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7 LONG TITLE
8 General Description:
9 This bill modifies and enacts provisions relating to substance use treatment, mental
10 health treatment, and health care that is provided in a correctional facility and the Utah
11 State Hospital.
12 Highlighted Provisions:
13 This bill:
14 ▸ defines terms;
15 ▸ directs the Department of Health to apply for a waiver under the state Medicaid plan
16 to offer a program to provide Medicaid coverage to certain inmates for up to 30
17 days before release from a correctional facility;
18 ▸ requires a county to provide matching funds to the state for Medicaid coverage that
19 is provided to certain inmates for up to 30 days before release from a correctional
20 facility;
21 ▸ creates a refundable tax credit for certain practitioners who provide substance use
22 disorder treatment or mental health therapy in a correctional facility or the Utah
23 State Hospital;
24 ▸ creates a substance use and mental health telehealth pilot program to be conducted
25 in one or more county jails; and
26 ▸ makes technical changes.
27 Money Appropriated in this Bill:
28 None
29 Other Special Clauses:
30 This bill provides a special effective date.
31 Utah Code Sections Affected:
32 AMENDS:
33 58-1-111, as enacted by Laws of Utah 2016, Chapter 407
34 59-10-1111, as enacted by Laws of Utah 2016, Chapter 407
35 63I-1-262, as last amended by Laws of Utah 2019, Chapters 246, 257, 440 and last
36 amended by Coordination Clause, Laws of Utah 2019, Chapter 246
37 ENACTS:
38 26-18-420, Utah Code Annotated 1953
39 62A-15-118, Utah Code Annotated 1953
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41 Be it enacted by the Legislature of the state of Utah:
42 Section 1. Section 26-18-420 is enacted to read:
43 26-18-420. Medicaid waiver for coverage of qualified inmates leaving prison or
44 jail.
45 (1) As used in this section:
46 (a) "Correctional facility" means:
47 (i) a county jail;
48 (ii) the Department of Corrections, created in Section 64-13-2; or
49 (iii) a prison, penitentiary, or other institution operated by or under contract with the
50 Department of Corrections for the confinement of an offender, as defined in Section 64-13-1.
51 (b) "Qualified inmate" means an individual who:
52 (i) is incarcerated in a correctional facility; and
53 (ii) has:
54 (A) a chronic physical or behavioral health condition;
55 (B) a mental illness, as defined in Section 62A-15-602; or
56 (C) an opioid use disorder.
57 (2) Before July 1, 2020, the division shall apply for a Medicaid waiver or a state plan
58 amendment with CMS to offer a program to provide Medicaid coverage to a qualified inmate
59 for up to 30 days immediately before the day on which the qualified inmate is released from a
60 correctional facility.
61 (3) If the waiver or state plan amendment described in Subsection (2) is approved, the
62 department shall report to the Health and Human Services Interim Committee each year before
63 November 30 while the waiver or state plan amendment is in effect regarding:
64 (a) the number of qualified inmates served under the program;
65 (b) the cost of the program; and
66 (c) the effectiveness of the program, including:
67 (i) any reduction in the number of emergency room visits or hospitalizations by
68 inmates after release from a correctional facility;
69 (ii) any reduction in the number of inmates undergoing inpatient treatment after release
70 from a correctional facility;
71 (iii) any reduction in overdose rates and deaths of inmates after release from a
72 correctional facility; and
73 (iv) any other costs or benefits as a result of the program.
74 (4) If the waiver or state plan amendment described in Subsection (2) is approved, a
75 county that is responsible for the cost of a qualified inmate's medical care shall provide the
76 required matching funds to the state for the Medicaid coverage provided to the qualified inmate
77 under Subsection (2).
78 Section 2. Section 58-1-111 is amended to read:
79 58-1-111. Tax credit certificate --Mental health practitioners and substance use
80 therapists -- Underserved populations.
81 (1) As used in this section:
82 (a) "Average of 20 hours or more per week" means that the quotient calculated when
83 dividing the claimant's total hours providing licensed services, in-custody mental health
84 therapy, or in-custody substance use disorder treatment in the state during the taxable year by
85 the number of weeks in which the claimant is licensed in the state during the taxable year is
86 greater than or equal to 20.
87 [
88 when dividing the claimant's total hours providing licensed services, in-custody mental health
89 therapy, or in-custody substance use disorder treatment in the state during the taxable year by
90 the number of weeks in which the claimant is licensed in the state during the taxable year is
91 greater than or equal to 30.
92 (c) "In-custody mental health therapy" means the provision of behavioral health
93 treatment within the scope of practice of a mental health therapist in a secure facility in the
94 state.
