforcement and emergency
1338		-	~~658~~
	1344	+	660
1339	1345		medical service personnel, provides mental health crisis services.
1340		-	~~659~~
	1346	+	661
1341	1347		(11) "Office" means the Office of Substance Use and Mental Health created in Section
1342		-	~~660~~
	1348	+	662
1343	1349		26B-5-102.
1344		-	~~661~~
	1350	+	663
1345	1351		(12)(a) "Public funds" means federal money received from the department, and state
1346		-	~~662~~
	1352	+	664
1347	1353		money appropriated by the Legislature to the department, a county governing body,
1348		-	~~663~~
	1354	+	665
1349	1355		or a local substance abuse authority, or a local mental health authority for the
1350		-	~~664~~
	1356	+	666
1351	1357		purposes of providing substance abuse or mental health programs or services.
1352		-	~~665~~
	1358	+	667
1353	1359		(b) "Public funds" include federal and state money that has been transferred by a local
1354		-	~~666~~
	1360	+	668
1355	1361		substance abuse authority or a local mental health authority to a private provider
1356		-	~~667~~
	1362	+	669
1357	1363		under an annual or otherwise ongoing contract to provide comprehensive substance
1358		-	~~668~~
	1364	+	670
1359	1365		abuse or mental health programs or services for the local substance abuse authority or
1360		-	~~669~~
	1366	+	671
1361	1367		local mental health authority. The money maintains the nature of "public funds"
1362		-	~~670~~
	1368	+	672
1363	1369		while in the possession of the private entity that has an annual or otherwise ongoing
1364		-	~~671~~
	1370	+	673
1365	1371		contract with a local substance abuse authority or a local mental health authority to
1366		-	~~672~~
	1372	+	674
1367	1373		provide comprehensive substance use or mental health programs or services for the
1368		-	673
	1374	+	- 20 - 03-06 15:06 4th Sub. (Green) H.B. 347
	1375	+	675
1369	1376		local substance abuse authority or local mental health authority.
1370		-	- 20 - Enrolled Copy H.B. 347
1371		-	674
	1377	+	676
1372	1378		(c) Public funds received for the provision of services under substance use or mental
1373		-	~~675~~
	1379	+	677
1374	1380		health service plans may not be used for any other purpose except those authorized in
1375		-	~~676~~
	1381	+	678
1376	1382		the contract between the local mental health or substance abuse authority and
1377		-	~~677~~
	1383	+	679
1378	1384		provider for the provision of plan services.
1379		-	~~678~~
	1385	+	680
1380	1386		(13) "Severe mental disorder" means schizophrenia, major depression, bipolar disorders,
1381		-	~~679~~
	1387	+	681
1382	1388		delusional disorders, psychotic disorders, and other mental disorders as defined by the
1383		-	~~680~~
	1389	+	682
1384	1390		division.
1385		-	~~681~~
	1391	+	683
1386	1392		(14) "Stabilization services" means in-home services provided to a child with, or who is at
1387		-	~~682~~
	1393	+	684
1388	1394		risk for, complex emotional and behavioral needs, including teaching the child's parent
1389		-	~~683~~
	1395	+	685
1390	1396		or guardian skills to improve family functioning.
1391		-	~~684~~
	1397	+	686
1392	1398		(15) "Statewide mental health crisis line" means the same as that term is defined in Section
1393		-	~~685~~
	1399	+	687
1394	1400		26B-5-610.
1395		-	~~686~~
	1401	+	688
1396	1402		(16) "System of care" means a broad, flexible array of services and supports that:
1397		-	~~687~~
	1403	+	689
1398	1404		(a) serve a child with or who is at risk for complex emotional and behavioral needs;
1399		-	~~688~~
	1405	+	690
1400	1406		(b) are community based;
1401		-	~~689~~
	1407	+	691
1402	1408		(c) are informed about trauma;
1403		-	~~690~~
	1409	+	692
1404	1410		(d) build meaningful partnerships with families and children;
1405		-	~~691~~
	1411	+	693
1406	1412		(e) integrate service planning, service coordination, and management across state and
1407		-	~~692~~
	1413	+	694
1408	1414		local entities;
1409		-	~~693~~
	1415	+	695
1410	1416		(f) include individualized case planning;
1411		-	~~694~~
	1417	+	696
1412	1418		(g) provide management and policy infrastructure that supports a coordinated network of
1413		-	~~695~~
	1419	+	697
1414	1420		interdepartmental service providers, contractors, and service providers who are
1415		-	~~696~~
	1421	+	698
1416	1422		outside of the department; and
1417		-	~~697~~
	1423	+	699
1418	1424		(h) are guided by the type and variety of services needed by a child with or who is at risk
1419		-	~~698~~
	1425	+	700
1420	1426		for complex emotional and behavioral needs and by the child's family.
1421		-	~~699~~
	1427	+	701
1422	1428		[(17) "Targeted case management" means a service that assists Medicaid recipients in a
1423		-	~~700~~
	1429	+	702
1424	1430		target group to gain access to needed medical, social, educational, and other services.]
1425		-	~~701~~
	1431	+	703
1426	1432		Section 7. Section 26B-5-102 is amended to read:
1427		-	~~702~~
	1433	+	704
1428	1434		26B-5-102 (Effective 05/07/25). Division of Integrated Healthcare -- Office of
1429		-	~~703~~
	1435	+	705
1430	1436		Substance Use and Mental Health -- Creation -- Responsibilities.
1431		-	~~704~~
	1437	+	706
1432	1438		(1)(a) The Division of Integrated Healthcare shall exercise responsibility over the
1433		-	~~705~~
	1439	+	707
1434	1440		policymaking functions, regulatory and enforcement powers, rights, duties, and
1435		-	~~706~~
	1441	+	708
1436	1442		responsibilities outlined in state law that were previously vested in the Division of
1437		-	707
	1443	+	- 21 - 4th Sub. (Green) H.B. 347 03-06 15:06
	1444	+	709
1438	1445		Substance Abuse and Mental Health within the department, under the administration
1439		-	- 21 - H.B. 347 Enrolled Copy
1440		-	708
	1446	+	710
1441	1447		and general supervision of the executive director.
1442		-	~~709~~
	1448	+	711
1443	1449		(b) The division is the substance abuse authority and the mental health authority for this
1444		-	~~710~~
	1450	+	712
1445	1451		state.
1446		-	~~711~~
	1452	+	713
1447	1453		(c) There is created the Office of Substance Use and Mental Health within the division.
1448		-	~~712~~
	1454	+	714
1449	1455		(d) The office shall exercise the responsibilities, powers, rights, duties, and
1450		-	~~713~~
	1456	+	715
1451	1457		responsibilities assigned to the office by the executive director.
1452		-	~~714~~
	1458	+	716
1453	1459		(2) The division shall:
1454		-	715
1455		-	(a)[(i)] educate the general public regarding the nature and consequences of
1456		-	716
1457		-	substance use by promoting school and community-based prevention programs;
1458	1460		717
	1461	+	[(a)(i)] (a) educate the general public regarding the nature and consequences of substance
	1462	+	718
	1463	+	use by promoting school and community-based prevention programs;
	1464	+	719
1459	1465		[(ii)] (b) render support and assistance to public schools through approved school-based
1460		-	~~718~~
	1466	+	720
1461	1467		substance abuse education programs aimed at prevention of substance use;
1462		-	~~719~~
	1468	+	721
1463	1469		[(iii)] (c) promote or establish programs for the prevention of substance use within the
1464		-	~~720~~
	1470	+	722
1465	1471		community setting through community-based prevention programs;
1466		-	~~721~~
	1472	+	723
1467	1473		[(iv)] (d) cooperate with and assist treatment centers, recovery residences, and other
1468		-	~~722~~
	1474	+	724
1469	1475		organizations that provide services to individuals recovering from a substance use
1470		-	~~723~~
	1476	+	725
1471	1477		disorder, by identifying and disseminating information about effective practices and
1472		-	~~724~~
	1478	+	726
1473	1479		programs;
1474		-	~~725~~
	1480	+	727
1475	1481		[(v)] (e) promote integrated programs that address an individual's substance use, mental
1476		-	~~726~~
	1482	+	728
1477	1483		health, and physical health;
1478		-	~~727~~
	1484	+	729
1479	1485		[(vi)] (f) establish and promote an evidence-based continuum of screening, assessment,
1480		-	~~728~~
	1486	+	730
1481	1487		prevention, treatment, and recovery support services in the community for
1482		-	~~729~~
	1488	+	731
1483	1489		individuals with a substance use disorder or mental illness;
1484		-	~~730~~
	1490	+	732
1485	1491		[(vii)] (g) evaluate the effectiveness of programs described in this Subsection (2);
1486		-	~~731~~
	1492	+	733
1487	1493		[(viii)] (h) consider the impact of the programs described in this Subsection (2) on:
1488		-	~~732~~
	1494	+	734
1489	1495		[(A)] (i) emergency department utilization;
1490		-	~~733~~
	1496	+	735
1491	1497		[(B)] (ii) jail and prison populations;
1492		-	~~734~~
	1498	+	736
1493	1499		[(C)] (iii) the homeless population; and
1494		-	~~735~~
	1500	+	737
1495	1501		[(D)] (iv) the child welfare system; [and]
1496		-	~~736~~
	1502	+	738
1497	1503		[(ix)] (i) promote or establish programs for education and certification of instructors to
1498		-	~~737~~
	1504	+	739
1499	1505		educate individuals convicted of driving under the influence of alcohol or drugs or
1500		-	~~738~~
	1506	+	740
1501	1507		driving with any measurable controlled substance in the body;
1502		-	~~739~~
1503		-	[(b)] (j)~~[(i)]~~ collect and disseminate information pertaining to mental health;
1504		-	~~740~~
	1508	+	741
	1509	+	[(b)(i)] (j) collect and disseminate information pertaining to mental health;
	1510	+	742
1505	1511		[(ii)] (k) provide direction over the state hospital including approval of the state hospital's
1506		-	741
	1512	+	- 22 - 03-06 15:06 4th Sub. (Green) H.B. 347
	1513	+	743
1507	1514		budget, administrative policy, and coordination of services with local service plans;
1508		-	- 22 - Enrolled Copy H.B. 347
1509		-	742
	1515	+	744
1510	1516		[(iii)] (l) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
1511		-	~~743~~
	1517	+	745
1512	1518		Rulemaking Act, to educate families concerning mental illness and promote family
1513		-	~~744~~
	1519	+	746
1514	1520		involvement, when appropriate, and with patient consent, in the treatment program of
1515		-	~~745~~
	1521	+	747
1516	1522		a family member;
1517		-	~~746~~
	1523	+	748
1518	1524		[(iv)] (m) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
1519		-	~~747~~
	1525	+	749
1520	1526		Rulemaking Act, to direct that an individual receiving services through a local mental
1521		-	~~748~~
	1527	+	750
1522	1528		health authority or the Utah State Hospital be informed about and, if desired by the
1523		-	~~749~~
	1529	+	751
1524	1530		individual, provided assistance in the completion of a declaration for mental health
1525		-	~~750~~
	1531	+	752
1526	1532		treatment in accordance with Section 26B-5-313; [and]
1527		-	~~751~~
	1533	+	753
1528	1534		[(v)] (n) [to the extent authorized and in accordance with statute, ]make rules in
