1     
HEALTH CARE FUNDING AMENDMENTS

2     
2020 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Mark A. Strong

5     
Senate Sponsor: Deidre M. Henderson

6     

7     LONG TITLE
8     General Description:
9          This bill requires the Department of Health to request a waiver and apply for grants
10     related to certain health care services.
11     Highlighted Provisions:
12          This bill:
13          ▸     requires the Department of Health (department) to apply for Title X grants from the
14     United States Department of Health and Human Services;
15          ▸     requires the department to request a waiver from federal restrictions on funding
16     based partly on certain services being offered to a minor without consent from a
17     parent or guardian; and
18          ▸     if the department receives a grant, requires the department to disburse grant funds
19     according to certain prioritization criteria.
20     Money Appropriated in this Bill:
21          None
22     Other Special Clauses:
23          None
24     Utah Code Sections Affected:
25     ENACTS:
26          26-1-41, Utah Code Annotated 1953
27     

28     Be it enacted by the Legislature of the state of Utah:

29          Section 1. Section 26-1-41 is enacted to read:
30          26-1-41. Health care grant requests and funding.
31          (1) Any time the United States Department of Health and Human Services accepts
32     grant applications, the department shall apply for a grant under Title X of the Public Health
33     Service Act, 42 U.S.C. Sec. 300 et seq.
34          (2) (a) As part of the application described in Subsection (1), the department shall
35     request that the United States Department of Health and Human Services waive the
36     requirement of the department to comply with requirements found in 42 C.F.R. Sec. 59.5(a)(4)
37     pertaining to providing certain services to a minor without parental consent.
38          (b) If the department's application described in Subsection (1) is denied, and at such
39     time the United States Department of Health and Human Services creates a waiver application
40     process, the department shall apply for a waiver from compliance with the requirements found
41     in 42 C.F.R. Sec. 59.5(a)(4) pertaining to providing certain services to a minor without parental
42     consent in order to be eligible for a grant under Title X of the Public Health Service Act, 42
43     U.S.C. Sec. 300 et seq.
44          (3) If the department receives a grant under Subsection (1), the department shall
45     prioritize disbursement of grant funds in the prioritization order described in Subsection (4).
46          (4) (a) (i) When disbursing grant funds, the department shall give first priority to
47     nonpublic entities that provide family planning services as well as other comprehensive
48     services to enable women to give birth and parent or place for adoption.
49          (ii) The department shall give preference to entities described in Subsection (4)(a)(i)
50     that:
51          (A) expand availability of prenatal and postnatal care in low-income and under-served
52     areas of the state;
53          (B) provide support for a woman to carry a baby to term;
54          (C) emphasize the health and viability of the fetus; and
55          (D) provide education and maternity support.

56          (iii) If the department receives applications from qualifying nonpublic entities as
57     described in Subsection (4)(a), the department shall disburse all of the grant funds to qualifying
58     nonpublic entities described in Subsection (4)(a).
59          (b) If grant funds are not exhausted under Subsection (4)(a), or if no entity qualifies for
60     grant funding under the criteria described in Subsection (4)(a), the department shall give
61     second priority for grant funds to nonpublic entities that provide:
62          (i) family planning services; and
63          (ii) required primary health services as described in 42 U.S.C. Sec. 254b(b)(1)(A).
64          (c) If grant funds are not exhausted under Subsections (4)(a) and (b), or if no entity
65     qualifies for grant funding under the criteria described in Subsection (4)(a) or (b), the
66     department shall give third priority for grant funds to public entities that provide family
67     planning services, including state, county, or local community health clinics, and community
68     action organizations.
69          (d) If grant funds are not exhausted under Subsections (4)(a), (b), and (c), or if no
70     entity qualifies for grant funding under the criteria described in Subsection (4)(a), (b), or (c),
71     the department shall give fourth priority for grant funds to nonpublic entities that provide
72     family planning services but do not provide required primary health services as described in 42
73     U.S.C. Sec. 254b(b)(1)(A).