1     
SUICIDE PREVENTION AMENDMENTS

2     
2021 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Steve Eliason

5     
Senate Sponsor: Michael S. Kennedy

6     

7     LONG TITLE
8     General Description:
9          This bill amends and creates programs to address suicide.
10     Highlighted Provisions:
11          This bill:
12          ▸     defines terms;
13          ▸     creates a reporting requirement regarding youth suicides;
14          ▸     allows the Utah medical examiner to obtain certain information;
15          ▸     changes a program that helps Utah residents purchase a firearm safe from a coupon
16     program to a rebate program;
17          ▸     requires the Division of Substance Abuse and Mental Health to administer a
18     program to provide training to health care organizations related to reducing
19     suicides;
20          ▸     eliminates a grant application requirement for an individual to receive funds for
21     clean-up and bereavement services; and
22          ▸     makes technical changes.
23     Money Appropriated in this Bill:
24          This bill appropriates in fiscal year 2022:
25          ▸     to the Department of Human Services -- Division of Substance Abuse and Mental
26     Health, as an ongoing appropriation:
27               •     from the General Fund, $350,000.
28     Other Special Clauses:
29          None

30     Utah Code Sections Affected:
31     AMENDS:
32          26-33a-109, as last amended by Laws of Utah 2020, Chapter 90
33          53-5-707, as last amended by Laws of Utah 2019, Chapter 440
34          62A-15-103, as last amended by Laws of Utah 2020, Chapter 193
35          62A-15-1501, as enacted by Laws of Utah 2019, Chapter 447
36          62A-15-1502, as enacted by Laws of Utah 2019, Chapter 447
37          63I-2-226, as last amended by Laws of Utah 2020, Chapters 154, 187, 215, and 354
38          76-10-526, as last amended by Laws of Utah 2019, Chapters 386 and 440
39     ENACTS:
40          26-4-6.1, Utah Code Annotated 1953
41          62A-15-120, Utah Code Annotated 1953
42     

43     Be it enacted by the Legislature of the state of Utah:
44          Section 1. Section 26-4-6.1 is enacted to read:
45          26-4-6.1. Youth suicide report.
46          (1) Before September 30, 2021, the medical examiner shall report to the Health and
47     Human Services Interim Committee regarding:
48          (a) any data obtained from the past 10 years pertaining to youth suicides in the state,
49     including any demographic data the medical examiner has obtained;
50          (b) insights learned from studying and investigating youth suicide;
51          (c) possible explanations for why youth in the state die by suicide; and
52          (d) recommendations to inform public health and legislative policy for reducing youth
53     suicide in the future.
54          (2) The medical examiner may not disclose data described in Subsection (1)(a) if the
55     medical examiner determines that disclosing specific data would lead to harm.
56          Section 2. Section 26-33a-109 is amended to read:
57          26-33a-109. Exceptions to prohibition on disclosure of identifiable health data.

58          (1) The committee may not disclose any identifiable health data unless:
59          (a) the individual has authorized the disclosure;
60          (b) the disclosure is to the department or a public health authority in accordance with
61     Subsection (2); or
62          (c) the disclosure complies with the provisions of:
63          (i) Subsection (3);
64          (ii) insurance enrollment and coordination of benefits under Subsection
65     26-33a-106.1(1)(d); or
66          (iii) risk adjusting under Subsection 26-33a-106.1(1)(b).
67          (2) The committee may disclose identifiable health data to the department or a public
68     health authority under Subsection (1)(b) if:
69          (a) the department or the public health authority has clear statutory authority to possess
70     the identifiable health data; and
71          (b) the disclosure is solely for use [in]:
72          (i) in the Utah Statewide Immunization Information System operated by the
73     department; [or]
74          (ii) in the Utah Cancer Registry operated by the University of Utah, in collaboration
75     with the department[.]; or
76          (iii) by the medical examiner, as defined in Section 26-4-2, or the medical examiner's
77     designee.
78          (3) The committee shall consider the following when responding to a request for
79     disclosure of information that may include identifiable health data:
80          (a) whether the request comes from a person after that person has received approval to
81     do the specific research or statistical work from an institutional review board; and
82          (b) whether the requesting entity complies with the provisions of Subsection (4).
83          (4) A request for disclosure of information that may include identifiable health data
84     shall:
85          (a) be for a specified period; or