1529		-	~~752~~
	1535	+	754
1530	1536		accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that:
1531		-	~~753~~
	1537	+	755
1532	1538		[(A)] (i) [create a certification for targeted case management] certify an adult as a case
1533		-	~~754~~
	1539	+	756
1534	1540		manager, qualified to provide case management services within the state;
1535		-	~~755~~
	1541	+	757
1536	1542		[(B)] (ii) establish training and certification requirements;
1537		-	~~756~~
	1543	+	758
1538	1544		[(C)] (iii) specify the types of services each certificate holder is qualified to provide;
1539		-	~~757~~
	1545	+	759
1540	1546		[(D)] (iv) specify the type of supervision under which a certificate holder is required
1541		-	~~758~~
	1547	+	760
1542	1548		to operate; and
1543		-	~~759~~
	1549	+	761
1544	1550		[(E)] (v) specify continuing education and other requirements for maintaining or
1545		-	~~760~~
	1551	+	762
1546	1552		renewing certification;
1547		-	761
1548		-	[(c)] (o)[(i)] consult and coordinate with local substance abuse authorities and local
1549		-	762
1550		-	mental health authorities regarding programs and services;
1551	1553		763
	1554	+	[(c)(i)] (o) consult and coordinate with local substance abuse authorities and local mental
	1555	+	764
	1556	+	health authorities regarding programs and services;
	1557	+	765
1552	1558		[(ii)] (p) provide consultation and other assistance to public and private agencies and
1553		-	~~764~~
	1559	+	766
1554	1560		groups working on substance use and mental health issues;
1555		-	~~765~~
	1561	+	767
1556	1562		[(iii)] (q) promote and establish cooperative relationships with courts, hospitals, clinics,
1557		-	~~766~~
	1563	+	768
1558	1564		medical and social agencies, public health authorities, law enforcement agencies,
1559		-	~~767~~
	1565	+	769
1560	1566		education and research organizations, and other related groups;
1561		-	~~768~~
	1567	+	770
1562	1568		[(iv)] (r) promote or conduct research on substance use and mental health issues, and
1563		-	~~769~~
	1569	+	771
1564	1570		submit to the governor and the Legislature recommendations for changes in policy
1565		-	~~770~~
	1571	+	772
1566	1572		and legislation;
1567		-	~~771~~
	1573	+	773
1568	1574		[(v)] (s) receive, distribute, and provide direction over public funds for substance use and
1569		-	~~772~~
	1575	+	774
1570	1576		mental health services;
1571		-	~~773~~
	1577	+	775
1572	1578		[(vi)] (t) monitor and evaluate programs provided by local substance abuse authorities
1573		-	~~774~~
	1579	+	776
1574	1580		and local mental health authorities;
1575		-	775
	1581	+	- 23 - 4th Sub. (Green) H.B. 347 03-06 15:06
	1582	+	777
1576	1583		[(vii)] (u) examine expenditures of local, state, and federal funds;
1577		-	- 23 - H.B. 347 Enrolled Copy
1578		-	776
	1584	+	778
1579	1585		[(viii)] (v) monitor the expenditure of public funds by:
1580		-	~~777~~
	1586	+	779
1581	1587		[(A)] (i) local substance abuse authorities;
1582		-	~~778~~
	1588	+	780
1583	1589		[(B)] (ii) local mental health authorities; and
1584		-	~~779~~
	1590	+	781
1585	1591		[(C)] (iii) in counties where they exist, a private contract provider that has an annual
1586		-	~~780~~
	1592	+	782
1587	1593		or otherwise ongoing contract to provide comprehensive substance abuse or
1588		-	~~781~~
	1594	+	783
1589	1595		mental health programs or services for the local substance abuse authority or local
1590		-	~~782~~
	1596	+	784
1591	1597		mental health authority;
1592		-	~~783~~
	1598	+	785
1593	1599		[(ix)] (w) contract with local substance abuse authorities and local mental health
1594		-	~~784~~
	1600	+	786
1595	1601		authorities to provide a comprehensive continuum of services that include
1596		-	~~785~~
	1602	+	787
1597	1603		community-based services for individuals involved in the criminal justice system, in
1598		-	~~786~~
	1604	+	788
1599	1605		accordance with division policy, contract provisions, and the local plan;
1600		-	~~787~~
	1606	+	789
1601	1607		(x) contract with private and public entities for special statewide or nonclinical services,
1602		-	~~788~~
	1608	+	790
1603	1609		or services for individuals involved in the criminal justice system, according to
1604		-	~~789~~
	1610	+	791
1605	1611		division rules;
1606		-	~~790~~
	1612	+	792
1607	1613		[(xi)] (y) review and approve each local substance abuse authority's plan and each local
1608		-	~~791~~
	1614	+	793
1609	1615		mental health authority's plan in order to ensure:
1610		-	~~792~~
	1616	+	794
1611	1617		[(A)] (i) a statewide comprehensive continuum of substance use services;
1612		-	~~793~~
	1618	+	795
1613	1619		[(B)] (ii) a statewide comprehensive continuum of mental health services;
1614		-	~~794~~
	1620	+	796
1615	1621		[(C)] (iii) services result in improved overall health and functioning;
1616		-	~~795~~
	1622	+	797
1617	1623		[(D)] (iv) a statewide comprehensive continuum of community-based services
1618		-	~~796~~
	1624	+	798
1619	1625		designed to reduce criminal risk factors for individuals who are determined to
1620		-	~~797~~
	1626	+	799
1621	1627		have substance use or mental illness conditions or both, and who are involved in
1622		-	~~798~~
	1628	+	800
1623	1629		the criminal justice system;
1624		-	~~799~~
	1630	+	801
1625	1631		[(E)] (v) compliance, where appropriate, with the certification requirements in
1626		-	~~800~~
	1632	+	802
1627	1633		Subsection [(2)(h)] (2)(gg); and
1628		-	~~801~~
	1634	+	803
1629	1635		[(F)] (vi) appropriate expenditure of public funds;
1630		-	~~802~~
	1636	+	804
1631	1637		[(xii)] (z) review and make recommendations regarding each local substance abuse
1632		-	~~803~~
	1638	+	805
1633	1639		authority's contract with the local substance abuse authority's provider of substance
1634		-	~~804~~
	1640	+	806
1635	1641		use programs and services and each local mental health authority's contract with the
1636		-	~~805~~
	1642	+	807
1637	1643		local mental health authority's provider of mental health programs and services to
1638		-	~~806~~
	1644	+	808
1639	1645		ensure compliance with state and federal law and policy;
1640		-	~~807~~
	1646	+	809
1641	1647		[(xiii)] (aa) monitor and ensure compliance with division rules and contract
1642		-	~~808~~
	1648	+	810
1643	1649		requirements; [and]
1644		-	809
	1650	+	- 24 - 03-06 15:06 4th Sub. (Green) H.B. 347
	1651	+	811
1645	1652		[(xiv)] (bb) withhold funds from local substance abuse authorities, local mental health
1646		-	- 24 - Enrolled Copy H.B. 347
1647		-	810
	1653	+	812
1648	1654		authorities, and public and private providers for contract noncompliance, failure to
1649		-	~~811~~
	1655	+	813
1650	1656		comply with division directives regarding the use of public funds, or for misuse of
1651		-	~~812~~
	1657	+	814
1652	1658		public funds or money;
1653		-	~~813~~
	1659	+	815
1654	1660		[(d)] (cc) ensure that the requirements of this part are met and applied uniformly by local
1655		-	~~814~~
	1661	+	816
1656	1662		substance abuse authorities and local mental health authorities across the state;
1657		-	~~815~~
	1663	+	817
1658	1664		[(e)] (dd) require each local substance abuse authority and each local mental health
1659		-	~~816~~
	1665	+	818
1660	1666		authority, in accordance with Subsections 17-43-201(5)(b) and 17-43-301(6)(a)(ii), to
1661		-	~~817~~
	1667	+	819
1662	1668		submit a plan to the division on or before May 15 of each year;
1663		-	~~818~~
	1669	+	820
1664	1670		[(f)] (ee) conduct an annual program audit and review of each local substance abuse
1665		-	~~819~~
	1671	+	821
1666	1672		authority and each local substance abuse authority's contract provider, and each local
1667		-	~~820~~
	1673	+	822
1668	1674		mental health authority and each local mental health authority's contract provider,
1669		-	~~821~~
	1675	+	823
1670	1676		including:
1671		-	~~822~~
	1677	+	824
1672	1678		(i) a review and determination regarding whether:
1673		-	~~823~~
	1679	+	825
1674	1680		(A) public funds allocated to the local substance abuse authority or the local
1675		-	~~824~~
	1681	+	826
1676	1682		mental health authorities are consistent with services rendered by the authority
1677		-	~~825~~
	1683	+	827
1678	1684		or the authority's contract provider, and with outcomes reported by the
1679		-	~~826~~
	1685	+	828
1680	1686		authority's contract provider; and
1681		-	~~827~~
	1687	+	829
1682	1688		(B) each local substance abuse authority and each local mental health authority is
1683		-	~~828~~
	1689	+	830
1684	1690		exercising sufficient oversight and control over public funds allocated for
1685		-	~~829~~
	1691	+	831
1686	1692		substance use disorder and mental health programs and services; and
1687		-	~~830~~
	1693	+	832
1688	1694		(ii) items determined by the division to be necessary and appropriate;
1689		-	~~831~~
	1695	+	833
1690	1696		[(g)] (ff) define "prevention" by rule as required under Title 32B, Chapter 2, Part 4,
1691		-	~~832~~
	1697	+	834
1692	1698		Alcoholic Beverage and Substance Abuse Enforcement and Treatment Restricted
1693		-	~~833~~
	1699	+	835
1694	1700		Account Act;
1695		-	~~834~~
	1701	+	836
1696	1702		[(h)]
1697		-	~~835~~
	1703	+	837
1698	1704		[(i)] (gg) train and certify an adult as a peer support specialist, qualified to provide peer
1699		-	~~836~~
	1705	+	838
1700	1706		supports services to an individual with:
1701		-	~~837~~
	1707	+	839
1702	1708		[(A)] (i) a substance use disorder;
1703		-	~~838~~
	1709	+	840
1704	1710		[(B)] (ii) a mental health disorder; [or]
1705		-	~~839~~
	1711	+	841
1706	1712		[(C)] (iii) a substance use disorder and a mental health disorder;
1707		-	~~840~~
	1713	+	842
1708	1714		[(ii)] (iv) certify a person to carry out, as needed, the division's duty to train and
1709		-	~~841~~
	1715	+	843
1710	1716		certify an adult as a peer support specialist;
1711		-	~~842~~
	1717	+	844
1712	1718		[(iii)] (v) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
1713		-	843
	1719	+	- 25 - 4th Sub. (Green) H.B. 347 03-06 15:06
	1720	+	845
1714	1721		Rulemaking Act, that:
1715		-	- 25 - H.B. 347 Enrolled Copy
1716		-	844
	1722	+	846
1717	1723		(A) establish training and certification requirements for a peer support specialist;
1718		-	~~845~~
	1724	+	847
1719	1725		(B) specify the types of services a peer support specialist is qualified to provide;
1720		-	~~846~~
	1726	+	848
1721	1727		(C) specify the type of supervision under which a peer support specialist is
1722		-	~~847~~
	1728	+	849
1723	1729		required to operate; and
1724		-	~~848~~
	1730	+	850
1725	1731		(D) specify continuing education and other requirements for maintaining or
1726		-	~~849~~
	1732	+	851
1727	1733		renewing certification as a peer support specialist; and
1728		-	~~850~~
	1734	+	852
