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7 LONG TITLE
8 General Description:
9 This bill creates the Department of Health and Human Services and provides for the
10 transition of the Department of Health and the Department of Human Services into the
11 newly created single state agency.
12 Highlighted Provisions:
13 This bill:
14 ▸ creates the Department of Health and Human Services to combine the functions of
15 the Department of Health and the Department of Human Services;
16 ▸ describes the duties, responsibilities, and powers of the agency created in this bill;
17 ▸ provides for the transition of the Department of Health and the Department of
18 Human Services into the agency created in this bill;
19 ▸ amends the certain responsibilities of the Department of Workforce Services,
20 particularly relating to administration of Medicaid eligibility; and
21 ▸ creates a sunset date for certain provisions relating to the transition to the agency
22 created in this bill.
23 Money Appropriated in this Bill:
24 This bill appropriates in fiscal year 2022:
25 ▸ to General Fund Restricted - Department of Health and Human Services Transition
26 Restricted Account, as a one-time appropriation:
27 • from the General Fund, One-time, $1,500,000.
28 • from Federal Funds, One-time, $1,500,000.
29 ▸ to Department of Health - Executive Director's Operations, as an ongoing
30 appropriation:
31 • from the General Fund, Ongoing, ($135,000).
32 • from Federal Funds, Ongoing, ($135,000).
33 ▸ to Department of Health - Executive Director's Operations, as a one-time
34 appropriation:
35 • from the General Fund, One-time, $135,000.
36 • from Federal Funds, One-time, $135,000.
37 ▸ to Department of Health - Medicaid and Health Financing, as an ongoing
38 appropriation:
39 • from the General Fund, Ongoing, ($486,500).
40 • from the Federal Funds, Ongoing, ($486,500).
41 ▸ to Department of Health - Medicaid and Health Financing, as a one-time
42 appropriation:
43 • from the General Fund, One-time, $486,500.
44 • from Federal Funds, One-time, $486,500.
45 ▸ to Department of Health - Executive Director's Operations, as an ongoing
46 appropriation:
47 • from the General Fund, Ongoing, ($58,200).
48 • from Federal Funds, Ongoing, ($58,200).
49 ▸ to Department of Health - Executive Director's Operations, as a one-time
50 appropriation:
51 • from the General Fund, One-time, $58,200.
52 • from Federal Funds, One-time, $58,200.
53 ▸ to Department of Workforce Services - Operations and Policy, as an ongoing
54 appropriation:
55 • from the General Fund, Ongoing, $486,500.
56 • from the Federal Funds, Ongoing, $486,500.
57 ▸ to Department of Workforce Services - Operations and Policy, as a one-time
58 appropriation:
59 • from the General Fund, One-time, ($486,500).
60 • from Federal Funds, One-time, ($486,500).
61 ▸ to Department of Workforce Services - Administration, as an ongoing
62 appropriation:
63 • from the General Fund, Ongoing, $58,200.
64 • from Federal Funds, Ongoing, $58,200.
65 ▸ to Department of Workforce Services - Administration, as a one-time
66 appropriation:
67 • from the General Fund, One-time, ($58,200).
68 • from Federal Funds, One-time, ($58,200).
69 ▸ to Department of Health - Executive Director's Operations, as a one-time
70 appropriation:
71 • from the Department of Health and Human Services Transition Restricted
72 Account, One-time, $3,000,000.
73 ▸ to Department of Human Services - Executive Director Operations, as a one-time
74 appropriation:
