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H.B. 385





Chief Sponsor: Bradley M. Daw

Senate Sponsor: Margaret Dayton

             7      LONG TITLE
             8      General Description:
             9          This bill provides a standard for when jails are to provide medical care to prisoners and
             10      amends procedures for collecting medical expenses owed by an inmate.
             11      Highlighted Provisions:
             12          This bill:
             13          .    provides standards regarding when a sheriff is required to provide medical care to
             14      persons being held in the county jail;
             15          .    allows a county to seek reimbursement from an inmate for medical care in addition
             16      to any other outstanding costs the inmate owes to the county jail at the time of
             17      release;
             18          .    includes inmate medical care in the costs incurred by a county that the court may
             19      order be paid by the inmate to the county as restitution; and
             20          .    extends the time period when a county jail may make a claim against a current
             21      inmate for costs incurred during a prior incarceration from three years to 10 years.
             22      Money Appropriated in this Bill:
             23          None
             24      Other Special Clauses:
             25          None
             26      Utah Code Sections Affected:
             27      AMENDS:

             28          17-22-8, as last amended by Laws of Utah 1993, Chapter 227
             29          17-50-319, as last amended by Laws of Utah 2010, Chapter 366
             30          76-3-201, as last amended by Laws of Utah 2010, Chapter 85
             32      Be it enacted by the Legislature of the state of Utah:
             33          Section 1. Section 17-22-8 is amended to read:
             34           17-22-8. Care of prisoners -- Funding of services -- Private contractor.
             35          (1) Except as provided in Subsection (3), the sheriff shall:
             36          (a) receive all persons committed to jail by competent authority; [and]
             37          (b) provide them with necessary food, clothing, and bedding in the manner prescribed
             38      by the county legislative body[.]; and
             39          (c) provide medical care when:
             40          (i) the person's symptoms evidence a serious disease or injury;
             41          (ii) the person's disease or injury is curable or may be substantially alleviated; and
             42          (iii) the potential for harm to the person by reason of delay or the denial of medical
             43      care would be substantial.
             44          (2) The expense incurred in providing these services to prisoners shall be paid from the
             45      county treasury, except as provided in Section 17-22-10 .
             46          (3) If the county executive contracts with a private contractor to provide the services
             47      required by this section, the sheriff shall provide only those services required of him by the
             48      contract between the county and the private contractor.
             49          Section 2. Section 17-50-319 is amended to read:
             50           17-50-319. County charges enumerated.
             51          (1) County charges are:
             52          (a) those incurred against the county by any law;
             53          (b) the necessary expenses of the county attorney or district attorney incurred in
             54      criminal cases arising in the county, and all other expenses necessarily incurred by the county
             55      or district attorney in the prosecution of criminal cases, except jury and witness fees;
             56          (c) [the] medical [needs] care as described in Section 17-22-8 , and other expenses
             57      necessarily incurred in the support of persons charged with or convicted of a criminal offense
             58      and committed to the county jail, except as provided in Subsection (2);

             59          (d) for a county not within the state district court administrative system, the sum
             60      required by law to be paid jurors in civil cases;
             61          (e) all charges and accounts for services rendered by any justice court judge for
             62      services in the trial and examination of persons charged with a criminal offense not otherwise
             63      provided for by law;
             64          (f) the contingent expenses necessarily incurred for the use and benefit of the county;
             65          (g) every other sum directed by law to be raised for any county purposes under the
             66      direction of the county legislative body or declared a county charge;
             67          (h) the fees of constables for services rendered in criminal cases;
             68          (i) the necessary expenses of the sheriff and deputies incurred in civil and criminal
             69      cases arising in the county, and all other expenses necessarily incurred by the sheriff and
             70      deputies in performing the duties imposed upon them by law;
             71          (j) the sums required by law to be paid by the county to jurors and witnesses serving at
             72      inquests and in criminal cases in justice courts; and
             73          (k) subject to Subsection (2), expenses incurred by a health care facility or provider in
             74      providing medical services, treatment, hospitalization, or related transportation, at the request
             75      of a county sheriff for:
             76          (i) persons booked into a county jail on a charge of a criminal offense; or
             77          (ii) persons convicted of a criminal offense and committed to a county jail.
             78          (2) (a) Expenses described in Subsections (1)(c) and (1)(k) are a charge to the county
             79      only to the extent that they exceed any private insurance in effect that covers those expenses.
             80          (b) Subject to the priorities for payment under Subsection 64-13-30 (1), the county may
             81      collect costs of medical care, treatment, hospitalization, and related transportation provided to
             82      the person described in Subsection (1)(k) who has the resources or the ability to pay.
             83          (c) A county may seek reimbursement from a person described in Subsection (1)(k) for
             84      expenses incurred by the county in behalf of the inmate for medical care, treatment,
             85      hospitalization, or related transportation by:
             86          (i) deducting the cost from the inmate's cash account on deposit with the detention
             87      facility during the inmate's incarceration or during a subsequent incarceration if the subsequent
             88      incarceration occurs within the same county and the incarceration is within [three] 10 years of
             89      the date of the expense in behalf of the inmate; [or]

