1     
UTAH MEDICAID AMENDMENTS

2     
2016 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Raymond P. Ward

5     
Senate Sponsor: ____________

6     

7     LONG TITLE
8     General Description:
9          This bill expands the Medicaid program to individuals who are below 138% of the
10     federal poverty level and provides funding mechanisms for the Medicaid expansion.
11     Highlighted Provisions:
12          This bill:
13          ▸     requires the Department of Health to apply to the federal government for waivers
14     from federal law necessary to implement Medicaid expansion;
15          ▸     defines terms;
16          ▸     describes the terms of the Medicaid waiver, which:
17               •     establishes an alternative health benefit package for Medicaid enrollees using
18     premium subsidies to purchase commercial health insurance policies;
19               •     seeks waivers for certain cost sharing requirements;
20               •     enrolls individuals into employer sponsored insurance, if available, and with
21     cost sharing protections for the individual when required by the federal
22     Medicaid program;
23               •     prohibits reimbursement for emergency room facility charges if the visit is not
24     an emergency;
25               •     prohibits reimbursement for non-emergency transportation;
26               •     keeps families together in one policy in most circumstances;
27               •     requires an enrollee to be offered work assistance;

28               •     requires the division to apply for waivers from CMS after January 1, 2017, to
29     cover up to 100% of the federal poverty level at the full match rate; and
30               •     rolls back expansion to 100% of the federal poverty level if the cost of
31     providing full expansion coverage equals or exceeds the cost of providing
32     coverage up to 100% of the federal poverty level;
33          ▸     establishes an inpatient hospital assessment, the proceeds of which shall be
34     deposited into the Medicaid Expansion Fund; and
35          ▸     establishes an electronic cigarette tax:
36               •     defines terms;
37               •     addresses licensing issues;
38               •     deposits the proceeds into the Medicaid Expansion Fund; and
39               •     makes technical changes.
40     Money Appropriated in this Bill:
41          None
42     Other Special Clauses:
43          This bill provides a special effective date.
44     Utah Code Sections Affected:
45     AMENDS:
46          26-18-18, as last amended by Laws of Utah 2015, Chapter 283
47          59-14-102, as last amended by Laws of Utah 2013, Chapter 148
48          59-14-403, as renumbered and amended by Laws of Utah 1987, Chapters 2 and 3
49          59-14-802, as enacted by Laws of Utah 2015, Chapter 132
50          59-14-803, as enacted by Laws of Utah 2015, Chapter 132
51     ENACTS:
52          26-18c-101, Utah Code Annotated 1953
53          26-18c-102, Utah Code Annotated 1953
54          26-18c-201, Utah Code Annotated 1953
55          26-18c-202, Utah Code Annotated 1953
56          26-18c-301, Utah Code Annotated 1953
57          26-18c-302, Utah Code Annotated 1953
58          26-18c-303, Utah Code Annotated 1953

59          26-18c-304, Utah Code Annotated 1953
60          26-18c-305, Utah Code Annotated 1953
61          26-18c-306, Utah Code Annotated 1953
62          26-18c-307, Utah Code Annotated 1953
63          26-18c-401, Utah Code Annotated 1953
64          26-18c-402, Utah Code Annotated 1953
65          26-18c-403, Utah Code Annotated 1953
66          26-18c-404, Utah Code Annotated 1953
67          26-18c-405, Utah Code Annotated 1953
68          26-18c-406, Utah Code Annotated 1953
69          26-18c-407, Utah Code Annotated 1953
70          26-18c-408, Utah Code Annotated 1953
71          26-18c-409, Utah Code Annotated 1953
72          59-14-804, Utah Code Annotated 1953
73     

74     Be it enacted by the Legislature of the state of Utah:
75          Section 1. Section 26-18-18 is amended to read:
76          26-18-18. Optional Medicaid expansion.
77          (1) For purposes of this section, "PPACA" [is as] means the same as that term is
78     defined in Section 31A-1-301.
79          (2) The department and the governor shall not expand the state's Medicaid program to
80     the optional population under PPACA unless:
81          [(a) the Health Reform Task Force has completed a thorough analysis of a statewide
82     charity care system;]
83          [(b) the department and its contractors have:]
84          [(i) completed a thorough analysis of the impact to the state of expanding the state's
85     Medicaid program to optional populations under PPACA; and]
86          [(ii) made the analysis conducted under Subsection (2)(b)(i) available to the public;]
87          [(c)] (a) the governor or the governor's designee has reported the intention to expand
88     the state Medicaid program under PPACA to the Legislature in compliance with the legislative
89     review process in Sections 63N-11-106 and 26-18-3; and