1729	1735		[(iv)] (vi) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
1730		-	~~851~~
	1736	+	853
1731	1737		Rulemaking Act, that:
1732		-	~~852~~
	1738	+	854
1733	1739		(A) establish the requirements for a person to be certified to carry out, as needed,
1734		-	~~853~~
	1740	+	855
1735	1741		the division's duty to train and certify an adult as a peer support specialist; and
1736		-	~~854~~
	1742	+	856
1737	1743		(B) specify how the division shall provide oversight of a person certified to train
1738		-	~~855~~
	1744	+	857
1739	1745		and certify a peer support specialist;
1740		-	~~856~~
	1746	+	858
1741	1747		[(i)] (hh) collaborate with the State Commission on Criminal and Juvenile Justice to
1742		-	~~857~~
	1748	+	859
1743	1749		analyze and provide recommendations to the Legislature regarding:
1744		-	~~858~~
	1750	+	860
1745	1751		(i) pretrial services and the resources needed to reduce recidivism;
1746		-	~~859~~
	1752	+	861
1747	1753		(ii) county jail and county behavioral health early-assessment resources needed for an
1748		-	~~860~~
	1754	+	862
1749	1755		individual convicted of a class A or class B misdemeanor; and
1750		-	~~861~~
	1756	+	863
1751	1757		(iii) the replacement of federal dollars associated with drug interdiction law
1752		-	~~862~~
	1758	+	864
1753	1759		enforcement task forces that are reduced;
1754		-	~~863~~
	1760	+	865
1755	1761		[(j)] (ii) establish performance goals and outcome measurements for a mental health or
1756		-	~~864~~
	1762	+	866
1757	1763		substance use treatment program that is licensed under Chapter 2, Part 1, Human
1758		-	~~865~~
	1764	+	867
1759	1765		Services Programs and Facilities, and contracts with the department, including goals
1760		-	~~866~~
	1766	+	868
1761	1767		and measurements related to employment and reducing recidivism of individuals
1762		-	~~867~~
	1768	+	869
1763	1769		receiving mental health or substance use treatment who are involved with the
1764		-	~~868~~
	1770	+	870
1765	1771		criminal justice system;
1766		-	~~869~~
	1772	+	871
1767	1773		[(k)] (jj) annually, on or before November 30, submit a written report to the Judiciary
1768		-	~~870~~
	1774	+	872
1769	1775		Interim Committee, the Health and Human Services Interim Committee, and the Law
1770		-	~~871~~
	1776	+	873
1771	1777		Enforcement and Criminal Justice Interim Committee, that includes:
1772		-	~~872~~
	1778	+	874
1773	1779		(i) a description of the performance goals and outcome measurements described in
1774		-	~~873~~
	1780	+	875
1775	1781		Subsection [(2)(j)] (2)(ii); and
1776		-	~~874~~
	1782	+	876
1777	1783		(ii) information on the effectiveness of the goals and measurements in ensuring
1778		-	~~875~~
	1784	+	877
1779	1785		appropriate and adequate mental health or substance use treatment is provided in a
1780		-	~~876~~
	1786	+	878
1781	1787		treatment program described in Subsection [(2)(j)] (2)(ii);
1782		-	877
	1788	+	- 26 - 03-06 15:06 4th Sub. (Green) H.B. 347
	1789	+	879
1783	1790		[(l)] (kk) collaborate with the Administrative Office of the Courts, the Department of
1784		-	- 26 - Enrolled Copy H.B. 347
1785		-	878
	1791	+	880
1786	1792		Corrections, the Department of Workforce Services, and the Board of Pardons and
1787		-	~~879~~
	1793	+	881
1788	1794		Parole to collect data on recidivism in accordance with the metrics and requirements
1789		-	~~880~~
	1795	+	882
1790	1796		described in Section 63M-7-102;
1791		-	~~881~~
	1797	+	883
1792	1798		[(m)] (ll) at the division's discretion, use the data described in Subsection [(2)(l)] (2)(kk)
1793		-	~~882~~
	1799	+	884
1794	1800		to make decisions regarding the use of funds allocated to the division to provide
1795		-	~~883~~
	1801	+	885
1796	1802		treatment;
1797		-	~~884~~
	1803	+	886
1798	1804		[(n)] (mm) annually, on or before August 31, submit the data collected under Subsection [
1799		-	~~885~~
	1805	+	887
1800	1806		(2)(l)] (2)(kk) and any recommendations to improve the data collection to the State
1801		-	~~886~~
	1807	+	888
1802	1808		Commission on Criminal and Juvenile Justice to be included in the report described
1803		-	~~887~~
	1809	+	889
1804	1810		in Subsection 63M-7-204(1)(x);
1805		-	~~888~~
	1811	+	890
1806	1812		[(o)] (nn) publish the following on the division's website:
1807		-	~~889~~
	1813	+	891
1808	1814		(i) the performance goals and outcome measurements described in Subsection [(2)(j)]
1809		-	~~890~~
	1815	+	892
1810	1816		(2)(ii); and
1811		-	~~891~~
	1817	+	893
1812	1818		(ii) a description of the services provided and the contact information for the mental
1813		-	~~892~~
	1819	+	894
1814	1820		health and substance use treatment programs described in Subsection [(2)(j)] (2)(ii)
1815		-	~~893~~
	1821	+	895
1816	1822		and residential, vocational and life skills programs, as defined in Section
1817		-	~~894~~
	1823	+	896
1818	1824		13-53-102; and
1819		-	~~895~~
	1825	+	897
1820	1826		[(p)] (oo) consult and coordinate with the Division of Child and Family Services to
1821		-	~~896~~
	1827	+	898
1822	1828		develop and manage the operation of a program designed to reduce substance use
1823		-	~~897~~
	1829	+	899
1824	1830		during pregnancy and by parents of a newborn child that includes:
1825		-	~~898~~
	1831	+	900
1826	1832		(i) providing education and resources to health care providers and individuals in the
1827		-	~~899~~
	1833	+	901
1828	1834		state regarding prevention of substance use during pregnancy;
1829		-	~~900~~
	1835	+	902
1830	1836		(ii) providing training to health care providers in the state regarding screening of a
1831		-	~~901~~
	1837	+	903
1832	1838		pregnant woman or pregnant minor to identify a substance use disorder; and
1833		-	~~902~~
	1839	+	904
1834	1840		(iii) providing referrals to pregnant women, pregnant minors, or parents of a newborn
1835		-	~~903~~
	1841	+	905
1836	1842		child in need of substance use treatment services to a facility that has the capacity
1837		-	~~904~~
	1843	+	906
1838	1844		to provide the treatment services.
1839		-	~~905~~
	1845	+	907
1840	1846		(3) In addition to the responsibilities described in Subsection (2), the division shall, within
1841		-	~~906~~
	1847	+	908
1842	1848		funds appropriated by the Legislature for this purpose, implement and manage the
1843		-	~~907~~
	1849	+	909
1844	1850		operation of a firearm safety and suicide prevention program, in consultation with the
1845		-	~~908~~
	1851	+	910
1846	1852		Bureau of Criminal Identification created in Section 53-10-201, including:
1847		-	~~909~~
	1853	+	911
1848	1854		(a) coordinating with local mental health and substance abuse authorities, a nonprofit
1849		-	~~910~~
	1855	+	912
1850	1856		behavioral health advocacy group, and a representative from a Utah-based nonprofit
1851		-	911
	1857	+	- 27 - 4th Sub. (Green) H.B. 347 03-06 15:06
	1858	+	913
1852	1859		organization with expertise in the field of firearm use and safety that represents
1853		-	- 27 - H.B. 347 Enrolled Copy
1854		-	912
	1860	+	914
1855	1861		firearm owners, to:
1856		-	~~913~~
	1862	+	915
1857	1863		(i) produce and periodically review and update a firearm safety brochure and other
1858		-	~~914~~
	1864	+	916
1859	1865		educational materials with information about the safe handling and use of firearms
1860		-	~~915~~
	1866	+	917
1861	1867		that includes:
1862		-	~~916~~
	1868	+	918
1863	1869		(A) information on safe handling, storage, and use of firearms in a home
1864		-	~~917~~
	1870	+	919
1865	1871		environment;
1866		-	~~918~~
	1872	+	920
1867	1873		(B) information about at-risk individuals and individuals who are legally
1868		-	~~919~~
	1874	+	921
1869	1875		prohibited from possessing firearms;
1870		-	~~920~~
	1876	+	922
1871	1877		(C) information about suicide prevention awareness; and
1872		-	~~921~~
	1878	+	923
1873	1879		(D) information about the availability of firearm safety packets;
1874		-	~~922~~
	1880	+	924
1875	1881		(ii) procure cable-style gun locks for distribution under this section;
1876		-	~~923~~
	1882	+	925
1877	1883		(iii) produce a firearm safety packet that includes the firearm safety brochure and the
1878		-	~~924~~
	1884	+	926
1879	1885		cable-style gun lock described in this Subsection (3); and
1880		-	~~925~~
	1886	+	927
1881	1887		(iv) create a suicide prevention education course that:
1882		-	~~926~~
	1888	+	928
1883	1889		(A) provides information for distribution regarding firearm safety education;
1884		-	~~927~~
	1890	+	929
1885	1891		(B) incorporates current information on how to recognize suicidal behaviors and
1886		-	~~928~~
	1892	+	930
1887	1893		identify individuals who may be suicidal; and
1888		-	~~929~~
	1894	+	931
1889	1895		(C) provides information regarding crisis intervention resources;
1890		-	~~930~~
	1896	+	932
1891	1897		(b) distributing, free of charge, the firearm safety packet to the following persons, who
1892		-	~~931~~
	1898	+	933
1893	1899		shall make the firearm safety packet available free of charge:
1894		-	~~932~~
	1900	+	934
1895	1901		(i) health care providers, including emergency rooms;
1896		-	~~933~~
	1902	+	935
1897	1903		(ii) mobile crisis outreach teams;
1898		-	~~934~~
	1904	+	936
1899	1905		(iii) mental health practitioners;
1900		-	~~935~~
	1906	+	937
1901	1907		(iv) other public health suicide prevention organizations;
1902		-	~~936~~
	1908	+	938
1903	1909		(v) entities that teach firearm safety courses;
1904		-	~~937~~
	1910	+	939
1905	1911		(vi) school districts for use in the seminar, described in Section 53G-9-702, for
1906		-	~~938~~
	1912	+	940
1907	1913		parents of students in the school district; and
1908		-	~~939~~
	1914	+	941
1909	1915		(vii) firearm dealers to be distributed in accordance with Section 76-10-526;
1910		-	~~940~~
	1916	+	942
1911	1917		(c) creating and administering a rebate program that includes a rebate that offers
1912		-	~~941~~
	1918	+	943
1913	1919		between $10 and $200 off the purchase price of a firearm safe from a participating
1914		-	~~942~~
	1920	+	944
1915	1921		firearms dealer or a person engaged in the business of selling firearm safes in Utah,
1916		-	~~943~~
	1922	+	945
1917	1923		by a Utah resident; and
1918		-	~~944~~
	1924	+	946
1919	1925		(d) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
1920		-	945
	1926	+	- 28 - 03-06 15:06 4th Sub. (Green) H.B. 347
	1927	+	947
1921	1928		making rules that establish procedures for:
1922		-	- 28 - Enrolled Copy H.B. 347
1923		-	946
	1929	+	948
1924	1930		(i) producing and distributing the suicide prevention education course and the firearm
1925		-	~~947~~
	1931	+	949
1926	1932		safety brochures and packets;
1927		-	~~948~~
	1933	+	950
1928	1934		(ii) procuring the cable-style gun locks for distribution; and
1929		-	~~949~~
	1935	+	951
1930	1936		(iii) administering the rebate program.
