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7 LONG TITLE
8 General Description:
9 This bill amends provisions relating to family planning services within the state
10 Medicaid program.
11 Highlighted Provisions:
12 This bill:
13 ▸ requires the Medicaid program to apply for a waiver or a state plan amendment to
14 extend family planning services to certain low-income individuals.
15 Money Appropriated in this Bill:
16 None
17 Other Special Clauses:
18 None
19 Utah Code Sections Affected:
20 AMENDS:
21 26-18-417, as last amended by Laws of Utah 2019, Chapter 393
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23 Be it enacted by the Legislature of the state of Utah:
24 Section 1. Section 26-18-417 is amended to read:
25 26-18-417. Limited family planning services for low-income individuals.
26 (1) As used in this section:
27 (a) (i) "Family planning services" means family planning services that are provided
28 under the state Medicaid program, including:
29 (A) sexual health education and family planning counseling; and
30 (B) other medical diagnosis, treatment, or preventative care routinely provided as part
31 of a family planning service visit.
32 (ii) "Family planning services" do not include an abortion, as that term is defined in
33 Section 76-7-301.
34 (b) "Low-income individual" means an individual who:
35 (i) has an income level that is equal to or below 95% of the federal poverty level; and
36 (ii) does not qualify for full coverage under the Medicaid program.
37 (2) Before July 1, 2018, the division shall apply for a Medicaid waiver or a state plan
38 amendment with CMS to:
39 (a) offer a program that provides family planning services to low-income individuals;
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41 (b) receive a federal match rate of 90% of state expenditures for family planning
42 services provided under the waiver or state plan amendment.
43 (3) Before July 1, 2022, the division shall apply for a Medicaid waiver or a state plan
44 amendment with CMS to:
45 (a) offer a program that provides family planning services to an individual who:
46 (i) has an income level that is equal to or below 250% of the federal poverty level;
47 (ii) is 18 years old or older; and
48 (iii) does not qualify for full coverage under the Medicaid program; and
49 (b) receive a federal match rate of 90% of state expenditures for family planning
50 services provided under the waiver or state plan amendment.