95 (d) "In-custody substance use disorder treatment" means the provision of behavioral
96 health treatment within the scope of practice of a substance use disorder counselor in a secure
97 facility in the state.
98 [
99 state [
100 (i) a psychiatrist[
101 (ii) a psychiatric mental health nurse practitioner[
102 (iii) a volunteer health practitioner.
103 (f) "Medication-assisted treatment" means treatment of a substance use disorder that
104 includes the use of a drug that is approved by the federal Food and Drug Administration for the
105 treatment of a substance use disorder in conjunction with behavioral health therapy.
106 (g) "Mental health therapist" means an individual who is licensed under Chapter 60,
107 Mental Health Professional Practice Act, for the practice of mental health therapy, as defined in
108 Section 58-60-102.
109 [
110 (i) is licensed under Chapter 31b, Nurse Practice Act, for the practice of advanced
111 practice registered nursing, as [
112 (ii) holds a certification recognized by the American Nurses Credentialing Center of
113 the American Association of Colleges of Nursing as a psychiatric mental health nurse
114 practitioner.
115 [
116 (i) is licensed as a physician under:
117 (A) Chapter 67, Utah Medical Practice Act;
118 (B) Chapter 67b, Interstate Medical Licensure Compact; or
119 (C) Chapter 68, Utah Osteopathic Medical Practice Act; and
120 (ii) is board eligible for a psychiatry specialization recognized by the American Board
121 of Medical Specialists or the American Osteopathic Association's Bureau of Osteopathic
122 Specialists.
123 (j) "Secure facility" means:
124 (i) a county jail;
125 (ii) the Department of Corrections, created in Section 64-13-2;
126 (iii) a prison, penitentiary, or other institution operated by or under contract with the
127 Department of Corrections for the confinement of an offender, as defined in Section 64-13-1;
128 or
129 (iv) the Utah State Hospital, created in Section 62A-15-601.
130 (k) "Substance use disorder counselor" means an individual who is licensed under
131 Chapter 60, Mental Health Professional Practice Act, to practice as a licensed advanced
132 substance use disorder counselor, as defined in Section 58-60-502.
133 [
134 (i) an individual located in a county of the third, fourth, fifth, or sixth class, as
135 [
136 (ii) a Native American Indian.
137 [
138 (i) described in Subsection (1)[
139 payment for providing licensed services; or
140 (ii) (A) licensed under Chapter 81, Retired Volunteer Health Care Practitioner Act; and
141 (B) previously or currently board certified in psychiatry.
142 (2) (a) An individual who seeks to obtain a state income tax credit under Subsections
143 59-10-1111(2) through [
144 taxable year in which the individual seeks a state income tax credit.
145 (b) An individual may qualify for a tax credit certificate under this section for no more
146 than 10 taxable years for each tax credit.
147 (3) The application for a tax credit certificate under Subsection 59-10-1111(2) shall
148 require the individual to provide the following to the division:
149 (a) the date on which the individual obtained a license and the specialization described
150 in Subsection (1)[
151 (b) (i) an attestation that the individual was licensed on or after January 1, 2017, to
152 provide licensed services; or
153 (ii) if the individual was licensed to provide licensed services prior to January 1, 2017,
154 an attestation:
155 (A) that the individual did not provide licensed services for the two calendar years
156 before the date the individual initially applied for the income tax credit under this subsection;
157 and
158 (B) the date on which the individual resumed providing licensed services in the state;
159 and
160 (c) other information as required by the division by administrative rule adopted in
161 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
162 (4) An application for a tax credit certificate under Subsection 59-10-1111(3) shall
163 require the individual to attest to the division:
164 (a) that the individual averaged 30 or more hours per week during the taxable year
165 providing licensed services;
166 (b) that the individual devoted 25% or more of the individual's total hours of licensed
167 services in the taxable year to an underserved population;
168 (c) the type of underserved population for which the individual provided services
169 during the taxable year; and
170 (d) other information as required by the division by administrative rule adopted in
171 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
172 (5) An application for a tax credit certificate under Subsection 59-10-1111(4) shall
173 require the individual to attest to the division:
174 (a) whether the individual is licensed under Subsection (1)[
175 (b) that the individual did not receive payment during the calendar year for providing
176 licensed services;
177 (c) that during the calendar year, the individual provided at least 300 hours of licensed
178 services to an underserved population, the homeless population, or veterans without receiving
179 payment for providing the licensed services;
180 (d) a description of the type of population described in Subsection (5)(c) for which the
181 individual provided licensed services; and
182 (e) other information as required by the division by administrative rule adopted in
183 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
184 (6) An application for a tax credit certificate under Subsection 59-10-1111(5) shall
185 require the individual to attest to the division:
186 (a) that the individual averaged 30 hours or more per week during the taxable year
187 providing in-custody mental health therapy;
188 (b) a list of each secure facility in which the individual provided in-custody mental
189 health therapy during the taxable year; and
190 (c) other information as required by the division by administrative rule adopted in
191 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
192 (7) An application for a tax credit certificate under Subsection 59-10-1111(6) shall
193 require the individual to attest to the division:
194 (a) that the individual averaged 20 hours or more per week during the taxable year
195 providing in-custody substance use disorder treatment;
196 (b) if used, a description of the type of medication-assisted treatment used by the
197 individual in providing the in-custody substance use disorder treatment;
198 (c) a list of each secure facility in which the individual provided the substance use
199 disorder treatment during the taxable year; and
200 (d) other information as required by the division by administrative rule adopted in
201 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
202 [
203 subsection.