1931		-	~~950~~
	1937	+	952
1932	1938		(4)(a) The division may refuse to contract with and may pursue legal remedies against
1933		-	~~951~~
	1939	+	953
1934	1940		any local substance abuse authority or local mental health authority that fails, or has
1935		-	~~952~~
	1941	+	954
1936	1942		failed, to expend public funds in accordance with state law, division policy, contract
1937		-	~~953~~
	1943	+	955
1938	1944		provisions, or directives issued in accordance with state law.
1939		-	~~954~~
	1945	+	956
1940	1946		(b) The division may withhold funds from a local substance abuse authority or local
1941		-	~~955~~
	1947	+	957
1942	1948		mental health authority if the authority's contract provider of substance use or mental
1943		-	~~956~~
	1949	+	958
1944	1950		health programs or services fails to comply with state and federal law or policy.
1945		-	~~957~~
	1951	+	959
1946	1952		(5)(a) Before reissuing or renewing a contract with any local substance abuse authority
1947		-	~~958~~
	1953	+	960
1948	1954		or local mental health authority, the division shall review and determine whether the
1949		-	~~959~~
	1955	+	961
1950	1956		local substance abuse authority or local mental health authority is complying with the
1951		-	~~960~~
	1957	+	962
1952	1958		oversight and management responsibilities described in Sections 17-43-201,
1953		-	~~961~~
	1959	+	963
1954	1960		17-43-203, 17-43-303, and 17-43-309.
1955		-	~~962~~
	1961	+	964
1956	1962		(b) Nothing in this Subsection (5) may be used as a defense to the responsibility and
1957		-	~~963~~
	1963	+	965
1958	1964		liability described in Section 17-43-303 and to the responsibility and liability
1959		-	~~964~~
	1965	+	966
1960	1966		described in Section 17-43-203.
1961		-	~~965~~
	1967	+	967
1962	1968		(6) In carrying out the division's duties and responsibilities, the division may not duplicate
1963		-	~~966~~
	1969	+	968
1964	1970		treatment or educational facilities that exist in other divisions or departments of the state,
1965		-	~~967~~
	1971	+	969
1966	1972		but shall work in conjunction with those divisions and departments in rendering the
1967		-	~~968~~
	1973	+	970
1968	1974		treatment or educational services that those divisions and departments are competent and
1969		-	~~969~~
	1975	+	971
1970	1976		able to provide.
1971		-	~~970~~
	1977	+	972
1972	1978		(7) The division may accept in the name of and on behalf of the state donations, gifts,
1973		-	~~971~~
	1979	+	973
1974	1980		devises, or bequests of real or personal property or services to be used as specified by
1975		-	~~972~~
	1981	+	974
1976	1982		the donor.
1977		-	~~973~~
	1983	+	975
1978	1984		(8) The division shall annually review with each local substance abuse authority and each
1979		-	~~974~~
	1985	+	976
1980	1986		local mental health authority the authority's statutory and contract responsibilities
1981		-	~~975~~
	1987	+	977
1982	1988		regarding:
1983		-	~~976~~
	1989	+	978
1984	1990		(a) use of public funds;
1985		-	~~977~~
	1991	+	979
1986	1992		(b) oversight of public funds; and
1987		-	~~978~~
	1993	+	980
1988	1994		(c) governance of substance use disorder and mental health programs and services.
1989		-	979
	1995	+	- 29 - 4th Sub. (Green) H.B. 347 03-06 15:06
	1996	+	981
1990	1997		(9) The Legislature may refuse to appropriate funds to the division upon the division's
1991		-	- 29 - H.B. 347 Enrolled Copy
1992		-	980
	1998	+	982
1993	1999		failure to comply with the provisions of this part.
1994		-	~~981~~
	2000	+	983
1995	2001		(10) If a local substance abuse authority contacts the division under Subsection 17-43-201
1996		-	~~982~~
	2002	+	984
1997	2003		(10) for assistance in providing treatment services to a pregnant woman or pregnant
1998		-	~~983~~
	2004	+	985
1999	2005		minor, the division shall:
2000		-	~~984~~
	2006	+	986
2001	2007		(a) refer the pregnant woman or pregnant minor to a treatment facility that has the
2002		-	~~985~~
	2008	+	987
2003	2009		capacity to provide the treatment services; or
2004		-	~~986~~
	2010	+	988
2005	2011		(b) otherwise ensure that treatment services are made available to the pregnant woman
2006		-	~~987~~
	2012	+	989
2007	2013		or pregnant minor.
2008		-	~~988~~
	2014	+	990
2009	2015		(11) The division shall employ a school-based mental health specialist to be housed at the
2010		-	~~989~~
	2016	+	991
2011	2017		State Board of Education who shall work with the State Board of Education to:
2012		-	~~990~~
	2018	+	992
2013	2019		(a) provide coordination between a local education agency and local mental health
2014		-	~~991~~
	2020	+	993
2015	2021		authority;
2016		-	~~992~~
	2022	+	994
2017	2023		(b) recommend evidence-based and evidence informed mental health screenings and
2018		-	~~993~~
	2024	+	995
2019	2025		intervention assessments for a local education agency; and
2020		-	~~994~~
	2026	+	996
2021	2027		(c) coordinate with the local community, including local departments of health, to
2022		-	~~995~~
	2028	+	997
2023	2029		enhance and expand mental health related resources for a local education agency.
2024		-	~~996~~
	2030	+	998
2025	2031		Section 8. Section 26B-5-301 is amended to read:
2026		-	~~997~~
	2032	+	999
2027	2033		26B-5-301 (Effective 05/07/25). Definitions.
2028		-	~~998~~
	2034	+	1000
2029	2035		As used in this part, Part 4, Commitment of Persons Under Age 18, and Part 5, Essential
2030		-	~~999~~
	2036	+	1001
2031	2037		Treatment and Intervention:
2032		-	~~1000~~
	2038	+	1002
2033	2039		(1) "Adult" means an individual 18 years old or older.
2034		-	~~1001~~
	2040	+	1003
2035	2041		(2) "Approved treatment facility or program" means a mental health or substance use
2036		-	~~1002~~
	2042	+	1004
2037	2043		treatment provider that meets the goals and measurements described in Subsection [
2038		-	~~1003~~
	2044	+	1005
2039	2045		26B-5-102(2)(j)] 26B-5-102(2)(ii).
2040		-	~~1004~~
	2046	+	1006
2041	2047		(3) "Assisted outpatient treatment" means involuntary outpatient mental health treatment
2042		-	~~1005~~
	2048	+	1007
2043	2049		ordered under Section 26B-5-351.
2044		-	~~1006~~
	2050	+	1008
2045	2051		(4) "Attending physician" means a physician licensed to practice medicine in this state who
2046		-	~~1007~~
	2052	+	1009
2047	2053		has primary responsibility for the care and treatment of the declarant.
2048		-	~~1008~~
	2054	+	1010
2049	2055		(5) "Attorney-in-fact" means an adult properly appointed under this part to make mental
2050		-	~~1009~~
	2056	+	1011
2051	2057		health treatment decisions for a declarant under a declaration for mental health treatment.
2052		-	~~1010~~
	2058	+	1012
2053	2059		(6) "Commitment to the custody of a local mental health authority" means that an adult is
2054		-	~~1011~~
	2060	+	1013
2055	2061		committed to the custody of the local mental health authority that governs the mental
2056		-	~~1012~~
	2062	+	1014
2057	2063		health catchment area where the adult resides or is found.
2058		-	1013
	2064	+	- 30 - 03-06 15:06 4th Sub. (Green) H.B. 347
	2065	+	1015
2059	2066		(7) "Community mental health center" means an entity that provides treatment and services
2060		-	- 30 - Enrolled Copy H.B. 347
2061		-	1014
	2067	+	1016
2062	2068		to a resident of a designated geographical area, that operates by or under contract with a
2063		-	~~1015~~
	2069	+	1017
2064	2070		local mental health authority, and that complies with state standards for community
2065		-	~~1016~~
	2071	+	1018
2066	2072		mental health centers.
2067		-	~~1017~~
	2073	+	1019
2068	2074		(8) "Designated examiner" means:
2069		-	~~1018~~
	2075	+	1020
2070	2076		(a) a licensed physician, preferably a psychiatrist, who is designated by the division as
2071		-	~~1019~~
	2077	+	1021
2072	2078		specially qualified by training or experience in the diagnosis of mental or related
2073		-	~~1020~~
	2079	+	1022
2074	2080		illness; or
2075		-	~~1021~~
	2081	+	1023
2076	2082		(b) a licensed mental health professional designated by the division as specially qualified
2077		-	~~1022~~
	2083	+	1024
2078	2084		by training and who has at least five years' continual experience in the treatment of
2079		-	~~1023~~
	2085	+	1025
2080	2086		mental illness.
2081		-	~~1024~~
	2087	+	1026
2082	2088		(9) "Designee" means a physician who has responsibility for medical functions including
2083		-	~~1025~~
	2089	+	1027
2084	2090		admission and discharge, an employee of a local mental health authority, or an employee
2085		-	~~1026~~
	2091	+	1028
2086	2092		of a person that has contracted with a local mental health authority to provide mental
2087		-	~~1027~~
	2093	+	1029
2088	2094		health services under Section 17-43-304.
2089		-	~~1028~~
	2095	+	1030
2090	2096		(10) "Essential treatment" and "essential treatment and intervention" mean court-ordered
2091		-	~~1029~~
	2097	+	1031
2092	2098		treatment at a local substance abuse authority or an approved treatment facility or
2093		-	~~1030~~
	2099	+	1032
2094	2100		program for the treatment of an adult's substance use disorder.