             90          (ii) placing a lien for the amount of the expense against the inmate's personal property
             91      held by the jail[.]; and
             92          (iii) adding the amount of expenses incurred to any other amount owed by the inmate
             93      to the jail upon the inmate's release, as allowed under Subsection 76-3-201 (6)(a).
             94          (d) An inmate who receives medical care, treatment, hospitalization, or related
             95      transportation shall cooperate with the jail facility seeking payment or reimbursement under
             96      this section for the inmate's expenses.
             97          (e) If there is no contract between a county jail and a health care facility or provider
             98      that establishes a fee schedule for medical services rendered, expenses under Subsection (1)(k)
             99      shall be commensurate with:
             100          (i) for a health care facility, the current noncapitated state Medicaid rates; and
             101          (ii) for a health care provider, 65% of the amount that would be paid to the health care
             102      provider:
             103          (A) under the Public Employees' Benefit and Insurance Program, created in Section
             104      49-20-103 ; and
             105          (B) if the person receiving the medical service were a covered employee under the
             106      Public Employees' Benefit and Insurance Program.
             107          (f) Subsection (1)(k) does not apply to expenses of a person held at the jail at the
             108      request of an agency of the United States.
             109          (g) A county that receives information from the Public Employees' Benefit and
             110      Insurance Program to enable the county to calculate the amount to be paid to a health care
             111      provider under Subsection (2)(e)(ii) shall keep that information confidential.
             112          Section 3. Section 76-3-201 is amended to read:
             113           76-3-201. Definitions -- Sentences or combination of sentences allowed -- Civil
             114      penalties.
             115          (1) As used in this section:
             116          (a) "Conviction" includes a:
             117          (i) judgment of guilt; and
             118          (ii) plea of guilty.
             119          (b) "Criminal activities" means any offense of which the defendant is convicted or any
             120      other criminal conduct for which the defendant admits responsibility to the sentencing court

             121      with or without an admission of committing the criminal conduct.
             122          (c) "Pecuniary damages" means all special damages, but not general damages, which a
             123      person could recover against the defendant in a civil action arising out of the facts or events
             124      constituting the defendant's criminal activities and includes the money equivalent of property
             125      taken, destroyed, broken, or otherwise harmed, and losses including earnings and medical
             126      expenses.
             127          (d) "Restitution" means full, partial, or nominal payment for pecuniary damages to a
             128      victim, and payment for expenses to a governmental entity for extradition or transportation and
             129      as further defined in Title 77, Chapter 38a, Crime Victims Restitution Act.
             130          (e) (i) "Victim" means any person who the court determines has suffered pecuniary
             131      damages as a result of the defendant's criminal activities.
             132          (ii) "Victim" does not include any coparticipant in the defendant's criminal activities.
             133          (2) Within the limits prescribed by this chapter, a court may sentence a person
             134      convicted of an offense to any one of the following sentences or combination of them:
             135          (a) to pay a fine;
             136          (b) to removal or disqualification from public or private office;
             137          (c) to probation unless otherwise specifically provided by law;
             138          (d) to imprisonment;
             139          (e) on or after April 27, 1992, to life in prison without parole; or
             140          (f) to death.
             141          (3) (a) This chapter does not deprive a court of authority conferred by law to:
             142          (i) forfeit property;
             143          (ii) dissolve a corporation;
             144          (iii) suspend or cancel a license;
             145          (iv) permit removal of a person from office;
             146          (v) cite for contempt; or
             147          (vi) impose any other civil penalty.
             148          (b) A civil penalty may be included in a sentence.
             149          (4) (a) When a person is convicted of criminal activity that has resulted in pecuniary
             150      damages, in addition to any other sentence it may impose, the court shall order that the
             151      defendant make restitution to the victims, or for conduct for which the defendant has agreed to