86          (b) be solely for bona fide research or statistical purposes as determined in accordance
87     with administrative rules adopted by the department in accordance with Title 63G, Chapter 3,
88     Utah Administrative Rulemaking Act , which shall require:
89          (i) the requesting entity to demonstrate to the department that the data is required for
90     the research or statistical purposes proposed by the requesting entity; and
91          (ii) the requesting entity to enter into a written agreement satisfactory to the department
92     to protect the data in accordance with this chapter or other applicable law.
93          (5) A person accessing identifiable health data pursuant to Subsection (4) may not
94     further disclose the identifiable health data:
95          (a) without prior approval of the department; and
96          (b) unless the identifiable health data is disclosed or identified by control number only.
97          (6) Identifiable health data that has been designated by a data supplier as being subject
98     to regulation under 42 C.F.R. Part 2, Confidentiality of Substance Use Disorder Patient
99     Records, may only be used or disclosed in accordance with applicable federal regulations.
100          Section 3. Section 53-5-707 is amended to read:
101          53-5-707. Concealed firearm permit -- Fees -- Concealed Weapons Account.
102          (1) (a) An applicant for a concealed firearm permit shall pay a fee of $25 at the time of
103     filing an application.
104          (b) A nonresident applicant shall pay an additional $10 for the additional cost of
105     processing a nonresident application.
106          (c) The bureau shall waive the initial fee for an applicant who is a law enforcement
107     officer under Section 53-13-103.
108          (d) Concealed firearm permit renewal fees for active duty service members and the
109     spouse of an active duty service member shall be waived.
110          (2) The renewal fee for the permit is $20. A nonresident shall pay an additional $5 for
111     the additional cost of processing a nonresidential renewal.
112          (3) The replacement fee for the permit is $10.
113          (4) (a) The late fee for the renewal permit is $7.50.

114          (b) As used in this section, "late fee" means the fee charged by the bureau for a renewal
115     submitted on a permit that has been expired for more than 30 days but less than one year.
116          (5) (a) There is created a restricted account within the General Fund known as the
117     "Concealed Weapons Account."
118          (b) The account shall be funded from fees collected under this section and Section
119     53-5-707.5.
120          (c) Funds in the account may only be used to cover costs relating to:
121          (i) the issuance of concealed firearm permits under this part; or
122          (ii) the programs described in [Subsections] Subsection 62A-15-103(3) and
123     [76-10-526(15) and] Section 62A-15-1101.
124          (6) (a) The bureau may collect any fees charged by an outside agency for additional
125     services required by statute as a prerequisite for issuance of a permit.
126          (b) The bureau shall promptly forward any fees collected under Subsection (6)(a) to the
127     appropriate agency.
128          (7) The bureau shall make an annual report in writing to the Legislature's Law
129     Enforcement and Criminal Justice Interim Committee on the amount and use of the fees
130     collected under this section and Section 53-5-707.5.
131          Section 4. Section 62A-15-103 is amended to read:
132          62A-15-103. Division -- Creation -- Responsibilities.
133          (1) (a) There is created the Division of Substance Abuse and Mental Health within the
134     department, under the administration and general supervision of the executive director.
135          (b) The division is the substance abuse authority and the mental health authority for
136     this state.
137          (2) The division shall:
138          (a) (i) educate the general public regarding the nature and consequences of substance
139     abuse by promoting school and community-based prevention programs;
140          (ii) render support and assistance to public schools through approved school-based
141     substance abuse education programs aimed at prevention of substance abuse;

142          (iii) promote or establish programs for the prevention of substance abuse within the
143     community setting through community-based prevention programs;
144          (iv) cooperate with and assist treatment centers, recovery residences, and other
145     organizations that provide services to individuals recovering from a substance abuse disorder,
146     by identifying and disseminating information about effective practices and programs;
147          (v) except as provided in Section 62A-15-103.5, make rules in accordance with Title
148     63G, Chapter 3, Utah Administrative Rulemaking Act, to develop, in collaboration with public
149     and private programs, minimum standards for public and private providers of substance abuse
150     and mental health programs licensed by the department under Title 62A, Chapter 2, Licensure
151     of Programs and Facilities;
152          (vi) promote integrated programs that address an individual's substance abuse, mental
153     health, physical health, and criminal risk factors;
154          (vii) establish and promote an evidence-based continuum of screening, assessment,
155     prevention, treatment, and recovery support services in the community for individuals with
156     substance use disorder and mental illness that addresses criminal risk factors;
157          (viii) evaluate the effectiveness of programs described in this Subsection (2);
158          (ix) consider the impact of the programs described in this Subsection (2) on:
159          (A) emergency department utilization;
160          (B) jail and prison populations;
161          (C) the homeless population; and
162          (D) the child welfare system; and
163          (x) promote or establish programs for education and certification of instructors to
164     educate persons convicted of driving under the influence of alcohol or drugs or driving with
165     any measurable controlled substance in the body;
166          (b) (i) collect and disseminate information pertaining to mental health;
167          (ii) provide direction over the state hospital including approval of the state hospital's
168     budget, administrative policy, and coordination of services with local service plans;
169          (iii) make rules in accordance with Title 63G, Chapter 3, Utah Administrative

