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7 LONG TITLE
8 General Description:
9 This bill creates an evidence-based nurse home visiting pay-for-success program within
10 the Department of Health.
11 Highlighted Provisions:
12 This bill:
13 ▸ creates an evidence-based Nurse Home Visiting Pay-for-Success Program within
14 the Department of Health;
15 ▸ describes the requirements of the nurse home visiting pay-for-success program;
16 ▸ provides that the program is funded through a contractual relationship between the
17 Department of Health and one or more private investors;
18 ▸ initiates the program as a pilot program;
19 ▸ provides for success payments to investors if performance goals outlined in the
20 pay-for-success contract are met by the program;
21 ▸ makes changes to the Nurse Home Visiting Restricted Account;
22 ▸ creates a reporting requirement; and
23 ▸ sets a sunset date for the new program.
24 Money Appropriated in this Bill:
25 This bill appropriates in fiscal year 2019:
26 ▸ to General Fund Restricted - Nurse Home Visiting Restricted Account, as an
27 ongoing appropriation:
28 • from the General Fund, $500,000.
29 ▸ to Department of Health - Family Health and Preparedness - Nurse Home Visiting
30 Pay-for-Success, as an ongoing appropriation:
31 • from the General Fund Restricted - Nurse Home Visiting Restricted Account,
32 $500,000.
33 Other Special Clauses:
34 This bill provides a special effective date.
35 Utah Code Sections Affected:
36 AMENDS:
37 63I-1-226, as last amended by Laws of Utah 2017, Chapters 177 and 443
38 63I-1-263, as last amended by Laws of Utah 2017, Chapters 23, 47, 95, 166, 205, 469,
39 and 470
40 63J-1-602.1 (Superseded 09/30/18), as last amended by Laws of Utah 2017, Chapters
41 88, 194, and 383
42 63J-1-602.1 (Effective 09/30/18), as last amended by Laws of Utah 2017, Chapters 88,
43 107, 194, and 383
44 RENUMBERS AND AMENDS:
45 26-62-601, (Renumbered from 26-10-12, as enacted by Laws of Utah 2017, Chapter
46 155)
47 ENACTS:
48 26-62-101, Utah Code Annotated 1953
49 26-62-102, Utah Code Annotated 1953
50 26-62-201, Utah Code Annotated 1953
51 26-62-202, Utah Code Annotated 1953
52 26-62-203, Utah Code Annotated 1953
53 26-62-204, Utah Code Annotated 1953
54 26-62-301, Utah Code Annotated 1953
55 26-62-302, Utah Code Annotated 1953
56 26-62-303, Utah Code Annotated 1953
57 26-62-401, Utah Code Annotated 1953
58 26-62-402, Utah Code Annotated 1953
59 26-62-403, Utah Code Annotated 1953
60 26-62-501, Utah Code Annotated 1953
61 26-62-502, Utah Code Annotated 1953
62 26-62-503, Utah Code Annotated 1953
63 26-62-504, Utah Code Annotated 1953
64
65 Be it enacted by the Legislature of the state of Utah:
66 Section 1. Section 26-62-101 is enacted to read:
67
68
69 26-62-101. Title.
70 This chapter is known as the "Nurse Home Visiting Pay-for-Success Program."
71 Section 2. Section 26-62-102 is enacted to read:
72 26-62-102. Definitions.
73 As used in this chapter:
74 (1) "At-risk individual" means an individual who qualifies for coverage under:
75 (a) the Children's Health Insurance Program created in Chapter 40, Utah Children's
76 Health Insurance Act;
77 (b) the Medicaid program, as defined in Section 26-18-2;
78 (c) the Special Supplemental Nutrition Program for Women, Infants, and Children,
79 established in 42 U.S.C. Sec. 1786; or
80 (d) Temporary Assistance for Needy Families, described in 42 U.S.C. Sec. 601 et seq.
81 (2) "Eligible participant" means an individual who:
82 (a) is referred to the program as an at-risk individual; and
83 (b) is appropriate for participation in the program as determined by a service provider.
