1     
HEALTH AND HUMAN SERVICES RECODIFICATION -

2     
CROSS REFERENCES, TITLES 31A-58

3     
2023 GENERAL SESSION

4     
STATE OF UTAH

5     
Chief Sponsor: Jacob L. Anderegg

6     
House Sponsor: Raymond P. Ward

7     

8     LONG TITLE
9     General Description:
10          This bill updates cross-references to the Utah Health and Human Services Code in
11     Titles 31A through 58.
12     Highlighted Provisions:
13          This bill:
14          ▸     makes technical updates in Titles 31A through 58 to cross references to the Utah
15     Health and Human Services Code that are renumbered and amended in:
16               •     S.B. 38, Health and Human Services Recodification - Administration,
17     Licensing, and Recovery Services;
18               •     S.B. 39, Health and Human Services Recodification - Prevention, Supports,
19     Substance Use and Mental Health;
20               •     S.B. 40, Health and Human Services Recodification - Health Care Assistance
21     and Data; and
22               •     S.B. 41, Health and Human Services Recodification - Health Care Delivery and
23     Repeals; and
24          ▸     makes technical and corresponding changes.
25     Money Appropriated in this Bill:
26          None
27     Other Special Clauses:

28          This bill provides revisor instructions.
29     Utah Code Sections Affected:
30     AMENDS:
31          31A-22-614.5, as last amended by Laws of Utah 2017, Chapter 168
32          31A-22-625, as last amended by Laws of Utah 2014, Chapters 290, 300
33          31A-22-633, as last amended by Laws of Utah 2013, Chapter 167
34          31A-22-636, as last amended by Laws of Utah 2022, Chapter 198
35          31A-22-645, as enacted by Laws of Utah 2017, Chapter 168
36          31A-22-649, as enacted by Laws of Utah 2018, Chapter 119
37          31A-22-649.5, as last amended by Laws of Utah 2021, Chapters 19, 404 and last
38     amended by Coordination Clause, Laws of Utah 2021, Chapter 404
39          31A-22-651, as enacted by Laws of Utah 2019, Chapter 256
40          31A-22-1016, as enacted by Laws of Utah 2019, Chapter 341
41          31A-22-1602, as last amended by Laws of Utah 2009, Chapter 349
42          31A-23a-402, as last amended by Laws of Utah 2019, Chapter 193
43          31A-23b-102, as last amended by Laws of Utah 2018, Chapter 319
44          31A-23b-211, as last amended by Laws of Utah 2014, Chapter 425
45          31A-26-301.6, as last amended by Laws of Utah 2020, Chapter 32
46          31A-45-402, as enacted by Laws of Utah 2017, Chapter 292
47          31A-45-501, as last amended by Laws of Utah 2021, Chapter 252
48          32B-1-102, as last amended by Laws of Utah 2022, Chapter 447
49          32B-1-703, as renumbered and amended by Laws of Utah 2019, Chapter 403
50          32B-2-208, as enacted by Laws of Utah 2010, Chapter 276
51          32B-10-702, as enacted by Laws of Utah 2010, Chapter 276
52          34-55-102, as enacted by Laws of Utah 2019, Chapter 126
53          34A-2-102, as last amended by Laws of Utah 2019, Chapter 121
54          34A-2-111, as last amended by Laws of Utah 2015, Chapter 258
55          34A-2-417, as last amended by Laws of Utah 2018, Chapter 443
56          34A-2-418, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
57          34A-2-422, as last amended by Laws of Utah 2018, Chapter 443
58          34A-3-201, as renumbered and amended by Laws of Utah 2020, Fifth Special Session,

59     Chapter 5
60          34A-11-102, as enacted by Laws of Utah 2002, Chapter 120
61          35A-1-102, as last amended by Laws of Utah 2018, Chapters 415, 427
62          35A-3-103, as last amended by Laws of Utah 2022, Chapter 255
63          35A-3-207, as last amended by Laws of Utah 2015, Chapter 221
64          35A-3-212, as enacted by Laws of Utah 2022, Chapter 21
65          35A-3-308, as last amended by Laws of Utah 2015, Chapter 221
66          35A-3-401, as last amended by Laws of Utah 2015, Chapters 72, 189 and 221
67          35A-3-603, as last amended by Laws of Utah 2020, Chapter 29
68          35A-9-202, as enacted by Laws of Utah 2022, Chapter 36
69          35A-15-102, as last amended by Laws of Utah 2022, Chapters 316, 348
70          39-1-64, as enacted by Laws of Utah 2004, Chapter 82
71          41-1a-230.5, as last amended by Laws of Utah 2021, Chapter 378
72          41-1a-230.7, as enacted by Laws of Utah 2021, Chapter 395
73          41-1a-422, as last amended by Laws of Utah 2022, Chapters 19, 48, 68, 255, 259, 335,
74     451, and 456
75          41-6a-404, as last amended by Laws of Utah 2021, Chapters 211, 216
76          41-6a-501, as last amended by Laws of Utah 2022, Chapter 116
77          41-6a-502.5, as last amended by Laws of Utah 2022, Chapters 134, 415
78          41-6a-505, as last amended by Laws of Utah 2022, Chapters 116, 134 and 137
79          41-6a-517, as last amended by Laws of Utah 2022, Chapter 116
80          41-6a-523, as last amended by Laws of Utah 2019, Chapter 349
81          41-6a-1717, as enacted by Laws of Utah 2013, Chapter 251
82          41-22-8, as last amended by Laws of Utah 2022, Chapter 68
83          49-11-1401, as last amended by Laws of Utah 2021, Chapter 193
84          49-12-202, as last amended by Laws of Utah 2021, Chapter 193
85          49-13-202, as last amended by Laws of Utah 2021, Chapter 193
86          49-20-201, as last amended by Laws of Utah 2022, Chapter 347
87          49-20-401, as last amended by Laws of Utah 2022, Chapter 302
88          49-20-414, as last amended by Laws of Utah 2019, Chapter 249
89          49-20-421, as last amended by Laws of Utah 2021, Chapter 255

90          51-2a-102, as last amended by Laws of Utah 2017, Chapter 441
91          51-7-2, as last amended by Laws of Utah 2022, Chapters 186, 298
92          51-9-201, as last amended by Laws of Utah 2020, Fifth Special Session, Chapter 20
93          51-9-203, as last amended by Laws of Utah 2020, Chapters 302, 347
94          52-4-205, as last amended by Laws of Utah 2022, Chapters 237, 290, 332, 335, 422,
95     and 478
96          53-1-106, as last amended by Laws of Utah 2021, Chapters 344, 360
97          53-2a-218, as enacted by Laws of Utah 2021, Chapter 437
98          53-2c-102, as enacted by Laws of Utah 2020, Third Special Session, Chapter 1
99          53-3-102, as last amended by Laws of Utah 2022, Chapter 162
100          53-3-105, as last amended by Laws of Utah 2022, Chapters 146, 259
101          53-3-106, as last amended by Laws of Utah 2022, Chapters 92, 255
102          53-3-205, as last amended by Laws of Utah 2022, Chapter 46
103          53-3-207, as last amended by Laws of Utah 2022, Chapter 158
104          53-3-214.7, as last amended by Laws of Utah 2021, Chapter 378
105          53-3-214.8, as last amended by Laws of Utah 2003, Chapter 30
106          53-3-804, as last amended by Laws of Utah 2021, Chapter 191
107          53-3-805, as last amended by Laws of Utah 2022, Chapter 158
108          53-5-707, as last amended by Laws of Utah 2021, Chapters 12, 277
109          53-10-102, as last amended by Laws of Utah 2022, Chapters 192, 447
110          53-10-104, as last amended by Laws of Utah 2018, Chapter 169
111          53-10-108, as last amended by Laws of Utah 2022, Chapters 192, 255
112          53-10-202, as last amended by Laws of Utah 2021, Chapter 103
113          53-10-208.1, as last amended by Laws of Utah 2021, Chapter 159
114          53-10-403, as last amended by Laws of Utah 2022, Chapters 116, 430
115          53-10-405, as last amended by Laws of Utah 2019, Chapter 349
116          53-10-801, as last amended by Laws of Utah 2022, Chapter 255 and renumbered and
117     amended by Laws of Utah 2022, Chapter 430
118          53-10-802, as renumbered and amended by Laws of Utah 2022, Chapter 430
119          53-10-804, as renumbered and amended by Laws of Utah 2022, Chapter 430
120          53-13-105, as last amended by Laws of Utah 2022, Chapter 10

121          53-13-110, as last amended by Laws of Utah 2022, Chapter 335
122          53-21-101, as enacted by Laws of Utah 2022, Chapter 114
123          53B-1-111, as enacted by Laws of Utah 2016, Chapter 45
124          53B-17-301, as last amended by Laws of Utah 2015, Chapter 72
125          53B-17-903, as enacted by Laws of Utah 2022, Chapter 452
126          53B-17-1203, as last amended by Laws of Utah 2020, Chapter 365
127          53B-26-202, as last amended by Laws of Utah 2022, Chapter 224
128          53B-28-202, as last amended by Laws of Utah 2022, Chapter 335
129          53B-28-303, as last amended by Laws of Utah 2022, Chapter 335
130          53E-1-201, as last amended by Laws of Utah 2022, Chapters 147, 229, 274, 285, 291,
131     354, and 461
132          53E-3-503, as last amended by Laws of Utah 2020, Chapters 330, 408
133          53E-8-405, as renumbered and amended by Laws of Utah 2018, Chapter 1
134          53E-8-408, as last amended by Laws of Utah 2019, Chapter 186
135          53E-9-301, as last amended by Laws of Utah 2020, Chapter 408
136          53E-9-307, as last amended by Laws of Utah 2020, Chapter 408
137          53E-9-308, as last amended by Laws of Utah 2022, Chapter 335
138          53F-2-415, as last amended by Laws of Utah 2022, Chapter 409
139          53F-2-522, as enacted by Laws of Utah 2020, Chapter 202
140          53F-4-401, as last amended by Laws of Utah 2022, Chapter 316
141          53F-5-207, as last amended by Laws of Utah 2022, Chapter 36
142          53G-6-302, as last amended by Laws of Utah 2022, Chapter 335
143          53G-6-601, as renumbered and amended by Laws of Utah 2018, Chapter 3
144          53G-8-802, as last amended by Laws of Utah 2022, Chapter 399
145          53G-9-211, as enacted by Laws of Utah 2021, Chapter 309
146          53G-9-301, as last amended by Laws of Utah 2022, Chapter 255
147          53G-9-303, as last amended by Laws of Utah 2021, Chapter 258
148          53G-9-304, as renumbered and amended by Laws of Utah 2018, Chapter 3
149          53G-9-402, as last amended by Laws of Utah 2019, Chapter 293
150          53G-9-404, as repealed and reenacted by Laws of Utah 2019, Chapter 87
151          53G-9-502, as last amended by Laws of Utah 2019, Chapter 293

152          53G-9-702, as last amended by Laws of Utah 2021, Chapter 105
153          58-1-112, as enacted by Laws of Utah 2022, Chapter 224
154          58-1-307, as last amended by Laws of Utah 2020, Chapter 339
155          58-1-312, as enacted by Laws of Utah 2020, Chapter 93
156          58-1-405, as enacted by Laws of Utah 2008, Chapter 242
157          58-1-501.5, as last amended by Laws of Utah 2008, Chapter 250
158          58-1-501.7, as last amended by Laws of Utah 2020, Chapter 354
159          58-1-509, as enacted by Laws of Utah 2019, Chapter 346
160          58-4a-102, as enacted by Laws of Utah 2020, Chapter 107
161          58-5a-102, as last amended by Laws of Utah 2022, Chapter 290
162          58-5a-103, as last amended by Laws of Utah 2018, Chapter 247
163          58-9-610, as last amended by Laws of Utah 2009, Chapters 68, 223
164          58-9-616, as enacted by Laws of Utah 2018, Chapter 326
165          58-11a-501, as last amended by Laws of Utah 2016, Chapters 238, 274
166          58-13-2, as last amended by Laws of Utah 2022, Chapter 241
167          58-13-2.6, as last amended by Laws of Utah 2008, Chapter 76
168          58-13-3, as last amended by Laws of Utah 2022, Chapter 241
169          58-13-5, as last amended by Laws of Utah 2013, Chapter 278
170          58-15-303, as renumbered and amended by Laws of Utah 2022, Chapter 415
171          58-17b-102, as last amended by Laws of Utah 2021, Chapters 127, 340
172          58-17b-302, as last amended by Laws of Utah 2022, Chapter 353
173          58-17b-309, as last amended by Laws of Utah 2022, Chapter 353
174          58-17b-309.7, as last amended by Laws of Utah 2021, Chapter 340
175          58-17b-501, as last amended by Laws of Utah 2018, Chapter 295
176          58-17b-502, as last amended by Laws of Utah 2022, Chapter 465
177          58-17b-503, as last amended by Laws of Utah 2022, Chapter 465
178          58-17b-507, as last amended by Laws of Utah 2016, Chapters 202, 207 and 208 and
179     last amended by Coordination Clause, Laws of Utah 2016, Chapter 202
180          58-17b-602, as last amended by Laws of Utah 2017, Chapter 384
181          58-17b-606, as last amended by Laws of Utah 2010, Chapter 101
182          58-17b-620, as last amended by Laws of Utah 2022, Chapters 255, 465

183     

184     Be it enacted by the Legislature of the state of Utah:
185          Section 1. Section 31A-22-614.5 is amended to read:
186          31A-22-614.5. Uniform claims processing -- Electronic exchange of health
187     information.
188          (1) (a) Except as provided in Subsection (1)(c), an insurer offering health insurance
189     shall use a uniform claim form and uniform billing and claim codes.
190          (b) Beginning January 1, 2011, all health benefit plans, and dental and vision plans,
191     shall provide for the electronic exchange of uniform:
192          (i) eligibility and coverage information; and
193          (ii) coordination of benefits information.
194          (c) For purposes of Subsection (1)(a), "health insurance" does not include a policy or
195     certificate that provides benefits solely for:
196          (i) income replacement; or
197          (ii) long-term care.
198          (2) (a) The uniform electronic standards and information required in Subsection (1)
199     shall be adopted and approved by the commissioner in accordance with Title 63G, Chapter 3,
200     Utah Administrative Rulemaking Act.
201          (b) When adopting rules under this section the commissioner:
202          (i) shall:
203          (A) consult with national and state organizations involved with the standardized
204     exchange of health data, and the electronic exchange of health data, to develop the standards
205     for the use and electronic exchange of uniform:
206          (I) claim forms;
207          (II) billing and claim codes;
208          (III) insurance eligibility and coverage information; and
209          (IV) coordination of benefits information; and
210          (B) meet federal mandatory minimum standards following the adoption of national
211     requirements for transaction and data elements in the federal Health Insurance Portability and
212     Accountability Act;
213          (ii) may not require an insurer or administrator to use a specific software product or

214     vendor; and
215          (iii) may require an insurer who participates in the all payer database created under
216     Section [26-33a-106.1] 26B-8-504 to allow data regarding demographic and insurance
217     coverage information to be electronically shared with the state's designated secure health
218     information master person index to be used:
219          (A) in compliance with data security standards established by:
220          (I) the federal Health Insurance Portability and Accountability Act; and
221          (II) the electronic commerce agreements established in a business associate agreement;
222     and
223          (B) for the purpose of coordination of health benefit plans.
224          (3) (a) The commissioner shall coordinate the administrative rules adopted under the
225     provisions of this section with the administrative rules adopted by the Department of Health
226     and Human Services for the implementation of the standards for the electronic exchange of
227     clinical health information under Section [26-1-37] 26B-8-411. The department shall establish
228     procedures for developing the rules adopted under this section, which ensure that the
229     Department of Health and Human Services is given the opportunity to comment on proposed
230     rules.
231          (b) (i) The commissioner may provide information to health care providers regarding
232     resources available to a health care provider to verify whether a health care provider's practice
233     management software system meets the uniform electronic standards for data exchange
234     required by this section.
235          (ii) The commissioner may provide the information described in Subsection (3)(b)(i)
236     by partnering with:
237          (A) a not-for-profit, broad based coalition of state health care insurers and health care
238     providers who are involved in the electronic exchange of the data required by this section; or
239          (B) some other person that the commissioner determines is appropriate to provide the
240     information described in Subsection (3)(b)(i).
241          (c) The commissioner shall regulate any fees charged by insurers to the providers for:
242          (i) uniform claim forms;
243          (ii) electronic billing; or
244          (iii) the electronic exchange of clinical health information permitted by Section

245     [26-1-37] 26B-8-411.
246          (4) This section does not require a person to provide information concerning an
247     employer self-insured employee welfare benefit plan as defined in 29 U.S.C. Sec. 1002(1).
248          Section 2. Section 31A-22-625 is amended to read:
249          31A-22-625. Catastrophic coverage of mental health conditions.
250          (1) As used in this section:
251          (a) (i) "Catastrophic mental health coverage" means coverage in a health benefit plan
252     that does not impose a lifetime limit, annual payment limit, episodic limit, inpatient or
253     outpatient service limit, or maximum out-of-pocket limit that places a greater financial burden
254     on an insured for the evaluation and treatment of a mental health condition than for the
255     evaluation and treatment of a physical health condition.
256          (ii) "Catastrophic mental health coverage" may include a restriction on cost sharing
257     factors, such as deductibles, copayments, or coinsurance, before reaching a maximum
258     out-of-pocket limit.
259          (iii) "Catastrophic mental health coverage" may include one maximum out-of-pocket
260     limit for physical health conditions and another maximum out-of-pocket limit for mental health
261     conditions, except that if separate out-of-pocket limits are established, the out-of-pocket limit
262     for mental health conditions may not exceed the out-of-pocket limit for physical health
263     conditions.
264          (b) (i) "50/50 mental health coverage" means coverage in a health benefit plan that
265     pays for at least 50% of covered services for the diagnosis and treatment of mental health
266     conditions.
267          (ii) "50/50 mental health coverage" may include a restriction on:
268          (A) episodic limits;
269          (B) inpatient or outpatient service limits; or
270          (C) maximum out-of-pocket limits.
271          (c) "Large employer" is as defined in 42 U.S.C. Sec. 300gg-91.
272          (d) (i) "Mental health condition" means a condition or disorder involving mental illness
273     that falls under a diagnostic category listed in the Diagnostic and Statistical Manual, as
274     periodically revised.
275          (ii) "Mental health condition" does not include the following when diagnosed as the

276     primary or substantial reason or need for treatment:
277          (A) a marital or family problem;
278          (B) a social, occupational, religious, or other social maladjustment;
279          (C) a conduct disorder;
280          (D) a chronic adjustment disorder;
281          (E) a psychosexual disorder;
282          (F) a chronic organic brain syndrome;
283          (G) a personality disorder;
284          (H) a specific developmental disorder or learning disability; or
285          (I) an intellectual disability.
286          (e) "Small employer" is as defined in 42 U.S.C. Sec. 300gg-91.
287          (2) (a) At the time of purchase and renewal, an insurer shall offer to a small employer
288     that it insures or seeks to insure a choice between:
289          (i) (A) catastrophic mental health coverage; or
290          (B) federally qualified mental health coverage as described in Subsection (3); and
291          (ii) 50/50 mental health coverage.
292          (b) In addition to complying with Subsection (2)(a), an insurer may offer to provide:
293          (i) catastrophic mental health coverage, 50/50 mental health coverage, or both at levels
294     that exceed the minimum requirements of this section; or
295          (ii) coverage that excludes benefits for mental health conditions.
296          (c) A small employer may, at its option, regardless of the employer's previous coverage
297     for mental health conditions, choose either:
298          (i) coverage offered under Subsection (2)(a)(i);
299          (ii) 50/50 mental health coverage; or
300          (iii) coverage offered under Subsection (2)(b).
301          (d) An insurer is exempt from the 30% index rating restriction in Section
302     31A-30-106.1 and, for the first year only that the employer chooses coverage that meets or
303     exceeds catastrophic mental health coverage, the 15% annual adjustment restriction in Section
304     31A-30-106.1, for a small employer with 20 or less enrolled employees who chooses coverage
305     that meets or exceeds catastrophic mental health coverage.
306          (3) (a) An insurer shall offer a large employer mental health and substance use disorder

307     benefit in compliance with Section 2705 of the Public Health Service Act, 42 U.S.C. Sec.
308     300gg-26, and federal regulations adopted pursuant to that act.
309          (b) An insurer shall provide in an individual or small employer health benefit plan,
310     mental health and substance use disorder benefits in compliance with Sections 2705 and 2711
311     of the Public Health Service Act, 42 U.S.C. Sec. 300gg-26, and federal regulations adopted
312     pursuant to that act.
313          (4) (a) An insurer may provide catastrophic mental health coverage to a small employer
314     through a managed care organization or system in a manner consistent with Chapter 8, Health
315     Maintenance Organizations and Limited Health Plans, regardless of whether the insurance
316     policy uses a managed care organization or system for the treatment of physical health
317     conditions.
318          (b) (i) Notwithstanding any other provision of this title, an insurer may:
319          (A) establish a closed panel of providers for catastrophic mental health coverage; and
320          (B) refuse to provide a benefit to be paid for services rendered by a nonpanel provider
321     unless:
322          (I) the insured is referred to a nonpanel provider with the prior authorization of the
323     insurer; and
324          (II) the nonpanel provider agrees to follow the insurer's protocols and treatment
325     guidelines.
326          (ii) If an insured receives services from a nonpanel provider in the manner permitted by
327     Subsection (4)(b)(i)(B), the insurer shall reimburse the insured for not less than 75% of the
328     average amount paid by the insurer for comparable services of panel providers under a
329     noncapitated arrangement who are members of the same class of health care providers.
330          (iii) This Subsection (4)(b) may not be construed as requiring an insurer to authorize a
331     referral to a nonpanel provider.
332          (c) To be eligible for catastrophic mental health coverage, a diagnosis or treatment of a
333     mental health condition shall be rendered:
334          (i) by a mental health therapist as defined in Section 58-60-102; or
335          (ii) in a health care facility:
336          (A) licensed or otherwise authorized to provide mental health services pursuant to:
337          (I) [Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act] Title 26B,

338     Chapter 2, Part 2, Health Care Facility Licensing and Inspection; or
339          (II) [Title 62A, Chapter 2, Licensure of Programs and Facilities] Title 26B, Chapter 2,
340     Part 1, Human Services Programs and Facilities; and
341          (B) that provides a program for the treatment of a mental health condition pursuant to a
342     written plan.
343          (5) The commissioner may prohibit an insurance policy that provides mental health
344     coverage in a manner that is inconsistent with this section.
345          (6) The commissioner may adopt rules, in accordance with Title 63G, Chapter 3, Utah
346     Administrative Rulemaking Act, as necessary to ensure compliance with this section.
347          Section 3. Section 31A-22-633 is amended to read:
348          31A-22-633. Exemptions from standards.
349          Notwithstanding the provisions of Title 31A, Insurance Code, any accident and health
350     insurer or health maintenance organization may offer a choice of coverage that is less or
351     different than is otherwise required by applicable state law if:
352          (1) the Department of Health and Human Services offers a choice of coverage as part
353     of a Medicaid waiver under [Title 26, Chapter 18, Medical Assistance Act] Title 26B, Chapter
354     10, Family Health Services, which includes:
355          (a) less or different coverage than the basic coverage;
356          (b) less or different coverage than is otherwise required in an insurance policy or health
357     maintenance organization contract under applicable state law; or
358          (c) less or different coverage than required by Subsection 31A-22-605(4)(b); and
359          (2) the choice of coverage offered by the carrier:
360          (a) is the same or similar coverage as the coverage offered by the Department of Health
361     and Human Services under Subsection (1);
362          (b) is offered to the same or similar population as the coverage offered by the
363     Department of Health and Human Services under Subsection (1); and
364          (c) contains an explanation for each insured of coverage exclusions and limitations.
365          Section 4. Section 31A-22-636 is amended to read:
366          31A-22-636. Standardized health insurance information cards.
367          (1) As used in this section, "insurer" means:
368          (a) an insurer governed by this part as described in Section 31A-22-600;

369          (b) a health maintenance organization governed by Chapter 8, Health Maintenance
370     Organizations and Limited Health Plans;
371          (c) a third party administrator; and
372          (d) notwithstanding Subsection 31A-1-103(3)(f) and Section 31A-22-600, a health,
373     medical, or conversion policy offered under Title 49, Chapter 20, Public Employees' Benefit
374     and Insurance Program Act.
375          (2) In accordance with Subsection (3), an insurer shall use and issue a health benefit
376     plan information card for the insurer's enrollees upon the purchase or renewal of, or enrollment
377     in, a health benefit plan.
378          (3) The health benefit plan information card shall include:
379          (a) the covered person's name;
380          (b) the name of the carrier and the carrier network name;
381          (c) the contact information for the carrier or health benefit plan administrator;
382          (d) general information regarding copayments and deductibles; and
383          (e) an indication of whether the health benefit plan is regulated by the state.
384          (4) (a) The commissioner shall work with the Department of Health and Human
385     Services, the Health Data Authority, health care providers groups, and with state and national
386     organizations that develop uniform standards for the electronic exchange of health insurance
387     claims or uniform standards for the electronic exchange of clinical health records.
388          (b) The commissioner may make rules in accordance with Title 63G, Chapter 3, Utah
389     Administrative Rulemaking Act, to adopt standardized electronic interchange technology.
390          (c) After rules are adopted under Subsection (4)(a), health care providers and their
391     licensing boards under Title 58, Occupations and Professions, and health facilities licensed
392     under [Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act] Title 26B,
393     Chapter 2, Part 2, Health Care Facility Licensing and Inspection, shall work together to
394     implement the adoption of card swipe technology.
395          Section 5. Section 31A-22-645 is amended to read:
396          31A-22-645. Alcohol and drug dependency treatment.
397          (1) An insurer offering a health benefit plan providing coverage for alcohol or drug
398     dependency treatment may require an inpatient facility to be licensed by:
399          (a) (i) the Department of Health and Human Services, under [Title 62A, Chapter 2,

400     Licensure of Programs and Facilities] Title 26B, Chapter 2, Part 1, Human Services Programs
401     and Facilities; or
402          (ii) the Department of Health and Human Services; or
403          (b) for an inpatient facility located outside the state, a state agency similar to one
404     described in Subsection (1)(a).
405          (2) For inpatient coverage provided pursuant to Subsection (1), an insurer may require
406     an inpatient facility to be accredited by the following:
407          (a) the Joint Commission; and
408          (b) one other nationally recognized accrediting agency.
409          Section 6. Section 31A-22-649 is amended to read:
410          31A-22-649. Coverage of telepsychiatric consultations.
411          (1) As used in this section:
412          (a) "Telehealth services" means the same as that term is defined in Section [26-60-102]
413     26B-4-704.
414          (b) "Telepsychiatric consultation" means a consultation between a physician and a
415     board certified psychiatrist, both of whom are licensed to engage in the practice of medicine in
416     the state, that utilizes:
417          (i) the health records of the patient, provided from the patient or the referring
418     physician;
419          (ii) a written, evidence-based patient questionnaire; and
420          (iii) telehealth services that meet industry security and privacy standards, including
421     compliance with the:
422          (A) Health Insurance Portability and Accountability Act; and
423          (B) Health Information Technology for Economic and Clinical Health Act, Pub. L. No.
424     111-5, 123 Stat. 226, 467, as amended.
425          (2) Beginning January 1, 2019, a health benefit plan that offers coverage for mental
426     health services shall:
427          (a) provide coverage for a telepsychiatric consultation during or after an initial visit
428     between the patient and a referring in-network physician;
429          (b) provide coverage for a telepsychiatric consultation from an out-of-network board
430     certified psychiatrist if a telepsychiatric consultation is not made available to a physician within

431     seven business days after the initial request is made by the physician to an in-network provider
432     of telepsychiatric consultations; and
433          (c) reimburse for the services described in Subsections (2)(a) and (b) at the equivalent
434     in-network or out-of-network rate set by the health benefit plan after taking into account
435     cost-sharing that may be required under the health benefit plan.
436          (3) A single telepsychiatric consultation includes all contacts, services, discussion, and
437     information review required to complete an individual request from a referring physician for a
438     patient.
439          (4) An insurer may satisfy the requirement to cover a telepsychiatric consultation
440     described in Subsection (2)(a) for a patient by:
441          (a) providing coverage for behavioral health treatment, as defined in Section
442     31A-22-642, in person or using telehealth services; and
443          (b) ensuring that the patient receives an appointment for the behavioral health
444     treatment in person or using telehealth services on a date that is within seven business days
445     after the initial request is made by the in-network referring physician.
446          (5) A referring physician who uses a telepsychiatric consultation for a patient shall, at
447     the time that the questionnaire described in Subsection (1)(b)(ii) is completed, notify the
448     patient that:
449          (a) the referring physician plans to request a telepsychiatric consultation; and
450          (b) additional charges to the patient may apply.
451          (6) (a) An insurer may receive a temporary waiver from the department from the
452     requirements in this section if the insurer demonstrates to the department that the insurer is
453     unable to provide the benefits described in this section due to logistical reasons.
454          (b) An insurer that receives a waiver from the department under Subsection (6)(a) is
455     subject to the requirements of this section beginning July 1, 2019.
456          (7) This section does not limit an insurer from engaging in activities that ensure
457     payment integrity or facilitate review and investigation of improper practices by health care
458     providers.
459          Section 7. Section 31A-22-649.5 is amended to read:
460          31A-22-649.5. Insurance parity for telemedicine services -- Method of technology
461     used.

462          (1) As used in this section:
463          (a) "Mental health condition" means a mental disorder or a substance-related disorder
464     that falls under a diagnostic category listed in the Diagnostic and Statistical Manual, as
465     periodically revised.
466          (b) "Telemedicine services" means the same as that term is defined in Section
467     [26-60-102] 26B-4-704.
468          (2) Notwithstanding the provisions of Section 31A-22-618.5, a health benefit plan
469     offered in the individual market, the small group market, or the large group market shall:
470          (a) provide coverage for:
471          (i) telemedicine services that are covered by Medicare; and
472          (ii) treatment of a mental health condition through telemedicine services if:
473          (A) the health benefit plan provides coverage for the treatment of the mental health
474     condition through in-person services; and
475          (B) the health benefit plan determines treatment of the mental health condition through
476     telemedicine services meets the appropriate standard of care; and
477          (b) reimburse a network provider that provides the telemedicine services described in
478     Subsection (2)(a) at a negotiated commercially reasonable rate.
479          (3) (a) Notwithstanding Section 31A-45-303, a health benefit plan providing coverage
480     under Subsection (2)(a) may not impose originating site restrictions, geographic restrictions, or
481     distance-based restrictions.
482          (b) A network provider that provides the telemedicine services described in Subsection
483     (2)(a) may utilize any synchronous audiovisual technology for the telemedicine services that is
484     compliant with the federal Health Insurance Portability and Accountability Act of 1996.
485          Section 8. Section 31A-22-651 is amended to read:
486          31A-22-651. Insurance coverage for assisted outpatient treatment.
487          (1) As used in this section, "assisted outpatient treatment" means the same as that term
488     is defined in Section [62A-15-602] 26B-5-301.
489          (2) A health insurance provider may not deny an insured the benefits of the insured's
490     policy solely because the health care that the insured receives is provided under a court order
491     for assisted outpatient treatment, as provided in Section [62A-15-630.5] 26B-5-351.
492          Section 9. Section 31A-22-1016 is amended to read:

493          31A-22-1016. Workers' compensation coverage for medical cannabis operations.
494          A licensed and admitted workers' compensation insurer may issue coverage to:
495          (1) a cannabis production establishment as defined in Section 4-41a-102; or
496          (2) a medical cannabis pharmacy as defined in Section [26-61a-102] 26B-4-201.
497          Section 10. Section 31A-22-1602 is amended to read:
498          31A-22-1602. Genetic testing restrictions.
499          Except as provided under Section 31A-22-620, with respect to a matter related to
500     genetic testing and private genetic information, an insurer shall comply with the applicable
501     provisions of Title 26, Chapter 45, Genetic Testing and Procedure Privacy Act, including
502     Section 26-45-104.
503          Section 11. Section 31A-23a-402 is amended to read:
504          31A-23a-402. Unfair marketing practices -- Communication -- Unfair
505     discrimination -- Coercion or intimidation -- Restriction on choice.
506          (1) (a) (i) Any of the following may not make or cause to be made any communication
507     that contains false or misleading information, relating to an insurance product or contract, any
508     insurer, or any licensee under this title, including information that is false or misleading
509     because it is incomplete:
510          (A) a person who is or should be licensed under this title;
511          (B) an employee or producer of a person described in Subsection (1)(a)(i)(A);
512          (C) a person whose primary interest is as a competitor of a person licensed under this
513     title; and
514          (D) a person on behalf of any of the persons listed in this Subsection (1)(a)(i).
515          (ii) As used in this Subsection (1), "false or misleading information" includes:
516          (A) assuring the nonobligatory payment of future dividends or refunds of unused
517     premiums in any specific or approximate amounts, but reporting fully and accurately past
518     experience is not false or misleading information; and
519          (B) with intent to deceive a person examining it:
520          (I) filing a report;
521          (II) making a false entry in a record; or
522          (III) wilfully refraining from making a proper entry in a record.
523          (iii) A licensee under this title may not:

524          (A) use any business name, slogan, emblem, or related device that is misleading or
525     likely to cause the insurer or other licensee to be mistaken for another insurer or other licensee
526     already in business; or
527          (B) use any name, advertisement, or other insurance promotional material that would
528     cause a reasonable person to mistakenly believe that a state or federal government agency and
529     the Children's Health Insurance Program created in [Title 26, Chapter 40, Utah Children's
530     Health Insurance Act] Title 26B, Chapter 3, Part 9, Utah Children's Health Insurance Program:
531          (I) is responsible for the insurance sales activities of the person;
532          (II) stands behind the credit of the person;
533          (III) guarantees any returns on insurance products of or sold by the person; or
534          (IV) is a source of payment of any insurance obligation of or sold by the person.
535          (iv) A person who is not an insurer may not assume or use any name that deceptively
536     implies or suggests that person is an insurer.
537          (v) A person other than persons licensed as health maintenance organizations under
538     Chapter 8, Health Maintenance Organizations and Limited Health Plans, may not use the term
539     "Health Maintenance Organization" or "HMO" in referring to itself.
540          (b) A licensee's violation creates a rebuttable presumption that the violation was also
541     committed by the insurer if:
542          (i) the licensee under this title distributes cards or documents, exhibits a sign, or
543     publishes an advertisement that violates Subsection (1)(a), with reference to a particular
544     insurer:
545          (A) that the licensee represents; or
546          (B) for whom the licensee processes claims; and
547          (ii) the cards, documents, signs, or advertisements are supplied or approved by that
548     insurer.
549          (2) (a) A title insurer, individual title insurance producer, or agency title insurance
550     producer or any officer or employee of the title insurer, individual title insurance producer, or
551     agency title insurance producer may not pay, allow, give, or offer to pay, allow, or give,
552     directly or indirectly, as an inducement to obtaining any title insurance business:
553          (i) any rebate, reduction, or abatement of any rate or charge made incident to the
554     issuance of the title insurance;

555          (ii) any special favor or advantage not generally available to others;
556          (iii) any money or other consideration, except if approved under Section 31A-2-405; or
557          (iv) material inducement.
558          (b) "Charge made incident to the issuance of the title insurance" includes escrow
559     charges, and any other services that are prescribed in rule by the Title and Escrow Commission
560     after consultation with the commissioner and subject to Section 31A-2-404.
561          (c) An insured or any other person connected, directly or indirectly, with the
562     transaction may not knowingly receive or accept, directly or indirectly, any benefit referred to
563     in Subsection (2)(a), including:
564          (i) a person licensed under Title 61, Chapter 2c, Utah Residential Mortgage Practices
565     and Licensing Act;
566          (ii) a person licensed under Title 61, Chapter 2f, Real Estate Licensing and Practices
567     Act;
568          (iii) a builder;
569          (iv) an attorney; or
570          (v) an officer, employee, or agent of a person listed in this Subsection (2)(c)(iii).
571          (3) (a) An insurer may not unfairly discriminate among policyholders by charging
572     different premiums or by offering different terms of coverage, except on the basis of
573     classifications related to the nature and the degree of the risk covered or the expenses involved.
574          (b) Rates are not unfairly discriminatory if they are averaged broadly among persons
575     insured under a group, blanket, or franchise policy, and the terms of those policies are not
576     unfairly discriminatory merely because they are more favorable than in similar individual
577     policies.
578          (4) (a) This Subsection (4) applies to:
579          (i) a person who is or should be licensed under this title;
580          (ii) an employee of that licensee or person who should be licensed;
581          (iii) a person whose primary interest is as a competitor of a person licensed under this
582     title; and
583          (iv) one acting on behalf of any person described in Subsections (4)(a)(i) through (iii).
584          (b) A person described in Subsection (4)(a) may not commit or enter into any
585     agreement to participate in any act of boycott, coercion, or intimidation that:

586          (i) tends to produce:
587          (A) an unreasonable restraint of the business of insurance; or
588          (B) a monopoly in that business; or
589          (ii) results in an applicant purchasing or replacing an insurance contract.
590          (5) (a) (i) Subject to Subsection (5)(a)(ii), a person may not restrict in the choice of an
591     insurer or licensee under this chapter, another person who is required to pay for insurance as a
592     condition for the conclusion of a contract or other transaction or for the exercise of any right
593     under a contract.
594          (ii) A person requiring coverage may reserve the right to disapprove the insurer or the
595     coverage selected on reasonable grounds.
596          (b) The form of corporate organization of an insurer authorized to do business in this
597     state is not a reasonable ground for disapproval, and the commissioner may by rule specify
598     additional grounds that are not reasonable. This Subsection (5) does not bar an insurer from
599     declining an application for insurance.
600          (6) A person may not make any charge other than insurance premiums and premium
601     financing charges for the protection of property or of a security interest in property, as a
602     condition for obtaining, renewing, or continuing the financing of a purchase of the property or
603     the lending of money on the security of an interest in the property.
604          (7) (a) A licensee under this title may not refuse or fail to return promptly all indicia of
605     agency to the principal on demand.
606          (b) A licensee whose license is suspended, limited, or revoked under Section
607     31A-2-308, 31A-23a-111, or 31A-23a-112 may not refuse or fail to return the license to the
608     commissioner on demand.
609          (8) (a) A person may not engage in an unfair method of competition or any other unfair
610     or deceptive act or practice in the business of insurance, as defined by the commissioner by
611     rule, after a finding that the method of competition, the act, or the practice:
612          (i) is misleading;
613          (ii) is deceptive;
614          (iii) is unfairly discriminatory;
615          (iv) provides an unfair inducement; or
616          (v) unreasonably restrains competition.

617          (b) Notwithstanding Subsection (8)(a), for purpose of the title insurance industry, the
618     Title and Escrow Commission shall make rules, subject to Section 31A-2-404, that define an
619     unfair method of competition or unfair or deceptive act or practice after a finding that the
620     method of competition, the act, or the practice:
621          (i) is misleading;
622          (ii) is deceptive;
623          (iii) is unfairly discriminatory;
624          (iv) provides an unfair inducement; or
625          (v) unreasonably restrains competition.
626          Section 12. Section 31A-23b-102 is amended to read:
627          31A-23b-102. Definitions.
628          As used in this chapter:
629          (1) "Enroll" and "enrollment" mean to:
630          (a) (i) obtain personally identifiable information about an individual; and
631          (ii) inform an individual about accident and health insurance plans or public programs
632     offered on an exchange;
633          (b) solicit insurance; or
634          (c) submit to the exchange:
635          (i) personally identifiable information about an individual; and
636          (ii) an individual's selection of a particular accident and health insurance plan or public
637     program offered on the exchange.
638          (2) "Navigator":
639          (a) means a person who facilitates enrollment in an exchange by offering to assist, or
640     who advertises any services to assist, with:
641          (i) the selection of and enrollment in a qualified health plan or a public program
642     offered on an exchange; or
643          (ii) applying for premium subsidies through an exchange; and
644          (b) includes a person who is an in-person assister or a certified application counselor as
645     described in federal regulations or guidance issued under PPACA.
646          (3) "Personally identifiable information" is as defined in 45 C.F.R. Sec. 155.260.
647          (4) "Public programs" means the state Medicaid program in [Title 26, Chapter 18,

648     Medical Assistance Act] Title 26B, Chapter 3, Health Care - Delivery and Assistance, and
649     [Title 26, Chapter 40, Utah Children's Health Insurance Act] Title 26B, Chapter 3, Part 9, Utah
650     Children's Health Insurance Program.
651          (5) "Resident" is as defined by rule made by the commissioner in accordance with Title
652     63G, Chapter 3, Utah Administrative Rulemaking Act.
653          (6) "Solicit" means the same as that term is defined in Section 31A-23a-102.
654          Section 13. Section 31A-23b-211 is amended to read:
655          31A-23b-211. Exceptions to navigator licensing.
656          (1) For purposes of this section:
657          (a) "Negotiate" is as defined in Section 31A-23a-102.
658          (b) "Sell" is as defined in Section 31A-23a-102.
659          (c) "Solicit" is as defined in Section 31A-23a-102.
660          (2) The commissioner may not require a license as a navigator of:
661          (a) a person who is employed by or contracts with:
662          (i) a health care facility that is licensed under [Title 26, Chapter 21, Health Care
663     Facility Licensing and Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility
664     Licensing and Inspection, to assist an individual with enrollment in a public program or an
665     application for premium subsidy; or
666          (ii) the state, a political subdivision of the state, an entity of a political subdivision of
667     the state, or a public school district to assist an individual with enrollment in a public program
668     or an application for premium subsidy;
669          (b) a federally qualified health center as defined by Section 1905(1)(2)(B) of the Social
670     Security Act which assists an individual with enrollment in a public program or an application
671     for premium subsidy;
672          (c) a person licensed under Chapter 23a, Insurance Marketing - Licensing Producers,
673     Consultants, and Reinsurance Intermediaries, if the person is licensed in the appropriate line of
674     authority to sell, solicit, or negotiate accident and health insurance plans;
675          (d) an officer, director, or employee of a navigator:
676          (i) who does not receive compensation or commission from an insurer issuing an
677     insurance contract, an agency administering a public program, an individual who enrolled in a
678     public program or insurance product, or an exchange; and

679          (ii) whose activities:
680          (A) are executive, administrative, managerial, clerical, or a combination thereof;
681          (B) only indirectly relate to the sale, solicitation, or negotiation of insurance, or the
682     enrollment in a public program offered through the exchange;
683          (C) are in the capacity of a special agent or agency supervisor assisting an insurance
684     producer or navigator;
685          (D) are limited to providing technical advice and assistance to a licensed insurance
686     producer or navigator; or
687          (E) do not include the sale, solicitation, or negotiation of insurance, or the enrollment
688     in a public program;
689          (e) a person who does not sell, solicit, or negotiate insurance and is not directly or
690     indirectly compensated by an insurer issuing an insurance contract, an agency administering a
691     public program, an individual who enrolled in a public program or insurance product, or an
692     exchange, including:
693          (i) an employer, association, officer, director, employee, or trustee of an employee trust
694     plan who is engaged in the administration or operation of a program:
695          (A) of employee benefits for the employer's or association's own employees or the
696     employees of a subsidiary or affiliate of an employer or association; and
697          (B) that involves the use of insurance issued by an insurer or enrollment in a public
698     health plan on an exchange;
699          (ii) an employee of an insurer or organization employed by an insurer who is engaging
700     in the inspection, rating, or classification of risk, or the supervision of training of insurance
701     producers; or
702          (iii) an employee who counsels or advises the employee's employer with regard to the
703     insurance interests of the employer, or a subsidiary or business affiliate of the employer; and
704          (f) an Indian health clinic or Urban Indian Health Center, as defined in Title V of the
705     Indian Health Care Improvement Act, which assists a person with enrollment in a public
706     program or an application for a premium subsidy.
707          (3) The exemption from licensure under Subsections (2)(a), (b), and (f) does not apply
708     if a person described in Subsections (2)(a), (b), and (f) enrolls a person in a private insurance
709     plan.

710          (4) The commissioner may by rule exempt a class of persons from the license
711     requirement of Subsection 31A-23b-201(1) if:
712          (a) the functions performed by the class of persons do not require:
713          (i) special competence;
714          (ii) special trustworthiness; or
715          (iii) regulatory surveillance made possible by licensing; or
716          (b) other existing safeguards make regulation unnecessary.
717          Section 14. Section 31A-26-301.6 is amended to read:
718          31A-26-301.6. Health care claims practices.
719          (1) As used in this section:
720          (a) "Health care provider" means a person licensed to provide health care under:
721          (i) [Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act] Title 26B,
722     Chapter 2, Part 2, Health Care Facility Licensing and Inspection; or
723          (ii) Title 58, Occupations and Professions.
724          (b) "Insurer" means an admitted or authorized insurer, as defined in Section
725     31A-1-301, and includes:
726          (i) a health maintenance organization; and
727          (ii) a third party administrator that is subject to this title, provided that nothing in this
728     section may be construed as requiring a third party administrator to use its own funds to pay
729     claims that have not been funded by the entity for which the third party administrator is paying
730     claims.
731          (c) "Provider" means a health care provider to whom an insurer is obligated to pay
732     directly in connection with a claim by virtue of:
733          (i) an agreement between the insurer and the provider;
734          (ii) a health insurance policy or contract of the insurer; or
735          (iii) state or federal law.
736          (2) An insurer shall timely pay every valid insurance claim submitted by a provider in
737     accordance with this section.
738          (3) (a) Except as provided in Subsection (4), within 30 days of the day on which the
739     insurer receives a written claim, an insurer shall:
740          (i) pay the claim; or

741          (ii) deny the claim and provide a written explanation for the denial.
742          (b) (i) Subject to Subsection (3)(b)(ii), the time period described in Subsection (3)(a)
743     may be extended by 15 days if the insurer:
744          (A) determines that the extension is necessary due to matters beyond the control of the
745     insurer; and
746          (B) before the end of the 30-day period described in Subsection (3)(a), notifies the
747     provider and insured in writing of:
748          (I) the circumstances requiring the extension of time; and
749          (II) the date by which the insurer expects to pay the claim or deny the claim with a
750     written explanation for the denial.
751          (ii) If an extension is necessary due to a failure of the provider or insured to submit the
752     information necessary to decide the claim:
753          (A) the notice of extension required by this Subsection (3)(b) shall specifically describe
754     the required information; and
755          (B) the insurer shall give the provider or insured at least 45 days from the day on which
756     the provider or insured receives the notice before the insurer denies the claim for failure to
757     provide the information requested in Subsection (3)(b)(ii)(A).
758          (4) (a) In the case of a claim for income replacement benefits, within 45 days of the day
759     on which the insurer receives a written claim, an insurer shall:
760          (i) pay the claim; or
761          (ii) deny the claim and provide a written explanation of the denial.
762          (b) Subject to Subsections (4)(d) and (e), the time period described in Subsection (4)(a)
763     may be extended for 30 days if the insurer:
764          (i) determines that the extension is necessary due to matters beyond the control of the
765     insurer; and
766          (ii) before the expiration of the 45-day period described in Subsection (4)(a), notifies
767     the insured of:
768          (A) the circumstances requiring the extension of time; and
769          (B) the date by which the insurer expects to pay the claim or deny the claim with a
770     written explanation for the denial.
771          (c) Subject to Subsections (4)(d) and (e), the time period for complying with

772     Subsection (4)(a) may be extended for up to an additional 30 days from the day on which the
773     30-day extension period provided in Subsection (4)(b) ends if before the day on which the
774     30-day extension period ends, the insurer:
775          (i) determines that due to matters beyond the control of the insurer a decision cannot be
776     rendered within the 30-day extension period; and
777          (ii) notifies the insured of:
778          (A) the circumstances requiring the extension; and
779          (B) the date as of which the insurer expects to pay the claim or deny the claim with a
780     written explanation for the denial.
781          (d) A notice of extension under this Subsection (4) shall specifically explain:
782          (i) the standards on which entitlement to a benefit is based; and
783          (ii) the unresolved issues that prevent a decision on the claim.
784          (e) If an extension allowed by Subsection (4)(b) or (c) is necessary due to a failure of
785     the insured to submit the information necessary to decide the claim:
786          (i) the notice of extension required by Subsection (4)(b) or (c) shall specifically
787     describe the necessary information; and
788          (ii) the insurer shall give the insured at least 45 days from the day on which the insured
789     receives the notice before the insurer denies the claim for failure to provide the information
790     requested in Subsection (4)(b) or (c).
791          (5) If a period of time is extended as permitted under Subsection (3)(b), (4)(b), or
792     (4)(c), due to an insured or provider failing to submit information necessary to decide a claim,
793     the period for making the benefit determination shall be tolled from the date on which the
794     notification of the extension is sent to the insured or provider until the date on which the
795     insured or provider responds to the request for additional information.
796          (6) An insurer shall pay all sums to the provider or insured that the insurer is obligated
797     to pay on the claim, and provide a written explanation of the insurer's decision regarding any
798     part of the claim that is denied within 20 days of receiving the information requested under
799     Subsection (3)(b), (4)(b), or (4)(c).
800          (7) (a) Whenever an insurer makes a payment to a provider on any part of a claim
801     under this section, the insurer shall also send to the insured an explanation of benefits paid.
802          (b) Whenever an insurer denies any part of a claim under this section, the insurer shall

803     also send to the insured:
804          (i) a written explanation of the part of the claim that was denied; and
805          (ii) notice of the adverse benefit determination review process established under
806     Section 31A-22-629.
807          (c) This Subsection (7) does not apply to a person receiving benefits under the state
808     Medicaid program as defined in Section [26-18-2] 26B-3-101, unless required by the
809     Department of Health and Human Services or federal law.
810          (8) (a) A late fee shall be imposed on:
811          (i) an insurer that fails to timely pay a claim in accordance with this section; and
812          (ii) a provider that fails to timely provide information on a claim in accordance with
813     this section.
814          (b) The late fee described in Subsection (8)(a) shall be determined by multiplying
815     together:
816          (i) the total amount of the claim the insurer is obliged to pay;
817          (ii) the total number of days the response or the payment is late; and
818          (iii) 0.033% daily interest rate.
819          (c) Any late fee paid or collected under this Subsection (8) shall be separately
820     identified on the documentation used by the insurer to pay the claim.
821          (d) For purposes of this Subsection (8), "late fee" does not include an amount that is
822     less than $1.
823          (9) Each insurer shall establish a review process to resolve claims-related disputes
824     between the insurer and providers.
825          (10) An insurer or person representing an insurer may not engage in any unfair claim
826     settlement practice with respect to a provider. Unfair claim settlement practices include:
827          (a) knowingly misrepresenting a material fact or the contents of an insurance policy in
828     connection with a claim;
829          (b) failing to acknowledge and substantively respond within 15 days to any written
830     communication from a provider relating to a pending claim;
831          (c) denying or threatening to deny the payment of a claim for any reason that is not
832     clearly described in the insured's policy;
833          (d) failing to maintain a payment process sufficient to comply with this section;

834          (e) failing to maintain claims documentation sufficient to demonstrate compliance with
835     this section;
836          (f) failing, upon request, to give to the provider written information regarding the
837     specific rate and terms under which the provider will be paid for health care services;
838          (g) failing to timely pay a valid claim in accordance with this section as a means of
839     influencing, intimidating, retaliating, or gaining an advantage over the provider with respect to
840     an unrelated claim, an undisputed part of a pending claim, or some other aspect of the
841     contractual relationship;
842          (h) failing to pay the sum when required and as required under Subsection (8) when a
843     violation has occurred;
844          (i) threatening to retaliate or actual retaliation against a provider for the provider
845     applying this section;
846          (j) any material violation of this section; and
847          (k) any other unfair claim settlement practice established in rule or law.
848          (11) (a) The provisions of this section shall apply to each contract between an insurer
849     and a provider for the duration of the contract.
850          (b) Notwithstanding Subsection (11)(a), this section may not be the basis for a bad
851     faith insurance claim.
852          (c) Nothing in Subsection (11)(a) may be construed as limiting the ability of an insurer
853     and a provider from including provisions in their contract that are more stringent than the
854     provisions of this section.
855          (12) (a) Pursuant to Chapter 2, Part 2, Duties and Powers of Commissioner, the
856     commissioner may conduct examinations to determine an insurer's level of compliance with
857     this section and impose sanctions for each violation.
858          (b) The commissioner may adopt rules only as necessary to implement this section.
859          (c) The commissioner may establish rules to facilitate the exchange of electronic
860     confirmations when claims-related information has been received.
861          (d) Notwithstanding Subsection (12)(b), the commissioner may not adopt rules
862     regarding the review process required by Subsection (9).
863          (13) Nothing in this section may be construed as limiting the collection rights of a
864     provider under Section 31A-26-301.5.

865          (14) Nothing in this section may be construed as limiting the ability of an insurer to:
866          (a) recover any amount improperly paid to a provider or an insured:
867          (i) in accordance with Section 31A-31-103 or any other provision of state or federal
868     law;
869          (ii) within 24 months of the amount improperly paid for a coordination of benefits
870     error;
871          (iii) within 12 months of the amount improperly paid for any other reason not
872     identified in Subsection (14)(a)(i) or (ii); or
873          (iv) within 36 months of the amount improperly paid when the improper payment was
874     due to a recovery by Medicaid, Medicare, the Children's Health Insurance Program, or any
875     other state or federal health care program;
876          (b) take any action against a provider that is permitted under the terms of the provider
877     contract and not prohibited by this section;
878          (c) report the provider to a state or federal agency with regulatory authority over the
879     provider for unprofessional, unlawful, or fraudulent conduct; or
880          (d) enter into a mutual agreement with a provider to resolve alleged violations of this
881     section through mediation or binding arbitration.
882          (15) A health care provider may only seek recovery from the insurer for an amount
883     improperly paid by the insurer within the same time frames as Subsections (14)(a) and (b).
884          (16) (a) An insurer may offer the remittance of payment through a credit card or other
885     similar arrangement.
886          (b) (i) A health care provider may elect not to receive remittance through a credit card
887     or other similar arrangement.
888          (ii) An insurer:
889          (A) shall permit a health care provider's election described in Subsection (16)(b)(i) to
890     apply to the health care provider's entire practice; and
891          (B) may not require a health care provider's election described in Subsection (16)(b)(i)
892     to be made on a patient-by-patient basis.
893          (c) An insurer may not require a health care provider or insured to accept remittance
894     through a credit card or other similar arrangement.
895          Section 15. Section 31A-45-402 is amended to read:

896          31A-45-402. Alcohol and drug dependency treatment.
897          (1) A managed care organization offering a health benefit plan providing coverage for
898     alcohol or drug dependency treatment may require an inpatient facility to be licensed by:
899          (a) (i) the Department of Health andHuman Services, under [Title 62A, Chapter 2,
900     Licensure of Programs and Facilities] Title 26B, Chapter 2, Part 1, Human Services Programs
901     and Facilities; or
902          (ii) the Department of Health and Human Services; or
903          (b) for an inpatient facility located outside the state, a state agency similar to one
904     described in Subsection (1)(a).
905          (2) For inpatient coverage provided pursuant to Subsection (1), a managed care
906     organization may require an inpatient facility to be accredited by the following:
907          (a) the Joint Commission; and
908          (b) one other nationally recognized accrediting agency.
909          Section 16. Section 31A-45-501 is amended to read:
910          31A-45-501. Access to health care providers.
911          (1) As used in this section:
912          (a) "Class of health care provider" means a health care provider or a health care facility
913     regulated by the state within the same professional, trade, occupational, or certification
914     category established under Title 58, Occupations and Professions, or within the same facility
915     licensure category established under [Title 26, Chapter 21, Health Care Facility Licensing and
916     Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and Inspection.
917          (b) "Covered health care services" or "covered services" means health care services for
918     which an enrollee is entitled to receive under the terms of a managed care organization
919     contract.
920          (c) "Credentialed staff member" means a health care provider with active staff
921     privileges at an independent hospital or federally qualified health center.
922          (d) "Federally qualified health center" means as defined in the Social Security Act, 42
923     U.S.C. Sec. 1395x.
924          (e) "Independent hospital" means a general acute hospital or a critical access hospital
925     that:
926          (i) is either:

927          (A) located 20 miles or more from any other general acute hospital or critical access
928     hospital; or
929          (B) licensed as of January 1, 2004;
930          (ii) is licensed pursuant to [Title 26, Chapter 21, Health Care Facility Licensing and
931     Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and Inspection;
932          (iii) is controlled by a board of directors of which 51% or more reside in the county
933     where the hospital is located; and
934          (iv) (A) the hospital's board of directors is ultimately responsible for the policy and
935     financial decisions of the hospital; or
936          (B) the hospital is licensed for 60 or fewer beds and is not owned, in whole or in part,
937     by an entity that owns or controls a health maintenance organization if the hospital is a
938     contracting facility of the organization.
939          (f) "Noncontracting provider" means an independent hospital, federally qualified health
940     center, or credentialed staff member that has not contracted with a managed care organization
941     to provide health care services to enrollees of the managed care organization.
942          (2) Except for a managed care organization that is under the common ownership or
943     control of an entity with a hospital located within 10 paved road miles of an independent
944     hospital, a managed care organization shall pay for covered health care services rendered to an
945     enrollee by an independent hospital, a credentialed staff member at an independent hospital, or
946     a credentialed staff member at his local practice location if:
947          (a) the enrollee:
948          (i) lives or resides within 30 paved road miles of the independent hospital; or
949          (ii) if Subsection (2)(a)(i) does not apply, lives or resides in closer proximity to the
950     independent hospital than a contracting hospital;
951          (b) the independent hospital is located prior to December 31, 2000 in a county with a
952     population density of less than 100 people per square mile, or the independent hospital is
953     located in a county with a population density of less than 30 people per square mile; and
954          (c) the enrollee has complied with the prior authorization and utilization review
955     requirements otherwise required by the managed care organization contract.
956          (3) A managed care organization shall pay for covered health care services rendered to
957     an enrollee at a federally qualified health center if:

958          (a) the enrollee:
959          (i) lives or resides within 30 paved road miles of the federally qualified health center;
960     or
961          (ii) if Subsection (3)(a)(i) does not apply, lives or resides in closer proximity to the
962     federally qualified health center than a contracting provider;
963          (b) the federally qualified health center is located in a county with a population density
964     of less than 30 people per square mile; and
965          (c) the enrollee has complied with the prior authorization and utilization review
966     requirements otherwise required by the managed care organization contract.
967          (4) (a) A managed care organization shall reimburse a noncontracting provider or the
968     enrollee for covered services rendered pursuant to Subsection (2) a like dollar amount as the
969     managed care organization pays to contracting providers under a noncapitated arrangement for
970     comparable services.
971          (b) A managed care organization shall reimburse a federally qualified health center or
972     the enrollee for covered services rendered pursuant to Subsection (3) a like amount as paid by
973     the managed care organization under a noncapitated arrangement for comparable services to a
974     contracting provider in the same class of health care providers as the provider who rendered the
975     service.
976          (5) (a) A noncontracting independent hospital may not balance bill a patient when the
977     managed care organization reimburses a noncontracting independent hospital or an enrollee in
978     accordance with Subsection (4)(a).
979          (b) A noncontracting federally qualified health center may not balance bill a patient
980     when the federally qualified health center or the enrollee receives reimbursement in accordance
981     with Subsection (4)(b).
982          (6) A noncontracting provider may only refer an enrollee to another noncontracting
983     provider so as to obligate the enrollee's managed care organization to pay for the resulting
984     services if:
985          (a) the noncontracting provider making the referral or the enrollee has received prior
986     authorization from the organization for the referral; or
987          (b) the practice location of the noncontracting provider to whom the referral is made:
988          (i) is located in a county with a population density of less than 25 people per square

989     mile; and
990          (ii) is within 30 paved road miles of:
991          (A) the place where the enrollee lives or resides; or
992          (B) the independent hospital or federally qualified health center at which the enrollee
993     may receive covered services pursuant to Subsection (2) or (3).
994          (7) Notwithstanding this section, a managed care organization may contract directly
995     with an independent hospital, federally qualified health center, or credentialed staff member.
996          (8) (a) A managed care organization that violates any provision of this section is
997     subject to sanctions as determined by the commissioner in accordance with Section 31A-2-308.
998          (b) Violations of this section include:
999          (i) failing to provide the notice required by Subsection (8)(d) by placing the notice in
1000     any managed care organization's provider list that is supplied to enrollees, including any
1001     website maintained by the managed care organization;
1002          (ii) failing to provide notice of an enrollee's rights under this section when:
1003          (A) an enrollee makes personal contact with the managed care organization by
1004     telephone, electronic transaction, or in person; and
1005          (B) the enrollee inquires about the enrollee's rights to access an independent hospital or
1006     federally qualified health center; and
1007          (iii) refusing to reprocess or reconsider a claim, initially denied by the managed care
1008     organization, when the provisions of this section apply to the claim.
1009          (c) The commissioner shall, pursuant to Chapter 2, Part 2, Duties and Powers of
1010     Commissioner:
1011          (i) adopt rules as necessary to implement this section;
1012          (ii) identify in rule:
1013          (A) the counties with a population density of less than 100 people per square mile;
1014          (B) independent hospitals as defined in Subsection (1)(e); and
1015          (C) federally qualified health centers as defined in Subsection (1)(d).
1016          (d) (i) A managed care organization shall:
1017          (A) use the information developed by the commissioner under Subsection (8)(c) to
1018     identify the rural counties, independent hospitals, and federally qualified health centers that are
1019     located in the managed care organization's service area; and

1020          (B) include the providers identified under Subsection (8)(d)(i)(A) in the notice required
1021     in Subsection (8)(d)(ii).
1022          (ii) The managed care organization shall provide the following notice, in bold type, to
1023     enrollees as specified under Subsection (8)(b)(i), and shall keep the notice current:
1024          "You may be entitled to coverage for health care services from the following
1025     noncontracted providers if you live or reside within 30 paved road miles of the listed providers,
1026     or if you live or reside in closer proximity to the listed providers than to your contracted
1027     providers:
1028          This list may change periodically, please check on our website or call for verification.
1029     Please be advised that if you choose a noncontracted provider you will be responsible for any
1030     charges not covered by your health insurance plan.
1031          If you have questions concerning your rights to see a provider on this list you may
1032     contact your managed care organization at ________. If the managed care organization does
1033     not resolve your problem, you may contact the Office of Consumer Health Assistance in the
1034     Insurance Department, toll free."
1035          (e) A person whose interests are affected by an alleged violation of this section may
1036     contact the Office of Consumer Health Assistance and request assistance, or file a complaint as
1037     provided in Section 31A-2-216.
1038          Section 17. Section 32B-1-102 is amended to read:
1039          32B-1-102. Definitions.
1040          As used in this title:
1041          (1) "Airport lounge" means a business location:
1042          (a) at which an alcoholic product is sold at retail for consumption on the premises; and
1043          (b) that is located at an international airport.
1044          (2) "Airport lounge license" means a license issued in accordance with Chapter 5,
1045     Retail License Act, and Chapter 6, Part 5, Airport Lounge License.
1046          (3) "Alcoholic beverage" means the following:
1047          (a) beer; or
1048          (b) liquor.
1049          (4) (a) "Alcoholic product" means a product that:
1050          (i) contains at least .5% of alcohol by volume; and

1051          (ii) is obtained by fermentation, infusion, decoction, brewing, distillation, or other
1052     process that uses liquid or combinations of liquids, whether drinkable or not, to create alcohol
1053     in an amount equal to or greater than .5% of alcohol by volume.
1054          (b) "Alcoholic product" includes an alcoholic beverage.
1055          (c) "Alcoholic product" does not include any of the following common items that
1056     otherwise come within the definition of an alcoholic product:
1057          (i) except as provided in Subsection (4)(d), an extract;
1058          (ii) vinegar;
1059          (iii) preserved nonintoxicating cider;
1060          (iv) essence;
1061          (v) tincture;
1062          (vi) food preparation; or
1063          (vii) an over-the-counter medicine.
1064          (d) "Alcoholic product" includes an extract containing alcohol obtained by distillation
1065     when it is used as a flavoring in the manufacturing of an alcoholic product.
1066          (5) "Alcohol training and education seminar" means a seminar that is:
1067          (a) required by Chapter 1, Part 7, Alcohol Training and Education Act; and
1068          (b) described in Section [62A-15-401] 26B-5-205.
1069          (6) "Arena" means an enclosed building:
1070          (a) that is managed by:
1071          (i) the same person who owns the enclosed building;
1072          (ii) a person who has a majority interest in each person who owns or manages a space
1073     in the enclosed building; or
1074          (iii) a person who has authority to direct or exercise control over the management or
1075     policy of each person who owns or manages a space in the enclosed building;
1076          (b) that operates as a venue; and
1077          (c) that has an occupancy capacity of at least 12,500.
1078          (7) "Arena license" means a license issued in accordance with Chapter 5, Retail
1079     License Act, and Chapter 8c, Arena License Act.
1080          (8) "Banquet" means an event:
1081          (a) that is a private event or a privately sponsored event;

1082          (b) that is held at one or more designated locations approved by the commission in or
1083     on the premises of:
1084          (i) a hotel;
1085          (ii) a resort facility;
1086          (iii) a sports center;
1087          (iv) a convention center;
1088          (v) a performing arts facility; or
1089          (vi) an arena;
1090          (c) for which there is a contract:
1091          (i) between a person operating a facility listed in Subsection (8)(b) and another person
1092     that has common ownership of less than 20% with the person operating the facility; and
1093          (ii) under which the person operating a facility listed in Subsection (8)(b) is required to
1094     provide an alcoholic product at the event; and
1095          (d) at which food and alcoholic products may be sold, offered for sale, or furnished.
1096          (9) (a) "Bar establishment license" means a license issued in accordance with Chapter
1097     5, Retail License Act, and Chapter 6, Part 4, Bar Establishment License.
1098          (b) "Bar establishment license" includes:
1099          (i) a dining club license;
1100          (ii) an equity license;
1101          (iii) a fraternal license; or
1102          (iv) a bar license.
1103          (10) "Bar license" means a license issued in accordance with Chapter 5, Retail License
1104     Act, and Chapter 6, Part 4, Bar Establishment License.
1105          (11) (a) "Beer" means a product that:
1106          (i) contains:
1107          (A) at least .5% of alcohol by volume; and
1108          (B) no more than 5% of alcohol by volume or 4% by weight;
1109          (ii) is obtained by fermentation, infusion, or decoction of:
1110          (A) malt; or
1111          (B) a malt substitute; and
1112          (iii) is clearly marketed, labeled, and identified as:

1113          (A) beer;
1114          (B) ale;
1115          (C) porter;
1116          (D) stout;
1117          (E) lager;
1118          (F) a malt;
1119          (G) a malted beverage; or
1120          (H) seltzer.
1121          (b) "Beer" may contain:
1122          (i) hops extract; or
1123          (ii) caffeine, if the caffeine is a natural constituent of an added ingredient.
1124          (c) "Beer" does not include:
1125          (i) a flavored malt beverage;
1126          (ii) a product that contains alcohol derived from:
1127          (A) spirituous liquor; or
1128          (B) wine; or
1129          (iii) a product that contains an additive masking or altering a physiological effect of
1130     alcohol, including kratom, kava, cannabidiol, or natural or synthetic tetrahydrocannabinol.
1131          (12) "Beer-only restaurant license" means a license issued in accordance with Chapter
1132     5, Retail License Act, and Chapter 6, Part 9, Beer-Only Restaurant License.
1133          (13) "Beer retailer" means a business that:
1134          (a) is engaged, primarily or incidentally, in the retail sale of beer to a patron, whether
1135     for consumption on or off the business premises; and
1136          (b) is licensed as:
1137          (i) an off-premise beer retailer, in accordance with Chapter 7, Part 2, Off-Premise Beer
1138     Retailer Local Authority; or
1139          (ii) an on-premise beer retailer, in accordance with Chapter 5, Retail License Act, and
1140     Chapter 6, Part 7, On-Premise Beer Retailer License.
1141          (14) "Beer wholesaling license" means a license:
1142          (a) issued in accordance with Chapter 13, Beer Wholesaling License Act; and
1143          (b) to import for sale, or sell beer in wholesale or jobbing quantities to one or more

1144     retail licensees or off-premise beer retailers.
1145          (15) "Billboard" means a public display used to advertise, including:
1146          (a) a light device;
1147          (b) a painting;
1148          (c) a drawing;
1149          (d) a poster;
1150          (e) a sign;
1151          (f) a signboard; or
1152          (g) a scoreboard.
1153          (16) "Brewer" means a person engaged in manufacturing:
1154          (a) beer;
1155          (b) heavy beer; or
1156          (c) a flavored malt beverage.
1157          (17) "Brewery manufacturing license" means a license issued in accordance with
1158     Chapter 11, Part 5, Brewery Manufacturing License.
1159          (18) "Certificate of approval" means a certificate of approval obtained from the
1160     department under Section 32B-11-201.
1161          (19) "Chartered bus" means a passenger bus, coach, or other motor vehicle provided by
1162     a bus company to a group of persons pursuant to a common purpose:
1163          (a) under a single contract;
1164          (b) at a fixed charge in accordance with the bus company's tariff; and
1165          (c) to give the group of persons the exclusive use of the passenger bus, coach, or other
1166     motor vehicle, and a driver to travel together to one or more specified destinations.
1167          (20) "Church" means a building:
1168          (a) set apart for worship;
1169          (b) in which religious services are held;
1170          (c) with which clergy is associated; and
1171          (d) that is tax exempt under the laws of this state.
1172          (21) "Commission" means the Alcoholic Beverage Services Commission created in
1173     Section 32B-2-201.
1174          (22) "Commissioner" means a member of the commission.