170     Rulemaking Act, to educate families concerning mental illness and promote family
171     involvement, when appropriate, and with patient consent, in the treatment program of a family
172     member; and
173          (iv) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
174     Rulemaking Act, to direct that an individual receiving services through a local mental health
175     authority or the Utah State Hospital be informed about and, if desired by the individual,
176     provided assistance in the completion of a declaration for mental health treatment in
177     accordance with Section 62A-15-1002;
178          (c) (i) consult and coordinate with local substance abuse authorities and local mental
179     health authorities regarding programs and services;
180          (ii) provide consultation and other assistance to public and private agencies and groups
181     working on substance abuse and mental health issues;
182          (iii) promote and establish cooperative relationships with courts, hospitals, clinics,
183     medical and social agencies, public health authorities, law enforcement agencies, education and
184     research organizations, and other related groups;
185          (iv) promote or conduct research on substance abuse and mental health issues, and
186     submit to the governor and the Legislature recommendations for changes in policy and
187     legislation;
188          (v) receive, distribute, and provide direction over public funds for substance abuse and
189     mental health services;
190          (vi) monitor and evaluate programs provided by local substance abuse authorities and
191     local mental health authorities;
192          (vii) examine expenditures of local, state, and federal funds;
193          (viii) monitor the expenditure of public funds by:
194          (A) local substance abuse authorities;
195          (B) local mental health authorities; and
196          (C) in counties where they exist, a private contract provider that has an annual or
197     otherwise ongoing contract to provide comprehensive substance abuse or mental health

198     programs or services for the local substance abuse authority or local mental health authority;
199          (ix) contract with local substance abuse authorities and local mental health authorities
200     to provide a comprehensive continuum of services that include community-based services for
201     individuals involved in the criminal justice system, in accordance with division policy, contract
202     provisions, and the local plan;
203          (x) contract with private and public entities for special statewide or nonclinical
204     services, or services for individuals involved in the criminal justice system, according to
205     division rules;
206          (xi) review and approve each local substance abuse authority's plan and each local
207     mental health authority's plan in order to ensure:
208          (A) a statewide comprehensive continuum of substance abuse services;
209          (B) a statewide comprehensive continuum of mental health services;
210          (C) services result in improved overall health and functioning;
211          (D) a statewide comprehensive continuum of community-based services designed to
212     reduce criminal risk factors for individuals who are determined to have substance abuse or
213     mental illness conditions or both, and who are involved in the criminal justice system;
214          (E) compliance, where appropriate, with the certification requirements in Subsection
215     (2)(j); and
216          (F) appropriate expenditure of public funds;
217          (xii) review and make recommendations regarding each local substance abuse
218     authority's contract with the local substance abuse authority's provider of substance abuse
219     programs and services and each local mental health authority's contract with the local mental
220     health authority's provider of mental health programs and services to ensure compliance with
221     state and federal law and policy;
222          (xiii) monitor and ensure compliance with division rules and contract requirements;
223     and
224          (xiv) withhold funds from local substance abuse authorities, local mental health
225     authorities, and public and private providers for contract noncompliance, failure to comply

226     with division directives regarding the use of public funds, or for misuse of public funds or
227     money;
228          (d) ensure that the requirements of this part are met and applied uniformly by local
229     substance abuse authorities and local mental health authorities across the state;
230          (e) require each local substance abuse authority and each local mental health authority,
231     in accordance with Subsections 17-43-201(5)(b) and 17-43-301(6)(a)(ii), to submit a plan to
232     the division on or before May 15 of each year;
233          (f) conduct an annual program audit and review of each local substance abuse authority
234     and each local substance abuse authority's contract provider, and each local mental health
235     authority and each local mental health authority's contract provider, including:
236          (i) a review and determination regarding whether:
237          (A) public funds allocated to the local substance abuse authority or the local mental
238     health authorities are consistent with services rendered by the authority or the authority's
239     contract provider, and with outcomes reported by the authority's contract provider; and
240          (B) each local substance abuse authority and each local mental health authority is
241     exercising sufficient oversight and control over public funds allocated for substance use
242     disorder and mental health programs and services; and
243          (ii) items determined by the division to be necessary and appropriate; [and]
244          (g) define "prevention" by rule as required under Title 32B, Chapter 2, Part 4,
245     Alcoholic Beverage and Substance Abuse Enforcement and Treatment Restricted Account Act;
246          (h) (i) train and certify an adult as a peer support specialist, qualified to provide peer
247     supports services to an individual with:
248          (A) a substance use disorder;
249          (B) a mental health disorder; or
250          (C) a substance use disorder and a mental health disorder;
251          (ii) certify a person to carry out, as needed, the division's duty to train and certify an
252     adult as a peer support specialist;
253          (iii) make rules in accordance with Title 63G, Chapter 3, Utah Administrative

254     Rulemaking Act, that:
255          (A) establish training and certification requirements for a peer support specialist;
256          (B) specify the types of services a peer support specialist is qualified to provide;
257          (C) specify the type of supervision under which a peer support specialist is required to
258     operate; and
259          (D) specify continuing education and other requirements for maintaining or renewing
260     certification as a peer support specialist; and
261          (iv) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
262     Rulemaking Act, that:
263          (A) establish the requirements for a person to be certified to carry out, as needed, the
264     division's duty to train and certify an adult as a peer support specialist; and
265          (B) specify how the division shall provide oversight of a person certified to train and
266     certify a peer support specialist;
267          (i) except as provided in Section 62A-15-103.5, establish by rule, in accordance with
268     Title 63G, Chapter 3, Utah Administrative Rulemaking Act, minimum standards and
269     requirements for the provision of substance use disorder and mental health treatment to an
270     individual who is incarcerated or who is required to participate in treatment by a court or by the
271     Board of Pardons and Parole, including:
272          (i) collaboration with the Department of Corrections and the Utah Substance Use and
273     Mental Health Advisory Council to develop and coordinate the standards, including standards
274     for county and state programs serving individuals convicted of class A and class B
275     misdemeanors;
276          (ii) determining that the standards ensure available treatment, including the most
277     current practices and procedures demonstrated by recognized scientific research to reduce
278     recidivism, including focus on the individual's criminal risk factors; and
279          (iii) requiring that all public and private treatment programs meet the standards
280     established under this Subsection (2)(i) in order to receive public funds allocated to the
281     division, the Department of Corrections, or the Commission on Criminal and Juvenile Justice

