Representative Raymond P. Ward proposes the following substitute bill:


1     
HEALTH AND HUMAN SERVICES RECODIFICATION -

2     
ADMINISTRATION, LICENSING, AND RECOVERY

3     
SERVICES

4     
2023 GENERAL SESSION

5     
STATE OF UTAH

6     
Chief Sponsor: Jacob L. Anderegg

7     
House Sponsor: Raymond P. Ward

8     

9     LONG TITLE
10     General Description:
11          This bill recodifies portions of the Utah Health Code and Utah Human Services Code.
12     Highlighted Provisions:
13          This bill:
14          ▸     recodifies provisions regarding:
15               •     the Department of Health and Human Services;
16               •     licensing and certifications; and
17               •     recovery services and child support administration; and
18          ▸     makes technical and corresponding changes.
19     Money Appropriated in this Bill:
20          None
21     Other Special Clauses:
22          This bill provide coordination clauses.
23          This bill provides revisor instructions.
24     Utah Code Sections Affected:
25     AMENDS:

26          26B-1-102, as last amended by Laws of Utah 2022, Chapter 255
27          26B-1-204, as renumbered and amended by Laws of Utah 2022, Chapter 255
28          26B-2-101, as enacted by Laws of Utah 2022, Chapter 255
29          26B-9-101, as enacted by Laws of Utah 2022, Chapter 255
30     ENACTS:
31          26B-1-333, Utah Code Annotated 1953
32          26B-1-432, Utah Code Annotated 1953
33          26B-1-433, Utah Code Annotated 1953
34          26B-9-401, Utah Code Annotated 1953
35     RENUMBERS AND AMENDS:
36          26B-1-214, (Renumbered from 26-1-10, as last amended by Laws of Utah 2022,
37     Chapter 255)
38          26B-1-215, (Renumbered from 62A-1-115, as enacted by Laws of Utah 1988, Chapter
39     1)
40          26B-1-216, (Renumbered from 62A-18-105, as last amended by Laws of Utah 2022,
41     Chapter 335)
42          26B-1-217, (Renumbered from 26-1-35, as enacted by Laws of Utah 2000, Chapter 86)
43          26B-1-218, (Renumbered from 26-1-44, as enacted by Laws of Utah 2022, Chapter 36)
44          26B-1-219, (Renumbered from 26-1-45, as enacted by Laws of Utah 2022, Chapter
45     189)
46          26B-1-220, (Renumbered from 26-23-1, as last amended by Laws of Utah 1993,
47     Chapter 38)
48          26B-1-221, (Renumbered from 26-23-2, as last amended by Laws of Utah 2008,
49     Chapter 382)
50          26B-1-222, (Renumbered from 26-23-3, as enacted by Laws of Utah 1981, Chapter
51     126)
52          26B-1-223, (Renumbered from 26-23-4, as enacted by Laws of Utah 1981, Chapter
53     126)
54          26B-1-224, (Renumbered from 26-23-6, as last amended by Laws of Utah 2022,
55     Chapter 457)
56          26B-1-225, (Renumbered from 26-23-7, as last amended by Laws of Utah 2011,

57     Chapter 297)
58          26B-1-226, (Renumbered from 26-23-8, as enacted by Laws of Utah 1981, Chapter
59     126)
60          26B-1-227, (Renumbered from 26-23-9, as enacted by Laws of Utah 1981, Chapter
61     126)
62          26B-1-228, (Renumbered from 26-23-10, as last amended by Laws of Utah 2011,
63     Chapter 297)
64          26B-1-229, (Renumbered from 26-25-1, as last amended by Laws of Utah 2022,
65     Chapter 255)
66          26B-1-230, (Renumbered from 26-68-102, as enacted by Laws of Utah 2021, Chapter
67     182)
68          26B-1-231, (Renumbered from 26B-1a-104, as enacted by Laws of Utah 2022, Chapter
69     245)
70          26B-1-232, (Renumbered from 26B-1a-105, as renumbered and amended by Laws of
71     Utah 2022, Chapter 245 and last amended by Coordination Clause, Laws of Utah
72     2022, Chapter 245)
73          26B-1-233, (Renumbered from 26B-1a-106, as enacted by Laws of Utah 2022, Chapter
74     245 and last amended by Coordination Clause, Laws of Utah 2022, Chapter 245)
75          26B-1-234, (Renumbered from 62A-1-122, as last amended by Laws of Utah 2021,
76     Chapter 344)
77          26B-1-235, (Renumbered from 26-10-8, as last amended by Laws of Utah 2012,
78     Chapter 347)
79          26B-1-236, (Renumbered from 26-26-3, as last amended by Laws of Utah 2010,
80     Chapter 241
81          26B-1-237, (Renumbered from 26-18-605, as last amended by Laws of Utah 2015,
82     Chapter 135)
83          26B-1-238, (Renumbered from 62A-4a-211, as enacted by Laws of Utah 2014, Chapter
84     67)
85          26B-1-306, (Renumbered from 26-8a-108, as last amended by Laws of Utah 2021,
86     Chapter 395)
87          26B-1-307, (Renumbered from 26-8b-602, as last amended by Laws of Utah 2014,

88     Chapter 109)
89          26B-1-308, (Renumbered from 26-9-4, as last amended by Laws of Utah 2017, Chapter
90     199)
91          26B-1-309, (Renumbered from 26-18-402, as last amended by Laws of Utah 2020,
92     Chapter 152)
93          26B-1-310, (Renumbered from 26-61a-109, as last amended by Laws of Utah 2019,
94     First Special Session, Chapter 5)
95          26B-1-311, (Renumbered from 26-18a-4, as last amended by Laws of Utah 2010,
96     Chapter 278)
97          26B-1-312, (Renumbered from 26-18b-101, as last amended by Laws of Utah 2021,
98     Chapter 378)
99          26B-1-313, (Renumbered from 26-21a-302, as last amended by Laws of Utah 2011,
100     Chapter 303)
101          26B-1-314, (Renumbered from 26-21a-304, as enacted by Laws of Utah 2016, Chapter
102     46)
103          26B-1-315, (Renumbered from 26-36b-208, as last amended by Laws of Utah 2021,
104     Chapter 367)
105          26B-1-316, (Renumbered from 26-36d-207, as last amended by Laws of Utah 2020,
106     Fifth Special Session, Chapter 20)
107          26B-1-317, (Renumbered from 26-37a-107, as last amended by Laws of Utah 2020,
108     Fifth Special Session, Chapter 20)
109          26B-1-318, (Renumbered from 26-50-201, as last amended by Laws of Utah 2013,
110     Chapter 400)
111          26B-1-319, (Renumbered from 26-54-102, as last amended by Laws of Utah 2019,
112     Chapter 405)
113          26B-1-320, (Renumbered from 26-54-102.5, as enacted by Laws of Utah 2019, Chapter
114     405)
115          26B-1-321, (Renumbered from 26-58-102, as enacted by Laws of Utah 2016, Chapter
116     71)
117          26B-1-322, (Renumbered from 26-67-205, as enacted by Laws of Utah 2020, Chapter
118     169)

119          26B-1-323, (Renumbered from 62A-3-110, as last amended by Laws of Utah 2013,
120     Chapters 167 and 400)
121          26B-1-324, (Renumbered from 62A-15-123, as last amended by Laws of Utah 2022,
122     Chapter 187)
123          26B-1-325, (Renumbered from 62A-15-1103, as last amended by Laws of Utah 2022,
124     Chapters 19 and 149)
125          26B-1-326, (Renumbered from 62A-15-1104, as enacted by Laws of Utah 2021,
126     Chapter 12)
127          26B-1-327, (Renumbered from 62A-15-1502, as last amended by Laws of Utah 2021,
128     Chapter 277)
129          26B-1-328, (Renumbered from 62A-15-1602, as last amended by Laws of Utah 2021,
130     Chapter 278)
131          26B-1-329, (Renumbered from 62A-15-1702, as enacted by Laws of Utah 2020,
132     Chapter 358 and last amended by Coordination Clause, Laws of Utah 2020, Chapter
133     358)
134          26B-1-330, (Renumbered from 62A-5-206.5, as last amended by Laws of Utah 2016,
135     Chapter 300)
136          26B-1-331, (Renumbered from 62A-5-206.7, as enacted by Laws of Utah 2018,
137     Chapter 404)
138          26B-1-332, (Renumbered from 26-35a-106, as last amended by Laws of Utah 2017,
139     Chapter 443)
140          26B-1-401, (Renumbered from 26-1-11, as last amended by Laws of Utah 2022,
141     Chapter 255)
142          26B-1-402, (Renumbered from 26-1-41, as enacted by Laws of Utah 2020, Chapter
143     172)
144          26B-1-403, (Renumbered from 26-7-13, as last amended by Laws of Utah 2022,
145     Chapter 415)
146          26B-1-404, (Renumbered from 26-8a-103, as last amended by Laws of Utah 2022,
147     Chapter 255)
148          26B-1-405, (Renumbered from 26-8a-107, as last amended by Laws of Utah 2022,
149     Chapter 255)

150          26B-1-406, (Renumbered from 26-8a-251, as last amended by Laws of Utah 2019,
151     Chapter 349)
152          26B-1-407, (Renumbered from 26-8d-104, as last amended by Laws of Utah 2019,
153     Chapter 349)
154          26B-1-408, (Renumbered from 26-8d-105, as last amended by Laws of Utah 2019,
155     Chapter 349)
156          26B-1-409, (Renumbered from 26-9f-103, as last amended by Laws of Utah 2022,
157     Chapter 255)
158          26B-1-410, (Renumbered from 26-10b-106, as last amended by Laws of Utah 2022,
159     Chapter 255)
160          26B-1-411, (Renumbered from 26-18a-2, as last amended by Laws of Utah 2010,
161     Chapter 286)
162          26B-1-412, (Renumbered from 26-21-3, as last amended by Laws of Utah 2022,
163     Chapter 255)
164          26B-1-413, (Renumbered from 26-33a-104, as last amended by Laws of Utah 2016,
165     Chapter 74)
166          26B-1-414, (Renumbered from 26-39-200, as last amended by Laws of Utah 2022,
167     Chapter 255)
168          26B-1-415, (Renumbered from 26-39-201, as last amended by Laws of Utah 2022,
169     Chapter 255)
170          26B-1-416, (Renumbered from 26-40-104, as last amended by Laws of Utah 2015,
171     Chapter 107)
172          26B-1-417, (Renumbered from 26-50-202, as last amended by Laws of Utah 2016,
173     Chapter 168)
174          26B-1-418, (Renumbered from 26-54-103, as last amended by Laws of Utah 2022,
175     Chapter 255)
176          26B-1-419, (Renumbered from 26-46-103, as last amended by Laws of Utah 2017,
177     Chapter 126)
178          26B-1-420, (Renumbered from 26-61-201, as last amended by Laws of Utah 2022,
179     Chapter 452)
180          26B-1-421, (Renumbered from 26-61a-105, as last amended by Laws of Utah 2022,

181     Chapter 452)
182          26B-1-422, (Renumbered from 26-66-202, as enacted by Laws of Utah 2019, Chapter
183     34)
184          26B-1-423, (Renumbered from26-46a-104, as last amended by Laws of Utah 2022,
185     Chapter 255)
186          26B-1-424, (Renumbered from 26-67-202, as enacted by Laws of Utah 2015, Chapter
187     136)
188          26B-1-425, (Renumbered from 26-69-201, as enacted by Laws of Utah 2022, Chapter
189     224)
190          26B-1-426, (Renumbered from 62A-1-107, as last amended by Laws of Utah 2022,
191     Chapter 255)
192          26B-1-427, (Renumbered from 62A-1-121, as last amended by Laws of Utah 2022,
193     Chapter 447)
194          26B-1-428, (Renumbered from 26-7-10, as last amended by Laws of Utah 2022,
195     Chapter 255)
196          26B-1-429, (Renumbered from 62A-5-202.5, as last amended by Laws of Utah 2021,
197     Chapter 355)
198          26B-1-430, (Renumbered from 62A-5a-103, as last amended by Laws of Utah 2016,
199     Chapter 271)
200          26B-1-431, (Renumbered from 62A-15-605, as last amended by Laws of Utah 2020,
201     Chapter 304)
202          26B-1-501, (Renumbered from 62A-16-102, as last amended by Laws of Utah 2022,
203     Chapter 335)
204          26B-1-502, (Renumbered from 62A-16-201, as last amended by Laws of Utah 2021,
205     Chapter 231)
206          26B-1-503, (Renumbered from 62A-16-202, as last amended by Laws of Utah 2021,
207     Chapter 231)
208          26B-1-504, (Renumbered from 62A-16-203, as last amended by Laws of Utah 2021,
209     Chapter 231)
210          26B-1-505, (Renumbered from 62A-16-204, as last amended by Laws of Utah 2021,
211     Chapter 231)

212          26B-1-506, (Renumbered from 62A-16-301, as last amended by Laws of Utah 2021,
213     Chapter 231)
214          26B-1-507, (Renumbered from 62A-16-302, as last amended by Laws of Utah 2022,
215     Chapter 274)
216          26B-2-102, (Renumbered from 62A-2-102, as last amended by Laws of Utah 1998,
217     Chapter 358)
218          26B-2-103, (Renumbered from 62A-2-103, as last amended by Laws of Utah 1998,
219     Chapter 358)
220          26B-2-104, (Renumbered from 62A-2-106, as last amended by Laws of Utah 2021,
221     Chapter 400)
222          26B-2-105, (Renumbered from 62A-2-108, as last amended by Laws of Utah 2017,
223     Chapter 78)
224          26B-2-106, (Renumbered from 62A-2-109, as last amended by Laws of Utah 2009,
225     Chapter 75)
226          26B-2-107, (Renumbered from 62A-2-118, as last amended by Laws of Utah 2021,
227     Chapter 400)
228          26B-2-108, (Renumbered from 62A-2-119, as enacted by Laws of Utah 1998, Chapter
229     358)
230          26B-2-109, (Renumbered from 62A-2-124, as enacted by Laws of Utah 2021, Chapter
231     400)
232          26B-2-110, (Renumbered from 62A-2-113, as last amended by Laws of Utah 2018,
233     Chapter 93)
234          26B-2-111, (Renumbered from 62A-2-111, as last amended by Laws of Utah 2008,
235     Chapter 382)
236          26B-2-112, (Renumbered from 62A-2-112, as last amended by Laws of Utah 2021,
237     Chapter 117)
238          26B-2-113, (Renumbered from 62A-2-116, as last amended by Laws of Utah 2022,
239     Chapter 468)
240          26B-2-114, (Renumbered from 62A-2-115, as last amended by Laws of Utah 2009,
241     Chapter 75)
242          26B-2-115, (Renumbered from 62A-2-110, as last amended by Laws of Utah 2005,

243     Chapter 188)
244          26B-2-116, (Renumbered from 62A-2-108.1, as last amended by Laws of Utah 2019,
245     Chapters 187 and 316)
246          26B-2-117, (Renumbered from 62A-2-108.2, as last amended by Laws of Utah 2014,
247     Chapter 240)
248          26B-2-118, (Renumbered from 62A-2-108.4, as enacted by Laws of Utah 2016,
249     Chapter 342)
250          26B-2-119, (Renumbered from 62A-2-108.8, as last amended by Laws of Utah 2021,
251     Chapter 262)
252          26B-2-120, (Renumbered from 62A-2-120, as last amended by Laws of Utah 2022,
253     Chapters 185, 335, 430, and 468)
254          26B-2-121, (Renumbered from 62A-2-121, as last amended by Laws of Utah 2022,
255     Chapters 255, 255, and 335)
256          26B-2-122, (Renumbered from 62A-2-122, as last amended by Laws of Utah 2016,
257     Chapter 348)
258          26B-2-123, (Renumbered from 62A-2-123, as last amended by Laws of Utah 2022,
259     Chapter 468)
260          26B-2-124, (Renumbered from 62A-2-125, as enacted by Laws of Utah 2021, Chapter
261     117)
262          26B-2-125, (Renumbered from 62A-2-128, as enacted by Laws of Utah 2022, Chapter
263     468)
264          26B-2-126, (Renumbered from 62A-2-108.5, as last amended by Laws of Utah 2017,
265     Chapter 148)
266          26B-2-127, (Renumbered from 62A-2-108.6, as last amended by Laws of Utah 2022,
267     Chapters 287, 326 and renumbered and amended by Laws of Utah 2022, Chapter
268     334 and last amended by Coordination Clause, Laws of Utah 2022, Chapter 334)
269          26B-2-128, (Renumbered from 62A-2-116.5, as enacted by Laws of Utah 2017,
270     Chapter 29)
271          26B-2-129, (Renumbered from 62A-2-117, as last amended by Laws of Utah 2017,
272     Chapter 209)
273          26B-2-130, (Renumbered from 62A-2-117.5, as last amended by Laws of Utah 2022,

274     Chapter 335)
275          26B-2-131, (Renumbered from 62A-2-127, as renumbered and amended by Laws of
276     Utah 2022, Chapter 334)
277          26B-2-132, (Renumbered from 62A-2-115.2, as renumbered and amended by Laws of
278     Utah 2022, Chapter 334)
279          26B-2-133, (Renumbered from 62A-2-115.1, as last amended by Laws of Utah 2022,
280     Chapter 415 and renumbered and amended by Laws of Utah 2022, Chapter 334)
281          26B-2-201, (Renumbered from 26-21-2, as last amended by Laws of Utah 2022,
282     Chapter 255)
283          26B-2-202, (Renumbered from 26-21-6, as last amended by Laws of Utah 2016,
284     Chapter 74)
285          26B-2-203, (Renumbered from 26-21-2.1, as last amended by Laws of Utah 2022,
286     Chapter 452)
287          26B-2-204, (Renumbered from 26-21-6.5, as last amended by Laws of Utah 2018,
288     Chapter 282)
289          26B-2-205, (Renumbered from 26-21-7, as last amended by Laws of Utah 2019,
290     Chapter 349)
291          26B-2-206, (Renumbered from 26-21-8, as last amended by Laws of Utah 2016,
292     Chapter 74)
293          26B-2-207, (Renumbered from 26-21-9, as last amended by Laws of Utah 2011,
294     Chapter 297)
295          26B-2-208, (Renumbered from 26-21-11, as last amended by Laws of Utah 1997,
296     Chapter 209)
297          26B-2-209, (Renumbered from 26-21-11.1, as last amended by Laws of Utah 2018,
298     Chapter 203)
299          26B-2-210, (Renumbered from 26-21-12, as last amended by Laws of Utah 1997,
300     Chapter 209)
301          26B-2-211, (Renumbered from 26-21-13, as last amended by Laws of Utah 1990,
302     Chapter 114)
303          26B-2-212, (Renumbered from 26-21-13.5, as last amended by Laws of Utah 2011,
304     Chapter 366)

305          26B-2-213, (Renumbered from 26-21-13.6, as enacted by Laws of Utah 1995, Chapter
306     321)
307          26B-2-214, (Renumbered from 26-21-14, as last amended by Laws of Utah 1990,
308     Chapter 114)
309          26B-2-215, (Renumbered from 26-21-15, as last amended by Laws of Utah 1990,
310     Chapter 114)
311          26B-2-216, (Renumbered from 26-21-16, as last amended by Laws of Utah 2009,
312     Chapter 347)
313          26B-2-217, (Renumbered from 26-21-17, as last amended by Laws of Utah 1990,
314     Chapter 114)
315          26B-2-218, (Renumbered from 26-21-19, as last amended by Laws of Utah 1985,
316     Chapter 242)
317          26B-2-219, (Renumbered from 26-21-20, as last amended by Laws of Utah 2009,
318     Chapter 11)
319          26B-2-220, (Renumbered from 26-21-21, as enacted by Laws of Utah 1992, Chapter
320     31)
321          26B-2-221, (Renumbered from 26-21-22, as last amended by Laws of Utah 2022,
322     Chapter 415)
323          26B-2-222, (Renumbered from 26-21-23, as last amended by Laws of Utah 2017,
324     Chapter 443)
325          26B-2-223, (Renumbered from 26-21-24, as enacted by Laws of Utah 2008, Chapter
326     347)
327          26B-2-224, (Renumbered from 26-21-25, as last amended by Laws of Utah 2010,
328     Chapter 218)
329          26B-2-225, (Renumbered from 26-21-26, as last amended by Laws of Utah 2022,
330     Chapter 415)
331          26B-2-226, (Renumbered from 26-21-27, as last amended by Laws of Utah 2021,
332     Chapter 353)
333          26B-2-227, (Renumbered from 26-21-28, as enacted by Laws of Utah 2016, Chapter
334     357)
335          26B-2-228, (Renumbered from 26-21-29, as last amended by Laws of Utah 2020,

336     Chapter 222)
337          26B-2-229, (Renumbered from 26-21-30, as enacted by Laws of Utah 2018, Chapter
338     157)
339          26B-2-230, (Renumbered from 26-21-31, as last amended by Laws of Utah 2019,
340     Chapter 445)
341          26B-2-231, (Renumbered from 26-21-32, as enacted by Laws of Utah 2019, Chapter
342     262)
343          26B-2-232, (Renumbered from 26-21-33, as enacted by Laws of Utah 2020, Chapter
344     251)
345          26B-2-233, (Renumbered from 26-21-34, as last amended by Laws of Utah 2020, Fifth
346     Special Session, Chapter 4)
347          26B-2-234, (Renumbered from 26-21-35, as enacted by Laws of Utah 2021, Chapter
348     146)
349          26B-2-235, (Renumbered from 26-21c-103, as enacted by Laws of Utah 2020, Chapter
350     406)
351          26B-2-236, (Renumbered from 26-21-303, as enacted by Laws of Utah 2016, Chapter
352     141)
353          26B-2-237, (Renumbered from 26-21-305, as enacted by Laws of Utah 2018, Chapter
354     220)
355          26B-2-238, (Renumbered from 26-21-201, as enacted by Laws of Utah 2012, Chapter
356     328)
357          26B-2-239, (Renumbered from 26-21-202, as enacted by Laws of Utah 2012, Chapter
358     328)
359          26B-2-240, (Renumbered from 26-21-204, as last amended by Laws of Utah 2022,
360     Chapters 335 and 415)
361          26B-2-241, (Renumbered from 26-21-209, as last amended by Laws of Utah 2015,
362     Chapter 307)
363          26B-2-301, (Renumbered from 62A-3-202, as last amended by Laws of Utah 2022,
364     Chapter 415)
365          26B-2-302, (Renumbered from 62A-3-201, as last amended by Laws of Utah 2018,
366     Chapter 60)

367          26B-2-303, (Renumbered from 62A-3-203, as last amended by Laws of Utah 2018,
368     Chapter 60)
369          26B-2-304, (Renumbered from 62A-3-204, as last amended by Laws of Utah 2018,
370     Chapter 60)
371          26B-2-305, (Renumbered from 62A-3-205, as last amended by Laws of Utah 2018,
372     Chapter 60)
373          26B-2-306, (Renumbered from 62A-3-206, as last amended by Laws of Utah 2018,
374     Chapter 60)
375          26B-2-307, (Renumbered from 62A-3-207, as last amended by Laws of Utah 2018,
376     Chapter 60)
377          26B-2-308, (Renumbered from 62A-3-208, as last amended by Laws of Utah 2018,
378     Chapter 60)
379          26B-2-309, (Renumbered from 62A-3-209, as enacted by Laws of Utah 2018, Chapter
380     220)
381          26B-2-401, (Renumbered from 26-39-102, as last amended by Laws of Utah 2022,
382     Chapters 21 and 255)
383          26B-2-402, (Renumbered from 26-39-301, as last amended by Laws of Utah 2022,
384     Chapters 21 and 255)
385          26B-2-403, (Renumbered from 26-39-401, as last amended by Laws of Utah 2022,
386     Chapter 21)
387          26B-2-404, (Renumbered from 26-39-402, as last amended by Laws of Utah 2022,
388     Chapters 21, 255, and 335)
389          26B-2-405, (Renumbered from 26-39-403, as last amended by Laws of Utah 2022,
390     Chapter 21)
391          26B-2-406, (Renumbered from 26-39-404, as last amended by Laws of Utah 2020,
392     Chapter 150)
393          26B-2-407, (Renumbered from 26-39-405, as enacted by Laws of Utah 2022, Chapter
394     194)
395          26B-2-408, (Renumbered from 26-39-501, as last amended by Laws of Utah 2015,
396     Chapter 220)
397          26B-2-409, (Renumbered from 26-39-601, as last amended by Laws of Utah 2008,

398     Chapter 382 and renumbered and amended by Laws of Utah 2008, Chapter 111)
399          26B-2-410, (Renumbered from 26-39-602, as renumbered and amended by Laws of
400     Utah 2008, Chapter 111)
401          26B-2-501, (Renumbered from 26-71-101, as enacted by Laws of Utah 2022, Chapter
402     279)
403          26B-2-502, (Renumbered from 26-71-102, as enacted by Laws of Utah 2022, Chapter
404     279)
405          26B-2-503, (Renumbered from 26-71-103, as enacted by Laws of Utah 2022, Chapter
406     279)
407          26B-2-504, (Renumbered from 26-71-104, as enacted by Laws of Utah 2022, Chapter
408     279)
409          26B-2-505, (Renumbered from 26-71-105, as enacted by Laws of Utah 2022, Chapter
410     279)
411          26B-2-506, (Renumbered from 26-71-106, as enacted by Laws of Utah 2022, Chapter
412     279)
413          26B-2-507, (Renumbered from 26-71-107, as enacted by Laws of Utah 2022, Chapter
414     279)
415          26B-2-601, (Renumbered from 26-21a-101, as enacted by Laws of Utah 1991, Chapter
416     126)
417          26B-2-602, (Renumbered from 26-21a-203, as last amended by Laws of Utah 2018,
418     Chapter 217)
419          26B-2-603, (Renumbered from 26-21a-204, as last amended by Laws of Utah 2001,
420     Chapter 286)
421          26B-2-604, (Renumbered from 26-21a-205, as last amended by Laws of Utah 2018,
422     Chapter 217)
423          26B-2-605, (Renumbered from 26-21a-206, as enacted by Laws of Utah 2018, Chapter
424     217)
425          26B-2-606, (Renumbered from 26-21a-301, as enacted by Laws of Utah 1991, Chapter
426     126)
427          26B-9-102, (Renumbered from 62A-11-101, as enacted by Laws of Utah 1988, Chapter
428     1)

429          26B-9-103, (Renumbered from 62A-11-102, as enacted by Laws of Utah 1988, Chapter
430     1)
431          26B-9-104, (Renumbered from 62A-11-104, as last amended by Laws of Utah 2015,
432     Chapter 45)
433          26B-9-105, (Renumbered from 62A-11-104.1, as last amended by Laws of Utah 2008,
434     Chapter 382)
435          26B-9-106, (Renumbered from 62A-11-105, as last amended by Laws of Utah 2008,
436     Chapter 382)
437          26B-9-107, (Renumbered from 62A-11-106, as last amended by Laws of Utah 1994,
438     Chapter 140)
439          26B-9-108, (Renumbered from 62A-11-107, as last amended by Laws of Utah 2008,
440     Chapter 3)
441          26B-9-109, (Renumbered from 62A-11-108, as last amended by Laws of Utah 1997,
442     Chapter 232)
443          26B-9-110, (Renumbered from 62A-11-111, as last amended by Laws of Utah 2011,
444     Chapter 366)
445          26B-9-111, (Renumbered from 62A-1-117, as enacted by Laws of Utah 1997, Chapter
446     174)
447          26B-9-112, (Renumbered from 62A-11-703, as renumbered and amended by Laws of
448     Utah 2008, Chapter 73)
449          26B-9-113, (Renumbered from 62A-11-704, as enacted by Laws of Utah 2008, Chapter
450     73)
451          26B-9-201, (Renumbered from 62A-11-303, as last amended by Laws of Utah 2008,
452     Chapters 3 and 382)
453          26B-9-202, (Renumbered from 62A-11-302, as enacted by Laws of Utah 1988, Chapter
454     1)
455          26B-9-203, (Renumbered from 62A-11-303.5, as enacted by Laws of Utah 2002,
456     Chapter 60)
457          26B-9-204, (Renumbered from 62A-11-303.7, as last amended by Laws of Utah 2019,
458     Chapter 285)
459          26B-9-205, (Renumbered from 62A-11-304.1, as last amended by Laws of Utah 2009,

460     Chapter 212)
461          26B-9-206, (Renumbered from 62A-11-304.2, as last amended by Laws of Utah 2021,
462     Chapter 262)
463          26B-9-207, (Renumbered from 62A-11-304.4, as last amended by Laws of Utah 2022,
464     Chapter 335)
465          26B-9-208, (Renumbered from 62A-11-304.5, as enacted by Laws of Utah 1997,
466     Chapter 232)
467          26B-9-209, (Renumbered from 62A-11-305, as last amended by Laws of Utah 2015,
468     Chapter 45)
469          26B-9-210, (Renumbered from 62A-11-306.1, as last amended by Laws of Utah 1997,
470     Chapter 232)
471          26B-9-211, (Renumbered from 62A-11-306.2, as enacted by Laws of Utah 2007,
472     Chapter 282)
473          26B-9-212, (Renumbered from 62A-11-307.1, as last amended by Laws of Utah 2017,
474     Chapter 156)
475          26B-9-213, (Renumbered from 62A-11-307.2, as last amended by Laws of Utah 1997,
476     Chapters 174 and 232)
477          26B-9-214, (Renumbered from 62A-11-312.5, as last amended by Laws of Utah 2008,
478     Chapter 3)
479          26B-9-215, (Renumbered from 62A-11-313, as last amended by Laws of Utah 1989,
480     Chapter 62)
481          26B-9-216, (Renumbered from 62A-11-315.5, as enacted by Laws of Utah 1997,
482     Chapter 232)
483          26B-9-217, (Renumbered from 62A-11-316, as last amended by Laws of Utah 1988,
484     Chapter 203)
485          26B-9-218, (Renumbered from 62A-11-319, as enacted by Laws of Utah 1988, Chapter
486     1)
487          26B-9-219, (Renumbered from 62A-11-320, as last amended by Laws of Utah 1997,
488     Chapter 232)
489          26B-9-220, (Renumbered from 62A-11-320.5, as repealed and reenacted by Laws of
490     Utah 1997, Chapter 232)

491          26B-9-221, (Renumbered from 62A-11-320.6, as enacted by Laws of Utah 1997,
492     Chapter 232)
493          26B-9-222, (Renumbered from 62A-11-320.7, as enacted by Laws of Utah 1997,
494     Chapter 232)
495          26B-9-223, (Renumbered from 62A-11-321, as enacted by Laws of Utah 1988, Chapter
496     1)
497          26B-9-224, (Renumbered from 62A-11-326, as last amended by Laws of Utah 2010,
498     Chapter 285)
499          26B-9-225, (Renumbered from 62A-11-326.1, as last amended by Laws of Utah 2001,
500     Chapter 116)
501          26B-9-226, (Renumbered from 62A-11-326.2, as last amended by Laws of Utah 2001,
502     Chapter 116)
503          26B-9-227, (Renumbered from 62A-11-326.3, as last amended by Laws of Utah 2008,
504     Chapter 382)
505          26B-9-228, (Renumbered from 62A-11-327, as repealed and reenacted by Laws of Utah
506     1997, Chapter 232)
507          26B-9-229, (Renumbered from 62A-11-328, as last amended by Laws of Utah 2021,
508     Chapter 367)
509          26B-9-230, (Renumbered from 62A-11-333, as last amended by Laws of Utah 2008,
510     Chapters 3 and 382)
511          26B-9-231, (Renumbered from 62A-11-334, as enacted by Laws of Utah 2021, Chapter
512     132)
513          26B-9-301, (Renumbered from 62A-11-401, as last amended by Laws of Utah 2008,
514     Chapters 3 and 73)
515          26B-9-302, (Renumbered from 62A-11-402, as enacted by Laws of Utah 1988, Chapter
516     1)
517          26B-9-303, (Renumbered from 62A-11-403, as last amended by Laws of Utah 2007,
518     Chapter 131)
519          26B-9-304, (Renumbered from 62A-11-404, as repealed and reenacted by Laws of Utah
520     1997, Chapter 232)
521          26B-9-305, (Renumbered from 62A-11-405, as last amended by Laws of Utah 1997,

522     Chapter 232)
523          26B-9-306, (Renumbered from 62A-11-406, as last amended by Laws of Utah 2000,
524     Chapter 161)
525          26B-9-307, (Renumbered from 62A-11-407, as last amended by Laws of Utah 2008,
526     Chapter 382)
527          26B-9-308, (Renumbered from 62A-11-408, as last amended by Laws of Utah 1997,
528     Chapter 232)
529          26B-9-309, (Renumbered from 62A-11-409, as last amended by Laws of Utah 1997,
530     Chapter 232)
531          26B-9-310, (Renumbered from 62A-11-410, as enacted by Laws of Utah 1988, Chapter
532     1)
533          26B-9-311, (Renumbered from 62A-11-411, as enacted by Laws of Utah 1988, Chapter
534     1)
535          26B-9-312, (Renumbered from 62A-11-413, as enacted by Laws of Utah 1988, Chapter
536     1)
537          26B-9-313, (Renumbered from 62A-11-414, as enacted by Laws of Utah 1988, Chapter
538     1)
539          26B-9-402, (Renumbered from 62A-11-501, as last amended by Laws of Utah 1997,
540     Chapter 232)
541          26B-9-403, (Renumbered from 62A-11-502, as last amended by Laws of Utah 2007,
542     Chapter 131)
543          26B-9-404, (Renumbered from 62A-11-503, as repealed and reenacted by Laws of Utah
544     1997, Chapter 232)
545          26B-9-405, (Renumbered from 62A-11-504, as last amended by Laws of Utah 1998,
546     Chapter 188)
547          26B-9-406, (Renumbered from 62A-11-505, as enacted by Laws of Utah 1997, Chapter
548     232)
549          26B-9-407, (Renumbered from 62A-11-506, as last amended by Laws of Utah 2000,
550     Chapter 161)
551          26B-9-408, (Renumbered from 62A-11-507, as enacted by Laws of Utah 1997, Chapter
552     232)

553          26B-9-409, (Renumbered from 62A-11-508, as enacted by Laws of Utah 1997, Chapter
554     232)
555          26B-9-410, (Renumbered from 62A-11-509, as enacted by Laws of Utah 1997, Chapter
556     232)
557          26B-9-411, (Renumbered from 62A-11-510, as enacted by Laws of Utah 1997, Chapter
558     232)
559          26B-9-412, (Renumbered from 62A-11-511, as enacted by Laws of Utah 1997, Chapter
560     232)
561          26B-9-501, (Renumbered from 62A-11-602, as enacted by Laws of Utah 2007, Chapter
562     338)
563          26B-9-502, (Renumbered from 62A-11-603, as last amended by Laws of Utah 2008,
564     Chapter 382)
565          26B-9-503, (Renumbered from 62A-11-604, as enacted by Laws of Utah 2007, Chapter
566     338)
567     Utah Code Sections Affected by Coordination Clause:
568          26-8a-103, as last amended by Laws of Utah 2022, Chapter 255
569          26-8a-107, as last amended by Laws of Utah 2022, Chapter 255
570          26-8a-602, as enacted by Laws of Utah 2019, Chapter 262
571          26-21-305, as enacted by Laws of Utah 2018, Chapter 220
572          26-39-200, as last amended by Laws of Utah 2022, Chapter 255
573          26-61-201, as last amended by Laws of Utah 2022, Chapter 452
574          26-61a-109, as last amended by Laws of Utah 2019, First Special Session, Chapter 5
575          26-66-202, as enacted by Laws of Utah 2019, Chapter 34
576          26-66-204, Utah Code Annotated 1953
577          26B-1-333, Utah Code Annotated 1953
578          26B-1-433, Utah Code Annotated 1953
579          26B-2-101, as enacted by Laws of Utah 2022, Chapter 255
580     

581     Be it enacted by the Legislature of the state of Utah:
582          Section 1. Section 26B-1-102 is amended to read:
583     
CHAPTER 1. DEPARTMENT OF HEALTH AND HUMAN SERVICES


584     
Part 1. General Provisions

585          26B-1-102. Definitions.
586          As used in this title:
587          (1) "Department" means the Department of Health and Human Services created in
588     Section 26B-1-201.
589          [(2) "Stabilization services" means in-home services provided to a child with, or who is
590     at risk for, complex emotional and behavioral needs, including teaching the child's parent or
591     guardian skills to improve family functioning.]
592          (2) "Executive director" means the executive director of the department appointed
593     under Section 26B-1-203.
594          (3) "Local health department" means the same as that term is defined in Section
595     26A-1-102.
596          [(3)] (4) "Public health authority" means an agency or authority of the United States, a
597     state, a territory, a political subdivision of a state or territory, an Indian tribe, or a person acting
598     under a grant of authority from or a contract with such an agency, that is responsible for public
599     health matters as part of the agency or authority's official mandate.
600          [(4) "System of care" means a broad, flexible array of services and supports that:]
601          [(a) serve a child with or who is at risk for complex emotional and behavioral needs;]
602          [(b) are community based;]
603          [(c) are informed about trauma;]
604          [(d) build meaningful partnerships with families and children;]
605          [(e) integrate service planning, service coordination, and management across state and
606     local entities;]
607          [(f) include individualized case planning;]
608          [(g) provide management and policy infrastructure that supports a coordinated network
609     of interdepartmental service providers, contractors, and service providers who are outside of
610     the department; and]
611          [(h) are guided by the type and variety of services needed by a child with or who is at
612     risk for complex emotional and behavioral needs and by the child's family.]
613          Section 2. Section 26B-1-204 is amended to read:
614     
Part 2. Department of Health and Human Services


615          26B-1-204. Creation of boards, divisions, and offices -- Power to organize
616     department.
617          (1) The executive director shall make rules in accordance with Title 63G, Chapter 3,
618     Utah Administrative Rulemaking Act, and not inconsistent with law for:
619          (a) the administration and government of the department;
620          (b) the conduct of the department's employees; and
621          (c) the custody, use, and preservation of the records, papers, books, documents, and
622     property of the department.
623          (2) The following policymaking boards, councils, and committees are created within
624     the Department of Health and Human Services:
625          (a) Board of Aging and Adult Services;
626          (b) Utah State Developmental Center Board;
627          [(c) Health Advisory Council;]
628          [(d)] (c) Health Facility Committee;
629          [(e)] (d) State Emergency Medical Services Committee;
630          [(f)] (e) Air Ambulance Committee;
631          [(g)] (f) Health Data Committee;
632          [(h)] (g) Utah Health Care Workforce Financial Assistance Program Advisory
633     Committee;
634          [(i)] (h) Residential Child Care Licensing Advisory Committee;
635          [(j)] (i) Child Care Center Licensing Committee;
636          [(k)] (j) Primary Care Grant Committee;
637          [(l)] (k) Adult Autism Treatment Program Advisory Committee;
638          [(m)] (l) Youth Electronic Cigarette, Marijuana, and Other Drug Prevention
639     Committee; and
640          [(n)] (m) any boards, councils, or committees that are created by statute in[:] this title.
641          [(i) this title;]
642          [(ii) Title 26, Utah Health Code; or]
643          [(iii) Title 62A, Utah Human Services Code.]
644          (3) The following divisions are created within the Department of Health and Human
645     Services:

646          (a) relating to operations:
647          (i) the Division of Finance and Administration;
648          (ii) the Division of Licensing and Background Checks;
649          (iii) the Division of Customer Experience;
650          (iv) the Division of Data, Systems, and Evaluation; and
651          (v) the Division of Continuous Quality Improvement;
652          (b) relating to healthcare administration:
653          (i) the Division of Integrated Healthcare, which shall include responsibility for:
654          (A) the state's medical assistance programs; and
655          (B) behavioral health programs described in [Title 62A, Chapter 15, Substance Abuse
656     and Mental Health Act;] Chapter 5, Health Care - Substance Use and Mental Health;
657          (ii) the Division of Aging and Adult Services; and
658          (iii) the Division of Services for People with Disabilities; and
659          (c) relating to community health and well-being:
660          (i) the Division of Child and Family Services;
661          (ii) the Division of Family Health;
662          (iii) the Division of Population Health;
663          (iv) the Division of Juvenile Justice and Youth Services; and
664          (v) the Office of Recovery Services.
665          (4) The executive director may establish offices and bureaus to facilitate management
666     of the department as required by, and in accordance with[:] this title.
667          [(a) this title;]
668          [(b) Title 26, Utah Health Code; and]
669          [(c) Title 62A, Utah Human Services Code.]
670          (5) From July 1, 2022, through June 30, 2023, the executive director may adjust the
671     organizational structure relating to the department, including the organization of the
672     department's divisions and offices, notwithstanding the organizational structure described in[:]
673     this title.
674          [(a) this title;]
675          [(b) Title 26, Utah Health Code; or]
676          [(c) Title 62A, Utah Human Services Code.]

677          Section 3. Section 26B-1-214, which is renumbered from Section 26-1-10 is
678     renumbered and amended to read:
679          [26-1-10].      26B-1-214. Executive director -- Enforcement powers.
680          Subject to the restrictions in this title and to the extent permitted by state law, the
681     executive director is empowered to issue orders to enforce state laws and rules established by
682     the department except where the enforcement power is given to a committee created under
683     Section 26B-1-204.
684          Section 4. Section 26B-1-215, which is renumbered from Section 62A-1-115 is
685     renumbered and amended to read:
686          [62A-1-115].      26B-1-215. Actions on behalf of department -- Party in
687     interest.
688          (1) The executive director, each of the department's boards, divisions, offices, and the
689     director of each division or office, shall, in the exercise of any power, duty, or function under
690     any statute of this state, is considered to be acting on behalf of the department.
691          (2) The department, through the executive director or through any of the department's
692     boards, divisions, offices, or directors, shall be considered the party in interest in all actions at
693     law or in equity, where the department or any constituent, board, division, office, or official
694     thereof is authorized by any statute of the state to be a party to any legal action.
695          Section 5. Section 26B-1-216, which is renumbered from Section 62A-18-105 is
696     renumbered and amended to read:
697          [62A-18-105].      26B-1-216. Powers and duties of the department -- Quality
698     and design.
699          The [office] department shall:
700          (1) monitor and evaluate the quality of services provided by the department including:
701          (a) in accordance with [Title 62A, Chapter 16, Fatality Review Act,] Part 5, Fatality
702     Review monitoring, reviewing, and making recommendations relating to a fatality review;
703          (b) overseeing the duties of the child protection ombudsman appointed under Section
704     80-2-1104; and
705          (c) conducting internal evaluations of the quality of services provided by the
706     department and service providers contracted with the department;
707          (2) conduct investigations described in Section 80-2-703; and

708          (3) [assist the department in developing] develop an integrated human services system
709     and implementing a system of care by:
710          (a) designing and implementing a comprehensive continuum of services for individuals
711     who receive services from the department or a service provider contracted with the department;
712          (b) establishing and maintaining department contracts with public and private service
713     providers;
714          (c) establishing standards for the use of service providers who contract with the
715     department;
716          (d) coordinating a service provider network to be used within the department to ensure
717     individuals receive the appropriate type of services;
718          (e) centralizing the department's administrative operations; and
719          (f) integrating, analyzing, and applying department-wide data and research to monitor
720     the quality, effectiveness, and outcomes of services provided by the department.
721          Section 6. Section 26B-1-217, which is renumbered from Section 26-1-35 is
722     renumbered and amended to read:
723          [26-1-35].      26B-1-217. Content and form of certificates and reports.
724          (1) Certificates, certifications, forms, reports, other documents and records, and the
725     form of communication between persons required by this title shall be prepared in the form
726     prescribed by department rule.
727          (2) Certificates, certifications, forms, reports, or other documents and records, and
728     communications between persons required by this title may be signed, filed, verified,
729     registered, and stored by photographic, electronic, or other means as prescribed by department
730     rule.
731          Section 7. Section 26B-1-218, which is renumbered from Section 26-1-44 is
732     renumbered and amended to read:
733          [26-1-44].      26B-1-218. Intergenerational poverty mitigation reporting.
734          (1) As used in this section:
735          (a) "Cycle of poverty" means the same as that term is defined in Section 35A-9-102.
736          (b) "Intergenerational poverty" means the same as that term is defined in Section
737     35A-9-102.
738          (2) On or before October 1 of each year, the department shall provide an annual report

739     to the Department of Workforce Services for inclusion in the intergenerational poverty report
740     described in Section 35A-9-202.
741          (3) The report shall:
742          (a) describe policies, procedures, and programs that the department has implemented or
743     modified to help break the cycle of poverty and end welfare dependency for children in the
744     state affected by intergenerational poverty; and
745          (b) contain recommendations to the Legislature on how to address issues relating to
746     breaking the cycle of poverty and ending welfare dependency for children in the state affected
747     by intergenerational poverty.
748          Section 8. Section 26B-1-219, which is renumbered from Section 26-1-45 is
749     renumbered and amended to read:
750          [26-1-45].      26B-1-219. Requirements for issuing, recommending, or facilitating
751     rationing criteria.
752          (1) As used in this section:
753          (a) "Health care resource" means:
754          (i) health care as defined in Section 78B-3-403;
755          (ii) a prescription drug as defined in Section 58-17b-102;
756          (iii) a prescription device as defined in Section 58-17b-102;
757          (iv) a nonprescription drug as defined in Section 58-17b-102; or
758          (v) any supply or treatment that is intended for use in the course of providing health
759     care as defined in Section 78B-3-403.
760          (b) (i) "Rationing criteria" means any requirement, guideline, process, or
761     recommendation regarding:
762          (A) the distribution of a scarce health care resource; or
763          (B) qualifications or criteria for a person to receive a scarce health care resource.
764          (ii) "Rationing criteria" includes crisis standards of care with respect to any health care
765     resource.
766          (c) "Scarce health care resource" means a health care resource:
767          (i) for which the need for the health care resource in the state or region significantly
768     exceeds the available supply of that health care resource in that state or region;
769          (ii) that, based on the circumstances described in Subsection (1)(c)(i), is distributed or

770     provided using written requirements, guidelines, processes, or recommendations as a factor in
771     the decision to distribute or provide the health care resource; and
772          (iii) that the federal government has allocated to the state to distribute.
773          (2) (a) On or before July 1, 2022, the department shall make rules in accordance with
774     Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to establish a procedure that the
775     department will follow to adopt, modify, require, facilitate, or recommend rationing criteria.
776          (b) Beginning July 1, 2022, the department may not adopt, modify, require, facilitate,
777     or recommend rationing criteria unless the department follows the procedure established by the
778     department under Subsection (2)(a).
779          (3) The procedures developed by the department under Subsection (2) shall include, at
780     a minimum:
781          (a) a requirement that the department notify the following individuals in writing before
782     rationing criteria are issued, are recommended, or take effect:
783          (i) the Administrative Rules Review and General Oversight Committee created in
784     Section 63G-3-501;
785          (ii) the governor or the governor's designee;
786          (iii) the president of the Senate or the president's designee;
787          (iv) the speaker of the House of Representatives or the speaker's designee;
788          (v) the executive director or the executive director's designee; and
789          (vi) if rationing criteria affect hospitals in the state, a representative of an association
790     representing hospitals throughout the state, as designated by the executive director; and
791          (b) procedures for an emergency circumstance which shall include, at a minimum:
792          (i) a description of the circumstances under which emergency procedures described in
793     this Subsection (3)(b) may be used; and
794          (ii) a requirement that the department notify the individuals described in Subsections
795     (3)(a)(i) through (vi) as soon as practicable, but no later than 48 hours after the rationing
796     criteria take effect.
797          (4) (a) Within 30 days after March 22, 2022, the department shall send to the
798     Administrative Rules Review and General Oversight Committee all rationing criteria that:
799          (i) were adopted, modified, required, facilitated, or recommended by the department
800     prior to March 22, 2022; and

801          (ii) on March 22, 2022, were in effect and in use to distribute or qualify a person to
802     receive scarce health care resources.
803          (b) During the 2022 interim, the Administrative Rules Review and General Oversight
804     Committee shall, under Subsection 63G-3-501(3)(d)(i), review each of the rationing criteria
805     submitted by the department under Subsection (4)(a).
806          (5) The requirements described in this section and rules made under this section shall
807     apply regardless of whether rationing criteria:
808          (a) have the force and effect of law, or is solely advisory, informative, or descriptive;
809          (b) are carried out or implemented directly or indirectly by the department or by other
810     individuals or entities; or
811          (c) are developed solely by the department or in collaboration with other individuals or
812     entities.
813          (6) This section:
814          (a) may not be suspended under Section 53-2a-209 or any other provision of state law
815     relating to a state of emergency;
816          (b) does not limit a private entity from developing or implementing rationing criteria;
817     and
818          (c) does not require the department to adopt, modify, require, facilitate, or recommend
819     rationing criteria that the department does not determine to be necessary or appropriate.
820          (7) Subsection (2) does not apply to rationing criteria that are adopted, modified,
821     required, facilitated, or recommended by the department:
822          (a) through the regular, non-emergency rulemaking procedure described in Section
823     63G-3-301;
824          (b) if the modification is solely to correct a technical error in rationing criteria such as
825     correcting obvious errors and inconsistencies including those involving punctuation,
826     capitalization, cross references, numbering, and wording;
827          (c) to the extent that compliance with this section would result in a direct violation of
828     federal law;
829          (d) that are necessary for administration of the Medicaid program;
830          (e) if state law explicitly authorizes the department to engage in rulemaking to
831     establish rationing criteria; or

832          (f) if rationing criteria are authorized directly through a general appropriation bill that
833     is validly enacted.
834          Section 9. Section 26B-1-220, which is renumbered from Section 26-23-1 is
835     renumbered and amended to read:
836          [26-23-1].      26B-1-220. Legal advice and representation for department.
837          (1) The attorney general shall be the legal adviser for the department and the executive
838     director and shall defend them in all actions and proceedings brought against either of them.
839     The county attorney of the county in which a cause of action arises or a public offense occurs
840     shall bring any civil action requested by the executive director to abate a condition which exists
841     in violation of the public health laws or standards, orders, and rules of the department as
842     provided in Section [26-23-6] 26B-1-224.
843          (2) The district attorney or county attorney having criminal jurisdiction shall prosecute
844     for the violation of the public health laws or standards, orders, and rules of the department as
845     provided in Section [26-23-6] 26B-1-224.
846          (3) If the county attorney or district attorney fails to act, the executive director may
847     bring any such action and shall be represented by the attorney general or, with the approval of
848     the attorney general, by special counsel.
849          Section 10. Section 26B-1-221, which is renumbered from Section 26-23-2 is
850     renumbered and amended to read:
851          [26-23-2].      26B-1-221. Administrative review of actions of department or
852     director.
853          Any person aggrieved by any action or inaction of the department or its executive
854     director may request an adjudicative proceeding by following the procedures and requirements
855     of Title 63G, Chapter 4, Administrative Procedures Act.
856          Section 11. Section 26B-1-222, which is renumbered from Section 26-23-3 is
857     renumbered and amended to read:
858          [26-23-3].      26B-1-222. Violation of public health laws or orders unlawful.
859          It shall be unlawful for any person, association, or corporation, and the officers thereof:
860          (1) to willfully violate, disobey, or disregard the provisions of the public health laws or
861     the terms of any lawful notice, order, standard, rule, or regulation issued thereunder; [or]
862          (2) to fail to remove or abate from private property under the person's control at [his]

863     the person's own expense, within 48 hours, or such other reasonable time as the health
864     authorities shall determine, after being ordered to do so by the health authorities, any nuisance,
865     source of filth, cause of sickness, dead animal, health hazard, or sanitation violation within the
866     jurisdiction and control of the department, whether the person, association, or corporation shall
867     be the owner, tenant, or occupant of such property; provided, however, when any such
868     condition is due to an act of God, it shall be removed at public expense; [or]
869          (3) to pay, give, present, or otherwise convey to any officer or employee of the
870     department any gift, remuneration or other consideration, directly or indirectly, which such
871     officer or employee is forbidden to receive by the provisions of this chapter; or
872          (4) to fail to make or file reports required by law or rule of the department relating to
873     the existence of disease or other facts and statistics relating to the public health.
874          Section 12. Section 26B-1-223, which is renumbered from Section 26-23-4 is
875     renumbered and amended to read:
876          [26-23-4].      26B-1-223. Unlawful acts by department officers and employees.
877          It shall be unlawful for any officer or employee of the department:
878          (1) [To] to accept any gift, remuneration, or other consideration, directly or indirectly,
879     for an incorrect or improper performance of the duties imposed upon [him] the officer or
880     employee by or in behalf of the department or by the provisions of this chapter[.]; or
881          (2) [To] to perform any work, labor, or services other than the duties assigned to [him]
882     the officer or employee on behalf of the department during the hours such officer or employee
883     is regularly employed by the department, or to perform [his] the officer or employee's duties as
884     an officer or employee of the department under any condition or arrangement that involves a
885     violation of this or any other law of the state.
886          Section 13. Section 26B-1-224, which is renumbered from Section 26-23-6 is
887     renumbered and amended to read:
888          [26-23-6].      26B-1-224. Criminal and civil penalties and liability for violations.
889          (1) (a) Any person, association, corporation, or an officer of a person, an association, or
890     a corporation, who violates any provision of [this chapter] Section 26B-1-222 or 26B-1-223, or
891     lawful orders of the department or a local health department in a criminal proceeding is guilty
892     of a class B misdemeanor for the first violation, and for any subsequent similar violation within
893     two years, is guilty of a class A misdemeanor, except this section does not establish the

894     criminal penalty for a violation of Section [26-23-5.5] 26B-8-134 or Section [26-8a-502.1]
895     26B-4-128.
896          (b) Conviction in a criminal proceeding does not preclude the department or a local
897     health department from assessment of any civil penalty, administrative civil money penalty or
898     to deny, revoke, condition, or refuse to renew a permit, license, or certificate or to seek other
899     injunctive or equitable remedies.
900          (2) (a) Subject to Subsections (2)(c) and (d), any association, corporation, or an officer
901     of an association or a corporation, who violates any provision of this title or lawful orders of
902     the department or a local health department, or rules adopted under this title by the department:
903          (i) may be assessed, in a judicial civil proceeding, a penalty not to exceed the sum of
904     $5,000 per violation; or
905          (ii) may be assessed, in an administrative action in accordance with Title 63G, Chapter
906     4, Administrative Procedures Act, or similar procedures adopted by local or county
907     government, a penalty not to exceed the sum of $5,000 per violation.
908          (b) Subject to Subsections (2)(c) and (d), an individual who violates any provision of
909     this title or lawful orders of the department or a local health department, or rules adopted under
910     this title by the department:
911          (i) may be assessed, in a judicial civil proceeding, a penalty not to exceed the sum of
912     $150 per violation; or
913          (ii) may be assessed, in an administrative action in accordance with Title 63G, Chapter
914     4, Administrative Procedures Act, or similar procedures adopted by local or county
915     government, a penalty not to exceed the sum of $150 per violation.
916          (c) (i) Except as provided in Subsection (2)(c)(ii), a penalty described in Subsection
917     (2)(a) or (b) may only be assessed against the same individual, association, or corporation one
918     time in a calendar week.
919          (ii) Notwithstanding Subsection (2)(c)(i), an individual, an association, a corporation,
920     or an officer of an association or a corporation, who willfully disregards or recklessly violates a
921     provision of this title or lawful orders of the department or a local health department, or rules
922     adopted under this title by the department, may be assessed a penalty as described in
923     Subsection (2)(a) for each day of violation if it is determined that the violation is likely to result
924     in a serious threat to public health.

925          (d) Upon reasonable cause shown in judicial civil proceeding or an administrative
926     action, a penalty imposed under this Subsection (2) may be waived or reduced.
927          (3) Assessment of any civil penalty or administrative penalty does not preclude the
928     department or a local health department from seeking criminal penalties or to deny, revoke,
929     impose conditions on, or refuse to renew a permit, license, or certificate or to seek other
930     injunctive or equitable remedies.
931          (4) In addition to any penalties imposed under Subsection (1), a person, association,
932     corporation, or an officer of a person, an association, or a corporation, is liable for any expense
933     incurred by the department in removing or abating any health or sanitation violations, including
934     any nuisance, source of filth, cause of sickness, or dead animal.
935          Section 14. Section 26B-1-225, which is renumbered from Section 26-23-7 is
936     renumbered and amended to read:
937          [26-23-7].      26B-1-225. Application of enforcement procedures and penalties.
938          Enforcement procedures and penalties provided in [this chapter] Sections 26B-1-222
939     through 26B-1-224 do not apply to other chapters in this title which provide for specific
940     enforcement procedures and penalties.
941          Section 15. Section 26B-1-226, which is renumbered from Section 26-23-8 is
942     renumbered and amended to read:
943          [26-23-8].      26B-1-226. Representatives of department authorized to enter
944     regulated premises.
945          (1) Authorized representatives of the department upon presentation of appropriate
946     identification shall be authorized to enter upon the premises of properties regulated under this
947     title to perform routine inspections to [insure] ensure compliance with rules adopted by the
948     department.
949          (2) This section does not authorize the department to inspect private dwellings.
950          Section 16. Section 26B-1-227, which is renumbered from Section 26-23-9 is
951     renumbered and amended to read:
952          [26-23-9].      26B-1-227. Authority of department as to functions transferred
953     from other agencies.
954          (1) (a) If functions transferred from other agencies are vested by this code in the
955     department, the department shall be the successor in every way, with respect to such functions,

956     except as otherwise provided by this code.
957          (b) Every act done in the exercise of such functions by the department shall have the
958     same force and effect as if done by the agency in which the functions were previously vested.
959          (2) Whenever any such agency is referred to or designated by law, contract, or other
960     document, the reference or designation shall apply to the department.
961          Section 17. Section 26B-1-228, which is renumbered from Section 26-23-10 is
962     renumbered and amended to read:
963          [26-23-10].      26B-1-228. Religious exemptions from code -- Regulation of
964     state-licensed healing system practice unaffected by code.
965          (1) (a) Except as provided in Subsection (1)(b), nothing in this code shall be construed
966     to compel any person to submit to any medical or dental examination or treatment under the
967     authority of this code when such person, or the parent or guardian of any such person objects to
968     such examination or treatment on religious grounds, or to permit any discrimination against
969     such person on account of such objection.
970          (b) An exemption from medical or dental examination, described in Subsection (1)(a),
971     may not be granted if the executive director has reasonable cause to suspect a substantial
972     menace to the health of other persons exposed to contact with the unexamined person.
973          (2) Nothing in this code shall be construed as authorizing the supervision, regulation,
974     or control of the remedial care or treatment of residents in any home or institution conducted
975     for those who rely upon treatment by prayer or spiritual means in accordance with the creed or
976     tenets of any well recognized church or religious denomination, provided the statutes and
977     regulations on sanitation are complied with.
978          (3) Nothing in this code shall be construed or used to amend any statute now in force
979     pertaining to the scope of practice of any state-licensed healing system.
980          Section 18. Section 26B-1-229, which is renumbered from Section 26-25-1 is
981     renumbered and amended to read:
982          [26-25-1].      26B-1-229. Authority to provide data on treatment and condition of
983     persons to designated agencies -- Immunity from liability -- Information considered
984     privileged communication -- Information held in confidence -- Penalties for violation.
985          (1) As used in this section:
986          (a) "Health care facility" means the same as that term is defined in Section 26B-2-201.

