7 LONG TITLE
8 General Description:
9 This bill enacts provisions related to reproductive health services and Medicaid.
10 Highlighted Provisions:
11 This bill:
12 ▸ defines terms; and
13 ▸ directs the Division of Health Care Financing to seek a waiver for Medicaid
14 coverage for limited family planning services and reproductive health.
15 Money Appropriated in this Bill:
17 Other Special Clauses:
19 Utah Code Sections Affected:
21 26-18-414, Utah Code Annotated 1953
23 Be it enacted by the Legislature of the state of Utah:
24 Section 1. Section 26-18-414 is enacted to read:
25 26-18-414. Medicaid waiver for limited family planning services for low-income
27 (1) For purposes of this section:
28 (a) (i) "Family planning services" includes, at a minimum:
29 (A) testing, treatment, and counseling for sexually transmitted infections and
30 HIV/AIDS, including follow-up treatment for diagnosed sexually transmitted infections;
31 (B) well-woman exams, including screening and testing for breast and cervical cancer
32 and other cervical cancer causing abnormalities, and other preventive services related to family
33 planning or provided as part of a family planning visit;
34 (C) sexual health education and family planning counseling;
35 (D) contraceptives; and
36 (E) other medical diagnosis, treatment, or preventive care routinely provided as part of
37 a family planning service visit.
38 (ii) "Family planning services" does not include an abortion, as that term is defined in
39 Section 76-7-301.
40 (b) "Low-income individual" means an individual who has an income level that is
41 equal to or below the highest income level for which a pregnant women is eligible for
42 Medicaid coverage under the state plan.
43 (2) Before July 1, 2017, the division shall seek a waiver that has a duration of at least
44 three years from the Centers for Medicare and Medicaid Services within the United States
45 Department of Health and Human Services to:
46 (a) provide family planning services to low-income individuals who do not qualify for
47 full Medicaid coverage; and
48 (b) receive a federal match rate of 90% of state expenditures for family planning
49 services provided under the waiver.
Legislative Review Note
Office of Legislative Research and General Counsel