1175          (23) "Community location" means:
1176          (a) a public or private school;
1177          (b) a church;
1178          (c) a public library;
1179          (d) a public playground; or
1180          (e) a public park.
1181          (24) "Community location governing authority" means:
1182          (a) the governing body of the community location; or
1183          (b) if the commission does not know who is the governing body of a community
1184     location, a person who appears to the commission to have been given on behalf of the
1185     community location the authority to prohibit an activity at the community location.
1186          (25) "Container" means a receptacle that contains an alcoholic product, including:
1187          (a) a bottle;
1188          (b) a vessel; or
1189          (c) a similar item.
1190          (26) "Controlled group of manufacturers" means as the commission defines by rule
1191     made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1192          (27) "Convention center" means a facility that is:
1193          (a) in total at least 30,000 square feet; and
1194          (b) otherwise defined as a "convention center" by the commission by rule.
1195          (28) (a) "Counter" means a surface or structure in a dining area of a licensed premises
1196     where seating is provided to a patron for service of food.
1197          (b) "Counter" does not include a dispensing structure.
1198          (29) "Crime involving moral turpitude" is as defined by the commission by rule.
1199          (30) "Department" means the Department of Alcoholic Beverage Services created in
1200     Section 32B-2-203.
1201          (31) "Department compliance officer" means an individual who is:
1202          (a) an auditor or inspector; and
1203          (b) employed by the department.
1204          (32) "Department sample" means liquor that is placed in the possession of the
1205     department for testing, analysis, and sampling.

1206          (33) "Dining club license" means a license issued in accordance with Chapter 5, Retail
1207     License Act, and Chapter 6, Part 4, Bar Establishment License, that is designated by the
1208     commission as a dining club license.
1209          (34) "Director," unless the context requires otherwise, means the director of the
1210     department.
1211          (35) "Disciplinary proceeding" means an adjudicative proceeding permitted under this
1212     title:
1213          (a) against a person subject to administrative action; and
1214          (b) that is brought on the basis of a violation of this title.
1215          (36) (a) Subject to Subsection (36)(b), "dispense" means:
1216          (i) drawing an alcoholic product; and
1217          (ii) using the alcoholic product at the location from which it was drawn to mix or
1218     prepare an alcoholic product to be furnished to a patron of the retail licensee.
1219          (b) The definition of "dispense" in this Subsection (36) applies only to:
1220          (i) a full-service restaurant license;
1221          (ii) a limited-service restaurant license;
1222          (iii) a reception center license;
1223          (iv) a beer-only restaurant license;
1224          (v) a bar license;
1225          (vi) an on-premise beer retailer;
1226          (vii) an airport lounge license;
1227          (viii) an on-premise banquet license; and
1228          (ix) a hospitality amenity license.
1229          (37) "Dispensing structure" means a surface or structure on a licensed premises:
1230          (a) where an alcoholic product is dispensed; or
1231          (b) from which an alcoholic product is served.
1232          (38) "Distillery manufacturing license" means a license issued in accordance with
1233     Chapter 11, Part 4, Distillery Manufacturing License.
1234          (39) "Distressed merchandise" means an alcoholic product in the possession of the
1235     department that is saleable, but for some reason is unappealing to the public.
1236          (40) "Equity license" means a license issued in accordance with Chapter 5, Retail

1237     License Act, and Chapter 6, Part 4, Bar Establishment License, that is designated by the
1238     commission as an equity license.
1239          (41) "Event permit" means:
1240          (a) a single event permit; or
1241          (b) a temporary beer event permit.
1242          (42) "Exempt license" means a license exempt under Section 32B-1-201 from being
1243     considered in determining the total number of retail licenses that the commission may issue at
1244     any time.
1245          (43) (a) "Flavored malt beverage" means a beverage:
1246          (i) that contains at least .5% alcohol by volume;
1247          (ii) for which the producer is required to file a formula for approval with the federal
1248     Alcohol and Tobacco Tax and Trade Bureau under 27 C.F.R. Sec. 25.55 because the beverage
1249     is treated by processing, filtration, or another method of manufacture that is not generally
1250     recognized as a traditional process in the production of a beer, ale, porter, stout, lager, or malt
1251     liquor; and
1252          (iii) for which the producer is required to file a formula for approval with the federal
1253     Alcohol and Tobacco Tax and Trade Bureau under 27 C.F.R. Sec. 25.55 because the beverage
1254     includes an ingredient containing alcohol.
1255          (b) "Flavored malt beverage" is considered liquor for purposes of this title.
1256          (44) "Fraternal license" means a license issued in accordance with Chapter 5, Retail
1257     License Act, and Chapter 6, Part 4, Bar Establishment License, that is designated by the
1258     commission as a fraternal license.
1259          (45) "Full-service restaurant license" means a license issued in accordance with
1260     Chapter 5, Retail License Act, and Chapter 6, Part 2, Full-Service Restaurant License.
1261          (46) (a) "Furnish" means by any means to provide with, supply, or give an individual
1262     an alcoholic product, by sale or otherwise.
1263          (b) "Furnish" includes to:
1264          (i) serve;
1265          (ii) deliver; or
1266          (iii) otherwise make available.
1267          (47) "Guest" means an individual who meets the requirements of Subsection

1268     32B-6-407(9).
1269          (48) "Hard cider" means the same as that term is defined in 26 U.S.C. Sec. 5041.
1270          (49) "Health care practitioner" means:
1271          (a) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
1272          (b) an optometrist licensed under Title 58, Chapter 16a, Utah Optometry Practice Act;
1273          (c) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act;
1274          (d) a physical therapist licensed under Title 58, Chapter 24b, Physical Therapy Practice
1275     Act;
1276          (e) a nurse or advanced practice registered nurse licensed under Title 58, Chapter 31b,
1277     Nurse Practice Act;
1278          (f) a recreational therapist licensed under Title 58, Chapter 40, Recreational Therapy
1279     Practice Act;
1280          (g) an occupational therapist licensed under Title 58, Chapter 42a, Occupational
1281     Therapy Practice Act;
1282          (h) a nurse midwife licensed under Title 58, Chapter 44a, Nurse Midwife Practice Act;
1283          (i) a mental health professional licensed under Title 58, Chapter 60, Mental Health
1284     Professional Practice Act;
1285          (j) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act;
1286          (k) an osteopath licensed under Title 58, Chapter 68, Utah Osteopathic Medical
1287     Practice Act;
1288          (l) a dentist or dental hygienist licensed under Title 58, Chapter 69, Dentist and Dental
1289     Hygienist Practice Act; and
1290          (m) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician
1291     Assistant Act.
1292          (50) (a) "Heavy beer" means a product that:
1293          (i) contains more than 5% alcohol by volume; and
1294          (ii) is obtained by fermentation, infusion, or decoction of:
1295          (A) malt; or
1296          (B) a malt substitute.
1297          (b) "Heavy beer" is considered liquor for the purposes of this title.
1298          (51) "Hospitality amenity license" means a license issued in accordance with Chapter

1299     5, Retail License Act, and Chapter 6, Part 10, Hospitality Amenity License.
1300          (52) (a) "Hotel" means a commercial lodging establishment that:
1301          (i) offers at least 40 rooms as temporary sleeping accommodations for compensation;
1302          (ii) is capable of hosting conventions, conferences, and food and beverage functions
1303     under a banquet contract; and
1304          (iii) (A) has adequate kitchen or culinary facilities on the premises to provide complete
1305     meals;
1306          (B) has at least 1,000 square feet of function space consisting of meeting or dining
1307     rooms that can be reserved for a banquet and can accommodate at least 75 individuals; or
1308          (C) if the establishment is located in a small or unincorporated locality, has an
1309     appropriate amount of function space consisting of meeting or dining rooms that can be
1310     reserved for private use under a banquet contract, as determined by the commission.
1311          (b) "Hotel" includes a commercial lodging establishment that:
1312          (i) meets the requirements under Subsection (52)(a); and
1313          (ii) has one or more privately owned dwelling units.
1314          (53) "Hotel license" means a license issued in accordance with Chapter 5, Retail
1315     License Act, and Chapter 8b, Hotel License Act.
1316          (54) "Identification card" means an identification card issued under Title 53, Chapter 3,
1317     Part 8, Identification Card Act.
1318          (55) "Industry representative" means an individual who is compensated by salary,
1319     commission, or other means for representing and selling an alcoholic product of a
1320     manufacturer, supplier, or importer of liquor.
1321          (56) "Industry representative sample" means liquor that is placed in the possession of
1322     the department for testing, analysis, and sampling by a local industry representative on the
1323     premises of the department to educate the local industry representative of the quality and
1324     characteristics of the product.
1325          (57) "Interdicted person" means a person to whom the sale, offer for sale, or furnishing
1326     of an alcoholic product is prohibited by:
1327          (a) law; or
1328          (b) court order.
1329          (58) "International airport" means an airport:

1330          (a) with a United States Customs and Border Protection office on the premises of the
1331     airport; and
1332          (b) at which international flights may enter and depart.
1333          (59) "Intoxicated" means that a person:
1334          (a) is significantly impaired as to the person's mental or physical functions as a result of
1335     the use of:
1336          (i) an alcoholic product;
1337          (ii) a controlled substance;
1338          (iii) a substance having the property of releasing toxic vapors; or
1339          (iv) a combination of Subsections (59)(a)(i) through (iii); and
1340          (b) exhibits plain and easily observed outward manifestations of behavior or physical
1341     signs produced by the overconsumption of an alcoholic product.
1342          (60) "Investigator" means an individual who is:
1343          (a) a department compliance officer; or
1344          (b) a nondepartment enforcement officer.
1345          (61) "License" means:
1346          (a) a retail license;
1347          (b) a sublicense;
1348          (c) a license issued in accordance with Chapter 7, Part 4, Off-Premise Beer Retailer
1349     State License;
1350          (d) a license issued in accordance with Chapter 11, Manufacturing and Related
1351     Licenses Act;
1352          (e) a license issued in accordance with Chapter 12, Liquor Warehousing License Act;
1353          (f) a license issued in accordance with Chapter 13, Beer Wholesaling License Act; or
1354          (g) a license issued in accordance with Chapter 17, Liquor Transport License Act.
1355          (62) "Licensee" means a person who holds a license.
1356          (63) "Limited-service restaurant license" means a license issued in accordance with
1357     Chapter 5, Retail License Act, and Chapter 6, Part 3, Limited-Service Restaurant License.
1358          (64) "Limousine" means a motor vehicle licensed by the state or a local authority, other
1359     than a bus or taxicab:
1360          (a) in which the driver and a passenger are separated by a partition, glass, or other

1361     barrier;
1362          (b) that is provided by a business entity to one or more individuals at a fixed charge in
1363     accordance with the business entity's tariff; and
1364          (c) to give the one or more individuals the exclusive use of the limousine and a driver
1365     to travel to one or more specified destinations.
1366          (65) (a) (i) "Liquor" means a liquid that:
1367          (A) is:
1368          (I) alcohol;
1369          (II) an alcoholic, spirituous, vinous, fermented, malt, or other liquid;
1370          (III) a combination of liquids a part of which is spirituous, vinous, or fermented; or
1371          (IV) other drink or drinkable liquid; and
1372          (B) (I) contains at least .5% alcohol by volume; and
1373          (II) is suitable to use for beverage purposes.
1374          (ii) "Liquor" includes:
1375          (A) heavy beer;
1376          (B) wine; and
1377          (C) a flavored malt beverage.
1378          (b) "Liquor" does not include beer.
1379          (66) "Liquor Control Fund" means the enterprise fund created by Section 32B-2-301.
1380          (67) "Liquor transport license" means a license issued in accordance with Chapter 17,
1381     Liquor Transport License Act.
1382          (68) "Liquor warehousing license" means a license that is issued:
1383          (a) in accordance with Chapter 12, Liquor Warehousing License Act; and
1384          (b) to a person, other than a licensed manufacturer, who engages in the importation for
1385     storage, sale, or distribution of liquor regardless of amount.
1386          (69) "Local authority" means:
1387          (a) for premises that are located in an unincorporated area of a county, the governing
1388     body of a county;
1389          (b) for premises that are located in an incorporated city, town, or metro township, the
1390     governing body of the city, town, or metro township; or
1391          (c) for premises that are located in a project area as defined in Section 63H-1-102 and

1392     in a project area plan adopted by the Military Installation Development Authority under Title
1393     63H, Chapter 1, Military Installation Development Authority Act, the Military Installation
1394     Development Authority.
1395          (70) "Lounge or bar area" is as defined by rule made by the commission.
1396          (71) "Malt substitute" means:
1397          (a) rice;
1398          (b) grain;
1399          (c) bran;
1400          (d) glucose;
1401          (e) sugar; or
1402          (f) molasses.
1403          (72) "Manufacture" means to distill, brew, rectify, mix, compound, process, ferment, or
1404     otherwise make an alcoholic product for personal use or for sale or distribution to others.
1405          (73) "Member" means an individual who, after paying regular dues, has full privileges
1406     in an equity licensee or fraternal licensee.
1407          (74) (a) "Military installation" means a base, air field, camp, post, station, yard, center,
1408     or homeport facility for a ship:
1409          (i) (A) under the control of the United States Department of Defense; or
1410          (B) of the National Guard;
1411          (ii) that is located within the state; and
1412          (iii) including a leased facility.
1413          (b) "Military installation" does not include a facility used primarily for:
1414          (i) civil works;
1415          (ii) a rivers and harbors project; or
1416          (iii) a flood control project.
1417          (75) "Minibar" means an area of a hotel guest room where one or more alcoholic
1418     products are kept and offered for self-service sale or consumption.
1419          (76) "Minor" means an individual under 21 years old.
1420          (77) "Nondepartment enforcement agency" means an agency that:
1421          (a) (i) is a state agency other than the department; or
1422          (ii) is an agency of a county, city, town, or metro township; and

1423          (b) has a responsibility to enforce one or more provisions of this title.
1424          (78) "Nondepartment enforcement officer" means an individual who is:
1425          (a) a peace officer, examiner, or investigator; and
1426          (b) employed by a nondepartment enforcement agency.
1427          (79) (a) "Off-premise beer retailer" means a beer retailer who is:
1428          (i) licensed in accordance with Chapter 7, Off-Premise Beer Retailer Act; and
1429          (ii) engaged in the retail sale of beer to a patron for consumption off the beer retailer's
1430     premises.
1431          (b) "Off-premise beer retailer" does not include an on-premise beer retailer.
1432          (80) "Off-premise beer retailer state license" means a state license issued in accordance
1433     with Chapter 7, Part 4, Off-Premise Beer Retailer State License.
1434          (81) "On-premise banquet license" means a license issued in accordance with Chapter
1435     5, Retail License Act, and Chapter 6, Part 6, On-Premise Banquet License.
1436          (82) "On-premise beer retailer" means a beer retailer who is:
1437          (a) authorized to sell, offer for sale, or furnish beer under a license issued in
1438     accordance with Chapter 5, Retail License Act, and Chapter 6, Part 7, On-Premise Beer
1439     Retailer License; and
1440          (b) engaged in the sale of beer to a patron for consumption on the beer retailer's
1441     premises:
1442          (i) regardless of whether the beer retailer sells beer for consumption off the licensed
1443     premises; and
1444          (ii) on and after March 1, 2012, operating:
1445          (A) as a tavern; or
1446          (B) in a manner that meets the requirements of Subsection 32B-6-703(2)(e)(i).
1447          (83) "Opaque" means impenetrable to sight.
1448          (84) "Package agency" means a retail liquor location operated:
1449          (a) under an agreement with the department; and
1450          (b) by a person:
1451          (i) other than the state; and
1452          (ii) who is authorized by the commission in accordance with Chapter 2, Part 6, Package
1453     Agency, to sell packaged liquor for consumption off the premises of the package agency.

1454          (85) "Package agent" means a person who holds a package agency.
1455          (86) "Patron" means an individual to whom food, beverages, or services are sold,
1456     offered for sale, or furnished, or who consumes an alcoholic product including:
1457          (a) a customer;
1458          (b) a member;
1459          (c) a guest;
1460          (d) an attendee of a banquet or event;
1461          (e) an individual who receives room service;
1462          (f) a resident of a resort; or
1463          (g) a hospitality guest, as defined in Section 32B-6-1002, under a hospitality amenity
1464     license.
1465          (87) (a) "Performing arts facility" means a multi-use performance space that:
1466          (i) is primarily used to present various types of performing arts, including dance,
1467     music, and theater;
1468          (ii) contains over 2,500 seats;
1469          (iii) is owned and operated by a governmental entity; and
1470          (iv) is located in a city of the first class.
1471          (b) "Performing arts facility" does not include a space that is used to present sporting
1472     events or sporting competitions.
1473          (88) "Permittee" means a person issued a permit under:
1474          (a) Chapter 9, Event Permit Act; or
1475          (b) Chapter 10, Special Use Permit Act.
1476          (89) "Person subject to administrative action" means:
1477          (a) a licensee;
1478          (b) a permittee;
1479          (c) a manufacturer;
1480          (d) a supplier;
1481          (e) an importer;
1482          (f) one of the following holding a certificate of approval:
1483          (i) an out-of-state brewer;
1484          (ii) an out-of-state importer of beer, heavy beer, or flavored malt beverages; or

1485          (iii) an out-of-state supplier of beer, heavy beer, or flavored malt beverages; or
1486          (g) staff of:
1487          (i) a person listed in Subsections (89)(a) through (f); or
1488          (ii) a package agent.
1489          (90) "Premises" means a building, enclosure, or room used in connection with the
1490     storage, sale, furnishing, consumption, manufacture, or distribution, of an alcoholic product,
1491     unless otherwise defined in this title or rules made by the commission.
1492          (91) "Prescription" means an order issued by a health care practitioner when:
1493          (a) the health care practitioner is licensed under Title 58, Occupations and Professions,
1494     to prescribe a controlled substance, other drug, or device for medicinal purposes;
1495          (b) the order is made in the course of that health care practitioner's professional
1496     practice; and
1497          (c) the order is made for obtaining an alcoholic product for medicinal purposes only.
1498          (92) (a) "Primary spirituous liquor" means the main distilled spirit in a beverage.
1499          (b) "Primary spirituous liquor" does not include a secondary flavoring ingredient.
1500          (93) "Principal license" means:
1501          (a) a resort license;
1502          (b) a hotel license; or
1503          (c) an arena license.
1504          (94) (a) "Private event" means a specific social, business, or recreational event:
1505          (i) for which an entire room, area, or hall is leased or rented in advance by an identified
1506     group; and
1507          (ii) that is limited in attendance to people who are specifically designated and their
1508     guests.
1509          (b) "Private event" does not include an event to which the general public is invited,
1510     whether for an admission fee or not.
1511          (95) "Privately sponsored event" means a specific social, business, or recreational
1512     event:
1513          (a) that is held in or on the premises of an on-premise banquet licensee; and
1514          (b) to which entry is restricted by an admission fee.
1515          (96) (a) "Proof of age" means:

1516          (i) an identification card;
1517          (ii) an identification that:
1518          (A) is substantially similar to an identification card;
1519          (B) is issued in accordance with the laws of a state other than Utah in which the
1520     identification is issued;
1521          (C) includes date of birth; and
1522          (D) has a picture affixed;
1523          (iii) a valid driver license certificate that:
1524          (A) includes date of birth;
1525          (B) has a picture affixed; and
1526          (C) is issued:
1527          (I) under Title 53, Chapter 3, Uniform Driver License Act;
1528          (II) in accordance with the laws of the state in which it is issued; or
1529          (III) in accordance with federal law by the United States Department of State;
1530          (iv) a military identification card that:
1531          (A) includes date of birth; and
1532          (B) has a picture affixed; or
1533          (v) a valid passport.
1534          (b) "Proof of age" does not include a driving privilege card issued in accordance with
1535     Section 53-3-207.
1536          (97) "Provisions applicable to a sublicense" means:
1537          (a) for a full-service restaurant sublicense, the provisions applicable to a full-service
1538     restaurant license under Chapter 6, Part 2, Full-Service Restaurant License;
1539          (b) for a limited-service restaurant sublicense, the provisions applicable to a
1540     limited-service restaurant license under Chapter 6, Part 3, Limited-Service Restaurant License;
1541          (c) for a bar establishment sublicense, the provisions applicable to a bar establishment
1542     license under Chapter 6, Part 4, Bar Establishment License;
1543          (d) for an on-premise banquet sublicense, the provisions applicable to an on-premise
1544     banquet license under Chapter 6, Part 6, On-Premise Banquet License;
1545          (e) for an on-premise beer retailer sublicense, the provisions applicable to an
1546     on-premise beer retailer license under Chapter 6, Part 7, On-Premise Beer Retailer License;

1547          (f) for a beer-only restaurant sublicense, the provisions applicable to a beer-only
1548     restaurant license under Chapter 6, Part 9, Beer-Only Restaurant License;
1549          (g) for a hospitality amenity license, the provisions applicable to a hospitality amenity
1550     license under Chapter 6, Part 10, Hospitality Amenity License; and
1551          (h) for a spa sublicense, the provisions applicable to the sublicense under Chapter 8d,
1552     Part 2, Spa Sublicense.
1553          (98) (a) "Public building" means a building or permanent structure that is:
1554          (i) owned or leased by:
1555          (A) the state; or
1556          (B) a local government entity; and
1557          (ii) used for:
1558          (A) public education;
1559          (B) transacting public business; or
1560          (C) regularly conducting government activities.
1561          (b) "Public building" does not include a building owned by the state or a local
1562     government entity when the building is used by a person, in whole or in part, for a proprietary
1563     function.
1564          (99) "Public conveyance" means a conveyance that the public or a portion of the public
1565     has access to and a right to use for transportation, including an airline, railroad, bus, boat, or
1566     other public conveyance.
1567          (100) "Reception center" means a business that:
1568          (a) operates facilities that are at least 5,000 square feet; and
1569          (b) has as its primary purpose the leasing of the facilities described in Subsection
1570     (100)(a) to a third party for the third party's event.
1571          (101) "Reception center license" means a license issued in accordance with Chapter 5,
1572     Retail License Act, and Chapter 6, Part 8, Reception Center License.
1573          (102) (a) "Record" means information that is:
1574          (i) inscribed on a tangible medium; or
1575          (ii) stored in an electronic or other medium and is retrievable in a perceivable form.
1576          (b) "Record" includes:
1577          (i) a book;

1578          (ii) a book of account;
1579          (iii) a paper;
1580          (iv) a contract;
1581          (v) an agreement;
1582          (vi) a document; or
1583          (vii) a recording in any medium.
1584          (103) "Residence" means a person's principal place of abode within Utah.
1585          (104) "Resident," in relation to a resort, means the same as that term is defined in
1586     Section 32B-8-102.
1587          (105) "Resort" means the same as that term is defined in Section 32B-8-102.
1588          (106) "Resort facility" is as defined by the commission by rule.
1589          (107) "Resort license" means a license issued in accordance with Chapter 5, Retail
1590     License Act, and Chapter 8, Resort License Act.
1591          (108) "Responsible alcohol service plan" means a written set of policies and
1592     procedures that outlines measures to prevent employees from:
1593          (a) over-serving alcoholic beverages to customers;
1594          (b) serving alcoholic beverages to customers who are actually, apparently, or obviously
1595     intoxicated; and
1596          (c) serving alcoholic beverages to minors.
1597          (109) "Restaurant" means a business location:
1598          (a) at which a variety of foods are prepared;
1599          (b) at which complete meals are served; and
1600          (c) that is engaged primarily in serving meals.
1601          (110) "Restaurant license" means one of the following licenses issued under this title:
1602          (a) a full-service restaurant license;
1603          (b) a limited-service restaurant license; or
1604          (c) a beer-only restaurant license.
1605          (111) "Retail license" means one of the following licenses issued under this title:
1606          (a) a full-service restaurant license;
1607          (b) a master full-service restaurant license;
1608          (c) a limited-service restaurant license;

1609          (d) a master limited-service restaurant license;
1610          (e) a bar establishment license;
1611          (f) an airport lounge license;
1612          (g) an on-premise banquet license;
1613          (h) an on-premise beer license;
1614          (i) a reception center license;
1615          (j) a beer-only restaurant license;
1616          (k) a hospitality amenity license;
1617          (l) a resort license;
1618          (m) a hotel license; or
1619          (n) an arena license.
1620          (112) "Room service" means furnishing an alcoholic product to a person in a guest
1621     room or privately owned dwelling unit of a:
1622          (a) hotel; or
1623          (b) resort facility.
1624          (113) (a) "School" means a building in which any part is used for more than three
1625     hours each weekday during a school year as a public or private:
1626          (i) elementary school;
1627          (ii) secondary school; or
1628          (iii) kindergarten.
1629          (b) "School" does not include:
1630          (i) a nursery school;
1631          (ii) a day care center;
1632          (iii) a trade and technical school;
1633          (iv) a preschool; or
1634          (v) a home school.
1635          (114) "Secondary flavoring ingredient" means any spirituous liquor added to a
1636     beverage for additional flavoring that is different in type, flavor, or brand from the primary
1637     spirituous liquor in the beverage.
1638          (115) "Sell" or "offer for sale" means a transaction, exchange, or barter whereby, for
1639     consideration, an alcoholic product is either directly or indirectly transferred, solicited, ordered,

1640     delivered for value, or by a means or under a pretext is promised or obtained, whether done by
1641     a person as a principal, proprietor, or as staff, unless otherwise defined in this title or the rules
1642     made by the commission.
1643          (116) "Serve" means to place an alcoholic product before an individual.
1644          (117) "Sexually oriented entertainer" means a person who while in a state of
1645     seminudity appears at or performs:
1646          (a) for the entertainment of one or more patrons;
1647          (b) on the premises of:
1648          (i) a bar licensee; or
1649          (ii) a tavern;
1650          (c) on behalf of or at the request of the licensee described in Subsection (117)(b);
1651          (d) on a contractual or voluntary basis; and
1652          (e) whether or not the person is designated as:
1653          (i) an employee;
1654          (ii) an independent contractor;
1655          (iii) an agent of the licensee; or
1656          (iv) a different type of classification.
1657          (118) "Shared seating area" means the licensed premises of two or more restaurant
1658     licensees that the restaurant licensees share as an area for alcoholic beverage consumption in
1659     accordance with Subsection 32B-5-207(3).
1660          (119) "Single event permit" means a permit issued in accordance with Chapter 9, Part
1661     3, Single Event Permit.
1662          (120) "Small brewer" means a brewer who manufactures less than 60,000 barrels of
1663     beer, heavy beer, and flavored malt beverage per year, as the department calculates by:
1664          (a) if the brewer is part of a controlled group of manufacturers, including the combined
1665     volume totals of production for all breweries that constitute the controlled group of
1666     manufacturers; and
1667          (b) excluding beer, heavy beer, or flavored malt beverage the brewer:
1668          (i) manufactures that is unfit for consumption as, or in, a beverage, as the commission
1669     determines by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
1670     Rulemaking Act; and

1671          (ii) does not sell for consumption as, or in, a beverage.
1672          (121) "Small or unincorporated locality" means:
1673          (a) a city of the third, fourth, or fifth class, as classified under Section 10-2-301;
1674          (b) a town, as classified under Section 10-2-301; or
1675          (c) an unincorporated area in a county of the third, fourth, or fifth class, as classified
1676     under Section 17-50-501.
1677          (122) "Spa sublicense" means a sublicense:
1678          (a) to a resort license or hotel license; and
1679          (b) that the commission issues in accordance with Chapter 8d, Part 2, Spa Sublicense.
1680          (123) "Special use permit" means a permit issued in accordance with Chapter 10,
1681     Special Use Permit Act.
1682          (124) (a) "Spirituous liquor" means liquor that is distilled.
1683          (b) "Spirituous liquor" includes an alcoholic product defined as a "distilled spirit" by
1684     27 U.S.C. Sec. 211 and 27 C.F.R. Sec. 5.11 through 5.23.
1685          (125) "Sports center" is as defined by the commission by rule.
1686          (126) (a) "Staff" means an individual who engages in activity governed by this title:
1687          (i) on behalf of a business, including a package agent, licensee, permittee, or certificate
1688     holder;
1689          (ii) at the request of the business, including a package agent, licensee, permittee, or
1690     certificate holder; or
1691          (iii) under the authority of the business, including a package agent, licensee, permittee,
1692     or certificate holder.
1693          (b) "Staff" includes:
1694          (i) an officer;
1695          (ii) a director;
1696          (iii) an employee;
1697          (iv) personnel management;
1698          (v) an agent of the licensee, including a managing agent;
1699          (vi) an operator; or
1700          (vii) a representative.
1701          (127) "State of nudity" means:

1702          (a) the appearance of:
1703          (i) the nipple or areola of a female human breast;
1704          (ii) a human genital;
1705          (iii) a human pubic area; or
1706          (iv) a human anus; or
1707          (b) a state of dress that fails to opaquely cover:
1708          (i) the nipple or areola of a female human breast;
1709          (ii) a human genital;
1710          (iii) a human pubic area; or
1711          (iv) a human anus.
1712          (128) "State of seminudity" means a state of dress in which opaque clothing covers no
1713     more than:
1714          (a) the nipple and areola of the female human breast in a shape and color other than the
1715     natural shape and color of the nipple and areola; and
1716          (b) the human genitals, pubic area, and anus:
1717          (i) with no less than the following at its widest point:
1718          (A) four inches coverage width in the front of the human body; and
1719          (B) five inches coverage width in the back of the human body; and
1720          (ii) with coverage that does not taper to less than one inch wide at the narrowest point.
1721          (129) (a) "State store" means a facility for the sale of packaged liquor:
1722          (i) located on premises owned or leased by the state; and
1723          (ii) operated by a state employee.
1724          (b) "State store" does not include:
1725          (i) a package agency;
1726          (ii) a licensee; or
1727          (iii) a permittee.
1728          (130) (a) "Storage area" means an area on licensed premises where the licensee stores
1729     an alcoholic product.
1730          (b) "Store" means to place or maintain in a location an alcoholic product.
1731          (131) "Sublicense" means:
1732          (a) any of the following licenses issued as a subordinate license to, and contingent on

1733     the issuance of, a principal license:
1734          (i) a full-service restaurant license;
1735          (ii) a limited-service restaurant license;
1736          (iii) a bar establishment license;
1737          (iv) an on-premise banquet license;
1738          (v) an on-premise beer retailer license;
1739          (vi) a beer-only restaurant license; or
1740          (vii) a hospitality amenity license; or
1741          (b) a spa sublicense.
1742          (132) "Supplier" means a person who sells an alcoholic product to the department.
1743          (133) "Tavern" means an on-premise beer retailer who is:
1744          (a) issued a license by the commission in accordance with Chapter 5, Retail License
1745     Act, and Chapter 6, Part 7, On-Premise Beer Retailer License; and
1746          (b) designated by the commission as a tavern in accordance with Chapter 6, Part 7,
1747     On-Premise Beer Retailer License.
1748          (134) "Temporary beer event permit" means a permit issued in accordance with
1749     Chapter 9, Part 4, Temporary Beer Event Permit.
1750          (135) "Temporary domicile" means the principal place of abode within Utah of a
1751     person who does not have a present intention to continue residency within Utah permanently or
1752     indefinitely.
1753          (136) "Translucent" means a substance that allows light to pass through, but does not
1754     allow an object or person to be seen through the substance.
1755          (137) "Unsaleable liquor merchandise" means a container that:
1756          (a) is unsaleable because the container is:
1757          (i) unlabeled;
1758          (ii) leaky;
1759          (iii) damaged;
1760          (iv) difficult to open; or
1761          (v) partly filled;
1762          (b) (i) has faded labels or defective caps or corks;
1763          (ii) has contents that are:

1764          (A) cloudy;
1765          (B) spoiled; or
1766          (C) chemically determined to be impure; or
1767          (iii) contains:
1768          (A) sediment; or
1769          (B) a foreign substance; or
1770          (c) is otherwise considered by the department as unfit for sale.
1771          (138) (a) "Wine" means an alcoholic product obtained by the fermentation of the
1772     natural sugar content of fruits, plants, honey, or milk, or other like substance, whether or not
1773     another ingredient is added.
1774          (b) "Wine" includes:
1775          (i) an alcoholic beverage defined as wine under 27 U.S.C. Sec. 211 and 27 C.F.R. Sec.
1776     4.10; and
1777          (ii) hard cider.
1778          (c) "Wine" is considered liquor for purposes of this title, except as otherwise provided
1779     in this title.
1780          (139) "Winery manufacturing license" means a license issued in accordance with
1781     Chapter 11, Part 3, Winery Manufacturing License.
1782          Section 18. Section 32B-1-703 is amended to read:
1783          32B-1-703. Alcohol training and education for off-premise consumption.
1784          (1) (a) A local authority that issues an off-premise beer retailer license to a business to
1785     sell beer at retail for off-premise consumption shall require the following to have a valid record
1786     that the individual completed an alcohol training and education seminar in the time periods
1787     required by Subsection (1)(b):
1788          (i) an off-premise retail manager; or
1789          (ii) off-premise retail staff.
1790          (b) If an individual on the date the individual becomes staff to an off-premise beer
1791     retailer does not have a valid record that the individual has completed an alcohol training and
1792     education seminar for purposes of this part, the individual shall complete an alcohol training
1793     and education seminar within 30 days of the day on which the individual becomes staff of an
1794     off-premise beer retailer.

1795          (c) Section [62A-15-401] 26B-5-205 governs the validity of a record that an individual
1796     has completed an alcohol training and education seminar required by this part.
1797          (2) In accordance with Section 32B-1-702, a local authority may immediately suspend
1798     the license of an off-premise beer retailer that allows an individual to work as an off-premise
1799     retail manager without having a valid record that the individual completed an alcohol training
1800     and education seminar in accordance with Subsection (1).
1801          Section 19. Section 32B-2-208 is amended to read:
1802          32B-2-208. Services of State Health Laboratory.
1803          The State Health Laboratory shall make its services available to the department when
1804     necessary. The department shall pay for the services from the Liquor Control Fund to the
1805     Department of Health and Human Services.
1806          Section 20. Section 32B-10-702 is amended to read:
1807          32B-10-702. Definitions.
1808          As used in this part, "health care facility" means a facility that is licensed by the
1809     Department of Health and Human Services under [Title 26, Chapter 21, Health Care Facility
1810     Licensing and Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and
1811     Inspection.
1812          Section 21. Section 34-55-102 is amended to read:
1813          34-55-102. Definitions.
1814          (1) "Emergency" means a condition in any part of this state that requires state
1815     government emergency assistance to supplement the local efforts of the affected political
1816     subdivision to save lives and to protect property, public health, welfare, or safety in the event
1817     of a disaster, or to avoid or reduce the threat of a disaster.
1818          (2) "Emergency services volunteer" means:
1819          (a) a volunteer firefighter as defined in Section 49-16-102;
1820          (b) an individual licensed under Section [26-8a-302] 26B-4-116; or
1821          (c) an individual mobilized as part of a posse comitatus.
1822          (3) "Employer" means a person, including the state or a political subdivision of the
1823     state, that has one or more workers employed in the same business, or in or about the same
1824     establishment, under any contract of hire, express or implied, oral or written.
1825          (4) "Public safety agency" means a governmental entity that provides fire protection,

1826     law enforcement, ambulance, medical, or other emergency services.
1827          Section 22. Section 34A-2-102 is amended to read:
1828          34A-2-102. Definition of terms.
1829          (1) As used in this chapter:
1830          (a) "Average weekly wages" means the average weekly wages as determined under
1831     Section 34A-2-409.
1832          (b) "Award" means a final order of the commission as to the amount of compensation
1833     due:
1834          (i) an injured employee; or
1835          (ii) a dependent of a deceased employee.
1836          (c) "Compensation" means the payments and benefits provided for in this chapter or
1837     Chapter 3, Utah Occupational Disease Act.
1838          (d) (i) "Decision" means a ruling of:
1839          (A) an administrative law judge; or
1840          (B) in accordance with Section 34A-2-801:
1841          (I) the commissioner; or
1842          (II) the Appeals Board.
1843          (ii) "Decision" includes:
1844          (A) an award or denial of a medical, disability, death, or other related benefit under this
1845     chapter or Chapter 3, Utah Occupational Disease Act; or
1846          (B) another adjudicative ruling in accordance with this chapter or Chapter 3, Utah
1847     Occupational Disease Act.
1848          (e) "Director" means the director of the division, unless the context requires otherwise.
1849          (f) "Disability" means an administrative determination that may result in an entitlement
1850     to compensation as a consequence of becoming medically impaired as to function. Disability
1851     can be total or partial, temporary or permanent, industrial or nonindustrial.
1852          (g) "Division" means the Division of Industrial Accidents.
1853          (h) "First responder" means:
1854          (i) a law enforcement officer, as defined in Section 53-13-103;
1855          (ii) an emergency medical technician, as defined in Section [26-8c-102] 26B-4-137;
1856          (iii) an advanced emergency medical technician, as defined in Section [26-8c-102]

1857     26B-4-137;
1858          (iv) a paramedic, as defined in Section [26-8c-102] 26B-4-137;
1859          (v) a firefighter, as defined in Section 34A-3-113;
1860          (vi) a dispatcher, as defined in Section 53-6-102; or
1861          (vii) a correctional officer, as defined in Section 53-13-104.
1862          (i) "Impairment" is a purely medical condition reflecting an anatomical or functional
1863     abnormality or loss. Impairment may be either temporary or permanent, industrial or
1864     nonindustrial.
1865          (j) "Order" means an action of the commission that determines the legal rights, duties,
1866     privileges, immunities, or other interests of one or more specific persons, but not a class of
1867     persons.
1868          (k) (i) "Personal injury by accident arising out of and in the course of employment"
1869     includes an injury caused by the willful act of a third person directed against an employee
1870     because of the employee's employment.
1871          (ii) "Personal injury by accident arising out of and in the course of employment" does
1872     not include a disease, except as the disease results from the injury.
1873          (l) "Safe" and "safety," as applied to employment or a place of employment, means the
1874     freedom from danger to the life or health of employees reasonably permitted by the nature of
1875     the employment.
1876          (2) As used in this chapter and Chapter 3, Utah Occupational Disease Act:
1877          (a) "Brother or sister" includes a half brother or sister.
1878          (b) "Child" includes:
1879          (i) a posthumous child; or
1880          (ii) a child legally adopted prior to an injury.
1881          Section 23. Section 34A-2-111 is amended to read:
1882          34A-2-111. Managed health care programs -- Other safety programs.
1883          (1) As used in this section:
1884          (a) (i) "Health care provider" means a person who furnishes treatment or care to
1885     persons who have suffered bodily injury.
1886          (ii) "Health care provider" includes:
1887          (A) a hospital;

1888          (B) a clinic;
1889          (C) an emergency care center;
1890          (D) a physician;
1891          (E) a nurse;
1892          (F) a nurse practitioner;
1893          (G) a physician's assistant;
1894          (H) a paramedic; or
1895          (I) an emergency medical technician.
1896          (b) "Physician" means any health care provider licensed under:
1897          (i) Title 58, Chapter 5a, Podiatric Physician Licensing Act;
1898          (ii) Title 58, Chapter 24b, Physical Therapy Practice Act;
1899          (iii) Title 58, Chapter 67, Utah Medical Practice Act;
1900          (iv) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
1901          (v) Title 58, Chapter 69, Dentist and Dental Hygienist Practice Act;
1902          (vi) Title 58, Chapter 70a, Utah Physician Assistant Act;
1903          (vii) Title 58, Chapter 71, Naturopathic Physician Practice Act;
1904          (viii) Title 58, Chapter 72, Acupuncture Licensing Act;
1905          (ix) Title 58, Chapter 73, Chiropractic Physician Practice Act; and
1906          (x) Title 58, Chapter 31b, Nurse Practice Act, as an advanced practice registered nurse.
1907          (c) "Preferred health care facility" means a facility:
1908          (i) that is a health care facility as defined in Section [26-21-2] 26B-2-201; and
1909          (ii) designated under a managed health care program.
1910          (d) "Preferred provider physician" means a physician designated under a managed
1911     health care program.
1912          (e) "Self-insured employer" is as defined in Section 34A-2-201.5.
1913          (2) (a) A self-insured employer and insurance carrier may adopt a managed health care
1914     program to provide employees the benefits of this chapter or Chapter 3, Utah Occupational
1915     Disease Act, beginning January 1, 1993. The plan shall comply with this Subsection (2).
1916          (b) (i) A preferred provider program may be developed if the preferred provider
1917     program allows a selection by the employee of more than one physician in the health care
1918     specialty required for treating the specific problem of an industrial patient.

1919          (ii) (A) Subject to the requirements of this section, if a preferred provider program is
1920     developed by an insurance carrier or self-insured employer, an employee is required to use:
1921          (I) preferred provider physicians; and
1922          (II) preferred health care facilities.
1923          (B) If a preferred provider program is not developed, an employee may have free
1924     choice of health care providers.
1925          (iii) The failure to do the following may, if the employee has been notified of the
1926     preferred provider program, result in the employee being obligated for any charges in excess of
1927     the preferred provider allowances:
1928          (A) use a preferred health care facility; or
1929          (B) initially receive treatment from a preferred provider physician.
1930          (iv) Notwithstanding the requirements of Subsections (2)(b)(i) through (iii), a
1931     self-insured employer or other employer may:
1932          (A) (I) (Aa) have its own health care facility on or near its worksite or premises; and
1933          (Bb) continue to contract with other health care providers; or
1934          (II) operate a health care facility; and
1935          (B) require employees to first seek treatment at the provided health care or contracted
1936     facility.
1937          (v) An employee subject to a preferred provider program or employed by an employer
1938     having its own health care facility may procure the services of any qualified health care
1939     provider:
1940          (A) for emergency treatment, if a physician employed in the preferred provider
1941     program or at the health care facility is not available for any reason;
1942          (B) for conditions the employee in good faith believes are nonindustrial; or
1943          (C) when an employee living in a rural area would be unduly burdened by traveling to:
1944          (I) a preferred provider physician; or
1945          (II) a preferred health care facility.
1946          (c) (i) (A) An employer, insurance carrier, or self-insured employer may enter into
1947     contracts with the following for the purposes listed in Subsection (2)(c)(i)(B):
1948          (I) health care providers;
1949          (II) medical review organizations; or

1950          (III) vendors of medical goods, services, and supplies including medicines.
1951          (B) A contract described in Subsection (2)(c)(i)(A) may be made for the following
1952     purposes:
1953          (I) insurance carriers or self-insured employers may form groups in contracting for
1954     managed health care services with health care providers;
1955          (II) peer review;
1956          (III) methods of utilization review;
1957          (IV) use of case management;
1958          (V) bill audit;
1959          (VI) discounted purchasing; and
1960          (VII) the establishment of a reasonable health care treatment protocol program
1961     including the implementation of medical treatment and quality care guidelines that are:
1962          (Aa) scientifically based;
1963          (Bb) peer reviewed; and
1964          (Cc) consistent with standards for health care treatment protocol programs that the
1965     commission shall establish by rules made in accordance with Title 63G, Chapter 3, Utah
1966     Administrative Rulemaking Act, including the authority of the commission to approve a health
1967     care treatment protocol program before it is used or disapprove a health care treatment protocol
1968     program that does not comply with this Subsection (2)(c)(i)(B)(VII).
1969          (ii) An insurance carrier may make any or all of the factors in Subsection (2)(c)(i) a
1970     condition of insuring an entity in its insurance contract.
1971          (3) (a) In addition to a managed health care program, an insurance carrier may require
1972     an employer to establish a work place safety program if the employer:
1973          (i) has an experience modification factor of 1.00 or higher, as determined by the
1974     National Council on Compensation Insurance; or
1975          (ii) is determined by the insurance carrier to have a three-year loss ratio of 100% or
1976     higher.
1977          (b) A workplace safety program may include:
1978          (i) a written workplace accident and injury reduction program that:
1979          (A) promotes safe and healthful working conditions; and
1980          (B) is based on clearly stated goals and objectives for meeting those goals; and

1981          (ii) a documented review of the workplace accident and injury reduction program each
1982     calendar year delineating how procedures set forth in the program are met.
1983          (c) A written workplace accident and injury reduction program permitted under
1984     Subsection (3)(b)(i) should describe:
1985          (i) how managers, supervisors, and employees are responsible for implementing the
1986     program;
1987          (ii) how continued participation of management will be established, measured, and
1988     maintained;
1989          (iii) the methods used to identify, analyze, and control new or existing hazards,
1990     conditions, and operations;
1991          (iv) how the program will be communicated to all employees so that the employees are
1992     informed of work-related hazards and controls;
1993          (v) how workplace accidents will be investigated and corrective action implemented;
1994     and
1995          (vi) how safe work practices and rules will be enforced.
1996          (d) For the purposes of a workplace accident and injury reduction program of an
1997     eligible employer described in Subsection 34A-2-103(7)(f), the workplace accident and injury
1998     reduction program shall:
1999          (i) include the provisions described in Subsections (3)(b) and (c), except that the
2000     employer shall conduct a documented review of the workplace accident and injury reduction
2001     program at least semiannually delineating how procedures set forth in the workplace accident
2002     and injury reduction program are met; and
2003          (ii) require a written agreement between the employer and all contractors and
2004     subcontractors on a project that states that:
2005          (A) the employer has the right to control the manner or method by which the work is
2006     executed;
2007          (B) if a contractor, subcontractor, or any employee of a contractor or subcontractor
2008     violates the workplace accident and injury reduction program, the employer maintains the right
2009     to:
2010          (I) terminate the contract with the contractor or subcontractor;
2011          (II) remove the contractor or subcontractor from the work site; or

2012          (III) require that the contractor or subcontractor not permit an employee that violates
2013     the workplace accident and injury reduction program to work on the project for which the
2014     employer is procuring work; and
2015          (C) the contractor or subcontractor shall provide safe and appropriate equipment
2016     subject to the right of the employer to:
2017          (I) inspect on a regular basis the equipment of a contractor or subcontractor; and
2018          (II) require that the contractor or subcontractor repair, replace, or remove equipment
2019     the employer determines not to be safe or appropriate.
2020          (4) The premiums charged to any employer who fails or refuses to establish a
2021     workplace safety program pursuant to Subsection (3)(b)(i) or (ii) may be increased by 5% over
2022     any existing current rates and premium modifications charged that employer.
2023          Section 24. Section 34A-2-417 is amended to read:
2024          34A-2-417. Claims and benefits -- Time limits for filing -- Burden of proof.
2025          (1) (a) Except with respect to prosthetic devices or in a permanent total disability case,
2026     an employee is entitled to be compensated for a medical expense if:
2027          (i) the medical expense is:
2028          (A) reasonable in amount; and
2029          (B) necessary to treat the industrial accident; and
2030          (ii) the employee submits or makes a reasonable attempt to submit the medical
2031     expense:
2032          (A) to the employee's employer or insurance carrier for payment; and
2033          (B) within one year from the later of:
2034          (I) the day on which the medical expense is incurred; or
2035          (II) the day on which the employee knows or in the exercise of reasonable diligence
2036     should have known that the medical expense is related to the industrial accident.
2037          (b) For an industrial accident that occurs on or after July 1, 1988, and is the basis of a
2038     claim for a medical expense, an employee is entitled to be compensated for the medical
2039     expense if the employee meets the requirements of Subsection (1)(a).
2040          (2) (a) A claim described in Subsection (2)(b) is barred, unless the employee:
2041          (i) files an application for hearing with the Division of Adjudication no later than six
2042     years from the date of the accident; and

2043          (ii) by no later than 12 years from the date of the accident, is able to meet the
2044     employee's burden of proving that the employee is due the compensation claimed under this
2045     chapter.
2046          (b) Subsection (2)(a) applies to a claim for compensation for:
2047          (i) temporary total disability benefits;
2048          (ii) temporary partial disability benefits;
2049          (iii) permanent partial disability benefits; or
2050          (iv) permanent total disability benefits.
2051          (c) The commission may enter an order awarding or denying an employee's claim for
2052     compensation under this chapter within a reasonable time period beyond 12 years from the date
2053     of the accident, if:
2054          (i) the employee complies with Subsection (2)(a); and
2055          (ii) 12 years from the date of the accident:
2056          (A) (I) the employee is fully cooperating in a commission approved reemployment
2057     plan; and
2058          (II) the results of that commission approved reemployment plan are not known; or
2059          (B) the employee is actively adjudicating issues of compensability before the
2060     commission.
2061          (3) A claim for death benefits is barred unless an application for hearing is filed within
2062     one year of the date of death of the employee.
2063          (4) (a) (i) Subject to Subsections (2)(c) and (4)(b), after an employee files an
2064     application for hearing within six years from the date of the accident, the Division of
2065     Adjudication may enter an order to show cause why the employee's claim should not be
2066     dismissed because the employee has failed to meet the employee's burden of proof to establish
2067     an entitlement to compensation claimed in the application for hearing.
2068          (ii) The order described in Subsection (4)(a)(i) may be entered on the motion of the:
2069          (A) Division of Adjudication;
2070          (B) employee's employer; or
2071          (C) employer's insurance carrier.
2072          (b) Under Subsection (4)(a), the Division of Adjudication may dismiss a claim:
2073          (i) without prejudice; or

2074          (ii) with prejudice only if:
2075          (A) the Division of Adjudication adjudicates the merits of the employee's entitlement
2076     to the compensation claimed in the application for hearing; or
2077          (B) the employee fails to comply with Subsection (2)(a)(ii).
2078          (c) If a claim is dismissed without prejudice under Subsection (4)(b), the employee is
2079     subject to the time limits under Subsection (2)(a) to claim compensation under this chapter.
2080          (5) A claim for compensation under this chapter is subject to a claim or lien for
2081     recovery under Section [26-19-401] 26B-3-1009.
2082          Section 25. Section 34A-2-418 is amended to read:
2083          34A-2-418. Awards -- Medical, nursing, hospital, and burial expenses -- Artificial
2084     means and appliances.
2085          (1) In addition to the compensation provided in this chapter or Chapter 3, Utah
2086     Occupational Disease Act, and subject to Subsection 34A-2-407(11), the employer or the
2087     insurance carrier shall pay reasonable sums for medical, nurse, and hospital services, for
2088     medicines, and for artificial means, appliances, and prostheses necessary to treat the injured
2089     employee.
2090          (2) The employer and the insurance carrier are not required to pay or reimburse for
2091     cannabis, a cannabis product, or a medical cannabis device, as those terms are defined in
2092     Section [26-61a-102] 26B-4-201.
2093          (3) If death results from the injury, the employer or the insurance carrier shall pay the
2094     burial expenses in ordinary cases as established by rule.
2095          (4) If a compensable accident results in the breaking of or loss of an employee's
2096     artificial means or appliance including eyeglasses, the employer or insurance carrier shall
2097     provide a replacement of the artificial means or appliance.
2098          (5) An administrative law judge may require the employer or insurance carrier to
2099     maintain the artificial means or appliances or provide the employee with a replacement of any
2100     artificial means or appliance for the reason of breakage, wear and tear, deterioration, or
2101     obsolescence.
2102          (6) An administrative law judge may, in unusual cases, order, as the administrative law
2103     judge considers just and proper, the payment of additional sums:
2104          (a) for burial expenses; or

2105          (b) to provide for artificial means or appliances.
2106          Section 26. Section 34A-2-422 is amended to read:
2107          34A-2-422. Compensation exempt from execution -- Transfer of payment rights.
2108          (1) For purposes of this section:
2109          (a) "Payment rights under workers' compensation" means the right to receive
2110     compensation under this chapter or Chapter 3, Utah Occupational Disease Act, including the
2111     payment of a workers' compensation claim, award, benefit, or settlement.
2112          (b) (i) Subject to Subsection (1)(b)(ii), "transfer" means:
2113          (A) a sale;
2114          (B) an assignment;
2115          (C) a pledge;
2116          (D) an hypothecation; or
2117          (E) other form of encumbrance or alienation for consideration.
2118          (ii) "Transfer" does not include the creation or perfection of a security interest in a right
2119     to receive a payment under a blanket security agreement entered into with an insured
2120     depository institution, in the absence of any action to:
2121          (A) redirect the payments to:
2122          (I) the insured depository institution; or
2123          (II) an agent or successor in interest to the insured depository institution; or
2124          (B) otherwise enforce a blanket security interest against the payment rights.
2125          (2) Compensation before payment:
2126          (a) is exempt from:
2127          (i) all claims of creditors; and
2128          (ii) attachment or execution; and
2129          (b) shall be paid only to employees or their dependents, except as provided in Sections
2130     [26-19-401] 26B-3-1009 and 34A-2-417.
2131          (3) (a) Subject to Subsection (3)(b), beginning April 30, 2007, a person may not:
2132          (i) transfer payment rights under workers' compensation; or
2133          (ii) accept or take any action to provide for a transfer of payment rights under workers'
2134     compensation.
2135          (b) A person may take an action prohibited under Subsection (3)(a) if the commission

2136     approves the transfer of payment rights under workers' compensation:
2137          (i) before the transfer of payment rights under workers' compensation takes effect; and
2138          (ii) upon a determination by the commission that:
2139          (A) the person transferring the payment rights under workers' compensation received
2140     before executing an agreement to transfer those payment rights:
2141          (I) adequate notice that the transaction involving the transfer of payment rights under
2142     workers' compensation involves the transfer of those payment rights; and
2143          (II) an explanation of the financial consequences of and alternatives to the transfer of
2144     payment rights under workers' compensation in sufficient detail that the person transferring the
2145     payment rights under workers' compensation made an informed decision to transfer those
2146     payment rights; and
2147          (B) the transfer of payment rights under workers' compensation is in the best interest of
2148     the person transferring the payment rights under workers' compensation taking into account the
2149     welfare and support of that person's dependents.
2150          (c) The approval by the commission of the transfer of a person's payment rights under
2151     workers' compensation is a full and final resolution of the person's payment rights under
2152     workers' compensation that are transferred:
2153          (i) if the commission approves the transfer of the payment rights under workers'
2154     compensation in accordance with Subsection (3)(b); and
2155          (ii) once the person no longer has a right to appeal the decision in accordance with this
2156     title.
2157          Section 27. Section 34A-3-201 is amended to read:
2158          34A-3-201. Definitions.
2159          (1) As used in this part:
2160          (a) "COVID-19" means the disease caused by severe acute respiratory syndrome
2161     coronavirus 2.
2162          (b) "First responder" means:
2163          (i) a first responder as defined in Section 34A-2-102;
2164          (ii) an individual employed by:
2165          (A) a health care facility as defined in Section [26-21-2] 26B-2-201;
2166          (B) an office of a physician, chiropractor, or dentist;

2167          (C) a nursing home;
2168          (D) a retirement facility;
2169          (E) a home health care provider;
2170          (F) a pharmacy;
2171          (G) a facility that performs laboratory or medical testing on human specimens; or
2172          (H) an entity similar to the entities listed in Subsections (1)(b)(ii)(A) through (G);
2173          (iii) an individual employed by, working with, or working at the direction of a local
2174     health department; or
2175          (iv) a volunteer, as defined in Section 67-20-2, providing services to a local health
2176     department in accordance with Title 67, Chapter 20, Volunteer Government Workers Act.
2177          (c) "Physician" means an individual licensed under:
2178          (i) Title 58, Chapter 67, Utah Medical Practice Act;
2179          (ii) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
2180          (iii) Title 58, Chapter 70a, Utah Physician Assistant Act; or
2181          (iv) Title 58, Chapter 31b, Nurse Practice Act, as an advanced practice registered
2182     nurse.
2183          (d) "Utah minimum wage" means the highest wage designated as Utah's minimum
2184     wage under Title 34, Chapter 40, Utah Minimum Wage Act.
2185          (2) For purposes of this part, an individual is diagnosed with COVID-19 if the
2186     individual:
2187          (a) through laboratory testing of a specimen the individual provides, tests positive for
2188     the virus that causes COVID-19; and
2189          (b) is diagnosed with COVID-19 by a physician.
2190          Section 28. Section 34A-11-102 is amended to read:
2191          34A-11-102. Restrictions on employers.
2192          With respect to matters related to genetic testing and private genetic information, an
2193     employer shall comply with Section 26-45-103 and the other applicable provisions of Title 26,
2194     Chapter 45, Genetic Testing and Procedure Privacy Act.
2195          Section 29. Section 35A-1-102 is amended to read:
2196          35A-1-102. Definitions.
2197          Unless otherwise specified, as used in this title:

2198          (1) "Client" means an individual who the department has determined to be eligible for
2199     services or benefits under:
2200          (a) Chapter 3, Employment Support Act; and
2201          (b) Chapter 5, Training and Workforce Improvement Act.
2202          (2) "Department" means the Department of Workforce Services created in Section
2203     35A-1-103.
2204          (3) "Economic service area" means an economic service area established in accordance
2205     with Chapter 2, Economic Service Areas.
2206          (4) "Employment assistance" means services or benefits provided by the department
2207     under:
2208          (a) Chapter 3, Employment Support Act; and
2209          (b) Chapter 5, Training and Workforce Improvement Act.
2210          (5) "Employment center" is a location in an economic service area where the services
2211     provided by an economic service area under Section 35A-2-201 may be accessed by a client.
2212          (6) "Employment counselor" means an individual responsible for developing an
2213     employment plan and coordinating the services and benefits under this title in accordance with
2214     Chapter 2, Economic Service Areas.
2215          (7) "Employment plan" means a written agreement between the department and a client
2216     that describes:
2217          (a) the relationship between the department and the client;
2218          (b) the obligations of the department and the client; and
2219          (c) the result if an obligation is not fulfilled by the department or the client.
2220          (8) "Executive director" means the executive director of the department appointed
2221     under Section 35A-1-201.
2222          (9) "Government entity" means the state or any county, municipality, local district,
2223     special service district, or other political subdivision or administrative unit of the state, a state
2224     institution of higher education as defined in Section 53B-2-101, or a local education agency as
2225     defined in Section 53G-7-401.
2226          (10) "Public assistance" means:
2227          (a) services or benefits provided under Chapter 3, Employment Support Act;
2228          (b) medical assistance provided under [Title 26, Chapter 18, Medical Assistance Act]

2229     Title 26B, Chapter 3, Health Care - Delivery and Assistance;
2230          (c) foster care maintenance payments provided from the General Fund or under Title
2231     IV-E of the Social Security Act;
2232          (d) SNAP benefits; and
2233          (e) any other public funds expended for the benefit of a person in need of financial,
2234     medical, food, housing, or related assistance.
2235          (11) "SNAP" means the federal "Supplemental Nutrition Assistance Program" under
2236     Title 7, U.S.C. Chapter 51, Supplemental Nutrition Assistance Program, formerly known as the
2237     federal Food Stamp Program.
2238          (12) "SNAP benefit" or "SNAP benefits" means a financial benefit, coupon, or
2239     privilege available under SNAP.
2240          (13) "Stabilization" means addressing the basic living, family care, and social or
2241     psychological needs of the client so that the client may take advantage of training or
2242     employment opportunities provided under this title or through other agencies or institutions.
2243          (14) "Vulnerable populations" means children or adults with a life situation that
2244     substantially affects that individual's ability to:
2245          (a) provide personal protection;
2246          (b) provide necessities such as food, shelter, clothing, or mental or other health care;
2247          (c) obtain services necessary for health, safety, or welfare;
2248          (d) carry out the activities of daily living;
2249          (e) manage the adult's own financial resources; or
2250          (f) comprehend the nature and consequences of remaining in a situation of abuse,
2251     neglect, or exploitation.
2252          Section 30. Section 35A-3-103 is amended to read:
2253          35A-3-103. Department responsibilities.
2254          The department shall:
2255          (1) administer public assistance programs assigned by the Legislature and the
2256     governor;
2257          (2) determine eligibility for public assistance programs in accordance with the
2258     requirements of this chapter;
2259          (3) cooperate with the federal government in the administration of public assistance

2260     programs;
2261          (4) administer state employment services;
2262          (5) provide for the compilation of necessary or desirable information, statistics, and
2263     reports;
2264          (6) perform other duties and functions required by law;
2265          (7) monitor the application of eligibility policy;
2266          (8) develop personnel training programs for effective and efficient operation of the
2267     programs administered by the department;
2268          (9) provide refugee resettlement services in accordance with Section 35A-3-701;
2269          (10) provide child care assistance for children in accordance with Part 2, Office of
2270     Child Care;
2271          (11) provide services that enable an applicant or recipient to qualify for affordable
2272     housing in cooperation with:
2273          (a) the Utah Housing Corporation;
2274          (b) the Housing and Community Development Division; and
2275          (c) local housing authorities;
2276          (12) administer the Medicaid Eligibility Quality Control function in accordance with
2277     42 C.F.R. Sec. 431.812; and
2278          (13) conduct non-clinical eligibility hearings and issue final decisions in adjudicative
2279     proceedings, including expedited appeals as defined in 42 C.F.R. Sec. 431.224, for medical
2280     assistance eligibility under:
2281          (a) [Title 26, Chapter 18, Medical Assistance Act] Title 26B, Chapter 3, Health Care -
2282     Delivery and Assistance; or
2283          (b) [Title 26, Chapter 40, Utah Children's Health Insurance Act] Title 26B, Chapter 3,
2284     Part 9, Utah Children's Health Insurance Program.
2285          Section 31. Section 35A-3-207 is amended to read:
2286          35A-3-207. Community-based prevention programs.
2287          (1) As used in this section:
2288          (a) "political subdivision" means a town, city, county, or school district;
2289          (b) "qualified sponsor" means a:
2290          (i) political subdivision;

2291          (ii) community nonprofit, religious, or charitable organization;
2292          (iii) regional or statewide nonprofit organization; or
2293          (iv) private for profit or nonprofit child care organization with experience and expertise
2294     in operating community-based prevention programs described in Subsection (2) and that are
2295     licensed under [Title 62A, Chapter 2, Licensure of Programs and Facilities] Title 26B, Chapter
2296     2, Part 1, Human Services Programs and Facilities.
2297          (2) Within appropriations from the Legislature, the department may provide grants to
2298     qualified sponsors for community-based prevention programs that:
2299          (a) support parents in their primary care giving role to children;
2300          (b) provide positive alternatives to idleness for school-aged children when school is not
2301     in session; and
2302          (c) support other community-based prevention programs.
2303          (3) In awarding a grant under this section, the department shall:
2304          (a) request proposals for funding from potential qualified sponsors; and
2305          (b) ensure that each dollar of funds from political subdivisions or private funds is
2306     matched for each dollar received from the department.
2307          (4) In meeting the matching requirements under Subsection (3), the department may
2308     consider the value of in-kind contributions, including materials, supplies, paid labor, volunteer
2309     labor, and the incremental increase in building maintenance and operation expenses incurred
2310     attributable to the prevention program.
2311          (5) In awarding a grant under this section, the department shall consider:
2312          (a) the cash portion of the proposed match in relation to the financial resources of the
2313     qualified sponsor; and
2314          (b) the extent to which the qualified sponsor has:
2315          (i) consulted and collaborated with parents of children who are likely to participate,
2316     local parent-teacher organizations, and other parent organizations;
2317          (ii) identified at-risk factors that will be addressed through the proposed prevention
2318     program;
2319          (iii) identified protective factors and developmental assets that will be supported and
2320     strengthened through the proposed prevention program; and
2321          (iv) encouraged the financial support of parents and the organizations described in

2322     Subsection (5)(b)(i).
2323          (6) The department shall award at least 50% of the grants under this section to
2324     organizations described in Subsection (1)(b)(iv).
2325          (7) The department may not allow the use of federal funds as matching funds under
2326     this act.
2327          Section 32. Section 35A-3-212 is amended to read:
2328          35A-3-212. Use of COVID-19 relief funds -- Grants to child care providers --
2329     Reporting requirements.
2330          (1) As used in this section:
2331          (a) "COVID-19 relief funds" means federal funds provided to the office under:
2332          (i) the American Rescue Plan Act, Pub. L. No. 117-2;
2333          (ii) the Coronavirus Aid, Relief, and Economic Security Act, Pub. L. No. 116-136; or
2334          (iii) the Coronavirus Response and Relief Supplemental Appropriations Act, Pub. L.
2335     No. 116-260.
2336          (b) "Eligible child care provider" means:
2337          (i) a child care provider that enters into a contract with an employer to provide child
2338     care for the employer's employees, either on-site or off-site of the employer's place of business;
2339     or
2340          (ii) a regulated residential child care provider.
2341          (c) (i) "Employer" means:
2342          (A) a public employer;
2343          (B) a private employer; or
2344          (C) a cooperative organized for the purpose of providing child care for members'
2345     employees.
2346          (ii) "Employer" includes a local education agency, as defined in Section 53E-1-102.
2347          (d) "Regulated residential child care provider" means a person who holds a license or
2348     certificate from the Department of Health and Human Services to provide residential child care
2349     in accordance with [Title 26, Chapter 39, Utah Child Care Licensing Act] Title 26B, Chapter 2,
2350     Part 4, Child Care Licensing.
2351          (2) (a) Subject to availability of funds and requirements under applicable federal law,
2352     the office shall use COVID-19 relief funds to provide grants to eligible child care providers to

2353     assist in paying start-up costs associated with the provision of child care.
2354          (b) The office shall make rules, in accordance with Title 63G, Chapter 3, Utah
2355     Administrative Rulemaking Act, to establish criteria and procedures for applying for and
2356     awarding grants under this Subsection (2).
2357          (3) In fiscal years 2022 through 2024, the office shall submit to the department, for
2358     inclusion in the department's annual written report described in Section 35A-1-109, an annual
2359     report that provides:
2360          (a) a complete accounting of the COVID-19 relief funds expended by the office during
2361     the previous fiscal year;
2362          (b) a description of the services, projects, and programs funded by the office with
2363     COVID-19 relief funds during the previous fiscal year, including the amount of COVID-19
2364     relief funds allocated to each service, project, or program; and
2365          (c) information regarding the outcomes and effectiveness of the services, projects, and
2366     programs funded by the office with COVID-19 relief funds during the previous fiscal year.
2367          Section 33. Section 35A-3-308 is amended to read:
2368          35A-3-308. Adoption services -- Printed information -- Supports provided.
2369          (1) The department may provide assistance under this section to an applicant who is
2370     pregnant and is not receiving cash assistance at the beginning of the third trimester of
2371     pregnancy.
2372          (2) For a pregnant applicant, the department shall:
2373          (a) refer the applicant for appropriate prenatal medical care, including maternal health
2374     services provided under Title 26, Chapter 10, Family Health Services;
2375          (b) inform the applicant of free counseling about adoption from licensed child
2376     placement agencies and licensed attorneys; and
2377          (c) offer the applicant the adoption information packet described in Subsection (3).
2378          (3) The department shall publish an adoption information packet that:
2379          (a) is easy to understand;
2380          (b) contains geographically indexed materials on the public and private organizations
2381     that provide adoption assistance;
2382          (c) lists the names, addresses, and telephone numbers of licensed child placement
2383     agencies and licensed attorneys who place children for adoption;

2384          (d) explains that private adoption is legal and that the law permits adoptive parents to
2385     reimburse the costs of prenatal care, childbirth, neonatal care, and other expenses related to
2386     pregnancy; and
2387          (e) describes the services available to the applicant under this section.
2388          (4) (a) A recipient remains eligible for assistance under this section, even though the
2389     recipient relinquishes a child for adoption, if the adoption is in accordance with Sections
2390     78B-6-120 through 78B-6-122.
2391          (b) The assistance provided under this section may include:
2392          (i) reimbursement for expenses associated with care and confinement during pregnancy
2393     as provided in Subsection (5); and
2394          (ii) for a maximum of 12 months from the date of relinquishment, coordination of
2395     services to assist the recipient in:
2396          (A) receiving appropriate educational and occupational assessment and planning;
2397          (B) enrolling in appropriate education or training programs, including high school
2398     completion and adult education programs;
2399          (C) enrolling in programs that provide assistance with job readiness, employment
2400     counseling, finding employment, and work skills;
2401          (D) finding suitable housing;
2402          (E) receiving medical assistance, under [Title 26, Chapter 18, Medical Assistance Act]
2403     Title 26B, Chapter 3, Health Care - Delivery and Assistance, if the recipient is otherwise
2404     eligible; and
2405          (F) receiving counseling and other mental health services.
2406          (5) (a) Except as provided in Subsection (5)(b), a recipient under this section is eligible
2407     to receive an amount equal to the maximum monthly amount of cash assistance paid under this
2408     part to one person for up to 12 consecutive months from the date of relinquishment.
2409          (b) If a recipient is otherwise eligible to receive cash assistance under this part, the
2410     recipient is eligible to receive an amount equal to the increase in cash assistance the recipient
2411     would have received but for the relinquishment for up to 12 consecutive months from the date
2412     of relinquishment.
2413          (6) (a) To remain eligible for assistance under this section, a recipient shall:
2414          (i) with the cooperation of the department, develop and implement an employment plan

2415     that includes goals for achieving self-sufficiency and that describes the action the recipient will
2416     take concerning education and training to achieve full-time employment;
2417          (ii) if the recipient does not have a high school diploma, enroll in high school or an
2418     alternative to high school and demonstrate progress toward graduation; and
2419          (iii) make a good faith effort to meet the goals of the employment plan as described in
2420     Section 35A-3-304.
2421          (b) Cash assistance provided to a recipient before the recipient relinquishes a child for
2422     adoption is part of the state plan.
2423          (c) Assistance provided under Subsection (5):
2424          (i) shall be provided for with state funds; and
2425          (ii) may not be counted when determining subsequent eligibility for cash assistance
2426     under this chapter.
2427          (d) The time limit provisions of Section 35A-3-306 apply to cash assistance provided
2428     under the state plan.
2429          (e) The department shall monitor a recipient's compliance with this section.
2430          (f) Except for Subsection (6)(b), Subsections (2) through (6) are excluded from the
2431     state plan.
2432          Section 34. Section 35A-3-401 is amended to read:
2433          35A-3-401. General Assistance.
2434          (1) (a) The department may provide General Assistance to individuals who are:
2435          (i) not receiving cash assistance under Part 3, Family Employment Program, or
2436     Supplemental Security Income; and
2437          (ii) unemployable according to standards established by the department.
2438          (b) (i) General Assistance described in Subsection (1)(a) may include payment in cash
2439     or in kind.
2440          (ii) The department may provide General Assistance up to an amount that is no more
2441     than the existing payment level for an otherwise similarly situated recipient receiving cash
2442     assistance under Part 3, Family Employment Program.
2443          (iii) Funding for General Assistance is nonlapsing.
2444          (c) The department shall establish asset limitations for a General Assistance applicant.
2445          (d) (i) General Assistance may be granted to meet special nonrecurrent needs of an

2446     applicant for the federal Supplemental Security Income for the Aged, Blind, and Disabled
2447     program provided under 20 C.F.R. Sec. 416, if the applicant agrees to reimburse the
2448     department for assistance advanced to the applicant while awaiting the determination of
2449     eligibility by the Social Security Administration.
2450          (ii) (A) Reimbursements to the department described in Subsection (1)(d)(i) up to and
2451     including $250,000 collected in a fiscal year shall be used by the department to administer the
2452     General Assistance program and provide General Assistance to eligible applicants.
2453          (B) Reimbursements to the department described in Subsection (1)(d)(i) over $250,000
2454     collected in a fiscal year shall be deposited into the General Fund.
2455          (iii) General Assistance payments may not be made to a recipient currently receiving:
2456          (A) cash assistance; or
2457          (B) Supplemental Security Income for the Aged, Blind, and Disabled.
2458          (e) (i) General Assistance may be used for the reasonable cost of burial for a recipient
2459     if heirs or relatives are not financially able to assume this expense.
2460          (ii) Notwithstanding Subsection (1)(e)(i), if the body of a person is unclaimed, Section
2461     [26-4-25] 26B-8-225 applies.
2462          (iii) The department shall fix the cost of a reasonable burial and conditions under
2463     which burial expenditures may be made.
2464          (2) The department may cooperate with any governmental unit or agency, or any
2465     private nonprofit agency, in establishing work projects to provide employment for employable
2466     persons.
2467          Section 35. Section 35A-3-603 is amended to read:
2468          35A-3-603. Civil liability for overpayment.
2469          (1) A provider, recipient, or other person who receives an overpayment shall,
2470     regardless of fault, return the overpayment or repay its value to the department immediately:
2471          (a) upon receiving written notice of the overpayment from the department; or
2472          (b) upon discovering the overpayment, if that occurs before receiving notice.
2473          (2) (a) Except as provided under Subsection (2)(b), interest on the unreturned balance
2474     of the overpayment shall accrue at the rate of 1% a month.
2475          (b) If the overpayment was not the fault of the person receiving it, that person is not
2476     liable for interest on the unreturned balance.