84 (3) "Fiscal intermediary entity" means an organization that has the necessary
85 experience to coordinate the funding and management of a pay-for-success contract.
86 (4) "Independent evaluator" means a person that is contracted to conduct an annual
87 evaluation of the performance outcome measures specified in the pay-for-success contract.
88 (5) "Investor" means a private person that:
89 (a) provides an up-front cash payment to fund the program; and
90 (b) receives a success payment if the performance outcome measures are satisfied.
91 (6) "Pay-for-success contract" means a contract entered into by the department in
92 accordance with Section 26-62-301.
93 (7) "Performance outcome measure" means a measurable outcome established by the
94 department under Section 26-62-302.
95 (8) "Program" means the Nurse Home Visiting Pay-for-Success Program created in
96 Section 26-62-201.
97 (9) "Programmatic intermediary entity" means a private, not-for-profit organization
98 that enters into a pay-for-success contract with the department to operate the program.
99 (10) "Qualified nurse" means an individual who is licensed to practice as a registered
100 nurse in the state.
101 (11) "Restricted account" means the Nurse Home Visiting Restricted Account created
102 in Section 26-62-601.
103 (12) "Service provider" means a person that receives a contract from the programmatic
104 intermediary entity to provide the services described in Section 26-62-203.
105 (13) "Success payment" means the amount paid by the department to an investor from
106 the restricted fund in accordance with the terms of a pay-for-success contract.
107 Section 3. Section 26-62-201 is enacted to read:
108
109 26-62-201. Creation.
110 There is created the Nurse Home Visiting Pay-for-Success Program in the department.
111 Section 4. Section 26-62-202 is enacted to read:
112 26-62-202. Department duties.
113 The department shall:
114 (1) administer the pilot program described in Section 26-62-401;
115 (2) negotiate and enter into:
116 (a) a pay-for-success contract to provide the services described in Section 26-62-203;
117 and
118 (b) a contract with an independent evaluator to perform the evaluation described in
119 Section 26-62-303;
120 (3) provide necessary data to the independent evaluator to facilitate assessment of the
121 performance outcome metrics;
122 (4) if the independent evaluator determines that the specified performance outcome
123 measures have been achieved, make a success payment to the investors in the amount specified
124 in the pay-for-success contract;
125 (5) refer pregnant at-risk individuals who are likely to be first-time mothers to the
126 program for potential enrollment; and
127 (6) calculate the potential savings to the state through a Medicaid waiver or a state plan
128 amendment under Section 26-62-502.
129 Section 5. Section 26-62-203 is enacted to read:
130 26-62-203. Nurse home visiting program.
131 (1) A participant in a program shall receive ongoing in-person home visits from a
132 qualified nurse from early in the participant's pregnancy to up to two years after the
133 participant's child is born.
134 (2) (a) To participate in the program, an individual must be an eligible participant at
135 the time of enrollment.
136 (b) The program shall prioritize the enrollment of first-time mothers, as defined by the
137 programmatic intermediary entity.
138 (c) The programmatic intermediary entity may request a limited waiver from the
139 requirement in Subsection (2)(a) from the department if the programmatic intermediary entity
140 can demonstrate that a group:
141 (i) is significantly underserved; and
142 (ii) meets all other requirements of the program.
143 (3) The services provided during a home visit described in Subsection (1) shall be
144 provided according to a set of standards that:
145 (a) are nationally recognized;
146 (b) are evidence-based, with support from at least two reliable, randomized control
147 trials with statistically significant results; and
148 (c) have demonstrated sizable and sustained results.
149 Section 6. Section 26-62-204 is enacted to read:
150 26-62-204. Service providers.
151 (1) The programmatic intermediary entity may contract with one or more qualified
152 service providers to provide the services described in Section 26-62-203 for the program.
153 (2) A service provider that receives a contract under Subsection (1) shall:
154 (a) have a demonstrated record of providing social services to low-income populations;
155 (b) agree to deliver services according to the standards set by the programmatic
156 intermediary entity; and
157 (c) submit data to the independent evaluator that are necessary to evaluate the
158 performance outcome measures.