987          (b) "Health care provider" means the same as that term is defined in Section
988     78B-3-403.
989          [(1)] (2) Any person, health facility, or other organization may, without incurring
990     liability, provide the following information to the persons and entities described in Subsection
991     [(2)] (3):
992          (a) information as determined by the state registrar of vital records appointed under
993     [Title 26, Chapter 2, Utah Vital Statistics Act] Chapter 8, Part 1, Vital Statistics;
994          (b) interviews;
995          (c) reports;
996          (d) statements;
997          (e) memoranda;
998          (f) familial information; and
999          (g) other data relating to the condition and treatment of any person.
1000          [(2)] (3) The information described in Subsection [(1)] (2) may be provided to:
1001          (a) the department and local health departments;
1002          (b) the Division of Integrated Healthcare within the [Department of Health and Human
1003     Services] department;
1004          (c) scientific and health care research organizations affiliated with institutions of higher
1005     education;
1006          (d) the Utah Medical Association or any of its allied medical societies;
1007          (e) peer review committees;
1008          (f) professional review organizations;
1009          (g) professional societies and associations; and
1010          (h) any health facility's in-house staff committee for the uses described in Subsection
1011     [(3)] (4).
1012          [(3)] (4) The information described in Subsection [(1)] (2) may be provided for the
1013     following purposes:
1014          (a) study and advancing medical research, with the purpose of reducing the incidence
1015     of disease, morbidity, or mortality; or
1016          (b) the evaluation and improvement of hospital and health care rendered by hospitals,
1017     health facilities, or health care providers.

1018          [(4)] (5) Any person may, without incurring liability, provide information, interviews,
1019     reports, statements, memoranda, or other information relating to the ethical conduct of any
1020     health care provider to peer review committees, professional societies and associations, or any
1021     in-hospital staff committee to be used for purposes of intraprofessional society or association
1022     discipline.
1023          [(5)] (6) No liability may arise against any person or organization as a result of:
1024          (a) providing information or material authorized in this section;
1025          (b) releasing or publishing findings and conclusions of groups referred to in this
1026     section to advance health research and health education; or
1027          (c) releasing or publishing a summary of these studies in accordance with this chapter.
1028          [(6) As used in this chapter:]
1029          [(a) "health care provider" has the meaning set forth in Section 78B-3-403; and]
1030          [(b) "health care facility" has the meaning set forth in Section 26-21-2.]
1031          (7) (a) The information described in Subsection (2) that is provided to the entities
1032     described in Subsection (3) shall:
1033          (i) be used and disclosed by the entities described in Subsection (3) in accordance with
1034     this section; and
1035          (ii) is not subject to Title 63G, Chapter 2, Government Records Access and
1036     Management Act.
1037          (b) The Office of Substance Use and Mental Health, scientific and health care research
1038     organizations affiliated with institutions of higher education, the Utah Medical Association or
1039     any of the Utah Medical Association's allied medical societies, peer review committees,
1040     professional review organizations, professional societies and associations, or any health
1041     facility's in-house staff committee may only use or publish the information or material received
1042     or gathered under this section for the purpose of study and advancing medical research or
1043     medical education in the interest of reducing the incidence of disease, morbidity, or mortality,
1044     except that a summary of studies conducted in accordance with this section may be released by
1045     those groups for general publication.
1046          (8) All information, interviews, reports, statements, memoranda, or other data
1047     furnished by reason of this section, and any findings or conclusions resulting from those studies
1048     are privileged communications and are not subject to discovery, use, or receipt in evidence in

1049     any legal proceeding of any kind or character.
1050          (9) (a) All information described in Subsection (2) that is provided to a person or
1051     organization described in Subsection (3) shall be held in strict confidence by that person or
1052     organization, and any use, release, or publication resulting therefrom shall be made only for the
1053     purposes described in Subsections (4) and (7) and shall preclude identification of any
1054     individual or individuals studied.
1055          (b) Notwithstanding Subsection (9)(a), the department's use and disclosure of
1056     information is not governed by this section.
1057          (10) (a) Any use, release or publication, negligent or otherwise, contrary to the
1058     provisions of this section is a class B misdemeanor.
1059          (b) Subsection (10)(a) does not relieve the person or organization responsible for such
1060     use, release, or publication from civil liability.
1061          Section 19. Section 26B-1-230, which is renumbered from Section 26-68-102 is
1062     renumbered and amended to read:
1063          [26-68-102].      26B-1-230. Governmental entities prohibited from requiring
1064     a COVID-19 vaccine.
1065          (1) As used in this section:
1066          (a) "Governmental entity" means the same as that term is defined in Section
1067     63D-2-102.
1068          (b) "Emergency COVID-19 vaccine" means a substance that is:
1069          (i) authorized for use by the United States Food and Drug Administration under an
1070     emergency use authorization under 21 U.S.C. Sec. 360bbb-3;
1071          (ii) injected into or otherwise administered to an individual; and
1072          (iii) intended to immunize an individual against COVID-19 as defined in Section
1073     78B-4-517.
1074          (2) Except as provided in Subsection (4), a governmental entity may not require,
1075     directly or indirectly, that an individual receive an emergency COVID-19 vaccine.
1076          (3) The prohibited activities under Subsection (2) include:
1077          (a) making rules that require, directly or indirectly, that an individual receive an
1078     emergency COVID-19 vaccine;
1079          (b) requiring that an individual receive an emergency COVID-19 vaccine as a

1080     condition of:
1081          (i) employment;
1082          (ii) participation in an activity of the governmental entity, including outside or
1083     extracurricular activities; or
1084          (iii) attendance at events that are hosted or sponsored by the governmental entity; and
1085          (c) any action that a reasonable person would not be able to deny without significant
1086     harm to the individual.
1087          (4) Subsection (2) does not include:
1088          (a) facilitating the distribution, dispensing, administration, coordination, or provision
1089     of an emergency COVID-19 vaccine;
1090          (b) an employee of a governmental entity who is:
1091          (i) acting in a public health or medical setting; and
1092          (ii) required to receive vaccinations in order to perform the employee's assigned duties
1093     and responsibilities; or
1094          (c) enforcement by a governmental entity of a non-discretionary requirement under
1095     federal law.
1096          (5) This section may not be suspended or modified by the governor or any other chief
1097     executive officer under Title 53, Chapter 2a, Emergency Management Act.
1098          Section 20. Section 26B-1-231, which is renumbered from Section 26B-1a-104 is
1099     renumbered and amended to read:
1100          [26B-1a-104].      26B-1-231. Office of American Indian-Alaska Native Health
1101     and Family Services -- Creation -- Director -- Purpose -- Duties.
1102          (1) (a) "Director" means the director of the office appointed under Subsection (3).
1103          (b) "Office" means the Office of American Indian-Alaska Native Health and Family
1104     Services created in Subsection (2).
1105          (2) There is created within the department the Office of American Indian-Alaska
1106     Native Health and Family Services.
1107          (3) The executive director shall appoint a director of the office who:
1108          (a) has a bachelor's degree from an accredited university or college;
1109          (b) is experienced in administration; and
1110          (c) is knowledgeable about the areas of American Indian-Alaska Native practices.

1111          (4) (a) The director is the administrative head of the office and shall serve under the
1112     supervision of the executive director.
1113          (b) The executive director may hire staff as necessary to carry out the duties of the
1114     office described in Subsection (5)(b).
1115          (5) (a) The purpose of the office is to oversee and coordinate department services for
1116     Utah's American Indian-Alaska Native populations.
1117          (b) The office shall:
1118          [(1)] (i) oversee and coordinate department services for Utah's American Indian-Alaska
1119     Native populations;
1120          [(2)] (ii) conduct regular and meaningful consultation with Indian tribes when there is a
1121     proposed department action that has an impact on an Indian tribe as a sovereign entity;
1122          [(3)] (iii) monitor agreements between the department and Utah's American
1123     Indian-Alaska Native populations; and
1124          [(4)] (iv) oversee the health liaison appointed under Section 26B-1-232 and ICWA
1125     liaison appointed under Section 26B-1-233.
1126          Section 21. Section 26B-1-232, which is renumbered from Section 26B-1a-105 is
1127     renumbered and amended to read:
1128          [26B-1a-105].      26B-1-232. American Indian-Alaska Native Health Liaison --
1129     Appointment -- Duties.
1130          (1) (a) "Director" means the director of the Office of American Indian-Alaska Native
1131     Health and Family Services appointed under Section 26B-1-231.
1132          (b) "Health care" means care, treatment, service, or a procedure to improve, maintain,
1133     diagnose, or otherwise affect an individual's physical or mental condition.
1134          (c) "Health liaison" means the American Indian-Alaska Native Health Liaison
1135     appointed under Subsection (2).     
1136          [(1)] (2) (a) The executive director shall appoint an individual as the American
1137     Indian-Alaska Native Health Liaison.
1138          (b) The health liaison shall serve under the supervision of the director.
1139          [(2)] (3) The health liaison shall:
1140          (a) promote and coordinate collaborative efforts between the department and Utah's
1141     American Indian-Alaska Native population to improve the availability and accessibility of

1142     quality health care impacting Utah's American Indian-Alaska Native populations on and off
1143     reservations;
1144          (b) interact with the following to improve health disparities for Utah's American
1145     Indian-Alaska Native populations:
1146          (i) tribal health programs;
1147          (ii) local health departments;
1148          (iii) state agencies and officials; and
1149          (iv) providers of health care in the private sector;
1150          (c) facilitate education, training, and technical assistance regarding public health and
1151     medical assistance programs to Utah's American Indian-Alaska Native populations; and
1152          (d) staff an advisory board by which Utah's tribes may consult with state and local
1153     agencies for the development and improvement of public health programs designed to address
1154     improved health care for Utah's American Indian-Alaska Native populations on and off the
1155     reservation.
1156          (4) The health liaison shall annually report the liaison's activities and accomplishments
1157     to the Native American Legislative Liaison Committee created in Section 36-22-1.
1158          Section 22. Section 26B-1-233, which is renumbered from Section 26B-1a-106 is
1159     renumbered and amended to read:
1160          [26B-1a-106].      26B-1-233. Indian Child Welfare Act Liaison --
1161     Appointment -- Qualifications -- Duties.
1162          (1) As used in this section:
1163          (a) "Director" means the director of the Office of American Indian-Alaska Native
1164     Health and Family Services appointed under Section 26B-1-231.
1165          (b) "ICWA liaison" means the Indian Child Welfare Act Liaison appointed under
1166     Subsection (2).
1167          [(1)] (2) (a) The executive director shall appoint an individual as the Indian Child
1168     Welfare Act Liaison who:
1169          (i) has a bachelor's degree from an accredited university or college; and
1170          (ii) is knowledgeable about the areas of child and family services and Indian tribal
1171     child rearing practices.
1172          (b) The ICWA liaison shall serve under the supervision of the director.

1173          [(2)] (3) The ICWA liaison shall:
1174          (a) act as a liaison between the department and Utah's American Indian populations
1175     regarding child and family services;
1176          (b) provide training to department employees regarding the requirements and
1177     implementation of the Indian Child Welfare Act, 25 U.S.C. Secs. 1901-1963;
1178          (c) develop and facilitate education and technical assistance programs for Utah's
1179     American Indian populations regarding available child and family services;
1180          (d) promote and coordinate collaborative efforts between the department and Utah's
1181     American Indian population to improve the availability and accessibility of quality child and
1182     family services for Utah's American Indian populations; and
1183          (e) interact with the following to improve delivery and accessibility of child and family
1184     services for Utah's American Indian populations:
1185          (i) state agencies and officials; and
1186          (ii) providers of child and family services in the public and private sector.
1187          (4) The ICWA liaison shall annually report the liaison's activities and accomplishments
1188     to the Native American Legislative Liaison Committee created in Section 36-22-1.
1189          Section 23. Section 26B-1-234, which is renumbered from Section 62A-1-122 is
1190     renumbered and amended to read:
1191          [62A-1-122].      26B-1-234. Handling of child sexual abuse material.
1192          (1) As used in this section:
1193          (a) "Child pornography" means the same as that term is defined in Section 76-5b-103.
1194          (b) "Secure" means to prevent and prohibit access, electronic upload, transmission, or
1195     transfer of an image.
1196          (2) The department or a division within the department may not retain child
1197     pornography longer than is necessary to comply with the requirements of this section.
1198          (3) When the department or a division within the department obtains child
1199     pornography as a result of an employee unlawfully viewing child pornography, the department
1200     or division shall consult with and follow the guidance of the Division of Human Resource
1201     Management regarding personnel action and local law enforcement regarding retention of the
1202     child pornography.
1203          (4) When the department or a division within the department obtains child

1204     pornography as a result of a report or an investigation, the department or division shall
1205     immediately secure the child pornography, or the electronic device if the child pornography is
1206     digital, and contact the law enforcement office that has jurisdiction over the area where the
1207     division's case is located.
1208          Section 24. Section 26B-1-235, which is renumbered from Section 26-10-8 is
1209     renumbered and amended to read:
1210          [26-10-8].      26B-1-235. Request for proposal required for non-state supplied
1211     services.
1212          (1) As used in this section:
1213          (a) "AED" means the same as that term is defined in Section 26B-4-301.
1214          (b) "Office" means the Office of Emergency Medical Services and Preparedness within
1215     the department.
1216          (c) "Sudden cardiac arrest" means the same as that term is defined in Section
1217     26B-4-301.
1218          [(1)] (2) Funds provided to the department through Sections 51-9-201 and 59-14-204
1219     to be used to provide services, shall be awarded to non-governmental entities based on a
1220     competitive process consistent with Title 63G, Chapter 6a, Utah Procurement Code.
1221          [(2)] (3) Beginning July 1, 2010, and not more than every five years thereafter, the
1222     department shall issue requests for proposals for new or renewing contracts to award funding
1223     for programs under Subsection (1).
1224          Section 25. Section 26B-1-236, which is renumbered from Section 26-26-3 is
1225     renumbered and amended to read:
1226          [26-26-3].      26B-1-236. Experimental animals -- Authorization -- Minimum
1227     period of impoundment -- Requirements -- Fees -- Records -- Revocation -- Rulemaking
1228     and investigation.
1229          (1) As used in this section, "institution" means any school or college of agriculture,
1230     veterinary medicine, medicine, pharmacy, dentistry or other educational, hospital, or scientific
1231     establishment properly concerned with the investigation of or instruction concerning the
1232     structure or functions of living organisms, the cause, prevention, control, or cure of diseases or
1233     abnormal condition of human beings or animals.
1234          (2) (a) Institutions may apply to the department for authorization to obtain animals

1235     from establishments maintained for the impounding, care, and disposal of animals seized by
1236     lawful authority.
1237          (b) If, after an investigation under Subsection (2)(a), the department finds that the
1238     institution meets the requirements of this chapter and the department's rules and that the public
1239     interest will be served thereby, the department may authorize the institution to obtain animals
1240     under this chapter.
1241          [(1)] (3) Subject to Subsection [(2)] (4), the governing body of the county or
1242     municipality in which an establishment is located may make available to an authorized
1243     institution as many impounded animals in that establishment as the institution may request.
1244          [(2)] (4) A governing body described in Subsection [(1)] (3) may not make an
1245     impounded animal available to an institution, unless:
1246          (a) the animal has been legally impounded for the longer of:
1247          (i) at least five days; or
1248          (ii) the minimum period provided for by local ordinance;
1249          (b) the animal has not been claimed or redeemed by:
1250          (i) the animal's owner; or
1251          (ii) any other person entitled to claim or redeem the animal; and
1252          (c) the establishment has made a reasonable effort to:
1253          (i) find the rightful owner of the animal, including checking if the animal has a tag or
1254     microchip; and
1255          (ii) if the owner is not found, make the animal available to others during the impound
1256     period.
1257          (5) Owners of animals who voluntarily provide their animals to an establishment may,
1258     by signature, determine whether or not the animal may be provided to an institution or used for
1259     research or educational purposes.
1260          (6) The authorized institution shall provide, at the authorized institution's own expense,
1261     for the transportation of such animals from the establishment to the institution and shall use
1262     them only in the conduct of scientific and educational activities and for no other purpose.
1263          (7) (a) The institution shall reimburse the establishment for animals received.
1264          (b) The fee described in Subsection (7)(a) shall be, at a minimum, $15 for cats and $20
1265     for dogs.

1266          (c) The fee described in Subsection (7)(a) shall be increased as determined by the
1267     department, based on fluctuations or changes in the Consumer Price Index.
1268          (8) Each institution shall keep a public record of all animals received and disposed of.
1269          (9) The department, upon 15 days written notice and an opportunity to be heard, may
1270     revoke an institution's authorization if the institution has violated any provision of this chapter,
1271     or has failed to comply with the conditions required by the department in respect to the
1272     issuance of authorization.
1273          (10) In carrying out the provisions of this chapter, the department may adopt rules for:
1274          (a) controlling the humane use of animals;
1275          (b) diagnosis and treatment of human and animal diseases;
1276          (c) advancement of veterinary, dental, medical, and biological sciences; and
1277          (d) testing, improvement, and standardization of laboratory specimens, biologic
1278     projects, pharmaceuticals, and drugs.
1279          (11) The department may inspect or investigate any institution that applies for or is
1280     authorized to obtain animals.
1281          Section 26. Section 26B-1-237, which is renumbered from Section 26-18-605 is
1282     renumbered and amended to read:
1283          [26-18-605].      26B-1-237. Utah Office of Internal Audit.
1284          The Utah Office of Internal Audit:
1285          (1) may not be placed within the division;
1286          (2) shall be placed directly under, and report directly to, the executive director of the
1287     Department of Health; and
1288          (3) shall have full access to all records of the division.
1289          Section 27. Section 26B-1-238, which is renumbered from Section 62A-4a-211 is
1290     renumbered and amended to read:
1291          [62A-4a-211].      26B-1-238.      62A-4a-211. Normalizing lives of children --
1292     Responsibilities of the Division of Child and Family Services.
1293          (1) As used in this section:
1294          (a) "Activity" means an extracurricular, enrichment, or social activity.
1295          (b) "Age-appropriate" means a type of activity that is generally accepted as suitable for
1296     a child of the same age or level of maturity, based on the development of cognitive, emotional,

1297     physical, and behavioral capacity that is typical for the child's age or age group.
1298          (c) "Caregiver" means a person with whom a child is placed in an out-of-home
1299     placement.
1300          (d) "Division" means the Division of Child and Family Services.
1301          (e) "Out-of-home placement" means the placement of a child in the division's custody
1302     outside of the child's home, including placement in a foster home, a residential treatment
1303     program, proctor care, or with kin.
1304          (f) "Reasonable and prudent parent standard" means the standard characterized by
1305     careful and sensible parental decisions to maintain a child's health, safety, and best interest
1306     while at the same time encouraging the child's emotional and developmental growth.
1307          [(1)] (2) A child who comes into care under this chapter is entitled to participate in
1308     age-appropriate activities for the child's emotional well-being and development of valuable
1309     life-coping skills.
1310          [(2)] (3) The division shall make efforts to normalize the lives of children in the
1311     division's custody and to empower a caregiver to approve or disapprove a child's participation
1312     in activities based on the caregiver's own assessment using a reasonable and prudent parent
1313     standard, without prior approval of the division.
1314          [(3)] (4) The division shall allow a caregiver to make important decisions, similar to
1315     the decisions that a parent is entitled to make, regarding the child's participation in activities.
1316          Section 28. Section 26B-1-306, which is renumbered from Section 26-8a-108 is
1317     renumbered and amended to read:
1318     
Part 3. Funds and Accounts

1319          [26-8a-108].      26B-1-306. Emergency Medical Services System Account.
1320          (1) There is created within the General Fund a restricted account known as the
1321     "Emergency Medical Services System Account."
1322          (2) The account consists of:
1323          (a) interest earned on the account;
1324          (b) appropriations made by the Legislature; and
1325          (c) contributions deposited into the account in accordance with Section 41-1a-230.7.
1326          (3) The department shall use:
1327          (a) an amount equal to 25% of the money in the account for administrative costs

1328     related to this chapter;
1329          (b) an amount equal to 75% of the money in the account for grants awarded in
1330     accordance with [Subsection 26-8a-207(3)] Section 26B-4-107; and
1331          (c) all money received from the revenue source in Subsection (2)(c) for grants awarded
1332     in accordance with [Subsection 26-8a-207(3)] Section 26B-4-107.
1333          Section 29. Section 26B-1-307, which is renumbered from Section 26-8b-602 is
1334     renumbered and amended to read:
1335          [26-8b-602].      26B-1-307. Automatic External Defibrillator Restricted
1336     Account.
1337          (1) As used in this section:
1338          (a) "AED" means the same as that term is defined in Section 26B-4-301.
1339          (b) "Office" means the Office of Emergency Medical Services and Preparedness within
1340     the department.
1341          (c) "Sudden cardiac arrest" means the same as that term is defined in Section
1342     26B-4-301.
1343          [(1) (a)] (2) (a) There is created a restricted account within the General Fund known as
1344     the "Automatic External Defibrillator Restricted Account" to provide AEDs to entities under
1345     Subsection (4).
1346          (b) The director of the [bureau] office shall administer the account in accordance with
1347     rules made by the [bureau] office in accordance with Title 63G, Chapter 3, Utah
1348     Administrative Rulemaking Act.
1349          [(2)] (c) The restricted account shall consist of money appropriated to the account by
1350     the Legislature.
1351          (3) The director of the [bureau] office shall distribute funds deposited in the account to
1352     eligible entities, under Subsection (4), for the purpose of purchasing:
1353          (a) an AED;
1354          (b) an AED carrying case;
1355          (c) a wall-mounted AED cabinet; or
1356          (d) an AED sign.
1357          (4) Upon appropriation, the director of the [bureau] office shall distribute funds
1358     deposited in the account, for the purpose of purchasing items under Subsection (3), to:

1359          (a) a municipal department of safety that routinely responds to incidents, or potential
1360     incidents, of sudden cardiac arrest;
1361          (b) a municipal or county law enforcement agency that routinely responds to incidents,
1362     or potential incidents, of sudden cardiac arrest;
1363          (c) a state law enforcement agency that routinely responds to incidents, or potential
1364     incidents, of sudden cardiac arrest;
1365          (d) a school that offers instruction to grades kindergarten through 6;
1366          (e) a school that offers instruction to grades 7 through 12; or
1367          (f) a state institution of higher education.
1368          (5) The director of the [bureau] office shall distribute funds under this section to a
1369     municipality only if the municipality provides a match in funding for the total cost of items
1370     under Subsection (3):
1371          (a) of 50% for the municipality, if the municipality is a city of first, second, or third
1372     class under Section 10-2-301; or
1373          (b) of 75% for the municipality, other than a municipality described in Subsection
1374     (5)(a).
1375          (6) The director of the [bureau] office shall distribute funds under this section to a
1376     county only if the county provides a match in funding for the total cost of items under
1377     Subsection (3):
1378          (a) of 50% for the county, if the county is a county of first, second, or third class under
1379     Section 17-50-501; or
1380          (b) of 75% for the county, other than a county described in Subsection (6)(a).
1381          (7) In accordance with rules made by the [bureau] office, an entity described in
1382     Subsection (4) may apply to the director of the [bureau] office to receive a distribution of funds
1383     from the account by filing an application with the [bureau] office on or before October 1 of
1384     each year.
1385          Section 30. Section 26B-1-308, which is renumbered from Section 26-9-4 is
1386     renumbered and amended to read:
1387          [26-9-4].      26B-1-308. Rural Health Care Facilities Account -- Source of
1388     revenues -- Interest -- Distribution of revenues -- Expenditure of revenues -- Unexpended
1389     revenues lapse into the General Fund.

1390          (1) As used in this section:
1391          (a) "Emergency medical services" is as defined in Section [26-8a-102] 26B-4-101.
1392          (b) "Federally qualified health center" is as defined in 42 U.S.C. Sec. 1395x.
1393          (c) "Fiscal year" means a one-year period beginning on July 1 of each year.
1394          (d) "Freestanding urgent care center" is as defined in Section 59-12-801.
1395          (e) "Nursing care facility" is as defined in Section [26-21-2] 26B-2-201.
1396          (f) "Rural city hospital" is as defined in Section 59-12-801.
1397          (g) "Rural county health care facility" is as defined in Section 59-12-801.
1398          (h) "Rural county hospital" is as defined in Section 59-12-801.
1399          (i) "Rural county nursing care facility" is as defined in Section 59-12-801.
1400          (j) "Rural emergency medical services" is as defined in Section 59-12-801.
1401          (k) "Rural health clinic" is as defined in 42 U.S.C. Sec. 1395x.
1402          (2) There is created a restricted account within the General Fund known as the "Rural
1403     Health Care Facilities Account."
1404          (3) (a) The restricted account shall be funded by amounts appropriated by the
1405     Legislature.
1406          (b) Any interest earned on the restricted account shall be deposited into the General
1407     Fund.
1408          (4) Subject to Subsections (5) and (6), the State Tax Commission shall for a fiscal year
1409     distribute money deposited into the restricted account to each:
1410          (a) county legislative body of a county that, on January 1, 2007, imposes a tax in
1411     accordance with Section 59-12-802 and has not repealed the tax; or
1412          (b) city legislative body of a city that, on January 1, 2007, imposes a tax in accordance
1413     with Section 59-12-804 and has not repealed the tax.
1414          (5) (a) Subject to Subsection (6), for purposes of the distribution required by
1415     Subsection (4), the State Tax Commission shall:
1416          (i) estimate for each county and city described in Subsection (4) the amount by which
1417     the revenues collected from the taxes imposed under Sections 59-12-802 and 59-12-804 for
1418     fiscal year 2005-06 would have been reduced had:
1419          (A) the amendments made by Laws of Utah 2007, Chapter 288, Sections 25 and 26, to
1420     Sections 59-12-802 and 59-12-804 been in effect for fiscal year 2005-06; and

1421          (B) each county and city described in Subsection (4) imposed the tax under Sections
1422     59-12-802 and 59-12-804 for the entire fiscal year 2005-06;
1423          (ii) (A) for fiscal years ending before fiscal year 2018, calculate a percentage for each
1424     county and city described in Subsection (4) by dividing the amount estimated for each county
1425     and city in accordance with Subsection (5)(a)(i) by $555,000; and
1426          (B) beginning in fiscal year 2018, calculate a percentage for each county and city
1427     described in Subsection (4) by dividing the amount estimated for each county and city in
1428     accordance with Subsection (5)(a)(i) by $218,809.33;
1429          (iii) distribute to each county and city described in Subsection (4) an amount equal to
1430     the product of:
1431          (A) the percentage calculated in accordance with Subsection (5)(a)(ii); and
1432          (B) the amount appropriated by the Legislature to the restricted account for the fiscal
1433     year.
1434          (b) The State Tax Commission shall make the estimations, calculations, and
1435     distributions required by Subsection (5)(a) on the basis of data collected by the State Tax
1436     Commission.
1437          (6) If a county legislative body repeals a tax imposed under Section 59-12-802 or a city
1438     legislative body repeals a tax imposed under Section 59-12-804:
1439          (a) the commission shall determine in accordance with Subsection (5) the distribution
1440     that, but for this Subsection (6), the county legislative body or city legislative body would
1441     receive; and
1442          (b) after making the determination required by Subsection (6)(a), the commission shall:
1443          (i) if the effective date of the repeal of a tax imposed under Section 59-12-802 or
1444     59-12-804 is October 1:
1445          (A) (I) distribute to the county legislative body or city legislative body 25% of the
1446     distribution determined in accordance with Subsection (6)(a); and
1447          (II) deposit 75% of the distribution determined in accordance with Subsection (6)(a)
1448     into the General Fund; and
1449          (B) beginning with the first fiscal year after the effective date of the repeal and for each
1450     subsequent fiscal year, deposit the entire amount of the distribution determined in accordance
1451     with Subsection (6)(a) into the General Fund;

1452          (ii) if the effective date of the repeal of a tax imposed under Section 59-12-802 or
1453     59-12-804 is January 1:
1454          (A) (I) distribute to the county legislative body or city legislative body 50% of the
1455     distribution determined in accordance with Subsection (6)(a); and
1456          (II) deposit 50% of the distribution determined in accordance with Subsection (6)(a)
1457     into the General Fund; and
1458          (B) beginning with the first fiscal year after the effective date of the repeal and for each
1459     subsequent fiscal year, deposit the entire amount of the distribution determined in accordance
1460     with Subsection (6)(a) into the General Fund;
1461          (iii) if the effective date of the repeal of a tax imposed under Section 59-12-802 or
1462     59-12-804 is April 1:
1463          (A) (I) distribute to the county legislative body or city legislative body 75% of the
1464     distribution determined in accordance with Subsection (6)(a); and
1465          (II) deposit 25% of the distribution determined in accordance with Subsection (6)(a)
1466     into the General Fund; and
1467          (B) beginning with the first fiscal year after the effective date of the repeal and for each
1468     subsequent fiscal year, deposit the entire amount of the distribution determined in accordance
1469     with Subsection (6)(a) into the General Fund; or
1470          (iv) if the effective date of the repeal of a tax imposed under Section 59-12-802 or
1471     59-12-804 is July 1, beginning on that effective date and for each subsequent fiscal year,
1472     deposit the entire amount of the distribution determined in accordance with Subsection (6)(a)
1473     into the General Fund.
1474          (7) (a) Subject to Subsection (7)(b) and Section 59-12-802, a county legislative body
1475     shall distribute the money the county legislative body receives in accordance with Subsection
1476     (5) or (6):
1477          (i) for a county of the third or fourth class, to fund rural county health care facilities in
1478     that county; and
1479          (ii) for a county of the fifth or sixth class, to fund:
1480          (A) rural emergency medical services in that county;
1481          (B) federally qualified health centers in that county;
1482          (C) freestanding urgent care centers in that county;

1483          (D) rural county health care facilities in that county;
1484          (E) rural health clinics in that county; or
1485          (F) a combination of Subsections (7)(a)(ii)(A) through (E).
1486          (b) A county legislative body shall distribute the money the county legislative body
1487     receives in accordance with Subsection (5) or (6) to a center, clinic, facility, or service
1488     described in Subsection (7)(a) as determined by the county legislative body.
1489          (c) A center, clinic, facility, or service that receives a distribution in accordance with
1490     this Subsection (7) shall expend that distribution for the same purposes for which money
1491     collected from a tax under Section 59-12-802 may be expended.
1492          (8) (a) Subject to Subsection (8)(b), a city legislative body shall distribute the money
1493     the city legislative body receives in accordance with Subsection (5) or (6) to fund rural city
1494     hospitals in that city.
1495          (b) A city legislative body shall distribute a percentage of the money the city legislative
1496     body receives in accordance with Subsection (5) or (6) to each rural city hospital described in
1497     Subsection (8)(a) equal to the same percentage that the city legislative body distributes to that
1498     rural city hospital in accordance with Section 59-12-805 for the calendar year ending on the
1499     December 31 immediately preceding the first day of the fiscal year for which the city
1500     legislative body receives the distribution in accordance with Subsection (5) or (6).
1501          (c) A rural city hospital that receives a distribution in accordance with this Subsection
1502     (8) shall expend that distribution for the same purposes for which money collected from a tax
1503     under Section 59-12-804 may be expended.
1504          (9) Any money remaining in the Rural Health Care Facilities Account at the end of a
1505     fiscal year after the State Tax Commission makes the distributions required by this section
1506     shall lapse into the General Fund.
1507          Section 31. Section 26B-1-309, which is renumbered from Section 26-18-402 is
1508     renumbered and amended to read:
1509          [26-18-402].      26B-1-309. Medicaid Restricted Account.
1510          (1) There is created a restricted account in the General Fund known as the "Medicaid
1511     Restricted Account."
1512          (2) (a) Except as provided in Subsection (3), the following shall be deposited into the
1513     Medicaid Restricted Account:

1514          (i) any general funds appropriated to the department for the state plan for medical
1515     assistance or for the Division of Health Care Financing that are not expended by the
1516     department in the fiscal year for which the general funds were appropriated and which are not
1517     otherwise designated as nonlapsing shall lapse into the Medicaid Restricted Account;
1518          (ii) any unused state funds that are associated with the Medicaid program, as defined in
1519     Section [26-18-2] 26B-3-101, from the Department of Workforce Services [and the
1520     Department of Human Services]; and
1521          (iii) any penalties imposed and collected under:
1522          (A) Section 17B-2a-818.5;
1523          (B) Section 19-1-206;
1524          (C) Section 63A-5b-607;
1525          (D) Section 63C-9-403;
1526          (E) Section 72-6-107.5; or
1527          (F) Section 79-2-404.
1528          (b) The account shall earn interest and all interest earned shall be deposited into the
1529     account.
1530          (c) The Legislature may appropriate money in the restricted account to fund programs
1531     that expand medical assistance coverage and private health insurance plans to low income
1532     persons who have not traditionally been served by Medicaid, including the Utah Children's
1533     Health Insurance Program created in [Chapter 40, Utah Children's Health Insurance Act]
1534     Section 26B-3-902.
1535          (3) (a) For fiscal years 2008-09, 2009-10, 2010-11, 2011-12, and 2012-13 the
1536     following funds are nonlapsing:
1537          [(a)] (i) any general funds appropriated to the department for the state plan for medical
1538     assistance, or for the Division of Health Care Financing that are not expended by the
1539     department in the fiscal year in which the general funds were appropriated; and
1540          [(b)] (ii) funds described in Subsection (2)(a)(ii).
1541          (b) For fiscal years 2019-20, 2020-21, 2021-22, and 2022-23, the funds described in
1542     Subsection (2)(a)(ii) and (3)(a)(i) are nonlapsing.
1543          Section 32. Section 26B-1-310, which is renumbered from Section 26-61a-109 is
1544     renumbered and amended to read:

1545          [26-61a-109].      26B-1-310. Qualified Patient Enterprise Fund -- Creation --
1546     Revenue neutrality.
1547          (1) There is created an enterprise fund known as the "Qualified Patient Enterprise
1548     Fund."
1549          (2) The fund created in this section is funded from:
1550          (a) money the department deposits into the fund under [this chapter] Chapter 4, Part 2,
1551     Cannabinoid Research and Medical Cannabis;
1552          (b) appropriations the Legislature makes to the fund; and
1553          (c) the interest described in Subsection (3).
1554          (3) Interest earned on the fund shall be deposited into the fund.
1555          (4) The department may only use money in the fund to fund the department's
1556     responsibilities under [this chapter] Chapter 4, Part 2, Cannabinoid Research and Medical
1557     Cannabis.
1558          (5) The department shall set fees authorized under [this chapter] Chapter 4, Part 2,
1559     Cannabinoid Research and Medical Cannabis in amounts that the department anticipates are
1560     necessary, in total, to cover the department's cost to implement [this chapter] Chapter 4, Part 2,
1561     Cannabinoid Research and Medical Cannabis.
1562          Section 33. Section 26B-1-311, which is renumbered from Section 26-18a-4 is
1563     renumbered and amended to read:
1564          [26-18a-4].      26B-1-311. Creation of Kurt Oscarson Children's Organ
1565     Transplant Account.
1566          (1) (a) There is created a restricted account within the General Fund known as the
1567     "Kurt Oscarson Children's Organ Transplant Account."
1568          (b) Private contributions received under this section and Section 59-10-1308 shall be
1569     deposited into the restricted account to be used only for the programs and purposes described in
1570     Section [26-18a-3] 26B-1-411.
1571          (2) Money shall be appropriated from the restricted account to the [committee] Kurt
1572     Oscarson Children's Organ Transplant Coordinating Committee created in Section 26B-1-411,
1573     in accordance with Title 63J, Chapter 1, Budgetary Procedures Act.
1574          (3) In addition to funds received under Section 59-10-1308, the [committee] Kurt
1575     Oscarson Children's Organ Transplant Coordinating Committee created in Section 26B-1-411

1576     may accept transfers, grants, gifts, bequests, or any money made available from any source to
1577     implement [this chapter] the programs and purposes described in Section 26B-1-411.
1578          Section 34. Section 26B-1-312, which is renumbered from Section 26-18b-101 is
1579     renumbered and amended to read:
1580          [26-18b-101].      26B-1-312. Allyson Gamble Organ Donation Contribution
1581     Fund created.
1582          (1) (a) There is created an expendable special revenue fund known as the "Allyson
1583     Gamble Organ Donation Contribution Fund."
1584          (b) The Allyson Gamble Organ Donation Contribution Fund shall consist of:
1585          (i) private contributions;
1586          (ii) donations or grants from public or private entities;
1587          (iii) voluntary donations collected under Sections 41-1a-230.5 and 53-3-214.7;
1588          (iv) contributions deposited into the account in accordance with Section 41-1a-422;
1589     and
1590          (v) interest and earnings on fund money.
1591          (c) The cost of administering the Allyson Gamble Organ Donation Contribution Fund
1592     shall be paid from money in the fund.
1593          (2) The [Department of Health] department shall:
1594          (a) administer the funds deposited in the Allyson Gamble Organ Donation Contribution
1595     Fund; and
1596          (b) select qualified organizations and distribute the funds in the Allyson Gamble Organ
1597     Donation Contribution Fund in accordance with Subsection (3).
1598          (3) (a) The funds in the Allyson Gamble Organ Donation Contribution Fund may be
1599     distributed to a selected organization that:
1600          (i) promotes and supports organ donation;
1601          (ii) assists in maintaining and operating a statewide organ donation registry; and
1602          (iii) provides donor awareness education.
1603          (b) An organization that meets the criteria of Subsections (3)(a)(i) through (iii) may
1604     apply to the [Department of Health] department, in a manner prescribed by the department, to
1605     receive a portion of the money contained in the Allyson Gamble Organ Donation Contribution
1606     Fund.

1607          (4) The [Department of Health] department may expend funds in the account to pay the
1608     costs of administering the fund and issuing or reordering the Donate Life support special group
1609     license plate and decals.
1610          Section 35. Section 26B-1-313, which is renumbered from Section 26-21a-302 is
1611     renumbered and amended to read:
1612          [26-21a-302].      26B-1-313. Cancer Research Restricted Account.
1613          (1) As used in this section, "account" means the Cancer Research Restricted Account
1614     created by this section.
1615          (2) There is created in the General Fund a restricted account known as the "Cancer
1616     Research Restricted Account."
1617          (3) The account shall be funded by:
1618          (a) contributions deposited into the account in accordance with Section 41-1a-422;
1619          (b) private contributions;
1620          (c) donations or grants from public or private entities; and
1621          (d) interest and earnings on fund money.
1622          (4) The department shall distribute funds in the account to one or more charitable
1623     organizations that:
1624          (a) qualify as being tax exempt under Section 501(c)(3) of the Internal Revenue Code;
1625          (b) have been designated as an official cancer center of the state;
1626          (c) is a National Cancer Institute designated cancer center; and
1627          (d) have as part of its primary mission:
1628          (i) cancer research programs in basic science, translational science, population science,
1629     and clinical research to understand cancer from its beginnings; and
1630          (ii) the dissemination and use of knowledge developed by the research described in
1631     Subsection (4)(d)(i) for the creation and improvement of cancer detection, treatments,
1632     prevention, and outreach programs.
1633          (5) (a) An organization described in Subsection (4) may apply to the department to
1634     receive a distribution in accordance with Subsection (4).
1635          (b) An organization that receives a distribution from the department in accordance with
1636     Subsection (4) shall expend the distribution only to conduct cancer research for the purpose of
1637     making improvements in cancer treatments, cures, detection, and prevention of cancer at the

1638     molecular and genetic levels.
1639          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
1640     department may make rules providing procedures for an organization to apply to the
1641     department to receive a distribution under Subsection (4).
1642          Section 36. Section 26B-1-314, which is renumbered from Section 26-21a-304 is
1643     renumbered and amended to read:
1644          [26-21a-304].      26B-1-314. Children with Cancer Support Restricted
1645     Account.
1646          (1) As used in this section, "account" means the Children with Cancer Support
1647     Restricted Account created in this section.
1648          (2) There is created in the General Fund a restricted account known as the "Children
1649     with Cancer Support Restricted Account."
1650          (3) The account shall be funded by:
1651          (a) contributions deposited into the account in accordance with Section 41-1a-422;
1652          (b) private contributions;
1653          (c) donations or grants from public or private entities; and
1654          (d) interest and earnings on account money.
1655          (4) Upon appropriation by the Legislature, the department shall distribute funds in the
1656     account to one or more charitable organizations that:
1657          (a) qualify as tax exempt under Section 501(c)(3), Internal Revenue Code;
1658          (b) are hospitals for children's tertiary care with board certified pediatric hematologist
1659     oncologists treating children, both on an inpatient and outpatient basis, with blood disorders
1660     and cancers from throughout the state;
1661          (c) are members of a national organization devoted exclusively to childhood and
1662     adolescent cancer research;
1663          (d) have pediatric nurses trained in hematology oncology;
1664          (e) participate in one or more pediatric cancer clinical trials; and
1665          (f) have programs that provide assistance to children with cancer.
1666          (5) (a) An organization described in Subsection (4) may apply to the department to
1667     receive a distribution in accordance with Subsection (4).
1668          (b) An organization that receives a distribution from the department in accordance with

1669     Subsection (4) may expend the distribution only to create or support programs that provide
1670     assistance to children with cancer.
1671          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
1672     department may make rules providing procedures for an organization to apply to the
1673     department to receive a distribution under Subsection (4).
1674          Section 37. Section 26B-1-315, which is renumbered from Section 26-36b-208 is
1675     renumbered and amended to read:
1676          [26-36b-208].      26B-1-315. Medicaid Expansion Fund.
1677          (1) There is created an expendable special revenue fund known as the "Medicaid
1678     Expansion Fund."
1679          (2) The fund consists of:
1680          (a) assessments collected under [this chapter] Chapter 3, Part 5, Inpatient Hospital
1681     Assessment;
1682          (b) intergovernmental transfers under Section [26-36b-206] 26B-3-508;
1683          (c) savings attributable to the health coverage improvement program, as defined in
1684     Section 26B-3-501, as determined by the department;
1685          (d) savings attributable to the enhancement waiver program, as defined in Section
1686     26B-3-501, as determined by the department;
1687          (e) savings attributable to the Medicaid waiver expansion, as defined in Section
1688     26B-3-501, as determined by the department;
1689          (f) savings attributable to the inclusion of psychotropic drugs on the preferred drug list
1690     under Subsection [26-18-2.4(3)] 26B-3-105(3) as determined by the department;
1691          (g) revenues collected from the sales tax described in Subsection 59-12-103(12);
1692          (h) gifts, grants, donations, or any other conveyance of money that may be made to the
1693     fund from private sources;
1694          (i) interest earned on money in the fund; and
1695          (j) additional amounts as appropriated by the Legislature.
1696          (3) (a) The fund shall earn interest.
1697          (b) All interest earned on fund money shall be deposited into the fund.
1698          (4) (a) A state agency administering the provisions of [this chapter] Chapter 3, Part 5,
1699     Inpatient Hospital Assessment, may use money from the fund to pay the costs, not otherwise

1700     paid for with federal funds or other revenue sources, of:
1701          (i) the health coverage improvement program as defined in Section 26B-3-501;
1702          (ii) the enhancement waiver program as defined in Section 26B-3-501;
1703          (iii) a Medicaid waiver expansion as defined in Section 26B-3-501; and
1704          (iv) the outpatient upper payment limit supplemental payments under Section
1705     [26-36b-210] 26B-3-511.
1706          (b) A state agency administering the provisions of [this chapter] Chapter 3, Part 5,
1707     Inpatient Hospital Assessment, may not use:
1708          (i) funds described in Subsection (2)(b) to pay the cost of private outpatient upper
1709     payment limit supplemental payments; or
1710          (ii) money in the fund for any purpose not described in Subsection (4)(a).
1711          Section 38. Section 26B-1-316, which is renumbered from Section 26-36d-207 is
1712     renumbered and amended to read:
1713          [26-36d-207].      26B-1-316. Hospital Provider Assessment Expendable
1714     Revenue Fund.
1715          (1) There is created an expendable special revenue fund known as the "Hospital
1716     Provider Assessment Expendable Revenue Fund."
1717          (2) The fund shall consist of:
1718          (a) the assessments collected by the department under [this chapter] Chapter 3, Part 7,
1719     Hospital Provider Assessment;
1720          (b) any interest and penalties levied with the administration of [this chapter] Chapter 3,
1721     Part 7, Hospital Provider Assessment; and
1722          (c) any other funds received as donations for the fund and appropriations from other
1723     sources.
1724          (3) Money in the fund shall be used:
1725          (a) to support capitated rates consistent with Subsection [26-36d-203] 26B-3-705(1)(d)
1726     for accountable care organizations as defined in Section 26B-3-701; and
1727          (b) to reimburse money collected by the division from a hospital, as defined in Section
1728     26B-3-701, through a mistake made under [this chapter] Chapter 3, Part 7, Hospital Provider
1729     Assessment.
1730          (4) (a) Subject to Subsection (4)(b), for the fiscal year beginning July 1, 2019, and

1731     ending July 1, 2020, any fund balance in excess of the amount necessary to pay for the costs
1732     described in Subsection (3) shall be deposited into the General Fund.
1733          (b) Subsection (4)(a) applies only to funds that were appropriated by the Legislature
1734     from the General Fund to the fund and the interest and penalties deposited into the fund under
1735     Subsection (2)(b).
1736          Section 39. Section 26B-1-317, which is renumbered from Section 26-37a-107 is
1737     renumbered and amended to read:
1738          [26-37a-107].      26B-1-317. Ambulance Service Provider Assessment
1739     Expendable Revenue Fund.
1740          (1) There is created an expendable special revenue fund known as the "Ambulance
1741     Service Provider Assessment Expendable Revenue Fund."
1742          (2) The fund shall consist of:
1743          (a) the assessments collected by the division under [this chapter] Chapter 3, Part 8,
1744     Ambulance Service Provider Assessment;
1745          (b) the penalties collected by the division under [this chapter] Chapter 3, Part 8,
1746     Ambulance Service Provider Assessment;
1747          (c) donations to the fund; and
1748          (d) appropriations by the Legislature.
1749          (3) Money in the fund shall be used:
1750          (a) to support fee-for-service rates; and
1751          (b) to reimburse money to an ambulance service provider, as defined in Section
1752     26B-3-801, that is collected by the division from the ambulance service provider through a
1753     mistake made under [this chapter] Chapter 3, Part 8, Ambulance Service Provider Assessment.
1754          (4) (a) Subject to Subsection (4)(b), for the fiscal year beginning July 1, 2019, and
1755     ending July 1, 2020, any fund balance in excess of the amount necessary to pay for the costs
1756     described in Subsection (3) shall be deposited into the General Fund.
1757          (b) Subsection (4)(a) applies only to funds that were appropriated by the Legislature
1758     from the General Fund to the fund and the penalties deposited into the fund under Subsection
1759     (2)(b).
1760          Section 40. Section 26B-1-318, which is renumbered from Section 26-50-201 is
1761     renumbered and amended to read:

1762          [26-50-201].      26B-1-318. Traumatic Brain Injury Fund -- Creation --
1763     Administration -- Uses.
1764          (1) There is created an expendable special revenue fund [entitled] known as the
1765     "Traumatic Brain Injury Fund."
1766          (2) The fund shall consist of:
1767          (a) gifts, grants, donations, or any other conveyance of money that may be made to the
1768     fund from private sources; and
1769          (b) additional amounts as appropriated by the Legislature.
1770          (3) The fund shall be administered by the executive director.
1771          (4) Fund money may be used to:
1772          (a) educate the general public and professionals regarding understanding, treatment,
1773     and prevention of traumatic brain injury;
1774          (b) provide access to evaluations and coordinate short-term care to assist an individual
1775     in identifying services or support needs, resources, and benefits for which the individual may
1776     be eligible;
1777          (c) develop and support an information and referral system for persons with a traumatic
1778     brain injury and their families; and
1779          (d) provide grants to persons or organizations to provide the services described in
1780     Subsections (4)(a), (b), and (c).
1781          (5) Not less that 50% of the fund shall be used each fiscal year to directly assist
1782     individuals who meet the qualifications described in Subsection (6).
1783          (6) An individual who receives services either paid for from the fund, or through an
1784     organization under contract with the fund, shall:
1785          (a) be a resident of Utah;
1786          (b) have been diagnosed by a qualified professional as having a traumatic brain injury
1787     which results in impairment of cognitive or physical function; and
1788          (c) have a need that can be met within the requirements of this [chapter] section.
1789          (7) The fund may not duplicate any services or support mechanisms being provided to
1790     an individual by any other government or private agency.
1791          (8) All actual and necessary operating expenses for the [committee] Traumatic Brain
1792     Injury Advisory Committee created in Section 26B-1-417 and staff shall be paid by the fund.

1793          (9) The fund may not be used for medical treatment, long-term care, or acute care.
1794          Section 41. Section 26B-1-319, which is renumbered from Section 26-54-102 is
1795     renumbered and amended to read:
1796          [26-54-102].      26B-1-319. Spinal Cord and Brain Injury Rehabilitation
1797     Fund -- Creation -- Administration -- Uses.
1798          (1) As used in this section, a "qualified IRC 501(c)(3) charitable clinic" means a
1799     professional medical clinic that:
1800          (a) provides rehabilitation services to individuals in the state:
1801          (i) who have a traumatic spinal cord or brain injury that tends to be nonprogressive or
1802     nondeteriorating; and
1803          (ii) who require post-acute care;
1804          (b) employs licensed therapy clinicians;
1805          (c) has at least five years experience operating a post-acute care rehabilitation clinic in
1806     the state; and
1807          (d) has obtained tax-exempt status under Internal Revenue Code, 26 U.S.C. Sec.
1808     501(c)(3).
1809          (2) There is created an expendable special revenue fund known as the "Spinal Cord and
1810     Brain Injury Rehabilitation Fund."
1811          (3) The fund shall consist of:
1812          (a) gifts, grants, donations, or any other conveyance of money that may be made to the
1813     fund from private sources;
1814          (b) a portion of the impound fee as designated in Section 41-6a-1406;
1815          (c) the fees collected by the Motor Vehicle Division under Subsections 41-1a-1201(9)
1816     and 41-22-8(3); and
1817          (d) amounts appropriated by the Legislature.
1818          (4) The fund shall be administered by the executive director of the department, in
1819     consultation with the advisory committee created in Section [26-54-103] 26B-1-418.
1820          (5) Fund money shall be used to:
1821          (a) assist one or more qualified IRC 501(c)(3) charitable clinics to provide
1822     rehabilitation services to individuals who have a traumatic spinal cord or brain injury that tends
1823     to be nonprogressive or nondeteriorating, including:

1824          (i) physical, occupational, and speech therapy; and
1825          (ii) equipment for use in the qualified charitable clinic; and
1826          (b) pay for operating expenses of the [advisory committee] Spinal Cord and Brain
1827     Injury Rehabilitation Fund and Pediatric Neuro-Rehabilitation Fund Advisory Committee
1828     created by Section [26-54-103] 26B-1-418, including the advisory committee's staff.
1829          Section 42. Section 26B-1-320, which is renumbered from Section 26-54-102.5 is
1830     renumbered and amended to read:
1831          [26-54-102.5].      26B-1-320. Pediatric Neuro-Rehabilitation Fund -- Creation
1832     -- Administration -- Uses.
1833          (1) As used in this section, a "qualified IRC 501(c)(3) charitable clinic" means a
1834     professional medical clinic that:
1835          (a) provides services for children in the state:
1836          (i) with neurological conditions, including:
1837          (A) cerebral palsy; and
1838          (B) spina bifida; and
1839          (ii) who require post-acute care;
1840          (b) employs licensed therapy clinicians;
1841          (c) has at least five years experience operating a post-acute care rehabilitation clinic in
1842     the state; and
1843          (d) has obtained tax-exempt status under Internal Revenue Code, 26 U.S.C. Sec.
1844     501(c)(3).
1845          (2) There is created an expendable special revenue fund known as the "Pediatric
1846     Neuro-Rehabilitation Fund."
1847          (3) The fund shall consist of:
1848          (a) gifts, grants, donations, or any other conveyance of money that may be made to the
1849     fund from private sources; and
1850          (b) amounts appropriated to the fund by the Legislature.
1851          (4) The fund shall be administered by the executive director of the department, in
1852     consultation with the advisory committee created in Section [26-54-103] 26B-1-418.
1853          (5) Fund money shall be used to:
1854          (a) assist one or more qualified IRC 501(c)(3) charitable clinics to provide physical or

1855     occupational therapy to children with neurological conditions; and
1856          (b) pay for operating expenses of the [advisory committee] Spinal Cord and Brain
1857     Injury Rehabilitation Fund and Pediatric Neuro-Rehabilitation Fund Advisory Committee
1858     created by Section [26-54-103] 26B-1-418, including the advisory committee's staff.
1859          Section 43. Section 26B-1-321, which is renumbered from Section 26-58-102 is
1860     renumbered and amended to read:
1861          [26-58-102].      26B-1-321. Children with Heart Disease Support Restricted
1862     Account -- Creation -- Administration -- Uses.
1863          (1) As used in this section, "account" means the Children with Heart Disease Support
1864     Restricted Account created in Subsection (2).
1865          (2) There is created in the General Fund a restricted account known as the "Children
1866     with Heart Disease Support Restricted Account."
1867          (3) The account shall be funded by:
1868          (a) contributions deposited into the account in accordance with Section 41-1a-422;
1869          (b) private contributions;
1870          (c) donations or grants from public or private entities; and
1871          (d) interest and earnings on fund money.
1872          (4) The Legislature shall appropriate money in the account to the department.
1873          (5) Upon appropriation, the department shall distribute funds in the account to one or
1874     more charitable organizations that:
1875          (a) qualify as being tax exempt under Section 501(c)(3), Internal Revenue Code; and
1876          (b) have programs that provide awareness, education, support services, and advocacy
1877     for and on behalf of children with heart disease.
1878          (6) (a) An organization described in Subsection (5) may apply to the department to
1879     receive a distribution in accordance with Subsection (5).
1880          (b) An organization that receives a distribution from the department in accordance with
1881     Subsection (5) shall expend the distribution only to provide awareness, education, support
1882     services, and advocacy for and on behalf of children with heart disease.
1883          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
1884     department may make rules providing procedures for an organization to apply to the
1885     department to receive a distribution under Subsection (5).

1886          (7) In accordance with Section 63J-1-602.1, appropriations from the account are
1887     nonlapsing.
1888          Section 44. Section 26B-1-322, which is renumbered from Section 26-67-205 is
1889     renumbered and amended to read:
1890          [26-67-205].      26B-1-322. Adult Autism Treatment Account.
1891          (1) There is created within the General Fund a restricted account known as the "Adult
1892     Autism Treatment Account."
1893          (2) The account consists of:
1894          (a) gifts, grants, donations, or any other conveyance of money that may be made to the
1895     [fund] account from private sources;
1896          (b) interest earned on money in the account; and
1897          (c) money appropriated to the account by the Legislature.
1898          (3) Money from the [fund] account shall be used only to:
1899          (a) fund grants awarded by the department under Section [26-67-201] 26B-4-602; and
1900          (b) pay the [advisory committee's] operating expenses of the Adult Autism Treatment
1901     Program Advisory Committee created in Section 26B-1-204, including the cost of advisory
1902     committee staff if approved by the executive director.
1903          (4) The state treasurer shall invest the money in the account in accordance with Title
1904     51, Chapter 7, State Money Management Act.
1905          Section 45. Section 26B-1-323, which is renumbered from Section 62A-3-110 is
1906     renumbered and amended to read:
1907          [62A-3-110].      26B-1-323. Out and About Homebound Transportation
1908     Assistance Fund -- Creation -- Administration -- Uses.
1909          (1) (a) There is created an expendable special revenue fund known as the "Out and
1910     About["] Homebound Transportation Assistance Fund."
1911          (b) The ["]Out and About["] Homebound Transportation Assistance Fund shall consist
1912     of:
1913          (i) private contributions;
1914          (ii) donations or grants from public or private entities;
1915          (iii) voluntary donations collected under Section 53-3-214.8; and
1916          (iv) interest and earnings on account money.

1917          (c) The cost of administering the ["]Out and About["] Homebound Transportation
1918     Assistance Fund shall be paid from money in the fund.
1919          (2) The Division of Aging and Adult Services in the [Department of Human Services]
1920     department shall:
1921          (a) administer the funds contained in the ["]Out and About["] Homebound
1922     Transportation Assistance Fund; and
1923          (b) select qualified organizations and distribute the funds in the ["]Out and About["]
1924     Homebound Transportation Assistance Fund in accordance with Subsection (3).
1925          (3) (a) The division may distribute the funds in the ["]Out and About["] Homebound
1926     Transportation Assistance Fund to a selected organization that provides public transportation to
1927     aging persons, high risk adults, or people with disabilities.
1928          (b) An organization that provides public transportation to aging persons, high risk
1929     adults, or people with disabilities may apply to the Division of Aging and Adult Services, in a
1930     manner prescribed by the division, to receive all or part of the money contained in the ["]Out
1931     and About["] Homebound Transportation Assistance Fund.
1932          Section 46. Section 26B-1-324, which is renumbered from Section 62A-15-123 is
1933     renumbered and amended to read:
1934          [62A-15-123].      26B-1-324. Statewide Behavioral Health Crisis Response
1935     Account -- Creation -- Administration -- Permitted uses.
1936          (1) There is created a restricted account within the General Fund known as the
1937     "Statewide Behavioral Health Crisis Response Account," consisting of:
1938          (a) money appropriated or otherwise made available by the Legislature; and
1939          (b) contributions of money, property, or equipment from federal agencies, political
1940     subdivisions of the state, or other persons.
1941          (2) (a) Subject to appropriations by the Legislature and any contributions to the account
1942     described in Subsection (1)(b), the division shall disburse funds in the account only for the
1943     purpose of support or implementation of services or enhancements of those services in order to
1944     rapidly, efficiently, and effectively deliver 988 services in the state.
1945          (b) Funds distributed from the account to county local mental health and substance
1946     abuse authorities for the provision of crisis services are not subject to the 20% county match
1947     described in Sections 17-43-201 and 17-43-301.