90          [(d)] (b) (i) notwithstanding Subsection 63J-5-103(2), the governor submits the request
91     for expansion of the Medicaid program for optional populations to the Legislature under the
92     high impact federal funds request process required by Section 63J-5-204, Legislative review
93     and approval of certain federal funds request; or
94          (ii) the department obtains approval from the Centers for Medicare and Medicaid
95     Services within the United States Department of Health and Human Services for waivers from
96     federal statutory and regulatory law necessary to implement and fund waivers to the state's
97     Medicaid plan that are necessary to implement Utah Medicaid Expansion under Chapter 18c,
98     Utah Medicaid Expansion.
99          Section 2. Section 26-18c-101 is enacted to read:
100     
CHAPTER 18c. UTAH MEDICAID EXPANSION

101          26-18c-101. Title.
102          This chapter is known as "Utah Medicaid Expansion."
103          Section 3. Section 26-18c-102 is enacted to read:
104          26-18c-102. Definitions.
105          For purposes of this chapter:
106          (1) "Adult expansion population" means an individual who:
107          (a) is described in 42 U.S.C. Sec. 1396a(10)(A)(i)(VIII); and
108          (b) is not otherwise eligible for Medicaid as a mandatory categorically needy
109     individual.
110          (2) "CMS" means the Centers for Medicare and Medicaid Services within the United
111     States Department of Health and Human Services.
112          (3) "Division" means the Division of Health Care Financing established under Section
113     26-18-2.1, within the department.
114          (4) "Employer sponsored insurance" means minimum essential coverage, as that term
115     is defined in 26 C.F.R. 1.5000A-2, that is offered by an employer to its employees.
116          (5) "Enhanced match rate" means the federal match for the adult expansion population
117     established in 42 U.S.C. Sec. 1396d(y).
118          (6) "Federal poverty level" means the poverty guidelines established by the secretary of
119     the United States Department of Health and Human Services under 42 U.S.C. Sec. 9909(2).
120          (7) "Medically frail" means an individual in the adult expansion population who meets

121     the medically exempt criteria of 42 C.F.R. 440.315:
122          (a) as determined by the department; and
123          (b) based on methodology administered by the department or another entity selected by
124     the department.
125          (8) "PPACA" means the same as that term is defined in Section 31A-1-301.
126          (9) "Silver level plan" means a health insurance plan for which an individual may
127     receive federal premium and cost sharing subsidies in the federal health insurance marketplace
128     established under PPACA.
129          (10) "Utah Medicaid Expansion " means the Medicaid expansion program described in
130     Part 3, Description of Utah Medicaid Expansion, and the funding of Utah Medicaid Expansion
131     as described in Part 4, Inpatient Hospital Services Assessment.
132          Section 4. Section 26-18c-201 is enacted to read:
133     
Part 2. Duties and Authority of Department

134          26-18c-201. Duty to request and implement Medicaid waivers.
135          No later than July 1, 2016, the department shall submit to CMS a request for waivers
136     from federal statutory and regulatory law necessary to implement and fund a state Medicaid
137     plan to cover the adult expansion population in accordance with this chapter. The request for
138     waivers shall include a request to amend the state's existing Medicaid waivers for the purpose
139     of carrying forward credits the state has accumulated under the state's existing spending
140     authority for work on health care quality improvements.
141          Section 5. Section 26-18c-202 is enacted to read:
142          26-18c-202. Facilitating enrollment in the Utah Medicaid Expansion.
143          The department shall facilitate enrollment in Utah Medicaid Expansion and facilitate
144     the selection of a commercial health insurance plan by certain individuals enrolled in Utah
145     Medicaid Expansion by coordinating with the Medicaid eligibility system administered by the
146     Department of Workforce Services, and with the Avenue H web portal created by Section
147     63N-11-104 and administered by the Office of Consumer Health Services within the
148     Governor's Office of Economic Development.
149          Section 6. Section 26-18c-301 is enacted to read:
150     
Part 3. Description of Utah Medicaid Expansion

151          26-18c-301. Medically frail individuals.