159 (3) The programmatic intermediary entity shall seek approval from the department
160 before entering into a contract with a service provider under this section.
161 (4) The selection of a service provider by the programmatic intermediary entity:
162 (a) shall be conducted with input from the department; and
163 (b) shall be conducted in accordance with a rigorous, evidence-based selection process.
164 Section 7. Section 26-62-301 is enacted to read:
165
166 26-62-301. Pay-for-success contract -- Success payments -- Outcome measures.
167 The department shall implement a program under this chapter through a pay-for-success
168 contract, which:
169 (1) shall include at least all of the following as parties to the contract:
170 (a) the department;
171 (b) an independent evaluator;
172 (c) an intermediary agency; and
173 (d) an investor;
174 (2) shall include clear performance outcome measures that trigger a success payment;
175 (3) shall establish a payment schedule for investors if the performance outcome
176 measures are achieved;
177 (4) shall only allow repayment with funds appropriated from the restricted account;
178 (5) shall prohibit civil action by investors against the state if a success payment is not
179 made because performance outcome measures are not achieved; and
180 (6) may not, under any circumstance, cause the total outstanding obligations under this
181 chapter to exceed $25,000,000.
182 Section 8. Section 26-62-302 is enacted to read:
183 26-62-302. Performance outcome measures.
184 (1) The department shall establish performance outcome measures that shall be used to
185 determine the conditions of a success payment under a contract described in Section
186 26-62-301.
187 (2) (a) Before entering into a pay-for-success contract under this chapter, the
188 department shall report the terms of the proposed pay-for-success contract, including the
189 proposed outcome measures, to the Executive Appropriations Committee.
190 (b) The report described in Subsection (2)(a) shall include, at a minimum, the
191 following items:
192 (i) the populations selected as targetable and high-need populations, including the
193 department's assessment of whether similar publicly funded services are available to those
194 populations;
195 (ii) the benchmarks selected to measure each performance outcome measure;
196 (iii) the targets selected for each performance outcome measure; and
197 (iv) the amount that will be paid to each party in the pay-for-success contract if a target
198 is reached.
199 (c) The department may not enter into a pay-for-success contract under this chapter
200 until after the department makes the report described in Subsection (2)(a) to the Executive
201 Appropriations Committee.
202 (3) The performance outcome measures described in Subsection (2) shall include, at a
203 minimum, the following categories:
204 (a) preterm births;
205 (b) child injury;
206 (c) child immunization rates through age two;
207 (d) screening for postpartum depression; and
208 (e) enrollment targets for the program.
209 (4) The program outcome measures shall be determined using data from:
210 (a) the pilot phase described in Section 26-62-401;
211 (b) peer-reviewed studies; or
212 (c) any government entity.
213 (5) The enrollment targets described in Subsection (3)(e) shall include a measure of:
214 (a) the number of participants in the program; and
215 (b) the proportion of participants who come from a zip code in which 15% or more of
216 households have incomes below the federal poverty guidelines established by the secretary of
217 the United States Department of Health and Human Services.
218 Section 9. Section 26-62-303 is enacted to read:
219 26-62-303. Independent evaluator.
220 (1) The department shall contract with an independent evaluator who will perform an
221 assessment for the pay-for-success contract.
222 (2) The independent evaluator shall:
223 (a) have demonstrated expertise in evaluating home visiting programs; and
224 (b) have successfully completed at least two independent evaluations of a program that
225 utilizes the pay-for-success contract model before entering into the contract.
226 Section 10. Section 26-62-401 is enacted to read:
227
228 26-62-401. Pilot phase.
229 (1) Before July 1, 2019, the department shall:
230 (a) identify whether there is a targetable, high-need population for the implementation
231 of the home visiting program;
232 (b) identify service providers that are able to reach the targeted population with the
233 program; and
234 (c) gather data needed to make the evaluation in Subsection (3).