204 (b) The tax credit certificate may state that an individual is entitled to:
205 (i) a tax credit under Subsection 59-10-1111(2) if the individual meets the
206 requirements of Subsection (3);
207 (ii) a tax credit under Subsection 59-10-1111(3) if the individual meets the
208 requirements of Subsection (4);
209 (iii) a tax credit under Subsection 59-10-1111(4) if the individual meets the
210 requirements of Subsection (5); [
211 (iv) a tax credit under Subsection 59-10-1111(5) if the individual meets the
212 requirements of Subsection (6);
213 (v) a tax credit under Subsection 59-10-1111(6) if the individual meets the
214 requirements of Subsection (7); or
215 [
216 the requirements of Subsections (3) and (4).
217 [
218 Subsection 59-10-1111(2) for no more than 10 taxable years after the date on which the
219 individual resumed services under Subsection (3)(b)(ii).
220 (b) The division may issue a tax credit certificate to an individual under Subsections
221 59-10-1111(3) [
222 [
223 section to the individual and the State Tax Commission.
224 Section 3. Section 59-10-1111 is amended to read:
225 59-10-1111. Refundable tax credit for mental health practitioners and substance
226 use therapists.
227 (1) As used in this section:
228 (a) "Mental health therapist" means the same as that term is defined in Section
229 58-1-111.
230 [
231 defined in Section 58-1-111.
232 [
233 (d) "Substance use disorder counselor" means the same as that term is defined in
234 Section 58-1-111.
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236 Occupational and Professional Licensing under Section 58-1-111 certifying that the claimant is
237 entitled to a tax credit under this section.
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239 Section 58-1-111.
240 (2) A claimant who is a psychiatrist or a psychiatric mental health nurse practitioner
241 and who submits a tax credit certificate issued by the Division of Occupational and
242 Professional Licensing under Subsection 58-1-111(3), may claim a refundable tax credit:
243 (a) as provided in this section; and
244 (b) in the amount of $10,000.
245 (3) A claimant who is a psychiatrist or a psychiatric mental health nurse practitioner
246 and who submits a tax credit certificate under Subsection 58-1-111(4) may claim a refundable
247 tax credit:
248 (a) as provided in this section; and
249 (b) in the amount of $10,000.
250 (4) A claimant who is a volunteer retired psychiatrist and who submits a tax credit
251 certificate under Subsection 58-1-111(5) may claim a refundable tax credit:
252 (a) as provided in this section; and
253 (b) in the amount of $10,000.
254 (5) A claimant who is a mental health therapist and who submits a tax credit certificate
255 under Subsection 58-1-111(6) may claim a refundable tax credit:
256 (a) as provided in this section; and
257 (b) in the amount of $10,000.
258 (6) A claimant who is a substance use disorder counselor and who submits a tax credit
259 certificate under Subsection 58-1-111(7) may claim a refundable tax credit:
260 (a) as provided in this section; and
261 (b) in the amount of $10,000.
262 [
263 no more than 10 taxable years for each tax credit.
264 [
265 Subsection [
266 credit under this section if the amount of the tax credit exceeds the claimant's tax liability for
267 the taxable year.
268 (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
269 commission may make rules providing procedures for making a refund to a claimant as
270 required by Subsection [
271 Section 4. Section 62A-15-118 is enacted to read:
272 62A-15-118. Substance Use and Mental Health Telehealth Pilot Program.
273 (1) As used in this section:
274 (a) "Inmate" means an individual incarcerated in a rural county jail.
275 (b) "Project" means a pilot project that provides telehealth services to inmates.
276 (c) "Rural county" means a county of the second, third, fourth, fifth, or sixth class, as
277 classified in Section 17-50-501.
278 (d) "Telehealth services" means mental health or substance use disorder treatment
279 provided remotely through the use of telecommunications technology.