1948          (c) Except as provided in Subsection (2)(d), the division shall prioritize expending
1949     funds from the account as follows:
1950          (i) the Statewide Mental Health Crisis Line, as defined in Section [62A-15-1301]
1951     26B-5-610, including coordination with 911 emergency service, as defined in Section
1952     69-2-102, and coordination with local substance abuse authorities as described in Section
1953     17-43-201, and local mental health authorities, described in Section 17-43-301;
1954          (ii) mitigation of any negative impacts on 911 emergency service from 988 services;
1955          (iii) mobile crisis outreach teams as defined in Section [62A-15-1401] 26B-5-609,
1956     distributed in accordance with rules made by the division in accordance with Title 63G,
1957     Chapter 3, Utah Administrative Rulemaking Act;
1958          (iv) behavioral health receiving centers as defined in Section [62A-15-118] 26B-5-114;
1959          (v) stabilization services as described in Section [62A-1-104] 26B-1-102; and
1960          (vi) mental health crisis services, as defined in Section 26B-5-101, provided by local
1961     substance abuse authorities as described in Section 17-43-201 and local mental health
1962     authorities described in Section 17-43-301 to provide prolonged mental health services for up
1963     to 90 days after the day on which an individual experiences a mental health crisis as defined in
1964     Section 26B-5-101.
1965          (d) If the Legislature appropriates money to the account for a purpose described in
1966     Subsection (2)(c), the division shall use the appropriation for that purpose.
1967          (3) Subject to appropriations by the Legislature and any contributions to the account
1968     described in Subsection (1)(b), the division may expend funds in the account for administrative
1969     costs that the division incurs related to administering the account.
1970          (4) The division director shall submit and make available to the public a report before
1971     December of each year to the Behavioral Health Crisis Response Commission, as defined in
1972     Section 63C-18-202, the Social Services Appropriations Subcommittee, and the Legislative
1973     Management Committee that includes:
1974          (a) the amount of each disbursement from the account;
1975          (b) the recipient of each disbursement, the goods and services received, and a
1976     description of the project funded by the disbursement;
1977          (c) any conditions placed by the division on the disbursements from the account;
1978          (d) the anticipated expenditures from the account for the next fiscal year;

1979          (e) the amount of any unexpended funds carried forward;
1980          (f) the number of Statewide Mental Health Crisis Line calls received;
1981          (g) the progress towards accomplishing the goals of providing statewide mental health
1982     crisis service; and
1983          (h) other relevant justification for ongoing support from the account.
1984          Section 47. Section 26B-1-325, which is renumbered from Section 62A-15-1103 is
1985     renumbered and amended to read:
1986          [62A-15-1103].      26B-1-325. Governor's Suicide Prevention Fund -- Creation
1987     -- Administration -- Uses.
1988          (1) There is created an expendable special revenue fund known as the "Governor's
1989     Suicide Prevention Fund."
1990          (2) The fund shall consist of donations described in Section 41-1a-422, gifts, grants,
1991     and bequests of real property or personal property made to the fund.
1992          (3) A donor to the fund may designate a specific purpose for the use of the donor's
1993     donation, if the designated purpose is described in Subsection (4).
1994          (4) (a) Subject to Subsection (3), money in the fund shall be used for the following
1995     activities:
1996          (i) efforts to directly improve mental health crisis response;
1997          (ii) efforts that directly reduce risk factors associated with suicide; and
1998          (iii) efforts that directly enhance known protective factors associated with suicide
1999     reduction.
2000          (b) Efforts described in Subsections (4)(a)(ii) and (iii) include the components of the
2001     state suicide prevention program described in Subsection [62A-15-1101] 26B-5-611(3).
2002          (5) The [division] Office of Substance Use and Mental Health shall establish a grant
2003     application and review process for the expenditure of money from the fund.
2004          (6) The grant application and review process shall describe:
2005          (a) requirements to complete a grant application;
2006          (b) requirements to receive funding;
2007          (c) criteria for the approval of a grant application;
2008          (d) standards for evaluating the effectiveness of a project proposed in a grant
2009     application; and

2010          (e) support offered by the [division] office to complete a grant application.
2011          (7) The [division] Office of Substance Use and Mental Health shall:
2012          (a) review a grant application for completeness;
2013          (b) make a recommendation to the governor or the governor's designee regarding a
2014     grant application;
2015          (c) send a grant application to the governor or the governor's designee for evaluation
2016     and approval or rejection;
2017          (d) inform a grant applicant of the governor or the governor's designee's determination
2018     regarding the grant application; and
2019          (e) direct the fund administrator to release funding for grant applications approved by
2020     the governor or the governor's designee.
2021          (8) The state treasurer shall invest the money in the fund under Title 51, Chapter 7,
2022     State Money Management Act, except that all interest or other earnings derived from money in
2023     the fund shall be deposited into the fund.
2024          (9) Money in the fund may not be used for the Office of the Governor's administrative
2025     expenses that are normally provided for by legislative appropriation.
2026          (10) The governor or the governor's designee may authorize the expenditure of fund
2027     money in accordance with this section.
2028          (11) The governor shall make an annual report to the Legislature regarding the status of
2029     the fund, including a report on the contributions received, expenditures made, and programs
2030     and services funded.
2031          Section 48. Section 26B-1-326, which is renumbered from Section 62A-15-1104 is
2032     renumbered and amended to read:
2033          [62A-15-1104].      26B-1-326. Suicide Prevention and Education Fund.
2034          (1) There is created an expendable special revenue fund known as the Suicide
2035     Prevention and Education Fund.
2036          (2) The fund shall consist of funds transferred from the Concealed Weapons Account
2037     in accordance with Subsection 53-5-707(5)(d).
2038          (3) Money in the fund shall be used for suicide prevention efforts that include a focus
2039     on firearm safety as related to suicide prevention.
2040          (4) The [division] Office of Substance Use and Mental Health shall establish a process

2041     by rule in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, for the
2042     expenditure of money from the fund.
2043          (5) The [division] Office of Substance Use and Mental Health shall make an annual
2044     report to the Legislature regarding the status of the fund, including a report detailing amounts
2045     received, expenditures made, and programs and services funded.
2046          Section 49. Section 26B-1-327, which is renumbered from Section 62A-15-1502 is
2047     renumbered and amended to read:
2048          [62A-15-1502].      26B-1-327. Survivors of Suicide Loss Account.
2049          (1) As used in this section:
2050          (a) (i) "Cohabitant" means an individual who lives with another individual.
2051          (ii) "Cohabitant" does not include a relative.
2052          (b) "Relative" means father, mother, husband, wife, son, daughter, sister, brother,
2053     grandfather, grandmother, uncle, aunt, nephew, niece, grandson, granddaughter, first cousin,
2054     mother-in-law, father-in-law, brother-in-law, sister-in-law, son-in-law, or daughter-in-law.
2055          [(1)] (2) (a) There is created a restricted account within the General Fund known as the
2056     "Survivors of Suicide Loss Account."
2057          [(2)] (b) The [division] Office of Substance Use and Mental Health shall administer the
2058     account in accordance with this part.
2059          (3) The account shall consist of:
2060          (a) money appropriated to the account by the Legislature; and
2061          (b) interest earned on money in the account.
2062          (4) Upon appropriation, the [division] Office of Substance Use and Mental Health shall
2063     award grants from the account to a person who provides, for no or minimal cost:
2064          (a) clean-up of property affected or damaged by an individual's suicide, as
2065     reimbursement for the costs incurred for the clean-up; and
2066          (b) bereavement services to a relative, legal guardian, or cohabitant of an individual
2067     who dies by suicide.
2068          (5) Before November 30 of each year, the [division] Office of Substance Use and
2069     Mental Health shall report to the Health and Human Services Interim Committee regarding the
2070     status of the account and expenditures made from the account.
2071          Section 50. Section 26B-1-328, which is renumbered from Section 62A-15-1602 is

2072     renumbered and amended to read:
2073          [62A-15-1602].      26B-1-328. Psychiatric and Psychotherapeutic Consultation
2074     Program Account -- Creation -- Administration -- Uses.
2075          (1) As used in this section:
2076          (a) "Child care" means the child care services defined in Section 35A-3-102 for a child
2077     during early childhood.
2078          (b) "Child care provider" means a person who provides child care or mental health
2079     support or interventions to a child during early childhood.
2080          (c) "Child mental health care facility" means a facility that provides licensed mental
2081     health care programs and services to children and families and employs a child mental health
2082     therapist.
2083          (d) "Child mental health therapist" means a mental health therapist who:
2084          (i) is knowledgeable and trained in early childhood mental health; and
2085          (ii) provides mental health services to children during early childhood.
2086          (e) "Division" means the Division of Integrated Healthcare within the department.
2087          (f) "Early childhood" means the time during which a child is zero to six years old.
2088          (g) "Early childhood psychotherapeutic telehealth consultation" means a consultation
2089     regarding a child's mental health care during the child's early childhood between a child care
2090     provider or a mental health therapist and a child mental health therapist that is focused on
2091     psychotherapeutic and psychosocial interventions and is completed through the use of
2092     electronic or telephonic communication.
2093          (h) "Health care facility" means a facility that provides licensed health care programs
2094     and services and employs at least two psychiatrists, at least one of whom is a child psychiatrist.
2095          (i) "Primary care provider" means:
2096          (i) an individual who is licensed to practice as an advanced practice registered nurse
2097     under Title 58, Chapter 31b, Nurse Practice Act;
2098          (ii) a physician as defined in Section 58-67-102; or
2099          (iii) a physician assistant as defined in Section 58-70a-102.
2100          (j) "Psychiatrist" means a physician who is board eligible for a psychiatry
2101     specialization recognized by the American Board of Medical Specialists or the American
2102     Osteopathic Association's Bureau of Osteopathic Specialists.

2103          (k) "Telehealth psychiatric consultation" means a consultation regarding a patient's
2104     mental health care, including diagnostic clarification, medication adjustment, or treatment
2105     planning, between a primary care provider and a psychiatrist that is completed through the use
2106     of electronic or telephonic communication.
2107          [(1)] (2) There is created a restricted account within the General Fund known as the
2108     "Psychiatric and Psychotherapeutic Consultation Program Account."
2109          [(2)] (3) (a) The [division] Office of Substance Use and Mental Health shall administer
2110     the account in accordance with this [part] section.
2111          [(3)] (b) The account shall consist of:
2112          [(a)] (i) money appropriated to the account by the Legislature; and
2113          [(b)] (ii) interest earned on money in the account.
2114          (4) Upon appropriation, the [division] Office of Substance Use and Mental Health shall
2115     award grants from the account to:
2116          (a) at least one health care facility to implement a program that provides a primary care
2117     provider access to a telehealth psychiatric consultation when the primary care provider is
2118     evaluating a patient for or providing a patient mental health treatment; and
2119          (b) at least one child mental health care facility to implement a program that provides
2120     access to an early childhood psychotherapeutic telehealth consultation to:
2121          (i) a mental health therapist as defined in Section 58-60-102 when the mental health
2122     therapist is evaluating a child for or providing a child mental health treatment; or
2123          (ii) a child care provider when the child care provider is providing child care to a child.
2124          (5) The [division] Office of Substance Use and Mental Health may award and
2125     distribute grant money to a health care facility or child mental health care facility only if the
2126     health care facility or child mental health care facility:
2127          (a) is located in the state; and
2128          (b) submits an application in accordance with Subsection (6).
2129          (6) An application for a grant under this section shall include:
2130          (a) the number of psychiatrists employed by the health care facility or the number of
2131     child mental health therapists employed by the child mental health care facility;
2132          (b) the health care facility's or child mental health care facility's plan to implement the
2133     telehealth psychiatric consultation program or the early childhood psychotherapeutic telehealth

2134     consultation program described in Subsection (4);
2135          (c) the estimated cost to implement the telehealth psychiatric consultation program or
2136     the early childhood psychotherapeutic telehealth consultation program described in Subsection
2137     (4);
2138          (d) any plan to use one or more funding sources in addition to a grant under this section
2139     to implement the telehealth psychiatric consultation program or the early childhood
2140     psychotherapeutic telehealth consultation program described in Subsection (4);
2141          (e) the amount of grant money requested to fund the telehealth psychiatric consultation
2142     program or the early childhood psychotherapeutic telehealth consultation program described in
2143     Subsection (4); and
2144          (f) any existing or planned contract or partnership between the health care facility and
2145     another person to implement the telehealth psychiatric consultation program or the early
2146     childhood psychotherapeutic telehealth consultation program described in Subsection (4).
2147          (7) A health care facility or child mental health care facility that receives grant money
2148     under this section shall file a report with the division before October 1 of each year that details
2149     for the immediately preceding calendar year:
2150          (a) the type and effectiveness of each service provided in the telehealth psychiatric
2151     program or the early childhood psychotherapeutic telehealth consultation program;
2152          (b) the utilization of the telehealth psychiatric program or the early childhood
2153     psychotherapeutic telehealth consultation program based on metrics or categories determined
2154     by the division;
2155          (c) the total amount expended from the grant money; and
2156          (d) the intended use for grant money that has not been expended.
2157          (8) Before November 30 of each year, the [division] department shall report to the
2158     Health and Human Services Interim Committee regarding:
2159          (a) the status of the account and expenditures made from the account; and
2160          (b) a summary of any report provided to the division under Subsection (7).
2161          Section 51. Section 26B-1-329, which is renumbered from Section 62A-15-1702 is
2162     renumbered and amended to read:
2163          [62A-15-1702].      26B-1-329. Mental Health Services Donation Fund.
2164          (1) As used in this section:

2165          (a) "Mental health therapist" means the same as that term is defined in Section
2166     58-60-102.
2167          (b) "Mental health therapy" means treatment or prevention of a mental illness,
2168     including:
2169          (i) conducting a professional evaluation of an individual's condition of mental health,
2170     mental illness, or emotional disorder consistent with standards generally recognized by mental
2171     health therapists;
2172          (ii) establishing a diagnosis in accordance with established written standards generally
2173     recognized by mental health therapists;
2174          (iii) prescribing a plan or medication for the prevention or treatment of a condition of a
2175     mental illness or an emotional disorder; and
2176          (iv) engaging in the conduct of professional intervention, including psychotherapy by
2177     the application of established methods and procedures generally recognized by mental health
2178     therapists.
2179          (c) "Qualified individual" means an individual who:
2180          (i) is experiencing a mental health crisis; and
2181          (ii) calls a local mental health crisis line as defined in Section 26B-5-610 or the
2182     statewide mental health crisis line as defined in Section 26B-5-610.
2183          [(1)] (2) There is created an expendable special revenue fund known as the "Mental
2184     Health Services Donation Fund."
2185          [(2)] (3) (a) The fund shall consist of:
2186          [(a)] (i) gifts, grants, donations, or any other conveyance of money that may be made to
2187     the fund from public or private individuals or entities; and
2188          [(b)] (ii) interest earned on money in the fund.
2189          [(3)] (b) The [division] Office of Substance Use and Mental Health shall administer the
2190     fund in accordance with this section.
2191          (4) The [division] Office of Substance Use and Mental Health shall award fund money
2192     to an entity in the state that provides mental health and substance [abuse] use treatment for the
2193     purpose of:
2194          (a) providing through telehealth or in-person services, mental health therapy to
2195     qualified individuals;

2196          (b) providing access to evaluations and coordination of short-term care to assist a
2197     qualified individual in identifying services or support needs, resources, or benefits for which
2198     the qualified individual may be eligible; and
2199          (c) developing a system for a qualified individual and a qualified individual's family to
2200     access information and referrals for mental health therapy.
2201          (5) Fund money may only be used for the purposes described in Subsection (4).
2202          (6) The [division] Office of Substance Use and Mental Health shall provide an annual
2203     report to the Behavioral Health Crisis Response Commission, created in Section 63C-18-202,
2204     regarding:
2205          (a) the entity that is awarded a grant under Subsection (4);
2206          (b) the number of qualified individuals served by the entity with fund money; and
2207          (c) any costs or benefits as a result of the award of the grant.
2208          Section 52. Section 26B-1-330, which is renumbered from Section 62A-5-206.5 is
2209     renumbered and amended to read:
2210          [62A-5-206.5].      26B-1-330. Utah State Developmental Center Miscellaneous
2211     Donation Fund -- Use.
2212          (1) There is created an expendable special revenue fund known as the "Utah State
2213     Developmental Center Miscellaneous Donation Fund."
2214          (2) The [board] Utah State Developmental Center Board created in Section 26B-1-429
2215     shall deposit donations made to the Utah State Developmental Center under Section
2216     [62A-1-111] 26B-1-202 into the expendable special revenue fund described in Subsection (1).
2217          (3) The state treasurer shall invest the money in the fund described in Subsection (1)
2218     according to the procedures and requirements of Title 51, Chapter 7, State Money Management
2219     Act, and the revenue received from the investment shall remain with the fund described in
2220     Subsection (1).
2221          (4) (a) Except as provided in Subsection (5), the money or revenue in the fund
2222     described in Subsection (1) may not be diverted, appropriated, expended, or committed to be
2223     expended for a purpose that is not listed in this section.
2224          (b) Notwithstanding Section [63J-1-211] 26B-1-202, the Legislature may not
2225     appropriate money or revenue from the fund described in Subsection (1) to eliminate or
2226     otherwise reduce an operating deficit if the money or revenue appropriated from the fund is

2227     expended or committed to be expended for a purpose other than one listed in this section.
2228          (c) The Legislature may not amend the purposes for which money or revenue in the
2229     fund described in Subsection (1) may be expended or committed to be expended except by the
2230     affirmative vote of two-thirds of all the members elected to each house.
2231          (5) (a) The [board] Utah State Developmental Center Board shall approve expenditures
2232     of money and revenue in the fund described in Subsection (1).
2233          (b) The [board] Utah State Developmental Center Board may expend money and
2234     revenue in the fund described in Subsection (1) only:
2235          (i) as designated by the donor; or
2236          (ii) for the benefit of:
2237          (A) residents of the [developmental center] Utah State Developmental Center,
2238     established in accordance with Chapter 6, Part 5, Utah State Developmental Center; or
2239          (B) individuals with disabilities who receive services and support from the Utah State
2240     Developmental Center, as described in Subsection [62A-5-201] 26B-6-502(2)(b).
2241          (c) Money and revenue in the fund described in Subsection (1) may not be used for
2242     items normally paid for by operating revenues or for items related to personnel costs without
2243     specific legislative authorization.
2244          Section 53. Section 26B-1-331, which is renumbered from Section 62A-5-206.7 is
2245     renumbered and amended to read:
2246          [62A-5-206.7].      26B-1-331. Utah State Developmental Center Long-Term
2247     Sustainability Fund -- Fund management.
2248          (1) As used in this section:
2249          (a) "Board" means the Utah State Developmental Center Board created in Section
2250     26B-1-429.
2251          (b) "Division" means the Division of Integrated Healthcare within the department.
2252          (c) "Sustainability fund" means the Utah State Developmental Center Long-Term
2253     Sustainability Fund created in Subsection (2).
2254          (d) "Utah State Developmental Center" means the Utah State Developmental Center
2255     established in accordance with Chapter 6, Part 5, Utah State Developmental Center.
2256          [(1)] (2) There is created a special revenue fund entitled the "Utah State Developmental
2257     Center Long-Term Sustainability Fund."

2258          [(2)] (3) (a) The sustainability fund consists of:
2259          [(a)] (i) revenue generated from the lease, except any lease existing on May 1, 1995, of
2260     land associated with the Utah State Developmental Center;
2261          [(b)] (ii) all proceeds from the sale or other disposition of real property, water rights, or
2262     water shares associated with the Utah State Developmental Center; and
2263          [(c)] (iii) all existing money in the Utah State Developmental Center Land Fund[,
2264     created in Section 62A-5-206.6].
2265          [(3)] (b) The state treasurer shall invest sustainability fund money by following the
2266     procedures and requirements in [Section 62A-5-206.8] Subsection (8).
2267          (4) (a) The board shall ensure that money or revenue deposited into the sustainability
2268     fund is irrevocable and is expended only as provided in Subsection (5).
2269          (b) The Legislature may not amend the purposes in Subsection (5) for which money or
2270     revenue in the fund may be expended or committed to be expended, except by the affirmative
2271     vote of two-thirds of all the members elected to each house.
2272          (5) (a) Money may be expended from the sustainability fund to:
2273          (i) fulfill the functions of the Utah State Developmental Center described in Sections
2274     [62A-5-201 and 62A-5-203] 26B-6-502 and 26B-6-504; and
2275          (ii) assist the division in the division's administration of services and supports
2276     described in Sections [62A-5-102 and 62A-5-103] 26B-6-402 and 26B-6-403.
2277          (b) Money from the sustainability fund may not be expended:
2278          (i) for a purpose other than the purposes described in Subsection (5)(a); or
2279          (ii) to reduce the amount of money that the Legislature appropriates from the General
2280     Fund for the purposes described in Subsection (5)(a).
2281          (6) Money may be expended from the sustainability fund only under the following
2282     conditions:
2283          (a) if the balance of the sustainability fund is at least $5,000,000 at the end of the fiscal
2284     year, the board may expend the earnings generated by the sustainability fund during the fiscal
2285     year for a purpose described in Subsection (5)(a);
2286          (b) if the balance of the sustainability fund is at least $50,000,000 at the end of the
2287     fiscal year, the Legislature may appropriate to the division up to 5% of the balance of the
2288     sustainability fund for a purpose described in Subsection (5)(a); and

2289          (c) the board or the division may not expend any money from the sustainability fund,
2290     except as provided in Subsection (6)(a), without legislative appropriation.
2291          (7) The sustainability fund is revocable only by the affirmative vote of two-thirds of all
2292     the members elected to each house of the Legislature.
2293          (8) (a) The state treasurer shall invest the assets of the sustainability fund with the
2294     primary goal of providing for the stability, income, and growth of the principal.
2295          (b) Nothing in this Subsection (8) requires a specific outcome in investing.
2296          (c) The state treasurer may deduct any administrative costs incurred in managing
2297     sustainability fund assets from earnings before depositing earnings into the sustainability fund.
2298          (d) (i) The state treasurer may employ professional asset managers to assist in the
2299     investment of assets of the sustainability fund.
2300          (ii) The state treasurer may only provide compensation to asset managers from earnings
2301     generated by the sustainability fund's investments.
2302          (e) The state treasurer shall invest and manage the sustainability fund assets as a
2303     prudent investor would under Section 67-19d-302.
2304          Section 54. Section 26B-1-332, which is renumbered from Section 26-35a-106 is
2305     renumbered and amended to read:
2306          [26-35a-106].      26B-1-332. Nursing Care Facilities Provider Assessment
2307     Fund -- Creation -- Administration -- Uses.
2308          (1) There is created an expendable special revenue fund known as the "Nursing Care
2309     Facilities Provider Assessment Fund" consisting of:
2310          (a) the assessments collected by the department under this chapter;
2311          (b) fines paid by nursing care facilities for excessive Medicare inpatient revenue under
2312     Section [26-21-23] 26B-2-222;
2313          (c) money appropriated or otherwise made available by the Legislature;
2314          (d) any interest earned on the fund; and
2315          (e) penalties levied with the administration of this chapter.
2316          (2) Money in the fund shall only be used by the Medicaid program:
2317          (a) to the extent authorized by federal law, to obtain federal financial participation in
2318     the Medicaid program;
2319          (b) to provide the increased level of hospice reimbursement resulting from the nursing

2320     care facilities assessment imposed under Section [26-35a-104] 26B-3-403;
2321          (c) for the Medicaid program to make quality incentive payments to nursing care
2322     facilities , subject to approval of a Medicaid state plan amendment to do so by the Centers for
2323     Medicare and Medicaid Services within the United States Department of Health and Human
2324     Services ;
2325          (d) to increase the rates paid before July 1, 2004, to nursing care facilities for providing
2326     services pursuant to the Medicaid program; and
2327          (e) for administrative expenses, if the administrative expenses for the fiscal year do not
2328     exceed 3% of the money deposited into the fund during the fiscal year.
2329          (3) The department may not spend the money in the fund to replace existing state
2330     expenditures paid to nursing care facilities for providing services under the Medicaid program,
2331     except for increased costs due to hospice reimbursement under Subsection (2)(b).
2332          Section 55. Section 26B-1-333 is enacted to read:
2333          26B-1-333. Children's Hearing Aid Program Restricted Account.
2334          (1) There is created within the General Fund a restricted account known as the
2335     "Children's Hearing Aid Program Restricted Account."
2336          (2) The Children's Hearing Aid Program Restricted Account shall consist of:
2337          (a) amounts appropriated to the account by the Legislature; and
2338          (b) gifts, grants, devises, donations, and bequests of real property, personal property, or
2339     services, from any source, or any other conveyance that may be made to the account from
2340     private sources.
2341          (3) Upon appropriation, all actual and necessary operating expenses for the committee
2342     described in Section 26B-1-433 shall be paid by the restricted account.
2343          (4) Upon appropriation, no more than 9% of the restricted account money may be used
2344     for the department's expenses.
2345          (5) If this account is repealed in accordance with Section 63I-1-226, any remaining
2346     assets in the account shall be deposited into the General Fund.
2347          Section 56. Section 26B-1-401, which is renumbered from Section 26-1-11 is
2348     renumbered and amended to read:
2349     
Part 4. Boards, Commissions, Councils, and Advisory Committees

2350          [26-1-11].      26B-1-401. Executive director -- Power to amend, modify, or

2351     rescind committee rules.
2352          The executive director pursuant to the requirements of the Administrative Rulemaking
2353     Act may amend, modify, or rescind any rule of any committee created under Section
2354     26B-1-204 if the rule creates a clear present hazard or clear potential hazard to the public
2355     health except that the executive director may not act until after discussion with the appropriate
2356     committee.
2357          Section 57. Section 26B-1-402, which is renumbered from Section 26-1-41 is
2358     renumbered and amended to read:
2359          [26-1-41].      26B-1-402. Rare Disease Advisory Council Grant Program --
2360     Creation -- Reporting.
2361          (1) As used in this section:
2362          (a) "Council" means the Rare Disease Advisory Council described in Subsection (3).
2363          (b) "Grantee" means the recipient of a grant under this section to operate the program.
2364          (c) "Rare disease" means a disease that affects fewer than 200,000 individuals in the
2365     United States.
2366          (2) (a) Within legislative appropriations, the department shall issue a request for
2367     proposals for a grant to administer the provisions of this section.
2368          (b) The department may issue a grant under this section if the grantee agrees to:
2369          (i) convene the council in accordance with Subsection (3);
2370          (ii) provide staff and other administrative support to the council; and
2371          (iii) in coordination with the department, report to the Legislature in accordance with
2372     Subsection (4).
2373          (3) The Rare Disease Advisory Council convened by the grantee shall:
2374          (a) advise the Legislature and state agencies on providing services and care to
2375     individuals with a rare disease;
2376          (b) make recommendations to the Legislature and state agencies on improving access
2377     to treatment and services provided to individuals with a rare disease;
2378          (c) identify best practices to improve the care and treatment of individuals in the state
2379     with a rare disease;
2380          (d) meet at least two times in each calendar year; and
2381          (e) be composed of members identified by the department, including at least the

2382     following individuals:
2383          (i) a representative from the department;
2384          (ii) researchers and physicians who specialize in rare diseases, including at least one
2385     representative from the University of Utah;
2386          (iii) two individuals who have a rare disease or are the parent or caregiver of an
2387     individual with a rare disease; and
2388          (iv) two representatives from one or more rare disease patient organizations that
2389     operate in the state.
2390          (4) Before November 30, 2021, and before November 30 of every odd-numbered year
2391     thereafter, the department shall report to the Health and Human Services Interim Committee
2392     on:
2393          (a) the activities of the grantee and the council; and
2394          (b) recommendations and best practices regarding the ongoing needs of individuals in
2395     the state with a rare disease.
2396          Section 58. Section 26B-1-403, which is renumbered from Section 26-7-13 is
2397     renumbered and amended to read:
2398          [26-7-13].      26B-1-403. Opioid and Overdose Fatality Review Committee.
2399          (1) As used in this section:
2400          (a) "Committee" means the Opioid and Overdose Fatality Review Committee created
2401     in this section.
2402          (b) "Opioid overdose death" means a death primarily caused by opioids or another
2403     substance that closely resembles an opioid.
2404          (2) The department shall establish the Opioid and Overdose Fatality Review
2405     Committee.
2406          (3) (a) The committee shall consist of:
2407          (i) the attorney general, or the attorney general's designee;
2408          (ii) a state, county, or municipal law enforcement officer;
2409          (iii) the manager of the department's Violence Injury Prevention Program, or the
2410     manager's designee;
2411          (iv) an emergency medical services provider;
2412          (v) a representative from the Office of the Medical Examiner;

2413          (vi) a representative from the [Division] Office of Substance [Abuse] Use and Mental
2414     Health;
2415          (vii) a representative from the Office of Vital Records;
2416          (viii) a representative from the Office of Health Care Statistics;
2417          (ix) a representative from the Division of Professional Licensing;
2418          (x) a healthcare professional who specializes in the prevention, diagnosis, and
2419     treatment of substance use disorders;
2420          (xi) a representative from a state or local jail or detention center;
2421          (xii) a representative from the Department of Corrections;
2422          (xiii) a representative from the Division of Juvenile Justice and Youth Services;
2423          (xiv) a representative from the Department of Public Safety;
2424          (xv) a representative from the Commission on Criminal and Juvenile Justice;
2425          (xvi) a physician from a Utah-based medical center; and
2426          (xvii) a physician from a nonprofit vertically integrated health care organization.
2427          (b) The president of the Senate may appoint one member of the Senate, and the speaker
2428     of the House of Representatives may appoint one member of the House of Representatives, to
2429     serve on the committee.
2430          (4) The executive director [of the department] shall appoint a committee coordinator.
2431          (5) (a) The department shall give the committee access to all reports, records, and other
2432     documents that are relevant to the committee's responsibilities under Subsection (6) including
2433     reports, records, or documents that are private, controlled, or protected under Title 63G,
2434     Chapter 2, Government Records Access and Management Act.
2435          (b) In accordance with Subsection 63G-2-206(6), the committee is subject to the same
2436     restrictions on disclosure of a report, record, or other document received under Subsection
2437     (5)(a) as the department.
2438          (6) The committee shall:
2439          (a) conduct a multidisciplinary review of available information regarding a decedent of
2440     an opioid overdose death, which shall include:
2441          (i) consideration of the decedent's points of contact with health care systems, social
2442     services systems, criminal justice systems, and other systems; and
2443          (ii) identification of specific factors that put the decedent at risk for opioid overdose;

2444          (b) promote cooperation and coordination among government entities involved in
2445     opioid misuse, abuse, or overdose prevention;
2446          (c) develop an understanding of the causes and incidence of opioid overdose deaths in
2447     the state;
2448          (d) make recommendations for changes to law or policy that may prevent opioid
2449     overdose deaths;
2450          (e) inform public health and public safety entities of emerging trends in opioid
2451     overdose deaths;
2452          (f) monitor overdose trends on non-opioid overdose deaths; and
2453          (g) review non-opioid overdose deaths in the manner described in Subsection (6)(a),
2454     when the committee determines that there are a substantial number of overdose deaths in the
2455     state caused by the use of a non-opioid.
2456          (7) A committee may interview or request information from a staff member, a
2457     provider, or any other person who may have knowledge or expertise that is relevant to the
2458     review of an opioid overdose death.
2459          (8) A majority vote of committee members present constitutes the action of the
2460     committee.
2461          (9) The committee may meet up to eight times each year.
2462          (10) When an individual case is discussed in a committee meeting under Subsection
2463     (6)(a), (6)(g), or (7), the committee shall close the meeting in accordance with Sections
2464     52-4-204 through 52-4-206.
2465          Section 59. Section 26B-1-404, which is renumbered from Section 26-8a-103 is
2466     renumbered and amended to read:
2467          [26-8a-103].      26B-1-404. State Emergency Medical Services Committee --
2468     Membership -- Expenses.
2469          (1) The State Emergency Medical Services Committee created by Section 26B-1-204
2470     shall be composed of the following 19 members appointed by the governor, at least six of
2471     whom shall reside in a county of the third, fourth, fifth, or sixth class:
2472          (a) five physicians licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
2473     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act, as follows:
2474          (i) one surgeon who actively provides trauma care at a hospital;

2475          (ii) one rural physician involved in emergency medical care;
2476          (iii) two physicians who practice in the emergency department of a general acute
2477     hospital; and
2478          (iv) one pediatrician who practices in the emergency department or critical care unit of
2479     a general acute hospital or a children's specialty hospital;
2480          (b) two representatives from private ambulance providers as defined in Section
2481     26B-4-101;
2482          (c) one representative from an ambulance provider as defined in Section 26B-4-101
2483     that is neither privately owned nor operated by a fire department;
2484          (d) two chief officers from fire agencies operated by the following classes of licensed
2485     or designated emergency medical services providers[: municipality, county, and fire district],
2486     provided that no class of medical services providers may have more than one representative
2487     under this Subsection (1)(d)[;]:
2488          (i) a municipality;
2489          (ii) a county; and
2490          (iii) a fire district;
2491          (e) one director of a law enforcement agency that provides emergency medical
2492     services;
2493          (f) one hospital administrator;
2494          (g) one emergency care nurse;
2495          (h) one paramedic in active field practice;
2496          (i) one emergency medical technician in active field practice;
2497          (j) one certified emergency medical dispatcher affiliated with an emergency medical
2498     dispatch center;
2499          (k) one licensed mental health professional with experience as a first responder;
2500          (l) one licensed behavioral emergency services technician; and
2501          (m) one consumer.
2502          (2) (a) Except as provided in Subsection (2)(b), members shall be appointed to a
2503     four-year term beginning July 1.
2504          (b) Notwithstanding Subsection (2)(a), the governor:
2505          (i) shall, at the time of appointment or reappointment, adjust the length of terms to

2506     ensure that the terms of committee members are staggered so that approximately half of the
2507     committee is appointed every two years;
2508          (ii) may not reappoint a member for more than two consecutive terms; and
2509          (iii) shall:
2510          (A) initially appoint the second member under Subsection (1)(b) from a different
2511     private provider than the private provider currently serving under Subsection (1)(b); and
2512          (B) thereafter stagger each replacement of a member in Subsection (1)(b) so that the
2513     member positions under Subsection (1)(b) are not held by representatives of the same private
2514     provider.
2515          (c) When a vacancy occurs in the membership for any reason, the replacement shall be
2516     appointed by the governor for the unexpired term.
2517          (3) (a) (i) Each January, the committee shall organize and select one of the committee's
2518     members as chair and one member as vice chair.
2519          (ii) The committee may organize standing or ad hoc subcommittees, which shall
2520     operate in accordance with guidelines established by the committee.
2521          (b) (i) The chair shall convene a minimum of four meetings per year.
2522          (ii) The chair may call special meetings.
2523          (iii) The chair shall call a meeting upon request of five or more members of the
2524     committee.
2525          (c) (i) Nine members of the committee constitute a quorum for the transaction of
2526     business.
2527          (ii) The action of a majority of the members present is the action of the committee.
2528          (4) A member may not receive compensation or benefits for the member's service, but
2529     may receive per diem and travel expenses in accordance with:
2530          (a) Section 63A-3-106;
2531          (b) Section 63A-3-107; and
2532          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
2533     63A-3-107.
2534          (5) Administrative services for the committee shall be provided by the department.
2535          (6) The committee shall adopt rules, with the concurrence of the department, in
2536     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that:

2537          (a) establish licensure, certification, and reciprocity requirements under Section
2538     26B-4-116;
2539          (b) establish designation requirements under Section 26B-4-117;
2540          (c) promote the development of a statewide emergency medical services system under
2541     Section 26B-4-106;
2542          (d) establish insurance requirements for ambulance providers;
2543          (e) provide guidelines for requiring patient data under Section 26B-4-106;
2544          (f) establish criteria for awarding grants under Section 26B-4-107;
2545          (g) establish requirements for the coordination of emergency medical services and the
2546     medical supervision of emergency medical service providers under Section 26B-4-120;
2547          (h) select appropriate vendors to establish certification requirements for emergency
2548     medical dispatchers;
2549          (i) establish the minimum level of service for 911 ambulance services provided under
2550     Section 11-48-103; and
2551          (j) are necessary to carry out the responsibilities of the committee as specified in other
2552     sections of this part.
2553          Section 60. Section 26B-1-405, which is renumbered from Section 26-8a-107 is
2554     renumbered and amended to read:
2555          [26-8a-107].      26B-1-405. Air Ambulance Committee -- Membership --
2556     Duties.
2557          (1) The Air Ambulance Committee created by Section 26B-1-204 shall be composed of
2558     the following members:
2559          (a) the state emergency medical services medical director;
2560          (b) one physician who:
2561          (i) is licensed under:
2562          (A) Title 58, Chapter 67, Utah Medical Practice Act;
2563          (B) Title 58, Chapter 67b, Interstate Medical Licensure Compact; or
2564          (C) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
2565          (ii) actively provides trauma or emergency care at a Utah hospital; and
2566          (iii) has experience and is actively involved in state and national air medical transport
2567     issues;

2568          (c) one member from each level 1 and level 2 trauma center in the state of Utah,
2569     selected by the trauma center the member represents;
2570          (d) one registered nurse who:
2571          (i) is licensed under Title 58, Chapter 31b, Nurse Practice Act; and
2572          (ii) currently works as a flight nurse for an air medical transport provider in the state
2573     [of Utah];
2574          (e) one paramedic who:
2575          (i) is licensed under [this chapter] Chapter 4, Part 1, Utah Emergency Medical Services
2576     System; and
2577          (ii) currently works for an air medical transport provider in the state [of Utah]; and
2578          (f) two members, each from a different for-profit air medical transport company
2579     operating in the state [of Utah].
2580          (2) The state emergency medical services medical director shall appoint the physician
2581     member under Subsection (1)(b), and the physician shall serve as the chair of the Air
2582     Ambulance Committee.
2583          (3) The chair of the Air Ambulance Committee shall:
2584          (a) appoint the Air Ambulance Committee members under Subsections (1)(c) through
2585     (f);
2586          (b) designate the member of the Air Ambulance Committee to serve as the vice chair
2587     of the committee; and
2588          (c) set the agenda for Air Ambulance Committee meetings.
2589          (4) (a) Except as provided in Subsection (4)(b), members shall be appointed to a
2590     two-year term.
2591          (b) Notwithstanding Subsection (4)(a), the Air Ambulance Committee chair shall, at
2592     the time of appointment or reappointment, adjust the length of the terms of committee
2593     members to ensure that the terms of the committee members are staggered so that
2594     approximately half of the committee is reappointed every two years.
2595          (5) (a) A majority of the members of the Air Ambulance Committee constitutes a
2596     quorum.
2597          (b) The action of a majority of a quorum constitutes the action of the Air Ambulance
2598     Committee.

2599          (6) The Air Ambulance Committee shall, before November 30, 2019, and before
2600     November 30 of every odd-numbered year thereafter, provide recommendations to the Health
2601     and Human Services Interim Committee regarding the development of state standards and
2602     requirements related to:
2603          (a) air medical transport provider licensure and accreditation;
2604          (b) air medical transport medical personnel qualifications and training; and
2605          (c) other standards and requirements to ensure patients receive appropriate and
2606     high-quality medical attention and care by air medical transport providers operating in the state
2607     of Utah.
2608          (7) (a) The committee shall prepare an annual report, using any data available to the
2609     department and in consultation with the Insurance Department, that includes the following
2610     information for each air medical transport provider that operates in the state:
2611          (i) which health insurers in the state the air medical transport provider contracts with;
2612          (ii) if sufficient data is available to the committee, the average charge for air medical
2613     transport services for a patient who is uninsured or out of network; and
2614          (iii) whether the air medical transport provider balance bills a patient for any charge
2615     not paid by the patient's health insurer.
2616          (b) When calculating the average charge under Subsection (7)(a)(ii), the committee
2617     shall distinguish between:
2618          (i) a rotary wing provider and a fixed wing provider; and
2619          (ii) any other differences between air medical transport service providers that may
2620     substantially affect the cost of the air medical transport service, as determined by the
2621     committee.
2622          (c) The department shall:
2623          (i) post the committee's findings under Subsection (7)(a) on the department's website;
2624     and
2625          (ii) send the committee's findings under Subsection (7)(a) to each emergency medical
2626     service provider, health care facility, and other entity that has regular contact with patients in
2627     need of air medical transport provider services.
2628          (8) [An] A member of the Air Ambulance Committee [member] may not receive
2629     compensation, benefits, per diem, or travel expenses for the member's service on the

2630     committee.
2631          (9) The Office of the Attorney General shall provide staff support to the Air
2632     Ambulance Committee.
2633          (10) The Air Ambulance Committee shall report to the Health and Human Services
2634     Interim Committee before November 30, 2023, regarding the sunset of this section in
2635     accordance with Section 63I-2-226.
2636          Section 61. Section 26B-1-406, which is renumbered from Section 26-8a-251 is
2637     renumbered and amended to read:
2638          [26-8a-251].      26B-1-406. Trauma System Advisory Committee.
2639          (1) There is created within the department the [trauma system advisory committee]
2640     Trauma System Advisory Committee.
2641          (2) (a) The committee shall be comprised of individuals knowledgeable in adult or
2642     pediatric trauma care, including physicians, physician assistants, nurses, hospital
2643     administrators, emergency medical services personnel, government officials, consumers, and
2644     persons affiliated with professional health care associations.
2645          (b) Representation on the committee shall be broad and balanced among the health care
2646     delivery systems in the state with no more than three representatives coming from any single
2647     delivery system.
2648          (3) The committee shall:
2649          (a) advise the department regarding trauma system needs throughout the state;
2650          (b) assist the department in evaluating the quality and outcomes of the overall trauma
2651     system;
2652          (c) review and comment on proposals and rules governing the statewide trauma
2653     system; and
2654          (d) make recommendations for the development of statewide triage, treatment,
2655     transportation, and transfer guidelines.
2656          (4) The department shall:
2657          (a) determine, by rule, the term and causes for removal of committee members;
2658          (b) establish committee procedures and administration policies consistent with this
2659     chapter and department rule; and
2660          (c) provide administrative support to the committee.

2661          Section 62. Section 26B-1-407, which is renumbered from Section 26-8d-104 is
2662     renumbered and amended to read:
2663          [26-8d-104].      26B-1-407. Stroke registry advisory committee.
2664          (1) There is created within the department a stroke registry advisory committee.
2665          (2) The stroke registry advisory committee created in Subsection (1) shall:
2666          (a) be composed of individuals knowledgeable in adult and pediatric stroke care,
2667     including physicians, physician assistants, nurses, hospital administrators, emergency medical
2668     services personnel, government officials, consumers, and persons affiliated with professional
2669     health care associations;
2670          (b) advise the department regarding the development and implementation of the stroke
2671     registry created in Section 26B-7-225;
2672          (c) assist the department in evaluating the quality and outcomes of the stroke registry
2673     created in Section 26B-7-225; and
2674          (d) review and comment on proposals and rules governing the statewide stroke registry
2675     created in Section 26B-7-225.
2676          Section 63. Section 26B-1-408, which is renumbered from Section 26-8d-105 is
2677     renumbered and amended to read:
2678          [26-8d-105].      26B-1-408. Cardiac registry advisory committee.
2679          (1) There is created within the department a cardiac registry advisory committee.
2680          (2) The cardiac registry advisory committee created in Subsection (1) shall:
2681          (a) be composed of individuals knowledgeable in adult and pediatric cardiac care,
2682     including physicians, physician assistants, nurses, hospital administrators, emergency medical
2683     services personnel, government officials, consumers, and persons affiliated with professional
2684     health care associations;
2685          (b) advise the department regarding the development and implementation of the
2686     cardiac registry created in Section 26B-7-226;
2687          (c) assist the department in evaluating the quality and outcomes of the cardiac registry
2688     created in Section 26B-7-226; and
2689          (d) review and comment on proposals and rules governing the statewide cardiac
2690     registry created in Section 26B-7-226.
2691          Section 64. Section 26B-1-409, which is renumbered from Section 26-9f-103 is

2692     renumbered and amended to read:
2693          [26-9f-103].      26B-1-409. Utah Digital Health Service Commission -- Creation --
2694     Membership -- Duties.
2695          (1) As used in this section:
2696          (a) "Commission" means the Utah Digital Health Service Commission created in this
2697     section.
2698          (b) "Digital health service" means the electronic transfer, exchange, or management of
2699     related data for diagnosis, treatment, consultation, educational, public health, or other related
2700     purposes.
2701          [(1)] (2) There is created within the department the Utah Digital Health Service
2702     Commission.
2703          [(2)] (3) The governor shall appoint 13 members to the commission with the advice
2704     and consent of the Senate, as follows:
2705          (a) a physician who is involved in digital health service;
2706          (b) a representative of a health care system or a licensed health care facility as [that
2707     term is] defined in Section [26-21-2] 26B-2-201;
2708          (c) a representative of rural Utah, which may be a person nominated by an advisory
2709     committee on rural health issues;
2710          (d) a member of the public who is not involved with digital health service;
2711          (e) a nurse who is involved in digital health service; and
2712          (f) eight members who fall into one or more of the following categories:
2713          (i) individuals who use digital health service in a public or private institution;
2714          (ii) individuals who use digital health service in serving medically underserved
2715     populations;
2716          (iii) nonphysician health care providers involved in digital health service;
2717          (iv) information technology professionals involved in digital health service;
2718          (v) representatives of the health insurance industry;
2719          (vi) telehealth digital health service consumer advocates; and
2720          (vii) individuals who use digital health service in serving mental or behavioral health
2721     populations.
2722          [(3)] (4) (a) The commission shall annually elect a chairperson from its membership.

2723     The chairperson shall report to the executive director of the department.
2724          (b) The commission shall hold meetings at least once every three months. Meetings
2725     may be held from time to time on the call of the chair or a majority of the board members.
2726          (c) Seven commission members are necessary to constitute a quorum at any meeting
2727     and, if a quorum exists, the action of a majority of members present shall be the action of the
2728     commission.
2729          [(4)] (5) (a) Except as provided in Subsection [(4)] (5)(b), a commission member shall
2730     be appointed for a three-year term and eligible for two reappointments.
2731          (b) Notwithstanding Subsection [(4)] (5)(a), the governor shall, at the time of
2732     appointment or reappointment, adjust the length of terms to ensure that the terms of
2733     commission members are staggered so that approximately 1/3 of the commission is appointed
2734     each year.
2735          (c) A commission member shall continue in office until the expiration of the member's
2736     term and until a successor is appointed, which may not exceed 90 days after the formal
2737     expiration of the term.
2738          (d) Notwithstanding Subsection [(4)] (5)(c), a commission member who fails to attend
2739     75% of the scheduled meetings in a calendar year shall be disqualified from serving.
2740          (e) When a vacancy occurs in membership for any reason, the replacement shall be
2741     appointed for the unexpired term.
2742          [(5)] (6) A member may not receive compensation or benefits for the member's service,
2743     but, at the executive director's discretion, may receive per diem and travel expenses in
2744     accordance with:
2745          (a) Section 63A-3-106;
2746          (b) Section 63A-3-107; and
2747          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
2748     63A-3-107.
2749          [(6)] (7) The department shall provide informatics staff support to the commission.
2750          [(7)] (8) The funding of the commission shall be a separate line item to the department
2751     in the annual appropriations act.
2752          (9) The commission shall:
2753          (a) advise and make recommendations on digital health service issues to the

2754     department and other state entities;
2755          (b) advise and make recommendations on digital health service related patient privacy
2756     and information security to the department;
2757          (c) promote collaborative efforts to establish technical compatibility, uniform policies,
2758     privacy features, and information security to meet legal, financial, commercial, and other
2759     societal requirements;
2760          (d) identify, address, and seek to resolve the legal, ethical, regulatory, financial,
2761     medical, and technological issues that may serve as barriers to digital health service;
2762          (e) explore and encourage the development of digital health service systems as a means
2763     of reducing health care costs and increasing health care quality and access, with emphasis on
2764     assisting rural health care providers and special populations with access to or development of
2765     electronic medical records;
2766          (f) seek public input on digital health service issues; and
2767          (g) in consultation with the department, advise the governor and Legislature on:
2768          (i) the role of digital health service in the state;
2769          (ii) the policy issues related to digital health service;
2770          (iii) the changing digital health service needs and resources in the state; and
2771          (iv) state budgetary matters related to digital health service.
2772          Section 65. Section 26B-1-410, which is renumbered from Section 26-10b-106 is
2773     renumbered and amended to read:
2774          [26-10b-106].      26B-1-410. Primary Care Grant Committee.
2775          (1) As used in this section:
2776          (a) "Committee" means the Primary Care Grant Committee created in Subsection (2).
2777          (b) "Program" means the Primary Care Grant Program described in Sections
2778     26B-4-310 and 26B-4-313.
2779          (2) There is created the Primary Care Grant Committee.
2780          [(1)] (3) The committee shall:
2781          (a) review grant applications forwarded to the committee by the department under
2782     Subsection [26-10b-104] 26B-4-312(1);
2783          (b) recommend, to the executive director, grant applications to award under Subsection
2784     [26-10b-102] 26B-4-310(1);

2785          (c) evaluate:
2786          (i) the need for primary health care as defined in Section 26B-4-301 in different areas
2787     of the state;
2788          (ii) how the program is addressing those needs; and
2789          (iii) the overall effectiveness and efficiency of the program;
2790          (d) review annual reports from primary care grant recipients;
2791          (e) meet as necessary to carry out its duties, or upon a call by the committee chair or by
2792     a majority of committee members; and
2793          (f) make rules, with the concurrence of the department, in accordance with Title 63G,
2794     Chapter 3, Utah Administrative Rulemaking Act, that govern the committee, including the
2795     committee's grant selection criteria.
2796          [(2)] (4) The committee shall consist of:
2797          (a) as chair, the executive director or an individual designated by the executive
2798     director; and
2799          (b) six members appointed by the governor to serve up to two consecutive, two-year
2800     terms of office, including:
2801          (i) four licensed health care professionals; and
2802          (ii) two community advocates who are familiar with a medically underserved
2803     population as defined in Section 26B-4-301 and with health care systems, where at least one is
2804     familiar with a rural medically underserved population.
2805          [(3)] (5) The executive director may remove a committee member:
2806          (a) if the member is unable or unwilling to carry out the member's assigned
2807     responsibilities; or
2808          (b) for a rational reason.
2809          [(4)] (6) A committee member may not receive compensation or benefits for the
2810     member's service, except a committee member who is not an employee of the department may
2811      receive per diem and travel expenses in accordance with:
2812          (a) Section 63A-3-106;
2813          (b) Section 63A-3-107; and
2814          (c) rules made by the Division of Finance in accordance with Sections 63A-3-106 and
2815     63A-3-107.

2816          Section 66. Section 26B-1-411, which is renumbered from Section 26-18a-2 is
2817     renumbered and amended to read:
2818          [26-18a-2].      26B-1-411. Creation and membership of Kurt Oscarson Children's
2819     Organ Transplant Coordinating Committee -- Expenses -- Purposes.
2820          (1) There is created the Kurt Oscarson Children's Organ Transplant Coordinating
2821     Committee.
2822          (2) The committee shall have five members representing the following:
2823          (a) the executive director [of the Department of Health or his] the executive director's
2824     designee;
2825          (b) two representatives from public or private agencies and organizations concerned
2826     with providing support and financial assistance to the children and families of children who
2827     need organ transplants; and
2828          (c) two individuals who have had organ transplants, have children who have had organ
2829     transplants, who work with families or children who have had or are awaiting organ
2830     transplants, or community leaders or volunteers who have demonstrated an interest in working
2831     with families or children in need of organ transplants.
2832          (3) (a) The governor shall appoint the committee members and designate the chair
2833     from among the committee members.
2834          (b) (i) Except as required by Subsection (3)(b)(ii), each member shall serve a four-year
2835     term.
2836          (ii) Notwithstanding the requirements of Subsection (3)(b)(i), the governor shall, at the
2837     time of appointment or reappointment, adjust the length of terms to ensure that the terms of the
2838     committee members are staggered so that approximately half of the committee is appointed
2839     every two years.
2840          (4) A member may not receive compensation or benefits for the member's service, but,
2841     at the executive director's discretion, may receive per diem and travel expenses in accordance
2842     with:
2843          (a) Section 63A-3-106;
2844          (b) Section 63A-3-107; and
2845          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
2846     63A-3-107.

2847          (5) The [Department of Health] department shall provide support staff for the
2848     committee.
2849          (6) The committee shall work to:
2850          (a) provide financial assistance for initial medical expenses of children who need organ
2851     transplants;
2852          (b) obtain the assistance of volunteer and public service organizations; and
2853          (c) fund activities as the committee designates for the purpose of educating the public
2854     about the need for organ donors.
2855          (7) (a) The committee is responsible for awarding financial assistance funded by the
2856     Kurt Oscarson Children's Organ Transplant Account created in Section 26B-1-311.
2857          (b) The financial assistance awarded by the committee under Subsection (6)(a) shall be
2858     in the form of interest free loans. The committee may establish terms for repayment of the
2859     loans, including a waiver of the requirement to repay any awards if, in the committee's
2860     judgment, repayment of the loan would impose an undue financial burden on the recipient.
2861          (c) In making financial awards under Subsection (6)(a), the committee shall consider:
2862          (i) need;
2863          (ii) coordination with or enhancement of existing services or financial assistance,
2864     including availability of insurance or other state aid;
2865          (iii) the success rate of the particular organ transplant procedure needed by the child;
2866     and
2867          (iv) the extent of the threat to the child's life without the organ transplant.
2868          (d) The committee may only provide the assistance described in this section to children
2869     who have resided in Utah, or whose legal guardians have resided in Utah for at least six months
2870     prior to the date of assistance under this section.
2871          (8) (a) The committee may expend up to 5% of the committee's annual appropriation
2872     for administrative costs associated with the allocation of funds from the Kurt Oscarson
2873     Children's Organ Transplant Account created in Section 26B-1-311.
2874          (b) The administrative costs shall be used for the costs associated with staffing the
2875     committee and for State Tax Commission costs in implementing Section 59-10-1308.
2876          Section 67. Section 26B-1-412, which is renumbered from Section 26-21-3 is
2877     renumbered and amended to read:

2878          [26-21-3].      26B-1-412. Health Facility Committee -- Members -- Terms --
2879     Organization -- Meetings.
2880          (1) The definitions in Section 26B-2-201 apply to this section.
2881          [(1)] (2) (a) The [committee] Health Facility Committee shall consist of 12 members
2882     appointed by the governor in consultation with the executive director.
2883          (b) The appointed members shall be knowledgeable about health care facilities and
2884     issues.
2885          [(2)] (3) The membership of the committee is:
2886          (a) one physician, licensed to practice medicine and surgery under Title 58, Chapter 67,
2887     Utah Medical Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act,
2888     who is a graduate of a regularly chartered medical school;
2889          (b) one hospital administrator;
2890          (c) one hospital trustee;
2891          (d) one representative of a freestanding ambulatory surgical facility;
2892          (e) one representative of an ambulatory surgical facility that is affiliated with a
2893     hospital;
2894          (f) one representative of the nursing care facility industry;
2895          (g) one registered nurse, licensed to practice under Title 58, Chapter 31b, Nurse
2896     Practice Act;
2897          (h) one licensed architect or engineer with expertise in health care facilities;
2898          (i) one representative of assisted living facilities licensed under this chapter;
2899          (j) two consumers, one of whom has an interest in or expertise in geriatric care; and
2900          (k) one representative from either a home health care provider or a hospice provider.
2901          [(3)] (4) (a) Except as required by Subsection [(3)] (4)(b), members shall be appointed
2902     for a term of four years.
2903          (b) Notwithstanding the requirements of Subsection [(3)] (4)(a), the governor shall, at
2904     the time of appointment or reappointment, adjust the length of terms to ensure that the terms of
2905     committee members are staggered so that approximately half of the committee is appointed
2906     every two years.
2907          (c) When a vacancy occurs in the membership for any reason, the replacement shall be
2908     appointed for the unexpired term by the governor, giving consideration to recommendations

2909     made by the committee, with the consent of the Senate.
2910          (d) (i) A member may not serve more than two consecutive full terms or 10
2911     consecutive years, whichever is less. [However,]
2912          (ii) Notwithstanding Subsection (4)(d)(i), a member may continue to serve as a
2913     member until the member is replaced.
2914          (e) The committee shall annually elect from [its] the committee's membership a chair
2915     and vice chair.
2916          (f) The committee shall meet at least quarterly, or more frequently as determined by the
2917     chair or five members of the committee.
2918          (g) Six members constitute a quorum.
2919          (h) A vote of the majority of the members present constitutes action of the committee.
2920          (5) The committee shall:
2921          (a) with the concurrence of the department, make rules in accordance with Title 63G,
2922     Chapter 3, Utah Administrative Rulemaking Act:
2923          (i) for the licensing of health-care facilities; and
2924          (ii) requiring the submission of architectural plans and specifications for any proposed
2925     new health-care facility or renovation to the department for review;
2926          (b) approve the information for applications for licensure pursuant to Section 26-21-9;
2927          (c) advise the department as requested concerning the interpretation and enforcement
2928     of the rules established under this chapter; and
2929          (d) advise, consult, cooperate with, and provide technical assistance to other agencies
2930     of the state and federal government, and other states and affected groups or persons in carrying
2931     out the purposes of this chapter.
2932          (6) A member may not receive compensation or benefits for the member's service, but
2933     may receive per diem and travel expenses in accordance with:
2934          (a) Section 63A-3-106;
2935          (b) Section 63A-3-107; and
2936          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
2937     63A-3-107.
2938          Section 68. Section 26B-1-413, which is renumbered from Section 26-33a-104 is
2939     renumbered and amended to read:

2940          [26-33a-104].      26B-1-413. Health Data Committee -- Purpose, powers, and
2941     duties of the committee -- Membership -- Terms -- Chair -- Compensation.
2942          (1) The definitions in Section 26B-8-501 apply to this section.
2943          [(1)] (2) (a) There is created within the department the Health Data Committee.
2944          (b) The purpose of the committee is to direct a statewide effort to collect, analyze, and
2945     distribute health care data to facilitate the promotion and accessibility of quality and
2946     cost-effective health care and also to facilitate interaction among those with concern for health
2947     care issues.
2948          [(2)] (3) The committee shall:
2949          (a) with the concurrence of the department and in accordance with Title 63G, Chapter
2950     3, Utah Administrative Rulemaking Act, develop and adopt by rule, following public hearing
2951     and comment, a health data plan that shall among its elements:
2952          (i) identify the key health care issues, questions, and problems amenable to resolution
2953     or improvement through better data, more extensive or careful analysis, or improved
2954     dissemination of health data;
2955          (ii) document existing health data activities in the state to collect, organize, or make
2956     available types of data pertinent to the needs identified in Subsection [(2)] (3)(a)(i);
2957          (iii) describe and prioritize the actions suitable for the committee to take in response to
2958     the needs identified in Subsection [(2)] (3)(a)(i) in order to obtain or to facilitate the obtaining
2959     of needed data, and to encourage improvements in existing data collection, interpretation, and
2960     reporting activities, and indicate how those actions relate to the activities identified under
2961     Subsection [(2)] (3)(a)(ii);
2962          (iv) detail the types of data needed for the committee's work, the intended data
2963     suppliers, and the form in which such data are to be supplied, noting the consideration given to
2964     the potential alternative sources and forms of such data and to the estimated cost to the
2965     individual suppliers as well as to the department of acquiring these data in the proposed
2966     manner; the plan shall reasonably demonstrate that the committee has attempted to maximize
2967     cost-effectiveness in the data acquisition approaches selected;
2968          (v) describe the types and methods of validation to be performed to assure data validity
2969     and reliability;
2970          (vi) explain the intended uses of and expected benefits to be derived from the data

2971     specified in Subsection [(2)] (3)(a)(iv), including the contemplated tabulation formats and
2972     analysis methods; the benefits described shall demonstrably relate to one or more of the
2973     following:
2974          (A) promoting quality health care;
2975          (B) managing health care costs; or
2976          (C) improving access to health care services;
2977          (vii) describe the expected processes for interpretation and analysis of the data flowing
2978     to the committee; noting specifically the types of expertise and participation to be sought in
2979     those processes; and
2980          (viii) describe the types of reports to be made available by the committee and the
2981     intended audiences and uses;
2982          (b) have the authority to collect, validate, analyze, and present health data in
2983     accordance with the plan while protecting individual privacy through the use of a control
2984     number as the health data identifier;
2985          (c) evaluate existing identification coding methods and, if necessary, require by rule
2986     adopted in accordance with Subsection [(3)] (4), that health data suppliers use a uniform
2987     system for identification of patients, health care facilities, and health care providers on health
2988     data they submit under this [chapter] section and Chapter 8, Part 5, Utah Health Data
2989     Authority; and
2990          (d) advise, consult, contract, and cooperate with any corporation, association, or other
2991     entity for the collection, analysis, processing, or reporting of health data identified by control
2992     number only in accordance with the plan.
2993          [(3)] (4) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
2994     Act, the committee , with the concurrence of the department, may adopt rules to carry out the
2995     provisions of this [chapter] section and Chapter 8, Part 5, Utah Health Data Authority.
2996          [(4)] (5) (a) Except for data collection, analysis, and validation functions described in
2997     this section, nothing in this [chapter] section or in Chapter 8, Part 5, Utah Health Data
2998     Authority, shall be construed to authorize or permit the committee to perform regulatory
2999     functions which are delegated by law to other agencies of the state or federal governments or to
3000     perform quality assurance or medical record audit functions that health care facilities, health
3001     care providers, or third party payors are required to conduct to comply with federal or state law.