             152      make restitution as part of a plea agreement.
             153          (b) In determining whether restitution is appropriate, the court shall follow the criteria
             154      and procedures as provided in Title 77, Chapter 38a, Crime Victims Restitution Act.
             155          (5) (a) In addition to any other sentence the court may impose, and unless otherwise
             156      ordered by the court, the defendant shall pay restitution of governmental transportation
             157      expenses if the defendant was:
             158          (i) transported pursuant to court order from one county to another within the state at
             159      governmental expense to resolve pending criminal charges;
             160          (ii) charged with a felony or a class A, B, or C misdemeanor; and
             161          (iii) convicted of a crime.
             162          (b) The court may not order the defendant to pay restitution of governmental
             163      transportation expenses if any of the following apply:
             164          (i) the defendant is charged with an infraction or on a subsequent failure to appear a
             165      warrant is issued for an infraction; or
             166          (ii) the defendant was not transported pursuant to a court order.
             167          (c) (i) Restitution of governmental transportation expenses under Subsection (5)(a)(i)
             168      shall be calculated according to the following schedule:
             169          (A) $100 for up to 100 miles a defendant is transported;
             170          (B) $200 for 100 up to 200 miles a defendant is transported; and
             171          (C) $350 for 200 miles or more a defendant is transported.
             172          (ii) The schedule of restitution under Subsection (5)(c)(i) applies to each defendant
             173      transported regardless of the number of defendants actually transported in a single trip.
             174          (d) If a defendant has been extradited to this state under Title 77, Chapter 30,
             175      Extradition, to resolve pending criminal charges and is convicted of criminal activity in the
             176      county to which he has been returned, the court may, in addition to any other sentence it may
             177      impose, order that the defendant make restitution for costs expended by any governmental
             178      entity for the extradition.
             179          (6) (a) In addition to any other sentence the court may impose, and unless otherwise
             180      ordered by the court pursuant to Subsection (6)(c), the defendant shall pay restitution to the
             181      county for the cost of incarceration and costs of medical care provided to the defendant while
             182      in the county correctional facility before and after sentencing if:

             183          (i) the defendant is convicted of criminal activity that results in incarceration in the
             184      county correctional facility; and
             185          (ii) (A) the defendant is not a state prisoner housed in a county correctional facility
             186      through a contract with the Department of Corrections; or
             187          (B) the reimbursement does not duplicate the reimbursement provided under Section
             188      64-13e-104 if the defendant is a state probationary inmate, as defined in Section 64-13e-102 , or
             189      a state parole inmate, as defined in Section 64-13e-102 .
             190          (b) (i) The costs of incarceration under Subsection (6)(a) are the amount determined by
             191      the county correctional facility, but may not exceed the daily inmate incarceration costs and
             192      medical and transportation costs for the county correctional facility.
             193          (ii) The costs of incarceration under Subsection (6)(a) do not include expenses incurred
             194      by the county correctional facility in providing reasonable accommodation for an inmate
             195      qualifying as an individual with a disability as defined and covered by the federal Americans
             196      with Disabilities Act of 1990, 42 U.S.C. 12101 through 12213, including medical and mental
             197      health treatment for the inmate's disability.
             198          (c) In determining whether to order that the restitution required under this Subsection
             199      (6) be reduced or that the defendant be exempted from the restitution, the court shall consider
             200      the criteria under Subsections 77-38a-302 (5)(c)(i) through (iv) and shall enter the reason for its
             201      order on the record.
             202          (d) If on appeal the defendant is found not guilty of the criminal activity under
             203      Subsection (6)(a)(i) and that finding is final as defined in Section 76-1-304 , the county shall
             204      reimburse the defendant for restitution the defendant paid for costs of incarceration under
             205      Subsection (6)(a).

Legislative Review Note
    as of 2-15-11 12:33 PM

Office of Legislative Research and General Counsel

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