75 • from the Department of Health and Human Services Transition Restricted
76 Account, One-time, $3,000,000.
77 Other Special Clauses:
78 This bill provides a special effective date.
79 Utah Code Sections Affected:
80 AMENDS:
81 26-18-3, as last amended by Laws of Utah 2019, Chapters 104 and 253
82 35A-1-304, as last amended by Laws of Utah 1998, Chapter 116
83 35A-1-307, as repealed and reenacted by Laws of Utah 1997, Chapter 375
84 35A-3-103, as last amended by Laws of Utah 2016, Chapters 296 and 348
85 63I-2-226, as last amended by Laws of Utah 2020, Chapters 154, 187, 215, and 354
86 ENACTS:
87 26B-1-101, Utah Code Annotated 1953
88 26B-1-102, Utah Code Annotated 1953
89 26B-1-103, Utah Code Annotated 1953
90 26B-1-201, Utah Code Annotated 1953
91 26B-1-201.1, Utah Code Annotated 1953
92
93 Be it enacted by the Legislature of the state of Utah:
94 Section 1. Section 26-18-3 is amended to read:
95 26-18-3. Administration of Medicaid program by department -- Reporting to the
96 Legislature -- Disciplinary measures and sanctions -- Funds collected -- Eligibility
97 standards -- Internal audits -- Health opportunity accounts.
98 (1) The department shall be the single state agency responsible for the administration
99 of the Medicaid program in connection with the United States Department of Health and
100 Human Services pursuant to Title XIX of the Social Security Act.
101 (2) (a) The department shall implement the Medicaid program through administrative
102 rules in conformity with this chapter, Title 63G, Chapter 3, Utah Administrative Rulemaking
103 Act, the requirements of Title XIX, and applicable federal regulations.
104 (b) The rules adopted under Subsection (2)(a) shall include, in addition to other rules
105 necessary to implement the program:
106 (i) the standards used by the department for determining eligibility for Medicaid
107 services;
108 (ii) the services and benefits to be covered by the Medicaid program;
109 (iii) reimbursement methodologies for providers under the Medicaid program; and
110 (iv) a requirement that:
111 (A) a person receiving Medicaid services shall participate in the electronic exchange of
112 clinical health records established in accordance with Section 26-1-37 unless the individual
113 opts out of participation;
114 (B) prior to enrollment in the electronic exchange of clinical health records the enrollee
115 shall receive notice of enrollment in the electronic exchange of clinical health records and the
116 right to opt out of participation at any time; and
117 (C) beginning July 1, 2012, when the program sends enrollment or renewal information
118 to the enrollee and when the enrollee logs onto the program's website, the enrollee shall receive
119 notice of the right to opt out of the electronic exchange of clinical health records.
120 (3) (a) The department shall, in accordance with Subsection (3)(b), report to the Social
121 Services Appropriations Subcommittee when the department:
122 (i) implements a change in the Medicaid State Plan;
123 (ii) initiates a new Medicaid waiver;
124 (iii) initiates an amendment to an existing Medicaid waiver;
125 (iv) applies for an extension of an application for a waiver or an existing Medicaid
126 waiver;
127 (v) applies for or receives approval for a change in any capitation rate within the
128 Medicaid program; or
129 (vi) initiates a rate change that requires public notice under state or federal law.
130 (b) The report required by Subsection (3)(a) shall:
131 (i) be submitted to the Social Services Appropriations Subcommittee prior to the
132 department implementing the proposed change; and
133 (ii) include:
134 (A) a description of the department's current practice or policy that the department is
135 proposing to change;
136 (B) an explanation of why the department is proposing the change;
137 (C) the proposed change in services or reimbursement, including a description of the
138 effect of the change;
139 (D) the effect of an increase or decrease in services or benefits on individuals and
140 families;
141 (E) the degree to which any proposed cut may result in cost-shifting to more expensive
142 services in health or human service programs; and
143 (F) the fiscal impact of the proposed change, including:
144 (I) the effect of the proposed change on current or future appropriations from the
145 Legislature to the department;
146 (II) the effect the proposed change may have on federal matching dollars received by
147 the state Medicaid program;
148 (III) any cost shifting or cost savings within the department's budget that may result
149 from the proposed change; and
150 (IV) identification of the funds that will be used for the proposed change, including any
151 transfer of funds within the department's budget.
152 (4) Any rules adopted by the department under Subsection (2) are subject to review and
153 reauthorization by the Legislature in accordance with Section 63G-3-502.