3002          (b) The committee may not recommend or determine whether a health care provider,
3003     health care facility, third party payor, or self-funded employer is in compliance with federal or
3004     state laws including federal or state licensure, insurance, reimbursement, tax, malpractice, or
3005     quality assurance statutes or common law.
3006          [(5)] (6) (a) Nothing in this [chapter] section or in Chapter 8, Part 5, Utah Health Data
3007     Authority, shall be construed to require a data supplier to supply health data identifying a
3008     patient by name or describing detail on a patient beyond that needed to achieve the approved
3009     purposes included in the plan.
3010          [(6)] (7) No request for health data shall be made of health care providers and other
3011     data suppliers until a plan for the use of such health data has been adopted.
3012          [(7)] (8) (a) If a proposed request for health data imposes unreasonable costs on a data
3013     supplier, due consideration shall be given by the committee to altering the request.
3014          (b) If the request is not altered, the committee shall pay the costs incurred by the data
3015     supplier associated with satisfying the request that are demonstrated by the data supplier to be
3016     unreasonable.
3017          [(8)] (9) After a plan is adopted as provided in Section [26-33a-106.1] 26B-8-504, the
3018     committee may require any data supplier to submit fee schedules, maximum allowable costs,
3019     area prevailing costs, terms of contracts, discounts, fixed reimbursement arrangements,
3020     capitations, or other specific arrangements for reimbursement to a health care provider.
3021          [(9)] (10) (a) The committee may not publish any health data collected under
3022     Subsection [(8)] (9) that would disclose specific terms of contracts, discounts, or fixed
3023     reimbursement arrangements, or other specific reimbursement arrangements between an
3024     individual provider and a specific payer.
3025          [(10)] (b) Nothing in Subsection [(8)] (9) shall prevent the committee from requiring
3026     the submission of health data on the reimbursements actually made to health care providers
3027     from any source of payment, including consumers.
3028          (11) The committee shall be composed of 15 members.
3029          (12) (a) One member shall be:
3030          (i) the commissioner of the Utah Insurance Department; or
3031          (ii) the commissioner's designee who shall have knowledge regarding the health care
3032     system and characteristics and use of health data.

3033          (b) (i) Fourteen members shall be appointed by the governor with the advice and
3034     consent of the Senate in accordance with Subsection (13) and in accordance with Title 63G,
3035     Chapter 24, Part 2, Vacancies.
3036          (ii) No more than seven members of the committee appointed by the governor may be
3037     members of the same political party.
3038          (13) The members of the committee appointed under Subsection (12)(b) shall:
3039          (a) be knowledgeable regarding the health care system and the characteristics and use
3040     of health data;
3041          (b) be selected so that the committee at all times includes individuals who provide
3042     care;
3043          (c) include one person employed by or otherwise associated with a general acute
3044     hospital as defined in Section 26B-2-201, who is knowledgeable about the collection, analysis,
3045     and use of health care data;
3046          (d) include two physicians, as defined in Section 58-67-102:
3047          (i) who are licensed to practice in this state;
3048          (ii) who actively practice medicine in this state;
3049          (iii) who are trained in or have experience with the collection, analysis, and use of
3050     health care data; and
3051          (iv) one of whom is selected by the Utah Medical Association;
3052          (e) include three persons:
3053          (i) who are:
3054          (A) employed by or otherwise associated with a business that supplies health care
3055     insurance to the business's employees; and
3056          (B) knowledgeable about the collection and use of health care data; and
3057          (ii) at least one of whom represents an employer employing 50 or fewer employees;
3058          (f) include three persons representing health insurers:
3059          (i) at least one of whom is employed by or associated with a third-party payor that is
3060     not licensed under Title 31A, Chapter 8, Health Maintenance Organizations and Limited
3061     Health Plans;
3062          (ii) at least one of whom is employed by or associated with a third party that is licensed
3063     under Title 31A, Chapter 8, Health Maintenance Organizations and Limited Health Plans; and

3064          (iii) who are trained in, or experienced with the collection, analysis, and use of health
3065     care data;
3066          (g) include two consumer representatives:
3067          (i) from organized consumer or employee associations; and
3068          (ii) knowledgeable about the collection and use of health care data;
3069          (h) include one person:
3070          (i) representative of a neutral, non-biased entity that can demonstrate that the entity has
3071     the broad support of health care payers and health care providers; and
3072          (ii) who is knowledgeable about the collection, analysis, and use of health care data;
3073     and
3074          (i) include two persons representing public health who are trained in, or experienced
3075     with the collection, use, and analysis of health care data.
3076          (14) (a) Except as required by Subsection (14)(b), as terms of current committee
3077     members expire, the governor shall appoint each new member or reappointed member to a
3078     four-year term.
3079          (b) Notwithstanding the requirements of Subsection (14)(a), the governor shall, at the
3080     time of appointment or reappointment, adjust the length of terms to ensure that the terms of
3081     committee members are staggered so that approximately half of the committee is appointed
3082     every two years.
3083          (c) Members may serve after the members' terms expire until replaced.
3084          (15) When a vacancy occurs in the membership for any reason, the replacement shall
3085     be appointed for the unexpired term.
3086          (16) Committee members shall annually elect a chair of the committee from among the
3087     committee's membership. The chair shall report to the executive director.
3088          (17) (a) The committee shall meet at least once during each calendar quarter. Meeting
3089     dates shall be set by the chair upon 10 working days' notice to the other members, or upon
3090     written request by at least four committee members with at least 10 working days' notice to
3091     other committee members.
3092          (b) Eight committee members constitute a quorum for the transaction of business.
3093     Action may not be taken except upon the affirmative vote of a majority of a quorum of the
3094     committee.

3095          (c) All meetings of the committee shall be open to the public, except that the
3096     committee may hold a closed meeting if the requirements of Sections 52-4-204, 52-4-205, and
3097     52-4-206 are met.
3098          (18) A member:
3099          (a) may not receive compensation or benefits for the member's service, but may receive
3100     per diem and travel expenses in accordance with:
3101          (i) Section 63A-3-106;
3102          (ii) Section 63A-3-107; and
3103          (iii) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
3104     63A-3-107; and
3105          (b) shall comply with the conflict of interest provisions described in Title 63G, Chapter
3106     24, Part 3, Conflicts of Interest.
3107          Section 69. Section 26B-1-414, which is renumbered from Section 26-39-200 is
3108     renumbered and amended to read:
3109          [26-39-200].      26B-1-414. Child Care Center Licensing Committee --
3110     Duties.
3111          (1) (a) The [licensing committee] Child Care Center Licensing Committee shall be
3112     comprised of seven members appointed by the governor [and approved by] with the advice and
3113     consent of the Senate in accordance with this [subsection] Subsection (1).
3114          (b) The governor shall appoint three members who:
3115          (i) have at least five years of experience as an owner in or director of a for profit or
3116     not-for-profit center based child care as defined in Section 26B-2-401; and
3117          (ii) hold an active license as a child care center from the department to provide center
3118     based child care as defined in Section 26B-2-401.
3119          (c) (i) The governor shall appoint one member to represent each of the following:
3120          (A) a parent with a child in center based child care as defined in Section 26B-2-401;
3121          (B) a child development expert from the state system of higher education;
3122          (C) except as provided in Subsection (1)(e), a pediatrician licensed in the state; and
3123          (D) an architect licensed in the state.
3124          (ii) Except as provided in Subsection (1)(c)(i)(B), a member appointed under
3125     Subsection (1)(c)(i) may not be an employee of the state or a political subdivision of the state.

3126          (d) At least one member described in Subsection (1)(b) shall at the time of appointment
3127     reside in a county that is not a county of the first class.
3128          (e) For the appointment described in Subsection (1)(c)(i)(C), the governor may appoint
3129     a health care professional who specializes in pediatric health if:
3130          (i) the health care professional is licensed under:
3131          (A) Title 58, Chapter 31b, Nurse Practice Act, as an advanced practice nurse
3132     practitioner; or
3133          (B) Title 58, Chapter 70a, Utah Physician Assistant Act; and
3134          (ii) before appointing a health care professional under this Subsection (1)(e), the
3135     governor:
3136          (A) sends a notice to a professional physician organization in the state regarding the
3137     opening for the appointment described in Subsection (1)(c)(i)(C); and
3138          (B) receives no applications from a pediatrician who is licensed in the state for the
3139     appointment described in Subsection (1)(c)(i)(C) within 90 days after the day on which the
3140     governor sends the notice described in Subsection (1)(e)(ii)(A).
3141          (2) (a) Except as required by Subsection (2)(b), as terms of current members expire, the
3142     governor shall appoint each new member or reappointed member to a four-year term ending
3143     June 30.
3144          (b) Notwithstanding the requirements of Subsection (2)(a), the governor shall, at the
3145     time of appointment or reappointment, adjust the length of terms to ensure that the terms of
3146     members are staggered so that approximately half of the licensing committee is appointed
3147     every two years.
3148          (c) Upon the expiration of the term of a member of the licensing committee, the
3149     member shall continue to hold office until a successor is appointed and qualified.
3150          (d) A member may not serve more than two consecutive terms.
3151          (e) Members of the licensing committee shall annually select one member to serve as
3152     chair who shall establish the agenda for licensing committee meetings.
3153          (3) When a vacancy occurs in the membership for any reason, the governor, with the
3154     advice and consent of the Senate, shall appoint a replacement for the unexpired term.
3155          (4) (a) The licensing committee shall meet at least every two months.
3156          (b) The director may call additional meetings:

3157          (i) at the director's discretion;
3158          (ii) upon the request of the chair; or
3159          (iii) upon the written request of three or more members.
3160          (5) Three members of the licensing committee constitute a quorum for the transaction
3161     of business.
3162          (6) A member of the licensing committee may not receive compensation or benefits for
3163     the member's service, but may receive per diem and travel expenses as allowed in:
3164          (a) Section 63A-3-106;
3165          (b) Section 63A-3-107; and
3166          (c) rules made by the Division of Finance in accordance with Sections 63A-3-106 and
3167     63A-3-107.
3168          (7) The Child Care Center Licensing Committee shall:
3169          (a) in concurrence with the department and in accordance with Title 63G, Chapter 3,
3170     Utah Administrative Rulemaking Act, make rules that govern center based child care as
3171     defined in Section 26B-2-401 as necessary to protect qualifying children's common needs for a
3172     safe and healthy environment, to provide for:
3173          (i) adequate facilities and equipment; and
3174          (ii) competent caregivers considering the age of the children and the type of program
3175     offered by the licensee;
3176          (b) in concurrence with the department and in accordance with Title 63G, Chapter 3,
3177     Utah Administrative Rulemaking Act, make rules necessary to carry out the purposes of this
3178     chapter that govern center based child care as defined in Section 26B-2-401, in the following
3179     areas:
3180          (i) requirements for applications, the application process, and compliance with other
3181     applicable statutes and rules;
3182          (ii) documentation and policies and procedures that providers shall have in place in
3183     order to be licensed, in accordance with this Subsection (7);
3184          (iii) categories, classifications, and duration of initial and ongoing licenses;
3185          (iv) changes of ownership or name, changes in licensure status, and changes in
3186     operational status;
3187          (v) license expiration and renewal, contents, and posting requirements;

3188          (vi) procedures for inspections, complaint resolution, disciplinary actions, and other
3189     procedural measures to encourage and ensure compliance with statute and rule; and
3190          (vii) guidelines necessary to ensure consistency and appropriateness in the regulation
3191     and discipline of licensees;
3192          (c) advise the department on the administration of a matter affecting center based child
3193     care as defined in Section 26B-2-401;
3194          (d) advise and assist the department in conducting center based child care provider
3195     seminars; and
3196          (e) perform other duties as provided in Section 26B-2-402.
3197          (8) (a) The licensing committee may not enforce the rules adopted under this section.
3198          (b) The department shall enforce the rules adopted under this section in accordance
3199     with Section 26B-2-402.
3200          Section 70. Section 26B-1-415, which is renumbered from Section 26-39-201 is
3201     renumbered and amended to read:
3202          [26-39-201].      26B-1-415. Residential Child Care Licensing Advisory
3203     Committee.
3204          (1) (a) The [advisory committee] Residential Child Care Licensing Advisory
3205     Committee shall advise the department on rules made by the department under [this chapter]
3206     Chapter 2, Part 4, Child Care Licensing, for residential child care.
3207          (b) The advisory committee shall be composed of the following nine members who
3208     shall be appointed by the executive director:
3209          (i) two child care consumers;
3210          (ii) three licensed providers of residential child care [providers] as defined in Section
3211     26B-2-401;
3212          (iii) one certified provider of residential child care [provider] as defined in Section
3213     26B-2-401;
3214          (iv) one individual with expertise in early childhood development; and
3215          (v) two health care providers.
3216          (2) (a) Members of the advisory committee shall be appointed for four-year terms,
3217     except for those members who have been appointed to complete an unexpired term.
3218          (b) Appointments and reappointments may be staggered so that [1/4] one-fourth of the

3219     advisory committee changes each year.
3220          (c) The advisory committee shall annually elect a chair from its membership.
3221          (3) The advisory committee shall meet at least quarterly, or more frequently as
3222     determined by the executive director, the chair, or three or more members of the advisory
3223     committee.
3224          (4) Five members constitute a quorum and a vote of the majority of the members
3225     present constitutes an action of the advisory committee.
3226          (5) A member of the advisory committee may not receive compensation or benefits for
3227     the member's service, but may receive per diem and travel expenses as allowed in:
3228          (a) Section 63A-3-106;
3229          (b) Section 63A-3-107; and
3230          (c) rules made by the Division of Finance in accordance with Sections 63A-3-106 and
3231     63A-3-107.
3232          Section 71. Section 26B-1-416, which is renumbered from Section 26-40-104 is
3233     renumbered and amended to read:
3234          [26-40-104].      26B-1-416. Utah Children's Health Insurance Program
3235     Advisory Council.
3236          (1) (a) There is created a Utah Children's Health Insurance Program Advisory Council
3237     consisting of at least five and no more than eight members appointed by the executive director
3238     of the department.
3239          (b) The term of each appointment shall be three years.
3240          (c) The appointments shall be staggered at one-year intervals to ensure continuity of
3241     the advisory council.
3242          (2) The advisory council shall meet at least quarterly.
3243          (3) The membership of the advisory council shall include at least one representative
3244     from each of the following groups:
3245          (a) child health care providers;
3246          (b) ethnic populations other than American Indians;
3247          (c) American Indians;
3248          (d) health and accident and health insurance providers; and
3249          (e) the general public.

3250          (4) The advisory council shall advise the department on:
3251          (a) benefits design;
3252          (b) eligibility criteria;
3253          (c) outreach;
3254          (d) evaluation; and
3255          (e) special strategies for under-served populations.
3256          (5) A member of the advisory council may not receive compensation or benefits for the
3257     member's service, but may receive per diem and travel expenses in accordance with:
3258          (a) Section 63A-3-106;
3259          (b) Section 63A-3-107; and
3260          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
3261     63A-3-107.
3262          Section 72. Section 26B-1-417, which is renumbered from Section 26-50-202 is
3263     renumbered and amended to read:
3264          [26-50-202].      26B-1-417. Traumatic Brain Injury Advisory Committee --
3265     Membership -- Time limit.
3266          (1) On or after July 1 of each year, the executive director may create a Traumatic Brain
3267     Injury Advisory Committee of not more than nine members.
3268          (2) The committee shall be composed of members of the community who are familiar
3269     with traumatic brain injury, its causes, diagnosis, treatment, rehabilitation, and support
3270     services, including:
3271          (a) persons with a traumatic brain injury;
3272          (b) family members of a person with a traumatic brain injury;
3273          (c) representatives of an association which advocates for persons with traumatic brain
3274     injuries;
3275          (d) specialists in a profession that works with brain injury patients; and
3276          (e) department representatives.
3277          (3) The department shall provide staff support to the committee.
3278          (4) (a) If a vacancy occurs in the committee membership for any reason, a replacement
3279     may be appointed for the unexpired term.
3280          (b) The committee shall elect a chairperson from the membership.

3281          (c) A majority of the committee constitutes a quorum at any meeting, and, if a quorum
3282     exists, the action of the majority of members present shall be the action of the committee.
3283          (d) The committee may adopt bylaws governing the committee's activities.
3284          (e) A committee member may be removed by the executive director:
3285          (i) if the member is unable or unwilling to carry out the member's assigned
3286     responsibilities; or
3287          (ii) for good cause.
3288          (5) The committee shall comply with the procedures and requirements of:
3289          (a) Title 52, Chapter 4, Open and Public Meetings Act; and
3290          (b) Title 63G, Chapter 2, Government Records Access and Management Act.
3291          (6) A member may not receive compensation or benefits for the member's service, but,
3292     at the executive director's discretion, may receive per diem and travel expenses in accordance
3293     with:
3294          (a) Section 63A-3-106;
3295          (b) Section 63A-3-107; and
3296          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
3297     63A-3-107.
3298          (7) Not later than November 30 of each year the committee shall provide a written
3299     report summarizing the activities of the committee to the executive director of the department.
3300          (8) The committee shall cease to exist on December 31 of each year, unless the
3301     executive director determines it necessary to continue.
3302          Section 73. Section 26B-1-418, which is renumbered from Section 26-54-103 is
3303     renumbered and amended to read:
3304          [26-54-103].      26B-1-418. Spinal Cord and Brain Injury Rehabilitation
3305     Fund and Pediatric Neuro-Rehabilitation Fund Advisory Committee -- Creation --
3306     Membership -- Terms -- Duties.
3307          (1) There is created a Spinal Cord and Brain Injury Rehabilitation Fund and Pediatric
3308     Neuro-Rehabilitation Fund Advisory Committee.
3309          (2) The advisory committee shall be composed of 11 members as follows:
3310          (a) the executive director, or the executive director's designee;
3311          (b) two survivors, or family members of a survivor, of a traumatic brain injury

3312     appointed by the governor;
3313          (c) two survivors, or family members of a survivor, of a traumatic spinal cord injury
3314     appointed by the governor;
3315          (d) one traumatic brain injury or spinal cord injury professional appointed by the
3316     governor who, at the time of appointment and throughout the professional's term on the
3317     committee, does not receive a financial benefit from the fund;
3318          (e) two parents of a child with a nonprogressive neurological condition appointed by
3319     the governor;
3320          (f) (i) a physical therapist licensed under Title 58, Chapter 24b, Physical Therapy
3321     Practice Act, with experience treating brain and spinal cord injuries, appointed by the governor;
3322     or
3323          (ii) an occupational therapist licensed under Title 58, Chapter 42a, Occupational
3324     Therapy Practice Act, with experience treating brain and spinal cord injuries, appointed by the
3325     governor;
3326          (g) a member of the House of Representatives appointed by the speaker of the House of
3327     Representatives; and
3328          (h) a member of the Senate appointed by the president of the Senate.
3329          (3) (a) The term of advisory committee members shall be four years. If a vacancy
3330     occurs in the committee membership for any reason, a replacement shall be appointed for the
3331     unexpired term in the same manner as the original appointment.
3332          (b) The committee shall elect a chairperson from the membership.
3333          (c) A majority of the committee constitutes a quorum at any meeting, and, if a quorum
3334     is present at an open meeting, the action of the majority of members shall be the action of the
3335     advisory committee.
3336          (d) The terms of the advisory committee shall be staggered so that members appointed
3337     under Subsections (2)(b), (d), and (f) shall serve an initial two-year term and members
3338     appointed under Subsections (2)(c), (e), and (g) shall serve four-year terms. Thereafter,
3339     members appointed to the advisory committee shall serve four-year terms.
3340          (4) The advisory committee shall comply with the procedures and requirements of:
3341          (a) Title 52, Chapter 4, Open and Public Meetings Act;
3342          (b) Title 63G, Chapter 2, Government Records Access and Management Act; and

3343          (c) Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
3344          (5) (a) A member who is not a legislator may not receive compensation or benefits for
3345     the member's service, but, at the executive director's discretion, may receive per diem and
3346     travel expenses as allowed in:
3347          (i) Section 63A-3-106;
3348          (ii) Section 63A-3-107; and
3349          (iii) rules adopted by the Division of Finance according to Sections 63A-3-106 and
3350     63A-3-107.
3351          (b) Compensation and expenses of a member who is a legislator are governed by
3352     Section 36-2-2 and Legislative Joint Rules, Title 5, Legislative Compensation and Expenses.
3353          (6) The advisory committee shall:
3354          (a) adopt rules and procedures in accordance with Title 63G, Chapter 3, Utah
3355     Administrative Rulemaking Act, that establish priorities and criteria for the advisory committee
3356     to follow in recommending distribution of money from the fund to assist qualified IRC
3357     501(c)(3) charitable clinics, as defined in Sections [26-54-102 and 26-54-102.5] 26B-1-319
3358     and 26B-1-320;
3359          (b) identify, evaluate, and review the quality of care available to:
3360          (i) individuals with spinal cord and brain injuries through qualified IRC 501(c)(3)
3361     charitable clinics, as defined in Section [26-54-102] 26B-1-319; or
3362          (ii) children with nonprogressive neurological conditions through qualified IRC
3363     501(c)(3) charitable clinics, as defined in Section [26-54-102.5] 26B-1-320; and
3364          (c) explore, evaluate, and review other possible funding sources and make a
3365     recommendation to the Legislature regarding sources that would provide adequate funding for
3366     the advisory committee to accomplish its responsibilities under this section.
3367          (7) Operating expenses for the advisory committee, including the committee's staff,
3368     shall be paid for only with money from:
3369          (a) the Spinal Cord and Brain Injury Rehabilitation Fund;
3370          (b) the Pediatric Neuro-Rehabilitation Fund; or
3371          (c) both funds.
3372          Section 74. Section 26B-1-419, which is renumbered from Section 26-46-103 is
3373     renumbered and amended to read:

3374          [26-46-103].      26B-1-419. Utah Health Care Workforce Financial
3375     Assistance Program Advisory Committee -- Membership -- Compensation -- Duties.
3376          (1) There is created the Utah Health Care Workforce Financial Assistance Program
3377     Advisory Committee consisting of the following 13 members appointed by the executive
3378     director, eight of whom shall be residents of rural communities:
3379          (a) one rural representative of Utah Hospitals and Health Systems, nominated by the
3380     association;
3381          (b) two rural representatives of the Utah Medical Association, nominated by the
3382     association;
3383          (c) one representative of the Utah Academy of Physician Assistants, nominated by the
3384     association;
3385          (d) one representative of the Association for Utah Community Health, nominated by
3386     the association;
3387          (e) one representative of the Utah Dental Association, nominated by the association;
3388          (f) one representative of mental health therapists, selected from nominees submitted by
3389     mental health therapist professional associations;
3390          (g) one representative of the Association of Local Health Officers, nominated by the
3391     association;
3392          (h) one representative of a low-income advocacy group, nominated by a Utah health
3393     and human services coalition that represents underserved populations as defined in Section
3394     26B-4-702;
3395          (i) one nursing program faculty member, nominated by the Statewide Deans and
3396     Directors Committee;
3397          (j) one administrator of a long-term care facility, nominated by the Utah Health Care
3398     Association;
3399          (k) one nursing administrator, nominated by the Utah Nurses Association; and
3400          (l) one geriatric professional as defined in Section 26B-4-702 who is:
3401          (i) determined by the department to have adequate advanced training in geriatrics to
3402     prepare the person to provide specialized geriatric care within the scope of the person's
3403     profession; and
3404          (ii) nominated by a professional association for the profession of which the person is a

3405     member.
3406          (2) (a) An appointment to the committee shall be for a four-year term unless the
3407     member is appointed to complete an unexpired term.
3408          (b) The executive director may also adjust the length of term at the time of
3409     appointment or reappointment so that approximately [1/2] one-half of the committee is
3410     appointed every two years.
3411          (c) The executive director shall annually appoint a committee chair from among the
3412     members of the committee.
3413          (3) The committee shall meet at the call of the chair, at least three members of the
3414     committee, or the executive director, but no less frequently than once each calendar year.
3415          (4) (a) A majority of the members of the committee constitutes a quorum.
3416          (b) The action of a majority of a quorum constitutes the action of the committee.
3417          (5) A member may not receive compensation or benefits for the member's service, but
3418     may receive per diem and travel expenses in accordance with:
3419          (a) Section 63A-3-106;
3420          (b) Section 63A-3-107; and
3421          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
3422     63A-3-107.
3423          (6) The committee shall:
3424          (a) make recommendations to the department for the development and modification of
3425     rules to administer the Utah Health Care Workforce Financial Assistance Program; and
3426          (b) advise the department on the development of a needs assessment tool for
3427     identifying underserved areas as defined in Section 26B-4-702.
3428          (7) As funding permits, the department shall provide staff and other administrative
3429     support to the committee.
3430          Section 75. Section 26B-1-420, which is renumbered from Section 26-61-201 is
3431     renumbered and amended to read:
3432          [26-61-201].      26B-1-420. Cannabis Research Review Board.
3433          (1) As used in this section:
3434          (a) "Cannabinoid product" means the same as that term is defined in Section 58-37-3.6.
3435          (b) "Cannabis" means the same as that term is defined in Section 58-37-3.6.

3436          [(1)] (2) (a) There is created the Cannabis Research Review Board within the
3437     department.
3438          [(2)] (b) The department shall appoint, in consultation with a professional association
3439     based in the state that represents physicians, seven members to the Cannabis Research Review
3440     Board as follows:
3441          [(a)] (i) three individuals who are medical research professionals; and
3442          [(b)] (ii) four physicians who are qualified medical providers as defined in Section
3443     26B-4-201.
3444          (3) The department shall ensure that at least one of the board members appointed under
3445     Subsection (2)(b) is a member of the Controlled Substances Advisory Committee created in
3446     Section 58-38a-201.
3447          (4) (a) Four of the board members appointed under Subsection (2)(b) shall serve an
3448     initial term of two years and three of the board members appointed under Subsection (2)(b)
3449     shall serve an initial term of four years.
3450          (b) Successor board members shall each serve a term of four years.
3451          (c) A board member appointed to fill a vacancy on the board shall serve the remainder
3452     of the term of the board member whose departure created the vacancy.
3453          (5) The department may remove a board member without cause.
3454          (6) The board shall:
3455          (a) nominate a board member to serve as chairperson of the board by a majority vote of
3456     the board members; and
3457          (b) meet as often as necessary to accomplish the duties assigned to the board under this
3458     chapter.
3459          (7) Each board member, including the chair, has one vote.
3460          (8) (a) A majority of board members constitutes a quorum.
3461          (b) A vote of a majority of the quorum at any board meeting is necessary to take action
3462     on behalf of the board.
3463          (9) A board member may not receive compensation for the member's service on the
3464     board, but may, in accordance with rules adopted by the board in accordance with Title 63G,
3465     Chapter 3, Utah Administrative Rulemaking Act, receive:
3466          (a) per diem at the rate established under Section 63A-3-106; and

3467          (b) travel expenses at the rate established under Section 63A-3-107.
3468          (10) If a board member appointed under Subsection (2)(b) does not meet the
3469     qualifications of Subsection (2)(b) before July 1, 2022:
3470          (a) the board member's seat is vacant; and
3471          (b) the department shall fill the vacancy in accordance with this section.
3472          (11) The board shall review any available scientific research related to the human use
3473     of cannabis, a cannabinoid product, or an expanded cannabinoid product that:
3474          (a) was conducted under a study approved by an institutional review board that is
3475     registered for human subject research by the United States Department of Health and Human
3476     Services;
3477          (b) was conducted or approved by the federal government; or
3478          (c) (i) was conducted in another country; and
3479          (ii) demonstrates, as determined by the board, a sufficient level of scientific reliability
3480     and significance to merit the board's review.
3481          (12) Based on the research described in Subsection (11), the board shall evaluate the
3482     safety and efficacy of cannabis, cannabinoid products, and expanded cannabinoid products,
3483     including:
3484          (a) medical conditions that respond to cannabis, cannabinoid products, and expanded
3485     cannabinoid products;
3486          (b) cannabis and cannabinoid dosage amounts and medical dosage forms;
3487          (c) interaction of cannabis, cannabinoid products, and expanded cannabinoid products,
3488     as defined in Section 58-37-3.6, with other treatments; and
3489          (d) contraindications, adverse reactions, and potential side effects from use of cannabis,
3490     cannabinoid products, and expanded cannabinoid products.
3491          (13) Based on the board's evaluation under Subsection (12), the board shall develop
3492     guidelines for treatment with cannabis, a cannabinoid product, and an expanded cannabinoid
3493     product that include:
3494          (a) a list of medical conditions, if any, that the board determines are appropriate for
3495     treatment with cannabis, a cannabis product, a cannabinoid product, or an expanded
3496     cannabinoid product;
3497          (b) a list of contraindications, side effects, and adverse reactions that are associated

3498     with use of cannabis, cannabinoid products, or expanded cannabinoid products;
3499          (c) a list of potential drug-drug interactions between medications that the United States
3500     Food and Drug Administration has approved and cannabis, cannabinoid products, and
3501     expanded cannabinoid products; and
3502          (d) any other guideline the board determines appropriate.
3503          (14) The board shall submit the guidelines described in Subsection (13) to the director
3504     of the Division of Professional Licensing.
3505          (15) Guidelines that the board develops under this section may not limit the availability
3506     of cannabis, cannabinoid products, or expanded cannabinoid products permitted under Title 4,
3507     Chapter 41a, Cannabis Production Establishments, or Chapter 4, Part 2, Cannabinoid Research
3508     and Medical Cannabis.
3509          Section 76. Section 26B-1-421, which is renumbered from Section 26-61a-105 is
3510     renumbered and amended to read:
3511          [26-61a-105].      26B-1-421. Compassionate Use Board.
3512          (1) The definitions in Section 26B-4-201 apply to this section.
3513          [(1)] (2) (a) The department shall establish a Compassionate Use Board consisting of:
3514          (i) seven qualified medical providers that the executive director appoints and the
3515     Senate confirms:
3516          (A) who are knowledgeable about the medicinal use of cannabis;
3517          (B) who are physicians licensed under Title 58, Chapter 67, Utah Medical Practice Act,
3518     or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
3519          (C) whom the appropriate board certifies in the specialty of neurology, pain medicine
3520     and pain management, medical oncology, psychiatry, infectious disease, internal medicine,
3521     pediatrics, or gastroenterology; and
3522          (ii) as a nonvoting member and the chair of the Compassionate Use Board, the
3523     executive director or the director's designee.
3524          (b) In appointing the seven qualified medical providers described in Subsection [(1)]
3525     (2)(a), the executive director shall ensure that at least two have a board certification in
3526     pediatrics.
3527          [(2)] (3) (a) Of the members of the Compassionate Use Board that the executive
3528     director first appoints:

3529          (i) three shall serve an initial term of two years; and
3530          (ii) the remaining members shall serve an initial term of four years.
3531          (b) After an initial term described in Subsection [(2)] (3)(a) expires:
3532          (i) each term is four years; and
3533          (ii) each board member is eligible for reappointment.
3534          (c) A member of the Compassionate Use Board may serve until a successor is
3535     appointed.
3536          [(3)] (d) Four members constitute a quorum of the Compassionate Use Board.
3537          (4) A member of the Compassionate Use Board may receive:
3538          (a) notwithstanding Section 63A-3-106, compensation or benefits for the member's
3539     service; and
3540          (b) travel expenses in accordance with Section 63A-3-107 and rules made by the
3541     Division of Finance in accordance with Section 63A-3-107.
3542          (5) The Compassionate Use Board shall:
3543          (a) review and recommend for department approval a petition to the board regarding an
3544     individual described in Subsection [26-61a-201] 26B-4-213(2)(a), a minor described in
3545     Subsection [26-61a-201] 26B-4-213(2)(c), or an individual who is not otherwise qualified to
3546     receive a medical cannabis card to obtain a medical cannabis card for compassionate use, for
3547     the standard or a reduced period of validity, if:
3548          (i) for an individual who is not otherwise qualified to receive a medical cannabis card,
3549     the individual's qualified medical provider is actively treating the individual for an intractable
3550     condition that:
3551          (A) substantially impairs the individual's quality of life; and
3552          (B) has not, in the qualified medical provider's professional opinion, adequately
3553     responded to conventional treatments;
3554          (ii) the qualified medical provider:
3555          (A) recommends that the individual or minor be allowed to use medical cannabis; and
3556          (B) provides a letter, relevant treatment history, and notes or copies of progress notes
3557     describing relevant treatment history including rationale for considering the use of medical
3558     cannabis; and
3559          (iii) the Compassionate Use Board determines that:

3560          (A) the recommendation of the individual's qualified medical provider is justified; and
3561          (B) based on available information, it may be in the best interests of the individual to
3562     allow the use of medical cannabis;
3563          (b) review and approve or deny the use of a medical cannabis device for an individual
3564     described in Subsection [26-61a-201] 26B-4-213(2)(a)(i)(B) or a minor described in
3565     Subsection [26-61a-201] 26B-4-213(2)(c) if the individual's or minor's qualified medical
3566     provider recommends that the individual or minor be allowed to use a medical cannabis device
3567     to vaporize the medical cannabis treatment;
3568          (c) unless no petitions are pending:
3569          (i) meet to receive or review compassionate use petitions at least quarterly; and
3570          (ii) if there are more petitions than the board can receive or review during the board's
3571     regular schedule, as often as necessary;
3572          (d) except as provided in Subsection (6), complete a review of each petition and
3573     recommend to the department approval or denial of the applicant for qualification for a medical
3574     cannabis card within 90 days after the day on which the board received the petition;
3575          (e) consult with the department regarding the criteria described in Subsection (6); and
3576          (f) report, before November 1 of each year, to the Health and Human Services Interim
3577     Committee:
3578          (i) the number of compassionate use recommendations the board issued during the past
3579     year; and
3580          (ii) the types of conditions for which the board recommended compassionate use.
3581          (6) The department shall make rules, in consultation with the Compassionate Use
3582     Board and in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to
3583     establish a process and criteria for a petition to the board to automatically qualify for expedited
3584     final review and approval or denial by the department in cases where, in the determination of
3585     the department and the board:
3586          (a) time is of the essence;
3587          (b) engaging the full review process would be unreasonable in light of the petitioner's
3588     physical condition; and
3589          (c) sufficient factors are present regarding the petitioner's safety.
3590          (7) (a) (i) The department shall review:

3591          (A) any compassionate use for which the Compassionate Use Board recommends
3592     approval under Subsection (5)(d) to determine whether the board properly exercised the board's
3593     discretion under this section; and
3594          (B) any expedited petitions the department receives under the process described in
3595     Subsection (6).
3596          (ii) If the department determines that the Compassionate Use Board properly exercised
3597     the board's discretion in recommending approval under Subsection (5)(d) or that the expedited
3598     petition merits approval based on the criteria established in accordance with Subsection (6), the
3599     department shall:
3600          (A) issue the relevant medical cannabis card; and
3601          (B) provide for the renewal of the medical cannabis card in accordance with the
3602     recommendation of the qualified medical provider described in Subsection (5)(a).
3603          (b) (i) If the Compassionate Use Board recommends denial under Subsection (5)(d),
3604     the individual seeking to obtain a medical cannabis card may petition the department to review
3605     the board's decision.
3606          (ii) If the department determines that the Compassionate Use Board's recommendation
3607     for denial under Subsection (5)(d) was arbitrary or capricious:
3608          (A) the department shall notify the Compassionate Use Board of the department's
3609     determination; and
3610          (B) the board shall reconsider the Compassionate Use Board's refusal to recommend
3611     approval under this section.
3612          (c) In reviewing the Compassionate Use Board's recommendation for approval or
3613     denial under Subsection (5)(d) in accordance with this Subsection (7), the department shall
3614     presume the board properly exercised the board's discretion unless the department determines
3615     that the board's recommendation was arbitrary or capricious.
3616          (8) Any individually identifiable health information contained in a petition that the
3617     Compassionate Use Board or department receives under this section is a protected record in
3618     accordance with Title 63G, Chapter 2, Government Records Access and Management Act.
3619          (9) The Compassionate Use Board shall annually report the board's activity to the
3620     Cannabis Research Review Board.
3621          Section 77. Section 26B-1-422, which is renumbered from Section 26-66-202 is

3622     renumbered and amended to read:
3623          [26-66-202].      26B-1-422. Early Childhood Utah Advisory Council --
3624     Creation -- Compensation -- Duties.
3625          (1) There is created the Early Childhood Utah Advisory Council.
3626          (2) (a) The department shall make rules establishing the membership, duties, and
3627     procedures of the council in accordance with the requirements of:
3628          (i) this section;
3629          (ii) the Improving Head Start for School Readiness Act of 2007, 42 U.S.C. Sec. 9837b;
3630     and
3631          (iii) Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
3632          (b) A member of the council may not receive compensation or benefits for the
3633     member's service.
3634          [(1)] (3) The council shall serve as an entity dedicated to improving and coordinating
3635     the quality of programs and services for children in accordance with the Improving Head Start
3636     for School Readiness Act of 2007, 42 U.S.C. Sec. 9837b.
3637          [(2)] (4) The council shall advise the [commission] Governor's Early Childhood
3638     Commission created in Section 63M-13-201 and, on or before August 1, annually provide to
3639     the [commission] Governor's Early Childhood Commission:
3640          (a) a statewide assessment concerning the availability of high-quality pre-kindergarten
3641     services for children from low-income households; and
3642          (b) a statewide strategic report addressing the activities mandated by the Improving
3643     Head Start for School Readiness Act of 2007, 42 U.S.C. Sec. 9837b, including:
3644          (i) identifying opportunities for and barriers to collaboration and coordination among
3645     federally-funded and state-funded child health and development, child care, and early
3646     childhood education programs and services, including collaboration and coordination among
3647     state agencies responsible for administering such programs;
3648          (ii) evaluating the overall participation of children in existing federal, state, and local
3649     child care programs and early childhood health, development, family support, and education
3650     programs;
3651          (iii) recommending statewide professional development and career advancement plans
3652     for early childhood educators and service providers in the state, including an analysis of the

3653     capacity and effectiveness of programs at two- and four-year public and private institutions of
3654     higher education that support the development of early childhood educators; and
3655          (iv) recommending improvements to the state's early learning standards and
3656     high-quality comprehensive early learning standards.
3657          [(3)] (5) On or before August 1, 2020, and at least every five years thereafter, the
3658     council shall provide to the [commission] Governor's Early Childhood Commission a statewide
3659     needs assessment concerning the quality and availability of early childhood education, health,
3660     and development programs and services for children in early childhood.
3661          Section 78. Section 26B-1-423, which is renumbered from Section 26-46a-104 is
3662     renumbered and amended to read:
3663          [26-46a-104].      26B-1-423. Rural Physician Loan Repayment Program
3664     Advisory Committee -- Membership -- Compensation -- Duties.
3665          (1) There is created the Rural Physician Loan Repayment Program Advisory
3666     Committee consisting of the following eight members appointed by the executive director:
3667          (a) two legislators whose districts include a rural [counties] county as defined in
3668     Section 26B-4-701;
3669          (b) five administrators of [rural hospitals] a hospital located in a rural county as
3670     defined in Section 26B-4-701, nominated by an association representing Utah hospitals, no
3671     more than two of whom are employed by hospitals affiliated by ownership; and
3672          (c) a physician currently practicing in a rural county as defined in Section 26B-4-701.
3673          (2) (a) An appointment to the committee shall be for a four-year term unless the
3674     member is appointed to complete an unexpired term.
3675          (b) The executive director shall adjust the length of term at the time of appointment or
3676     reappointment so that approximately one-half of the committee is appointed every two years.
3677          (c) The executive director shall annually appoint a committee chair from among the
3678     members of the committee.
3679          (3) (a) The committee shall meet at the call of:
3680          (i) the chair;
3681          (ii) at least three members of the committee; or
3682          (iii) the executive director.
3683          (b) The committee shall meet at least once each calendar year.

3684          (4) (a) A majority of the members of the committee constitutes a quorum.
3685          (b) The action of a majority of a quorum constitutes the action of the committee.
3686          (5) A member may not receive compensation or benefits for the member's service, but
3687     may receive per diem and travel expenses in accordance with:
3688          (a) Section 63A-3-106;
3689          (b) Section 63A-3-107; and
3690          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
3691     63A-3-107.
3692          (6) The committee shall make recommendations to the department for the development
3693     and modification of rules to administer the Rural Physician Loan Repayment Program created
3694     in Section 26B-4-703.
3695          (7) As funding permits, the department shall provide staff and other administrative
3696     support to the committee.
3697          Section 79. Section 26B-1-424, which is renumbered from Section 26-67-202 is
3698     renumbered and amended to read:
3699          [26-67-202].      26B-1-424. Adult Autism Treatment Program Advisory
3700     Committee -- Membership -- Procedures -- Compensation -- Duties -- Expenses.
3701          (1) As used in this section, "autism spectrum disorder" means the same as that term is
3702     defined in Section 31A-22-642.
3703          [(1)] (2) The Adult Autism Treatment Advisory Committee created in Section
3704     26B-1-204 shall consist of six members appointed by the governor to two-year terms as
3705     follows:
3706          (a) one individual who:
3707          (i) has a doctorate degree in psychology;
3708          (ii) is a licensed behavior analyst practicing in the state; and
3709          (iii) has treated adults with an autism spectrum disorder for at least three years;
3710          (b) one individual who is:
3711          (i) employed by the department; and
3712          (ii) has professional experience with the treatment of autism spectrum disorder;
3713          (c) three individuals who have firsthand experience with autism spectrum disorders and
3714     the effects, diagnosis, treatment, and rehabilitation of autism spectrum disorders, including:

3715          (i) family members of an adult with an autism spectrum disorder;
3716          (ii) representatives of an association that advocates for adults with an autism spectrum
3717     disorder; and
3718          (iii) specialists or professionals who work with adults with an autism spectrum
3719     disorder; and
3720          (d) one individual who is:
3721          (i) a health insurance professional;
3722          (ii) holds a Doctor of Medicine or Doctor of Philosophy degree, with professional
3723     experience relating to the treatment of autism spectrum disorder; and
3724          (iii) has a knowledge of autism benefits and therapy that are typically covered by the
3725     health insurance industry.
3726          [(2)] (3) (a) Notwithstanding Subsection [(1)] (2), the governor shall, at the time of
3727     appointment or reappointment, adjust the length of terms to ensure the terms of members are
3728     staggered so that approximately half of the advisory committee is appointed every year.
3729          (b) If a vacancy occurs in the membership of the advisory committee, the governor may
3730     appoint a replacement for the unexpired term.
3731          [(3) (a)] (c) The advisory committee shall annually elect a chair from its membership.
3732          [(b)] (d) A majority of the advisory committee constitutes a quorum at any meeting
3733     and, if a quorum exists, the action of the majority of members present is the action of the
3734     advisory committee.
3735          (4) The advisory committee shall meet as necessary to:
3736          (a) advise the department regarding implementation of the [program] Adult Autism
3737     Treatment Program created in Section 26B-4-602;
3738          (b) make recommendations to the department and the Legislature for improving the
3739     [program] Adult Autism Treatment Program; and
3740          (c) before October 1 each year, provide a written report of the advisory committee's
3741     activities and recommendations to:
3742          (i) the executive director;
3743          (ii) the Health and Human Services Interim Committee; and
3744          (iii) the Social Services Appropriations Subcommittee.
3745          (5) The advisory committee shall comply with the procedures and requirements of:

3746          (a) Title 52, Chapter 4, Open and Public Meetings Act; and
3747          (b) Title 63G, Chapter 2, Government Records Access and Management Act.
3748          (6) A member may not receive compensation or benefits for the member's service, but
3749     may receive per diem and travel expenses in accordance with:
3750          (a) Section 63A-3-106;
3751          (b) Section 63A-3-107; and
3752          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
3753     63A-3-107.
3754          (7) (a) The department shall staff the advisory committee.
3755          (b) Expenses of the advisory committee, including the cost of advisory committee staff
3756     if approved by the executive director, may be paid only with funds from the Adult Autism
3757     Treatment Account created in Section 26B-1-322.
3758          Section 80. Section 26B-1-425, which is renumbered from Section 26-69-201 is
3759     renumbered and amended to read:
3760          [26-69-201].      26B-1-425. Utah Health Workforce Advisory Council
3761     creation and membership.
3762          (1) There is created within the department the Utah Health Workforce Advisory
3763     Council.
3764          (2) The council shall be comprised of at least 14 but not more than 19 members.
3765          (3) The following are members of the council:
3766          (a) the executive director or that individual's designee;
3767          (b) the executive director of the Department of Workforce Services or that individual's
3768     designee;
3769          (c) the commissioner of higher education of the Utah System of Higher Education or
3770     that individual's designee;
3771          (d) the state superintendent of the State Board of Education or that individual's
3772     designee;
3773          (e) the executive director of the Department of Commerce or that individual's designee;
3774          (f) the director of the Division of Multicultural Affairs or that individual's designee;
3775          (g) the director of the Utah Substance Use and Mental Advisory Council or that
3776     individual's designee;

3777          (h) the chair of the Utah Indian Health Advisory Board; and
3778          (i) the chair of the Utah Medical Education Council created in Section [26-69-402]
3779     26B-4-706.
3780          (4) The executive director shall appoint at least five but not more than ten additional
3781     members that represent diverse perspectives regarding Utah's health workforce as defined in
3782     Section 26B-4-701.
3783          (5) (a) A member appointed by the executive director under Subsection (4) shall serve
3784     a four-year term.
3785          (b) Notwithstanding Subsection (5)(a) for the initial appointments of members
3786     described in Subsection (4) the executive director shall appoint at least three but not more than
3787     five members to a two-year appointment to ensure that approximately half of the members
3788     appointed by the executive director rotate every two years.
3789          (6) The executive director or the executive director's designee shall chair the council.
3790          (7) (a) As used in this Subsection (7), "health workforce" means the same as that term
3791     is defined in Section 26B-4-706.
3792          (b) The council shall:
3793          (i) meet at least once each quarter;
3794          (ii) study and provide recommendations to an entity described in Subsection (8)
3795     regarding:
3796          (A) health workforce supply;
3797          (B) health workforce employment trends and demand;
3798          (C) options for training and educating the health workforce;
3799          (D) the implementation or improvement of strategies that entities in the state are using
3800     or may use to address health workforce needs including shortages, recruitment, retention, and
3801     other Utah health workforce priorities as determined by the council;
3802          (iii) provide guidance to an entity described in Subsection (8) regarding health
3803     workforce related matters;
3804          (iv) review and comment on legislation relevant to Utah's health workforce; and
3805          (v) advise the Utah Board of Higher Education and the Legislature on the status and
3806     needs of the health workforce who are in training.
3807          (8) The council shall provide information described in Subsections (7)(b)(ii) and (iii)

3808     to:
3809          (a) the Legislature;
3810          (b) the department;
3811          (c) the Department of Workforce Services;
3812          (d) the Department of Commerce;
3813          (e) the Utah Medical Education Council; and
3814          (f) any other entity the council deems appropriate upon the entity's request.
3815          (9) (a) The Utah Medical Education Council created in Section 26B-4-706 is a
3816     subcommittee of the council.
3817          (b) The council may establish subcommittees to support the work of the council.
3818          (c) A member of the council shall chair a subcommittee created by the council.
3819          (d) Except for the Utah Medical Education Council, the chair of the subcommittee may
3820     appoint any individual to the subcommittee.
3821          (10) For any report created by the council that pertains to any duty described in
3822     Subsection (7), the council shall:
3823          (a) provide the report to:
3824          (i) the department; and
3825          (ii) any appropriate legislative committee; and
3826          (b) post the report on the council's website.
3827          (11) The executive director shall:
3828          (a) ensure the council has adequate staff to support the council and any subcommittee
3829     created by the council; and
3830          (b) provide any available information upon the council's request if:
3831          (i) that information is necessary for the council to fulfill a duty described in Subsection
3832     (7); and
3833          (ii) the department has access to the information.
3834          (12) A member of the council or a subcommittee created by the council may not
3835     receive compensation or benefits for the member's service but may receive per diem and travel
3836     expenses as allowed in:
3837          (a) Section 63A-3-106;
3838          (b) Section 63A-3-107; and

3839          (c) rules made by the Division of Finance according to Sections 63A-3-106 and
3840     63A-3-107.
3841          Section 81. Section 26B-1-426, which is renumbered from Section 62A-1-107 is
3842     renumbered and amended to read:
3843          [62A-1-107].      26B-1-426. Board of Aging and Adult Services -- Members,
3844     appointment, terms, vacancies, chairperson, compensation, meetings, quorum.
3845          (1) The Board of Aging and Adult Services created in Section 26B-1-204 shall have
3846     seven members who are appointed by the governor with the advice and consent of the Senate in
3847     accordance with Title 63G, Chapter 24, Part 2, Vacancies.
3848          (2) (a) Except as required by Subsection (2)(b), each member shall be appointed for a
3849     term of four years, and is eligible for one reappointment.
3850          (b) Notwithstanding the requirements of Subsection (2)(a), the governor shall, at the
3851     time of appointment or reappointment, adjust the length of terms to ensure that the terms of
3852     board members are staggered so that approximately half of the board is appointed every two
3853     years.
3854          (c) Board members shall continue in office until the expiration of their terms and until
3855     their successors are appointed, which may not exceed 90 days after the formal expiration of a
3856     term.
3857          (d) When a vacancy occurs in the membership for any reason, the replacement shall be
3858     appointed for the unexpired term.
3859          (3) (a) No more than four members of the board may be from the same political party.
3860          (b) The board shall have diversity of gender, ethnicity, and culture; and members shall
3861     be chosen on the basis of their active interest, experience, and demonstrated ability to deal with
3862     issues related to the Board of Aging and Adult Services .
3863          (4) (a) The board shall annually elect a chairperson from the board's membership.
3864          (b) The board shall hold meetings at least once every three months.
3865          (c) Within budgetary constraints, meetings may be held from time to time on the call of
3866     the chairperson or of the majority of the members of the board.
3867          (d) Four members of the board are necessary to constitute a quorum at any meeting,
3868     and, if a quorum exists, the action of the majority of members present shall be the action of the
3869     board.

