1     
UTAH FALSE CLAIMS ACT AMENDMENTS

2     
2023 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Todd D. Weiler

5     
House Sponsor: Nelson T. Abbott

6     

7     LONG TITLE
8     General Description:
9          This bill amends provisions of the Utah False Claims Act.
10     Highlighted Provisions:
11          This bill:
12          ▸     amends the definition of a medical benefit to include payments made to any licensed
13     health care provider.
14     Money Appropriated in this Bill:
15          None
16     Other Special Clauses:
17          None
18     Utah Code Sections Affected:
19     AMENDS:
20          26-20-2, as last amended by Laws of Utah 2007, Chapter 48
21     

22     Be it enacted by the Legislature of the state of Utah:
23          Section 1. Section 26-20-2 is amended to read:
24          26-20-2. Definitions.
25          As used in this chapter:
26          (1) "Benefit" means the receipt of money, goods, or any other thing of pecuniary value.
27          (2) "Claim" means any request or demand for money or property:
28          (a) made to any:
29          (i) employee, officer, or agent of the state;
30          (ii) contractor with the state; or
31          (iii) grantee or other recipient, whether or not under contract with the state; and
32          (b) if:
33          (i) any portion of the money or property requested or demanded was issued from or
34     provided by the state; or
35          (ii) the state will reimburse the contractor, grantee, or other recipient for any portion of
36     the money or property.
37          (3) "False statement" or "false representation" means a wholly or partially untrue
38     statement or representation which is:
39          (a) knowingly made; and
40          (b) a material fact with respect to the claim.
41          (4) "Health care provider" means the same as that term is defined in Section 26-1-37.
42          [(4)] (5) "Knowing" and "knowingly":
43          (a) for purposes of criminal prosecutions for violations of this chapter, is one of the
44     culpable mental states described in Subsection 26-20-9(1); and
45          (b) for purposes of civil prosecutions for violations of this chapter, is the required
46     culpable mental state as defined in Subsection 26-20-9.5(1).
47          [(5)] (6) "Medical benefit" means a benefit paid or payable to:
48          (a) a health care provider; or
49          (b) a recipient or a provider under a program administered by the state under:
50          [(a)] (i) Titles V and XIX of the federal Social Security Act;
51          [(b)] (ii) Title X of the federal Public Health Services Act;
52          [(c)] (iii) the federal Child Nutrition Act of 1966 as amended by P.L. 94-105; and
53          [(d)] (iv) any programs for medical assistance of the state.
54          [(6)] (7) "Person" means an individual, corporation, unincorporated association,
55     professional corporation, partnership, or other form of business association.