152          (1) An individual in the adult expansion population who is medically frail shall receive
153     Medicaid benefits and services in the state's traditional Medicaid program.
154          (2) The department shall implement a pilot program that integrates medical and
155     behavioral health care services for the medically frail in selected geographic areas in the state.
156          Section 7. Section 26-18c-302 is enacted to read:
157          26-18c-302. Individuals with employer sponsored insurance.
158          (1) An individual in the adult expansion population who is not medically frail and who
159     is offered employer sponsored insurance shall enroll in the employer sponsored insurance.
160          (2) An individual enrolled in employer sponsored insurance under Subsection (1) shall
161     receive wrap-around coverage through Utah Medicaid Expansion in accordance with
162     Subsection (3).
163          (3) (a) If an individual is under 100% of the federal poverty level, the individual shall
164     receive Medicaid wrap-around coverage that provides cost sharing and benefits as required by
165     CMS.
166          (b) If an individual is at or above 100% of the federal poverty level, the individual shall
167     receive Medicaid wrap-around coverage that provides cost sharing and benefits substantially
168     equivalent to the cost sharing and benefits provided to an individual who is enrolled in a silver
169     level plan under Section 26-18c-303.
170          (4) If the department determines that the differences between the Medicaid
171     wrap-around coverages described in Subsections (3)(a) and (b) are administratively
172     burdensome, the department:
173          (a) shall report the department's determination to the Legislature in accordance with
174     Section 26-18-3; and
175          (b) may provide Medicaid wrap-around coverage with more uniform levels of cost
176     sharing and benefits.
177          Section 8. Section 26-18c-303 is enacted to read:
178          26-18c-303. Individuals without employer sponsored insurance who are above the
179     federal poverty level.
180          (1) (a) If an individual in the adult expansion population is not medically frail, does not
181     have an offer of employer sponsored insurance, and is at or above the federal poverty level, the
182     individual shall, upon application to participate in Utah Medicaid Expansion, receive:

183          (i) premium subsidies to enroll in a commercial health insurance plan that is actuarially
184     equivalent to a silver level plan; and
185          (ii) cost sharing subsidies equivalent to the cost sharing subsidies that would be
186     available to the individual on the federal marketplace.
187          (b) Premium and cost sharing subsidies under Subsection (1)(a) shall be sufficient to
188     ensure that:
189          (i) the individual pays at least, but no more than, 2% of the individual's household
190     income toward premiums; and
191          (ii) total cost sharing by the individual, including deductibles, copayments, and
192     coinsurance, but excluding premiums, does not exceed 6% of medical expenses covered by the
193     plan.
194          (2) Coverage under Subsection (1):
195          (a) begins on the first day of the month in which the individual is approved for the
196     program and makes an initial premium payment; and
197          (b) may not be applied retroactively from the first day of the month in which the first
198     premium payment was made.
199          (3) If an individual fails to make a monthly premium payment after the initial premium
200     payment, the individual shall receive a 60-day grace period during which to make the premium
201     payment before coverage under the commercial health insurance plan terminates.
202          (4) A commercial health insurance plan offered under this section may not:
203          (a) make a facility payment for non-emergent use of an emergency department; or
204          (b) provide non-emergent transportation.
205          Section 9. Section 26-18c-304 is enacted to read:
206          26-18c-304. Individuals without employer sponsored insurance who are below the
207     federal poverty level.
208          (1) (a) If an individual in the adult expansion population does not have an offer of
209     employer sponsored insurance, is not medically frail, and is below the federal poverty level, the
210     individual shall, upon application to participate in Utah Medicaid Expansion, receive:
211          (i) premium subsidies to enroll in a commercial health insurance plan that is actuarially
212     equivalent to a silver level plan; and
213          (ii) cost sharing subsidies described in Subsection (1)(b).

214          (b) Premium and cost sharing subsidies shall be sufficient to ensure that the individual
215     pays at least, but no more than, the maximum amount in premiums, deductibles, copayments,
216     coinsurance, and other cost sharing permitted by CMS for an individual below the federal
217     poverty level.
218          (2) Coverage under Subsection (1) may not be applied retroactively from the date of
219     enrollment.
220          (3) A commercial health insurance plan offered under this section may not:
221          (a) make a facility payment for non-emergent use of an emergency department; or
222          (b) provide non-emergent transportation.
223          Section 10. Section 26-18c-305 is enacted to read:
224          26-18c-305. Keeping families together.
225          (1) (a) If an individual in the adult expansion population is not medically frail, is above
226     100% of the federal poverty level, and has one or more children who qualify for the Medicaid
227     program or the Children's Health Insurance Program, the individual shall, upon application to
228     participate in Utah Medicaid Expansion:
229          (i) enroll the individual's children in the same commercial health insurance plan as the
230     plan selected by the individual; and
231          (ii) receive premium and cost sharing subsidies in accordance with Subsection (2) for
232     the individual and the individual's children.
233          (b) If an individual in the adult expansion population is not medically frail, is below
234     100% of the federal poverty level, and has one or more children who qualify for the Medicaid
235     program or the Children's Health Insurance Program, the individual may, at the individual's
236     option:
237          (i) enroll the individual's children in the same commercial health insurance plan as the
238     plan selected by the individual; and
239          (ii) receive premium and cost sharing subsidies in accordance with Subsection (2) for
240     the individual and the individual's children.
241          (2) Premium and cost sharing subsidies shall be sufficient to:
242          (a) enable the individual to purchase coverage in accordance with Section 26-18c-303
243     or 26-18c-304; and
244          (b) ensure that the children receive any additional Medicaid benefits or cost sharing