154 (5) The department may, in its discretion, contract with the Department of Human
155 Services or other qualified agencies for services in connection with the administration of the
156 Medicaid program, including:
157 (a) the determination of the eligibility of individuals for the program;
158 (b) recovery of overpayments; and
159 (c) consistent with Section 26-20-13, and to the extent permitted by law and quality
160 control services, enforcement of fraud and abuse laws.
161 (6) The department shall provide, by rule, disciplinary measures and sanctions for
162 Medicaid providers who fail to comply with the rules and procedures of the program, provided
163 that sanctions imposed administratively may not extend beyond:
164 (a) termination from the program;
165 (b) recovery of claim reimbursements incorrectly paid; and
166 (c) those specified in Section 1919 of Title XIX of the federal Social Security Act.
167 (7) (a) Funds collected as a result of a sanction imposed under Section 1919 of Title
168 XIX of the federal Social Security Act shall be deposited in the General Fund as dedicated
169 credits to be used by the division in accordance with the requirements of Section 1919 of Title
170 XIX of the federal Social Security Act.
171 (b) In accordance with Section 63J-1-602.2, sanctions collected under this Subsection
172 (7) are nonlapsing.
173 (8) (a) In determining whether an applicant or recipient is eligible for a service or
174 benefit under this part or Chapter 40, Utah Children's Health Insurance Act, the department
175 shall, if Subsection (8)(b) is satisfied, exclude from consideration one passenger vehicle
176 designated by the applicant or recipient.
177 (b) Before Subsection (8)(a) may be applied:
178 (i) the federal government shall:
179 (A) determine that Subsection (8)(a) may be implemented within the state's existing
180 public assistance-related waivers as of January 1, 1999;
181 (B) extend a waiver to the state permitting the implementation of Subsection (8)(a); or
182 (C) determine that the state's waivers that permit dual eligibility determinations for
183 cash assistance and Medicaid are no longer valid; and
184 (ii) the department shall determine that Subsection (8)(a) can be implemented within
185 existing funding.
186 (9) (a) For purposes of this Subsection (9):
187 (i) "aged, blind, or has a disability" means an aged, blind, or disabled individual, as
188 defined in 42 U.S.C. Sec. 1382c(a)(1); and
189 (ii) "spend down" means an amount of income in excess of the allowable income
190 standard that shall be paid in cash to the department or incurred through the medical services
191 not paid by Medicaid.
192 (b) In determining whether an applicant or recipient who is aged, blind, or has a
193 disability is eligible for a service or benefit under this chapter, the department shall use 100%
194 of the federal poverty level as:
195 (i) the allowable income standard for eligibility for services or benefits; and
196 (ii) the allowable income standard for eligibility as a result of spend down.
197 (10) The department shall conduct internal audits of the Medicaid program.
198 (11) (a) The department may apply for and, if approved, implement a demonstration
199 program for health opportunity accounts, as provided for in 42 U.S.C. Sec. 1396u-8.
200 (b) A health opportunity account established under Subsection (11)(a) shall be an
201 alternative to the existing benefits received by an individual eligible to receive Medicaid under
202 this chapter.
203 (c) Subsection (11)(a) is not intended to expand the coverage of the Medicaid program.
204 (12) (a) (i) The department shall apply for, and if approved, implement an amendment
205 to the state plan under this Subsection (12) for benefits for:
206 (A) medically needy pregnant women;
207 (B) medically needy children; and
208 (C) medically needy parents and caretaker relatives.
209 (ii) The department may implement the eligibility standards of Subsection (12)(b) for
210 eligibility determinations made on or after the date of the approval of the amendment to the
211 state plan.
212 (b) In determining whether an applicant is eligible for benefits described in Subsection
213 (12)(a)(i), the department shall:
214 (i) disregard resources held in an account in the savings plan created under Title 53B,
215 Chapter 8a, Utah Educational Savings Plan, if the beneficiary of the account is:
216 (A) under the age of 26; and
217 (B) living with the account owner, as that term is defined in Section 53B-8a-102, or
218 temporarily absent from the residence of the account owner; and
219 (ii) include the withdrawals from an account in the Utah Educational Savings Plan as
220 resources for a benefit determination, if the withdrawal was not used for qualified higher
221 education costs as that term is defined in Section 53B-8a-102.5.