2477          (c) In accordance with federal law and rules made by the department in accordance
2478     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, an overpayment may be
2479     recovered through deductions from cash assistance, General Assistance, SNAP benefits, other
2480     cash-related assistance provided to a recipient under this chapter, or other means provided by
2481     federal law.
2482          (3) A person who knowingly assists a recipient, provider, or other person in obtaining
2483     an overpayment is jointly and severally liable for the overpayment.
2484          (4) (a) In proving civil liability for overpayment under this section, or Section
2485     35A-3-605, when fault is alleged, the department shall prove by clear and convincing evidence
2486     that the overpayment was obtained intentionally, knowingly, recklessly as "intentionally,
2487     knowingly, and recklessly" are defined in Section 76-2-103, by false statement,
2488     misrepresentation, impersonation, or other fraudulent means, including committing any of the
2489     acts or omissions described in Sections 76-8-1203, 76-8-1204, or 76-8-1205.
2490          (b) If fault is established under Subsection (4)(a), Section 35A-3-605, or Title 76,
2491     Chapter 8, Part 12, Public Assistance Fraud, a person who obtained or helped another obtain an
2492     overpayment is subject to:
2493          (i) a civil penalty of 10% of the amount of the overpayment, except for overpayments
2494     related to assistance for child care services;
2495          (ii) a civil penalty of 50% of the amount of the overpayment for overpayments related
2496     to assistance for child care services;
2497          (iii) disqualification from receiving cash assistance from the Family Employment
2498     Program created in Section 35A-3-302 and the General Assistance program under Section
2499     35A-3-401, if the overpayment was obtained from either of those programs, for the period
2500     described in Subsection (4)(c); and
2501          (iv) disqualification from SNAP, if the overpayment was received from SNAP, for the
2502     period described in Subsection (4)(c).
2503          (c) Unless otherwise provided by federal law, the period of a disqualification under
2504     Subsection (4)(b)(iii) and (iv) is for:
2505          (i) 12 months for a first offense;
2506          (ii) 24 months for a second offense; and
2507          (iii) permanently for a third offense.

2508          (5) (a) Except as provided under Subsection (5)(b), if an action is filed, the department
2509     may recover, in addition to the principal sum plus interest, reasonable attorney fees and costs.
2510          (b) If the repayment obligation arose from an administrative error by the department,
2511     the department may not recover attorney fees and costs.
2512          (6) If a court finds that funds or benefits were secured, in whole or part, by fraud by the
2513     person from whom repayment is sought, the court shall assess an additional sum as considered
2514     appropriate as punitive damages up to the amount of repayment being sought.
2515          (7) A criminal action for public assistance fraud is governed by Title 76, Chapter 8,
2516     Part 12, Public Assistance Fraud.
2517          (8) Jurisdiction over benefits is continuous.
2518          (9) This chapter does not preclude the Department of Health and Human Services from
2519     carrying out its responsibilities under [Title 26, Chapter 19, Medical Benefits Recovery Act,
2520     and Chapter 20, Utah False Claims Act] Title 26B, Chapter 3, Part 10, Medical Benefits
2521     Recovery, and Title 26B, Chapter 3, Part 11, Utah False Claims Act.
2522          Section 36. Section 35A-9-202 is amended to read:
2523          35A-9-202. Intergenerational poverty report.
2524          (1) The department shall annually prepare an intergenerational poverty report for
2525     inclusion in the department's annual written report described in Section 35A-1-109.
2526          (2) The intergenerational poverty report shall:
2527          (a) report on the data, findings, and potential uses of the intergenerational poverty
2528     tracking system described in Section 35A-9-201;
2529          (b) describe policies, procedures, and programs that the department has implemented
2530     or modified to help break the cycle of poverty and end welfare dependency for children in the
2531     state affected by intergenerational poverty;
2532          (c) contain recommendations to the Legislature on how to address issues relating to
2533     breaking the cycle of poverty and ending welfare dependency for children in the state affected
2534     by intergenerational poverty; and
2535          (d) include the following reports:
2536          (i) the report described in Section 9-1-210 by the Department of Cultural and
2537     Community Engagement;
2538          (ii) the report described in Section [26-1-44] 26B-1-218 by the Department of Health

2539     and Human Services; and
2540          (iii) the report described in Section 53E-1-206 by the State Board of Education[;].
2541     [and]
2542          [(iv) the report described in Section 62A-1-123 by the Department of Health and
2543     Human Services.]
2544          Section 37. Section 35A-15-102 is amended to read:
2545          35A-15-102. Definitions.
2546          As used in this chapter:
2547          (1) "Board" means the School Readiness Board, created in Section 35A-15-201.
2548          (2) "Economically disadvantaged" means to be eligible to receive free or reduced price
2549     lunch.
2550          (3) "Eligible home-based educational technology provider" means a provider that
2551     offers a home-based educational technology program to develop the school readiness skills of
2552     an eligible student.
2553          (4) (a) "Eligible LEA" means an LEA that has a data system capacity to collect
2554     longitudinal academic outcome data, including special education use by student, by identifying
2555     each student with a statewide unique student identifier.
2556          (b) "Eligible LEA" includes a program exempt from licensure under Subsection
2557     [26-39-403(2)(c)] 26B-2-405(2)(e).
2558          (5) (a) "Eligible private provider" means a child care program that:
2559          (i) is licensed under [Title 26, Chapter 39, Utah Child Care Licensing Act] Title 26B,
2560     Chapter 2, Part 4, Child Care Licensing; or
2561          (ii) except as provided in Subsection (5)(b)(ii), is exempt from licensure under Section
2562     [26-39-403] 26B-2-405.
2563          (b) "Eligible private provider" does not include:
2564          (i) residential child care, as defined in Section [26-39-102] 26B-2-401; or
2565          (ii) a program exempt from licensure under Subsection [26-39-403(2)(c)]
2566     26B-2-405(2)(e).
2567          (6) "Eligible student" means a student:
2568          (a) (i) who is age three, four, or five; and
2569          (ii) is not eligible for enrollment under Subsection 53G-4-402(6); and

2570          (b) (i) (A) who is economically disadvantaged; and
2571          (B) whose parent or legal guardian reports that the student has experienced at least one
2572     risk factor;
2573          (ii) is an English learner; or
2574          (iii) is in foster care.
2575          (7) "Evaluation" means an evaluation conducted in accordance with Section
2576     35A-15-303.
2577          (8) "High quality school readiness program" means a preschool program that:
2578          (a) is provided by an eligible LEA, eligible private provider, or eligible home-based
2579     educational technology provider; and
2580          (b) meets the elements of a high quality school readiness program described in Section
2581     35A-15-202.
2582          (9) "Investor" means a person that enters into a results-based contract to provide
2583     funding to a high quality school readiness program on the condition that the person will receive
2584     payment in accordance with Section 35A-15-402 if the high quality school readiness program
2585     meets the performance outcome measures included in the results-based contract.
2586          (10) "Kindergarten assessment" means the kindergarten entry assessment described in
2587     Section 53G-7-203.
2588          (11) "Kindergarten transition plan" means a plan that supports the smooth transition of
2589     a preschool student to kindergarten and includes communication and alignment among the
2590     preschool, program, parents, and K-12 personnel.
2591          (12) "Local Education Agency" or "LEA" means a school district or charter school.
2592          (13) "Performance outcome measure" means:
2593          (a) indicators, as determined by the board, on the school readiness assessment and the
2594     kindergarten assessment; or
2595          (b) for a results-based contract, the indicators included in the contract.
2596          (14) "Results-based contract" means a contract that:
2597          (a) is entered into in accordance with Section 35A-15-402;
2598          (b) includes a performance outcome measure; and
2599          (c) is between the board, a provider of a high quality school readiness program, and an
2600     investor.

2601          (15) "Risk factor" means:
2602          (a) having a mother who was 18 years old or younger when the child was born;
2603          (b) a member of a child's household is incarcerated;
2604          (c) living in a neighborhood with high violence or crime;
2605          (d) having one or both parents with a low reading ability;
2606          (e) moving at least once in the past year;
2607          (f) having ever been in foster care;
2608          (g) living with multiple families in the same household;
2609          (h) having exposure in a child's home to:
2610          (i) physical abuse or domestic violence;
2611          (ii) substance abuse;
2612          (iii) the death or chronic illness of a parent or sibling; or
2613          (iv) mental illness;
2614          (i) the primary language spoken in a child's home is a language other than English; or
2615          (j) having at least one parent who has not completed high school.
2616          (16) "School readiness assessment" means the same as that term is defined in Section
2617     53E-4-314.
2618          (17) "Tool" means the tool developed in accordance with Section 35A-15-303.
2619          Section 38. Section 39-1-64 is amended to read:
2620          39-1-64. Extension of licenses for members of National Guard and reservists.
2621          (1) As used in this section, "license" means any license issued under:
2622          (a) Title 58, Occupations and Professions; and
2623          (b) Section [26-8a-302] 26B-4-116.
2624          (2) Any license held by a member of the National Guard or reserve component of the
2625     armed forces that expires while the member is on active duty shall be extended until 90 days
2626     after the member is discharged from active duty status.
2627          (3) The licensing agency shall renew a license extended under Subsection (2) until the
2628     next date that the license expires or for the period that the license is normally issued, at no cost
2629     to the member of the National Guard or reserve component of the armed forces if all of the
2630     following conditions are met:
2631          (a) the National Guard member or reservist requests renewal of the license within 90

2632     days after being discharged;
2633          (b) the National Guard member or reservist provides the licensing agency with a copy
2634     of the member's or reservist's official orders calling the member or reservist to active duty, and
2635     official orders discharging the member or reservist from active duty; and
2636          (c) the National Guard member or reservist meets all the requirements necessary for the
2637     renewal of the license, except the member or reservist need not meet the requirements, if any,
2638     that relate to continuing education or training.
2639          (4) The provisions of this section do not apply to regularly scheduled annual training.
2640          Section 39. Section 41-1a-230.5 is amended to read:
2641          41-1a-230.5. Registration checkoff for promoting and supporting organ donation.
2642          (1) A person who applies for a motor vehicle registration or registration renewal may
2643     designate a voluntary contribution of $2 for the purpose of promoting and supporting organ
2644     donation.
2645          (2) This contribution shall be:
2646          (a) collected by the division;
2647          (b) treated as a voluntary contribution to the Allyson Gamble Organ Donation
2648     Contribution Fund created in Section [26-18b-101] 26B-1-312 and not as a motor vehicle
2649     registration fee; and
2650          (c) transferred to the Allyson Gamble Organ Donation Contribution Fund created in
2651     Section [26-18b-101] 26B-1-312 at least monthly, less actual administrative costs associated
2652     with collecting and transferring the contributions.
2653          Section 40. Section 41-1a-230.7 is amended to read:
2654          41-1a-230.7. Registration checkoff for supporting emergency medical services
2655     and search and rescue operations.
2656          (1) A person who applies for a motor vehicle registration or registration renewal may
2657     designate a voluntary contribution of $3 for the purpose of supporting:
2658          (a) the Emergency Medical Services Grant Program; and
2659          (b) the Search and Rescue Financial Assistance Program.
2660          (2) This contribution shall be:
2661          (a) collected by the division;
2662          (b) treated as a voluntary contribution and not as a motor vehicle or off-highway

2663     vehicle registration fee; and
2664          (c) distributed equally to the Emergency Medical Services System Account created in
2665     Section [26-8a-108] 26B-1-306 and the Search and Rescue Financial Assistance Program
2666     created in Section 53-2a-1102 at least monthly, less actual administrative costs associated with
2667     collecting and transferring the contributions.
2668          (3) In addition to the administrative costs deducted under Subsection (2)(c), the
2669     division may deduct the first $1,000 collected to cover costs incurred to change the registration
2670     form.
2671          Section 41. Section 41-1a-422 is amended to read:
2672          41-1a-422. Support special group license plates -- Contributor -- Voluntary
2673     contribution collection procedures.
2674          (1) As used in this section:
2675          (a) (i) except as provided in Subsection (1)(a)(ii), "contributor" means a person who
2676     has donated or in whose name at least $25 has been donated to:
2677          (A) a scholastic scholarship fund of a single named institution;
2678          (B) the Department of Veterans and Military Affairs for veterans programs;
2679          (C) the Division of Wildlife Resources for the Wildlife Resources Account created in
2680     Section 23-14-13, for conservation of wildlife and the enhancement, preservation, protection,
2681     access, and management of wildlife habitat;
2682          (D) the Department of Agriculture and Food for the benefit of conservation districts;
2683          (E) the Division of Outdoor Recreation for the benefit of snowmobile programs;
2684          (F) the Guardian Ad Litem Services Account and the Children's Museum of Utah, with
2685     the donation evenly divided between the two;
2686          (G) the Boy Scouts of America for the benefit of a Utah Boy Scouts of America
2687     council as specified by the contributor;
2688          (H) No More Homeless Pets in Utah for distribution to organizations or individuals
2689     that provide spay and neuter programs that subsidize the sterilization of domestic animals;
2690          (I) the Utah Alliance of Boys and Girls Clubs, Inc. to provide and enhance youth
2691     development programs;
2692          (J) the Utah Association of Public School Foundations to support public education;
2693          (K) the Utah Housing Opportunity Restricted Account created in Section 61-2-204 to

2694     assist people who have severe housing needs;
2695          (L) the Public Safety Honoring Heroes Restricted Account created in Section 53-1-118
2696     to support the families of fallen Utah Highway Patrol troopers and other Department of Public
2697     Safety employees;
2698          (M) the Division of Outdoor Recreation for distribution to organizations that provide
2699     support for Zion National Park;
2700          (N) the Firefighter Support Restricted Account created in Section 53-7-109 to support
2701     firefighter organizations;
2702          (O) the Share the Road Bicycle Support Restricted Account created in Section
2703     72-2-127 to support bicycle operation and safety awareness programs;
2704          (P) the Cancer Research Restricted Account created in Section [26-21a-302]
2705     26B-1-313 to support cancer research programs;
2706          (Q) Autism Awareness Restricted Account created in Section 53F-9-401 to support
2707     autism awareness programs;
2708          (R) Humanitarian Service and Educational and Cultural Exchange Restricted Account
2709     created in Section 9-17-102 to support humanitarian service and educational and cultural
2710     programs;
2711          (S) Upon renewal of a prostate cancer support special group license plate, to the
2712     Cancer Research Restricted Account created in Section [26-21a-302] 26B-1-313 to support
2713     cancer research programs;
2714          (T) the Choose Life Adoption Support Restricted Account created in Section 80-2-502
2715     to support programs that promote adoption;
2716          (U) the National Professional Men's Basketball Team Support of Women and Children
2717     Issues Restricted Account created in Section 26B-1-302;
2718          (V) the Utah Law Enforcement Memorial Support Restricted Account created in
2719     Section 53-1-120;
2720          (W) the Children with Cancer Support Restricted Account created in Section
2721     [26-21a-304] 26B-1-314 for programs that provide assistance to children with cancer;
2722          (X) the National Professional Men's Soccer Team Support of Building Communities
2723     Restricted Account created in Section 9-19-102;
2724          (Y) the Children with Heart Disease Support Restricted Account created in Section

2725     [26-58-102] 26B-1-321;
2726          (Z) the Utah Intracurricular Student Organization Support for Agricultural Education
2727     and Leadership Restricted Account created in Section 4-42-102;
2728          (AA) the Division of Wildlife Resources for the Support for State-Owned Shooting
2729     Ranges Restricted Account created in Section 23-14-13.5, for the creation of new, and
2730     operation and maintenance of existing, state-owned firearm shooting ranges;
2731          (BB) the Utah State Historical Society to further the mission and purpose of the Utah
2732     State Historical Society;
2733          (CC) the Motorcycle Safety Awareness Support Restricted Account created in Section
2734     72-2-130;
2735          (DD) clean air support causes, with half of the donation deposited into the Clean Air
2736     Support Restricted Account created in Section 19-1-109, and half of the donation deposited
2737     into the Clean Air Fund created in Section 59-10-1319;
2738          (EE) the Latino Community Support Restricted Account created in Section 13-1-16;
2739          (FF) the Allyson Gamble Organ Donation Contribution Fund created in Section
2740     [26-18b-101] 26B-1-312;
2741          (GG) public education on behalf of the Kiwanis International clubs, with the amount of
2742     the donation required to cover the costs of issuing, ordering, or reordering Kiwanis support
2743     special group plates, as determined by the State Tax Commission, deposited into the Kiwanis
2744     Education Support Fund created in Section 53F-9-403, and all remaining donation amounts
2745     deposited into the Uniform School Fund;
2746          (HH) the Governor's Suicide Prevention Fund created in Section [62A-15-1103]
2747     26B-1-325 to support the Live On suicide prevention campaign administered by the Division of
2748     Integrated Healthcare; or
2749          (II) the State Park Fees Restricted Account created in Section 79-4-402 to support the
2750     Division of State Parks' dark sky initiative.
2751          (ii) (A) For a veterans special group license plate described in Subsection (4) or
2752     41-1a-421(1)(a)(v), "contributor" means a person who has donated or in whose name at least a
2753     $25 donation at the time of application and $10 annual donation thereafter has been made.
2754          (B) For a Utah Housing Opportunity special group license plate, "contributor" means a
2755     person who:

2756          (I) has donated or in whose name at least $30 has been donated at the time of
2757     application and annually after the time of application; and
2758          (II) is a member of a trade organization for real estate licensees that has more than
2759     15,000 Utah members.
2760          (C) For an Honoring Heroes special group license plate, "contributor" means a person
2761     who has donated or in whose name at least $35 has been donated at the time of application and
2762     annually thereafter.
2763          (D) For a firefighter support special group license plate, "contributor" means a person
2764     who:
2765          (I) has donated or in whose name at least $15 has been donated at the time of
2766     application and annually after the time of application; and
2767          (II) is a currently employed, volunteer, or retired firefighter.
2768          (E) For a cancer research special group license plate, "contributor" means a person who
2769     has donated or in whose name at least $35 has been donated at the time of application and
2770     annually after the time of application.
2771          (F) For a Utah Law Enforcement Memorial Support special group license plate,
2772     "contributor" means a person who has donated or in whose name at least $35 has been donated
2773     at the time of application and annually thereafter.
2774          (b) "Institution" means a state institution of higher education as defined under Section
2775     53B-3-102 or a private institution of higher education in the state accredited by a regional or
2776     national accrediting agency recognized by the United States Department of Education.
2777          (2) (a) An applicant for original or renewal collegiate special group license plates under
2778     Subsection (1)(a)(i) must be a contributor to the institution named in the application and
2779     present the original contribution verification form under Subsection (2)(b) or make a
2780     contribution to the division at the time of application under Subsection (3).
2781          (b) An institution with a support special group license plate shall issue to a contributor
2782     a verification form designed by the commission containing:
2783          (i) the name of the contributor;
2784          (ii) the institution to which a donation was made;
2785          (iii) the date of the donation; and
2786          (iv) an attestation that the donation was for a scholastic scholarship.

2787          (c) The state auditor may audit each institution to verify that the money collected by the
2788     institutions from contributors is used for scholastic scholarships.
2789          (d) After an applicant has been issued collegiate license plates or renewal decals, the
2790     commission shall charge the institution whose plate was issued, a fee determined in accordance
2791     with Section 63J-1-504 for management and administrative expenses incurred in issuing and
2792     renewing the collegiate license plates.
2793          (e) If the contribution is made at the time of application, the contribution shall be
2794     collected, treated, and deposited as provided under Subsection (3).
2795          (3) (a) (i) Except as provided in Subsection (3)(a)(ii), an applicant for original or
2796     renewal support special group license plates under this section must be a contributor to the
2797     sponsoring organization associated with the license plate.
2798          (ii) An applicant for a historical special group license plate is not required to make a
2799     donation to the Utah State Historical Society if the historical special group license plate is for a
2800     vintage vehicle that has a model year of 1980 or older.
2801          (b) This contribution shall be:
2802          (i) unless collected by the named institution under Subsection (2), collected by the
2803     division;
2804          (ii) considered a voluntary contribution for the funding of the activities specified under
2805     this section and not a motor vehicle registration fee;
2806          (iii) deposited into the appropriate account less actual administrative costs associated
2807     with issuing the license plates; and
2808          (iv) for a firefighter special group license plate, deposited into the appropriate account
2809     less:
2810          (A) the costs of reordering firefighter special group license plate decals; and
2811          (B) the costs of replacing recognition special group license plates with new license
2812     plates under Subsection 41-1a-1211(13).
2813          (c) The donation described in Subsection (1)(a) must be made in the 12 months before
2814     registration or renewal of registration.
2815          (d) The donation described in Subsection (1)(a) shall be a one-time donation made to
2816     the division when issuing original:
2817          (i) snowmobile license plates; or

2818          (ii) conservation license plates.
2819          (4) Veterans license plates shall display one of the symbols representing the Army,
2820     Navy, Air Force, Marines, Coast Guard, or American Legion.
2821          Section 42. Section 41-6a-404 is amended to read:
2822          41-6a-404. Accident reports -- When confidential -- Insurance policy information
2823     -- Use as evidence -- Penalty for false information.
2824          (1) As used in this section:
2825          (a) "Accompanying data" means all materials gathered by the investigating peace
2826     officer in an accident investigation including:
2827          (i) the identity of witnesses and, if known, contact information;
2828          (ii) witness statements;
2829          (iii) photographs and videotapes;
2830          (iv) diagrams; and
2831          (v) field notes.
2832          (b) "Agent" means:
2833          (i) a person's attorney;
2834          (ii) a person's insurer;
2835          (iii) a general acute hospital, as defined in Section [26-21-2] 26B-2-201, that:
2836          (A) has an emergency room; and
2837          (B) is providing or has provided emergency services to the person in relation to the
2838     accident; or
2839          (iv) any other individual or entity with signed permission from the person to receive
2840     the person's accident report.
2841          (2) (a) Except as provided in Subsections (3) and (7), all accident reports required in
2842     this part to be filed with the department:
2843          (i) are without prejudice to the reporting individual;
2844          (ii) are protected and for the confidential use of the department or other state, local, or
2845     federal agencies having use for the records for official governmental statistical, investigative,
2846     and accident prevention purposes; and
2847          (iii) may be disclosed only in a statistical form that protects the privacy of any person
2848     involved in the accident.

2849          (b) An investigating peace officer shall include in an accident report an indication as to
2850     whether the accident occurred on a highway designated as a livestock highway in accordance
2851     with Section 72-3-112 if the accident resulted in the injury or death of livestock.
2852          (3) (a) Subject to the provisions of this section, the department or the responsible law
2853     enforcement agency employing the peace officer that investigated the accident shall disclose an
2854     accident report to:
2855          (i) a person involved in the accident, excluding a witness to the accident;
2856          (ii) a person suffering loss or injury in the accident;
2857          (iii) an agent, parent, or legal guardian of a person described in Subsections (3)(a)(i)
2858     and (ii);
2859          (iv) subject to Subsection (3)(d), a member of the press or broadcast news media;
2860          (v) a state, local, or federal agency that uses the records for official governmental,
2861     investigative, or accident prevention purposes;
2862          (vi) law enforcement personnel when acting in their official governmental capacity;
2863     and
2864          (vii) a licensed private investigator who:
2865          (A) represents an individual described in Subsections (3)(a)(i) through (iii); and
2866          (B) demonstrates that the representation of the individual described in Subsections
2867     (3)(a)(i) through (iii) is directly related to the accident that is the subject of the accident report.
2868          (b) The responsible law enforcement agency employing the peace officer that
2869     investigated the accident:
2870          (i) shall in compliance with Subsection (3)(a):
2871          (A) disclose an accident report; or
2872          (B) upon written request disclose an accident report and its accompanying data within
2873     10 business days from receipt of a written request for disclosure; or
2874          (ii) may withhold an accident report, and any of its accompanying data if disclosure
2875     would jeopardize an ongoing criminal investigation or criminal prosecution.
2876          (c) In accordance with Subsection (3)(a), the department or the responsible law
2877     enforcement agency employing the investigating peace officer shall disclose whether any
2878     person or vehicle involved in an accident reported under this section was covered by a vehicle
2879     insurance policy, and the name of the insurer.

2880          (d) Information provided to a member of the press or broadcast news media under
2881     Subsection (3)(a)(iv) may only include:
2882          (i) the name, age, sex, and city of residence of each person involved in the accident;
2883          (ii) the make and model year of each vehicle involved in the accident;
2884          (iii) whether or not each person involved in the accident was covered by a vehicle
2885     insurance policy;
2886          (iv) the location of the accident; and
2887          (v) a description of the accident that excludes personal identifying information not
2888     listed in Subsection (3)(d)(i).
2889          (e) The department shall disclose to any requesting person the following vehicle
2890     accident history information, excluding personal identifying information, in bulk electronic
2891     form:
2892          (i) any vehicle identifying information that is electronically available, including the
2893     make, model year, and vehicle identification number of each vehicle involved in an accident;
2894          (ii) the date of the accident; and
2895          (iii) any electronically available data which describes the accident, including a
2896     description of any physical damage to the vehicle.
2897          (f) The department may establish a fee under Section 63J-1-504 based on the fair
2898     market value of the information for providing bulk vehicle accident history information under
2899     Subsection (3)(e).
2900          (4) (a) Except as provided in Subsection (4)(b), accident reports filed under this section
2901     may not be used as evidence in any civil or criminal trial arising out of an accident.
2902          (b) (i) Upon demand of any party to the trial or upon demand of any court, the
2903     department shall furnish a certificate showing that a specified accident report has or has not
2904     been made to the department in compliance with law.
2905          (ii) If the report has been made, the certificate furnished by the department shall show:
2906          (A) the date, time, and location of the accident;
2907          (B) the names and addresses of the drivers;
2908          (C) the owners of the vehicles involved; and
2909          (D) the investigating peace officers.
2910          (iii) The reports may be used as evidence when necessary to prosecute charges filed in

2911     connection with a violation of Subsection (5).
2912          (5) A person who gives information in reports as required in this part knowing or
2913     having reason to believe that the information is false is guilty of a class A misdemeanor.
2914          (6) The department and the responsible law enforcement agency employing the
2915     investigating peace officer may charge a reasonable fee determined by the department under
2916     Section 63J-1-504 for the cost incurred in disclosing an accident report or an accident report
2917     and any of its accompanying data under Subsections (3)(a) and (b).
2918          (7) (a) The Office of State Debt Collection, the Division of Risk Management, and the
2919     Department of Transportation may, in the performance of the regular duties of each respective
2920     division or department, disclose an accident report to:
2921          (i) a person involved in the accident, excluding a witness to the accident;
2922          (ii) an owner of a vehicle involved in the accident;
2923          (iii) an agent, parent, or legal guardian of a person described in Subsection (7)(a)(i) or
2924     (ii); or
2925          (iv) an insurer that provides motor vehicle insurance to a person described in
2926     Subsection (7)(a)(i) or (iii).
2927          (b) A disclosure under Subsection (7)(a) does not change the classification of the
2928     record as a protected record under Section 63G-2-305.
2929          Section 43. Section 41-6a-501 is amended to read:
2930          41-6a-501. Definitions.
2931          (1) As used in this part:
2932          (a) "Actual physical control" is determined by a consideration of the totality of the
2933     circumstances, but does not include a circumstance in which:
2934          (i) the person is asleep inside the vehicle;
2935          (ii) the person is not in the driver's seat of the vehicle;
2936          (iii) the engine of the vehicle is not running;
2937          (iv) the vehicle is lawfully parked; and
2938          (v) under the facts presented, it is evident that the person did not drive the vehicle to
2939     the location while under the influence of alcohol, a drug, or the combined influence of alcohol
2940     and any drug.
2941          (b) "Assessment" means an in-depth clinical interview with a licensed mental health

2942     therapist:
2943          (i) used to determine if a person is in need of:
2944          (A) substance abuse treatment that is obtained at a substance abuse program;
2945          (B) an educational series; or
2946          (C) a combination of Subsections (1)(b)(i)(A) and (B); and
2947          (ii) that is approved by the Division of Substance Abuse and Mental Health in
2948     accordance with Section [62A-15-105] 26B-5-104.
2949          (c) "Driving under the influence court" means a court that is approved as a driving
2950     under the influence court by the Utah Judicial Council according to standards established by
2951     the Judicial Council.
2952          (d) "Drug" or "drugs" means:
2953          (i) a controlled substance as defined in Section 58-37-2;
2954          (ii) a drug as defined in Section 58-17b-102; or
2955          (iii) a substance that, when knowingly, intentionally, or recklessly taken into the human
2956     body, can impair the ability of a person to safely operate a motor vehicle.
2957          (e) "Educational series" means an educational series obtained at a substance abuse
2958     program that is approved by the Division of Substance Abuse and Mental Health in accordance
2959     with Section [62A-15-105] 26B-5-104.
2960          (f) "Negligence" means simple negligence, the failure to exercise that degree of care
2961     that an ordinarily reasonable and prudent person exercises under like or similar circumstances.
2962          (g) "Novice learner driver" means an individual who:
2963          (i) has applied for a Utah driver license;
2964          (ii) has not previously held a driver license in this state or another state; and
2965          (iii) has not completed the requirements for issuance of a Utah driver license.
2966          (h) "Screening" means a preliminary appraisal of a person:
2967          (i) used to determine if the person is in need of:
2968          (A) an assessment; or
2969          (B) an educational series; and
2970          (ii) that is approved by the Division of Substance Abuse and Mental Health in
2971     accordance with Section [62A-15-105] 26B-5-104.
2972          (i) "Serious bodily injury" means bodily injury that creates or causes:

2973          (i) serious permanent disfigurement;
2974          (ii) protracted loss or impairment of the function of any bodily member or organ; or
2975          (iii) a substantial risk of death.
2976          (j) "Substance abuse treatment" means treatment obtained at a substance abuse
2977     program that is approved by the Division of Substance Abuse and Mental Health in accordance
2978     with Section [62A-15-105] 26B-5-104.
2979          (k) "Substance abuse treatment program" means a state licensed substance abuse
2980     program.
2981          (l) (i) "Vehicle" or "motor vehicle" means a vehicle or motor vehicle as defined in
2982     Section 41-6a-102; and
2983          (ii) "Vehicle" or "motor vehicle" includes:
2984          (A) an off-highway vehicle as defined under Section 41-22-2; and
2985          (B) a motorboat as defined in Section 73-18-2.
2986          (2) As used in Section 41-6a-503:
2987          (a) "Conviction" means any conviction arising from a separate episode of driving for a
2988     violation of:
2989          (i) driving under the influence under Section 41-6a-502;
2990          (ii) (A) for an offense committed before July 1, 2008, alcohol, any drug, or a
2991     combination of both-related reckless driving under:
2992          (I) Section 41-6a-512; and
2993          (II) Section 41-6a-528; or
2994          (B) for an offense committed on or after July 1, 2008, impaired driving under Section
2995     41-6a-502.5;
2996          (iii) driving with any measurable controlled substance that is taken illegally in the body
2997     under Section 41-6a-517;
2998          (iv) local ordinances similar to Section 41-6a-502, alcohol, any drug, or a combination
2999     of both-related reckless driving, or impaired driving under Section 41-6a-502.5 adopted in
3000     compliance with Section 41-6a-510;
3001          (v) Section 76-5-207;
3002          (vi) operating a motor vehicle with any amount of a controlled substance in an
3003     individual's body and causing serious bodily injury or death, as codified before May 4, 2022,

3004     Laws of Utah 2021, Chapter 236, Section 1, Subsection 58-37-8(2)(g);
3005          (vii) negligently operating a vehicle resulting in injury under Section 76-5-102.1;
3006          (viii) a violation described in Subsections (2)(a)(i) through (vii), which judgment of
3007     conviction is reduced under Section 76-3-402;
3008          (ix) refusal of a chemical test under Subsection 41-6a-520(7); or
3009          (x) statutes or ordinances previously in effect in this state or in effect in any other state,
3010     the United States, or any district, possession, or territory of the United States which would
3011     constitute a violation of Section 41-6a-502 or alcohol, any drug, or a combination of
3012     both-related reckless driving if committed in this state, including punishments administered
3013     under 10 U.S.C. Sec. 815.
3014          (b) A plea of guilty or no contest to a violation described in Subsections (2)(a)(i)
3015     through (x) which plea was held in abeyance under Title 77, Chapter 2a, Pleas in Abeyance,
3016     prior to July 1, 2008, is the equivalent of a conviction, even if the charge has been subsequently
3017     reduced or dismissed in accordance with the plea in abeyance agreement, for purposes of:
3018          (i) enhancement of penalties under this Chapter 6a, Part 5, Driving Under the Influence
3019     and Reckless Driving; and
3020          (ii) expungement under Title 77, Chapter 40, Expungement.
3021          (c) An admission to a violation of Section 41-6a-502 in juvenile court is the equivalent
3022     of a conviction even if the charge has been subsequently dismissed in accordance with the Utah
3023     Rules of Juvenile Procedure for the purposes of enhancement of penalties under:
3024          (i) this part;
3025          (ii) negligently operating a vehicle resulting in injury under Section 76-5-102.1; and
3026          (iii) negligently operating a vehicle resulting in death under Section 76-5-207.
3027          (3) As used in Section 41-6a-505, "controlled substance" does not include an inactive
3028     metabolite of a controlled substance.
3029          Section 44. Section 41-6a-502.5 is amended to read:
3030          41-6a-502.5. Impaired driving -- Penalty -- Reporting of convictions -- Sentencing
3031     requirements.
3032          (1) With the agreement of the prosecutor, a plea to a class B misdemeanor violation of
3033     Section 41-6a-502 committed on or after July 1, 2008, may be entered as a conviction of
3034     impaired driving under this section if:

3035          (a) the defendant completes court ordered probation requirements; or
3036          (b) (i) the prosecutor agrees as part of a negotiated plea; and
3037          (ii) the court finds the plea to be in the interest of justice.
3038          (2) A conviction entered under this section is a class B misdemeanor.
3039          (3) (a) (i) If the entry of an impaired driving plea is based on successful completion of
3040     probation under Subsection (1)(a), the court shall enter the conviction at the time of the plea.
3041          (ii) If the defendant fails to appear before the court and establish successful completion
3042     of the court ordered probation requirements under Subsection (1)(a), the court shall enter an
3043     amended conviction of Section 41-6a-502.
3044          (iii) The date of entry of the amended order under Subsection (3)(a)(ii) is the date of
3045     conviction.
3046          (b) The court may enter a conviction of impaired driving immediately under
3047     Subsection (1)(b).
3048          (4) For purposes of Section 76-3-402, the entry of a plea to a class B misdemeanor
3049     violation of Section 41-6a-502 as impaired driving under this section is a reduction of one
3050     degree.
3051          (5) (a) The court shall notify the Driver License Division of each conviction entered
3052     under this section.
3053          (b) Beginning on July 1, 2012, a court shall, monthly, send to the Division of
3054     Professional Licensing, created in Section 58-1-103, a report containing the name, case
3055     number, and, if known, the date of birth of each person convicted during the preceding month
3056     of a violation of this section for whom there is evidence that the person was driving while
3057     impaired, in whole or in part, by a prescribed controlled substance.
3058          (6) (a) The provisions in Subsections 41-6a-505(1), (3), (5), and (7) that require a
3059     sentencing court to order a convicted person to participate in a screening, an assessment, or an
3060     educational series, or obtain substance abuse treatment or do a combination of those things,
3061     apply to a conviction entered under this section.
3062          (b) The court shall render the same order regarding screening, assessment, an
3063     educational series, or substance abuse treatment in connection with a first, second, or
3064     subsequent conviction under this section as the court would render in connection with applying
3065     respectively, the first, second, or subsequent conviction requirements of Subsections

3066     41-6a-505(1), (3), (5), and (7).
3067          (7) (a) Except as provided in Subsection (7)(b), a report authorized by Section
3068     53-3-104 may not contain any evidence of a conviction for impaired driving in this state if the
3069     reporting court notifies the Driver License Division that the defendant is participating in or has
3070     successfully completed the program of a driving under the influence court.
3071          (b) The provisions of Subsection (7)(a) do not apply to a report concerning:
3072          (i) a CDL license holder; or
3073          (ii) a violation that occurred in a commercial motor vehicle.
3074          (8) The provisions of this section are not available:
3075          (a) to a person who has a prior conviction as that term is defined in Subsection
3076     41-6a-501(2); or
3077          (b) where there is admissible evidence that the individual:
3078          (i) had a blood or breath alcohol level of .16 or higher;
3079          (ii) had a blood or breath alcohol level of .05 or higher in addition to any measurable
3080     controlled substance; or
3081          (iii) had a combination of two or more controlled substances in the person's body that
3082     were not:
3083          (A) prescribed by a licensed physician; or
3084          (B) recommended in accordance with [Title 26, Chapter 61a, Utah Medical Cannabis
3085     Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis.
3086          Section 45. Section 41-6a-505 is amended to read:
3087          41-6a-505. Sentencing requirements for driving under the influence of alcohol,
3088     drugs, or a combination of both violations.
3089          (1) As part of any sentence for a first conviction of Section 41-6a-502 where there is
3090     admissible evidence that the individual had a blood or breath alcohol level of .16 or higher, had
3091     a blood or breath alcohol level of .05 or higher in addition to any measurable controlled
3092     substance, or had a combination of two or more controlled substances in the individual's body
3093     that were not recommended in accordance with [Title 26, Chapter 61a, Utah Medical Cannabis
3094     Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis or prescribed:
3095          (a) the court shall:
3096          (i) (A) impose a jail sentence of not less than five days; or

3097          (B) impose a jail sentence of not less than two days in addition to home confinement of
3098     not fewer than 30 consecutive days through the use of electronic monitoring that includes a
3099     substance abuse testing instrument in accordance with Section 41-6a-506;
3100          (ii) order the individual to participate in a screening;
3101          (iii) order the individual to participate in an assessment, if it is found appropriate by a
3102     screening under Subsection (1)(a)(ii);
3103          (iv) order the individual to participate in an educational series if the court does not
3104     order substance abuse treatment as described under Subsection (1)(b);
3105          (v) impose a fine of not less than $700;
3106          (vi) order probation for the individual in accordance with Section 41-6a-507;
3107          (vii) (A) order the individual to pay the administrative impound fee described in
3108     Section 41-6a-1406; or
3109          (B) if the administrative impound fee was paid by a party described in Subsection
3110     41-6a-1406(5)(a), other than the individual sentenced, order the individual sentenced to
3111     reimburse the party;
3112          (viii) (A) order the individual to pay the towing and storage fees described in Section
3113     72-9-603; or
3114          (B) if the towing and storage fees were paid by a party described in Subsection
3115     41-6a-1406(5)(a), other than the individual sentenced, order the individual sentenced to
3116     reimburse the party; or
3117          (ix) unless the court determines and states on the record that an ignition interlock
3118     system is not necessary for the safety of the community and in the best interest of justice, order
3119     the installation of an ignition interlock system as described in Section 41-6a-518; and
3120          (b) the court may:
3121          (i) order the individual to obtain substance abuse treatment if the substance abuse
3122     treatment program determines that substance abuse treatment is appropriate;
3123          (ii) order the individual to participate in a 24/7 sobriety program as defined in Section
3124     41-6a-515.5 if the individual is 21 years old or older; or
3125          (iii) order a combination of Subsections (1)(b)(i) and (ii).
3126          (2) (a) If an individual described in Subsection (1) is participating in a 24/7 sobriety
3127     program as defined in Section 41-6a-515.5, the court may suspend the jail sentence imposed

3128     under Subsection (1)(a).
3129          (b) If an individual described in Subsection (1) fails to successfully complete all of the
3130     requirements of the 24/7 sobriety program, the court shall impose the suspended jail sentence
3131     described in Subsection (2)(a).
3132          (3) As part of any sentence for any first conviction of Section 41-6a-502 not described
3133     in Subsection (1):
3134          (a) the court shall:
3135          (i) (A) impose a jail sentence of not less than two days; or
3136          (B) require the individual to work in a compensatory-service work program for not less
3137     than 48 hours;
3138          (ii) order the individual to participate in a screening;
3139          (iii) order the individual to participate in an assessment, if it is found appropriate by a
3140     screening under Subsection (3)(a)(ii);
3141          (iv) order the individual to participate in an educational series if the court does not
3142     order substance abuse treatment as described under Subsection (3)(b);
3143          (v) impose a fine of not less than $700;
3144          (vi) (A) order the individual to pay the administrative impound fee described in Section
3145     41-6a-1406; or
3146          (B) if the administrative impound fee was paid by a party described in Subsection
3147     41-6a-1406(5)(a), other than the individual sentenced, order the individual sentenced to
3148     reimburse the party; or
3149          (vii) (A) order the individual to pay the towing and storage fees described in Section
3150     72-9-603; or
3151          (B) if the towing and storage fees were paid by a party described in Subsection
3152     41-6a-1406(5)(a), other than the individual sentenced, order the individual sentenced to
3153     reimburse the party; and
3154          (b) the court may:
3155          (i) order the individual to obtain substance abuse treatment if the substance abuse
3156     treatment program determines that substance abuse treatment is appropriate;
3157          (ii) order probation for the individual in accordance with Section 41-6a-507;
3158          (iii) order the individual to participate in a 24/7 sobriety program as defined in Section

3159     41-6a-515.5 if the individual is 21 years old or older; or
3160          (iv) order a combination of Subsections (3)(b)(i) through (iii).
3161          (4) (a) If an individual described in Subsection (3) is participating in a 24/7 sobriety
3162     program as defined in Section 41-6a-515.5, the court may suspend the jail sentence imposed
3163     under Subsection (3)(a).
3164          (b) If an individual described in Subsection (4)(a) fails to successfully complete all of
3165     the requirements of the 24/7 sobriety program, the court shall impose the suspended jail
3166     sentence described in Subsection (4)(a).
3167          (5) If an individual has a prior conviction as defined in Subsection 41-6a-501(2) that is
3168     within 10 years of the current conviction under Section 41-6a-502 or the commission of the
3169     offense upon which the current conviction is based and where there is admissible evidence that
3170     the individual had a blood or breath alcohol level of .16 or higher, had a blood or breath
3171     alcohol level of .05 or higher in addition to any measurable controlled substance, or had a
3172     combination of two or more controlled substances in the individual's body that were not
3173     recommended in accordance with [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title
3174     26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis or prescribed:
3175          (a) the court shall:
3176          (i) (A) impose a jail sentence of not less than 20 days;
3177          (B) impose a jail sentence of not less than 10 days in addition to home confinement of
3178     not fewer than 60 consecutive days through the use of electronic monitoring that includes a
3179     substance abuse testing instrument in accordance with Section 41-6a-506; or
3180          (C) impose a jail sentence of not less than 10 days in addition to ordering the
3181     individual to obtain substance abuse treatment, if the court finds that substance abuse treatment
3182     is more likely to reduce recidivism and is in the interests of public safety;
3183          (ii) order the individual to participate in a screening;
3184          (iii) order the individual to participate in an assessment, if it is found appropriate by a
3185     screening under Subsection (5)(a)(ii);
3186          (iv) order the individual to participate in an educational series if the court does not
3187     order substance abuse treatment as described under Subsection (5)(b);
3188          (v) impose a fine of not less than $800;
3189          (vi) order probation for the individual in accordance with Section 41-6a-507;

3190          (vii) order the installation of an ignition interlock system as described in Section
3191     41-6a-518;
3192          (viii) (A) order the individual to pay the administrative impound fee described in
3193     Section 41-6a-1406; or
3194          (B) if the administrative impound fee was paid by a party described in Subsection
3195     41-6a-1406(5)(a), other than the individual sentenced, order the individual sentenced to
3196     reimburse the party; or
3197          (ix) (A) order the individual to pay the towing and storage fees described in Section
3198     72-9-603; or
3199          (B) if the towing and storage fees were paid by a party described in Subsection
3200     41-6a-1406(5)(a), other than the individual sentenced, order the individual sentenced to
3201     reimburse the party; and
3202          (b) the court may:
3203          (i) order the individual to obtain substance abuse treatment if the substance abuse
3204     treatment program determines that substance abuse treatment is appropriate;
3205          (ii) order the individual to participate in a 24/7 sobriety program as defined in Section
3206     41-6a-515.5 if the individual is 21 years old or older; or
3207          (iii) order a combination of Subsections (5)(b)(i) and (ii).
3208          (6) (a) If an individual described in Subsection (5) is participating in a 24/7 sobriety
3209     program as defined in Section 41-6a-515.5, the court may suspend the jail sentence imposed
3210     under Subsection (5)(a) after the individual has served a minimum of:
3211          (i) five days of the jail sentence for a second offense; or
3212          (ii) 10 days of the jail sentence for a third or subsequent offense.
3213          (b) If an individual described in Subsection (6)(a) fails to successfully complete all of
3214     the requirements of the 24/7 sobriety program, the court shall impose the suspended jail
3215     sentence described in Subsection (6)(a).
3216          (7) If an individual has a prior conviction as defined in Subsection 41-6a-501(2) that is
3217     within 10 years of the current conviction under Section 41-6a-502 or the commission of the
3218     offense upon which the current conviction is based and that does not qualify under Subsection
3219     (5):
3220          (a) the court shall:

3221          (i) (A) impose a jail sentence of not less than 10 days; or
3222          (B) impose a jail sentence of not less than 5 days in addition to home confinement of
3223     not fewer than 30 consecutive days through the use of electronic monitoring that includes a
3224     substance abuse testing instrument in accordance with Section 41-6a-506;
3225          (ii) order the individual to participate in a screening;
3226          (iii) order the individual to participate in an assessment, if it is found appropriate by a
3227     screening under Subsection (7)(a)(ii);
3228          (iv) order the individual to participate in an educational series if the court does not
3229     order substance abuse treatment as described under Subsection (7)(b);
3230          (v) impose a fine of not less than $800;
3231          (vi) order probation for the individual in accordance with Section 41-6a-507;
3232          (vii) (A) order the individual to pay the administrative impound fee described in
3233     Section 41-6a-1406; or
3234          (B) if the administrative impound fee was paid by a party described in Subsection
3235     41-6a-1406(5)(a), other than the individual sentenced, order the individual sentenced to
3236     reimburse the party; or
3237          (viii) (A) order the individual to pay the towing and storage fees described in Section
3238     72-9-603; or
3239          (B) if the towing and storage fees were paid by a party described in Subsection
3240     41-6a-1406(5)(a), other than the individual sentenced, order the individual sentenced to
3241     reimburse the party; and
3242          (b) the court may:
3243          (i) order the individual to obtain substance abuse treatment if the substance abuse
3244     treatment program determines that substance abuse treatment is appropriate;
3245          (ii) order the individual to participate in a 24/7 sobriety program as defined in Section
3246     41-6a-515.5 if the individual is 21 years old or older; or
3247          (iii) order a combination of Subsections (7)(b)(i) and (ii).
3248          (8) (a) If an individual described in Subsection (7) is participating in a 24/7 sobriety
3249     program as defined in Section 41-6a-515.5, the court may suspend the jail sentence imposed
3250     under Subsection (7)(a) after the individual has served a minimum of:
3251          (i) five days of the jail sentence for a second offense; or

3252          (ii) 10 days of the jail sentence for a third or subsequent offense.
3253          (b) If an individual described in Subsection (8)(a) fails to successfully complete all of
3254     the requirements of the 24/7 sobriety program, the court shall impose the suspended jail
3255     sentence described in Subsection (8)(a).
3256          (9) Under Subsection 41-6a-503(3), if the court suspends the execution of a prison
3257     sentence and places the defendant on probation where there is admissible evidence that the
3258     individual had a blood or breath alcohol level of .16 or higher, had a blood or breath alcohol
3259     level of .05 in addition to any measurable controlled substance, or had a combination of two or
3260     more controlled substances in the person's body that were not recommended in accordance with
3261     [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid
3262     Research and Medical Cannabis or prescribed, the court shall impose:
3263          (a) a fine of not less than $1,500;
3264          (b) a jail sentence of not less than 120 days;
3265          (c) home confinement of not fewer than 120 consecutive days through the use of
3266     electronic monitoring that includes a substance abuse testing instrument in accordance with
3267     Section 41-6a-506; and
3268          (d) supervised probation.
3269          (10) (a) For Subsection (9) or Subsection 41-6a-503(3)(a), the court:
3270          (i) shall impose an order requiring the individual to obtain a screening and assessment
3271     for alcohol and substance abuse, and treatment as appropriate; and
3272          (ii) may impose an order requiring the individual to participate in a 24/7 sobriety
3273     program as defined in Section 41-6a-515.5 if the individual is 21 years old or older.
3274          (b) If an individual described in Subsection (10)(a)(ii) fails to successfully complete all
3275     of the requirements of the 24/7 sobriety program, the court shall impose the suspended prison
3276     sentence described in Subsection (9).
3277          (11) Under Subsection 41-6a-503(3), if the court suspends the execution of a prison
3278     sentence and places the defendant on probation with a sentence not described in Subsection (9),
3279     the court shall impose:
3280          (a) a fine of not less than $1,500;
3281          (b) a jail sentence of not less than 60 days;
3282          (c) home confinement of not fewer than 60 consecutive days through the use of

3283     electronic monitoring that includes a substance abuse testing instrument in accordance with
3284     Section 41-6a-506; and
3285          (d) supervised probation.
3286          (12) (a) (i) Except as described in Subsection (12)(a)(ii), a court may not suspend the
3287     requirements of this section.
3288          (ii) A court may suspend requirements as described in Subsection (2), (4), (6), or (8).
3289          (b) A court, with stipulation of both parties and approval from the judge, may convert a
3290     jail sentence required in this section to electronic home confinement.
3291          (c) A court may order a jail sentence imposed as a condition of misdemeanor probation
3292     under this section to be served in multiple two-day increments at weekly intervals if the court
3293     determines that separate jail increments are necessary to ensure the defendant can serve the
3294     statutorily required jail term and maintain employment.
3295          (13) If an individual is convicted of a violation of Section 41-6a-502 and there is
3296     admissible evidence that the individual had a blood or breath alcohol level of .16 or higher, the
3297     court shall order the following, or describe on record why the order or orders are not
3298     appropriate:
3299          (a) treatment as described under Subsection (1)(b), (3)(b), (5)(b), or (7)(b); and
3300          (b) one or more of the following:
3301          (i) the installation of an ignition interlock system as a condition of probation for the
3302     individual in accordance with Section 41-6a-518;
3303          (ii) the imposition of an ankle attached continuous transdermal alcohol monitoring
3304     device or remote alcohol monitor as a condition of probation for the individual; or
3305          (iii) the imposition of home confinement through the use of electronic monitoring in
3306     accordance with Section 41-6a-506.
3307          Section 46. Section 41-6a-517 is amended to read:
3308          41-6a-517. Definitions -- Driving with any measurable controlled substance in the
3309     body -- Penalties -- Arrest without warrant.
3310          (1) As used in this section:
3311          (a) "Controlled substance" means the same as that term is defined in Section 58-37-2.
3312          (b) "Practitioner" means the same as that term is defined in Section 58-37-2.
3313          (c) "Prescribe" means the same as that term is defined in Section 58-37-2.

3314          (d) "Prescription" means the same as that term is defined in Section 58-37-2.
3315          (2) (a) Except as provided in Subsection (2)(b), in cases not amounting to a violation of
3316     Section 41-6a-502, 76-5-102.1, or 76-5-207, a person may not operate or be in actual physical
3317     control of a motor vehicle within this state if the person has any measurable controlled
3318     substance or metabolite of a controlled substance in the person's body.
3319          (b) Subsection (2)(a) does not apply to a person that has
3320     11-nor-9-carboxy-tetrahydrocannabinol as the only controlled substance present in the person's
3321     body.
3322          (3) It is an affirmative defense to prosecution under this section that the controlled
3323     substance was:
3324          (a) involuntarily ingested by the accused;
3325          (b) prescribed by a practitioner for use by the accused;
3326          (c) cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage
3327     form that the accused ingested in accordance with [Title 26, Chapter 61a, Utah Medical
3328     Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis; or
3329          (d) otherwise legally ingested.
3330          (4) (a) A person convicted of a violation of Subsection (2) is guilty of a class B
3331     misdemeanor.
3332          (b) A person who violates this section is subject to conviction and sentencing under
3333     both this section and any applicable offense under Section 58-37-8.
3334          (5) A peace officer may, without a warrant, arrest a person for a violation of this
3335     section when the officer has probable cause to believe the violation has occurred, although not
3336     in the officer's presence, and if the officer has probable cause to believe that the violation was
3337     committed by the person.
3338          (6) The Driver License Division shall, if the person is 21 years old or older on the date
3339     of arrest:
3340          (a) suspend, for a period of 120 days, the driver license of a person convicted under
3341     Subsection (2) of an offense committed on or after July 1, 2009; or
3342          (b) revoke, for a period of two years, the driver license of a person if:
3343          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
3344          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,

3345     and within a period of 10 years after the date of the prior violation.
3346          (7) The Driver License Division shall, if the person is 19 years old or older but under
3347     21 years old on the date of arrest:
3348          (a) suspend, until the person is 21 years old or for a period of one year, whichever is
3349     longer, the driver license of a person convicted under Subsection (2) of an offense committed
3350     on or after July 1, 2011; or
3351          (b) revoke, until the person is 21 years old or for a period of two years, whichever is
3352     longer, the driver license of a person if:
3353          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
3354          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,
3355     and within a period of 10 years after the date of the prior violation.
3356          (8) The Driver License Division shall, if the person is under 19 years old on the date of
3357     arrest:
3358          (a) suspend, until the person is 21 years old, the driver license of a person convicted
3359     under Subsection (2) of an offense committed on or after July 1, 2009; or
3360          (b) revoke, until the person is 21 years old, the driver license of a person if:
3361          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
3362          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,
3363     and within a period of 10 years after the date of the prior violation.
3364          (9) The Driver License Division shall subtract from any suspension or revocation
3365     period the number of days for which a license was previously suspended under Section
3366     53-3-223 or 53-3-231, if the previous suspension was based on the same occurrence upon
3367     which the record of conviction is based.
3368          (10) The Driver License Division shall:
3369          (a) deny, suspend, or revoke a person's license for the denial and suspension periods in
3370     effect prior to July 1, 2009, for a conviction of a violation under Subsection (2) that was
3371     committed prior to July 1, 2009; or
3372          (b) deny, suspend, or revoke the operator's license of a person for the denial,
3373     suspension, or revocation periods in effect from July 1, 2009, through June 30, 2011, if:
3374          (i) the person was 20 years old or older but under 21 years old at the time of arrest; and
3375          (ii) the conviction under Subsection (2) is for an offense that was committed on or after

3376     July 1, 2009, and prior to July 1, 2011.
3377          (11) A court that reported a conviction of a violation of this section for a violation that
3378     occurred on or after July 1, 2009, to the Driver License Division may shorten the suspension
3379     period imposed under Subsection (7)(a) or (8)(a) prior to completion of the suspension period
3380     if the person:
3381          (a) completes at least six months of the license suspension;
3382          (b) completes a screening;
3383          (c) completes an assessment, if it is found appropriate by a screening under Subsection
3384     (11)(b);
3385          (d) completes substance abuse treatment if it is found appropriate by the assessment
3386     under Subsection (11)(c);
3387          (e) completes an educational series if substance abuse treatment is not required by the
3388     assessment under Subsection (11)(c) or the court does not order substance abuse treatment;
3389          (f) has not been convicted of a violation of any motor vehicle law in which the person
3390     was involved as the operator of the vehicle during the suspension period imposed under
3391     Subsection (7)(a) or (8)(a);
3392          (g) has complied with all the terms of the person's probation or all orders of the court if
3393     not ordered to probation; and
3394          (h) (i) is 18 years old or older and provides a sworn statement to the court that the
3395     person has not consumed a controlled substance not prescribed by a practitioner for use by the
3396     person or unlawfully consumed alcohol during the suspension period imposed under
3397     Subsection (7)(a) or (8)(a); or
3398          (ii) is under 18 years old and has the person's parent or legal guardian provide an
3399     affidavit or other sworn statement to the court certifying that to the parent or legal guardian's
3400     knowledge the person has not consumed a controlled substance not prescribed by a practitioner
3401     for use by the person or unlawfully consumed alcohol during the suspension period imposed
3402     under Subsection (7)(a) or (8)(a).
3403          (12) If the court shortens a person's license suspension period in accordance with the
3404     requirements of Subsection (11), the court shall forward the order shortening the person's
3405     license suspension period to the Driver License Division in a manner specified by the division
3406     prior to the completion of the suspension period imposed under Subsection (7)(a) or (8)(a).

3407          (13) (a) The court shall notify the Driver License Division if a person fails to complete
3408     all court ordered screening and assessment, educational series, and substance abuse treatment.
3409          (b) Subject to Subsection 53-3-218(3), upon receiving the notification, the division
3410     shall suspend the person's driving privilege in accordance with Subsection 53-3-221(2).
3411          (14) The court:
3412          (a) shall order supervised probation in accordance with Section 41-6a-507 for a person
3413     convicted under Subsection (2); and
3414          (b) may order a person convicted under Subsection (2) to participate in a 24-7 sobriety
3415     program as defined in Section 41-6a-515.5 if the person is 21 years old or older.
3416          (15) (a) A court that reported a conviction of a violation of this section to the Driver
3417     License Division may shorten the suspension period imposed under Subsection (6) before
3418     completion of the suspension period if the person is participating in or has successfully
3419     completed a 24-7 sobriety program as defined in Section 41-6a-515.5.
3420          (b) If the court shortens a person's license suspension period in accordance with the
3421     requirements of this Subsection (15), the court shall forward to the Driver License Division, in
3422     a manner specified by the division, the order shortening the person's suspension period.
3423          (c) The court shall notify the Driver License Division, in a manner specified by the
3424     division, if a person fails to complete all requirements of a 24-7 sobriety program.
3425          (d) (i) (A) Upon receiving the notification described in Subsection (15)(c), for a first
3426     offense, the division shall suspend the person's driving privilege for a period of 120 days from
3427     the date of notice.
3428          (B) For a suspension described in Subsection (15)(d)(i)(A), no days shall be subtracted
3429     from the 120-day suspension period for which a driving privilege was suspended under this
3430     section or under Section 53-3-223, if the previous suspension was based on the same
3431     occurrence upon which the conviction under this section is based.
3432          (ii) (A) Upon receiving the notification described in Subsection (15)(c), for a second or
3433     subsequent offense, the division shall revoke the person's driving privilege for a period of two
3434     years from the date of notice.
3435          (B) For a revocation described in Subsection (15)(d)(ii)(A), no days shall be subtracted
3436     from the two-year revocation period for which a driving privilege was previously revoked
3437     under this section or under Section 53-3-223, if the previous revocation was based on the same

3438     occurrence upon which the conviction under this section is based.
3439          Section 47. Section 41-6a-523 is amended to read:
3440          41-6a-523. Persons authorized to draw blood -- Immunity from liability.
3441          (1) (a) Only the following, acting at the request of a peace officer, may draw blood to
3442     determine its alcohol or drug content:
3443          (i) a physician;
3444          (ii) a physician assistant;
3445          (iii) a registered nurse;
3446          (iv) a licensed practical nurse;
3447          (v) a paramedic;
3448          (vi) as provided in Subsection (1)(b), emergency medical service personnel other than
3449     paramedics; or
3450          (vii) a person with a valid permit issued by the Department of Health and Human
3451     Services under Section [26-1-30] 26B-1-202.
3452          (b) The Department of Health and Human Services may designate by rule, in
3453     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, which emergency
3454     medical service personnel, as defined in Section [26-8a-102] 26B-4-101, are authorized to
3455     draw blood under Subsection (1)(a)(vi), based on the type of license under Section [26-8a-302]
3456     26B-4-116.
3457          (c) Subsection (1)(a) does not apply to taking a urine, breath, or oral fluid specimen.
3458          (2) The following are immune from civil or criminal liability arising from drawing a
3459     blood sample from a person whom a peace officer has reason to believe is driving in violation
3460     of this chapter, if the sample is drawn in accordance with standard medical practice:
3461          (a) a person authorized to draw blood under Subsection (1)(a); and
3462          (b) if the blood is drawn at a hospital or other medical facility, the medical facility.
3463          Section 48. Section 41-6a-1717 is amended to read:
3464          41-6a-1717. Smoking in a vehicle prohibited when child is present -- Penalty --
3465     Enforcement.
3466          (1) As used in this section, "smoking" has the same meaning as defined in Section
3467     [26-38-2] 26B-7-501.
3468          (2) (a) Except as provided in Subsection (2)(b), smoking is prohibited in a motor

3469     vehicle if a child who is 15 years of age or younger is a passenger in the vehicle.
3470          (b) A person may smoke in a motor vehicle while a child who is 15 years of age or
3471     younger is a passenger in the vehicle if the person:
3472          (i) is operating a convertible or open-body type motor vehicle; and
3473          (ii) the roof on the convertible or open-body type motor vehicle is in the open-air
3474     mode.
3475          (3) A person who violates this section is guilty of an infraction and is subject to a
3476     maximum fine of $45.
3477          (4) Until July 1, 2014, a peace officer may not issue a citation to an individual for a
3478     violation of this section but shall issue the individual a warning informing the individual that
3479     smoking is prohibited in a motor vehicle if a child who is 15 years of age or younger is a
3480     passenger in the vehicle.
3481          (5) The court may suspend the fine for a violation of this section if:
3482          (a) the person has not previously been convicted of a violation of this section; and
3483          (b) the person proves to the court that the person has enrolled in a smoking cessation
3484     program.
3485          (6) Enforcement of this section by a state or local law enforcement officer shall be only
3486     as a secondary action when the vehicle has been detained for a suspected violation by any
3487     person in the vehicle of Title 41, Motor Vehicles, other than this section, or for another offense.
3488          (7) A violation of this section may not be used as a basis for or evidence of child abuse
3489     or neglect.
3490          Section 49. Section 41-22-8 is amended to read:
3491          41-22-8. Registration fees.
3492          (1) The division, after notifying the commission, shall establish the fees that shall be
3493     paid in accordance with this chapter, subject to the following:
3494          (a) (i) Except as provided in Subsection (1)(a)(ii) or (iii), the fee for each off-highway
3495     vehicle registration may not exceed $35.
3496          (ii) The fee for each snowmobile registration may not exceed $26.
3497          (iii) The fee for each street-legal all-terrain vehicle may not exceed $72.
3498          (b) The fee for each duplicate registration card may not exceed $3.
3499          (c) The fee for each duplicate registration sticker may not exceed $5.