245     subsidies that are required by CMS.
246          Section 11. Section 26-18c-306 is enacted to read:
247          26-18c-306. Work assistance.
248          An enrollee in Utah Medicaid Expansion shall be offered employment services at the
249     time of enrollment.
250          Section 12. Section 26-18c-307 is enacted to read:
251          26-18c-307. Modification of Medicaid expansion.
252          (1) The division shall:
253          (a) on or before October 1 of each year, report to the Legislature's Social Services
254     Appropriations Subcommittee the number of enrollees in the expansion population and the cost
255     of providing Medicaid to the expansion population; and
256          (b) after January 1, 2017, seek approval from CMS for waivers from federal regulation
257     necessary to:
258          (i) provide Medicaid to enrollees who are in the expansion population and are below
259     100% of the federal poverty level; and
260          (ii) receive the full federal match rate under PPACA.
261          (2) The division shall amend the state Medicaid plan to cover the expansion population
262     up to 100% of the federal poverty level, and enroll individuals who are above 100% of the
263     federal poverty level into the federal marketplace if:
264          (a) the division obtains a waiver under Subsection (1)(b); or
265          (b) the cost of providing Medicaid services to the full expansion population equals or
266     exceeds the cost of providing Medicaid services only to individuals who are below 100% of the
267     federal poverty level at the state's regular federal match rate.
268          Section 13. Section 26-18c-401 is enacted to read:
269     
Part 4. Inpatient Hospital Services Assessment

270          26-18c-401. Title.
271          This part is known as "Inpatient Hospital Services Assessment."
272          Section 14. Section 26-18c-402 is enacted to read:
273          26-18c-402. Application.
274          (1) Other than for the imposition of the assessment described in this part, nothing in
275     this part shall affect the nonprofit or tax exempt status of any nonprofit charitable, religious, or

276     educational health care provider under:
277          (a) Section 501(c), as amended, of the Internal Revenue Code;
278          (b) other applicable federal law;
279          (c) any state law;
280          (d) any ad valorem property taxes;
281          (e) any sales or use taxes; or
282          (f) any other taxes, fees, or assessments, whether imposed or sought to be imposed by
283     the state or any political subdivision, county, municipality, district, authority, or any agency or
284     department thereof.
285          (2) All assessments paid under this part may be included as an allowable cost of a
286     hospital for purposes of any applicable Medicaid reimbursement formula.
287          (3) This part does not authorize a political subdivision of the state to:
288          (a) license a hospital for revenue;
289          (b) impose a tax or assessment upon a hospital; or
290          (c) impose a tax or assessment measured by the income or earnings of a hospital.
291          Section 15. Section 26-18c-403 is enacted to read:
292          26-18c-403. Definitions.
293          As used in this part:
294          (1) "Assessment" means the hospital inpatient provider assessment established by this
295     part.
296          (2) "Discharges" means the number of total hospital discharges reported on:
297          (a) worksheet S-3 Part I, column 15, lines 12, 14, and 14.01 of the 2552-96 Medicare
298     cost report, or on Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10
299     Medicare cost report, for the applicable assessment year; or
300          (b) a similar report adopted by the department by administrative rule, if the report
301     under Subsection (2)(a) is no longer available.
302          (3) "Division" means the Division of Health Care Financing of the department.
303          (4) "Hospital":
304          (a) means a privately owned:
305          (i) general acute hospital operating in the state as defined in Section 26-21-2; and
306          (ii) specialty hospital operating in the state, which shall include a privately owned