222 (13) (a) The department may not deny or terminate eligibility for Medicaid solely
223 because an individual is:
224 (i) incarcerated; and
225 (ii) not an inmate as defined in Section 64-13-1.
226 (b) Subsection (13)(a) does not require the Medicaid program to provide coverage for
227 any services for an individual while the individual is incarcerated.
228 (14) The department is a party to, and may intervene at any time in, any judicial or
229 administrative action:
230 (a) to which the Department of Workforce Services is a party; and
231 (b) that involves medical assistance under:
232 (i) Title 26, Chapter 18, Medical Assistance Act; or
233 (ii) Title 26, Chapter 40, Utah Children's Health Insurance Act.
234 Section 2. Section 26B-1-101 is enacted to read:
235
236
237
238 26B-1-101. Title.
239 This title is known as the "Department of Health and Human Services."
240 Section 3. Section 26B-1-102 is enacted to read:
241 26B-1-102. Definitions.
242 As used in this title:
243 (1) "Department" means the Department of Health and Human Services created in
244 Section 26B-1-201.
245 (2) "Department of Health" means the Department of Health created in Section 26-1-4.
246 (3) "Department of Human Services" means the Department of Human Services
247 created in Section 62A-1-102.
248 Section 4. Section 26B-1-103 is enacted to read:
249 26B-1-103. Purpose of title -- Consolidation of functions into single state agency.
250 The purpose of this title is to consolidate into a single agency of state government all of
251 the functions exercised by:
252 (1) the Department of Health, including all of the powers and duties described in Title
253 26, Utah Health Code; and
254 (2) the Department of Human Services, including all of the powers and duties
255 described in Title 62A, Utah Human Services Code.
256 Section 5. Section 26B-1-201 is enacted to read:
257
258 26B-1-201. Department of Health and Human Services -- Creation -- Duties.
259 (1) There is created within state government the Department of Health and Human
260 Services, which has all of the policymaking functions, regulatory and enforcement powers,
261 rights, duties, and responsibilities outlined in this title.
262 (2) In addition to Subsection (1), during the transition period described in Section
263 26B-1-201.1, the Department of Health and Human Services may exercise any of the
264 policymaking functions, regulatory and enforcement powers, rights, duties, and responsibilities
265 of the Department of Health and the Department of Human Services under the joint direction
266 of:
267 (a) the executive director of the Department of Health; and
268 (b) the executive director of the Department of Human Services.
269 Section 6. Section 26B-1-201.1 is enacted to read:
270 26B-1-201.1. Transition to single state agency -- Transition plan -- Restricted
271 Account.
272 (1) As used in this section:
273 (a) "Transition agencies" means the:
274 (i) Department of Health; and
275 (ii) Department of Human Services.
276 (b) "Transition period" means the period of time:
277 (i) during which the transition of the department to the Department of Health and
278 Human Services takes place; and
279 (ii) beginning on the effective date of the bill, and ending on July 1, 2022.
280 (2) On or before December 1, 2021, the transition agencies shall develop a written
281 transition plan for merging the functions of the transition agencies into the Department of
282 Health and Human Services on July 1, 2022, in order to:
283 (a) more efficiently and effectively manage health and human services programs that
284 are the responsibility of the state;
285 (b) establish a health and human services policy for the state; and
286 (c) promote health and the quality of life in the health and human services field.