3500          (2) A fee may not be charged for an off-highway vehicle that is owned and operated by
3501     the United States Government, this state, or its political subdivisions.
3502          (3) (a) In addition to the fees under this section, Section 41-22-33, and Section
3503     41-22-34, the Motor Vehicle Division shall require a person to pay one dollar to register an
3504     off-highway vehicle under Section 41-22-3.
3505          (b) The Motor Vehicle Division shall deposit the fees the Motor Vehicle Division
3506     collects under Subsection (3)(a) into the Spinal Cord and Brain Injury Rehabilitation Fund
3507     described in Section [26-54-102] 26B-1-319.
3508          Section 50. Section 49-11-1401 is amended to read:
3509          49-11-1401. Forfeiture of retirement benefits for employees for employment
3510     related offense convictions -- Notifications -- Investigations -- Appeals.
3511          (1) As used in this section:
3512          (a) "Convicted" means a conviction by plea or by verdict, including a plea of guilty or a
3513     plea of no contest that is held in abeyance under Title 77, Chapter 2a, Pleas in Abeyance,
3514     regardless of whether the charge was, or is, subsequently reduced in accordance with the plea
3515     agreement or reduced or dismissed in accordance with the plea agreement or the plea in
3516     abeyance agreement.
3517          (b) "Employee" means a member of a system or plan administered by the board.
3518          (c) (i) "Employment related offense" means a felony committed during employment or
3519     the term of an elected or appointed office with a participating employer that is:
3520          (A) during the performance of the employee's duties;
3521          (B) within the scope of the employee's employment; or
3522          (C) under color of the employee's authority.
3523          (ii) "Employment related offense" does not include any federal offense for conduct that
3524     is lawful under [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part
3525     2, Cannabinoid Research and Medical Cannabis.
3526          (2) (a) Notwithstanding any other provision of this title, an employee shall forfeit
3527     accrual of service credit, employer retirement related contributions, including employer
3528     contributions to the employer sponsored defined contribution plans, or other retirement related
3529     benefits from a system or plan under this title in accordance with this section.
3530          (b) The forfeiture of retirement related benefits under Subsection (2)(a) does not

3531     include the employee's contribution to a defined contribution plan.
3532          (3) An employee shall forfeit the benefits described under Subsection (2)(a):
3533          (a) if the employee is convicted of an employment related offense;
3534          (b) beginning on the day on which the employment related offense occurred; and
3535          (c) until the employee is either:
3536          (i) re-elected or reappointed to office; or
3537          (ii) (A) terminated from the position for which the employee was found to have
3538     committed an employment related offense; and
3539          (B) rehired or hired as an employee who is eligible to be a member of a Utah state
3540     retirement system or plan.
3541          (4) The employee's participating employer shall:
3542          (a) immediately notify the office:
3543          (i) if an employee is charged with an offense that is or may be an employment related
3544     offense under this section; and
3545          (ii) if the employee described in Subsection (4)(a)(i) is acquitted of the offense that is
3546     or may be an employment related offense under this section; and
3547          (b) if the employee is convicted of an offense that may be an employment related
3548     offense:
3549          (i) conduct an investigation, which may rely on the conviction, to determine:
3550          (A) whether the conviction is for an employment related offense; and
3551          (B) the date on which the employment related offense was initially committed; and
3552          (ii) after the period of time for an appeal by an employee under Subsection (5),
3553     immediately notify the office of the employer's determination under this Subsection (4)(b).
3554          (5) An employee may appeal the employee's participating employer's determination
3555     under Subsection (4)(b) in accordance with the participating employer's procedures for
3556     appealing agency action, including Title 63G, Chapter 4, Administrative Procedures Act, if
3557     applicable.
3558          (6) (a) Notwithstanding Subsection (4), a district attorney, a county attorney, the
3559     attorney general's office, or the state auditor may notify the office and the employee's
3560     participating employer if an employee is charged with an offense that is or may be an
3561     employment related offense under this section.

3562          (b) If the employee's participating employer receives a notification under Subsection
3563     (6)(a), the participating employer shall immediately report to the entity that provided the
3564     notification under Subsection (6)(a):
3565          (i) if the employee is acquitted of the offense;
3566          (ii) if the employee is convicted of an offense that may be an employment related
3567     offense; and
3568          (iii) when the participating employer has concluded the participating employer's duties
3569     under this section if the employee is convicted, including conducting an investigation, making
3570     a determination under Subsection (4)(b) that the conviction was for an employment related
3571     offense, and notifying the office under Subsection (7).
3572          (c) The notifying entity under Subsection (6)(a) may assist the employee's participating
3573     employer with the investigation and determination described under Subsection (4)(b).
3574          (7) Upon receiving a notification from a participating employer that the participating
3575     employer has made a determination under Subsection (4)(b) that the conviction was for an
3576     employment related offense, the office shall immediately forfeit any service credit, employer
3577     retirement related contributions, including employer contributions to the employer sponsored
3578     contribution plans, or other retirement related benefits accrued by or made for the benefit of the
3579     employee, beginning on the date of the initial employment related offense determined under
3580     Subsection (4)(b).
3581          (8) This section applies to an employee who is convicted on or after the effective date
3582     of this act for an employment related offense.
3583          (9) The board may make rules to implement this section.
3584          (10) If any provision of this section, or the application of any provision to any person
3585     or circumstance, is held invalid, the remainder of this section shall be given effect without the
3586     invalid provision or application.
3587          Section 51. Section 49-12-202 is amended to read:
3588          49-12-202. Participation of employers -- Limitations -- Exclusions -- Admission
3589     requirements -- Exceptions -- Nondiscrimination requirements.
3590          (1) (a) Unless excluded under Subsection (2), an employer is a participating employer
3591     and may not withdraw from participation in this system.
3592          (b) In addition to participation in this system, a participating employer may provide or

3593     participate in public or private retirement, supplemental or defined contribution plan, either
3594     directly or indirectly, for the participating employer's employees.
3595          (2) The following employers may be excluded from participation in this system:
3596          (a) an employer not initially admitted or included as a participating employer in this
3597     system prior to January 1, 1982, if:
3598          (i) the employer elects not to provide or participate in any type of private or public
3599     retirement, supplemental or defined contribution plan, either directly or indirectly, for the
3600     employer's employees, except for Social Security; or
3601          (ii) the employer offers another collectively bargained retirement benefit and has
3602     continued to do so on an uninterrupted basis since that date;
3603          (b) an employer that is a charter school authorized under Title 53G, Chapter 5, Part 3,
3604     Charter School Authorization, and does not elect to participate in accordance with Section
3605     53G-5-407;
3606          (c) an employer that is a hospital created as a special service district under Title 17D,
3607     Chapter 1, Special Service District Act, that makes an election of nonparticipation in
3608     accordance with Subsection (4); or
3609          (d) an employer that is licensed as a nursing care facility under [Title 26, Chapter 21,
3610     Health Care Facility Licensing and Inspection Act] Title 26B, Chapter 2, Part 2, Health Care
3611     Facility Licensing and Inspection, and created as a special service district under Title 17D,
3612     Chapter 1, Special Service District Act, in a rural area of the state that makes an election of
3613     nonparticipation in accordance with Subsection (4).
3614          (3) An employer who did not become a participating employer in this system prior to
3615     July 1, 1986, may not participate in this system.
3616          (4) (a) (i) Until June 30, 2009, a employer that is a hospital created as a special service
3617     district under Title 17D, Chapter 1, Special Service District Act, may make an election of
3618     nonparticipation as an employer for retirement programs under this chapter.
3619          (ii) Until June 30, 2014, an employer that is licensed as a nursing care facility under
3620     [Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act] Title 26B, Chapter 2,
3621     Part 2, Health Care Facility Licensing and Inspection, and created as a special service district
3622     under Title 17D, Chapter 1, Special Service District Act, in a rural area of the state may make
3623     an election of nonparticipation as an employer for retirement programs under this chapter.

3624          (b) An election provided under Subsection (4)(a):
3625          (i) is a one-time election made no later than the time specified under Subsection (4)(a);
3626          (ii) shall be documented by a resolution adopted by the governing body of the special
3627     service district;
3628          (iii) is irrevocable; and
3629          (iv) applies to the special service district as the employer and to all employees of the
3630     special service district.
3631          (c) The governing body of the special service district may offer employee benefit plans
3632     for special service district's employees:
3633          (i) under Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act;
3634     or
3635          (ii) under any other program.
3636          (5) (a) If a participating employer purchases service credit on behalf of a regular
3637     full-time employee for service rendered prior to the participating employer's admission to this
3638     system, the participating employer shall:
3639          (i) purchase service credit in a nondiscriminatory manner on behalf of all current and
3640     former regular full-time employees who were eligible for service credit at the time service was
3641     rendered; and
3642          (ii) comply with the provisions of Section 49-11-403, except for the requirement
3643     described in Subsection 49-11-403(2)(a).
3644          (b) For a purchase made under this Subsection (5), an employee is not required to:
3645          (i) have at least four years of service credit before the purchase can be made; or
3646          (ii) forfeit service credit or any defined contribution balance based on the employer
3647     contributions under any other retirement system or plan based on the period of employment for
3648     which service credit is being purchased.
3649          Section 52. Section 49-13-202 is amended to read:
3650          49-13-202. Participation of employers -- Limitations -- Exclusions -- Admission
3651     requirements -- Nondiscrimination requirements -- Service credit purchases.
3652          (1) (a) Unless excluded under Subsection (2), an employer is a participating employer
3653     and may not withdraw from participation in this system.
3654          (b) In addition to participation in this system, a participating employer may provide or

3655     participate in any additional public or private retirement, supplemental or defined contribution
3656     plan, either directly or indirectly, for the participating employer's employees.
3657          (2) The following employers may be excluded from participation in this system:
3658          (a) an employer not initially admitted or included as a participating employer in this
3659     system before January 1, 1982, if:
3660          (i) the employer elects not to provide or participate in any type of private or public
3661     retirement, supplemental or defined contribution plan, either directly or indirectly, for the
3662     employer's employees, except for Social Security; or
3663          (ii) the employer offers another collectively bargained retirement benefit and has
3664     continued to do so on an uninterrupted basis since that date;
3665          (b) an employer that is a charter school authorized under Title 53G, Chapter 5, Part 3,
3666     Charter School Authorization, and does not elect to participate in accordance with Section
3667     53G-5-407;
3668          (c) an employer that is a hospital created as a special service district under Title 17D,
3669     Chapter 1, Special Service District Act, that makes an election of nonparticipation in
3670     accordance with Subsection (5);
3671          (d) an employer that is licensed as a nursing care facility under [Title 26, Chapter 21,
3672     Health Care Facility Licensing and Inspection Act] Title 26B, Chapter 2, Part 2, Health Care
3673     Facility Licensing and Inspection, and created as a special service district under Title 17D,
3674     Chapter 1, Special Service District Act, in a rural area of the state that makes an election of
3675     nonparticipation in accordance with Subsection (5); or
3676          (e) an employer that is a risk management association initially created by interlocal
3677     agreement before 1986 for the purpose of implementing a self-insurance joint protection
3678     program for the benefit of member municipalities of the association.
3679          (3) If an employer that may be excluded under Subsection (2)(a)(i) elects at any time to
3680     provide or participate in any type of public or private retirement, supplemental or defined
3681     contribution plan, either directly or indirectly, except for Social Security, the employer shall be
3682     a participating employer in this system regardless of whether the employer has applied for
3683     admission under Subsection (4).
3684          (4) (a) An employer may, by resolution of the employer's governing body, apply for
3685     admission to this system.

3686          (b) Upon approval of the resolution by the board, the employer is a participating
3687     employer in this system and is subject to this title.
3688          (5) (a) (i) Until June 30, 2009, a employer that is a hospital created as a special service
3689     district under Title 17D, Chapter 1, Special Service District Act, may make an election of
3690     nonparticipation as an employer for retirement programs under this chapter.
3691          (ii) Until June 30, 2014, an employer that is licensed as a nursing care facility under
3692     [Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act] Title 26B, Chapter 2,
3693     Part 2, Health Care Facility Licensing and Inspection, and created as a special service district
3694     under Title 17D, Chapter 1, Special Service District Act, in a rural area of the state may make
3695     an election of nonparticipation as an employer for retirement programs under this chapter.
3696          (iii) On or before July 1, 2010, an employer described in Subsection (2)(e) may make
3697     an election of nonparticipation as an employer for retirement programs under this chapter.
3698          (b) An election provided under Subsection (5)(a):
3699          (i) is a one-time election made no later than the time specified under Subsection (5)(a);
3700          (ii) shall be documented by a resolution adopted by the governing body of the
3701     employer;
3702          (iii) is irrevocable; and
3703          (iv) applies to the employer as described in Subsection (5)(a)(i), (ii), or (iii) and to all
3704     employees of that employer.
3705          (c) The employer making an election under Subsection (5)(a) may offer employee
3706     benefit plans for the employer's employees:
3707          (i) under Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act;
3708     or
3709          (ii) under any other program.
3710          (6) (a) If a participating employer purchases service credit on behalf of a regular
3711     full-time employee for service rendered prior to the participating employer's admission to this
3712     system, the participating employer shall:
3713          (i) purchase service credit in a nondiscriminatory manner on behalf of all current and
3714     former regular full-time employees who were eligible for service credit at the time service was
3715     rendered; and
3716          (ii) comply with the provisions of Section 49-11-403, except for the requirement

3717     described in Subsection 49-11-403(2)(a).
3718          (b) For a purchase made under this Subsection (6), an employee is not required to:
3719          (i) have at least four years of service credit before the purchase can be made; or
3720          (ii) forfeit service credit or any defined contribution balance based on the employer
3721     contributions under any other retirement system or plan based on the period of employment for
3722     which service credit is being purchased.
3723          Section 53. Section 49-20-201 is amended to read:
3724          49-20-201. Program participation -- Eligibility -- Optional for certain groups.
3725          (1) (a) The state shall participate in the program on behalf of the state's employees.
3726          (b) Other employers, including political subdivisions and educational institutions, are
3727     eligible, but are not required, to participate in the program on behalf of their employees.
3728          (2) (a) As provided in Subsection [26-40-110(5)] 26B-3-908(5), the Department of
3729     Health and Human Services may participate in the program for the purpose of providing health
3730     and dental benefits to children enrolled in the Utah Children's Health Insurance Program
3731     created in [Title 26, Chapter 40, Utah Children's Health Insurance Act] Title 26B, Chapter 3,
3732     Part 9, Utah Children's Health Insurance Program.
3733          (b) If the Department of Health and Human Services participates in the program under
3734     the provisions of this Subsection (2), all insurance risk associated with the Utah Children's
3735     Health Insurance Program shall be the responsibility of the Department of Health and Human
3736     Services and not the program or the office.
3737          (3) Volunteer emergency medical service personnel are eligible to participate in the
3738     program in accordance with Section [26-8a-603] 26B-4-136.
3739          (4) A covered individual shall be eligible for coverage after termination of employment
3740     under rules adopted by the board.
3741          (5) Only the following are eligible for Medicare supplement coverage under this
3742     chapter upon becoming eligible for Medicare Part A and Part B coverage:
3743          (a) retirees;
3744          (b) members;
3745          (c) participants;
3746          (d) employees who have medical employee benefit plan coverage at the time of their
3747     retirement; and

3748          (e) current spouses of those who are eligible under Subsections (5)(a) through (d).
3749          Section 54. Section 49-20-401 is amended to read:
3750          49-20-401. Program -- Powers and duties.
3751          (1) The program shall:
3752          (a) act as a self-insurer of employee benefit plans and administer those plans;
3753          (b) enter into contracts with private insurers or carriers to underwrite employee benefit
3754     plans as considered appropriate by the program;
3755          (c) indemnify employee benefit plans or purchase commercial reinsurance as
3756     considered appropriate by the program;
3757          (d) provide descriptions of all employee benefit plans under this chapter in cooperation
3758     with covered employers;
3759          (e) process claims for all employee benefit plans under this chapter or enter into
3760     contracts, after competitive bids are taken, with other benefit administrators to provide for the
3761     administration of the claims process;
3762          (f) obtain an annual actuarial review of all health and dental benefit plans and a
3763     periodic review of all other employee benefit plans;
3764          (g) consult with the covered employers to evaluate employee benefit plans and develop
3765     recommendations for benefit changes;
3766          (h) annually submit a budget and audited financial statements to the governor and
3767     Legislature that includes total projected benefit costs and administrative costs;
3768          (i) maintain reserves sufficient to liquidate the unrevealed claims liability and other
3769     liabilities of the employee benefit plans as certified by the program's consulting actuary;
3770          (j) submit, in advance, the program's recommended benefit adjustments for state
3771     employees to:
3772          (i) the Legislature; and
3773          (ii) the director of the state Division of Human Resource Management;
3774          (k) determine benefits and rates, upon approval of the board, for multi-employer risk
3775     pools, retiree coverage, and conversion coverage;
3776          (l) determine benefits and rates based on the total estimated costs and the employee
3777     premium share established by the Legislature, upon approval of the board, for state employees;
3778          (m) administer benefits and rates, upon ratification of the board, for single-employer

3779     risk pools;
3780          (n) request proposals for one or more out-of-state provider networks and a dental
3781     health plan administered by a third-party carrier at least once every three years for the purposes
3782     of:
3783          (i) stimulating competition for the benefit of covered individuals;
3784          (ii) establishing better geographical coverage of medical care services; and
3785          (iii) providing coverage for both active and retired covered individuals;
3786          (o) for a proposal that meets the criteria specified in a request for proposals and is
3787     accepted by the program:
3788          (i) offer the proposal to active and retired state-covered individuals; and
3789          (ii) at the option of the covered employer, offer the proposal to active and retired
3790     covered individuals of other covered employers;
3791          (p) perform the same functions established in Subsections (1)(a), (b), (e), and (h) for
3792     the Department of Health and Human Services if the program provides program benefits to
3793     children enrolled in the Utah Children's Health Insurance Program created in [Title 26, Chapter
3794     40, Utah Children's Health Insurance Act] Title 26B, Chapter 3, Part 9, Utah Children's Health
3795     Insurance Program;
3796          (q) establish rules and procedures governing the admission of political subdivisions or
3797     educational institutions and their employees to the program;
3798          (r) (i) contract directly with medical providers to provide services for covered
3799     individuals at commercially competitive rates; and
3800          (ii) (A) discontinue the preferred network, which offers in-network access to all
3801     in-state hospitals, for the state risk pool created in Subsection 49-20-202(1)(a) for plan years
3802     starting on or after July 1, 2022; and
3803          (B) for an employee in the state risk pool who fails to elect one of the remaining
3804     networks before July 1, 2022, enroll the employee and the employee's dependents into the
3805     network that best reflects the utilization pattern of that employee and the employee's
3806     dependents;
3807          (s) (i) require state employees and the state employees' dependents to participate in the
3808     electronic exchange of clinical health records in accordance with Section [26-1-37] 26B-8-411
3809     unless the enrollee opts out of participation; and

3810          (ii) prior to enrolling the state employee, each time the state employee logs onto the
3811     program's website, and each time the enrollee receives written enrollment information from the
3812     program, provide notice to the enrollee of the enrollee's participation in the electronic exchange
3813     of clinical health records and the option to opt out of participation at any time;
3814          (t) at the request of a procurement unit, as that term is defined in Section 63G-6a-103,
3815     that administers benefits to program recipients who are not covered by [Title 26, Utah Health
3816     Code] Title 26B, Utah Health and Human Services Code, provide services for:
3817          (i) drugs;
3818          (ii) medical devices; or
3819          (iii) other types of medical care; and
3820          (u) take additional actions necessary or appropriate to carry out the purposes of this
3821     chapter.
3822          (2) (a) Funds budgeted and expended shall accrue from rates paid by the covered
3823     employers and covered individuals.
3824          (b) The board shall approve administrative costs and report the administrative costs to
3825     the governor and the Legislature.
3826          (3) The Division of Human Resource Management shall include the benefit
3827     adjustments described in Subsection (1)(j) in the total compensation plan recommended to the
3828     governor required under Subsection 63A-17-307(5)(a).
3829          (4) The program may establish a partnership with a public entity in a different state to
3830     purchase or share services related to the administration of medical benefits if:
3831          (a) the program receives approval for the partnership from the board; and
3832          (b) the partnership:
3833          (i) creates cost savings for Utah;
3834          (ii) does not commingle state funds with funds of the public entity in the other state;
3835     and
3836          (iii) does not pose a greater actuarial risk to Utah than the program has already
3837     assumed.
3838          Section 55. Section 49-20-414 is amended to read:
3839          49-20-414. Telemedicine services -- Reimbursement -- Reporting.
3840          (1) As used in this section:

3841          (a) "Network provider" means a health care provider who has an agreement with the
3842     program to provide health care services to a patient with an expectation of receiving payment,
3843     other than coinsurance, copayments, or deductibles, directly from the managed care
3844     organization.
3845          (b) "Telemedicine services" means the same as that term is defined in Section
3846     [26-60-102] 26B-4-704.
3847          (2) This section applies to the risk pool established for the state under Subsection
3848     49-20-201(1)(a).
3849          (3) The program shall, at the provider's request, reimburse a network provider for
3850     medically appropriate telemedicine services at a commercially reasonable rate.
3851          (4) Before November 1, 2019, the program shall report to the Legislature's Public
3852     Utilities, Energy, and Technology Interim Committee and Health Reform Task Force on:
3853          (a) the result of the reimbursement requirement described in Subsection (3);
3854          (b) existing and potential uses of telehealth and telemedicine services;
3855          (c) issues of reimbursement to a provider offering telehealth and telemedicine services;
3856          (d) potential rules or legislation related to:
3857          (i) providers offering and insurers reimbursing for telehealth and telemedicine services;
3858     and
3859          (ii) increasing access to health care, increasing the efficiency of health care, and
3860     decreasing the costs of health care; and
3861          (e) telemedicine services that the program declined to cover because the telemedicine
3862     services that were requested were not medically appropriate.
3863          Section 56. Section 49-20-421 is amended to read:
3864          49-20-421. Prescription discount program.
3865          (1) As used in this section:
3866          (a) "Diabetes" means:
3867          (i) complete insulin deficiency or type 1 diabetes;
3868          (ii) insulin resistant with partial insulin deficiency or type 2 diabetes; or
3869          (iii) elevated blood glucose levels induced by pregnancy or gestational diabetes.
3870          (b) "Discount program" means a process developed by the program that allows
3871     participants to purchase a qualified prescription at a discounted, post-rebate rate.

3872          (c) "Epinephrine auto-injector" means the same as that term is defined in Section
3873     [26-41-102] 26B-4-401.
3874          (d) "Individual with diabetes" means an individual who has been diagnosed with
3875     diabetes and who uses insulin to treat diabetes.
3876          (e) "Insulin" means a prescription drug that contains insulin.
3877          (f) "Participant" means a resident of Utah who:
3878          (i) has a qualified condition;
3879          (ii) does not receive health coverage under the program; and
3880          (iii) enrolls in the discount program.
3881          (g) "Prescription drug" means the same as that term is defined in Section 58-17b-102.
3882          (h) "Qualified condition" means the individual:
3883          (i) uses insulin to treat diabetes; or
3884          (ii) has a prescription or a standing prescription drug order for an epinephrine
3885     auto-injector issued under Section 58-17b-1005.
3886          (i) "Qualified prescription" means:
3887          (i) insulin; or
3888          (ii) epinephrine auto-injector.
3889          (j) "Rebate" means the same as that term is defined in Section 31A-46-102.
3890          (2) Notwithstanding Subsection 49-20-201(1), and for the purpose of the discount
3891     program only, the program shall offer a discount program that allows participants to purchase a
3892     qualified prescription at a discounted, post-rebate price when a rebate is available.
3893          (3) The discount program described in Subsection (2) shall:
3894          (a) provide a participant with a card or electronic document that identifies the
3895     participant as eligible for the discount on a qualified prescription related to the participant's
3896     qualified condition;
3897          (b) provide a participant with information about pharmacies that will honor the
3898     discount;
3899          (c) allow a participant to purchase a qualified prescription at a discounted, post-rebate
3900     price; and
3901          (d) provide a participant with instructions to pursue a reimbursement of the purchase
3902     price from the participant's health insurer.

3903          (4) The discount program shall charge a price for a qualified prescription that allows
3904     the program to retain only enough of any rebate for the qualified prescription to make the state
3905     risk pool whole for providing a discounted qualified prescription to participants.
3906          Section 57. Section 51-2a-102 is amended to read:
3907          51-2a-102. Definitions.
3908          As used in this chapter:
3909          (1) "Accounting reports" means an audit, a review, a compilation, or a fiscal report.
3910          (2) "Audit" means an examination that:
3911          (a) is performed in accordance with generally accepted government auditing standards,
3912     or for a nonprofit corporation or a governmental nonprofit corporation, in accordance with
3913     generally accepted auditing standards; and
3914          (b) conforms to the uniform classification of accounts established or approved by the
3915     state auditor or any other classification of accounts established by any federal government
3916     agency.
3917          (3) "Audit report" means:
3918          (a) the financial statements presented in conformity with generally accepted accounting
3919     principles;
3920          (b) the auditor's opinion on the financial statements;
3921          (c) a statement by the auditor expressing positive assurance of compliance with state
3922     fiscal laws identified by the state auditor;
3923          (d) a copy of the auditor's letter to management that identifies any material weakness in
3924     internal controls discovered by the auditor and other financial issues related to the expenditure
3925     of funds received from federal, state, or local governments to be considered by management;
3926     and
3927          (e) management's response to the specific recommendations.
3928          (4) "Compilation" means information presented in the form of financial statements
3929     presented in conformity with generally accepted accounting principles that are the
3930     representation of management without the accountant undertaking to express any assurances on
3931     the statements.
3932          (5) "Fiscal report" means providing information detailing revenues and expenditures of
3933     all funds in a format prescribed by the state auditor.

3934          (6) "Governing board" means:
3935          (a) the governing board of each political subdivision;
3936          (b) the governing board of each interlocal organization having the power to tax or to
3937     expend public funds;
3938          (c) the governing board of any local mental health authority established under the
3939     authority of [Title 62A, Chapter 15, Substance Abuse and Mental Health Act] Title 26B,
3940     Chapter 5, Health Care - Substance Use and Mental Health;
3941          (d) the governing board of any substance abuse authority established under the
3942     authority of [Title 62A, Chapter 15, Substance Abuse and Mental Health Act] Title 26B,
3943     Chapter 5, Health Care - Substance Use and Mental Health;
3944          (e) the governing board of any area agency established under the authority of [Title
3945     62A, Chapter 3, Aging and Adult Services] Title 26B, Chapter 6, Part 1, Aging and Adult
3946     Services;
3947          (f) the board of directors of any nonprofit corporation that receives an amount of
3948     money requiring an accounting report under Section 51-2a-201.5;
3949          (g) the governing board, as that term is defined in Section 11-13a-102, of a
3950     governmental nonprofit corporation;
3951          (h) the governing board of any other entity established by a local governmental unit
3952     that receives tax exempt status for bonding or taxing purposes; and
3953          (i) in municipalities organized under an optional form of municipal government, the
3954     municipal legislative body.
3955          (7) "Governmental nonprofit corporation" means the same as that term is defined in
3956     Section 11-13a-102.
3957          (8) "Nonprofit corporation" does not include a governmental nonprofit corporation.
3958          (9) "Review" means performing inquiry and analytical procedures that provide the
3959     accountant with a reasonable basis for expressing limited assurance that there are no material
3960     modifications that should be made to the financial statements for them to be in conformity with
3961     generally accepted accounting principles.
3962          Section 58. Section 51-7-2 is amended to read:
3963          51-7-2. Exemptions from chapter.
3964          The following funds are exempt from this chapter:

3965          (1) funds invested in accordance with the participating employees' designation or
3966     direction pursuant to a public employees' deferred compensation plan established and operated
3967     in compliance with Section 457 of the Internal Revenue Code of 1986, as amended;
3968          (2) funds of the Utah State Retirement Board;
3969          (3) funds of the Utah Housing Corporation;
3970          (4) endowment funds of higher education institutions, including funds of the Higher
3971     Education Student Success Endowment, created in Section 53B-7-801;
3972          (5) permanent and other land grant trust funds established pursuant to the Utah
3973     Enabling Act and the Utah Constitution;
3974          (6) the State Post-Retirement Benefits Trust Fund;
3975          (7) the funds of the Utah Educational Savings Plan;
3976          (8) funds of the permanent state trust fund created by and operated under Utah
3977     Constitution, Article XXII, Section 4;
3978          (9) the funds in the Navajo Trust Fund;
3979          (10) the funds in the Radioactive Waste Perpetual Care and Maintenance Account;
3980          (11) the funds in the Employers' Reinsurance Fund;
3981          (12) the funds in the Uninsured Employers' Fund;
3982          (13) the Utah State Developmental Center Long-Term Sustainability Fund, created in
3983     Section [62A-5-206.7] 26B-1-331;
3984          (14) the funds in the Risk Management Fund created in Section 63A-4-201; and
3985          (15) the Utah fund of funds created in Section 63N-6-401.
3986          Section 59. Section 51-9-201 is amended to read:
3987          51-9-201. Creation of Tobacco Settlement Restricted Account.
3988          (1) There is created within the General Fund a restricted account known as the
3989     "Tobacco Settlement Restricted Account."
3990          (2) The account shall earn interest.
3991          (3) The account shall consist of:
3992          (a) on and after July 1, 2007, 60% of all funds of every kind that are received by the
3993     state that are related to the settlement agreement that the state entered into with leading tobacco
3994     manufacturers on November 23, 1998; and
3995          (b) interest earned on the account.

3996          (4) To the extent that funds will be available for appropriation in a given fiscal year,
3997     those funds shall be appropriated from the account in the following order:
3998          (a) $66,600 to the Office of the Attorney General for ongoing enforcement and defense
3999     of the Tobacco Settlement Agreement;
4000          (b) $18,500 to the State Tax Commission for ongoing enforcement of business
4001     compliance with the Tobacco Tax Settlement Agreement;
4002          (c) $11,022,900 to the Department of Health and Human Services for:
4003          (i) children in the Medicaid program created in [Title 26, Chapter 18, Medical
4004     Assistance Act] Title 26B, Chapter 3, Health Care - Delivery and Assistance, and the
4005     Children's Health Insurance Program created in Section [26-40-103] 26B-3-902; and
4006          (ii) for restoration of dental benefits in the Children's Health Insurance Program;
4007          (d) $3,277,100 to the Department of Health and Human Services for alcohol, tobacco,
4008     and other drug prevention, reduction, cessation, and control programs that promote unified
4009     messages and make use of media outlets, including radio, newspaper, billboards, and
4010     television, and with a preference in funding given to tobacco-related programs;
4011          (e) $193,700 to the Administrative Office of the Courts and $2,325,400 to the
4012     Department of Health and Human Services for the statewide expansion of the drug court
4013     program;
4014          (f) $4,000,000 to the Utah Board of Higher Education for the University of Utah
4015     Health Sciences Center to benefit the health and well-being of Utah citizens through in-state
4016     research, treatment, and educational activities; and
4017          (g) any remaining funds as directed by the Legislature through appropriation.
4018          Section 60. Section 51-9-203 is amended to read:
4019          51-9-203. Requirements for tobacco and electronic cigarette programs.
4020          (1) To be eligible to receive funding under this part for a tobacco prevention, reduction,
4021     cessation, or control program, an organization, whether private, governmental, or
4022     quasi-governmental, shall:
4023          (a) submit a request to the Department of Health and Human Services containing the
4024     following information:
4025          (i) for media campaigns to prevent or reduce smoking, the request shall demonstrate
4026     sound management and periodic evaluation of the campaign's relevance to the intended

4027     audience, particularly in campaigns directed toward youth, including audience awareness of the
4028     campaign and recollection of the main message;
4029          (ii) for school-based education programs to prevent and reduce youth smoking, the
4030     request shall describe how the program will be effective in preventing and reducing youth
4031     smoking;
4032          (iii) for community-based programs to prevent and reduce smoking, the request shall
4033     demonstrate that the proposed program:
4034          (A) has a comprehensive strategy with a clear mission and goals;
4035          (B) provides for committed, caring, and professional leadership; and
4036          (C) if directed toward youth:
4037          (I) offers youth-centered activities in youth accessible facilities;
4038          (II) is culturally sensitive, inclusive, and diverse;
4039          (III) involves youth in the planning, delivery, and evaluation of services that affect
4040     them; and
4041          (IV) offers a positive focus that is inclusive of all youth; and
4042          (iv) for enforcement, control, and compliance program, the request shall demonstrate
4043     that the proposed program can reasonably be expected to reduce the extent to which tobacco
4044     products and electronic cigarette products, as those terms are defined in Section 76-10-101, are
4045     available to individuals under 21 years old;
4046          (b) agree, by contract, to file an annual written report with the Department of Health
4047     and Human Services that contains the following:
4048          (i) the amount funded;
4049          (ii) the amount expended;
4050          (iii) a description of the program or campaign and the number of adults and youth who
4051     participated;
4052          (iv) specific elements of the program or campaign meeting the applicable criteria set
4053     forth in Subsection (1)(a); and
4054          (v) a statement concerning the success and effectiveness of the program or campaign;
4055          (c) agree, by contract, to not use any funds received under this part directly or
4056     indirectly, to:
4057          (i) engage in any lobbying or political activity, including the support of, or opposition

4058     to, candidates, ballot questions, referenda, or similar activities; or
4059          (ii) engage in litigation with any tobacco manufacturer, retailer, or distributor, except to
4060     enforce:
4061          (A) the provisions of the Master Settlement Agreement;
4062          (B) [Title 26, Chapter 38, Utah Indoor Clean Air Act] Title 26B, Chapter 7, Part 5,
4063     Regulation of Smoking, Tobacco Products, and Nicotine Products;
4064          (C) [Title 26, Chapter 62, Part 3, Enforcement] Sections 26B-7-514 through
4065     26B-7-520; and
4066          (D) Title 77, Chapter 39, Sale of Tobacco or Alcohol to Under Age Persons; and
4067          (d) agree, by contract, to repay the funds provided under this part if the organization:
4068          (i) fails to file a timely report as required by Subsection (1)(b); or
4069          (ii) uses any portion of the funds in violation of Subsection (1)(c).
4070          (2) The Department of Health and Human Services shall review and evaluate the
4071     success and effectiveness of any program or campaign that receives funding pursuant to a
4072     request submitted under Subsection (1). The review and evaluation:
4073          (a) shall include a comparison of annual smoking trends;
4074          (b) may be conducted by an independent evaluator; and
4075          (c) may be paid for by funds appropriated from the account for that purpose.
4076          (3) An organization that fails to comply with the contract requirements set forth in
4077     Subsection (1) shall:
4078          (a) repay the state as provided in Subsection (1)(d); and
4079          (b) be disqualified from receiving funds under this part in any subsequent fiscal year.
4080          (4) The attorney general shall be responsible for recovering funds that are required to
4081     be repaid to the state under this section.
4082          (5) Nothing in this section may be construed as applying to funds that are not
4083     appropriated under this part.
4084          Section 61. Section 52-4-205 is amended to read:
4085          52-4-205. Purposes of closed meetings -- Certain issues prohibited in closed
4086     meetings.
4087          (1) A closed meeting described under Section 52-4-204 may only be held for:
4088          (a) except as provided in Subsection (3), discussion of the character, professional

4089     competence, or physical or mental health of an individual;
4090          (b) strategy sessions to discuss collective bargaining;
4091          (c) strategy sessions to discuss pending or reasonably imminent litigation;
4092          (d) strategy sessions to discuss the purchase, exchange, or lease of real property,
4093     including any form of a water right or water shares, or to discuss a proposed development
4094     agreement, project proposal, or financing proposal related to the development of land owned by
4095     the state, if public discussion would:
4096          (i) disclose the appraisal or estimated value of the property under consideration; or
4097          (ii) prevent the public body from completing the transaction on the best possible terms;
4098          (e) strategy sessions to discuss the sale of real property, including any form of a water
4099     right or water shares, if:
4100          (i) public discussion of the transaction would:
4101          (A) disclose the appraisal or estimated value of the property under consideration; or
4102          (B) prevent the public body from completing the transaction on the best possible terms;
4103          (ii) the public body previously gave public notice that the property would be offered for
4104     sale; and
4105          (iii) the terms of the sale are publicly disclosed before the public body approves the
4106     sale;
4107          (f) discussion regarding deployment of security personnel, devices, or systems;
4108          (g) investigative proceedings regarding allegations of criminal misconduct;
4109          (h) as relates to the Independent Legislative Ethics Commission, conducting business
4110     relating to the receipt or review of ethics complaints;
4111          (i) as relates to an ethics committee of the Legislature, a purpose permitted under
4112     Subsection 52-4-204(1)(a)(iii)(C);
4113          (j) as relates to the Independent Executive Branch Ethics Commission created in
4114     Section 63A-14-202, conducting business relating to an ethics complaint;
4115          (k) as relates to a county legislative body, discussing commercial information as
4116     defined in Section 59-1-404;
4117          (l) as relates to the Utah Higher Education Assistance Authority and its appointed
4118     board of directors, discussing fiduciary or commercial information as defined in Section
4119     53B-12-102;

4120          (m) deliberations, not including any information gathering activities, of a public body
4121     acting in the capacity of:
4122          (i) an evaluation committee under Title 63G, Chapter 6a, Utah Procurement Code,
4123     during the process of evaluating responses to a solicitation, as defined in Section 63G-6a-103;
4124          (ii) a protest officer, defined in Section 63G-6a-103, during the process of making a
4125     decision on a protest under Title 63G, Chapter 6a, Part 16, Protests; or
4126          (iii) a procurement appeals panel under Title 63G, Chapter 6a, Utah Procurement
4127     Code, during the process of deciding an appeal under Title 63G, Chapter 6a, Part 17,
4128     Procurement Appeals Board;
4129          (n) the purpose of considering information that is designated as a trade secret, as
4130     defined in Section 13-24-2, if the public body's consideration of the information is necessary to
4131     properly conduct a procurement under Title 63G, Chapter 6a, Utah Procurement Code;
4132          (o) the purpose of discussing information provided to the public body during the
4133     procurement process under Title 63G, Chapter 6a, Utah Procurement Code, if, at the time of
4134     the meeting:
4135          (i) the information may not, under Title 63G, Chapter 6a, Utah Procurement Code, be
4136     disclosed to a member of the public or to a participant in the procurement process; and
4137          (ii) the public body needs to review or discuss the information to properly fulfill its
4138     role and responsibilities in the procurement process;
4139          (p) as relates to the governing board of a governmental nonprofit corporation, as that
4140     term is defined in Section 11-13a-102, the purpose of discussing information that is designated
4141     as a trade secret, as that term is defined in Section 13-24-2, if:
4142          (i) public knowledge of the discussion would reasonably be expected to result in injury
4143     to the owner of the trade secret; and
4144          (ii) discussion of the information is necessary for the governing board to properly
4145     discharge the board's duties and conduct the board's business;
4146          (q) as it relates to the Cannabis Production Establishment Licensing Advisory Board,
4147     to review confidential information regarding violations and security requirements in relation to
4148     the operation of cannabis production establishments; or
4149          (r) a purpose for which a meeting is required to be closed under Subsection (2).
4150          (2) The following meetings shall be closed:

4151          (a) a meeting of the Health and Human Services Interim Committee to review a report
4152     described in Subsection [62A-16-301(1)(a)] 26B-1-506(1)(a), and the responses to the report
4153     described in Subsections [62A-16-301(2) and (4)] 26B-1-506(2) and (4);
4154          (b) a meeting of the Child Welfare Legislative Oversight Panel to:
4155          (i) review a report described in Subsection [62A-16-301(1)(a)] 26B-1-506(1)(a), and
4156     the responses to the report described in Subsections [62A-16-301(2) and (4)] 26B-1-506(2) and
4157     (4); or
4158          (ii) review and discuss an individual case, as described in Subsection 36-33-103(2);
4159          (c) a meeting of the Opioid and Overdose Fatality Review Committee, created in
4160     Section [26-7-13] 26B-1-403, to review and discuss an individual case, as described in
4161     Subsection [26-7-13(10)] 26B-1-403(10);
4162          (d) a meeting of a conservation district as defined in Section 17D-3-102 for the
4163     purpose of advising the Natural Resource Conservation Service of the United States
4164     Department of Agriculture on a farm improvement project if the discussed information is
4165     protected information under federal law;
4166          (e) a meeting of the Compassionate Use Board established in Section [26-61a-105]
4167     26B-1-421 for the purpose of reviewing petitions for a medical cannabis card in accordance
4168     with Section [26-61a-105] 26B-1-421;
4169          (f) a meeting of the Colorado River Authority of Utah if:
4170          (i) the purpose of the meeting is to discuss an interstate claim to the use of the water in
4171     the Colorado River system; and
4172          (ii) failing to close the meeting would:
4173          (A) reveal the contents of a record classified as protected under Subsection
4174     63G-2-305(82);
4175          (B) reveal a legal strategy relating to the state's claim to the use of the water in the
4176     Colorado River system;
4177          (C) harm the ability of the Colorado River Authority of Utah or river commissioner to
4178     negotiate the best terms and conditions regarding the use of water in the Colorado River
4179     system; or
4180          (D) give an advantage to another state or to the federal government in negotiations
4181     regarding the use of water in the Colorado River system;

4182          (g) a meeting of the General Regulatory Sandbox Program Advisory Committee if:
4183          (i) the purpose of the meeting is to discuss an application for participation in the
4184     regulatory sandbox as defined in Section 63N-16-102; and
4185          (ii) failing to close the meeting would reveal the contents of a record classified as
4186     protected under Subsection 63G-2-305(83);
4187          (h) a meeting of a project entity if:
4188          (i) the purpose of the meeting is to conduct a strategy session to discuss market
4189     conditions relevant to a business decision regarding the value of a project entity asset if the
4190     terms of the business decision are publicly disclosed before the decision is finalized and a
4191     public discussion would:
4192          (A) disclose the appraisal or estimated value of the project entity asset under
4193     consideration; or
4194          (B) prevent the project entity from completing on the best possible terms a
4195     contemplated transaction concerning the project entity asset;
4196          (ii) the purpose of the meeting is to discuss a record, the disclosure of which could
4197     cause commercial injury to, or confer a competitive advantage upon a potential or actual
4198     competitor of, the project entity;
4199          (iii) the purpose of the meeting is to discuss a business decision, the disclosure of
4200     which could cause commercial injury to, or confer a competitive advantage upon a potential or
4201     actual competitor of, the project entity; or
4202          (iv) failing to close the meeting would prevent the project entity from getting the best
4203     price on the market; and
4204          (i) a meeting of the School Activity Eligibility Commission, described in Section
4205     53G-6-1003, if the commission is in effect in accordance with Section 53G-6-1002, to
4206     consider, discuss, or determine, in accordance with Section 53G-6-1004, an individual student's
4207     eligibility to participate in an interscholastic activity, as that term is defined in Section
4208     53G-6-1001, including the commission's determinative vote on the student's eligibility.
4209          (3) In a closed meeting, a public body may not:
4210          (a) interview a person applying to fill an elected position;
4211          (b) discuss filling a midterm vacancy or temporary absence governed by Title 20A,
4212     Chapter 1, Part 5, Candidate Vacancy and Vacancy and Temporary Absence in Elected Office;

4213     or
4214          (c) discuss the character, professional competence, or physical or mental health of the
4215     person whose name was submitted for consideration to fill a midterm vacancy or temporary
4216     absence governed by Title 20A, Chapter 1, Part 5, Candidate Vacancy and Vacancy and
4217     Temporary Absence in Elected Office.
4218          Section 62. Section 53-1-106 is amended to read:
4219          53-1-106. Department duties -- Powers.
4220          (1) In addition to the responsibilities contained in this title, the department shall:
4221          (a) make rules and perform the functions specified in Title 41, Chapter 6a, Traffic
4222     Code, including:
4223          (i) setting performance standards for towing companies to be used by the department,
4224     as required by Section 41-6a-1406; and
4225          (ii) advising the Department of Transportation regarding the safe design and operation
4226     of school buses, as required by Section 41-6a-1304;
4227          (b) make rules to establish and clarify standards pertaining to the curriculum and
4228     teaching methods of a motor vehicle accident prevention course under Section 31A-19a-211;
4229          (c) aid in enforcement efforts to combat drug trafficking;
4230          (d) meet with the Division of Technology Services to formulate contracts, establish
4231     priorities, and develop funding mechanisms for dispatch and telecommunications operations;
4232          (e) provide assistance to the Crime Victim Reparations Board and the Utah Office for
4233     Victims of Crime in conducting research or monitoring victims' programs, as required by
4234     Section 63M-7-505;
4235          (f) develop sexual assault exam protocol standards in conjunction with the Utah
4236     Hospital Association;
4237          (g) engage in emergency planning activities, including preparation of policy and
4238     procedure and rulemaking necessary for implementation of the federal Emergency Planning
4239     and Community Right to Know Act of 1986, as required by Section 53-2a-702;
4240          (h) implement the provisions of Section 53-2a-402, the Emergency Management
4241     Assistance Compact;
4242          (i) ensure that any training or certification required of a public official or public
4243     employee, as those terms are defined in Section 63G-22-102, complies with Title 63G, Chapter

4244     22, State Training and Certification Requirements, if the training or certification is required:
4245          (i) under this title;
4246          (ii) by the department; or
4247          (iii) by an agency or division within the department;
4248          (j) employ a law enforcement officer as a public safety liaison to be housed at the State
4249     Board of Education who shall work with the State Board of Education to:
4250          (i) support training with relevant state agencies for school resource officers as
4251     described in Section 53G-8-702;
4252          (ii) coordinate the creation of model policies and memorandums of understanding for a
4253     local education agency and a local law enforcement agency; and
4254          (iii) ensure cooperation between relevant state agencies, a local education agency, and
4255     a local law enforcement agency to foster compliance with disciplinary related statutory
4256     provisions, including Sections 53E-3-516 and 53G-8-211; and
4257          (k) provide for the security and protection of public officials, public officials' staff, and
4258     the capitol hill complex in accordance with the provisions of this part.
4259          (2) (a) The department shall establish a schedule of fees as required or allowed in this
4260     title for services provided by the department.
4261          (b) All fees not established in statute shall be established in accordance with Section
4262     63J-1-504.
4263          (3) The department may establish or contract for the establishment of an Organ
4264     Procurement Donor Registry in accordance with Section [26-28-120] 26B-8-319.
4265          Section 63. Section 53-2a-218 is amended to read:
4266          53-2a-218. Legislative Emergency Response Committee.
4267          (1) There is created an ad hoc committee known as the Legislative Emergency
4268     Response Committee.
4269          (2) (a) The committee membership includes:
4270          (i) the same membership as the Executive Appropriations Committee as constituted at
4271     the time the committee is convened;
4272          (ii) between four and six additional members designated by the speaker of the House of
4273     Representatives, chosen from the following:
4274          (A) one or more members of the House of Representatives that serve as chair or

4275     vice-chair of a legislative committee with a subject matter focus relevant to the current
4276     emergency;
4277          (B) one or more members of the House of Representatives with relevant expertise or
4278     experience relevant to the current emergency; or
4279          (C) one or more members of the House of Representatives from a minority party that
4280     serves on a relevant legislative committee or that has expertise and experience relevant to the
4281     current emergency; and
4282          (iii) between four and six additional members designated by the president of the
4283     Senate, chosen from the following:
4284          (A) one or more members of the Senate that serve as chair or vice-chair of a legislative
4285     committee with a subject matter focus relevant to the current emergency;
4286          (B) one or more members of the Senate with relevant expertise or experience relevant
4287     to the current emergency; or
4288          (C) one or more members of the Senate from a minority party that serves on a relevant
4289     legislative committee or that has expertise and experience relevant to the current emergency.
4290          (b) The speaker of the House of Representatives and the president of the Senate shall
4291     coordinate to ensure they each appoint the same number of legislators as described under
4292     Subsections (2)(a)(ii) and (iii).
4293          (3) The speaker of the House of Representatives and the president of the Senate shall
4294     serve as chairs of the committee.
4295          (4) The Office of Legislative Research and General Counsel shall provide staff support
4296     to the committee.
4297          (5) (a) If the governor declares a state of emergency as described in this chapter, and
4298     the governor finds that the emergency conditions warrant an extension of the state of
4299     emergency beyond the 30-day term or another date designated by the Legislature as described
4300     in Section 53-2a-206, the governor shall provide written notice to the speaker of the House of
4301     Representatives and the president of the Senate at least 10 days before the expiration of the
4302     state of emergency.
4303          (b) If the speaker of the House of Representatives and the president of the Senate
4304     receive notice as described in Subsection (5)(a) for a state of emergency within the first 30 days
4305     from the initial declaration of the state of emergency, or from the Department of Health and

4306     Human Services as described in Section [26-23b-104] 26B-7-317, or from a local health
4307     department as described in Section 26A-1-121, the speaker of the House of Representatives
4308     and the president of the Senate:
4309          (i) shall poll the members of their respective bodies to determine whether the
4310     Legislature will extend the state of emergency; and
4311          (ii) may jointly convene the committee.
4312          (c) If the speaker of the House of Representatives and the president of the Senate
4313     receive notice as described in Subsection (5)(a) for a state of emergency that has been extended
4314     beyond 30 days from the initial declaration of a state of emergency, the speaker of the House of
4315     Representatives and the president of the Senate shall jointly convene the committee.
4316          (6) If the committee is convened as described in Subsection (5), the committee shall
4317     conduct a public meeting to:
4318          (a) discuss the nature of the emergency and conditions of the emergency;
4319          (b) evaluate options for emergency response;
4320          (c) receive testimony from individuals with expertise relevant to the current
4321     emergency;
4322          (d) receive testimony from members of the public; and
4323          (e) provide a recommendation to the Legislature whether to extend the state of
4324     emergency by joint resolution.
4325          Section 64. Section 53-2c-102 is amended to read:
4326          53-2c-102. Definitions.
4327          (1) "Commission" means the Public Health and Economic Emergency Commission
4328     created in Section 53-2c-201.
4329          (2) "COVID-19" means:
4330          (a) severe acute respiratory syndrome coronavirus 2; or
4331          (b) the disease caused by severe acute respiratory syndrome coronavirus 2.
4332          (3) "COVID-19 emergency" means the spread of COVID-19 that the World Health
4333     Organization declared a pandemic on March 11, 2020.
4334          (4) "Elective surgery or procedure" means a surgery or procedure that is not medically
4335     necessary to correct a serious medical condition or preserve the life of a patient.
4336          (5) "Epidemic or pandemic disease" means the same as that term is defined in Section

4337     [26-23b-102] 26B-7-301.
4338          (6) "Local ordinance or order" means an ordinance, order, or other regulation enacted
4339     or issued by a local government entity.
4340          (7) "Public health emergency" means an occurrence or imminent credible threat of an
4341     illness or health condition:
4342          (a) that is caused by epidemic or pandemic disease;
4343          (b) that poses a substantial risk of a significant number of human fatalities or incidents
4344     of permanent or long-term disability; and
4345          (c) for which the governor has declared a state of emergency under Title 53, Chapter
4346     2a, Part 2, Disaster Response and Recovery Act.
4347          Section 65. Section 53-3-102 is amended to read:
4348          53-3-102. Definitions.
4349          As used in this chapter:
4350          (1) "Autocycle" means a motor vehicle that:
4351          (a) is designed to travel with three or fewer wheels in contact with the ground; and
4352          (b) is equipped with:
4353          (i) a steering mechanism;
4354          (ii) seat belts; and
4355          (iii) seating that does not require the operator to straddle or sit astride the motor
4356     vehicle.
4357          (2) "Cancellation" means the termination by the division of a license issued through
4358     error or fraud or for which consent under Section 53-3-211 has been withdrawn.
4359          (3) "Class D license" means the class of license issued to drive motor vehicles not
4360     defined as commercial motor vehicles or motorcycles under this chapter.
4361          (4) "Commercial driver instruction permit" or "CDIP" means a commercial learner
4362     permit:
4363          (a) issued under Section 53-3-408; or
4364          (b) issued by a state or other jurisdiction of domicile in compliance with the standards
4365     contained in 49 C.F.R. Part 383.
4366          (5) "Commercial driver license" or "CDL" means a license:
4367          (a) issued substantially in accordance with the requirements of Title XII, Pub. L.

4368     99-570, the Commercial Motor Vehicle Safety Act of 1986, and in accordance with Part 4,
4369     Uniform Commercial Driver License Act, which authorizes the holder to drive a class of
4370     commercial motor vehicle; and
4371          (b) that was obtained by providing evidence of lawful presence in the United States
4372     with one of the document requirements described in Subsection 53-3-410(1)(i)(i).
4373          (6) (a) "Commercial driver license motor vehicle record" or "CDL MVR" means a
4374     driving record that:
4375          (i) applies to a person who holds or is required to hold a commercial driver instruction
4376     permit or a CDL license; and
4377          (ii) contains the following:
4378          (A) information contained in the driver history, including convictions, pleas held in
4379     abeyance, disqualifications, and other licensing actions for violations of any state or local law
4380     relating to motor vehicle traffic control, committed in any type of vehicle;
4381          (B) driver self-certification status information under Section 53-3-410.1; and
4382          (C) information from medical certification record keeping in accordance with 49
4383     C.F.R. Sec. 383.73(o).
4384          (b) "Commercial driver license motor vehicle record" or "CDL MVR" does not mean a
4385     motor vehicle record described in Subsection (30).
4386          (7) (a) "Commercial motor vehicle" means a motor vehicle or combination of motor
4387     vehicles designed or used to transport passengers or property if the motor vehicle:
4388          (i) has a gross vehicle weight rating of 26,001 or more pounds or a lesser rating as
4389     determined by federal regulation;
4390          (ii) is designed to transport 16 or more passengers, including the driver; or
4391          (iii) is transporting hazardous materials and is required to be placarded in accordance
4392     with 49 C.F.R. Part 172, Subpart F.
4393          (b) The following vehicles are not considered a commercial motor vehicle for purposes
4394     of Part 4, Uniform Commercial Driver License Act:
4395          (i) equipment owned and operated by the United States Department of Defense when
4396     driven by any active duty military personnel and members of the reserves and national guard on
4397     active duty including personnel on full-time national guard duty, personnel on part-time
4398     training, and national guard military technicians and civilians who are required to wear military

4399     uniforms and are subject to the code of military justice;
4400          (ii) vehicles controlled and driven by a farmer to transport agricultural products, farm
4401     machinery, or farm supplies to or from a farm within 150 miles of his farm but not in operation
4402     as a motor carrier for hire;
4403          (iii) firefighting and emergency vehicles;
4404          (iv) recreational vehicles that are not used in commerce and are driven solely as family
4405     or personal conveyances for recreational purposes; and
4406          (v) vehicles used to provide transportation network services, as defined in Section
4407     13-51-102.
4408          (8) "Conviction" means any of the following:
4409          (a) an unvacated adjudication of guilt or a determination that a person has violated or
4410     failed to comply with the law in a court of original jurisdiction or an administrative proceeding;
4411          (b) an unvacated forfeiture of bail or collateral deposited to secure a person's
4412     appearance in court;
4413          (c) a plea of guilty or nolo contendere accepted by the court;
4414          (d) the payment of a fine or court costs; or
4415          (e) violation of a condition of release without bail, regardless of whether the penalty is
4416     rebated, suspended, or probated.
4417          (9) "Denial" or "denied" means the withdrawal of a driving privilege by the division to
4418     which the provisions of Title 41, Chapter 12a, Part 4, Proof of Owner's or Operator's Security,
4419     do not apply.
4420          (10) "Director" means the division director appointed under Section 53-3-103.
4421          (11) "Disqualification" means either:
4422          (a) the suspension, revocation, cancellation, denial, or any other withdrawal by a state
4423     of a person's privileges to drive a commercial motor vehicle;
4424          (b) a determination by the Federal Highway Administration, under 49 C.F.R. Part 386,
4425     that a person is no longer qualified to drive a commercial motor vehicle under 49 C.F.R. Part
4426     391; or
4427          (c) the loss of qualification that automatically follows conviction of an offense listed in
4428     49 C.F.R. Part 383.51.
4429          (12) "Division" means the Driver License Division of the department created in

4430     Section 53-3-103.
4431          (13) "Downgrade" means to obtain a lower license class than what was originally
4432     issued during an existing license cycle.
4433          (14) "Drive" means:
4434          (a) to operate or be in physical control of a motor vehicle upon a highway; and
4435          (b) in Subsections 53-3-414(1) through (3), Subsection 53-3-414(5), and Sections
4436     53-3-417 and 53-3-418, the operation or physical control of a motor vehicle at any place within
4437     the state.
4438          (15) (a) "Driver" means an individual who drives, or is in actual physical control of a
4439     motor vehicle in any location open to the general public for purposes of vehicular traffic.
4440          (b) In Part 4, Uniform Commercial Driver License Act, "driver" includes any person
4441     who is required to hold a CDL under Part 4, Uniform Commercial Driver License Act, or
4442     federal law.
4443          (16) "Driving privilege card" means the evidence of the privilege granted and issued
4444     under this chapter to drive a motor vehicle to a person whose privilege was obtained without
4445     providing evidence of lawful presence in the United States.
4446          (17) "Electronic license certificate" means the evidence, in an electronic format as
4447     described in Section 53-3-235, of a privilege granted under this chapter to drive a motor
4448     vehicle.
4449          (18) "Extension" means a renewal completed in a manner specified by the division.
4450          (19) "Farm tractor" means every motor vehicle designed and used primarily as a farm
4451     implement for drawing plows, mowing machines, and other implements of husbandry.
4452          (20) "Highway" means the entire width between property lines of every way or place of
4453     any nature when any part of it is open to the use of the public, as a matter of right, for traffic.
4454          (21) "Human driver" means the same as that term is defined in Section 41-26-102.1.
4455          (22) "Identification card" means a card issued under Part 8, Identification Card Act, to
4456     a person for identification purposes.
4457          (23) "Indigent" means that a person's income falls below the federal poverty guideline
4458     issued annually by the U.S. Department of Health and Human Services in the Federal Register.
4459          (24) "License" means the privilege to drive a motor vehicle.
4460          (25) (a) "License certificate" means the evidence of the privilege issued under this

4461     chapter to drive a motor vehicle.
4462          (b) "License certificate" evidence includes:
4463          (i) a regular license certificate;
4464          (ii) a limited-term license certificate;
4465          (iii) a driving privilege card;
4466          (iv) a CDL license certificate;
4467          (v) a limited-term CDL license certificate;
4468          (vi) a temporary regular license certificate;
4469          (vii) a temporary limited-term license certificate; and
4470          (viii) an electronic license certificate created in Section 53-3-235.
4471          (26) "Limited-term commercial driver license" or "limited-term CDL" means a license:
4472          (a) issued substantially in accordance with the requirements of Title XII, Pub. L. No.
4473     99-570, the Commercial Motor Vehicle Safety Act of 1986, and in accordance with Part 4,
4474     Uniform Commercial Driver License Act, which authorizes the holder to drive a class of
4475     commercial motor vehicle; and
4476          (b) that was obtained by providing evidence of lawful presence in the United States
4477     with one of the document requirements described in Subsection 53-3-410(1)(i)(ii).
4478          (27) "Limited-term identification card" means an identification card issued under this
4479     chapter to a person whose card was obtained by providing evidence of lawful presence in the
4480     United States with one of the document requirements described in Subsection
4481     53-3-804(2)(i)(ii).
4482          (28) "Limited-term license certificate" means the evidence of the privilege granted and
4483     issued under this chapter to drive a motor vehicle to a person whose privilege was obtained
4484     providing evidence of lawful presence in the United States with one of the document
4485     requirements described in Subsection 53-3-205(8)(a)(ii)(B).
4486          (29) "Motor vehicle" means the same as that term is defined in Section 41-1a-102.
4487          (30) "Motor vehicle record" or "MVR" means a driving record under Subsection
4488     53-3-109(6)(a).
4489          (31) "Motorboat" means the same as that term is defined in Section 73-18-2.
4490          (32) "Motorcycle" means every motor vehicle, other than a tractor, having a seat or
4491     saddle for the use of the rider and designed to travel with not more than three wheels in contact

4492     with the ground.
4493          (33) "Office of Recovery Services" means the Office of Recovery Services, created in
4494     Section [62A-11-102] 26B-9-103.
4495          (34) "Operate" means the same as that term is defined in Section 41-1a-102.
4496          (35) (a) "Owner" means a person other than a lien holder having an interest in the
4497     property or title to a vehicle.
4498          (b) "Owner" includes a person entitled to the use and possession of a vehicle subject to
4499     a security interest in another person but excludes a lessee under a lease not intended as security.
4500          (36) "Penalty accounts receivable" means a fine, restitution, forfeiture, fee, surcharge,
4501     or other financial penalty imposed on an individual by a court or other government entity.
4502          (37) (a) "Private passenger carrier" means any motor vehicle for hire that is:
4503          (i) designed to transport 15 or fewer passengers, including the driver; and
4504          (ii) operated to transport an employee of the person that hires the motor vehicle.
4505          (b) "Private passenger carrier" does not include:
4506          (i) a taxicab;
4507          (ii) a motor vehicle driven by a transportation network driver as defined in Section
4508     13-51-102;
4509          (iii) a motor vehicle driven for transportation network services as defined in Section
4510     13-51-102; and
4511          (iv) a motor vehicle driven for a transportation network company as defined in Section
4512     13-51-102 and registered with the Division of Consumer Protection as described in Section
4513     13-51-104.
4514          (38) "Regular identification card" means an identification card issued under this
4515     chapter to a person whose card was obtained by providing evidence of lawful presence in the
4516     United States with one of the document requirements described in Subsection 53-3-804(2)(i)(i).
4517          (39) "Regular license certificate" means the evidence of the privilege issued under this
4518     chapter to drive a motor vehicle whose privilege was obtained by providing evidence of lawful
4519     presence in the United States with one of the document requirements described in Subsection
4520     53-3-205(8)(a)(ii)(A).
4521          (40) "Renewal" means to validate a license certificate so that it expires at a later date.
4522          (41) "Reportable violation" means an offense required to be reported to the division as

4523     determined by the division and includes those offenses against which points are assessed under
4524     Section 53-3-221.
4525          (42) (a) "Resident" means an individual who:
4526          (i) has established a domicile in this state, as defined in Section 41-1a-202, or
4527     regardless of domicile, remains in this state for an aggregate period of six months or more
4528     during any calendar year;
4529          (ii) engages in a trade, profession, or occupation in this state, or who accepts
4530     employment in other than seasonal work in this state, and who does not commute into the state;
4531          (iii) declares himself to be a resident of this state by obtaining a valid Utah driver
4532     license certificate or motor vehicle registration; or
4533          (iv) declares himself a resident of this state to obtain privileges not ordinarily extended
4534     to nonresidents, including going to school, or placing children in school without paying
4535     nonresident tuition or fees.
4536          (b) "Resident" does not include any of the following:
4537          (i) a member of the military, temporarily stationed in this state;
4538          (ii) an out-of-state student, as classified by an institution of higher education,
4539     regardless of whether the student engages in any type of employment in this state;
4540          (iii) a person domiciled in another state or country, who is temporarily assigned in this
4541     state, assigned by or representing an employer, religious or private organization, or a
4542     governmental entity; or
4543          (iv) an immediate family member who resides with or a household member of a person
4544     listed in Subsections (42)(b)(i) through (iii).
4545          (43) "Revocation" means the termination by action of the division of a licensee's
4546     privilege to drive a motor vehicle.
4547          (44) (a) "School bus" means a commercial motor vehicle used to transport pre-primary,
4548     primary, or secondary school students to and from home and school, or to and from school
4549     sponsored events.
4550          (b) "School bus" does not include a bus used as a common carrier as defined in Section
4551     59-12-102.
4552          (45) "Suspension" means the temporary withdrawal by action of the division of a
4553     licensee's privilege to drive a motor vehicle.

4554          (46) "Taxicab" means any class D motor vehicle transporting any number of
4555     passengers for hire and that is subject to state or federal regulation as a taxi.
4556          Section 66. Section 53-3-105 is amended to read:
4557          53-3-105. Fees for licenses, renewals, extensions, reinstatements, rescheduling,
4558     and identification cards.
4559          The following fees apply under this chapter:
4560          (1) An original class D license application under Section 53-3-205 is $52.
4561          (2) An original provisional license application for a class D license under Section
4562     53-3-205 is $39.
4563          (3) An original limited term license application under Section 53-3-205 is $32.
4564          (4) An original application for a motorcycle endorsement under Section 53-3-205 is
4565     $18.
4566          (5) An original application for a taxicab endorsement under Section 53-3-205 is $14.
4567          (6) A learner permit application under Section 53-3-210.5 is $19.
4568          (7) A renewal of a class D license under Section 53-3-214 is $52 unless Subsection
4569     (12) applies.
4570          (8) A renewal of a provisional license application for a class D license under Section
4571     53-3-214 is $52.
4572          (9) A renewal of a limited term license application under Section 53-3-214 is $32.
4573          (10) A renewal of a motorcycle endorsement under Section 53-3-214 is $18.
4574          (11) A renewal of a taxicab endorsement under Section 53-3-214 is $14.
4575          (12) A renewal of a class D license for an individual 65 and older under Section
4576     53-3-214 is $27.
4577          (13) An extension of a class D license under Section 53-3-214 is $42 unless Subsection
4578     (17) applies.
4579          (14) An extension of a provisional license application for a class D license under
4580     Section 53-3-214 is $42.
4581          (15) An extension of a motorcycle endorsement under Section 53-3-214 is $18.
4582          (16) An extension of a taxicab endorsement under Section 53-3-214 is $14.
4583          (17) An extension of a class D license for an individual 65 and older under Section
4584     53-3-214 is $22.

4585          (18) An original or renewal application for a commercial class A, B, or C license or an
4586     original or renewal of a provisional commercial class A or B license under Part 4, Uniform
4587     Commercial Driver License Act, is $52.
4588          (19) A commercial class A, B, or C license skills test is $78.
4589          (20) Each original CDL endorsement for passengers, hazardous material, double or
4590     triple trailers, or tankers is $9.
4591          (21) An original CDL endorsement for a school bus under Part 4, Uniform Commercial
4592     Driver License Act, is $9.
4593          (22) A renewal of a CDL endorsement under Part 4, Uniform Commercial Driver
4594     License Act, is $9.
4595          (23) (a) A retake of a CDL knowledge test provided for in Section 53-3-205 is $26.
4596          (b) A retake of a CDL skills test provided for in Section 53-3-205 is $52.
4597          (24) A retake of a CDL endorsement test provided for in Section 53-3-205 is $9.
4598          (25) A duplicate class A, B, C, or D license certificate under Section 53-3-215 is $23.
4599          (26) (a) A license reinstatement application under Section 53-3-205 is $40.
4600          (b) A license reinstatement application under Section 53-3-205 for an alcohol, drug, or
4601     combination of alcohol and any drug-related offense is $45 in addition to the fee under
4602     Subsection (26)(a).
4603          (27) (a) An administrative fee for license reinstatement after an alcohol, drug, or
4604     combination of alcohol and any drug-related offense under Section 41-6a-520, 53-3-223, or
4605     53-3-231 or an alcohol, drug, or combination of alcohol and any drug-related offense under
4606     Part 4, Uniform Commercial Driver License Act, is $255.
4607          (b) This administrative fee is in addition to the fees under Subsection (26).
4608          (28) (a) An administrative fee for providing the driving record of a driver under
4609     Section 53-3-104 or 53-3-420 is $8.
4610          (b) The division may not charge for a report furnished under Section 53-3-104 to a
4611     municipal, county, state, or federal agency.
4612          (29) A rescheduling fee under Section 53-3-205 or 53-3-407 is $25.
4613          (30) (a) Except as provided under Subsections (30)(b) and (c), an identification card
4614     application under Section 53-3-808 is $23.
4615          (b) An identification card application under Section 53-3-808 for a person with a

4616     disability, as defined in 42 U.S.C. Sec. 12102, is $17.
4617          (c) A fee may not be charged for an identification card application if the individual
4618     applying:
4619          (i) (A) has not been issued a Utah driver license;
4620          (B) is indigent; and
4621          (C) is at least 18 years old; or
4622          (ii) submits written verification that the individual is homeless, as defined in Section
4623     [26-18-411] 26B-3-207, a person who is homeless, as defined in Section 35A-5-302, or a child
4624     or youth who is homeless, as defined in 42 U.S.C. Sec. 11434a(2), from:
4625          (A) a homeless shelter, as defined in Section 35A-16-305;
4626          (B) a permanent housing, permanent, supportive, or transitional facility, as defined in
4627     Section 35A-5-302;
4628          (C) the Department of Workforce Services; or
4629          (D) a local educational agency liaison for homeless children and youth designated
4630     under 42 U.S.C. Sec. 11432(g)(1)(J)(ii).
4631          (31) (a) An extension of a regular identification card under Subsection 53-3-807(4) for
4632     a person with a disability, as defined in 42 U.S.C. Sec. 12102, is $17.
4633          (b) The fee described in Subsection (31)(a) is waived if the applicant submits written
4634     verification that the individual is homeless, as defined in Section [26-18-411] 26B-3-207, or a
4635     person who is homeless, as defined in Section 35A-5-302, or a child or youth who is homeless,
4636     as defined in 42 U.S.C. Sec. 11434a(2), from:
4637          (i) a homeless shelter, as defined in Section 35A-16-305;
4638          (ii) a permanent housing, permanent, supportive, or transitional facility, as defined in
4639     Section 35A-5-302;
4640          (iii) the Department of Workforce Services;
4641          (iv) a homeless service provider as verified by the Department of Workforce Services
4642     as described in Section [26-2-12.6] 26B-8-113; or
4643          (v) a local educational agency liaison for homeless children and youth designated under
4644     42 U.S.C. Sec. 11432(g)(1)(J)(ii).
4645          (32) (a) An extension of a regular identification card under Subsection 53-3-807(5) is
4646     $23.