307     hospital whose inpatient admissions are predominantly:
308          (A) rehabilitation;
309          (B) psychiatric;
310          (C) chemical dependency; or
311          (D) long-term acute care services; and
312          (b) does not include:
313          (i) a residential treatment facility as defined in Section 62A-2-101;
314          (ii) a hospital owned by the federal government, including the Veterans Administration
315     Hospital; or
316          (iii) a hospital that is owned by the state government, a state agency, or a political
317     subdivision of the state, including:
318          (A) a state-owned teaching hospital; and
319          (B) the Utah State Hospital.
320          (5) "Medicare cost report" means CMS-2552-96 or CMS-2552-10, the cost report for
321     electronic filing of hospitals.
322          Section 16. Section 26-18c-404 is enacted to read:
323          26-18c-404. Assessment.
324          (1) A uniform, broad based, assessment is imposed on each hospital:
325          (a) in the amount designated in Section 26-18c-407; and
326          (b) in accordance with Section 26-18c-406.
327          (2) Subject to Section 26-18c-405, the assessment imposed by this part is due and
328     payable on a quarterly basis.
329          Section 17. Section 26-18c-405 is enacted to read:
330          26-18c-405. Collection of assessment -- Deposit of revenue -- Rulemaking.
331          (1) The collecting agent for assessment imposed under Section 26-18c-404 is the
332     department. The department is vested with the administration and enforcement of this part,
333     including the right to adopt administrative rules in accordance with Title 63G, Chapter 3, Utah
334     Administrative Rulemaking Act, necessary to:
335          (a) implement and enforce the provisions of this part;
336          (b) audit records of a facility:
337          (i) that is subject to the assessment imposed by this part; and

338          (ii) does not file a Medicare cost report; and
339          (c) select a report similar to the Medicare cost report if Medicare no longer uses a
340     Medicare cost report.
341          (2) The department shall deposit assessments collected under this part in the
342     expendable special revenue fund created in Section 26-18c-409.
343          (3) The department may, by rule, extend the time for paying the assessment.
344          Section 18. Section 26-18c-406 is enacted to read:
345          26-18c-406. Quarterly notice.
346          Quarterly assessments imposed by this chapter shall be paid to the division within 15
347     business days after the original invoice date that appears on the invoice issued by the division.
348          Section 19. Section 26-18c-407 is enacted to read:
349          26-18c-407. Calculation of assessment.
350          (1) (a) An annual assessment is payable on a quarterly basis for each hospital in an
351     amount calculated at a uniform assessment rate for each hospital discharge, in accordance with
352     this section.
353          (b) The uniform assessment rate for fiscal years beginning on or after July 1, 2016,
354     shall be $17.04 per discharge.
355          (2) (a) For each state fiscal year, discharges shall be determined using the data from
356     each hospital's Medicare cost report contained in the Centers for Medicare and Medicaid
357     Services' Healthcare Cost Report Information System file, or the report's equivalent if the
358     report is replaced in the future by CMS. The hospital's discharge data will be derived as
359     follows:
360          (i) for state fiscal year 2017, the hospital's cost report data for the hospital's fiscal year
361     ending between July 1, 2014, and June 30, 2015;
362          (ii) for state fiscal year 2018, the hospital's cost report data for the hospital's fiscal year
363     ending between July 1, 2015, and June 30, 2016; and
364          (iii) for each subsequent state fiscal year, the hospital's cost report data for the
365     hospital's fiscal year that ended in the state fiscal year two years prior to the assessment fiscal
366     year.
367          (b) If a hospital's fiscal year Medicare cost report is not contained in the Centers for
368     Medicare and Medicaid Services' Healthcare Cost Report Information System file:

369          (i) the hospital shall submit to the division a copy of the hospital's Medicare cost report
370     applicable to the assessment year; and
371          (ii) the division shall determine the hospital's discharges.
372          (c) If a hospital is not certified by the Medicare program and is not required to file a
373     Medicare cost report:
374          (i) the hospital shall submit to the division its applicable fiscal year discharges with
375     supporting documentation;
376          (ii) the division shall determine the hospital's discharges from the information
377     submitted under Subsection (2)(c)(i); and
378          (iii) the failure to submit discharge information shall result in an audit of the hospital's
379     records and a penalty equal to 5% of the calculated assessment.
380          (3) Except as provided in Subsection (4), if a hospital is owned by an organization that
381     owns more than one hospital in the state:
382          (a) the assessment for each hospital shall be separately calculated by the department;
383     and
384          (b) each separate hospital shall pay the assessment imposed by this chapter.
385          (4) Notwithstanding the requirement of Subsection (3), if multiple hospitals use the
386     same Medicaid provider number:
387          (a) the department shall calculate the assessment in the aggregate for the hospitals
388     using the same Medicaid provider number; and
389          (b) the hospitals may pay the assessment in the aggregate.
390          Section 20. Section 26-18c-408 is enacted to read:
391          26-18c-408. Penalties and interest.
392          (1) A facility that fails to pay any assessment or file a return as required under this part,
393     within the time required by this part, shall pay, in addition to the assessment, penalties and
394     interest established by the department.
395          (2) (a) Consistent with Subsection (2)(b), the department shall adopt rules in
396     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, which establish
397     reasonable penalties and interest for the violations described in Subsection (1).
398          (b) If a hospital fails to timely pay the full amount of a quarterly assessment, the
399     department shall add to the assessment:

400          (i) a penalty equal to 5% of the quarterly amount not paid on or before the due date;
401     and
402          (ii) on the last day of each quarter after the due date until the assessed amount and the
403     penalty imposed under Subsection (2)(b)(i) are paid in full, an additional 5% penalty on:
404          (A) any unpaid quarterly assessment; and
405          (B) any unpaid penalty assessment.
406          (c) Upon making a record of its actions, and upon reasonable cause shown, the division
407     may waive, reduce, or compromise any of the penalties imposed under this part.
408          Section 21. Section 26-18c-409 is enacted to read:
409          26-18c-409. Medicaid Expansion Fund.
410          (1) There is created an expendable special revenue fund known as the Medicaid
411     Expansion Fund.
412          (2) The fund consists of:
413          (a) taxes collected under this part;
414          (b) taxes collected from the taxation of an electronic smoking device under Section
415     59-14-804;
416          (c) savings attributable to Utah Medicaid Expansion;
417          (d) preferred drug list savings appropriated to the fund under Subsection 26-18-2.4(4);
418          (e) gifts, grants, donations, or any other conveyance of money that may be made to the
419     fund from private sources; and
420          (f) additional amounts as appropriated by the Legislature.
421          (3) (a) The fund shall earn interest.
422          (b) All interest earned on fund money shall be deposited into the fund.
423          (4) (a) A state agency administering the provisions of this chapter may use money from
424     the fund to pay the costs of administering Utah Medicaid Expansion not otherwise paid for
425     with federal funds or other revenue sources.
426          (b) Money in the fund may not be used for any other purpose.
427          Section 22. Section 59-14-102 is amended to read:
428          59-14-102. Definitions.
429          As used in this chapter:
430          (1) "Cigarette" means a roll for smoking made wholly or in part of tobacco:

431          (a) regardless of:
432          (i) the size of the roll;
433          (ii) the shape of the roll; or
434          (iii) whether the tobacco is:
435          (A) flavored;
436          (B) adulterated; or
437          (C) mixed with any other ingredient; and
438          (b) if the wrapper or cover of the roll is made of paper or any other substance or
439     material except tobacco.
440          (2) "Cigarette rolling machine" means a device or machine that has the capability to
441     produce at least 150 cigarettes in less than 30 minutes.
442          (3) "Cigarette rolling machine operator" means a person who:
443          (a) (i) controls, leases, owns, possesses, or otherwise has available for use a cigarette
444     rolling machine; and
445          (ii) makes the cigarette rolling machine available for use by another person to produce
446     a cigarette; or
447          (b) offers for sale, at retail, a cigarette produced from the cigarette rolling machine.
448          (4) "Consumer" means a person that is not required:
449          (a) under Section 59-14-201 to obtain a license under Section 59-14-202; or
450          (b) under Section 59-14-301 to obtain a license under Section 59-14-202.
451          (5) "Counterfeit cigarette" means:
452          (a) a cigarette that has a false manufacturing label; or
453          (b) a package of cigarettes bearing a counterfeit tax stamp.
454          (6) "Importer" means a person who imports into the United States, either directly or
455     indirectly, a finished cigarette for sale or distribution.
456          (7) "Indian tribal entity" means a federally recognized Indian tribe, tribal entity, or any
457     other person doing business as a distributor or retailer of cigarettes on tribal lands located in the
458     state.
459          (8) "Little cigar" means a roll for smoking:
460          (a) made wholly or in part of tobacco;
461          (b) that uses an integrated cellulose acetate filter or other similar filter; and

462          (c) that is wrapped in a substance:
463          (i) containing tobacco; and
464          (ii) that is not exclusively natural leaf tobacco.
465          (9) (a) Except as provided in Subsection (9)(b), "manufacturer" means a person who
466     manufactures, fabricates, assembles, processes, or labels a finished cigarette.
467          (b) "Manufacturer" does not include a cigarette rolling machine operator.
468          (10) "Moist snuff" means tobacco that:
469          (a) is finely:
470          (i) cut;
471          (ii) ground; or
472          (iii) powdered;
473          (b) has at least 45% moisture content, as determined by the commission by rule made
474     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
475          (c) is not intended to be:
476          (i) smoked; or
477          (ii) placed in the nasal cavity; and
478          (d) except for single-use pouches of loose tobacco, is not packaged, produced, sold, or
479     distributed in single-use units, including:
480          (i) tablets;
481          (ii) lozenges;
482          (iii) strips;
483          (iv) sticks; or
484          (v) packages containing multiple single-use units.
485          (11) "Nicotine" means a poisonous volatile alkaloid derived from tobacco.
486          (12) "Nontherapeutic nicotine inhaler" means a nicotine inhaler that is not approved for
487     nicotine replacement therapy by the United States Federal Drug Administration.
488          [(11)] (13) "Retailer" means a person that:
489          (a) sells or distributes a cigarette to a consumer in the state; or
490          (b) intends to sell or distribute a cigarette to a consumer in the state.
491          [(12)] (14) "Stamp" means the indicia required to be placed on a cigarette package that
492     evidences payment of the tax on cigarettes required by Section 59-14-205.