235 (2) The department may:
236 (a) contract with a third party with the necessary expertise to act as a programmatic
237 intermediary agency to administer the pilot phase described in Subsection (1);
238 (b) contract with a fiscal intermediary entity to administer the pilot phase described in
239 Subsection (1); and
240 (c) execute a single contract with the programmatic intermediary agency to administer
241 the pilot phase described in this section and the implementation phase described in Section
242 26-62-402.
243 (3) The department shall begin the implementation phase described in Section
244 26-62-203 if the department determines that:
245 (a) there is at least one identifiable high-need population that would benefit from the
246 program;
247 (b) there are sufficient service providers to provide services under the program to the
248 population described in Subsection (3)(a);
249 (c) there is evidence that the program would produce positive outcomes for the state;
250 and
251 (d) there are persons that are qualified and have expressed an interest in serving as:
252 (i) an intermediary entity;
253 (ii) an independent evaluator; and
254 (iii) an investor.
255 Section 11. Section 26-62-402 is enacted to read:
256 26-62-402. Implementation phase.
257 (1) If all of the conditions described in Subsection 26-62-401(3) are satisfied, and after
258 the department has made the report described in Subsection 26-62-302(2), the department shall
259 enter into a pay-for-success contract with a programmatic intermediary entity, an independent
260 evaluator, and investors to provide the services required under Section 26-62-203.
261 (2) The department shall make success payments from the restricted fund to investors
262 in accordance with the terms of the pay-for-success contract.
263 (3) The program shall operate for six years.
264 Section 12. Section 26-62-403 is enacted to read:
265 26-62-403. Study and expansion phase.
266 Before July 1, 2025, the department shall create a report to the Legislature describing:
267 (1) cost savings and other benefits to the state resulting from the program; and
268 (2) options for:
269 (a) increasing the number of individuals served by home visiting programs;
270 (b) improving the effectiveness of home visiting programs funded by the state;
271 (c) leveraging private and government funding, including Medicaid funding, to
272 increase the use and effectiveness of home visiting programs in the state;
273 (d) coordinating the identification of individuals who could benefit from home visiting
274 programs;
275 (e) coordinating the delivery of services provided through multiple home visiting
276 programs, where appropriate; and
277 (f) funding home visiting programs if funding through the federal government's
278 Maternal, Infant, and Early Childhood Home Visiting program is eliminated or reduced.
279 Section 13. Section 26-62-501 is enacted to read:
280
281 26-62-501. Reporting requirement.
282 The department shall report to the Health and Human Services Interim Committee,
283 before October 1 of each year while the program is in operation, regarding:
284 (1) the number of participants enrolled in the program;
285 (2) the amount of any success payments that have been made;
286 (3) an estimate of savings to the state resulting from this program; and
287 (4) suggestions for legislation that would make a home visiting program or a
288 pay-for-success contract more efficient or widely available throughout the state.
289 Section 14. Section 26-62-502 is enacted to read:
290 26-62-502. Medicaid waiver.
291 (1) The department may submit a Medicaid waiver to the secretary of the United States
292 Department of Health and Human Services to expand the Nurse Home Visiting
293 Pay-for-Success Program.
294 (2) The department shall report to the Health and Human Services Interim Committee
295 or the Health and Human Services Standing Committees within 60 days after the date on which
296 the department submits a waiver request under Subsection (1).
297 Section 15. Section 26-62-503 is enacted to read:
298 26-62-503. Limited liability.
299 (1) An investor may not take any action against the state, a political subdivision, a
300 programmatic intermediary entity, a service provider, or a financial intermediary entity for:
301 (a) the failure of a success payment due to the failure to achieve the performance
302 outcome measures; or
303 (b) any amount over the $25,000,000 limit for all success payments in the aggregate for
304 the program.
305 (2) The limitation described in Subsection (1) does not prohibit an investor from taking
306 action against the state for a failure to make a success payment in accordance with the
307 pay-for-success contract if the performance outcome measures are achieved and the limit has
308 not been exceeded.
309 Section 16. Section 26-62-504 is enacted to read:
310 26-62-504. Repeal date.
311 This chapter is repealed on July 1, 2026, in accordance with Section 63I-1-226.
312 Section 17. Section 26-62-601, which is renumbered from Section 26-10-12 is
313 renumbered and amended to read:
314
315 [
316 [
317
318
319
320
321 [
322 "Nurse Home Visiting Restricted Account."