4647          (b) The fee described in Subsection (32)(a) is waived if the applicant submits written
4648     verification that the individual is homeless, as defined in Section [26-18-411] 26B-3-207, or a
4649     person who is homeless, as defined in Section 35A-5-302, from:
4650          (i) a homeless shelter, as defined in Section 35A-16-305;
4651          (ii) a permanent housing, permanent, supportive, or transitional facility, as defined in
4652     Section 35A-5-302;
4653          (iii) the Department of Workforce Services; or
4654          (iv) a homeless service provider as verified by the Department of Workforce Services
4655     as described in Section [26-2-12.6] 26B-8-113.
4656          (33) In addition to any license application fees collected under this chapter, the division
4657     shall impose on individuals submitting fingerprints in accordance with Section 53-3-205.5 the
4658     fees that the Bureau of Criminal Identification is authorized to collect for the services the
4659     Bureau of Criminal Identification provides under Section 53-3-205.5.
4660          (34) An original mobility vehicle permit application under Section 41-6a-1118 is $30.
4661          (35) A renewal of a mobility vehicle permit under Section 41-6a-1118 is $30.
4662          (36) A duplicate mobility vehicle permit under Section 41-6a-1118 is $12.
4663          (37) An original driving privilege card application under Section 53-3-207 is $32.
4664          (38) A renewal of a driving privilege card application under Section 53-3-207 is $23.
4665          Section 67. Section 53-3-106 is amended to read:
4666          53-3-106. Disposition of revenues under this chapter -- Restricted account created
4667     -- Uses as provided by appropriation -- Nonlapsing.
4668          (1) There is created within the Transportation Fund a restricted account known as the
4669     "Department of Public Safety Restricted Account."
4670          (2) The account consists of money generated from the following revenue sources:
4671          (a) all money received under this chapter;
4672          (b) administrative fees received according to the fee schedule authorized under this
4673     chapter and Section 63J-1-504;
4674          (c) beginning on January 1, 2013, money received in accordance with Section
4675     41-1a-1201; and
4676          (d) any appropriations made to the account by the Legislature.
4677          (3) (a) The account shall earn interest.

4678          (b) All interest earned on account money shall be deposited in the account.
4679          (4) The expenses of the department in carrying out this chapter shall be provided for by
4680     legislative appropriation from this account.
4681          (5) The amount in excess of $45 of the fees collected under Subsection 53-3-105(25)
4682     shall be appropriated by the Legislature from this account to the department to implement the
4683     provisions of Section 53-1-117, except that of the amount in excess of $45, $100 shall be
4684     deposited into the State Laboratory Drug Testing Account created in Section 26B-1-304.
4685          (6) All money received under Subsection 41-6a-1406(6)(c)(ii) shall be appropriated by
4686     the Legislature from this account to the department to implement the provisions of Section
4687     53-1-117.
4688          (7) Beginning in fiscal year 2009-10, the Legislature shall appropriate $100,000
4689     annually from the account to the state medical examiner appointed under Section [26-4-4]
4690     26B-8-202 for use in carrying out duties related to highway crash deaths under Subsection
4691     [26-4-7(1)] 26B-8-205(1).
4692          (8) The division shall remit the fees collected under Subsection 53-3-105(31) to the
4693     Bureau of Criminal Identification to cover the costs for the services the Bureau of Criminal
4694     Identification provides under Section 53-3-205.5.
4695          (9) (a) Beginning on January 1, 2013, the Legislature shall appropriate all money
4696     received in the account under Section 41-1a-1201 to the Utah Highway Patrol Division for
4697     field operations.
4698          (b) The Legislature may appropriate additional money from the account to the Utah
4699     Highway Patrol Division for law enforcement purposes.
4700          (10) Appropriations to the department from the account are nonlapsing.
4701          (11) The department shall report to the Department of Health and Human Services, on
4702     or before December 31, the amount the department expects to collect under Subsection
4703     53-3-105(25) in the next fiscal year.
4704          Section 68. Section 53-3-205 is amended to read:
4705          53-3-205. Application for license or endorsement -- Fee required -- Tests --
4706     Expiration dates of licenses and endorsements -- Information required -- Previous
4707     licenses surrendered -- Driving record transferred from other states -- Reinstatement --
4708     Fee required -- License agreement.

4709          (1) An application for an original license, provisional license, or endorsement shall be:
4710          (a) made upon a form furnished by the division; and
4711          (b) accompanied by a nonrefundable fee set under Section 53-3-105.
4712          (2) An application and fee for an original provisional class D license or an original
4713     class D license entitle the applicant to:
4714          (a) not more than three attempts to pass both the knowledge and the skills tests for a
4715     class D license within six months after the date of the application;
4716          (b) a learner permit if needed pending completion of the application and testing
4717     process; and
4718          (c) an original class D license and license certificate after all tests are passed and
4719     requirements are completed.
4720          (3) An application and fee for a motorcycle or taxicab endorsement entitle the
4721     applicant to:
4722          (a) not more than three attempts to pass both the knowledge and skills tests within six
4723     months after the date of the application;
4724          (b) a motorcycle learner permit after the motorcycle knowledge test is passed; and
4725          (c) a motorcycle or taxicab endorsement when all tests are passed.
4726          (4) An application for a commercial class A, B, or C license entitles the applicant to:
4727          (a) not more than two attempts to pass a knowledge test when accompanied by the fee
4728     provided in Subsection 53-3-105(18);
4729          (b) not more than two attempts to pass a skills test when accompanied by a fee in
4730     Subsection 53-3-105(19) within six months after the date of application;
4731          (c) both a commercial driver instruction permit and a temporary license permit for the
4732     license class held before the applicant submits the application if needed after the knowledge
4733     test is passed; and
4734          (d) an original commercial class A, B, or C license and license certificate when all
4735     applicable tests are passed.
4736          (5) An application and fee for a CDL endorsement entitle the applicant to:
4737          (a) not more than two attempts to pass a knowledge test and not more than two
4738     attempts to pass a skills test within six months after the date of the application; and
4739          (b) a CDL endorsement when all tests are passed.

4740          (6) (a) If a CDL applicant does not pass a knowledge test, skills test, or an endorsement
4741     test within the number of attempts provided in Subsection (4) or (5), each test may be taken
4742     two additional times within the six months for the fee provided in Section 53-3-105.
4743          (b) (i) An out-of-state resident who holds a valid CDIP issued by a state or jurisdiction
4744     that is compliant with 49 C.F.R. Part 383 may take a skills test administered by the division if
4745     the out-of-state resident pays the fee provided in Subsection 53-3-105(19).
4746          (ii) The division shall:
4747          (A) electronically transmit skills test results for an out-of-state resident to the licensing
4748     agency in the state or jurisdiction in which the out-of-state resident has obtained a valid CDIP;
4749     and
4750          (B) provide the out-of-state resident with documentary evidence upon successful
4751     completion of the skills test.
4752          (7) (a) (i) Except as provided under Subsections (7)(a)(ii), (f), and (g), an original class
4753     D license expires on the birth date of the applicant in the eighth year after the year the license
4754     certificate was issued.
4755          (ii) An original provisional class D license expires on the birth date of the applicant in
4756     the fifth year following the year the license certificate was issued.
4757          (iii) Except as provided in Subsection (7)(f), a limited term class D license expires on
4758     the birth date of the applicant in the fifth year the license certificate was issued.
4759          (b) Except as provided under Subsections (7)(f) and (g), a renewal or an extension to a
4760     license expires on the birth date of the licensee in the eighth year after the expiration date of the
4761     license certificate renewed or extended.
4762          (c) Except as provided under Subsections (7)(f) and (g), a duplicate license expires on
4763     the same date as the last license certificate issued.
4764          (d) An endorsement to a license expires on the same date as the license certificate
4765     regardless of the date the endorsement was granted.
4766          (e) (i) A regular license certificate and an endorsement to the regular license certificate
4767     held by an individual described in Subsection (7)(e)(ii), that expires during the time period the
4768     individual is stationed outside of the state, is valid until 90 days after the individual's orders are
4769     terminated, the individual is discharged, or the individual's assignment is changed or
4770     terminated, unless:

4771          (A) the license is suspended, disqualified, denied, or has been cancelled or revoked by
4772     the division; or
4773          (B) the licensee updates the information or photograph on the license certificate.
4774          (ii) The provisions in Subsection (7)(e)(i) apply to an individual:
4775          (A) ordered to active duty and stationed outside of Utah in any of the armed forces of
4776     the United States;
4777          (B) who is an immediate family member or dependent of an individual described in
4778     Subsection (7)(e)(ii)(A) and is residing outside of Utah;
4779          (C) who is a civilian employee of the United States State Department or United States
4780     Department of Defense and is stationed outside of the United States; or
4781          (D) who is an immediate family member or dependent of an individual described in
4782     Subsection (7)(e)(ii)(C) and is residing outside of the United States.
4783          (f) (i) Except as provided in Subsection (7)(f)(ii), a limited-term license certificate or a
4784     renewal to a limited-term license certificate expires:
4785          (A) on the expiration date of the period of time of the individual's authorized stay in
4786     the United States or on the date provided under this Subsection (7), whichever is sooner; or
4787          (B) on the date of issuance in the first year following the year that the limited-term
4788     license certificate was issued if there is no definite end to the individual's period of authorized
4789     stay.
4790          (ii) A limited-term license certificate or a renewal to a limited-term license certificate
4791     issued to an approved asylee or a refugee expires on the birth date of the applicant in the fifth
4792     year following the year that the limited-term license certificate was issued.
4793          (g) A driving privilege card issued or renewed under Section 53-3-207 expires on the
4794     birth date of the applicant in the first year following the year that the driving privilege card was
4795     issued or renewed.
4796          (8) (a) In addition to the information required by Title 63G, Chapter 4, Administrative
4797     Procedures Act, for requests for agency action, an applicant shall:
4798          (i) provide:
4799          (A) the applicant's full legal name;
4800          (B) the applicant's birth date;
4801          (C) the applicant's sex;

4802          (D) (I) documentary evidence of the applicant's valid social security number;
4803          (II) written proof that the applicant is ineligible to receive a social security number;
4804          (III) the applicant's temporary identification number (ITIN) issued by the Internal
4805     Revenue Service for an individual who:
4806          (Aa) does not qualify for a social security number; and
4807          (Bb) is applying for a driving privilege card; or
4808          (IV) other documentary evidence approved by the division;
4809          (E) the applicant's Utah residence address as documented by a form or forms
4810     acceptable under rules made by the division under Section 53-3-104, unless the application is
4811     for a temporary CDL issued under Subsection 53-3-407(2)(b); and
4812          (F) fingerprints and a photograph in accordance with Section 53-3-205.5 if the
4813     applicant is applying for a driving privilege card;
4814          (ii) provide evidence of the applicant's lawful presence in the United States by
4815     providing documentary evidence:
4816          (A) that the applicant is:
4817          (I) a United States citizen;
4818          (II) a United States national; or
4819          (III) a legal permanent resident alien; or
4820          (B) of the applicant's:
4821          (I) unexpired immigrant or nonimmigrant visa status for admission into the United
4822     States;
4823          (II) pending or approved application for asylum in the United States;
4824          (III) admission into the United States as a refugee;
4825          (IV) pending or approved application for temporary protected status in the United
4826     States;
4827          (V) approved deferred action status;
4828          (VI) pending application for adjustment of status to legal permanent resident or
4829     conditional resident; or
4830          (VII) conditional permanent resident alien status;
4831          (iii) provide a description of the applicant;
4832          (iv) state whether the applicant has previously been licensed to drive a motor vehicle

4833     and, if so, when and by what state or country;
4834          (v) state whether the applicant has ever had a license suspended, cancelled, revoked,
4835     disqualified, or denied in the last 10 years, or whether the applicant has ever had a license
4836     application refused, and if so, the date of and reason for the suspension, cancellation,
4837     revocation, disqualification, denial, or refusal;
4838          (vi) state whether the applicant intends to make an anatomical gift under [Title 26,
4839     Chapter 28, Revised Uniform Anatomical Gift Act] Title 26B, Chapter 8, Part 3, Revised
4840     Uniform Anatomical Gift Act, in compliance with Subsection (15);
4841          (vii) state whether the applicant is required to register as a sex offender in accordance
4842     with Title 77, Chapter 41, Sex and Kidnap Offender Registry;
4843          (viii) state whether the applicant is a veteran of the United States military, provide
4844     verification that the applicant was granted an honorable or general discharge from the United
4845     States Armed Forces, and state whether the applicant does or does not authorize sharing the
4846     information with the Department of Veterans and Military Affairs;
4847          (ix) provide all other information the division requires; and
4848          (x) sign the application which signature may include an electronic signature as defined
4849     in Section 46-4-102.
4850          (b) Unless the applicant provides acceptable verification of homelessness as described
4851     in rules made by the division, an applicant shall have a Utah residence address, unless the
4852     application is for a temporary CDL issued under Subsection 53-3-407(2)(b).
4853          (c) An applicant shall provide evidence of lawful presence in the United States in
4854     accordance with Subsection (8)(a)(ii), unless the application is for a driving privilege card.
4855          (d) The division shall maintain on the division's computerized records an applicant's:
4856          (i) (A) social security number;
4857          (B) temporary identification number (ITIN); or
4858          (C) other number assigned by the division if Subsection (8)(a)(i)(D)(IV) applies; and
4859          (ii) indication whether the applicant is required to register as a sex offender in
4860     accordance with Title 77, Chapter 41, Sex and Kidnap Offender Registry.
4861          (9) The division shall require proof of an applicant's name, birth date, and birthplace by
4862     at least one of the following means:
4863          (a) current license certificate;

4864          (b) birth certificate;
4865          (c) Selective Service registration; or
4866          (d) other proof, including church records, family Bible notations, school records, or
4867     other evidence considered acceptable by the division.
4868          (10) (a) Except as provided in Subsection (10)(c), if an applicant receives a license in a
4869     higher class than what the applicant originally was issued:
4870          (i) the license application is treated as an original application; and
4871          (ii) license and endorsement fees is assessed under Section 53-3-105.
4872          (b) An applicant that receives a downgraded license in a lower license class during an
4873     existing license cycle that has not expired:
4874          (i) may be issued a duplicate license with a lower license classification for the
4875     remainder of the existing license cycle; and
4876          (ii) shall be assessed a duplicate license fee under Subsection 53-3-105(25) if a
4877     duplicate license is issued under Subsection (10)(b)(i).
4878          (c) An applicant who has received a downgraded license in a lower license class under
4879     Subsection (10)(b):
4880          (i) may, when eligible, receive a duplicate license in the highest class previously issued
4881     during a license cycle that has not expired for the remainder of the existing license cycle; and
4882          (ii) shall be assessed a duplicate license fee under Subsection 53-3-105(25) if a
4883     duplicate license is issued under Subsection (10)(c)(i).
4884          (11) (a) When an application is received from an applicant previously licensed in
4885     another state to drive a motor vehicle, the division shall request a copy of the driver's record
4886     from the other state.
4887          (b) When received, the driver's record becomes part of the driver's record in this state
4888     with the same effect as though entered originally on the driver's record in this state.
4889          (12) An application for reinstatement of a license after the suspension, cancellation,
4890     disqualification, denial, or revocation of a previous license is accompanied by the additional
4891     fee or fees specified in Section 53-3-105.
4892          (13) An individual who has an appointment with the division for testing and fails to
4893     keep the appointment or to cancel at least 48 hours in advance of the appointment shall pay the
4894     fee under Section 53-3-105.

4895          (14) An applicant who applies for an original license or renewal of a license agrees that
4896     the individual's license is subject to a suspension or revocation authorized under this title or
4897     Title 41, Motor Vehicles.
4898          (15) (a) A licensee shall authenticate the indication of intent under Subsection
4899     (8)(a)(vi) in accordance with division rule.
4900          (b) (i) Notwithstanding Title 63G, Chapter 2, Government Records Access and
4901     Management Act, the division may, upon request, release to an organ procurement
4902     organization, as defined in Section [26-28-102] 26B-8-301, the names and addresses of all
4903     applicants who, under Subsection (8)(a)(vi), indicate that they intend to make an anatomical
4904     gift.
4905          (ii) An organ procurement organization may use released information only to:
4906          (A) obtain additional information for an anatomical gift registry; and
4907          (B) inform licensees of anatomical gift options, procedures, and benefits.
4908          (16) Notwithstanding Title 63G, Chapter 2, Government Records Access and
4909     Management Act, the division may release to the Department of Veterans and Military Affairs
4910     the names and addresses of all applicants who indicate their status as a veteran under
4911     Subsection (8)(a)(viii).
4912          (17) Notwithstanding Title 63G, Chapter 2, Government Records Access and
4913     Management Act, the division shall, upon request, release to the Sex and Kidnap Offender
4914     Registry office in the Department of Corrections, the names and addresses of all applicants
4915     who, under Subsection (8)(a)(vii), indicate they are required to register as a sex offender in
4916     accordance with Title 77, Chapter 41, Sex and Kidnap Offender Registry.
4917          (18) The division and its employees are not liable, as a result of false or inaccurate
4918     information provided under Subsection (8)(a)(vi) or (viii), for direct or indirect:
4919          (a) loss;
4920          (b) detriment; or
4921          (c) injury.
4922          (19) An applicant who knowingly fails to provide the information required under
4923     Subsection (8)(a)(vii) is guilty of a class A misdemeanor.
4924          (20) A person may not hold both an unexpired Utah license certificate and an
4925     unexpired identification card.

4926          (21) (a) An applicant who applies for an original motorcycle endorsement to a regular
4927     license certificate is exempt from the requirement to pass the knowledge and skills test to be
4928     eligible for the motorcycle endorsement if the applicant:
4929          (i) is a resident of the state of Utah;
4930          (ii) (A) is ordered to active duty and stationed outside of Utah in any of the armed
4931     forces of the United States; or
4932          (B) is an immediate family member or dependent of an individual described in
4933     Subsection (21)(a)(ii)(A) and is residing outside of Utah;
4934          (iii) has a digitized driver license photo on file with the division;
4935          (iv) provides proof to the division of the successful completion of a certified
4936     Motorcycle Safety Foundation rider training course; and
4937          (v) provides the necessary information and documentary evidence required under
4938     Subsection (8).
4939          (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
4940     division shall make rules:
4941          (i) establishing the procedures for an individual to obtain a motorcycle endorsement
4942     under this Subsection (21); and
4943          (ii) identifying the applicable restrictions for a motorcycle endorsement issued under
4944     this Subsection (21).
4945          Section 69. Section 53-3-207 is amended to read:
4946          53-3-207. License certificates or driving privilege cards issued to drivers by class
4947     of motor vehicle -- Contents -- Release of anatomical gift information -- Temporary
4948     licenses or driving privilege cards -- Minors' licenses, cards, and permits -- Violation.
4949          (1) As used in this section:
4950          (a) "Driving privilege" means the privilege granted under this chapter to drive a motor
4951     vehicle.
4952          (b) "Governmental entity" means the state or a political subdivision of the state.
4953          (c) "Health care professional" means:
4954          (i) a licensed physician, physician assistant, nurse practitioner, or mental health
4955     therapist; or
4956          (ii) any other licensed health care professional the division designates by rule made in

4957     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
4958          (d) "Political subdivision" means any county, city, town, school district, public transit
4959     district, community reinvestment agency, special improvement or taxing district, local district,
4960     special service district, an entity created by an interlocal agreement adopted under Title 11,
4961     Chapter 13, Interlocal Cooperation Act, or other governmental subdivision or public
4962     corporation.
4963          (e) "Invisible condition" means a physical or mental condition that may interfere with
4964     an individual's ability to communicate with a law enforcement officer, including:
4965          (i) a communication impediment;
4966          (ii) hearing loss;
4967          (iii) blindness or a visual impairment;
4968          (iv) autism spectrum disorder;
4969          (v) a drug allergy;
4970          (vi) Alzheimer's disease or dementia;
4971          (vii) post-traumatic stress disorder;
4972          (viii) traumatic brain injury;
4973          (ix) schizophrenia;
4974          (x) epilepsy;
4975          (xi) a developmental disability;
4976          (xii) Down syndrome;
4977          (xiii) diabetes;
4978          (xiv) a heart condition; or
4979          (xv) any other condition approved by the department.
4980          (f) "Invisible condition identification symbol" means a symbol or alphanumeric code
4981     that indicates that an individual is an individual with an invisible condition.
4982          (g) "State" means this state, and includes any office, department, agency, authority,
4983     commission, board, institution, hospital, college, university, children's justice center, or other
4984     instrumentality of the state.
4985          (2) (a) The division shall issue to every individual privileged to drive a motor vehicle, a
4986     regular license certificate, a limited-term license certificate, or a driving privilege card
4987     indicating the type or class of motor vehicle the individual may drive.

4988          (b) An individual may not drive a class of motor vehicle unless granted the privilege in
4989     that class.
4990          (3) (a) Every regular license certificate, limited-term license certificate, or driving
4991     privilege card shall bear:
4992          (i) the distinguishing number assigned to the individual by the division;
4993          (ii) the name, birth date, and Utah residence address of the individual;
4994          (iii) a brief description of the individual for the purpose of identification;
4995          (iv) any restrictions imposed on the license under Section 53-3-208;
4996          (v) a photograph of the individual;
4997          (vi) a photograph or other facsimile of the individual's signature;
4998          (vii) an indication whether the individual intends to make an anatomical gift under
4999     [Title 26, Chapter 28, Revised Uniform Anatomical Gift Act] Title 26B, Chapter 8, Part 3,
5000     Revised Uniform Anatomical Gift Act, unless the driving privilege is extended under
5001     Subsection 53-3-214(3); and
5002          (viii) except as provided in Subsection (3)(b), if the individual states that the individual
5003     is a veteran of the United States military on the application for a driver license in accordance
5004     with Section 53-3-205 and provides verification that the individual was granted an honorable
5005     or general discharge from the United States Armed Forces, an indication that the individual is a
5006     United States military veteran for a regular license certificate or limited-term license certificate
5007     issued on or after July 1, 2011.
5008          (b) A regular license certificate or limited-term license certificate issued to an
5009     individual younger than 21 years old on a portrait-style format as required in Subsection (7)(b)
5010     is not required to include an indication that the individual is a United States military veteran
5011     under Subsection (3)(a)(viii).
5012          (c) A new license certificate issued by the division may not bear the individual's social
5013     security number.
5014          (d) (i) The regular license certificate, limited-term license certificate, or driving
5015     privilege card shall be of an impervious material, resistant to wear, damage, and alteration.
5016          (ii) The size, form, and color of the regular license certificate, limited-term license
5017     certificate, or driving privilege card shall be as prescribed by the commissioner.
5018          (iii) The commissioner may also prescribe the issuance of a special type of limited

5019     regular license certificate, limited-term license certificate, or driving privilege card under
5020     Subsection 53-3-220(4).
5021          (4) (a) The division shall include or affix an invisible condition identification symbol
5022     on an individual's regular license certificate, limited-term license certificate, or driving
5023     privilege card if the individual, on a form prescribed by the department:
5024          (i) requests the division to include the invisible condition identification symbol;
5025          (ii) provides written verification from a health care professional that the individual is
5026     an individual with an invisible condition; and
5027          (iii) signs a waiver of liability for the release of any medical information to:
5028          (A) the department;
5029          (B) any person who has access to the individual's medical information as recorded on
5030     the individual's driving record or the Utah Criminal Justice Information System under this
5031     chapter; and
5032          (C) any other person who may view or receive notice of the individual's medical
5033     information by seeing the individual's regular license certificate, limited-term license
5034     certificate, or driving privilege card or the individual's information in the Utah Criminal Justice
5035     Information System.
5036          (b) As part of the form described in Subsection (4)(a), the department shall advise the
5037     individual that by submitting the signed waiver, the individual consents to the release of the
5038     individual's medical information to any person described in Subsections (4)(a)(iii)(A) through
5039     (C), even if the person is otherwise ineligible to access the individual's medical information
5040     under state or federal law.
5041          (c) The division may not:
5042          (i) charge a fee to include the invisible condition identification symbol on the
5043     individual's regular license certificate, limited-term license certificate, or driving privilege card;
5044     or
5045          (ii) after including the invisible condition identification symbol on the individual's
5046     previously issued regular license certificate, limited-term license certificate, or driving
5047     privilege card, require the individual to provide subsequent written verification described in
5048     Subsection (4)(a)(ii) to include the invisible condition identification symbol on the individual's
5049     renewed or extended regular license certificate, limited-term license certificate, or driving

5050     privilege card.
5051          (d) The inclusion of an invisible condition identification symbol on an individual's
5052     license certificate, limited-term license certificate, or driving privilege card in accordance with
5053     Subsection (4)(a) does not confer any legal rights or privileges on the individual, including
5054     parking privileges for individuals with disabilities under Section 41-1a-414.
5055          (e) For each individual issued a regular license certificate, limited-term license
5056     certificate, or driving privilege card under this section that includes an invisible condition
5057     identification symbol, the division shall include in the division's database a brief description of
5058     the nature of the individual's invisible condition in the individual's record and provide the brief
5059     description to the Utah Criminal Justice Information System.
5060          (f) Except as provided in this section, the division may not release the information
5061     described in Subsection (4)(e).
5062          (g) Within 30 days after the day on which the division receives an individual's written
5063     request, the division shall:
5064          (i) remove from the individual's record in the division's database the invisible condition
5065     identification symbol and the brief description described in Subsection (4)(e); and
5066          (ii) provide the individual's updated record to the Utah Criminal Justice Information
5067     System.
5068          (5) As provided in Section 63G-2-302, the information described in Subsection (4)(a)
5069     is a private record for purposes of Title 63G, Chapter 2, Government Records Access and
5070     Management Act.
5071          (6) (a) (i) The division, upon determining after an examination that an applicant is
5072     mentally and physically qualified to be granted a driving privilege, may issue to an applicant a
5073     receipt for the fee if the applicant is eligible for a regular license certificate or limited-term
5074     license certificate.
5075          (ii) (A) The division shall issue a temporary regular license certificate or temporary
5076     limited-term license certificate allowing the individual to drive a motor vehicle while the
5077     division is completing the division's investigation to determine whether the individual is
5078     entitled to be granted a driving privilege.
5079          (B) A temporary regular license certificate or a temporary limited-term license
5080     certificate issued under this Subsection (6) shall be recognized and have the same rights and

5081     privileges as a regular license certificate or a limited-term license certificate.
5082          (b) The temporary regular license certificate or temporary limited-term license
5083     certificate shall be in the individual's immediate possession while driving a motor vehicle, and
5084     the temporary regular license certificate or temporary limited-term license certificate is invalid
5085     when the individual's regular license certificate or limited-term license certificate has been
5086     issued or when, for good cause, the privilege has been refused.
5087          (c) The division shall indicate on the temporary regular license certificate or temporary
5088     limited-term license certificate a date after which the temporary regular license certificate or
5089     temporary limited-term license certificate is not valid as a temporary license.
5090          (d) (i) Except as provided in Subsection (6)(d)(ii), the division may not issue a
5091     temporary driving privilege card or other temporary permit to an applicant for a driving
5092     privilege card.
5093          (ii) The division may issue a learner permit issued in accordance with Section
5094     53-3-210.5 to an applicant for a driving privilege card.
5095          (7) (a) The division shall distinguish learner permits, temporary permits, regular
5096     license certificates, limited-term license certificates, and driving privilege cards issued to any
5097     individual younger than 21 years old by use of plainly printed information or the use of a color
5098     or other means not used for other regular license certificates, limited-term license certificates,
5099     or driving privilege cards.
5100          (b) The division shall distinguish a regular license certificate, limited-term license
5101     certificate, or driving privilege card issued to an individual younger than 21 years old by use of
5102     a portrait-style format not used for other regular license certificates, limited-term license
5103     certificates, or driving privilege cards and by plainly printing the date the regular license
5104     certificate, limited-term license certificate, or driving privilege card holder is 21 years old.
5105          (8) The division shall distinguish a limited-term license certificate by clearly indicating
5106     on the document:
5107          (a) that the limited-term license certificate is temporary; and
5108          (b) the limited-term license certificate's expiration date.
5109          (9) (a) The division shall only issue a driving privilege card to an individual whose
5110     privilege was obtained without providing evidence of lawful presence in the United States as
5111     required under Subsection 53-3-205(8).

5112          (b) The division shall distinguish a driving privilege card from a license certificate by:
5113          (i) use of a format, color, font, or other means; and
5114          (ii) clearly displaying on the front of the driving privilege card a phrase substantially
5115     similar to "FOR DRIVING PRIVILEGES ONLY -- NOT VALID FOR IDENTIFICATION".
5116          (10) The provisions of Subsection (7)(b) do not apply to a learner permit, temporary
5117     permit, temporary regular license certificate, temporary limited-term license certificate, or any
5118     other temporary permit.
5119          (11) The division shall issue temporary license certificates of the same nature, except
5120     as to duration, as the license certificates that they temporarily replace, as are necessary to
5121     implement applicable provisions of this section and Section 53-3-223.
5122          (12) (a) A governmental entity may not accept a driving privilege card as proof of
5123     personal identification.
5124          (b) A driving privilege card may not be used as a document providing proof of an
5125     individual's age for any government required purpose.
5126          (13) An individual who violates Subsection (2)(b) is guilty of an infraction.
5127          (14) Unless otherwise provided, the provisions, requirements, classes, endorsements,
5128     fees, restrictions, and sanctions under this code apply to a:
5129          (a) driving privilege in the same way as a license or limited-term license issued under
5130     this chapter; and
5131          (b) limited-term license certificate or driving privilege card in the same way as a
5132     regular license certificate issued under this chapter.
5133          Section 70. Section 53-3-214.7 is amended to read:
5134          53-3-214.7. License or identification card checkoff for promoting and supporting
5135     organ donation.
5136          (1) A person who applies for a license or identification card or a renewal of a license or
5137     identification card may designate a voluntary contribution of $2 for the purpose of promoting
5138     and supporting organ donation.
5139          (2) This contribution shall be:
5140          (a) collected by the division;
5141          (b) treated as a voluntary contribution to the Allyson Gamble Organ Donation
5142     Contribution Fund created in Section [26-18b-101] 26B-1-312 and not as a license fee; and

5143          (c) transferred to the Allyson Gamble Organ Donation Contribution Fund created in
5144     Section [26-18b-101] 26B-1-312 at least monthly, less actual administrative costs associated
5145     with collecting and transferring the contributions.
5146          Section 71. Section 53-3-214.8 is amended to read:
5147          53-3-214.8. License or identification card checkoff for public transportation for
5148     seniors or people with disabilities.
5149          (1) A person who applies for a license or identification card or a renewal of a license or
5150     identification card may designate a voluntary contribution of $1 for public transportation
5151     assistance for seniors or people with disabilities.
5152          (2) This contribution shall be:
5153          (a) collected by the division;
5154          (b) treated as a voluntary contribution to the "Out and About" Homebound
5155     Transportation Assistance Fund created in Section [62A-3-110] 26B-1-323 to provide public
5156     transportation assistance for seniors or people with disabilities and not as a license fee; and
5157          (c) transferred to the "Out and About" Homebound Transportation Assistance Fund
5158     created in Section [62A-3-110] 26B-1-323 at least monthly, less actual administrative costs
5159     associated with collecting and transferring the contributions.
5160          Section 72. Section 53-3-804 is amended to read:
5161          53-3-804. Application for identification card -- Required information -- Release
5162     of anatomical gift information -- Cancellation of identification card.
5163          (1) To apply for a regular identification card or limited-term identification card, an
5164     applicant shall:
5165          (a) be a Utah resident;
5166          (b) have a Utah residence address; and
5167          (c) appear in person at any license examining station.
5168          (2) An applicant shall provide the following information to the division:
5169          (a) true and full legal name and Utah residence address;
5170          (b) date of birth as set forth in a certified copy of the applicant's birth certificate, or
5171     other satisfactory evidence of birth, which shall be attached to the application;
5172          (c) (i) social security number; or
5173          (ii) written proof that the applicant is ineligible to receive a social security number;

5174          (d) place of birth;
5175          (e) height and weight;
5176          (f) color of eyes and hair;
5177          (g) signature;
5178          (h) photograph;
5179          (i) evidence of the applicant's lawful presence in the United States by providing
5180     documentary evidence:
5181          (i) that the applicant is:
5182          (A) a United States citizen;
5183          (B) a United States national; or
5184          (C) a legal permanent resident alien; or
5185          (ii) of the applicant's:
5186          (A) unexpired immigrant or nonimmigrant visa status for admission into the United
5187     States;
5188          (B) pending or approved application for asylum in the United States;
5189          (C) admission into the United States as a refugee;
5190          (D) pending or approved application for temporary protected status in the United
5191     States;
5192          (E) approved deferred action status;
5193          (F) pending application for adjustment of status to legal permanent resident or
5194     conditional resident; or
5195          (G) conditional permanent resident alien status;
5196          (j) an indication whether the applicant intends to make an anatomical gift under [Title
5197     26, Chapter 28, Revised Uniform Anatomical Gift Act] Title 26B, Chapter 8, Part 3, Revised
5198     Uniform Anatomical Gift Act;
5199          (k) an indication whether the applicant is required to register as a sex offender in
5200     accordance with Title 77, Chapter 41, Sex and Kidnap Offender Registry; and
5201          (l) an indication whether the applicant is a veteran of the United States Armed Forces,
5202     verification that the applicant has received an honorable or general discharge from the United
5203     States Armed Forces, and an indication whether the applicant does or does not authorize
5204     sharing the information with the state Department of Veterans and Military Affairs.

5205          (3) (a) The requirements of Section 53-3-234 apply to this section for each individual,
5206     age 16 and older, applying for an identification card.
5207          (b) Refusal to consent to the release of information under Section 53-3-234 shall result
5208     in the denial of the identification card.
5209          (4) An individual person who knowingly fails to provide the information required
5210     under Subsection (2)(k) is guilty of a class A misdemeanor.
5211          (5) (a) A person may not hold both an unexpired Utah license certificate and an
5212     unexpired identification card.
5213          (b) A person who holds a regular or limited term Utah driver license and chooses to
5214     relinquish the person's driving privilege may apply for an identification card under this chapter,
5215     provided:
5216          (i) the driver:
5217          (A) no longer qualifies for a driver license for failure to meet the requirement in
5218     Section 53-3-304; or
5219          (B) makes a personal decision to permanently discontinue driving; and
5220          (ii) the driver:
5221          (A) submits an application to the division on a form approved by the division in
5222     person, through electronic means, or by mail;
5223          (B) affirms their intention to permanently discontinue driving; and
5224          (C) surrenders to the division the driver license certificate; and
5225          (iii) the division possesses a digital photograph of the driver obtained within the
5226     preceding 10 years.
5227          (c) (i) The division shall waive the fee under Section 53-3-105 for an identification
5228     card for an original identification card application under this Subsection (5).
5229          (ii) The fee waiver described in Subsection (5)(c)(i) does not apply to a person whose
5230     driving privilege is suspended or revoked.
5231          (6) Notwithstanding Title 63G, Chapter 2, Government Records Access and
5232     Management Act, the division shall, upon request, release to the Sex and Kidnap Offender
5233     Registry office in the Department of Corrections, the names and addresses of all applicants
5234     who, under Subsection (2)(k), indicate they are required to register as a sex offender in
5235     accordance with Title 77, Chapter 41, Sex and Kidnap Offender Registry.

5236          Section 73. Section 53-3-805 is amended to read:
5237          53-3-805. Identification card -- Contents -- Specifications.
5238          (1) As used in this section:
5239          (a) "Health care professional" means the same as that term is defined in Section
5240     53-3-207.
5241          (b) "Invisible condition" means the same as that term is defined in Section 53-3-207.
5242          (c) "Invisible condition identification symbol" means the same as that term is defined
5243     in Section 53-3-207.
5244          (2) (a) The division shall issue an identification card that bears:
5245          (i) the distinguishing number assigned to the individual by the division;
5246          (ii) the name, birth date, and Utah residence address of the individual;
5247          (iii) a brief description of the individual for the purpose of identification;
5248          (iv) a photograph of the individual;
5249          (v) a photograph or other facsimile of the individual's signature;
5250          (vi) an indication whether the individual intends to make an anatomical gift under
5251     [Title 26, Chapter 28, Revised Uniform Anatomical Gift Act] Title 26B, Chapter 8, Part 3,
5252     Revised Uniform Anatomical Gift Act; and
5253          (vii) if the individual states that the individual is a veteran of the United States military
5254     on the application for an identification card in accordance with Section 53-3-804 and provides
5255     verification that the individual received an honorable or general discharge from the United
5256     States Armed Forces, an indication that the individual is a United States military veteran for a
5257     regular identification card or a limited-term identification card issued on or after July 1, 2011.
5258          (b) An identification card issued by the division may not bear the individual's Social
5259     Security number or place of birth.
5260          (3) (a) The card shall be of an impervious material, resistant to wear, damage, and
5261     alteration.
5262          (b) Except as provided under Section 53-3-806, the size, form, and color of the card is
5263     prescribed by the commissioner.
5264          (4) At the applicant's request, the card may include a statement that the applicant has a
5265     special medical problem or allergies to certain drugs, for the purpose of medical treatment.
5266          (5) (a) The division shall include or affix an invisible condition identification symbol

5267     on an individual's identification card if the individual, on a form prescribed by the department:
5268          (i) requests the division to include the invisible condition identification symbol;
5269          (ii) provides written verification from a health care professional that the individual is
5270     an individual with an invisible condition; and
5271          (iii) submits a signed waiver of liability for the release of any medical information to:
5272          (A) the department;
5273          (B) any person who has access to the individual's medical information as recorded on
5274     the individual's driving record or the Utah Criminal Justice Information System under this
5275     chapter; and
5276          (C) any other person who may view or receive notice of the individual's medical
5277     information by seeing the individual's regular license certificate, limited-term license
5278     certificate, or driving privilege card or the individual's information in the Utah Criminal Justice
5279     Information System.
5280          (b) As part of the form described in Subsection (5)(a), the department shall advise the
5281     individual that by submitting the request and signed waiver, the individual consents to the
5282     release of the individual's medical information to any person described in Subsections
5283     (5)(a)(iii)(A) through (C), even if the person is otherwise ineligible to access the individual's
5284     medical information under state or federal law.
5285          (c) The division may not:
5286          (i) charge a fee to include the invisible condition identification symbol on the
5287     individual's identification card; or
5288          (ii) after including the invisible condition identification symbol on the individual's
5289     previously issued identification card, require the individual to provide subsequent written
5290     verification described in Subsection (5)(a)(ii) to include the invisible condition identification
5291     symbol on the individual's extended identification card.
5292          (d) The inclusion of an invisible condition identification symbol on an individual's
5293     identification card in accordance with Subsection (5)(a) does not confer any legal rights or
5294     privileges on the individual, including parking privileges for individuals with disabilities under
5295     Section 41-1a-414.
5296          (e) For each individual issued an identification card under this section that includes an
5297     invisible condition identification symbol, the division shall include in the division's database a

5298     brief description of the nature of the individual's invisible condition in the individual's record
5299     and provide the brief description to the Utah Criminal Justice Information System.
5300          (f) Except as provided in this section, the division may not release the information
5301     described in Subsection (5)(e).
5302          (g) Within 30 days after the day on which the division receives an individual's written
5303     request, the division shall:
5304          (i) remove from the individual's record in the division's database the invisible condition
5305     identification symbol and the brief description described in Subsection (5)(e); and
5306          (ii) provide the individual's updated record to the Utah Criminal Justice Information
5307     System.
5308          (6) As provided in Section 63G-2-302, the information described in Subsection (5)(a)
5309     is a private record for purposes of Title 63G, Chapter 2, Government Records Access and
5310     Management Act.
5311          (7) (a) The indication of intent under Subsection 53-3-804(2)(j) shall be authenticated
5312     by the applicant in accordance with division rule.
5313          (b) (i) Notwithstanding Title 63G, Chapter 2, Government Records Access and
5314     Management Act, the division may, upon request, release to an organ procurement
5315     organization, as defined in Section [26-28-102] 26B-8-301, the names and addresses of all
5316     individuals who under Subsection 53-3-804(2)(j) indicate that they intend to make an
5317     anatomical gift.
5318          (ii) An organ procurement organization may use released information only to:
5319          (A) obtain additional information for an anatomical gift registry; and
5320          (B) inform applicants of anatomical gift options, procedures, and benefits.
5321          (8) Notwithstanding Title 63G, Chapter 2, Government Records Access and
5322     Management Act, the division may release to the Department of Veterans and Military Affairs
5323     the names and addresses of all individuals who indicate their status as a veteran under
5324     Subsection 53-3-804(2)(l).
5325          (9) The division and the division's employees are not liable, as a result of false or
5326     inaccurate information provided under Subsection 53-3-804(2)(j) or (l), for direct or indirect:
5327          (a) loss;
5328          (b) detriment; or

5329          (c) injury.
5330          (10) (a) The division may issue a temporary regular identification card to an individual
5331     while the individual obtains the required documentation to establish verification of the
5332     information described in Subsections 53-3-804(2)(a), (b), (c), (d), and (i)(i).
5333          (b) A temporary regular identification card issued under this Subsection (10) shall be
5334     recognized and grant the individual the same privileges as a regular identification card.
5335          (c) A temporary regular identification card issued under this Subsection (10) is invalid:
5336          (i) when the individual's regular identification card has been issued;
5337          (ii) when, for good cause, an applicant's application for a regular identification card has
5338     been refused; or
5339          (iii) upon expiration of the temporary regular identification card.
5340          Section 74. Section 53-5-707 is amended to read:
5341          53-5-707. Concealed firearm permit -- Fees -- Concealed Weapons Account.
5342          (1) (a) An applicant for a concealed firearm permit shall pay a fee of $25 at the time of
5343     filing an application.
5344          (b) A nonresident applicant shall pay an additional $10 for the additional cost of
5345     processing a nonresident application.
5346          (c) The bureau shall waive the initial fee for an applicant who is a law enforcement
5347     officer under Section 53-13-103.
5348          (d) Concealed firearm permit renewal fees for active duty service members and the
5349     spouse of an active duty service member shall be waived.
5350          (2) The renewal fee for the permit is $20. A nonresident shall pay an additional $5 for
5351     the additional cost of processing a nonresidential renewal.
5352          (3) The replacement fee for the permit is $10.
5353          (4) (a) The late fee for the renewal permit is $7.50.
5354          (b) As used in this section, "late fee" means the fee charged by the bureau for a renewal
5355     submitted on a permit that has been expired for more than 30 days but less than one year.
5356          (5) (a) There is created a restricted account within the General Fund known as the
5357     "Concealed Weapons Account."
5358          (b) The account shall be funded from fees collected under this section and Section
5359     53-5-707.5.

5360          (c) Funds in the account may only be used to cover costs relating to:
5361          (i) the issuance of concealed firearm permits under this part; or
5362          (ii) the programs described in Subsection [62A-15-103(3)] 26B-5-102(3) and Section
5363     [62A-15-1101] 26B-5-611.
5364          (d) No later than 90 days after the end of the fiscal year 50% of the fund balance shall
5365     be transferred to the Suicide Prevention and Education Fund, created in Section [62A-15-1104]
5366     26B-1-326.
5367          (6) (a) The bureau may collect any fees charged by an outside agency for additional
5368     services required by statute as a prerequisite for issuance of a permit.
5369          (b) The bureau shall promptly forward any fees collected under Subsection (6)(a) to the
5370     appropriate agency.
5371          (7) The bureau shall make an annual report in writing to the Legislature's Law
5372     Enforcement and Criminal Justice Interim Committee on the amount and use of the fees
5373     collected under this section and Section 53-5-707.5.
5374          Section 75. Section 53-10-102 is amended to read:
5375          53-10-102. Definitions.
5376          As used in this chapter:
5377          (1) "Administration of criminal justice" means performance of any of the following:
5378     detection, apprehension, detention, pretrial release, posttrial release, prosecution, adjudication,
5379     correctional supervision, or rehabilitation of accused persons or criminal offenders.
5380          (2) "Alcoholic beverage" means the same as that term is defined in Section 32B-1-102.
5381          (3) "Alcoholic product" means the same as that term is defined in Section 32B-1-102.
5382          (4) "Bureau" means the Bureau of Criminal Identification within the department,
5383     created in Section 53-10-201.
5384          (5) "Commission" means the Alcoholic Beverage Services Commission.
5385          (6) "Communications services" means the technology of reception, relay, and
5386     transmission of information required by a public safety agency in the performance of the public
5387     safety agency's duty.
5388          (7) "Conviction record" means criminal history information indicating a record of a
5389     criminal charge that has led to a declaration of guilt of an offense.
5390          (8) "Criminal history record information" means information on an individual

5391     consisting of identifiable descriptions and notations of:
5392          (a) arrests, detentions, indictments, informations, or other formal criminal charges, and
5393     any disposition arising from any of them; and
5394          (b) sentencing, correctional supervision, and release.
5395          (9) "Criminal justice agency" means a court or a government agency or subdivision of
5396     a government agency that administers criminal justice under a statute, executive order, or local
5397     ordinance and that allocates greater than 50% of its annual budget to the administration of
5398     criminal justice.
5399          (10) "Criminalist" means the scientific discipline directed to the recognition,
5400     identification, individualization, and evaluation of physical evidence by application of the
5401     natural sciences in law-science matters.
5402          (11) "Department" means the Department of Public Safety.
5403          (12) "Director" means the division director appointed under Section 53-10-103.
5404          (13) "Division" means the Criminal Investigations and Technical Services Division
5405     created in Section 53-10-103.
5406          (14) "Executive order" means an order of the president of the United States or the chief
5407     executive of a state that has the force of law and that is published in a manner permitting
5408     regular public access to the order.
5409          (15) "Forensic" means dealing with the application of scientific knowledge relating to
5410     criminal evidence.
5411          (16) "Mental defective" means an individual who, by a district court, as a result of
5412     marked subnormal intelligence, or mental illness, incompetency, condition, or disease, is
5413     found:
5414          (a) to be a danger to himself or herself or others;
5415          (b) to lack the mental capacity to contract or manage the individual's own affairs;
5416          (c) to be incompetent by a court in a criminal case; or
5417          (d) to be incompetent to stand trial or found not guilty by reason or lack of mental
5418     responsibility.
5419          (17) "Missing child" means an individual under 18 years old who is missing from the
5420     individual's home environment or a temporary placement facility for any reason and whose
5421     location cannot be determined by the person responsible for the individual's care.

5422          (18) "Missing person" means the same as that term is defined in Section [26-2-27]
5423     26B-8-130.
5424          (19) "Pathogens" means disease-causing agents.
5425          (20) "Physical evidence" means something submitted to the bureau to determine the
5426     truth of a matter using scientific methods of analysis.
5427          (21) "Qualifying entity" means a business, organization, or a governmental entity that
5428     employs persons or utilizes volunteers who deal with:
5429          (a) national security interests;
5430          (b) fiduciary trust over money; or
5431          (c) the provision of care, treatment, education, training, instruction, supervision, or
5432     recreation to children, the elderly, or individuals with disabilities.
5433          Section 76. Section 53-10-104 is amended to read:
5434          53-10-104. Division duties.
5435          The division shall:
5436          (1) provide and coordinate the delivery of support services to law enforcement
5437     agencies;
5438          (2) maintain and provide access to criminal records for use by law enforcement
5439     agencies;
5440          (3) publish law enforcement and statistical data;
5441          (4) maintain dispatch and communications services for public safety communications
5442     centers and provide emergency medical, fire suppression, highway maintenance, public works,
5443     and law enforcement communications for municipal, county, state, and federal agencies;
5444          (5) analyze evidence from crime scenes and crime-related incidents for criminal
5445     prosecution;
5446          (6) provide criminalistic laboratory services to federal, state, and local law enforcement
5447     agencies, prosecuting attorneys' and agencies, and public defenders, with the exception of those
5448     services provided by the state medical examiner in accordance with [Title 26, Chapter 4, Utah
5449     Medical Examiner Act] Title 26B, Chapter 8, Part 2, Utah Medical Examiner;
5450          (7) establish satellite laboratories as necessary to provide criminalistic services;
5451          (8) safeguard the public through licensing and regulation of activities that impact
5452     public safety, including concealed weapons, emergency vehicles, and private investigators;

5453          (9) provide investigative assistance to law enforcement and other government agencies;
5454          (10) collect and provide intelligence information to criminal justice agencies;
5455          (11) investigate crimes that jeopardize the safety of the citizens, as well as the interests,
5456     of the state;
5457          (12) regulate and investigate laws pertaining to the sale and distribution of liquor;
5458          (13) make rules to implement this chapter;
5459          (14) perform the functions specified in this chapter;
5460          (15) comply with the requirements of Section 11-40-103;
5461          (16) comply with the requirements of Sections 72-10-602 and 72-10-603; and
5462          (17) develop and maintain a secure database of cold cases within the Utah Criminal
5463     Justice Information System pursuant to Section 53-10-115.
5464          Section 77. Section 53-10-108 is amended to read:
5465          53-10-108. Restrictions on access, use, and contents of division records -- Limited
5466     use of records for employment purposes -- Challenging accuracy of records -- Usage fees
5467     -- Missing children records -- Penalty for misuse of records.
5468          (1) As used in this section:
5469          (a) "Clone" means to copy a subscription or subscription data from a rap back system,
5470     including associated criminal history record information, from a qualified entity to another
5471     qualified entity.
5472          (b) "FBI Rap Back System" means the rap back system maintained by the Federal
5473     Bureau of Investigation.
5474          (c) "Rap back system" means a system that enables authorized entities to receive
5475     ongoing status notifications of any criminal history reported on individuals whose fingerprints
5476     are registered in the system.
5477          (d) "Volunteer Employee Criminal History System" or "VECHS" means a system that
5478     allows the bureau and the Federal Bureau of Investigation to provide criminal history record
5479     information to a qualifying entity, including a non-governmental qualifying entity.
5480          (e) "WIN Database" means the Western Identification Network Database that consists
5481     of eight western states sharing one electronic fingerprint database.
5482          (2) Except as provided in Subsection (17), dissemination of information from a
5483     criminal history record, including information obtained from a fingerprint background check,

5484     name check, warrant of arrest information, or information from division files, is limited to:
5485          (a) criminal justice agencies for purposes of administration of criminal justice and for
5486     employment screening by criminal justice agencies;
5487          (b) (i) agencies or individuals pursuant to a specific agreement with a criminal justice
5488     agency to provide services required for the administration of criminal justice; and
5489          (ii) the agreement shall specifically authorize access to data, limit the use of the data to
5490     purposes for which given, and ensure the security and confidentiality of the data;
5491          (c) a qualifying entity for employment background checks for the qualifying entity's
5492     own employees or volunteers and individuals who have applied for employment with or to
5493     serve as a volunteer for the qualifying entity;
5494          (d) noncriminal justice agencies or individuals for any purpose authorized by statute,
5495     executive order, court rule, court order, or local ordinance;
5496          (e) agencies or individuals for the purpose of obtaining required clearances connected
5497     with foreign travel or obtaining citizenship;
5498          (f) agencies or individuals for the purpose of a preplacement adoptive study, in
5499     accordance with the requirements of Sections 78B-6-128 and 78B-6-130;
5500          (g) private security agencies through guidelines established by the commissioner for
5501     employment background checks for their own employees and prospective employees;
5502          (h) state agencies for the purpose of conducting a background check for the following
5503     individuals:
5504          (i) employees;
5505          (ii) applicants for employment;
5506          (iii) volunteers; and
5507          (iv) contract employees;
5508          (i) governor's office for the purpose of conducting a background check on the
5509     following individuals:
5510          (i) cabinet members;
5511          (ii) judicial applicants; and
5512          (iii) members of boards, committees, and commissions appointed by the governor;
5513          (j) the office of the lieutenant governor for the purpose of conducting a background
5514     check on an individual applying to be a notary public under Section 46-1-3;

5515          (k) agencies and individuals as the commissioner authorizes for the express purpose of
5516     research, evaluative, or statistical activities pursuant to an agreement with a criminal justice
5517     agency; and
5518          (l) other agencies and individuals as the commissioner authorizes and finds necessary
5519     for protection of life and property and for offender identification, apprehension, and
5520     prosecution pursuant to an agreement.
5521          (3) An agreement under Subsection (2)(k) shall specifically authorize access to data,
5522     limit the use of data to research, evaluative, or statistical purposes, preserve the anonymity of
5523     individuals to whom the information relates, and ensure the confidentiality and security of the
5524     data.
5525          (4) (a) Before requesting information, a qualifying entity under Subsection (2)(c), state
5526     agency, or other agency or individual described in Subsections (2)(d) through (j) shall obtain a
5527     signed waiver from the person whose information is requested.
5528          (b) The waiver shall notify the signee:
5529          (i) that a criminal history background check will be conducted;
5530          (ii) who will see the information; and
5531          (iii) how the information will be used.
5532          (c) A qualifying entity under Subsection (2)(c), state agency, or other agency or
5533     individual described in Subsections (2)(d) through (g) that submits a request for a noncriminal
5534     justice name based background check of local databases to the bureau shall provide to the
5535     bureau:
5536          (i) personal identifying information for the subject of the background check; and
5537          (ii) the fee required by Subsection (15).
5538          (d) A qualifying entity under Subsection (2)(c), state agency, or other agency or
5539     individual described in Subsections (2)(d) through (g) that submits a request for a WIN
5540     database check and a nationwide background check shall provide to the bureau:
5541          (i) personal identifying information for the subject of the background check;
5542          (ii) a fingerprint card for the subject of the background check; and
5543          (iii) the fee required by Subsection (15).
5544          (e) Information received by a qualifying entity under Subsection (2)(c), state agency, or
5545     other agency or individual described in Subsections (2)(d) through (j) may only be:

5546          (i) available to individuals involved in the hiring or background investigation of the job
5547     applicant, employee, notary applicant, or as authorized under federal or state law;
5548          (ii) used for the purpose of assisting in making an employment appointment, selection,
5549     or promotion decision or for considering a notary applicant under Section 46-1-3; and
5550          (iii) used for the purposes disclosed in the waiver signed in accordance with Subsection
5551     (4)(b).
5552          (f) An individual who disseminates or uses information obtained from the division
5553     under Subsections (2)(c) through (j) for purposes other than those specified under Subsection
5554     (4)(e), in addition to any penalties provided under this section, is subject to civil liability.
5555          (g) (i) A qualifying entity under Subsection (2)(c), state agency, or other agency or
5556     individual described in Subsections (2)(d) through (j) that obtains background check
5557     information shall provide the subject of the background check an opportunity to:
5558          (A) request a copy of the information received; and
5559          (B) respond to and challenge the accuracy of any information received.
5560          (ii) An individual who is the subject of a background check and who receives a copy of
5561     the information described in Subsection (4)(g)(i) may use the information only for the purpose
5562     of reviewing, responding to, or challenging the accuracy of the information.
5563          (h) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5564     division may make rules to implement this Subsection (4).
5565          (i) The division or the division's employees are not liable for defamation, invasion of
5566     privacy, negligence, or any other claim in connection with the contents of information
5567     disseminated under Subsections (2)(c) through (j).
5568          (5) (a) Except as provided in Subsection (5)(b), (c), (d), or (e), or as otherwise
5569     authorized under state law, criminal history record information obtained from division files
5570     may be used only for the purposes for which the information was provided.
5571          (b) A criminal history provided to an agency under Subsection (2)(f) may be provided
5572     by the agency to the individual who is the subject of the history, another licensed child-placing
5573     agency, or the attorney for the adoptive parents for the purpose of facilitating an adoption.
5574          (c) A criminal history of a defendant provided to a criminal justice agency under
5575     Subsection (2)(a) may also be provided by the prosecutor to a defendant's defense counsel,
5576     upon request during the discovery process, for the purpose of establishing a defense in a

5577     criminal case.
5578          (d) A public transit district, as described in Title 17B, Chapter 2a, Part 8, Public
5579     Transit District Act, that is under contract with a state agency to provide services may, for the
5580     purposes of complying with Subsection [62A-5-103.5(5)] 26B-6-410(5), provide a criminal
5581     history record to the state agency or the agency's designee.
5582          (e) Criminal history record information obtained from a national source may be
5583     disseminated if the dissemination is authorized by a policy issued by the Criminal Justice
5584     Information Services Division or other federal law.
5585          (6) (a) A qualifying entity under Subsection (2)(c) may submit fingerprints to the
5586     bureau and the Federal Bureau of Investigation for a local and national background check
5587     under the provisions of the National Child Protection Act of 1993, 42 U.S.C. Sec. 5119 et seq.
5588          (b) A qualifying entity under Subsection (2)(c) that submits fingerprints under
5589     Subsection (6)(a):
5590          (i) shall meet all VECHS requirements for using VECHS; and
5591          (ii) may only submit fingerprints for an employee, volunteer, or applicant who has
5592     resided in Utah for the seven years before the day on which the qualifying entity submits the
5593     employee's, volunteer's, or applicant's fingerprints.
5594          (7) (a) This section does not preclude the use of the division's central computing
5595     facilities for the storage and retrieval of criminal history record information.
5596          (b) This information shall be stored so the information cannot be modified, destroyed,
5597     or accessed by unauthorized agencies or individuals.
5598          (8) Direct access through remote computer terminals to criminal history record
5599     information in the division's files is limited to those agencies authorized by the commissioner
5600     under procedures designed to prevent unauthorized access to this information.
5601          (9) (a) The commissioner shall establish procedures to allow an individual right of
5602     access to review and receive a copy of the individual's criminal history report.
5603          (b) A processing fee for the right of access service, including obtaining a copy of the
5604     individual's criminal history report under Subsection (9)(a) shall be set in accordance with
5605     Section 63J-1-504.
5606          (c) (i) The commissioner shall establish procedures for an individual to challenge the
5607     completeness and accuracy of criminal history record information contained in the division's

5608     computerized criminal history files regarding that individual.
5609          (ii) These procedures shall include provisions for amending any information found to
5610     be inaccurate or incomplete.
5611          (10) The private security agencies as provided in Subsection (2)(g):
5612          (a) shall be charged for access; and
5613          (b) shall be registered with the division according to rules made by the division under
5614     Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
5615          (11) Before providing information requested under this section, the division shall give
5616     priority to a criminal justice agency's needs.
5617          (12) (a) It is a class B misdemeanor for a person to knowingly or intentionally access,
5618     use, disclose, or disseminate a record created, maintained, or to which access is granted by the
5619     division or any information contained in a record created, maintained, or to which access is
5620     granted by the division for a purpose prohibited or not permitted by statute, rule, regulation, or
5621     policy of a governmental entity.
5622          (b) A person who discovers or becomes aware of any unauthorized use of records
5623     created or maintained, or to which access is granted by the division shall inform the
5624     commissioner and the director of the bureau of the unauthorized use.
5625          (13) (a) Subject to Subsection (13)(b), a qualifying entity or an entity described in
5626     Subsection (2) may request that the division register fingerprints taken for the purpose of
5627     conducting current and future criminal background checks under this section with:
5628          (i) the WIN Database rap back system, or any successor system;
5629          (ii) the FBI Rap Back System; or
5630          (iii) a system maintained by the division.
5631          (b) A qualifying entity or an entity described in Subsection (2) may only make a
5632     request under Subsection (13)(a) if the entity:
5633          (i) has the authority through state or federal statute or federal executive order;
5634          (ii) obtains a signed waiver from the individual whose fingerprints are being registered;
5635     and
5636          (iii) establishes a privacy risk mitigation strategy to ensure that the entity only receives
5637     notifications for individuals with whom the entity maintains an authorizing relationship.
5638          (14) The division is authorized to submit fingerprints to the FBI Rap Back System to

5639     be retained in the FBI Rap Back System for the purpose of being searched by future
5640     submissions to the FBI Rap Back System, including latent fingerprint searches.
5641          (15) (a) The division shall impose fees set in accordance with Section 63J-1-504 for
5642     the applicant fingerprint card, name check, and to register fingerprints under Subsection
5643     (13)(a).
5644          (b) Funds generated under this Subsection (15) shall be deposited into the General
5645     Fund as a dedicated credit by the department to cover the costs incurred in providing the
5646     information.
5647          (c) The division may collect fees charged by an outside agency for services required
5648     under this section.
5649          (16) For the purposes of conducting a criminal background check authorized under
5650     Subsection (2)(h), (i), or (j), the Division of Human Resource Management, in accordance with
5651     Title 63A, Chapter 17, Utah State Personnel Management Act, and the governor's office shall
5652     have direct access to criminal background information maintained under Chapter 10, Part 2,
5653     Bureau of Criminal Identification.
5654          (17) (a) Except as provided in Subsection (18), if an individual has an active FBI Rap
5655     Back System subscription with a qualifying entity, the division may, upon request from another
5656     qualifying entity, clone the subscription to the requesting qualifying entity if:
5657          (i) the requesting qualifying entity requests the clone:
5658          (A) for the purpose of evaluating whether the individual should be permitted to obtain
5659     or retain a license for, or serve as an employee or volunteer in a position in which the
5660     individual is responsible for, the care, treatment, training, instruction, supervision, or recreation
5661     of children, the elderly, or individuals with disabilities; or
5662          (B) for the same purpose as the purpose for which the original qualifying entity
5663     requested the criminal history record information;
5664          (ii) the requesting qualifying entity is expressly authorized by statute to obtain criminal
5665     history record information for the individual who is the subject of the request;
5666          (iii) before requesting the clone, the requesting qualifying entity obtains a signed
5667     waiver, containing the information described in Subsection (4)(b), from the individual who is
5668     the subject of the request;
5669          (iv) the requesting qualifying entity or the individual pays any applicable fees set by the

5670     division in accordance with Section 63J-1-504; and
5671          (v) the requesting qualifying entity complies with the requirements described in
5672     Subsection (4)(g).
5673          (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5674     division may make rules regulating the process described in this Subsection (17).
5675          (18) (a) Subsection (17) does not apply unless the Federal Bureau of Investigation
5676     approves the use of the FBI Rap Back System for the purpose described in Subsection
5677     (17)(a)(i) under the conditions described in Subsection (17).
5678          (b) Subsection (17) does not apply to the extent that implementation of the provisions
5679     of Subsection (17) are contrary to the requirements of the Child Care and Development Block
5680     Grant, 42 U.S.C. Secs. 9857-9858r or any other federal grant.
5681          (19) (a) Information received by a qualifying entity under Subsection (17) may only be
5682     disclosed and used as described in Subsection (4)(e).
5683          (b) A person who disseminates or uses information received under Subsection (17) for
5684     a purpose other than those described in Subsection (4)(e) is subject to the penalties described in
5685     this section and is also subject to civil liability.
5686          (c) A qualifying entity is not liable for defamation, invasion of privacy, negligence, or
5687     any other claim in connection with the contents of information disseminated under Subsection
5688     (17).
5689          Section 78. Section 53-10-202 is amended to read:
5690          53-10-202. Criminal identification -- Duties of bureau.
5691          The bureau shall:
5692          (1) procure and file information relating to identification and activities of persons who:
5693          (a) are fugitives from justice;
5694          (b) are wanted or missing;
5695          (c) have been arrested for or convicted of a crime under the laws of any state or nation;
5696     and
5697          (d) are believed to be involved in racketeering, organized crime, or a dangerous
5698     offense;
5699          (2) establish a statewide uniform crime reporting system that shall include:
5700          (a) statistics concerning general categories of criminal activities;

5701          (b) statistics concerning crimes that exhibit evidence of prejudice based on race,
5702     religion, ancestry, national origin, ethnicity, or other categories that the division finds
5703     appropriate;
5704          (c) statistics concerning the use of force by law enforcement officers in accordance
5705     with the Federal Bureau of Investigation's standards; and
5706          (d) other statistics required by the Federal Bureau of Investigation;
5707          (3) make a complete and systematic record and index of the information obtained
5708     under this part;
5709          (4) subject to the restrictions in this part, establish policy concerning the use and
5710     dissemination of data obtained under this part;
5711          (5) publish an annual report concerning the extent, fluctuation, distribution, and nature
5712     of crime in Utah;
5713          (6) establish a statewide central register for the identification and location of missing
5714     persons, which may include:
5715          (a) identifying data including fingerprints of each missing person;
5716          (b) identifying data of any missing person who is reported as missing to a law
5717     enforcement agency having jurisdiction;
5718          (c) dates and circumstances of any persons requesting or receiving information from
5719     the register; and
5720          (d) any other information, including blood types and photographs found necessary in
5721     furthering the purposes of this part;
5722          (7) publish a quarterly directory of missing persons for distribution to persons or
5723     entities likely to be instrumental in the identification and location of missing persons;
5724          (8) list the name of every missing person with the appropriate nationally maintained
5725     missing persons lists;
5726          (9) establish and operate a 24-hour communication network for reports of missing
5727     persons and reports of sightings of missing persons;
5728          (10) coordinate with the National Center for Missing and Exploited Children and other
5729     agencies to facilitate the identification and location of missing persons and the identification of
5730     unidentified persons and bodies;
5731          (11) receive information regarding missing persons as provided in Sections [26-2-27]

5732     26B-8-130 and 53G-6-602, and stolen vehicles, vessels, and outboard motors, as provided in
5733     Section 41-1a-1401;
5734          (12) adopt systems of identification, including the fingerprint system, to be used by the
5735     division to facilitate law enforcement;
5736          (13) assign a distinguishing number or mark of identification to any pistol or revolver,
5737     as provided in Section 76-10-520;
5738          (14) check certain criminal records databases for information regarding motor vehicle
5739     salesperson applicants, maintain a separate file of fingerprints for motor vehicle salespersons,
5740     and inform the Motor Vehicle Enforcement Division when new entries are made for certain
5741     criminal offenses for motor vehicle salespersons in accordance with the requirements of
5742     Section 41-3-205.5;
5743          (15) check certain criminal records databases for information regarding driving
5744     privilege card applicants or cardholders and maintain a separate file of fingerprints for driving
5745     privilege applicants and cardholders and inform the federal Immigration and Customs
5746     Enforcement Agency of the United States Department of Homeland Security when new entries
5747     are made in accordance with the requirements of Section 53-3-205.5;
5748          (16) review and approve or disapprove applications for license renewal that meet the
5749     requirements for renewal; and
5750          (17) forward to the board those applications for renewal under Subsection (16) that do
5751     not meet the requirements for renewal.
5752          Section 79. Section 53-10-208.1 is amended to read:
5753          53-10-208.1. Magistrates and court clerks to supply information.
5754          (1) Every magistrate or clerk of a court responsible for court records in this state shall,
5755     within 30 days of the disposition and on forms and in the manner provided by the division,
5756     furnish the division with information pertaining to:
5757          (a) all dispositions of criminal matters, including:
5758          (i) guilty pleas;
5759          (ii) convictions;
5760          (iii) dismissals;
5761          (iv) acquittals;
5762          (v) pleas held in abeyance;

5763          (vi) judgments of not guilty by reason of insanity;
5764          (vii) judgments of guilty with a mental illness;
5765          (viii) finding of mental incompetence to stand trial; and
5766          (ix) probations granted;
5767          (b) orders of civil commitment under the terms of Section [62A-15-631] 26B-5-332;
5768          (c) the issuance, recall, cancellation, or modification of all warrants of arrest or
5769     commitment as described in Rule 6, Utah Rules of Criminal Procedure and Section 78B-6-303,
5770     within one day of the action and in a manner provided by the division; and
5771          (d) protective orders issued after notice and hearing, pursuant to:
5772          (i) Title 77, Chapter 36, Cohabitant Abuse Procedures Act;
5773          (ii) Title 78B, Chapter 7, Part 4, Dating Violence Protective Orders;
5774          (iii) Title 78B, Chapter 7, Part 5, Sexual Violence Protective Orders;
5775          (iv) Title 78B, Chapter 7, Part 6, Cohabitant Abuse Protective Orders; or
5776          (v) Title 78B, Chapter 7, Part 8, Criminal Protective Orders.
5777          (2) The court in the county where a determination or finding was made shall transmit a
5778     record of the determination or finding to the bureau no later than 48 hours after the
5779     determination is made, excluding Saturdays, Sundays, and legal holidays, if an individual is:
5780          (a) adjudicated as a mental defective; or
5781          (b) involuntarily committed to a mental institution in accordance with Subsection
5782     [62A-15-631(16)] 26B-5-332(16).
5783          (3) The record described in Subsection (2) shall include:
5784          (a) an agency record identifier;
5785          (b) the individual's name, sex, race, and date of birth; and
5786          (c) the individual's social security number, government issued driver license or
5787     identification number, alien registration number, government passport number, state
5788     identification number, or FBI number.
5789          Section 80. Section 53-10-403 is amended to read:
5790          53-10-403. DNA specimen analysis -- Application to offenders, including minors.
5791          (1) Sections 53-10-403.6, 53-10-404, 53-10-404.5, 53-10-405, and 53-10-406 apply to
5792     any person who:
5793          (a) has pled guilty to or has been convicted of any of the offenses under Subsection

