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Utah Code
Title 26
Utah Health Code
Chapter 9
Rural Health Services
Section 4
Rural Health Care Facilities Account -- Source of revenues -- Interest -- Distribution of revenues -- Expenditure of revenues -- Unexpended revenues lapse into the General Fund.
     26-9-4.   Rural Health Care Facilities Account -- Source of revenues -- Interest -- Distribution of revenues -- Expenditure of revenues -- Unexpended revenues lapse into the General Fund.
     (1) As used in this section:
     (a) "Emergency medical services" is as defined in Section 26-8a-102.
     (b) "Federally qualified health center" is as defined in 42 U.S.C. Sec. 1395x.
     (c) "Fiscal year" means a one-year period beginning on July 1 of each year.
     (d) "Freestanding urgent care center" is as defined in Section 59-12-801.
     (e) "Nursing care facility" is as defined in Section 26-21-2.
     (f) "Rural city hospital" is as defined in Section 59-12-801.
     (g) "Rural county health care facility" is as defined in Section 59-12-801.
     (h) "Rural county hospital" is as defined in Section 59-12-801.
     (i) "Rural county nursing care facility" is as defined in Section 59-12-801.
     (j) "Rural emergency medical services" is as defined in Section 59-12-801.
     (k) "Rural health clinic" is as defined in 42 U.S.C. Sec. 1395x.
     (2) There is created a restricted account within the General Fund known as the "Rural Health Care Facilities Account."
     (3) (a) The restricted account shall be funded by amounts appropriated by the Legislature.
     (b) Any interest earned on the restricted account shall be deposited into the General Fund.
     (4) Subject to Subsections (5) and (6), the State Tax Commission shall for a fiscal year distribute money deposited into the restricted account to each:
     (a) county legislative body of a county that, on January 1, 2007, imposes a tax in accordance with Section 59-12-802; or
     (b) city legislative body of a city that, on January 1, 2007, imposes a tax in accordance with Section 59-12-804.
     (5) (a) Subject to Subsection (6), for purposes of the distribution required by Subsection (4), the State Tax Commission shall:
     (i) estimate for each county and city described in Subsection (4) the amount by which the revenues collected from the taxes imposed under Sections 59-12-802 and 59-12-804 for fiscal year 2005-06 would have been reduced had:
     (A) the amendments made by Laws of Utah 2007, Chapter 288, Sections 25 and 26, to Sections 59-12-802 and 59-12-804 been in effect for fiscal year 2005-06; and
     (B) each county and city described in Subsection (4) imposed the tax under Sections 59-12-802 and 59-12-804 for the entire fiscal year 2005-06;
     (ii) calculate a percentage for each county and city described in Subsection (4) by dividing the amount estimated for each county and city in accordance with Subsection (5)(a)(i) by $555,000; and
     (iii) distribute to each county and city described in Subsection (4) an amount equal to the product of:
     (A) the percentage calculated in accordance with Subsection (5)(a)(ii); and
     (B) the amount appropriated by the Legislature to the restricted account for the fiscal year.
     (b) The State Tax Commission shall make the estimations, calculations, and distributions

required by Subsection (5)(a) on the basis of data collected by the State Tax Commission.
     (6) If a county legislative body repeals a tax imposed under Section 59-12-802 or a city legislative body repeals a tax imposed under Section 59-12-804:
     (a) the commission shall determine in accordance with Subsection (5) the distribution that, but for this Subsection (6), the county legislative body or city legislative body would receive; and
     (b) after making the determination required by Subsection (6)(a), the commission shall:
     (i) if the effective date of the repeal of a tax imposed under Section 59-12-802 or 59-12-804 is October 1:
     (A) (I) distribute to the county legislative body or city legislative body 25% of the distribution determined in accordance with Subsection (6)(a); and
     (II) deposit 75% of the distribution determined in accordance with Subsection (6)(a) into the General Fund; and
     (B) beginning with the first fiscal year after the effective date of the repeal and for each subsequent fiscal year, deposit the entire amount of the distribution determined in accordance with Subsection (6)(a) into the General Fund;
     (ii) if the effective date of the repeal of a tax imposed under Section 59-12-802 or 59-12-804 is January 1:
     (A) (I) distribute to the county legislative body or city legislative body 50% of the distribution determined in accordance with Subsection (6)(a); and
     (II) deposit 50% of the distribution determined in accordance with Subsection (6)(a) into the General Fund; and
     (B) beginning with the first fiscal year after the effective date of the repeal and for each subsequent fiscal year, deposit the entire amount of the distribution determined in accordance with Subsection (6)(a) into the General Fund;
     (iii) if the effective date of the repeal of a tax imposed under Section 59-12-802 or 59-12-804 is April 1:
     (A) (I) distribute to the county legislative body or city legislative body 75% of the distribution determined in accordance with Subsection (6)(a); and
     (II) deposit 25% of the distribution determined in accordance with Subsection (6)(a) into the General Fund; and
     (B) beginning with the first fiscal year after the effective date of the repeal and for each subsequent fiscal year, deposit the entire amount of the distribution determined in accordance with Subsection (6)(a) into the General Fund; or
     (iv) if the effective date of the repeal of a tax imposed under Section 59-12-802 or 59-12-804 is July 1, beginning on that effective date and for each subsequent fiscal year, deposit the entire amount of the distribution determined in accordance with Subsection (6)(a) into the General Fund.
     (7) (a) Subject to Subsection (7)(b), a county legislative body shall distribute the money the county legislative body receives in accordance with Subsection (5) or (6):
     (i) for a county of the third, fourth, or fifth class, to fund rural county health care facilities in that county; and
     (ii) for a county of the sixth class, to fund:
     (A) emergency medical services in that county;
     (B) federally qualified health centers in that county;

     (C) freestanding urgent care centers in that county;
     (D) rural county health care facilities in that county;
     (E) rural health clinics in that county; or
     (F) a combination of Subsections (7)(a)(ii)(A) through (E).
     (b) A county legislative body shall distribute a percentage of the money the county legislative body receives in accordance with Subsection (5) or (6) to each center, clinic, facility, or service described in Subsection (7)(a) equal to the same percentage that the county legislative body distributes to that center, clinic, facility, or service in accordance with Section 59-12-803 for the calendar year ending on the December 31 immediately preceding the first day of the fiscal year for which the county legislative body receives the distribution in accordance with Subsection (5) or (6).
     (c) A center, clinic, facility, or service that receives a distribution in accordance with this Subsection (7) shall expend that distribution for the same purposes for which money generated by a tax under Section 59-12-802 may be expended.
     (8) (a) Subject to Subsection (8)(b), a city legislative body shall distribute the money the city legislative body receives in accordance with Subsection (5) or (6) to fund rural city hospitals in that city.
     (b) A city legislative body shall distribute a percentage of the money the city legislative body receives in accordance with Subsection (5) or (6) to each rural city hospital described in Subsection (8)(a) equal to the same percentage that the city legislative body distributes to that rural city hospital in accordance with Section 59-12-805 for the calendar year ending on the December 31 immediately preceding the first day of the fiscal year for which the city legislative body receives the distribution in accordance with Subsection (5) or (6).
     (c) A rural city hospital that receives a distribution in accordance with this Subsection (8) shall expend that distribution for the same purposes for which money generated by a tax under Section 59-12-804 may be expended.
     (9) Any money remaining in the Rural Health Care Facilities Account at the end of a fiscal year after the State Tax Commission makes the distributions required by this section shall lapse into the General Fund.

Amended by Chapter 278, 2010 General Session
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