323 [
324 [
325 [
326 [
327 the account.
328 [
329
330 (3) Subject to legislative appropriations, money in the restricted account may be used
331 to fund activities related to the program created in this chapter.
332 Section 18. Section 63I-1-226 is amended to read:
333 63I-1-226. Repeal dates, Title 26.
334 (1) Section 26-1-40 is repealed July 1, 2019.
335 (2) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
336 1, 2025.
337 (3) Section 26-10-11 is repealed July 1, 2020.
338 (4) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2024.
339 (5) Title 26, Chapter 36a, Hospital Provider Assessment Act, is repealed July 1, 2019.
340 (6) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1, 2021.
341 [
342 [
343 [
344 (8) Title 26, Chapter 62, Nurse Home Visiting Pay-for-Success Program is repealed
345 July 1, 2026.
346 Section 19. Section 63I-1-263 is amended to read:
347 63I-1-263. Repeal dates, Titles 63A to 63N.
348 (1) Subsection 63A-5-104(4)(h) is repealed on July 1, 2024.
349 (2) Section 63A-5-603, State Facility Energy Efficiency Fund, is repealed July 1, 2023.
350 (3) Title 63C, Chapter 4a, Constitutional and Federalism Defense Act, is repealed July
351 1, 2018.
352 (4) Title 63C, Chapter 4b, Commission for the Stewardship of Public Lands, is
353 repealed November 30, 2019.
354 (5) Title 63C, Chapter 16, Prison Development Commission Act, is repealed July 1,
355 2020.
356 (6) Title 63C, Chapter 17, Point of the Mountain Development Commission Act, is
357 repealed July 1, 2021.
358 (7) Title 63C, Chapter 18, Mental Health Crisis Line Commission, is repealed July 1,
359 2018.
360 (8) Title 63G, Chapter 21, Agreements to Provide State Services, is repealed July 1,
361 2023.
362 (9) Title 63H, Chapter 4, Heber Valley Historic Railroad Authority, is repealed July 1,
363 2020.
364 (10) Title 63H, Chapter 8, Utah Housing Corporation Act, is repealed July 1, 2026.
365 (11) On July 1, 2025:
366 (a) in Subsection 17-27a-404(3)(c)(ii), the language that states "the Resource
367 Development Coordinating Committee," is repealed;
368 (b) Subsection 23-14-21(2)(c) is amended to read "(c) provide notification of proposed
369 sites for the transplant of species to local government officials having jurisdiction over areas
370 that may be affected by a transplant.";
371 (c) in Subsection 23-14-21(3), the language that states "and the Resource Development
372 Coordinating Committee" is repealed;
373 (d) in Subsection 23-21-2.3(1), the language that states "the Resource Development
374 Coordinating Committee created in Section 63J-4-501 and" is repealed;
375 (e) in Subsection 23-21-2.3(2), the language that states "the Resource Development
376 Coordinating Committee and" is repealed;
377 (f) Subsection 63J-4-102(1) is repealed and the remaining subsections are renumbered
378 accordingly;
379 (g) Subsections 63J-4-401(5)(a) and (c) are repealed;
380 (h) Subsection 63J-4-401(5)(b) is renumbered to Subsection 63J-4-401(5)(a) and the
381 word "and" is inserted immediately after the semicolon;
382 (i) Subsection 63J-4-401(5)(d) is renumbered to Subsection 63J-4-401(5)(b);
383 (j) Sections 63J-4-501, 63J-4-502, 63J-4-503, 63J-4-504, and 63J-4-505 are repealed;
384 and
385 (k) Subsection 63J-4-603(1)(e)(iv) is repealed and the remaining subsections are
386 renumbered accordingly.
387 (12) Subsection 63J-1-602.1(20) is repealed July 1, 2026.
388 [
389 (b) When repealing Subsection 63J-1-602.4(15), the Office of Legislative Research and
390 General Counsel shall, in addition to the office's authority under Subsection 36-12-12(3), make
391 necessary changes to subsection numbering and cross references.