287 (3) The written transition plan described in Subsection (2) shall describe:
288 (a) the tasks that need to be completed before the move on July 1, 2022, including a
289 description of:
290 (i) how the transition agencies solicited comment from stakeholders, including:
291 (A) employees of the transition agencies;
292 (B) clients and partners of the transition agencies;
293 (C) members of the public;
294 (D) the Legislature; and
295 (E) the executive office of the governor;
296 (ii) the proposed organizational structure of the department, including the transition of
297 responsibilities of employees, by job title and classification, under the newly proposed
298 organizational structure and a plan for these transitions;
299 (iii) office space and infrastructure requirements related to the transition;
300 (iv) any work site location changes for transitioning employees;
301 (v) the transition of service delivery sites;
302 (vi) amendments needed to existing contracts, including grants;
303 (vii) legislative changes needed to implement the transition described in this section;
304 (viii) how the transition agencies will coordinate agency rules;
305 (ix) procedures for the transfer and reconciliation of budgeting and funding of the
306 department as the transition agencies transition into the department; and
307 (x) the transition of technology services to the department;
308 (b) the tasks that may need to be completed after the transition on July 1, 2022; and
309 (c) how the transition to the department will be funded, including details of:
310 (i) how expenses associated with the transition will be managed;
311 (ii) how funding for services provided by the transition agencies will be managed to
312 ensure services will be provided by the transition agencies and the department without
313 interruption; and
314 (iii) how federal funds will be used by or transferred between the transition agencies
315 and the department to ensure services will be provided by the transition agencies and the
316 department without interruption.
317 (4) The written transition plan described in Subsection (2) shall:
318 (a) include a detailed timeline for the completion of the tasks described in Subsection
319 (3)(a);
320 (b) be updated at least one time in every two week period until the transition is
321 complete;
322 (c) describe how information will be provided to clients of the transition agencies and
323 the department regarding any changes to where services will be provided and the hours services
324 will be provided;
325 (d) be provided to the:
326 (i) Health and Human Services Interim Committee;
327 (ii) Social Services Appropriations Subcommittee;
328 (iii) the executive office of the governor;
329 (iv) Division of Finance; and
330 (v) Department of Technology Services; and
331 (e) be made available to employees that are transitioning or may potentially be
332 transitioned.
333 (5) The transition agencies shall publish information that provides a full overview of
334 the written transition plan and how the move may affect client services offered by the transition
335 agencies on the transition agencies' respective websites, including regular updates regarding:
336 (a) how the move may affect client services offered by the transition agencies;
337 (b) information regarding the location where services are provided and the hours
338 services are provided; and
339 (c) contact information so that clients of the transition agencies can contact
340 transitioning employees and obtain information regarding client services.
341 (6) The transition agencies may, separately or collectively, enter into a memorandum of
342 understanding regarding how costs and responsibilities will be shared to:
343 (a) ensure that services provided under agreements with the federal government,
344 including new and ongoing grant programs, are fulfilled;
345 (b) ensure that commitments made by the transition agencies are met;
346 (c) provide ongoing or shared services as needed, including the provision of payments
347 to the department from the transition agencies; and
348 (d) ensure that money from the Department of Health and Human Services Transition
349 Restricted Account created in Subsection (8) is used appropriately by the transition agencies
350 and the department.
351 (7) In implementing the written transition plan described in this section, the transition
352 agencies and the department shall protect existing services, programs, and access to services
353 provided by the transition agencies.
354 (8) (a) There is created a restricted account within the General Fund known as the
355 "Department of Health and Human Services Transition Restricted Account."
356 (b) The restricted account shall consist of appropriations made by the Legislature.
357 (c) Subject to appropriation, the transition agencies and the department may spend
358 money from the restricted account to pay for expenses related to moving the transition agencies
359 into the department, including staff and legal services.
360 Section 7. Section 35A-1-304 is amended to read:
361 35A-1-304. Review authority of the Workforce Appeals Board.
362 (1) (a) In accordance with this title and Title 63G, Chapter 4, Administrative
363 Procedures Act, the Workforce Appeals Board may allow an appeal from a decision of an
364 administrative law judge from a formal adjudicative proceeding if a motion for review is filed
365 with the Division of Adjudication within the designated time by any party entitled to the notice
366 of the administrative law judge's decision.
367 (b) An appeal filed by the party shall be allowed as of right if the decision of the
368 administrative law judge did not affirm the department's prior decision.
369 (c) If the Workforce Appeals Board denies an application for appeal from the decision
370 of an administrative law judge, the decision of the administrative law judge is considered a
371 decision of the Workforce Appeals Board for purposes of judicial review and is subject to
372 judicial review if further appeal is initiated under this title.