282     for the costs of providing screening, assessment, prevention, treatment, and recovery support;
283          (j) except as provided in Section 62A-15-103.5, establish by rule, in accordance with
284     Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the requirements and procedures
285     for the certification of licensed public and private providers, including individuals licensed by
286     the Division of Occupational and Professional Licensing, programs licensed by the department,
287     and health care facilities licensed by the Department of Health, who provide, as part of their
288     practice, substance use disorder and mental health treatment to an individual involved in the
289     criminal justice system, including:
290          (i) collaboration with the Department of Corrections, the Utah Substance Use and
291     Mental Health Advisory Council, and the Utah Association of Counties to develop, coordinate,
292     and implement the certification process;
293          (ii) basing the certification process on the standards developed under Subsection (2)(i)
294     for the treatment of an individual involved in the criminal justice system; and
295          (iii) the requirement that a public or private provider of treatment to an individual
296     involved in the criminal justice system shall obtain certification on or before July 1, 2016, and
297     shall renew the certification every two years, in order to qualify for funds allocated to the
298     division, the Department of Corrections, or the Commission on Criminal and Juvenile Justice
299     on or after July 1, 2016;
300          (k) collaborate with the Commission on Criminal and Juvenile Justice to analyze and
301     provide recommendations to the Legislature regarding:
302          (i) pretrial services and the resources needed to reduce recidivism;
303          (ii) county jail and county behavioral health early-assessment resources needed for an
304     offender convicted of a class A or class B misdemeanor; and
305          (iii) the replacement of federal dollars associated with drug interdiction law
306     enforcement task forces that are reduced;
307          (l) (i) establish performance goals and outcome measurements for all treatment
308     programs for which minimum standards are established under Subsection (2)(i), including
309     recidivism data and data regarding cost savings associated with recidivism reduction and the

310     reduction in the number of inmates, that are obtained in collaboration with the Administrative
311     Office of the Courts and the Department of Corrections; and
312          (ii) collect data to track and determine whether the goals and measurements are being
313     attained and make this information available to the public;
314          (m) in the division's discretion, use the data to make decisions regarding the use of
315     funds allocated to the division, the Administrative Office of the Courts, and the Department of
316     Corrections to provide treatment for which standards are established under Subsection (2)(i);
317          (n) annually, on or before August 31, submit the data collected under Subsection (2)(k)
318     to the Commission on Criminal and Juvenile Justice, which shall compile a report of findings
319     based on the data and provide the report to the Judiciary Interim Committee, the Health and
320     Human Services Interim Committee, the Law Enforcement and Criminal Justice Interim
321     Committee, and the related appropriations subcommittees; and
322          (o) consult and coordinate with the Department of Health and the Division of Child
323     and Family Services to develop and manage the operation of a program designed to reduce
324     substance abuse during pregnancy that includes:
325          (i) providing education and resources to health care providers and individuals in the
326     state regarding prevention of substance abuse during pregnancy;
327          (ii) providing training to health care providers in the state regarding screening of a
328     pregnant woman or pregnant minor to identify a substance abuse disorder; and
329          (iii) providing referrals to pregnant women or pregnant minors in need of substance use
330     treatment services to a facility that has the capacity to provide the treatment services.
331          (3) In addition to the responsibilities described in Subsection (2), the division shall,
332     within funds appropriated by the Legislature for this purpose, implement and manage the
333     operation of a firearm safety and suicide prevention program, in consultation with the Bureau
334     of Criminal Identification created in Section 53-10-201, including:
335          (a) coordinating with the Department of Health, local mental health and substance
336     abuse authorities, a nonprofit behavioral health advocacy group, and a representative from a
337     Utah-based nonprofit organization with expertise in the field of firearm use and safety that