392 [
393 63M-7-504, is repealed July 1, 2027.
394 [
395 2027.
396 [
397 [
398 is repealed January 1, 2021.
399 (b) Subject to Subsection [
400 tax credits for certain persons in recycling market development zones, are repealed for taxable
401 years beginning on or after January 1, 2021.
402 (c) A person may not claim a tax credit under Section 59-7-610 or 59-10-1007:
403 (i) for the purchase price of machinery or equipment described in Section 59-7-610 or
404 59-10-1007, if the machinery or equipment is purchased on or after January 1, 2021; or
405 (ii) for an expenditure described in Subsection 59-7-610(1)(b) or 59-10-1007(1)(b), if
406 the expenditure is made on or after January 1, 2021.
407 (d) Notwithstanding Subsections [
408 tax credit in accordance with Section 59-7-610 or 59-10-1007 if:
409 (i) the person is entitled to a tax credit under Section 59-7-610 or 59-10-1007; and
410 (ii) (A) for the purchase price of machinery or equipment described in Section
411 59-7-610 or 59-10-1007, the machinery or equipment is purchased on or before December 31,
412 2020; or
413 (B) for an expenditure described in Subsection 59-7-610(1)(b) or 59-10-1007(1)(b), the
414 expenditure is made on or before December 31, 2020.
415 [
416 [
417 January 1, 2021.
418 (b) Section 59-9-107 regarding tax credits against premium taxes is repealed for
419 calendar years beginning on or after January 1, 2021.
420 (c) Notwithstanding Subsection [
421 in accordance with Section 59-9-107 if:
422 (i) the person is entitled to a tax credit under Section 59-9-107 on or before December
423 31, 2020; and
424 (ii) the qualified equity investment that is the basis of the tax credit is certified under
425 Section 63N-2-603 on or before December 31, 2023.
426 [
427 Program, is repealed January 1, 2023.
428 [
429 July 1, 2018.
430 [
431 repealed July 1, 2018.
432 Section 20. Section 63J-1-602.1 (Superseded 09/30/18) is amended to read:
433 63J-1-602.1 (Superseded 09/30/18). List of nonlapsing accounts and funds --
434 General authority and Title 1 through Title 30.
435 (1) Appropriations made to the Legislature and its committees.
436 (2) The Utah Intracurricular Student Organization Support for Agricultural Education
437 and Leadership Restricted Account created in Section 4-42-102.
438 (3) The Percent-for-Art Program created in Section 9-6-404.
439 (4) The Native American Repatriation Restricted Account created in Section 9-9-407.
440 (5) The Martin Luther King, Jr. Civil Rights Support Restricted Account created in
441 Section 9-18-102.
442 (6) The National Professional Men's Soccer Team Support of Building Communities
443 Restricted Account created in Section 9-19-102.
444 (7) The LeRay McAllister Critical Land Conservation Program created in Section
445 11-38-301.
446 (8) The Support for State-Owned Shooting Ranges Restricted Account created in
447 Section 23-14-13.5.
448 (9) An appropriation made to the Division of Wildlife Resources for the appraisal and
449 purchase of lands under the Pelican Management Act, as provided in Section 23-21a-6.
450 (10) Award money under the State Asset Forfeiture Grant Program, as provided under
451 Section 24-4-117.
452 (11) Funds collected from the program fund for local health department expenses
453 incurred in responding to a local health emergency under Section 26-1-38.
454 (12) Funds collected from the emergency medical services grant program, as provided
455 in Section 26-8a-207.
456 (13) The primary care grant program created in Section 26-10b-102.
457 (14) The Prostate Cancer Support Restricted Account created in Section 26-21a-303.
458 (15) The Children with Cancer Support Restricted Account created in Section
459 26-21a-304.
460 (16) State funds appropriated for matching federal funds in the Children's Health
461 Insurance Program as provided in Section 26-40-108.
462 (17) The Utah Health Care Workforce Financial Assistance Program created in Section
463 26-46-102.