5794     (2)(a) or (b) on or after July 1, 2002;
5795          (b) has pled guilty to or has been convicted by any other state or by the United States
5796     government of an offense which if committed in this state would be punishable as one or more
5797     of the offenses listed in Subsection (2)(a) or (b) on or after July 1, 2003;
5798          (c) has been booked on or after January 1, 2011, through December 31, 2014, for any
5799     offense under Subsection (2)(c);
5800          (d) has been booked:
5801          (i) by a law enforcement agency that is obtaining a DNA specimen on or after May 13,
5802     2014, through December 31, 2014, under Subsection 53-10-404(4)(b) for any felony offense; or
5803          (ii) on or after January 1, 2015, for any felony offense; or
5804          (e) is a minor under Subsection (3).
5805          (2) Offenses referred to in Subsection (1) are:
5806          (a) any felony or class A misdemeanor under the Utah Code;
5807          (b) any offense under Subsection (2)(a):
5808          (i) for which the court enters a judgment for conviction to a lower degree of offense
5809     under Section 76-3-402; or
5810          (ii) regarding which the court allows the defendant to enter a plea in abeyance as
5811     defined in Section 77-2a-1; or
5812          (c) (i) any violent felony as defined in Section 53-10-403.5;
5813          (ii) sale or use of body parts, Section [26-28-116] 26B-8-315;
5814          (iii) failure to stop at an accident that resulted in death, Section 41-6a-401.5;
5815          (iv) operating a motor vehicle with any amount of a controlled substance in an
5816     individual's body and causing serious bodily injury or death, as codified before May 4, 2022,
5817     Laws of Utah 2021, Chapter 236, Section 1, Subsection 58-37-8(2)(g);
5818          (v) a felony violation of enticing a minor over the Internet, Section 76-4-401;
5819          (vi) negligently operating a vehicle resulting in injury, Subsection 76-5-102.1(2)(b);
5820          (vii) a felony violation of propelling a substance or object at a correctional officer, a
5821     peace officer, or an employee or a volunteer, including health care providers, Section
5822     76-5-102.6;
5823          (viii) negligently operating a vehicle resulting in death, Subsection 76-5-207(2)(b);
5824          (ix) aggravated human trafficking, Section 76-5-310, and aggravated human

5825     smuggling, Section 76-5-310.1;
5826          (x) a felony violation of unlawful sexual activity with a minor, Section 76-5-401;
5827          (xi) a felony violation of sexual abuse of a minor, Section 76-5-401.1;
5828          (xii) unlawful sexual contact with a 16 or 17-year old, Section 76-5-401.2;
5829          (xiii) sale of a child, Section 76-7-203;
5830          (xiv) aggravated escape, Subsection 76-8-309(2);
5831          (xv) a felony violation of assault on an elected official, Section 76-8-315;
5832          (xvi) influencing, impeding, or retaliating against a judge or member of the Board of
5833     Pardons and Parole, Section 76-8-316;
5834          (xvii) advocating criminal syndicalism or sabotage, Section 76-8-902;
5835          (xviii) assembly for advocating criminal syndicalism or sabotage, Section 76-8-903;
5836          (xix) a felony violation of sexual battery, Section 76-9-702.1;
5837          (xx) a felony violation of lewdness involving a child, Section 76-9-702.5;
5838          (xxi) a felony violation of abuse or desecration of a dead human body, Section
5839     76-9-704;
5840          (xxii) manufacture, possession, sale, or use of a weapon of mass destruction, Section
5841     76-10-402;
5842          (xxiii) manufacture, possession, sale, or use of a hoax weapon of mass destruction,
5843     Section 76-10-403;
5844          (xxiv) possession of a concealed firearm in the commission of a violent felony,
5845     Subsection 76-10-504(4);
5846          (xxv) assault with the intent to commit bus hijacking with a dangerous weapon,
5847     Subsection 76-10-1504(3);
5848          (xxvi) commercial obstruction, Subsection 76-10-2402(2);
5849          (xxvii) a felony violation of failure to register as a sex or kidnap offender, Section
5850     77-41-107;
5851          (xxviii) repeat violation of a protective order, Subsection 77-36-1.1(4); or
5852          (xxix) violation of condition for release after arrest under Section 78B-7-802 .
5853          (3) A minor under Subsection (1) is a minor 14 years old or older who is adjudicated
5854     by the juvenile court due to the commission of any offense described in Subsection (2), and
5855     who:

5856          (a) committed an offense under Subsection (2) within the jurisdiction of the juvenile
5857     court on or after July 1, 2002; or
5858          (b) is in the legal custody of the Division of Juvenile Justice Services on or after July 1,
5859     2002 for an offense under Subsection (2).
5860          Section 81. Section 53-10-405 is amended to read:
5861          53-10-405. DNA specimen analysis -- Saliva sample to be obtained by agency --
5862     Blood sample to be drawn by professional.
5863          (1) (a) A saliva sample shall be obtained by the responsible agency under Subsection
5864     53-10-404(5).
5865          (b) The sample shall be obtained in a professionally acceptable manner, using
5866     appropriate procedures to ensure the sample is adequate for DNA analysis.
5867          (2) (a) A blood sample shall be drawn in a medically acceptable manner by any of the
5868     following:
5869          (i) a physician;
5870          (ii) a physician assistant;
5871          (iii) a registered nurse;
5872          (iv) a licensed practical nurse;
5873          (v) a paramedic;
5874          (vi) as provided in Subsection (2)(b), emergency medical service personnel other than
5875     paramedics; or
5876          (vii) a person with a valid permit issued by the Department of Health and Human
5877     Services under Section [26-1-30] 26B-1-202.
5878          (b) The Department of Health and Human Services may designate by rule, in
5879     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, which emergency
5880     medical service personnel, as defined in Section [26-8a-102] 26B-4-101, are authorized to
5881     draw blood under Subsection (2)(a)(vi), based on the type of license under Section [26-8a-302]
5882     26B-4-116.
5883          (c) A person authorized by this section to draw a blood sample may not be held civilly
5884     liable for drawing a sample in a medically acceptable manner.
5885          (3) A test result or opinion based upon a test result regarding a DNA specimen may not
5886     be rendered inadmissible as evidence solely because of deviations from procedures adopted by

5887     the department that do not affect the reliability of the opinion or test result.
5888          (4) A DNA specimen is not required to be obtained if:
5889          (a) the court or the responsible agency confirms with the department that the
5890     department has previously received an adequate DNA specimen obtained from the person in
5891     accordance with this section; or
5892          (b) the court determines that obtaining a DNA specimen would create a substantial and
5893     unreasonable risk to the health of the person.
5894          Section 82. Section 53-10-801 is amended to read:
5895          53-10-801. Definitions.
5896          For purposes of this part:
5897          (1) "Alleged sexual offender" means an individual or a minor regarding whom an
5898     indictment, petition, or an information has been filed or an arrest has been made alleging the
5899     commission of a sexual offense or an attempted sexual offense under Title 76, Chapter 5, Part
5900     4, Sexual Offenses, and regarding which:
5901          (a) a judge has signed an accompanying arrest warrant, pickup order, or any other order
5902     based upon probable cause regarding the alleged offense; and
5903          (b) the judge has found probable cause to believe that the alleged victim has been
5904     exposed to conduct or activities that may result in an HIV infection as a result of the alleged
5905     offense.
5906          (2) "Department of Health and Human Services" means the Department of Health and
5907     Human Services created in Section 26B-1-201.
5908          (3) "HIV infection" means an indication of Human Immunodeficiency Virus (HIV)
5909     infection determined by current medical standards and detected by any of the following:
5910          (a) presence of antibodies to HIV, verified by a positive "confirmatory" test, such as
5911     Western blot or other method approved by the Utah State Health Laboratory. Western blot
5912     interpretation will be based on criteria currently recommended by the Association of State and
5913     Territorial Public Health Laboratory Directors;
5914          (b) presence of HIV antigen;
5915          (c) isolation of HIV; or
5916          (d) demonstration of HIV proviral DNA.
5917          (4) "HIV positive individual" means an individual who is HIV positive as determined

5918     by the State Health Laboratory.
5919          (5) "Local department of health" means a local health department as defined in Section
5920     26A-1-102.
5921          (6) "Minor" means an individual younger than 18 years old.
5922          (7) "Positive" means an indication of the HIV infection as defined in Subsection (3).
5923          (8) "Sexual offense" means a violation of any offense under Title 76, Chapter 5, Part 4,
5924     Sexual Offenses.
5925          (9) "Test" or "testing" means a test or tests for HIV infection conducted by and in
5926     accordance with standards recommended by the Department of Health and Human Services.
5927          Section 83. Section 53-10-802 is amended to read:
5928          53-10-802. Request for testing -- Mandatory testing -- Liability for costs.
5929          (1) (a) An alleged victim of a sexual offense, the parent or guardian of an alleged
5930     victim who is a minor, or the guardian of an alleged victim who is a vulnerable adult as defined
5931     in Section [62A-3-301] 26B-6-201 may request that the alleged sexual offender against whom
5932     the indictment, information, or petition is filed or regarding whom the arrest has been made be
5933     tested to determine whether the alleged offender is an HIV positive individual.
5934          (b) If the alleged victim under Subsection (1)(a) has requested that the alleged offender
5935     be tested, the alleged offender shall submit to being tested not later than 48 hours after an
5936     information or indictment is filed or an order requiring a test is signed.
5937          (c) If the alleged victim under Subsection (1)(a) requests that the alleged offender be
5938     tested more than 48 hours after an information or indictment is filed, the offender shall submit
5939     to being tested not later than 24 hours after the request is made.
5940          (d) As soon as practicable, the results of the test conducted pursuant to this section
5941     shall be provided to:
5942          (i) the alleged victim who requested the test;
5943          (ii) the parent or guardian of the alleged victim, if the alleged victim is a minor;
5944          (iii) the legal guardian of the alleged victim if the victim is a vulnerable adult as
5945     defined in Section [62A-3-301] 26B-6-201;
5946          (iv) the alleged offender; and
5947          (v) the parent or legal guardian of the alleged offender, if the offender is a minor.
5948          (e) If follow-up testing is medically indicated, the results of follow-up testing of the

5949     alleged offender shall be sent as soon as practicable to:
5950          (i) the alleged victim;
5951          (ii) the parent or guardian of the alleged victim if the alleged victim is a minor;
5952          (iii) the legal guardian of the alleged victim, if the victim is a vulnerable adult as
5953     defined in Section [62A-3-301] 26B-6-201;
5954          (iv) the alleged offender; and
5955          (v) the parent or legal guardian of the alleged offender, if the alleged offender is a
5956     minor.
5957          (2) If the mandatory test has not been conducted, and the alleged offender or alleged
5958     minor offender is already confined in a county jail, state prison, or a secure youth corrections
5959     facility, the alleged offender shall be tested while in confinement.
5960          (3) (a) The secure youth corrections facility or county jail shall cause the blood
5961     specimen of the alleged offender under Subsection (1) confined in that facility to be taken and
5962     shall forward the specimen to:
5963          (i) the Department of Health and Human Services; or
5964          (ii) an alternate testing facility, as determined by the secure youth corrections facility or
5965     county jail, if testing under Subsection (3)(a)(i) is unavailable.
5966          (b) The entity that receives the specimen under Subsection (3)(a) shall provide the
5967     result to the prosecutor as soon as practicable for release to the parties as described in
5968     Subsection (1)(d) or (e).
5969          (4) The Department of Corrections shall cause the blood specimen of the alleged
5970     offender defined in Subsection (1) confined in any state prison to be taken and shall forward
5971     the specimen to the Department of Health and Human Services as provided in Section
5972     64-13-36.
5973          (5) The alleged offender who is tested is responsible upon conviction for the costs of
5974     testing, unless the alleged offender is indigent. The costs will then be paid by the Department
5975     of Health and Human Services from the General Fund.
5976          Section 84. Section 53-10-804 is amended to read:
5977          53-10-804. Victim notification and counseling.
5978          (1) (a) The Department of Health of Human Services shall provide the victim who
5979     requests testing of the alleged sexual offender's human immunodeficiency virus status

5980     counseling regarding HIV disease and referral for appropriate health care and support services.
5981          (b) If the local health department in whose jurisdiction the victim resides and the
5982     Department of Health and Human Services agree, the Department of Health and Human
5983     Services shall forward a report of the alleged sexual offender's human immunodeficiency virus
5984     status to the local health department and the local health department shall provide the victim
5985     who requests the test with the test results, counseling regarding HIV disease, and referral for
5986     appropriate health care and support services.
5987          (2) Notwithstanding the provisions of Section [26-6-27] 26B-7-217, the Department of
5988     Health and Human Services and a local health department acting pursuant to an agreement
5989     made under Subsection (1) may disclose to the victim the results of the alleged sexual
5990     offender's human immunodeficiency virus status as provided in this section.
5991          Section 85. Section 53-13-105 is amended to read:
5992          53-13-105. Special function officer.
5993          (1) (a) "Special function officer" means a sworn and certified peace officer performing
5994     specialized investigations, service of legal process, security functions, or specialized ordinance,
5995     rule, or regulatory functions.
5996          (b) "Special function officer" includes:
5997          (i) state military police;
5998          (ii) constables;
5999          (iii) port-of-entry agents as defined in Section 72-1-102;
6000          (iv) authorized employees or agents of the Department of Transportation assigned to
6001     administer and enforce the provisions of Title 72, Chapter 9, Motor Carrier Safety Act;
6002          (v) school district security officers;
6003          (vi) Utah State Hospital security officers designated pursuant to Section [62A-15-603]
6004     26B-5-303;
6005          (vii) Utah State Developmental Center security officers designated pursuant to
6006     Subsection [62A-5-206(8)] 26B-6-506;
6007          (viii) fire arson investigators for any political subdivision of the state;
6008          (ix) ordinance enforcement officers employed by municipalities or counties may be
6009     special function officers;
6010          (x) employees of the Department of Natural Resources who have been designated to

6011     conduct supplemental enforcement functions as a collateral duty;
6012          (xi) railroad special agents deputized by a county sheriff under Section 17-30-2 or
6013     17-30a-104, or appointed pursuant to Section 56-1-21.5;
6014          (xii) auxiliary officers, as described by Section 53-13-112;
6015          (xiii) special agents, process servers, and investigators employed by city attorneys;
6016          (xiv) criminal tax investigators designated under Section 59-1-206; and
6017          (xv) all other persons designated by statute as having special function officer authority
6018     or limited peace officer authority.
6019          (2) (a) A special function officer may exercise that spectrum of peace officer authority
6020     that has been designated by statute to the employing agency, and only while on duty, and not
6021     for the purpose of general law enforcement.
6022          (b) If the special function officer is charged with security functions respecting facilities
6023     or property, the powers may be exercised only in connection with acts occurring on the
6024     property where the officer is employed or when required for the protection of the employer's
6025     interest, property, or employees.
6026          (c) A special function officer may carry firearms only while on duty, and only if
6027     authorized and under conditions specified by the officer's employer or chief administrator.
6028          (3) (a) A special function officer may not exercise the authority of a special function
6029     officer until:
6030          (i) the officer has satisfactorily completed an approved basic training program for
6031     special function officers as provided under Subsection (4); and
6032          (ii) the chief law enforcement officer or administrator has certified this fact to the
6033     director of the division.
6034          (b) City and county constables and their deputies shall certify their completion of
6035     training to the legislative governing body of the city or county they serve.
6036          (4) (a) The agency that the special function officer serves may establish and maintain a
6037     basic special function course and in-service training programs as approved by the director of
6038     the division with the advice and consent of the council.
6039          (b) The in-service training shall consist of no fewer than 40 hours per year and may be
6040     conducted by the agency's own staff or by other agencies.
6041          (5) (a) An individual shall be 19 years old or older before being certified or employed

6042     as a special function officer.
6043          (b) A special function officer who is under 21 years old may only work as a
6044     correctional officer in accordance with Section 53-13-104.
6045          Section 86. Section 53-13-110 is amended to read:
6046          53-13-110. Duties to investigate specified instances of abuse or neglect.
6047          In accordance with the requirements of Section 80-2-703, law enforcement officers
6048     shall investigate alleged instances of abuse or neglect of a child that occur while the child is in
6049     the custody of the Division of Child and Family Services, within the Department of Health and
6050     Human Services.
6051          Section 87. Section 53-21-101 is amended to read:
6052          53-21-101. Definitions.
6053          As used in this chapter:
6054          (1) "Crime scene investigator technician" means an individual employed by a law
6055     enforcement agency to collect and analyze evidence from crime scenes and crime-related
6056     incidents.
6057          (2) "Department" means the Department of Public Safety.
6058          (3) "First responder" means:
6059          (a) a law enforcement officer, as defined in Section 53-13-103;
6060          (b) an emergency medical technician, as defined in Section [26-8c-102] 26B-4-137;
6061          (c) an advanced emergency medical technician, as defined in Section [26-8c-102]
6062     26B-4-137;
6063          (d) a paramedic, as defined in Section [26-8c-102] 26B-4-137;
6064          (e) a firefighter, as defined in Section 34A-3-113;
6065          (f) a dispatcher, as defined in Section 53-6-102;
6066          (g) a correctional officer, as defined in Section 53-13-104;
6067          (h) a special function officer, as defined in Section 53-13-105, employed by a local
6068     sheriff;
6069          (i) a search and rescue worker under the supervision of a local sheriff;
6070          (j) a credentialed criminal justice system victim advocate as defined in Section
6071     77-38-403 who responds to incidents with a law enforcement officer;
6072          (k) a crime scene investigator technician; or

6073          (l) a wildland firefighter.
6074          (4) "First responder agency" means a local district, municipality, interlocal entity, or
6075     other political subdivision that employs a first responder to provide fire protection, paramedic,
6076     law enforcement, or emergency services.
6077          (5) "Mental health resources" means:
6078          (a) an assessment to determine appropriate mental health treatment that is performed
6079     by a mental health therapist;
6080          (b) outpatient mental health treatment provided by a mental health therapist; or
6081          (c) peer support services provided by a peer support specialist who is qualified to
6082     provide peer support services under Subsection [62A-15-103(2)(h)] 26B-5-102(2)(h).
6083          (6) "Mental health therapist" means the same as that term is defined in Section
6084     58-60-102.
6085          (7) "Plan" means a plan to implement or expand a program that provides mental health
6086     resources to first responders for which the division awards a grant under this chapter.
6087          Section 88. Section 53B-1-111 is amended to read:
6088          53B-1-111. Organ donation notification.
6089          (1) As used in this section:
6090          (a) "Donor" means the same as that term is defined in Section [26-28-102] 26B-4-137.
6091          (b) "Donor registry" means the same as that term is defined in Section [26-28-102]
6092     26B-4-137.
6093          (c) "Institution of higher education" means an institution as described in Section
6094     53B-3-102.
6095          (2) (a) An institution of higher education shall distribute, twice each academic year to
6096     each enrolled student:
6097          (i) an electronic message notifying each student of the option to register as a donor by
6098     selecting the Internet link described in Subsection (2)(a)(ii); and
6099          (ii) through the electronic message described in Subsection (2)(a)(i) an Internet link to
6100     a website for a donor registry established under Section [26-28-120] 26B-8-319.
6101          (b) An institution of higher education may also provide to students information on
6102     donor registry by other electronic, printed, or in-person means.
6103          Section 89. Section 53B-17-301 is amended to read:

6104          53B-17-301. Unclaimed dead bodies -- Notice to school of medicine at the
6105     University of Utah -- Preservation of dead bodies.
6106          (1) A county shall, within 24 hours after assuming custody of an unclaimed body for
6107     which the county is required to provide burial under Section [26-4-25] 26B-8-225, provide
6108     notice of the county's custody of the body to the dean of the school of medicine at the
6109     University of Utah.
6110          (2) The notice described in Subsection (1) shall specify the body's probable cause of
6111     death.
6112          (3) Subject to Section [26-4-25] 26B-8-225, the county shall, at the request of the dean
6113     of the school of medicine at the University of Utah, forward the body to the university, at the
6114     university's expense, within 24 hours of receiving the dean's request.
6115          (4) The school of medicine at the University of Utah shall, for a body it receives under
6116     Subsection (3):
6117          (a) properly embalm and preserve the body for at least 60 days; and
6118          (b) upon request, release the body to a person with priority to control the disposition of
6119     the body under Section 58-9-602.
6120          Section 90. Section 53B-17-903 is amended to read:
6121          53B-17-903. Education in pain treatment.
6122          The University of Utah School of Medicine shall ensure that any licensed physicians
6123     who oversee fellowship training to specialize in pain treatment are qualified medical providers,
6124     as that term is defined in Section [26-61a-102] 26B-4-201.
6125          Section 91. Section 53B-17-1203 is amended to read:
6126          53B-17-1203. SafeUT and School Safety Commission established -- Members.
6127          (1) There is created the SafeUT and School Safety Commission composed of the
6128     following members:
6129          (a) one member who represents the Office of the Attorney General, appointed by the
6130     attorney general;
6131          (b) one member who represents the Utah public education system, appointed by the
6132     State Board of Education;
6133          (c) one member who represents the Utah system of higher education, appointed by the
6134     board;

6135          (d) one member who represents the Utah Department of Health and Human Services,
6136     appointed by the executive director of the Department of Health and Human Services;
6137          (e) one member of the House of Representatives, appointed by the speaker of the
6138     House of Representatives;
6139          (f) one member of the Senate, appointed by the president of the Senate;
6140          (g) one member who represents the University Neuropsychiatric Institute, appointed by
6141     the chair of the commission;
6142          (h) one member who represents law enforcement who has extensive experience in
6143     emergency response, appointed by the chair of the commission;
6144          (i) one member who represents the Utah Department of Health and Human Services
6145     who has experience in youth services or treatment services, appointed by the executive director
6146     of the Department of Health and Human Services; and
6147          (j) two members of the public, appointed by the chair of the commission.
6148          (2) (a) Except as provided in Subsection (2)(b), members of the commission shall be
6149     appointed to four-year terms.
6150          (b) The length of the terms of the members shall be staggered so that approximately
6151     half of the committee is appointed every two years.
6152          (c) When a vacancy occurs in the membership of the commission, the replacement
6153     shall be appointed for the unexpired term.
6154          (3) (a) The attorney general's designee shall serve as chair of the commission.
6155          (b) The chair shall set the agenda for commission meetings.
6156          (4) Attendance of a simple majority of the members constitutes a quorum for the
6157     transaction of official commission business.
6158          (5) Formal action by the commission requires a majority vote of a quorum.
6159          (6) (a) Except as provided in Subsection (6)(b), a member may not receive
6160     compensation, benefits, per diem, or travel expenses for the member's service.
6161          (b) Compensation and expenses of a member who is a legislator are governed by
6162     Section 36-2-2 and Legislative Joint Rules, Title 5, Legislative Compensation and Expenses.
6163          (7) The Office of the Attorney General shall provide staff support to the commission.
6164          Section 92. Section 53B-26-202 is amended to read:
6165          53B-26-202. Nursing initiative -- Reporting requirements -- Proposals -- Funding.

6166          (1) Every even-numbered year, the Utah Health Workforce Information Center created
6167     in Section [26-69-301] 26B-4-705 shall:
6168          (a) project the demand, by license classification, for individuals to enter a nursing
6169     profession in each region;
6170          (b) receive input from at least one medical association in developing the projections
6171     described in Subsection (1)(a); and
6172          (c) report the projections described in Subsection (1)(a) to:
6173          (i) the board; and
6174          (ii) the Higher Education Appropriations Subcommittee.
6175          (2) To receive funding under this section, on or before January 5, an eligible program
6176     shall submit to the Higher Education Appropriations Subcommittee, through the budget
6177     process for the board, as applicable, a proposal that describes:
6178          (a) a program of instruction offered by the eligible program that is responsive to a
6179     projection described in Subsection (1)(a);
6180          (b) the following information about the eligible program:
6181          (i) expected student enrollment;
6182          (ii) attainment rates;
6183          (iii) job placement rates; and
6184          (iv) passage rates for exams required for licensure for a nursing profession;
6185          (c) the instructional cost per full-time equivalent student enrolled in the eligible
6186     program;
6187          (d) financial or in-kind contributions to the eligible program from:
6188          (i) the health care industry; or
6189          (ii) an institution; and
6190          (e) a funding request, including justification for the request.
6191          (3) The Higher Education Appropriations Subcommittee shall:
6192          (a) review a proposal submitted under this section using the following criteria:
6193          (i) the proposal:
6194          (A) contains the elements described in Subsection (2);
6195          (B) expands the capacity to meet the projected demand described in Subsection (1)(a);
6196     and

6197          (C) has health care industry or institution support; and
6198          (ii) the program of instruction described in the proposal:
6199          (A) is cost effective;
6200          (B) has support from the health care industry or an institution; and
6201          (C) has high passage rates on exams required for licensure for a nursing profession;
6202          (b) determine the extent to which to fund the proposal; and
6203          (c) make an appropriation recommendation to the Legislature on the amount of money
6204     determined under Subsection (3)(b) to the eligible program's institution.
6205          (4) An institution that receives funding under this section shall use the funding to
6206     increase the number of students enrolled in the eligible program for which the institution
6207     receives funding.
6208          (5) On or before November 1 of each year, the board shall report to the Higher
6209     Education Appropriations Subcommittee on the elements described in Subsection (2) for each
6210     eligible program funded under this section.
6211          Section 93. Section 53B-28-202 is amended to read:
6212          53B-28-202. Confidentiality of information -- Disclosure of confidential
6213     communication.
6214          (1) Except as provided in Subsection (2), and notwithstanding Title 63G, Chapter 2,
6215     Government Records Access and Management Act, a person may not disclose a confidential
6216     communication.
6217          (2) A person may disclose a confidential communication if:
6218          (a) the victim gives written and informed consent to the disclosure;
6219          (b) the person has an obligation to disclose the confidential communication under
6220     Section [62A-3-305] 26B-6-205, 80-2-602, or 78B-3-502;
6221          (c) the disclosure is required by federal law; or
6222          (d) a court of competent jurisdiction orders the disclosure.
6223          Section 94. Section 53B-28-303 is amended to read:
6224          53B-28-303. Institution engagement with a law enforcement agency -- Articulable
6225     and significant threat -- Notification to victim.
6226          (1) (a) An institution shall keep confidential from a law enforcement agency a covered
6227     allegation reported to the institution by the victim of the covered allegation.

6228          (b) Notwithstanding Subsection (1)(a), an institution may engage with a law
6229     enforcement agency in response to a covered allegation described in Subsection (1)(a):
6230          (i) if the victim consents to the institution engaging with the law enforcement agency;
6231     or
6232          (ii) in accordance with Subsection (2).
6233          (2) (a) Subject to Subsection (3), an institution that receives a report described in
6234     Subsection (1)(a) may engage with a law enforcement agency in response to the covered
6235     allegation if the institution determines, in accordance with Subsection (2)(b), that the
6236     information in the covered allegation creates an articulable and significant threat to individual
6237     or campus safety at the institution.
6238          (b) To determine whether the information in a covered allegation creates an articulable
6239     and significant threat described in Subsection (2)(a), the institution shall consider, if the
6240     information is known to the institution, at least the following factors:
6241          (i) whether the circumstances of the covered allegation suggest an increased risk that
6242     the alleged perpetrator will commit an additional act of sexual violence or other violence;
6243          (ii) whether the alleged perpetrator has an arrest history that indicates a history of
6244     sexual violence or other violence;
6245          (iii) whether records from the alleged perpetrator's previous postsecondary institution
6246     indicate that the alleged perpetrator has a history of sexual violence or other violence;
6247          (iv) whether the alleged perpetrator is alleged to have threatened further sexual
6248     violence or other violence against the victim or another individual;
6249          (v) whether the act of sexual violence was committed by more than one alleged
6250     perpetrator;
6251          (vi) whether the circumstances of the covered allegation suggest there is an increased
6252     risk of future acts of sexual violence under similar circumstances;
6253          (vii) whether the act of sexual violence was perpetrated with a weapon; and
6254          (viii) the age of the victim.
6255          (3) An institution shall:
6256          (a) before engaging with a law enforcement agency in accordance with Subsection (2),
6257     provide notice to the victim of the following:
6258          (i) the institution's intent to engage with a law enforcement agency;

6259          (ii) the law enforcement agency with which the institution intends to engage; and
6260          (iii) the reason the institution made the determination described in Subsection (2); and
6261          (b) in engaging with a law enforcement agency under Subsection (2):
6262          (i) maintain the confidentiality of the victim; and
6263          (ii) disclose the minimum information required to appropriately address the threat
6264     described in Subsection (2)(a).
6265          (4) Nothing in this section supersedes:
6266          (a) an obligation described in Section [62A-3-305] 26B-6-205, 80-2-602, or
6267     78B-3-502; or
6268          (b) a requirement described in Part 2, Confidential Communications for Institutional
6269     Advocacy Services Act.
6270          Section 95. Section 53E-1-201 is amended to read:
6271          53E-1-201. Reports to and action required of the Education Interim Committee.
6272          (1) In accordance with applicable provisions and Section 68-3-14, the following
6273     recurring reports are due to the Education Interim Committee:
6274          (a) the report described in Section 9-22-109 by the STEM Action Center Board,
6275     including the information described in Section 9-22-113 on the status of the computer science
6276     initiative and Section 9-22-114 on the Computing Partnerships Grants Program;
6277          (b) the prioritized list of data research described in Section 53B-33-302 and the report
6278     on research and activities described in Section 53B-33-304 by the Utah Data Research Center;
6279          (c) the report described in Section 35A-15-303 by the State Board of Education on
6280     preschool programs;
6281          (d) the report described in Section 53B-1-402 by the Utah Board of Higher Education
6282     on career and technical education issues and addressing workforce needs;
6283          (e) the annual report of the Utah Board of Higher Education described in Section
6284     53B-1-402;
6285          (f) the reports described in Section 53B-28-401 by the Utah Board of Higher Education
6286     regarding activities related to campus safety;
6287          (g) the State Superintendent's Annual Report by the state board described in Section
6288     53E-1-203;
6289          (h) the annual report described in Section 53E-2-202 by the state board on the strategic

6290     plan to improve student outcomes;
6291          (i) the report described in Section 53E-8-204 by the state board on the Utah Schools for
6292     the Deaf and the Blind;
6293          (j) the report described in Section 53E-10-703 by the Utah Leading through Effective,
6294     Actionable, and Dynamic Education director on research and other activities;
6295          (k) the report described in Section 53F-2-522 regarding mental health screening
6296     programs;
6297          (l) the report described in Section 53F-4-203 by the state board and the independent
6298     evaluator on an evaluation of early interactive reading software;
6299          (m) the report described in Section 53F-4-407 by the state board on UPSTART;
6300          (n) the reports described in Sections 53F-5-214 and 53F-5-215 by the state board
6301     related to grants for professional learning and grants for an elementary teacher preparation
6302     assessment;
6303          (o) upon request, the report described in Section 53F-5-219 by the state board on the
6304     Local Innovations Civics Education Pilot Program;
6305          (p) the report described in Section 53F-5-405 by the State Board of Education
6306     regarding an evaluation of a partnership that receives a grant to improve educational outcomes
6307     for students who are low income;
6308          (q) the report described in Section 53B-35-202 regarding the Higher Education and
6309     Corrections Council;
6310          (r) the report described in Section 53G-7-221 by the State Board of Education
6311     regarding innovation plans; and
6312          (s) the annual report described in Section 63A-2-502 by the Educational Interpretation
6313     and Translation Service Procurement Advisory Council.
6314          (2) In accordance with applicable provisions and Section 68-3-14, the following
6315     occasional reports are due to the Education Interim Committee:
6316          (a) the report described in Section 35A-15-303 by the School Readiness Board by
6317     November 30, 2020, on benchmarks for certain preschool programs;
6318          (b) the report described in Section 53B-28-402 by the Utah Board of Higher Education
6319     on or before the Education Interim Committee's November 2021 meeting;
6320          (c) if required, the report described in Section 53E-4-309 by the state board explaining

6321     the reasons for changing the grade level specification for the administration of specific
6322     assessments;
6323          (d) if required, the report described in Section 53E-5-210 by the state board of an
6324     adjustment to the minimum level that demonstrates proficiency for each statewide assessment;
6325          (e) in 2022 and in 2023, on or before November 30, the report described in Subsection
6326     53E-10-309(7) related to the PRIME pilot program;
6327          (f) the report described in Section 53E-10-702 by Utah Leading through Effective,
6328     Actionable, and Dynamic Education;
6329          (g) if required, the report described in Section 53F-2-513 by the state board evaluating
6330     the effects of salary bonuses on the recruitment and retention of effective teachers in high
6331     poverty schools;
6332          (h) the report described in Section 53F-5-210 by the state board on the Educational
6333     Improvement Opportunities Outside of the Regular School Day Grant Program;
6334          (i) upon request, a report described in Section 53G-7-222 by an LEA regarding
6335     expenditure of a percentage of state restricted funds to support an innovative education
6336     program;
6337          (j) the report described in Section 53G-7-503 by the state board regarding fees that
6338     LEAs charge during the 2020-2021 school year;
6339          (k) the reports described in Section 53G-11-304 by the state board regarding proposed
6340     rules and results related to educator exit surveys; and
6341          (l) the report described in Section [62A-15-117] 26B-5-113 by the Division of
6342     Substance Abuse and Mental Health, the State Board of Education, and the Department of
6343     Health and Human Services regarding recommendations related to Medicaid reimbursement
6344     for school-based health services.
6345          Section 96. Section 53E-3-503 is amended to read:
6346          53E-3-503. Education of individuals in custody of or receiving services from
6347     certain state agencies -- Establishment of coordinating council -- Advisory councils.
6348          (1) (a) The state board is directly responsible for the education of all individuals who
6349     are:
6350          (i) (A) younger than 21 years old; or
6351          (B) eligible for special education services as described in Chapter 7, Part 2, Special

6352     Education Program; and
6353          (ii) (A) receiving services from the Department of Health and Human Services;
6354          (B) in the custody of an equivalent agency of a Native American tribe recognized by
6355     the United States Bureau of Indian Affairs and whose custodial parent resides within the state;
6356     or
6357          (C) being held in a juvenile detention facility.
6358          (b) The state board shall:
6359          (i) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
6360     Rulemaking Act, to provide for the distribution of funds for the education of individuals
6361     described in Subsection (1)(a); and
6362          (ii) expend funds appropriated for the education of youth in custody in the following
6363     order of priority:
6364          (A) for students in a facility described in Subsection (1)(a)(ii) who are not included in
6365     an LEA's average daily membership; and
6366          (B) for students in a facility described in Subsection (1)(a)(ii) who are included in an
6367     LEA's average daily membership and who may benefit from additional educational support
6368     services.
6369          (c) Subject to future budget constraints, the amount appropriated for the education of
6370     youth in custody under this section shall increase annually based on the following:
6371          (i) the percentage of enrollment growth of students in kindergarten through grade 12;
6372     and
6373          (ii) changes to the value of the weighted pupil unit as defined in Section 53F-4-301.
6374          (2) Subsection (1)(a)(ii)(B) does not apply to an individual taken into custody for the
6375     primary purpose of obtaining access to education programs provided for youth in custody.
6376          (3) The state board shall, where feasible, contract with school districts or other
6377     appropriate agencies to provide educational, administrative, and supportive services, but the
6378     state board shall retain responsibility for the programs.
6379          (4) The Legislature shall establish and maintain separate education budget categories
6380     for youth in custody or who are under the jurisdiction of the following state agencies:
6381          (a) detention centers and the Divisions of Juvenile Justice Services and Child and
6382     Family Services;

6383          (b) the Division of Substance Abuse and Mental Health; and
6384          (c) the Division of Services for People with Disabilities.
6385          (5) (a) The Department of Health and Human Services and the state board shall appoint
6386     a coordinating council to plan, coordinate, and recommend budget, policy, and program
6387     guidelines for the education and treatment of persons in the custody of the Division of Juvenile
6388     Justice Services and the Division of Child and Family Services.
6389          (b) The Department of Health and Human Services and the state board may appoint
6390     similar councils for those in the custody of the Division of Substance Abuse and Mental Health
6391     or the Division of Services for People with Disabilities.
6392          (6) A school district contracting to provide services under Subsection (3) shall
6393     establish an advisory council to plan, coordinate, and review education and treatment programs
6394     for individuals held in custody in the district.
6395          Section 97. Section 53E-8-405 is amended to read:
6396          53E-8-405. Collaboration with Department of Health and Human Services.
6397          The Utah Schools for the Deaf and the Blind shall collaborate with the Department of
6398     Health and Human Services to provide services to children with disabilities who are younger
6399     than three years of age in accordance with the Individuals with Disabilities Education Act, 20
6400     U.S.C. Sec. 1400 et seq.
6401          Section 98. Section 53E-8-408 is amended to read:
6402          53E-8-408. Educational services for an individual with a hearing loss.
6403          (1) Subject to Subsection (2), the Utah Schools for the Deaf and the Blind shall provide
6404     educational services to an individual:
6405          (a) who seeks to receive the educational services; and
6406          (b) (i) whose results of a test for hearing loss are reported to the Utah Schools for the
6407     Deaf and the Blind in accordance with Section [26-10-6] 26B-4-319 or [26-10-13] 26B-4-323;
6408     or
6409          (ii) who has been diagnosed with a hearing loss by a physician or an audiologist.
6410          (2) If the individual who will receive the services described in Subsection (1) is a
6411     minor, the Utah Schools for the Deaf and the Blind may not provide the services to the
6412     individual until after receiving permission from the individual's parent.
6413          Section 99. Section 53E-9-301 is amended to read:

6414          53E-9-301. Definitions.
6415          As used in this part:
6416          (1) "Adult student" means a student who:
6417          (a) is at least 18 years old;
6418          (b) is an emancipated student; or
6419          (c) qualifies under the McKinney-Vento Homeless Education Assistance
6420     Improvements Act of 2001, 42 U.S.C. Sec. 11431 et seq.
6421          (2) "Aggregate data" means data that:
6422          (a) are totaled and reported at the group, cohort, school, school district, region, or state
6423     level with at least 10 individuals in the level;
6424          (b) do not reveal personally identifiable student data; and
6425          (c) are collected in accordance with state board rule.
6426          (3) (a) "Biometric identifier" means a:
6427          (i) retina or iris scan;
6428          (ii) fingerprint;
6429          (iii) human biological sample used for valid scientific testing or screening; or
6430          (iv) scan of hand or face geometry.
6431          (b) "Biometric identifier" does not include:
6432          (i) a writing sample;
6433          (ii) a written signature;
6434          (iii) a voiceprint;
6435          (iv) a photograph;
6436          (v) demographic data; or
6437          (vi) a physical description, such as height, weight, hair color, or eye color.
6438          (4) "Biometric information" means information, regardless of how the information is
6439     collected, converted, stored, or shared:
6440          (a) based on an individual's biometric identifier; and
6441          (b) used to identify the individual.
6442          (5) "Data breach" means an unauthorized release of or unauthorized access to
6443     personally identifiable student data that is maintained by an education entity.
6444          (6) "Data governance plan" means an education entity's comprehensive plan for

6445     managing education data that:
6446          (a) incorporates reasonable data industry best practices to maintain and protect student
6447     data and other education-related data;
6448          (b) describes the role, responsibility, and authority of an education entity data
6449     governance staff member;
6450          (c) provides for necessary technical assistance, training, support, and auditing;
6451          (d) describes the process for sharing student data between an education entity and
6452     another person;
6453          (e) describes the education entity's data expungement process, including how to
6454     respond to requests for expungement;
6455          (f) describes the data breach response process; and
6456          (g) is published annually and available on the education entity's website.
6457          (7) "Education entity" means:
6458          (a) the state board;
6459          (b) a local school board;
6460          (c) a charter school governing board;
6461          (d) a school district;
6462          (e) a charter school; or
6463          (f) the Utah Schools for the Deaf and the Blind.
6464          (8) "Expunge" means to seal or permanently delete data, as described in state board
6465     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
6466     under Section 53E-9-306.
6467          (9) "General audience application" means an Internet website, online service, online
6468     application, mobile application, or software program that:
6469          (a) is not specifically intended for use by an audience member that attends kindergarten
6470     or a grade from 1 to 12, although an audience member may attend kindergarten or a grade from
6471     1 to 12; and
6472          (b) is not subject to a contract between an education entity and a third-party contractor.
6473          (10) "Local education agency" or "LEA" means:
6474          (a) a school district;
6475          (b) a charter school; or

6476          (c) the Utah Schools for the Deaf and the Blind.
6477          (11) "Metadata dictionary" means a record that:
6478          (a) defines and discloses all personally identifiable student data collected and shared by
6479     the education entity;
6480          (b) comprehensively lists all recipients with whom the education entity has shared
6481     personally identifiable student data, including:
6482          (i) the purpose for sharing the data with the recipient;
6483          (ii) the justification for sharing the data, including whether sharing the data was
6484     required by federal law, state law, or a local directive; and
6485          (iii) how sharing the data is permitted under federal or state law; and
6486          (c) without disclosing personally identifiable student data, is displayed on the
6487     education entity's website.
6488          (12) "Necessary student data" means data required by state statute or federal law to
6489     conduct the regular activities of an education entity, including:
6490          (a) name;
6491          (b) date of birth;
6492          (c) sex;
6493          (d) parent contact information;
6494          (e) custodial parent information;
6495          (f) contact information;
6496          (g) a student identification number;
6497          (h) local, state, and national assessment results or an exception from taking a local,
6498     state, or national assessment;
6499          (i) courses taken and completed, credits earned, and other transcript information;
6500          (j) course grades and grade point average;
6501          (k) grade level and expected graduation date or graduation cohort;
6502          (l) degree, diploma, credential attainment, and other school exit information;
6503          (m) attendance and mobility;
6504          (n) drop-out data;
6505          (o) immunization record or an exception from an immunization record;
6506          (p) race;

6507          (q) ethnicity;
6508          (r) tribal affiliation;
6509          (s) remediation efforts;
6510          (t) an exception from a vision screening required under Section 53G-9-404 or
6511     information collected from a vision screening described in Section 53G-9-404;
6512          (u) information related to the Utah Registry of Autism and Developmental Disabilities,
6513     described in Section [26-7-4] 26B-7-115;
6514          (v) student injury information;
6515          (w) a disciplinary record created and maintained as described in Section 53E-9-306;
6516          (x) juvenile delinquency records;
6517          (y) English language learner status; and
6518          (z) child find and special education evaluation data related to initiation of an IEP.
6519          (13) (a) "Optional student data" means student data that is not:
6520          (i) necessary student data; or
6521          (ii) student data that an education entity may not collect under Section 53E-9-305.
6522          (b) "Optional student data" includes:
6523          (i) information that is:
6524          (A) related to an IEP or needed to provide special needs services; and
6525          (B) not necessary student data;
6526          (ii) biometric information; and
6527          (iii) information that is not necessary student data and that is required for a student to
6528     participate in a federal or other program.
6529          (14) "Parent" means:
6530          (a) a student's parent;
6531          (b) a student's legal guardian; or
6532          (c) an individual who has written authorization from a student's parent or legal
6533     guardian to act as a parent or legal guardian on behalf of the student.
6534          (15) (a) "Personally identifiable student data" means student data that identifies or is
6535     used by the holder to identify a student.
6536          (b) "Personally identifiable student data" includes:
6537          (i) a student's first and last name;

6538          (ii) the first and last name of a student's family member;
6539          (iii) a student's or a student's family's home or physical address;
6540          (iv) a student's email address or other online contact information;
6541          (v) a student's telephone number;
6542          (vi) a student's social security number;
6543          (vii) a student's biometric identifier;
6544          (viii) a student's health or disability data;
6545          (ix) a student's education entity student identification number;
6546          (x) a student's social media user name and password or alias;
6547          (xi) if associated with personally identifiable student data, the student's persistent
6548     identifier, including:
6549          (A) a customer number held in a cookie; or
6550          (B) a processor serial number;
6551          (xii) a combination of a student's last name or photograph with other information that
6552     together permits a person to contact the student online;
6553          (xiii) information about a student or a student's family that a person collects online and
6554     combines with other personally identifiable student data to identify the student; and
6555          (xiv) information that, alone or in combination, is linked or linkable to a specific
6556     student that would allow a reasonable person in the school community, who does not have
6557     personal knowledge of the relevant circumstances, to identify the student with reasonable
6558     certainty.
6559          (16) "School official" means an employee or agent of an education entity, if the
6560     education entity has authorized the employee or agent to request or receive student data on
6561     behalf of the education entity.
6562          (17) (a) "Student data" means information about a student at the individual student
6563     level.
6564          (b) "Student data" does not include aggregate or de-identified data.
6565          (18) "Student data manager" means:
6566          (a) the state student data officer; or
6567          (b) an individual designated as a student data manager by an education entity under
6568     Section 53E-9-303, who fulfills the duties described in Section 53E-9-308.

6569          (19) (a) "Targeted advertising" means presenting advertisements to a student where the
6570     advertisement is selected based on information obtained or inferred over time from that
6571     student's online behavior, usage of applications, or student data.
6572          (b) "Targeted advertising" does not include advertising to a student:
6573          (i) at an online location based upon that student's current visit to that location; or
6574          (ii) in response to that student's request for information or feedback, without retention
6575     of that student's online activities or requests over time for the purpose of targeting subsequent
6576     ads.
6577          (20) "Third-party contractor" means a person who:
6578          (a) is not an education entity; and
6579          (b) pursuant to a contract with an education entity, collects or receives student data in
6580     order to provide a product or service, as described in the contract, if the product or service is
6581     not related to school photography, yearbooks, graduation announcements, or a similar product
6582     or service.
6583          (21) "Written consent" means written authorization to collect or share a student's
6584     student data, from:
6585          (a) the student's parent, if the student is not an adult student; or
6586          (b) the student, if the student is an adult student.
6587          Section 100. Section 53E-9-307 is amended to read:
6588          53E-9-307. Securing and cataloguing student data.
6589          In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
6590     state board shall make rules that:
6591          (1) using reasonable data industry best practices, prescribe the maintenance and
6592     protection of stored student data by:
6593          (a) an education entity;
6594          (b) the Utah Registry of Autism and Developmental Disabilities, described in Section
6595     [26-7-4] 26B-7-115, for student data obtained under Section 53E-9-308; and
6596          (c) a third-party contractor; and
6597          (2) state requirements for an education entity's metadata dictionary.
6598          Section 101. Section 53E-9-308 is amended to read:
6599          53E-9-308. Sharing student data -- Prohibition -- Requirements for student data

6600     manager -- Authorized student data sharing.
6601          (1) (a) Except as provided in Subsection (1)(b), an education entity, including a student
6602     data manager, may not share personally identifiable student data without written consent.
6603          (b) An education entity, including a student data manager, may share personally
6604     identifiable student data:
6605          (i) in accordance with the Family Education Rights and Privacy Act and related
6606     provisions under 20 U.S.C. Secs. 1232g and 1232h;
6607          (ii) as required by federal law; and
6608          (iii) as described in Subsections (3), (5), and (6).
6609          (2) A student data manager shall:
6610          (a) authorize and manage the sharing, outside of the student data manager's education
6611     entity, of personally identifiable student data for the education entity as described in this
6612     section;
6613          (b) act as the primary local point of contact for the state student data officer described
6614     in Section 53E-9-302; and
6615          (c) fulfill other responsibilities described in the data governance plan of the student
6616     data manager's education entity.
6617          (3) A student data manager may share a student's personally identifiable student data
6618     with a caseworker or representative of the Department of Health and Human Services if:
6619          (a) the Department of Health and Human Services is:
6620          (i) legally responsible for the care and protection of the student, including the
6621     responsibility to investigate a report of educational neglect, as provided in Subsection
6622     80-2-701(5); or
6623          (ii) providing services to the student;
6624          (b) the student's personally identifiable student data is not shared with a person who is
6625     not authorized:
6626          (i) to address the student's education needs; or
6627          (ii) by the Department of Health and Human Services to receive the student's
6628     personally identifiable student data; and
6629          (c) the Department of Health and Human Services maintains and protects the student's
6630     personally identifiable student data.

6631          (4) The Department of Health and Human Services, a school official, or the Utah
6632     Juvenile Court may share personally identifiable student data to improve education outcomes
6633     for youth:
6634          (a) in the custody of, or under the guardianship of, the Department of Health and
6635     Human Services;
6636          (b) receiving services from the Division of Juvenile Justice Services;
6637          (c) in the custody of the Division of Child and Family Services;
6638          (d) receiving services from the Division of Services for People with Disabilities; or
6639          (e) under the jurisdiction of the Utah Juvenile Court.
6640          (5) (a) A student data manager may share personally identifiable student data in
6641     response to a subpoena issued by a court.
6642          (b) A person who receives personally identifiable student data under Subsection (5)(a)
6643     may not use the personally identifiable student data outside of the use described in the
6644     subpoena.
6645          (6) (a) A student data manager may share student data, including personally
6646     identifiable student data, in response to a request to share student data for the purpose of
6647     research or evaluation, if the student data manager:
6648          (i) verifies that the request meets the requirements of 34 C.F.R. Sec. 99.31(a)(6);
6649          (ii) submits the request to the education entity's research review process; and
6650          (iii) fulfills the instructions that result from the review process.
6651          (b) (i) In accordance with state and federal law, and subject to Subsection (6)(b)(ii), the
6652     state board shall share student data, including personally identifiable student data, as requested
6653     by the Utah Registry of Autism and Developmental Disabilities described in Section [26-7-4]
6654     26B-7-115.
6655          (ii) (A) At least 30 days before the state board shares student data in accordance with
6656     Subsection (6)(b)(i), the education entity from which the state board received the student data
6657     shall provide notice to the parent of each student for which the state board intends to share
6658     student data.
6659          (B) The state board may not, for a particular student, share student data as described in
6660     Subsection (6)(b)(i) if the student's parent requests that the state board not share the student
6661     data.

6662          (iii) A person who receives student data under Subsection (6)(b)(i):
6663          (A) shall maintain and protect the student data in accordance with state board rule
6664     described in Section 53E-9-307;
6665          (B) may not use the student data for a purpose not described in Section [26-7-4]
6666     26B-7-115; and
6667          (C) is subject to audit by the state student data officer described in Section 53E-9-302.
6668          Section 102. Section 53F-2-415 is amended to read:
6669          53F-2-415. Student health and counseling support -- Qualifying personnel --
6670     Distribution formula -- Rulemaking.
6671          (1) As used in this section:
6672          (a) "Qualifying personnel" means a school counselor or other counselor, school
6673     psychologist or other psychologist, school social worker or other social worker, or school nurse
6674     who:
6675          (i) is licensed; and
6676          (ii) collaborates with educators and a student's parent on:
6677          (A) early identification and intervention of the student's academic and mental health
6678     needs; and
6679          (B) removing barriers to learning and developing skills and behaviors critical for the
6680     student's academic achievement.
6681          (b) "Telehealth services" means the same as that term is defined in Section [26-60-102]
6682     26B-4-704.
6683          (2) (a) Subject to legislative appropriations, and in accordance with Subsection (2)(b),
6684     the state board shall distribute money appropriated under this section to LEAs to provide in a
6685     school targeted school-based mental health support, including clinical services and
6686     trauma-informed care, through:
6687          (i) employing qualifying personnel; or
6688          (ii) entering into contracts for services provided by qualifying personnel, including
6689     telehealth services.
6690          (b) (i) The state board shall, after consulting with LEA governing boards, develop a
6691     formula to distribute money appropriated under this section to LEAs.
6692          (ii) The state board shall ensure that the formula described in Subsection (2)(b)(i)

6693     incentivizes an LEA to provide school-based mental health support in collaboration with the
6694     local mental health authority of the county in which the LEA is located.
6695          (3) To qualify for money under this section, an LEA shall submit to the state board a
6696     plan that includes:
6697          (a) measurable goals approved by the LEA governing board on improving student
6698     safety, student engagement, school culture, or academic achievement;
6699          (b) how the LEA intends to meet the goals described in Subsection (3)(a) through the
6700     use of the money;
6701          (c) how the LEA is meeting the requirements related to parent education described in
6702     Section 53G-9-703; and
6703          (d) whether the LEA intends to provide school-based mental health support in
6704     collaboration with the local mental health authority of the county in which the LEA is located.
6705          (4) The state board shall distribute money appropriated under this section to an LEA
6706     that qualifies under Subsection (3):
6707          (a) based on the formula described in Subsection (2)(b); and
6708          (b) if the state board approves the LEA's plan before April 1, 2020, in an amount of
6709     money that the LEA equally matches using local money, unrestricted state money, or money
6710     distributed to the LEA under Section 53G-7-1303.
6711          (5) An LEA may not use money distributed by the state board under this section to
6712     supplant federal, state, or local money previously allocated to:
6713          (a) employ qualifying personnel; or
6714          (b) enter into contracts for services provided by qualified personnel, including
6715     telehealth services.
6716          (6) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
6717     state board shall make rules that establish:
6718          (a) procedures for submitting a plan for and distributing money under this section;
6719          (b) the formula the state board will use to distribute money to LEAs described in
6720     Subsection (2)(b); and
6721          (c) in accordance with Subsection (7), annual reporting requirements for an LEA that
6722     receives money under this section.
6723          (7) An LEA that receives money under this section shall submit an annual report to the

6724     state board, including:
6725          (a) progress toward achieving the goals submitted under Subsection (3)(a);
6726          (b) if the LEA discontinues a qualifying personnel position, the LEA's reason for
6727     discontinuing the position; and
6728          (c) how the LEA, in providing school-based mental health support, complies with the
6729     provisions of Section 53E-9-203.
6730          (8) Beginning on or before July 1, 2019, the state board shall provide training that
6731     instructs school personnel on the impact of childhood trauma on student learning, including
6732     information advising educators against practicing medicine, giving a diagnosis, or providing
6733     treatment.
6734          (9) The state board may use up to:
6735          (a) 2% of an appropriation under this section for costs related to the administration of
6736     the provisions of this section; and
6737          (b) $1,500,000 in nonlapsing balances from fiscal year 2022 for the purposes described
6738     in this section to provide scholarships for up to four years to certain LEA employees, as defined
6739     by the state board, for education and training to become a school social worker, a school
6740     psychologist, or other school-based mental health worker.
6741          (10) Notwithstanding the provisions of this section, money appropriated under this
6742     section may be used, as determined by the state board, for:
6743          (a) the SafeUT Crisis Line described in Section 53B-17-1202; or
6744          (b) youth suicide prevention programs described in Section 53G-9-702.
6745          Section 103. Section 53F-2-522 is amended to read:
6746          53F-2-522. Public education mental health screening.
6747          (1) As used in this section:
6748          (a) "Division" means the Division of Substance Abuse and Mental Health.
6749          (b) "Participating LEA" means an LEA that has an approved screening program
6750     described in this section.
6751          (c) "Participating student" means a student in a participating LEA who participates in a
6752     mental health screening program.
6753          (d) "Qualifying parent" means a parent:
6754          (i) of a participating student who, based on the results of a screening program, would

6755     benefit from resources that cannot be provided to the participating student in the school setting;
6756     and
6757          (ii) who qualifies for financial assistance to pay for the resources under rules made by
6758     the state board.
6759          (e) "Screening program" means a student mental health screening program selected by
6760     a participating LEA and approved by the state board in consultation with the division.
6761          (2) A participating LEA may implement a mental health screening for participating
6762     students using an evidence-based screening program.
6763          (3) The state board shall:
6764          (a) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
6765     Rulemaking Act, to establish:
6766          (i) a process for a participating LEA to submit a selected screening program to the state
6767     board for approval;
6768          (ii) in accordance with Title 53E, Chapter 9, Student Privacy and Data Protection, and
6769     the Family Educational Rights and Privacy Act, 20 U.S.C. 1232g, who may access and use a
6770     participating student's screening data; and
6771          (iii) a requirement and a process for appropriate LEA or school personnel to attend
6772     annual training related to administering the screening program;
6773          (b) in consultation with the division, approve an evidence-based student mental health
6774     screening program selected by a participating LEA that:
6775          (i) is age appropriate for each grade in which the screening program is administered;
6776          (ii) screens for the mental health conditions determined by the state board and division;
6777     and
6778          (iii) is an effective tool for identifying whether a student has a mental health condition
6779     that requires intervention; and
6780          (c) on or before November 30 of each year, submit a report on the screening programs
6781     to:
6782          (i) the State Suicide Prevention Coalition created under Subsection [62A-15-1101(2)]
6783     26B-5-611(2); and
6784          (ii) the Education Interim Committee in accordance with Section 53E-1-201.
6785          (4) A participating LEA shall:

6786          (a) in accordance with rules made by the state board under Subsection (3)(a), submit a
6787     selected screening program to the state board for approval;
6788          (b) administer a screening program to participating students in the participating LEA;
6789          (c) obtain prior written consent from a student's parent, that complies with Section
6790     53E-9-203, and the Family Educational Rights and Privacy Act, 20 U.S.C. Sec. 1232g, before
6791     the participating LEA administers the screening program to a participating student; and
6792          (d) if results of a participating student's screening indicate a potential mental health
6793     condition, notify the parent of the participating student of:
6794          (i) the participating student's results; and
6795          (ii) resources available to the participating student, including any services that can be
6796     provided by the school mental health provider or by a partnering entity.
6797          (5) (a) Within appropriations made by the Legislature for this purpose, the state board
6798     may distribute funds to a participating LEA to use to assist a qualifying parent to pay for
6799     resources described in Subsection (4)(d)(ii) that cannot be provided by a school mental health
6800     professional in the school setting.
6801          (b) The state board shall make rules, in accordance with Title 63G, Chapter 3, Utah
6802     Administrative Rulemaking Act, for:
6803          (i) determining whether a parent is eligible to receive the financial support described in
6804     Subsection (5)(a); and
6805          (ii) applying for and distributing the financial support described in Subsection (5)(a).
6806          (6) A school employee trained in accordance with rules made by the state board under
6807     Subsection (3)(a)(iii), who administers an approved mental health screening in accordance with
6808     this section in good faith, is not liable in a civil action for an act taken or not taken under this
6809     section.
6810          Section 104. Section 53F-4-401 is amended to read:
6811          53F-4-401. Definitions.
6812          As used in this part:
6813          (1) "Contractor" means the educational technology provider selected by the state board
6814     under Section 53F-4-402.
6815          (2) "Intergenerational poverty" means the same as that term is defined in Section
6816     35A-9-102.

6817          (3) "Preschool child" means a child who is:
6818          (a) four or five years old; and
6819          (b) not eligible for enrollment under Subsection 53G-4-402(6).
6820          (4) (a) "Private preschool provider" means a child care program that:
6821          (i) (A) is licensed under [Title 26, Chapter 39, Utah Child Care Licensing Act] Title
6822     26B, Chapter 2, Part 4, Child Care Licensing; or
6823          (B) except as provided in Subsection (4)(b)(ii), is exempt from licensure under Section
6824     [26-39-403] 26B-2-405; and
6825          (ii) meets other criteria as established by the state board, consistent with Utah
6826     Constitution, Article X, Section 1.
6827          (b) "Private preschool provider" does not include:
6828          (i) a residential certificate provider described in Section [26-39-402] 26B-2-404; or
6829          (ii) a program exempt from licensure under Subsection [26-39-403(2)(c)]
6830     26B-2-405(2)(c).
6831          (5) "Public preschool" means a preschool program that is provided by a school district
6832     or charter school.
6833          (6) "Qualifying participant" means a preschool child who:
6834          (a) resides within the boundaries of a qualifying school as determined under Section
6835     53G-6-302; or
6836          (b) is enrolled in a qualifying preschool.
6837          (7) "Qualifying preschool" means a public preschool or private preschool provider that:
6838          (a) serves preschool children covered by child care subsidies funded by the Child Care
6839     and Development Block Grant Program authorized under 42 U.S.C. Secs. 9857-9858r;
6840          (b) participates in a federally assisted meal program that provides funds to licensed
6841     child care centers as authorized under Section 53E-3-501; or
6842          (c) is located within the boundaries of a qualifying school.
6843          (8) "Qualifying school" means a school district elementary school that:
6844          (a) has at least 50% of students who were eligible to receive free or reduced lunch the
6845     previous school year;
6846          (b) is a school with a high percentage, as determined by the Department of Workforce
6847     Services through rule and based on the previous school year enrollments, of students

6848     experiencing intergenerational poverty; or
6849          (c) is located in one of the following school districts:
6850          (i) Beaver School District;
6851          (ii) Carbon School District;
6852          (iii) Daggett School District;
6853          (iv) Duchesne School District;
6854          (v) Emery School District;
6855          (vi) Garfield School District;
6856          (vii) Grand School District;
6857          (viii) Iron School District;
6858          (ix) Juab School District;
6859          (x) Kane School District;
6860          (xi) Millard School District;
6861          (xii) Morgan School District;
6862          (xiii) North Sanpete School District;
6863          (xiv) North Summit School District;
6864          (xv) Piute School District;
6865          (xvi) Rich School District;
6866          (xvii) San Juan School District;
6867          (xviii) Sevier School District;
6868          (xix) South Sanpete School District;
6869          (xx) South Summit School District;
6870          (xxi) Tintic School District;
6871          (xxii) Uintah School District; or
6872          (xxiii) Wayne School District.
6873          (9) "UPSTART" means the project established by Section 53F-4-402 that uses a
6874     home-based educational technology program to develop school readiness skills of preschool
6875     children.
6876          Section 105. Section 53F-5-207 is amended to read:
6877          53F-5-207. Intergenerational Poverty Interventions Grant Program -- Definitions
6878     -- Grant requirements -- Reporting requirements.

6879          (1) As used in this section:
6880          (a) "Eligible student" means a student who is classified as a child affected by
6881     intergenerational poverty.
6882          (b) "Intergenerational poverty" has the same meaning as in Section 35A-9-102.
6883          (c) "LEA governing board" means a local school board or a charter school governing
6884     board.
6885          (d) "Local education agency" or "LEA" means a school district or charter school.
6886          (e) "Program" means the Intergenerational Poverty Interventions Grant Program
6887     created in Subsection (2).
6888          (2) The Intergenerational Poverty Interventions Grant Program is created to provide
6889     grants to eligible LEAs to fund additional educational opportunities at eligible LEAs, for
6890     eligible students, outside of the regular school day offerings.
6891          (3) Subject to future budget constraints, the state board shall distribute to LEAs money
6892     appropriated for the program in accordance with this section.
6893          (4) The state board shall:
6894          (a) solicit proposals from LEA governing boards to receive money under the program;
6895     and
6896          (b) award grants to an LEA governing board on behalf of an LEA based on criteria
6897     described in Subsection (5).
6898          (5) In awarding a grant under Subsection (4), the state board shall consider:
6899          (a) the percentage of an LEA's students that are classified as children affected by
6900     intergenerational poverty;
6901          (b) the level of administrative support and leadership at an eligible LEA to effectively
6902     implement, monitor, and evaluate the program; and
6903          (c) an LEA's commitment and ability to work with the Department of Workforce
6904     Services, the Department of Health and Human Services, the Department of Health and Human
6905     Services, and the juvenile courts to provide services to the LEA's eligible students.
6906          (6) To receive a grant under the program on behalf of an LEA, an LEA governing
6907     board shall submit a proposal to the state board detailing:
6908          (a) the LEA's strategy to implement the program, including the LEA's strategy to
6909     improve the academic achievement of children affected by intergenerational poverty;

6910          (b) the LEA's strategy for coordinating with and engaging the Department of
6911     Workforce Services to provide services for the LEA's eligible students;
6912          (c) the number of students the LEA plans to serve, categorized by age and
6913     intergenerational poverty status;
6914          (d) the number of students, eligible students, and schools the LEA plans to fund with
6915     the grant money; and
6916          (e) the estimated cost per student.
6917          (7) (a) The state board shall annually prepare, for inclusion in the State
6918     Superintendent's Annual Report described in Section 53E-1-203, a report on:
6919          (i) the progress of LEA programs using grant money;
6920          (ii) the progress of LEA programs in improving the academic achievement of children
6921     affected by intergenerational poverty; and
6922          (iii) the LEA's coordination efforts with the Department of Workforce Services, the
6923     Department of Health and Human Services, the Department of Health and Human Services,
6924     and the juvenile courts.
6925          (b) The state board shall provide the report described in Subsection (7)(a) to the
6926     Education Interim Committee upon request.
6927          (c) An LEA that receives grant money pursuant to this section shall provide to the state
6928     board information that is necessary for the state board's report described in Subsection (7)(a).
6929          (8) The state board may use up to 8.5% of the money appropriated for the program in
6930     accordance with this section for administration and evaluation of the program.
6931          Section 106. Section 53G-6-302 is amended to read:
6932          53G-6-302. Child's school district of residence -- Determination -- Responsibility
6933     for providing educational services.
6934          (1) As used in this section:
6935          (a) "Health care facility" means the same as that term is defined in Section [26-21-2]
6936     26B-2-201.
6937          (b) "Human services program" means the same as that term is defined in Section
6938     [62A-2-101] 26B-2-101.
6939          (c) "Supervision" means a minor child is:
6940          (i) receiving services from a state agency, local mental health authority, or substance

6941     abuse authority with active involvement or oversight; and
6942          (ii) engaged in a human services program that is properly licensed or certified and has
6943     provided the school district receiving the minor child with an education plan that complies with
6944     the requirements of Section [62A-2-108.1] 26B-2-116.
6945          (2) The school district of residence of a minor child whose custodial parent resides
6946     within Utah is:
6947          (a) the school district in which the custodial parent resides; or
6948          (b) the school district in which the child resides:
6949          (i) while in the custody or under the supervision of a Utah state agency, local mental
6950     health authority, or substance abuse authority;
6951          (ii) while under the supervision of a private or public agency which is in compliance
6952     with Section [62A-2-127] 26B-2-131 and is authorized to provide child placement services by
6953     the state;
6954          (iii) while living with a responsible adult resident of the district, if a determination has
6955     been made in accordance with rules made by the state board in accordance with Title 63G,
6956     Chapter 3, Utah Administrative Rulemaking Act, that:
6957          (A) the child's physical, mental, moral, or emotional health will best be served by
6958     considering the child to be a resident for school purposes;
6959          (B) exigent circumstances exist that do not permit the case to be appropriately
6960     addressed under Section 53G-6-402; and
6961          (C) considering the child to be a resident of the district under this Subsection (2)(b)(iii)
6962     does not violate any other law or rule of the state board;
6963          (iv) while the child is receiving services from a health care facility or human services
6964     program, if a determination has been made in accordance with rules made by the state board in
6965     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that:
6966          (A) the child's physical, mental, moral, or emotional health will best be served by
6967     considering the child to be a resident for school purposes;
6968          (B) exigent circumstances exist that do not permit the case to be appropriately
6969     addressed under Section 53G-6-402; and
6970          (C) considering the child to be a resident of the district under this Subsection (2)(b)(iv)
6971     does not violate any other law or rule of the state board; or

6972          (v) if the child is married or has been determined to be an emancipated minor by a
6973     court of law or by a state administrative agency authorized to make that determination.
6974          (3) A minor child whose custodial parent does not reside in the state is considered to be
6975     a resident of the district in which the child lives, unless that designation violates any other law
6976     or rule of the state board, if:
6977          (a) the child is married or an emancipated minor under Subsection (2)(b)(v);
6978          (b) the child lives with a resident of the district who is a responsible adult and whom
6979     the district agrees to designate as the child's legal guardian under Section 53G-6-303;
6980          (c) if permissible under policies adopted by a local school board, it is established to the
6981     satisfaction of the local school board that:
6982          (i) the child lives with a responsible adult who is a resident of the district and is the
6983     child's noncustodial parent, grandparent, brother, sister, uncle, or aunt;
6984          (ii) the child's presence in the district is not for the primary purpose of attending the
6985     public schools;
6986          (iii) the child's physical, mental, moral, or emotional health will best be served by
6987     considering the child to be a resident for school purposes; and
6988          (iv) the child is prepared to abide by the policies of the school and school district in
6989     which attendance is sought; or
6990          (d) it is established to the satisfaction of the local school board that:
6991          (i) the child's parent moves from the state;
6992          (ii) the child's parent executes a power of attorney under Section 75-5-103 that:
6993          (A) meets the requirements of Subsection (4); and
6994          (B) delegates powers regarding care, custody, or property, including schooling, to a
6995     responsible adult with whom the child resides;
6996          (iii) the responsible adult described in Subsection (3)(d)(ii)(B) is a resident of the
6997     district;
6998          (iv) the child's physical, mental, moral, or emotional health will best be served by
6999     considering the child to be a resident for school purposes;
7000          (v) the child is prepared to abide by the policies of the school and school district in
7001     which attendance is sought; and
7002          (vi) the child's attendance in the school will not be detrimental to the school or school

7003     district.
7004          (4) (a) If admission is sought under Subsection (2)(b)(iii), (3)(c), or (3)(d), then the
7005     district may require the person with whom the child lives to be designated as the child's
7006     custodian in a durable power of attorney, issued by the party who has legal custody of the child,
7007     granting the custodian full authority to take any appropriate action, including authorization for
7008     educational or medical services, in the interests of the child.
7009          (b) Both the party granting and the party empowered by the power of attorney shall
7010     agree to:
7011          (i) assume responsibility for any fees or other charges relating to the child's education
7012     in the district; and
7013          (ii) if eligibility for fee waivers is claimed under Section 53G-7-504, provide the
7014     school district with all financial information requested by the district for purposes of
7015     determining eligibility for fee waivers.
7016          (c) Notwithstanding Section 75-5-103, a power of attorney meeting the requirements of
7017     this section and accepted by the school district shall remain in force until the earliest of the
7018     following occurs:
7019          (i) the child reaches the age of 18, marries, or becomes emancipated;
7020          (ii) the expiration date stated in the document; or
7021          (iii) the power of attorney is revoked or rendered inoperative by the grantor or grantee,
7022     or by order of a court of competent jurisdiction.
7023          (5) A power of attorney does not confer legal guardianship.
7024          (6) Each school district is responsible for providing educational services for all
7025     children of school age who are residents of the district.
7026          Section 107. Section 53G-6-601 is amended to read:
7027          53G-6-601. Definitions.
7028          As used in this part:
7029          (1) "Division" means the Criminal Investigations and Technical Services Division of
7030     the Department of Public Safety, established in Section 53-10-103.
7031          (2) "Missing child" has the same meaning as provided in Section [26-2-27] 26B-8-130.
7032          (3) "State registrar" means the State Registrar of Vital Statistics within the Department
7033     of Health and Human Services.