3870          (5) A member may not receive compensation or benefits for the member's service, but,
3871     at the executive director's discretion, may receive per diem and travel expenses in accordance
3872     with:
3873          (a) Section 63A-3-106;
3874          (b) Section 63A-3-107; and
3875          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
3876     63A-3-107.
3877          (6) (a) The board shall adopt bylaws governing its activities. [Bylaws]
3878          (b) The bylaws described in Subsection (6)(a) shall include procedures for removal of a
3879     board member who is unable or unwilling to fulfill the requirements of the board member's
3880     appointment.
3881          (7) The board has program policymaking authority for the division over which the
3882     board presides.
3883          (8) A member of the board shall comply with the conflict of interest provisions
3884     described in Title 63G, Chapter 24, Part 3, Conflicts of Interest.
3885          Section 82. Section 26B-1-427, which is renumbered from Section 62A-1-121 is
3886     renumbered and amended to read:
3887          [62A-1-121].      26B-1-427. Tracking effects of abuse of alcoholic products.
3888          (1) There is created a committee within the department known as the ["]Alcohol Abuse
3889     Tracking Committee["] that consists of:
3890          (a) the executive director or the executive director's designee;
3891          [(b) the executive director of the Department of Health or that executive director's
3892     designee;]
3893          [(c)] (b) the commissioner of the Department of Public Safety or the commissioner's
3894     designee;
3895          [(d)] (c) the director of the Department of Alcoholic Beverage Services or that
3896     director's designee;
3897          [(e)] (d) the executive director of the Department of Workforce Services or that
3898     executive director's designee;
3899          [(f)] (e) the chair of the Utah Substance Use and Mental Health Advisory Council or
3900     the chair's designee;

3901          [(g)] (f) the state court administrator or the state court administrator's designee; and
3902          [(h)] (g) the director of the Division of Technology Services or that director's designee.
3903          (2) The executive director or the executive director's designee shall chair the
3904     committee.
3905          (3) (a) Four members of the committee constitute a quorum.
3906          (b) A vote of the majority of the committee members present when a quorum is present
3907     is an action of the committee.
3908          (4) The committee shall meet at the call of the chair, except that the chair shall call a
3909     meeting at least twice a year:
3910          (a) with one meeting held each year to develop the report required under Subsection
3911     (7); and
3912          (b) with one meeting held to review and finalize the report before the report is issued.
3913          (5) The committee may adopt additional procedures or requirements for:
3914          (a) voting, when there is a tie of the committee members;
3915          (b) how meetings are to be called; and
3916          (c) the frequency of meetings.
3917          (6) The committee shall establish a process to collect for each calendar year the
3918     following information:
3919          (a) the number of individuals statewide who are convicted of, plead guilty to, plead no
3920     contest to, plead guilty in a similar manner to, or resolve by diversion or its equivalent to a
3921     violation related to underage drinking of alcohol;
3922          (b) the number of individuals statewide who are convicted of, plead guilty to, plead no
3923     contest to, plead guilty in a similar manner to, or resolve by diversion or its equivalent to a
3924     violation related to driving under the influence of alcohol;
3925          (c) the number of violations statewide of Title 32B, Alcoholic Beverage Control Act,
3926     related to over-serving or over-consumption of an alcoholic product;
3927          (d) the cost of social services provided by the state related to abuse of alcohol,
3928     including services provided by the Division of Child and Family Services;
3929          (e) the location where the alcoholic products that result in the violations or costs
3930     described in Subsections (6)(a) through (d) are obtained; and
3931          (f) any information the committee determines can be collected and relates to the abuse

3932     of alcoholic products.
3933          (7) The committee shall report the information collected under Subsection (6) annually
3934     to the governor and the Legislature by no later than the July 1 immediately following the
3935     calendar year for which the information is collected.
3936          Section 83. Section 26B-1-428, which is renumbered from Section 26-7-10 is
3937     renumbered and amended to read:
3938          [26-7-10].      26B-1-428. Youth Electronic Cigarette, Marijuana, and Other Drug
3939     Prevention Committee and Program -- Creation -- Membership - Duties.
3940          (1) As used in this section:
3941          (a) "Committee" means the Youth Electronic Cigarette, Marijuana, and Other Drug
3942     Prevention Committee created in Section 26B-1-204.
3943          (b) "Program" means the Youth Electronic Cigarette, Marijuana, and Other Drug
3944     Prevention Program created in this section.
3945          (2) (a) There is created within the department the Youth Electronic Cigarette,
3946     Marijuana, and Other Drug Prevention Program.
3947          (b) In consultation with the committee, the department shall:
3948          (i) establish guidelines for the use of funds appropriated to the program;
3949          (ii) ensure that guidelines developed under Subsection (2)(b)(i) are evidence-based and
3950     appropriate for the population targeted by the program; and
3951          (iii) subject to appropriations from the Legislature, fund statewide initiatives to prevent
3952     use of electronic cigarettes, nicotine products, marijuana, and other drugs by youth.
3953          (3) (a) The committee shall advise the department on:
3954          (i) preventing use of electronic cigarettes, marijuana, and other drugs by youth in the
3955     state;
3956          (ii) developing the guidelines described in Subsection (2)(b)(i); and
3957          (iii) implementing the provisions of the program.
3958          (b) The executive director shall:
3959          (i) appoint members of the committee; and
3960          (ii) consult with the Utah Substance Use and Mental Health Advisory Council created
3961     in Section 63M-7-301 when making the appointments under Subsection (3)(b)(i).
3962          (c) The committee shall include, at a minimum:

3963          (i) the executive director of a local health department as defined in Section 26A-1-102,
3964     or the local health department executive director's designee;
3965          (ii) one designee from the department;
3966          (iii) one representative from the Department of Public Safety;
3967          (iv) one representative from the behavioral health community; and
3968          (v) one representative from the education community.
3969          (d) A member of the committee may not receive compensation or benefits for the
3970     member's service on the committee, but may receive per diem and travel expenses in
3971     accordance with:
3972          (i) Section 63A-3-106;
3973          (ii) Section 63A-3-107; and
3974          (iii) rules made by the Division of Finance under Sections 63A-3-106 and 63A-3-107.
3975          (e) The department shall provide staff support to the committee.
3976          (4) On or before October 31 of each year, the department shall report to:
3977          (a) the Health and Human Services Interim Committee regarding:
3978          (i) the use of funds appropriated to the program;
3979          (ii) the impact and results of the program, including the effectiveness of each program
3980     funded under Subsection (2)(b)(iii), during the previous fiscal year;
3981          (iii) a summary of the impacts and results on reducing youth use of electronic cigarettes
3982     and nicotine products by entities represented by members of the committee, including those
3983     entities who receive funding through the Electronic Cigarette Substance and Nicotine Product
3984     Tax Restricted Account created in Section 59-14-807; and
3985          (iv) any recommendations for legislation; and
3986          (b) the Utah Substance Use and Mental Health Advisory Council created in Section
3987     63M-7-301, regarding:
3988          (i) the effectiveness of each program funded under Subsection (2)(b)(iii) in preventing
3989     youth use of electronic cigarettes, nicotine products, marijuana, and other drugs; and
3990          (ii) any collaborative efforts and partnerships established by the program with public
3991     and private entities to prevent youth use of electronic cigarettes, marijuana, and other drugs.
3992          Section 84. Section 26B-1-429, which is renumbered from Section 62A-5-202.5 is
3993     renumbered and amended to read:

3994          [62A-5-202.5].      26B-1-429. Utah State Developmental Center Board --
3995     Creation -- Membership -- Duties -- Powers.
3996          (1) There is created the Utah State Developmental Center Board within the
3997     [Department of Human Services] department.
3998          (2) The board is composed of nine members as follows:
3999          (a) the director of the [division] Division of Services for People with Disabilities or the
4000     director's designee;
4001          (b) the superintendent of the developmental center or the superintendent's designee;
4002          (c) the executive director [of the Department of Human Services] or the executive
4003     director's designee;
4004          (d) a resident of the [developmental center] Utah State Developmental Center selected
4005     by the superintendent; and
4006          (e) five members appointed by the governor with the advice and consent of the Senate
4007     as follows:
4008          (i) three members of the general public; and
4009          (ii) two members who are parents or guardians of individuals who receive services at
4010     the [developmental center] Utah State Developmental Center.
4011          (3) In making appointments to the board, the governor shall ensure that:
4012          (a) no more than three members have immediate family residing at the [developmental
4013     center] Utah State Developmental Center; and
4014          (b) members represent a variety of geographic areas and economic interests of the state.
4015          (4) (a) The governor shall appoint each member described in Subsection (2)(e) for a
4016     term of four years.
4017          (b) An appointed member may not serve more than two full consecutive terms unless
4018     the governor determines that an additional term is in the best interest of the state.
4019          (c) Notwithstanding the requirements of Subsections (4)(a) and (b), the governor shall,
4020     at the time of appointment or reappointment, adjust the length of terms to ensure that the terms
4021     of appointed members are staggered so that approximately half of the appointed members are
4022     appointed every two years.
4023          (d) Appointed members shall continue in office until the expiration of their terms and
4024     until their successors are appointed, which may not exceed 120 days after the formal expiration

4025     of a term.
4026          (e) When a vacancy occurs in the membership for any reason, the replacement shall be
4027     appointed for the unexpired term.
4028          (5) (a) The director shall serve as the chair.
4029          (b) The board shall appoint a member to serve as vice chair.
4030          (c) The board shall hold meetings quarterly or as needed.
4031          (d) Five members are necessary to constitute a quorum at any meeting, and, if a
4032     quorum exists, the action of the majority of members present shall be the action of the board.
4033          (e) The chair shall be a non-voting member except that the chair may vote to break a tie
4034     vote between the voting members.
4035          (6) An appointed member may not receive compensation or benefits for the member's
4036     service, but, at the executive director's discretion, may receive per diem and travel expenses in
4037     accordance with:
4038          (a) Section 63A-3-106;
4039          (b) Section 63A-3-107; and
4040          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
4041     63A-3-107.
4042          (7) (a) The board shall adopt bylaws governing the board's activities.
4043          (b) Bylaws shall include procedures for removal of a member who is unable or
4044     unwilling to fulfill the requirements of the member's appointment.
4045          (8) The board shall:
4046          (a) act for the benefit of the [developmental center and the division] Utah State
4047     Developmental Center and the Division of Services for People with Disabilities;
4048          (b) advise and assist the [division] Division of Services for People with Disabilities
4049     with the division's functions, operations, and duties related to the [developmental center] Utah
4050     State Developmental Center, described in Sections [62A-5-102, 62A-5-103, 62A-5-201,
4051     62A-5-203, and 62A-5-206] 26B-6-402, 26B-6-403, 26B-6-502, 26B-6-504, and 26B-6-506;
4052          (c) administer the Utah State Developmental Center Miscellaneous Donation Fund, as
4053     described in Section [62A-5-206.5] 26B-1-330;
4054          (d) administer the Utah State Developmental Center [Land] Long-Term Sustainability
4055     Fund, as described in Section [62A-5-206.6] 26B-1-331;

4056          (e) approve the sale, lease, or other disposition of real property or water rights
4057     associated with the [developmental center] Utah State Developmental Center, as described in
4058     Subsection [62A-5-206.6] 26B-6-507(2); and
4059          (f) within 21 days after the day on which the board receives the notice required under
4060     Subsection 10-2-419(3)(c), provide a written opinion regarding the proposed boundary
4061     adjustment to:
4062          (i) the director of the Division of Facilities and Construction Management; and
4063          (ii) the Legislative Management Committee.
4064          Section 85. Section 26B-1-430, which is renumbered from Section 62A-5a-103 is
4065     renumbered and amended to read:
4066          [62A-5a-103].      26B-1-430. Coordinating Council for Persons with
4067     Disabilities -- Policy regarding services to individuals with disabilities -- Creation --
4068     Membership -- Expenses.
4069          (1) As used in this section, "state agencies" means:
4070          (a) the Division of Services for People with Disabilities;
4071          (b) the Office of Substance Use and Mental Health;
4072          (c) the Division of Integrated Healthcare;
4073          (d) family health services programs established under Chapter 4, Health Care --
4074     Delivery and Access, operated by the department;
4075          (e) the Utah State Office of Rehabilitation created in Section 35A-1-202; and
4076          (f) special education programs operated by the State Board of Education or an LEA
4077     under Title 53E, Chapter 7, Part 2, Special Education Program.
4078          (2) It is the policy of this state that all agencies that provide services to persons with
4079     disabilities:
4080          (a) coordinate and ensure that services and supports are provided in a cost-effective
4081     manner. It is the intent of the Legislature that services and supports provided under this chapter
4082     be coordinated to meet the individual needs of persons with disabilities; and
4083          (b) whenever possible, regard an individual's personal choices concerning services and
4084     supports that are best suited to the individual's needs and that promote the individual's
4085     independence, productivity, and integration in community life.
4086          [(1)] (3) There is created the Coordinating Council for Persons with Disabilities.

4087          [(2)] (4) The council shall consist of:
4088          (a) the director of the Division of Services for People with Disabilities within the
4089     [Department of Human Services] department, or the director's designee;
4090          (b) the director of family health services programs, appointed under Section [26-10-3]
4091     26B-7-102, or the director's designee;
4092          (c) the director of the Utah State Office of Rehabilitation created in Section
4093     35A-1-202, or the director's designee;
4094          (d) the state director of special education, or the director's designee;
4095          (e) the director of the Division of [Health Care Financing within the Department of
4096     Health] Integrated Healthcare within the department, or the director's designee;
4097          (f) the director of the [Division] Office of Substance [Abuse] Use and Mental Health
4098     within the [Department of Human Services] department, or the director's designee;
4099          (g) the superintendent of Schools for the Deaf and the Blind, or the superintendent's
4100     designee; and
4101          (h) a person with a disability, a family member of a person with a disability, or an
4102     advocate for persons with disabilities, appointed by the members listed in Subsections [(2)]
4103     (4)(a) through (g).
4104          [(3)] (5) (a) The council shall annually elect a chair from its membership.
4105          (b) Five members of the council are a quorum.
4106          [(4)] (6) A member may not receive compensation or benefits for the member's service,
4107     but may receive per diem and travel expenses in accordance with:
4108          (a) Section 63A-3-106;
4109          (b) Section 63A-3-107; and
4110          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
4111     63A-3-107.
4112          (7) The council has authority, after local or individual efforts have failed, to:
4113          (a) coordinate the appropriate transition of persons with disabilities who receive
4114     services and support from one state agency to receive services and support from another state
4115     agency;
4116          (b) coordinate policies governing the provision of services and support for persons with
4117     disabilities by state agencies; and

4118          (c) consider issues regarding eligibility for services and support and, where possible,
4119     develop uniform eligibility standards for state agencies.
4120          (8) The council may receive appropriations from the Legislature to purchase services
4121     and supports for persons with disabilities as the council deems appropriate.
4122          (9) (a) Within appropriations authorized by the Legislature, the following individuals
4123     or the individuals' representatives shall cooperatively develop a single coordinated education
4124     program, treatment services, and individual and family supports for students entitled to a free
4125     appropriate education under Title 53E, Chapter 7, Part 2, Special Education Program, who also
4126     require services from the department or the Utah State Office of Rehabilitation:
4127          (i) the state director of special education;
4128          (ii) the director of the Utah State Office of Rehabilitation created in Section
4129     35A-1-202;
4130          (iii) the executive director of the department;
4131          (iv) the director of family health services within the department; and
4132          (v) the affected LEA, as defined in Section 53E-1-102.
4133          (b) Distribution of costs for services and supports described in Subsection (9)(a) shall
4134     be determined through a process established by the department and the State Board of
4135     Education.
4136          Section 86. Section 26B-1-431, which is renumbered from Section 62A-15-605 is
4137     renumbered and amended to read:
4138          [62A-15-605].      26B-1-431. Forensic Mental Health Coordinating Council --
4139     Establishment and purpose.
4140          (1) There is established the Forensic Mental Health Coordinating Council composed of
4141     the following members:
4142          (a) the director of the [Division] Office of Substance [Abuse] Use and Mental Health
4143     or the director's appointee;
4144          (b) the superintendent of the state hospital or the superintendent's appointee;
4145          (c) the executive director of the Department of Corrections or the executive director's
4146     appointee;
4147          (d) a member of the Board of Pardons and Parole or its appointee;
4148          (e) the attorney general or the attorney general's appointee;

4149          (f) the director of the Division of Services for People with Disabilities or the director's
4150     appointee;
4151          (g) the director of the Division of Juvenile Justice and Youth Services or the director's
4152     appointee;
4153          (h) the director of the Commission on Criminal and Juvenile Justice or the director's
4154     appointee;
4155          (i) the state court administrator or the administrator's appointee;
4156          (j) the state juvenile court administrator or the administrator's appointee;
4157          (k) a representative from a local mental health authority or an organization, excluding
4158     the state hospital that provides mental health services under contract with the [Division] Office
4159     of Substance [Abuse] Use and Mental Health or a local mental health authority, as appointed
4160     by the director of the [division] Division of Integrated Healthcare;
4161          (l) the executive director of the Utah Developmental Disabilities Council or the
4162     director's appointee; and
4163          (m) other individuals, including individuals from appropriate advocacy organizations
4164     with an interest in the mission described in Subsection (3), as appointed by the members
4165     described in Subsections (1)(a) through (l).
4166          (2) A member may not receive compensation or benefits for the member's service, but
4167     may receive per diem and travel expenses in accordance with:
4168          (a) Section 63A-3-106;
4169          (b) Section 63A-3-107; and
4170          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
4171     63A-3-107.
4172          (3) The purpose of the Forensic Mental Health Coordinating Council is to:
4173          (a) advise the director of the Office of Substance Use and Mental Health regarding the
4174     state hospital admissions policy for individuals in the custody of the Department of
4175     Corrections;
4176          (b) develop policies for coordination between the [division] Office of Substance Use
4177     and Mental Health and the Department of Corrections;
4178          (c) advise the executive director of the Department of Corrections regarding
4179     department policy related to the care of individuals in the custody of the Department of

4180     Corrections who are mentally ill;
4181          (d) promote communication between and coordination among all agencies dealing with
4182     individuals with an intellectual disability or mental illness who become involved in the civil
4183     commitment system or in the criminal or juvenile justice system;
4184          (e) study, evaluate, and recommend changes to laws and procedures relating to
4185     individuals with an intellectual disability or mental illness who become involved in the civil
4186     commitment system or in the criminal or juvenile justice system;
4187          (f) identify and promote the implementation of specific policies and programs to deal
4188     fairly and efficiently with individuals with an intellectual disability or mental illness who
4189     become involved in the civil commitment system or in the criminal or juvenile justice system;
4190          (g) promote judicial education relating to individuals with an intellectual disability or
4191     mental illness who become involved in the civil commitment system or in the criminal or
4192     juvenile justice system; and
4193          (h) in consultation with the Utah Substance Abuse Advisory Council created in Section
4194     63M-7-301, study the long-term need for adult patient beds at the state hospital, including:
4195          (i) the total number of beds currently in use in the adult general psychiatric unit of the
4196     state hospital;
4197          (ii) the current bed capacity at the state hospital;
4198          (iii) the projected total number of beds needed in the adult general psychiatric unit of
4199     the state hospital over the next three, five, and 10 years based on:
4200          (A) the state's current and projected population growth;
4201          (B) current access to mental health resources in the community; and
4202          (C) any other factors the Forensic Mental Health Coordinating Council finds relevant
4203     to projecting the total number of beds; and
4204          (iv) the cost associated with the projected total number of beds described in Subsection
4205     (3)(h)(iii).
4206          (4) The Forensic Mental Health Coordinating Council shall report the results of the
4207     study described in Subsection (3)(h) and any recommended changes to laws or procedures
4208     based on the results to the Health and Human Services Interim Committee before November 30
4209     of each year.
4210          Section 87. Section 26B-1-432 is enacted to read:

4211          26B-1-432. Newborn Hearing Screening Committee.
4212          (1) There is established the Newborn Hearing Screening Committee.
4213          (2) The committee shall advise the department on:
4214          (a) the validity and cost of newborn infant hearing loss testing procedures; and
4215          (b) rules promulgated by the department to implement this section.
4216          (3) The committee shall be composed of at least 11 members appointed by the
4217     executive director, including:
4218          (a) one representative of the health insurance industry;
4219          (b) one pediatrician;
4220          (c) one family practitioner;
4221          (d) one ear, nose, and throat specialist nominated by the Utah Medical Association;
4222          (e) two audiologists nominated by the Utah Speech-Language-Hearing Association;
4223          (f) one representative of hospital neonatal nurseries;
4224          (g) one representative of the Early Intervention Baby Watch Program administered by
4225     the department;
4226          (h) one public health nurse;
4227          (i) one consumer; and
4228          (j) the executive director or the executive director's designee.
4229          (4) (a) Of the initial members of the committee, the executive director shall appoint as
4230     nearly as possible half to two-year terms and half to four-year terms.
4231          (b) After the initial appointments described in Subsection (4)(a), appointments shall be
4232     for four-year terms except:
4233          (i) for those members who have been appointed to complete an unexpired term; and
4234          (ii) as necessary to ensure that as nearly as possible the terms of half the appointments
4235     expire every two years.
4236          (5) A majority of the members constitutes a quorum, and a vote of the majority of the
4237     members present constitutes an action of the committee.
4238          (6) The committee shall appoint a chairman from the committee's membership.
4239          (7) The committee shall meet at least quarterly.
4240          (8) A member may not receive compensation or benefits for the member's service, but
4241     may receive per diem and travel expenses in accordance with:

4242          (a) Section 63A-3-106;
4243          (b) Section 63A-3-107; and
4244          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
4245     63A-3-107.
4246          (9) The department shall provide staff for the committee.
4247          Section 88. Section 26B-1-433 is enacted to read:
4248          26B-1-433. Children's Hearing Aid Advisory Committee.
4249          (1) There is established the Children's Hearing Aid Advisory Committee.
4250          (2) The committee shall be composed of five members appointed by the executive
4251     director, and shall include:
4252          (a) one audiologist with pediatric expertise;
4253          (b) one speech language pathologist;
4254          (c) one teacher, certified under Title 53E, Public Education System -- State
4255     Administration, as a teacher of the deaf or a listening and spoken language therapist;
4256          (d) one ear, nose, and throat specialist; and
4257          (e) one parent whose child:
4258          (i) is six years old or older; and
4259          (ii) has hearing loss.
4260          (3) A majority of the members constitutes a quorum.
4261          (4) A vote of the majority of the members, with a quorum present, constitutes an action
4262     of the committee.
4263          (5) The committee shall elect a chair from the committee's members.
4264          (6) The committee shall:
4265          (a) meet at least quarterly;
4266          (b) recommend to the department medical criteria and procedures for selecting children
4267     who may qualify for assistance from the account; and
4268          (c) review rules developed by the department.
4269          (7) A member may not receive compensation or benefits for the member's service, but
4270     may receive per diem and travel expenses in accordance with:
4271          (a) Section 63A-3-106;
4272          (b) Section 63A-3-107; and

4273          (c) rules made by the Division of Finance, pursuant to Sections 63A-3-106 and
4274     63A-3-107.
4275          (8) The department shall provide staff to the committee.
4276          Section 89. Section 26B-1-501, which is renumbered from Section 62A-16-102 is
4277     renumbered and amended to read:
4278     
Part 5. Fatality Review

4279          [62A-16-102].      26B-1-501. Definitions.
4280          As used in this part:
4281          (1) "Abuse" means the same as that term is defined in Section 80-1-102.
4282          (2) "Child" means the same as that term is defined in Section 80-1-102.
4283          (3) "Committee" means a fatality review committee that is formed under Section
4284     [62A-16-202 or 62A-16-203] 26B-1-503 or 26B-1-504.
4285          (4) "Dependency" means the same as that term is defined in Section 80-1-102.
4286          (5) "Formal review" means a review of a death or a near fatality that is ordered under
4287     Subsection [62A-16-201(6)] 26B-1-502(6).
4288          (6) "Near fatality" means alleged abuse or neglect that, as certified by a physician,
4289     places a child in serious or critical condition.
4290          (7) "Qualified individual" means an individual who:
4291          (a) at the time that the individual dies, is a resident of a facility or program that is
4292     owned or operated by the department or a division of the department;
4293          (b) (i) is in the custody of the department or a division of the department; and
4294          (ii) is placed in a residential placement by the department or a division of the
4295     department;
4296          (c) at the time that the individual dies, has an open case for the receipt of child welfare
4297     services, including:
4298          (i) an investigation for abuse, neglect, or dependency;
4299          (ii) foster care;
4300          (iii) in-home services; or
4301          (iv) substitute care;
4302          (d) had an open case for the receipt of child welfare services within one year before the
4303     day on which the individual dies;

4304          (e) was the subject of an accepted referral received by Adult Protective Services within
4305     one year before the day on which the individual dies, if:
4306          (i) the department or a division of the department is aware of the death; and
4307          (ii) the death is reported as a homicide, suicide, or an undetermined cause;
4308          (f) received services from, or under the direction of, the Division of Services for People
4309     with Disabilities within one year before the day on which the individual dies, unless the
4310     individual:
4311          (i) lived in the individual's home at the time of death; and
4312          (ii) the director of the [Office of Quality and Design] Division of Continuous Quality
4313     and Improvement determines that the death was not in any way related to services that were
4314     provided by, or under the direction of, the department or a division of the department;
4315          (g) dies within 60 days after the day on which the individual is discharged from the
4316     Utah State Hospital, if the department is aware of the death;
4317          (h) is a child who:
4318          (i) suffers a near fatality; and
4319          (ii) is the subject of an open case for the receipt of child welfare services within one
4320     year before the day on which the child suffered the near fatality, including:
4321          (A) an investigation for abuse, neglect, or dependency;
4322          (B) foster care;
4323          (C) in-home services; or
4324          (D) substitute care; or
4325          (i) is designated as a qualified individual by the executive director.
4326          (8) "Neglect" means the same as that term is defined in Section 80-1-102.
4327          (9) "Substitute care" means the same as that term is defined in Section 80-1-102.
4328          Section 90. Section 26B-1-502, which is renumbered from Section 62A-16-201 is
4329     renumbered and amended to read:
4330          [62A-16-201].      26B-1-502. Initial review.
4331          (1) Within seven days after the day on which the department knows that a qualified
4332     individual has died or is an individual described in Subsection [62A-16-102(7)(h)]
4333     26B-1-501(7)(h), a person designated by the department shall:
4334          (a) (i) for a death, complete a deceased client report form, created by the department; or

4335          (ii) for an individual described in Subsection [62A-16-102(7)(h)] 26B-1-501(7)(h),
4336     complete a near fatality client report form, created by the department; and
4337          (b) forward the completed client report form to the director of the office or division
4338     that has jurisdiction over the region or facility.
4339          (2) The director of the office or division described in Subsection (1) shall, upon receipt
4340     of a near fatality client report form or a deceased client report form, immediately provide a
4341     copy of the form to:
4342          (a) the executive director; and
4343          (b) the fatality review coordinator or the fatality review coordinator's designee.
4344          (3) Within 10 days after the day on which the fatality review coordinator or the fatality
4345     review coordinator's designee receives a copy of the near fatality client report form or the
4346     deceased client report form, the fatality review coordinator or the fatality review coordinator's
4347     designee shall request a copy of all relevant department case records regarding the individual
4348     who is the subject of the client report form.
4349          (4) Each person who receives a request for a record described in Subsection (3) shall
4350     provide a copy of the record to the fatality review coordinator or the fatality review
4351     coordinator's designee, by a secure method, within seven days after the day on which the
4352     request is made.
4353          (5) Within 30 days after the day on which the fatality review coordinator or the fatality
4354     review coordinator's designee receives the case records requested under Subsection (3), the
4355     fatality review coordinator, or the fatality review coordinator's designee, shall:
4356          (a) review the client report form, the case files, and other relevant information received
4357     by the fatality review coordinator; and
4358          (b) make a recommendation to the director of the [Office of Quality and Design]
4359     Division of Continuous Quality and Improvement regarding whether a formal review of the
4360     death or near fatality should be conducted.
4361          (6) (a) In accordance with Subsection (6)(b), within seven days after the day on which
4362     the fatality review coordinator or the fatality review coordinator's designee makes the
4363     recommendation described in Subsection (5)(b), the director of the [Office of Quality and
4364     Design] Division of Continuous Quality and Improvement or the director's designee shall
4365     determine whether to order that a review of the death or near fatality be conducted.

4366          (b) The director of the [Office of Quality and Design] Division of Continuous Quality
4367     and Improvement or the director's designee shall order that a formal review of the death or near
4368     fatality be conducted if:
4369          (i) at the time of the near fatality or the death, the qualified individual is:
4370          (A) an individual described in Subsection [62A-16-102] 26B-1-501(6)(a) or (b),
4371     unless:
4372          (I) the near fatality or the death is due to a natural cause; or
4373          (II) the director of the [Office of Quality and Design] Division of Continuous Quality
4374     and Improvement or the director's designee determines that the near fatality or the death was
4375     not in any way related to services that were provided by, or under the direction of, the
4376     department or a division of the department; or
4377          (B) a child in foster care or substitute care, unless the near fatality or the death is due
4378     to:
4379          (I) a natural cause; or
4380          (II) an accident;
4381          (ii) it appears, based on the information provided to the director of the [Office of
4382     Quality and Design] Division of Continuous Quality and Improvement or the director's
4383     designee, that:
4384          (A) a provision of law, rule, policy, or procedure relating to the qualified individual or
4385     the individual's family may not have been complied with;
4386          (B) the near fatality or the fatality was not responded to properly;
4387          (C) a law, rule, policy, or procedure may need to be changed; or
4388          (D) additional training is needed;
4389          (iii) (A) the death is caused by suicide; or
4390          (B) the near fatality is caused by attempted suicide; or
4391          (iv) the director of the [Office of Quality and Design] Division of Continuous Quality
4392     and Improvement or the director's designee determines that another reason exists to order that a
4393     review of the near fatality or the death be conducted.
4394          Section 91. Section 26B-1-503, which is renumbered from Section 62A-16-202 is
4395     renumbered and amended to read:
4396          [62A-16-202].      26B-1-503. Fatality review committee for a qualified

4397     individual who was not a resident of the Utah State Hospital or the Utah State
4398     Developmental Center.
4399          (1) Except for a fatality review committee described in Section [62A-16-203]
4400     26B-1-504, the fatality review coordinator shall organize a fatality review committee for each
4401     formal review.
4402          (2) Except as provided in Subsection (5), a committee described in Subsection (1):
4403          (a) shall include the following members:
4404          (i) the department's fatality review coordinator, who shall designate a member of the
4405     committee to serve as chair of the committee;
4406          (ii) a member of the board, if there is a board, of the relevant division or office;
4407          (iii) the attorney general or the attorney general's designee;
4408          (iv) (A) a member of the management staff of the relevant division or office; or
4409          (B) a person who is a supervisor, or a higher level position, from a region that did not
4410     have jurisdiction over the qualified individual; and
4411          (v) a member of the department's risk management services; and
4412          (b) may include the following members:
4413          (i) a health care professional;
4414          (ii) a law enforcement officer; or
4415          (iii) a representative of the Office of Public Guardian.
4416          (3) If a death that is subject to formal review involves a qualified individual described
4417     in Subsection [62A-16-102] 26B-1-501(7)(c), (d), or (h), the committee may also include:
4418          (a) a health care professional;
4419          (b) a law enforcement officer;
4420          (c) the director of the Office of Guardian ad Litem;
4421          (d) an employee of the division who may be able to provide information or expertise
4422     that would be helpful to the formal review; or
4423          (e) a professional whose knowledge or expertise may significantly contribute to the
4424     formal review.
4425          (4) A committee described in Subsection (1) may also include a person whose
4426     knowledge or expertise may significantly contribute to the formal review.
4427          (5) A committee described in this section may not include an individual who was

4428     involved in, or who supervises a person who was involved in, the near fatality or the death.
4429          (6) Each member of a committee described in this section who is not an employee of
4430     the department shall sign a form, created by the department, indicating that the member agrees
4431     to:
4432          (a) keep all information relating to the formal review confidential; and
4433          (b) not release any information relating to a formal review, unless required or permitted
4434     by law to release the information.
4435          Section 92. Section 26B-1-504, which is renumbered from Section 62A-16-203 is
4436     renumbered and amended to read:
4437          [62A-16-203].      26B-1-504. Fatality review committees for a resident of the
4438     Utah State Hospital or the Utah State Developmental Center.
4439          (1) If a qualified individual who is the subject of a formal review was a resident of the
4440     Utah State Hospital or the Utah State Developmental Center, the fatality review coordinator of
4441     that facility shall organize a fatality review committee to review the near fatality or the death.
4442          (2) Except as provided in Subsection (4), a committee described in Subsection (1) shall
4443     include the following members:
4444          (a) the fatality review coordinator for the facility, who shall serve as chair of the
4445     committee;
4446          (b) a member of the management staff of the facility;
4447          (c) a supervisor of a unit other than the one in which the qualified individual resided;
4448          (d) a physician;
4449          (e) a representative from the administration of the division that oversees the facility;
4450          (f) the department's fatality review coordinator;
4451          (g) a member of the department's risk management services; and
4452          (h) a citizen who is not an employee of the department.
4453          (3) A committee described in Subsection (1) may also include a person whose
4454     knowledge or expertise may significantly contribute to the formal review.
4455          (4) A committee described in this section may not include an individual who:
4456          (a) was involved in, or who supervises a person who was involved in, the near fatality
4457     or the death; or
4458          (b) has a conflict with the fatality review.

4459          Section 93. Section 26B-1-505, which is renumbered from Section 62A-16-204 is
4460     renumbered and amended to read:
4461          [62A-16-204].      26B-1-505. Fatality review committee proceedings.
4462          (1) A majority vote of committee members present constitutes the action of the
4463     committee.
4464          (2) The department shall give the committee access to all reports, records, and other
4465     documents that are relevant to the near fatality or the death under investigation, including:
4466          (a) narrative reports;
4467          (b) case files;
4468          (c) autopsy reports; and
4469          (d) police reports, unless the report is protected from disclosure under Subsection
4470     63G-2-305(10) or (11).
4471          (3) The Utah State Hospital and the Utah State Developmental Center shall provide
4472     protected health information to the committee if requested by a fatality review coordinator.
4473          (4) A committee shall convene its first meeting within 14 days after the day on which a
4474     formal review is ordered, unless this time is extended, for good cause, by the director of the
4475     [Office of Quality and Design] Division of Continuous Quality and Improvement.
4476          (5) A committee may interview a staff member, a provider, or any other person who
4477     may have knowledge or expertise that is relevant to the formal review.
4478          (6) A committee shall render an advisory opinion regarding:
4479          (a) whether the provisions of law, rule, policy, and procedure relating to the qualified
4480     individual and the individual's family were complied with;
4481          (b) whether the near fatality or the death was responded to properly;
4482          (c) whether to recommend that a law, rule, policy, or procedure be changed; and
4483          (d) whether additional training is needed.
4484          Section 94. Section 26B-1-506, which is renumbered from Section 62A-16-301 is
4485     renumbered and amended to read:
4486          [62A-16-301].      26B-1-506. Fatality review committee report -- Response to
4487     report.
4488          (1) Within 20 days after the day on which the committee proceedings described in
4489     Section [62A-16-204] 26B-1-505 end, the committee shall submit:

4490          (a) a written report to the executive director that includes:
4491          (i) the advisory opinions made under Subsection [62A-16-204(6)] 26B-1-505(6); and
4492          (ii) any recommendations regarding action that should be taken in relation to an
4493     employee of the department or a person who contracts with the department;
4494          (b) a copy of the report described in Subsection (1)(a) to:
4495          (i) the director, or the director's designee, of the office or division to which the near
4496     fatality or the death relates; and
4497          (ii) the regional director, or the regional director's designee, of the region to which the
4498     near fatality or the death relates; and
4499          (c) a copy of the report described in Subsection (1)(a), with only identifying
4500     information redacted, to the Office of Legislative Research and General Counsel.
4501          (2) Within 20 days after the day on which the director described in Subsection (1)(b)(i)
4502     receives a copy of the report described in Subsection (1)(a), the director shall provide a written
4503     response to the director of the [Office of Quality and Design] Division of Continuous Quality
4504     and Improvement and a copy of the response, with only identifying information redacted, to the
4505     Office of Legislative Research and General Counsel, if the report:
4506          (a) indicates that a law, rule, policy, or procedure was not complied with;
4507          (b) indicates that the near fatality or the death was not responded to properly;
4508          (c) recommends that a law, rule, policy, or procedure be changed; or
4509          (d) indicates that additional training is needed.
4510          (3) The response described in Subsection (2) shall include a plan of action to
4511     implement any recommended improvements within the office or division.
4512          (4) Within 30 days after the day on which the executive director receives the response
4513     described in Subsection (2), the executive director, or the executive director's designee shall:
4514          (a) review the plan of action described in Subsection (3);
4515          (b) make any written response that the executive director or the executive director's
4516     designee determines is necessary;
4517          (c) provide a copy of the written response described in Subsection (4)(b), with only
4518     identifying information redacted, to the Office of Legislative Research and General Counsel;
4519     and
4520          (d) provide an unredacted copy of the response described in Subsection (4)(b) to the

4521     director of the [Office of Quality and Design] Division of Continuous Quality and
4522     Improvement.
4523          (5) A report described in Subsection (1) and each response described in this section is a
4524     protected record.
4525          (6) (a) As used in this Subsection (6), "fatality review document" means any document
4526     created in connection with, or as a result of, a formal review of a near fatality or a death, or a
4527     decision whether to conduct a formal review of a near fatality or a death, including:
4528          (i) a report described in Subsection (1);
4529          (ii) a response described in this section;
4530          (iii) a recommendation regarding whether a formal review should be conducted;
4531          (iv) a decision to conduct a formal review;
4532          (v) notes of a person who participates in a formal review;
4533          (vi) notes of a person who reviews a formal review report;
4534          (vii) minutes of a formal review;
4535          (viii) minutes of a meeting where a formal review report is reviewed; and
4536          (ix) minutes of, documents received in relation to, and documents generated in relation
4537     to, the portion of a meeting of the Health and Human Services Interim Committee or the Child
4538     Welfare Legislative Oversight Panel that a formal review report or a document described in this
4539     Subsection (6)(a) is reviewed or discussed.
4540          (b) A fatality review document is not subject to discovery, subpoena, or similar
4541     compulsory process in any civil, judicial, or administrative proceeding, nor shall any individual
4542     or organization with lawful access to the data be compelled to testify with regard to a report
4543     described in Subsection (1) or a response described in this section.
4544          (c) The following are not admissible as evidence in a civil, judicial, or administrative
4545     proceeding:
4546          (i) a fatality review document; and
4547          (ii) an executive summary described in Subsection [62A-16-302(4)] 26B-1-507(4).
4548          Section 95. Section 26B-1-507, which is renumbered from Section 62A-16-302 is
4549     renumbered and amended to read:
4550          [62A-16-302].      26B-1-507. Reporting to, and review by, legislative
4551     committees.

4552          (1) The Office of Legislative Research and General Counsel shall provide a copy of the
4553     report described in Subsection [62A-16-301] 26B-1-506(1)(c), and the responses described in
4554     Subsections [62A-16-301] 26B-1-506(2) and (4)(c) to the chairs of:
4555          (a) the Health and Human Services Interim Committee; or
4556          (b) if the qualified individual who is the subject of the report is an individual described
4557     in Subsection [62A-16-102] 26B-1-501(7)(c), (d), or (h), the Child Welfare Legislative
4558     Oversight Panel.
4559          (2) (a) The Health and Human Services Interim Committee may, in a closed meeting,
4560     review a report described in Subsection [62A-16-301] 26B-1-506(1)(b).
4561          (b) The Child Welfare Legislative Oversight Panel shall, in a closed meeting, review a
4562     report described in Subsection (1)(b).
4563          (3) (a) The Health and Human Services Interim Committee and the Child Welfare
4564     Legislative Oversight Panel may not interfere with, or make recommendations regarding, the
4565     resolution of a particular case.
4566          (b) The purpose of a review described in Subsection (2) is to assist a committee or
4567     panel described in Subsection (2) in determining whether to recommend a change in the law.
4568          (c) Any recommendation, described in Subsection (3)(b), by a committee or panel for a
4569     change in the law shall be made in an open meeting.
4570          (4) (a) On or before September 1 of each year, the department shall provide an
4571     executive summary of all formal review reports for the preceding state fiscal year to the Office
4572     of Legislative Research and General Counsel.
4573          (b) The Office of Legislative Research and General Counsel shall forward a copy of the
4574     executive summary described in Subsection (4)(a) to:
4575          (i) the Health and Human Services Interim Committee; and
4576          (ii) the Child Welfare Legislative Oversight Panel.
4577          (5) The executive summary described in Subsection (4):
4578          (a) may not include any names or identifying information;
4579          (b) shall include:
4580          (i) all recommendations regarding changes to the law that were made during the
4581     preceding fiscal year under Subsection [62A-16-204] 26B-1-505(6);
4582          (ii) all changes made, or in the process of being made, to a law, rule, policy, or

4583     procedure in response to a formal review that occurred during the preceding fiscal year;
4584          (iii) a description of the training that has been completed in response to a formal
4585     review that occurred during the preceding fiscal year;
4586          (iv) statistics for the preceding fiscal year regarding:
4587          (A) the number of qualified individuals and the type of deaths and near fatalities that
4588     are known to the department;
4589          (B) the number of formal reviews conducted;
4590          (C) the categories described in Subsection [62A-16-102] 26B-1-501(7) of qualified
4591     individuals;
4592          (D) the gender, age, race, and other significant categories of qualified individuals; and
4593          (E) the number of fatalities of qualified individuals known to the department that are
4594     identified as suicides; and
4595          (v) action taken by the [Office] Division of Licensing and Background Checks and the
4596     Bureau of Internal Review and Audits in response to the near fatality or the death of a qualified
4597     individual; and
4598          (c) is a public document.
4599          (6) The Division of Child and Family Services shall, to the extent required by the
4600     federal Child Abuse Prevention and Treatment Act of 1988, Pub. L. No. 93-247, as amended,
4601     allow public disclosure of the findings or information relating to a case of child abuse or
4602     neglect that results in a child fatality or a near fatality.
4603          Section 96. Section 26B-2-101 is amended to read:
4604     
CHAPTER 2. LICENSING AND CERTIFICATIONS

4605     
Part 1. Human Services Programs and Facilities

4606          26B-2-101. Definitions.
4607          [Reserved]
4608          As used in this part:
4609          (1) "Adoption services" means the same as that term is defined in Section 80-2-801.
4610          (2) "Adult day care" means nonresidential care and supervision:
4611          (a) for three or more adults for at least four but less than 24 hours a day; and
4612          (b) that meets the needs of functionally impaired adults through a comprehensive
4613     program that provides a variety of health, social, recreational, and related support services in a

4614     protective setting.
4615          (3) "Applicant" means a person that applies for an initial license or a license renewal
4616     under this part.
4617          (4) (a) "Associated with the licensee" means that an individual is:
4618          (i) affiliated with a licensee as an owner, director, member of the governing body,
4619     employee, agent, provider of care, department contractor, or volunteer; or
4620          (ii) applying to become affiliated with a licensee in a capacity described in Subsection
4621     (4)(a)(i).
4622          (b) "Associated with the licensee" does not include:
4623          (i) service on the following bodies, unless that service includes direct access to a child
4624     or a vulnerable adult:
4625          (A) a local mental health authority described in Section 17-43-301;
4626          (B) a local substance abuse authority described in Section 17-43-201; or
4627          (C) a board of an organization operating under a contract to provide mental health or
4628     substance use programs, or services for the local mental health authority or substance abuse
4629     authority; or
4630          (ii) a guest or visitor whose access to a child or a vulnerable adult is directly supervised
4631     at all times.
4632          (5) (a) "Boarding school" means a private school that:
4633          (i) uses a regionally accredited education program;
4634          (ii) provides a residence to the school's students:
4635          (A) for the purpose of enabling the school's students to attend classes at the school; and
4636          (B) as an ancillary service to educating the students at the school;
4637          (iii) has the primary purpose of providing the school's students with an education, as
4638     defined in Subsection (5)(b)(i); and
4639          (iv) (A) does not provide the treatment or services described in Subsection (38)(a); or
4640          (B) provides the treatment or services described in Subsection (38)(a) on a limited
4641     basis, as described in Subsection (5)(b)(ii).
4642          (b) (i) For purposes of Subsection (5)(a)(iii), "education" means a course of study for
4643     one or more grades from kindergarten through grade 12.
4644          (ii) For purposes of Subsection (5)(a)(iv)(B), a private school provides the treatment or

4645     services described in Subsection (38)(a) on a limited basis if:
4646          (A) the treatment or services described in Subsection (38)(a) are provided only as an
4647     incidental service to a student; and
4648          (B) the school does not:
4649          (I) specifically solicit a student for the purpose of providing the treatment or services
4650     described in Subsection (38)(a); or
4651          (II) have a primary purpose of providing the treatment or services described in
4652     Subsection (38)(a).
4653          (c) "Boarding school" does not include a therapeutic school.
4654          (6) "Child" means an individual under 18 years old.
4655          (7) "Child placing" means receiving, accepting, or providing custody or care for any
4656     child, temporarily or permanently, for the purpose of:
4657          (a) finding a person to adopt the child;
4658          (b) placing the child in a home for adoption; or
4659          (c) foster home placement.
4660          (8) "Child-placing agency" means a person that engages in child placing.
4661          (9) "Client" means an individual who receives or has received services from a licensee.
4662          (10) (a) "Congregate care program" means any of the following that provide services to
4663     a child:
4664          (i) an outdoor youth program;
4665          (ii) a residential support program;
4666          (iii) a residential treatment program; or
4667          (iv) a therapeutic school.
4668          (b) "Congregate care program" does not include a human services program that:
4669          (i) is licensed to serve adults; and
4670          (ii) is approved by the office to service a child for a limited time.
4671          (11) "Day treatment" means specialized treatment that is provided to:
4672          (a) a client less than 24 hours a day; and
4673          (b) four or more persons who:
4674          (i) are unrelated to the owner or provider; and
4675          (ii) have emotional, psychological, developmental, physical, or behavioral

4676     dysfunctions, impairments, or chemical dependencies.
4677          (12) "Department contractor" means an individual who:
4678          (a) provides services under a contract with the department; and
4679          (b) due to the contract with the department, has or will likely have direct access to a
4680     child or vulnerable adult.
4681          (13) "Direct access" means that an individual has, or likely will have:
4682          (a) contact with or access to a child or vulnerable adult that provides the individual
4683     with an opportunity for personal communication or touch; or
4684          (b) an opportunity to view medical, financial, or other confidential personal identifying
4685     information of the child, the child's parents or legal guardians, or the vulnerable adult.
4686          (14) "Directly supervised" means that an individual is being supervised under the
4687     uninterrupted visual and auditory surveillance of another individual who has a current
4688     background screening approval issued by the office.
4689          (15) "Director" means the director of the office.
4690          (16) "Domestic violence" means the same as that term is defined in Section 77-36-1.
4691          (17) "Domestic violence treatment program" means a nonresidential program designed
4692     to provide psychological treatment and educational services to perpetrators and victims of
4693     domestic violence.
4694          (18) "Elder adult" means a person 65 years old or older.
4695          (19) "Foster home" means a residence that is licensed or certified by the office for the
4696     full-time substitute care of a child.
4697          (20) "Health benefit plan" means the same as that term is defined in Section
4698     31A-22-634.
4699          (21) "Health care provider" means the same as that term is defined in Section
4700     78B-3-403.
4701          (22) "Health insurer" means the same as that term is defined in Section 31A-22-615.5.
4702          (23) (a) "Human services program" means:
4703          (i) a foster home;
4704          (ii) a therapeutic school;
4705          (iii) a youth program;
4706          (iv) an outdoor youth program;

4707          (v) a residential treatment program;
4708          (vi) a residential support program;
4709          (vii) a resource family home;
4710          (viii) a recovery residence; or
4711          (ix) a facility or program that provides:
4712          (A) adult day care;
4713          (B) day treatment;
4714          (C) outpatient treatment;
4715          (D) domestic violence treatment;
4716          (E) child-placing services;
4717          (F) social detoxification; or
4718          (G) any other human services that are required by contract with the department to be
4719     licensed with the department.
4720          (b) "Human services program" does not include:
4721          (i) a boarding school; or
4722          (ii) a residential, vocational and life skills program, as defined in Section 13-53-102.
4723          (24) "Indian child" means the same as that term is defined in 25 U.S.C. Sec. 1903.
4724          (25) "Indian country" means the same as that term is defined in 18 U.S.C. Sec. 1151.
4725          (26) "Indian tribe" means the same as that term is defined in 25 U.S.C. Sec. 1903.
4726          (27) "Intermediate secure treatment" means 24-hour specialized residential treatment or
4727     care for an individual who:
4728          (a) cannot live independently or in a less restrictive environment; and
4729          (b) requires, without the individual's consent or control, the use of locked doors to care
4730     for the individual.
4731          (28) "Licensee" means an individual or a human services program licensed by the
4732     office.
4733          (29) "Local government" means a city, town, metro township, or county.
4734          (30) "Minor" means child.
4735          (31) "Office" means the Office of Licensing within the department.
4736          (32) "Outdoor youth program" means a program that provides:
4737          (a) services to a child that has:

4738          (i) a chemical dependency; or
4739          (ii) a dysfunction or impairment that is emotional, psychological, developmental,
4740     physical, or behavioral;
4741          (b) a 24-hour outdoor group living environment; and
4742          (c) (i) regular therapy, including group, individual, or supportive family therapy; or
4743          (ii) informal therapy or similar services, including wilderness therapy, adventure
4744     therapy, or outdoor behavioral healthcare.
4745          (33) "Outpatient treatment" means individual, family, or group therapy or counseling
4746     designed to improve and enhance social or psychological functioning for those whose physical
4747     and emotional status allows them to continue functioning in their usual living environment.
4748          (34) "Practice group" or "group practice" means two or more health care providers
4749     legally organized as a partnership, professional corporation, or similar association, for which:
4750          (a) substantially all of the services of the health care providers who are members of the
4751     group are provided through the group and are billed in the name of the group and amounts
4752     received are treated as receipts of the group; and
4753          (b) the overhead expenses of and the income from the practice are distributed in
4754     accordance with methods previously determined by members of the group.
4755          (35) "Private-placement child" means a child whose parent or guardian enters into a
4756     contract with a congregate care program for the child to receive services.
4757          (36) (a) "Recovery residence" means a home, residence, or facility that meets at least
4758     two of the following requirements:
4759          (i) provides a supervised living environment for individuals recovering from a
4760     substance use disorder;
4761          (ii) provides a living environment in which more than half of the individuals in the
4762     residence are recovering from a substance use disorder;
4763          (iii) provides or arranges for residents to receive services related to the resident's
4764     recovery from a substance use disorder, either on or off site;
4765          (iv) is held out as a living environment in which individuals recovering from substance
4766     abuse disorders live together to encourage continued sobriety; or
4767          (v) (A) receives public funding; or
4768          (B) is run as a business venture, either for-profit or not-for-profit.

4769          (b) "Recovery residence" does not mean:
4770          (i) a residential treatment program;
4771          (ii) residential support program; or
4772          (iii) a home, residence, or facility, in which:
4773          (A) residents, by a majority vote of the residents, establish, implement, and enforce
4774     policies governing the living environment, including the manner in which applications for
4775     residence are approved and the manner in which residents are expelled;
4776          (B) residents equitably share rent and housing-related expenses; and
4777          (C) a landlord, owner, or operator does not receive compensation, other than fair
4778     market rental income, for establishing, implementing, or enforcing policies governing the
4779     living environment.
4780          (37) "Regular business hours" means:
4781          (a) the hours during which services of any kind are provided to a client; or
4782          (b) the hours during which a client is present at the facility of a licensee.
4783          (38) (a) "Residential support program" means a program that arranges for or provides
4784     the necessities of life as a protective service to individuals or families who have a disability or
4785     who are experiencing a dislocation or emergency that prevents them from providing these
4786     services for themselves or their families.
4787          (b) "Residential support program" includes a program that provides a supervised living
4788     environment for individuals with dysfunctions or impairments that are:
4789          (i) emotional;
4790          (ii) psychological;
4791          (iii) developmental; or
4792          (iv) behavioral.
4793          (c) Treatment is not a necessary component of a residential support program.
4794          (d) "Residential support program" does not include:
4795          (i) a recovery residence; or
4796          (ii) a program that provides residential services that are performed:
4797          (A) exclusively under contract with the department and provided to individuals through
4798     the Division of Services for People with Disabilities; or
4799          (B) in a facility that serves fewer than four individuals.

4800          (39) (a) "Residential treatment" means a 24-hour group living environment for four or
4801     more individuals unrelated to the owner or provider that offers room or board and specialized
4802     treatment, behavior modification, rehabilitation, discipline, emotional growth, or habilitation
4803     services for persons with emotional, psychological, developmental, or behavioral dysfunctions,
4804     impairments, or chemical dependencies.
4805          (b) "Residential treatment" does not include a:
4806          (i) boarding school;
4807          (ii) foster home; or
4808          (iii) recovery residence.
4809          (40) "Residential treatment program" means a program or facility that provides:
4810          (a) residential treatment; or
4811          (b) intermediate secure treatment.
4812          (41) "Seclusion" means the involuntary confinement of an individual in a room or an
4813     area:
4814          (a) away from the individual's peers; and
4815          (b) in a manner that physically prevents the individual from leaving the room or area.
4816          (42) "Social detoxification" means short-term residential services for persons who are
4817     experiencing or have recently experienced drug or alcohol intoxication, that are provided
4818     outside of a health care facility licensed under Part 2, Health Care Facility Licensing and
4819     Inspection, and that include:
4820          (a) room and board for persons who are unrelated to the owner or manager of the
4821     facility;
4822          (b) specialized rehabilitation to acquire sobriety; and
4823          (c) aftercare services.
4824          (43) "Substance abuse disorder" or "substance use disorder" mean the same as
4825     "substance use disorder" is defined in Section 26B-5-501.
4826          (44) "Substance abuse treatment program" or "substance use disorder treatment
4827     program" means a program:
4828          (a) designed to provide:
4829          (i) specialized drug or alcohol treatment;
4830          (ii) rehabilitation; or

4831          (iii) habilitation services; and
4832          (b) that provides the treatment or services described in Subsection (44)(a) to persons
4833     with:
4834          (i) a diagnosed substance use disorder; or
4835          (ii) chemical dependency disorder.
4836          (45) "Therapeutic school" means a residential group living facility:
4837          (a) for four or more individuals that are not related to:
4838          (i) the owner of the facility; or
4839          (ii) the primary service provider of the facility;
4840          (b) that serves students who have a history of failing to function:
4841          (i) at home;
4842          (ii) in a public school; or
4843          (iii) in a nonresidential private school; and
4844          (c) that offers:
4845          (i) room and board; and
4846          (ii) an academic education integrated with:
4847          (A) specialized structure and supervision; or
4848          (B) services or treatment related to:
4849          (I) a disability;
4850          (II) emotional development;
4851          (III) behavioral development;
4852          (IV) familial development; or
4853          (V) social development.
4854          (46) "Unrelated persons" means persons other than parents, legal guardians,
4855     grandparents, brothers, sisters, uncles, or aunts.
4856          (47) "Vulnerable adult" means an elder adult or an adult who has a temporary or
4857     permanent mental or physical impairment that substantially affects the person's ability to:
4858          (a) provide personal protection;
4859          (b) provide necessities such as food, shelter, clothing, or mental or other health care;
4860          (c) obtain services necessary for health, safety, or welfare;
4861          (d) carry out the activities of daily living;

4862          (e) manage the adult's own resources; or
4863          (f) comprehend the nature and consequences of remaining in a situation of abuse,
4864     neglect, or exploitation.
4865          (48) (a) "Youth program" means a program designed to provide behavioral, substance
4866     use, or mental health services to minors that:
4867          (i) serves adjudicated or nonadjudicated youth;
4868          (ii) charges a fee for the program's services;
4869          (iii) may provide host homes or other arrangements for overnight accommodation of
4870     the youth;
4871          (iv) may provide all or part of the program's services in the outdoors;
4872          (v) may limit or censor access to parents or guardians; and
4873          (vi) prohibits or restricts a minor's ability to leave the program at any time of the
4874     minor's own free will.
4875          (b) "Youth program" does not include recreational programs such as Boy Scouts, Girl
4876     Scouts, 4-H, and other such organizations.
4877          (49) (a) "Youth transportation company" means any person that transports a child for
4878     payment to or from a congregate care program in Utah.
4879          (b) "Youth transportation company" does not include:
4880          (i) a relative of the child;
4881          (ii) a state agency; or
4882          (iii) a congregate care program's employee who transports the child from the
4883     congregate care program that employs the employee and returns the child to the same
4884     congregate care program.
4885          Section 97. Section 26B-2-102, which is renumbered from Section 62A-2-102 is
4886     renumbered and amended to read:
4887          [62A-2-102].      26B-2-102. Purpose of licensure.
4888          The purpose of licensing under this [chapter] part is to permit or authorize a public or
4889     private agency to provide defined human services programs within statutory and regulatory
4890     guidelines.
4891          Section 98. Section 26B-2-103, which is renumbered from Section 62A-2-103 is
4892     renumbered and amended to read:

4893          [62A-2-103].      26B-2-103. Office of Licensing -- Appointment --
4894     Qualifications of director.
4895          (1) There is created the Office of Licensing within the [Department of Human
4896     Services] department.
4897           (2) The office shall be the licensing authority for the department, and is vested with all
4898     the powers, duties, and responsibilities described in [this chapter.]:
4899          (a) this part;
4900          (b) Part 2, Health Care Facility Licensing and Inspection; and
4901          (c) Part 6, Mammography Quality Assurance.
4902          [(2)] (3) The executive director shall appoint the director of the office.
4903          [(3)] (4) The director shall have a bachelor's degree from an accredited university or
4904     college, be experienced in administration, and be knowledgeable of health and human services
4905     licensing.
4906          Section 99. Section 26B-2-104, which is renumbered from Section 62A-2-106 is
4907     renumbered and amended to read:
4908          [62A-2-106].      26B-2-104. Office responsibilities.
4909          (1) Subject to the requirements of federal and state law, the office shall:
4910          (a) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
4911     Rulemaking Act, to establish:
4912          (i) except as provided in Subsection (1)(a)(ii), basic health and safety standards for
4913     licensees, that shall be limited to:
4914          (A) fire safety;
4915          (B) food safety;
4916          (C) sanitation;
4917          (D) infectious disease control;
4918          (E) safety of the:
4919          (I) physical facility and grounds; and
4920          (II) area and community surrounding the physical facility;
4921          (F) transportation safety;
4922          (G) emergency preparedness and response;
4923          (H) the administration of medical standards and procedures, consistent with the related

4924     provisions of this title;
4925          (I) staff and client safety and protection;
4926          (J) the administration and maintenance of client and service records;
4927          (K) staff qualifications and training, including standards for permitting experience to
4928     be substituted for education, unless prohibited by law;
4929          (L) staff to client ratios;
4930          (M) access to firearms; and
4931          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
4932          (ii) basic health and safety standards for therapeutic schools, that shall be limited to:
4933          (A) fire safety, except that the standards are limited to those required by law or rule
4934     under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks Act;
4935          (B) food safety;
4936          (C) sanitation;
4937          (D) infectious disease control, except that the standards are limited to:
4938          (I) those required by law or rule under [Title 26, Utah Health Code] this title, or Title
4939     26A, Local Health Authorities; and
4940          (II) requiring a separate room for clients who are sick;
4941          (E) safety of the physical facility and grounds, except that the standards are limited to
4942     those required by law or rule under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks
4943     Act;
4944          (F) transportation safety;
4945          (G) emergency preparedness and response;
4946          (H) access to appropriate medical care, including:
4947          (I) subject to the requirements of law, designation of a person who is authorized to
4948     dispense medication; and
4949          (II) storing, tracking, and securing medication;
4950          (I) staff and client safety and protection that permits the school to provide for the direct
4951     supervision of clients at all times;
4952          (J) the administration and maintenance of client and service records;
4953          (K) staff qualifications and training, including standards for permitting experience to
4954     be substituted for education, unless prohibited by law;

4955          (L) staff to client ratios;
4956          (M) access to firearms; and
4957          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
4958          (iii) procedures and standards for permitting a licensee to:
4959          (A) provide in the same facility and under the same conditions as children, residential
4960     treatment services to a person 18 years old or older who:
4961          (I) begins to reside at the licensee's residential treatment facility before the person's
4962     18th birthday;
4963          (II) has resided at the licensee's residential treatment facility continuously since the
4964     time described in Subsection (1)(a)(iii)(A)(I);
4965          (III) has not completed the course of treatment for which the person began residing at
4966     the licensee's residential treatment facility; and
4967          (IV) voluntarily consents to complete the course of treatment described in Subsection
4968     (1)(a)(iii)(A)(III); or
4969          (B) (I) provide residential treatment services to a child who is:
4970          (Aa) at least 12 years old or, as approved by the office, younger than 12 years old; and
4971          (Bb) under the custody of the [Department of Human Services] department, or one of
4972     its divisions; and
4973          (II) provide, in the same facility as a child described in Subsection (1)(a)(iii)(B)(I),
4974     residential treatment services to a person who is:
4975          (Aa) at least 18 years old, but younger than 21 years old; and
4976          (Bb) under the custody of the [Department of Human Services] department, or one of
4977     its divisions;
4978          (iv) minimum administration and financial requirements for licensees;
4979          (v) guidelines for variances from rules established under this Subsection (1);
4980          (vi) ethical standards, as described in Subsection 78B-6-106(3), and minimum
4981     responsibilities of a child-placing agency that provides adoption services and that is licensed
4982     under this [chapter] part;
4983          (vii) what constitutes an "outpatient treatment program" for purposes of this [chapter]
4984     part;
4985          (viii) a procedure requiring a licensee to provide an insurer the licensee's records

4986     related to any services or supplies billed to the insurer, and a procedure allowing the licensee
4987     and the insurer to contact the Insurance Department to resolve any disputes;
4988          (ix) a protocol for the office to investigate and process complaints about licensees;
4989          (x) a procedure for a licensee to:
4990          (A) report the use of a restraint or seclusion within one business day after the day on
4991     which the use of the restraint or seclusion occurs; and
4992          (B) report a critical incident within one business day after the day on which the
4993     incident occurs;
4994          (xi) guidelines for the policies and procedures described in Sections [62A-2-123]
4995     26B-2-123 and [62A-2-124] 26B-2-109;
4996          (xii) a procedure for the office to review and approve the policies and procedures
4997     described in Sections [62A-2-123] 26B-2-123 and [62A-2-124] 26B-2-109; and
4998          (xiii) a requirement that each human services program publicly post information that
4999     informs an individual how to submit a complaint about a human services program to the office;
5000          (b) enforce rules relating to the office;
5001          (c) issue licenses in accordance with this [chapter] part;
5002          (d) if the United States Department of State executes an agreement with the office that
5003     designates the office to act as an accrediting entity in accordance with the Intercountry
5004     Adoption Act of 2000, Pub. L. No. 106-279, accredit one or more agencies and persons to
5005     provide intercountry adoption services pursuant to:
5006          (i) the Intercountry Adoption Act of 2000, Pub. L. No. 106-279; and
5007          (ii) the implementing regulations for the Intercountry Adoption Act of 2000, Pub. L.
5008     No. 106-279;
5009          (e) make rules to implement the provisions of Subsection (1)(d);
5010          (f) conduct surveys and inspections of licensees and facilities in accordance with
5011     Section [62A-2-118] 26B-2-107;
5012          (g) collect licensure fees;
5013          (h) notify licensees of the name of a person within the department to contact when
5014     filing a complaint;
5015          (i) investigate complaints regarding any licensee or human services program;
5016          (j) have access to all records, correspondence, and financial data required to be

5017     maintained by a licensee;
5018          (k) have authority to interview any client, family member of a client, employee, or
5019     officer of a licensee;
5020          (l) have authority to deny, condition, revoke, suspend, or extend any license issued by
5021     the department under this [chapter] part by following the procedures and requirements of Title
5022     63G, Chapter 4, Administrative Procedures Act;
5023          (m) electronically post notices of agency action issued to a human services program,
5024     with the exception of a foster home, on the office's website, in accordance with Title 63G,
5025     Chapter 2, Government Records Access and Management Act; and
5026          (n) upon receiving a local government's request under Section [62A-2-108.4]
5027     26B-2-118, notify the local government of new human services program license applications,
5028     except for foster homes, for human services programs located within the local government's
5029     jurisdiction.
5030          (2) In establishing rules under Subsection (1)(a)(ii)(G), the office shall require a
5031     licensee to establish and comply with an emergency response plan that requires clients and staff
5032     to:
5033          (a) immediately report to law enforcement any significant criminal activity, as defined
5034     by rule, committed:
5035          (i) on the premises where the licensee operates its human services program;
5036          (ii) by or against its clients; or
5037          (iii) by or against a staff member while the staff member is on duty;
5038          (b) immediately report to emergency medical services any medical emergency, as
5039     defined by rule:
5040          (i) on the premises where the licensee operates its human services program;
5041          (ii) involving its clients; or
5042          (iii) involving a staff member while the staff member is on duty; and
5043          (c) immediately report other emergencies that occur on the premises where the licensee
5044     operates its human services program to the appropriate emergency services agency.
5045          Section 100. Section 26B-2-105, which is renumbered from Section 62A-2-108 is
5046     renumbered and amended to read:
5047          [62A-2-108].      26B-2-105. Licensure requirements -- Expiration -- Renewal.