2095		-	~~1031~~
	2101	+	1033
2096	2102		(11) "Harmful sexual conduct" means the following conduct upon an individual without the
2097		-	~~1032~~
	2103	+	1034
2098	2104		individual's consent, including the nonconsensual circumstances described in
2099		-	~~1033~~
	2105	+	1035
2100	2106		Subsections 76-5-406(2)(a) through (l):
2101		-	~~1034~~
	2107	+	1036
2102	2108		(a) sexual intercourse;
2103		-	~~1035~~
	2109	+	1037
2104	2110		(b) penetration, however slight, of the genital or anal opening of the individual;
2105		-	~~1036~~
	2111	+	1038
2106	2112		(c) any sexual act involving the genitals or anus of the actor or the individual and the
2107		-	~~1037~~
	2113	+	1039
2108	2114		mouth or anus of either individual, regardless of the gender of either participant; or
2109		-	~~1038~~
	2115	+	1040
2110	2116		(d) any sexual act causing substantial emotional injury or bodily pain.
2111		-	~~1039~~
	2117	+	1041
2112	2118		(12) "Informed waiver" means the patient was informed of a right and, after being informed
2113		-	~~1040~~
	2119	+	1042
2114	2120		of that right and the patient's right to waive the right, expressly communicated his or her
2115		-	~~1041~~
	2121	+	1043
2116	2122		intention to waive that right.
2117		-	~~1042~~
	2123	+	1044
2118	2124		(13) "Incapable" means that, in the opinion of the court in a guardianship proceeding under
2119		-	~~1043~~
	2125	+	1045
2120	2126		Title 75, Utah Uniform Probate Code, or in the opinion of two physicians, a person's
2121		-	~~1044~~
	2127	+	1046
2122	2128		ability to receive and evaluate information effectively or communicate decisions is
2123		-	~~1045~~
	2129	+	1047
2124	2130		impaired to such an extent that the person currently lacks the capacity to make mental
2125		-	~~1046~~
	2131	+	1048
2126	2132		health treatment decisions.
2127		-	1047
	2133	+	- 31 - 4th Sub. (Green) H.B. 347 03-06 15:06
	2134	+	1049
2128	2135		(14) "Institution" means a hospital or a health facility licensed under Section 26B-2-206.
2129		-	- 31 - H.B. 347 Enrolled Copy
2130		-	1048
	2136	+	1050
2131	2137		(15) "Local substance abuse authority" means the same as that term is defined in Section
2132		-	~~1049~~
	2138	+	1051
2133	2139		26B-5-101 and described in Section 17-43-201.
2134		-	~~1050~~
	2140	+	1052
2135	2141		(16) "Mental health facility" means the Utah State Hospital or other facility that provides
2136		-	~~1051~~
	2142	+	1053
2137	2143		mental health services under contract with the division, a local mental health authority, a
2138		-	~~1052~~
	2144	+	1054
2139	2145		person that contracts with a local mental health authority, or a person that provides acute
2140		-	~~1053~~
	2146	+	1055
2141	2147		inpatient psychiatric services to a patient.
2142		-	~~1054~~
	2148	+	1056
2143	2149		(17) "Mental health officer" means an individual who is designated by a local mental health
2144		-	~~1055~~
	2150	+	1057
2145	2151		authority as qualified by training and experience in the recognition and identification of
2146		-	~~1056~~
	2152	+	1058
2147	2153		mental illness, to:
2148		-	~~1057~~
	2154	+	1059
2149	2155		(a) apply for and provide certification for a temporary commitment; or
2150		-	~~1058~~
	2156	+	1060
2151	2157		(b) assist in the arrangement of transportation to a designated mental health facility.
2152		-	~~1059~~
	2158	+	1061
2153	2159		(18) "Mental illness" means:
2154		-	~~1060~~
	2160	+	1062
2155	2161		(a) a psychiatric disorder that substantially impairs an individual's mental, emotional,
2156		-	~~1061~~
	2162	+	1063
2157	2163		behavioral, or related functioning; or
2158		-	~~1062~~
	2164	+	1064
2159	2165		(b) the same as that term is defined in:
2160		-	~~1063~~
	2166	+	1065
2161	2167		(i) the current edition of the Diagnostic and Statistical Manual of Mental Disorders
2162		-	~~1064~~
	2168	+	1066
2163	2169		published by the American Psychiatric Association; or
2164		-	~~1065~~
	2170	+	1067
2165	2171		(ii) the current edition of the International Statistical Classification of Diseases and
2166		-	~~1066~~
	2172	+	1068
2167	2173		Related Health Problems.
2168		-	~~1067~~
	2174	+	1069
2169	2175		(19) "Mental health treatment" means convulsive treatment, treatment with psychoactive
2170		-	~~1068~~
	2176	+	1070
2171	2177		medication, or admission to and retention in a facility for a period not to exceed 17 days.
2172		-	~~1069~~
	2178	+	1071
2173	2179		(20) "Patient" means an individual who is:
2174		-	~~1070~~
	2180	+	1072
2175	2181		(a) under commitment to the custody or to the treatment services of a local mental health
2176		-	~~1071~~
	2182	+	1073
2177	2183		authority; or
2178		-	~~1072~~
	2184	+	1074
2179	2185		(b) undergoing essential treatment and intervention.
2180		-	~~1073~~
	2186	+	1075
2181	2187		(21) "Physician" means an individual who is:
2182		-	~~1074~~
	2188	+	1076
2183	2189		(a) licensed as a physician under Title 58, Chapter 67, Utah Medical Practice Act; or
2184		-	~~1075~~
	2190	+	1077
2185	2191		(b) licensed as a physician under Title 58, Chapter 68, Utah Osteopathic Medical
2186		-	~~1076~~
	2192	+	1078
2187	2193		Practice Act.
2188		-	~~1077~~
	2194	+	1079
2189	2195		(22) "Serious bodily injury" means bodily injury that involves a substantial risk of death,
2190		-	~~1078~~
	2196	+	1080
2191	2197		unconsciousness, extreme physical pain, protracted and obvious disfigurement, or
2192		-	~~1079~~
	2198	+	1081
2193	2199		protracted loss or impairment of the function of a bodily member, organ, or mental
2194		-	~~1080~~
	2200	+	1082
2195	2201		faculty.
2196		-	1081
	2202	+	- 32 - 03-06 15:06 4th Sub. (Green) H.B. 347
	2203	+	1083
2197	2204		(23) "State hospital" means the Utah State Hospital established in Section 26B-5-302.
2198		-	- 32 - Enrolled Copy H.B. 347
2199		-	1082
	2205	+	1084
2200	2206		(24) "Substantial danger" means that due to mental illness, an individual is at serious risk of:
2201		-	~~1083~~
	2207	+	1085
2202	2208		(a) suicide;
2203		-	~~1084~~
	2209	+	1086
2204	2210		(b) serious bodily self-injury;
2205		-	~~1085~~
	2211	+	1087
2206	2212		(c) serious bodily injury because the individual is incapable of providing the basic
2207		-	~~1086~~
	2213	+	1088
2208	2214		necessities of life, including food, clothing, or shelter;
2209		-	~~1087~~
	2215	+	1089
2210	2216		(d) causing or attempting to cause serious bodily injury to another individual;
2211		-	~~1088~~
	2217	+	1090
2212	2218		(e) engaging in harmful sexual conduct; or
2213		-	~~1089~~
	2219	+	1091
2214	2220		(f) if not treated, suffering severe and abnormal mental, emotional, or physical distress
2215		-	~~1090~~
	2221	+	1092
2216	2222		that:
2217		-	~~1091~~
	2223	+	1093
2218	2224		(i) is associated with significant impairment of judgment, reason, or behavior; and
2219		-	~~1092~~
	2225	+	1094
2220	2226		(ii) causes a substantial deterioration of the individual's previous ability to function
2221		-	~~1093~~
	2227	+	1095
2222	2228		independently.
2223		-	~~1094~~
	2229	+	1096
2224	2230		(25) "Treatment" means psychotherapy, medication, including the administration of
2225		-	~~1095~~
	2231	+	1097
2226	2232		psychotropic medication, or other medical treatments that are generally accepted
2227		-	~~1096~~
	2233	+	1098
2228	2234		medical or psychosocial interventions for the purpose of restoring the patient to an
2229		-	~~1097~~
	2235	+	1099
2230	2236		optimal level of functioning in the least restrictive environment.
2231		-	~~1098~~
	2237	+	1100
2232	2238		Section 9. Section 26B-5-801 is amended to read:
2233		-	~~1099~~
	2239	+	1101
2234	2240		26B-5-801 (Effective 05/07/25). Definitions -- Creation of committee --
2235		-	~~1100~~
	2241	+	1102
2236	2242		Membership -- Terms.
2237		-	~~1101~~
	2243	+	1103
2238	2244		(1)(a) As used in this part, "committee" means the Utah Substance Use and Mental
2239		-	~~1102~~
	2245	+	1104
2240	2246		Health Advisory Committee created in this section.
2241		-	~~1103~~
	2247	+	1105
2242	2248		(b) There is created within the department the Utah Substance Use and Mental Health
2243		-	~~1104~~
	2249	+	1106
2244	2250		Advisory Committee, which serves under the direction of the Utah Behavioral Health
2245		-	~~1105~~
	2251	+	1107
2246	2252		Commission created in Section 26B-5-702.