338     represents firearm owners, to:
339          (i) produce and periodically review and update a firearm safety brochure and other
340     educational materials with information about the safe handling and use of firearms that
341     includes:
342          (A) information on safe handling, storage, and use of firearms in a home environment;
343          (B) information about at-risk individuals and individuals who are legally prohibited
344     from possessing firearms;
345          (C) information about suicide prevention awareness; and
346          (D) information about the availability of firearm safety packets;
347          (ii) procure cable-style gun locks for distribution pursuant to this section;
348          (iii) produce a firearm safety packet that includes the firearm safety brochure and the
349     cable-style gun lock described in this Subsection (3); and
350          (iv) create a suicide prevention education course that:
351          (A) provides information for distribution regarding firearm safety education;
352          (B) incorporates current information on how to recognize suicidal behaviors and
353     identify individuals who may be suicidal; and
354          (C) provides information regarding crisis intervention resources;
355          (b) distributing, free of charge, the firearm safety packet to the following persons, who
356     shall make the firearm safety packet available free of charge:
357          (i) health care providers, including emergency rooms;
358          (ii) mobile crisis outreach teams;
359          (iii) mental health practitioners;
360          (iv) other public health suicide prevention organizations;
361          (v) entities that teach firearm safety courses;
362          (vi) school districts for use in the seminar, described in Section 53G-9-702, for parents
363     of students in the school district; and
364          (vii) firearm dealers to be distributed in accordance with Section 76-10-526;
365          (c) creating and administering a [redeemable coupon program described in this

366     Subsection (3) and Section 76-10-526 that includes: (i) producing a redeemable coupon] rebate
367     program that includes a rebate that offers between $10 and $200 off the purchase price of a
368     firearm safe from a participating firearms dealer or a person engaged in the business of selling
369     firearm safes in Utah, by a Utah resident [who has filed an application for a concealed firearm
370     permit; and];
371          [(ii) collecting the receipts described in Section 76-10-526 from the participating
372     dealers and persons and reimbursing the dealers and persons;]
373          (d) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
374     making rules that establish procedures for:
375          (i) producing and distributing the suicide prevention education course and the firearm
376     safety brochures and packets;
377          (ii) procuring the cable-style gun locks for distribution; and
378          (iii) administering the [redeemable coupon] rebate program; and
379          (e) reporting to the Health and Human Services Interim Committee regarding
380     implementation and success of the firearm safety program and suicide prevention education
381     course at or before the November meeting each year.
382          (4) (a) The division may refuse to contract with and may pursue legal remedies against
383     any local substance abuse authority or local mental health authority that fails, or has failed, to
384     expend public funds in accordance with state law, division policy, contract provisions, or
385     directives issued in accordance with state law.
386          (b) The division may withhold funds from a local substance abuse authority or local
387     mental health authority if the authority's contract provider of substance abuse or mental health
388     programs or services fails to comply with state and federal law or policy.
389          (5) (a) Before reissuing or renewing a contract with any local substance abuse authority
390     or local mental health authority, the division shall review and determine whether the local
391     substance abuse authority or local mental health authority is complying with the oversight and
392     management responsibilities described in Sections 17-43-201, 17-43-203, 17-43-303, and
393     17-43-309.

394          (b) Nothing in this Subsection (5) may be used as a defense to the responsibility and
395     liability described in Section 17-43-303 and to the responsibility and liability described in
396     Section 17-43-203.
397          (6) In carrying out the division's duties and responsibilities, the division may not
398     duplicate treatment or educational facilities that exist in other divisions or departments of the
399     state, but shall work in conjunction with those divisions and departments in rendering the
400     treatment or educational services that those divisions and departments are competent and able
401     to provide.
402          (7) The division may accept in the name of and on behalf of the state donations, gifts,
403     devises, or bequests of real or personal property or services to be used as specified by the
404     donor.
405          (8) The division shall annually review with each local substance abuse authority and
406     each local mental health authority the authority's statutory and contract responsibilities
407     regarding:
408          (a) use of public funds;
409          (b) oversight of public funds; and
410          (c) governance of substance use disorder and mental health programs and services.
411          (9) The Legislature may refuse to appropriate funds to the division upon the division's
412     failure to comply with the provisions of this part.
413          (10) If a local substance abuse authority contacts the division under Subsection
414     17-43-201(10) for assistance in providing treatment services to a pregnant woman or pregnant
415     minor, the division shall:
416          (a) refer the pregnant woman or pregnant minor to a treatment facility that has the
417     capacity to provide the treatment services; or
418          (b) otherwise ensure that treatment services are made available to the pregnant woman
419     or pregnant minor.
420          (11) The division shall employ a school-based mental health specialist to be housed at
421     the State Board of Education who shall work with the State Board of Education to:

422          (a) provide coordination between a local education agency and local mental health
423     authority;
424          (b) recommend evidence-based and evidence informed mental health screenings and
425     intervention assessments for a local education agency; and
426          (c) coordinate with the local community, including local departments of health, to
427     enhance and expand mental health related resources for a local education agency.
428          Section 5. Section 62A-15-120 is enacted to read:
429          62A-15-120. Suicide technical assistance program.
430          (1) As used in this section, "technical assistance" means training for the prevention of
431     suicide.
432          (2) (a) Before July 1, 2021, and each subsequent July 1, the division shall solicit
433     applications from health care organizations to receive technical assistance provided by the
434     division.
435          (b) The division shall approve at least one but not more than six applications each year.
436          (c) The division shall determine which applicants receive the technical assistance
437     before December 31 of each year.
438          (3) An application for technical assistance under this section shall:
439          (a) identify the population to whom the health care organization will provide suicide
440     prevention services;
441          (b) identify how the health care organization plans to implement the skills and
442     knowledge gained from the technical assistance;
443          (c) identify the health care organization's current resources used for the prevention of
444     suicide;
445          (d) explain how the population described in Subsection (3)(a) will benefit from the
446     health care organization receiving technical assistance;
447          (e) provide details regarding:
448          (i) how the health care organization will provide timely and effective suicide
449     prevention services;