5048          (1) Except as provided in Section [62A-2-110] 26B-2-115, an individual, agency, firm,
5049     corporation, association, or governmental unit acting severally or jointly with any other
5050     individual, agency, firm, corporation, association, or governmental unit may not establish,
5051     conduct, or maintain a human services program in this state without a valid and current license
5052     issued by and under the authority of the office as provided by this [chapter] part and the rules
5053     under the authority of this [chapter] part.
5054          (2) (a) For purposes of this Subsection (2), "member" means a person or entity that is
5055     associated with another person or entity:
5056          (i) as a member;
5057          (ii) as a partner;
5058          (iii) as a shareholder; or
5059          (iv) as a person or entity involved in the ownership or management of a human
5060     services program owned or managed by the other person or entity.
5061          (b) A license issued under this [chapter] part may not be assigned or transferred.
5062          (c) An application for a license under this [chapter] part shall be treated as an
5063     application for reinstatement of a revoked license if:
5064          (i) (A) the person or entity applying for the license had a license revoked under this
5065     [chapter] part; and
5066          (B) the revoked license described in Subsection (2)(c)(i)(A) is not reinstated before the
5067     application described in this Subsection (2)(c) is made; or
5068          (ii) a member of an entity applying for the license:
5069          (A) (I) had a license revoked under this [chapter] part; and
5070          (II) the revoked license described in Subsection (2)(c)(ii)(A)(I) is not reinstated before
5071     the application described in this Subsection (2)(c) is made; or
5072          (B) (I) was a member of an entity that had a license revoked under this [chapter] part at
5073     any time before the license was revoked; and
5074          (II) the revoked license described in Subsection (2)(c)(ii)(B)(I) is not reinstated before
5075     the application described in this Subsection (2)(c) is made.
5076          (3) A current license shall at all times be posted in the facility where each human
5077     services program is operated, in a place that is visible and readily accessible to the public.
5078          (4) (a) Except as provided in Subsection (4)(c), each license issued under this [chapter]

5079     part expires at midnight on the last day of the same month the license was issued, one year
5080     following the date of issuance unless the license has been:
5081          (i) previously revoked by the office;
5082          (ii) voluntarily returned to the office by the licensee; or
5083          (iii) extended by the office.
5084          (b) A license shall be renewed upon application and payment of the applicable fee,
5085     unless the office finds that the licensee:
5086          (i) is not in compliance with the:
5087          (A) provisions of this [chapter] part; or
5088          (B) rules made under this [chapter] part;
5089          (ii) has engaged in a pattern of noncompliance with the:
5090          (A) provisions of this [chapter] part; or
5091          (B) rules made under this [chapter] part;
5092          (iii) has engaged in conduct that is grounds for denying a license under Section
5093     [62A-2-112] 26B-2-112; or
5094          (iv) has engaged in conduct that poses a substantial risk of harm to any person.
5095          (c) The office may issue a renewal license that expires at midnight on the last day of
5096     the same month the license was issued, two years following the date of issuance, if:
5097          (i) the licensee has maintained a human services license for at least 24 months before
5098     the day on which the licensee applies for the renewal; and
5099          (ii) the licensee has not violated this [chapter] part or a rule made under this [chapter]
5100     part.
5101          (5) Any licensee that is in operation at the time rules are made in accordance with this
5102     [chapter] part shall be given a reasonable time for compliance as determined by the rule.
5103          (6) (a) A license for a human services program issued under this section shall apply to
5104     a specific human services program site.
5105          (b) A human services program shall obtain a separate license for each site where the
5106     human services program is operated.
5107          Section 101. Section 26B-2-106, which is renumbered from Section 62A-2-109 is
5108     renumbered and amended to read:
5109          [62A-2-109].      26B-2-106. License application -- Classification of

5110     information.
5111          (1) An application for a license under this [chapter] part shall be made to the office and
5112     shall contain information that is necessary to comply with approved rules.
5113          (2) Information received by the office through reports and inspections shall be
5114     classified in accordance with Title 63G, Chapter 2, Government Records Access and
5115     Management Act.
5116          Section 102. Section 26B-2-107, which is renumbered from Section 62A-2-118 is
5117     renumbered and amended to read:
5118          [62A-2-118].      26B-2-107. Administrative inspections.
5119          (1) (a) Subject to Subsection (1)(b), the office may, for the purpose of ascertaining
5120     compliance with this [chapter] part, enter and inspect on a routine basis the facility of a
5121     licensee.
5122          (b) (i) The office shall enter and inspect a congregate care program at least once each
5123     calendar quarter.
5124          (ii) At least two of the inspections described in Subsection (1)(b)(i) shall be
5125     unannounced.
5126          (c) If another government entity conducts an inspection that is substantially similar to
5127     an inspection conducted by the office, the office may conclude the inspection satisfies an
5128     inspection described in Subsection (1)(b).
5129          (2) Before conducting an inspection under Subsection (1), the office shall, after
5130     identifying the person in charge:
5131          (a) give proper identification;
5132          (b) request to see the applicable license;
5133          (c) describe the nature and purpose of the inspection; and
5134          (d) if necessary, explain the authority of the office to conduct the inspection and the
5135     penalty for refusing to permit the inspection as provided in Section [62A-2-116] 26B-2-113.
5136          (3) In conducting an inspection under Subsection (1), the office may, after meeting the
5137     requirements of Subsection (2):
5138          (a) inspect the physical facilities;
5139          (b) inspect and copy records and documents;
5140          (c) interview officers, employees, clients, family members of clients, and others; and

5141          (d) observe the licensee in operation.
5142          (4) An inspection conducted under Subsection (1) shall be during regular business
5143     hours and may be announced or unannounced.
5144          (5) The licensee shall make copies of inspection reports available to the public upon
5145     request.
5146          (6) The provisions of this section apply to on-site inspections and do not restrict the
5147     office from contacting family members, neighbors, or other individuals, or from seeking
5148     information from other sources to determine compliance with this [chapter] part.
5149          Section 103. Section 26B-2-108, which is renumbered from Section 62A-2-119 is
5150     renumbered and amended to read:
5151          [62A-2-119].      26B-2-108. Adoption of inspections, examinations, and
5152     studies.
5153          The office may adopt an inspection, examination, or study conducted by a public or
5154     private entity, as identified by rule, to determine whether a licensee has complied with a
5155     licensing requirement imposed by virtue of this [chapter] part.
5156          Section 104. Section 26B-2-109, which is renumbered from Section 62A-2-124 is
5157     renumbered and amended to read:
5158          [62A-2-124].      26B-2-109. Human services program non-discrimination.
5159          A human services program:
5160          (1) shall perform an individualized assessment when classifying and placing an
5161     individual in programs and living environments; and
5162          (2) subject to the office's review and approval, shall create policies and procedures that
5163     include:
5164          (a) a description of what constitutes sex and gender based abuse, discrimination, and
5165     harassment;
5166          (b) procedures for preventing and reporting abuse, discrimination, and harassment; and
5167          (c) procedures for teaching effective and professional communication with individuals
5168     of all sexual orientations and genders.
5169          Section 105. Section 26B-2-110, which is renumbered from Section 62A-2-113 is
5170     renumbered and amended to read:
5171          [62A-2-113].      26B-2-110. License revocation -- Suspension.

5172          (1) If a license is revoked, the office may not grant a new license unless:
5173          (a) the human services program provides satisfactory evidence to the office that the
5174     conditions upon which revocation was based have been corrected;
5175          (b) the human services program is inspected by the office and found to be in
5176     compliance with all provisions of this [chapter] part and applicable rules;
5177          (c) at least five years have passed since the day on which the licensee is served with
5178     final notice that the license is revoked; and
5179          (d) the office determines that the interests of the public will not be jeopardized by
5180     granting the license.
5181          (2) The office may suspend a license for no longer than three years.
5182          (3) When a license has been suspended, the office may restore, or restore subject to
5183     conditions, the suspended license upon a determination that the:
5184          (a) conditions upon which the suspension was based have been completely or partially
5185     corrected; and
5186          (b) interests of the public will not be jeopardized by restoration of the license.
5187          Section 106. Section 26B-2-111, which is renumbered from Section 62A-2-111 is
5188     renumbered and amended to read:
5189          [62A-2-111].      26B-2-111. Adjudicative proceedings.
5190          (1) Whenever the office has reason to believe that a licensee is in violation of this
5191     [chapter] part or rules made under this [chapter] part, the office may commence adjudicative
5192     proceedings to determine the legal rights of the licensee by serving notice of agency action in
5193     accordance with Title 63G, Chapter 4, Administrative Procedures Act.
5194          (2) A licensee, human services program, or individual may commence adjudicative
5195     proceedings, in accordance with Title 63G, Chapter 4, Administrative Procedures Act,
5196     regarding all office actions that determine the legal rights, duties, privileges, immunities, or
5197     other legal interests of the licensee, human services program, or persons associated with the
5198     licensee, including all office actions to grant, deny, place conditions on, revoke, suspend,
5199     withdraw, or amend an authority, right, or license under this [chapter] part.
5200          Section 107. Section 26B-2-112, which is renumbered from Section 62A-2-112 is
5201     renumbered and amended to read:
5202          [62A-2-112].      26B-2-112. Violations -- Penalties.

5203          (1) As used in this section, "health care provider" means a person licensed to provide
5204     health care services under this [chapter] part.
5205          (2) The office may deny, place conditions on, suspend, or revoke a human services
5206     license, if [it] the office finds, related to the human services program:
5207          (a) that there has been a failure to comply with the rules established under this
5208     [chapter] part;
5209          (b) evidence of aiding, abetting, or permitting the commission of any illegal act; or
5210          (c) evidence of conduct adverse to the standards required to provide services and
5211     promote public trust, including aiding, abetting, or permitting the commission of abuse,
5212     neglect, exploitation, harm, mistreatment, or fraud.
5213          (3) The office may restrict or prohibit new admissions to a human services program, if
5214     it finds:
5215          (a) that there has been a failure to comply with rules established under this [chapter]
5216     part;
5217          (b) evidence of aiding, abetting, or permitting the commission of any illegal act; or
5218          (c) evidence of conduct adverse to the standards required to provide services and
5219     promote public trust, including aiding, abetting, or permitting the commission of abuse,
5220     neglect, exploitation, harm, mistreatment, or fraud.
5221          (4) (a) The office may assess a fine of up to $500 per violation against a health care
5222     provider that violates Section 31A-26-313.
5223          (b) The office shall waive the fine described in Subsection (4)(a) if:
5224          (i) the health care provider demonstrates to the office that the health care provider
5225     mitigated and reversed any damage to the insured caused by the health care provider or third
5226     party's violation; or
5227          (ii) the insured does not pay the full amount due on the bill that is the subject of the
5228     violation, including any interest, fees, costs, and expenses, within 120 days after the day on
5229     which the health care provider or third party makes a report to a credit bureau or takes an action
5230     in violation of Section 31A-26-313.
5231          (5) If a congregate care program knowingly fails to comply with the provisions of
5232     Section [62A-2-125] 26B-2-124, the office may impose a penalty on the congregate care
5233     program that is less than or equal to the cost of care incurred by the state for a

5234     private-placement child described in Subsection [62A-2-125] 26B-2-124(3).
5235          (6) The office shall make rules for calculating the cost of care described in Subsection
5236     (5) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
5237          Section 108. Section 26B-2-113, which is renumbered from Section 62A-2-116 is
5238     renumbered and amended to read:
5239          [62A-2-116].      26B-2-113. Violation -- Criminal penalties.
5240          (1) (a) A person who owns, establishes, conducts, maintains, manages, or operates a
5241     human services program in violation of this [chapter] part is guilty of a class A misdemeanor if
5242     the violation endangers or harms the health, welfare, or safety of persons participating in that
5243     program.
5244          (b) Conviction in a criminal proceeding does not preclude the office from:
5245          (i) assessing a civil penalty or an administrative penalty;
5246          (ii) denying, placing conditions on, suspending, or revoking a license; or
5247          (iii) seeking injunctive or equitable relief.
5248          (2) Any person that violates a provision of this [chapter] part, lawful orders of the
5249     office, or rules adopted under this [chapter] part may be assessed a penalty not to exceed the
5250     sum of $10,000 per violation, in:
5251          (a) a judicial civil proceeding; or
5252          (b) an administrative action in accordance with Title 63G, Chapter 4, Administrative
5253     Procedures Act.
5254          (3) Assessment of a judicial penalty or an administrative penalty does not preclude the
5255     office from:
5256          (a) seeking criminal penalties;
5257          (b) denying, placing conditions on, suspending, or revoking a license; or
5258          (c) seeking injunctive or equitable relief.
5259          (4) The office may assess the human services program the cost incurred by the office in
5260     placing a monitor.
5261          (5) Notwithstanding Subsection (1)(a) and subject to Subsections (1)(b) and (2), an
5262     individual is guilty of a class A misdemeanor if the individual knowingly and willfully offers,
5263     pays, promises to pay, solicits, or receives any remuneration, including any commission, bonus,
5264     kickback, bribe, or rebate, directly or indirectly, overtly or covertly, in cash or in kind, or

5265     engages in any split-fee arrangement in return for:
5266          (a) referring an individual to a person for the furnishing or arranging for the furnishing
5267     of any item or service for the treatment of a substance use disorder;
5268          (b) receiving a referred individual for the furnishing or arranging for the furnishing of
5269     any item or service for the treatment of a substance use disorder; or
5270          (c) referring a clinical sample to a person, including a laboratory, for testing that is
5271     used toward the furnishing of any item or service for the treatment of a substance use disorder.
5272          (6) Subsection (5) does not prohibit:
5273          (a) any discount, payment, waiver of payment, or payment practice not prohibited by
5274     42 U.S.C. Sec. 1320a-7(b) or regulations made under 42 U.S.C. Sec. 1320a-7(b);
5275          (b) patient referrals within a practice group;
5276          (c) payments by a health insurer who reimburses, provides, offers to provide, or
5277     administers health, mental health, or substance use disorder goods or services under a health
5278     benefit plan;
5279          (d) payments to or by a health care provider, practice group, or substance use disorder
5280     treatment program that has contracted with a local mental health authority, a local substance
5281     abuse authority, a health insurer, a health care purchasing group, or the Medicare or Medicaid
5282     program to provide health, mental health, or substance use disorder services;
5283          (e) payments by a health care provider, practice group, or substance use disorder
5284     treatment program to a health, mental health, or substance use disorder information service that
5285     provides information upon request and without charge to consumers about providers of health
5286     care goods or services to enable consumers to select appropriate providers or facilities, if the
5287     information service:
5288          (i) does not attempt, through standard questions for solicitation of consumer criteria or
5289     through any other means, to steer or lead a consumer to select or consider selection of a
5290     particular health care provider, practice group, or substance use disorder treatment program;
5291          (ii) does not provide or represent that the information service provides diagnostic or
5292     counseling services or assessments of illness or injury and does not make any promises of cure
5293     or guarantees of treatment; and
5294          (iii) charges and collects fees from a health care provider, practice group, or substance
5295     use disorder treatment program participating in information services that:

5296          (A) are set in advance;
5297          (B) are consistent with the fair market value for those information services; and
5298          (C) are not based on the potential value of the goods or services that a health care
5299     provider, practice group, or substance use disorder treatment program may provide to a patient;
5300     or
5301          (f) payments by a laboratory to a person that:
5302          (i) does not have a financial interest in or with a facility or person who refers a clinical
5303     sample to the laboratory;
5304          (ii) is not related to an owner of a facility or a person who refers a clinical sample to
5305     the laboratory;
5306          (iii) is not related to and does not have a financial relationship with a health care
5307     provider who orders the laboratory to conduct a test that is used toward the furnishing of an
5308     item or service for the treatment of a substance use disorder;
5309          (iv) identifies, in advance of providing marketing or sales services, the types of clinical
5310     samples that each laboratory will receive, if the person provides marketing or sales services to
5311     more than one laboratory;
5312          (v) the person does not identify as or hold itself out to be a laboratory or part of a
5313     network with an insurance payor, if the person provides marketing or sales services under a
5314     contract with a laboratory, as described in Subsection (6)(f)(vii)(B);
5315          (vi) the person identifies itself in all marketing materials as a salesperson for a licensed
5316     laboratory and identifies each laboratory that the person represents, if the person provides
5317     marketing or sales services under a contract with a laboratory, as described in Subsection
5318     (6)(f)(vii)(B); and
5319          (vii) (A) is a sales person employed by the laboratory to market or sell the laboratory's
5320     services to a person who provides substance use disorder treatment; or
5321          (B) is a person under contract with the laboratory to market or sell the laboratory's
5322     services to a person who provides substance use disorder treatment, if the total compensation
5323     paid by the laboratory does not exceed the total compensation that the laboratory pays to
5324     employees of the laboratory for similar marketing or sales services.
5325          (7) (a) A person may not knowingly or willfully, in exchange for referring an
5326     individual to a youth transportation company:

5327          (i) offer, pay, promise to pay, solicit, or receive any remuneration directly or indirectly,
5328     overtly or covertly, in cash or in kind, including:
5329          (A) a commission;
5330          (B) a bonus;
5331          (C) a kickback;
5332          (D) a bribe; or
5333          (E) a rebate; or
5334          (ii) engage in any split-fee arrangement.
5335          (b) A person who violates Subsection (7)(a) is guilty of a class A misdemeanor and
5336     shall be assessed a penalty in accordance with Subsection (2).
5337          Section 109. Section 26B-2-114, which is renumbered from Section 62A-2-115 is
5338     renumbered and amended to read:
5339          [62A-2-115].      26B-2-114. Injunctive relief and other legal procedures.
5340          In addition to, and notwithstanding, any other remedy provided by law the department
5341     may, in a manner provided by law and upon the advice of the attorney general, who shall
5342     represent the department in the proceedings, maintain an action in the name of the state for
5343     injunction or other process against any person or governmental unit to restrain or prevent the
5344     establishment, management, or operation of a human services program or facility in violation
5345     of this [chapter] part or rules established under this [chapter] part.
5346          Section 110. Section 26B-2-115, which is renumbered from Section 62A-2-110 is
5347     renumbered and amended to read:
5348          [62A-2-110].      26B-2-115. Exclusions from chapter.
5349          The provisions of this [chapter] part do not apply to:
5350          (1) a facility or program owned or operated by an agency of the United States
5351     government;
5352          (2) a facility or program operated by or under an exclusive contract with the
5353     Department of Corrections;
5354          (3) unless required otherwise by a contract with the department, individual or group
5355     counseling by a mental health professional licensed under Title 58, Chapter 60, Mental Health
5356     Professional Practice Act;
5357          (4) a general acute hospital, small health care facility, specialty hospital, nursing care

5358     facility, or other health care facility licensed by the [Department of Health under Title 26,
5359     Chapter 21,] department under Part 2, Health Care Facility Licensing and Inspection [Act]; or
5360          (5) a boarding school.
5361          Section 111. Section 26B-2-116, which is renumbered from Section 62A-2-108.1 is
5362     renumbered and amended to read:
5363          [62A-2-108.1].      26B-2-116. Coordination of human services and educational
5364     services -- Licensing of programs -- Procedures.
5365          (1) As used in this section:
5366          (a) "Accredited private school" means a private school that is accredited by an
5367     accrediting entity recognized by the Utah State Board of Education.
5368          (b) "Education entitled children" means children:
5369          (i) subject to compulsory education under Section 53G-6-202;
5370          (ii) subject to the school attendance requirements of Section 53G-6-203; or
5371          (iii) who are eligible for special education services as described in Title 53E, Chapter
5372     7, Part 2, Special Education Program.
5373          (2) Subject to Subsection (9) or (10), a human services program may not be licensed to
5374     serve education entitled children unless the human services program presents an educational
5375     service plan that includes evidence:
5376          (a) satisfactory to:
5377          (i) the office; and
5378          (ii) (A) the local school board of the school district in which the human services
5379     program will be operated; or
5380          (B) the school district superintendent of the school district in which the human services
5381     program will be operated; and
5382          (b) that children served by the human services program shall receive appropriate
5383     educational services satisfying the requirements of applicable law.
5384          (3) An educational services plan may be accepted if the educational services plan
5385     includes:
5386          (a) the following information provided by the human services program:
5387          (i) the number of children served by the human services program estimated to be
5388     enrolled in the local school district;

5389          (ii) the ages and grade levels of children served by the human services program
5390     estimated to be enrolled in the local school district;
5391          (iii) the subjects or hours of the school day for which children served by the human
5392     services program are estimated to enroll in the local school district;
5393          (iv) the direct contact information for the purposes of taking custody of a child served
5394     by the human services program during the school day in case of illness, disciplinary removal by
5395     a school, or emergency evacuation of a school; and
5396          (v) the method or arrangements for the transportation of children served by the human
5397     services program to and from the school; and
5398          (b) the following information provided by the school district:
5399          (i) enrollment procedures and forms;
5400          (ii) documentation required prior to enrollment from each of the child's previous
5401     schools of enrollment;
5402          (iii) if applicable, a schedule of the costs for tuition and school fees; and
5403          (iv) schools and services for which a child served by the human services program may
5404     be eligible.
5405          (4) Subject to Subsection (9) or (10), if a human services program serves any education
5406     entitled children whose custodial parents or legal guardians reside outside the state, then the
5407     program shall also provide an educational funding plan that includes evidence:
5408          (a) satisfactory to:
5409          (i) the office; and
5410          (ii) (A) the local school board of the school district in which the human services
5411     program will be operated; or
5412          (B) the school district superintendent of the school district in which the human services
5413     program will be operated; and
5414          (b) that all costs for educational services to be provided to the education entitled
5415     children, including tuition, and school fees approved by the local school board, shall be borne
5416     by the human services program.
5417          (5) Subject to Subsection (9) or (10), and in accordance with Subsection (2), the human
5418     services program shall obtain and provide the office with a letter:
5419          (a) from the entity referred to in Subsection (2)(a)(ii):

5420          (i) approving the educational service plan referred to in Subsection (3); or
5421          (ii) (A) disapproving the educational service plan referred to in Subsection (3); and
5422          (B) listing the specific requirements the human services program must meet before
5423     approval is granted; and
5424          (b) from the entity referred to in Subsection (4)(a)(ii):
5425          (i) approving the educational funding plan, referred to in Subsection (4); or
5426          (ii) (A) disapproving the educational funding plan, referred to in Subsection (4); and
5427          (B) listing the specific requirements the human services program must meet before
5428     approval is granted.
5429          (6) Subject to Subsection (9), failure of a local school board or school district
5430     superintendent to respond to a proposed plan within 45 days of receipt of the plan is equivalent
5431     to approval of the plan by the local school board or school district superintendent if the human
5432     services program provides to the office:
5433          (a) proof that:
5434          (i) the human services program submitted the proposed plan to the local school board
5435     or school district superintendent; and
5436          (ii) more than 45 days have passed from the day on which the plan was submitted; and
5437          (b) an affidavit, on a form produced by the office, stating:
5438          (i) the date that the human services program submitted the proposed plan to the local
5439     school board or school district superintendent;
5440          (ii) that more than 45 days have passed from the day on which the plan was submitted;
5441     and
5442          (iii) that the local school board or school district superintendent described in
5443     Subsection (6)(b)(i) failed to respond to the proposed plan within 45 days from the day on
5444     which the plan was submitted.
5445          (7) If a licensee that is licensed to serve an education entitled child fails to comply with
5446     the licensee's approved educational service plan or educational funding plan, then:
5447          (a) the office may give the licensee notice of intent to revoke the licensee's license; and
5448          (b) if the licensee continues its noncompliance for more than 30 days after receipt of
5449     the notice described in Subsection (7)(a), the office may revoke the licensee's license.
5450          (8) If an education entitled child whose custodial parent or legal guardian resides

5451     within the state is provided with educational services by a school district other than the school
5452     district in which the custodial parent or legal guardian resides, then the funding provisions of
5453     Section 53G-6-405 apply.
5454          (9) A human services program that is an accredited private school:
5455          (a) for purposes of Subsection (3):
5456          (i) is only required to submit proof to the office that the accreditation of the private
5457     school is current; and
5458          (ii) is not required to submit an educational service plan for approval by an entity
5459     described in Subsection (2)(a)(ii);
5460          (b) for purposes of Subsection (4):
5461          (i) is only required to submit proof to the office that all costs for educational services
5462     provided to education entitled children will be borne by the human services program; and
5463          (ii) is not required to submit an educational funding plan for approval by an entity
5464     described in Subsection (4)(a)(ii); and
5465          (c) is not required to comply with Subsections (5) and (6).
5466          (10) Except for Subsection (8), the provisions of this section do not apply to a human
5467     services program that is a licensed or certified foster home [as defined in Section 62A-2-101].
5468          Section 112. Section 26B-2-117, which is renumbered from Section 62A-2-108.2 is
5469     renumbered and amended to read:
5470          [62A-2-108.2].      26B-2-117. Licensing residential treatment programs and
5471     recovery residences -- Notification of local government.
5472          (1) (a) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
5473     the office shall make rules that establish categories of residential treatment and recovery
5474     residence licenses based on differences in the types of residential treatment programs and
5475     recovery residences.
5476          (b) The categories referred to in Subsection (1)(a) may be based on differences in:
5477          (i) services offered;
5478          (ii) types of clients served;
5479          (iii) risks posed to the community; or
5480          (iv) other factors that make regulatory differences advisable.
5481          (2) Subject to the requirements of federal and state law, and pursuant to the authority

5482     granted by Section [62A-2-106] 26B-2-104, the office shall establish and enforce rules that:
5483          (a) relate generally to all categories of residential treatment program and recovery
5484     residence licenses; and
5485          (b) relate to specific categories of residential treatment program and recovery residence
5486     licenses on the basis of the regulatory needs, as determined by the office, of residential
5487     treatment programs and recovery residences within those specific categories.
5488          (3) (a) Beginning July 1, 2014, the office shall charge an annual licensing fee, set by
5489     the office in accordance with the procedures described in Section 63J-1-504, to a recovery
5490     residence in an amount that will pay for the cost of the licensing and inspection requirements
5491     described in this section and in Section [62A-2-106] 26B-2-104.
5492          (b) The office shall deposit the licensing fees described in this section in the General
5493     Fund as a dedicated credit to be used solely to pay for the cost of the licensing and inspection
5494     requirements described in this section and in Section [62A-2-106] 26B-2-104.
5495          (4) Before submitting an application for a license to operate a residential treatment
5496     program, the applicant shall serve notice of its intent to operate a residential treatment program
5497     on the governing body of:
5498          (a) the city in which the residential treatment program will be located; or
5499          (b) if the residential treatment program will be located in the unincorporated area of a
5500     county, the county in which the residential treatment program will be located.
5501          (5) The notice described in Subsection (4) shall include the following information
5502     relating to the residential treatment program:
5503          (a) an accurate description of the residential treatment program;
5504          (b) the location where the residential treatment program will be operated;
5505          (c) the services that will be provided by the residential treatment program;
5506          (d) the type of clients that the residential treatment program will serve;
5507          (e) the category of license for which the residential treatment program is applying to
5508     the office;
5509          (f) the name, telephone number, and address of a person that may be contacted to make
5510     inquiries about the residential treatment program; and
5511          (g) any other information that the office may require by rule.
5512          (6) When submitting an application for a license to operate a residential treatment

5513     program, the applicant shall include with the application:
5514          (a) a copy of the notice described in Subsection (4); and
5515          (b) proof that the applicant served the notice described in Subsection (4) on the
5516     governing body described in Subsection (4).
5517          Section 113. Section 26B-2-118, which is renumbered from Section 62A-2-108.4 is
5518     renumbered and amended to read:
5519          [62A-2-108.4].      26B-2-118. Request by local government.
5520          (1) A local government may request that the office notify the local government of new
5521     human services program license applications for human services programs located within the
5522     local government's jurisdiction.
5523          (2) Subsection (1) does not apply to foster homes.
5524          Section 114. Section 26B-2-119, which is renumbered from Section 62A-2-108.8 is
5525     renumbered and amended to read:
5526          [62A-2-108.8].      26B-2-119. Residential support program -- Temporary
5527     homeless youth shelter.
5528          In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5529     office shall make rules that establish age-appropriate and gender-appropriate sleeping quarters
5530     in temporary homeless youth shelters, as defined in Section 80-5-102, that provide overnight
5531     shelter to minors.
5532          Section 115. Section 26B-2-120, which is renumbered from Section 62A-2-120 is
5533     renumbered and amended to read:
5534          [62A-2-120].      26B-2-120. Background check -- Direct access to children or
5535     vulnerable adults.
5536          (1) As used in this section:
5537          (a) (i) "Applicant" means:
5538          (A) the same as that term is defined in Section [62A-2-101] 26B-2-101;
5539          (B) an individual who is associated with a licensee and has or will likely have direct
5540     access to a child or a vulnerable adult;
5541          (C) an individual who provides respite care to a foster parent or an adoptive parent on
5542     more than one occasion;
5543          (D) a department contractor;

5544          (E) an individual who transports a child for a youth transportation company;
5545          (F) a guardian submitting an application on behalf of an individual, other than the child
5546     or vulnerable adult who is receiving the service, if the individual is 12 years old or older and
5547     resides in a home, that is licensed or certified by the office, with the child or vulnerable adult
5548     who is receiving services; or
5549          (G) a guardian submitting an application on behalf of an individual, other than the
5550     child or vulnerable adult who is receiving the service, if the individual is 12 years old or older
5551     and is a person described in Subsection (1)(a)(i)(A), (B), (C), or (D).
5552          (ii) "Applicant" does not mean an individual, including an adult, who is in the custody
5553     of the Division of Child and Family Services or the Division of Juvenile Justice and Youth
5554     Services.
5555          (b) "Application" means a background screening application to the office.
5556          (c) "Bureau" means the Bureau of Criminal Identification within the Department of
5557     Public Safety, created in Section 53-10-201.
5558          (d) "Incidental care" means occasional care, not in excess of five hours per week and
5559     never overnight, for a foster child.
5560          (e) "Personal identifying information" means:
5561          (i) current name, former names, nicknames, and aliases;
5562          (ii) date of birth;
5563          (iii) physical address and email address;
5564          (iv) telephone number;
5565          (v) driver license or other government-issued identification;
5566          (vi) social security number;
5567          (vii) only for applicants who are 18 years old or older, fingerprints, in a form specified
5568     by the office; and
5569          (viii) other information specified by the office by rule made in accordance with Title
5570     63G, Chapter 3, Utah Administrative Rulemaking Act.
5571          (2) (a) Except as provided in Subsection (13), an applicant or a representative shall
5572     submit the following to the office:
5573          (i) personal identifying information;
5574          (ii) a fee established by the office under Section 63J-1-504; and

5575          (iii) a disclosure form, specified by the office, for consent for:
5576          (A) an initial background check upon submission of the information described under
5577     this Subsection (2)(a);
5578          (B) ongoing monitoring of fingerprints and registries until no longer associated with a
5579     licensee for 90 days;
5580          (C) a background check when the office determines that reasonable cause exists; and
5581          (D) retention of personal identifying information, including fingerprints, for
5582     monitoring and notification as described in Subsections (3)(d) and (4).
5583          (b) In addition to the requirements described in Subsection (2)(a), if an applicant
5584     resided outside of the United States and its territories during the five years immediately
5585     preceding the day on which the information described in Subsection (2)(a) is submitted to the
5586     office, the office may require the applicant to submit documentation establishing whether the
5587     applicant was convicted of a crime during the time that the applicant resided outside of the
5588     United States or its territories.
5589          (3) The office:
5590          (a) shall perform the following duties as part of a background check of an applicant:
5591          (i) check state and regional criminal background databases for the applicant's criminal
5592     history by:
5593          (A) submitting personal identifying information to the bureau for a search; or
5594          (B) using the applicant's personal identifying information to search state and regional
5595     criminal background databases as authorized under Section 53-10-108;
5596          (ii) submit the applicant's personal identifying information and fingerprints to the
5597     bureau for a criminal history search of applicable national criminal background databases;
5598          (iii) search the [Department of Human Services,] Division of Child and Family
5599     Services' Licensing Information System described in Section 80-2-1002;
5600          (iv) search the [Department of Human Services,] Division of Aging and Adult
5601     Services' vulnerable adult abuse, neglect, or exploitation database described in Section
5602     [62A-3-311.1] 26B-6-210;
5603          (v) search the juvenile court records for substantiated findings of severe child abuse or
5604     neglect described in Section 80-3-404; and
5605          (vi) search the juvenile court arrest, adjudication, and disposition records, as provided

5606     under Section 78A-6-209;
5607          (b) shall conduct a background check of an applicant for an initial background check
5608     upon submission of the information described under Subsection (2)(a);
5609          (c) may conduct all or portions of a background check of an applicant, as provided by
5610     rule, made by the office in accordance with Title 63G, Chapter 3, Utah Administrative
5611     Rulemaking Act:
5612          (i) for an annual renewal; or
5613          (ii) when the office determines that reasonable cause exists;
5614          (d) may submit an applicant's personal identifying information, including fingerprints,
5615     to the bureau for checking, retaining, and monitoring of state and national criminal background
5616     databases and for notifying the office of new criminal activity associated with the applicant;
5617          (e) shall track the status of an approved applicant under this section to ensure that an
5618     approved applicant is not required to duplicate the submission of the applicant's fingerprints if
5619     the applicant applies for:
5620          (i) more than one license;
5621          (ii) direct access to a child or a vulnerable adult in more than one human services
5622     program; or
5623          (iii) direct access to a child or a vulnerable adult under a contract with the department;
5624          (f) shall track the status of each license and each individual with direct access to a child
5625     or a vulnerable adult and notify the bureau within 90 days after the day on which the license
5626     expires or the individual's direct access to a child or a vulnerable adult ceases;
5627          (g) shall adopt measures to strictly limit access to personal identifying information
5628     solely to the individuals responsible for processing and entering the applications for
5629     background checks and to protect the security of the personal identifying information the office
5630     reviews under this Subsection (3);
5631          (h) as necessary to comply with the federal requirement to check a state's child abuse
5632     and neglect registry regarding any individual working in a congregate care program, shall:
5633          (i) search the [Department of Human Services,] Division of Child and Family Services'
5634     Licensing Information System described in Section 80-2-1002; and
5635          (ii) require the child abuse and neglect registry be checked in each state where an
5636     applicant resided at any time during the five years immediately preceding the day on which the

5637     applicant submits the information described in Subsection (2)(a) to the office; and
5638          (i) shall make rules, in accordance with Title 63G, Chapter 3, Utah Administrative
5639     Rulemaking Act, to implement the provisions of this Subsection (3) relating to background
5640     checks.
5641          (4) (a) With the personal identifying information the office submits to the bureau under
5642     Subsection (3), the bureau shall check against state and regional criminal background databases
5643     for the applicant's criminal history.
5644          (b) With the personal identifying information and fingerprints the office submits to the
5645     bureau under Subsection (3), the bureau shall check against national criminal background
5646     databases for the applicant's criminal history.
5647          (c) Upon direction from the office, and with the personal identifying information and
5648     fingerprints the office submits to the bureau under Subsection (3)(d), the bureau shall:
5649          (i) maintain a separate file of the fingerprints for search by future submissions to the
5650     local and regional criminal records databases, including latent prints; and
5651          (ii) monitor state and regional criminal background databases and identify criminal
5652     activity associated with the applicant.
5653          (d) The bureau is authorized to submit the fingerprints to the Federal Bureau of
5654     Investigation Next Generation Identification System, to be retained in the Federal Bureau of
5655     Investigation Next Generation Identification System for the purpose of:
5656          (i) being searched by future submissions to the national criminal records databases,
5657     including the Federal Bureau of Investigation Next Generation Identification System and latent
5658     prints; and
5659          (ii) monitoring national criminal background databases and identifying criminal
5660     activity associated with the applicant.
5661          (e) The Bureau shall notify and release to the office all information of criminal activity
5662     associated with the applicant.
5663          (f) Upon notice from the office that a license has expired or an individual's direct
5664     access to a child or a vulnerable adult has ceased for 90 days, the bureau shall:
5665          (i) discard and destroy any retained fingerprints; and
5666          (ii) notify the Federal Bureau of Investigation when the license has expired or an
5667     individual's direct access to a child or a vulnerable adult has ceased, so that the Federal Bureau

5668     of Investigation will discard and destroy the retained fingerprints from the Federal Bureau of
5669     Investigation Next Generation Identification System.
5670          (5) (a) After conducting the background check described in Subsections (3) and (4), the
5671     office shall deny an application to an applicant who, within three years before the day on which
5672     the applicant submits information to the office under Subsection (2) for a background check,
5673     has been convicted of any of the following, regardless of whether the offense is a felony, a
5674     misdemeanor, or an infraction:
5675          (i) an offense identified as domestic violence, lewdness, voyeurism, battery, cruelty to
5676     animals, or bestiality;
5677          (ii) a violation of any pornography law, including sexual exploitation of a minor or
5678     aggravated sexual exploitation of a minor;
5679          (iii) prostitution;
5680          (iv) an offense included in:
5681          (A) Title 76, Chapter 5, Offenses Against the Individual;
5682          (B) Section 76-5b-201, Sexual Exploitation of a Minor;
5683          (C) Section 76-5b-201.1, Aggravated Sexual Exploitation of a Minor; or
5684          (D) Title 76, Chapter 7, Offenses Against the Family;
5685          (v) aggravated arson, as described in Section 76-6-103;
5686          (vi) aggravated burglary, as described in Section 76-6-203;
5687          (vii) aggravated robbery, as described in Section 76-6-302;
5688          (viii) identity fraud crime, as described in Section 76-6-1102; or
5689          (ix) a felony or misdemeanor offense committed outside of the state that, if committed
5690     in the state, would constitute a violation of an offense described in Subsections (5)(a)(i)
5691     through (viii).
5692          (b) If the office denies an application to an applicant based on a conviction described in
5693     Subsection (5)(a), the applicant is not entitled to a comprehensive review described in
5694     Subsection (6).
5695          (c) If the applicant will be working in a program serving only adults whose only
5696     impairment is a mental health diagnosis, including that of a serious mental health disorder,
5697     with or without co-occurring substance use disorder, the denial provisions of Subsection (5)(a)
5698     do not apply, and the office shall conduct a comprehensive review as described in Subsection

5699     (6).
5700          (6) (a) The office shall conduct a comprehensive review of an applicant's background
5701     check if the applicant:
5702          (i) has an open court case or a conviction for any felony offense, not described in
5703     Subsection (5)(a), with a date of conviction that is no more than 10 years before the date on
5704     which the applicant submits the application;
5705          (ii) has an open court case or a conviction for a misdemeanor offense, not described in
5706     Subsection (5)(a), and designated by the office, by rule, in accordance with Title 63G, Chapter
5707     3, Utah Administrative Rulemaking Act, if the conviction is within three years before the day
5708     on which the applicant submits information to the office under Subsection (2) for a background
5709     check;
5710          (iii) has a conviction for any offense described in Subsection (5)(a) that occurred more
5711     than three years before the day on which the applicant submitted information under Subsection
5712     (2)(a);
5713          (iv) is currently subject to a plea in abeyance or diversion agreement for any offense
5714     described in Subsection (5)(a);
5715          (v) has a listing in the [Department of Human Services,] Division of Child and Family
5716     Services' Licensing Information System described in Section 80-2-1002;
5717          (vi) has a listing in the [Department of Human Services,] Division of Aging and Adult
5718     Services' vulnerable adult abuse, neglect, or exploitation database described in Section
5719     [62A-3-311.1] 26B-6-210;
5720          (vii) has a record in the juvenile court of a substantiated finding of severe child abuse
5721     or neglect described in Section 80-3-404;
5722          (viii) has a record of an adjudication in juvenile court for an act that, if committed by
5723     an adult, would be a felony or misdemeanor, if the applicant is:
5724          (A) under 28 years old; or
5725          (B) 28 years old or older and has been convicted of, has pleaded no contest to, or is
5726     currently subject to a plea in abeyance or diversion agreement for a felony or a misdemeanor
5727     offense described in Subsection (5)(a);
5728          (ix) has a pending charge for an offense described in Subsection (5)(a); or
5729          (x) is an applicant described in Subsection (5)(c).

5730          (b) The comprehensive review described in Subsection (6)(a) shall include an
5731     examination of:
5732          (i) the date of the offense or incident;
5733          (ii) the nature and seriousness of the offense or incident;
5734          (iii) the circumstances under which the offense or incident occurred;
5735          (iv) the age of the perpetrator when the offense or incident occurred;
5736          (v) whether the offense or incident was an isolated or repeated incident;
5737          (vi) whether the offense or incident directly relates to abuse of a child or vulnerable
5738     adult, including:
5739          (A) actual or threatened, nonaccidental physical, mental, or financial harm;
5740          (B) sexual abuse;
5741          (C) sexual exploitation; or
5742          (D) negligent treatment;
5743          (vii) any evidence provided by the applicant of rehabilitation, counseling, psychiatric
5744     treatment received, or additional academic or vocational schooling completed;
5745          (viii) the applicant's risk of harm to clientele in the program or in the capacity for
5746     which the applicant is applying; and
5747          (ix) any other pertinent information presented to or publicly available to the committee
5748     members.
5749          (c) At the conclusion of the comprehensive review described in Subsection (6)(a), the
5750     office shall deny an application to an applicant if the office finds that approval would likely
5751     create a risk of harm to a child or a vulnerable adult.
5752          (d) At the conclusion of the comprehensive review described in Subsection (6)(a), the
5753     office may not deny an application to an applicant solely because the applicant was convicted
5754     of an offense that occurred 10 or more years before the day on which the applicant submitted
5755     the information required under Subsection (2)(a) if:
5756          (i) the applicant has not committed another misdemeanor or felony offense after the
5757     day on which the conviction occurred; and
5758          (ii) the applicant has never been convicted of an offense described in Subsection
5759     (14)(c).
5760          (e) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the

5761     office may make rules, consistent with this [chapter] part, to establish procedures for the
5762     comprehensive review described in this Subsection (6).
5763          (7) Subject to Subsection (10), the office shall approve an application to an applicant
5764     who is not denied under Subsection (5), (6), or (14).
5765          (8) (a) The office may conditionally approve an application of an applicant, for a
5766     maximum of 60 days after the day on which the office sends written notice to the applicant
5767     under Subsection (12), without requiring that the applicant be directly supervised, if the office:
5768          (i) is awaiting the results of the criminal history search of national criminal background
5769     databases; and
5770          (ii) would otherwise approve an application of the applicant under Subsection (7).
5771          (b) The office may conditionally approve an application of an applicant, for a
5772     maximum of one year after the day on which the office sends written notice to the applicant
5773     under Subsection (12), without requiring that the applicant be directly supervised if the office:
5774          (i) is awaiting the results of an out-of-state registry for providers other than foster and
5775     adoptive parents; and
5776          (ii) would otherwise approve an application of the applicant under Subsection (7).
5777          (c) Upon receiving the results of the criminal history search of a national criminal
5778     background database, the office shall approve or deny the application of the applicant in
5779     accordance with Subsections (5) through (7).
5780          (9) A licensee or department contractor may not permit an individual to have direct
5781     access to a child or a vulnerable adult unless, subject to Subsection (10):
5782          (a) the individual is associated with the licensee or department contractor and:
5783          (i) the individual's application is approved by the office under this section;
5784          (ii) the individual's application is conditionally approved by the office under
5785     Subsection (8); or
5786          (iii) (A) the individual has submitted the background check information described in
5787     Subsection (2) to the office;
5788          (B) the office has not determined whether to approve the applicant's application; and
5789          (C) the individual is directly supervised by an individual who has a current background
5790     screening approval issued by the office under this section and is associated with the licensee or
5791     department contractor;

5792          (b) (i) the individual is associated with the licensee or department contractor;
5793          (ii) the individual has a current background screening approval issued by the office
5794     under this section;
5795          (iii) one of the following circumstances, that the office has not yet reviewed under
5796     Subsection (6), applies to the individual:
5797          (A) the individual was charged with an offense described in Subsection (5)(a);
5798          (B) the individual is listed in the Licensing Information System, described in Section
5799     80-2-1002;
5800          (C) the individual is listed in the vulnerable adult abuse, neglect, or exploitation
5801     database, described in Section [62A-3-311.1] 26B-6-210;
5802          (D) the individual has a record in the juvenile court of a substantiated finding of severe
5803     child abuse or neglect, described in Section 80-3-404; or
5804          (E) the individual has a record of an adjudication in juvenile court for an act that, if
5805     committed by an adult, would be a felony or a misdemeanor as described in Subsection (5)(a)
5806     or (6); and
5807          (iv) the individual is directly supervised by an individual who:
5808          (A) has a current background screening approval issued by the office under this
5809     section; and
5810          (B) is associated with the licensee or department contractor;
5811          (c) the individual:
5812          (i) is not associated with the licensee or department contractor; and
5813          (ii) is directly supervised by an individual who:
5814          (A) has a current background screening approval issued by the office under this
5815     section; and
5816          (B) is associated with the licensee or department contractor;
5817          (d) the individual is the parent or guardian of the child, or the guardian of the
5818     vulnerable adult;
5819          (e) the individual is approved by the parent or guardian of the child, or the guardian of
5820     the vulnerable adult, to have direct access to the child or the vulnerable adult;
5821          (f) the individual is only permitted to have direct access to a vulnerable adult who
5822     voluntarily invites the individual to visit; or

5823          (g) the individual only provides incidental care for a foster child on behalf of a foster
5824     parent who has used reasonable and prudent judgment to select the individual to provide the
5825     incidental care for the foster child.
5826          (10) An individual may not have direct access to a child or a vulnerable adult if the
5827     individual is prohibited by court order from having that access.
5828          (11) Notwithstanding any other provision of this section, an individual for whom the
5829     office denies an application may not have direct access to a child or vulnerable adult unless the
5830     office approves a subsequent application by the individual.
5831          (12) (a) Within 30 days after the day on which the office receives the background
5832     check information for an applicant, the office shall give notice of the clearance status to:
5833          (i) the applicant, and the licensee or department contractor, of the office's decision
5834     regarding the background check and findings; and
5835          (ii) the applicant of any convictions and potentially disqualifying charges and
5836     adjudications found in the search.
5837          (b) With the notice described in Subsection (12)(a), the office shall also give the
5838     applicant the details of any comprehensive review conducted under Subsection (6).
5839          (c) If the notice under Subsection (12)(a) states that the applicant's application is
5840     denied, the notice shall further advise the applicant that the applicant may, under Subsection
5841     [62A-2-111] 26B-2-111(2), request a hearing in the department's Office of Administrative
5842     Hearings, to challenge the office's decision.
5843          (d) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5844     office shall make rules, consistent with this [chapter] part:
5845          (i) defining procedures for the challenge of the office's background check decision
5846     described in Subsection (12)(c); and
5847          (ii) expediting the process for renewal of a license under the requirements of this
5848     section and other applicable sections.
5849          (13) An individual or a department contractor who provides services in an adults only
5850     substance use disorder program, as defined by rule, is exempt from this section. This
5851     exemption does not extend to a program director or a member, as defined by Section
5852     [62A-2-108] 26B-2-105, of the program.
5853          (14) (a) Except as provided in Subsection (14)(b), in addition to the other requirements

5854     of this section, if the background check of an applicant is being conducted for the purpose of
5855     giving clearance status to an applicant seeking a position in a congregate care program, an
5856     applicant for a one-time adoption, an applicant seeking to provide a prospective foster home, or
5857     an applicant seeking to provide a prospective adoptive home, the office shall:
5858          (i) check the child abuse and neglect registry in each state where each applicant resided
5859     in the five years immediately preceding the day on which the applicant applied to be a foster
5860     parent or adoptive parent, to determine whether the prospective foster parent or prospective
5861     adoptive parent is listed in the registry as having a substantiated or supported finding of child
5862     abuse or neglect; and
5863          (ii) check the child abuse and neglect registry in each state where each adult living in
5864     the home of the applicant described in Subsection (14)(a)(i) resided in the five years
5865     immediately preceding the day on which the applicant applied to be a foster parent or adoptive
5866     parent, to determine whether the adult is listed in the registry as having a substantiated or
5867     supported finding of child abuse or neglect.
5868          (b) The requirements described in Subsection (14)(a) do not apply to the extent that:
5869          (i) federal law or rule permits otherwise; or
5870          (ii) the requirements would prohibit the Division of Child and Family Services or a
5871     court from placing a child with:
5872          (A) a noncustodial parent under Section 80-2a-301, 80-3-302, or 80-3-303; or
5873          (B) a relative, other than a noncustodial parent, under Section 80-2a-301, 80-3-302, or
5874     80-3-303, pending completion of the background check described in Subsection (5).
5875          (c) Notwithstanding Subsections (5) through (9), the office shall deny a clearance to an
5876     applicant seeking a position in a congregate care program, an applicant for a one-time adoption,
5877     an applicant to become a prospective foster parent, or an applicant to become a prospective
5878     adoptive parent if the applicant has been convicted of:
5879          (i) a felony involving conduct that constitutes any of the following:
5880          (A) child abuse, as described in Sections 76-5-109, 76-5-109.2, and 76-5-109.3;
5881          (B) commission of domestic violence in the presence of a child, as described in Section
5882     76-5-114;
5883          (C) abuse or neglect of a child with a disability, as described in Section 76-5-110;
5884          (D) endangerment of a child or vulnerable adult, as described in Section 76-5-112.5;

5885          (E) aggravated murder, as described in Section 76-5-202;
5886          (F) murder, as described in Section 76-5-203;
5887          (G) manslaughter, as described in Section 76-5-205;
5888          (H) child abuse homicide, as described in Section 76-5-208;
5889          (I) homicide by assault, as described in Section 76-5-209;
5890          (J) kidnapping, as described in Section 76-5-301;
5891          (K) child kidnapping, as described in Section 76-5-301.1;
5892          (L) aggravated kidnapping, as described in Section 76-5-302;
5893          (M) human trafficking of a child, as described in Section 76-5-308.5;
5894          (N) an offense described in Title 76, Chapter 5, Part 4, Sexual Offenses;
5895          (O) sexual exploitation of a minor, as described in Section 76-5b-201;
5896          (P) aggravated exploitation of a minor, as described in Section 76-5b-201.1;
5897          (Q) aggravated arson, as described in Section 76-6-103;
5898          (R) aggravated burglary, as described in Section 76-6-203;
5899          (S) aggravated robbery, as described in Section 76-6-302; or
5900          (T) domestic violence, as described in Section 77-36-1; or
5901          (ii) an offense committed outside the state that, if committed in the state, would
5902     constitute a violation of an offense described in Subsection (14)(c)(i).
5903          (d) Notwithstanding Subsections (5) through (9), the office shall deny a license or
5904     license renewal to a prospective foster parent or a prospective adoptive parent if, within the
5905     five years immediately preceding the day on which the individual's application or license would
5906     otherwise be approved, the applicant was convicted of a felony involving conduct that
5907     constitutes a violation of any of the following:
5908          (i) aggravated assault, as described in Section 76-5-103;
5909          (ii) aggravated assault by a prisoner, as described in Section 76-5-103.5;
5910          (iii) mayhem, as described in Section 76-5-105;
5911          (iv) an offense described in Title 58, Chapter 37, Utah Controlled Substances Act;
5912          (v) an offense described in Title 58, Chapter 37a, Utah Drug Paraphernalia Act;
5913          (vi) an offense described in Title 58, Chapter 37b, Imitation Controlled Substances
5914     Act;
5915          (vii) an offense described in Title 58, Chapter 37c, Utah Controlled Substance

5916     Precursor Act; or
5917          (viii) an offense described in Title 58, Chapter 37d, Clandestine Drug Lab Act.
5918          (e) In addition to the circumstances described in Subsection (6)(a), the office shall
5919     conduct the comprehensive review of an applicant's background check pursuant to this section
5920     if the registry check described in Subsection (14)(a) indicates that the individual is listed in a
5921     child abuse and neglect registry of another state as having a substantiated or supported finding
5922     of a severe type of child abuse or neglect as defined in Section 80-1-102.
5923          Section 116. Section 26B-2-121, which is renumbered from Section 62A-2-121 is
5924     renumbered and amended to read:
5925          [62A-2-121].      26B-2-121. Access to abuse and neglect information.
5926          (1) As used in this section:
5927          (a) "Direct service worker" means the same as that term is defined in Section
5928     [62A-5-101] 26B-6-401.
5929          (b) "Personal care attendant" means the same as that term is defined in Section
5930     [62A-3-101] 26B-6-401.
5931          (2) With respect to a licensee, a direct service worker, or a personal care attendant, the
5932     department may access only the Licensing Information System of the Division of Child and
5933     Family Services created by Section 80-2-1002 and juvenile court records under Subsection
5934     80-3-404(4), for the purpose of:
5935          (a) (i) determining whether a person associated with a licensee, with direct access to
5936     children:
5937          (A) is listed in the Licensing Information System; or
5938          (B) has a substantiated finding by a juvenile court of a severe type of child abuse or
5939     neglect under Subsections 80-3-404(1) and (2); and
5940          (ii) informing a licensee that a person associated with the licensee:
5941          (A) is listed in the Licensing Information System; or
5942          (B) has a substantiated finding by a juvenile court of a severe type of child abuse or
5943     neglect under Subsections 80-3-404(1) and (2);
5944          (b) (i) determining whether a direct service worker:
5945          (A) is listed in the Licensing Information System; or
5946          (B) has a substantiated finding by a juvenile court of a severe type of child abuse or

5947     neglect under Subsections 80-3-404(1) and (2); and
5948          (ii) informing a direct service worker or the direct service worker's employer that the
5949     direct service worker:
5950          (A) is listed in the Licensing Information System; or
5951          (B) has a substantiated finding by a juvenile court of a severe type of child abuse or
5952     neglect under Subsections 80-3-404(1) and (2); or
5953          (c) (i) determining whether a personal care attendant:
5954          (A) is listed in the Licensing Information System; or
5955          (B) has a substantiated finding by a juvenile court of a severe type of child abuse or
5956     neglect under Subsections 80-3-404(1) and (2); and
5957          (ii) informing a person described in Subsections [62A-3-101] 26B-6-101(9)(a)(i)
5958     through (iv) that a personal care attendant:
5959          (A) is listed in the Licensing Information System; or
5960          (B) has a substantiated finding by a juvenile court of a severe type of child abuse or
5961     neglect under Subsections 80-3-404(1) and (2).
5962          (3) Notwithstanding Subsection (2), the department may access the Division of Child
5963     and Family Services' Management Information System under Section 80-2-1001:
5964          (a) for the purpose of licensing and monitoring foster parents;
5965          (b) for the purposes described in Subsection 80-2-1001(5)(b)(iii); and
5966          (c) for the purpose described in Section 26B-1-211.
5967          (4) The department shall receive and process personal identifying information under
5968     Subsection [62A-2-120] 26B-2-120(1) for the purposes described in Subsection (2).
5969          (5) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative
5970     Rulemaking Act, consistent with this [chapter] part, defining the circumstances under which a
5971     person may have direct access or provide services to children when:
5972          (a) the person is listed in the Licensing Information System of the Division of Child
5973     and Family Services created by Section 80-2-1002; or
5974          (b) juvenile court records show that a court made a substantiated finding under Section
5975     80-3-404, that the person committed a severe type of child abuse or neglect.
5976          Section 117. Section 26B-2-122, which is renumbered from Section 62A-2-122 is
5977     renumbered and amended to read:

5978          [62A-2-122].      26B-2-122. Access to vulnerable adult abuse and neglect
5979     information.
5980          (1) For purposes of this section:
5981          (a) "Direct service worker" means the same as that term is defined in Section
5982     [62A-5-101] 26B-6-401.
5983          (b) "Personal care attendant" means the same as that term is defined in Section
5984     [62A-3-101] 26B-6-401.
5985          (2) With respect to a licensee, a direct service worker, or a personal care attendant, the
5986     department may access the database created by Section [62A-3-311.1] 26B-6-210 for the
5987     purpose of:
5988          (a) (i) determining whether a person associated with a licensee, with direct access to
5989     vulnerable adults, has a supported or substantiated finding of:
5990          (A) abuse;
5991          (B) neglect; or
5992          (C) exploitation; and
5993          (ii) informing a licensee that a person associated with the licensee has a supported or
5994     substantiated finding of:
5995          (A) abuse;
5996          (B) neglect; or
5997          (C) exploitation;
5998          (b) (i) determining whether a direct service worker has a supported or substantiated
5999     finding of:
6000          (A) abuse;
6001          (B) neglect; or
6002          (C) exploitation; and
6003          (ii) informing a direct service worker or the direct service worker's employer that the
6004     direct service worker has a supported or substantiated finding of:
6005          (A) abuse;
6006          (B) neglect; or
6007          (C) exploitation; or
6008          (c) (i) determining whether a personal care attendant has a supported or substantiated

6009     finding of:
6010          (A) abuse;
6011          (B) neglect; or
6012          (C) exploitation; and
6013          (ii) informing a person described in Subsections [62A-3-101] 26B-6-401(9)(a)(i)
6014     through (iv) that a personal care attendant has a supported or substantiated finding of:
6015          (A) abuse;
6016          (B) neglect; or
6017          (C) exploitation.
6018          (3) The department shall receive and process personal identifying information under
6019     Subsection [62A-2-120] 26B-2-120(1) for the purposes described in Subsection (2).
6020          (4) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative
6021     Rulemaking Act, consistent with this [chapter] part and [Title 62A, Chapter 3, Part 3] Chapter
6022     6, Part 2, Abuse, Neglect, or Exploitation of a Vulnerable Adult, defining the circumstances
6023     under which a person may have direct access or provide services to vulnerable adults when the
6024     person is listed in the statewide database of the Division of Aging and Adult Services created
6025     by Section [62A-3-311.1] 26B-6-210 as having a supported or substantiated finding of abuse,
6026     neglect, or exploitation.
6027          Section 118. Section 26B-2-123, which is renumbered from Section 62A-2-123 is
6028     renumbered and amended to read:
6029          [62A-2-123].      26B-2-123. Congregate care program regulation.
6030          (1) A congregate care program may not use a cruel, severe, unusual, or unnecessary
6031     practice on a child, including:
6032          (a) a strip search unless the congregate care program determines and documents that a
6033     strip search is necessary to protect an individual's health or safety;
6034          (b) a body cavity search unless the congregate care program determines and documents
6035     that a body cavity search is necessary to protect an individual's health or safety;
6036          (c) inducing pain to obtain compliance;
6037          (d) hyperextending joints;
6038          (e) peer restraints;
6039          (f) discipline or punishment that is intended to frighten or humiliate;

6040          (g) requiring or forcing the child to take an uncomfortable position, including squatting
6041     or bending;
6042          (h) for the purpose of punishing or humiliating, requiring or forcing the child to repeat
6043     physical movements or physical exercises such as running laps or performing push-ups;
6044          (i) spanking, hitting, shaking, or otherwise engaging in aggressive physical contact;
6045          (j) denying an essential program service;
6046          (k) depriving the child of a meal, water, rest, or opportunity for toileting;
6047          (l) denying shelter, clothing, or bedding;
6048          (m) withholding personal interaction, emotional response, or stimulation;
6049          (n) prohibiting the child from entering the residence;
6050          (o) abuse as defined in Section 80-1-102; and
6051          (p) neglect as defined in Section 80-1-102.
6052          (2) Before a congregate care program may use a restraint or seclusion, the congregate
6053     care program shall:
6054          (a) develop and implement written policies and procedures that:
6055          (i) describe the circumstances under which a staff member may use a restraint or
6056     seclusion;
6057          (ii) describe which staff members are authorized to use a restraint or seclusion;
6058          (iii) describe procedures for monitoring a child that is restrained or in seclusion;
6059          (iv) describe time limitations on the use of a restraint or seclusion;
6060          (v) require immediate and continuous review of the decision to use a restraint or
6061     seclusion;
6062          (vi) require documenting the use of a restraint or seclusion;
6063          (vii) describe record keeping requirements for records related to the use of a restraint or
6064     seclusion;
6065          (viii) to the extent practicable, require debriefing the following individuals if
6066     debriefing would not interfere with an ongoing investigation, violate any law or regulation, or
6067     conflict with a child's treatment plan:
6068          (A) each witness to the event;
6069          (B) each staff member involved; and
6070          (C) the child who was restrained or in seclusion;

6071          (ix) include a procedure for complying with Subsection (5); and
6072          (x) provide an administrative review process and required follow up actions after a
6073     child is restrained or put in seclusion; and
6074          (b) consult with the office to ensure that the congregate care program's written policies
6075     and procedures align with applicable law.
6076          (3) A congregate care program:
6077          (a) may use a passive physical restraint only if the passive physical restraint is
6078     supported by a nationally or regionally recognized curriculum focused on non-violent
6079     interventions and de-escalation techniques;
6080          (b) may not use a chemical or mechanical restraint unless the office has authorized the
6081     congregate care program to use a chemical or mechanical restraint;
6082          (c) shall ensure that a staff member that uses a restraint on a child is:
6083          (i) properly trained to use the restraint; and
6084          (ii) familiar with the child and if the child has a treatment plan, the child's treatment
6085     plan; and
6086          (d) shall train each staff member on how to intervene if another staff member fails to
6087     follow correct procedures when using a restraint.
6088          (4) (a) A congregate care program:
6089          (i) may use seclusion if:
6090          (A) the purpose for the seclusion is to ensure the immediate safety of the child or
6091     others; and
6092          (B) no less restrictive intervention is likely to ensure the safety of the child or others;
6093     and
6094          (ii) may not use seclusion:
6095          (A) for coercion, retaliation, or humiliation; or
6096          (B) due to inadequate staffing or for the staff's convenience.
6097          (b) While a child is in seclusion, a staff member who is familiar to the child shall
6098     actively supervise the child for the duration of the seclusion.
6099          (5) Subject to the office's review and approval, a congregate care program shall
6100     develop:
6101          (a) suicide prevention policies and procedures that describe:

6102          (i) how the congregate care program will respond in the event a child exhibits
6103     self-injurious, self-harm, or suicidal behavior;
6104          (ii) warning signs of suicide;
6105          (iii) emergency protocol and contacts;
6106          (iv) training requirements for staff, including suicide prevention training;
6107          (v) procedures for implementing additional supervision precautions and for removing
6108     any additional supervision precautions;
6109          (vi) suicide risk assessment procedures;
6110          (vii) documentation requirements for a child's suicide ideation and self-harm;
6111          (viii) special observation precautions for a child exhibiting warning signs of suicide;
6112          (ix) communication procedures to ensure all staff are aware of a child who exhibits
6113     warning signs of suicide;
6114          (x) a process for tracking suicide behavioral patterns; and
6115          (xi) a post-intervention plan with identified resources; and
6116          (b) based on state law and industry best practices, policies and procedures for
6117     managing a child's behavior during the child's participation in the congregate care program.
6118          (6) (a) A congregate care program:
6119          (i) subject to Subsection (6)(b), shall facilitate weekly confidential voice-to-voice
6120     communication between a child and the child's parents, guardian, foster parents, and siblings,
6121     as applicable;
6122          (ii) shall ensure that the communication described in Subsection (6)(a)(i) complies
6123     with the child's treatment plan, if any; and
6124          (iii) may not use family contact as an incentive for proper behavior or withhold family
6125     contact as a punishment.
6126          (b) For the communication described in Subsection (6)(a)(i), a congregate care
6127     program may not:
6128          (i) deny the communication unless state law or a court order prohibits the
6129     communication; or
6130          (ii) modify the frequency or form of the communication unless:
6131          (A) the office approves the modification; or
6132          (B) state law or a court order prohibits the frequency or the form of the

6133     communication.
6134          Section 119. Section 26B-2-124, which is renumbered from Section 62A-2-125 is
6135     renumbered and amended to read:
6136          [62A-2-125].      26B-2-124. Congregate care program requirements.
6137          (1) As used in this section, "disruption plan" means a child specific plan used:
6138          (a) when the private-placement child stops receiving services from a congregate care
6139     program; and
6140          (b) for transporting a private-placement child to a parent or guardian or to another
6141     congregate care program.
6142          (2) A congregate care program shall keep the following for a private-placement child
6143     whose parent or guardian lives outside the state:
6144          (a) regularly updated contact information for the parent or guardian that lives outside
6145     the state; and
6146          (b) a disruption plan.
6147          (3) If a private-placement child whose parent or guardian resides outside the state
6148     leaves a congregate care program without following the child's disruption plan, the congregate
6149     care program shall:
6150          (a) notify the parent or guardian, office, and local law enforcement authorities;
6151          (b) assist the state in locating the private-placement child; and
6152          (c) after the child is located, transport the private-placement child:
6153          (i) to a parent or guardian;
6154          (ii) back to the congregate care program; or
6155          (iii) to another congregate care program.
6156          (4) This section does not apply to a guardian that is a state or agency.
6157          (5) The office shall make rules in accordance with Title 63G, Chapter 3, Utah
6158     Administrative Rulemaking Act, describing:
6159          (a) additional mandatory provisions for a disruption plan; and
6160          (b) how a congregate care program shall notify the office when a private-placement
6161     child begins receiving services.
6162          Section 120. Section 26B-2-125, which is renumbered from Section 62A-2-128 is
6163     renumbered and amended to read:

6164          [62A-2-128].      26B-2-125. Youth transportation company registration.
6165          (1) The office shall establish a registration system for youth transportation companies.
6166          (2) The office shall establish a fee:
6167          (a) under Section 63J-1-504 that does not exceed $500; and
6168          (b) that when paid by all registrants generates sufficient revenue to cover or
6169     substantially cover the costs for the creation and maintenance of the registration system.
6170          (3) A youth transportation company shall:
6171          (a) register with the office; and
6172          (b) provide the office:
6173          (i) proof of a business insurance policy that provides at least $1,000,000 in coverage;
6174     and
6175          (ii) a valid business license from the state where the youth transportation company is
6176     headquartered.
6177          (4) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
6178     office shall make rules to implement this section.
6179          Section 121. Section 26B-2-126, which is renumbered from Section 62A-2-108.5 is
6180     renumbered and amended to read:
6181          [62A-2-108.5].      26B-2-126. Notification requirement for child-placing
6182     agencies that provide foster home services -- Rulemaking authority.
6183          (1) The office shall require a child-placing agency that provides foster home services to
6184     notify a foster parent that if the foster parent signs as the responsible adult for a foster child to
6185     receive a driver license under Section 53-3-211:
6186          (a) the foster parent is jointly and severally liable with the minor for civil compensatory
6187     damages caused by the minor when operating a motor vehicle upon a highway as provided
6188     under Subsections 53-3-211(2) and (4); and
6189          (b) the foster parent may file with the Driver License Division a verified written
6190     request that the learner permit or driver license be canceled in accordance with Section
6191     53-3-211 if the foster child no longer resides with the foster parent.
6192          (2) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
6193     office may make rules establishing the procedures for a child-placing agency to provide the
6194     notification required under this section.

6195          Section 122. Section 26B-2-127, which is renumbered from Section 62A-2-108.6 is
6196     renumbered and amended to read:
6197          [62A-2-108.6].      26B-2-127. Child placing licensure requirements --
6198     Prohibited acts.
6199          (1) As used in this section:
6200          (a) (i) "Advertisement" means any written, oral, or graphic statement or representation
6201     made in connection with a solicitation of business.
6202          (ii) "Advertisement" includes a statement or representation described in Subsection
6203     (1)(a)(i) by a noncable television system, radio, printed brochure, newspaper, leaflet, flyer,
6204     circular, billboard, banner, Internet website, social media, or sign.
6205          (b) "Birth parent" means the same as that term is defined in Section 78B-6-103.
6206          (c) "Clearly and conspicuously disclose" means the same as that term is defined in
6207     Section 13-11a-2.
6208          (d) (i) "Matching advertisement" means any written, oral, or graphic statement or
6209     representation made in connection with a solicitation of business to provide the assistance
6210     described in Subsection (3)(a)(i), regardless of whether there is or will be an exchange
6211     described in Subsection (3)(a)(ii).
6212          (ii) "Matching advertisement" includes a statement or representation described in
6213     Subsection (1)(d)(i) by a noncable television system, radio, printed brochure, newspaper,
6214     leaflet, flyer, circular, billboard, banner, Internet website, social media, or sign.
6215          (2) (a) Subject to Section 78B-24-205, a person may not engage in child placing, or
6216     solicit money or other assistance for child placing, without a valid license issued by the office
6217     in accordance with this [chapter] part.
6218          (b) If a child-placing agency's license is suspended or revoked in accordance with this
6219     [chapter] part, the care, control, or custody of any child who is in the care, control, or custody
6220     of the child-placing agency shall be transferred to the Division of Child and Family Services.
6221          (3) (a) (i) An attorney, physician, or other person may assist:
6222          (A) a birth parent to identify or locate a prospective adoptive parent who is interested
6223     in adopting the birth parent's child; or
6224          (B) a prospective adoptive parent to identify or locate a child to be adopted.
6225          (ii) A payment, charge, fee, reimbursement of expense, or exchange of value of any

6226     kind, or promise or agreement to make the same, may not be made for the assistance described
6227     in Subsection (3)(a)(i).
6228          (b) An attorney, physician, or other person may not:
6229          (i) issue or cause to be issued to any person a card, sign, or device indicating that the
6230     attorney, physician, or other person is available to provide the assistance described in
6231     Subsection (3)(a)(i);
6232          (ii) cause, permit, or allow any sign or marking indicating that the attorney, physician,
6233     or other person is available to provide the assistance described in Subsection (3)(a)(i), on or in
6234     any building or structure;
6235          (iii) announce, cause, permit, or allow an announcement indicating that the attorney,
6236     physician, or other person is available to provide the assistance described in Subsection
6237     (3)(a)(i), to appear in any newspaper, magazine, directory, on radio or television, or an Internet
6238     website relating to a business;
6239          (iv) announce, cause, permit, or allow a matching advertisement; or
6240          (v) announce, cause, permit, or allow an advertisement that indicates or implies the
6241     attorney, physician, or other person is available to provide the assistance described in
6242     Subsection (3)(a)(i) as part of, or related to, other adoption-related services by using any of the
6243     following terms:
6244          (A) "comprehensive";
6245          (B) "complete";
6246          (C) "one-stop";
6247          (D) "all-inclusive"; or
6248          (E) any other term similar to the terms described in Subsections (3)(b)(v)(A) through
6249     (D).
6250          (c) An attorney, physician, or other person who is not licensed by the office shall
6251     clearly and conspicuously disclose in any print media advertisement or written contract
6252     regarding adoption services or adoption-related services that the attorney, physician, or other
6253     person is not licensed to provide adoption services by the office.
6254          (4) A person who intentionally or knowingly violates Subsection (2) or (3) is guilty of
6255     a third degree felony.
6256          (5) This section does not preclude payment of fees for medical, legal, or other lawful

6257     services rendered in connection with the care of a mother, delivery and care of a child, or
6258     lawful adoption proceedings.
6259          (6) In accordance with federal law, only an agent or employee of the Division of Child
6260     and Family Services or of a licensed child-placing agency may certify to United States
6261     Citizenship and Immigration Services that a family meets the preadoption requirements of the
6262     Division of Child and Family Services.
6263          (7) A licensed child-placing agency or an attorney practicing in this state may not place
6264     a child for adoption, either temporarily or permanently, with an individual who would not be
6265     qualified for adoptive placement under Sections 78B-6-102, 78B-6-117, and 78B-6-137.
6266          Section 123. Section 26B-2-128, which is renumbered from Section 62A-2-116.5 is
6267     renumbered and amended to read:
6268          [62A-2-116.5].      26B-2-128. Numerical limit of foster children in a foster
6269     home.
6270          (1) Except as provided in Subsection (2) or (3), no more than:
6271          (a) four foster children may reside in the foster home of a licensed foster parent; or
6272          (b) three foster children may reside in the foster home of a certified foster parent.
6273          (2) When placing a sibling group into a foster home, the limits in Subsection (1) may
6274     be exceeded if:
6275          (a) no other foster children reside in the foster home;
6276          (b) only one other foster child resides in the foster home at the time of a sibling group's
6277     placement into the foster home; or
6278          (c) a sibling group re-enters foster care and is placed into the foster home where the
6279     sibling group previously resided.
6280          (3) When placing a child into a foster home, the limits in Subsection (1) may be
6281     exceeded:
6282          (a) to place a child into a foster home where a sibling of the child currently resides; or
6283          (b) to place a child in a foster home where the child previously resided.
6284          Section 124. Section 26B-2-129, which is renumbered from Section 62A-2-117 is
6285     renumbered and amended to read:
6286          [62A-2-117].      26B-2-129. Licensure of tribal foster homes.
6287          (1) The Indian Child Welfare Act, 25 U.S.C. Secs. 1901-1963, provides that Indian

6288     tribes may develop and implement tribal foster home standards.
6289          (2) The office shall give full faith and credit to an Indian tribe's certification or
6290     licensure of a tribal foster home for an Indian child and siblings of that Indian child, both on
6291     and off Indian country, according to standards developed and approved by the Indian tribe,
6292     pursuant to the Indian Child Welfare Act, 25 U.S.C. Secs. 1901-1963.
6293          (3) If the Indian tribe has not developed standards, the office shall license tribal foster
6294     homes pursuant to this [chapter] part.
6295          Section 125. Section 26B-2-130, which is renumbered from Section 62A-2-117.5 is
6296     renumbered and amended to read:
6297          [62A-2-117.5].      26B-2-130. Foster care by a child's relative.
6298          (1) As used in this section:
6299          (a) "Custody" means the same as that term is defined in Section 80-2-102.
6300          (b) "Relative" means the same as that term is defined in Section 80-3-102.
6301          (c) "Temporary custody" means the same as that term is defined in Section 80-2-102.
6302          [(1)] (2) (a) In accordance with state and federal law, the division shall provide for
6303     licensure of a child's relative for foster or substitute care, when the child is in the temporary
6304     custody or custody of the Division of Child and Family Services.
6305          (b) If it is determined that, under federal law, allowance is made for an approval
6306     process requiring less than full foster parent licensure proceedings for a child's relative, the
6307     division shall establish an approval process to accomplish that purpose.
6308          [(2) For purposes of this section:]
6309          [(a) "Custody" and "temporary custody" mean the same as those terms are defined in
6310     Section 80-2-102.]
6311          [(b) "Relative" means the same as that term is defined in Section 80-3-102.]
6312          Section 126. Section 26B-2-131, which is renumbered from Section 62A-2-127 is
6313     renumbered and amended to read:
6314          [62A-2-127].      26B-2-131. Child-placing agency responsibility for
6315     educational services -- Payment of costs.
6316          (1) A child-placing agency shall ensure that the requirements of Subsections
6317     53G-6-202(2) and 53G-6-203(1) are met through the provision of appropriate educational
6318     services for all children served in the state by the child-placing agency.

6319          (2) (a) If the educational services described in Subsection (1) are provided through a
6320     public school and the custodial parent or legal guardian resides outside the state, the
6321     child-placing agency shall pay all educational costs required under Sections 53G-6-306 and
6322     53G-7-503.
6323          (b) If the educational services described in Subsection (1) are provided through a
6324     public school and the custodial parent or legal guardian resides within the state, then the
6325     child-placing agency shall pay all educational costs required under Section 53G-7-503.
6326          (3) A child in the custody or under the care of a Utah state agency is exempt from the
6327     payment of fees required under Subsection (2).
6328          (4) A public school shall admit any child living within the public school's boundaries
6329     who is under the supervision of a child-placing agency upon payment by the child-placing
6330     agency of the tuition and fees required under Subsection (2).
6331          Section 127. Section 26B-2-132, which is renumbered from Section 62A-2-115.2 is
6332     renumbered and amended to read:
6333          [62A-2-115.2].      26B-2-132. Child-placing agency proof of authority in a
6334     proceeding.
6335          A child-placing agency is not required to present the child-placing agency's license
6336     issued under this [chapter] part, the child placing agency's certificate of incorporation, or proof
6337     of the child-placing agency's authority to consent to adoption, as proof of the child-placing
6338     agency's authority in any proceeding in which the child-placing agency is an interested party,
6339     unless the court or a party to the proceeding requests that the child-placing agency or the
6340     child-placing agency's representative establish proof of authority.
6341          Section 128. Section 26B-2-133, which is renumbered from Section 62A-2-115.1 is
6342     renumbered and amended to read:
6343          [62A-2-115.1].      26B-2-133. Injunctive relief and civil penalty for unlawful
6344     child placing -- Enforcement by county attorney or attorney general.
6345          (1) The office or another interested person may commence an action in [district] court
6346     to enjoin any person, agency, firm, corporation, or association from violating Section
6347     [62A-2-108.6] 26B-2-127.
6348          (2) The office shall:
6349          (a) solicit information from the public relating to violations of Section [62A-2-108.6]

6350     26B-2-127; and
6351          (b) upon identifying a violation of Section [62A-2-108.6] 26B-2-127:
6352          (i) send a written notice to the person who violated Section [62A-2-108.6] 26B-2-127
6353     that describes the alleged violation; and
6354          (ii) notify the following persons of the alleged violation:
6355          (A) the local county attorney; and
6356          (B) the Division of Professional Licensing.
6357          (3) (a) A county attorney or the attorney general shall institute legal action as necessary
6358     to enforce the provisions of Section [62A-2-108.6] 26B-2-127 after being informed of an
6359     alleged violation.
6360          (b) If a county attorney does not take action within 30 days after the day on which the
6361     county attorney is informed of an alleged violation of Section [62A-2-108.6] 26B-2-127, the
6362     attorney general may be requested to take action, and shall then institute legal proceedings in
6363     place of the county attorney.
6364          (4) (a) In addition to the remedies provided in Subsections (1) and (3), any person,
6365     agency, firm, corporation, or association found to be in violation of Section [62A-2-108.6]
6366     26B-2-127 shall forfeit all proceeds identified as resulting from the transaction, and may also
6367     be assessed a civil penalty of not more than $10,000 for each violation.
6368          (b) Each act in violation of Section [62A-2-108.6] 26B-2-127, including each
6369     placement or attempted placement of a child, is a separate violation.
6370          (5) (a) The amount recovered as a penalty under Subsection (4) shall be placed in the
6371     General Fund of the prosecuting county, or in the state General Fund if the attorney general
6372     prosecutes.
6373          (b) If two or more governmental entities are involved in the prosecution, the court shall
6374     apportion the penalty among the entities, according to the entities' involvement.
6375          (6) A judgment ordering the payment of any penalty or forfeiture under Subsection (4)
6376     is a lien when recorded in the judgment docket, and has the same effect and is subject to the
6377     same rules as a judgment for money in a civil action.
6378          Section 129. Section 26B-2-201, which is renumbered from Section 26-21-2 is
6379     renumbered and amended to read:
6380     
Part 2. Health Care Facility Licensing and Inspection


6381          [26-21-2].      26B-2-201. Definitions.
6382          As used in this [chapter] part:
6383          (1) "Abortion clinic" means a type I abortion clinic or a type II abortion clinic.
6384          (2) "Activities of daily living" means essential activities including:
6385          (a) dressing;
6386          (b) eating;
6387          (c) grooming;
6388          (d) bathing;
6389          (e) toileting;
6390          (f) ambulation;
6391          (g) transferring; and
6392          (h) self-administration of medication.
6393          (3) "Ambulatory surgical facility" means a freestanding facility, which provides
6394     surgical services to patients not requiring hospitalization.
6395          (4) "Assistance with activities of daily living" means providing of or arranging for the
6396     provision of assistance with activities of daily living.
6397          (5) (a) "Assisted living facility" means:
6398          (i) a type I assisted living facility, which is a residential facility that provides assistance
6399     with activities of daily living and social care to two or more residents who:
6400          (A) require protected living arrangements; and
6401          (B) are capable of achieving mobility sufficient to exit the facility without the
6402     assistance of another person; and
6403          (ii) a type II assisted living facility, which is a residential facility with a home-like
6404     setting that provides an array of coordinated supportive personal and health care services
6405     available 24 hours per day to residents who have been assessed under department rule to need
6406     any of these services.
6407          (b) Each resident in a type I or type II assisted living facility shall have a service plan
6408     based on the assessment, which may include:
6409          (i) specified services of intermittent nursing care;
6410          (ii) administration of medication; and
6411          (iii) support services promoting residents' independence and [self sufficiency]

6412     self-sufficiency.
6413          (6) "Birthing center" means a facility that:
6414          (a) receives maternal clients and provides care during pregnancy, delivery, and
6415     immediately after delivery; and
6416          (b) (i) is freestanding; or
6417          (ii) is not freestanding, but meets the requirements for an alongside midwifery unit
6418     described in Subsection [26-21-29] 26B-2-228(7).
6419          (7) "Committee" means the Health Facility Committee created in Section 26B-1-204.
6420          (8) "Consumer" means any person not primarily engaged in the provision of health care
6421     to individuals or in the administration of facilities or institutions in which such care is provided
6422     and who does not hold a fiduciary position, or have a fiduciary interest in any entity involved in
6423     the provision of health care, and does not receive, either directly or through his spouse, more
6424     than 1/10 of his gross income from any entity or activity relating to health care.
6425          (9) "End stage renal disease facility" means a facility which furnishes staff-assisted
6426     kidney dialysis services, self-dialysis services, or home-dialysis services on an outpatient basis.
6427          (10) "Freestanding" means existing independently or physically separated from another
6428     health care facility by fire walls and doors and administrated by separate staff with separate
6429     records.
6430          (11) "General acute hospital" means a facility which provides diagnostic, therapeutic,
6431     and rehabilitative services to both inpatients and outpatients by or under the supervision of
6432     physicians.
6433          (12) "Governmental unit" means the state, or any county, municipality, or other
6434     political subdivision or any department, division, board, or agency of the state, a county,
6435     municipality, or other political subdivision.
6436          (13) (a) "Health care facility" means general acute hospitals, specialty hospitals, home
6437     health agencies, hospices, nursing care facilities, residential-assisted living facilities, birthing
6438     centers, ambulatory surgical facilities, small health care facilities, abortion clinics, facilities
6439     owned or operated by health maintenance organizations, end stage renal disease facilities, and
6440     any other health care facility which the committee designates by rule.
6441          (b) "Health care facility" does not include the offices of private physicians or dentists,
6442     whether for individual or group practice, except that it does include an abortion clinic.

6443          (14) "Health maintenance organization" means an organization, organized under the
6444     laws of any state which:
6445          (a) is a qualified health maintenance organization under 42 U.S.C. Sec. 300e-9; or
6446          (b) (i) provides or otherwise makes available to enrolled participants at least the
6447     following basic health care services: usual physician services, hospitalization, laboratory, x-ray,
6448     emergency, and preventive services and out-of-area coverage;
6449          (ii) is compensated, except for copayments, for the provision of the basic health
6450     services listed in Subsection (14)(b)(i) to enrolled participants by a payment which is paid on a
6451     periodic basis without regard to the date the health services are provided and which is fixed
6452     without regard to the frequency, extent, or kind of health services actually provided; and
6453          (iii) provides physicians' services primarily directly through physicians who are either
6454     employees or partners of such organizations, or through arrangements with individual
6455     physicians or one or more groups of physicians organized on a group practice or individual
6456     practice basis.
6457          (15) (a) "Home health agency" means an agency, organization, or facility or a
6458     subdivision of an agency, organization, or facility which employs two or more direct care staff
6459     persons who provide licensed nursing services, therapeutic services of physical therapy, speech
6460     therapy, occupational therapy, medical social services, or home health aide services on a
6461     visiting basis.
6462          (b) "Home health agency" does not mean an individual who provides services under
6463     the authority of a private license.
6464          (16) "Hospice" means a program of care for the terminally ill and their families which
6465     occurs in a home or in a health care facility and which provides medical, palliative,
6466     psychological, spiritual, and supportive care and treatment.
6467          (17) "Nursing care facility" means a health care facility, other than a general acute or
6468     specialty hospital, constructed, licensed, and operated to provide patient living
6469     accommodations, 24-hour staff availability, and at least two of the following patient services:
6470          (a) a selection of patient care services, under the direction and supervision of a
6471     registered nurse, ranging from continuous medical, skilled nursing, psychological, or other
6472     professional therapies to intermittent health-related or paraprofessional personal care services;
6473          (b) a structured, supportive social living environment based on a professionally

6474     designed and supervised treatment plan, oriented to the individual's habilitation or
6475     rehabilitation needs; or
6476          (c) a supervised living environment that provides support, training, or assistance with
6477     individual activities of daily living.
6478          (18) "Person" means any individual, firm, partnership, corporation, company,
6479     association, or joint stock association, and the legal successor thereof.
6480          (19) "Resident" means a person 21 years old or older who:
6481          (a) as a result of physical or mental limitations or age requires or requests services
6482     provided in an assisted living facility; and
6483          (b) does not require intensive medical or nursing services as provided in a hospital or
6484     nursing care facility.
6485          (20) "Small health care facility" means a four to 16 bed facility that provides licensed
6486     health care programs and services to residents.
6487          (21) "Specialty hospital" means a facility which provides specialized diagnostic,
6488     therapeutic, or rehabilitative services in the recognized specialty or specialties for which the
6489     hospital is licensed.
6490          (22) "Substantial compliance" means in a department survey of a licensee, the
6491     department determines there is an absence of deficiencies which would harm the physical
6492     health, mental health, safety, or welfare of patients or residents of a licensee.
6493          (23) "Type I abortion clinic" means a facility, including a physician's office, but not
6494     including a general acute or specialty hospital, that:
6495          (a) performs abortions, as defined in Section 76-7-301, during the first trimester of
6496     pregnancy; and
6497          (b) does not perform abortions, as defined in Section 76-7-301, after the first trimester
6498     of pregnancy.
6499          (24) "Type II abortion clinic" means a facility, including a physician's office, but not
6500     including a general acute or specialty hospital, that:
6501          (a) performs abortions, as defined in Section 76-7-301, after the first trimester of
6502     pregnancy; or
6503          (b) performs abortions, as defined in Section 76-7-301, during the first trimester of
6504     pregnancy and after the first trimester of pregnancy.

6505          Section 130. Section 26B-2-202, which is renumbered from Section 26-21-6 is
6506     renumbered and amended to read:
6507          [26-21-6].      26B-2-202. Duties of department.
6508          (1) The department shall:
6509          (a) enforce rules established pursuant to this [chapter] part;
6510          (b) authorize an agent of the department to conduct inspections of health care facilities
6511     pursuant to this [chapter] part;
6512          (c) collect information authorized by the committee that may be necessary to ensure
6513     that adequate health care facilities are available to the public;
6514          (d) collect and credit fees for licenses as free revenue;
6515          (e) collect and credit fees for conducting plan reviews as dedicated credits;
6516          (f) (i) collect and credit fees for conducting clearance under [Chapter 21, Part 2,
6517     Clearance for Direct Patient Access] Sections 26B-2-239 and 26B-2-240; and
6518          (ii) beginning July 1, 2012:
6519          (A) up to $105,000 of the fees collected under Subsection (1)(f)(i) are dedicated
6520     credits; and
6521          (B) the fees collected for background checks under Subsection [26-21-204]
6522     26B-2-240(6) and [Section 26-21-205] Subsection 26B-2-241(4) shall be transferred to the
6523     Department of Public Safety to reimburse the Department of Public Safety for its costs in
6524     conducting the federal background checks;
6525          (g) designate an executive secretary from within the department to assist the committee
6526     in carrying out its powers and responsibilities;
6527          (h) establish reasonable standards for criminal background checks by public and
6528     private entities;
6529          (i) recognize those public and private entities that meet the standards established
6530     pursuant to Subsection (1)(h); and
6531          (j) provide necessary administrative and staff support to the committee.
6532          (2) The department may:
6533          (a) exercise all incidental powers necessary to carry out the purposes of this [chapter]
6534     part;
6535          (b) review architectural plans and specifications of proposed health care facilities or

6536     renovations of health care facilities to ensure that the plans and specifications conform to rules
6537     established by the committee; and
6538          (c) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
6539     make rules as necessary to implement the provisions of this [chapter] part.
6540          Section 131. Section 26B-2-203, which is renumbered from Section 26-21-2.1 is
6541     renumbered and amended to read:
6542          [26-21-2.1].      26B-2-203. Services required -- General acute hospitals -- Specialty
6543     Hospitals.
6544          (1) General acute hospitals and specialty hospitals shall remain open and be
6545     continuously ready to receive patients 24 hours of every day in a year and have an attending
6546     medical staff consisting of one or more physicians licensed to practice medicine and surgery
6547     under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah
6548     Osteopathic Medical Practice Act.
6549          (2) A specialty hospital shall provide on-site all basic services required of a general
6550     acute hospital that are needed for the diagnosis, therapy, or rehabilitation offered to or required
6551     by patients admitted to or cared for in the facility.
6552          (3) (a) A home health agency shall provide at least licensed nursing services or
6553     therapeutic services directly through the agency employees.
6554          (b) A home health agency may provide additional services itself or under arrangements
6555     with another agency, organization, facility, or individual.
6556          (4) Beginning January 1, 2023, a hospice program shall provide at least one qualified
6557     medical provider, as that term is defined in Section [26-61a-102] 26B-4-201, for the treatment
6558     of hospice patients.
6559          Section 132. Section 26B-2-204, which is renumbered from Section 26-21-6.5 is
6560     renumbered and amended to read:
6561          [26-21-6.5].      26B-2-204. Licensing of an abortion clinic -- Rulemaking authority
6562     -- Fee.
6563          (1) A type I abortion clinic may not operate in the state without a license issued by the
6564     department to operate a type I abortion clinic.
6565          (2) A type II abortion clinic may not operate in the state without a license issued by the
6566     department to operate a type II abortion clinic.

6567          (3) The department shall make rules establishing minimum health, safety, sanitary, and
6568     recordkeeping requirements for:
6569          (a) a type I abortion clinic; and
6570          (b) a type II abortion clinic.
6571          (4) To receive and maintain a license described in this section, an abortion clinic shall:
6572          (a) apply for a license on a form prescribed by the department;
6573          (b) satisfy and maintain the minimum health, safety, sanitary, and recordkeeping
6574     requirements established under Subsection (3) that relate to the type of abortion clinic licensed;
6575          (c) comply with the recordkeeping and reporting requirements of Section 76-7-313;
6576          (d) comply with the requirements of Title 76, Chapter 7, Part 3, Abortion;
6577          (e) pay the annual licensing fee; and
6578          (f) cooperate with inspections conducted by the department.
6579          (5) (a) The department shall, at least twice per year, inspect each abortion clinic in the
6580     state to ensure that the abortion clinic is complying with all statutory and licensing
6581     requirements relating to the abortion clinic.
6582          (b) At least one of the inspections shall be made without providing notice to the
6583     abortion clinic.
6584          (6) The department shall charge an annual license fee, set by the department in
6585     accordance with the procedures described in Section 63J-1-504, to an abortion clinic in an
6586     amount that will pay for the cost of the licensing requirements described in this section and the
6587     cost of inspecting abortion clinics.
6588          (7) The department shall deposit the licensing fees described in this section in the
6589     General Fund as a dedicated credit to be used solely to pay for the cost of the licensing
6590     requirements described in this section and the cost of inspecting abortion clinics.
6591          Section 133. Section 26B-2-205, which is renumbered from Section 26-21-7 is
6592     renumbered and amended to read:
6593          [26-21-7].      26B-2-205. Exempt facilities.
6594          This [chapter] part does not apply to:
6595          (1) a dispensary or first aid facility maintained by any commercial or industrial plant,
6596     educational institution, or convent;
6597          (2) a health care facility owned or operated by an agency of the United States;

6598          (3) the office of a physician, physician assistant, or dentist whether it is an individual
6599     or group practice, except that it does apply to an abortion clinic;
6600          (4) a health care facility established or operated by any recognized church or
6601     denomination for the practice of religious tenets administered by mental or spiritual means
6602     without the use of drugs, whether gratuitously or for compensation, if it complies with statutes
6603     and rules on environmental protection and life safety;
6604          (5) any health care facility owned or operated by the Department of Corrections,
6605     created in Section 64-13-2; and
6606          (6) a residential facility providing 24-hour care:
6607          (a) that does not employ direct care staff;
6608          (b) in which the residents of the facility contract with a licensed hospice agency to
6609     receive end-of-life medical care; and
6610          (c) that meets other requirements for an exemption as designated by administrative
6611     rule.
6612          Section 134. Section 26B-2-206, which is renumbered from Section 26-21-8 is
6613     renumbered and amended to read:
6614          [26-21-8].      26B-2-206. License required -- Not assignable or transferable --
6615     Posting -- Expiration and renewal -- Time for compliance by operating facilities.
6616          (1) (a) A person or governmental unit acting severally or jointly with any other person
6617     or governmental unit, may not establish, conduct, or maintain a health care facility in this state
6618     without receiving a license from the department as provided by this [chapter] part and the rules
6619      adopted pursuant to this [chapter] part .
6620          (b) This Subsection (1) does not apply to facilities that are exempt under Section
6621     [26-21-7] 26B-2-205.
6622          (2) A license issued under this [chapter] part is not assignable or transferable.
6623          (3) The current license shall at all times be posted in each health care facility in a place
6624     readily visible and accessible to the public.
6625          (4) (a) The department may issue a license for a period of time not to exceed 12
6626     months from the date of issuance for an abortion clinic and not to exceed 24 months from the
6627     date of issuance for other health care facilities that meet the provisions of this chapter and
6628     department rules adopted pursuant to this [chapter] part.

6629          (b) Each license expires at midnight on the day designated on the license as the
6630     expiration date, unless previously revoked by the department.
6631          (c) The license shall be renewed upon completion of the application requirements,
6632     unless the department finds the health care facility has not complied with the provisions of this
6633     [chapter] part or the rules adopted pursuant to this [chapter] part.
6634          (5) A license may be issued under this section only for the operation of a specific
6635     facility at a specific site by a specific person.
6636          (6) Any health care facility in operation at the time of adoption of any applicable rules
6637     as provided under this [chapter] part shall be given a reasonable time for compliance as
6638     determined by the committee.
6639          Section 135. Section 26B-2-207, which is renumbered from Section 26-21-9 is
6640     renumbered and amended to read:
6641          [26-21-9].      26B-2-207. Application for license -- Information required -- Public
6642     records.
6643          (1) An application for license shall be made to the department in a form prescribed by
6644     the department. The application and other documentation requested by the department as part
6645     of the application process shall require such information as the committee determines
6646     necessary to ensure compliance with established rules.
6647          (2) Information received by the department in reports and inspections shall be public
6648     records, except the information may not be disclosed if it directly or indirectly identifies any
6649     individual other than the owner or operator of a health facility (unless disclosure is required by
6650     law) or if its disclosure would otherwise constitute an unwarranted invasion of personal
6651     privacy.
6652          (3) Information received by the department from a health care facility, pertaining to
6653     that facility's accreditation by a voluntary accrediting organization, shall be private data except
6654     for a summary prepared by the department related to licensure standards.
6655          Section 136. Section 26B-2-208, which is renumbered from Section 26-21-11 is
6656     renumbered and amended to read:
6657          [26-21-11].      26B-2-208. Violations -- Denial or revocation of license --
6658     Restricting or prohibiting new admissions -- Monitor.
6659          If the department finds a violation of this [chapter] part or any rules adopted pursuant to

6660     this [chapter] part the department may take one or more of the following actions:
6661          (1) serve a written statement of violation requiring corrective action, which shall
6662     include time frames for correction of all violations;
6663          (2) deny or revoke a license if it finds:
6664          (a) there has been a failure to comply with the rules established pursuant to this
6665     [chapter] part;
6666          (b) evidence of aiding, abetting, or permitting the commission of any illegal act; or
6667          (c) conduct adverse to the public health, morals, welfare, and safety of the people of
6668     the state;
6669          (3) restrict or prohibit new admissions to a health care facility or revoke the license of a
6670     health care facility for:
6671          (a) violation of any rule adopted under this [chapter] part; or
6672          (b) permitting, aiding, or abetting the commission of any illegal act in the health care
6673     facility;
6674          (4) place a department representative as a monitor in the facility until corrective action
6675     is completed;
6676          (5) assess to the facility the cost incurred by the department in placing a monitor;
6677          (6) assess an administrative penalty as allowed by Subsection [26-23-6]
6678     26B-1-224(1)(a); or
6679          (7) issue a cease and desist order to the facility.
6680          Section 137. Section 26B-2-209, which is renumbered from Section 26-21-11.1 is
6681     renumbered and amended to read:
6682          [26-21-11.1].      26B-2-209. Failure to follow certain health care claims
6683     practices -- Penalties.
6684          (1) The department may assess a fine of up to $500 per violation against a health care
6685     facility that violates Section 31A-26-313.
6686          (2) The department shall waive the fine described in Subsection (1) if:
6687          (a) the health care facility demonstrates to the department that the health care facility
6688     mitigated and reversed any damage to the insured caused by the health care facility or third
6689     party's violation; or
6690          (b) the insured does not pay the full amount due on the bill that is the subject of the

6691     violation, including any interest, fees, costs, and expenses, within 120 days after the day on
6692     which the health care facility or third party makes a report to a credit bureau or takes an action
6693     in violation of Section 31A-26-313.
6694          Section 138. Section 26B-2-210, which is renumbered from Section 26-21-12 is
6695     renumbered and amended to read:
6696          [26-21-12].      26B-2-210. Issuance of new license after revocation -- Restoration.
6697          (1) If a license is revoked, the department may issue a new license only after it
6698     determines by inspection that the facility has corrected the conditions that were the basis of
6699     revocation and that the facility complies with all provisions of this [chapter] part and applicable
6700     rules.
6701          (2) If the department does not renew a license because of noncompliance with the
6702     provisions of this [chapter] part or the rules adopted under this [chapter] part, the department
6703     may issue a new license only after the facility complies with all renewal requirements and the
6704     department determines that the interests of the public will not be jeopardized.
6705          Section 139. Section 26B-2-211, which is renumbered from Section 26-21-13 is
6706     renumbered and amended to read:
6707          [26-21-13].      26B-2-211. License issued to facility in compliance or substantial
6708     compliance with part and rules.
6709          (1) The department shall issue a standard license for a health care facility which is
6710     found to be in compliance with the provisions of this [chapter] part and with all applicable
6711     rules adopted by the committee.
6712          (2) The department may issue a provisional or conditional license for a health care
6713     facility which is in substantial compliance if the interests of the public will not be jeopardized.
6714          Section 140. Section 26B-2-212, which is renumbered from Section 26-21-13.5 is
6715     renumbered and amended to read:
6716          [26-21-13.5].      26B-2-212. Intermediate care facilities for people with an
6717     intellectual disability -- Licensing.
6718          (1) (a) It is the Legislature's intent that a person with a developmental disability be
6719     provided with an environment and surrounding that, as closely as possible, resembles small
6720     community-based, homelike settings, to allow those persons to have the opportunity, to the
6721     maximum extent feasible, to exercise their full rights and responsibilities as citizens.

6722          (b) It is the Legislature's purpose, in enacting this section, to provide assistance and
6723     opportunities to enable a person with a developmental disability to achieve the person's
6724     maximum potential through increased independence, productivity, and integration into the
6725     community.
6726          (2) After July 1, 1990, the department may only license intermediate care beds for
6727     people with an intellectual disability in small health care facilities.
6728          (3) The department may define by rule "small health care facility" for purposes of
6729     licensure under this section and adopt rules necessary to carry out the requirements and
6730     purposes of this section.
6731          (4) This section does not apply to the renewal of a license or the licensure to a new
6732     owner of any facility that was licensed on or before July 1, 1990, and that licensure has been
6733     maintained without interruption.
6734          Section 141. Section 26B-2-213, which is renumbered from Section 26-21-13.6 is
6735     renumbered and amended to read:
6736          [26-21-13.6].      26B-2-213. Rural hospital -- Optional service designation.
6737          (1) The Legislature finds that:
6738          (a) the rural citizens of this state need access to hospitals and primary care clinics;
6739          (b) financial stability of remote-rural hospitals and their integration into remote-rural
6740     delivery networks is critical to ensure the continued viability of remote-rural health care; and
6741          (c) administrative simplicity is essential for providing large benefits to small-scale
6742     remote-rural providers who have limited time and resources.
6743          (2) After July 1, 1995, the department may grant variances to remote-rural acute care
6744     hospitals for specific services currently required for licensure under general hospital standards
6745     established by department rule.
6746          (3) For purposes of this section, "remote-rural hospitals" are hospitals that are in a
6747     county with less than 20 people per square mile.
6748          Section 142. Section 26B-2-214, which is renumbered from Section 26-21-14 is
6749     renumbered and amended to read:
6750          [26-21-14].      26B-2-214. Closing facility -- Appeal.
6751          (1) If the department finds a condition in any licensed health care facility that is a clear
6752     hazard to the public health, the department may immediately order that facility closed and may

6753     prevent the entrance of any resident or patient onto the premises of that facility until the
6754     condition is eliminated.
6755          (2) Parties aggrieved by the actions of the department under this section may obtain an
6756     adjudicative proceeding and judicial review.
6757          Section 143. Section 26B-2-215, which is renumbered from Section 26-21-15 is
6758     renumbered and amended to read:
6759          [26-21-15].      26B-2-215. Action by department for injunction.
6760          Notwithstanding the existence of any other remedy, the department may, in the manner
6761     provided by law, upon the advice of the attorney general, who shall represent the department in
6762     the proceedings, maintain an action in the name of the state for injunction or other process
6763     against any person or governmental unit to restrain or prevent the establishment, conduct,
6764     management, or operation of a health care facility which is in violation of this [chapter] part or
6765     rules adopted by the committee.
6766          Section 144. Section 26B-2-216, which is renumbered from Section 26-21-16 is
6767     renumbered and amended to read:
6768          [26-21-16].      26B-2-216. Operating facility in violation of part a misdemeanor.
6769          In addition to the penalties in Section [26-23-6] 26B-1-224, any person owning,
6770     establishing, conducting, maintaining, managing, or operating a health care facility in violation
6771     of this [chapter] part is guilty of a class A misdemeanor.
6772          Section 145. Section 26B-2-217, which is renumbered from Section 26-21-17 is
6773     renumbered and amended to read:
6774          [26-21-17].      26B-2-217. Department agency of state to contract for certification
6775     of facilities under Social Security Act.
6776          The department is the sole agency of the state authorized to enter into a contract with
6777     the United States government for the certification of health care facilities under Title XVIII and
6778     Title XIX of the Social Security Act, and any amendments thereto.
6779          Section 146. Section 26B-2-218, which is renumbered from Section 26-21-19 is
6780     renumbered and amended to read:
6781          [26-21-19].      26B-2-218. Life and Health Insurance Guaranty Association Act
6782     not amended.
6783          The provisions of this [chapter] part do not amend, affect, or alter the provisions of

6784     Title 31A, Chapter 28, Guaranty Associations.
6785          Section 147. Section 26B-2-219, which is renumbered from Section 26-21-20 is
6786     renumbered and amended to read:
6787          [26-21-20].      26B-2-219. Requirement for hospitals to provide statements of
6788     itemized charges to patients.
6789          (1) [For purposes of] As used in this section, "hospital" includes:
6790          (a) an ambulatory surgical facility;
6791          (b) a general acute hospital; and
6792          (c) a specialty hospital.
6793          (2) A hospital shall provide a statement of itemized charges to any patient receiving
6794     medical care or other services from that hospital.
6795          (3) (a) The statement shall be provided to the patient or the patient's personal
6796     representative or agent at the hospital's expense, personally, by mail, or by verifiable electronic
6797     delivery after the hospital receives an explanation of benefits from a third party payer which
6798     indicates the patient's remaining responsibility for the hospital charges.
6799          (b) If the statement is not provided to a third party, it shall be provided to the patient as
6800     soon as possible and practicable.
6801          (4) The statement required by this section:
6802          (a) shall itemize each of the charges actually provided by the hospital to the patient;
6803          (b) (i) shall include the words in bold "THIS IS THE BALANCE DUE AFTER
6804     PAYMENT FROM YOUR HEALTH INSURER"; or
6805          (ii) shall include other appropriate language if the statement is sent to the patient under
6806     Subsection (3)(b); and
6807          (c) may not include charges of physicians who bill separately.
6808          (5) The requirements of this section do not apply to patients who receive services from
6809     a hospital under Title XIX of the Social Security Act.
6810          (6) Nothing in this section prohibits a hospital from sending an itemized billing
6811     statement to a patient before the hospital has received an explanation of benefits from an
6812     insurer. If a hospital provides a statement of itemized charges to a patient prior to receiving the
6813     explanation of benefits from an insurer, the itemized statement shall be marked in bold:
6814     "DUPLICATE: DO NOT PAY" or other appropriate language.