493          [(13)] (15) (a) "Tobacco product" means a product made of, or containing, tobacco.
494          (b) "Tobacco product" includes:
495          (i) a cigarette produced from a cigarette rolling machine;
496          (ii) a little cigar; or
497          (iii) moist snuff.
498          (c) "Tobacco product" does not include a cigarette.
499          [(14)] (16) "Tribal lands" means land held by the United States in trust for a federally
500     recognized Indian tribe.
501          Section 23. Section 59-14-403 is amended to read:
502          59-14-403. Duplicate invoice requirements -- Failure to comply -- Penalties.
503          [All persons] A person dealing in taxable cigarettes [or], tobacco products, electronic
504     cigarette products, as defined in Section 59-14-802, or non-therapeutic nicotine inhalers who
505     [purchase or receive] purchases or receives these commodities from outside the state, whether
506     the product is delivered through a wholesaler or distributor in this state, or by drop shipment or
507     otherwise, shall mail or deliver a duplicate invoice of all those purchases or receipts to the
508     commission within 10 days after receipt of the commodities if requested by the commission.
509     Failure to furnish duplicate invoices or receipts as requested is subject to the penalties provided
510     under Section 59-1-401.
511          Section 24. Section 59-14-802 is amended to read:
512          59-14-802. Definitions.
513          As used in this part:
514          (1) "Cigarette" means the same as that term is defined in Section 59-14-102.
515          (2) (a) "Electronic cigarette" means:
516          (i) an electronic device used to deliver or capable of delivering vapor containing
517     nicotine to an individual's respiratory system;
518          (ii) a component of the device described in Subsection (2)(a)(i); or
519          (iii) an accessory sold in the same package as the device described in Subsection
520     (2)(a)(i).
521          (b) "Electronic cigarette" includes an e-cigarette as defined in Section 26-38-2.
522          (c) "Electronic cigarette" does not include a battery or battery charger that is sold
523     separately from the electronic cigarette.

524          (3) "Electronic cigarette product" means an electronic cigarette or an electronic
525     cigarette substance.
526          (4) "Electronic cigarette substance" means any substance, including liquid containing
527     nicotine, used or intended for use in an electronic cigarette.
528          (5) "Enforcing agency" means the Department of Health, a county health department,
529     or a local health department, when enforcing:
530          (a) Title 26, Chapter 42, Civil Penalties for Tobacco Sales to Underage Persons; or
531          (b) Title 26, Chapter 57, Electronic Cigarette Regulation Act.
532          (6) "Licensee" means a person that holds a valid license to sell electronic cigarette
533     products.
534          (7) "License to sell an electronic cigarette product" means a license issued by the
535     commission under [Subsection 59-14-803(3)] Section 59-14-803.
536          Section 25. Section 59-14-803 is amended to read:
537          59-14-803. License to sell an electronic cigarette product or nicotine inhaler.
538          [(1) Except as provided in Subsection (2), a person may not sell, offer to sell, or
539     distribute an electronic cigarette product in Utah without first obtaining a license to sell an
540     electronic cigarette product from the commission under this section.]
541          [(2) A person that holds a valid license to sell cigarettes under Section 59-14-201, or a
542     person that holds a valid license to sell tobacco products under Section 59-14-301, may,
543     without obtaining a separate license to sell an electronic cigarette product under this part, sell,
544     offer to sell, or distribute an electronic cigarette product in Utah in accordance with this part.]
545          [(3) Except as provided in Subsection (6), the commission shall issue a license to sell
546     an electronic cigarette product to a person that:]
547          [(a) submits an application, on a form created by the commission, that includes:]
548          [(i) the person's name;]
549          [(ii) the address of the facility where the person will sell an electronic cigarette
550     product; and]
551          [(iii) any other information the commission requires to implement this chapter; and]
552          [(b) pays a fee:]
553          [(i) in the amount of $30; or]
554          [(ii) if renewing the person's license, in the amount of $20.]