2247		-	~~1106~~
	2253	+	1108
2248	2254		(2) The committee shall be comprised of the following voting members:
2249		-	~~1107~~
	2255	+	1109
2250	2256		(a) the attorney general or the attorney general's designee;
2251		-	~~1108~~
	2257	+	1110
2252	2258		(b) one elected county official appointed by the Utah Association of Counties;
2253		-	~~1109~~
	2259	+	1111
2254	2260		(c) the commissioner of public safety or the commissioner's designee;
2255		-	~~1110~~
	2261	+	1112
2256	2262		(d) the director of the Division of Integrated Healthcare or the director's designee;
2257		-	~~1111~~
	2263	+	1113
2258	2264		(e) the state superintendent of public instruction or the superintendent's designee;
2259		-	~~1112~~
	2265	+	1114
2260	2266		(f) the executive director of the Department of Health and Human Services or the
2261		-	~~1113~~
	2267	+	1115
2262	2268		executive director's designee;
2263		-	~~1114~~
	2269	+	1116
2264	2270		(g) the executive director of the State Commission on Criminal and Juvenile Justice or
2265		-	1115
	2271	+	- 33 - 4th Sub. (Green) H.B. 347 03-06 15:06
	2272	+	1117
2266	2273		the executive director's designee;
2267		-	- 33 - H.B. 347 Enrolled Copy
2268		-	1116
	2274	+	1118
2269	2275		(h) the executive director of the Department of Corrections or the executive director's
2270		-	1117
2271		-	designee;
2272		-	1118
2273		-	(i) the director of the Division of Juvenile Justice and Youth Services or the director's
2274	2276		1119
2275	2277		designee;
2276	2278		1120
	2279	+	(i) the director of the Division of Juvenile Justice and Youth Services or the director's
	2280	+	1121
	2281	+	designee;
	2282	+	1122
2277	2283		(j) the director of the Division of Child and Family Services or the director's designee;
2278		-	~~1121~~
	2284	+	1123
2279	2285		(k) the chair of the Board of Pardons and Parole or the chair's designee;
2280		-	~~1122~~
	2286	+	1124
2281	2287		(l) the director of the Office of Multicultural Affairs or the director's designee;
2282		-	~~1123~~
	2288	+	1125
2283	2289		(m) the director of the Division of Indian Affairs or the director's designee;
2284		-	~~1124~~
	2290	+	1126
2285	2291		[(nn)] (n) the state court administrator or the state court administrator's designee;
2286		-	~~1125~~
	2292	+	1127
2287	2293		[(oo)] (o) one district court judge who presides over a drug court and who is appointed
2288		-	~~1126~~
	2294	+	1128
2289	2295		by the chief justice of the Utah Supreme Court;
2290		-	~~1127~~
	2296	+	1129
2291	2297		[(pp)] (p) one district court judge who presides over a mental health court and who is
2292		-	~~1128~~
	2298	+	1130
2293	2299		appointed by the chief justice of the Utah Supreme Court;
2294		-	~~1129~~
	2300	+	1131
2295	2301		[(qq)] (q) one juvenile court judge who presides over a drug court and who is appointed
2296		-	~~1130~~
	2302	+	1132
2297	2303		by the chief justice of the Utah Supreme Court;
2298		-	~~1131~~
	2304	+	1133
2299	2305		[(rr)] (r) one prosecutor appointed by the Statewide Association of Prosecutors;
2300		-	~~1132~~
	2306	+	1134
2301	2307		[(ss)] (s) the chair or co-chair of each subcommittee established by the committee;
2302		-	~~1133~~
	2308	+	1135
2303	2309		[(tt)] (t) the chair or co-chair of the Statewide Suicide Prevention Committee created
2304		-	~~1134~~
	2310	+	1136
2305	2311		under Subsection 26B-5-611(3);
2306		-	~~1135~~
	2312	+	1137
2307	2313		[(uu)] (u) one representative appointed by the Utah League of Cities and Towns to serve
2308		-	~~1136~~
	2314	+	1138
2309	2315		a four-year term;
2310		-	~~1137~~
	2316	+	1139
2311	2317		[(vv)] (v) the chair of the Utah Victim Services Commission or the chair's designee;
2312		-	~~1138~~
	2318	+	1140
2313	2319		[(ww)] (w) the superintendent of the Utah State Hospital or the superintendent's designee;
2314		-	~~1139~~
	2320	+	1141
2315	2321		[(xx)] (x) the following members appointed by the governor to serve four-year terms:
2316		-	~~1140~~
	2322	+	1142
2317	2323		(i) one resident of the state who has been personally affected by a substance use or
2318		-	~~1141~~
	2324	+	1143
2319	2325		mental health disorder; and
2320		-	~~1142~~
	2326	+	1144
2321	2327		(ii) one citizen representative; and
2322		-	~~1143~~
	2328	+	1145
2323	2329		[(yy)] (y) in addition to the voting members described in Subsections (2)(a) through (x),
2324		-	~~1144~~
	2330	+	1146
2325	2331		the following voting members appointed by a majority of the members described in
2326		-	~~1145~~
	2332	+	1147
2327	2333		Subsections (2)(a) through (x) to serve four-year terms:
2328		-	~~1146~~
	2334	+	1148
2329	2335		(i) one resident of the state who represents a statewide advocacy organization for
2330		-	~~1147~~
	2336	+	1149
2331	2337		recovery from substance use disorders;
2332		-	~~1148~~
	2338	+	1150
2333	2339		(ii) one resident of the state who represents a statewide advocacy organization for
2334		-	1149
	2340	+	- 34 - 03-06 15:06 4th Sub. (Green) H.B. 347
	2341	+	1151
2335	2342		recovery from mental illness;
2336		-	- 34 - Enrolled Copy H.B. 347
2337		-	1150
	2343	+	1152
2338	2344		(iii) one resident of the state who represents a statewide advocacy organization for
2339		-	~~1151~~
	2345	+	1153
2340	2346		protection of rights of individuals with a disability;
2341		-	~~1152~~
	2347	+	1154
2342	2348		(iv) one resident of the state who represents prevention professionals;
2343		-	~~1153~~
	2349	+	1155
2344	2350		(v) one resident of the state who represents treatment professionals;
2345		-	~~1154~~
	2351	+	1156
2346	2352		(vi) one resident of the state who represents the physical health care field;
2347		-	~~1155~~
	2353	+	1157
2348	2354		(vii) one resident of the state who is a criminal defense attorney;
2349		-	~~1156~~
	2355	+	1158
2350	2356		(viii) one resident of the state who is a military servicemember or military veteran
2351		-	~~1157~~
	2357	+	1159
2352	2358		under Section 53B-8-102;
2353		-	~~1158~~
	2359	+	1160
2354	2360		(ix) one resident of the state who represents local law enforcement agencies;
2355		-	~~1159~~
	2361	+	1161
2356	2362		(x) one representative of private service providers that serve youth with substance use
2357		-	~~1160~~
	2363	+	1162
2358	2364		disorders or mental health disorders; and
2359		-	~~1161~~
	2365	+	1163
2360	2366		(xi) one resident of the state who is certified by the Division of Integrated Healthcare
2361		-	~~1162~~
	2367	+	1164
2362	2368		as a peer support specialist as described in Subsection [26B-5-102(2)(h)]
2363		-	~~1163~~
	2369	+	1165
2364	2370		26B-5-102(2)(gg).
2365		-	~~1164~~
	2371	+	1166
2366	2372		(3) An individual other than an individual described in Subsection (2) may not be appointed
2367		-	~~1165~~
	2373	+	1167
2368	2374		as a voting member of the committee.
2369		-	~~1166~~
	2375	+	1168
2370	2376		Section 10. Section 53-21-101 is amended to read:
2371		-	~~1167~~
	2377	+	1169
2372	2378		53-21-101 (Effective 05/07/25). Definitions.
2373		-	~~1168~~
	2379	+	1170
2374	2380		As used in this chapter:
2375		-	~~1169~~
	2381	+	1171
2376	2382		(1) "Crime scene investigator technician" means an individual employed by a law
2377		-	~~1170~~
	2383	+	1172
2378	2384		enforcement agency to collect and analyze evidence from crime scenes and
2379		-	~~1171~~
	2385	+	1173
2380	2386		crime-related incidents.
2381		-	~~1172~~
	2387	+	1174
2382	2388		(2) "Designated mental health resources liaison" means a non-leadership human resources
2383		-	~~1173~~
	2389	+	1175
2384	2390		or other administrative employee designated by a first responder agency who receives
2385		-	~~1174~~
	2391	+	1176
2386	2392		and processes a request for mental health resources on behalf of the first responder
2387		-	~~1175~~
	2393	+	1177
2388	2394		agency under this chapter.
2389		-	~~1176~~
	2395	+	1178
2390	2396		(3) "First responder" means:
2391		-	~~1177~~
	2397	+	1179
2392	2398		(a) a law enforcement officer, as defined in Section 53-13-103;
2393		-	~~1178~~
	2399	+	1180
2394	2400		(b) an emergency medical technician, as defined in Section 53-2e-101;
2395		-	~~1179~~
	2401	+	1181
2396	2402		(c) an advanced emergency medical technician, as defined in Section 53-2e-101;
2397		-	~~1180~~
	2403	+	1182
2398	2404		(d) a paramedic, as defined in Section 53-2e-101;
2399		-	~~1181~~
	2405	+	1183
2400	2406		(e) a firefighter, as defined in Section 34A-3-113;
2401		-	~~1182~~
	2407	+	1184
2402	2408		(f) a dispatcher, as defined in Section 53-6-102;
2403		-	1183
	2409	+	- 35 - 4th Sub. (Green) H.B. 347 03-06 15:06
	2410	+	1185
2404	2411		(g) a correctional officer, as defined in Section 53-13-104;
2405		-	- 35 - H.B. 347 Enrolled Copy
2406		-	1184
	2412	+	1186
2407	2413		(h) a special function officer, as defined in Section 53-13-105, employed by a local
2408		-	~~1185~~
	2414	+	1187
2409	2415		sheriff;
2410		-	~~1186~~
	2416	+	1188
2411	2417		(i) a search and rescue worker under the supervision of a local sheriff;
2412		-	~~1187~~
	2418	+	1189
2413	2419		(j) a forensic interviewer or victim advocate employed by a children's justice center
2414		-	~~1188~~
	2420	+	1190
2415	2421		established in accordance with Section 67-5b-102;
2416		-	~~1189~~
	2422	+	1191
2417	2423		(k) a credentialed criminal justice system victim advocate as defined in Section
2418		-	~~1190~~
	2424	+	1192
2419	2425		77-38-403 who responds to incidents with a law enforcement officer;
2420		-	~~1191~~
	2426	+	1193
2421	2427		(l) a crime scene investigator technician;
2422		-	~~1192~~
	2428	+	1194
2423	2429		(m) a wildland firefighter;
2424		-	~~1193~~
	2430	+	1195
2425	2431		(n) an investigator or prosecutor of cases involving sexual crimes against children; or
2426		-	~~1194~~
	2432	+	1196
2427	2433		(o) a civilian employee of a first responder agency who has been authorized to view or
2428		-	~~1195~~
	2434	+	1197
2429	2435		otherwise access information concerning crimes, accidents, or other traumatic events.
2430		-	~~1196~~
	2436	+	1198
2431	2437		(4) "First responder agency" means:
2432		-	~~1197~~
	2438	+	1199
2433	2439		(a) a special district, municipality, interlocal entity, or other political subdivision that
2434		-	~~1198~~
	2440	+	1200
2435	2441		employs a first responder to provide fire protection, paramedic, law enforcement, or
2436		-	~~1199~~
	2442	+	1201
2437	2443		emergency services; or
2438		-	~~1200~~
	2444	+	1202
2439	2445		(b) a certified private law enforcement agency as defined in Section 53-19-102.
2440		-	~~1201~~
	2446	+	1203
2441	2447		(5)(a) "Mental health resources" means:
2442		-	~~1202~~
	2448	+	1204
2443	2449		(i) an assessment to determine appropriate mental health treatment that is performed
2444		-	~~1203~~
	2450	+	1205
2445	2451		by a mental health therapist;
2446		-	~~1204~~
	2452	+	1206
2447	2453		(ii) outpatient mental health treatment provided by a mental health therapist; or
2448		-	~~1205~~
	2454	+	1207
2449	2455		(iii) peer support services provided by a peer support specialist who is qualified to
2450		-	~~1206~~
	2456	+	1208
2451	2457		provide peer support services under Subsection [26B-5-102(2)(h)]
2452		-	~~1207~~
	2458	+	1209
2453	2459		26B-5-102(2)(gg).