450          (ii) any existing or planned contracts or partnerships between the health care
451     organization and other persons that are related to suicide prevention;
452          (iii) the methods the health care organization will use to:
453          (A) protect the privacy of each individual to whom the health care organization
454     provides suicide prevention services; and
455          (B) collect non-identifying data; and
456          (f) provide other information requested by the division for the division to evaluate the
457     application.
458          (4) In evaluating an application for technical assistance, the division shall consider:
459          (a) the extent to which providing technical assistance to the health care organization
460     will fulfill the purpose of preventing suicides in the state;
461          (b) the extent to which the population described in Subsection (3)(a) is likely to benefit
462     from the health care organization receiving the technical assistance;
463          (c) the cost of providing the technical assistance to the health care organization; and
464          (d) the extent to which any of the following are likely to benefit the heath care
465     organization's ability to assist in preventing suicides in the state:
466          (i) existing or planned contracts or partnerships between the applicant and other
467     persons to develop and implement other initiatives; or
468          (ii) additional funding sources available to the applicant for suicide prevention
469     services.
470          (5) Before June 30, 2022, and each subsequent June 30, the division shall submit a
471     written report to the Health and Human Services Interim Committee regarding each health care
472     organization the division provided technical assistance to in the preceding year under this
473     section.
474          (6) Before June 30, 2024, the division shall submit a written report to the Health and
475     Human Services Interim Committee regarding:
476          (a) data gathered in relation to providing technical assistance to a health care
477     organization;

478          (b) knowledge gained relating to providing technical assistance;
479          (c) recommendations for the future regarding how the state can better prevent suicides;
480     and
481          (d) obstacles encountered when providing technical assistance.
482          Section 6. Section 62A-15-1501 is amended to read:
483          62A-15-1501. Definitions.
484          As used in this part:
485          (1) "Account" means the Survivors of Suicide Loss Account created in Section
486     62A-15-1502.
487          (2) (a) "Cohabitant" means an individual who lives with another individual.
488          (b) "Cohabitant" does not include a relative.
489          [(2)] (3) "Relative" means father, mother, husband, wife, son, daughter, sister, brother,
490     grandfather, grandmother, uncle, aunt, nephew, niece, grandson, granddaughter, first cousin,
491     mother-in-law, father-in-law, brother-in-law, sister-in-law, son-in-law, or daughter-in-law.
492          Section 7. Section 62A-15-1502 is amended to read:
493          62A-15-1502. Survivors of Suicide Loss Account.
494          (1) There is created a restricted account within the General Fund known as the
495     "Survivors of Suicide Loss Account."
496          (2) The division shall administer the account in accordance with this part.
497          (3) The account shall consist of:
498          (a) money appropriated to the account by the Legislature; and
499          (b) interest earned on money in the account.
500          (4) Upon appropriation, the division shall award grants from the account to[:(a) a
501     relative, legal guardian, or cohabitant of an individual who dies by suicide as reimbursement
502     for costs incurred by the relative, legal guardian, or cohabitant for mental health treatment or
503     therapy as a result of the suicide; and (b)] a person who provides, for no or minimal cost:
504          [(i)] (a) clean-up of property affected or damaged by an individual's suicide, as
505     reimbursement for the costs incurred for the clean-up; and

506          [(ii)] (b) bereavement services to a relative, legal guardian, or cohabitant of an
507     individual who dies by suicide.
508          [(5) The division shall establish a grant application and review process for the
509     expenditure of money from the account.]
510          [(6) The grant application and review process shall describe:]
511          [(a) requirements to complete the grant application;]
512          [(b) requirements for receiving funding;]
513          [(c) criteria for the approval of a grant application; and]
514          [(d) support offered by the division to complete a grant application.]
515          [(7) Upon receipt of a grant application, the division shall:]
516          [(a) review the grant application for completeness;]
517          [(b) make a determination regarding the grant application;]
518          [(c) inform the grant applicant of the division's determination regarding the grant
519     application; and]
520          [(d) if approved, award grants from the account to the grant applicant.]
521          [(8)] (5) Before November 30 of each year, the division shall report to the Health and
522     Human Services Interim Committee regarding the status of the account and expenditures made
523     from the account.
524          Section 8. Section 63I-2-226 is amended to read:
525          63I-2-226. Repeal dates, Title 26.
526          (1) Subsection 26-1-7(1)(c), in relation to the Air Ambulance Committee, is repealed
527     July 1, 2024.
528          (2) Section 26-4-6.1 is repealed January 1, 2022.
529          [(2)] (3) Subsection 26-7-8(3) is repealed January 1, 2027.
530          [(3)] (4) Section 26-8a-107 is repealed July 1, 2024.
531          [(4)] (5) Subsection 26-8a-203(3)(a)(i) is repealed January 1, 2023.
532          [(5)] (6) Section 26-8a-211 is repealed July 1, 2023.
533          [(6)] (7) In relation to the Air Ambulance Committee, on July 1, 2024, Subsection