280 (2) (a) On or before July 1, 2020, the division shall issue a request for proposals in
281 accordance with this section to award a grant to one or more county jails to develop and
282 implement a project.
283 (b) The division shall award all grants under this section before December 31, 2020.
284 (c) A project shall run for two years.
285 (3) The purpose of a project is to:
286 (a) determine how telehealth services can be used in the state to:
287 (i) increase access to mental health and substance use disorder treatment to inmates;
288 (ii) reduce the number of deaths in rural county jails due to suicide or withdrawal
289 symptoms;
290 (iii) reduce the number of overdose deaths of inmates with a substance use disorder
291 after release from a rural county jail; and
292 (iv) reduce the costs associated with providing mental health and substance use
293 disorder treatment to inmates; and
294 (b) identify methods of using telehealth services for inmates.
295 (4) An application for a grant under this section shall:
296 (a) be submitted jointly by:
297 (i) a rural county jail;
298 (ii) a local substance abuse and mental health authority; and
299 (iii) a provider of telehealth services;
300 (b) identify the inmate population to which the rural county jail will provide telehealth
301 services;
302 (c) identify the type of telehealth services that the rural county jail will provide;
303 (d) explain how the inmate population described in Subsection (4)(b) will benefit from
304 the provision of telehealth services;
305 (e) provide details regarding:
306 (i) how the rural county jail plans to provide telehealth services;
307 (ii) how the proposed project will ensure that consideration is given to the capacity and
308 availability of the rural county jail and community health care resources;
309 (iii) how the rural county jail, telehealth service provider, and local mental health and
310 substance abuse authority will coordinate to ensure timely and effective provision of telehealth
311 services;
312 (iv) the projected costs of the proposed project;
313 (v) the sustainability of the proposed project; and
314 (vi) the methods the proposed project will use to:
315 (A) protect the privacy of each inmate who participates in the proposed project;
316 (B) collect nonidentifying data relating to the proposed project; and
317 (C) provide transparency on the costs and operation of the proposed project; and
318 (f) provide other information requested by the division to ensure that the proposed
319 project satisfies the criteria described in Subsection (5).
320 (5) In evaluating an application for the grant, the division shall consider:
321 (a) the extent to which the proposed project will fulfill the purposes described in
322 Subsection (3);
323 (b) the extent to which the inmate population described in Subsection (4)(b) is likely to
324 benefit from the proposed project;
325 (c) the cost of the proposed project;
326 (d) the viability and innovation of the proposed project; and
327 (e) the extent to which the proposed project will yield useful data to evaluate the
328 effectiveness of the proposed project.
329 (6) Before June 30, 2021, the division shall report to the Law Enforcement and
330 Criminal Justice Interim Committee regarding:
331 (a) each county jail that is part of a project; and
332 (b) the details and duration of each project.
333 (7) Before June 30, 2023, the division shall report to the Law Enforcement and
334 Criminal Justice Interim Committee regarding:
335 (a) the outcomes of each project;
336 (b) data gathered in relation to each project;
337 (c) knowledge gained relating to the provision of telehealth services in county jails;
338 (d) recommendations for the future use of telehealth services in county jails; and
339 (e) obstacles encountered in the provision of telehealth services in rural county jails.
340 Section 5. Section 63I-1-262 is amended to read:
341 63I-1-262. Repeal dates, Title 62A.
342 (1) Subsections 62A-1-120(8)(g), (h), and (i) relating to completion of premarital
343 counseling or education under Section 30-1-34 are repealed July 1, 2023.
344 (2) Section 62A-3-209 is repealed July 1, 2023.
345 (3) Section 62A-4a-202.9 is repealed December 31, 2021.
346 (4) Section 62A-4a-213 is repealed July 1, 2024.
347 (5) Section 62A-15-114 is repealed December 31, 2021.
348 (6) Subsections 62A-15-116(1) and (4), the language that states "In consultation with
349 the SafeUT and School Safety Commission, established in Section 53B-17-1203," is repealed
350 January 1, 2023.
351 (7) Section 62A-15-118 is repealed December 31, 2023.
352 [
353 Substance Use and Mental Health Advisory Council, are repealed January 1, 2023.
354 [
355 (a) Subsections 62A-15-1301(1) and 62A-15-1401(1) are repealed;
356 (b) Subsection 62A-15-1302(1)(b), the language that states "and in consultation with
357 the commission" is repealed;
358 (c) Section 62A-15-1303, the language that states "In consultation with the
359 commission," is repealed; and
360 (d) Subsection 62A-15-1402(2)(a), the language that states "With recommendations
361 from the commission," is repealed.
362 Section 6. Effective date.
363 The amendments to Sections 58-1-111 and 59-10-1111 take effect for a taxable year
364 beginning on or after January 1, 2021.