2454		-	~~1208~~
	2460	+	1210
2455	2461		(b) "Mental health resources" includes, at a minimum, the following services:
2456		-	~~1209~~
	2462	+	1211
2457	2463		(i) regular periodic screenings for all employees within the first responder agency;
2458		-	~~1210~~
	2464	+	1212
2459	2465		(ii) assessments and availability to mental health services for personnel directly
2460		-	~~1211~~
	2466	+	1213
2461	2467		involved in a critical incident within 48 hours of the incident; and
2462		-	~~1212~~
	2468	+	1214
2463	2469		(iii) regular and continuing access to the mental health program for:
2464		-	~~1213~~
	2470	+	1215
2465	2471		(A) spouses and children of first responders;
2466		-	~~1214~~
	2472	+	1216
2467	2473		(B) first responders who have retired or separated from the agency; and
2468		-	~~1215~~
	2474	+	1217
2469	2475		(C) spouses of first responders who have retired or separated from the agency.
2470		-	~~1216~~
	2476	+	1218
2471	2477		(6) "Mental health therapist" means the same as that term is defined in Section 58-60-102.
2472		-	1217
	2478	+	- 36 - 03-06 15:06 4th Sub. (Green) H.B. 347
	2479	+	1219
2473	2480		(7) "Plan" means a plan to implement or expand a program that provides mental health
2474		-	- 36 - Enrolled Copy H.B. 347
2475		-	1218
	2481	+	1220
2476	2482		resources to first responders for which the division awards a grant under this chapter.
2477		-	~~1219~~
	2483	+	1221
2478	2484		(8) "Retired" means the status of an individual who has become eligible, applies for, and
2479		-	~~1220~~
	2485	+	1222
2480	2486		may receive an allowance under Title 49, Utah State Retirement and Insurance Benefit
2481		-	~~1221~~
	2487	+	1223
2482	2488		Act.
2483		-	~~1222~~
	2489	+	1224
2484	2490		(9) "Separated" means the status of an individual who has separated from employment as a
2485		-	~~1223~~
	2491	+	1225
2486	2492		first responder from a first responder agency as a result of a critical incident involving
2487		-	~~1224~~
	2493	+	1226
2488	2494		the first responder.
2489		-	~~1225~~
	2495	+	1227
2490	2496		(10) "Small first responder agency" means a first responder agency that:
2491		-	~~1226~~
	2497	+	1228
2492	2498		(a) has 10 or fewer employees;
2493		-	~~1227~~
	2499	+	1229
2494	2500		(b) is primarily staffed by volunteers; or
2495		-	~~1228~~
	2501	+	1230
2496	2502		(c) is located in:
2497		-	~~1229~~
	2503	+	1231
2498	2504		(i) a county of the third, fourth, fifth, or sixth class;
2499		-	~~1230~~
	2505	+	1232
2500	2506		(ii) a city of the third, fourth, fifth, or sixth class; or
2501		-	~~1231~~
	2507	+	1233
2502	2508		(iii) a town.
2503		-	~~1232~~
	2509	+	1234
2504	2510		Section 11. Section 63M-7-204 is amended to read:
2505		-	~~1233~~
	2511	+	1235
2506	2512		63M-7-204 (Effective 05/07/25). Duties of commission.
2507		-	~~1234~~
	2513	+	1236
2508	2514		(1) The commission shall:
2509		-	~~1235~~
	2515	+	1237
2510	2516		(a) promote the commission's purposes as enumerated in Section 63M-7-201;
2511		-	~~1236~~
	2517	+	1238
2512	2518		(b) promote the communication and coordination of all criminal and juvenile justice
2513		-	~~1237~~
	2519	+	1239
2514	2520		agencies;
2515		-	~~1238~~
	2521	+	1240
2516	2522		(c) study, evaluate, and report on the status of crime in the state and on the effectiveness
2517		-	~~1239~~
	2523	+	1241
2518	2524		of criminal justice policies, procedures, and programs that are directed toward the
2519		-	~~1240~~
	2525	+	1242
2520	2526		reduction of crime in the state;
2521		-	~~1241~~
	2527	+	1243
2522	2528		(d) study, evaluate, and report on programs initiated by state and local agencies to
2523		-	~~1242~~
	2529	+	1244
2524	2530		address reducing recidivism, including changes in penalties and sentencing
2525		-	~~1243~~
	2531	+	1245
2526	2532		guidelines intended to reduce recidivism, costs savings associated with the reduction
2527		-	~~1244~~
	2533	+	1246
2528	2534		in the number of inmates, and evaluation of expenses and resources needed to meet
2529		-	~~1245~~
	2535	+	1247
2530	2536		goals regarding the use of treatment as an alternative to incarceration, as resources
2531		-	~~1246~~
	2537	+	1248
2532	2538		allow;
2533		-	~~1247~~
	2539	+	1249
2534	2540		(e) study, evaluate, and report on policies, procedures, and programs of other
2535		-	~~1248~~
	2541	+	1250
2536	2542		jurisdictions which have effectively reduced crime;
2537		-	~~1249~~
	2543	+	1251
2538	2544		(f) identify and promote the implementation of specific policies and programs the
2539		-	~~1250~~
	2545	+	1252
2540	2546		commission determines will significantly reduce crime in Utah;
2541		-	1251
	2547	+	- 37 - 4th Sub. (Green) H.B. 347 03-06 15:06
	2548	+	1253
2542	2549		(g) provide analysis and recommendations on all criminal and juvenile justice
2543		-	- 37 - H.B. 347 Enrolled Copy
2544		-	1252
	2550	+	1254
2545	2551		legislation, state budget, and facility requests, including program and fiscal impact on
2546		-	~~1253~~
	2552	+	1255
2547	2553		all components of the criminal and juvenile justice system;
2548		-	~~1254~~
	2554	+	1256
2549	2555		(h) provide analysis, accountability, recommendations, and supervision for state and
2550		-	~~1255~~
	2556	+	1257
2551	2557		federal criminal justice grant money;
2552		-	~~1256~~
	2558	+	1258
2553	2559		(i) provide public information on the criminal and juvenile justice system and give
2554		-	~~1257~~
	2560	+	1259
2555	2561		technical assistance to agencies or local units of government on methods to promote
2556		-	~~1258~~
	2562	+	1260
2557	2563		public awareness;
2558		-	~~1259~~
	2564	+	1261
2559	2565		(j) promote research and program evaluation as an integral part of the criminal and
2560		-	~~1260~~
	2566	+	1262
2561	2567		juvenile justice system;
2562		-	~~1261~~
	2568	+	1263
2563	2569		(k) provide a comprehensive criminal justice plan annually;
2564		-	~~1262~~
	2570	+	1264
2565	2571		(l) review agency forecasts regarding future demands on the criminal and juvenile
2566		-	~~1263~~
	2572	+	1265
2567	2573		justice systems, including specific projections for secure bed space;
2568		-	~~1264~~
	2574	+	1266
2569	2575		(m) promote the development of criminal and juvenile justice information systems that
2570		-	~~1265~~
	2576	+	1267
2571	2577		are consistent with common standards for data storage and are capable of
2572		-	~~1266~~
	2578	+	1268
2573	2579		appropriately sharing information with other criminal justice information systems by:
2574		-	~~1267~~
	2580	+	1269
2575	2581		(i) developing and maintaining common data standards for use by all state criminal
2576		-	~~1268~~
	2582	+	1270
2577	2583		justice agencies;
2578		-	~~1269~~
	2584	+	1271
2579	2585		(ii) annually performing audits of criminal history record information maintained by
2580		-	~~1270~~
	2586	+	1272
2581	2587		state criminal justice agencies to assess their accuracy, completeness, and
2582		-	~~1271~~
	2588	+	1273
2583	2589		adherence to standards;
2584		-	~~1272~~
	2590	+	1274
2585	2591		(iii) defining and developing state and local programs and projects associated with
2586		-	~~1273~~
	2592	+	1275
2587	2593		the improvement of information management for law enforcement and the
2588		-	~~1274~~
	2594	+	1276
2589	2595		administration of justice; and
2590		-	~~1275~~
	2596	+	1277
2591	2597		(iv) establishing general policies concerning criminal and juvenile justice information
2592		-	~~1276~~
	2598	+	1278
2593	2599		systems and making rules as necessary to carry out the duties under Subsection
2594		-	~~1277~~
	2600	+	1279
2595	2601		(1)(k) and this Subsection (1)(m);
2596		-	~~1278~~
	2602	+	1280
2597	2603		(n) allocate and administer grants, from money made available, for approved education
2598		-	~~1279~~
	2604	+	1281
2599	2605		programs to help prevent the sexual exploitation of children;
2600		-	~~1280~~
	2606	+	1282
2601	2607		(o) allocate and administer grants for law enforcement operations and programs related
2602		-	~~1281~~
	2608	+	1283
2603	2609		to reducing illegal drug activity and related criminal activity;
2604		-	~~1282~~
	2610	+	1284
2605	2611		(p) request, receive, and evaluate data and recommendations collected and reported by
2606		-	~~1283~~
	2612	+	1285
2607	2613		agencies and contractors related to policies recommended by the commission
2608		-	~~1284~~
	2614	+	1286
2609	2615		regarding recidivism reduction, including the data described in Section 13-53-111
2610		-	1285
	2616	+	- 38 - 03-06 15:06 4th Sub. (Green) H.B. 347
	2617	+	1287
2611	2618		and Subsection [26B-5-102(2)(l)] 26B-5-102(2)(kk);
2612		-	- 38 - Enrolled Copy H.B. 347
2613		-	1286
	2619	+	1288
2614	2620		(q) establish and administer a performance incentive grant program that allocates funds
2615		-	~~1287~~
	2621	+	1289
2616	2622		appropriated by the Legislature to programs and practices implemented by counties
2617		-	~~1288~~
	2623	+	1290
2618	2624		that reduce recidivism and reduce the number of offenders per capita who are
2619		-	~~1289~~
	2625	+	1291
2620	2626		incarcerated;
2621		-	~~1290~~
	2627	+	1292
2622	2628		(r) oversee or designate an entity to oversee the implementation of juvenile justice
2623		-	~~1291~~
	2629	+	1293
2624	2630		reforms;
2625		-	~~1292~~
	2631	+	1294
2626	2632		(s) make rules and administer the juvenile holding room standards and juvenile jail
2627		-	~~1293~~
	2633	+	1295
2628	2634		standards to align with the Juvenile Justice and Delinquency Prevention Act
2629		-	~~1294~~
	2635	+	1296
2630	2636		requirements pursuant to 42 U.S.C. Sec. 5633;
2631		-	~~1295~~
	2637	+	1297