534     26-8a-602(1)(a) is amended to read:
535          "(a) provide the patient or the patient's representative with the following information
536     before contacting an air medical transport provider:
537          (i) which health insurers in the state the air medical transport provider contracts with;
538          (ii) if sufficient data is available, the average charge for air medical transport services
539     for a patient who is uninsured or out of network; and
540          (iii) whether the air medical transport provider balance bills a patient for any charge
541     not paid by the patient's health insurer; and".
542          [(7)] (8) Subsection 26-18-2.4(3)(e) is repealed January 1, 2023.
543          [(8)] (9) Subsection 26-18-411(8), related to reporting on the health coverage
544     improvement program, is repealed January 1, 2023.
545          [(9)] (10) Subsection 26-18-420(5), related to reporting on coverage for in vitro
546     fertilization and genetic testing, is repealed July 1, 2030.
547          [(10)] (11) Subsection 26-21-28(2)(b) is repealed January 1, 2021.
548          [(11)] (12) In relation to the Air Ambulance Committee, July 1, 2024, Subsection
549     26-21-32(1)(a) is amended to read:
550          "(a) provide the patient or the patient's representative with the following information
551     before contacting an air medical transport provider:
552          (i) which health insurers in the state the air medical transport provider contracts with;
553          (ii) if sufficient data is available, the average charge for air medical transport services
554     for a patient who is uninsured or out of network; and
555          (iii) whether the air medical transport provider balance bills a patient for any charge
556     not paid by the patient's health insurer; and".
557          [(12)] (13) Subsection 26-33a-106.1(2)(a) is repealed January 1, 2023.
558          [(13)] (14) Title 26, Chapter 46, Utah Health Care Workforce Financial Assistance
559     Program, is repealed July 1, 2027.
560          [(14)] (15) Subsection 26-55-107(8) is repealed January 1, 2021.
561          [(15)] (16) Subsection 26-61-202(4)(b) is repealed January 1, 2022.

562          [(16)] (17) Subsection 26-61-202(5) is repealed January 1, 2022.
563          Section 9. Section 76-10-526 is amended to read:
564          76-10-526. Criminal background check prior to purchase of a firearm -- Fee --
565     Exemption for concealed firearm permit holders and law enforcement officers.
566          (1) For purposes of this section, "valid permit to carry a concealed firearm" does not
567     include a temporary permit issued under Section 53-5-705.
568          (2) (a) To establish personal identification and residence in this state for purposes of
569     this part, a dealer shall require an individual receiving a firearm to present one photo
570     identification on a form issued by a governmental agency of the state.
571          (b) A dealer may not accept a driving privilege card issued under Section 53-3-207 as
572     proof of identification for the purpose of establishing personal identification and residence in
573     this state as required under this Subsection (2).
574          (3) (a) A criminal history background check is required for the sale of a firearm by a
575     licensed firearm dealer in the state.
576          (b) Subsection (3)(a) does not apply to the sale of a firearm to a Federal Firearms
577     Licensee.
578          (4) (a) An individual purchasing a firearm from a dealer shall consent in writing to a
579     criminal background check, on a form provided by the bureau.
580          (b) The form shall contain the following information:
581          (i) the dealer identification number;
582          (ii) the name and address of the individual receiving the firearm;
583          (iii) the date of birth, height, weight, eye color, and hair color of the individual
584     receiving the firearm; and
585          (iv) the social security number or any other identification number of the individual
586     receiving the firearm.
587          (5) (a) The dealer shall send the information required by Subsection (4) to the bureau
588     immediately upon its receipt by the dealer.
589          (b) A dealer may not sell or transfer a firearm to an individual until the dealer has

590     provided the bureau with the information in Subsection (4) and has received approval from the
591     bureau under Subsection (7).
592          (6) The dealer shall make a request for criminal history background information by
593     telephone or other electronic means to the bureau and shall receive approval or denial of the
594     inquiry by telephone or other electronic means.
595          (7) When the dealer calls for or requests a criminal history background check, the
596     bureau shall:
597          (a) review the criminal history files, including juvenile court records, to determine if
598     the individual is prohibited from purchasing, possessing, or transferring a firearm by state or
599     federal law;
600          (b) inform the dealer that:
601          (i) the records indicate the individual is prohibited; or
602          (ii) the individual is approved for purchasing, possessing, or transferring a firearm;
603          (c) provide the dealer with a unique transaction number for that inquiry; and
604          (d) provide a response to the requesting dealer during the call for a criminal
605     background check, or by return call, or other electronic means, without delay, except in case of
606     electronic failure or other circumstances beyond the control of the bureau, the bureau shall
607     advise the dealer of the reason for the delay and give the dealer an estimate of the length of the
608     delay.
609          (8) (a) The bureau may not maintain any records of the criminal history background
610     check longer than 20 days from the date of the dealer's request, if the bureau determines that
611     the individual receiving the firearm is not prohibited from purchasing, possessing, or
612     transferring the firearm under state or federal law.
613          (b) However, the bureau shall maintain a log of requests containing the dealer's federal
614     firearms number, the transaction number, and the transaction date for a period of 12 months.
615          (9) (a) If the criminal history background check discloses information indicating that
616     the individual attempting to purchase the firearm is prohibited from purchasing, possessing, or
617     transferring a firearm, the bureau shall inform the law enforcement agency in the jurisdiction