7034          Section 108. Section 53G-8-802 is amended to read:
7035          53G-8-802. State Safety and Support Program -- State board duties -- LEA
7036     duties.
7037          (1) There is created the State Safety and Support Program.
7038          (2) The state board shall:
7039          (a) develop in conjunction with the Division of Substance Abuse and Mental Health
7040     model student safety and support policies for an LEA, including:
7041          (i) evidence-based procedures for the assessment of and intervention with an individual
7042     whose behavior poses a threat to school safety;
7043          (ii) procedures for referrals to law enforcement; and
7044          (iii) procedures for referrals to a community services entity, a family support
7045     organization, or a health care provider for evaluation or treatment;
7046          (b) provide training:
7047          (i) in school safety;
7048          (ii) in evidence-based approaches to improve school climate and address and correct
7049     bullying behavior;
7050          (iii) in evidence-based approaches in identifying an individual who may pose a threat
7051     to the school community;
7052          (iv) in evidence-based approaches in identifying an individual who may be showing
7053     signs or symptoms of mental illness;
7054          (v) on permitted disclosures of student data to law enforcement and other support
7055     services under the Family Education Rights and Privacy Act, 20 U.S.C. Sec. 1232g;
7056          (vi) on permitted collection of student data under 20 U.S.C. Sec. 1232h and Sections
7057     53E-9-203 and 53E-9-305; and
7058          (vii) for administrators on rights and prohibited acts under:
7059          (A) Chapter 9, Part 6, Bullying and Hazing;
7060          (B) Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sec. 2000d et seq.;
7061          (C) Title IX of Education Amendments of 1972, 20 U.S.C. Sec. 1681 et seq.;
7062          (D) Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Sec. 701 et seq.; and
7063          (E) the Individuals with Disabilities Education Act, 20 U.S.C. Sec. 1400 et seq.;
7064          (c) conduct and disseminate evidence-based research on school safety concerns;

7065          (d) disseminate information on effective school safety initiatives;
7066          (e) encourage partnerships between public and private sectors to promote school safety;
7067          (f) provide technical assistance to an LEA in the development and implementation of
7068     school safety initiatives;
7069          (g) in conjunction with the Department of Public Safety, develop and make available to
7070     an LEA a model critical incident response training program that includes protocols for
7071     conducting a threat assessment, and ensuring building security during an incident;
7072          (h) provide space for the public safety liaison described in Section 53-1-106 and the
7073     school-based mental health specialist described in Section [62A-15-103] 26B-5-102;
7074          (i) create a model school climate survey that may be used by an LEA to assess
7075     stakeholder perception of a school environment and, in accordance with Title 63G, Chapter 3,
7076     Utah Administrative Rulemaking Act, adopt rules:
7077          (i) requiring an LEA to:
7078          (A) create or adopt and disseminate a school climate survey; and
7079          (B) disseminate the school climate survey;
7080          (ii) recommending the distribution method, survey frequency, and sample size of the
7081     survey; and
7082          (iii) specifying the areas of content for the school climate survey; and
7083          (j) collect aggregate data and school climate survey results from each LEA.
7084          (3) Nothing in this section requires an individual to respond to a school climate survey.
7085          (4) The state board shall require an LEA to:
7086          (a) (i) review data from the state board-facilitated surveys containing school climate
7087     data for each school within the LEA; and
7088          (ii) based on the review described in Subsection (4)(a)(i):
7089          (A) revise practices, policies, and training to eliminate harassment and discrimination
7090     in each school within the LEA;
7091          (B) adopt a plan for harassment- and discrimination-free learning; and
7092          (C) host outreach events or assemblies to inform students and parents of the plan
7093     adopted under Subsection (4)(a)(ii)(B);
7094          (b) no later than September 1 of each school year, send a notice to each student, parent,
7095     and LEA staff member stating the LEA's commitment to maintaining a school climate that is

7096     free of harassment and discrimination; and
7097          (c) report to the state board:
7098          (i) no later than August 1, 2023, on the LEA's plan adopted under Subsection
7099     (4)(a)(ii)(B); and
7100          (ii) after August 1, 2023, annually on the LEA's implementation of the plan and
7101     progress.
7102          Section 109. Section 53G-9-211 is amended to read:
7103          53G-9-211. Therapy animal handling -- Policy.
7104          (1) As used in this section:
7105          (a) "Animal-assisted intervention" means an intervention designed to promote
7106     improvement in an individual's physical, social, emotional, or cognitive functioning through
7107     interactions with a specially trained animal.
7108          (b) "Local education agency" means a school district or charter school.
7109          (c) (i) "Therapy animal" means an animal that:
7110          (A) provides affection and comfort to an individual for emotional support;
7111          (B) is accompanied by a therapy animal handler; and
7112          (C) is trained to provide animal-assisted intervention.
7113          (ii) "Therapy animal" does not include a service animal or support animal as those
7114     terms are defined in Section [62A-5b-102] 26B-6-801.
7115          (d) "Therapy animal handler" means an individual who is trained to handle a therapy
7116     animal for animal-assisted interventions.
7117          (2) (a) If a school within a local education agency provides animal-assisted
7118     interventions through therapy animals, the local education agency shall adopt a policy for
7119     proper handling of a therapy animal on school grounds.
7120          (b) The policy described in Subsection (2)(a) shall include:
7121          (i) local or national certification or registration requirements for a therapy animal and
7122     therapy animal handler;
7123          (ii) guidelines for when a therapy animal and therapy animal handler are allowed on
7124     school grounds;
7125          (iii) notice requirements for parents, students, and school faculty and staff regarding
7126     the use of a therapy animal on school grounds; and

7127          (iv) guidelines to prevent students and staff who have an animal allergy or are
7128     uncomfortable around animals from interacting with a therapy animal on school grounds.
7129          (3) This section does not require a school to allow the use of a therapy animal.
7130          Section 110. Section 53G-9-301 is amended to read:
7131          53G-9-301. Definitions.
7132          As used in this part:
7133          (1) "Department" means the Department of Health and Human Services created in
7134     Section 26B-1-201.
7135          (2) "Health official" means an individual designated by a local health department from
7136     within the local health department to consult and counsel parents and licensed health care
7137     providers, in accordance with Subsection 53G-9-304(2)(a).
7138          (3) "Health official designee" means a licensed health care provider designated by a
7139     local health department, in accordance with Subsection 53G-9-304(2)(b), to consult with
7140     parents, licensed health care professionals, and school officials.
7141          (4) "Immunization" or "immunize" means a process through which an individual
7142     develops an immunity to a disease, through vaccination or natural exposure to the disease.
7143          (5) "Immunization record" means a record relating to a student that includes:
7144          (a) information regarding each required vaccination that the student has received,
7145     including the date each vaccine was administered, verified by:
7146          (i) a licensed health care provider;
7147          (ii) an authorized representative of a local health department;
7148          (iii) an authorized representative of the department;
7149          (iv) a registered nurse; or
7150          (v) a pharmacist;
7151          (b) information regarding each disease against which the student has been immunized
7152     by previously contracting the disease; and
7153          (c) an exemption form identifying each required vaccination from which the student is
7154     exempt, including all required supporting documentation described in Section 53G-9-303.
7155          (6) "Legally responsible individual" means:
7156          (a) a student's parent;
7157          (b) the student's legal guardian;

7158          (c) an adult brother or sister of a student who has no legal guardian; or
7159          (d) the student, if the student:
7160          (i) is an adult; or
7161          (ii) is a minor who may consent to treatment under Section [26-10-9] 26B-4-321.
7162          (7) "Licensed health care provider" means a health care provider who is licensed under
7163     Title 58, Occupations and Professions, as:
7164          (a) a medical doctor;
7165          (b) an osteopathic doctor;
7166          (c) a physician assistant; or
7167          (d) an advanced practice registered nurse.
7168          (8) "Local health department" means the same as that term is defined in Section
7169     26A-1-102.
7170          (9) "Required vaccines" means vaccines required by department rule described in
7171     Section 53G-9-305.
7172          (10) "School" means any public or private:
7173          (a) elementary or secondary school through grade 12;
7174          (b) preschool;
7175          (c) child care program, as that term is defined in Section [26-39-102] 26B-2-401;
7176          (d) nursery school; or
7177          (e) kindergarten.
7178          (11) "Student" means an individual who attends a school.
7179          (12) "Vaccinating" or "vaccination" means the administration of a vaccine.
7180          (13) "Vaccination exemption form" means a form, described in Section 53G-9-304,
7181     that documents and verifies that a student is exempt from the requirement to receive one or
7182     more required vaccines.
7183          (14) "Vaccine" means the substance licensed for use by the United States Food and
7184     Drug Administration that is injected into or otherwise administered to an individual to
7185     immunize the individual against a communicable disease.
7186          Section 111. Section 53G-9-303 is amended to read:
7187          53G-9-303. Grounds for exemption from required vaccines -- Renewal.
7188          (1) A student is exempt from the requirement to receive a vaccine required under

7189     Section 53G-9-305 if the student qualifies for a medical or personal exemption from the
7190     vaccination under Subsection (2) or (3).
7191          (2) A student qualifies for a medical exemption from a vaccination required under
7192     Section 53G-9-305 if the student's legally responsible individual provides to the student's
7193     school:
7194          (a) a completed vaccination exemption form; and
7195          (b) a written notice signed by a licensed health care provider stating that, due to the
7196     physical condition of the student, administration of the vaccine would endanger the student's
7197     life or health.
7198          (3) A student qualifies for a personal exemption from a vaccination required under
7199     Section 53G-9-305 if the student's legally responsible individual provides to the student's
7200     school a completed vaccination exemption form, stating that the student is exempt from the
7201     vaccination because of a personal or religious belief.
7202          (4) (a) A vaccination exemption form submitted under this section is valid for as long
7203     as the student remains at the school to which the form first is presented.
7204          (b) If the student changes schools before the student is old enough to enroll in
7205     kindergarten, the vaccination exemption form accepted as valid at the student's previous school
7206     is valid until the earlier of the day on which:
7207          (i) the student enrolls in kindergarten; or
7208          (ii) the student turns six years old.
7209          (c) If the student changes schools after the student is old enough to enroll in
7210     kindergarten but before the student is eligible to enroll in grade 7, the vaccination exemption
7211     form accepted as valid at the student's previous school is valid until the earlier of the day on
7212     which:
7213          (i) the student enrolls in grade 7; or
7214          (ii) the student turns 12 years old.
7215          (d) If the student changes schools after the student is old enough to enroll in grade 7,
7216     the vaccination exemption form accepted as valid at the student's previous school is valid until
7217     the student completes grade 12.
7218          (e) Notwithstanding Subsections (4)(b) and (c), a vaccination exemption form obtained
7219     through completion of the online education module created in Section [26-7-9] 26B-7-118 is

7220     valid for at least two years.
7221          (5) An LEA that offers both remote and in-person learning options may not deny a
7222     student who is exempt from a requirement to receive a vaccine under Subsection (1) to
7223     participate in an in-person learning option based upon the student's vaccination status.
7224          (6) Nothing in this section restricts a state or local health department from acting under
7225     applicable law to contain the spread of an infectious disease.
7226          Section 112. Section 53G-9-304 is amended to read:
7227          53G-9-304. Vaccination exemption form.
7228          (1) The department shall:
7229          (a) develop a vaccination exemption form that includes only the following information:
7230          (i) identifying information regarding:
7231          (A) the student to whom an exemption applies; and
7232          (B) the legally responsible individual who claims the exemption for the student and
7233     signs the vaccination exemption form;
7234          (ii) an indication regarding the vaccines to which the exemption relates;
7235          (iii) a statement that the claimed exemption is for:
7236          (A) a medical reason; or
7237          (B) a personal or religious belief; and
7238          (iv) an explanation of the requirements, in the event of an outbreak of a disease for
7239     which a required vaccine exists, for a student who:
7240          (A) has not received the required vaccine; and
7241          (B) is not otherwise immune from the disease; and
7242          (b) provide the vaccination exemption form created in this Subsection (1) to local
7243     health departments.
7244          (2) (a) Each local health department shall designate one or more individuals from
7245     within the local health department as a health official to consult, regarding the requirements of
7246     this part, with:
7247          (i) parents, upon the request of parents;
7248          (ii) school principals and administrators; and
7249          (iii) licensed health care providers.
7250          (b) A local health department may designate a licensed health care provider as a health

7251     official designee to provide the services described in Subsection (2)(a).
7252          (3) (a) To receive a vaccination exemption form described in Subsection (1), a legally
7253     responsible individual shall complete the online education module described in Section
7254     [26-7-9] 26B-7-118, permitting an individual to:
7255          (i) complete any requirements online; and
7256          (ii) download and print the vaccine exemption form immediately upon completion of
7257     the requirements.
7258          (b) A legally responsible individual may decline to take the online education module
7259     and obtain a vaccination exemption form from a local health department if the individual:
7260          (i) requests and receives an in-person consultation at a local health department from a
7261     health official or a health official designee regarding the requirements of this part; and
7262          (ii) pays any fees established under Subsection (4)(b).
7263          (4) (a) Neither the department nor any other person may charge a fee for the exemption
7264     form offered through the online education module in Subsection (3)(a).
7265          (b) A local health department may establish a fee of up to $25 to cover the costs of
7266     providing an in-person consultation.
7267          Section 113. Section 53G-9-402 is amended to read:
7268          53G-9-402. Rules for examinations prescribed by Department of Health and
7269     Human Services -- Notification of impairment.
7270          (1) (a) Each local school board shall implement policies as prescribed by the
7271     Department of Health and Human Services for vision, dental, abnormal spinal curvature, and
7272     hearing examinations of students attending the district's schools.
7273          (b) Under guidelines of the Department of Health and Human Services, qualified
7274     health professionals shall provide instructions, equipment, and materials for conducting the
7275     examinations.
7276          (c) The policies shall include exemption provisions for students whose parents contend
7277     the examinations violate their personal beliefs.
7278          (2) The school shall notify, in writing, a student's parent of any impairment disclosed
7279     by the examinations.
7280          Section 114. Section 53G-9-404 is amended to read:
7281          53G-9-404. Public education vision screening.

7282          (1) As used in this section:
7283          (a) "Health care professional" means an individual licensed under:
7284          (i) Title 58, Chapter 16a, Utah Optometry Practice Act;
7285          (ii) Title 58, Chapter 31b, Nurse Practice Act, if the individual is licensed for the
7286     practice of advance practice registered nursing, as defined in Section 58-31b-102;
7287          (iii) Title 58, Chapter 42a, Occupational Therapy Practice Act;
7288          (iv) Title 58, Chapter 67, Utah Medical Practice Act;
7289          (v) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
7290          (vi) Title 58, Chapter 70a, Utah Physician Assistant Act.
7291          (b) "Qualifying child" means a child who:
7292          (i) attends an LEA;
7293          (ii) is at least three years old; and
7294          (iii) is not yet 16 years old.
7295          (c) "Tier one vision screening" means a lower-level evaluation of an individual's
7296     vision, as determined by Department of Health and Human Services rule.
7297          (d) "Tier two vision screening" means an individual, higher-level evaluation of an
7298     individual's vision, as determined by Department of Health and Human Services rule.
7299          (2) The Department of Health and Human Services shall oversee public education
7300     vision screening, as described in this section.
7301          (3) A child who is less than nine years old and has not yet attended public school in the
7302     state shall, before attending a public school in the state, provide:
7303          (a) a completed vision screening form, described in Subsection (5)(a)(i), that is signed
7304     by a health care professional; or
7305          (b) a written statement signed by a parent that the child will not be screened before
7306     attending public school in the state.
7307          (4) The Department of Health and Human Services shall prepare and provide:
7308          (a) training for a school nurse who supervises an LEA tier one vision screening clinic;
7309     and
7310          (b) an online training module for a potential volunteer for an LEA tier one vision
7311     screening clinic.
7312          (5) (a) The Department of Health and Human Services shall provide a template for:

7313          (i) a form for use by a health care professional under Subsection (3)(a) to certify that a
7314     child has received an adequate vision screening; and
7315          (ii) a referral form used for the referral and follow up of a qualifying child after a tier
7316     one or tier two vision screening.
7317          (b) A template described in Subsection (5)(a) shall include the following statement: "A
7318     screening is not a substitute for a complete eye exam and vision evaluation by an eye doctor."
7319          (6) The Department of Health and Human Services shall make rules to:
7320          (a) generally provide for and require the administration of tier one vision screening in
7321     accordance with this section, including an opt-out process;
7322          (b) describe standards and procedures for tier one vision screening, including referral
7323     and follow up protocols and reporting a student's significant vision impairment results to the
7324     Utah Schools for the Deaf and the Blind;
7325          (c) outline the qualifications of and parameters for the use of an outside entity to
7326     supervise an LEA tier one vision screening clinic when an LEA does not have a school nurse to
7327     supervise an LEA tier one vision screening clinic;
7328          (d) determine when a potential volunteer at an LEA tier one vision screening clinic has
7329     a conflict of interest, including if the potential volunteer could profit financially from
7330     volunteering;
7331          (e) determine the regularity of tier one vision screening in order to ensure that a
7332     qualifying child receives tier one vision screening at particular intervals; and
7333          (f) provide for tier two vision screening for a qualifying child, including:
7334          (i) in coordination with the state board, determining mandatory and optional tier two
7335     vision screening for a qualifying child;
7336          (ii) identification of and training for an individual who provides tier two vision
7337     screening;
7338          (iii) (A) the creation of a symptoms questionnaire that includes questions for a
7339     nonprofessionally trained individual to identify an eye focusing or tracking problem as well as
7340     convergence insufficiency of a qualifying child; and
7341          (B) protocol on how to administer the symptoms questionnaire in coordination with
7342     tier two vision screening;
7343          (iv) general standards, procedures, referral, and follow up protocol; and

7344          (v) aggregate reporting requirements.
7345          (7) (a) In accordance with Department of Health and Human Services oversight and
7346     rule and Subsection (7)(b), an LEA shall conduct free tier one vision screening clinics for all
7347     qualifying children who attend the LEA or a school within the LEA.
7348          (b) If the parent of a qualifying child requests that the qualifying child not participate in
7349     a tier one or tier two vision screening, an LEA may not require the qualifying child to receive
7350     the tier one or tier two vision screening.
7351          (8) (a) Except as provided in Subsection (8)(b), a school nurse shall supervise an LEA
7352     tier one vision screening clinic as well as provide referral and followup services.
7353          (b) If an LEA does not have a school nurse to supervise an LEA tier one vision
7354     screening clinic, an LEA may, in accordance with Department of Health and Human Services
7355     rule, use an outside entity to supervise an LEA tier one vision screening clinic.
7356          (9) (a) An LEA shall ensure that a volunteer who assists with an LEA tier one vision
7357     screening clinic:
7358          (i) (A) is trained by a school nurse; or
7359          (B) demonstrates successful completion of the training module described in Subsection
7360     (4)(b);
7361          (ii) complies with the requirements of Subsection (9)(c); and
7362          (iii) is supervised by a school nurse or, in accordance with Subsection (8)(b), an
7363     outside entity.
7364          (b) In accordance with Department of Health and Human Services rule, an LEA may
7365     exclude a person from volunteering at an LEA tier one vision screening clinic if the person has
7366     a conflict of interest, including if the person could profit financially from volunteering.
7367          (c) A volunteer who assists with an LEA tier one vision screening clinic may not
7368     market, advertise, or promote a business in connection with assisting at the LEA tier one vision
7369     screening clinic.
7370          (d) A volunteer who assists with an LEA tier one vision screening clinic is not liable
7371     for damages that result from an act or omission related to the LEA tier one vision screening
7372     clinic, if the act or omission is not willful or grossly negligent.
7373          Section 115. Section 53G-9-502 is amended to read:
7374          53G-9-502. Administration of medication to students -- Prerequisites -- Immunity

7375     from liability -- Applicability.
7376          (1) A public or private school that holds any classes in grades kindergarten through 12
7377     may provide for the administration of medication to any student during periods when the
7378     student is under the control of the school, subject to the following conditions:
7379          (a) the local school board, charter school governing board, or the private equivalent,
7380     after consultation with the Department of Health and Human Services and school nurses shall
7381     adopt policies that provide for:
7382          (i) the designation of volunteer employees who may administer medication;
7383          (ii) proper identification and safekeeping of medication;
7384          (iii) the training of designated volunteer employees by the school nurse;
7385          (iv) maintenance of records of administration; and
7386          (v) notification to the school nurse of medication that will be administered to students;
7387     and
7388          (b) medication may only be administered to a student if:
7389          (i) the student's parent has provided a current written and signed request that
7390     medication be administered during regular school hours to the student; and
7391          (ii) the student's licensed health care provider has prescribed the medication and
7392     provides documentation as to the method, amount, and time schedule for administration, and a
7393     statement that administration of medication by school employees during periods when the
7394     student is under the control of the school is medically necessary.
7395          (2) Authorization for administration of medication by school personnel may be
7396     withdrawn by the school at any time following actual notice to the student's parent.
7397          (3) School personnel who provide assistance under Subsection (1) in substantial
7398     compliance with the licensed health care provider's written prescription and the employers of
7399     these school personnel are not liable, civilly or criminally, for:
7400          (a) any adverse reaction suffered by the student as a result of taking the medication;
7401     and
7402          (b) discontinuing the administration of the medication under Subsection (2).
7403          (4) Subsections (1) through (3) do not apply to:
7404          (a) the administration of glucagon in accordance with Section 53G-9-504;
7405          (b) the administration of a seizure rescue medication in accordance with Section

7406     53G-9-505; or
7407          (c) the administration of an opiate antagonist in accordance with [Title 26, Chapter 55,
7408     Opiate Overdose Response Act] Title 26B, Chapter 4, Part 5, Treatment Access.
7409          Section 116. Section 53G-9-702 is amended to read:
7410          53G-9-702. Youth suicide prevention programs -- State board to develop model
7411     programs.
7412          (1) As used in the section:
7413          (a) "Elementary grades" means:
7414          (i) kindergarten through grade 5; and
7415          (ii) if the associated middle or junior high school does not include grade 6, grade 6.
7416          (b) "Intervention" means an effort to prevent a student from attempting suicide.
7417          (c) "Postvention" means mental health intervention after a suicide attempt or death to
7418     prevent or contain contagion.
7419          (d) "Program" means a youth suicide prevention program described in Subsection (2).
7420          (e) "Public education suicide prevention coordinator" means an individual designated
7421     by the state board as described in Subsection (4).
7422          (f) "Secondary grades" means:
7423          (i) grades 7 through 12; and
7424          (ii) if a middle or junior high school includes grade 6, grade 6.
7425          (g) "State suicide prevention coordinator" means the state suicide prevention
7426     coordinator described in Section [62A-15-1101] 26B-5-611.
7427          (2) In collaboration with the public education suicide prevention coordinator, a school
7428     district or charter school shall implement a youth suicide prevention program, which, in
7429     collaboration with the training, programs, and initiatives described in Section 53G-9-607, shall
7430     include programs and training to address:
7431          (a) for elementary grades and secondary grades:
7432          (i) life-affirming education, including on the concepts of resiliency, healthy habits,
7433     self-care, problem solving, and conflict resolution;
7434          (ii) methods of strengthening the family; and
7435          (iii) methods of strengthening a youth's relationships in the school and community; and
7436          (b) for secondary grades:

7437          (i) prevention of youth suicide;
7438          (ii) decreasing the risk of suicide among youth who are:
7439          (A) not accepted by family for any reason, including lesbian, gay, bisexual,
7440     transgender, or questioning youth; or
7441          (B) suffer from bullying;
7442          (iii) youth suicide intervention; and
7443          (iv) postvention for family, students, and faculty.
7444          (3) Each school district and charter school shall ensure that the youth suicide
7445     prevention program described in Subsection (2):
7446          (a) considers appropriate coordination with the following prevention programs:
7447          (i) the prevention of bullying and cyber-bullying, as those terms are defined in Section
7448     53G-9-601; and
7449          (ii) the prevention of underage drinking of alcohol and substance abuse under Section
7450     53G-10-406; and
7451          (b) includes provisions to ensure that the school district or charter school promptly
7452     communicates with the parent or guardian of a student in accordance with Section 53G-9-604.
7453          (4) The state board shall:
7454          (a) designate a public education suicide prevention coordinator; and
7455          (b) in collaboration with the Department of Health and Human Services and the state
7456     suicide prevention coordinator, develop model programs to provide to school districts and
7457     charter schools:
7458          (i) program training; and
7459          (ii) resources regarding the required components described in Subsections (2)(a) and
7460     (b).
7461          (5) The public education suicide prevention coordinator shall:
7462          (a) oversee the youth suicide prevention programs of school districts and charter
7463     schools; and
7464          (b) coordinate prevention and postvention programs, services, and efforts with the state
7465     suicide prevention coordinator.
7466          (6) A public school suicide prevention program may allow school personnel to ask a
7467     student questions related to youth suicide prevention, intervention, or postvention.

7468          (7) (a) Subject to legislative appropriation, the state board may distribute money to a
7469     school district or charter school to be used to implement evidence-based practices and
7470     programs, or emerging best practices and programs, for preventing suicide in the school district
7471     or charter school.
7472          (b) The state board shall ensure that an LEA's allocation of funds from the board's
7473     distribution of money under Subsection (7)(a) provides an amount equal to at least $1,000 per
7474     school.
7475          (c) (i) A school shall use money allocated to the school under Subsection (7)(b) to
7476     implement evidence-based practices and programs, or emerging best practices and programs,
7477     for preventing suicide.
7478          (ii) Each school may select the evidence-based practices and programs, or emerging
7479     best practices and programs, for preventing suicide that the school implements.
7480          (8) An LEA may not charge indirect costs to the program.
7481          Section 117. Section 58-1-112 is amended to read:
7482          58-1-112. Data collection.
7483          (1) As used in this section:
7484          (a) "Council" means the Utah Health Workforce Advisory Council created in Section
7485     [26-69-201] 26B-1-425.
7486          (b) "Information center" means the Utah Health Workforce Information Center created
7487     in Section [26-69-301] 26B-4-705.
7488          (2) (a) In accordance with Subsection [26-69-301(2)(a)] 26B-4-705(2)(a), the
7489     department shall work with the information center to identify relevant data pertaining to a
7490     profession described in Subsection (3).
7491          (b) The data should focus on:
7492          (i) identifying workforce shortages;
7493          (ii) identifying labor market indicators;
7494          (iii) determining the educational background of a licensee; and
7495          (iv) determining whether Utah is retaining a stable health workforce.
7496          (c) After the council approves data to be collected, the department shall request the
7497     data from a licensee when a licensee applies for a license or renews the licensee's license.
7498          (d) The department shall send the obtained data to the information center.

7499          (e) A licensee may not be denied a license for failing to provide the data described in
7500     Subsection (2)(c) to the department.
7501          (3) (a) The department shall prioritize data collection for each profession licensed
7502     under:
7503          (i) Chapter 31b, Nurse Practice Act;
7504          (ii) Chapter 60, Mental Health Professional Practice Act;
7505          (iii) Chapter 61, Psychologist Licensing Act;
7506          (iv) Chapter 67, Utah Medical Practice Act;
7507          (v) Chapter 68, Utah Osteopathic Medical Practice Act;
7508          (vi) Chapter 69, Dentist and Dental Hygienist Practice Act; or
7509          (vii) Chapter 70a, Utah Physician Assistant Act.
7510          (b) After the department has collected data for each profession described in Subsection
7511     (3)(a), the department shall collect data for each profession licensed under:
7512          (i) Chapter 5a, Podiatric Physician Licensing Act;
7513          (ii) Chapter 17b, Pharmacy Practice Act;
7514          (iii) Chapter 24b, Physical Therapy Practice Act;
7515          (iv) Chapter 40, Recreational Therapy Practice Act;
7516          (v) Chapter 41, Speech-Language Pathology and Audiology Licensing Act;
7517          (vi) Chapter 42a, Occupational Therapy Practice Act;
7518          (vii) Chapter 44a, Nurse Midwife Practice Act;
7519          (viii) Chapter 54, Radiologic Technologist, Radiologist Assistant, and Radiology
7520     Practical Technician Licensing Act; or
7521          (ix) Chapter 57, Respiratory Care Practices Act.
7522          (c) The department shall collect data in accordance with this section for any
7523     health-related occupation or profession that is regulated by the department and is not described
7524     in Subsection (3)(a) or (b) if:
7525          (i) funding is available;
7526          (ii) the council has identified a need for the data; and
7527          (iii) data has been collected for each profession described in Subsections (3)(a) and
7528     (3)(b).
7529          Section 118. Section 58-1-307 is amended to read:

7530          58-1-307. Exemptions from licensure.
7531          (1) Except as otherwise provided by statute or rule, the following individuals may
7532     engage in the practice of their occupation or profession, subject to the stated circumstances and
7533     limitations, without being licensed under this title:
7534          (a) an individual serving in the armed forces of the United States, the United States
7535     Public Health Service, the United States Department of Veterans Affairs, or other federal
7536     agencies while engaged in activities regulated under this chapter as a part of employment with
7537     that federal agency if the individual holds a valid license to practice a regulated occupation or
7538     profession issued by any other state or jurisdiction recognized by the division;
7539          (b) a student engaged in activities constituting the practice of a regulated occupation or
7540     profession while in training in a recognized school approved by the division to the extent the
7541     activities are supervised by qualified faculty, staff, or designee and the activities are a defined
7542     part of the training program;
7543          (c) an individual engaged in an internship, residency, preceptorship, postceptorship,
7544     fellowship, apprenticeship, or on-the-job training program approved by the division while
7545     under the supervision of qualified individuals;
7546          (d) an individual residing in another state and licensed to practice a regulated
7547     occupation or profession in that state, who is called in for a consultation by an individual
7548     licensed in this state, and the services provided are limited to that consultation;
7549          (e) an individual who is invited by a recognized school, association, society, or other
7550     body approved by the division to conduct a lecture, clinic, or demonstration of the practice of a
7551     regulated occupation or profession if the individual does not establish a place of business or
7552     regularly engage in the practice of the regulated occupation or profession in this state;
7553          (f) an individual licensed under the laws of this state, other than under this title, to
7554     practice or engage in an occupation or profession, while engaged in the lawful, professional,
7555     and competent practice of that occupation or profession;
7556          (g) an individual licensed in a health care profession in another state who performs that
7557     profession while attending to the immediate needs of a patient for a reasonable period during
7558     which the patient is being transported from outside of this state, into this state, or through this
7559     state;
7560          (h) an individual licensed in another state or country who is in this state temporarily to

7561     attend to the needs of an athletic team or group, except that the practitioner may only attend to
7562     the needs of the athletic team or group, including all individuals who travel with the team or
7563     group in any capacity except as a spectator;
7564          (i) an individual licensed and in good standing in another state, who is in this state:
7565          (i) temporarily, under the invitation and control of a sponsoring entity;
7566          (ii) for a reason associated with a special purpose event, based upon needs that may
7567     exceed the ability of this state to address through its licensees, as determined by the division;
7568     and
7569          (iii) for a limited period of time not to exceed the duration of that event, together with
7570     any necessary preparatory and conclusionary periods; and
7571          (j) the spouse of an individual serving in the armed forces of the United States while
7572     the individual is stationed within this state, provided:
7573          (i) the spouse holds a valid license to practice a regulated occupation or profession
7574     issued by any other state or jurisdiction recognized by the division; and
7575          (ii) the license is current and the spouse is in good standing in the state of licensure.
7576          (2) (a) A practitioner temporarily in this state who is exempted from licensure under
7577     Subsection (1) shall comply with each requirement of the licensing jurisdiction from which the
7578     practitioner derives authority to practice.
7579          (b) Violation of a limitation imposed by this section constitutes grounds for removal of
7580     exempt status, denial of license, or other disciplinary proceedings.
7581          (3) An individual who is licensed under a specific chapter of this title to practice or
7582     engage in an occupation or profession may engage in the lawful, professional, and competent
7583     practice of that occupation or profession without additional licensure under other chapters of
7584     this title, except as otherwise provided by this title.
7585          (4) Upon the declaration of a national, state, or local emergency, a public health
7586     emergency as defined in Section [26-23b-102] 26B-7-301, or a declaration by the president of
7587     the United States or other federal official requesting public health-related activities, the
7588     division in collaboration with the relevant board may:
7589          (a) suspend the requirements for permanent or temporary licensure of individuals who
7590     are licensed in another state for the duration of the emergency while engaged in the scope of
7591     practice for which they are licensed in the other state;

7592          (b) modify, under the circumstances described in this Subsection (4) and Subsection
7593     (5), the scope of practice restrictions under this title for individuals who are licensed under this
7594     title as:
7595          (i) a physician under Chapter 67, Utah Medical Practice Act, or Chapter 68, Utah
7596     Osteopathic Medical Practice Act;
7597          (ii) a nurse under Chapter 31b, Nurse Practice Act, or Chapter 31e, Nurse Licensure
7598     Compact - Revised;
7599          (iii) a certified nurse midwife under Chapter 44a, Nurse Midwife Practice Act;
7600          (iv) a pharmacist, pharmacy technician, or pharmacy intern under Chapter 17b,
7601     Pharmacy Practice Act;
7602          (v) a respiratory therapist under Chapter 57, Respiratory Care Practices Act;
7603          (vi) a dentist and dental hygienist under Chapter 69, Dentist and Dental Hygienist
7604     Practice Act; and
7605          (vii) a physician assistant under Chapter 70a, Utah Physician Assistant Act;
7606          (c) suspend the requirements for licensure under this title and modify the scope of
7607     practice in the circumstances described in this Subsection (4) and Subsection (5) for medical
7608     services personnel or paramedics required to be licensed under Section [26-8a-302] 26B-4-116;
7609          (d) suspend requirements in Subsections 58-17b-620(3) through (6) which require
7610     certain prescriptive procedures;
7611          (e) exempt or modify the requirement for licensure of an individual who is activated as
7612     a member of a medical reserve corps during a time of emergency as provided in Section
7613     26A-1-126;
7614          (f) exempt or modify the requirement for licensure of an individual who is registered as
7615     a volunteer health practitioner as provided in [Title 26, Chapter 49, Uniform Emergency
7616     Volunteer Health Practitioners Act] Title 26B, Chapter 4, Part 8, Uniform Emergency
7617     Volunteer Health Practitioners Act; and
7618          (g) in accordance with rules made by the division in accordance with Title 63G,
7619     Chapter 3, Utah Administrative Rulemaking Act, exempt or modify the requirements for
7620     licensure of an individual engaged in one or more of the construction trades described in
7621     Chapter 55, Utah Construction Trades Licensing Act.
7622          (5) Individuals exempt under Subsection (4)(c) and individuals operating under

7623     modified scope of practice provisions under Subsection (4)(b):
7624          (a) are exempt from licensure or subject to modified scope of practice for the duration
7625     of the emergency;
7626          (b) must be engaged in the distribution of medicines or medical devices in response to
7627     the emergency or declaration; and
7628          (c) must be employed by or volunteering for:
7629          (i) a local or state department of health; or
7630          (ii) a host entity as defined in Section [26-49-102] 26B-4-801.
7631          (6) In accordance with the protocols established under Subsection (8), upon the
7632     declaration of a national, state, or local emergency, the Department of Health and Human
7633     Services or a local health department shall coordinate with public safety authorities as defined
7634     in Subsection [26-23b-110(1)] 26B-7-323(1) and may:
7635          (a) use a vaccine, antiviral, antibiotic, or other prescription medication that is not a
7636     controlled substance to prevent or treat a disease or condition that gave rise to, or was a
7637     consequence of, the emergency; or
7638          (b) distribute a vaccine, antiviral, antibiotic, or other prescription medication that is not
7639     a controlled substance:
7640          (i) if necessary, to replenish a commercial pharmacy in the event that the commercial
7641     pharmacy's normal source of the vaccine, antiviral, antibiotic, or other prescription medication
7642     is exhausted; or
7643          (ii) for dispensing or direct administration to treat the disease or condition that gave
7644     rise to, or was a consequence of, the emergency by:
7645          (A) a pharmacy;
7646          (B) a prescribing practitioner;
7647          (C) a licensed health care facility;
7648          (D) a federally qualified community health clinic; or
7649          (E) a governmental entity for use by a community more than 50 miles from a person
7650     described in Subsections (6)(b)(ii)(A) through (D).
7651          (7) In accordance with protocols established under Subsection (8), upon the declaration
7652     of a national, state, or local emergency, the Department of Health and Human Services shall
7653     coordinate the distribution of medications:

7654          (a) received from the strategic national stockpile to local health departments; and
7655          (b) from local health departments to emergency personnel within the local health
7656     departments' geographic region.
7657          (8) The Department of Health and Human Services shall establish by rule, made in
7658     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, protocols for
7659     administering, dispensing, and distributing a vaccine, an antiviral, an antibiotic, or other
7660     prescription medication that is not a controlled substance in the event of a declaration of a
7661     national, state, or local emergency. The protocol shall establish procedures for the Department
7662     of Health and Human Services or a local health department to:
7663          (a) coordinate the distribution of:
7664          (i) a vaccine, an antiviral, an antibiotic, or other prescription medication that is not a
7665     controlled substance received by the Department of Health and Human Services from the
7666     strategic national stockpile to local health departments; and
7667          (ii) a vaccine, an antiviral, an antibiotic, or other non-controlled prescription
7668     medication received by a local health department to emergency personnel within the local
7669     health department's geographic region;
7670          (b) authorize the dispensing, administration, or distribution of a vaccine, an antiviral,
7671     an antibiotic, or other prescription medication that is not a controlled substance to the contact
7672     of a patient without a patient-practitioner relationship, if the contact's condition is the same as
7673     that of the physician's or physician assistant's patient; and
7674          (c) authorize the administration, distribution, or dispensing of a vaccine, an antiviral,
7675     an antibiotic, or other non-controlled prescription medication to an individual who:
7676          (i) is working in a triage situation;
7677          (ii) is receiving preventative or medical treatment in a triage situation;
7678          (iii) does not have coverage for the prescription in the individual's health insurance
7679     plan;
7680          (iv) is involved in the delivery of medical or other emergency services in response to
7681     the declared national, state, or local emergency; or
7682          (v) otherwise has a direct impact on public health.
7683          (9) The Department of Health and Human Services shall give notice to the division
7684     upon implementation of the protocol established under Subsection (8).

7685          Section 119. Section 58-1-312 is amended to read:
7686          58-1-312. Organ donation notification.
7687          (1) As used in this section:
7688          (a) "Donor" means the same as that term is defined in Section [26-28-102] 26B-8-301.
7689          (b) "Donor registry" means the same as that term is defined in Section [26-28-102]
7690     26B-8-301.
7691          (2) At the same time the division issues a new license to a licensee in accordance with
7692     Subsection 58-1-301(4), and at the same time the division notifies a licensee that the licensee's
7693     license is due for renewal in accordance with Subsection 58-1-308(3)(a), the division shall
7694     distribute to the licensee, by email using the most recent email address furnished to the division
7695     by the licensee, a message notifying the licensee of the option to register as a donor and
7696     providing the licensee an Internet link to a website for a donor registry established under
7697     Section [26-28-120] 26B-8-319.
7698          Section 120. Section 58-1-405 is amended to read:
7699          58-1-405. Provisions of volunteer health or veterinary services -- Division
7700     authority.
7701          In accordance with Section [26-49-205] 26B-4-807, the division may pursue actions
7702     against a volunteer health practitioner operating under [Title 26, Chapter 49, Uniform
7703     Emergency Volunteer Health Practitioners Act] Title 26B, Chapter 4, Part 8, Uniform
7704     Emergency Volunteer Health Practitioners Act.
7705          Section 121. Section 58-1-501.5 is amended to read:
7706          58-1-501.5. Anatomic pathology services -- Billing violations.
7707          (1) As used in this section, the following definitions apply:
7708          (a) (i) "Anatomic pathology services" including "technical or professional component
7709     of anatomic pathology services" means:
7710          (A) histopathology or surgical pathology, meaning the gross examination of, histologic
7711     processing of, or microscopic examination of human organ tissue performed by a physician or
7712     under the supervision of a physician;
7713          (B) cytopathology, meaning the examination of human cells, from fluids, aspirates,
7714     washings, brushings, or smears, including the pap test examination performed by a physician or
7715     under the supervision of a physician;

7716          (C) hematology, meaning the microscopic evaluation of human bone marrow aspirates
7717     and biopsies performed by a physician or under the supervision of a physician and peripheral
7718     human blood smears when the attending or treating physician or other practitioner of the
7719     healing arts or a technologist requests that a blood smear be reviewed by a pathologist;
7720          (D) subcellular pathology and molecular pathology; and
7721          (E) blood bank services performed by a pathologist.
7722          (ii) "Anatomic pathology services" including "technical or professional component of
7723     anatomic pathology services" does not include the initial collection or packaging of a sample
7724     for transport.
7725          (b) "Clinical laboratory" or "laboratory" means a facility for the biological,
7726     microbiological, serological, chemical, immunohematological, hematological, biophysical,
7727     cytological, pathological, or other examination of materials derived from the human body for
7728     the purpose of providing information for the diagnosis, prevention, or treatment of any disease
7729     or impairment of human beings or the assessment of the health of human beings.
7730          (c) "Health care facility" has the meaning provided in Section [26-21-2] 26B-2-201.
7731          (d) "Health care provider" includes:
7732          (i) an advanced practice registered nurse licensed under Chapter 31b, Nurse Practice
7733     Act;
7734          (ii) a chiropractic physician licensed under Chapter 73, Chiropractic Physician Practice
7735     Act;
7736          (iii) a dentist licensed under Chapter 69, Dentist and Dental Hygienist Practice Act;
7737          (iv) a nurse midwife licensed under Chapter 44a, Nurse Midwife Practice Act;
7738          (v) an optometrist licensed under Chapter 16a, Utah Optometry Practice Act;
7739          (vi) an osteopathic physician and surgeon licensed under Chapter 68, Utah Osteopathic
7740     Medical Practice Act;
7741          (vii) a podiatric physician licensed under Chapter 5a, Podiatric Physician Licensing
7742     Act;
7743          (viii) a physician and surgeon licensed under Chapter 67, Utah Medical Practice Act;
7744     and
7745          (ix) a physician assistant licensed under Chapter 70a, Utah Physician Assistant Act.
7746          (e) "Insurer" includes:

7747          (i) any entity offering accident and health insurance as defined in Section 31A-1-301;
7748          (ii) workers' compensation benefits;
7749          (iii) a health maintenance organization; or
7750          (iv) any self-insurance, as defined in Section 31A-1-301, that offers health care
7751     insurance or benefits.
7752          (2) (a) A health care provider who orders anatomic pathology services for a patient
7753     from an independent physician or laboratory may not directly or indirectly mark up, charge a
7754     commission, or make a profit on the anatomic pathology service provided by the independent
7755     physician or laboratory.
7756          (b) Nothing in Subsection (2)(a):
7757          (i) restricts the ability of a health care provider, who has not performed or supervised
7758     either the technical or professional component of the anatomic pathology service, to obtain
7759     payment for services related solely to the collection and packaging of a sample and
7760     administrative billing costs; or
7761          (ii) restricts the ability of the lab function in the Department of Health and Human
7762     Services to bill for services.
7763          (3) A health care provider when billing a patient directly for anatomic pathology
7764     services provided by an independent physician or laboratory shall furnish an itemized bill
7765     which conforms with the billing practices of the American Medical Association that
7766     conspicuously discloses the charge for each anatomic pathology service, physician or
7767     laboratory name, and address for each anatomic pathology service rendered to the patient by the
7768     physician or laboratory that performed the anatomic pathology service.
7769          (4) The disclosure to be made under Subsection (3) shall not be required when the
7770     anatomic pathology service is being ordered by a hospital, a laboratory performing either the
7771     professional or technical component of the service, or a physician performing either the
7772     professional or technical component of the service, a public health clinic, or a state or federal
7773     agency.
7774          (5) Failure to comply with the requirements of this section shall be considered to be
7775     unprofessional conduct.
7776          Section 122. Section 58-1-501.7 is amended to read:
7777          58-1-501.7. Standards of conduct for prescription drug education -- Academic

7778     and commercial detailing.
7779          (1) For purposes of this section:
7780          (a) "Academic detailing":
7781          (i) means a health care provider who is licensed under this title to prescribe or dispense
7782     a prescription drug and employed by someone other than a pharmaceutical manufacturer:
7783          (A) for the purpose of countering information provided in commercial detailing; and
7784          (B) to disseminate educational information about prescription drugs to other health
7785     care providers in an effort to better align clinical practice with scientific research; and
7786          (ii) does not include a health care provider who:
7787          (A) is disseminating educational information about a prescription drug as part of
7788     teaching or supervising students or graduate medical education students at an institution of
7789     higher education or through a medical residency program;
7790          (B) is disseminating educational information about a prescription drug to a patient or a
7791     patient's representative; or
7792          (C) is acting within the scope of practice for the health care provider regarding the
7793     prescribing or dispensing of a prescription drug.
7794          (b) "Commercial detailing" means an educational practice employed by a
7795     pharmaceutical manufacturer in which clinical information and evidence about a prescription
7796     drug is shared with health care professionals.
7797          (c) "Manufacture" is as defined in Section 58-37-2.
7798          (d) "Pharmaceutical manufacturer" is a person who manufactures a prescription drug.
7799          (2) (a) Except as provided in Subsection (3), the provisions of this section apply to an
7800     academic detailer beginning July 1, 2013.
7801          (b) An academic detailer and a commercial detailer who educate another health care
7802     provider about prescription drugs through written or oral educational material is subject to
7803     federal regulations regarding:
7804          (i) false and misleading advertising in 21 C.F.R., Part 201 (2007);
7805          (ii) prescription drug advertising in 21 C.F.R., Part 202 (2007); and
7806          (iii) the federal Office of the Inspector General's Compliance Program Guidance for
7807     Pharmaceutical Manufacturers issued in April 2003, as amended.
7808          (c) A person who is injured by a violation of this section has a private right of action

7809     against a person engaged in academic detailing, if:
7810          (i) the actions of the person engaged in academic detailing, that are a violation of this
7811     section, are:
7812          (A) the result of gross negligence by the person; or
7813          (B) willful and wanton behavior by the person; and
7814          (ii) the damages to the person are reasonable, foreseeable, and proximately caused by
7815     the violations of this section.
7816          (3) (a) For purposes of this Subsection, "accident and health insurance":
7817          (i) means the same as that term is defined in Section 31A-1-301; and
7818          (ii) includes a self-funded health benefit plan and an administrator for a self-funded
7819     health benefit plan.
7820          (b) This section does not apply to a person who engages in academic detailing if that
7821     person is engaged in academic detailing on behalf of:
7822          (i) a person who provides accident and health insurance, including when the person
7823     who provides accident and health insurance contracts with or offers:
7824          (A) the state Medicaid program, including the Primary Care Network within the state's
7825     Medicaid program;
7826          (B) the Children's Health Insurance Program created in Section [26-40-103]
7827     26B-3-902;
7828          (C) a Medicare plan; or
7829          (D) a Medicare supplement plan;
7830          (ii) a hospital as defined in Section [26-21-2] 26B-2-201;
7831          (iii) any class of pharmacy as defined in Section 58-17b-102, including any affiliated
7832     pharmacies;
7833          (iv) an integrated health system as defined in Section 13-5b-102; or
7834          (v) a medical clinic.
7835          (c) This section does not apply to communicating or disseminating information about a
7836     prescription drug for the purpose of conducting research using prescription drugs at a health
7837     care facility as defined in Section [26-21-2] 26B-2-201, or a medical clinic.
7838          Section 123. Section 58-1-509 is amended to read:
7839          58-1-509. Patient consent for certain medical examinations.

7840          (1) As used in this section:
7841          (a) "Health care provider" means:
7842          (i) an individual who is:
7843          (A) a healthcare provider as defined in Section 78B-3-403; and
7844          (B) licensed under this title;
7845          (ii) emergency medical service personnel as defined in Section [26-8a-102] 26B-4-101;
7846     or
7847          (iii) an individual described in Subsection 58-1-307(1)(b) or (c).
7848          (b) "Patient examination" means a medical examination that requires contact with the
7849     patient's sexual organs.
7850          (2) A health care provider may not perform a patient examination on an anesthetized or
7851     unconscious patient unless:
7852          (a) the health care provider obtains consent from the patient or the patient's
7853     representative in accordance with Subsection (3);
7854          (b) a court orders performance of the patient examination for the collection of
7855     evidence;
7856          (c) the performance of the patient examination is within the scope of care for a
7857     procedure or diagnostic examination scheduled to be performed on the patient; or
7858          (d) the patient examination is immediately necessary for diagnosis or treatment of the
7859     patient.
7860          (3) To obtain consent to perform a patient examination on an anesthetized or
7861     unconscious patient, before performing the patient examination, the health care provider shall:
7862          (a) provide the patient or the patient's representative with a written or electronic
7863     document that:
7864          (i) is provided separately from any other notice or agreement;
7865          (ii) contains the following heading at the top of the document in not smaller than
7866     18-point bold face type: "CONSENT FOR EXAMINATION OF PELVIC REGION";
7867          (iii) specifies the nature and purpose of the patient examination;
7868          (iv) names one or more primary health care providers whom the patient or the patient's
7869     representative may authorize to perform the patient examination;
7870          (v) states whether there may be a student or resident that the patient or the patient's

7871     representative authorizes to:
7872          (A) perform an additional patient examination; or
7873          (B) observe or otherwise be present at the patient examination, either in person or
7874     through electronic means; and
7875          (vi) provides the patient or the patient's representative with a series of check boxes that
7876     allow the patient or the patient's representative to:
7877          (A) consent to the patient examination for diagnosis or treatment and an additional
7878     patient examination performed by a student or resident for an educational or training purpose;
7879          (B) consent to the patient examination only for diagnosis or treatment; or
7880          (C) refuse to consent to the patient examination;
7881          (b) obtain the signature of the patient or the patient's representative on the written or
7882     electronic document while witnessed by a third party; and
7883          (c) sign the written or electronic document.
7884          Section 124. Section 58-4a-102 is amended to read:
7885          58-4a-102. Definitions.
7886          As used in this chapter:
7887          (1) "Diversion agreement" means a written agreement entered into by a licensee and
7888     the division that describes the requirements of the licensee's monitoring regimen and that was
7889     entered into before May 12, 2020.
7890          (2) "Licensee" means an individual licensed to practice under:
7891          (a) Title 58, Chapter 5a, Podiatric Physician Licensing Act;
7892          (b) Title 58, Chapter 17b, Pharmacy Practice Act;
7893          (c) Title 58, Chapter 28, Veterinary Practice Act;
7894          (d) Title 58, Chapter 31b, Nurse Practice Act;
7895          (e) Title 58, Chapter 67, Utah Medical Practice Act;
7896          (f) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
7897          (g) Title 58, Chapter 69, Dentist and Dental Hygienist Practice Act; or
7898          (h) Title 58, Chapter 70a, Utah Physician Assistant Act.
7899          (3) "Program" means the Utah Professionals Health Program.
7900          (4) "Program contract" means a written agreement entered into by a licensee and the
7901     division that allows the licensee to participate in the program.

7902          (5) "Substance use disorder" means the same as that term is defined in Section
7903     [62A-15-1202] 26B-5-501.
7904          Section 125. Section 58-5a-102 is amended to read:
7905          58-5a-102. Definitions.
7906          In addition to the definitions under Section 58-1-102, as used in this chapter:
7907          (1) "Board" means the Podiatric Physician Board created in Section 58-5a-201.
7908          (2) "Indirect supervision" means the same as that term is defined by the division by
7909     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
7910          (3) "Medical assistant" means an unlicensed individual working under the indirect
7911     supervision of a licensed podiatric physician and engaging in specific tasks assigned by the
7912     licensed podiatric physician in accordance with the standards and ethics of the podiatry
7913     profession.
7914          (4) "Practice of podiatry" means the diagnosis and treatment of conditions affecting the
7915     human foot and ankle and their manifestations of systemic conditions by all appropriate and
7916     lawful means, subject to Section 58-5a-103.
7917          (5) "Unlawful conduct" includes:
7918          (a) the conduct that constitutes unlawful conduct under Section 58-1-501; and
7919          (b) for an individual who is not licensed under this chapter:
7920          (i) using the title or name podiatric physician, podiatrist, podiatric surgeon, foot doctor,
7921     foot specialist, or D.P.M.; or
7922          (ii) implying or representing that the individual is qualified to practice podiatry.
7923          (6) (a) "Unprofessional conduct" includes, for an individual licensed under this
7924     chapter:
7925          (i) the conduct that constitutes unprofessional conduct under Section 58-1-501;
7926          (ii) communicating to a third party, without the consent of the patient, information the
7927     individual acquires in treating the patient, except as necessary for professional consultation
7928     regarding treatment of the patient;
7929          (iii) allowing the individual's name or license to be used by an individual who is not
7930     licensed to practice podiatry under this chapter;
7931          (iv) except as described in Section 58-5a-306, employing, directly or indirectly, any
7932     unlicensed individual to practice podiatry;

7933          (v) using alcohol or drugs, to the extent the individual's use of alcohol or drugs impairs
7934     the individual's ability to practice podiatry;
7935          (vi) unlawfully prescribing, selling, or giving away any prescription drug, including
7936     controlled substances, as defined in Section 58-37-2;
7937          (vii) gross incompetency in the practice of podiatry;
7938          (viii) willfully and intentionally making a false statement or entry in hospital records,
7939     medical records, or reports;
7940          (ix) willfully making a false statement in reports or claim forms to governmental
7941     agencies or insurance companies with the intent to secure payment not rightfully due;
7942          (x) willfully using false or fraudulent advertising;
7943          (xi) conduct the division defines as unprofessional conduct by rule made in accordance
7944     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
7945          (xii) falsely making an entry in, or altering, a medical record with the intent to conceal:
7946          (A) a wrongful or negligent act or omission of an individual licensed under this chapter
7947     or an individual under the direction or control of an individual licensed under this chapter; or
7948          (B) conduct described in Subsections (6)(a)(i) through (xi) or Subsection 58-1-501(1);
7949     or
7950          (xiii) violating the requirements of [Title 26, Chapter 61a, Utah Medical Cannabis Act]
7951     Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis.
7952          (b) "Unprofessional conduct" does not include, in accordance with [Title 26, Chapter
7953     61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and
7954     Medical Cannabis, when registered as a qualified medical provider or acting as a limited
7955     medical provider, as those terms are defined in Section [26-61a-102] 26B-4-201,
7956     recommending the use of medical cannabis within the scope of a practice of podiatry.
7957          Section 126. Section 58-5a-103 is amended to read:
7958          58-5a-103. Scope of practice.
7959          (1) Subject to the provisions of this section, an individual licensed as a podiatric
7960     physician under this chapter may perform a surgical procedure on a bone of the foot or ankle.
7961          (2) Except as provided in Subsections (3) and (4), an individual licensed as a podiatric
7962     physician under this chapter may not perform:
7963          (a) an ankle fusion;

7964          (b) a massive ankle reconstruction; or
7965          (c) a reduction of a trimalleolar ankle fracture.
7966          (3) An individual licensed as a podiatric physician under this chapter who meets the
7967     requirements described in Subsection (4) may only:
7968          (a) treat a fracture of the tibia if at least one portion of the fracture line enters the ankle
7969     joint;
7970          (b) treat a foot or ankle condition using hardware, including screws, plates, staples,
7971     pins, and wires, if at least one portion of the hardware system is attached to a bony structure at
7972     or below the ankle mortise; and
7973          (c) place hardware for the treatment of soft tissues in the foot or ankle no more
7974     proximal than the distal 10 centimeters of the tibia.
7975          (4) Subject to Subsection (3), an individual licensed as a podiatric physician under this
7976     chapter may only perform a procedure described in Subsection (2) if the individual:
7977          (a) (i) graduated on or after June 1, 2006, from a three-year residency program in
7978     podiatric medicine and surgery that was accredited, at the time of graduation, by the Council on
7979     Podiatric Medical Education; and
7980          (ii) is board certified in reconstructive rearfoot and ankle surgery by the American
7981     Board of Foot and Ankle Surgery;
7982          (b) (i) graduated on or after June 1, 2006, from a three-year residency program in
7983     podiatric medicine and surgery that was accredited, at the time of graduation, by the Council on
7984     Podiatric Medical Education;
7985          (ii) is board qualified in reconstructive rearfoot ankle surgery by the American Board
7986     of Foot and Ankle Surgery; and
7987          (iii) provides the division documentation that the podiatric physician has completed
7988     training or experience, which the division determines is acceptable, in standard or advanced
7989     rearfoot and ankle procedures; or
7990          (c) (i) graduated before June 1, 2006, from a residency program in podiatric medicine
7991     and surgery that was at least two years in length and that was accredited, at the time of
7992     graduation, by the Council on Podiatric Medical Education;
7993          (ii) (A) is board certified in reconstructive rearfoot ankle surgery by the American
7994     Board of Foot and Ankle Surgery;

7995          (B) if the residency described in Subsection (4)(c)(i) is a PSR-24 24-month podiatric
7996     surgical residency, provides proof that the individual completed the residency, to a hospital that
7997     is accredited by the Joint Commission, and meets the hospital's credentialing criteria for foot
7998     and ankle surgery; or
7999          (C) in addition to the residency described in Subsection (4)(c)(i), has completed a
8000     fellowship in foot and ankle surgery that was accredited by the Council on Podiatric Medical
8001     Education at the time of completion; and
8002          (iii) provides the division documentation that the podiatric physician has completed
8003     training and experience, which the division determines is acceptable, in standard or advanced
8004     rearfoot and ankle procedures.
8005          (5) An individual licensed as a podiatric physician under this chapter may not perform
8006     an amputation proximal to Chopart's joint.
8007          (6) An individual licensed as a podiatric physician under this chapter may not perform
8008     a surgical treatment on an ankle, on a governing structure of the foot or ankle above the ankle,
8009     or on a structure related to the foot or ankle above the ankle, unless the individual performs the
8010     surgical treatment:
8011          (a) in an ambulatory surgical facility, a general acute hospital, or a specialty hospital, as
8012     defined in Section [26-21-2] 26B-2-201; and
8013          (b) subject to review by a quality care review body that includes qualified, licensed
8014     physicians and surgeons.
8015          Section 127. Section 58-9-610 is amended to read:
8016          58-9-610. Cremation procedures.
8017          (1) A funeral service establishment may not cremate human remains until the funeral
8018     service establishment:
8019          (a) completes and files a death certificate with the office of vital statistics and the
8020     county health department as indicated on the regular medical certificate of death or the
8021     coroner's certificate; and
8022          (b) complies with the provisions of Section [26-4-29] 26B-8-230.
8023          (2) (a) A funeral service establishment may not cremate human remains with a
8024     pacemaker or other battery-powered, potentially hazardous implant in place.
8025          (b) (i) An authorizing agent for the cremation of human remains is responsible for

8026     informing the funeral service establishment in writing on the cremation authorization form
8027     about the presence of a pacemaker or other battery-powered, potentially hazardous implant in
8028     the human remains to be cremated.
8029          (ii) (A) Except as provided in Subsection (2)(b)(ii)(B), the authorizing agent is
8030     responsible to ensure that a pacemaker or other battery-powered, potentially hazardous implant
8031     is removed prior to cremation.
8032          (B) If the authorizing agent informs the funeral service establishment of the presence of
8033     a pacemaker or other battery-powered, potentially hazardous implant under Subsection
8034     (2)(b)(i), and the funeral service establishment fails to have the pacemaker or other
8035     battery-powered, potentially hazardous implant removed prior to cremation, then the funeral
8036     service establishment is liable for all resulting damages.
8037          (3) Only authorized persons are permitted in the crematory while human remains are in
8038     the crematory area awaiting cremation, being cremated, or being removed from the cremation
8039     chamber.
8040          (4) (a) Simultaneous cremation of the human remains of more than one person within
8041     the same cremation chamber or processor is not allowed, unless the funeral service
8042     establishment has received specific written authorization to do so from the authorizing agent of
8043     each person to be cremated.
8044          (b) The written authorization, described in Subsection (4)(a), exempts the funeral
8045     license establishment from liability for co-mingling of the cremated remains during the
8046     cremation process.
8047          (5) A funeral service establishment shall:
8048          (a) verify the identification of human remains as indicated on a cremation container
8049     immediately before placing the human remains in the cremation chamber;
8050          (b) attach a metal identification tag to the cremation container;
8051          (c) remove the identification tag from the cremation container; and
8052          (d) place the identification tag near the cremation chamber control where the
8053     identification tag shall remain until the cremation process is complete.
8054          (6) Upon completion of a cremation, the funeral service establishment shall:
8055          (a) in so far as is possible, remove all of the recoverable residue of the cremation
8056     process from the cremation chamber;

8057          (b) separate all other residue from the cremation process from remaining bone
8058     fragments, in so far as possible, and process the bone fragments so as to reduce them to
8059     unidentifiable particles; and
8060          (c) remove anything other than the unidentifiable bone particles from the cremated
8061     residuals, as far as is possible, and dispose of that material.
8062          (7) (a) A funeral service establishment shall pack cremated remains, including the
8063     identification tag described in Subsection (5), in a temporary container or urn ordered by the
8064     authorizing agent.
8065          (b) The container or urn shall be packed in clean packing materials and not be
8066     contaminated with any other object, unless otherwise directed by the authorizing agent.
8067          (c) If the cremated remains cannot fit within the designated temporary container or urn,
8068     the funeral service establishment shall:
8069          (i) return the excess to the authorizing agent or the agent's representative in a separate
8070     container; and
8071          (ii) mark both containers or urns on the outside with the name of the deceased person
8072     and an indication that the cremated remains of the named decedent are in both containers or
8073     urns.
8074          (8) (a) If the cremated remains are to be shipped, then the funeral services
8075     establishment shall pack the designated temporary container or urn in a suitable, sturdy
8076     container.
8077          (b) The funeral service establishment shall have the remains shipped only by a method
8078     that:
8079          (i) has an available internal tracing system; and
8080          (ii) provides a receipt signed by the person accepting delivery.
8081          Section 128. Section 58-9-616 is amended to read:
8082          58-9-616. Procedure for alkaline hydrolysis.
8083          (1) A funeral service establishment may not perform alkaline hydrolysis on human
8084     remains until the funeral service establishment:
8085          (a) completes and files a death certificate with the Office of Vital Statistics and the
8086     county health department as indicated on the regular medical certificate of death or the
8087     coroner's certificate; and

8088          (b) complies with the provisions of Section [26-4-29] 26B-8-230.
8089          (2) While human remains are in the area where alkaline hydrolysis takes place, both
8090     before and during the alkaline hydrolysis process and while being removed from the alkaline
8091     hydrolysis chamber, only authorized persons are permitted in the area.
8092          (3) Simultaneous alkaline hydrolysis of the human remains of more than one person
8093     within the same alkaline hydrolysis chamber is not allowed.
8094          (4) A funeral service establishment shall:
8095          (a) verify the identification of human remains as indicated on an alkaline hydrolysis
8096     container immediately before performing alkaline hydrolysis;
8097          (b) attach an identification tag to the alkaline hydrolysis container;
8098          (c) remove the identification tag from the alkaline hydrolysis container; and
8099          (d) place the identification tag near the alkaline hydrolysis chamber where the
8100     identification tag shall remain until the alkaline hydrolysis process is complete.
8101          (5) Upon completion of the alkaline hydrolysis process, the funeral service
8102     establishment shall:
8103          (a) dispose of liquid remains in accordance with state and local requirements;
8104          (b) to the extent possible, remove all of the recoverable residue of the remains of the
8105     alkaline hydrolysis process from the alkaline hydrolysis chamber;
8106          (c) separate all other residue from the alkaline hydrolysis process from remaining bone
8107     fragments, to the extent possible, and process the bone fragments so as to reduce them to
8108     unidentifiable particles; and
8109          (d) remove anything other than the unidentifiable bone particles from the remains of
8110     the alkaline hydrolysis process, to the extent possible, and dispose of that material.
8111          (6) (a) A funeral service establishment shall pack the remains of the alkaline hydrolysis
8112     process, which consist of the unidentifiable bone particles and the identification tag described
8113     in Subsection (4), in an urn or temporary container ordered by the authorizing agent.
8114          (b) The urn or temporary container shall be packed in clean packing materials and not
8115     be contaminated with any other object, unless otherwise directed by the authorizing agent.
8116          (c) If the remains of the alkaline hydrolysis process cannot fit within the designated urn
8117     or temporary container, the funeral service establishment shall:
8118          (i) return the excess remains to the authorizing agent or the agent's representative in a

8119     separate urn or temporary container; and
8120          (ii) mark both urns or temporary containers on the outside with the name of the
8121     decedent and an indication that the remains of the named decedent are in both urns or
8122     temporary containers.
8123          (7) (a) If the remains are to be shipped, the funeral service establishment shall pack the
8124     designated temporary container or urn in a suitable, sturdy container.
8125          (b) The funeral service establishment shall have the remains shipped only by a method
8126     that:
8127          (i) has an available tracking system; and
8128          (ii) provides a receipt signed by the person accepting delivery.
8129          Section 129. Section 58-11a-501 is amended to read:
8130          58-11a-501. Unprofessional conduct.
8131          Unprofessional conduct includes:
8132          (1) failing as a licensed school to obtain or maintain accreditation as required by rule;
8133          (2) failing as a licensed school to comply with the standards of accreditation applicable
8134     to such schools;
8135          (3) failing as a licensed school to provide adequate instruction to enrolled students;
8136          (4) failing as an apprentice supervisor to provide direct supervision to the apprentice;
8137          (5) failing as an instructor to provide direct supervision to students who are providing
8138     services to an individual under the instructor's supervision;
8139          (6) failing as an apprentice supervisor to comply with division rules relating to
8140     apprenticeship programs under this chapter;
8141          (7) keeping a salon or school, its furnishing, tools, utensils, linen, or appliances in an
8142     unsanitary condition;
8143          (8) failing to comply with [Title 26, Utah Health Code] Utah Health and Human
8144     Services Code;
8145          (9) failing to display licenses or certificates as required under Section 58-11a-305;
8146          (10) failing to comply with physical facility requirements established by rule;
8147          (11) failing to maintain mechanical or electrical equipment in safe operating condition;
8148          (12) failing to adequately monitor patrons using steam rooms, dry heat rooms, baths,
8149     showers, or saunas;

8150          (13) prescribing or administering prescription drugs;
8151          (14) failing to comply with all applicable state and local health or sanitation laws;
8152          (15) engaging in any act or practice in a professional capacity that is outside the
8153     applicable scope of practice;
8154          (16) engaging in any act or practice in a professional capacity which the licensee is not
8155     competent to perform through education or training;
8156          (17) in connection with the use of a chemical exfoliant, unless under the supervision of
8157     a licensed health care practitioner acting within the scope of his or her license:
8158          (a) using any acid, concentration of an acid, or combination of treatments which
8159     violates the standards established by rule;
8160          (b) removing any layer of skin deeper than the stratum corneum of the epidermis; or
8161          (c) using an exfoliant that contains phenol, TCA acid of over 15%, or BCA acid;
8162          (18) in connection with the sanding of the skin, unless under the supervision of a
8163     licensed health care practitioner acting within the scope of his or her license, removing any
8164     layer of skin deeper than the stratum corneum of the epidermis;
8165          (19) using as a barber, cosmetologist/barber, or nail technician any laser procedure or
8166     intense, pulsed light source, except that nothing in this chapter precludes an individual licensed
8167     under this chapter from using a nonprescriptive laser device; or
8168          (20) failing to comply with a judgment order from a court of competent jurisdiction
8169     resulting from the failure to pay outstanding tuition or education costs incurred to comply with
8170     this chapter.
8171          Section 130. Section 58-13-2 is amended to read:
8172          58-13-2. Emergency care rendered by licensee.
8173          (1) A person licensed under Title 58, Occupations and Professions, to practice as any
8174     of the following health care professionals, who is under no legal duty to respond, and who in
8175     good faith renders emergency care at the scene of an emergency gratuitously and in good faith,
8176     is not liable for any civil damages as a result of any acts or omissions by the person in
8177     rendering the emergency care:
8178          (a) osteopathic physician;
8179          (b) physician and surgeon;
8180          (c) naturopathic physician;

8181          (d) dentist or dental hygienist;
8182          (e) chiropractic physician;
8183          (f) physician assistant;
8184          (g) optometrist;
8185          (h) nurse licensed under Section 58-31b-301 or 58-31d-102;
8186          (i) podiatrist;
8187          (j) certified nurse midwife;
8188          (k) respiratory care practitioner;
8189          (l) pharmacist, pharmacy technician, and pharmacy intern;
8190          (m) direct-entry midwife licensed under Section 58-77-301;
8191          (n) veterinarian; or
8192          (o) acupuncturist licensed under Chapter 72, Acupuncture Licensing Act.
8193          (2) This Subsection (2) applies to a health care professional:
8194          (a) (i) described in Subsection (1); and
8195          (ii) who is under no legal duty to respond to the circumstances described in Subsection
8196     (3);
8197          (b) who is:
8198          (i) (A) activated as a member of a medical reserve corps as described in Section
8199     26A-1-126 during the time of an emergency or declaration for public health related activities as
8200     provided in Subsection 26A-1-126(2); or
8201          (B) participating in training to prepare the medical reserve corps to respond to a
8202     declaration of an emergency or request for public health related activities pursuant to
8203     Subsection 26A-1-126(2);
8204          (ii) acting within the scope of:
8205          (A) the health care professional's license; or
8206          (B) practice as modified under Subsection 58-1-307(4) or Section 26A-1-126; and
8207          (iii) acting in good faith without compensation or remuneration as defined in
8208     Subsection 58-13-3(2); or
8209          (c) who is acting as a volunteer health practitioner under [Title 26, Chapter 49,
8210     Uniform Emergency Volunteer Health Practitioners Act] Title 26B, Chapter 4, Part 8, Uniform
8211     Emergency Volunteer Health Practitioners Act.