464 (18) The Rural Physician Loan Repayment Program created in Section 26-46a-103.
465 (19) The Opiate Overdose Outreach Pilot Program created in Section 26-55-107.
466 (20) The Children with Heart Disease Support Restricted Account created in Section
467 26-58-102.
468 (21) The Nurse Home Visiting Restricted Account created in Section 26-62-601.
469 Section 21. Section 63J-1-602.1 (Effective 09/30/18) is amended to read:
470 63J-1-602.1 (Effective 09/30/18). List of nonlapsing accounts and funds -- General
471 authority and Title 1 through Title 30.
472 (1) Appropriations made to the Legislature and its committees.
473 (2) The Utah Intracurricular Student Organization Support for Agricultural Education
474 and Leadership Restricted Account created in Section 4-42-102.
475 (3) The Percent-for-Art Program created in Section 9-6-404.
476 (4) The Native American Repatriation Restricted Account created in Section 9-9-407.
477 (5) The Martin Luther King, Jr. Civil Rights Support Restricted Account created in
478 Section 9-18-102.
479 (6) The National Professional Men's Soccer Team Support of Building Communities
480 Restricted Account created in Section 9-19-102.
481 (7) The LeRay McAllister Critical Land Conservation Program created in Section
482 11-38-301.
483 (8) The Support for State-Owned Shooting Ranges Restricted Account created in
484 Section 23-14-13.5.
485 (9) An appropriation made to the Division of Wildlife Resources for the appraisal and
486 purchase of lands under the Pelican Management Act, as provided in Section 23-21a-6.
487 (10) Award money under the State Asset Forfeiture Grant Program, as provided under
488 Section 24-4-117.
489 (11) Funds collected from the program fund for local health department expenses
490 incurred in responding to a local health emergency under Section 26-1-38.
491 (12) Funds collected from the emergency medical services grant program, as provided
492 in Section 26-8a-207.
493 (13) The primary care grant program created in Section 26-10b-102.
494 (14) The Children with Cancer Support Restricted Account created in Section
495 26-21a-304.
496 (15) State funds appropriated for matching federal funds in the Children's Health
497 Insurance Program as provided in Section 26-40-108.
498 (16) The Utah Health Care Workforce Financial Assistance Program created in Section
499 26-46-102.
500 (17) The Rural Physician Loan Repayment Program created in Section 26-46a-103.
501 (18) The Opiate Overdose Outreach Pilot Program created in Section 26-55-107.
502 (19) The Children with Heart Disease Support Restricted Account created in Section
503 26-58-102.
504 (20) The Nurse Home Visiting Restricted Account created in Section 26-62-601.
505 Section 22. Appropriation.
506 The following sums of money are appropriated for the fiscal year beginning July 1,
507 2018, and ending June 30, 2019. These are additions to amounts previously appropriated for
508 fiscal year 2019.
509 Subsection 22(a). Restricted Fund and Account Transfers. The Legislature
510 authorizes the State Division of Finance to transfer the following amounts between the
511 following funds or accounts as indicated. Expenditures and outlays from the funds to which the
512 money is transferred must be authorized by an appropriation.
513 ITEM 1
514 To General Fund Restricted - Nurse Home Visiting Restricted Account
515 From General Fund
$500,000
516 Schedule of Programs:
517 General Fund Restricted - Nurse Home
518 Visiting Restricted Account $500,000
519 Subsection 22(b). Operating and Capital Budgets. Under the terms and conditions
520 of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following
521 sums of money from the funds or fund accounts indicated for the use and support of the
522 government of the state of Utah.
523 ITEM 2
524 To Department of Health - Family Health and Preparedness
525 From General Fund Restricted - Nurse Home Visiting
526 Restricted Account
$500,000
527 Schedule of Programs:
528 Nurse Home Visiting Pay-for-Success
529 Program $500,000
530 Section 23. Effective date.
531 (1) Except as provided in Subsection (2), this bill takes effect on May 8, 2018.
532 (2) The actions affecting Section 63J-1-602.1 (Effective 9/30/18) take effect on
533 September 30, 2018.