618     where the individual resides.
619          (b) A law enforcement agency that receives information from the bureau under
620     Subsection (9)(a) shall provide a report before August 1 of each year to the bureau that
621     includes:
622          (i) based on the information the bureau provides to the law enforcement agency under
623     Subsection (9)(a), the number of cases that involve an individual who is prohibited from
624     purchasing, possessing, or transferring a firearm as a result of a conviction for an offense
625     involving domestic violence; and
626          (ii) of the cases described in Subsection (9)(b)(i):
627          (A) the number of cases the law enforcement agency investigates; and
628          (B) the number of cases the law enforcement agency investigates that result in a
629     criminal charge.
630          (c) The bureau shall:
631          (i) compile the information from the reports described in Subsection (9)(b);
632          (ii) omit or redact any identifying information in the compilation; and
633          (iii) submit the compilation to the Law Enforcement and Criminal Justice Interim
634     Committee before November 1 of each year.
635          (10) If an individual is denied the right to purchase a firearm under this section, the
636     individual may review the individual's criminal history information and may challenge or
637     amend the information as provided in Section 53-10-108.
638          (11) The bureau shall make rules in accordance with Title 63G, Chapter 3, Utah
639     Administrative Rulemaking Act, to ensure the identity, confidentiality, and security of all
640     records provided by the bureau under this part are in conformance with the requirements of the
641     Brady Handgun Violence Prevention Act, Pub. L. No. 103-159, 107 Stat. 1536 (1993).
642          (12) (a) A dealer shall collect a criminal history background check fee for the sale of a
643     firearm under this section.
644          (b) The fee described under Subsection (12)(a) remains in effect until changed by the
645     bureau through the process described in Section 63J-1-504.

646          (c) (i) The dealer shall forward at one time all fees collected for criminal history
647     background checks performed during the month to the bureau by the last day of the month
648     following the sale of a firearm.
649          (ii) The bureau shall deposit the fees in the General Fund as dedicated credits to cover
650     the cost of administering and conducting the criminal history background check program.
651          (13) An individual with a concealed firearm permit issued under Title 53, Chapter 5,
652     Part 7, Concealed Firearm Act, is exempt from the background check and corresponding fee
653     required in this section for the purchase of a firearm if:
654          (a) the individual presents the individual's concealed firearm permit to the dealer prior
655     to purchase of the firearm; and
656          (b) the dealer verifies with the bureau that the individual's concealed firearm permit is
657     valid.
658          (14) (a) A law enforcement officer, as defined in Section 53-13-103, is exempt from
659     the background check fee required in this section for the purchase of a personal firearm to be
660     carried while off-duty if the law enforcement officer verifies current employment by providing
661     a letter of good standing from the officer's commanding officer and current law enforcement
662     photo identification.
663          (b) Subsection (14)(a) may only be used by a law enforcement officer to purchase a
664     personal firearm once in a 24-month period.
665          [(15) (a) A dealer or a person engaged in the business of selling firearm safes in Utah
666     may participate in the redeemable coupon program described in this Subsection (15) and
667     Subsection 62A-15-103(3).]
668          [(b) A participating dealer or person shall:]
669          [(i) apply the coupon only toward the purchase of a gun safe;]
670          [(ii) collect the receipts from the purchase of a firearm safe using the redeemable
671     coupons and send the receipts to the Division of Substance Abuse and Mental Health for
672     redemption; and]
673          [(iii) make the firearm safety brochure described in Subsection 62A-15-103(3)

674     available to a customer free of charge.]
675          [(16)] (15) A dealer engaged in the business of selling, leasing, or otherwise
676     transferring any firearm shall:
677          (a) make the firearm safety brochure described in Subsection 62A-15-103(3) available
678     to a customer free of charge; and
679          (b) at the time of purchase, distribute a cable-style gun lock provided to the dealer
680     under Subsection 62A-15-103(3) to a customer purchasing a shotgun, short barreled shotgun,
681     short barreled rifle, rifle, or another firearm that federal law does not require be accompanied
682     by a gun lock at the time of purchase.
683          Section 10. Appropriation.
684          The following sums of money are appropriated for the fiscal year beginning July 1,
685     2021, and ending June 30, 2022. These are additions to amounts previously appropriated for
686     fiscal year 2022. Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures
687     Act, the Legislature appropriates the following sums of money from the funds or accounts
688     indicated for the use and support of the government of the state of Utah.
689     ITEM 1
690          To Department of Human Services -- Division of Substance Abuse and Mental Health
691               From General Fund
$350,000

692               Schedule of Programs:
693                    Community Mental Health Services               $350,000
694          The Legislature intends that the Division of Substance Abuse and Mental Health
695     expend appropriations provided under this item for providing suicide prevention training to
696     health care organizations under Section 62A-15-120.