8212          (3) A health care professional described in Subsection (2) is not liable for any civil
8213     damages as a result of any acts or omissions by the health care professional in rendering care as
8214     a result of:
8215          (a) implementation of measures to control the causes of epidemic and communicable
8216     diseases and other conditions significantly affecting the public health or necessary to protect
8217     the public health as set out in Title 26A, Chapter 1, Local Health Departments;
8218          (b) investigating and controlling suspected bioterrorism and disease as set out in [Title
8219     26, Chapter 23b, Detection of Public Health Emergencies Act] Title 26B, Chapter 7, Part 3,
8220     Treatment, Isolation, and Quarantine Procedures for Communicable Disease; and
8221          (c) responding to a national, state, or local emergency, a public health emergency as
8222     defined in Section [26-23b-102] 26B-7-301, or a declaration by the President of the United
8223     States or other federal official requesting public health-related activities.
8224          (4) The immunity in Subsection (3) is in addition to any immunity or protection in state
8225     or federal law that may apply.
8226          (5) For purposes of Subsection (2)(b)(iii) remuneration does not include:
8227          (a) food supplied to the volunteer;
8228          (b) clothing supplied to the volunteer to help identify the volunteer during the time of
8229     the emergency; or
8230          (c) other similar support for the volunteer.
8231          Section 131. Section 58-13-2.6 is amended to read:
8232          58-13-2.6. Emergency care rendered by a person or health care facility.
8233          (1) For purposes of this section:
8234          (a) "Emergency" means an unexpected occurrence involving injury, the threat of injury,
8235     or illness to a person or the public due to:
8236          (i) a natural disaster;
8237          (ii) bioterrorism;
8238          (iii) an act of terrorism;
8239          (iv) a pandemic; or
8240          (v) other event of similar nature.
8241          (b) "Emergency care" includes actual assistance or advice offered to avoid, mitigate, or
8242     attempt to mitigate the effects of an emergency.

8243          (c) "Person" is defined in Subsection [26-21-2(18)] 26B-2-201(18).
8244          (2) (a) A person who, in good faith, assists governmental agencies or political
8245     subdivisions with the activities described in Subsection (2)(b) is not liable for civil damages or
8246     penalties as a result of any act or omission unless the person rendering the assistance:
8247          (i) is grossly negligent;
8248          (ii) caused the emergency; or
8249          (iii) has engaged in criminal conduct.
8250          (b) The following activities are protected from liability in accordance with Subsection
8251     (2)(a):
8252          (i) implementing measures to control the causes of epidemic, pandemic, communicable
8253     diseases, or other conditions significantly affecting public health, as necessary to protect the
8254     public health in accordance with Title 26A, Chapter 1, Local Health Departments;
8255          (ii) investigating, controlling, and treating suspected bioterrorism or disease in
8256     accordance with [Title 26, Chapter 23b, Detection of Public Health Emergencies Act] Title
8257     26B, Chapter 7, Part 3, Treatment, Isolation, and Quarantine Procedures for Communicable
8258     Diseases;
8259          (iii) responding to:
8260          (A) a national, state, or local emergency;
8261          (B) a public health emergency as defined in Section [26-23b-102] 26B-7-301; or
8262          (C) a declaration by the President of the United States or other federal official
8263     requesting public health related activities; and
8264          (iv) providing a facility for use by a governmental agency or political subdivision to
8265     distribute pharmaceuticals or administer vaccines to the public.
8266          (c) Subsection (2)(a) applies to a person even if that person has:
8267          (i) a duty to respond; or
8268          (ii) an expectation of payment or remuneration.
8269          (3) The immunity in Subsection (2) is in addition to any immunity protections that may
8270     apply in state or federal law.
8271          Section 132. Section 58-13-3 is amended to read:
8272          58-13-3. Qualified immunity -- Health professionals -- Charity care.
8273          (1) (a) (i) The Legislature finds many residents of this state do not receive medical care

8274     and preventive health care because they lack health insurance or because of financial
8275     difficulties or cost.
8276          (ii) The Legislature also finds that many physicians, charity health care facilities, and
8277     other health care professionals in this state would be willing to volunteer medical and allied
8278     services without compensation if they were not subject to the high exposure of liability
8279     connected with providing these services.
8280          (b) The Legislature therefore declares that its intention in enacting this section is to
8281     encourage the provision of uncompensated volunteer charity health care in exchange for a
8282     limitation on liability for the health care facilities and health care professionals who provide
8283     those volunteer services.
8284          (2) As used in this section:
8285          (a) "Continuing education requirement" means the requirement for hours of continuing
8286     education, established by the division, with which a health care professional must comply to
8287     renew the health care professional's license under the applicable chapter described in
8288     Subsection (2)(c).
8289          (b) "Health care facility" means any clinic or hospital, church, or organization whose
8290     primary purpose is to sponsor, promote, or organize uncompensated health care services for
8291     people unable to pay for health care services.
8292          (c) "Health care professional" means a person licensed under:
8293          (i) Chapter 5a, Podiatric Physician Licensing Act;
8294          (ii) Chapter 16a, Utah Optometry Practice Act;
8295          (iii) Chapter 17b, Pharmacy Practice Act;
8296          (iv) Chapter 24b, Physical Therapy Practice Act;
8297          (v) Chapter 31b, Nurse Practice Act;
8298          (vi) Chapter 40, Recreational Therapy Practice Act;
8299          (vii) Chapter 41, Speech-Language Pathology and Audiology Licensing Act;
8300          (viii) Chapter 42a, Occupational Therapy Practice Act;
8301          (ix) Chapter 44a, Nurse Midwife Practice Act;
8302          (x) Chapter 49, Dietitian Certification Act;
8303          (xi) Chapter 60, Mental Health Professional Practice Act;
8304          (xii) Chapter 67, Utah Medical Practice Act;

8305          (xiii) Chapter 68, Utah Osteopathic Medical Practice Act;
8306          (xiv) Chapter 69, Dentist and Dental Hygienist Practice Act;
8307          (xv) Chapter 70a, Utah Physician Assistant Act;
8308          (xvi) Chapter 71, Naturopathic Physician Practice Act;
8309          (xvii) Chapter 72, Acupuncture Licensing Act; and
8310          (xviii) Chapter 73, Chiropractic Physician Practice Act.
8311          (d) "Remuneration or compensation":
8312          (i) (A) means direct or indirect receipt of any payment by a health care professional or
8313     health care facility on behalf of the patient, including payment or reimbursement under
8314     Medicare or Medicaid, or under the state program for the medically indigent on behalf of the
8315     patient; and
8316          (B) compensation, salary, or reimbursement to the health care professional from any
8317     source for the health care professional's services or time in volunteering to provide
8318     uncompensated health care; and
8319          (ii) does not mean:
8320          (A) any grant or donation to the health care facility used to offset direct costs
8321     associated with providing the uncompensated health care such as:
8322          (I) medical supplies;
8323          (II) drugs; or
8324          (III) a charitable donation that is restricted for charitable services at the health care
8325     facility; or
8326          (B) incidental reimbursements to the volunteer such as:
8327          (I) food supplied to the volunteer;
8328          (II) clothing supplied to the volunteer to help identify the volunteer during the time of
8329     volunteer services;
8330          (III) mileage reimbursement to the volunteer; or
8331          (IV) other similar support to the volunteer.
8332          (3) A health care professional who provides health care treatment at or on behalf of a
8333     health care facility is not liable in a medical malpractice action if:
8334          (a) the treatment was within the scope of the health care professional's license under
8335     this title;

8336          (b) neither the health care professional nor the health care facility received
8337     compensation or remuneration for the treatment;
8338          (c) the acts or omissions of the health care professional were not grossly negligent or
8339     willful and wanton; and
8340          (d) prior to rendering services:
8341          (i) the health care professional disclosed in writing to the patient, or if a minor, to the
8342     patient's parent or legal guardian, that the health care professional is providing the services
8343     without receiving remuneration or compensation; and
8344          (ii) the patient consented in writing to waive any right to sue for professional
8345     negligence except for acts or omissions which are grossly negligent or are willful and wanton.
8346          (4) A health care facility which sponsors, promotes, or organizes the uncompensated
8347     care is not liable in a medical malpractice action for acts and omissions if:
8348          (a) the health care facility meets the requirements in Subsection (3)(b);
8349          (b) the acts and omissions of the health care facility were not grossly negligent or
8350     willful and wanton; and
8351          (c) the health care facility has posted, in a conspicuous place, a notice that in
8352     accordance with this section the health care facility is not liable for any civil damages for acts
8353     or omissions except for those acts or omissions that are grossly negligent or are willful and
8354     wanton.
8355          (5) A health care professional who provides health care treatment at a federally
8356     qualified health center, as defined in Subsection 1905(1)(2)(b) of the Social Security Act, or an
8357     Indian health clinic or Urban Indian Health Center, as defined in Title V of the Indian Health
8358     Care Improvement Act, is not liable in a medical malpractice action if:
8359          (a) the treatment was within the scope of the health care professional's license under
8360     this title;
8361          (b) the health care professional:
8362          (i) does not receive compensation or remuneration for treatment provided to any
8363     patient that the provider treats at the federally qualified health center, the Indian health clinic,
8364     or the Urban Indian Health Center; and
8365          (ii) is not eligible to be included in coverage under the Federal Tort Claims Act for the
8366     treatment provided at the federally qualified health center, the Indian health clinic, or the Urban

8367     Indian Health Center;
8368          (c) the acts or omissions of the health care professional were not grossly negligent or
8369     willful and wanton; and
8370          (d) prior to rendering services:
8371          (i) the health care professional disclosed in writing to the patient, or if a minor, to the
8372     patient's parent or legal guardian, that the health care professional is providing the services
8373     without receiving remuneration or compensation; and
8374          (ii) the patient consented in writing to waive any right to sue for professional
8375     negligence except for acts or omissions that are grossly negligent or are willful and wanton.
8376          (6) Immunity from liability under this section does not extend to the use of general
8377     anesthesia or care that requires an overnight stay in a general acute or specialty hospital
8378     licensed under [Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act] Title
8379     26B, Chapter 2, Part 2, Health Care Facility Licensing and Inspection.
8380          (7) The provisions of Subsection (5) apply to treatment provided by a healthcare
8381     professional on or after May 13, 2014.
8382          (8) A health care professional:
8383          (a) may, in accordance with Subsection (8)(b), fulfill up to 15% of the health care
8384     professional's continuing education requirement with hours the health care professional spends
8385     providing health care treatment described in Subsection (3) or (5); and
8386          (b) subject to Subsection (8)(a), earns one hour of the health care professional's
8387     continuing education requirement for every four documented hours of volunteer health care
8388     treatment.
8389          Section 133. Section 58-13-5 is amended to read:
8390          58-13-5. Information relating to adequacy and quality of medical care --
8391     Immunity from liability.
8392          (1) As used in this section, "health care provider" has the same meaning as defined in
8393     Section 78B-3-403.
8394          (2) (a) The division, and the boards within the division that act regarding the health
8395     care providers defined in this section, shall adopt rules to establish procedures to obtain
8396     information concerning the quality and adequacy of health care rendered to patients by those
8397     health care providers.

8398          (b) It is the duty of an individual licensed under Title 58, Occupations and Professions,
8399     as a health care provider to furnish information known to him with respect to health care
8400     rendered to patients by any health care provider licensed under Title 58, Occupations and
8401     Professions, as the division or a board may request during the course of the performance of its
8402     duties.
8403          (3) A health care facility as defined in Section [26-21-2] 26B-2-201 which employs,
8404     grants privileges to, or otherwise permits a licensed health care provider to engage in licensed
8405     practice within the health care facility, and any professional society of licensed health care
8406     providers, shall report any of the following events in writing to the division within 60 days
8407     after the event occurs regarding the licensed health care provider:
8408          (a) terminating employment of an employee for cause related to the employee's practice
8409     as a licensed health care provider;
8410          (b) terminating or restricting privileges for cause to engage in any act or practice
8411     related to practice as a licensed health care provider;
8412          (c) terminating, suspending, or restricting membership or privileges associated with
8413     membership in a professional association for acts of unprofessional, unlawful, incompetent, or
8414     negligent conduct related to practice as a licensed health care provider;
8415          (d) subjecting a licensed health care provider to disciplinary action for a period of more
8416     than 30 days;
8417          (e) a finding that a licensed health care provider has violated professional standards or
8418     ethics;
8419          (f) a finding of incompetence in practice as a licensed health care provider;
8420          (g) a finding of acts of moral turpitude by a licensed health care provider; or
8421          (h) a finding that a licensed health care provider is engaged in abuse of alcohol or
8422     drugs.
8423          (4) This section does not prohibit any action by a health care facility, or professional
8424     society comprised primarily of licensed health care providers to suspend, restrict, or revoke the
8425     employment, privileges, or membership of a health care provider.
8426          (5) The data and information obtained in accordance with this section is classified as a
8427     "protected" record under Title 63G, Chapter 2, Government Records Access and Management
8428     Act.

8429          (6) (a) Any person or organization furnishing information in accordance with this
8430     section in response to the request of the division or a board, or voluntarily, is immune from
8431     liability with respect to information provided in good faith and without malice, which good
8432     faith and lack of malice is presumed to exist absent clear and convincing evidence to the
8433     contrary.
8434          (b) The members of the board are immune from liability for any decisions made or
8435     actions taken in response to information acquired by the board if those decisions or actions are
8436     made in good faith and without malice, which good faith and lack of malice is presumed to
8437     exist absent clear and convincing evidence to the contrary.
8438          (7) An individual who is a member of a hospital administration, board, committee,
8439     department, medical staff, or professional organization of health care providers, and any
8440     hospital, other health care entity, or professional organization conducting or sponsoring the
8441     review, is immune from liability arising from participation in a review of a health care
8442     provider's professional ethics, medical competence, moral turpitude, or substance abuse.
8443          (8) This section does not exempt a person licensed under Title 58, Occupations and
8444     Professions, from complying with any reporting requirements established under state or federal
8445     law.
8446          Section 134. Section 58-15-303 is amended to read:
8447          58-15-303. Exemptions to chapter.
8448          (1) In addition to the exemptions described in Section 58-1-307, this chapter does not
8449     apply to:
8450          (a) a facility of a recognized church or denomination that cares for the sick and
8451     suffering by mental or spiritual means if no drug or material remedy is used in the care
8452     provided; or
8453          (b) the superintendent of the Utah State Developmental Center described in Section
8454     [62A-5-201] 26B-6-502.
8455          (2) Any facility or person exempted under this section shall comply with each statute
8456     and rule on sanitation and life safety.
8457          Section 135. Section 58-17b-102 is amended to read:
8458          58-17b-102. Definitions.
8459          In addition to the definitions in Section 58-1-102, as used in this chapter:

8460          (1) "Administering" means:
8461          (a) the direct application of a prescription drug or device, whether by injection,
8462     inhalation, ingestion, or by any other means, to the body of a human patient or research subject
8463     by another person; or
8464          (b) the placement by a veterinarian with the owner or caretaker of an animal or group
8465     of animals of a prescription drug for the purpose of injection, inhalation, ingestion, or any other
8466     means directed to the body of the animal by the owner or caretaker in accordance with written
8467     or verbal directions of the veterinarian.
8468          (2) "Adulterated drug or device" means a drug or device considered adulterated under
8469     21 U.S.C. Sec. 351 (2003).
8470          (3) (a) "Analytical laboratory" means a facility in possession of prescription drugs for
8471     the purpose of analysis.
8472          (b) "Analytical laboratory" does not include a laboratory possessing prescription drugs
8473     used as standards and controls in performing drug monitoring or drug screening analysis if the
8474     prescription drugs are prediluted in a human or animal body fluid, human or animal body fluid
8475     components, organic solvents, or inorganic buffers at a concentration not exceeding one
8476     milligram per milliliter when labeled or otherwise designated as being for in vitro diagnostic
8477     use.
8478          (4) "Animal euthanasia agency" means an agency performing euthanasia on animals by
8479     the use of prescription drugs.
8480          (5) "Automated pharmacy systems" includes mechanical systems which perform
8481     operations or activities, other than compounding or administration, relative to the storage,
8482     packaging, dispensing, or distribution of medications, and which collect, control, and maintain
8483     all transaction information.
8484          (6) "Beyond use date" means the date determined by a pharmacist and placed on a
8485     prescription label at the time of dispensing that indicates to the patient or caregiver a time
8486     beyond which the contents of the prescription are not recommended to be used.
8487          (7) "Board of pharmacy" or "board" means the Utah State Board of Pharmacy created
8488     in Section 58-17b-201.
8489          (8) "Branch pharmacy" means a pharmacy or other facility in a rural or medically
8490     underserved area, used for the storage and dispensing of prescription drugs, which is dependent

8491     upon, stocked by, and supervised by a pharmacist in another licensed pharmacy designated and
8492     approved by the division as the parent pharmacy.
8493          (9) "Centralized prescription processing" means the processing by a pharmacy of a
8494     request from another pharmacy to fill or refill a prescription drug order or to perform
8495     processing functions such as dispensing, drug utilization review, claims adjudication, refill
8496     authorizations, and therapeutic interventions.
8497          (10) "Class A pharmacy" means a pharmacy located in Utah that is authorized as a
8498     retail pharmacy to compound or dispense a drug or dispense a device to the public under a
8499     prescription order.
8500          (11) "Class B pharmacy":
8501          (a) means a pharmacy located in Utah:
8502          (i) that is authorized to provide pharmaceutical care for patients in an institutional
8503     setting; and
8504          (ii) whose primary purpose is to provide a physical environment for patients to obtain
8505     health care services; and
8506          (b) (i) includes closed-door, hospital, clinic, nuclear, and branch pharmacies; and
8507          (ii) pharmaceutical administration and sterile product preparation facilities.
8508          (12) "Class C pharmacy" means a pharmacy that engages in the manufacture,
8509     production, wholesale, or distribution of drugs or devices in Utah.
8510          (13) "Class D pharmacy" means a nonresident pharmacy.
8511          (14) "Class E pharmacy" means all other pharmacies.
8512          (15) (a) "Closed-door pharmacy" means a pharmacy that:
8513          (i) provides pharmaceutical care to a defined and exclusive group of patients who have
8514     access to the services of the pharmacy because they are treated by or have an affiliation with a
8515     specific entity, including a health maintenance organization or an infusion company; or
8516          (ii) engages exclusively in the practice of telepharmacy and does not serve walk-in
8517     retail customers.
8518          (b) "Closed-door pharmacy" does not include a hospital pharmacy, a retailer of goods
8519     to the general public, or the office of a practitioner.
8520          (16) "Collaborative pharmacy practice" means a practice of pharmacy whereby one or
8521     more pharmacists have jointly agreed, on a voluntary basis, to work in conjunction with one or

8522     more practitioners under protocol whereby the pharmacist may perform certain pharmaceutical
8523     care functions authorized by the practitioner or practitioners under certain specified conditions
8524     or limitations.
8525          (17) "Collaborative pharmacy practice agreement" means a written and signed
8526     agreement between one or more pharmacists and one or more practitioners that provides for
8527     collaborative pharmacy practice for the purpose of drug therapy management of patients and
8528     prevention of disease of human subjects.
8529          (18) (a) "Compounding" means the preparation, mixing, assembling, packaging, or
8530     labeling of a limited quantity drug, sterile product, or device:
8531          (i) as the result of a practitioner's prescription order or initiative based on the
8532     practitioner, patient, or pharmacist relationship in the course of professional practice;
8533          (ii) for the purpose of, or as an incident to, research, teaching, or chemical analysis and
8534     not for sale or dispensing; or
8535          (iii) in anticipation of prescription drug orders based on routine, regularly observed
8536     prescribing patterns.
8537          (b) "Compounding" does not include:
8538          (i) the preparation of prescription drugs by a pharmacist or pharmacy intern for sale to
8539     another pharmacist or pharmaceutical facility;
8540          (ii) the preparation by a pharmacist or pharmacy intern of any prescription drug in a
8541     dosage form which is regularly and commonly available from a manufacturer in quantities and
8542     strengths prescribed by a practitioner; or
8543          (iii) the preparation of a prescription drug, sterile product, or device which has been
8544     withdrawn from the market for safety reasons.
8545          (19) "Confidential information" has the same meaning as "protected health
8546     information" under the Standards for Privacy of Individually Identifiable Health Information,
8547     45 C.F.R. Parts 160 and 164.
8548          (20) "Controlled substance" means the same as that term is defined in Section 58-37-2.
8549          (21) "Dietary supplement" has the same meaning as Public Law Title 103, Chapter
8550     417, Sec. 3a(ff) which is incorporated by reference.
8551          (22) "Dispense" means the interpretation, evaluation, and implementation of a
8552     prescription drug order or device or nonprescription drug or device under a lawful order of a

8553     practitioner in a suitable container appropriately labeled for subsequent administration to or use
8554     by a patient, research subject, or an animal.
8555          (23) "Dispensing medical practitioner" means an individual who is:
8556          (a) currently licensed as:
8557          (i) a physician and surgeon under Chapter 67, Utah Medical Practice Act;
8558          (ii) an osteopathic physician and surgeon under Chapter 68, Utah Osteopathic Medical
8559     Practice Act;
8560          (iii) a physician assistant under Chapter 70a, Utah Physician Assistant Act;
8561          (iv) a nurse practitioner under Chapter 31b, Nurse Practice Act; or
8562          (v) an optometrist under Chapter 16a, Utah Optometry Practice Act, if the optometrist
8563     is acting within the scope of practice for an optometrist; and
8564          (b) licensed by the division under the Pharmacy Practice Act to engage in the practice
8565     of a dispensing medical practitioner.
8566          (24) "Dispensing medical practitioner clinic pharmacy" means a closed-door pharmacy
8567     located within a licensed dispensing medical practitioner's place of practice.
8568          (25) "Distribute" means to deliver a drug or device other than by administering or
8569     dispensing.
8570          (26) (a) "Drug" means:
8571          (i) a substance recognized in the official United States Pharmacopoeia, official
8572     Homeopathic Pharmacopoeia of the United States, or official National Formulary, or any
8573     supplement to any of them, intended for use in the diagnosis, cure, mitigation, treatment, or
8574     prevention of disease in humans or animals;
8575          (ii) a substance that is required by any applicable federal or state law or rule to be
8576     dispensed by prescription only or is restricted to administration by practitioners only;
8577          (iii) a substance other than food intended to affect the structure or any function of the
8578     body of humans or other animals; and
8579          (iv) substances intended for use as a component of any substance specified in
8580     Subsections (26)(a)(i), (ii), (iii), and (iv).
8581          (b) "Drug" does not include dietary supplements.
8582          (27) "Drug regimen review" includes the following activities:
8583          (a) evaluation of the prescription drug order and patient record for:

8584          (i) known allergies;
8585          (ii) rational therapy-contraindications;
8586          (iii) reasonable dose and route of administration; and
8587          (iv) reasonable directions for use;
8588          (b) evaluation of the prescription drug order and patient record for duplication of
8589     therapy;
8590          (c) evaluation of the prescription drug order and patient record for the following
8591     interactions:
8592          (i) drug-drug;
8593          (ii) drug-food;
8594          (iii) drug-disease; and
8595          (iv) adverse drug reactions; and
8596          (d) evaluation of the prescription drug order and patient record for proper utilization,
8597     including over- or under-utilization, and optimum therapeutic outcomes.
8598          (28) "Drug sample" means a prescription drug packaged in small quantities consistent
8599     with limited dosage therapy of the particular drug, which is marked "sample", is not intended to
8600     be sold, and is intended to be provided to practitioners for the immediate needs of patients for
8601     trial purposes or to provide the drug to the patient until a prescription can be filled by the
8602     patient.
8603          (29) "Electronic signature" means a trusted, verifiable, and secure electronic sound,
8604     symbol, or process attached to or logically associated with a record and executed or adopted by
8605     a person with the intent to sign the record.
8606          (30) "Electronic transmission" means transmission of information in electronic form or
8607     the transmission of the exact visual image of a document by way of electronic equipment.
8608          (31) "Hospital pharmacy" means a pharmacy providing pharmaceutical care to
8609     inpatients of a general acute hospital or specialty hospital licensed by the Department of Health
8610     and Human Services under [Title 26, Chapter 21, Health Care Facility Licensing and Inspection
8611     Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and Inspection.
8612          (32) "Legend drug" has the same meaning as prescription drug.
8613          (33) "Licensed pharmacy technician" means an individual licensed with the division,
8614     that may, under the supervision of a pharmacist, perform the activities involved in the

8615     technician practice of pharmacy.
8616          (34) "Manufacturer" means a person or business physically located in Utah licensed to
8617     be engaged in the manufacturing of drugs or devices.
8618          (35) (a) "Manufacturing" means:
8619          (i) the production, preparation, propagation, conversion, or processing of a drug or
8620     device, either directly or indirectly, by extraction from substances of natural origin or
8621     independently by means of chemical or biological synthesis, or by a combination of extraction
8622     and chemical synthesis, and includes any packaging or repackaging of the substance or labeling
8623     or relabeling of its container; and
8624          (ii) the promotion and marketing of such drugs or devices.
8625          (b) "Manufacturing" includes the preparation and promotion of commercially available
8626     products from bulk compounds for resale by pharmacies, practitioners, or other persons.
8627          (c) "Manufacturing" does not include the preparation or compounding of a drug by a
8628     pharmacist, pharmacy intern, or practitioner for that individual's own use or the preparation,
8629     compounding, packaging, labeling of a drug, or incident to research, teaching, or chemical
8630     analysis.
8631          (36) "Medical order" means a lawful order of a practitioner which may include a
8632     prescription drug order.
8633          (37) "Medication profile" or "profile" means a record system maintained as to drugs or
8634     devices prescribed for a pharmacy patient to enable a pharmacist or pharmacy intern to analyze
8635     the profile to provide pharmaceutical care.
8636          (38) "Misbranded drug or device" means a drug or device considered misbranded under
8637     21 U.S.C. Sec. 352 (2003).
8638          (39) (a) "Nonprescription drug" means a drug which:
8639          (i) may be sold without a prescription; and
8640          (ii) is labeled for use by the consumer in accordance with federal law.
8641          (b) "Nonprescription drug" includes homeopathic remedies.
8642          (40) "Nonresident pharmacy" means a pharmacy located outside of Utah that sells to a
8643     person in Utah.
8644          (41) "Nuclear pharmacy" means a pharmacy providing radio-pharmaceutical service.
8645          (42) "Out-of-state mail service pharmacy" means a pharmaceutical facility located

8646     outside the state that is licensed and in good standing in another state, that:
8647          (a) ships, mails, or delivers by any lawful means a dispensed legend drug to a patient in
8648     this state pursuant to a lawfully issued prescription;
8649          (b) provides information to a patient in this state on drugs or devices which may
8650     include, but is not limited to, advice relating to therapeutic values, potential hazards, and uses;
8651     or
8652          (c) counsels pharmacy patients residing in this state concerning adverse and therapeutic
8653     effects of drugs.
8654          (43) "Patient counseling" means the written and oral communication by the pharmacist
8655     or pharmacy intern of information, to the patient or caregiver, in order to ensure proper use of
8656     drugs, devices, and dietary supplements.
8657          (44) "Pharmaceutical administration facility" means a facility, agency, or institution in
8658     which:
8659          (a) prescription drugs or devices are held, stored, or are otherwise under the control of
8660     the facility or agency for administration to patients of that facility or agency;
8661          (b) prescription drugs are dispensed to the facility or agency by a licensed pharmacist
8662     or pharmacy intern with whom the facility has established a prescription drug supervising
8663     relationship under which the pharmacist or pharmacy intern provides counseling to the facility
8664     or agency staff as required, and oversees drug control, accounting, and destruction; and
8665          (c) prescription drugs are professionally administered in accordance with the order of a
8666     practitioner by an employee or agent of the facility or agency.
8667          (45) (a) "Pharmaceutical care" means carrying out the following in collaboration with a
8668     prescribing practitioner, and in accordance with division rule:
8669          (i) designing, implementing, and monitoring a therapeutic drug plan intended to
8670     achieve favorable outcomes related to a specific patient for the purpose of curing or preventing
8671     the patient's disease;
8672          (ii) eliminating or reducing a patient's symptoms; or
8673          (iii) arresting or slowing a disease process.
8674          (b) "Pharmaceutical care" does not include prescribing of drugs without consent of a
8675     prescribing practitioner.
8676          (46) "Pharmaceutical facility" means a business engaged in the dispensing, delivering,

8677     distributing, manufacturing, or wholesaling of prescription drugs or devices within or into this
8678     state.
8679          (47) (a) "Pharmaceutical wholesaler or distributor" means a pharmaceutical facility
8680     engaged in the business of wholesale vending or selling of a prescription drug or device to
8681     other than a consumer or user of the prescription drug or device that the pharmaceutical facility
8682     has not produced, manufactured, compounded, or dispensed.
8683          (b) "Pharmaceutical wholesaler or distributor" does not include a pharmaceutical
8684     facility carrying out the following business activities:
8685          (i) intracompany sales;
8686          (ii) the sale, purchase, or trade of a prescription drug or device, or an offer to sell,
8687     purchase, or trade a prescription drug or device, if the activity is carried out between one or
8688     more of the following entities under common ownership or common administrative control, as
8689     defined by division rule:
8690          (A) hospitals;
8691          (B) pharmacies;
8692          (C) chain pharmacy warehouses, as defined by division rule; or
8693          (D) other health care entities, as defined by division rule;
8694          (iii) the sale, purchase, or trade of a prescription drug or device, or an offer to sell,
8695     purchase, or trade a prescription drug or device, for emergency medical reasons, including
8696     supplying another pharmaceutical facility with a limited quantity of a drug, if:
8697          (A) the facility is unable to obtain the drug through a normal distribution channel in
8698     sufficient time to eliminate the risk of harm to a patient that would result from a delay in
8699     obtaining the drug; and
8700          (B) the quantity of the drug does not exceed an amount reasonably required for
8701     immediate dispensing to eliminate the risk of harm;
8702          (iv) the distribution of a prescription drug or device as a sample by representatives of a
8703     manufacturer; and
8704          (v) the distribution of prescription drugs, if:
8705          (A) the facility's total distribution-related sales of prescription drugs does not exceed
8706     5% of the facility's total prescription drug sales; and
8707          (B) the distribution otherwise complies with 21 C.F.R. Sec. 1307.11.

8708          (48) "Pharmacist" means an individual licensed by this state to engage in the practice
8709     of pharmacy.
8710          (49) "Pharmacist-in-charge" means a pharmacist currently licensed in good standing
8711     who accepts responsibility for the operation of a pharmacy in conformance with all laws and
8712     rules pertinent to the practice of pharmacy and the distribution of drugs, and who is personally
8713     in full and actual charge of the pharmacy and all personnel.
8714          (50) "Pharmacist preceptor" means a licensed pharmacist in good standing with one or
8715     more years of licensed experience. The preceptor serves as a teacher, example of professional
8716     conduct, and supervisor of interns in the professional practice of pharmacy.
8717          (51) "Pharmacy" means any place where:
8718          (a) drugs are dispensed;
8719          (b) pharmaceutical care is provided;
8720          (c) drugs are processed or handled for eventual use by a patient; or
8721          (d) drugs are used for the purpose of analysis or research.
8722          (52) "Pharmacy benefits manager or coordinator" means a person or entity that
8723     provides a pharmacy benefits management service as defined in Section 31A-46-102 on behalf
8724     of a self-insured employer, insurance company, health maintenance organization, or other plan
8725     sponsor, as defined by rule.
8726          (53) "Pharmacy intern" means an individual licensed by this state to engage in practice
8727     as a pharmacy intern.
8728          (54) "Pharmacy technician training program" means an approved technician training
8729     program providing education for pharmacy technicians.
8730          (55) (a) "Practice as a dispensing medical practitioner" means the practice of pharmacy,
8731     specifically relating to the dispensing of a prescription drug in accordance with Part 8,
8732     Dispensing Medical Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, and
8733     division rule adopted after consultation with the Board of pharmacy and the governing boards
8734     of the practitioners described in Subsection (23)(a).
8735          (b) "Practice as a dispensing medical practitioner" does not include:
8736          (i) using a vending type of dispenser as defined by the division by administrative rule;
8737     or
8738          (ii) except as permitted by Section 58-17b-805, dispensing of a controlled substance as

8739     defined in Section 58-37-2.
8740          (56) "Practice as a licensed pharmacy technician" means engaging in practice as a
8741     pharmacy technician under the general supervision of a licensed pharmacist and in accordance
8742     with a scope of practice defined by division rule made in collaboration with the board.
8743          (57) "Practice of pharmacy" includes the following:
8744          (a) providing pharmaceutical care;
8745          (b) collaborative pharmacy practice in accordance with a collaborative pharmacy
8746     practice agreement;
8747          (c) compounding, packaging, labeling, dispensing, administering, and the coincident
8748     distribution of prescription drugs or devices, provided that the administration of a prescription
8749     drug or device is:
8750          (i) pursuant to a lawful order of a practitioner when one is required by law; and
8751          (ii) in accordance with written guidelines or protocols:
8752          (A) established by the licensed facility in which the prescription drug or device is to be
8753     administered on an inpatient basis; or
8754          (B) approved by the division, in collaboration with the board and, when appropriate,
8755     the Physicians Licensing Board, created in Section 58-67-201, if the prescription drug or device
8756     is to be administered on an outpatient basis solely by a licensed pharmacist;
8757          (d) participating in drug utilization review;
8758          (e) ensuring proper and safe storage of drugs and devices;
8759          (f) maintaining records of drugs and devices in accordance with state and federal law
8760     and the standards and ethics of the profession;
8761          (g) providing information on drugs or devices, which may include advice relating to
8762     therapeutic values, potential hazards, and uses;
8763          (h) providing drug product equivalents;
8764          (i) supervising pharmacist's supportive personnel, pharmacy interns, and pharmacy
8765     technicians;
8766          (j) providing patient counseling, including adverse and therapeutic effects of drugs;
8767          (k) providing emergency refills as defined by rule;
8768          (l) telepharmacy;
8769          (m) formulary management intervention;

8770          (n) prescribing and dispensing a self-administered hormonal contraceptive in
8771     accordance with [Title 26, Chapter 64, Family Planning Access Act] Title 26B, Chapter 4, Part
8772     5, Treatment Access; and
8773          (o) issuing a prescription in accordance with Section 58-17b-627.
8774          (58) "Practice of telepharmacy" means the practice of pharmacy through the use of
8775     telecommunications and information technologies.
8776          (59) "Practice of telepharmacy across state lines" means the practice of pharmacy
8777     through the use of telecommunications and information technologies that occurs when the
8778     patient is physically located within one jurisdiction and the pharmacist is located in another
8779     jurisdiction.
8780          (60) "Practitioner" means an individual currently licensed, registered, or otherwise
8781     authorized by the appropriate jurisdiction to prescribe and administer drugs in the course of
8782     professional practice.
8783          (61) "Prescribe" means to issue a prescription:
8784          (a) orally or in writing; or
8785          (b) by telephone, facsimile transmission, computer, or other electronic means of
8786     communication as defined by division rule.
8787          (62) "Prescription" means an order issued:
8788          (a) by a licensed practitioner in the course of that practitioner's professional practice or
8789     by collaborative pharmacy practice agreement; and
8790          (b) for a controlled substance or other prescription drug or device for use by a patient
8791     or an animal.
8792          (63) "Prescription device" means an instrument, apparatus, implement, machine,
8793     contrivance, implant, in vitro reagent, or other similar or related article, and any component
8794     part or accessory, which is required under federal or state law to be prescribed by a practitioner
8795     and dispensed by or through a person or entity licensed under this chapter or exempt from
8796     licensure under this chapter.
8797          (64) "Prescription drug" means a drug that is required by federal or state law or rule to
8798     be dispensed only by prescription or is restricted to administration only by practitioners.
8799          (65) "Repackage":
8800          (a) means changing the container, wrapper, or labeling to further the distribution of a

8801     prescription drug; and
8802          (b) does not include:
8803          (i) Subsection (65)(a) when completed by the pharmacist responsible for dispensing the
8804     product to a patient; or
8805          (ii) changing or altering a label as necessary for a dispensing practitioner under Part 8,
8806     Dispensing Medical Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, for
8807     dispensing a product to a patient.
8808          (66) "Research using pharmaceuticals" means research:
8809          (a) conducted in a research facility, as defined by division rule, that is associated with a
8810     university or college in the state accredited by the Northwest Commission on Colleges and
8811     Universities;
8812          (b) requiring the use of a controlled substance, prescription drug, or prescription
8813     device;
8814          (c) that uses the controlled substance, prescription drug, or prescription device in
8815     accordance with standard research protocols and techniques, including, if required, those
8816     approved by an institutional review committee; and
8817          (d) that includes any documentation required for the conduct of the research and the
8818     handling of the controlled substance, prescription drug, or prescription device.
8819          (67) "Retail pharmacy" means a pharmaceutical facility dispensing prescription drugs
8820     and devices to the general public.
8821          (68) (a) "Self-administered hormonal contraceptive" means a self-administered
8822     hormonal contraceptive that is approved by the United States Food and Drug Administration to
8823     prevent pregnancy.
8824          (b) "Self-administered hormonal contraceptive" includes an oral hormonal
8825     contraceptive, a hormonal vaginal ring, and a hormonal contraceptive patch.
8826          (c) "Self-administered hormonal contraceptive" does not include any drug intended to
8827     induce an abortion, as that term is defined in Section 76-7-301.
8828          (69) "Self-audit" means an internal evaluation of a pharmacy to determine compliance
8829     with this chapter.
8830          (70) "Supervising pharmacist" means a pharmacist who is overseeing the operation of
8831     the pharmacy during a given day or shift.

8832          (71) "Supportive personnel" means unlicensed individuals who:
8833          (a) may assist a pharmacist, pharmacist preceptor, pharmacy intern, or licensed
8834     pharmacy technician in nonjudgmental duties not included in the definition of the practice of
8835     pharmacy, practice of a pharmacy intern, or practice of a licensed pharmacy technician, and as
8836     those duties may be further defined by division rule adopted in collaboration with the board;
8837     and
8838          (b) are supervised by a pharmacist in accordance with rules adopted by the division in
8839     collaboration with the board.
8840          (72) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501
8841     and 58-17b-501.
8842          (73) "Unprofessional conduct" means the same as that term is defined in Sections
8843     58-1-501 and 58-17b-502 and may be further defined by rule.
8844          (74) "Veterinary pharmaceutical facility" means a pharmaceutical facility that
8845     dispenses drugs intended for use by animals or for sale to veterinarians for the administration
8846     for animals.
8847          Section 136. Section 58-17b-302 is amended to read:
8848          58-17b-302. License required -- License classifications for pharmacy facilities.
8849          (1) A license is required to act as a pharmacy, except:
8850          (a) as specifically exempted from licensure under Section 58-1-307;
8851          (b) for the operation of a medical cannabis pharmacy under [Title 26, Chapter 61a,
8852     Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical
8853     Cannabis; and
8854          (c) to operate a licensed dispensing practice under Chapter 88, Part 2, Dispensing
8855     Practice.
8856          (2) The division shall issue a pharmacy license to a facility that qualifies under this
8857     chapter in the classification of a:
8858          (a) class A pharmacy;
8859          (b) class B pharmacy;
8860          (c) class C pharmacy;
8861          (d) class D pharmacy;
8862          (e) class E pharmacy; or

8863          (f) dispensing medical practitioner clinic pharmacy.
8864          (3) (a) Each place of business shall require a separate license.
8865          (b) If multiple pharmacies exist at the same address, a separate license shall be required
8866     for each pharmacy.
8867          (4) (a) The division may further define or supplement the classifications of pharmacies.
8868          (b) The division may impose restrictions upon classifications to protect the public
8869     health, safety, and welfare.
8870          (5) Each pharmacy shall have a pharmacist-in-charge, except as otherwise provided by
8871     rule.
8872          (6) Whenever an applicable statute or rule requires or prohibits action by a pharmacy,
8873     the pharmacist-in-charge and the owner of the pharmacy shall be responsible for all activities
8874     of the pharmacy, regardless of the form of the business organization.
8875          Section 137. Section 58-17b-309 is amended to read:
8876          58-17b-309. Exemptions from licensure.
8877          In addition to the exemptions from licensure in Section 58-1-307, the following
8878     individuals may engage in the acts or practices described in this section without being licensed
8879     under this chapter:
8880          (1) a person selling or providing contact lenses in accordance with Section 58-16a-801;
8881          (2) an animal shelter that:
8882          (a) under the indirect supervision of a veterinarian, stores, handles, or administers a
8883     drug used for euthanising an animal; and
8884          (b) under the indirect supervision of a veterinarian who is under contract with the
8885     animal shelter, stores, handles, or administers a rabies vaccine;
8886          (3) an overdose outreach provider, as defined in Section [26-55-102] 26B-4-501, that
8887     obtains, stores, or furnishes an opiate antagonist in accordance with [Title 26, Chapter 55,
8888     Opiate Overdose Response Act] Title 26B, Chapter 4, Part 5, Treatment Access; and
8889          (4) a dispensing practitioner, as defined in Section 58-88-201, dispensing a drug under
8890     Chapter 88, Part 2, Dispensing Practice.
8891          Section 138. Section 58-17b-309.7 is amended to read:
8892          58-17b-309.7. Opioid treatment program.
8893          (1) As used in this section:

8894          (a) "Covered provider" means an individual who is licensed to engage in:
8895          (i) the practice of advanced practice registered nursing as defined in Section
8896     58-31b-102;
8897          (ii) the practice of registered nursing as defined in Section 58-31b-102; or
8898          (iii) practice as a physician assistant as defined in Section 58-70a-102.
8899          (b) "Opioid treatment program" means a program or practitioner that is:
8900          (i) engaged in dispensing an opiate medication assisted treatment for opioid use
8901     disorder;
8902          (ii) registered under 21 U.S.C. Sec. 823(g)(1);
8903          (iii) licensed by the Office of Licensing within the Department of Health and Human
8904     Services created in Section [62A-2-103] 26B-2-103; and
8905          (iv) certified by the Substance Abuse and Mental Health Services Administration in
8906     accordance with 42 C.F.R. 8.11.
8907          (2) A covered provider may dispense opiate medication assisted treatment at an opioid
8908     treatment program if the covered provider:
8909          (a) is operating under the direction of a pharmacist;
8910          (b) dispenses the opiate medication assisted treatment under the direction of a
8911     pharmacist; and
8912          (c) acts in accordance with division rule made under Subsection (3).
8913          (3) The division shall, in consultation with practitioners who work in an opioid
8914     treatment program, make rules in accordance with Title 63G, Chapter 3, Utah Administrative
8915     Rulemaking Act, to establish guidelines under which a covered provider may dispense opiate
8916     medication assisted treatment to a patient in an opioid treatment program under this section.
8917          Section 139. Section 58-17b-501 is amended to read:
8918          58-17b-501. Unlawful conduct.
8919          "Unlawful conduct" includes:
8920          (1) knowingly preventing or refusing to permit an authorized agent of the division to
8921     conduct an inspection pursuant to Section 58-17b-103;
8922          (2) failing to deliver the license, permit, or certificate to the division upon demand, if it
8923     has been revoked, suspended, or refused;
8924          (3) (a) using the title "pharmacist," "druggist," "pharmacy intern," "pharmacy

8925     technician," or a term having similar meaning, except by a person licensed as a pharmacist,
8926     pharmacy intern, or pharmacy technician; or
8927          (b) conducting or transacting business under a name that contains, as part of that name,
8928     the words "drugstore," "pharmacy," "drugs," "medicine store," "medicines," "drug shop,"
8929     "apothecary," "prescriptions," or a term having a similar meaning, or in any manner
8930     advertising, otherwise describing, or referring to the place of the conducted business or
8931     profession, unless the place is a pharmacy issued a license by the division, except an
8932     establishment selling nonprescription drugs and supplies may display signs bearing the words
8933     "packaged drugs," "drug sundries," or "nonprescription drugs," and is not considered to be a
8934     pharmacy or drugstore by reason of the display;
8935          (4) buying, selling, causing to be sold, or offering for sale, a drug or device that bears,
8936     or the package bears or originally did bear, the inscription "sample," "not for resale," "for
8937     investigational or experimental use only," or other similar words, except when a cost is
8938     incurred in the bona fide acquisition of an investigational or experimental drug;
8939          (5) using to a person's own advantages or revealing to anyone other than the division,
8940     board, and its authorized representatives, or to the courts, when relevant to a judicial or
8941     administrative proceeding under this chapter, information acquired under authority of this
8942     chapter or concerning a method of process that is a trade secret;
8943          (6) procuring or attempting to procure a drug or to have someone else procure or
8944     attempt to procure a drug:
8945          (a) by fraud, deceit, misrepresentation, or subterfuge;
8946          (b) by forgery or alteration of a prescription or a written order;
8947          (c) by concealment of a material fact;
8948          (d) by use of a false statement in a prescription, chart, order, or report; or
8949          (e) by theft;
8950          (7) filling, refilling, or advertising the filling or refilling of prescriptions for a
8951     consumer or patient residing in this state if the person is not licensed:
8952          (a) under this chapter; or
8953          (b) in the state from which he is dispensing;
8954          (8) requiring an employed pharmacist, pharmacy intern, pharmacy technician, or
8955     authorized supportive personnel to engage in conduct in violation of this chapter;

8956          (9) being in possession of a prescription drug for an unlawful purpose;
8957          (10) dispensing a prescription drug to a person who does not have a prescription from a
8958     practitioner, except as permitted under[:] Title 26B, Chapter 4, Part 5, Treatment Access.
8959          [(a) Title 26, Chapter 55, Opiate Overdose Response Act; or]
8960          [(b) Title 26, Chapter 64, Family Planning Access Act;]
8961          (11) dispensing a prescription drug to a person who the person dispensing the drug
8962     knows or should know is attempting to obtain drugs by fraud or misrepresentation;
8963          (12) selling, dispensing, distributing, or otherwise trafficking in prescription drugs
8964     when not licensed to do so or when not exempted from licensure; and
8965          (13) a person using a prescription drug or controlled substance that was not lawfully
8966     prescribed for the person by a practitioner.
8967          Section 140. Section 58-17b-502 is amended to read:
8968          58-17b-502. Unprofessional conduct.
8969          (1) "Unprofessional conduct" includes:
8970          (a) willfully deceiving or attempting to deceive the division, the board, or their agents
8971     as to any relevant matter regarding compliance under this chapter;
8972          (b) except as provided in Subsection (2):
8973          (i) paying or offering rebates to practitioners or any other health care providers, or
8974     receiving or soliciting rebates from practitioners or any other health care provider; or
8975          (ii) paying, offering, receiving, or soliciting compensation in the form of a commission,
8976     bonus, rebate, kickback, or split fee arrangement with practitioners or any other health care
8977     provider, for the purpose of obtaining referrals;
8978          (c) misbranding or adulteration of any drug or device or the sale, distribution, or
8979     dispensing of any outdated, misbranded, or adulterated drug or device;
8980          (d) engaging in the sale or purchase of drugs or devices that are samples or packages
8981     bearing the inscription "sample" or "not for resale" or similar words or phrases;
8982          (e) except as provided in Section 58-17b-503, accepting back and redistributing any
8983     unused drug, or a part of it, after it has left the premises of a pharmacy;
8984          (f) an act in violation of this chapter committed by a person for any form of
8985     compensation if the act is incidental to the person's professional activities, including the
8986     activities of a pharmacist, pharmacy intern, or pharmacy technician;

8987          (g) violating:
8988          (i) the federal Controlled Substances Act, Title II, P.L. 91-513;
8989          (ii) Title 58, Chapter 37, Utah Controlled Substances Act; or
8990          (iii) rules or regulations adopted under either act;
8991          (h) requiring or permitting pharmacy interns or technicians to engage in activities
8992     outside the scope of practice for their respective license classifications, as defined in this
8993     chapter and division rules made in collaboration with the board, or beyond their scope of
8994     training and ability;
8995          (i) administering:
8996          (i) without appropriate training, as defined by rule;
8997          (ii) without a physician's order, when one is required by law; and
8998          (iii) in conflict with a practitioner's written guidelines or written protocol for
8999     administering;
9000          (j) disclosing confidential patient information in violation of the provisions of the
9001     Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat.
9002     1936, as amended, or other applicable law;
9003          (k) engaging in the practice of pharmacy without a licensed pharmacist designated as
9004     the pharmacist-in-charge;
9005          (l) failing to report to the division any adverse action taken by another licensing
9006     jurisdiction, government agency, law enforcement agency, or court for conduct that in
9007     substance would be considered unprofessional conduct under this section;
9008          (m) as a pharmacist or pharmacy intern, compounding a prescription drug in a dosage
9009     form which is regularly and commonly available from a manufacturer in quantities and
9010     strengths prescribed by a practitioner;
9011          (n) failing to act in accordance with [Title 26, Chapter 64, Family Planning Access
9012     Act] Title 26B, Chapter 4, Part 5, Treatment Access, when dispensing a self-administered
9013     hormonal contraceptive under a standing order;
9014          (o) violating the requirements of [Title 26, Chapter 61a, Utah Medical Cannabis Act]
9015     Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis; or
9016          (p) falsely making an entry in, or altering, a medical record with the intent to conceal:
9017          (i) a wrongful or negligent act or omission of an individual licensed under this chapter

9018     or an individual under the direction or control of an individual licensed under this chapter; or
9019          (ii) conduct described in Subsections (1)(a) through (o) or Subsection 58-1-501(1).
9020          (2) Subsection (1)(b) does not apply to:
9021          (a) giving or receiving a price discount based on purchase volume;
9022          (b) passing along a pharmaceutical manufacturer's rebate; or
9023          (c) providing compensation for services to a veterinarian.
9024          (3) "Unprofessional conduct" does not include, in accordance with [Title 26, Chapter
9025     61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and
9026     Medical Cannabis:
9027          (a) when registered as a pharmacy medical provider, as that term is defined in Section
9028     [26-61a-102] 26B-4-201, providing pharmacy medical provider services in a medical cannabis
9029     pharmacy; or
9030          (b) when acting as a state central patient portal medical provider, as that term is defined
9031     in Section [26-61a-102] 26B-4-201, providing state central patient portal medical provider
9032     services.
9033          (4) Notwithstanding Subsection (3), the division, in consultation with the board and in
9034     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
9035     unprofessional conduct for a pharmacist described in Subsections (3)(a) and (b).
9036          Section 141. Section 58-17b-503 is amended to read:
9037          58-17b-503. Exception to unprofessional conduct.
9038          (1) For purposes of this section:
9039          (a) "Licensed intermediate care facility for people with an intellectual disability" means
9040     an intermediate care facility for people with an intellectual disability that is licensed as a
9041     nursing care facility or a small health care facility under [Title 26, Chapter 21, Health Care
9042     Facility Licensing and Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility
9043     Licensing and Inspection.
9044          (b) "Nursing care facility" means the same as that term is defined in Section [26-21-2]
9045     26B-2-201.
9046          (c) "Unit pack" means a tamper-resistant nonreusable single-dose single-drug package
9047     with identification that indicates the lot number and expiration date for the drug.
9048          (2) A pharmacist may accept and redistribute an unused drug, or part of it, after it has

9049     left the premises of the pharmacy:
9050          (a) in accordance with Part 9, Charitable Prescription Drug Recycling Act;
9051          (b) if:
9052          (i) the drug was prescribed to a patient in a nursing care facility, licensed intermediate
9053     care facility for people with an intellectual disability, or state prison facility, county jail, or state
9054     hospital;
9055          (ii) the drug was stored under the supervision of a licensed health care provider
9056     according to manufacturer recommendations;
9057          (iii) the drug is in a unit pack or in the manufacturer's sealed container;
9058          (iv) the drug was returned to the original dispensing pharmacy;
9059          (v) the drug was initially dispensed by a licensed pharmacist or licensed pharmacy
9060     intern; and
9061          (vi) accepting back and redistributing of the drug complies with federal Food and Drug
9062     Administration and Drug Enforcement Administration regulations;
9063          (c) if:
9064          (i) the pharmacy has attempted to deliver the drug to a patient or a patient's agent via
9065     the United States Postal Service, a licensed common carrier, or supportive personnel;
9066          (ii) the drug is returned to the pharmacy by the same person or carrier that attempted to
9067     deliver the drug; and
9068          (iii) in accordance with United States Food and Drug Administration regulations and
9069     rules established by the division, a pharmacist at the pharmacy determines that the drug has not
9070     been adversely affected by the drug's attempted delivery and return.
9071          Section 142. Section 58-17b-507 is amended to read:
9072          58-17b-507. Opiate antagonist -- Immunity from liability -- Exclusion from
9073     unlawful or unprofessional conduct.
9074          (1) As used in this section:
9075          (a) "Opiate antagonist" means the same as that term is defined in Section [26-55-102]
9076     26B-4-501.
9077          (b) "Opiate-related drug overdose event" means the same as that term is defined in
9078     Section [26-55-102] 26B-4-501.
9079          (2) A person licensed under this chapter that dispenses an opiate antagonist to an

9080     individual with a prescription for an opiate antagonist, to an overdose outreach provider with a
9081     prescription for an opiate antagonist, or pursuant to a standing prescription drug order issued in
9082     accordance with Subsection [26-55-105(2)] 26B-4-510(2) is not liable for any civil damages
9083     resulting from the outcomes of the eventual administration of the opiate antagonist to an
9084     individual who another individual believes is experiencing an opiate-related drug overdose
9085     event.
9086          (3) The provisions of this section and [Title 26, Chapter 55, Opiate Overdose Response
9087     Act] Title 26B, Chapter 4, Part 5, Treatment Access, do not establish a duty or standard of care
9088     in the prescribing, dispensing, or administration of an opiate antagonist.
9089          (4) It is not unprofessional conduct or unlawful conduct for a licensee under this
9090     chapter to dispense an opiate antagonist to a person, including a person described in
9091     Subsections [26-55-107(1)(a)(i)(A)] 26B-4-512(1)(a)(i)(A) through (1)(a)(i)(F), on behalf of an
9092     individual if the person obtaining the opiate antagonist has a prescription for the opiate
9093     antagonist from a licensed prescriber or the opiate antagonist is dispensed pursuant to a
9094     standing prescription drug order issued in accordance with Subsection [26-55-105(2)]
9095     26B-4-510(2).
9096          (5) It is not unprofessional conduct or unlawful conduct for a licensee under this
9097     chapter to dispense an opiate antagonist to an overdose outreach provider if the overdose
9098     outreach provider has a prescription for the opiate antagonist from a licensed prescriber issued
9099     pursuant to Subsection [26-55-104(2)(a)(iii)] 26B-4-509(2)(a)(iii).
9100          Section 143. Section 58-17b-602 is amended to read:
9101          58-17b-602. Prescription orders -- Information required -- Alteration -- Labels --
9102     Signatures -- Dispensing in pharmacies.
9103          (1) Except as provided in Section 58-1-501.3, the minimum information that shall be
9104     included in a prescription order, and that may be defined by rule, is:
9105          (a) the prescriber's name, address, and telephone number, and, if the order is for a
9106     controlled substance, the patient's age and the prescriber's DEA number;
9107          (b) the patient's name and address or, in the case of an animal, the name of the owner
9108     and species of the animal;
9109          (c) the date of issuance;
9110          (d) the name of the medication or device prescribed and dispensing instructions, if

9111     necessary;
9112          (e) the directions, if appropriate, for the use of the prescription by the patient or animal
9113     and any refill, special labeling, or other instructions;
9114          (f) the prescriber's signature if the prescription order is written;
9115          (g) if the order is an electronically transmitted prescription order, the prescribing
9116     practitioner's electronic signature; and
9117          (h) if the order is a hard copy prescription order generated from electronic media, the
9118     prescribing practitioner's electronic or manual signature.
9119          (2) The requirement of Subsection (1)(a) does not apply to prescription orders
9120     dispensed for inpatients by hospital pharmacies if the prescriber is a current member of the
9121     hospital staff and the prescription order is on file in the patient's medical record.
9122          (3) Unless it is for a Schedule II controlled substance, a prescription order may be
9123     dispensed by a pharmacist or pharmacy intern upon an oral prescription of a practitioner only if
9124     the oral prescription is promptly reduced to writing.
9125          (4) (a) Except as provided under Subsection (4)(b), a pharmacist or pharmacy intern
9126     may not dispense or compound any prescription of a practitioner if the prescription shows
9127     evidence of alteration, erasure, or addition by any person other than the person writing the
9128     prescription.
9129          (b) A pharmacist or pharmacy intern dispensing or compounding a prescription may
9130     alter or make additions to the prescription after receiving permission of the prescriber and may
9131     make entries or additions on the prescription required by law or necessitated in the
9132     compounding and dispensing procedures.
9133          (5) (a) Each drug dispensed shall have a label securely affixed to the container
9134     indicating the following minimum information:
9135          (i) the name, address, and telephone number of the pharmacy;
9136          (ii) the serial number of the prescription as assigned by the dispensing pharmacy;
9137          (iii) the filling date of the prescription or its last dispensing date;
9138          (iv) the name of the patient, or in the case of an animal, the name of the owner and
9139     species of the animal;
9140          (v) the name of the prescriber;
9141          (vi) the directions for use and cautionary statements, if any, which are contained in the

9142     prescription order or are needed;
9143          (vii) except as provided in Subsection (7), the trade, generic, or chemical name,
9144     amount dispensed and the strength of dosage form, but if multiple ingredient products with
9145     established proprietary or nonproprietary names are prescribed, those products' names may be
9146     used; and
9147          (viii) the beyond use date.
9148          (b) The requirements described in Subsections (5)(a)(i) through (vi) do not apply to a
9149     label on the container of a drug that a health care provider administers to a patient at:
9150          (i) a pharmaceutical administration facility; or
9151          (ii) a hospital licensed under [Title 26, Chapter 21, Health Care Facility Licensing and
9152     Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and Inspection.
9153          (6) A hospital pharmacy that dispenses a prescription drug that is packaged in a
9154     multidose container to a hospital patient may provide the drug in the multidose container to the
9155     patient when the patient is discharged from the hospital if:
9156          (a) the pharmacy receives a discharge order for the patient; and
9157          (b) the pharmacy labels the drug with the:
9158          (i) patient's name;
9159          (ii) drug's name and strength;
9160          (iii) directions for use of the drug, if applicable; and
9161          (iv) pharmacy's name and phone number.
9162          (7) If the prescriber specifically indicates the name of the prescription product should
9163     not appear on the label, then any of the trade, generic, chemical, established proprietary, and
9164     established nonproprietary names and the strength of dosage form may not be included.
9165          (8) Prescribers are encouraged to include on prescription labels the information
9166     described in Section 58-17b-602.5 in accordance with the provisions of that section.
9167          (9) A pharmacy may only deliver a prescription drug to a patient or a patient's agent:
9168          (a) in person at the pharmacy; or
9169          (b) via the United States Postal Service, a licensed common carrier, or supportive
9170     personnel, if the pharmacy takes reasonable precautions to ensure the prescription drug is:
9171          (i) delivered to the patient or patient's agent; or
9172          (ii) returned to the pharmacy.

9173          Section 144. Section 58-17b-606 is amended to read:
9174          58-17b-606. Restrictive drug formulary prohibited.
9175          (1) As used in this section:
9176          (a) "Generic form" means a prescription drug that is available in generic form and has
9177     an A rating in the United States Pharmacopeia and Drug Index.
9178          (b) "Legend drug" has the same meaning as prescription drug.
9179          (c) "Restrictive drug formulary" means a list of legend drugs, other than drugs for
9180     cosmetic purposes, that are prohibited by the Department of Health and Human Services from
9181     dispensation, but are approved by the Federal Food and Drug Administration.
9182          (2) A practitioner may prescribe legend drugs in accordance with this chapter that, in
9183     his professional judgment and within the lawful scope of his practice, he considers appropriate
9184     for the diagnosis and treatment of his patient.
9185          (3) Except as provided in Subsection (4), the Department of Health and Human
9186     Services may not maintain a restrictive drug formulary that restricts a physician's ability to treat
9187     a patient with a legend drug that has been approved and designated as safe and effective by the
9188     Federal Food and Drug Administration, except for drugs for cosmetic purposes.
9189          (4) When a multisource legend drug is available in the generic form, the Department of
9190     Health and Human Services may only reimburse for the generic form of the drug unless the
9191     treating physician demonstrates to the Department of Health and Human Services a medical
9192     necessity for dispensing the nongeneric, brand-name legend drug.
9193          (5) The Department of Health and Human Services pharmacists may override the
9194     generic mandate provisions of Subsection (4) if a financial benefit will accrue to the state.
9195          (6) This section does not affect the state's ability to exercise the exclusion options
9196     available under the Federal Omnibus Budget Reconciliation Act of 1990.
9197          Section 145. Section 58-17b-620 is amended to read:
9198          58-17b-620. Prescriptions issued within the public health system.
9199          (1) As used in this section:
9200          (a) "Department of Health and Human Services" means the Department of Health and
9201     Human Services created in Section 26B-1-201.
9202          (b) "Health department" means either the Department of Health and Human Services or
9203     a local health department.

9204          (c) "Local health departments" mean the local health departments created in Title 26A,
9205     Chapter 1, Local Health Departments.
9206          (2) When it is necessary to treat a reportable disease or non-emergency condition that
9207     has a direct impact on public health, a health department may implement the prescription
9208     procedure described in Subsection (3) for a prescription drug that is not a controlled substance
9209     for use in:
9210          (a) a clinic; or
9211          (b) a remote or temporary off-site location, including a triage facility established in the
9212     community, that provides:
9213          (i) treatment for sexually transmitted infections;
9214          (ii) fluoride treatment;
9215          (iii) travel immunization;
9216          (iv) preventative treatment for an individual with latent tuberculosis infection;
9217          (v) preventative treatment for an individual at risk for an infectious disease that has a
9218     direct impact on public health when the treatment is indicated to prevent the spread of disease
9219     or to mitigate the seriousness of infection in the exposed individual; or
9220          (vi) other treatment as defined by the Department of Health and Human Services by
9221     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
9222          (3) In a circumstance described in Subsection (2), an individual with prescriptive
9223     authority may write a prescription for each contact, as defined in Section [26-6-2] 26B-7-201,
9224     of a patient of the individual with prescriptive authority without a face-to-face exam, if:
9225          (a) the individual with prescriptive authority is treating the patient for a reportable
9226     disease or non-emergency condition having a direct impact on public health; and
9227          (b) the contact's condition is the same as the patient of the individual with prescriptive
9228     authority.
9229          (4) The following prescription procedure shall be carried out in accordance with the
9230     requirements of Subsection (5) and may be used only in the circumstances described under
9231     Subsections (2) and (3):
9232          (a) a physician writes and signs a prescription for a prescription drug, other than a
9233     controlled substance, without the name and address of the patient and without the date the
9234     prescription is provided to the patient; and

9235          (b) the physician authorizes a registered nurse employed by the health department to
9236     complete the prescription written under this Subsection (4) by inserting the patient's name and
9237     address, and the date the prescription is provided to the patient, in accordance with the
9238     physician's standing written orders and a written health department protocol approved by the
9239     physician and the medical director of the state Department of Health and Human Services.
9240          (5) A physician assumes responsibility for all prescriptions issued under this section in
9241     the physician's name.
9242          (6) (a) All prescription forms to be used by a physician and health department in
9243     accordance with this section shall be serially numbered according to a numbering system
9244     assigned to that health department.
9245          (b) All prescriptions issued shall contain all information required under this chapter
9246     and rules adopted under this chapter.
9247          (7) Notwithstanding Sections 58-17b-302 and 58-17b-309, a nurse who is employed by
9248     a health department and licensed under Chapter 31b, Nurse Practice Act, may dispense a drug
9249     to treat a sexually transmitted infection if the drug is:
9250          (a) a prepackaged drug as defined in Section 58-17b-802;
9251          (b) dispensed under a prescription authorized by this section;
9252          (c) provided at a location that is described in Subsection (2)(a) or (b) and operated by
9253     the health department;
9254          (d) provided in accordance with a dispensing standard that is issued by a physician who
9255     is employed by the health department; and
9256          (e) if applicable, in accordance with requirements established by the division in
9257     collaboration with the board under Subsection (8).
9258          (8) The division may make rules in collaboration with the board and in accordance
9259     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to establish specific
9260     requirements regarding the dispensing of a drug under Subsection (7).
9261          Section 146. Revisor instructions.
9262          The Legislature intends that the Office of Legislative Research and General Counsel, in
9263     preparing the Utah Code database for publication, not enroll this bill if any of the following
9264     bills do not pass:
9265          (a) S.B. 38, Health and Human Services Recodification - Administration, Licensing,

9266     and Recovery Services;
9267          (b) S.B. 39, Health and Human Services Recodification - Prevention, Supports,
9268     Substance Use and Mental Health;
9269          (c) S.B. 40, Health and Human Services Recodification - Health Care Assistance and
9270     Data; or
9271          (d) S.B. 41, Health and Human Services Recodification - Health Care Delivery and
9272     Repeals.