555          [(4) A license described in Subsection (3) is:]
556          [(a) valid only at one fixed business address;]
557          [(b) valid for three years;]
558          [(c) valid only for a physical location; and]
559          [(d) renewable if a licensee meets the criteria for licensing described in Subsection (3).]
560          (1) A manufacturer or distributor of an electronic cigarette product or nontheraputic
561     inhaler, who is responsible for the collection of tax on an electronic cigarette product or
562     nontheraputic inhaler under this chapter, and a retailer of an electronic cigarette product or
563     nontheraputic inhaler:
564          (a) shall register with the commission;
565          (b) shall be licensed by the commission under Part 2, Cigarettes; and
566          (c) is subject to the requirements, procedures, and penalties described in Part 2,
567     Cigarettes.
568          (2) A fee may not be charged for registration and licensing of a manufacturer, jobber,
569     distributor, or retailer of an electronic cigarette product or nontheraputic inhaler in addition to
570     the cigarette license if such a license is required.
571          (3) The commission shall require any manufacturer, wholesaler, retailer, or any other
572     person subject to this section, and who is responsible for the collection of tax on an electronic
573     cigarette product or nontheraputic inhaler under this chapter, to post a bond as a prerequisite to
574     registering. The bond shall be in a form and an amount determined by the commission. If the
575     bond is required under Section 59-14-201, the bond may be a combination, the minimum
576     amount of which shall be $1,000.
577          [(5)] (4) The commission shall, after notifying a licensee, revoke a license described in
578     Subsection [(3)] (1) if an enforcing agency determines the licensee has violated a provision of:
579          (a) Title 26, Chapter 42, Civil Penalties for Tobacco Sales to Underage Persons; or
580          (b) Title 26, Chapter 57, Electronic Cigarette Regulation Act.
581          [(6)] (5) If the commission revokes a person's license to sell an electronic cigarette
582     product or nontheraputic nicotine inhaler under Subsection [(5)] (4), the commission may not
583     issue a license to sell an electronic cigarette product or nontheraputic nicotine inhaler, a license
584     to sell cigarettes under Section 59-14-201, or a license to sell tobacco under Section 59-14-301
585     to the person until one year after:

586          (a) the day on which the time for filing an appeal of the revocation ends, as determined
587     by the enforcing agency; or
588          (b) if the person appeals the enforcing agency's decision to revoke the license to sell an
589     electronic cigarette product, the day on which the enforcing agency's decision to uphold the
590     revocation is final.
591          [(7)] (6) If the commission revokes a person's license under Subsection [(5)] (4), the
592     commission shall also revoke the person's license to sell cigarettes under Section 59-14-201, if
593     any, and the person's license to sell tobacco under Section 59-14-301, if any.
594          [(8) The commission may make rules in accordance with Title 63G, Chapter 3, Utah
595     Administrative Rulemaking Act, to establish the additional information described in
596     Subsection (3)(a)(iii) that a person must provide in the application described in Subsection
597     (3)(a).]
598          [(9)] (7) It is a class B misdemeanor for a person to violate Subsection (1).
599          Section 26. Section 59-14-804 is enacted to read:
600          59-14-804. Taxation of electronic cigarette product and nicotine inhalers.
601          (1) As used in this section:
602          (a) "Manufacturer's sales price" means the amount the manufacturer of an electronic
603     cigarette product or nontheraputic nicotine inhaler charges after subtracting a discount.
604          (b) "Manufacturer's sales price" includes an original Utah destination freight charge,
605     regardless of:
606          (i) whether the electronic cigarette product or nontheraputic nicotine inhaler is shipped
607     f.o.b. origin or f.o.b. destination; or
608          (ii) who pays the original Utah destination freight charge.
609          (2) There is levied a tax upon the sale, use, or storage of an electronic cigarette product
610     or nontheraputic nicotine inhaler in the state.
611          (3) The tax levied under Subsection (2) shall be paid by the manufacturer, jobber,
612     distributor, wholesaler, retailer, user, or consumer.
613          (4) For an electronic cigarette product or nontheraputic nicotine inhaler, the rate of the
614     tax under this section is .86 multiplied by the manufacturer's sales price.
615          (5) The proceeds from the tax imposed by this section shall be deposited into the
616     Medicaid Expansion Fund created in Section 26-18c-409.

617          Section 27. Effective date.
618          (1) Except as provided in Subsection (2), this bill takes effect on May 10, 2016.
619          (2) The actions affecting the following sections take effect on July 1, 2016:
620          (a) Title 26, Chapter 18c, Part 4, Inpatient Hospital Services Assessment;
621          (b) Section 59-14-102;
622          (c) Section 59-14-403;
623          (d) Section 59-14-802;
624          (e) Section 59-14-803; and
625          (f) Section 59-14-804.






Legislative Review Note
Office of Legislative Research and General Counsel