2632	2638		(t) allocate and administer grants, from money made available, for pilot qualifying
2633		-	~~1296~~
	2639	+	1298
2634	2640		education programs;
2635		-	~~1297~~
	2641	+	1299
2636	2642		(u) request, receive, and evaluate the aggregate data collected from prosecutorial
2637		-	~~1298~~
	2643	+	1300
2638	2644		agencies and the Administrative Office of the Courts, in accordance with Sections
2639		-	~~1299~~
	2645	+	1301
2640	2646		63M-7-216 and 78A-2-109.5;
2641		-	~~1300~~
	2647	+	1302
2642	2648		(v) report annually to the Law Enforcement and Criminal Justice Interim Committee on
2643		-	~~1301~~
	2649	+	1303
2644	2650		the progress made on each of the following goals of the Justice Reinvestment
2645		-	~~1302~~
	2651	+	1304
2646	2652		Initiative:
2647		-	~~1303~~
	2653	+	1305
2648	2654		(i) ensuring oversight and accountability;
2649		-	~~1304~~
	2655	+	1306
2650	2656		(ii) supporting local corrections systems;
2651		-	~~1305~~
	2657	+	1307
2652	2658		(iii) improving and expanding reentry and treatment services; and
2653		-	~~1306~~
	2659	+	1308
2654	2660		(iv) strengthening probation and parole supervision;
2655		-	~~1307~~
	2661	+	1309
2656	2662		(w) compile a report of findings based on the data and recommendations provided under
2657		-	~~1308~~
	2663	+	1310
2658	2664		Section 13-53-111 and Subsection [26B-5-102(2)(n)] 26B-5-102(2)(mm) that:
2659		-	~~1309~~
	2665	+	1311
2660	2666		(i) separates the data provided under Section 13-53-111 by each residential,
2661		-	~~1310~~
	2667	+	1312
2662	2668		vocational and life skills program; and
2663		-	~~1311~~
	2669	+	1313
2664	2670		(ii) separates the data provided under Subsection [26B-5-102(2)(n)]
2665		-	~~1312~~
	2671	+	1314
2666	2672		26B-5-102(2)(mm) by each mental health or substance use treatment program;
2667		-	~~1313~~
	2673	+	1315
2668	2674		(x) publish the report described in Subsection (1)(w) on the commission's website and
2669		-	~~1314~~
	2675	+	1316
2670	2676		annually provide the report to the Judiciary Interim Committee, the Health and
2671		-	~~1315~~
	2677	+	1317
2672	2678		Human Services Interim Committee, the Law Enforcement and Criminal Justice
2673		-	~~1316~~
	2679	+	1318
2674	2680		Interim Committee, and the related appropriations subcommittees;
2675		-	~~1317~~
	2681	+	1319
2676	2682		(y) receive, compile, and publish on the commission's website the data provided under:
2677		-	~~1318~~
	2683	+	1320
2678	2684		(i) Section 53-25-202;
2679		-	1319
	2685	+	- 39 - 4th Sub. (Green) H.B. 347 03-06 15:06
	2686	+	1321
2680	2687		(ii) Section 53-25-301; and
2681		-	- 39 - H.B. 347 Enrolled Copy
2682		-	1320
	2688	+	1322
2683	2689		(iii) Section 53-25-401;
2684		-	~~1321~~
	2690	+	1323
2685	2691		(z) review, research, advise, and make recommendations to the three branches of
2686		-	~~1322~~
	2692	+	1324
2687	2693		government regarding evidence-based sex offense management policies and
2688		-	~~1323~~
	2694	+	1325
2689	2695		practices, including supervision standards, treatment standards, and the sex offender
2690		-	~~1324~~
	2696	+	1326
2691	2697		registry;
2692		-	~~1325~~
	2698	+	1327
2693	2699		(aa) receive and evaluate a referral from the Department of Public Safety received under
2694		-	~~1326~~
	2700	+	1328
2695	2701		Section 53-21-104.3 involving a denial of mental health resources to an eligible
2696		-	~~1327~~
	2702	+	1329
2697	2703		individual, including, if appropriate in the commission's discretion, deny the relevant
2698		-	~~1328~~
	2704	+	1330
2699	2705		entity from receiving any grant of state funds under Section 63M-7-218 for a
2700		-	~~1329~~
	2706	+	1331
2701	2707		specified period of time; and
2702		-	~~1330~~
	2708	+	1332
2703	2709		(bb) accept public comment.
2704		-	~~1331~~
	2710	+	1333
2705	2711		(2)(a) The commission may designate an entity to perform the duties described in this
2706		-	~~1332~~
	2712	+	1334
2707	2713		part.
2708		-	~~1333~~
	2714	+	1335
2709	2715		(b) If the commission designates an entity under Subsection (2)(a), the commission shall
2710		-	~~1334~~
	2716	+	1336
2711	2717		ensure that the membership of the designated entity includes representation from
2712		-	~~1335~~
	2718	+	1337
2713	2719		relevant stakeholder groups from the parts of the justice system implicated in the
2714		-	~~1336~~
	2720	+	1338
2715	2721		policy area.
2716		-	~~1337~~
	2722	+	1339
2717	2723		(3) in fulfilling the commission's duties under Subsection (1), the commission may seek
2718		-	~~1338~~
	2724	+	1340
2719	2725		input and request assistance from groups with knowledge and expertise in criminal
2720		-	~~1339~~
	2726	+	1341
2721	2727		justice, including other boards and commissions affiliated or housed within the
2722		-	~~1340~~
	2728	+	1342
2723	2729		commission.
2724		-	~~1341~~
	2730	+	1343
2725	2731		Section 12. FY 2026 Appropriations.
2726		-	~~1342~~
	2732	+	1344
2727	2733		The following sums of money are appropriated for the fiscal year beginning July 1,
2728		-	~~1343~~
	2734	+	1345
2729	2735		2025, and ending June 30, 2026. These are additions to amounts previously appropriated for
2730		-	~~1344~~
	2736	+	1346
2731	2737		fiscal year 2026.
2732		-	~~1345~~
	2738	+	1347
2733	2739		Subsection 12(a). Operating and Capital Budgets
2734		-	~~1346~~
	2740	+	1348
2735	2741		Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the
2736		-	~~1347~~
	2742	+	1349
2737	2743		Legislature appropriates the following sums of money from the funds or accounts indicated for
2738		-	~~1348~~
	2744	+	1350
2739	2745		the use and support of the government of the state of Utah.
2740		-	~~1349~~
	2746	+	1351
2741	2747		ITEM 1 To Department of Workforce Services - Office of Homeless Services
2742		-	~~1350~~
	2748	+	1352
2743	2749		From General Fund 100,000
2744		-	~~1351~~
	2750	+	1353
2745	2751		From General Fund, One-time (100,000)
2746		-	~~1352~~
	2752	+	1354
2747	2753		The Legislature intends that this funding be used
2748		-	1353
	2754	+	- 40 - 03-06 15:06 4th Sub. (Green) H.B. 347
	2755	+	1355
2749	2756		to fund the item "Healthcare and Housing: Medical
2750		-	- 40 - Enrolled Copy H.B. 347
2751		-	1354
	2757	+	1356
2752	2758		Respite & End-of-Life Care for Homeless".
2753		-	~~1355~~
	2759	+	1357
2754	2760		ITEM 2 To Department of Health and Human Services - Operations
2755		-	~~1356~~
	2761	+	1358
2756	2762		From General Fund, One-time 200,000
2757		-	~~1357~~
	2763	+	1359
2758	2764		Schedule of Programs:
2759		-	~~1358~~
	2765	+	1360
2760	2766		Finance & Administration 200,000
2761		-	~~1359~~
	2767	+	1361
2762	2768		Under the provisions of Utah Code Annotated
2763		-	~~1360~~
	2769	+	1362
2764	2770		Title 63G, Chapter 6b, State Grants, the Legislature
2765		-	~~1361~~
	2771	+	1363
2766	2772		intends that the Department of Health and Human
2767		-	~~1362~~
	2773	+	1364
2768	2774		Services provide a direct award grant of $200,000 to
2769		-	~~1363~~
	2775	+	1365
2770	2776		Valley Behavioral Health in fiscal year 2026 to expand
2771		-	~~1364~~
	2777	+	1366
2772	2778		services in Tooele County. The Legislature intends that
2773		-	~~1365~~
	2779	+	1367
2774	2780		the funding be distributed in one lump sum payment.
2775		-	~~1366~~
	2781	+	1368
2776	2782		ITEM 3 To Department of Health and Human Services - Integrated Health Care Services
2777		-	~~1367~~
	2783	+	1369
2778	2784		From General Fund 1,200,000
2779		-	~~1368~~
	2785	+	1370
2780	2786		From General Fund, One-time (300,000)
2781		-	~~1369~~
	2787	+	1371
2782	2788		Schedule of Programs:
2783		-	~~1370~~
	2789	+	1372
2784	2790		Medicaid Long Term Care Services 300,000
2785		-	~~1371~~
	2791	+	1373
2786	2792		Non-Medicaid Behavioral Health Treatment and
2787		-	~~1372~~
	2793	+	1374
2788	2794		Crisis Response 600,000
2789		-	~~1373~~
	2795	+	1375
2790	2796		Under the provisions of Utah Code Annotated
2791		-	~~1374~~
2792		-	Title 63G, Chapter 6b, State Grants, the Legislature
2793		-	~~1375~~
	2797	+	1376
	2798	+	Title 63G Chapter 6b, State Grants, the Legislature
	2799	+	1377
2794	2800		intends that the Department of Health and Human
2795		-	~~1376~~
2796		-	Services provide a direct award grant of $150,000
2797		-	~~1377~~
	2801	+	1378
	2802	+	Services provide a direct award grant of of $150,000
	2803	+	1379
2798	2804		ongoing and $450,000 one-time to Odyssey House to
2799		-	~~1378~~
	2805	+	1380
2800	2806		serve individuals exiting inpatient substance use disorder
2801		-	~~1379~~
	2807	+	1381
2802	2808		treatment, jail, or unstable housing. The Legislature
2803		-	~~1380~~
	2809	+	1382
2804	2810		intends that the $600,000 funding in fiscal 2026 be
2805		-	~~1381~~
	2811	+	1383
2806	2812		distributed in one lump sum payment.
2807		-	~~1382~~
	2813	+	1384
2808	2814		The Legislature intends that $300,000 in fiscal
2809		-	~~1383~~
	2815	+	1385
2810	2816		year 2026 be used to fund the item "Skilled Nursing
2811		-	~~1384~~
	2817	+	1386
2812	2818		Facility Behavioral Health". Beginning in fiscal year
2813		-	~~1385~~
	2819	+	1387
2814	2820		2027, the Legislature intends that $1,050,000 ongoing go
2815		-	~~1386~~
	2821	+	1388
2816	2822		to this purpose.
2817		-	1387
	2823	+	- 41 - 4th Sub. (Green) H.B. 347 03-06 15:06
	2824	+	1389
2818	2825		Section 13. Effective date.
2819		-	- 41 - H.B. 347 Enrolled Copy
2820		-	1388
	2826	+	1390
2821	2827		(1) Except as provided in Subsection (2), this bill takes effect on May 7, 2025.
2822		-	~~1389~~
	2828	+	1391
2823	2829		(2) The actions affecting Section 26B-3-105 (Effective 07/01/25) take effect on July 1,
2824		-	~~1390~~
	2830	+	1392
2825	2831		2025.
2826	2832		- 42 -