373 (2) On appeal, the Workforce Appeals Board may on the basis of the evidence
374 previously submitted in the case, or upon the basis of any additional evidence it requires:
375 (a) affirm the decision of the administrative law judge;
376 (b) modify the decision of the administrative law judge; or
377 (c) reverse the findings, conclusions, and decision of the administrative law judge.
378 (3) The Workforce Appeals Board shall promptly notify the parties to any proceedings
379 before it of its decision, including its findings and conclusions, and the decision is a final order
380 of the department unless within 30 days after the date the decision of the Workforce Appeals
381 Board is issued, further appeal is initiated under this title.
382 Section 8. Section 35A-1-307 is amended to read:
383 35A-1-307. Scope of part.
384 This part does not apply to adjudication under[
385
386 Section 9. Section 35A-3-103 is amended to read:
387 35A-3-103. Department responsibilities.
388 The department shall:
389 (1) administer public assistance programs assigned by the Legislature and the
390 governor;
391 (2) determine eligibility for public assistance programs in accordance with the
392 requirements of this chapter;
393 (3) cooperate with the federal government in the administration of public assistance
394 programs;
395 (4) administer state employment services;
396 (5) provide for the compilation of necessary or desirable information, statistics, and
397 reports;
398 (6) perform other duties and functions required by law;
399 (7) monitor the application of eligibility policy;
400 (8) develop personnel training programs for effective and efficient operation of the
401 programs administered by the department;
402 (9) provide refugee resettlement services in accordance with Section 35A-3-701;
403 (10) provide child care assistance for children in accordance with Part 2, Office of
404 Child Care; [
405 (11) provide services that enable an applicant or recipient to qualify for affordable
406 housing in cooperation with:
407 (a) the Utah Housing Corporation;
408 (b) the Housing and Community Development Division; and
409 (c) local housing authorities[
410 (12) in accordance with 42 C.F.R. Sec. 431.10, develop non-clinical eligibility policy
411 and procedures to implement the eligibility state plan, waivers, and administrative rules
412 developed and issued by the Department of Health and Human Services for medical assistance
413 under:
414 (a) Title 26, Chapter 18, Medical Assistance Act; and
415 (b) Title 26, Chapter 40, Utah Children's Health Insurance Act;
416 (13) administer the Medicaid Eligibility Quality Control function in accordance with
417 42 C.F.R. Sec. 431.812; and
418 (14) conduct eligibility hearings and issue final decisions in adjudicative proceedings,
419 including expedited appeals as defined in 42 C.F.R. Sec. 431.224, for medical assistance
420 eligibility under:
421 (a) Title 26, Chapter 18, Medical Assistance Act; or
422 (b) Title 26, Chapter 40, Utah Children's Health Insurance Act.
423 Section 10. Section 63I-2-226 is amended to read:
424 63I-2-226. Repeal dates, Title 26 through 26B.
425 (1) Subsection 26-1-7(1)(c), in relation to the Air Ambulance Committee, is repealed
426 July 1, 2024.
427 (2) Subsection 26-7-8(3) is repealed January 1, 2027.
428 (3) Section 26-8a-107 is repealed July 1, 2024.
429 (4) Subsection 26-8a-203(3)(a)(i) is repealed January 1, 2023.
430 (5) Section 26-8a-211 is repealed July 1, 2023.
431 (6) In relation to the Air Ambulance Committee, on July 1, 2024, Subsection
432 26-8a-602(1)(a) is amended to read:
433 "(a) provide the patient or the patient's representative with the following information
434 before contacting an air medical transport provider:
435 (i) which health insurers in the state the air medical transport provider contracts with;
436 (ii) if sufficient data is available, the average charge for air medical transport services
437 for a patient who is uninsured or out of network; and
438 (iii) whether the air medical transport provider balance bills a patient for any charge
439 not paid by the patient's health insurer; and".
440 (7) Subsection 26-18-2.4(3)(e) is repealed January 1, 2023.
441 (8) Subsection 26-18-411(8), related to reporting on the health coverage improvement
442 program, is repealed January 1, 2023.