6815          Section 148. Section 26B-2-220, which is renumbered from Section 26-21-21 is
6816     renumbered and amended to read:
6817          [26-21-21].      26B-2-220. Authentication of medical records.
6818          Any entry in a medical record compiled or maintained by a health care facility may be
6819     authenticated by identifying the author of the entry by:
6820          (1) a signature including first initial, last name, and discipline; or
6821          (2) the use of a computer identification process unique to the author that definitively
6822     identifies the author.
6823          Section 149. Section 26B-2-221, which is renumbered from Section 26-21-22 is
6824     renumbered and amended to read:
6825          [26-21-22].      26B-2-221. Reporting of disciplinary information -- Immunity from
6826     liability.
6827          A health care facility licensed under this [chapter] part which reports disciplinary
6828     information on a licensed nurse to the Division of Professional Licensing within the
6829     Department of Commerce as required by Section 58-31b-702 is entitled to the immunity from
6830     liability provided by that section.
6831          Section 150. Section 26B-2-222, which is renumbered from Section 26-21-23 is
6832     renumbered and amended to read:
6833          [26-21-23].      26B-2-222. Licensing of a new nursing care facility -- Approval for
6834     a licensed bed in an existing nursing care facility -- Fine for excess Medicare inpatient
6835     revenue.
6836          (1) Notwithstanding Section [26-21-2] 26B-2-201, as used in this section:
6837          (a) "Medicaid" means the Medicaid program, as that term is defined in Section
6838     [26-18-2] 26B-3-101.
6839          (b) "Medicaid certification" means the same as that term is defined in Section
6840     [26-18-501] 26B-3-301.
6841          (c) "Nursing care facility" and "small health care facility":
6842          (i) mean the following facilities licensed by the department under this [chapter] part:
6843          (A) a skilled nursing facility;
6844          (B) an intermediate care facility; or
6845          (C) a small health care facility with four to 16 beds functioning as a skilled nursing

6846     facility; and
6847          (ii) do not mean:
6848          (A) an intermediate care facility for the intellectually disabled;
6849          (B) a critical access hospital that meets the criteria of 42 U.S.C. Sec. 1395i-4(c)(2)
6850     (1998);
6851          (C) a small health care facility that is hospital based; or
6852          (D) a small health care facility other than a skilled nursing care facility with no more
6853     than 16 beds.
6854          (d) "Rural county" means the same as that term is defined in Section [26-18-501]
6855     26B-3-301.
6856          (2) Except as provided in Subsection (6) and Section [26-21-28] 26B-2-227, a new
6857     nursing care facility shall be approved for a health facility license only if:
6858          (a) under the provisions of Section [26-18-503] 26B-3-311 the facility's nursing care
6859     facility program has received Medicaid certification or will receive Medicaid certification for
6860     each bed in the facility;
6861          (b) the facility's nursing care facility program has received or will receive approval for
6862     Medicaid certification under Subsection [26-18-503] 26B-3-311(5), if the facility is located in a
6863     rural county; or
6864          (c) (i) the applicant submits to the department the information described in Subsection
6865     (3); and
6866          (ii) based on that information, and in accordance with Subsection (4), the department
6867     determines that approval of the license best meets the needs of the current and future patients
6868     of nursing care facilities within the area impacted by the new facility.
6869          (3) A new nursing care facility seeking licensure under Subsection (2) shall submit to
6870     the department the following information:
6871          (a) proof of the following as reasonable evidence that bed capacity provided by nursing
6872     care facilities within the county or group of counties that would be impacted by the facility is
6873     insufficient:
6874          (i) nursing care facility occupancy within the county or group of counties:
6875          (A) has been at least 75% during each of the past two years for all existing facilities
6876     combined; and

6877          (B) is projected to be at least 75% for all nursing care facilities combined that have
6878     been approved for licensure but are not yet operational;
6879          (ii) there is no other nursing care facility within a 35-mile radius of the new nursing
6880     care facility seeking licensure under Subsection (2); and
6881          (b) a feasibility study that:
6882          (i) shows the facility's annual Medicare inpatient revenue, including Medicare
6883     Advantage revenue, will not exceed 49% of the facility's annual total revenue during each of
6884     the first three years of operation;
6885          (ii) shows the facility will be financially viable if the annual occupancy rate is at least
6886     88%;
6887          (iii) shows the facility will be able to achieve financial viability;
6888          (iv) shows the facility will not:
6889          (A) have an adverse impact on existing or proposed nursing care facilities within the
6890     county or group of counties that would be impacted by the facility; or
6891          (B) be within a three-mile radius of an existing nursing care facility or a new nursing
6892     care facility that has been approved for licensure but is not yet operational;
6893          (v) is based on reasonable and verifiable demographic and economic assumptions;
6894          (vi) is based on data consistent with department or other publicly available data; and
6895          (vii) is based on existing sources of revenue.
6896          (4) When determining under Subsection (2)(c) whether approval of a license for a new
6897     nursing care facility best meets the needs of the current and future patients of nursing care
6898     facilities within the area impacted by the new facility, the department shall consider:
6899          (a) whether the county or group of counties that would be impacted by the facility is
6900     underserved by specialized or unique services that would be provided by the facility; and
6901          (b) how additional bed capacity should be added to the long-term care delivery system
6902     to best meet the needs of current and future nursing care facility patients within the impacted
6903     area.
6904          (5) The department may approve the addition of a licensed bed in an existing nursing
6905     care facility only if:
6906          (a) each time the facility seeks approval for the addition of a licensed bed, the facility
6907     satisfies each requirement for licensure of a new nursing care facility in Subsections (2)(c), (3),

6908     and (4); or
6909          (b) the bed has been approved for Medicaid certification under Section [26-18-503]
6910     26B-3-311 or [26-18-505] 26B-3-313.
6911          (6) Subsection (2) does not apply to a nursing care facility that:
6912          (a) has, by the effective date of this act, submitted to the department schematic
6913     drawings, and paid applicable fees, for a particular site or a site within a three-mile radius of
6914     that site;
6915          (b) before July 1, 2016:
6916          (i) filed an application with the department for licensure under this section and paid all
6917     related fees due to the department; and
6918          (ii) submitted to the department architectural plans and specifications, as defined by the
6919     department by administrative rule, for the facility;
6920          (c) applies for a license within three years of closing for renovation;
6921          (d) replaces a nursing care facility that:
6922          (i) closed within the past three years; or
6923          (ii) is located within five miles of the facility;
6924          (e) is undergoing a change of ownership, even if a government entity designates the
6925     facility as a new nursing care facility; or
6926          (f) is a state-owned veterans home, regardless of who operates the home.
6927          (7) (a) For each year the annual Medicare inpatient revenue, including Medicare
6928     Advantage revenue, of a nursing care facility approved for a health facility license under
6929     Subsection (2)(c) exceeds 49% of the facility's total revenue for the year, the facility shall be
6930     subject to a fine of $50,000, payable to the department.
6931          (b) A nursing care facility approved for a health facility license under Subsection (2)(c)
6932     shall submit to the department the information necessary for the department to annually
6933     determine whether the facility is subject to the fine in Subsection (7)(a).
6934          (c) The department:
6935          (i) shall make rules, in accordance with Title 63G, Chapter 3, Utah Administrative
6936     Rulemaking Act, specifying the information a nursing care facility shall submit to the
6937     department under Subsection (7)(b);
6938          (ii) shall annually determine whether a facility is subject to the fine in Subsection

6939     (7)(a);
6940          (iii) may take one or more of the actions in Section [26-21-11] 26B-2-208 or [26-23-6]
6941     26B-2-202 against a facility for nonpayment of a fine due under Subsection (7)(a); and
6942          (iv) shall deposit fines paid to the department under Subsection (7)(a) into the Nursing
6943     Care Facilities Provider Assessment Fund, created [by Section 26-35a-106] in Section
6944     26B-3-405.
6945          Section 151. Section 26B-2-223, which is renumbered from Section 26-21-24 is
6946     renumbered and amended to read:
6947          [26-21-24].      26B-2-223. Prohibition against bed banking by nursing care
6948     facilities for Medicaid reimbursement.
6949          (1) [For purposes of] As used in this section:
6950          (a) "[bed] Bed banking" means the designation of a nursing care facility bed as not part
6951     of the facility's operational bed capacity[; and].
6952          (b) "[nursing] Nursing care facility" [is as defined in Subsection 26-21-23(1)] means
6953     the same as that term is defined in Section 26B-2-222.
6954          (2) Beginning July 1, 2008, the department shall, for purposes of Medicaid
6955     reimbursement under [Chapter 18, Part 1, Medical Assistance Programs] Chapter 3, Part 1,
6956     Health Care Assistance, prohibit the banking of nursing care facility beds.
6957          Section 152. Section 26B-2-224, which is renumbered from Section 26-21-25 is
6958     renumbered and amended to read:
6959          [26-21-25].      26B-2-224. Patient identity protection.
6960          (1) As used in this section:
6961          (a) "EMTALA" means the federal Emergency Medical Treatment and Active Labor
6962     Act.
6963          (b) "Health professional office" means:
6964          (i) a physician's office; or
6965          (ii) a dental office.
6966          (c) "Medical facility" means:
6967          (i) a general acute hospital;
6968          (ii) a specialty hospital;
6969          (iii) a home health agency;

6970          (iv) a hospice;
6971          (v) a nursing care facility;
6972          (vi) a residential-assisted living facility;
6973          (vii) a birthing center;
6974          (viii) an ambulatory surgical facility;
6975          (ix) a small health care facility;
6976          (x) an abortion clinic;
6977          (xi) a facility owned or operated by a health maintenance organization;
6978          (xii) an end stage renal disease facility;
6979          (xiii) a health care clinic; or
6980          (xiv) any other health care facility that the committee designates by rule.
6981          (2) (a) In order to discourage identity theft and health insurance fraud, and to reduce
6982     the risk of medical errors caused by incorrect medical records, a medical facility or a health
6983     professional office shall request identification from an individual prior to providing in-patient
6984     or out-patient services to the individual.
6985          (b) If the individual who will receive services from the medical facility or a health
6986     professional office lacks the legal capacity to consent to treatment, the medical facility or a
6987     health professional office shall request identification:
6988          (i) for the individual who lacks the legal capacity to consent to treatment; and
6989          (ii) from the individual who consents to treatment on behalf of the individual described
6990     in Subsection (2)(b)(i).
6991          (3) A medical facility or a health professional office:
6992          (a) that is subject to EMTALA:
6993          (i) may not refuse services to an individual on the basis that the individual did not
6994     provide identification when requested; and
6995          (ii) shall post notice in its emergency department that informs a patient of the patient's
6996     right to treatment for an emergency medical condition under EMTALA;
6997          (b) may not be penalized for failing to ask for identification;
6998          (c) is not subject to a private right of action for failing to ask for identification; and
6999          (d) may document or confirm patient identity by:
7000          (i) photograph;

7001          (ii) fingerprinting;
7002          (iii) palm scan; or
7003          (iv) other reasonable means.
7004          (4) The identification described in this section:
7005          (a) is intended to be used for medical records purposes only; and
7006          (b) shall be kept in accordance with the requirements of the Health Insurance
7007     Portability and Accountability Act of 1996.
7008          Section 153. Section 26B-2-225, which is renumbered from Section 26-21-26 is
7009     renumbered and amended to read:
7010          [26-21-26].      26B-2-225. General acute hospital to report prescribed controlled
7011     substance poisoning or overdose.
7012          (1) If a person who is 12 years old or older is admitted to a general acute hospital for
7013     poisoning or overdose involving a prescribed controlled substance, the general acute hospital
7014     shall, within three business days after the day on which the person is admitted, send a written
7015     report to the Division of Professional Licensing, created in Section 58-1-103, that includes:
7016          (a) the patient's name and date of birth;
7017          (b) each drug or other substance found in the person's system that may have
7018     contributed to the poisoning or overdose, if known;
7019          (c) the name of each person who the general acute hospital has reason to believe may
7020     have prescribed a controlled substance described in Subsection (1)(b) to the person, if known;
7021     and
7022          (d) the name of the hospital and the date of admission.
7023          (2) Nothing in this section may be construed as creating a new cause of action.
7024          Section 154. Section 26B-2-226, which is renumbered from Section 26-21-27 is
7025     renumbered and amended to read:
7026          [26-21-27].      26B-2-226. Information regarding certain health care facility
7027     charges.
7028          A health care facility licensed under this [chapter] part shall, when requested by a
7029     consumer:
7030          (1) make a list of prices charged by the facility available for the consumer that includes
7031     the facility's:

7032          (a) in-patient procedures;
7033          (b) out-patient procedures;
7034          (c) the 50 most commonly prescribed drugs in the facility;
7035          (d) imaging services; and
7036          (e) implants; and
7037          (2) provide the consumer with information regarding any discounts the facility
7038     provides for:
7039          (a) charges for services not covered by insurance; or
7040          (b) prompt payment of billed charges.
7041          Section 155. Section 26B-2-227, which is renumbered from Section 26-21-28 is
7042     renumbered and amended to read:
7043          [26-21-28].      26B-2-227. Pilot program for managed care model with a small
7044     health care facility operating as a skilled nursing facility.
7045          (1) Notwithstanding the requirement for Medicaid certification under [Chapter 18, Part
7046     5, Long Term Care Facility - Medicaid Certification] Sections 26B-3-310 through 26B-3-313,
7047     and Section [26-21-23] 26B-2-222, a small health care facility with four to 16 beds,
7048     functioning as a skilled nursing facility, may be approved for licensing by the department as a
7049     pilot program in accordance with this section, and without obtaining Medicaid certification for
7050     the beds in the facility.
7051          (2) (a) The department shall establish one pilot program with a facility that meets the
7052     qualifications under Subsection (3).
7053          (b) The purpose of the pilot program described in Subsection (2)(a) is to study the
7054     impact of an integrated managed care model on cost and quality of care involving pre- and
7055     post-surgical services offered by a small health care facility operating as a skilled nursing
7056     facility.
7057          (3) A small health care facility with four to 16 beds that functions as a skilled nursing
7058     facility may apply for a license under the pilot program if the facility will:
7059          (a) be located in:
7060          (i) a county of the second class that has at least 1,800 square miles within the county;
7061     and
7062          (ii) a city of the fifth class; and

7063          (b) limit a patient's stay in the facility to no more than 10 days.
7064          Section 156. Section 26B-2-228, which is renumbered from Section 26-21-29 is
7065     renumbered and amended to read:
7066          [26-21-29].      26B-2-228. Birthing centers -- Regulatory restrictions.
7067          (1) [For purposes of] As used in this section:
7068          (a) "Alongside midwifery unit" means a birthing center that meets the requirements
7069     described in Subsection (7).
7070          (b) "Certified nurse midwife" means an individual who is licensed under Title 58,
7071     Chapter 44a, Nurse Midwife Practice Act.
7072          (c) "Direct-entry midwife" means an individual who is licensed under Title 58, Chapter
7073     77, Direct-Entry Midwife Act.
7074          (d) "Licensed maternity care practitioner" includes:
7075          (i) a physician;
7076          (ii) a certified nurse midwife;
7077          (iii) a direct entry midwife;
7078          (iv) a naturopathic physician; and
7079          (v) other individuals who are licensed under Title 58, Occupations and Professions and
7080     whose scope of practice includes midwifery or obstetric care.
7081          (e) "Naturopathic physician" means an individual who is licensed under Title 58,
7082     Chapter 71, Naturopathic Physician Practice Act.
7083          (f) "Physician" means an individual who is licensed under Title 58, Chapter 67, Utah
7084     Medical Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act.
7085          (2) The [Health Facility Committee] committee and the department may not require a
7086     birthing center or a licensed maternity care practitioner who practices at a birthing center to:
7087          (a) maintain admitting privileges at a general acute hospital;
7088          (b) maintain a written transfer agreement with one or more general acute hospitals;
7089          (c) maintain a collaborative practice agreement with a physician; or
7090          (d) have a physician or certified nurse midwife present at each birth when another
7091     licensed maternity care practitioner is present at the birth and remains until the maternal patient
7092     and newborn are stable postpartum.
7093          (3) The [Health Facility Committee] committee and the department shall:

7094          (a) permit all types of licensed maternity care practitioners to practice in a birthing
7095     center; and
7096          (b) except as provided in Subsection (2)(b), require a birthing center to have a written
7097     plan for the transfer of a patient to a hospital in accordance with Subsection (4).
7098          (4) A transfer plan under Subsection (3)(b) shall:
7099          (a) be signed by the patient; and
7100          (b) indicate that the plan is not an agreement with a hospital.
7101          (5) If a birthing center transfers a patient to a licensed maternity care practitioner or
7102     facility, the responsibility of the licensed maternity care practitioner or facility, for the patient:
7103          (a) does not begin until the patient is physically within the care of the licensed
7104     maternity care practitioner or facility;
7105          (b) is limited to the examination and care provided after the patient is transferred to the
7106     licensed maternity care practitioner or facility; and
7107          (c) does not include responsibility or accountability for the patient's decision to pursue
7108     an out-of-hospital birth and the services of a birthing center.
7109          (6) (a) Except as provided in Subsection (6)(c), a licensed maternity care practitioner
7110     who is not practicing at a birthing center may, upon receiving a briefing from a member of a
7111     birthing center's clinical staff, issue a medical order for the birthing center's patient without
7112     assuming liability for the care of the patient for whom the order was issued.
7113          (b) Regardless of the advice given or order issued under Subsection (6)(a), the
7114     responsibility and liability for caring for the patient is that of the birthing center and the
7115     birthing center's clinical staff.
7116          (c) The licensed maternity care practitioner giving the order under Subsection (6)(a) is
7117     responsible and liable only for the appropriateness of the order, based on the briefing received
7118     under Subsection (6)(a).
7119          (7) (a) A birthing center that is not freestanding may be licensed as an alongside
7120     midwifery unit if the birthing center:
7121          (i) is accredited by the Commission on Accreditation of Birth Centers;
7122          (ii) is connected to a hospital facility, either through a bridge, ramp, or adjacent to the
7123     labor and delivery unit within the hospital with care provided with the midwifery model of
7124     care, where maternal patients are received and care provided during labor, delivery, and

7125     immediately after delivery; and
7126          (iii) is supervised by a clinical director who is licensed as a physician as defined in
7127     Section 58-67-102 or a certified nurse midwife under Title 58, Chapter 44a, Nurse Midwife
7128     Practice Act.
7129          (b) An alongside midwifery unit shall have a transfer agreement in place with the
7130     adjoining hospital:
7131          (i) to transfer a patient to the adjacent hospital's labor and delivery unit if a higher level
7132     of care is needed; and
7133          (ii) for services that are provided by the adjacent hospital's staff in collaboration with
7134     the alongside midwifery unit staff.
7135          (c) An alongside midwifery unit may:
7136          (i) contract with staff from the adjoining hospital to assist with newborn care or
7137     resuscitation of a patient in an emergency; and
7138          (ii) integrate the alongside midwifery unit's medical records with the medical record
7139     system utilized by the adjoining hospital.
7140          (d) Notwithstanding Title 58, Chapter 77, Direct-Entry Midwife Act, licensure as a
7141     direct-entry midwife under Section 58-77-301 is not sufficient to practice as a licensed
7142     maternity care practitioner in an alongside midwifery unit.
7143          (8) The department shall hold a public hearing under Subsection 63G-3-302(2)(a) for a
7144     proposed administrative rule, and amendment to a rule, or repeal of a rule, that relates to
7145     birthing centers.
7146          Section 157. Section 26B-2-229, which is renumbered from Section 26-21-30 is
7147     renumbered and amended to read:
7148          [26-21-30].      26B-2-229. Disposal of controlled substances at nursing care
7149     facilities.
7150          (1) As used in this section:
7151          (a) "Controlled substance" means the same as that term is defined in Section 58-37-2.
7152          (b) (i) "Irretrievable" means a state in which the physical or chemical condition of a
7153     controlled substance is permanently altered through irreversible means so that the controlled
7154     substance is unavailable and unusable for all practical purposes.
7155          (ii) A controlled substance is irretrievable if the controlled substance is non-retrievable

7156     as that term is defined in 21 C.F.R. Sec. 1300.05.
7157          (2) A nursing care facility that is in lawful possession of a controlled substance in the
7158     nursing care facility's inventory that desires to dispose of the controlled substance shall dispose
7159     of the controlled substance in a manner that:
7160          (a) renders the controlled substance irretrievable; and
7161          (b) complies with all applicable federal and state requirements for the disposal of a
7162     controlled substance.
7163          (3) A nursing care facility shall:
7164          (a) develop a written plan for the disposal of a controlled substance in accordance with
7165     this section; and
7166          (b) make the plan described in Subsection (3)(a) available to the department and the
7167     committee for inspection.
7168          Section 158. Section 26B-2-230, which is renumbered from Section 26-21-31 is
7169     renumbered and amended to read:
7170          [26-21-31].      26B-2-230. Prohibition on certain age-based physician testing.
7171          A health care facility may not require for purposes of employment, privileges, or
7172     reimbursement, that a physician, as defined in Section 58-67-102, take a cognitive test when
7173     the physician reaches a specified age, unless the test reflects the standards described in
7174     Subsections 58-67-302(5)(b)(i) through (x).
7175          Section 159. Section 26B-2-231, which is renumbered from Section 26-21-32 is
7176     renumbered and amended to read:
7177          [26-21-32].      26B-2-231. Notification of air ambulance policies and charges.
7178          (1) For any patient who is in need of air medical transport provider services, a health
7179     care facility shall:
7180          (a) provide the patient or the patient's representative with the information described in
7181     Subsection [26-8a-107] 26B-1-405(7)(a) before contacting an air medical transport provider;
7182     and
7183          (b) if multiple air medical transport providers are capable of providing the patient with
7184     services, provide the patient or the patient's representative with an opportunity to choose the air
7185     medical transport provider.
7186          (2) Subsection (1) does not apply if the patient:

7187          (a) is unconscious and the patient's representative is not physically present with the
7188     patient; or
7189          (b) is unable, due to a medical condition, to make an informed decision about the
7190     choice of an air medical transport provider, and the patient's representative is not physically
7191     present with the patient.
7192          Section 160. Section 26B-2-232, which is renumbered from Section 26-21-33 is
7193     renumbered and amended to read:
7194          [26-21-33].      26B-2-232. Treatment of aborted remains.
7195          (1) As used in this section, "aborted fetus" means a product of human conception,
7196     regardless of gestational age, that has died from an abortion as that term is defined in Section
7197     76-7-301.
7198          (2) (a) A health care facility having possession of an aborted fetus shall provide for the
7199     final disposition of the aborted fetus through:
7200          (i) cremation as that term is defined in Section 58-9-102; or
7201          (ii) interment.
7202          (b) A health care facility may not conduct the final disposition of an aborted fetus less
7203     than 72 hours after an abortion is performed unless:
7204          (i) the pregnant woman authorizes the health care facility, in writing, to conduct the
7205     final disposition of the aborted fetus less than 72 hours after the abortion is performed; or
7206          (ii) immediate disposition is required under state or federal law.
7207          (c) A health care facility may serve as an authorizing agent as defined in Section
7208     58-9-102 with respect to the final disposition of an aborted fetus if:
7209          (i) the pregnant woman provides written authorization for the health care facility to act
7210     as the authorizing agent; or
7211          (ii) (A) more than 72 hours have passed since the abortion was performed; and
7212          (B) the pregnant woman did not exercise her right to control the final disposition of the
7213     aborted fetus under Subsection (4)(a).
7214          (d) Within 120 business days after the day on which an abortion is performed, a health
7215     care facility possessing an aborted fetus shall:
7216          (i) conduct the final disposition of the aborted fetus in accordance with this section; or
7217          (ii) ensure that the aborted fetus is preserved until final disposition.

7218          (e) A health care facility shall conduct the final disposition under this section in
7219     accordance with applicable state and federal law.
7220          (3) Before performing an abortion, a health care facility shall:
7221          (a) provide the pregnant woman with the information described in Subsection
7222     76-7-305.5(2)(w) through:
7223          (i) a form approved by the department;
7224          (ii) an in-person consultation with a physician; or
7225          (iii) an in-person consultation with a mental health therapist as defined in Section
7226     58-60-102; and
7227          (b) if the pregnant woman makes a decision under Subsection (4)(b), document the
7228     pregnant woman's decision under Subsection (4)(b) in the pregnant woman's medical record.
7229          (4) A pregnant woman who has an abortion:
7230          (a) except as provided in Subsection (6), has the right to control the final disposition of
7231     the aborted fetus;
7232          (b) if the pregnant woman has a preference for disposition of the aborted fetus, shall
7233     inform the health care facility of the pregnant woman's decision for final disposition of the
7234     aborted fetus;
7235          (c) is responsible for the costs related to the final disposition of the aborted fetus at the
7236     chosen location if the pregnant woman chooses a method or location for the final disposition of
7237     the aborted fetus that is different from the method or location that is usual and customary for
7238     the health care facility; and
7239          (d) for a medication-induced abortion, shall be permitted to return the aborted fetus to
7240     the health care facility in a sealed container for disposition by the health care facility in
7241     accordance with this section.
7242          (5) The form described in Subsection (3)(a)(i) shall include the following information:
7243          "You have the right to decide what you would like to do with the aborted fetus. You
7244     may decide for the provider to be responsible for disposition of the fetus. If you are having a
7245     medication-induced abortion, you also have the right to bring the aborted fetus back to this
7246     provider for disposition after the fetus is expelled. The provider may dispose of the aborted
7247     fetus by burial or cremation. You can ask the provider if you want to know the specific method
7248     for disposition."

7249          (6) If the pregnant woman is a minor, the health care facility shall obtain parental
7250     consent for the disposition of the aborted fetus unless the minor is granted a court order under
7251     Subsection [76-7-304] 76-7-304.5(1)(b).
7252          (7) (a) A health care facility may not include fetal remains with other biological,
7253     infectious, or pathological waste.
7254          (b) Fetal tissue that is sent for permanently fixed pathology or used for genetic study is
7255     not subject to the requirements of this section.
7256          (c) (i) A health care facility is responsible for maintaining a record to demonstrate to
7257     the department that the health care facility has complied with the provisions of this section.
7258          (ii) The records described in Subsection (7)(c)(i) shall be:
7259          (A) maintained for at least two years; and
7260          (B) made available to the department for inspection upon request by the department.
7261          Section 161. Section 26B-2-233, which is renumbered from Section 26-21-34 is
7262     renumbered and amended to read:
7263          [26-21-34].      26B-2-233. Treatment of miscarried remains.
7264          (1) As used in this section, "miscarried fetus" means a product of human conception,
7265     regardless of gestational age, that has died from a spontaneous or accidental death before
7266     expulsion or extraction from the mother, regardless of the duration of the pregnancy.
7267          (2) (a) A health care facility having possession of a miscarried fetus shall provide for
7268     the final disposition of the miscarried fetus through:
7269          (i) cremation as that term is defined in Section 58-9-102; or
7270          (ii) interment.
7271          (b) A health care facility may not conduct the final disposition of a miscarried fetus
7272     less than 72 hours after a woman has her miscarried fetus expelled or extracted in the health
7273     care facility unless:
7274          (i) the parent authorizes the health care facility, in writing, to conduct the final
7275     disposition of the miscarried fetus less than 72 hours after the miscarriage occurs; or
7276          (ii) immediate disposition is required under state or federal law.
7277          (c) A health care facility may serve as an authorizing agent as defined in Section
7278     58-9-102 with respect to the final disposition of a miscarried fetus if:
7279          (i) the parent provides written authorization for the health care facility to act as the

7280     authorizing agent; or
7281          (ii) (A) more than 72 hours have passed since the miscarriage occurs; and
7282          (B) the parent did not exercise their right to control the final disposition of the
7283     miscarried fetus under Subsection (4)(a).
7284          (d) Within 120 business days after the day on which a miscarriage occurs, a health care
7285     facility possessing miscarried remains shall:
7286          (i) conduct the final disposition of the miscarried remains in accordance with this
7287     section; or
7288          (ii) ensure that the miscarried remains are preserved until final disposition.
7289          (e) A health care facility shall conduct the final disposition under this section in
7290     accordance with applicable state and federal law.
7291          (3) (a) No more than 24 hours after a woman has her miscarried fetus expelled or
7292     extracted in a health care facility, the health care facility shall provide information to the parent
7293     or parents of the miscarried fetus regarding:
7294          (i) the parents' right to determine the final disposition of the miscarried fetus;
7295          (ii) the available options for disposition of the miscarried fetus; and
7296          (iii) counseling that may be available concerning the death of the miscarried fetus.
7297          (b) A health care facility shall:
7298          (i) provide the information described in Subsection (3)(a) through:
7299          (A) a form approved by the department;
7300          (B) an in-person consultation with a physician; or
7301          (C) an in-person consultation with a mental health therapist as defined in Section
7302     58-60-102; and
7303          (ii) if the parent or parents make a decision under Subsection (4)(b), document the
7304     parent's decision under Subsection (4)(b) in the parent's medical record.
7305          (4) The parents of a miscarried fetus:
7306          (a) have the right to control the final disposition of the miscarried fetus;
7307          (b) if the parents have a preference for disposition of the miscarried fetus, shall inform
7308     the health care facility of the parents' decision for final disposition of the miscarried fetus; and
7309          (c) are responsible for the costs related to the final disposition of the miscarried fetus at
7310     the chosen location if the parents choose a method or location for the final disposition of the

7311     miscarried fetus that is different from the method or location that is usual and customary for the
7312     health care facility.
7313          (5) The form described in Subsection (3)(b)(i) shall include the following information:
7314          "You have the right to decide what you would like to do with the miscarried fetus. You
7315     may decide for the provider to be responsible for disposition of the fetus. The provider may
7316     dispose of the miscarried fetus by burial or cremation. You can ask the provider if you want to
7317     know the specific method for disposition."
7318          (6) (a) A health care facility may not include a miscarried fetus with other biological,
7319     infectious, or pathological waste.
7320          (b) Fetal tissue that is sent for permanently fixed pathology or used for genetic study is
7321     not subject to the requirements of this section.
7322          (c) (i) A health care facility is responsible for maintaining a record to demonstrate to
7323     the department that the health care facility has complied with the provisions of this section.
7324          (ii) The records described in Subsection (6)(c)(i) shall be:
7325          (A) maintained for at least two years; and
7326          (B) made available to the department for inspection upon request by the department.
7327          Section 162. Section 26B-2-234, which is renumbered from Section 26-21-35 is
7328     renumbered and amended to read:
7329          [26-21-35].      26B-2-234. Resident consumer protection.
7330          (1) As used in this section:
7331          (a) "Eligible requester" means:
7332          (i) a resident;
7333          (ii) a prospective resident;
7334          (iii) a legal representative of a resident or prospective resident; or
7335          (iv) the department.
7336          (b) "Facility" means an assisted living facility or nursing care facility.
7337          (c) "Facility's leadership" means a facility's:
7338          (i) owner;
7339          (ii) administrator;
7340          (iii) director; or
7341          (iv) employee that is in a position to determine which providers have access to the

7342     facility.
7343          (d) "Personal care agency" means a person that provides assistance with activities of
7344     daily living.
7345          (e) "Provider" means a home health agency, hospice provider, medical provider, or
7346     personal care agency.
7347          (f) "Resident" means an individual who resides in a facility.
7348          (2) Subject to other state or federal laws, a facility may limit which providers have
7349     access to the facility if the facility complies with Subsection (3).
7350          (3) (a) A facility that prohibits a provider from accessing the facility shall:
7351          (i) before or at the time a prospective resident or prospective resident's legal
7352     representative signs an admission contract, inform the prospective resident or prospective
7353     resident's legal representative that the facility prohibits one or more providers from accessing
7354     the facility;
7355          (ii) if an eligible requester requests to know which providers have access to the facility,
7356     refer the eligible requester to a member of the facility's leadership; and
7357          (iii) if a provider requests to know whether the provider has access to the facility, refer
7358     the provider to a member of the facility's leadership.
7359          (b) If a facility refers an eligible requester to a member of the facility's leadership under
7360     Subsection (3)(a)(ii), the member of the facility's leadership shall inform the eligible requester:
7361          (i) which providers the facility:
7362          (A) allows to access the facility; or
7363          (B) prohibits from accessing the facility;
7364          (ii) that a provider's access to the facility may change at any time; and
7365          (iii) whether a person in the facility's leadership has a legal or financial interest in a
7366     provider that is allowed to access the facility.
7367          (c) If a facility refers a provider to a member of the facility's leadership under
7368     Subsection (3)(a)(iii), the member of the facility's leadership:
7369          (i) shall disclose whether the provider has access to the facility; and
7370          (ii) may disclose any other information described in Subsection (3)(b).
7371          (d) If a resident is being served by a provider that is later prohibited from accessing the
7372     facility, the facility shall:

7373          (i) allow the provider access to the facility to finish the resident's current episode of
7374     care; or
7375          (ii) provide to the resident a written explanation of why the provider no longer has
7376     access to the facility.
7377          (4) This section does not apply to a facility operated by a government unit.
7378          (5) The department may issue a notice of deficiency if a facility that denies a provider
7379     access under Subsection (2) does not comply with Subsection (3) at the time of the denial.
7380          Section 163. Section 26B-2-235, which is renumbered from Section 26-21c-103 is
7381     renumbered and amended to read:
7382          [26-21c-103].      26B-2-235. Sepsis protocols for general acute hospitals --
7383     Presenting protocols upon inspection.
7384          (1) As used in this section, "sepsis" means a life-threatening complication of an
7385     infection.
7386          [(1)] (2) [Hospitals] A general acute hospital may develop protocols for the treatment
7387     of sepsis and septic shock that are consistent with current evidence-based guidelines for the
7388     treatment of severe sepsis and septic shock.
7389          [(2)] (3) When developing the protocols described in Subsection [(1)] (2), a general
7390     acute hospital shall consider:
7391          (a) a process for screening and recognizing patients with sepsis;
7392          (b) a process to screen out individuals for whom the protocols would not be
7393     appropriate for treating sepsis;
7394          (c) timeline goals for treating sepsis;
7395          (d) different possible methods for treating sepsis and reasons to use each method;
7396          (e) specific protocols to treat children who present with symptoms of sepsis or septic
7397     shock; and
7398          (f) training requirements for staff.
7399          [(3)] (4) A general acute hospital may update the general acute hospital's sepsis
7400     protocols as new data on the treatment of sepsis and septic shock becomes available.
7401          (5) The department, or an entity assigned by the department to inspect a general acute
7402     hospital, may request a copy of the sepsis protocols described in this section when inspecting a
7403     general acute hospital.

7404          Section 164. Section 26B-2-236, which is renumbered from Section 26-21-303 is
7405     renumbered and amended to read:
7406          [26-21-303].      26B-2-236. Monitoring device -- Installation, notice, and
7407     consent -- Admission and discharge -- Liability.
7408          (1) As used in this section:
7409          (a) "Legal representative" means an individual who is legally authorized to make health
7410     care decisions on behalf of another individual.
7411          (b) (i) "Monitoring device" means:
7412          (A) a video surveillance camera; or
7413          (B) a microphone or other device that captures audio.
7414          (ii) "Monitoring device" does not include:
7415          (A) a device that is specifically intended to intercept wire, electronic, or oral
7416     communication without notice to or the consent of a party to the communication; or
7417          (B) a device that is connected to the Internet or that is set up to transmit data via an
7418     electronic communication.
7419          (c) "Resident" means an individual who receives health care from a facility.
7420          (d) "Room" means a resident's private or shared primary living space.
7421          (e) "Roommate" means an individual sharing a room with a resident.
7422          [(1)] (2) A resident or the resident's legal representative may operate or install a
7423     monitoring device in the resident's room if the resident and the resident's legal representative, if
7424     any, unless the resident is incapable of informed consent:
7425          (a) notifies the resident's assisted living facility in writing that the resident or the
7426     resident's legal representative, if any:
7427          (i) intends to operate or install a monitoring device in the resident's room; and
7428          (ii) consents to a waiver agreement, if required by [a] and assisted living facility;
7429          (b) obtains written consent from each of the resident's roommates, and their legal
7430     representative, if any, that specifically states the hours when each roommate consents to the
7431     resident or the resident's legal representative operating the monitoring device; and
7432          (c) assumes all responsibility for any cost related to installing or operating the
7433     monitoring device.
7434          [(2) A] (3) An assisted living facility shall not be civilly or criminally liable to:

7435          (a) a resident or resident's roommate for the operation of a monitoring device
7436     consistent with this part; and
7437          (b) any person other than the resident or resident's roommate for any claims related to
7438     the use or operation of a monitoring device consistent with this part, unless the claim is caused
7439     by the acts or omissions of an employee or agent of the assisted living facility.
7440          (4) (a) An assisted living facility may not deny an individual admission to the facility
7441     for the sole reason that the individual or the individual's legal representative requests to install
7442     or operate a monitoring device in the individual's room.
7443          (b) An assisted living facility may not discharge a resident for the sole reason that the
7444     resident or the resident's legal representative requests to install or operate a monitoring device
7445     in the individual's room.
7446          (c) An assisted living facility may require the resident or the resident's legal
7447     representative to place a sign near the entrance of the resident's room that states that the room
7448     contains a monitoring device.
7449          [(3)] (5) Notwithstanding any other provision of this part, an individual may not, under
7450     this part, operate a monitoring device in [a] an assisted living facility without a court order:
7451          (a) in secret; or
7452          (b) with an intent to intercept a wire, electronic, or oral communication without notice
7453     to or the consent of a party to the communication.
7454          Section 165. Section 26B-2-237, which is renumbered from Section 26-21-305 is
7455     renumbered and amended to read:
7456          [26-21-305].      26B-2-237. Transfer or discharge from an assisted living
7457     facility.
7458          (1) As used in this section:
7459          (a) "Ombudsman" means the same as that term is defined in Section 26B-2-301.
7460          (b) "Resident" means an individual who receives health care from an assisted living
7461     facility.
7462          (c) "Responsible person" means an individual who:
7463          (i) is designated in writing by a resident to receive communication on behalf of the
7464     resident; or
7465          (ii) is legally authorized to make health care decisions on behalf of the resident.     

7466          (2) When [a] an assisted living facility initiates the transfer or discharge of a resident,
7467     the assisted living facility shall:
7468          [(1)] (a) notify the resident and the resident's responsible person, if any, in writing and
7469     in a language and a manner that is most likely to be understood by the resident and the
7470     resident's responsible person, of:
7471          [(a)] (i) the reasons for the transfer or discharge;
7472          [(b)] (ii) the effective date of the transfer or discharge;
7473          [(c)] (iii) the location to which the resident will be transferred or discharged, if known;
7474     and
7475          [(d)] (iv) the name, address, email, and telephone number of the ombudsman;
7476          [(2)] (b) send a copy, in English, of the notice described in Subsection [(1)(a)] (2)(a) to
7477     the ombudsman on the same day on which the assisted living facility delivers the notice
7478     described in Subsection [(1)(a)] (2)(a) to the resident and the resident's responsible person;
7479          [(3)] (c) provide the notice described in Subsection [(1)(a)] (2)(a) at least 30 days
7480     before the day on which the resident is transferred or discharged, unless:
7481          [(a)] (i) notice for a shorter period of time is necessary to protect:
7482          [(i)] (A) the safety of individuals in the assisted living facility from endangerment due
7483     to the medical or behavioral status of the resident; or
7484          [(ii)] (B) the health of individuals in the assisted living facility from endangerment due
7485     to the resident's continued residency;
7486          [(b)] (ii) an immediate transfer or discharge is required by the resident's urgent medical
7487     needs; or
7488          [(c)] (iii) the resident has not resided in the assisted living facility for at least 30 days;
7489          [(4)] (d) update the transfer or discharge notice as soon as practicable before the
7490     transfer or discharge if information in the notice changes before the transfer or discharge;
7491          [(5)] (e) orally explain to the resident:
7492          [(a)] (i) the services available through the ombudsman; and
7493          [(b)] (ii) the contact information for the ombudsman; and
7494          [(6)] (f) provide and document the provision of preparation and orientation for the
7495     resident, in a language and manner the resident is most likely to understand, [for a resident] to
7496     ensure a safe and orderly transfer or discharge from the assisted living facility[; and].

7497          [(7) in] (3) In the event of [a] an assisted living facility closure, the assisted living
7498     facility shall provide written notification of the closure to the ombudsman, each resident of the
7499     facility, and each resident's responsible person.
7500          Section 166. Section 26B-2-238, which is renumbered from Section 26-21-201 is
7501     renumbered and amended to read:
7502          [26-21-201].      26B-2-238. Definitions for Sections 26B-2-238 through
7503     26B-2-241.
7504          As used in this [part] section and Sections 26B-2-239, 26B-2-240, and 26B-2-241:
7505          (1) "Clearance" means approval by the department under Section [26-21-203]
7506     26B-2-239 for an individual to have direct patient access.
7507          (2) "Covered body" means a covered provider, covered contractor, or covered
7508     employer.
7509          (3) "Covered contractor" means a person that supplies covered individuals, by contract,
7510     to a covered employer or covered provider.
7511          (4) "Covered employer" means an individual who:
7512          (a) engages a covered individual to provide services in a private residence to:
7513          (i) an aged individual, as defined by department rule; or
7514          (ii) a disabled individual, as defined by department rule;
7515          (b) is not a covered provider; and
7516          (c) is not a licensed health care facility within the state.
7517          (5) "Covered individual":
7518          (a) means an individual:
7519          (i) whom a covered body engages; and
7520          (ii) who may have direct patient access;
7521          (b) includes:
7522          (i) a nursing assistant, as defined by department rule;
7523          (ii) a personal care aide, as defined by department rule;
7524          (iii) an individual licensed to engage in the practice of nursing under Title 58, Chapter
7525     31b, Nurse Practice Act;
7526          (iv) a provider of medical, therapeutic, or social services, including a provider of
7527     laboratory and radiology services;

7528          (v) an executive;
7529          (vi) administrative staff, including a manager or other administrator;
7530          (vii) dietary and food service staff;
7531          (viii) housekeeping and maintenance staff; and
7532          (ix) any other individual, as defined by department rule, who has direct patient access;
7533     and
7534          (c) does not include a student, as defined by department rule, directly supervised by a
7535     member of the staff of the covered body or the student's instructor.
7536          (6) "Covered provider" means:
7537          (a) an end stage renal disease facility;
7538          (b) a long-term care hospital;
7539          (c) a nursing care facility;
7540          (d) a small health care facility;
7541          (e) an assisted living facility;
7542          (f) a hospice;
7543          (g) a home health agency; or
7544          (h) a personal care agency.
7545          (7) "Direct patient access" means for an individual to be in a position where the
7546     individual could, in relation to a patient or resident of the covered body who engages the
7547     individual:
7548          (a) cause physical or mental harm;
7549          (b) commit theft; or
7550          (c) view medical or financial records.
7551          (8) "Engage" means to obtain one's services:
7552          (a) by employment;
7553          (b) by contract;
7554          (c) as a volunteer; or
7555          (d) by other arrangement.
7556          (9) "Long-term care hospital":
7557          (a) means a hospital that is certified to provide long-term care services under the
7558     provisions of 42 U.S.C. Sec. 1395tt; and

7559          (b) does not include a critical access hospital, designated under 42 U.S.C. Sec.
7560     1395i-4(c)(2).
7561          (10) "Patient" means an individual who receives health care services from one of the
7562     following covered providers:
7563          (a) an end stage renal disease facility;
7564          (b) a long-term care hospital;
7565          (c) a hospice;
7566          (d) a home health agency; or
7567          (e) a personal care agency.
7568          (11) "Personal care agency" means a health care facility defined by department rule.
7569          (12) "Resident" means an individual who receives health care services from one of the
7570     following covered providers:
7571          (a) a nursing care facility;
7572          (b) a small health care facility;
7573          (c) an assisted living facility; or
7574          (d) a hospice that provides living quarters as part of its services.
7575          (13) "Residential setting" means a place provided by a covered provider:
7576          (a) for residents to live as part of the services provided by the covered provider; and
7577          (b) where an individual who is not a resident also lives.
7578          (14) "Volunteer" means an individual, as defined by department rule, who provides
7579     services without pay or other compensation.
7580          Section 167. Section 26B-2-239, which is renumbered from Section 26-21-202 is
7581     renumbered and amended to read:
7582          [26-21-202].      26B-2-239. Clearance required -- Application by covered
7583     providers, covered contractors, and individuals.
7584          (1) The definitions in Section 26B-2-238 apply to this section.
7585          [(1)] (2) (a) A covered provider may engage a covered individual only if the individual
7586     has clearance.
7587          [(2)] (b) A covered contractor may supply a covered individual to a covered employer
7588     or covered provider only if the individual has clearance.
7589          [(3)] (c) A covered employer may engage a covered individual who does not have

7590     clearance.
7591          [(4)] (3) (a) Notwithstanding Subsections [(1) and (2)] (2)(a) and (b), if a covered
7592     individual does not have clearance, a covered provider may engage the individual or a covered
7593     contractor may supply the individual to a covered provider or covered employer:
7594          (i) under circumstances specified by department rule; and
7595          (ii) only while an application for clearance for the individual is pending.
7596          (b) For purposes of Subsection [(4)(a)] (3)(a), an application is pending if the
7597     following have been submitted to the department for the individual:
7598          (i) an application for clearance;
7599          (ii) the personal identification information specified by the department under
7600     Subsection [26-21-204(4)(b)] 26B-2-240(4)(b); and
7601          (iii) any fees established by the department under Subsection [26-21-204(9)]
7602     26B-2-240(9).
7603          (4) (a) As provided in Subsection (4)(b), each covered provider and covered contractor
7604     operating in this state shall:
7605          (i) collect from each covered individual [it] the contractor engages, and each individual
7606     the contractor intends to engage as a covered individual, the personal identification information
7607     specified by the department under Subsection 26B-2-240(4)(b); and
7608          (ii) submit to the department an application for clearance for the individual, including:
7609          (A) the personal identification information; and
7610          (B) any fees established by the department under Subsection 26B-2-240(9).
7611          (b) Clearance granted for an individual pursuant to an application submitted by a
7612     covered provider or a covered contractor is valid until the later of:
7613          (i) two years after the individual is no longer engaged as a covered individual; or
7614          (ii) the covered provider's or covered contractor's next license renewal date.
7615          (5) (a) A covered provider that provides services in a residential setting shall:
7616          (i) collect the personal identification information specified by the department under
7617     Subsection 26B-2-240(4)(b) for each individual 12 years old or older, other than a resident,
7618     who resides in the residential setting; and
7619          (ii) submit to the department an application for clearance for the individual, including:
7620          (A) the personal identification information; and

7621          (B) any fees established by the department under Subsection 26B-2-240(9).
7622          (b) A covered provider that provides services in a residential setting may allow an
7623     individual 12 years old or older, other than a resident, to reside in the residential setting only if
7624     the individual has clearance.
7625          (6) (a) An individual may apply for clearance by submitting to the department an
7626     application, including:
7627          (i) the personal identification information specified by the department under
7628     Subsection 26B-2-240(4)(b); and
7629          (ii) any fees established by the department under Subsection 26B-2-240(9).
7630          (b) Clearance granted to an individual who makes application under Subsection (6)(a)
7631     is valid for two years unless the department determines otherwise based on the department's
7632     ongoing review under Subsection 26B-2-240(4)(a).
7633          Section 168. Section 26B-2-240, which is renumbered from Section 26-21-204 is
7634     renumbered and amended to read:
7635          [26-21-204].      26B-2-240. Department authorized to grant, deny, or revoke
7636     clearance -- Department may limit direct patient access -- Clearance.
7637          (1) The definitions in Section 26B-2-238 apply to this section.
7638          (2) (a) As provided in this section, the department may grant, deny, or revoke clearance
7639     for an individual, including a covered individual.
7640          (b) The department may limit the circumstances under which a covered individual
7641     granted clearance may have direct patient access, based on the relationship factors under
7642     Subsection (4) and other mitigating factors related to patient and resident protection.
7643          [(1)] (c) The department shall determine whether to grant clearance for each applicant
7644     for whom it receives:
7645          [(a)] (i) the personal identification information specified by the department under
7646     Subsection (4)(b); and
7647          [(b)] (ii) any fees established by the department under Subsection (9).
7648          [(2)] (d) The department shall establish a procedure for obtaining and evaluating
7649     relevant information concerning covered individuals, including fingerprinting the applicant and
7650     submitting the prints to the Criminal Investigations and Technical Services Division of the
7651     Department of Public Safety for checking against applicable state, regional, and national

7652     criminal records files.
7653          (3) The department may review the following sources to determine whether an
7654     individual should be granted or retain clearance, which may include:
7655          (a) Department of Public Safety arrest, conviction, and disposition records described in
7656     Title 53, Chapter 10, Criminal Investigations and Technical Services Act, including
7657     information in state, regional, and national records files;
7658          (b) juvenile court arrest, adjudication, and disposition records, as allowed under
7659     Section 78A-6-209;
7660          (c) federal criminal background databases available to the state;
7661          (d) the [Department of Human Services'] Division of Child and Family Services
7662     Licensing Information System described in Section 80-2-1002;
7663          (e) child abuse or neglect findings described in Section 80-3-404;
7664          (f) the [Department of Human Services'] Division of Aging and Adult Services
7665     vulnerable adult abuse, neglect, or exploitation database described in Section [62A-3-311.1]
7666     26B-6-210;
7667          (g) registries of nurse aids described in 42 C.F.R. Sec. 483.156;
7668          (h) licensing and certification records of individuals licensed or certified by the
7669     Division of Professional Licensing under Title 58, Occupations and Professions; and
7670          (i) the List of Excluded Individuals and Entities database maintained by the United
7671     States Department of Health and Human Services' Office of Inspector General.
7672          (4) The department shall adopt rules that:
7673          (a) specify the criteria the department will use to determine whether an individual is
7674     granted or retains clearance:
7675          (i) based on an initial evaluation and ongoing review of information under Subsection
7676     (3); and
7677          (ii) including consideration of the relationship the following may have to patient and
7678     resident protection:
7679          (A) warrants for arrest;
7680          (B) arrests;
7681          (C) convictions, including pleas in abeyance;
7682          (D) pending diversion agreements;

7683          (E) adjudications by a juvenile court under Section 80-6-701 if the individual is over
7684     28 years old and has been convicted, has pleaded no contest, or is subject to a plea in abeyance
7685     or diversion agreement for a felony or misdemeanor, or the individual is under 28 years old;
7686     and
7687          (F) any other findings under Subsection (3); and
7688          (b) specify the personal identification information that must be submitted by an
7689     individual or covered body with an application for clearance, including:
7690          (i) the applicant's Social Security number; and
7691          (ii) fingerprints.
7692          (5) For purposes of Subsection (4)(a), the department shall classify a crime committed
7693     in another state according to the closest matching crime under Utah law, regardless of how the
7694     crime is classified in the state where the crime was committed.
7695          (6) The Department of Public Safety, the Administrative Office of the Courts, [the
7696     Department of Human Services,] the Division of Professional Licensing, and any other state
7697     agency or political subdivision of the state:
7698          (a) shall allow the department to review the information the department may review
7699     under Subsection (3); and
7700          (b) except for the Department of Public Safety, may not charge the department for
7701     access to the information.
7702          (7) The department shall adopt measures to protect the security of the information it
7703     reviews under Subsection (3) and strictly limit access to the information to department
7704     employees responsible for processing an application for clearance.
7705          (8) The department may disclose personal identification information specified under
7706     Subsection (4)(b) to [the Department of Human Services] other divisions and offices within the
7707     department to verify that the subject of the information is not identified as a perpetrator or
7708     offender in the information sources described in Subsections (3)(d) through (f).
7709          (9) The department may establish fees, in accordance with Section 63J-1-504, for an
7710     application for clearance, which may include:
7711          (a) the cost of obtaining and reviewing information under Subsection (3);
7712          (b) a portion of the cost of creating and maintaining the Direct Access Clearance
7713     System database under Section [26-21-209] 26B-2-241; and

7714          (c) other department costs related to the processing of the application and the ongoing
7715     review of information pursuant to Subsection (4)(a) to determine whether clearance should be
7716     retained.
7717          Section 169. Section 26B-2-241, which is renumbered from Section 26-21-209 is
7718     renumbered and amended to read:
7719          [26-21-209].      26B-2-241. Direct Access Clearance System database --
7720     Contents and use -- Department of Public Safety retention of information and notification
7721     -- No civil liability for providing information.
7722          (1) The definitions in Section 26B-2-238 apply to this section.
7723          [(1)] (2) The department shall create and maintain a Direct Access Clearance System
7724     database, which:
7725          (a) includes the names of individuals for whom the department has received:
7726          (i) an application for clearance under this part; or
7727          (ii) an application for background clearance under Section [26-8a-310] 26B-4-124; and
7728          (b) indicates whether an application is pending and whether clearance has been granted
7729     and retained for:
7730          (i) an applicant under this part; and
7731          (ii) an applicant for background clearance under Section [26-8a-310] 26B-4-124.
7732          [(2)] (3) (a) The department shall allow covered providers and covered contractors to
7733     access the database electronically.
7734          (b) Data accessible to a covered provider or covered contractor is limited to the
7735     information under Subsections [(1)(a)(i) and (1)(b)(i)] (2)(a)(i) and (2)(b)(i) for:
7736          (i) covered individuals engaged by the covered provider or covered contractor; and
7737          (ii) individuals:
7738          (A) whom the covered provider or covered contractor could engage as covered
7739     individuals; and
7740          (B) who have provided the covered provider or covered contractor with sufficient
7741     personal identification information to uniquely identify the individual in the database.
7742          (c) (i) The department may establish fees, in accordance with Section 63J-1-504, for
7743     use of the database by a covered contractor.
7744          (ii) The fees may include, in addition to any fees established by the department under

7745     Subsection [26-21-204] 26B-2-240(9), an initial set-up fee, an ongoing access fee, and a
7746     per-use fee.
7747          (4) The Criminal Investigations and Technical Services Division within the
7748     Department of Public Safety shall:
7749          (a) retain, separate from other division records, personal information, including any
7750     fingerprints, sent to the division by the department pursuant to Subsection 26B-2-240(3)(a);
7751     and
7752          (b) notify the department upon receiving notice that an individual for whom personal
7753     information has been retained is the subject of:
7754          (i) a warrant for arrest;
7755          (ii) an arrest;
7756          (iii) a conviction, including a plea in abeyance; or
7757          (iv) a pending diversion agreement.
7758          (5) A covered body is not civilly liable for submitting to the department information
7759     required under this section, Section 26B-2-239, or Section 26B-2-240, or refusing to employ an
7760     individual who does not have clearance to have direct patient access under Section 26B-2-240.
7761          Section 170. Section 26B-2-301, which is renumbered from Section 62A-3-202 is
7762     renumbered and amended to read:
7763     
Part 3. Long Term Care Ombudsman

7764          [62A-3-202].      26B-2-301. Definitions.
7765          As used in this part:
7766          (1) "Assisted living facility" means the same as that term is defined in Section
7767     [26-21-2] 26B-2-201.
7768          (2) "Auxiliary aids and services" means items, equipment, or services that assist in
7769     effective communication between an individual who has a mental, hearing, vision, or speech
7770     disability and another individual.
7771          (3) "Division" means the Division of Customer Experience.
7772          [(3)] (4) "Government agency" means any department, division, office, bureau, board,
7773     commission, authority, or any other agency or instrumentality created by the state, or to which
7774     the state is a party, or created by any county or municipality, which is responsible for the
7775     regulation, visitation, inspection, or supervision of facilities, or which provides services to

7776     patients, residents, or clients of facilities.
7777          [(4)] (5) "Intermediate care facility" means the same as that term is defined in Section
7778     58-15-101.
7779          [(5)] (6) (a) "Long-term care facility" means:
7780          (i) a skilled nursing facility;
7781          (ii) except as provided in Subsection [(5)] (6)(b), an intermediate care facility;
7782          (iii) a nursing home;
7783          (iv) a small health care facility;
7784          (v) a small health care facility type N; or
7785          (vi) an assisted living facility.
7786          (b) "Long-term care facility" does not mean an intermediate care facility for people
7787     with an intellectual disability, as defined in Section 58-15-101.
7788          [(6)] (7) "Ombudsman" means the administrator of the long-term care ombudsman
7789     program, created pursuant to Section [62A-3-203] 26B-2-303.
7790          [(7)] (8) "Ombudsman program" means the Long-Term Care Ombudsman Program.
7791          [(8)] (9) "Resident" means an individual who resides in a long-term care facility.
7792          [(9)] (10) "Skilled nursing facility" means the same as that term is defined in Section
7793     58-15-101.
7794          [(10)] (11) "Small health care facility" means the same as that term is defined in
7795     Section [26-21-2] 26B-2-201.
7796          [(11)] (12) "Small health care facility type N" means a residence in which a licensed
7797     nurse resides and provides protected living arrangements, nursing care, and other services on a
7798     daily basis for two to three individuals who are also residing in the residence and are unrelated
7799     to the licensee.
7800          Section 171. Section 26B-2-302, which is renumbered from Section 62A-3-201 is
7801     renumbered and amended to read:
7802          [62A-3-201].      26B-2-302. Legislative findings -- Purpose -- Ombudsman.
7803          (1) The Legislature finds and declares that the citizens of this state should be assisted
7804     in asserting their civil and human rights as patients, residents, and clients of long-term care
7805     facilities created to serve their specialized needs and problems; and that for the health, safety,
7806     and welfare of these citizens, the state should take appropriate action through an adequate legal

7807     framework to address their difficulties.
7808          (2) The purpose of this part is to establish within the division the Long-Term Care
7809     Ombudsman Program for the citizens of this state and identify duties and responsibilities of
7810     that program and of the ombudsman, in order to address problems relating to long-term care
7811     and to fulfill federal requirements.
7812          Section 172. Section 26B-2-303, which is renumbered from Section 62A-3-203 is
7813     renumbered and amended to read:
7814          [62A-3-203].      26B-2-303. Long-Term Care Ombudsman Program --
7815     Responsibilities.
7816          (1) (a) There is created within the division the ombudsman program for the purpose of
7817     promoting, advocating, and ensuring the adequacy of care received and the quality of life
7818     experienced by residents of long-term care facilities within the state.
7819          (b) Subject to the rules made under Section [62A-3-106.5] 26B-6-110, the ombudsman
7820     is responsible for:
7821          (i) receiving and resolving complaints relating to residents of long-term care facilities;
7822          (ii) conducting investigations of any act, practice, policy, or procedure of a long-term
7823     care facility or government agency that the ombudsman has reason to believe affects or may
7824     affect the health, safety, welfare, or civil and human rights of a resident of a long-term care
7825     facility;
7826          (iii) coordinating the department's services for residents of long-term care facilities to
7827     ensure that those services are made available to eligible citizens of the state; and
7828          (iv) providing training regarding the delivery and regulation of long-term care to public
7829     agencies, local ombudsman program volunteers, and operators and employees of long-term
7830     care facilities.
7831          (2) (a) A long-term care facility shall display an ombudsman program information
7832     poster in a location that is readily visible to all residents, visitors, and staff members.
7833          (b) The division is responsible for providing the posters, which shall include phone
7834     numbers for local ombudsman programs.
7835          Section 173. Section 26B-2-304, which is renumbered from Section 62A-3-204 is
7836     renumbered and amended to read:
7837          [62A-3-204].      26B-2-304. Powers and responsibilities of ombudsman.

7838          The long-term care ombudsman shall:
7839          (1) comply with Title VII of the federal Older Americans Act, 42 U.S.C. 3058 et seq.;
7840          (2) establish procedures for and engage in receiving complaints, conducting
7841     investigations, reporting findings, issuing findings and recommendations, promoting
7842     community contact and involvement with residents of long-term care facilities through the use
7843     of volunteers, and publicizing its functions and activities;
7844          (3) investigate an administrative act or omission of a long-term care facility or
7845     governmental agency if the act or omission relates to the purposes of the ombudsman. The
7846     ombudsman may exercise its authority under this subsection without regard to the finality of
7847     the administrative act or omission, and it may make findings in order to resolve the subject
7848     matter of its investigation;
7849          (4) recommend to the division rules that it considers necessary to carry out the
7850     purposes of the ombudsman;
7851          (5) cooperate and coordinate with governmental entities and voluntary assistance
7852     organizations in exercising its powers and responsibilities;
7853          (6) request and receive cooperation, assistance, services, and data from any
7854     governmental agency, to enable it to properly exercise its powers and responsibilities;
7855          (7) establish local ombudsman programs to assist in carrying out the purposes of this
7856     part, which shall meet the standards developed by the division, and possess all of the authority
7857     and power granted to the ombudsman program under this part; and
7858          (8) exercise other powers and responsibilities as reasonably required to carry out the
7859     purposes of this part.
7860          Section 174. Section 26B-2-305, which is renumbered from Section 62A-3-205 is
7861     renumbered and amended to read:
7862          [62A-3-205].      26B-2-305. Procedures -- Adjudicative proceedings.
7863          The ombudsman shall comply with the procedures and requirements of Title 63G,
7864     Chapter 4, Administrative Procedures Act, in the ombudsman's adjudicative proceedings.
7865          Section 175. Section 26B-2-306, which is renumbered from Section 62A-3-206 is
7866     renumbered and amended to read:
7867          [62A-3-206].      26B-2-306. Investigation of complaints -- Procedures.
7868          (1) The ombudsman shall investigate each complaint the ombudsman receives. An

7869     investigation may consist of a referral to another public agency, the collecting of facts and
7870     information over the telephone, or an inspection of the long-term care facility that is named in
7871     the complaint.
7872          (2) In making an investigation, the ombudsman may engage in actions the ombudsman
7873     considers appropriate, including:
7874          (a) making inquiries and obtaining information;
7875          (b) holding investigatory hearings;
7876          (c) entering and inspecting any premises, without notice to the facility, provided the
7877     investigator presents, upon entering the premises, identification as an individual authorized by
7878     this part to inspect the premises; and
7879          (d) inspecting or obtaining a book, file, medical record, or other record required by law
7880     to be retained by the long-term care facility or governmental agency, pertaining to residents,
7881     subject to Subsection (3).
7882          (3) (a) Before reviewing a resident's records, the ombudsman shall seek to obtain from
7883     the resident, or the resident's legal representative, permission in writing, orally, or through the
7884     use of auxiliary aids and services to review the records.
7885          (b) The effort to obtain permission under Subsection (3)(a) shall include personal
7886     contact with the resident or the resident's legal representative. If the resident or the resident's
7887     legal representative refuses to give permission, the ombudsman shall record and abide by this
7888     decision.
7889          (c) If the ombudsman's attempt to obtain permission fails for a reason other than the
7890     refusal of the resident or the resident's legal representative to give permission, the ombudsman
7891     may review the records.
7892          (d) If the ombudsman has reasonable cause to believe that the resident is incompetent
7893     to give permission and that the resident's legal representative is not acting in the best interest of
7894     the resident, the ombudsman shall determine whether review of the resident's records is in the
7895     best interest of the resident.
7896          (e) If the ombudsman determines that review of the resident's records is in the best
7897     interest of the resident, the ombudsman shall review the records.
7898          Section 176. Section 26B-2-307, which is renumbered from Section 62A-3-207 is
7899     renumbered and amended to read:

7900          [62A-3-207].      26B-2-307. Confidentiality of materials relating to
7901     complaints or investigations -- Immunity from liability -- Discriminatory, disciplinary, or
7902     retaliatory actions prohibited.
7903          (1) The ombudsman shall establish procedures to ensure that all files maintained by the
7904     ombudsman program are disclosed only at the discretion of and under the authority of the
7905     ombudsman. The identity of a complainant or resident of a long-term care facility may not be
7906     disclosed by the ombudsman unless:
7907          (a) the complainant or resident, or the legal representative of either, consents in
7908     writing, orally, or through the use of auxiliary aids and services to the disclosure;
7909          (b) disclosure is ordered by the court; or
7910          (c) the disclosure is approved by the ombudsman and is made, as part of an
7911     investigation involving the resident, to an agency that:
7912          (i) has statutory responsibility for the resident;
7913          (ii) has statutory responsibility over the action alleged in the complaint;
7914          (iii) is able to assist the ombudsman to achieve resolution of the complaint; or
7915          (iv) is able to provide expertise that would benefit the resident.
7916          (2) Neither the ombudsman nor the ombudsman's agent or designee may be required to
7917     testify in court with respect to confidential matters, except as the court finds necessary to
7918     enforce this part.
7919          (3) Any person who makes a complaint to the ombudsman pursuant to this part is
7920     immune from any civil or criminal liability unless the complaint was made maliciously or
7921     without good faith.
7922          (4) (a) Discriminatory, disciplinary, or retaliatory action may not be taken against a
7923     volunteer or employee of a long-term care facility or governmental agency, or against a resident
7924     of a long-term care facility, for any communication made or information given or disclosed to
7925     aid the ombudsman or other appropriate public agency in carrying out its duties and
7926     responsibilities, unless the same was done maliciously or without good faith.
7927          (b) This subsection does not infringe on the rights of an employer to supervise,
7928     discipline, or terminate an employee for any other reason.
7929          Section 177. Section 26B-2-308, which is renumbered from Section 62A-3-208 is
7930     renumbered and amended to read:

7931          [62A-3-208].      26B-2-308. Prohibited acts -- Penalty.
7932          (1) No person may:
7933          (a) give or cause to be given advance notice to a long-term care facility or agency that
7934     an investigation or inspection under the direction of the ombudsman is pending or under
7935     consideration, except as provided by law;
7936          (b) disclose confidential information submitted to the ombudsman pursuant to this part,
7937     except as provided by law;
7938          (c) willfully interfere with the lawful actions of the ombudsman;
7939          (d) willfully refuse to comply with lawful demands of the ombudsman, including the
7940     demand for immediate entry into or inspection of the premises of any long-term care facility or
7941     agency or for immediate access to a resident of a long-term care facility; or
7942          (e) offer or accept any compensation, gratuity, or promise thereof in an effort to affect
7943     the outcome of a matter being investigated or of a matter that is before the ombudsman for
7944     determination of whether an investigation should be conducted.
7945          (2) Violation of any provision of this part constitutes a class B misdemeanor.
7946          Section 178. Section 26B-2-309, which is renumbered from Section 62A-3-209 is
7947     renumbered and amended to read:
7948          [62A-3-209].      26B-2-309. Assisted living facility transfers.
7949&