443 (9) Subsection 26-18-420(5), related to reporting on coverage for in vitro fertilization
444 and genetic testing, is repealed July 1, 2030.
445 [
446 [
447 26-21-32(1)(a) is amended to read:
448 "(a) provide the patient or the patient's representative with the following information
449 before contacting an air medical transport provider:
450 (i) which health insurers in the state the air medical transport provider contracts with;
451 (ii) if sufficient data is available, the average charge for air medical transport services
452 for a patient who is uninsured or out of network; and
453 (iii) whether the air medical transport provider balance bills a patient for any charge
454 not paid by the patient's health insurer; and".
455 [
456 [
457 Program, is repealed July 1, 2027.
458 [
459 [
460 [
461 (15) Section 26B-1-201.1 is repealed July 1, 2022.
462 Section 11. Appropriation.
463 The following sums of money are appropriated for the fiscal year beginning July 1,
464 2021, and ending June 30, 2022. These are additions to amounts previously appropriated for
465 fiscal year 2022.
466 Subsection 11(a). Operating and Capital Budgets.
467 Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the
468 Legislature appropriates the following sums of money from the funds or accounts indicated for
469 the use and support of the government of the state of Utah.
470 ITEM 1
471 To Department of Health -- Executive Director's Operations
472 From General Fund
($135,000)
473 From General Fund, One-time
$135,000
474 From Federal Funds
($135,000)
475 From Federal Funds, One-time
$135,000
476 ITEM 2
477 To Department of Health -- Medicaid and Health Financing
478 From General Fund
($486,500)
479 From General Fund, One-time
$486,500
480 From Federal Funds
($486,500)
481 From Federal Funds, One-time
$486,500
482 ITEM 3
483 To Department of Health -- Executive Director's Operations
484 From General Fund
($58,200)
485 From General Fund, One-time
$58,200
486 From Federal Funds
($58,200)
487 From Federal Funds, One-time
$58,200
488 ITEM 4
489 To Department of Health -- Executive Director's Operations
490 From Department of Health and Human Services Transition Restricted
491 Account, One-time
$3,000,000
492 Schedule of Programs:
493 Program Operations $3,000,000
494 ITEM 5
495 To Department of Human Services -- Executive Director Operations
496 From Department of Health and Human Services Transition Restricted
497 Account, One-time
$3,000,000
498 Schedule of Programs:
499 Fiscal Operations $3,000,000
500 ITEM 6
501 To Department of Workforce Services -- Operations and Policy
502 From General Fund
$486,500
503 From General Fund, One-time
($486,500)
504 From Federal Funds
$486,500
505 From Federal Funds, One-time
($486,500)
506 ITEM 7
507 To Department of Workforce Services -- Administration
508 From General Fund
$58,200
509 From General Fund, One-time
($58,200)
510 From Federal Funds
$58,200
511 From Federal Funds, One-time
($58,200)
512 Subsection 11(b). Restricted Fund and Account Transfers.
513 The Legislature authorizes the State Division of Finance to transfer the following
514 amounts between the following funds or accounts as indicated. Expenditures and outlays from
515 the funds to which the money is transferred must be authorized by an appropriation.
516 ITEM 1
517 To General Fund Restricted -- Department of Health and Human Services Transition
518 Restricted Account
519 From General Fund, One-time
$1,500,000
520 From Federal Funds, One-time
$1,500,000
521 Schedule of Programs:
522 General Fund Restricted -- Department of Health and Human Services
523 Transition Restricted Account $3,000,000
524 Section 12. Effective date.
525 (1) Except as provided in Subsection (2), if approved by two-thirds of all the members
526 elected to each house, this bill takes effect upon approval by the governor, or the day following
527 the constitutional time limit of Utah Constitution, Article VII, Section 8, without the governor's
528 signature, or in the case of a veto, the date of veto override.
529 (2) The actions affecting the following sections take effect on July 1, 2022:
530 (a) Section 26-18-3;
531 (b) Section 35A-1-304;
532 (c) Section 35A-1-307; and
533 (d) Section 35A-3-103.